[Federal Register Volume 69, Number 4 (Wednesday, January 7, 2004)]
[Rules and Regulations]
[Pages 1084-1267]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-32323]



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Part IX





Department of Health and Human Services





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Centers for Medicare & Medicaid Services



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42 CFR Parts 405 and 414



Medicare Program; Changes to Medicare Payment for Drugs and Physician 
Fee Schedule Payments for Calendar Year 2004; Interim Final Rule

  Federal Register / Vol. 69, No. 4 / Wednesday, January 7, 2004 / 
Rules and Regulations  

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 405 and 414

[CMS-1372-IFC]
RIN 0938-AM97


Medicare Program; Changes to Medicare Payment for Drugs and 
Physician Fee Schedule Payments for Calendar Year 2004

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

ACTION: Interim final rule with comment period.

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SUMMARY: This interim final rule implements the provisions of the 
Medicare Prescription Drug, Improvement, and Modernization Act (MPDIMA) 
of 2003, Pub. L. 108-173, which are applicable in 2004 to Medicare 
payment for covered drugs and physician fee schedule services. These 
provisions revise the current payment methodology for Part B covered 
drugs and biologicals that are not paid on a cost or prospective 
payment basis; make changes to Medicare payment for furnishing or 
administering drugs and biologicals; revise the geographic practice 
cost indices and change the physician fee schedule conversion factor. 
The 2004 physician fee schedule conversion factor will be $37.3374. The 
2004 national anesthesia conversion factor (prior to making adjustment 
for the geographic practice cost indices) will be $17.4969. The 
information contained in this final rule related to payment under the 
physician fee schedule supercedes the information contained in the 
November 7, 2003, final rule to the extent that the two are 
inconsistent. All other provisions of the November 7, 2003, final rule 
are unchanged unless otherwise noted. This rule also extends the ``opt-
out'' provisions of 1802(b)(5)(3) of the Social Security Act to 
dentists, podiatrists, and optometrists.

DATES: Effective date: These regulations are effective on January 1, 
2004.
    Comment date: We will consider comments if we receive them at the 
appropriate address, as provided in the addresses section, no later 
than 5 p.m. on March 8, 2004.

ADDRESSES: In commenting, please refer to file code CMS-1372-FC. 
Because of staff and resource limitations, we cannot accept comments by 
facsimile (FAX) transmission.
    Mail written comments (one original and two copies) to the 
following address only: Centers for Medicare & Medicaid Services, 
Department of Health and Human Services, Attention: CMS-1372-FC, P.O. 
Box 8013, Baltimore, MD 21244-8013.
    Please allow sufficient time for us to receive mailed comments on 
time in the event of delivery delays.
    If you prefer, you may deliver (by hand or courier) your written 
comments (one original and two copies) to one of the following 
addresses: Room 445-G, Hubert H. Humphrey Building, 200 Independence 
Avenue, SW., Washington, DC 20201, or Room C5-14-03, 7500 Security 
Boulevard, Baltimore, MD 21244-8013.
    (Because access to the interior of the HHH Building is not readily 
available to persons without Federal government identification, 
commenters are encouraged to leave their comments in the CMS drop slots 
located in the main lobby of the building. A stamp-in clock is 
available if you wish to retain proof of filing by stamping in and 
retaining an extra copy of the comments being filed.)
    Comments mailed to the addresses indicated as appropriate for hand 
or courier delivery may be delayed and could be considered late.
    For information on viewing public comments, see the beginning of 
the SUPPLEMENTARY INFORMATION section.

FOR FURTHER INFORMATION CONTACT: Jennifer Fan, (410) 786-0548 regarding 
Medicare payment for Part B covered drugs and biologicals.
    Rick Ensor, (410) 786-5617 regarding provisions related to 
geographic practice cost indices.
    Diane Milstead, (410) 786-3355 for provisions related to the 
physician fee schedule.
    Gaysha Brooks, (410) 786-9649 for questions related to obtaining 
Medicare physician fee schedule information from the CMS Web site.

SUPPLEMENTARY INFORMATION:
    Inspection of Public Comments: Comments received timely will be 
available for public inspection as they are processed, generally 
beginning approximately 3 weeks after publication of a document, at the 
headquarters of the Centers for Medicare & Medicaid Services, 7500 
Security Boulevard, Baltimore, Maryland 21244, Monday through Friday of 
each week from 8:30 a.m. to 4 p.m. To schedule an appointment to view 
public comments, phone (410) 786-7197.
    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 $10. 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 Web site address is http://www.access.gpo.gov/nara/index.html.

Accessing Physician Fee Schedule Web Site and Pricing Information

    Information on the physician fee schedule and pricing files can be 
found on our home page. You can access this data at the following Web 
site: http://cms.hhs.gov/physicians/pfs or you can access this data by 
using the following directions:
    1. Go to the CMS home page (http://www.cms.hhs.gov).
    2. Place your cursor over the word ``Professionals'' in the blue 
area near the top of the page. Select ``Physicians'' from the drop-down 
menu.
    3. Scroll down and under ``Payment/Billing'' select ``Physician Fee 
Schedule''.
    The Physician Fee Schedule pricing information is contained in two 
public use files.
    (1) National Physician Fee Schedule Relative Value File--This file 
contains all CPT/HCPCS (excluding codes beginning with B, E, L, K, and 
0), their short descriptions and a status indicator, which denotes 
whether or not the service is priced under the physician fee schedule. 
The file also contains the components used in the calculation of the 
annual pricing amount (that is, the RVUs, GPCIs, and conversion 
factor), anesthesia conversion factors, and the payment policy 
indicators used to price the claims with surgical modifiers. This file 
does not contain the calculated pricing amounts.
    (2) Physician Fee Schedule Payment Amount File National/Carrier--
This file contains the CPT code and the Medicare price for all services 
priced under the Physician Fee Schedule. These data can be downloaded 
for the entire country, or for a selected carrier (in most cases

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carriers correlate with States). There is no option of requesting data 
for selected HCPCS codes. The zip file, which is downloaded, contains a 
file named ``PF04pc'', which explains the data contained in each 
column. This file also contains a description of pricing localities 
used in the Physician Fee Schedule. Due to the size of the national 
file (as well as many of the carrier-specific files), these data are 
provided in a comma-delimited format, which can be used to populate 
database applications. Generally speaking, these data are too large for 
Excel, however if a carrier specific file has 3 or fewer localities, 
Excel can be used.
    Another file that may prove useful is the Zip Code to Carrier 
Locality file. This file will map ZIP Codes to CMS carriers and 
localities and map Zip Codes to their State and determine whether the 
ZIP Code has a rural designation as determined by CMS. You can access 
this file at the following Web site: http://cms.hhs.gov/providers/pufdownload/default.asp#alphanu or you can access this data by using 
the following directions:
    1. Go to the CMS home page (http://www.cms.hhs.gov).
    2. Place your cursor over the word ``Professionals'' in the blue 
area near the top of the page. Select ``Physicians'' from the drop-down 
menu.
    3. Scroll down and under ``Payment/Billing'' select ``Medicare 
Payment Systems.''
    4. Scroll down and under Coding Files select ``Zip Code to Carrier 
Locality File.''

Table of Contents

I. Background
    A. Medicare Payment for Part B Covered Drugs and the Furnishing 
or Administration of Drugs
    B. Geographic Practice Cost Indices and Physician Fee Schedule 
Conversion Factor
II. Provisions of the Final Rule
    A. Application of Market-Based Systems of Medicare Payment for 
Part B Drugs
    B. Payment for Inhalation Drugs
    C. Pharmacy Supplying Fee for Certain Drugs and Biologicals
    D. Physician Fee Schedule Provisions Related to the 
Administration of Drugs
    1. Provisions Related to Budget Neutrality
    2. Adjustments in Practice Expense Relative Value Units for 
Certain Drug Administration Services beginning with 2004
    3. Pricing of Clinical Oncology Nurses in the Practice Expense 
Methodology
    4. Work Relative Value Units for Certain Drug Administration 
Services
    5. Adjustments in the Practice Expense Relative Value Units for 
Certain Drug Administration Services Beginning with 2005
    6. Provisions for Appropriate Reporting and Billing for 
Physicians' Services Associated with the Administration of Covered 
Outpatient Drugs and Biologicals
    7. Treatment of Other Services Currently in the Nonphysician 
Work Pool
    8. Payment for Multiple Chemotherapy Agents Furnished on a 
Single Day through the Push Technique
    9. Transitional Adjustment to Medicare Payment for Certain Drug 
Administration Services
    E. Geographic Practice Cost Indices
    F. Adjustments to the Work, Practice Expense and Malpractice 
Relative Value Units
    G. Anesthesia and Physician Fee Schedule Conversion Factors for 
2004
    H. Publication of Addenda
III. Private Contracting with Medicare Beneficiaries
IV. Waiver of Proposed Rulemaking and Delay in Effective Date
V. Collection of Information Requirements
VI. Response to Comments
VII. Regulatory Impact Analysis
Addendum A--Explanation and Use of Addendum B
Addendum B--Relative Value Units and Related Information Used in 
Determining Medicare Payments for 2004
Addendum C--Codes with Interim Relative Value Units
Addendum D--2004 Geographic Practice Cost Indices by Medicare 
Carrier and Locality
Addendum E--2005 Geographic Practice Cost Indices by Medicare 
Carrier and Locality
Addendum F--List of Medicare Covered Part B Drugs Under Payment 
Reform

I. Background

A. Medicare Payment for Part B Covered Drugs and the Furnishing or 
Administration of Drugs

    Medicare Part B covers a limited number of prescription drugs and 
biologicals. For the purposes of this final rule, the term ``drugs'' 
will hereafter refer to both drugs and biologicals. Currently, covered 
Medicare drugs generally fall into three categories: drugs furnished 
incident to a physician's service, durable medical equipment (DME) 
drugs, and drugs specifically covered by statute (for example, oral 
immunosuppressive drugs). Prior to January 1, 2004, drugs not paid on a 
cost or prospective payment basis are paid based on the lower of the 
actual charge or 95 percent of the average wholesale price (AWP) 
(section 1842(o)(1) of the Social Security Act (the Act), as added by 
section 4556 of the Balanced Budget Act of 1997 (Pub. L. 105-33)). In 
December 2000, the Congress passed the Medicare, Medicaid, and SCHIP 
Benefits Improvement and Protection Act (BIPA). Section 429(a) of BIPA 
required the GAO to conduct a study of the current payment methodology. 
Section 429(b) of BIPA requires the Secretary, notwithstanding any 
other provision of law, to revise the Medicare payment methodology for 
drugs based on the GAO study. In September 2001, the GAO presented its 
study to the Congress in a report titled, ``Medicare: Payments for 
Covered Outpatient Drugs Exceed Providers' Costs'' (GAO-01-1118). 
Consistent with the recommendations in the report, we published four 
options for revising the current drug payment system in a proposed rule 
published August 20, 2003 (68 FR 50428), in the Federal Register. This 
proposed rule also discussed changes to Medicare payment under the 
physician fee schedule for furnishing or administering certain drugs 
and biologicals. However, as discussed in the November 7, 2003, final 
rule (68 FR 63196), ``Revisions to Payment Policies Under the Physician 
Fee Schedule for Calendar Year 2004'', since the Congress was 
considering legislation to address these issues, we were reluctant to 
proceed with finalizing the proposals contained in the August 20, 2003, 
proposed rule. On November 25, 2003, the Congress enacted the Medicare 
Prescription Drug, Improvement, and Modernization Act (MPDIMA) of 2003, 
Pub L. 108-173. The President signed Pub. L. 108-173 into law on 
December 8, 2003. Sections 303 through 305 of MPDIMA make revisions to 
payment methodology for Part B covered drugs that are not paid on a 
cost or prospective payment basis. Sections 303 and 304 also require 
the Secretary of Health and Human Services to revise Medicare payments 
for the administration of drugs made using the physician fee schedule. 
We are using this final rule to implement those sections of MPDIMA that 
are effective January 1, 2004, and prior to January 1, 2006, and affect 
Medicare payment for covered Part B drugs and their administration.

B. Geographic Practice Cost Indices (GPCIs) and Physician Fee Schedule 
Conversion Factor

    Section 1848(e) of the Act requires that payments vary among 
Medicare physician fee schedule areas according to the extent resource 
costs vary, as measured by Geographic Practice Cost Indices (GPCIs) for 
each of the three fee schedule components--work, practice expense and 
malpractice. As explained later in this document, for services provided 
on or after January 1, 2004, and prior to January 1, 2007, section 412 
of MPDIMA requires that the work GPCI cannot be less than 1.00. Section 
602 of MPDIMA requires that work, practice

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expense and malpractice GPCIs otherwise calculated cannot be less than 
1.67 for services furnished in Alaska on or after January 1, 2004, or 
prior to January 1, 2006.
    Sections 1848(d) and (f) of the Act establish a formula for 
determining the physician fee schedule update and conversion factor 
(CF). As indicated in the November 7, 2003, final rule (68 FR 63239), 
the application of the formula in the statute resulted in a 2004 
physician fee CF of $35.1339, a reduction of 4.5 percent. However, 
section 601 of MPDIMA requires that the update to the physician fee 
schedule CF for 2004 cannot be less than 1.5 percent. We are using this 
final rule to announce the CF and GPCIs that will be used to determine 
physician fee schedule rates in 2004.

II. Provisions of the Final Rule

A. Application of Market-Based Systems of Medicare Payment for Part B 
Drugs

1. General Rule
    Subject to the other provisions of MPDIMA, section 303(b) of MPDIMA 
specifies that drugs not paid on a cost or prospective payment basis 
will be paid at 85 percent of the average wholesale price (AWP) 
determined as of April 1, 2003.
2. Specific Provisions
    Section 303(b)(1) of MPDIMA specifies that for CY 2004 the 
following drugs will be paid at 95 percent of the AWP:
    [sbull] Blood clotting factors;
    [sbull] A drug or biological furnished during 2004 that was not 
available for Medicare payment as of April 1, 2003;
    [sbull] Pneumococcal and influenza vaccines as well as hepatitis B 
vaccine that is furnished to individuals at high or intermediate risk 
of contracting hepatitis B (as determined by the Secretary); and
    [sbull] A drug or biological furnished during 2004 in connection 
with the furnishing of renal dialysis services if separately billed by 
renal dialysis facilities.
    Section 303(b)(1) of MPDIMA also specifies that infusion drugs will 
be paid at 95 percent of the AWP in effect on October 1, 2003, when 
furnished through a covered item of durable medical equipment.
    Section 303(b)(2) of MPDIMA specifies that the payment for a drug 
contained in the table entitled ``Table 3--Medicare Part B Drugs in the 
Most Recent GAO and OIG Studies'' published in the August 20, 2003, 
proposed rule (68 FR 50445) will be the percentage of the AWP indicated 
in the column entitled ``Average of the GAO and OIG data (percent)''. 
This percentage will be applied to the AWP determined as of April 1, 
2003. However, in the event that the percentage from Table 3 is less 
than 80 percent, the percentage applied to the AWP determined as of 
April 1, 2003, will be 80 percent. Table 1 below is a reprint of Table 
3 from the August 20, 2003, proposed rule. Table 2 highlights the 
relevant column from the August 20, 2003, proposed rule table and 
applies the 80 percent limit where applicable.
    We note that there was a typographical error in Table 3 as 
published on August 20, 2003, for J1642 ``Heparin Sodium Lock Flush''. 
The percentage in the column specified in MPDIMA is missing for J1642. 
Given that this column is calculated as the average of the values in 
the preceding two columns for the drugs in this table, we will treat 
the missing value as the average of the values in the prior two columns 
for J1642, namely 66 percent. This is the percentage that would have 
been in that column in the table in the absence of the typographical 
error. We believe that this correction is consistent with Congress' 
intent to revise the percentage based on the average of accurate GAO 
and OIG data. This percentage will be subject to the 80 percent 
limitation described above.
    We also note that there was another typographical error in Table 3 
as published on August 20, 2003, for J9390 ``Vinorelbine Tartrate 
(Navelbine).'' The percentage listed under the column titled ``GAO 
Average Widely Available Price as a Percent of AWP (2001)'' for J9390 
in Table 3 is incorrect and should not have been listed at all since 
GAO did not include this drug in its study. The percentage under the 
column titled ``OIG Median Catalogue Price as a Percent of AWP (2000)'' 
is correct. Since the column specified in MPDIMA is calculated as the 
average of the values in the preceding two columns for the drugs in 
this table, the correct percentage listed for J9390 under this column 
will be 81 percent based on the data from OIG. We believe that this 
correction is also consistent with Congress' intent to revise rates 
based on the average of accurate GAO and OIG data. This is the 
percentage that would have been in that column in the table in the 
absence of the typographical error.

BILLING CODE 4120-01-P

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[GRAPHIC] [TIFF OMITTED] TR06JA04.000


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[GRAPHIC] [TIFF OMITTED] TR06JA04.003


BILLING CODE 4120-01-C

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    Section 303(b)(2) of MPDIMA also provides an opportunity for the 
manufacturer of a drug to submit data and information requesting a 
different percentage from the percentage indicated in Table 1A or the 
85 percent general rule. The Secretary may adjust the percentage based 
on this data and information beginning April 1, 2004. Section 303(b) of 
MPDIMA specifies that this data and information can be submitted after 
October 15, 2003, and before January 1, 2004. As required by the 
statute, manufacturers need to submit this data and information before 
January 1, 2004. Manufacturers may supplement this data and 
information; however, any additional supplemental information should be 
received by CMS before 5 p.m. e.s.t. on January 16, 2004. We will use 
the supplemental information to help us evaluate the initial submission 
of data and information.
    We expect that the data and information submitted by a manufacturer 
would include the manufacturer's average sales price for the drug for 
the most recent quarter available. For the purposes of the exceptions 
process, the manufacturer's average sales price is calculated as the 
manufacturer's sales to all purchasers in the United States (excluding 
sales exempted below) for the quarter divided by the total number of 
units of such drug or biological sold by the manufacturer in that 
quarter. The submission should also specify the units used in the 
calculation (for example, micrograms).
    In the calculation of the manufacturer's average sales price, a 
manufacturer should include volume discounts, prompt pay discounts, 
cash discounts, free goods that are contingent on any purchase 
requirement, chargebacks, and rebates (other than rebates under the 
Medicaid program). To the extent that there is a lag in the 
availability of this information applicable to the quarter, the 
manufacturer should apply a methodology based on the most recent 12-
month period available to estimate costs attributable to these price 
concessions. The manufacturer should submit a description of the 
methodology used to estimate these costs.
    In the calculation of the manufacturer's average sales price, a 
manufacturer should exclude the following sales as defined for the 
Medicaid best price calculation under section 1827(c)(1)(C)(i) of the 
Act:
    1. Sales to the Indian Health Service, the Department of Veterans 
Affairs, a state home as defined for the purposes of the Medicaid best 
price calculation, the Department of Defense, the Public Health Service 
and entities described in section 340(B)(a)(4) of the Public Health 
Act;
    2. Sales under the Federal Supply Schedule of the General Services 
Administration;
    3. Sales under a State pharmaceutical assistance program; and
    4. Any depot sales and single award contract sales as defined for 
the purposes of the Medicaid best price calculation.
    A manufacturer should also exclude sales at a nominal charge. Sales 
at a nominal charge are defined as sales below 10 percent of the 
average calculated as described above. In other words, after following 
the methodology described above, sales below 10 percent of the 
resulting average should be excluded and the average recalculated. The 
result of this final calculation is the manufacturer's average sales 
price for the purpose of the exceptions process.
    Note that we would base any changes to the percentage indicated in 
Table 1 or the 85 percent general rule only on data that we could make 
available to the public.
    Section 303(b)(2) of MPDIMA also specifies that we may adjust the 
percentage effective January 1, 2004, based on data and information 
that a manufacturer submitted by October 15, 2003. We accepted data 
from the manufacturer of two biologicals: imiglucerase and alglucerase. 
The data and information submitted by the manufacturer indicated that 
the manufacturer's average sales price was 94 percent of the average 
wholesale price. Based on this data, we will pay for these two 
biologicals when furnished in 2004 at 94 percent of the average 
wholesale price determined as of April 1, 2003.

B. Payment for Inhalation Drugs

    Section 305(a) of MPDIMA specifies that inhalation drugs furnished 
through durable medical equipment covered under 1861(n) of the Act will 
be paid in accordance with section 1842(o)(4) of the Act, as added by 
section 303(b)(2) of MPDIMA. The methodology for determining the 
payment for a drug under section 303(b)(2) of MPDIMA is described above 
in section II.A.2 of this rule.

C. Pharmacy Supplying Fee for Certain Drugs and Biologicals

    Section 303(e)(2) of MPDIMA provides that the Secretary shall pay a 
pharmacy supplying fee, less applicable deductible and coinsurance, for 
immunosuppressive drugs described in section 1861(s)(2)(J) and oral 
anti-cancer and anti-nausea drugs described in subparagraph (Q) and (T) 
of the same section as determined appropriate by the Secretary. We 
believe that the payment of this fee should be bundled into the current 
payment for these drugs and the 2004 payment amounts specified in 
section 303(b) of MPDIMA. We do not have data indicating that the 85% 
figure is insufficient to cover the cost of supplying these drugs. 
However, for 2005, we will re-examine this issue in light of the 
average sales price (ASP) data that will be submitted by manufacturers.

D. Physician Fee Schedule Provisions Related to the Administration of 
Drugs

    As indicated above, sections 303 and 304 of MPDIMA amend section 
1848 of the Act for physician fee schedule payments made beginning 
January 1, 2004. We are describing our implementation of the parts of 
sections 303 and 304 which have a January 1, 2004, effective date.
1. Provisions Related to Budget Neutrality
    Section 303(a)(1) of MPDIMA amends section 1848(c) of the Act to 
require changes to the practice expense and physician work relative 
value units (RVUs) used to determine payment for drug administration 
services. In general, section 1848(c)(2)(B)(ii)(II) provides that the 
Secretary shall review and may make adjustments to the RVUs if the 
changes do not cause the amount of expenditures to increase or decrease 
by more than $20 million. Section 303(a) of MPDIMA amends section 
1848(c)(2)(B) of the Act to add a new clause (iv) that exempts from 
this limitation, any additional expenditures in 2004 attributable to:
    (1) The increase in practice expense RVUs for drug administration 
services resulting from the use of a practice expense survey meeting 
specific criteria described in the statute;
    (2) The increase in practice expense RVUs resulting from using 
survey data on the compensation of clinical oncology nurses; and
    (3) New physician work RVUs that we are adding to the drug 
administration services consistent with the new statutory provisions.
    In addition, section 303(a)(1) of MPDIMA also modifies section 
1848(c)(2)(B) of the Act to provide an exemption from the budget 
neutrality requirements in 2005 or 2006 for further increases in 
practice expense RVUs for drug administration services that may result 
from using additional survey data from physician specialties meeting 
specific criteria that we will discuss in

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more detail later in this document. Furthermore, any increase in 
spending associated with any coding or policy changes resulting from 
the Secretary's review of existing drug administration codes is also 
exempted from budget neutrality requirements of section 1848 (c)(2)(B) 
by section 303 of MPDIMA. Section 303(a)(3) also requires the Secretary 
to review the policy in effect for the administration of more than one 
drug administered by the push technique. This change is also exempt 
from budget neutrality.
    In general, we have met the budget neutrality requirements in the 
statute by either applying an adjustment to the physician fee schedule 
CF or to the RVUs themselves. However, section 303(a) of MPDIMA 
specifically amends the statute to exempt the additional expenditures 
that result from changes to the RVUs for drug administration services 
from the budget neutrality requirements. Therefore, we will make no 
changes to the physician fee schedule CF or physician work RVUs to 
account for physician work RVUs being added to drug administration 
services. We will add the additional expenditures as a result of these 
provisions to the expenditure base in applying our practice expense 
methodology.
2. Adjustments in Practice Expense Relative Value Units for Certain 
Drug Administration Services Beginning with 2004
    Section 303(a)(1)(B) of MPDIMA amends section 1848(c)(2) of the Act 
by adding new subparagraph (H), ``Adjustments in Practice Expense 
Relative Value Units for Certain Drug Administration Services beginning 
in 2004''. Subparagraph (H)(i) requires the Secretary to determine the 
practice expense RVUs for 2004 using practice expense surveys submitted 
to the Secretary as of January 1, 2003, by a physician specialty 
organization in accordance with section 212 of the Medicare, Medicaid, 
and SCHIP Balanced Budget Refinement Act (BBRA) of 1999 if the survey: 
(1) Covers practice expenses for oncology drug administration services; 
and (2) meets criteria established by the Secretary for acceptance of 
such surveys.
    Section 212 of the BBRA directed the Secretary to establish a 
process under which we would accept and use, to the maximum extent 
practicable and consistent with sound data practices, data collected or 
developed by entities and organizations. In an interim final rule with 
comment published in the Federal Register on May 3, 2000 (65 FR 25664), 
we established the criteria under which we would accept supplemental 
data for use in computing the practice expense RVUs. We subsequently 
modified those criteria in the November 1, 2000, physician fee schedule 
final rule (65 FR 65383) and the December 31, 2002, final rule (67 FR 
79971).
    The American Society of Clinical Oncology (ASCO) provided us with a 
supplemental survey prior to January 1, 2003, that includes expenses 
associated with the administration of chemotherapy drugs. While the 
survey meets the criteria we established, we initially decided not to 
use the information because of concerns about the data (for more 
information, see the December 31, 2003, final rule (67 FR 79973)). In a 
proposed rule published in the Federal Register on August 20, 2003 (68 
FR 50437), we described subsequent discussions held with ASCO that 
resolved our concerns about the data.
    Consistent with section 1848(c)(2)(H)(i) of the Act, we are using 
the ASCO survey to determine the practice expense RVUs for physician 
fee schedule services furnished on or after January 1, 2004, because 
it: (1) Was submitted prior to January 1, 2003; (2) includes expenses 
for drug administration services; and (3) meets criteria we have 
established for use of surveys.
    Section 303(j) of MPDIMA applies the amendments made by section 303 
for payments for drugs or biologicals and drug administrative services 
to physicians in the specialties of hematology, hematology/oncology and 
medical oncology. Section 304 indicates that: ``Notwithstanding section 
303(j), the amendments made by section 303 shall also apply to payments 
for drugs or biologicals and drug administration services furnished by 
physicians in specialties other than the specialties of hematology, 
hematology/oncology and medical oncology.''
    Because the section 303 (a)(1) provisions apply to hematology, 
hematology/oncology and medical oncology, we will use the supplemental 
survey submitted by ASCO for CMS specialty codes 82 (hematology), 83 
(hematology/oncology) and 90 (medical oncology).
    The Conference Report indicates that section 304 requires the 
Secretary to disregard the (section 303) exemption and apply the 
adjustments in section 303 to these other specialties. The Conference 
report further indicates the intent in drafting the provisions in this 
fashion: ``The intent in drafting the two sections in this manner is to 
segregate the savings achieved from adjustments to payments to 
oncologists from savings derived from other physician specialties. The 
specialties to which the provisions apply are the specialties as used 
by the carriers in administering Medicare.''
    The purpose of the separation is only to display the budget scoring 
effects separately for oncologists from other physician specialties. 
There is no substantive policy effect at all from the enactment of the 
amendments in this manner. The combined effect of the amendments made 
by both section 303(j) and section 304 is that the substantive changes 
in both payments for drugs and biologicals as well as drug 
administration services apply to physicians of all specialties.
    When we use supplemental survey data, we have generally blended the 
supplemental survey data with prior survey data from the American 
Medical Association's Socioeconomic Monitoring Survey (SMS). However, 
section 1848(c)(2)(H)(i) of the Act indicates that the Secretary should 
use survey data that meets the specific criteria specified in the 
statute. We are using the ASCO survey data and are not blending it with 
the prior SMS data.
    Because we are not blending the ASCO survey with the SMS data, we 
are adopting a consistent policy in 2004 for survey data received in 
1999 from the Society for Thoracic Surgery (STS). That is, we will use 
the STS supplemental survey data without blending it with the SMS data. 
However, we have not made a final decision and will continue to 
consider the issue of whether to blend supplemental survey with prior 
SMS data or to use specialty submitted supplemental surveys without 
blending. At this time, we are not using the ASCO and STS cases as 
precedent for our consideration of future survey data. While some may 
argue that the inclusion of newer, more specific survey data will 
improve the precision of the data underlying the calculation of the 
practice expense resource based RVUs, and lead to more stability in the 
practice expense methodology, it can also be argued that a specialty 
society would only undertake a survey (arguing that existing SMS data 
were not sufficiently representative of the specialty's practice 
expenses) if it believed that higher practice expense payments for that 
specialty could be achieved by submitting additional data. We do not 
believe that it would be prudent for the program to commit to the use 
of supplemental survey data without blending it with the SMS data for 
any and all future supplementary surveys. We will continue to consider 
this issue in 2004 when we make proposals for the 2005 physician fee 
schedule. At this time, we suggest that supplemental

[[Page 1093]]

survey data should be used without blending only under certain 
conditions that would be specified in a future rule. (Note that this 
issue does not affect specialties that are not included in the SMS 
sample, and for which we have no other previous survey data. In such 
cases there would obviously be no SMS survey data to blend.)
    We invite comments on this issue and on appropriate criteria for 
determining when to employ specialty submitted supplemental surveys 
without blending.
    Table 2 shows the revised practice expense per hour for each cost 
pool for the specialties of cardiac and thoracic surgery and oncology, 
hematology/oncology and hematology.

                                                     Table 2
----------------------------------------------------------------------------------------------------------------
                                        Clin      Admin.     Office      Med.       Med.
             Specialty                 Staff      Staff     Expense    Supplies    Equip      Other      Total
----------------------------------------------------------------------------------------------------------------
Cardiac/Thoracic Surgery...........       19.5       18.0       17.2        2.1        2.1       14.2       73.1
Oncology...........................       53.4       34.7       34.4       16.9        7.4       42.2      189.0
----------------------------------------------------------------------------------------------------------------

3. Pricing of Clinical Oncology Nurses in the Practice Expense 
Methodology
    Section 1848(c)(2)(H)(ii) of the Act (as added by section 303(a)(1) 
of MPDIMA) specifies that if a survey meets the criteria described 
above (that is, the survey that is submitted prior to January 1, 2003, 
meets criteria established by the Secretary, etc.) and includes data on 
wages, salaries and compensation of clinical oncology nurses, the 
Secretary will use the data in the methodology for determining the 
practice expense RVUs. The ASCO survey meets the criteria specified in 
the statute and also includes data on oncology nursing compensation. 
For this reason, we are using information from the survey to determine 
the wage rate per minute for oncology certified nurses (OCN). The OCN 
is included as a practice expense input for the nonchemotherapy 
infusion codes (90780 through 90781) and the chemotherapy 
administration codes (96400 through 96549). Using information from the 
ASCO survey, we determined a wage rate of 0.79 per minute (increase 
from the 0.56 per minute we are currently using) for the OCN. We used 
this revised wage rate to determine the practice expense RVUs for the 
drug administration services shown in Addendum B.
4. Work Relative Value Units for Certain Drug Administration Services
    For services furnished on or after January 1, 2004, section 
1848(c)(2)(H)(iii) of the Act (as added by section 303(a)(1) of MPDIMA) 
requires the Secretary to establish work RVUs for drug administration 
services equal to the work RVUs for a level 1 office medical visit for 
an established patient (CPT code 99211). Section 1848(c)(2)(H)(iv) of 
the Act defines drug administration services as those classified as of 
October 1, 2003, within any of the following groups: therapeutic or 
diagnostic infusions (excluding chemotherapy); chemotherapy 
administration services; and therapeutic, prophylactic, or diagnostic 
injections for which there are no work RVUs assigned and for which 
national RVUs have been assigned.
    CPT code 99211 is a level 1 established patient office visit with 
physician work RVUs of 0.17. Consistent with the statute we are adding 
physician work RVUs of 0.17 to the following drug administration 
services: CPT codes 90780 through 90781, 90782 through 90788, 96400, 
96408 through 96425, 96520, and 96530.
    Currently, section 15010 of the Medicare Carriers Manual (MCM) does 
not allow payment for CPT codes 90782, 90783, 90784 and 90788 unless 
these are the only physician fee schedule services provided on that 
day. We do pay separately for cancer chemotherapy injections (CPT codes 
96400-96549) in addition to an office visit (CPT codes 99211-99215) 
furnished on the same day by the same physician. CPT code 99211 does 
not require a face-to-face encounter between the physician and the 
patient like other office visit services (CPT codes 99212-99215) and 
can be used be physicians supervising a nurse performing chemotherapy 
administration. Currently, physicians typically bill for CPT code 99211 
approximately 34 percent of the time that they are also providing a 
drug administration service. We believe that adding physician work to 
the drug administration services will subsume the supervision that 
physicians billing for a 99211 on the same day are typically providing. 
Therefore, we will no longer allow for 99211 to be billed on the same 
day as a chemotherapy administration service.
    Although less common than CPT 99211, physicians also bill for other 
office visit (CPT codes 99212-99215) provided on the same day as 
chemotherapy administration. We will continue to allow other office 
visits to be billed on the same day as a drug administration service 
with modifier 25 indicating that a separately identifiable evaluation 
and management service was provided. This policy will make our practice 
with chemotherapy administration consistent with all other physician 
fee schedule services where we require use of modifier 25 if a 
separately identifiable evaluation and management service is provided 
on the day as a procedure. Section 15400(D) of the Medicare Carrier 
Manual (MCM) describes Medicare payment policy with respect to 
chemotherapy administration and ``incident to'' services provided on 
the same day. We will be revising section 15400 of the MCM (in addition 
to section 15010 that describes ``bundled services'') to reflect that 
CPT code 99211 and a chemotherapy administration service cannot be 
billed for the same patient on a single day.
5. Adjustments in the Practice Expense Relative Value Units for Certain 
Drug Administration Services Beginning with 2005
    Section 303(a)(1) of MPDIMA also modifies section 1848(c)(2)(B) of 
the Act to provide an exemption from the budget neutrality requirements 
in 2005 or 2006 for further increases in practice expense RVUs for drug 
administration services that may result from using additional survey 
data from physician specialties meeting specific criteria. Section 
1848(c)(2)(I) of the Act specifies that the exemption from budget 
neutrality will apply for any survey (other than the ASCO survey that 
meets the exemption requirement specified by another provision of the 
statute) submitted by a specialty group where 40 percent or more of its 
payments for Part B services are attributable to the administration of 
drugs in 2002 as determined by the Secretary. The statute indicates 
that the survey must include expenses for the administration of drugs 
and must be received by the Secretary prior to March 1, 2004, to 
determine the 2005 practice expense RVUs and prior to March 1, 2005, to 
determine the 2006 practice expense RVUs.

[[Page 1094]]

    We have reviewed Medicare allowed charge data for 2002. Based on 
the 2002 data, we found that the specialties of gynecology/oncology 
(specialty code 98) rheumatology (specialty code 66) and urology 
(specialty code 30) received more than 40 percent of total Part B 
revenues from drugs. We will apply the exemption from budget neutrality 
specified in section 1848(c)(2)(I) of the Act for additional 
expenditures that result from the increases in drug administration 
practice expense RVUs in 2005 or 2006 resulting from use of a survey 
that is submitted timely by any of these specialties and otherwise 
meets criteria we have established for use of supplemental surveys. 
Hematology (specialty 82), hematology/oncology (specialty 83) and 
medical oncology (specialty 90) also receive more than 40 percent of 
their Medicare revenues from drugs. However, we are already using the 
ASCO survey for these specialties and the increase in payment for drug 
administration is exempt from budget neutrality by another provision of 
the statute.
6. Provisions for Appropriate Reporting and Billing for Physicians' 
Services Associated with the Administration of Covered Outpatient Drugs
    Section 1848(c)(2)(J) of the Act requires the Secretary to promptly 
evaluate existing drug administration codes for physicians' services to 
ensure accurate reporting and billing for such services, taking into 
account levels of complexity of the administration and resource 
consumption. The statute further specifies that the Secretary will use 
existing processes for the consideration of coding changes and, to the 
extent changes are made, will use the processes to establish relative 
values for these services. The Secretary is also required to consult 
with physician specialties affected by the provisions that change 
Medicare payments for drugs.
    We expect to review this issue in the context of all the payment 
changes being made by the statute to Medicare payment for drug 
administration in order to assure accurate reporting and billing for 
such services taking into account levels of complexity of the 
administration and resource consumption. The existing processes we plan 
to use include review by our Physician's Regulatory Issues Team (PRIT) 
and consultation with the AMA's CPT Editorial Committee and physician 
specialties affected by changes in payment for drugs and drug 
administration. The PRIT, an internal CMS group that is working to 
eliminate unnecessary regulations, is reviewing the issue of coding for 
drug administration services including section 15400 of the Medicare 
Carriers Manual (MCM) that currently governs Medicare policy with 
respect to use of CPT codes in the 96400 through 96549 series for 
chemotherapy administration.
7. Treatment of Other Services Currently in the Nonphysician Work Pool
    The nonphysician work pool is a special interim methodology that we 
use to determine practice expense RVUs for many services that do not 
have physician work RVUs. The drug administration codes listed above 
are currently valued using the nonphysician work pool methodology. 
Because we are now assigning work RVUs to these drug administration 
codes, they will no longer be included in the nonphysician work pool. 
Practice expense RVUs for these services will be computed using the 
standard practice expense methodology that applies to all other 
physicians' services.
    Section 303(a)(2) of MPDIMA requires the Secretary to make 
adjustments to the nonphysician work pool methodology for the 
determination of practice expense RVUs under the physician fee schedule 
so that the practice expense RVUs for services determined under such 
methodology are not affected relative to the practice expense RVUs of 
services not determined under such methodology as a result of the 
amendments made by section 303(a)(2) of MPDIMA. If we made no other 
changes, removing drug administration codes from the nonphysician work 
pool would result in a reduction to the practice expense RVUs for 
services remaining in the nonphysician work pool. Consistent with 
section 303(a)(1) of MPDIMA, we are making two changes to the 
nonphysician work pool methodology so that the practice expense RVUs 
for nonphysician work pool services are not affected relative to other 
services.
    First, we are changing the practice expense per hour assigned to 
the nonphysician work pool. In place of the ``all physician'' average, 
we are using a weighted average practice expense per hour of the 
specialties that perform the services affected by its calculations. 
Specifically, we will use the following revised data in the practice 
expense methodology for services remaining in the nonphysician work 
pool:

                                                     Table 3
----------------------------------------------------------------------------------------------------------------
                                        Clin      Admin.     Office      Med.       Med.
             Specialty                 Staff      Staff     Expense    Supplies    Equip      Other      Total
----------------------------------------------------------------------------------------------------------------
Nonphysician Work pool.............       15.8       17.4       21.5        7.9        4.9       15.0       82.6
----------------------------------------------------------------------------------------------------------------

    Second, we are adjusting the clinical staff times used in the 
creation of the pool. By definition, nonphysician work pool services do 
not involve the physician and have no physician time. To create the 
nonphysician work pool, we have used clinical staff time per procedure 
in the computation. We will now use the total staff time rather than 
the previously utilized maximum staff time for developing the 2004 
physician fee schedule. Consistent with section 303(a)(2) of MPDIMA, 
the change to the practice expense per hour and staff time will result 
in no reduction to the practice expense RVUs for the services remaining 
in the nonphysician work pool once drug administration services are 
removed. By using the maximum staff time, we are assuming that clinical 
staff are working concurrently. However, it is possible that clinical 
staff are working sequentially and it would be appropriate to use the 
total staff time for each service. We are proposing to use the total 
staff in place of the maximum staff for developing the 2004 physician 
fee schedule since each are equally likely to address staff time 
arrangements for non-physician work pool services and the latter 
approach will assist in meeting the statutory directive that payment 
for non-physician work pool services not be affected by the changes we 
are making to drug administration services.
8. Payment for Multiple Chemotherapy Agents Furnished on a Single Day 
Through the Push Technique
    Section 303(a)(3) of MPDIMA requires the Secretary to review the 
policy as in effect October 1, 2003, for section 1848 of the Act for 
the administration of more than one drug or biological to an individual 
on a single day through the push technique. Subsequent to that review, 
the Secretary will modify the

[[Page 1095]]

payment policy as determined to be appropriate. Section 303(a)(3)(C) of 
MPDIMA indicates that any change in policy resulting from this review 
will be treated as additional expenditures attributable to section 
1848(c)(2)(H). (This section relates to the additional expenditures 
that result from use of survey data that includes expenses for drug 
administration and clinical oncology nurses and requires that we 
establish work RVUs equal to a level 1 office visit for drug 
administration services. Currently, a level 1 office has 0.17 work 
RVUs)
    In the November 25, 1991, Federal Register (56 FR 59541), we 
specified that Medicare will allow CPT code 96408 (Chemotherapy 
administration, intravenous; push technique) to be reported only once 
per day even if the physician administers multiple drugs and this 
policy is contained in Section 15400 of MCM. In the August 20, 2003, 
proposed rule (68 FR 50439) concerning payment reform for part B drugs 
under Medicare, we had proposed revising this policy to allow for CPT 
code 96408 to be reported once per day for each drug administered. This 
revision was supported by commenters.
    Upon review of this issue and in acknowledgement that there are 
additional resources involved in administering each subsequent drug 
which should be considered in a resource-based payment system, we are 
changing our policy and will allow for CPT code 96408 to be reported 
once per day for each drug administered. The effective date for this 
change is for services furnished on or after January 1, 2004. We will 
modify section 15400 of the manual consistent with this change. In 
addition, as previously mentioned, the PRIT will be reviewing the issue 
of use of the chemotherapy administration codes in the 96400 CPT code 
series and Medicare's manual provisions on their use.
9. Transitional Adjustment to Medicare Payment for Certain Drug 
Administration Services
    Section 303(a)(4) of MPDIMA provides for a transitional adjustment 
to Medicare payment for drug administration services to reflect 
implementation of the amendments made by section 303 of MPDIMA 
affecting Medicare's payments for drugs. Specifically, section 
303(a)(4) of MPDIMA requires Medicare to increase the physician fee 
schedule amounts otherwise determined by 32 percent for 2004 and 3 
percent for 2005. Thus, we will determine the payment for CPT codes 
90780 through 90781, 90782 through 90788, 96400, 96408 through 96425, 
96520, and 96530 based on the work, practice expense and malpractice 
RVUs shown in Addendum B and the 2004 CF of $37.3374. Consistent with 
section 303(a)(4) of MPDIMA, we will increase the physician fee 
schedule amount by an additional 32 percent for 2004. (The physician 
fee schedule amounts applicable in 2005 will be increased by 3 
percent.)

C. Geographic Practice Cost Indices (GPCIs)

    The Act requires that payments vary among physician fee schedule 
areas according to the extent that resource costs vary as measured by 
the Geographic Practice Cost Indices (GPCIs) for each of the three fee 
schedule components: work, practice expense, and malpractice.
    Section 412 of MPDIMA amended section 1848(e)(1) of the Act and 
establishes a floor of 1.0 for the work geographic index for any 
locality to be used for purposes of payment for services furnished on 
or after January 1, 2004, and before January 1, 2007. In addition, 
section 602 of MPDIMA further amended section 1848(e)(1) of the Act for 
purposes of payment for services furnished in Alaska under the 
physician fee schedule on or after January 1, 2004, and before January 
1, 2006, and sets the practice expense, malpractice and work indices at 
1.67 if the index would otherwise be less than 1.67.
    Based on these changes to the Act, we are revising the addenda 
published in the November 7, 2003, final rule concerning the 
transitional 2004 and full 2005 GPCIs (Addendum D and Addendum E, 
respectively). No locality will have a work GPCI of less than 1.00 and 
the work, practice expense and malpractice GPCIs for Alaska are set at 
1.67. Addendum D in the November 7, 2003, final rule listed 58 
localities having work GPCIs of less than 1.00. Of these, the range was 
from 0.881 for Puerto Rico to 0.998 for ``Rest of New York'' and New 
Orleans, Louisiana. Addendum D and E that are included in this final 
rule will replace the addenda previously published November 7, 2003.

D. Adjustments to the Work, Practice Expense and Malpractice Relative 
Value Units

    In the August 15, 2003, proposed rule (68 FR 49058), we proposed to 
adjust the work, practice expense and malpractice RVUs to match the 
rebased MEI weights. In the November 7, 2003, final rule (68 FR 63245), 
we responded to public comments and applied adjustments of -0.57 
percent (0.9943) to the physician work RVUs, -0.77 percent (0.9923) to 
the practice expense RVUs and 19.86 percent (1.1986) to the malpractice 
RVUs. These adjustments were intended to make the aggregate work, 
practice expense and malpractice RVUs used to determine payments in 
2004 consistent with their respective weights in the rebased MEI.
    However, the changes required by MPDIMA change the 2004 work, 
practice expense and malpractice RVUs. Provisions that require changes 
to the work and practice expense RVUs and exempt them from budget 
neutrality will increase the number of work and practice expense RVUs.
    As we indicated in the November 7, 2003, final rule, we believe 
Medicare payment policy will be improved by adjusting the work, 
practice expense and malpractice RVUs to match the revised MEI weights. 
By matching the aggregate pools of RVUs to the rebased MEI weights, 
Medicare's payments for physician work, practice expense and 
malpractice will more closely match the proportion of expenses incurred 
by physicians in these categories. Therefore, we are revising the 
adjustments applied to the RVUs in the November 7, 2003, final rule 
consistent with our goal of making the work, practice expense and 
malpractice RVUs match the rebased MEI weights. The revised adjustments 
are -0.15 percent (0.9985) for physician work, -1.320 percent (0.9868) 
for practice expense, and 20.61 percent (1.2061) for malpractice. We 
have incorporated these adjustments into the RVUs shown in Addenda B 
and C of this final rule.

E. Anesthesia and Physician Fee Schedule Conversion Factors for 2004

    The physician fee schedule update is determined under a methodology 
specified by statute. In the November 7, 2003, final rule (68 FR 
63251), we used the formula specified in section 1848(d)(4) of the Act 
to determine a 4.5 percent reduction to the physician fee schedule CF. 
However, section 601 of MPDIMA amended section 1848(d) of the Act to 
specify that the update to the single CF for 2004 and 2005 will not be 
less than 1.5 percent. Because the statutory formula will yield a 4.5 
percent reduction to the physician fee schedule CF and the amendments 
to the statute indicate that the update for 2004 cannot be less than 
1.5 percent, we will increase the physician fee schedule CF by 1.5 
percent for 2004.
    The specific calculations to determine the physician fee schedule 
and anesthesia CFs for 2004 are explained below.

[[Page 1096]]

[sbull] Physician Fee Schedule Conversion Factor

    Under section 1848(d)(1)(A) of the Act, the physician fee schedule 
CF is equal to the CF for the previous year multiplied by the update 
determined under section 1848(d)(4) of the Act.
    We illustrate the calculation for the 2004 physician fee schedule 
CF in table 4:

                                 Table 4
------------------------------------------------------------------------
 
------------------------------------------------------------------------
2003 Conversion Factor..................................        $36.7856
2004 Update.............................................    1.5% (1.015)
2004 Conversion Factor..................................        $37.3374
------------------------------------------------------------------------

[sbull] Anesthesia Fee Schedule Conversion Factor

    As described in the November 7, 2003, final rule (68 FR 63252), 
anesthesia services do not have RVUs like other physician fee schedule 
services. For this reason, we are accounting for the adjustments to 
match the revised MEI weights and changes to anesthesia work and 
practice expenses through a 1.09 percent 1.0109 adjustment to the 
anesthesia fee schedule CF. The 1.09 percent increase reflects a 0.15 
percent reduction on the work portion (79 percent), a 2.0 percent 
reduction on the practice expense portion (13.7 percent) and a 20.61 
percent increase on the malpractice portion (7.2 percent) of the 
anesthesia conversion factor. (The adjustment to the practice expense 
portion is comprised of 1.3 percent for the MEI weights and 0.7 percent 
for the revisions in the practice expense methodology). To determine 
the anesthesia fee schedule CF for 2004, we used the following figures:

                                 Table 5
------------------------------------------------------------------------
 
------------------------------------------------------------------------
2003 Conversion Factor...............................           $17.0522
Adjustments for Work and Practice Expense............     1.09% (1.0109)
2004 Update..........................................      1.5% (1.0150)
2004 Conversion Factor...............................           $17.4969
------------------------------------------------------------------------

F. Publication of Addenda

    The addenda included in this final rule concerning RVUs and Related 
Information Used in Determining Medicare Payments for 2004 (Addenda A, 
B and C) and GPCIs by Medicare Carrier and Locality (Addenda D and E) 
replace the addenda published November 7, 2003 (68 FR 63261). The 
revised addenda reflect changes required by MPDIMA as well as 
corrections to minor errors contained in the addenda published November 
7, 2003.

III. Private Contracting With Medicare Beneficiaries

    Section 4507 of the Balanced Budget Act of 1997 added section 
1802(b) to the Act. This section provides that physicians and certain 
nonphysician practitioners may opt out of Medicare and enter into 
private contracts with Medicare beneficiaries. Under these contracts, 
no limits apply to what physicians or nonphysician practitioners can 
charge beneficiaries. Physicians opting out of Medicare file an 
affidavit with the Medicare carrier in which they agree to opt out of 
Medicare for a period of 2 years and to meet certain other criteria. In 
general, the statute requires that during that two-year period, 
physicians and nonphysician practitioners who have filed affidavits 
opting out of Medicare have private contracts with all Medicare 
beneficiaries to whom they furnish Medicare covered services. These 
contracts may not be entered into at a time when a beneficiary needs 
emergency or urgent care services.
    Moreover, the statute requires that the private contract be in 
writing and be signed by the Medicare beneficiary before any item or 
service is provided in accordance with the contract and that:
    [sbull] The beneficiary agrees not to submit a claim (or to request 
that the physician or practitioner submit a claim) with Medicare for 
Medicare covered services.
    [sbull] The beneficiary agrees to be responsible, whether through 
insurance or otherwise, for services furnished under a private 
contract.
    [sbull] The beneficiary acknowledges that no limits (including the 
limits under section 1848(g) of the Social Security Act) apply to 
amounts that are charged under the private contract.
    [sbull] The beneficiary acknowledges that no payment will be made 
under a Medigap plan, and other insurers may elect not to make payment 
for services furnished under the private contract.
    [sbull] The beneficiary acknowledges that Medicare may make payment 
for covered services if the service was received from a physician or 
non-physician practitioner with whom the beneficiary has not signed a 
private contract.
    Prior to enactment of MPDIMA, section 1802(b)(5)(B) of the Act 
limited the types of physicians who could choose to opt out of Medicare 
to doctors of medicine and doctors of osteopathy. Section 603 of MPDIMA 
amends section 1802(b)(5)(B) of the Act to include dentists, 
podiatrists, and optometrists, in certain circumstances, in the 
definition of physicians who may opt out of Medicare. We are making 
conforming changes to our regulations to reflect this change in the 
statute.

IV. Waiver of Proposed Rulemaking and Delay in Effective Date

    We ordinarily publish a notice of proposed rulemaking in the 
Federal Register and invite public comment on a proposed rule. The 
notice of proposed rulemaking includes a reference to the legal 
authority under which the rule is proposed, and the terms and substance 
of the proposed rule or a description of the subjects and issues 
involved. This procedure can be waived, however, if an agency finds 
good cause that notice-and-comment procedure is impracticable, 
unnecessary, or contrary to the public interest and incorporates a 
statement of the finding and its reasons in the rule issued. In 
addition, the Administrative Procedure Act (APA) normally requires a 
30-day delay in the effective date of a final rule. Furthermore, the 
Congressional Review Act (CRA) generally requires an agency to delay 
the effective date of a major rule by 60-days in order to allow for 
congressional review of the agency action.
    Section 1871 of the Act provides for publication of a notice of 
proposed rulemaking and opportunity for public comment before CMS 
issues a final rule. However, section 1871(b)(2)(B) provides an 
exception when a law establishes a specific deadline for implementation 
of a provision and the deadline is less than 150 days after the law's 
date of enactment. MPDIMA was enacted by Congress on November 25, 2003, 
and signed into law by the President on December 8, 2003. The 
provisions of this rule that amend the physician fee schedule and drug 
payment rate are required to be implemented January 1, 2004. Therefore, 
these provisions are subject to waiver of proposed rulemaking and 
public comment in accordance with section 1871(b)(2)(B) of the Act.
    Even if section 1871(b)(2)(B) of the Act were not directly 
applicable here, we would find good cause to waive the requirement for 
publication of an notice of proposed rulemaking and public comment on 
the grounds that it is impracticable, unnecessary, and contrary to the 
public interest. This final rule, with the exception of implementation 
of billing for a level 1 office visit and pharmacy supplying fee and 
the technical correction of minor errors in the November rule, merely 
sets out the non-discretionary provisions of MPDIMA with respect to 
payment under the physician fee schedule and drug AWP methodology. 
Because the rule is generally ministerial, we believe that pursuing 
notice and comment is

[[Page 1097]]

unnecessary. Moreover, because such process would prevent 
congressionally-mandated revisions, updates, and increases in payment 
under the physician fee schedule for 2004, we find that pursuing such 
process would be both impracticable and contrary to the public 
interest.
    For these same reasons, we are waiving the 30-day delay in 
effective date contained in 5 U.S.C. section 553(d).
    With respect to the requirement of a 60-day delay in the effective 
date of any final rule pursuant to the CRA, see 5 U.S.C. section 801, 
the CRA provides that the 60-day delayed effective date shall not apply 
to any rule ``which an agency for good cause finds . . . that notice 
and public procedure thereon are impracticable, unnecessary, or 
contrary to the public interest'' (5 U.S.C. section 808(2)). For the 
reasons set forth above, we believe that additional notice-and-comment 
rulemaking on this subject would be impracticable, unnecessary, or 
contrary to the public interest. Therefore, we do not believe that the 
CRA requires a 60-day delay in the effective date of this final rule.

V. 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.

VI. 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 PRA 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.
    [sbull] The accuracy of our estimate of the information collection 
burden.
    [sbull] The quality, utility, and clarity of the information to be 
collected.
    [sbull] Recommendations to minimize the information collection 
burden on the affected public, including automated collection 
techniques.
    Therefore, we are soliciting public comments on each of these 
issues for the information collection requirement discussed below.
    The following information collection requirement and associated 
burden are subject to the PRA.

Sec.  414.707 Basis of payment

    Under paragraph (a)(7) of this section, a manufacturer requesting a 
drug payment exception to the default 85 percent used in the general 
rule or the percentage specified in Table 1 will have to submit data 
and information including the manufacturer's average sales price for 
the drug. The burden associated with this requirement is the time 
involved in providing us the information for the submission due before 
January 1, 2004, and the optional supplemental submission due by 
January 16, 2004. We believe that it would take an average of one hour 
to submit the request and the necessary data and information. Given the 
universe of approximately 450 Medicare drug codes and assuming an 
average of 10 manufacturers per drug code, the maximum aggregate burden 
associated with this activity would be 4500 hours.
    We are soliciting public comment on this requirement in conjunction 
with a request for emergency approval of this information collection so 
that manufacturers may submit their requests during the statutorily 
prescribed timeframe. These requirements were submitted to OMB for 
review and are approved by OMB under OMB control number 0938-0913.
    If you comment on any of these information collection and record 
keeping requirements, please mail copies directly to the following: 
Centers for Medicare & Medicaid Services, Office of Strategic 
Operations and Regulatory Affairs, Regulations Development and 
Issuances Group, Attn: Julie Brown, CMS-1372-FC, Room C5-16-03, 7500 
Security Boulevard, Baltimore, MD 21244-1850; and Office of Information 
and Regulatory Affairs, Office of Management and Budget, Room 10235, 
New Executive Office Building, Washington, DC 20503, Attn: Brenda 
Aguilar, CMS Desk Officer.
    Comments submitted to OMB may also be emailed to the following 
address: email: [email protected]; or faxed to OMB at (202) 395-
6974.

VII. Regulatory Impact Analysis

    We have examined the impact of this rule as required by Executive 
Order 12866 (September 1993, Regulatory Planning and Review), the 
Regulatory Flexibility Act (RFA) (September 16, 1980, Pub. L. 96-354), 
section 1102(b) of the Social Security Act, the Unfunded Mandates 
Reform Act of 1995 (Pub. L. 104-4), and Executive Order 13132. 
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 final rules with economically significant effects (that 
is, a final rule that would have an annual effect on the economy of 
$100 million or more in any 1 year, 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 that the 
combined effect of the physician fee schedule update and GPCI 
provisions included in this final rule will increase Medicare spending 
by $1.0 billion in FY 2004. We have simulated the effect of both the 
drug payment and physician fee schedule changes that we are adopting in 
this final rule. We are making several changes to the physician fee 
schedule RVUs in this final rule. In general, section 
1848(c)(2)(B)(ii)(II) of the Act requires that changes to RVUs cannot 
increase or decrease expenditures more than $20 million from the amount 
of expenditures that would have resulted with such adjustments. 
However, section 303(a)(1) of the MPDIMA specifically exempts the 
changes we are making to the RVUs in this final rule from the budget 
neutrality requirements of section 1848(c)(2)(B)(ii)(II) of the Act. 
Thus, the changes that we are making to the physician fee schedule RVUs 
will increase aggregate spending for Medicare physician fee schedule 
services. Because the changes in this final rule will increase Medicare 
spending by more than $1.0 billion in FY 2004, we are considering this 
final rule to be economically significant. Therefore, this final rule 
is a major rule and we have prepared a regulatory impact analysis. The 
table 6 below shows our estimates of the fiscal year 2004 impact of 
specific MPDIMA provisions we are implementing in this final rule 
(rounded to the nearest $0.1 billion).

[[Page 1098]]



                                 Table 6
------------------------------------------------------------------------
                                                              FY 2004
            Section                    Description         impact  ($ in
                                                             billions)
------------------------------------------------------------------------
303............................  Competitive Acquisition            $0.0
                                  of Covered Outpatient
                                  Drugs.
304............................  Application to Certain             -0.1
                                  Specialties.
305............................  Payment for Inhalation             -0.1
                                  Drugs.
412............................  Work GPCI Floor for                 0.2
                                  Physicians.
601............................  Update Revisions.......             0.8
602............................  Services in Alaska.....             0.0
------------------------------------------------------------------------

    The RFA requires that we analyze regulatory options for small 
businesses and other entities. We prepare a Regulatory Flexibility 
Analysis unless we certify that a rule would not have a significant 
economic impact on a substantial number of small entities. The analysis 
must include a justification concerning the reason action is being 
taken, the kinds and number of small entities the rule affects, and an 
explanation of any meaningful options that achieve the objectives and 
less significant adverse economic impact on the small entities.
    Section 1102(b) of the 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.
    For purposes of the RFA, physicians, non-physician practitioners, 
and suppliers are considered small businesses if they generate revenues 
of $6 million or less. Approximately 95 percent of physicians (except 
mental health specialists) are considered to be small entities. There 
are about 875,000 physicians, other practitioners and medical suppliers 
that receive Medicare payment under the physician fee schedule. There 
are in excess of 20,000 physicians and other practitioners that receive 
Medicare payment for drugs. These physicians are concentrated in the 
specialties of oncology, urology and rheumatology. Of the physicians in 
these specialties, approximately 40 percent are in oncology and 45 
percent in urology.
    For purposes of the RFA, approximately 98 percent of suppliers of 
DME and prosthetic devices are considered small businesses according to 
the Small Business Administration's (SBA) size standards. We estimate 
that 106,000 entities bill Medicare for DME, prosthetics, orthotics, 
surgical dressings, and other equipment and supplies each year. Total 
Medicare expenditures for DME are approximately $7.7 billion per year, 
of which approximately $1.4 billion are for DME drugs.
    The analysis and discussion provided in this section as well as 
elsewhere in this final rule complies with the RFA requirements. 
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 1 year by State, local, or 
tribal governments, in the aggregate, or by the private sector, of $110 
million. This final rule would not impose unfunded mandates on State, 
local, or tribal governments, or on the private sector of more than 
$110 million.
    We have examined this final rule in accordance with Executive Order 
13132 and have determined that this regulation would not have any 
significant impact on the rights, roles, or responsibilities of State, 
local, or tribal governments.
    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. This final 
rule changes Medicare payment rates for drugs and their administration 
as well as other physician fee schedule services. We are providing 
information for each of the policy changes in the relevant sections of 
this final rule. We are unaware of any relevant Federal rules that 
duplicate, overlap or conflict with this final rule. The relevant 
sections of this final rule contain a description of significant 
alternatives if applicable.

A. Application of Market-Based Systems of Medicare Payment for Part B 
Drugs

    As described in more detail earlier in this final rule, effective 
January 1, 2004, with some exceptions, section 303(b) of MPDIMA 
specifies that drugs not paid on a cost or prospective payment basis 
will be paid at 85 percent of the average wholesale price determined as 
of April 1, 2003. Section 303(a) directs the Secretary to make changes 
to the physician fee schedule that will increase Medicare spending for 
physicians' services. Section 303 applies only to oncology payments 
while section 304 indicates that identical provisions to those in 
section 303 apply to other physicians. We have estimated that section 
303 of MPDIMA would have no cost in FY 2004 and that section 304 would 
save $0.1 billion in FY 2004.

B. Payment for Inhalation Drugs

    Section 305(a) of MPDIMA specifies that inhalation drugs furnished 
through durable medical equipment covered under 1861(n) of the Act will 
be paid at 80 percent of the average wholesale price determined as of 
April 1, 2003. We estimated savings associated with implementing 
section 305(a) of the MPDIMA is $0.1 billion in FY 2004.

C. Pharmacy Supplying Fee for Certain Drugs and Biologicals

    Section 303(e)(2) provides for payment of a pharmacy supplying fee, 
less applicable deductible and coinsurance, for immunosuppressive drugs 
described in subparagraph (J) of section 1861(s)(2) and oral anti-
cancer and anti-nausea drugs described in subparagraphs (Q) and (T) of 
such section. The payment of this fee is bundled into the current 
payment for these drugs and the 2004 payment amounts specified in 
section 303(b). This provision has no impact on Medicare expenditures 
in 2004.

D. Physician Fee Schedule Provisions Related to the Administration of 
Drugs

    As indicated above, we are making changes to the work and practice 
expense RVUs under the provisions of section 1848(c)(2) of the Act as 
amended by section 303 of MPDIMA. In general, under section 1848(c)(2) 
of the Act, adjustments to RVUs may not cause the amount of 
expenditures to differ by more than $20 million from the amount of 
expenditures that would have

[[Page 1099]]

resulted without such adjustments. However, section 303(a)(1) of the 
MPDIMA specifically exempts the changes we are making to the RVUs in 
this final rule from the budget neutrality requirements of section 
1848(c)(2)(B)(ii)(II). As described above, consistent with section 
303(a)(1), we are making several changes to the physician fee schedule 
work and practice expense RVUs.
    Table 6A shows the specialty level impact on payment of changes 
being made for CY 2004. The payment impacts reflect averages for each 
specialty based on Medicare utilization. The payment impact for an 
individual physician would be different from the average, based on the 
mix of services the physician provides. The average change in total 
revenues would be less than the impact displayed here since physicians 
furnish services to both Medicare and non-Medicare patients and 
specialties may receive substantial Medicare revenues for services that 
are not paid under the physician fee schedule. For instance, 
oncologists receive approximately 20 percent of their Medicare revenues 
from physician fee schedule services and approximately 77 percent of 
their Medicare revenues from drugs. Table 6A shows only the payment 
impact on physician fee schedule services. Table 11 below shows the 
combined impact of the physician fee schedule and drug payment changes 
for selected specialties and suppliers that receive a high percentage 
of their Medicare revenues from drugs.
    We modeled the impact of all changes to the relative value units 
and illustrated their effect in table 6A. The column labeled ``Impact 
11/7/2003 Final Rule Pre-MEI Weight Adjustments'' shows the combined 
effect of all of the relative value unit changes contained in the 
August 15, 2003, proposed rule and the November 7, 2003, final rule 
other than the adjustments to make the aggregate work, practice expense 
and malpractice RVUs match the MEI weights. (For a description of the 
impact of the provisions of the August 15, 2003, proposed rule see 68 
FR 49060-49065. For a description of the impact of additional impacts 
resulting from the November 7, 2003, final rule, see 68 FR 63252-
63253). As described below, we have revised the MEI weight adjustments 
and will illustrate their impact once we show the effect of all other 
provisions that change RVUs.
    The column labeled ``Section 303 and 304 Changes without Transition 
Payments'' shows the impact of changes made in this final rule 
implementing section 303 and 304 of MPDIMA other than section 303(a)(4) 
that requires a ``transitional adjustment'' that increases payments for 
specific drug administration services by an additional 32 percent in 
2004. This column shows the effect of increases in payments for drug 
administration services resulting from the higher work and practice 
expense RVUs required by section 303 and 304 of MPDIMA as well allowing 
oncologists to bill for multiple drug administrations by the ``push'' 
technique on a single day. In addition, because there will be no same 
day billing of a level 1 office visit and a drug administration 
service, the impacts shown include the effect of fewer office visit 
billings by the minority of oncologists who billed for such services. 
Taken together, these provisions will increase payments to oncologists 
by an estimated 27 percent. We estimate that payments to other 
physicians that provide drug administration services (rheumatology, 
infectious disease, obstetrics/gynecology) will increase by 1 to 2 
percent. The revision to the practice expense per hour for cardiac and 
thoracic surgeons will increase their payments by an estimated 1 
percent. All of the other increases shown in the table are a result of 
changes that we are making to the non-physician work pool. These 
changes will increase payments to physicians, practitioners and 
suppliers (Allergy/Immunology, Radiation Oncology, Radiology, 
Audiology, Diagnostic Testing Facility and Portable X-Ray suppliers) 
that provide services affected by the non-physician work pool 
calculations by approximately 1 percent. There will be little or no 
change in payments for all other specialties from the changes we are 
making in this interim final rule because the changes to the RVUs 
resulting from MPDIMA are exempt from the budget neutrality 
requirements of section 1848(c)(2)(ii)(II) of the Act.
    The column labeled ``Transition Payments'' shows the impact on 
payment from the 32 percent increase in payment for drug administration 
services required by section 303(a)(4) of MPDIMA. This provision will 
have an effect on only those specialties that provide drug 
administration services and is estimated to increase payments to 
oncologists by an additional 14 percent. We estimate that payments to 
other physicians that provide drug administration services (infectious 
disease, obstetrics/gynecology rheumatology and urology) will increase 
by 1 to 2 percent.
    We also modeled the effect of adjusting the RVUs to match the new 
MEI weights. Because we are increasing the malpractice RVUs by more 
than 20 percent, adjusting the RVUs to match the new MEI weights will 
result in an increase in payment for those specialties that perform 
services with high malpractice RVUs. Payments to anesthesiology, 
cardiac surgery, emergency medicine, neurosurgery, orthopedic surgery, 
thoracic surgery and vascular surgery will increase by approximately 1 
percent. There will be a small impact on payment to all other 
physicians, practitioners and suppliers from the adjustments that 
reduce physician work and practice expense RVUs to match the new MEI 
weights. The total change in payment from provisions of the November 7, 
2003, final rule and this final rule are shown in the total column.

BILLING CODE 4120-01-P

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[[Page 1101]]


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    In general, the statutory methodology for updating the physician 
fee schedule conversion factor is specified in section 1848(d)(4) of 
the Act. However, section 1848(d)(5) specifies that the update to the 
conversion factor for 2004 and 2005 shall not be less than 1.5 percent. 
Application of the statutory methodology of section 1848(d)(4) of the 
Act would reduce the physician fee schedule conversion factor by 4.5 
percent. However, because section 1848(d)(5) of the Act indicates that 
the update can be no less than 1.5 percent, we are increasing the 2004 
physician fee schedule conversion factor by 1.5 percent. In table 7, we 
are showing the estimated change in average payments by specialty based 
on provisions of this final rule and the estimated physician fee 
schedule update.

[[Page 1102]]

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[[Page 1103]]


[GRAPHIC] [TIFF OMITTED] TR06JA04.007

    In the November 7, 2003, final rule, we showed the impact of all 
RVUs changes and a 4.5 percent reduction in the physician fee schedule 
conversion factor. In the table below, we are showing the effect of 
MPDIMA on payment for physician fee schedule services relative to the 
changes that would have occurred in 2004 under current law had MPDIMA 
not been enacted. That is, because the physician fee schedule 
conversion factor would have been reduced by 4.5 percent to $35.1339 
and MPDIMA requires that it be increased by 1.5 percent to $37.3374, 
MPDIMA provisions affecting the update increased average physician fee 
schedule rates by 6.3 percent ($37.3374/$35.339 - 1 = 1.063 or 6.3 
percent). Furthermore, MPDIMA required changes to relative value units 
that also resulted in further average increases in Medicare payment for 
physician fee schedule services. The following table also includes the 
impact of the GPCI provision that does not allow a work GPCI to be less 
than 1.0 and another one that increases the Alaska GPCI to 1.67. 
However, the impact on any specific physician, practitioner or supplier 
will be different than the average depending upon on whether the 
individual is located in Alaska or an area that would have had a GPCI 
that is less than 1.0.
    The column labeled ``Impact 11/7/2003'' final rule shows the 
impacts from table 27 of the November 7, 2003, final rule (68 FR 
63256). The next column shows the impacts from table 7 and an estimate 
of the increase in payments due to the GPCI provisions. The percentage 
difference between these columns isolates the impact of the MPDIMA 
provisions we are adopting in this final rule and are shown in the last 
column.

[[Page 1104]]

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[[Page 1105]]


[GRAPHIC] [TIFF OMITTED] TR06JA04.009

    Table 9 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 the work, practice expense and 
malpractice RVUs and the estimated physician fee schedule update on 
total payment for the procedure. There are separate columns that show 
the change in the facility rates and the non-facility rates. For an 
explanation of facility and non-facility practice expense refer to 
Sec.  414.22(b)(5)(i). The figures in tables 9 and 10 show the impact 
of the RVU changes and the physician fee schedule update but do not 
include the impact of the GPCI changes.

[[Page 1106]]

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[[Page 1107]]


[GRAPHIC] [TIFF OMITTED] TR06JA04.012


[[Page 1108]]


    The next table shows the change in payments from 2003 to 2004 for 
selected high volume drug administration services. This table shows the 
impact of the increases in the physician work and practice expense 
RVUs, the 1.5 percent increase in the physician fee schedule conversion 
factor and the additional 32 percent ``transition adjustment'' required 
by section 303(a)(4) of MPDIMA in 2004.
[GRAPHIC] [TIFF OMITTED] TR06JA04.013

    Table 11 shows the combined impact of changes we are making to 
Medicare drug and physician fee schedule payments on selected 
specialties/medical suppliers that receive a significant portion of 
their total Medicare revenues from drugs. These figures do not include 
the impact of the legislated increases in the GPCI. The table shows the 
amount and proportion of total Medicare revenues received from drugs 
and physician fee schedule services (DME fee schedule services for DME/
Other Medical Suppliers). We note that these impacts and percentages 
represent averages for each specialty or supplier. The percentages and 
impacts for any individual physician or DME supplier are dependent on 
the mix of drugs and physician fee schedule services they provide to 
Medicare beneficiaries. These tables are intended to illustrate the 
combined payment impact in a single year across all of the services 
that these specialties or suppliers perform using the most recent data 
available to us. The first two columns of table 11 list the specialty 
and its combined Medicare revenues from all sources. The next three 
columns show estimated total Medicare drug revenues, the proportion of 
total revenues represented by drugs and the percent change in Medicare 
drug payments estimated in the first year. The revenue reduction shown 
includes the effect of limiting decreases in drug payments to 15 
percent, the maximum reduction allowed in 2004 consistent with section 
1842(o)(4)(D) of the Act (as added by section 303(b) of MPDIMA). The 
following three columns show analogous information for physician fee 
schedule services. The last column shows the combined percentage change 
across all Medicare revenues. For example, as indicated in the table, 
approximately 77 percent of total Medicare revenues for oncologists are 
attributed to drugs. As indicated in the next column, we estimate that 
Medicare revenues from drugs will decline by approximately 12 percent 
for oncologists as a result of policies adopted in this interim final 
rule or about $510 million. We are increasing oncology physician fee 
schedule payments by 47 percent in this interim final rule or about 
$510 million. We estimated that the one-year decrease in drug payments 
and increase in physician fee schedule payments resulting from this 
final rule will produce virtually no net change in total Medicare 
payments for oncologists.
    For DME/Other Medical Suppliers, 42 and 58 percent of Medicare 
revenues respectively are received from drugs and DME fee schedule 
services. These suppliers will receive an approximate reduction of 13 
percent in their Medicare drug revenues the first year. The total 
reduction in payment in one year across all of the services they 
provide will be approximately 6 percent.
    In general, the other physician specialties receive a smaller share 
of their total Medicare revenues from drugs than oncologists. However, 
they are also less affected by the payment increases for drug 
administration services. Taken together, we estimate a net change in 
revenues from the drug and drug administration payment changes for 
urology (-4 percent), rheumatology (-2 percent), obstetrics/gynecology 
(+1 percent) and infectious disease (+4 percent).

[[Page 1109]]

[GRAPHIC] [TIFF OMITTED] TR06JA04.014


[[Page 1110]]



C. Geographic Practice Cost Indices (GPCIs) Changes

    Section 412 of MPDIMA amended section 1848(e)(1) of the Act and 
establishes a floor of 1.0 for the work geographic index for any 
locality to be used for purposes of payment for services furnished on 
or after January 1, 2004, and before January 1, 2007. In addition, 
section 602 of MPDIMA further amended 1848 (e)(1) of the Act for 
purposes of payment for services furnished in Alaska under the 
physician fee schedule on or after January 1, 2004, and before January 
1, 2006, and sets the practice expense, malpractice and work indices at 
1.67 if such index would otherwise be less than 1.67. The impact of the 
MPDIMA provisions on the work GPCI is illustrated in Table 12.
    An impact of these legislative changes to the GPCI can also be 
demonstrated by a comparison of area geographic adjustment factors 
(GAFs). The GAFs are a weighted composite of each area's work, practice 
expense, and malpractice expense GPCIs using the national GPCI cost 
share weights. While we do not actually use the GAFs in computing the 
fee schedule payment for a specific service, they are useful in 
comparing overall area costs and payments. The actual effect on payment 
for any specific service will deviate from the GAF to the extent that 
the service's proportions of work, practice expenses, and malpractice 
expense RVUs differ from those of the GAF. Table 13 shows the effects 
of the legislative revisions to the GPCIs on area GAFs for 2004. As 
directed by the legislation no locality will have a work GPCI of less 
than 1.00 and the work, practice expense and malpractice GPCIs for 
Alaska are set at 1.67. Tables 12 and 13 are sorted by decreasing 
percent change in work GPCI and GAF respectively.

[[Page 1111]]

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[[Page 1112]]


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[[Page 1113]]


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[[Page 1114]]


[GRAPHIC] [TIFF OMITTED] TR06JA04.018


[[Page 1115]]


[GRAPHIC] [TIFF OMITTED] TR06JA04.019

BILLING CODE 4120-01-C
    We estimate the cost of the provisions affecting the GPCI will 
increase Medicare spending by 0.2 billion in FY 2004.

E. Alternatives Considered

    For the most part, this interim final implements prescriptive 
provisions of MPDIMA and the statute does not permit us to exercise our 
discretion. Nevertheless, the preamble identifies ancillary policies 
and rationale for our decisions.
    For instance, the statutory provisions requiring changes to 
Medicare's payments for drugs were prescriptive. We did not consider 
any alternatives because of the clear direction in the statute to 
determine Medicare prices for drugs in 2004. Similarly, the provisions 
of the statute with respect to the GPCI were also prescriptive and did 
not allow for us to consider any alternatives. While we considered 
using the formula contained in section 1848(d)(4) of the Act to update 
the physician fee schedule conversion factor, its application would 
result in a reduction of 4.5 percent and would be inconsistent with the 
MPDIMA provision requiring an update to the physician fee schedule 
conversion factor for 2004 of not less than 1.5 percent. With respect 
to the provisions of this final rule that require changes to Medicare 
payments for the administration of drugs, we generally did not find 
that the statute permitted discretion. Nevertheless, earlier in the 
preamble of this final rule, we provided detailed descriptions of the 
statutory provisions and its requirements and, where possible, of the 
alternatives we considered.

F. 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. We do not believe that there would be 
any problem with access to care as a result of the changes in this 
rule. For the most part, we are increasing payments for physicians fee 
schedule services that otherwise would be reduced. We don't believe the 
drug payment changes will have an impact on beneficiary access to 
services but we will continue to monitor this issue.
    We estimate that beneficiary liability will increase in CY 2004 by 
$1.0 billion for the physician fee schedule provisions relative to 
current law. Payment changes we are making in this final rule for drug 
administration will increase beneficiary liability. However, we 
estimate that the provisions that change Medicare's drug payments to 
oncologists (section 303 of MPDIMA), other physicians (section 304 of 
MPDIMA) and inhalation drugs (section 305 of MPDIMA) will offset the 
additional beneficiary liability for drug administration. We estimate 
that the net effect of changes to payment for drugs and drug 
administration will result in savings to beneficiaries of approximately 
$100 million in CY 2004.
    In accordance with the provisions of Executive Order 12866, this 
regulation 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, Medical devices, Medicare, Reporting and 
recordkeeping requirements, Rural areas, X-rays.

42 CFR Part 414

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

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


[[Page 1116]]


    Dated: December 15, 2003.
Thomas A Scully,
Administrator, Centers for Medicare & Medicaid Services.
    Approved: December 24, 2003.
Tommy G. Thompson,
Secretary.
    For the reasons set forth in the preamble, the Centers for Medicare 
& Medicaid Services amends 42 CFR chapter IV as follows:

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

0
1. The authority citation for part 405 continues to read as follows:

    Authority: Secs. 1102, 1802, and 1871 of the Social Security Act 
(42 U.S.C. 1302, 1395a, and 1395hh).

0
2. Section 405.400 is amended by revising the definition of 
``physician'' to read as follows:


Sec.  405.400  Definitions.

* * * * *
    Physician means a doctor of medicine; doctor of osteopathy; doctor 
of dental surgery or of dental medicine; doctor of podiatric medicine; 
or doctor of optometry who is legally authorized to practice medicine, 
osteopathy, dental surgery, dental medicine, podiatric medicine, or 
optometry by the State in which he performs such function and who is 
acting within the scope of his license when he performs such functions.
* * * * *

0
3. Section 405.517 is amended by--
0
A. Redesignating the text of paragraph (a) as paragraph (a)(1) and 
adding a heading;
0
B. Adding a new paragraph (a)(2).


Sec.  405.517  Payment for drugs and biologicals that are not paid on a 
cost or prospective payment basis.

    (a) Applicability. (1) Payment for drugs and biologicals before 
January 1, 2004. * * *
    (2) Payment for drugs and biologicals on or after January 1, 2004. 
Effective January 1, 2004, payment for drugs and biologicals that are 
not paid on a cost or prospective payment basis are paid in accordance 
with Part 414, subpart I of this chapter.
* * * * *

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

0
4. 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)).

0
5. The list in Sec.  414.1 is amended by adding a new entry in 
numerical order as follows:


Sec.  414.1  Basis and scope.

* * * * *
    1842(o)--Rules for payment of certain drugs and biologicals.
* * * * *

0
6. A new subpart I is added to read as follows:
Subpart I--Payment for Drugs and Biologicals
Sec.
414.701 Purpose.
414.704 Definitions.
414.707 Basis of payment.


Sec.  414.701  Purpose.

    This subpart implements section 1842(o) of the Social Security Act 
by specifying the methodology for determining the payment allowance 
limit for drugs and biologicals covered under Part B of Title XVIII of 
the Act (hereafter in this subpart referred to as the ``program'') that 
are not paid on a cost or prospective payment system basis. Examples of 
drugs that are subject to the rules contained in this subpart are: 
drugs furnished incident to a physician's service; durable medical 
equipment (DME) drugs; separately billable drugs at independent 
dialysis facilities not under the ESRD composite rate; statutorily 
covered drugs, for example, influenza, pneumococcal and hepatitis 
vaccines, antigens, hemophilia blood clotting factor, immunosuppressive 
drugs and certain oral anti-cancer drugs.


Sec.  414.704  Definitions.

    As used in this subpart, the following definition applies. Drug 
refers to both drugs and biologicals.


Sec.  414.707  Basis of payment.

    (a) Method of payment. (1) Payment for a drug in calendar year 2004 
is based on the lesser of--
    (i) The actual charge on the claim for program benefits; or
    (ii) 85 percent of the average wholesale price determined as of 
April 1, 2003, subject to the exceptions as specified in paragraphs 
(a)(2) through (a)(8) of this section.
    (2) The payment limits for the following drugs are calculated using 
95 percent of the average wholesale price:
    (i) Blood clotting factors.
    (ii) A drug or biological furnished during 2004 that was not 
available for Medicare payment as of April 1, 2003.
    (iii) Pneumococcal and influenza vaccines as well as hepatitis B 
vaccine that is furnished to individuals at high or intermediate risk 
of contracting hepatitis B (as determined by the Secretary).
    (iv) A drug or biological furnished during 2004 in connection with 
the furnishing of renal dialysis services if separately billed by renal 
dialysis facilities.
    (3) The payment limits for infusion drugs furnished through a 
covered item of durable medical equipment are calculated using 95 
percent of the average wholesale price in effect on October 1, 2003.
    (4) The payments limits for drugs contained in the following table 
are calculated based on the percentages of the average wholesale price 
determined as of April 1, 2003 that are specified in the table.

------------------------------------------------------------------------
                                                              Percentage
                                                               used to
                                                              calculate
                            Drug                                 2004
                                                               payment
                                                                limit
------------------------------------------------------------------------
EPOETIN ALFA...............................................           87
LEUPROLIDE ACETATE.........................................           81
GOSERELIN ACETATE..........................................           80
RITUXIMAB..................................................           81
PACLITAXEL.................................................           81
DOCETAXEL..................................................           80
CARBOPLATIN................................................           81
IRINOTECAN.................................................           80
GEMCITABINE HCL............................................           80
PAMIDRONATE DISODIUM.......................................           85
DOLASETRON MESYLATE........................................           80
FILGRASTIM.................................................           81
HYLAN G-F 20...............................................           82
MYCOPHENOLATE MOFETIL......................................           86
GRANISETRON HCL............................................           80
ONDANSETRON................................................           87
VINORELBINE TARTATE........................................           81
SARGRAMOSTIM...............................................           80
TOPOTECAN..................................................           84
IPRATROPIUM BROMIDE........................................           80
ALBUTEROL SULFATE..........................................           80
IMMUNE GLOBULIN............................................           80
LEUCOVORIN CALCIUM.........................................           80
DOXORUBICIN HCL............................................           80
DEXAMETHOSONE SODIUM PHOSPHATE.............................           86
HEPARIN SODIUM LOCK-FLUSH..................................           80
CROMOLYN SODIUM............................................           80
ACETYLCYSTEINE.............................................           80
------------------------------------------------------------------------

    (5) The payment limits for imiglucerase and alglucerase are 
calculated using 94 percent of the average wholesale price determined 
as of April 1, 2003.
    (6) Exception. The payment limit for a drug otherwise subject to 
paragraph (a)(1)(ii) or paragraph (a)(4) of this section may be 
calculated using the percentage of the average wholesale price as the 
Secretary deems appropriate based on data and information submitted by 
the drug manufacturer.
    (i) The manufacturer must submit data after October 15, 2003 and 
before January 1, 2004.
    (ii) The percentage only applies for drugs furnished on or after 
April 1, 2004.

[[Page 1117]]

    (7) In the case of blood and blood products (other than blood 
clotting factors), the payment limits shall be determined in the same 
manner as such payment limit was determined on October 1, 2003.
    (b) Mandatory assignment. Effective with services furnished on or 
after February 1, 2001, payment for any drug covered under Part B of 
Medicare may be made on an assignment-related basis only. All billers 
must accept the program allowed charge as payment in full and may not 
bill nor collect from the beneficiary any amount other than the unmet 
Part B deductible and Part B coinsurance amounts, if applicable. 
Violations of this requirement may subject the supplier to sanctions, 
as provided by the statute (See Sec.  402 of this chapter).

    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 2004. 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.
    In previous years, we have listed many services in Addendum B 
that are not paid under the physician fee schedule. To avoid 
publishing as many pages of codes for these services, we are not 
including clinical laboratory codes and most alpha-numeric codes 
(Healthcare Common Procedure Coding System (HCPCS) codes not 
included in CPT) in Addendum B.

Addendum B--2004 Relative Value Units and Related Information Used in 
Determining Medicare Payments for 2004

    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.
    F = Deleted/discontinued codes. Code not subject to a 90-day 
grace period.
    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.
    H = Deleted modifier. Either the TC or PC component shown for 
the code has been deleted, and the deleted component is shown in the 
data base with the H status indicator. (Code subject to a 90-day 
grace period.)
    I = Not valid for Medicare purposes. Medicare uses another code 
for the reporting of, and the payment for these services. (Code NOT 
subject to a 90-day grace period.)
    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.
    [sbull] 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).
    [sbull] 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 2003. Codes that are not used for Medicare 
payment are identified with a ``+.''
    6. Non-facility practice expense RVUs. These are the fully 
implemented resource-based practice expense RVUs for non-facility 
settings.
    7. Facility practice expense RVUs. These are the fully 
implemented resource-based practice expense RVUs for facility 
settings.
    8. Malpractice expense RVUs. These are the RVUs for the 
malpractice expense for the service for 2004.
    9. Non-facility total. This is the sum of the work, fully 
implemented non-facility practice expense, and malpractice expense 
RVUs.
    10. Facility total. This is the sum of the work, fully 
implemented facility practice expense, and malpractice expense RVUs.
    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 = Code related to another service that is always included in 
the global period of the other service. (Note: Physician work and 
practice expense are associated with intra service time and in some 
instances the post service time.)

    --------------------
\1\ CPT codes and descriptions only are copyright 2003 American Medical 
Association. All Rights Reserved. Applicable FARS/DFARS Apply.

\2\ Copyright 2003 American Dental Association. All rights reserved.

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

[[Page 1118]]



                                            Addendum B.--Relative Value Units (RVUS) and Related Information
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                             Physician     Non-                  Mal-       Non-
  CPT\1\  HCPCS\2\          MOD           Status           Description          work     facility   Facility   practice   facility   Facility    Global
                                                                              RVUs\3\    PE RVUs    PE RVUs      RVUs      total      total
--------------------------------------------------------------------------------------------------------------------------------------------------------
0001F...............  ..............  I               Blood pressure,             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       measured.
0001T...............  ..............  C               Endovas repr abdo ao        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       aneurys.
0002F...............  ..............  I               Tobacco use, smoking,       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       assess.
0002T...............  ..............  D               endo repair abd aa          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       aorto uni.
0003F...............  ..............  I               Tobacco use, non-           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       smoking.
0003T...............  ..............  C               Cervicography........       0.00       0.00       0.00       0.00       0.00       0.00        XXX
0004F...............  ..............  I               Tobacco use txmnt           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       counseling.
0005F...............  ..............  I               Tobacco use txmnt,          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       pharmacol.
0005T...............  ..............  C               Perc cath stent/brain       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       cv art.
0006F...............  ..............  I               Statin therapy,             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       prescribed.
0006T...............  ..............  C               Perc cath stent/brain       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       cv art.
0007F...............  ..............  I               Beta-blocker thx            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       prescribed.
0007T...............  ..............  C               Perc cath stent/brain       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       cv art.
0008F...............  ..............  I               Ace inhibitor thx           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       prescribed.
0008T...............  ..............  C               Upper gi endoscopy w/       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       suture.
0009F...............  ..............  I               Assess anginal              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       symptom/level.
0009T...............  ..............  C               Endometrial                 0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       cryoablation.
0010F...............  ..............  I               Assess anginal              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       symptom/level.
0010T...............  ..............  C               Tb test, gamma              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       interferon.
0011F...............  ..............  I               Oral antiplat thx           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       prescribed.
0012T...............  ..............  C               Osteochondral knee          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       autograft.
0013T...............  ..............  C               Osteochondral knee          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       allograft.
0014T...............  ..............  C               Meniscal transplant,        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       knee.
0016T...............  ..............  C               Thermotx choroid vasc       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       lesion.
0017T...............  ..............  C               Photocoagulat macular       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       drusen.
0018T...............  ..............  C               Transcranial magnetic       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       stimul.
0019T...............  ..............  I               Extracorp shock wave        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       tx, ms.
0020T...............  ..............  C               Extracorp shock wave        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       tx, ft.
0021T...............  ..............  C               Fetal oximetry,             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       trnsvag/cerv.
0023T...............  ..............  C               Phenotype drug test,        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       hiv 1.
0024T...............  ..............  C               Transcath cardiac           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       reduction.
0025T...............  ..............  D               Ultrasonic pachymetry       0.00       0.00       0.00       0.00       0.00       0.00        XXX
0026T...............  ..............  C               Measure remnant             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       lipoproteins.
0027T...............  ..............  C               Endoscopic epidural         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       lysis.
0028T...............  ..............  C               Dexa body composition       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       study.
0029T...............  ..............  C               Magnetic tx for             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       incontinence.
0030T...............  ..............  C               Antiprothrombin             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       antibody.
0031T...............  ..............  C               Speculoscopy.........       0.00       0.00       0.00       0.00       0.00       0.00        XXX
0032T...............  ..............  C               Speculoscopy w/direct       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       sample.
0033T...............  ..............  C               Endovasc taa repr           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       incl subcl.
0034T...............  ..............  C               Endovasc taa repr w/o       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       subcl.
0035T...............  ..............  C               Insert endovasc             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       prosth, taa.
0036T...............  ..............  C               Endovasc prosth, taa,       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       add-on.
0037T...............  ..............  C               Artery transpose/           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       endovas taa.
0038T...............  ..............  C               Rad endovasc taa rpr        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       w/cover.
0039T...............  ..............  C               Rad s/i, endovasc taa       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       repair.
0040T...............  ..............  C               Rad s/i, endovasc taa       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       prosth.
0041T...............  ..............  C               Detect ur infect agnt       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       w/cpas.
0042T...............  ..............  C               Ct perfusion w/             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       contrast, cbf.
0043T...............  ..............  C               Co expired gas              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       analysis.
0044T...............  ..............  C               Whole body                  0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       photography.
0045T...............  ..............  C               Whole body                  0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       photography.
0046T...............  ..............  C               Cath lavage, mammary        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       duct(s.
0047T...............  ..............  C               Cath lavage, mammary        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       duct(s).
0048T...............  ..............  C               Implant ventricular         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       device.
0049T...............  ..............  C               External circulation        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       assist.
0050T...............  ..............  C               Removal circulation         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       assist.
0051T...............  ..............  C               Implant total heart         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       system.
0052T...............  ..............  C               Replace component           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       heart syst.
0053T...............  ..............  C               Replace component           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       heart syst.
0054T...............  ..............  C               Bone surgery using          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       computer.
0055T...............  ..............  C               Bone surgery using          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       computer.
0056T...............  ..............  C               Bone surgery using          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       computer.
0057T...............  ..............  C               Uppr gi scope w/            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       thrml txmnt.
0058T...............  ..............  C               Cryopreservation,           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ovary tiss.
0059T...............  ..............  C               Cryopreservation,           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       oocyte.
0060T...............  ..............  C               Electrical impedance        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       scan.
0061T...............  ..............  C               Destruction of tumor,       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       breast.
10021...............  ..............  A               Fna w/o image........       1.27       2.20       0.54       0.08       3.55       1.89        XXX
10022...............  ..............  A               Fna w/image..........       1.27       2.61       0.42       0.06       3.94       1.75        XXX
10040...............  ..............  A               Acne surgery.........       1.18       1.02       0.68       0.06       2.26       1.92        010
10060...............  ..............  A               Drainage of skin            1.17       1.20       0.94       0.10       2.47       2.21        010
                                                       abscess.
10061...............  ..............  A               Drainage of skin            2.40       1.81       1.51       0.21       4.42       4.12        010
                                                       abscess.
10080...............  ..............  A               Drainage of pilonidal       1.17       3.13       1.14       0.11       4.41       2.42        010
                                                       cyst.
10081...............  ..............  A               Drainage of pilonidal       2.45       4.11       1.51       0.23       6.79       4.19        010
                                                       cyst.

[[Page 1119]]

 
10120...............  ..............  A               Remove foreign body..       1.22       1.46       0.41       0.12       2.80       1.75        010
10121...............  ..............  A               Remove foreign body..       2.69       3.33       1.88       0.30       6.32       4.87        010
10140...............  ..............  A               Drainage of hematoma/       1.53       1.51       0.91       0.18       3.22       2.62        010
                                                       fluid.
10160...............  ..............  A               Puncture drainage of        1.20       0.73       0.46       0.13       2.06       1.79        010
                                                       lesion.
10180...............  ..............  A               Complex drainage,           2.25       3.25       2.08       0.30       5.80       4.63        010
                                                       wound.
11000...............  ..............  A               Debride infected skin       0.60       0.57       0.22       0.06       1.23       0.88        000
11001...............  ..............  A               Debride infected skin       0.30       0.23       0.11       0.02       0.55       0.43        ZZZ
                                                       add-on.
11010...............  ..............  A               Debride skin, fx.....       4.19       6.74       2.33       0.54      11.47       7.06        010
11011...............  ..............  A               Debride skin/muscle,        4.94       8.03       2.37       0.64      13.61       7.95        000
                                                       fx.
11012...............  ..............  A               Debride skin/muscle/        6.87      12.01       3.86       1.07      19.95      11.80        000
                                                       bone, fx.
11040...............  ..............  A               Debride skin, partial       0.50       0.51       0.21       0.06       1.07       0.77        000
11041...............  ..............  A               Debride skin, full...       0.82       0.65       0.33       0.07       1.54       1.22        000
11042...............  ..............  A               Debride skin/tissue..       1.12       0.97       0.45       0.11       2.20       1.68        000
11043...............  ..............  A               Debride tissue/muscle       2.38       3.41       2.61       0.29       6.08       5.28        010
11044...............  ..............  A               Debride tissue/muscle/      3.06       4.50       3.77       0.41       7.97       7.24        010
                                                       bone.
11055...............  ..............  R               Trim skin lesion.....       0.43       0.55       0.17       0.02       1.00       0.62        000
11056...............  ..............  R               Trim skin lesions, 2        0.61       0.63       0.24       0.04       1.28       0.89        000
                                                       to 4.
11057...............  ..............  R               Trim skin lesions,          0.79       0.73       0.31       0.05       1.57       1.15        000
                                                       over 4.
11100...............  ..............  A               Biopsy, skin lesion..       0.81       1.26       0.37       0.05       2.12       1.23        000
11101...............  ..............  A               Biopsy, skin add-on..       0.41       0.34       0.19       0.02       0.77       0.62        ZZZ
11200...............  ..............  A               Removal of skin tags.       0.77       1.06       0.77       0.05       1.88       1.59        010
11201...............  ..............  A               Remove skin tags add-       0.29       0.16       0.12       0.02       0.47       0.43        ZZZ
                                                       on.
11300...............  ..............  A               Shave skin lesion....       0.51       1.00       0.22       0.04       1.55       0.77        000
11301...............  ..............  A               Shave skin lesion....       0.85       1.12       0.37       0.05       2.02       1.27        000
11302...............  ..............  A               Shave skin lesion....       1.05       1.31       0.46       0.06       2.42       1.57        000
11303...............  ..............  A               Shave skin lesion....       1.24       1.59       0.52       0.07       2.90       1.83        000
11305...............  ..............  A               Shave skin lesion....       0.67       0.84       0.27       0.05       1.56       0.99        000
11306...............  ..............  A               Shave skin lesion....       0.99       1.11       0.41       0.06       2.16       1.46        000
11307...............  ..............  A               Shave skin lesion....       1.14       1.29       0.49       0.06       2.49       1.69        000
11308...............  ..............  A               Shave skin lesion....       1.41       1.45       0.59       0.08       2.94       2.08        000
11310...............  ..............  A               Shave skin lesion....       0.73       1.12       0.33       0.05       1.90       1.11        000
11311...............  ..............  A               Shave skin lesion....       1.05       1.24       0.48       0.06       2.35       1.59        000
11312...............  ..............  A               Shave skin lesion....       1.20       1.44       0.55       0.07       2.71       1.82        000
11313...............  ..............  A               Shave skin lesion....       1.62       1.82       0.72       0.11       3.55       2.45        000
11400...............  ..............  A               Exc tr-ext b9+marg          0.85       2.00       0.89       0.07       2.92       1.81        010
                                                       0.5 < cm.
11401...............  ..............  A               Exc tr-ext b9+marg          1.23       2.07       1.03       0.11       3.41       2.37        010
                                                       0.6-1 cm.
11402...............  ..............  A               Exc tr-ext b9+marg          1.51       2.25       1.10       0.14       3.90       2.75        010
                                                       1.1-2 cm.
11403...............  ..............  A               Exc tr-ext b9+marg          1.79       2.42       1.33       0.19       4.40       3.31        010
                                                       2.1-3 cm.
11404...............  ..............  A               Exc tr-ext b9+marg          2.06       2.73       1.41       0.22       5.01       3.69        010
                                                       3.1-4 cm.
11406...............  ..............  A               Exc tr-ext b9+marg          2.76       3.10       1.67       0.30       6.16       4.73        010
                                                        4.0 cm.
11420...............  ..............  A               Exc h-f-nk-sp b9+marg       0.98       1.77       0.94       0.10       2.85       2.02        010
                                                       0.5 <.
11421...............  ..............  A               Exc h-f-nk-sp b9+marg       1.42       2.08       1.12       0.13       3.63       2.67        010
                                                       0.6-1.
11422...............  ..............  A               Exc h-f-nk-sp b9+marg       1.63       2.27       1.34       0.17       4.07       3.14        010
                                                       1.1-2.
11423...............  ..............  A               Exc h-f-nk-sp b9+marg       2.01       2.61       1.46       0.21       4.83       3.68        010
                                                       2.1-3.
11424...............  ..............  A               Exc h-f-nk-sp b9+marg       2.43       2.82       1.61       0.25       5.50       4.29        010
                                                       3.1-4.
11426...............  ..............  A               Exc h-f-nk-sp b9+marg       3.77       3.52       2.11       0.41       7.70       6.29        010
                                                        4 cm.
11440...............  ..............  A               Exc face-mm b9+marg         1.06       2.28       1.33       0.10       3.44       2.49        010
                                                       0.5 < cm.
11441...............  ..............  A               Exc face-mm b9+marg         1.48       2.40       1.51       0.13       4.01       3.12        010
                                                       0.6-1 cm.
11442...............  ..............  A               Exc face-mm b9+marg         1.72       2.59       1.58       0.17       4.48       3.47        010
                                                       1.1-2 cm.
11443...............  ..............  A               Exc face-mm b9+marg         2.29       2.97       1.83       0.22       5.48       4.34        010
                                                       2.1-3 cm.
11444...............  ..............  A               Exc face-mm b9+marg         3.14       3.54       2.19       0.30       6.98       5.63        010
                                                       3.1-4 cm.
11446...............  ..............  A               Exc face-mm b9+marg         4.48       4.11       2.78       0.36       8.95       7.62        010
                                                        4 cm.
11450...............  ..............  A               Removal, sweat gland        2.73       5.11       2.03       0.31       8.15       5.07        090
                                                       lesion.
11451...............  ..............  A               Removal, sweat gland        3.94       6.74       2.56       0.47      11.15       6.97        090
                                                       lesion.
11462...............  ..............  A               Removal, sweat gland        2.51       5.20       2.02       0.28       7.99       4.81        090
                                                       lesion.
11463...............  ..............  A               Removal, sweat gland        3.94       6.96       2.69       0.48      11.38       7.11        090
                                                       lesion.
11470...............  ..............  A               Removal, sweat gland        3.25       5.14       2.27       0.36       8.75       5.88        090
                                                       lesion.
11471...............  ..............  A               Removal, sweat gland        4.40       6.85       2.78       0.48      11.73       7.66        090
                                                       lesion.
11600...............  ..............  A               Exc tr-ext mlg+marg         1.31       2.65       0.98       0.11       4.07       2.40        010
                                                       0.5 < cm.
11601...............  ..............  A               Exc tr-ext mlg+marg         1.80       2.72       1.23       0.14       4.66       3.17        010
                                                       0.6-1 cm.
11602...............  ..............  A               Exc tr-ext mlg+marg         1.95       2.86       1.27       0.16       4.97       3.38        010
                                                       1.1-2 cm.
11603...............  ..............  A               Exc tr-ext mlg+marg         2.19       3.11       1.33       0.19       5.49       3.71        010
                                                       2.1-3 cm.
11604...............  ..............  A               Exc tr-ext mlg+marg         2.40       3.41       1.40       0.22       6.03       4.02        010
                                                       3.1-4 cm.
11606...............  ..............  A               Exc tr-ext mlg+marg         3.42       4.11       1.75       0.34       7.87       5.51        010
                                                        4 cm.
11620...............  ..............  A               Exc h-f-nk-sp               1.19       2.62       0.96       0.11       3.92       2.26        010
                                                       mlg+marg 0.5 <.
11621...............  ..............  A               Exc h-f-nk-sp               1.76       2.73       1.25       0.14       4.63       3.15        010
                                                       mlg+marg 0.6-1.
11622...............  ..............  A               Exc h-f-nk-sp               2.09       3.00       1.39       0.18       5.27       3.66        010
                                                       mlg+marg 1.1-2.
11623...............  ..............  A               Exc h-f-nk-sp               2.61       3.36       1.59       0.24       6.21       4.44        010
                                                       mlg+marg 2.1-3.
11624...............  ..............  A               Exc h-f-nk-sp               3.06       3.79       1.78       0.30       7.15       5.14        010
                                                       mlg+marg 3.1-4.
11626...............  ..............  A               Exc h-f-nk-sp mlg+mar       4.29       4.70       2.40       0.42       9.41       7.11        010
                                                        4 cm.
11640...............  ..............  A               Exc face-mm                 1.35       2.69       1.12       0.12       4.16       2.59        010
                                                       malig+marg 0.5 <.
11641...............  ..............  A               Exc face-mm                 2.16       3.06       1.54       0.18       5.40       3.88        010
                                                       malig+marg 0.6-1.
11642...............  ..............  A               Exc face-mm                 2.59       3.44       1.73       0.22       6.25       4.54        010
                                                       malig+marg 1.1-2.
11643...............  ..............  A               Exc face-mm                 3.10       3.85       1.96       0.29       7.24       5.35        010
                                                       malig+marg 2.1-3.
11644...............  ..............  A               Exc face-mm                 4.02       4.74       2.47       0.40       9.16       6.89        010
                                                       malig+marg 3.1-4.

[[Page 1120]]

 
11646...............  ..............  A               Exc face-mm mlg+marg        5.94       5.81       3.49       0.55      12.30       9.98        010
                                                        4 cm.
11719...............  ..............  R               Trim nail(s).........       0.17       0.25       0.07       0.01       0.43       0.25        000
11720...............  ..............  A               Debride nail, 1-5....       0.32       0.34       0.13       0.02       0.68       0.47        000
11721...............  ..............  A               Debride nail, 6 or          0.54       0.43       0.21       0.05       1.02       0.80        000
                                                       more.
11730...............  ..............  A               Removal of nail plate       1.13       1.02       0.43       0.11       2.26       1.67        000
11732...............  ..............  A               Remove nail plate,          0.57       0.43       0.22       0.06       1.06       0.85        ZZZ
                                                       add-on.
11740...............  ..............  A               Drain blood from            0.37       0.85       0.14       0.04       1.26       0.55        000
                                                       under nail.
11750...............  ..............  A               Removal of nail bed..       1.86       2.13       1.72       0.19       4.18       3.77        010
11752...............  ..............  A               Remove nail bed/            2.67       2.95       2.95       0.40       6.02       6.02        010
                                                       finger tip.
11755...............  ..............  A               Biopsy, nail unit....       1.31       1.10       0.54       0.07       2.48       1.92        000
11760...............  ..............  A               Repair of nail bed...       1.58       1.84       1.21       0.21       3.63       3.00        010
11762...............  ..............  A               Reconstruction of           2.89       2.27       1.83       0.39       5.55       5.11        010
                                                       nail bed.
11765...............  ..............  A               Excision of nail            0.69       1.14       0.52       0.06       1.89       1.27        010
                                                       fold, toe.
11770...............  ..............  A               Removal of pilonidal        2.61       3.52       1.51       0.29       6.42       4.41        010
                                                       lesion.
11771...............  ..............  A               Removal of pilonidal        5.73       5.70       3.33       0.68      12.11       9.74        090
                                                       lesion.
11772...............  ..............  A               Removal of pilonidal        6.97       7.17       3.87       0.82      14.96      11.66        090
                                                       lesion.
11900...............  ..............  A               Injection into skin         0.52       0.65       0.22       0.02       1.19       0.76        000
                                                       lesions.
11901...............  ..............  A               Added skin lesions          0.80       0.66       0.36       0.04       1.50       1.20        000
                                                       injection.
11920...............  ..............  R               Correct skin color          1.61       1.99       0.78       0.21       3.81       2.60        000
                                                       defects.
11921...............  ..............  R               Correct skin color          1.93       2.36       0.98       0.25       4.54       3.16        000
                                                       defects.
11922...............  ..............  R               Correct skin color          0.49       0.37       0.25       0.06       0.92       0.80        ZZZ
                                                       defects.
11950...............  ..............  R               Therapy for contour         0.84       1.15       0.40       0.07       2.06       1.31        000
                                                       defects.
11951...............  ..............  R               Therapy for contour         1.19       1.50       0.51       0.12       2.81       1.82        000
                                                       defects.
11952...............  ..............  R               Therapy for contour         1.69       1.87       0.68       0.21       3.77       2.58        000
                                                       defects.
11954...............  ..............  R               Therapy for contour         1.85       2.44       0.91       0.23       4.52       2.99        000
                                                       defects.
11960...............  ..............  A               Insert tissue               9.07         NA      10.52       1.06         NA      20.65        090
                                                       expander(s).
11970...............  ..............  A               Replace tissue              7.05         NA       6.10       0.93         NA      14.08        090
                                                       expander.
11971...............  ..............  A               Remove tissue               2.13       7.10       4.76       0.25       9.48       7.14        090
                                                       expander(s).
11975...............  ..............  N               Insert contraceptive       +1.48       1.42       0.57       0.17       3.07       2.22        XXX
                                                       cap.
11976...............  ..............  R               Removal of                  1.78       1.70       0.68       0.21       3.69       2.67        000
                                                       contraceptive cap.
11977...............  ..............  N               Removal/reinsert           +3.30       2.27       1.26       0.37       5.94       4.93        XXX
                                                       contra cap.
11980...............  ..............  A               Implant hormone             1.48       1.10       0.54       0.12       2.70       2.14        000
                                                       pellet(s).
11981...............  ..............  A               Insert drug implant         1.48       1.74       0.68       0.17       3.39       2.33        XXX
                                                       device.
11982...............  ..............  A               Remove drug implant         1.78       1.97       0.84       0.21       3.96       2.83        XXX
                                                       device.
11983...............  ..............  A               Remove/insert drug          3.30       2.32       1.47       0.37       5.99       5.14        XXX
                                                       implant.
12001...............  ..............  A               Repair superficial          1.70       2.00       0.49       0.16       3.86       2.35        010
                                                       wound(s).
12002...............  ..............  A               Repair superficial          1.86       2.06       0.93       0.18       4.10       2.97        010
                                                       wound(s).
12004...............  ..............  A               Repair superficial          2.24       2.36       1.05       0.21       4.81       3.50        010
                                                       wound(s).
12005...............  ..............  A               Repair superficial          2.86       2.85       1.23       0.28       5.99       4.37        010
                                                       wound(s).
12006...............  ..............  A               Repair superficial          3.66       3.43       1.54       0.37       7.46       5.57        010
                                                       wound(s).
12007...............  ..............  A               Repair superficial          4.11       3.86       1.84       0.45       8.42       6.40        010
                                                       wound(s).
12011...............  ..............  A               Repair superficial          1.76       2.16       0.50       0.17       4.09       2.43        010
                                                       wound(s).
12013...............  ..............  A               Repair superficial          1.99       2.31       0.97       0.19       4.49       3.15        010
                                                       wound(s).
12014...............  ..............  A               Repair superficial          2.46       2.61       1.09       0.22       5.29       3.77        010
                                                       wound(s).
12015...............  ..............  A               Repair superficial          3.19       3.19       1.28       0.29       6.67       4.76        010
                                                       wound(s).
12016...............  ..............  A               Repair superficial          3.92       3.60       1.56       0.39       7.91       5.87        010
                                                       wound(s).
12017...............  ..............  A               Repair superficial          4.70         NA       1.91       0.47         NA       7.08        010
                                                       wound(s).
12018...............  ..............  A               Repair superficial          5.52         NA       2.27       0.55         NA       8.34        010
                                                       wound(s).
12020...............  ..............  A               Closure of split            2.62       2.65       1.75       0.29       5.56       4.66        010
                                                       wound.
12021...............  ..............  A               Closure of split            1.84       1.74       1.41       0.23       3.81       3.48        010
                                                       wound.
12031...............  ..............  A               Layer closure of            2.15       2.31       0.81       0.18       4.64       3.14        010
                                                       wound(s).
12032...............  ..............  A               Layer closure of            2.47       3.88       1.84       0.18       6.53       4.49        010
                                                       wound(s).
12034...............  ..............  A               Layer closure of            2.92       3.17       1.41       0.25       6.34       4.58        010
                                                       wound(s).
12035...............  ..............  A               Layer closure of            3.42       5.26       2.18       0.36       9.04       5.96        010
                                                       wound(s).
12036...............  ..............  A               Layer closure of            4.04       5.36       2.38       0.49       9.89       6.91        010
                                                       wound(s).
12037...............  ..............  A               Layer closure of            4.66       6.41       2.78       0.59      11.66       8.03        010
                                                       wound(s).
12041...............  ..............  A               Layer closure of            2.37       2.47       0.87       0.21       5.05       3.45        010
                                                       wound(s).
12042...............  ..............  A               Layer closure of            2.74       3.21       1.37       0.21       6.16       4.32        010
                                                       wound(s).
12044...............  ..............  A               Layer closure of            3.14       3.20       1.56       0.29       6.63       4.99        010
                                                       wound(s).
12045...............  ..............  A               Layer closure of            3.63       3.67       2.17       0.41       7.71       6.21        010
                                                       wound(s).
12046...............  ..............  A               Layer closure of            4.24       6.57       2.76       0.48      11.29       7.48        010
                                                       wound(s).
12047...............  ..............  A               Layer closure of            4.64       6.42       3.10       0.49      11.55       8.23        010
                                                       wound(s).
12051...............  ..............  A               Layer closure of            2.47       3.23       1.36       0.19       5.89       4.02        010
                                                       wound(s).
12052...............  ..............  A               Layer closure of            2.77       3.17       1.34       0.21       6.15       4.32        010
                                                       wound(s).
12053...............  ..............  A               Layer closure of            3.12       3.22       1.50       0.24       6.58       4.86        010
                                                       wound(s).
12054...............  ..............  A               Layer closure of            3.45       3.54       1.60       0.30       7.29       5.35        010
                                                       wound(s).
12055...............  ..............  A               Layer closure of            4.42       4.54       2.14       0.42       9.38       6.98        010
                                                       wound(s).
12056...............  ..............  A               Layer closure of            5.23       6.76       3.07       0.52      12.51       8.82        010
                                                       wound(s).
12057...............  ..............  A               Layer closure of            5.95       6.10       3.76       0.60      12.65      10.31        010
                                                       wound(s).
13100...............  ..............  A               Repair of wound or          3.12       3.51       1.78       0.25       6.88       5.15        010
                                                       lesion.
13101...............  ..............  A               Repair of wound or          3.91       3.75       2.22       0.27       7.93       6.40        010
                                                       lesion.
13102...............  ..............  A               Repair wound/lesion         1.24       0.74       0.57       0.12       2.10       1.93        ZZZ
                                                       add-on.
13120...............  ..............  A               Repair of wound or          3.30       3.61       1.82       0.28       7.19       5.40        010
                                                       lesion.
13121...............  ..............  A               Repair of wound or          4.32       3.97       2.32       0.30       8.59       6.94        010
                                                       lesion.
13122...............  ..............  A               Repair wound/lesion         1.44       0.87       0.63       0.14       2.45       2.21        ZZZ
                                                       add-on.

[[Page 1121]]

 
13131...............  ..............  A               Repair of wound or          3.78       3.88       2.14       0.30       7.96       6.22        010
                                                       lesion.
13132...............  ..............  A               Repair of wound or          5.94       4.68       3.17       0.39      11.01       9.50        010
                                                       lesion.
13133...............  ..............  A               Repair wound/lesion         2.19       1.19       1.03       0.21       3.59       3.43        ZZZ
                                                       add-on.
13150...............  ..............  A               Repair of wound or          3.80       5.50       2.61       0.35       9.65       6.76        010
                                                       lesion.
13151...............  ..............  A               Repair of wound or          4.44       5.40       3.03       0.34      10.18       7.81        010
                                                       lesion.
13152...............  ..............  A               Repair of wound or          6.32       6.08       3.93       0.46      12.86      10.71        010
                                                       lesion.
13153...............  ..............  A               Repair wound/lesion         2.38       1.34       1.14       0.22       3.94       3.74        ZZZ
                                                       add-on.
13160...............  ..............  A               Late closure of wound      10.46         NA       7.14       1.44         NA      19.04        090
14000...............  ..............  A               Skin tissue                 5.88       8.52       5.12       0.55      14.95      11.55        090
                                                       rearrangement.
14001...............  ..............  A               Skin tissue                 8.46       9.94       6.59       0.78      19.18      15.83        090
                                                       rearrangement.
14020...............  ..............  A               Skin tissue                 6.58       9.17       5.99       0.60      16.35      13.17        090
                                                       rearrangement.
14021...............  ..............  A               Skin tissue                10.04      10.45       7.74       0.83      21.32      18.61        090
                                                       rearrangement.
14040...............  ..............  A               Skin tissue                 7.86       8.25       6.86       0.66      16.77      15.38        090
                                                       rearrangement.
14041...............  ..............  A               Skin tissue                11.47      10.64       8.68       0.86      22.97      21.01        090
                                                       rearrangement.
14060...............  ..............  A               Skin tissue                 8.49       9.08       7.69       0.71      18.28      16.89        090
                                                       rearrangement.
14061...............  ..............  A               Skin tissue                12.27      11.66       9.51       0.90      24.83      22.68        090
                                                       rearrangement.
14300...............  ..............  A               Skin tissue                11.74      11.19       9.17       1.06      23.99      21.97        090
                                                       rearrangement.
14350...............  ..............  A               Skin tissue                 9.60         NA       7.12       1.31         NA      18.03        090
                                                       rearrangement.
15000...............  ..............  A               Skin graft...........       3.99       3.81       2.20       0.45       8.25       6.64        000
15001...............  ..............  A               Skin graft add-on....       1.00       1.36       0.41       0.13       2.49       1.54        ZZZ
15050...............  ..............  A               Skin pinch graft.....       4.29       5.97       4.74       0.55      10.81       9.58        090
15100...............  ..............  A               Skin split graft.....       9.04      12.63       7.80       1.13      22.80      17.97        090
15101...............  ..............  A               Skin split graft add-       1.72       3.83       1.66       0.22       5.77       3.60        ZZZ
                                                       on.
15120...............  ..............  A               Skin split graft.....       9.82      10.78       7.77       1.09      21.69      18.68        090
15121...............  ..............  A               Skin split graft add-       2.67       4.58       1.87       0.33       7.58       4.87        ZZZ
                                                       on.
15200...............  ..............  A               Skin full graft......       8.02      10.71       6.00       0.88      19.61      14.90        090
15201...............  ..............  A               Skin full graft add-        1.32       1.04       0.62       0.17       2.53       2.11        ZZZ
                                                       on.
15220...............  ..............  A               Skin full graft......       7.86      10.59       6.43       0.82      19.27      15.11        090
15221...............  ..............  A               Skin full graft add-        1.19       0.91       0.56       0.14       2.24       1.89        ZZZ
                                                       on.
15240...............  ..............  A               Skin full graft......       9.03      10.15       7.65       0.96      20.14      17.64        090
15241...............  ..............  A               Skin full graft add-        1.86       1.45       0.92       0.21       3.52       2.99        ZZZ
                                                       on.
15260...............  ..............  A               Skin full graft......      10.04       9.88       8.60       0.76      20.68      19.40        090
15261...............  ..............  A               Skin full graft add-        2.23       2.72       1.42       0.21       5.16       3.86        ZZZ
                                                       on.
15342...............  ..............  A               Cultured skin graft,        1.00       1.83       0.55       0.11       2.94       1.66        010
                                                       25 cm.
15343...............  ..............  A               Culture skn graft           0.25       0.27       0.10       0.02       0.54       0.37        ZZZ
                                                       addl 25 cm.
15350...............  ..............  A               Skin homograft.......       3.99       8.22       4.83       0.51      12.72       9.33        090
15351...............  ..............  A               Skin homograft add-on       1.00       0.94       0.39       0.13       2.07       1.52        ZZZ
15400...............  ..............  A               Skin heterograft.....       3.99       4.18       4.10       0.48       8.65       8.57        090
15401...............  ..............  A               Skin heterograft add-       1.00       1.22       0.44       0.13       2.35       1.57        ZZZ
                                                       on.
15570...............  ..............  A               Form skin pedicle           9.20       9.17       6.68       1.16      19.53      17.04        090
                                                       flap.
15572...............  ..............  A               Form skin pedicle           9.26       8.38       6.25       1.12      18.76      16.63        090
                                                       flap.
15574...............  ..............  A               Form skin pedicle           9.87       8.79       6.95       1.11      19.77      17.93        090
                                                       flap.
15576...............  ..............  A               Form skin pedicle           8.68       9.39       6.42       0.87      18.94      15.97        090
                                                       flap.
15600...............  ..............  A               Skin graft...........       1.91       7.04       2.70       0.23       9.18       4.84        090
15610...............  ..............  A               Skin graft...........       2.42       3.73       3.03       0.30       6.45       5.75        090
15620...............  ..............  A               Skin graft...........       2.94       7.46       3.67       0.34      10.74       6.95        090
15630...............  ..............  A               Skin graft...........       3.27       6.84       3.93       0.34      10.45       7.54        090
15650...............  ..............  A               Transfer skin pedicle       3.96       6.70       4.02       0.43      11.09       8.41        090
                                                       flap.
15732...............  ..............  A               Muscle-skin graft,         17.81      18.05      12.22       1.81      37.67      31.84        090
                                                       head/neck.
15734...............  ..............  A               Muscle-skin graft,         17.76      17.84      12.34       2.30      37.90      32.40        090
                                                       trunk.
15736...............  ..............  A               Muscle-skin graft,         16.25      18.16      11.22       2.15      36.56      29.62        090
                                                       arm.
15738...............  ..............  A               Muscle-skin graft,         17.89      17.93      11.74       2.35      38.17      31.98        090
                                                       leg.
15740...............  ..............  A               Island pedicle flap        10.23       9.81       7.88       0.75      20.79      18.86        090
                                                       graft.
15750...............  ..............  A               Neurovascular pedicle      11.39         NA       9.04       1.40         NA      21.83        090
                                                       graft.
15756...............  ..............  A               Free myo/skin flap         35.18         NA      20.69       3.75         NA      59.62        090
                                                       microvasc.
15757...............  ..............  A               Free skin flap,            35.18         NA      21.73       4.06         NA      60.97        090
                                                       microvasc.
15758...............  ..............  A               Free fascial flap,         35.05         NA      21.72       4.25         NA      61.02        090
                                                       microvasc.
15760...............  ..............  A               Composite skin graft.       8.73       9.71       7.02       0.87      19.31      16.62        090
15770...............  ..............  A               Derma-fat-fascia            7.51         NA       6.69       0.94         NA      15.14        090
                                                       graft.
15775...............  ..............  R               Hair transplant punch       3.95       2.78       1.32       0.52       7.25       5.79        000
                                                       grafts.
15776...............  ..............  R               Hair transplant punch       5.53       5.39       2.81       0.72      11.64       9.06        000
                                                       grafts.
15780...............  ..............  A               Abrasion treatment of       7.28       7.07       7.07       0.49      14.84      14.84        090
                                                       skin.
15781...............  ..............  A               Abrasion treatment of       4.84       5.35       5.35       0.33      10.52      10.52        090
                                                       skin.
15782...............  ..............  A               Abrasion treatment of       4.31       4.30       4.30       0.25       8.86       8.86        090
                                                       skin.
15783...............  ..............  A               Abrasion treatment of       4.28       4.92       4.17       0.31       9.51       8.76        090
                                                       skin.
15786...............  ..............  A               Abrasion, lesion,           2.03       1.63       1.27       0.13       3.79       3.43        010
                                                       single.
15787...............  ..............  A               Abrasion, lesions,          0.33       0.32       0.16       0.02       0.67       0.51        ZZZ
                                                       add-on.
15788...............  ..............  R               Chemical peel, face,        2.09       3.34       2.27       0.13       5.56       4.49        090
                                                       epiderm.
15789...............  ..............  R               Chemical peel, face,        4.91       6.39       4.91       0.33      11.63      10.15        090
                                                       dermal.
15792...............  ..............  R               Chemical peel,              1.86       3.16       2.76       0.12       5.14       4.74        090
                                                       nonfacial.
15793...............  ..............  A               Chemical peel,              3.73         NA       4.14       0.21         NA       8.08        090
                                                       nonfacial.
15810...............  ..............  A               Salabrasion..........       4.73       3.87       3.87       0.51       9.11       9.11        090
15811...............  ..............  A               Salabrasion..........       5.38       6.31       5.52       0.63      12.32      11.53        090
15819...............  ..............  A               Plastic surgery, neck       9.37         NA       7.20       0.93         NA      17.50        090
15820...............  ..............  A               Revision of lower           5.14       6.85       5.34       0.36      12.35      10.84        090
                                                       eyelid.

[[Page 1122]]

 
15821...............  ..............  A               Revision of lower           5.71       7.23       5.52       0.37      13.31      11.60        090
                                                       eyelid.
15822...............  ..............  A               Revision of upper           4.44       5.80       4.36       0.27      10.51       9.07        090
                                                       eyelid.
15823...............  ..............  A               Revision of upper           7.04       7.79       6.24       0.39      15.22      13.67        090
                                                       eyelid.
15824...............  ..............  R               Removal of forehead         0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       wrinkles.
15825...............  ..............  R               Removal of neck             0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       wrinkles.
15826...............  ..............  R               Removal of brow             0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       wrinkles.
15828...............  ..............  R               Removal of face             0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       wrinkles.
15829...............  ..............  R               Removal of skin             0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       wrinkles.
15831...............  ..............  A               Excise excessive skin      12.38         NA       8.22       1.57         NA      22.17        090
                                                       tissue.
15832...............  ..............  A               Excise excessive skin      11.57         NA       8.38       1.46         NA      21.41        090
                                                       tissue.
15833...............  ..............  A               Excise excessive skin      10.62         NA       8.24       1.41         NA      20.27        090
                                                       tissue.
15834...............  ..............  A               Excise excessive skin      10.83         NA       7.71       1.42         NA      19.96        090
                                                       tissue.
15835...............  ..............  A               Excise excessive skin      11.65      11.40       7.63       1.36      24.41      20.64        090
                                                       tissue.
15836...............  ..............  A               Excise excessive skin       9.33         NA       6.81       1.15         NA      17.29        090
                                                       tissue.
15837...............  ..............  A               Excise excessive skin       8.42       7.90       7.00       0.94      17.26      16.36        090
                                                       tissue.
15838...............  ..............  A               Excise excessive skin       7.12         NA       6.09       0.70         NA      13.91        090
                                                       tissue.
15839...............  ..............  A               Excise excessive skin       9.37       7.84       6.21       1.06      18.27      16.64        090
                                                       tissue.
15840...............  ..............  A               Graft for face nerve       13.24         NA      10.05       1.39         NA      24.68        090
                                                       palsy.
15841...............  ..............  A               Graft for face nerve       23.23         NA      15.08       3.20         NA      41.51        090
                                                       palsy.
15842...............  ..............  A               Flap for face nerve        37.90         NA      23.01       4.81         NA      65.72        090
                                                       palsy.
15845...............  ..............  A               Skin and muscle            12.55         NA       9.36       0.96         NA      22.87        090
                                                       repair, face.
15850...............  ..............  B               Removal of sutures...      +0.78       1.58       0.30       0.05       2.41       1.13        XXX
15851...............  ..............  A               Removal of sutures...       0.86       1.72       0.34       0.06       2.64       1.26        000
15852...............  ..............  A               Dressing change not         0.86       1.87       0.36       0.08       2.81       1.30        000
                                                       for burn.
15860...............  ..............  A               Test for blood flow         1.95       1.28       0.79       0.16       3.39       2.90        000
                                                       in graft.
15876...............  ..............  R               Suction assisted            0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       lipectomy.
15877...............  ..............  R               Suction assisted            0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       lipectomy.
15878...............  ..............  R               Suction assisted            0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       lipectomy.
15879...............  ..............  R               Suction assisted            0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       lipectomy.
15920...............  ..............  A               Removal of tail bone        7.94         NA       5.61       1.00         NA      14.55        090
                                                       ulcer.
15922...............  ..............  A               Removal of tail bone        9.89         NA       7.31       1.28         NA      18.48        090
                                                       ulcer.
15931...............  ..............  A               Remove sacrum               9.23         NA       5.75       1.15         NA      16.13        090
                                                       pressure sore.
15933...............  ..............  A               Remove sacrum              10.83         NA       7.94       1.37         NA      20.14        090
                                                       pressure sore.
15934...............  ..............  A               Remove sacrum              12.67         NA       8.15       1.63         NA      22.45        090
                                                       pressure sore.
15935...............  ..............  A               Remove sacrum              14.55         NA      10.40       1.88         NA      26.83        090
                                                       pressure sore.
15936...............  ..............  A               Remove sacrum              12.36         NA       8.36       1.59         NA      22.31        090
                                                       pressure sore.
15937...............  ..............  A               Remove sacrum              14.19         NA       9.96       1.82         NA      25.97        090
                                                       pressure sore.
15940...............  ..............  A               Remove hip pressure         9.33         NA       6.23       1.18         NA      16.74        090
                                                       sore.
15941...............  ..............  A               Remove hip pressure        11.41         NA       9.58       1.48         NA      22.47        090
                                                       sore.
15944...............  ..............  A               Remove hip pressure        11.44         NA       8.70       1.46         NA      21.60        090
                                                       sore.
15945...............  ..............  A               Remove hip pressure        12.67         NA       9.74       1.66         NA      24.07        090
                                                       sore.
15946...............  ..............  A               Remove hip pressure        21.54         NA      14.41       2.80         NA      38.75        090
                                                       sore.
15950...............  ..............  A               Remove thigh pressure       7.53         NA       5.47       0.96         NA      13.96        090
                                                       sore.
15951...............  ..............  A               Remove thigh pressure      10.70         NA       7.95       1.37         NA      20.02        090
                                                       sore.
15952...............  ..............  A               Remove thigh pressure      11.37         NA       7.83       1.44         NA      20.64        090
                                                       sore.
15953...............  ..............  A               Remove thigh pressure      12.61         NA       9.07       1.66         NA      23.34        090
                                                       sore.
15956...............  ..............  A               Remove thigh pressure      15.50         NA      10.85       1.98         NA      28.33        090
                                                       sore.
15958...............  ..............  A               Remove thigh pressure      15.46         NA      11.13       2.00         NA      28.59        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       0.86       0.27       0.07       1.82       1.23        000
                                                       burn(s).
16010...............  ..............  A               Treatment of burn(s).       0.87       0.66       0.63       0.08       1.61       1.58        000
16015...............  ..............  A               Treatment of burn(s).       2.35         NA       1.15       0.27         NA       3.77        000
16020...............  ..............  A               Treatment of burn(s).       0.80       1.31       0.61       0.07       2.18       1.48        000
16025...............  ..............  A               Treatment of burn(s).       1.85       1.79       0.97       0.19       3.83       3.01        000
16030...............  ..............  A               Treatment of burn(s).       2.08       2.20       1.12       0.22       4.50       3.42        000
16035...............  ..............  A               Incision of burn            3.74         NA       1.47       0.43         NA       5.64        090
                                                       scab, initi.
16036...............  ..............  A               Escharotomy; add'l          1.50         NA       0.60       0.13         NA       2.23        ZZZ
                                                       incision.
17000...............  ..............  A               Destroy benign/premlg       0.60       0.98       0.32       0.04       1.62       0.96        010
                                                       lesion.
17003...............  ..............  A               Destroy lesions, 2-14       0.15       0.11       0.07       0.01       0.27       0.23        ZZZ
17004...............  ..............  A               Destroy lesions, 15         2.79       2.32       1.29       0.14       5.25       4.22        010
                                                       or more.
17106...............  ..............  A               Destruction of skin         4.58       4.87       3.34       0.34       9.79       8.26        090
                                                       lesions.
17107...............  ..............  A               Destruction of skin         9.15       7.52       5.45       0.64      17.31      15.24        090
                                                       lesions.
17108...............  ..............  A               Destruction of skin        13.18       9.68       7.68       1.07      23.93      21.93        090
                                                       lesions.
17110...............  ..............  A               Destruct lesion, 1-14       0.65       1.63       0.49       0.05       2.33       1.19        010
17111...............  ..............  A               Destruct lesion, 15         0.92       1.68       0.59       0.05       2.65       1.56        010
                                                       or more.
17250...............  ..............  A               Chemical cautery,           0.50       1.23       0.35       0.05       1.78       0.90        000
                                                       tissue.
17260...............  ..............  A               Destruction of skin         0.91       1.28       0.44       0.05       2.24       1.40        010
                                                       lesions.
17261...............  ..............  A               Destruction of skin         1.17       1.62       0.59       0.06       2.85       1.82        010
                                                       lesions.
17262...............  ..............  A               Destruction of skin         1.58       1.89       0.78       0.08       3.55       2.44        010
                                                       lesions.
17263...............  ..............  A               Destruction of skin         1.79       2.07       0.86       0.10       3.96       2.75        010
                                                       lesions.
17264...............  ..............  A               Destruction of skin         1.94       2.23       0.89       0.10       4.27       2.93        010
                                                       lesions.
17266...............  ..............  A               Destruction of skin         2.34       2.53       0.99       0.13       5.00       3.46        010
                                                       lesions.
17270...............  ..............  A               Destruction of skin         1.32       1.71       0.64       0.07       3.10       2.03        010
                                                       lesions.
17271...............  ..............  A               Destruction of skin         1.49       1.79       0.74       0.07       3.35       2.30        010
                                                       lesions.
17272...............  ..............  A               Destruction of skin         1.77       2.00       0.88       0.08       3.85       2.73        010
                                                       lesions.

[[Page 1123]]

 
17273...............  ..............  A               Destruction of skin         2.05       2.21       0.99       0.11       4.37       3.15        010
                                                       lesions.
17274...............  ..............  A               Destruction of skin         2.59       2.58       1.20       0.13       5.30       3.92        010
                                                       lesions.
17276...............  ..............  A               Destruction of skin         3.20       2.97       1.44       0.18       6.35       4.82        010
                                                       lesions.
17280...............  ..............  A               Destruction of skin         1.17       1.62       0.57       0.06       2.85       1.80        010
                                                       lesions.
17281...............  ..............  A               Destruction of skin         1.72       1.91       0.86       0.08       3.71       2.66        010
                                                       lesions.
17282...............  ..............  A               Destruction of skin         2.04       2.17       1.01       0.11       4.32       3.16        010
                                                       lesions.
17283...............  ..............  A               Destruction of skin         2.64       2.56       1.25       0.13       5.33       4.02        010
                                                       lesions.
17284...............  ..............  A               Destruction of skin         3.21       2.94       1.52       0.17       6.32       4.90        010
                                                       lesions.
17286...............  ..............  A               Destruction of skin         4.43       3.71       2.19       0.27       8.41       6.89        010
                                                       lesions.
17304...............  ..............  A               1 stage mohs, up to 5       7.59       8.09       3.57       0.37      16.05      11.53        000
                                                       spec.
17305...............  ..............  A               2 stage mohs, up to 5       2.85       3.81       1.34       0.14       6.80       4.33        000
                                                       spec.
17306...............  ..............  A               3 stage mohs, up to 5       2.85       3.83       1.35       0.14       6.82       4.34        000
                                                       spec.
17307...............  ..............  A               Mohs addl stage up to       2.85       3.78       1.37       0.14       6.77       4.36        000
                                                       5 spec.
17310...............  ..............  A               Mohs any stage  5 spec each.
17340...............  ..............  A               Cryotherapy of skin..       0.76       0.37       0.31       0.05       1.18       1.12        010
17360...............  ..............  A               Skin peel therapy....       1.43       1.46       0.75       0.07       2.96       2.25        010
17380...............  ..............  R               Hair removal by             0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       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       2.03       0.36       0.08       2.95       1.28        000
                                                       lesion.
19001...............  ..............  A               Drain breast lesion         0.42       0.79       0.14       0.04       1.25       0.60        ZZZ
                                                       add-on.
19020...............  ..............  A               Incision of breast          3.56       6.00       2.77       0.42       9.98       6.75        090
                                                       lesion.
19030...............  ..............  A               Injection for breast        1.53       3.37       0.50       0.08       4.98       2.11        000
                                                       x-ray.
19100...............  ..............  A               Bx breast percut w/o        1.27       2.15       0.42       0.12       3.54       1.81        000
                                                       image.
19101...............  ..............  A               Biopsy of breast,           3.18       4.69       1.68       0.24       8.11       5.10        010
                                                       open.
19102...............  ..............  A               Bx breast percut w/         2.00       3.98       0.66       0.16       6.14       2.82        000
                                                       image.
19103...............  ..............  A               Bx breast percut w/         3.69      12.07       1.23       0.19      15.95       5.11        000
                                                       device.
19110...............  ..............  A               Nipple exploration...       4.29       5.82       3.06       0.53      10.64       7.88        090
19112...............  ..............  A               Excise breast duct          3.66       5.80       2.68       0.46       9.92       6.80        090
                                                       fistula.
19120...............  ..............  A               Removal of breast           5.55       4.58       3.08       0.68      10.81       9.31        090
                                                       lesion.
19125...............  ..............  A               Excision, breast            6.05       4.83       3.30       0.74      11.62      10.09        090
                                                       lesion.
19126...............  ..............  A               Excision, addl breast       2.93         NA       1.01       0.36         NA       4.30        ZZZ
                                                       lesion.
19140...............  ..............  A               Removal of breast           5.13       7.29       3.42       0.63      13.05       9.18        090
                                                       tissue.
19160...............  ..............  A               Removal of breast           5.98         NA       3.45       0.74         NA      10.17        090
                                                       tissue.
19162...............  ..............  A               Remove breast tissue,      13.51         NA       6.38       1.66         NA      21.55        090
                                                       nodes.
19180...............  ..............  A               Removal of breast....       8.79         NA       5.06       1.06         NA      14.91        090
19182...............  ..............  A               Removal of breast....       7.72         NA       4.81       0.95         NA      13.48        090
19200...............  ..............  A               Removal of breast....      15.47         NA       8.04       1.82         NA      25.33        090
19220...............  ..............  A               Removal of breast....      15.70         NA       8.30       1.88         NA      25.88        090
19240...............  ..............  A               Removal of breast....      15.98         NA       8.28       1.95         NA      26.21        090
19260...............  ..............  A               Removal of chest wall      15.42         NA      11.30       1.98         NA      28.70        090
                                                       lesion.
19271...............  ..............  A               Revision of chest          18.87         NA      18.23       2.74         NA      39.84        090
                                                       wall.
19272...............  ..............  A               Extensive chest wall       21.52         NA      19.18       3.06         NA      43.76        090
                                                       surgery.
19290...............  ..............  A               Place needle wire,          1.27       3.01       0.41       0.07       4.35       1.75        000
                                                       breast.
19291...............  ..............  A               Place needle wire,          0.63       1.75       0.21       0.04       2.42       0.88        ZZZ
                                                       breast.
19295...............  ..............  A               Place breast clip,          0.00       2.77         NA       0.01       2.78         NA        ZZZ
                                                       percut.
19316...............  ..............  A               Suspension of breast.      10.67         NA       7.59       1.39         NA      19.65        090
19318...............  ..............  A               Reduction of large         15.60         NA      11.20       2.04         NA      28.84        090
                                                       breast.
19324...............  ..............  A               Enlarge breast.......       5.84         NA       4.92       0.76         NA      11.52        090
19325...............  ..............  A               Enlarge breast with         8.44         NA       6.59       1.09         NA      16.12        090
                                                       implant.
19328...............  ..............  A               Removal of breast           5.67         NA       5.07       0.74         NA      11.48        090
                                                       implant.
19330...............  ..............  A               Removal of implant          7.58         NA       6.07       0.98         NA      14.63        090
                                                       material.
19340...............  ..............  A               Immediate breast            6.32         NA       3.12       0.82         NA      10.26        ZZZ
                                                       prosthesis.
19342...............  ..............  A               Delayed breast             11.18         NA       8.97       1.46         NA      21.61        090
                                                       prosthesis.
19350...............  ..............  A               Breast reconstruction       8.91      14.20       7.11       1.15      24.26      17.17        090
19355...............  ..............  A               Correct inverted            7.56      12.80       5.00       0.96      21.32      13.52        090
                                                       nipple(s).
19357...............  ..............  A               Breast reconstruction      18.13         NA      13.85       2.36         NA      34.34        090
19361...............  ..............  A               Breast reconstruction      19.23         NA      11.78       2.51         NA      33.52        090
19364...............  ..............  A               Breast reconstruction      40.94         NA      23.64       4.72         NA      69.30        090
19366...............  ..............  A               Breast reconstruction      21.25         NA      11.23       2.74         NA      35.22        090
19367...............  ..............  A               Breast reconstruction      25.69         NA      16.57       3.35         NA      45.61        090
19368...............  ..............  A               Breast reconstruction      32.37         NA      20.26       4.23         NA      56.86        090
19369...............  ..............  A               Breast reconstruction      29.78         NA      19.79       3.91         NA      53.48        090
19370...............  ..............  A               Surgery of breast           8.04         NA       6.95       1.04         NA      16.03        090
                                                       capsule.
19371...............  ..............  A               Removal of breast           9.34         NA       7.87       1.22         NA      18.43        090
                                                       capsule.
19380...............  ..............  A               Revise breast               9.13         NA       7.76       1.18         NA      18.07        090
                                                       reconstruction.
19396...............  ..............  A               Design custom breast        2.17       5.78       0.99       0.28       8.23       3.44        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       2.36       1.61       0.21       4.69       3.94        010
20005...............  ..............  A               Incision of deep            3.41       3.34       2.12       0.41       7.16       5.94        010
                                                       abscess.
20100...............  ..............  A               Explore wound, neck..      10.06       5.79       4.38       1.19      17.04      15.63        010
20101...............  ..............  A               Explore wound, chest.       3.22       2.96       1.61       0.29       6.47       5.12        010
20102...............  ..............  A               Explore wound,              3.93       3.51       1.80       0.42       7.86       6.15        010
                                                       abdomen.
20103...............  ..............  A               Explore wound,              5.29       4.14       3.23       0.69      10.12       9.21        010
                                                       extremity.
20150...............  ..............  A               Excise epiphyseal bar      13.67         NA       7.21       1.16         NA      22.04        090
20200...............  ..............  A               Muscle biopsy........       1.46       3.19       0.78       0.21       4.86       2.45        000

[[Page 1124]]

 
20205...............  ..............  A               Deep muscle biopsy...       2.35       4.14       1.21       0.28       6.77       3.84        000
20206...............  ..............  A               Needle biopsy, muscle       0.99       3.17       0.35       0.07       4.23       1.41        000
20220...............  ..............  A               Bone biopsy, trocar/        1.27       4.73       2.69       0.07       6.07       4.03        000
                                                       needle.
20225...............  ..............  A               Bone biopsy, trocar/        1.87       4.92       2.96       0.13       6.92       4.96        000
                                                       needle.
20240...............  ..............  A               Bone biopsy,                3.23         NA       2.60       0.40         NA       6.23        010
                                                       excisional.
20245...............  ..............  A               Bone biopsy,                7.77         NA       6.36       0.53         NA      14.66        010
                                                       excisional.
20250...............  ..............  A               Open bone biopsy.....       5.02         NA       4.54       0.60         NA      10.16        010
20251...............  ..............  A               Open bone biopsy.....       5.55         NA       5.17       0.95         NA      11.67        010
20500...............  ..............  A               Injection of sinus          1.23       5.88       3.89       0.12       7.23       5.24        010
                                                       tract.
20501...............  ..............  A               Inject sinus tract          0.76       3.03       0.25       0.04       3.83       1.05        000
                                                       for x-ray.
20520...............  ..............  A               Removal of foreign          1.85       2.25       1.81       0.21       4.31       3.87        010
                                                       body.
20525...............  ..............  A               Removal of foreign          3.49       3.43       2.66       0.48       7.40       6.63        010
                                                       body.
20526...............  ..............  A               Ther injection, carp        0.94       0.97       0.51       0.07       1.98       1.52        000
                                                       tunnel.
20550...............  ..............  A               Inj tendon sheath/          0.75       0.71       0.24       0.07       1.53       1.06        000
                                                       ligament.
20551...............  ..............  A               Inj tendon origin/          0.75       0.68       0.34       0.07       1.50       1.16        000
                                                       insertion.
20552...............  ..............  A               Inj trigger point, 1/       0.66       0.73       0.21       0.07       1.46       0.94        000
                                                       2 muscl.
20553...............  ..............  A               Inject trigger              0.75       0.84       0.23       0.07       1.66       1.05        000
                                                       points, =/ 3.
20600...............  ..............  A               Drain/inject, joint/        0.66       0.64       0.36       0.07       1.37       1.09        000
                                                       bursa.
20605...............  ..............  A               Drain/inject, joint/        0.68       0.75       0.37       0.07       1.50       1.12        000
                                                       bursa.
20610...............  ..............  A               Drain/inject, joint/        0.79       0.94       0.41       0.10       1.83       1.30        000
                                                       bursa.
20612...............  ..............  A               Aspirate/inj ganglion       0.70       0.71       0.34       0.07       1.48       1.11        000
                                                       cyst.
20615...............  ..............  A               Treatment of bone           2.28       2.54       1.83       0.23       5.05       4.34        010
                                                       cyst.
20650...............  ..............  A               Insert and remove           2.23       2.42       1.94       0.34       4.99       4.51        010
                                                       bone pin.
20660...............  ..............  A               Apply, rem fixation         2.51       3.07       1.70       0.58       6.16       4.79        000
                                                       device.
20661...............  ..............  A               Application of head         4.88         NA       4.95       1.11         NA      10.94        090
                                                       brace.
20662...............  ..............  A               Application of pelvis       6.06         NA       5.43       0.98         NA      12.47        090
                                                       brace.
20663...............  ..............  A               Application of thigh        5.42         NA       4.76       0.93         NA      11.11        090
                                                       brace.
20664...............  ..............  A               Halo brace                  8.05         NA       7.03       1.80         NA      16.88        090
                                                       application.
20665...............  ..............  A               Removal of fixation         1.31       2.05       1.30       0.21       3.57       2.82        010
                                                       device.
20670...............  ..............  A               Removal of support          1.74       6.69       3.93       0.28       8.71       5.95        010
                                                       implant.
20680...............  ..............  A               Removal of support          3.34       3.22       3.22       0.55       7.11       7.11        090
                                                       implant.
20690...............  ..............  A               Apply bone fixation         3.51         NA       2.47       0.57         NA       6.55        090
                                                       device.
20692...............  ..............  A               Apply bone fixation         6.40         NA       3.73       0.72         NA      10.85        090
                                                       device.
20693...............  ..............  A               Adjust bone fixation        5.85         NA       5.54       1.03         NA      12.42        090
                                                       device.
20694...............  ..............  A               Remove bone fixation        4.15       6.86       4.49       0.69      11.70       9.33        090
                                                       device.
20802...............  ..............  A               Replantation, arm,         41.09         NA      21.40       7.01         NA      69.50        090
                                                       complete.
20805...............  ..............  A               Replant forearm,           49.93         NA      35.06       4.76         NA      89.75        090
                                                       complete.
20808...............  ..............  A               Replantation hand,         61.56         NA      43.43       7.83         NA     112.82        090
                                                       complete.
20816...............  ..............  A               Replantation digit,        30.89         NA      39.17       3.63         NA      73.69        090
                                                       complete.
20822...............  ..............  A               Replantation digit,        25.55         NA      35.90       3.70         NA      65.15        090
                                                       complete.
20824...............  ..............  A               Replantation thumb,        30.89         NA      38.12       4.20         NA      73.21        090
                                                       complete.
20827...............  ..............  A               Replantation thumb,        26.37         NA      37.95       3.87         NA      68.19        090
                                                       complete.
20838...............  ..............  A               Replantation foot,         41.35         NA      22.70       7.06         NA      71.11        090
                                                       complete.
20900...............  ..............  A               Removal of bone for         5.57       7.31       5.79       0.93      13.81      12.29        090
                                                       graft.
20902...............  ..............  A               Removal of bone for         7.54         NA       6.86       1.28         NA      15.68        090
                                                       graft.
20910...............  ..............  A               Remove cartilage for        5.33       7.11       5.44       0.60      13.04      11.37        090
                                                       graft.
20912...............  ..............  A               Remove cartilage for        6.34         NA       6.09       0.66         NA      13.09        090
                                                       graft.
20920...............  ..............  A               Removal of fascia for       5.30         NA       4.37       0.65         NA      10.32        090
                                                       graft.
20922...............  ..............  A               Removal of fascia for       6.60       6.73       5.06       1.06      14.39      12.72        090
                                                       graft.
20924...............  ..............  A               Removal of tendon for       6.47         NA       5.92       0.99         NA      13.38        090
                                                       graft.
20926...............  ..............  A               Removal of tissue for       5.52         NA       4.93       0.88         NA      11.33        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         NA       0.93       0.41         NA       3.15        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         NA       1.46       0.52         NA       4.77        ZZZ
20938...............  ..............  A               Spinal bone autograft       3.02         NA       1.56       0.63         NA       5.21        ZZZ
20950...............  ..............  A               Fluid pressure,             1.26       1.36       1.01       0.19       2.81       2.46        000
                                                       muscle.
20955...............  ..............  A               Fibula bone graft,         39.15         NA      25.01       5.25         NA      69.41        090
                                                       microvasc.
20956...............  ..............  A               Iliac bone graft,          39.21         NA      24.86       6.96         NA      71.03        090
                                                       microvasc.
20957...............  ..............  A               Mt bone graft,             40.59         NA      19.08       6.92         NA      66.59        090
                                                       microvasc.
20962...............  ..............  A               Other bone graft,          39.21         NA      26.41       6.26         NA      71.88        090
                                                       microvasc.
20969...............  ..............  A               Bone/skin graft,           43.85         NA      27.48       5.23         NA      76.56        090
                                                       microvasc.
20970...............  ..............  A               Bone/skin graft,           43.00         NA      25.84       5.60         NA      74.44        090
                                                       iliac crest.
20972...............  ..............  A               Bone/skin graft,           42.93      21.79      20.14       7.32      72.04      70.39        090
                                                       metatarsal.
20973...............  ..............  A               Bone/skin graft,           45.69         NA      25.29       5.61         NA      76.59        090
                                                       great toe.
20974...............  ..............  A               Electrical bone             0.62       0.62       0.55       0.11       1.35       1.28        000
                                                       stimulation.
20975...............  ..............  A               Electrical bone             2.60         NA       1.73       0.51         NA       4.84        000
                                                       stimulation.
20979...............  ..............  A               Us bone stimulation..       0.62       0.77       0.34       0.05       1.44       1.01        000
20982...............  ..............  A               Ablate, bone tumor(s)       7.27     105.35       2.99       0.69     113.31      10.95        000
                                                       perq.
20999...............  ..............  C               Musculoskeletal             0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       surgery.
21010...............  ..............  A               Incision of jaw joint      10.12         NA       7.25       0.65         NA      18.02        090
21015...............  ..............  A               Resection of facial         5.28         NA       5.53       0.63         NA      11.44        090
                                                       tumor.
21025...............  ..............  A               Excision of bone,          10.04      10.20       8.21       0.95      21.19      19.20        090
                                                       lower jaw.
21026...............  ..............  A               Excision of facial          4.84       6.94       5.53       0.48      12.26      10.85        090
                                                       bone(s).
21029...............  ..............  A               Contour of face bone        7.70       8.60       6.27       0.89      17.19      14.86        090
                                                       lesion.

[[Page 1125]]

 
21030...............  ..............  A               Excise max/zygoma b9        4.49       6.84       4.31       0.72      12.05       9.52        090
                                                       tumor.
21031...............  ..............  A               Remove exostosis,           3.24       4.58       3.14       0.34       8.16       6.72        090
                                                       mandible.
21032...............  ..............  A               Remove exostosis,           3.24       4.63       3.25       0.33       8.20       6.82        090
                                                       maxilla.
21034...............  ..............  A               Excise max/zygoma mlg      16.15      13.56      11.32       1.65      31.36      29.12        090
                                                       tumor.
21040...............  ..............  A               Excise mandible             4.49       6.87       4.14       0.23      11.59       8.86        090
                                                       lesion.
21044...............  ..............  A               Removal of jaw bone        11.84         NA       8.68       1.05         NA      21.57        090
                                                       lesion.
21045...............  ..............  A               Extensive jaw surgery      16.15         NA      11.43       1.45         NA      29.03        090
21046...............  ..............  A               Remove mandible cyst       12.98         NA      12.69       1.22         NA      26.89        090
                                                       complex.
21047...............  ..............  A               Excise lwr jaw cyst w/     18.72         NA      13.44       1.85         NA      34.01        090
                                                       repair.
21048...............  ..............  A               Remove maxilla cyst        13.48         NA      12.97       1.22         NA      27.67        090
                                                       complex.
21049...............  ..............  A               Excis uppr jaw cyst w/     17.97         NA      13.03       1.22         NA      32.22        090
                                                       repair.
21050...............  ..............  A               Removal of jaw joint.      10.75         NA      10.26       1.01         NA      22.02        090
21060...............  ..............  A               Remove jaw joint           10.21         NA       9.80       1.40         NA      21.41        090
                                                       cartilage.
21070...............  ..............  A               Remove coronoid             8.19         NA       7.03       0.81         NA      16.03        090
                                                       process.
21076...............  ..............  A               Prepare face/oral          13.40      12.71      10.17       1.64      27.75      25.21        010
                                                       prosthesis.
21077...............  ..............  A               Prepare face/oral          33.70      32.20      26.20       4.14      70.04      64.04        090
                                                       prosthesis.
21079...............  ..............  A               Prepare face/oral          22.31      22.21      17.49       1.92      46.44      41.72        090
                                                       prosthesis.
21080...............  ..............  A               Prepare face/oral          25.06      25.22      19.77       3.08      53.36      47.91        090
                                                       prosthesis.
21081...............  ..............  A               Prepare face/oral          22.85      22.95      17.79       2.26      48.06      42.90        090
                                                       prosthesis.
21082...............  ..............  A               Prepare face/oral          20.84      19.88      15.99       1.76      42.48      38.59        090
                                                       prosthesis.
21083...............  ..............  A               Prepare face/oral          19.27      19.35      14.73       2.36      40.98      36.36        090
                                                       prosthesis.
21084...............  ..............  A               Prepare face/oral          22.48      22.71      17.68       1.89      47.08      42.05        090
                                                       prosthesis.
21085...............  ..............  A               Prepare face/oral           8.99       8.52       6.88       0.78      18.29      16.65        010
                                                       prosthesis.
21086...............  ..............  A               Prepare face/oral          24.88      24.30      19.60       2.24      51.42      46.72        090
                                                       prosthesis.
21087...............  ..............  A               Prepare face/oral          24.88      23.89      19.41       2.68      51.45      46.97        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               4.21       5.62       4.62       0.22      10.05       9.05        090
                                                       fixation.
21110...............  ..............  A               Interdental fixation.       5.20       7.02       5.66       0.34      12.56      11.20        090
21116...............  ..............  A               Injection, jaw joint        0.81       7.32       0.34       0.06       8.19       1.21        000
                                                       x-ray.
21120...............  ..............  A               Reconstruction of           4.92       8.83       5.30       0.35      14.10      10.57        090
                                                       chin.
21121...............  ..............  A               Reconstruction of           7.63      10.43       6.65       0.68      18.74      14.96        090
                                                       chin.
21122...............  ..............  A               Reconstruction of           8.51         NA       7.08       0.71         NA      16.30        090
                                                       chin.
21123...............  ..............  A               Reconstruction of          11.14         NA       8.26       1.40         NA      20.80        090
                                                       chin.
21125...............  ..............  A               Augmentation, lower        10.60      11.82       8.28       0.87      23.29      19.75        090
                                                       jaw bone.
21127...............  ..............  A               Augmentation, lower        11.10      14.52       9.11       0.92      26.54      21.13        090
                                                       jaw bone.
21137...............  ..............  A               Reduction of forehead       9.81         NA       7.44       0.64         NA      17.89        090
21138...............  ..............  A               Reduction of forehead      12.17         NA       9.31       1.77         NA      23.25        090
21139...............  ..............  A               Reduction of forehead      14.59         NA       9.78       1.23         NA      25.60        090
21141...............  ..............  A               Reconstruct midface,       18.07         NA      13.88       1.97         NA      33.92        090
                                                       lefort.
21142...............  ..............  A               Reconstruct midface,       18.78         NA      13.08       1.40         NA      33.26        090
                                                       lefort.
21143...............  ..............  A               Reconstruct midface,       19.55         NA      14.09       1.09         NA      34.73        090
                                                       lefort.
21145...............  ..............  A               Reconstruct midface,       19.91         NA      14.15       2.52         NA      36.58        090
                                                       lefort.
21146...............  ..............  A               Reconstruct midface,       20.68         NA      15.59       2.57         NA      38.84        090
                                                       lefort.
21147...............  ..............  A               Reconstruct midface,       21.74         NA      15.29       1.83         NA      38.86        090
                                                       lefort.
21150...............  ..............  A               Reconstruct midface,       25.20         NA      14.12       1.31         NA      40.63        090
                                                       lefort.
21151...............  ..............  A               Reconstruct midface,       28.26         NA      17.92       2.39         NA      48.57        090
                                                       lefort.
21154...............  ..............  A               Reconstruct midface,       30.47         NA      20.18       5.86         NA      56.51        090
                                                       lefort.
21155...............  ..............  A               Reconstruct midface,       34.40         NA      22.30       6.61         NA      63.31        090
                                                       lefort.
21159...............  ..............  A               Reconstruct midface,       42.32         NA      24.47       8.13         NA      74.92        090
                                                       lefort.
21160...............  ..............  A               Reconstruct midface,       46.37         NA      24.41       5.29         NA      76.07        090
                                                       lefort.
21172...............  ..............  A               Reconstruct orbit/         27.76         NA      14.07       2.30         NA      44.13        090
                                                       forehead.
21175...............  ..............  A               Reconstruct orbit/         33.12         NA      18.31       6.22         NA      57.65        090
                                                       forehead.
21179...............  ..............  A               Reconstruct entire         22.22         NA      14.86       2.99         NA      40.07        090
                                                       forehead.
21180...............  ..............  A               Reconstruct entire         25.15         NA      16.07       2.59         NA      43.81        090
                                                       forehead.
21181...............  ..............  A               Contour cranial bone        9.89         NA       7.81       1.17         NA      18.87        090
                                                       lesion.
21182...............  ..............  A               Reconstruct cranial        32.14         NA      19.66       3.05         NA      54.85        090
                                                       bone.
21183...............  ..............  A               Reconstruct cranial        35.26         NA      21.36       3.32         NA      59.94        090
                                                       bone.
21184...............  ..............  A               Reconstruct cranial        38.18         NA      22.55       4.97         NA      65.70        090
                                                       bone.
21188...............  ..............  A               Reconstruction of          22.43         NA      15.18       2.23         NA      39.84        090
                                                       midface.
21193...............  ..............  A               Reconst lwr jaw w/o        17.12         NA      12.97       1.85         NA      31.94        090
                                                       graft.
21194...............  ..............  A               Reconst lwr jaw w/         19.81         NA      14.06       1.68         NA      35.55        090
                                                       graft.
21195...............  ..............  A               Reconst lwr jaw w/o        17.21         NA      13.26       1.45         NA      31.92        090
                                                       fixation.
21196...............  ..............  A               Reconst lwr jaw w/         18.88         NA      13.88       1.95         NA      34.71        090
                                                       fixation.
21198...............  ..............  A               Reconstr lwr jaw           14.14         NA      10.90       1.27         NA      26.31        090
                                                       segment.
21199...............  ..............  A               Reconstr lwr jaw w/        15.98         NA       9.19       1.52         NA      26.69        090
                                                       advance.
21206...............  ..............  A               Reconstruct upper jaw      14.08         NA      10.81       1.22         NA      26.11        090
                                                       bone.
21208...............  ..............  A               Augmentation of            10.21      14.49       9.28       1.11      25.81      20.60        090
                                                       facial bones.
21209...............  ..............  A               Reduction of facial         6.71      11.89       7.23       0.72      19.32      14.66        090
                                                       bones.
21210...............  ..............  A               Face bone graft......      10.21      13.69       9.41       1.06      24.96      20.68        090
21215...............  ..............  A               Lower jaw bone graft.      10.75      13.48       9.61       1.25      25.48      21.61        090
21230...............  ..............  A               Rib cartilage graft..      10.75         NA       8.57       1.16         NA      20.48        090
21235...............  ..............  A               Ear cartilage graft..       6.71      11.37       7.10       0.63      18.71      14.44        090
21240...............  ..............  A               Reconstruction of jaw      14.03         NA      12.70       1.39         NA      28.12        090
                                                       joint.
21242...............  ..............  A               Reconstruction of jaw      12.93         NA      12.21       1.69         NA      26.83        090
                                                       joint.

[[Page 1126]]

 
21243...............  ..............  A               Reconstruction of jaw      20.76         NA      17.87       2.23         NA      40.86        090
                                                       joint.
21244...............  ..............  A               Reconstruction of          11.84         NA      10.06       1.15         NA      23.05        090
                                                       lower jaw.
21245...............  ..............  A               Reconstruction of jaw      11.84      16.10       9.73       1.06      29.00      22.63        090
21246...............  ..............  A               Reconstruction of jaw      12.45      14.55       9.85       1.46      28.46      23.76        090
21247...............  ..............  A               Reconstruct lower jaw      22.60         NA      17.93       2.67         NA      43.20        090
                                                       bone.
21248...............  ..............  A               Reconstruction of jaw      11.46      13.02       9.31       1.22      25.70      21.99        090
21249...............  ..............  A               Reconstruction of jaw      17.49      16.58      12.66       1.68      35.75      31.83        090
21255...............  ..............  A               Reconstruct lower jaw      16.69         NA      12.78       1.36         NA      30.83        090
                                                       bone.
21256...............  ..............  A               Reconstruction of          16.17         NA      12.17       1.25         NA      29.59        090
                                                       orbit.
21260...............  ..............  A               Revise eye sockets...      16.50         NA       8.96       1.51         NA      26.97        090
21261...............  ..............  A               Revise eye sockets...      31.44         NA      19.21       2.65         NA      53.30        090
21263...............  ..............  A               Revise eye sockets...      28.38         NA      12.86       2.61         NA      43.85        090
21267...............  ..............  A               Revise eye sockets...      18.87         NA      13.22       1.63         NA      33.72        090
21268...............  ..............  A               Revise eye sockets...      24.44         NA      15.32       0.95         NA      40.71        090
21270...............  ..............  A               Augmentation, cheek        10.21      11.90       8.10       0.88      22.99      19.19        090
                                                       bone.
21275...............  ..............  A               Revision,                  11.22         NA       8.74       1.24         NA      21.20        090
                                                       orbitofacial bones.
21280...............  ..............  A               Revision of eyelid...       6.02         NA       6.07       0.33         NA      12.42        090
21282...............  ..............  A               Revision of eyelid...       3.48         NA       4.68       0.25         NA       8.41        090
21295...............  ..............  A               Revision of jaw             1.53         NA       2.82       0.16         NA       4.51        090
                                                       muscle/bone.
21296...............  ..............  A               Revision of jaw             4.24         NA       4.43       0.36         NA       9.03        090
                                                       muscle/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       2.38       0.26       0.11       3.21       1.09        000
                                                       fracture.
21310...............  ..............  A               Treatment of nose           0.58       2.34       0.15       0.06       2.98       0.79        000
                                                       fracture.
21315...............  ..............  A               Treatment of nose           1.51       3.03       1.27       0.14       4.68       2.92        010
                                                       fracture.
21320...............  ..............  A               Treatment of nose           1.85       4.25       1.84       0.18       6.28       3.87        010
                                                       fracture.
21325...............  ..............  A               Treatment of nose           3.76         NA       3.75       0.37         NA       7.88        090
                                                       fracture.
21330...............  ..............  A               Treatment of nose           5.37         NA       5.28       0.58         NA      11.23        090
                                                       fracture.
21335...............  ..............  A               Treatment of nose           8.60         NA       6.81       0.77         NA      16.18        090
                                                       fracture.
21336...............  ..............  A               Treat nasal septal          5.71         NA       6.07       0.54         NA      12.32        090
                                                       fracture.
21337...............  ..............  A               Treat nasal septal          2.70       5.11       3.69       0.27       8.08       6.66        090
                                                       fracture.
21338...............  ..............  A               Treat nasoethmoid           6.45         NA       5.99       0.64         NA      13.08        090
                                                       fracture.
21339...............  ..............  A               Treat nasoethmoid           8.08         NA       6.75       0.92         NA      15.75        090
                                                       fracture.
21340...............  ..............  A               Treatment of nose          10.75         NA       8.70       1.03         NA      20.48        090
                                                       fracture.
21343...............  ..............  A               Treatment of sinus         12.93         NA      10.14       1.28         NA      24.35        090
                                                       fracture.
21344...............  ..............  A               Treatment of sinus         19.69         NA      13.71       2.07         NA      35.47        090
                                                       fracture.
21345...............  ..............  A               Treat nose/jaw              8.15      11.54       7.90       0.72      20.41      16.77        090
                                                       fracture.
21346...............  ..............  A               Treat nose/jaw             10.59      13.18       9.03       1.03      24.80      20.65        090
                                                       fracture.
21347...............  ..............  A               Treat nose/jaw             12.67         NA       9.77       1.37         NA      23.81        090
                                                       fracture.
21348...............  ..............  A               Treat nose/jaw             16.66         NA      11.31       1.81         NA      29.78        090
                                                       fracture.
21355...............  ..............  A               Treat cheek bone            3.76       4.70       2.37       0.35       8.81       6.48        010
                                                       fracture.
21356...............  ..............  A               Treat cheek bone            4.14      11.67       3.22       0.43      16.24       7.79        010
                                                       fracture.
21360...............  ..............  A               Treat cheek bone            6.45      13.89       6.19       0.63      20.97      13.27        090
                                                       fracture.
21365...............  ..............  A               Treat cheek bone           14.93         NA      11.77       1.57         NA      28.27        090
                                                       fracture.
21366...............  ..............  A               Treat cheek bone           17.74         NA      11.64       1.70         NA      31.08        090
                                                       fracture.
21385...............  ..............  A               Treat eye socket            9.15         NA       7.07       0.77         NA      16.99        090
                                                       fracture.
21386...............  ..............  A               Treat eye socket            9.15         NA       7.48       0.92         NA      17.55        090
                                                       fracture.
21387...............  ..............  A               Treat eye socket            9.69         NA       7.54       0.94         NA      18.17        090
                                                       fracture.
21390...............  ..............  A               Treat eye socket           10.11         NA       8.01       0.84         NA      18.96        090
                                                       fracture.
21395...............  ..............  A               Treat eye socket           12.66         NA       9.32       1.31         NA      23.29        090
                                                       fracture.
21400...............  ..............  A               Treat eye socket            1.40       3.72       2.10       0.14       5.26       3.64        090
                                                       fracture.
21401...............  ..............  A               Treat eye socket            3.26       5.05       3.87       0.41       8.72       7.54        090
                                                       fracture.
21406...............  ..............  A               Treat eye socket            7.00         NA       6.35       0.71         NA      14.06        090
                                                       fracture.
21407...............  ..............  A               Treat eye socket            8.60         NA       7.14       0.81         NA      16.55        090
                                                       fracture.
21408...............  ..............  A               Treat eye socket           12.36         NA       9.21       1.50         NA      23.07        090
                                                       fracture.
21421...............  ..............  A               Treat mouth roof            5.13       9.92       6.16       0.51      15.56      11.80        090
                                                       fracture.
21422...............  ..............  A               Treat mouth roof            8.31      11.28       7.10       0.83      20.42      16.24        090
                                                       fracture.
21423...............  ..............  A               Treat mouth roof           10.38         NA       8.49       1.15         NA      20.02        090
                                                       fracture.
21431...............  ..............  A               Treat craniofacial          7.04      10.66       6.84       0.70      18.40      14.58        090
                                                       fracture.
21432...............  ..............  A               Treat craniofacial          8.60         NA       6.19       0.66         NA      15.45        090
                                                       fracture.
21433...............  ..............  A               Treat craniofacial         25.31         NA      16.83       2.97         NA      45.11        090
                                                       fracture.
21435...............  ..............  A               Treat craniofacial         17.22         NA      12.96       2.00         NA      32.18        090
                                                       fracture.
21436...............  ..............  A               Treat craniofacial         28.00         NA      18.42       2.80         NA      49.22        090
                                                       fracture.
21440...............  ..............  A               Treat dental ridge          2.70       8.05       4.11       0.27      11.02       7.08        090
                                                       fracture.
21445...............  ..............  A               Treat dental ridge          5.37      10.45       6.28       0.66      16.48      12.31        090
                                                       fracture.
21450...............  ..............  A               Treat lower jaw             2.97      10.65       3.76       0.28      13.90       7.01        090
                                                       fracture.
21451...............  ..............  A               Treat lower jaw             4.86       8.77       5.76       0.47      14.10      11.09        090
                                                       fracture.
21452...............  ..............  A               Treat lower jaw             1.98       7.85       3.56       0.17      10.00       5.71        090
                                                       fracture.
21453...............  ..............  A               Treat lower jaw             5.53      10.50       6.83       0.59      16.62      12.95        090
                                                       fracture.
21454...............  ..............  A               Treat lower jaw             6.45         NA       6.54       0.66         NA      13.65        090
                                                       fracture.
21461...............  ..............  A               Treat lower jaw             8.08      12.52       8.30       0.88      21.48      17.26        090
                                                       fracture.
21462...............  ..............  A               Treat lower jaw             9.78      14.06       9.02       0.96      24.80      19.76        090
                                                       fracture.
21465...............  ..............  A               Treat lower jaw            11.89         NA      10.05       1.01         NA      22.95        090
                                                       fracture.
21470...............  ..............  A               Treat lower jaw            15.32         NA      12.24       1.64         NA      29.20        090
                                                       fracture.
21480...............  ..............  A               Reset dislocated jaw.       0.61       1.95       0.19       0.06       2.62       0.86        000
21485...............  ..............  A               Reset dislocated jaw.       3.98       5.94       4.80       0.37      10.29       9.15        090

[[Page 1127]]

 
21490...............  ..............  A               Repair dislocated jaw      11.84         NA       9.90       1.58         NA      23.32        090
21493...............  ..............  A               Treat hyoid bone            1.27         NA       2.84       0.12         NA       4.23        090
                                                       fracture.
21494...............  ..............  A               Treat hyoid bone            6.27         NA       5.70       0.53         NA      12.50        090
                                                       fracture.
21495...............  ..............  A               Treat hyoid bone            5.68         NA       5.99       0.49         NA      12.16        090
                                                       fracture.
21497...............  ..............  A               Interdental wiring...       3.85       6.54       5.01       0.37      10.76       9.23        090
21499...............  ..............  C               Head surgery                0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
21501...............  ..............  A               Drain neck/chest            3.80       4.70       3.95       0.43       8.93       8.18        090
                                                       lesion.
21502...............  ..............  A               Drain chest lesion...       7.11         NA       5.70       0.95         NA      13.76        090
21510...............  ..............  A               Drainage of bone            5.73         NA       5.72       0.81         NA      12.26        090
                                                       lesion.
21550...............  ..............  A               Biopsy of neck/chest.       2.06       3.64       1.74       0.16       5.86       3.96        010
21555...............  ..............  A               Remove lesion, neck/        4.34       5.06       3.17       0.49       9.89       8.00        090
                                                       chest.
21556...............  ..............  A               Remove lesion, neck/        5.56         NA       4.11       0.62         NA      10.29        090
                                                       chest.
21557...............  ..............  A               Remove tumor, neck/         8.87         NA       5.44       1.03         NA      15.34        090
                                                       chest.
21600...............  ..............  A               Partial removal of          6.88         NA       5.80       0.98         NA      13.66        090
                                                       rib.
21610...............  ..............  A               Partial removal of         14.59         NA       9.04       2.23         NA      25.86        090
                                                       rib.
21615...............  ..............  A               Removal of rib.......       9.86         NA       6.73       1.45         NA      18.04        090
21616...............  ..............  A               Removal of rib and         12.02         NA       8.05       1.58         NA      21.65        090
                                                       nerves.
21620...............  ..............  A               Partial removal of          6.78         NA       6.07       0.93         NA      13.78        090
                                                       sternum.
21627...............  ..............  A               Sternal debridement..       6.80         NA       6.46       0.99         NA      14.25        090
21630...............  ..............  A               Extensive sternum          17.35         NA      11.99       2.35         NA      31.69        090
                                                       surgery.
21632...............  ..............  A               Extensive sternum          18.11         NA      11.18       2.61         NA      31.90        090
                                                       surgery.
21685...............  ..............  A               Hyoid myotomy &            12.98         NA      10.09       1.52         NA      24.59        090
                                                       suspension.
21700...............  ..............  A               Revision of neck            6.18       6.08       4.86       0.37      12.63      11.41        090
                                                       muscle.
21705...............  ..............  A               Revision of neck            9.59         NA       5.63       1.11         NA      16.33        090
                                                       muscle/rib.
21720...............  ..............  A               Revision of neck            5.67       5.47       4.64       0.96      12.10      11.27        090
                                                       muscle.
21725...............  ..............  A               Revision of neck            6.98         NA       5.52       1.09         NA      13.59        090
                                                       muscle.
21740...............  ..............  A               Reconstruction of          16.48         NA       8.60       2.45         NA      27.53        090
                                                       sternum.
21742...............  ..............  C               Repair stern/nuss w/o       0.00       0.00       0.00       0.00       0.00       0.00        090
                                                       scope.
21743...............  ..............  C               Repair sternum/nuss w/      0.00       0.00       0.00       0.00       0.00       0.00        090
                                                       scope.
21750...............  ..............  A               Repair of sternum          10.75         NA       6.14       1.63         NA      18.52        090
                                                       separation.
21800...............  ..............  A               Treatment of rib            0.96       2.10       1.40       0.11       3.17       2.47        090
                                                       fracture.
21805...............  ..............  A               Treatment of rib            2.75         NA       3.35       0.35         NA       6.45        090
                                                       fracture.
21810...............  ..............  A               Treatment of rib            6.85         NA       5.03       0.72         NA      12.60        090
                                                       fracture(s).
21820...............  ..............  A               Treat sternum               1.28       2.63       1.83       0.18       4.09       3.29        090
                                                       fracture.
21825...............  ..............  A               Treat sternum               7.40         NA       6.69       1.01         NA      15.10        090
                                                       fracture.
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       3.28       1.49       0.14       5.48       3.69        010
                                                       back.
21925...............  ..............  A               Biopsy soft tissue of       4.48       6.63       3.35       0.53      11.64       8.36        090
                                                       back.
21930...............  ..............  A               Remove lesion, back         4.99       5.48       3.46       0.59      11.06       9.04        090
                                                       or flank.
21935...............  ..............  A               Remove tumor, back...      17.93         NA      10.20       2.26         NA      30.39        090
22100...............  ..............  A               Remove part of neck         9.72         NA       7.63       1.87         NA      19.22        090
                                                       vertebra.
22101...............  ..............  A               Remove part, thorax         9.80         NA       7.87       1.82         NA      19.49        090
                                                       vertebra.
22102...............  ..............  A               Remove part, lumbar         9.80         NA       8.08       1.76         NA      19.64        090
                                                       vertebra.
22103...............  ..............  A               Remove extra spine          2.34         NA       1.21       0.45         NA       4.00        ZZZ
                                                       segment.
22110...............  ..............  A               Remove part of neck        12.72         NA       9.27       2.65         NA      24.64        090
                                                       vertebra.
22112...............  ..............  A               Remove part, thorax        12.79         NA       9.33       2.36         NA      24.48        090
                                                       vertebra.
22114...............  ..............  A               Remove part, lumbar        12.79         NA       9.31       2.39         NA      24.49        090
                                                       vertebra.
22116...............  ..............  A               Remove extra spine          2.32         NA       1.17       0.48         NA       3.97        ZZZ
                                                       segment.
22210...............  ..............  A               Revision of neck           23.78         NA      15.51       5.10         NA      44.39        090
                                                       spine.
22212...............  ..............  A               Revision of thorax         19.39         NA      13.27       3.35         NA      36.01        090
                                                       spine.
22214...............  ..............  A               Revision of lumbar         19.42         NA      13.78       3.35         NA      36.55        090
                                                       spine.
22216...............  ..............  A               Revise, extra spine         6.03         NA       3.14       1.18         NA      10.35        ZZZ
                                                       segment.
22220...............  ..............  A               Revision of neck           21.34         NA      13.79       4.40         NA      39.53        090
                                                       spine.
22222...............  ..............  A               Revision of thorax         21.49         NA      11.61       3.71         NA      36.81        090
                                                       spine.
22224...............  ..............  A               Revision of lumbar         21.49         NA      14.24       3.86         NA      39.59        090
                                                       spine.
22226...............  ..............  A               Revise, extra spine         6.03         NA       3.11       1.22         NA      10.36        ZZZ
                                                       segment.
22305...............  ..............  A               Treat spine process         2.05       3.19       2.39       0.35       5.59       4.79        090
                                                       fracture.
22310...............  ..............  A               Treat spine fracture.       2.61       4.88       4.11       0.45       7.94       7.17        090
22315...............  ..............  A               Treat spine fracture.       8.83      13.42       7.53       1.65      23.90      18.01        090
22318...............  ..............  A               Treat odontoid fx w/o      21.47         NA      13.52       5.14         NA      40.13        090
                                                       graft.
22319...............  ..............  A               Treat odontoid fx w/       23.96         NA      14.90       5.74         NA      44.60        090
                                                       graft.
22325...............  ..............  A               Treat spine fracture.      18.27         NA      12.15       3.15         NA      33.57        090
22326...............  ..............  A               Treat neck spine           19.56         NA      12.83       4.27         NA      36.66        090
                                                       fracture.
22327...............  ..............  A               Treat thorax spine         19.17         NA      12.44       3.32         NA      34.93        090
                                                       fracture.
22328...............  ..............  A               Treat each add spine        4.60         NA       2.28       0.80         NA       7.68        ZZZ
                                                       fx.
22505...............  ..............  A               Manipulation of spine       1.87         NA       0.94       0.33         NA       3.14        010
22520...............  ..............  A               Percut vertebroplasty       8.90     101.62       4.34       1.19     111.71      14.43        010
                                                       thor.
22521...............  ..............  A               Percut vertebroplasty       8.33      89.47       4.18       1.12      98.92      13.63        010
                                                       lumb.
22522...............  ..............  A               Percut vertebroplasty       4.30         NA       1.69       0.40         NA       6.39        ZZZ
                                                       add'l.
22532...............  ..............  A               Lat thorax spine           23.96         NA      14.82       4.56         NA      43.34        090
                                                       fusion.
22533...............  ..............  A               Lat lumbar spine           23.09         NA      13.48       3.84         NA      40.41        090
                                                       fusion.
22534...............  ..............  A               Lat thor/lumb, add'l        5.99         NA       3.04       1.18         NA      10.21        ZZZ
                                                       seg.
22548...............  ..............  A               Neck spine fusion....      25.78         NA      15.83       6.01         NA      47.62        090
22554...............  ..............  A               Neck spine fusion....      18.59         NA      12.32       4.23         NA      35.14        090
22556...............  ..............  A               Thorax spine fusion..      23.42         NA      14.68       4.56         NA      42.66        090

[[Page 1128]]

 
22558...............  ..............  A               Lumbar spine fusion..      22.25         NA      13.24       3.84         NA      39.33        090
22585...............  ..............  A               Additional spinal           5.52         NA       2.80       1.18         NA       9.50        ZZZ
                                                       fusion.
22590...............  ..............  A               Spine & skull spinal       20.48         NA      13.29       4.60         NA      38.37        090
                                                       fusion.
22595...............  ..............  A               Neck spinal fusion...      19.36         NA      12.80       4.37         NA      36.53        090
22600...............  ..............  A               Neck spine fusion....      16.12         NA      11.14       3.49         NA      30.75        090
22610...............  ..............  A               Thorax spine fusion..      16.00         NA      11.32       3.21         NA      30.53        090
22612...............  ..............  A               Lumbar spine fusion..      20.97         NA      14.09       3.96         NA      39.02        090
22614...............  ..............  A               Spine fusion, extra         6.43         NA       3.36       1.25         NA      11.04        ZZZ
                                                       segment.
22630...............  ..............  A               Lumbar spine fusion..      20.81         NA      13.55       4.57         NA      38.93        090
22632...............  ..............  A               Spine fusion, extra         5.22         NA       2.67       1.09         NA       8.98        ZZZ
                                                       segment.
22800...............  ..............  A               Fusion of spine......      18.22         NA      12.64       3.27         NA      34.13        090
22802...............  ..............  A               Fusion of spine......      30.83         NA      19.48       5.33         NA      55.64        090
22804...............  ..............  A               Fusion of spine......      36.22         NA      22.58       6.31         NA      65.11        090
22808...............  ..............  A               Fusion of spine......      26.23         NA      16.25       5.26         NA      47.74        090
22810...............  ..............  A               Fusion of spine......      30.22         NA      18.29       5.42         NA      53.93        090
22812...............  ..............  A               Fusion of spine......      32.65         NA      19.95       5.63         NA      58.23        090
22818...............  ..............  A               Kyphectomy, 1-2            31.78         NA      18.86       6.04         NA      56.68        090
                                                       segments.
22819...............  ..............  A               Kyphectomy, 3 or more      36.39         NA      20.03       6.27         NA      62.69        090
22830...............  ..............  A               Exploration of spinal      10.83         NA       7.89       2.09         NA      20.81        090
                                                       fusion.
22840...............  ..............  A               Insert spine fixation      12.52         NA       6.51       2.45         NA      21.48        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      12.56         NA       6.53       2.46         NA      21.55        ZZZ
                                                       device.
22843...............  ..............  A               Insert spine fixation      13.44         NA       6.63       2.53         NA      22.60        ZZZ
                                                       device.
22844...............  ..............  A               Insert spine fixation      16.42         NA       8.78       2.92         NA      28.12        ZZZ
                                                       device.
22845...............  ..............  A               Insert spine fixation      11.94         NA       6.11       2.68         NA      20.73        ZZZ
                                                       device.
22846...............  ..............  A               Insert spine fixation      12.40         NA       6.36       2.73         NA      21.49        ZZZ
                                                       device.
22847...............  ..............  A               Insert spine fixation      13.78         NA       7.06       2.85         NA      23.69        ZZZ
                                                       device.
22848...............  ..............  A               Insert pelv fixation        5.99         NA       3.20       1.06         NA      10.25        ZZZ
                                                       device.
22849...............  ..............  A               Reinsert spinal            18.48         NA      11.76       3.46         NA      33.70        090
                                                       fixation.
22850...............  ..............  A               Remove spine fixation       9.51         NA       7.00       1.82         NA      18.33        090
                                                       device.
22851...............  ..............  A               Apply spine prosth          6.70         NA       3.37       1.34         NA      11.41        ZZZ
                                                       device.
22852...............  ..............  A               Remove spine fixation       9.00         NA       6.79       1.69         NA      17.48        090
                                                       device.
22855...............  ..............  A               Remove spine fixation      15.11         NA       9.72       3.30         NA      28.13        090
                                                       device.
22899...............  ..............  C               Spine surgery               0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
22900...............  ..............  A               Remove abdominal wall       5.79         NA       3.28       0.70         NA       9.77        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          4.35       5.18       4.16       0.60      10.13       9.11        090
                                                       deposits.
23020...............  ..............  A               Release shoulder            8.92         NA       7.58       1.48         NA      17.98        090
                                                       joint.
23030...............  ..............  A               Drain shoulder lesion       3.42       3.01       2.93       0.51       6.94       6.86        010
23031...............  ..............  A               Drain shoulder bursa.       2.74       2.69       2.69       0.40       5.83       5.83        010
23035...............  ..............  A               Drain shoulder bone         8.60         NA       8.51       1.44         NA      18.55        090
                                                       lesion.
23040...............  ..............  A               Exploratory shoulder        9.19         NA       7.85       1.54         NA      18.58        090
                                                       surgery.
23044...............  ..............  A               Exploratory shoulder        7.11         NA       6.50       1.17         NA      14.78        090
                                                       surgery.
23065...............  ..............  A               Biopsy shoulder             2.27       2.81       1.54       0.17       5.25       3.98        010
                                                       tissues.
23066...............  ..............  A               Biopsy shoulder             4.15       5.10       4.07       0.60       9.85       8.82        090
                                                       tissues.
23075...............  ..............  A               Removal of shoulder         2.39       2.24       1.82       0.30       4.93       4.51        010
                                                       lesion.
23076...............  ..............  A               Removal of shoulder         7.62         NA       5.78       1.05         NA      14.45        090
                                                       lesion.
23077...............  ..............  A               Remove tumor of            16.07         NA      10.76       2.18         NA      29.01        090
                                                       shoulder.
23100...............  ..............  A               Biopsy of shoulder          6.02         NA       5.69       0.98         NA      12.69        090
                                                       joint.
23101...............  ..............  A               Shoulder joint              5.57         NA       5.39       0.93         NA      11.89        090
                                                       surgery.
23105...............  ..............  A               Remove shoulder joint       8.22         NA       7.17       1.36         NA      16.75        090
                                                       lining.
23106...............  ..............  A               Incision of                 5.95         NA       5.77       0.99         NA      12.71        090
                                                       collarbone joint.
23107...............  ..............  A               Explore treat               8.61         NA       7.39       1.44         NA      17.44        090
                                                       shoulder joint.
23120...............  ..............  A               Partial removal,            7.10         NA       6.48       1.19         NA      14.77        090
                                                       collar bone.
23125...............  ..............  A               Removal of collar           9.38         NA       7.63       1.53         NA      18.54        090
                                                       bone.
23130...............  ..............  A               Remove shoulder bone,       7.54         NA       7.10       1.28         NA      15.92        090
                                                       part.
23140...............  ..............  A               Removal of bone             6.88         NA       5.41       0.99         NA      13.28        090
                                                       lesion.
23145...............  ..............  A               Removal of bone             9.08         NA       7.58       1.50         NA      18.16        090
                                                       lesion.
23146...............  ..............  A               Removal of bone             7.82         NA       7.13       1.34         NA      16.29        090
                                                       lesion.
23150...............  ..............  A               Removal of humerus          8.47         NA       6.97       1.37         NA      16.81        090
                                                       lesion.
23155...............  ..............  A               Removal of humerus         10.33         NA       8.46       1.45         NA      20.24        090
                                                       lesion.
23156...............  ..............  A               Removal of humerus          8.67         NA       7.38       1.42         NA      17.47        090
                                                       lesion.
23170...............  ..............  A               Remove collar bone          6.85         NA       6.36       1.01         NA      14.22        090
                                                       lesion.
23172...............  ..............  A               Remove shoulder blade       6.89         NA       6.41       1.15         NA      14.45        090
                                                       lesion.
23174...............  ..............  A               Remove humerus lesion       9.50         NA       8.37       1.57         NA      19.44        090
23180...............  ..............  A               Remove collar bone          8.52         NA       9.21       1.42         NA      19.15        090
                                                       lesion.
23182...............  ..............  A               Remove shoulder blade       8.14         NA       8.89       1.30         NA      18.33        090
                                                       lesion.
23184...............  ..............  A               Remove humerus lesion       9.37         NA       9.54       1.50         NA      20.41        090
23190...............  ..............  A               Partial removal of          7.23         NA       6.23       1.17         NA      14.63        090
                                                       scapula.
23195...............  ..............  A               Removal of head of          9.80         NA       7.76       1.66         NA      19.22        090
                                                       humerus.
23200...............  ..............  A               Removal of collar          12.06         NA       8.97       1.79         NA      22.82        090
                                                       bone.
23210...............  ..............  A               Removal of shoulder        12.47         NA       9.30       1.94         NA      23.71        090
                                                       blade.
23220...............  ..............  A               Partial removal of         14.54         NA      10.87       2.45         NA      27.86        090
                                                       humerus.
23221...............  ..............  A               Partial removal of         17.71         NA      11.84       3.03         NA      32.58        090
                                                       humerus.
23222...............  ..............  A               Partial removal of         23.88         NA      15.85       4.06         NA      43.79        090
                                                       humerus.

[[Page 1129]]

 
23330...............  ..............  A               Remove shoulder             1.85       1.98       1.91       0.22       4.05       3.98        010
                                                       foreign body.
23331...............  ..............  A               Remove shoulder             7.37         NA       6.79       1.23         NA      15.39        090
                                                       foreign body.
23332...............  ..............  A               Remove shoulder            11.60         NA       9.31       1.95         NA      22.86        090
                                                       foreign body.
23350...............  ..............  A               Injection for               1.00       3.85       0.33       0.06       4.91       1.39        000
                                                       shoulder x-ray.
23395...............  ..............  A               Muscle                     16.82         NA      12.74       2.76         NA      32.32        090
                                                       transfer,shoulder/
                                                       arm.
23397...............  ..............  A               Muscle transfers.....      16.11         NA      11.40       2.70         NA      30.21        090
23400...............  ..............  A               Fixation of shoulder       13.52         NA      10.16       2.30         NA      25.98        090
                                                       blade.
23405...............  ..............  A               Incision of tendon &        8.36         NA       7.01       1.35         NA      16.72        090
                                                       muscle.
23406...............  ..............  A               Incise tendon(s) &         10.77         NA       8.41       1.79         NA      20.97        090
                                                       muscle(s).
23410...............  ..............  A               Repair rotator cuff,       12.43         NA       9.40       2.07         NA      23.90        090
                                                       acute.
23412...............  ..............  A               Repair rotator cuff,       13.29         NA       9.90       2.24         NA      25.43        090
                                                       chronic.
23415...............  ..............  A               Release of shoulder         9.96         NA       7.97       1.68         NA      19.61        090
                                                       ligament.
23420...............  ..............  A               Repair of shoulder...      13.28         NA      10.78       2.24         NA      26.30        090
23430...............  ..............  A               Repair biceps tendon.       9.97         NA       8.11       1.69         NA      19.77        090
23440...............  ..............  A               Remove/transplant          10.46         NA       8.29       1.77         NA      20.52        090
                                                       tendon.
23450...............  ..............  A               Repair shoulder            13.38         NA       9.87       2.24         NA      25.49        090
                                                       capsule.
23455...............  ..............  A               Repair shoulder            14.35         NA      10.45       2.42         NA      27.22        090
                                                       capsule.
23460...............  ..............  A               Repair shoulder            15.35         NA      11.37       2.62         NA      29.34        090
                                                       capsule.
23462...............  ..............  A               Repair shoulder            15.28         NA      10.78       2.61         NA      28.67        090
                                                       capsule.
23465...............  ..............  A               Repair shoulder            15.83         NA      11.30       1.94         NA      29.07        090
                                                       capsule.
23466...............  ..............  A               Repair shoulder            14.20         NA      11.27       2.41         NA      27.88        090
                                                       capsule.
23470...............  ..............  A               Reconstruct shoulder       17.12         NA      12.13       2.89         NA      32.14        090
                                                       joint.
23472...............  ..............  A               Reconstruct shoulder       21.07         NA      14.27       2.86         NA      38.20        090
                                                       joint.
23480...............  ..............  A               Revision of collar         11.16         NA       8.77       1.88         NA      21.81        090
                                                       bone.
23485...............  ..............  A               Revision of collar         13.41         NA       9.91       2.22         NA      25.54        090
                                                       bone.
23490...............  ..............  A               Reinforce clavicle...      11.84         NA       8.81       1.34         NA      21.99        090
23491...............  ..............  A               Reinforce shoulder         14.19         NA      10.70       2.41         NA      27.30        090
                                                       bones.
23500...............  ..............  A               Treat clavicle              2.08       3.66       2.57       0.31       6.05       4.96        090
                                                       fracture.
23505...............  ..............  A               Treat clavicle              3.68       5.33       3.76       0.60       9.61       8.04        090
                                                       fracture.
23515...............  ..............  A               Treat clavicle              7.40         NA       6.52       1.24         NA      15.16        090
                                                       fracture.
23520...............  ..............  A               Treat clavicle              2.16       3.65       2.71       0.31       6.12       5.18        090
                                                       dislocation.
23525...............  ..............  A               Treat clavicle              3.59       5.27       3.88       0.53       9.39       8.00        090
                                                       dislocation.
23530...............  ..............  A               Treat clavicle              7.30         NA       6.03       1.03         NA      14.36        090
                                                       dislocation.
23532...............  ..............  A               Treat clavicle              8.00         NA       6.92       1.36         NA      16.28        090
                                                       dislocation.
23540...............  ..............  A               Treat clavicle              2.23       4.26       2.46       0.29       6.78       4.98        090
                                                       dislocation.
23545...............  ..............  A               Treat clavicle              3.25       4.50       3.38       0.47       8.22       7.10        090
                                                       dislocation.
23550...............  ..............  A               Treat clavicle              7.23         NA       6.38       1.13         NA      14.74        090
                                                       dislocation.
23552...............  ..............  A               Treat clavicle              8.44         NA       7.26       1.42         NA      17.12        090
                                                       dislocation.
23570...............  ..............  A               Treat shoulder blade        2.23       3.67       2.87       0.35       6.25       5.45        090
                                                       fx.
23575...............  ..............  A               Treat shoulder blade        4.05       5.76       4.24       0.64      10.45       8.93        090
                                                       fx.
23585...............  ..............  A               Treat scapula               8.95         NA       7.60       1.51         NA      18.06        090
                                                       fracture.
23600...............  ..............  A               Treat humerus               2.93       5.73       3.82       0.47       9.13       7.22        090
                                                       fracture.
23605...............  ..............  A               Treat humerus               4.86       6.59       4.96       0.81      12.26      10.63        090
                                                       fracture.
23615...............  ..............  A               Treat humerus               9.34         NA       8.69       1.58         NA      19.61        090
                                                       fracture.
23616...............  ..............  A               Treat humerus              21.24         NA      14.13       3.59         NA      38.96        090
                                                       fracture.
23620...............  ..............  A               Treat humerus               2.40       5.20       3.23       0.39       7.99       6.02        090
                                                       fracture.
23625...............  ..............  A               Treat humerus               3.92       6.33       4.56       0.64      10.89       9.12        090
                                                       fracture.
23630...............  ..............  A               Treat humerus               7.34         NA       6.59       1.24         NA      15.17        090
                                                       fracture.
23650...............  ..............  A               Treat shoulder              3.38       4.69       2.88       0.37       8.44       6.63        090
                                                       dislocation.
23655...............  ..............  A               Treat shoulder              4.56         NA       4.16       0.63         NA       9.35        090
                                                       dislocation.
23660...............  ..............  A               Treat shoulder              7.48         NA       6.36       1.22         NA      15.06        090
                                                       dislocation.
23665...............  ..............  A               Treat islocation/           4.46       6.58       4.93       0.72      11.76      10.11        090
                                                       fracture.
23670...............  ..............  A               Treat dislocation/          7.89         NA       6.82       1.33         NA      16.04        090
                                                       fracture.
23675...............  ..............  A               Treat dislocation/          6.04       7.56       6.06       1.00      14.60      13.10        090
                                                       fracture.
23680...............  ..............  A               Treat dislocation/         10.04         NA       8.09       1.68         NA      19.81        090
                                                       fracture.
23700...............  ..............  A               Fixation of shoulder.       2.52         NA       2.30       0.42         NA       5.24        010
23800...............  ..............  A               Fusion of shoulder         14.14         NA      10.46       2.38         NA      26.98        090
                                                       joint.
23802...............  ..............  A               Fusion of shoulder         16.58         NA      10.23       2.82         NA      29.63        090
                                                       joint.
23900...............  ..............  A               Amputation of arm &        19.69         NA      11.91       2.98         NA      34.58        090
                                                       girdle.
23920...............  ..............  A               Amputation at              14.59         NA      10.09       2.32         NA      27.00        090
                                                       shoulder joint.
23921...............  ..............  A               Amputation follow-up        5.48       5.16       5.16       0.94      11.58      11.58        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             2.94       2.71       2.35       0.39       6.04       5.68        010
                                                       lesion.
23931...............  ..............  A               Drainage of arm bursa       1.79       2.43       2.19       0.25       4.47       4.23        010
23935...............  ..............  A               Drain arm/elbow bone        6.08         NA       6.13       1.01         NA      13.22        090
                                                       lesion.
24000...............  ..............  A               Exploratory elbow           5.81         NA       5.36       0.93         NA      12.10        090
                                                       surgery.
24006...............  ..............  A               Release elbow joint..       9.30         NA       7.69       1.53         NA      18.52        090
24065...............  ..............  A               Biopsy arm/elbow soft       2.08       2.10       1.78       0.17       4.35       4.03        010
                                                       tissue.
24066...............  ..............  A               Biopsy arm/elbow soft       5.20       5.76       4.27       0.74      11.70      10.21        090
                                                       tissue.
24075...............  ..............  A               Remove arm/elbow            3.91       5.05       3.67       0.52       9.48       8.10        090
                                                       lesion.
24076...............  ..............  A               Remove arm/elbow            6.29         NA       5.09       0.84         NA      12.22        090
                                                       lesion.
24077...............  ..............  A               Remove tumor of arm/       11.74         NA       8.65       1.59         NA      21.98        090
                                                       elbow.
24100...............  ..............  A               Biopsy elbow joint          4.92         NA       4.49       0.75         NA      10.16        090
                                                       lining.
24101...............  ..............  A               Explore/treat elbow         6.12         NA       5.86       1.01         NA      12.99        090
                                                       joint.
24102...............  ..............  A               Remove elbow joint          8.02         NA       6.83       1.31         NA      16.16        090
                                                       lining.

[[Page 1130]]

 
24105...............  ..............  A               Removal of elbow            3.60         NA       4.35       0.59         NA       8.54        090
                                                       bursa.
24110...............  ..............  A               Remove humerus lesion       7.38         NA       6.71       1.19         NA      15.28        090
24115...............  ..............  A               Remove/graft bone           9.62         NA       7.35       1.39         NA      18.36        090
                                                       lesion.
24116...............  ..............  A               Remove/graft bone          11.79         NA       9.11       2.00         NA      22.90        090
                                                       lesion.
24120...............  ..............  A               Remove elbow lesion..       6.64         NA       5.88       1.05         NA      13.57        090
24125...............  ..............  A               Remove/graft bone           7.88         NA       6.18       1.06         NA      15.12        090
                                                       lesion.
24126...............  ..............  A               Remove/graft bone           8.30         NA       6.97       1.09         NA      16.36        090
                                                       lesion.
24130...............  ..............  A               Removal of head of          6.24         NA       5.95       1.05         NA      13.24        090
                                                       radius.
24134...............  ..............  A               Removal of arm bone         9.72         NA       9.18       1.58         NA      20.48        090
                                                       lesion.
24136...............  ..............  A               Remove radius bone          7.98         NA       7.41       1.03         NA      16.42        090
                                                       lesion.
24138...............  ..............  A               Remove elbow bone           8.04         NA       7.67       1.35         NA      17.06        090
                                                       lesion.
24140...............  ..............  A               Partial removal of          9.17         NA       9.49       1.48         NA      20.14        090
                                                       arm bone.
24145...............  ..............  A               Partial removal of          7.57         NA       8.15       1.22         NA      16.94        090
                                                       radius.
24147...............  ..............  A               Partial removal of          7.53         NA       8.64       1.25         NA      17.42        090
                                                       elbow.
24149...............  ..............  A               Radical resection of       14.18         NA      11.41       2.29         NA      27.88        090
                                                       elbow.
24150...............  ..............  A               Extensive humerus          13.25         NA      10.10       2.18         NA      25.53        090
                                                       surgery.
24151...............  ..............  A               Extensive humerus          15.56         NA      11.67       2.64         NA      29.87        090
                                                       surgery.
24152...............  ..............  A               Extensive radius           10.04         NA       7.85       1.44         NA      19.33        090
                                                       surgery.
24153...............  ..............  A               Extensive radius           11.52         NA       5.83       0.77         NA      18.12        090
                                                       surgery.
24155...............  ..............  A               Removal of elbow           11.71         NA       8.41       1.71         NA      21.83        090
                                                       joint.
24160...............  ..............  A               Remove elbow joint          7.82         NA       6.77       1.29         NA      15.88        090
                                                       implant.
24164...............  ..............  A               Remove radius head          6.22         NA       5.66       1.01         NA      12.89        090
                                                       implant.
24200...............  ..............  A               Removal of arm              1.76       1.97       1.67       0.18       3.91       3.61        010
                                                       foreign body.
24201...............  ..............  A               Removal of arm              4.55       5.68       4.34       0.68      10.91       9.57        090
                                                       foreign body.
24220...............  ..............  A               Injection for elbow x-      1.31      10.32       0.44       0.08      11.71       1.83        000
                                                       ray.
24300...............  ..............  A               Manipulate elbow w/         3.74         NA       5.48       0.59         NA       9.81        090
                                                       anesth.
24301...............  ..............  A               Muscle/tendon              10.18         NA       8.18       1.57         NA      19.93        090
                                                       transfer.
24305...............  ..............  A               Arm tendon                  7.44         NA       6.68       1.18         NA      15.30        090
                                                       lengthening.
24310...............  ..............  A               Revision of arm             5.97         NA       5.72       0.89         NA      12.58        090
                                                       tendon.
24320...............  ..............  A               Repair of arm tendon.      10.54         NA       7.74       1.21         NA      19.49        090
24330...............  ..............  A               Revision of arm             9.59         NA       7.86       1.46         NA      18.91        090
                                                       muscles.
24331...............  ..............  A               Revision of arm            10.63         NA       8.60       1.70         NA      20.93        090
                                                       muscles.
24332...............  ..............  A               Tenolysis, triceps...       7.44         NA       6.58       0.93         NA      14.95        090
24340...............  ..............  A               Repair of biceps            7.88         NA       6.91       1.30         NA      16.09        090
                                                       tendon.
24341...............  ..............  A               Repair arm tendon/          7.89         NA       7.75       1.30         NA      16.94        090
                                                       muscle.
24342...............  ..............  A               Repair of ruptured         10.60         NA       8.46       1.79         NA      20.85        090
                                                       tendon.
24343...............  ..............  A               Repr elbow lat ligmnt       8.64         NA       7.93       1.36         NA      17.93        090
                                                       w/tiss.
24344...............  ..............  A               Reconstruct elbow lat      13.98         NA      11.31       2.21         NA      27.50        090
                                                       ligmnt.
24345...............  ..............  A               Repr elbw med ligmnt        8.64         NA       7.83       1.36         NA      17.83        090
                                                       w/tissu.
24346...............  ..............  A               Reconstruct elbow med      13.98         NA      11.17       2.21         NA      27.36        090
                                                       ligmnt.
24350...............  ..............  A               Repair of tennis            5.24         NA       5.52       0.87         NA      11.63        090
                                                       elbow.
24351...............  ..............  A               Repair of tennis            5.90         NA       5.86       0.99         NA      12.75        090
                                                       elbow.
24352...............  ..............  A               Repair of tennis            6.42         NA       6.12       1.09         NA      13.63        090
                                                       elbow.
24354...............  ..............  A               Repair of tennis            6.47         NA       6.08       1.06         NA      13.61        090
                                                       elbow.
24356...............  ..............  A               Revision of tennis          6.67         NA       6.26       1.09         NA      14.02        090
                                                       elbow.
24360...............  ..............  A               Reconstruct elbow          12.32         NA       9.35       2.04         NA      23.71        090
                                                       joint.
24361...............  ..............  A               Reconstruct elbow          14.06         NA      10.44       2.35         NA      26.85        090
                                                       joint.
24362...............  ..............  A               Reconstruct elbow          14.97         NA       9.97       2.32         NA      27.26        090
                                                       joint.
24363...............  ..............  A               Replace elbow joint..      18.46         NA      13.53       3.04         NA      35.03        090
24365...............  ..............  A               Reconstruct head of         8.38         NA       7.09       1.34         NA      16.81        090
                                                       radius.
24366...............  ..............  A               Reconstruct head of         9.12         NA       7.43       1.54         NA      18.09        090
                                                       radius.
24400...............  ..............  A               Revision of humerus..      11.04         NA       8.91       1.85         NA      21.80        090
24410...............  ..............  A               Revision of humerus..      14.80         NA      10.43       2.28         NA      27.51        090
24420...............  ..............  A               Revision of humerus..      13.42         NA      10.66       2.20         NA      26.28        090
24430...............  ..............  A               Repair of humerus....      12.79         NA       9.75       2.17         NA      24.71        090
24435...............  ..............  A               Repair humerus with        13.15         NA      10.83       2.22         NA      26.20        090
                                                       graft.
24470...............  ..............  A               Revision of elbow           8.73         NA       7.62       1.48         NA      17.83        090
                                                       joint.
24495...............  ..............  A               Decompression of            8.11         NA       9.05       1.11         NA      18.27        090
                                                       forearm.
24498...............  ..............  A               Reinforce humerus....      11.90         NA       9.28       2.01         NA      23.19        090
24500...............  ..............  A               Treat humerus               3.21       5.40       3.61       0.49       9.10       7.31        090
                                                       fracture.
24505...............  ..............  A               Treat humerus               5.16       7.29       5.28       0.87      13.32      11.31        090
                                                       fracture.
24515...............  ..............  A               Treat humerus              11.63         NA       9.34       1.97         NA      22.94        090
                                                       fracture.
24516...............  ..............  A               Treat humerus              11.63         NA       9.11       1.97         NA      22.71        090
                                                       fracture.
24530...............  ..............  A               Treat humerus               3.49       5.39       3.94       0.57       9.45       8.00        090
                                                       fracture.
24535...............  ..............  A               Treat humerus               6.86       8.39       6.40       1.16      16.41      14.42        090
                                                       fracture.
24538...............  ..............  A               Treat humerus               9.42         NA       8.69       1.51         NA      19.62        090
                                                       fracture.
24545...............  ..............  A               Treat humerus              10.44         NA       8.42       1.77         NA      20.63        090
                                                       fracture.
24546...............  ..............  A               Treat humerus              15.67         NA      11.31       2.63         NA      29.61        090
                                                       fracture.
24560...............  ..............  A               Treat humerus               2.80       5.07       3.21       0.42       8.29       6.43        090
                                                       fracture.
24565...............  ..............  A               Treat humerus               5.55       7.28       5.40       0.89      13.72      11.84        090
                                                       fracture.
24566...............  ..............  A               Treat humerus               7.78         NA       8.11       1.33         NA      17.22        090
                                                       fracture.
24575...............  ..............  A               Treat humerus              10.64         NA       8.30       1.74         NA      20.68        090
                                                       fracture.
24576...............  ..............  A               Treat humerus               2.86       4.94       3.59       0.46       8.26       6.91        090
                                                       fracture.
24577...............  ..............  A               Treat humerus               5.78       7.56       5.69       0.98      14.32      12.45        090
                                                       fracture.
24579...............  ..............  A               Treat humerus              11.58         NA       8.83       1.95         NA      22.36        090
                                                       fracture.

[[Page 1131]]

 
24582...............  ..............  A               Treat humerus               8.54         NA       9.01       1.45         NA      19.00        090
                                                       fracture.
24586...............  ..............  A               Treat elbow fracture.      15.19         NA      11.11       2.56         NA      28.86        090
24587...............  ..............  A               Treat elbow fracture.      15.14         NA      10.91       2.58         NA      28.63        090
24600...............  ..............  A               Treat elbow                 4.22       5.57       3.52       0.59      10.38       8.33        090
                                                       dislocation.
24605...............  ..............  A               Treat elbow                 5.41         NA       5.25       0.87         NA      11.53        090
                                                       dislocation.
24615...............  ..............  A               Treat elbow                 9.41         NA       7.73       1.58         NA      18.72        090
                                                       dislocation.
24620...............  ..............  A               Treat elbow fracture.       6.97         NA       6.11       1.09         NA      14.17        090
24635...............  ..............  A               Treat elbow fracture.      13.17         NA      14.21       2.22         NA      29.60        090
24640...............  ..............  A               Treat elbow                 1.20       1.93       0.87       0.13       3.26       2.20        010
                                                       dislocation.
24650...............  ..............  A               Treat radius fracture       2.16       4.55       2.73       0.34       7.05       5.23        090
24655...............  ..............  A               Treat radius fracture       4.39       6.76       4.69       0.70      11.85       9.78        090
24665...............  ..............  A               Treat radius fracture       8.13         NA       7.48       1.36         NA      16.97        090
24666...............  ..............  A               Treat radius fracture       9.48         NA       8.05       1.59         NA      19.12        090
24670...............  ..............  A               Treat ulnar fracture.       2.54       4.44       3.01       0.40       7.38       5.95        090
24675...............  ..............  A               Treat ulnar fracture.       4.71       6.72       4.82       0.78      12.21      10.31        090
24685...............  ..............  A               Treat ulnar fracture.       8.79         NA       7.52       1.48         NA      17.79        090
24800...............  ..............  A               Fusion of elbow joint      11.18         NA       8.71       1.70         NA      21.59        090
24802...............  ..............  A               Fusion/graft of elbow      13.67         NA      10.32       2.28         NA      26.27        090
                                                       joint.
24900...............  ..............  A               Amputation of upper         9.59         NA       7.35       1.42         NA      18.36        090
                                                       arm.
24920...............  ..............  A               Amputation of upper         9.53         NA       7.52       1.47         NA      18.52        090
                                                       arm.
24925...............  ..............  A               Amputation follow-up        7.06         NA       6.27       1.15         NA      14.48        090
                                                       surgery.
24930...............  ..............  A               Amputation follow-up       10.23         NA       7.52       1.48         NA      19.23        090
                                                       surgery.
24931...............  ..............  A               Amputate upper arm &       12.70         NA       6.11       1.88         NA      20.69        090
                                                       implant.
24935...............  ..............  A               Revision of                15.54         NA       8.42       1.91         NA      25.87        090
                                                       amputation.
24940...............  ..............  C               Revision of upper arm       0.00       0.00       0.00       0.00       0.00       0.00        090
24999...............  ..............  C               Upper arm/elbow             0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       surgery.
25000...............  ..............  A               Incision of tendon          3.37         NA       6.95       0.54         NA      10.86        090
                                                       sheath.
25001...............  ..............  A               Incise flexor carpi         3.37         NA       4.09       0.54         NA       8.00        090
                                                       radialis.
25020...............  ..............  A               Decompress forearm 1        5.91         NA       9.94       0.92         NA      16.77        090
                                                       space.
25023...............  ..............  A               Decompress forearm 1       12.94         NA      15.45       1.83         NA      30.22        090
                                                       space.
25024...............  ..............  A               Decompress forearm 2        9.49         NA       7.52       1.50         NA      18.51        090
                                                       spaces.
25025...............  ..............  A               Decompress forearm 2       16.52         NA      10.00       2.63         NA      29.15        090
                                                       spaces.
25028...............  ..............  A               Drainage of forearm         5.24         NA       8.48       0.74         NA      14.46        090
                                                       lesion.
25031...............  ..............  A               Drainage of forearm         4.13         NA       8.25       0.60         NA      12.98        090
                                                       bursa.
25035...............  ..............  A               Treat forearm bone          7.35         NA      14.03       1.18         NA      22.56        090
                                                       lesion.
25040...............  ..............  A               Explore/treat wrist         7.17         NA       7.34       1.16         NA      15.67        090
                                                       joint.
25065...............  ..............  A               Biopsy forearm soft         1.99       2.79       2.79       0.14       4.92       4.92        010
                                                       tissues.
25066...............  ..............  A               Biopsy forearm soft         4.12         NA       7.24       0.59         NA      11.95        090
                                                       tissues.
25075...............  ..............  A               Removel forearm             3.73         NA       6.13       0.48         NA      10.34        090
                                                       lesion subcu.
25076...............  ..............  A               Removel forearm             4.91         NA       9.98       0.71         NA      15.60        090
                                                       lesion deep.
25077...............  ..............  A               Remove tumor, forearm/      9.75         NA      12.68       1.33         NA      23.76        090
                                                       wrist.
25085...............  ..............  A               Incision of wrist           5.49         NA       7.30       0.86         NA      13.65        090
                                                       capsule.
25100...............  ..............  A               Biopsy of wrist joint       3.89         NA       5.41       0.60         NA       9.90        090
25101...............  ..............  A               Explore/treat wrist         4.68         NA       5.96       0.72         NA      11.36        090
                                                       joint.
25105...............  ..............  A               Remove wrist joint          5.84         NA       7.48       0.93         NA      14.25        090
                                                       lining.
25107...............  ..............  A               Remove wrist joint          6.42         NA       8.41       0.99         NA      15.82        090
                                                       cartilage.
25110...............  ..............  A               Remove wrist tendon         3.91         NA       7.26       0.58         NA      11.75        090
                                                       lesion.
25111...............  ..............  A               Remove wrist tendon         3.38         NA       4.83       0.51         NA       8.72        090
                                                       lesion.
25112...............  ..............  A               Reremove wrist tendon       4.52         NA       5.43       0.65         NA      10.60        090
                                                       lesion.
25115...............  ..............  A               Remove wrist/forearm        8.81         NA      14.44       1.34         NA      24.59        090
                                                       lesion.
25116...............  ..............  A               Remove wrist/forearm        7.10         NA      13.53       1.09         NA      21.72        090
                                                       lesion.
25118...............  ..............  A               Excise wrist tendon         4.36         NA       5.88       0.66         NA      10.90        090
                                                       sheath.
25119...............  ..............  A               Partial removal of          6.03         NA       7.77       0.96         NA      14.76        090
                                                       ulna.
25120...............  ..............  A               Removal of forearm          6.09         NA      12.44       0.98         NA      19.51        090
                                                       lesion.
25125...............  ..............  A               Remove/graft forearm        7.47         NA      13.21       1.23         NA      21.91        090
                                                       lesion.
25126...............  ..............  A               Remove/graft forearm        7.54         NA      13.31       1.21         NA      22.06        090
                                                       lesion.
25130...............  ..............  A               Removal of wrist            5.25         NA       6.51       0.80         NA      12.56        090
                                                       lesion.
25135...............  ..............  A               Remove & graft wrist        6.88         NA       7.53       1.07         NA      15.48        090
                                                       lesion.
25136...............  ..............  A               Remove & graft wrist        5.96         NA       6.68       0.70         NA      13.34        090
                                                       lesion.
25145...............  ..............  A               Remove forearm bone         6.36         NA      12.47       0.99         NA      19.82        090
                                                       lesion.
25150...............  ..............  A               Partial removal of          7.08         NA       8.41       1.16         NA      16.65        090
                                                       ulna.
25151...............  ..............  A               Partial removal of          7.38         NA      13.08       1.12         NA      21.58        090
                                                       radius.
25170...............  ..............  A               Extensive forearm          11.07         NA      15.46       1.83         NA      28.36        090
                                                       surgery.
25210...............  ..............  A               Removal of wrist bone       5.94         NA       6.90       0.88         NA      13.72        090
25215...............  ..............  A               Removal of wrist            7.88         NA       8.89       1.23         NA      18.00        090
                                                       bones.
25230...............  ..............  A               Partial removal of          5.22         NA       6.22       0.80         NA      12.24        090
                                                       radius.
25240...............  ..............  A               Partial removal of          5.16         NA       7.09       0.83         NA      13.08        090
                                                       ulna.
25246...............  ..............  A               Injection for wrist x-      1.45      10.05       0.48       0.08      11.58       2.01        000
                                                       ray.
25248...............  ..............  A               Remove forearm              5.13         NA       8.75       0.65         NA      14.53        090
                                                       foreign body.
25250...............  ..............  A               Removal of wrist            6.59         NA       6.00       1.01         NA      13.60        090
                                                       prosthesis.
25251...............  ..............  A               Removal of wrist            9.56         NA       7.82       1.39         NA      18.77        090
                                                       prosthesis.
25259...............  ..............  A               Manipulate wrist w/         3.74         NA       5.48       0.60         NA       9.82        090
                                                       anesthes.
25260...............  ..............  A               Repair forearm tendon/      7.79         NA      13.90       1.17         NA      22.86        090
                                                       muscle.
25263...............  ..............  A               Repair forearm tendon/      7.81         NA      13.81       1.13         NA      22.75        090
                                                       muscle.
25265...............  ..............  A               Repair forearm tendon/      9.87         NA      14.70       1.44         NA      26.01        090
                                                       muscle.

[[Page 1132]]

 
25270...............  ..............  A               Repair forearm tendon/      5.99         NA      12.60       0.92         NA      19.51        090
                                                       muscle.
25272...............  ..............  A               Repair forearm tendon/      7.03         NA      13.30       1.07         NA      21.40        090
                                                       muscle.
25274...............  ..............  A               Repair forearm tendon/      8.74         NA      14.02       1.37         NA      24.13        090
                                                       muscle.
25275...............  ..............  A               Repair forearm tendon       8.49         NA       7.47       1.36         NA      17.32        090
                                                       sheath.
25280...............  ..............  A               Revise wrist/forearm        7.21         NA      13.03       1.10         NA      21.34        090
                                                       tendon.
25290...............  ..............  A               Incise wrist/forearm        5.28         NA      15.53       0.80         NA      21.61        090
                                                       tendon.
25295...............  ..............  A               Release wrist/forearm       6.54         NA      12.59       1.04         NA      20.17        090
                                                       tendon.
25300...............  ..............  A               Fusion of tendons at        8.79         NA       8.52       1.29         NA      18.60        090
                                                       wrist.
25301...............  ..............  A               Fusion of tendons at        8.39         NA       8.16       1.30         NA      17.85        090
                                                       wrist.
25310...............  ..............  A               Transplant forearm          8.13         NA      13.44       1.22         NA      22.79        090
                                                       tendon.
25312...............  ..............  A               Transplant forearm          9.56         NA      14.32       1.47         NA      25.35        090
                                                       tendon.
25315...............  ..............  A               Revise palsy hand          10.18         NA      14.89       1.52         NA      26.59        090
                                                       tendon(s).
25316...............  ..............  A               Revise palsy hand          12.31         NA      16.66       2.10         NA      31.07        090
                                                       tendon(s).
25320...............  ..............  A               Repair/revise wrist        10.75         NA      11.21       1.59         NA      23.55        090
                                                       joint.
25332...............  ..............  A               Revise wrist joint...      11.39         NA       9.06       1.76         NA      22.21        090
25335...............  ..............  A               Realignment of hand..      12.86         NA      11.72       2.00         NA      26.58        090
25337...............  ..............  A               Reconstruct ulna/          10.15         NA      11.07       1.58         NA      22.80        090
                                                       radioulnar.
25350...............  ..............  A               Revision of radius...       8.77         NA      14.28       1.41         NA      24.46        090
25355...............  ..............  A               Revision of radius...      10.15         NA      14.90       1.74         NA      26.79        090
25360...............  ..............  A               Revision of ulna.....       8.42         NA      14.17       1.41         NA      24.00        090
25365...............  ..............  A               Revise radius & ulna.      12.38         NA      15.93       2.01         NA      30.32        090
25370...............  ..............  A               Revise radius or ulna      13.34         NA      16.30       2.27         NA      31.91        090
25375...............  ..............  A               Revise radius & ulna.      13.02         NA      16.72       2.22         NA      31.96        090
25390...............  ..............  A               Shorten radius or          10.38         NA      14.91       1.66         NA      26.95        090
                                                       ulna.
25391...............  ..............  A               Lengthen radius or         13.63         NA      16.87       2.09         NA      32.59        090
                                                       ulna.
25392...............  ..............  A               Shorten radius & ulna      13.93         NA      16.24       2.09         NA      32.26        090
25393...............  ..............  A               Lengthen radius &          15.85         NA      17.88       2.26         NA      35.99        090
                                                       ulna.
25394...............  ..............  A               Repair carpal bone,        10.38         NA       8.23       1.69         NA      20.30        090
                                                       shorten.
25400...............  ..............  A               Repair radius or ulna      10.90         NA      15.49       1.81         NA      28.20        090
25405...............  ..............  A               Repair/graft radius        14.36         NA      17.58       2.35         NA      34.29        090
                                                       or ulna.
25415...............  ..............  A               Repair radius & ulna.      13.33         NA      16.81       2.26         NA      32.40        090
25420...............  ..............  A               Repair/graft radius &      16.31         NA      18.56       2.65         NA      37.52        090
                                                       ulna.
25425...............  ..............  A               Repair/graft radius        13.19         NA      22.08       1.94         NA      37.21        090
                                                       or ulna.
25426...............  ..............  A               Repair/graft radius &      15.80         NA      17.29       2.69         NA      35.78        090
                                                       ulna.
25430...............  ..............  A               Vasc graft into             9.24         NA       7.28       1.29         NA      17.81        090
                                                       carpal bone.
25431...............  ..............  A               Repair nonunion            10.42         NA       8.23       0.68         NA      19.33        090
                                                       carpal bone.
25440...............  ..............  A               Repair/graft wrist         10.42         NA       9.41       1.70         NA      21.53        090
                                                       bone.
25441...............  ..............  A               Reconstruct wrist          12.88         NA       9.88       2.21         NA      24.97        090
                                                       joint.
25442...............  ..............  A               Reconstruct wrist          10.83         NA       8.77       1.50         NA      21.10        090
                                                       joint.
25443...............  ..............  A               Reconstruct wrist          10.37         NA       8.65       1.57         NA      20.59        090
                                                       joint.
25444...............  ..............  A               Reconstruct wrist          11.13         NA       9.07       1.72         NA      21.92        090
                                                       joint.
25445...............  ..............  A               Reconstruct wrist           9.68         NA       7.87       1.52         NA      19.07        090
                                                       joint.
25446...............  ..............  A               Wrist replacement....      16.53         NA      11.81       2.65         NA      30.99        090
25447...............  ..............  A               Repair wrist joint(s)      10.35         NA       8.54       1.62         NA      20.51        090
25449...............  ..............  A               Remove wrist joint         14.47         NA      10.57       2.13         NA      27.17        090
                                                       implant.
25450...............  ..............  A               Revision of wrist           7.86         NA      10.41       1.06         NA      19.33        090
                                                       joint.
25455...............  ..............  A               Revision of wrist           9.48         NA      11.33       1.29         NA      22.10        090
                                                       joint.
25490...............  ..............  A               Reinforce radius.....       9.53         NA      14.03       1.44         NA      25.00        090
25491...............  ..............  A               Reinforce ulna.......       9.95         NA      14.79       1.70         NA      26.44        090
25492...............  ..............  A               Reinforce radius and       12.31         NA      15.58       1.95         NA      29.84        090
                                                       ulna.
25500...............  ..............  A               Treat fracture of           2.45       3.99       2.71       0.34       6.78       5.50        090
                                                       radius.
25505...............  ..............  A               Treat fracture of           5.20       7.22       5.25       0.83      13.25      11.28        090
                                                       radius.
25515...............  ..............  A               Treat fracture of           9.17         NA       7.47       1.47         NA      18.11        090
                                                       radius.
25520...............  ..............  A               Treat fracture of           6.25       7.44       5.87       1.03      14.72      13.15        090
                                                       radius.
25525...............  ..............  A               Treat fracture of          12.22         NA       9.94       2.03         NA      24.19        090
                                                       radius.
25526...............  ..............  A               Treat fracture of          12.96         NA      13.59       2.17         NA      28.72        090
                                                       radius.
25530...............  ..............  A               Treat fracture of           2.09       4.14       2.80       0.33       6.56       5.22        090
                                                       ulna.
25535...............  ..............  A               Treat fracture of           5.13       6.85       5.17       0.82      12.80      11.12        090
                                                       ulna.
25545...............  ..............  A               Treat fracture of           8.89         NA       7.65       1.48         NA      18.02        090
                                                       ulna.
25560...............  ..............  A               Treat fracture radius       2.44       4.04       2.64       0.33       6.81       5.41        090
                                                       & ulna.
25565...............  ..............  A               Treat fracture radius       5.62       7.35       5.32       0.92      13.89      11.86        090
                                                       & ulna.
25574...............  ..............  A               Treat fracture radius       7.00         NA       7.13       1.16         NA      15.29        090
                                                       & ulna.
25575...............  ..............  A               Treat fracture radius/     10.43         NA       9.39       1.76         NA      21.58        090
                                                       ulna.
25600...............  ..............  A               Treat fracture radius/      2.63       4.47       2.94       0.41       7.51       5.98        090
                                                       ulna.
25605...............  ..............  A               Treat fracture radius/      5.80       8.03       6.01       0.98      14.81      12.79        090
                                                       ulna.
25611...............  ..............  A               Treat fracture radius/      7.76         NA       8.84       1.30         NA      17.90        090
                                                       ulna.
25620...............  ..............  A               Treat fracture radius/      8.54         NA       7.28       1.41         NA      17.23        090
                                                       ulna.
25622...............  ..............  A               Treat wrist bone            2.61       4.64       3.12       0.40       7.65       6.13        090
                                                       fracture.
25624...............  ..............  A               Treat wrist bone            4.52       6.98       4.90       0.74      12.24      10.16        090
                                                       fracture.
25628...............  ..............  A               Treat wrist bone            8.42         NA       7.81       1.37         NA      17.60        090
                                                       fracture.
25630...............  ..............  A               Treat wrist bone            2.88       4.57       2.94       0.45       7.90       6.27        090
                                                       fracture.
25635...............  ..............  A               Treat wrist bone            4.38       6.75       3.89       0.47      11.60       8.74        090
                                                       fracture.
25645...............  ..............  A               Treat wrist bone            7.24         NA       6.79       1.12         NA      15.15        090
                                                       fracture.
25650...............  ..............  A               Treat wrist bone            3.05       4.83       3.22       0.45       8.33       6.72        090
                                                       fracture.
25651...............  ..............  A               Pin ulnar styloid           5.35         NA       5.39       0.87         NA      11.61        090
                                                       fracture.

[[Page 1133]]

 
25652...............  ..............  A               Treat fracture ulnar        7.59         NA       6.85       1.23         NA      15.67        090
                                                       styloid.
25660...............  ..............  A               Treat wrist                 4.75         NA       4.66       0.71         NA      10.12        090
                                                       dislocation.
25670...............  ..............  A               Treat wrist                 7.91         NA       7.08       1.29         NA      16.28        090
                                                       dislocation.
25671...............  ..............  A               Pin radioulnar              5.99         NA       5.98       0.98         NA      12.95        090
                                                       dislocation.
25675...............  ..............  A               Treat wrist                 4.66       6.49       4.61       0.69      11.84       9.96        090
                                                       dislocation.
25676...............  ..............  A               Treat wrist                 8.03         NA       7.32       1.33         NA      16.68        090
                                                       dislocation.
25680...............  ..............  A               Treat wrist fracture.       5.98         NA       4.75       0.74         NA      11.47        090
25685...............  ..............  A               Treat wrist fracture.       9.77         NA       7.87       1.51         NA      19.15        090
25690...............  ..............  A               Treat wrist                 5.49         NA       5.39       0.94         NA      11.82        090
                                                       dislocation.
25695...............  ..............  A               Treat wrist                 8.33         NA       7.19       1.29         NA      16.81        090
                                                       dislocation.
25800...............  ..............  A               Fusion of wrist joint       9.75         NA       9.10       1.57         NA      20.42        090
25805...............  ..............  A               Fusion/graft of wrist      11.26         NA      10.24       1.82         NA      23.32        090
                                                       joint.
25810...............  ..............  A               Fusion/graft of wrist      10.55         NA       9.88       1.65         NA      22.08        090
                                                       joint.
25820...............  ..............  A               Fusion of hand bones.       7.44         NA       7.88       1.16         NA      16.48        090
25825...............  ..............  A               Fuse hand bones with        9.26         NA       9.22       1.45         NA      19.93        090
                                                       graft.
25830...............  ..............  A               Fusion, radioulnar         10.04         NA      14.69       1.53         NA      26.26        090
                                                       jnt/ulna.
25900...............  ..............  A               Amputation of forearm       9.00         NA      12.89       1.30         NA      23.19        090
25905...............  ..............  A               Amputation of forearm       9.11         NA      12.82       1.28         NA      23.21        090
25907...............  ..............  A               Amputation follow-up        7.79         NA      12.21       1.22         NA      21.22        090
                                                       surgery.
25909...............  ..............  A               Amputation follow-up        8.95         NA      12.76       1.29         NA      23.00        090
                                                       surgery.
25915...............  ..............  A               Amputation of forearm      17.05         NA      19.51       2.91         NA      39.47        090
25920...............  ..............  A               Amputate hand at            8.67         NA       8.00       1.28         NA      17.95        090
                                                       wrist.
25922...............  ..............  A               Amputate hand at            7.41         NA       7.25       1.12         NA      15.78        090
                                                       wrist.
25924...............  ..............  A               Amputation follow-up        8.45         NA       8.22       1.29         NA      17.96        090
                                                       surgery.
25927...............  ..............  A               Amputation of hand...       8.79         NA      12.15       1.23         NA      22.17        090
25929...............  ..............  A               Amputation follow-up        7.58         NA       6.06       1.07         NA      14.71        090
                                                       surgery.
25931...............  ..............  A               Amputation follow-up        7.80         NA      12.06       1.06         NA      20.92        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       5.67       1.66       0.17       7.38       3.37        010
                                                       abscess.
26011...............  ..............  A               Drainage of finger          2.19       9.08       2.31       0.30      11.57       4.80        010
                                                       abscess.
26020...............  ..............  A               Drain hand tendon           4.66         NA       5.57       0.71         NA      10.94        090
                                                       sheath.
26025...............  ..............  A               Drainage of palm            4.81         NA       5.36       0.72         NA      10.89        090
                                                       bursa.
26030...............  ..............  A               Drainage of palm            5.92         NA       6.00       0.87         NA      12.79        090
                                                       bursa(s).
26034...............  ..............  A               Treat hand bone             6.22         NA       6.27       0.95         NA      13.44        090
                                                       lesion.
26035...............  ..............  A               Decompress fingers/         9.50         NA       8.10       1.35         NA      18.95        090
                                                       hand.
26037...............  ..............  A               Decompress fingers/         7.24         NA       6.60       1.05         NA      14.89        090
                                                       hand.
26040...............  ..............  A               Release palm                3.33         NA       3.99       0.54         NA       7.86        090
                                                       contracture.
26045...............  ..............  A               Release palm                5.55         NA       5.56       0.89         NA      12.00        090
                                                       contracture.
26055...............  ..............  A               Incise finger tendon        2.69      14.54       3.85       0.43      17.66       6.97        090
                                                       sheath.
26060...............  ..............  A               Incision of finger          2.81         NA       3.45       0.42         NA       6.68        090
                                                       tendon.
26070...............  ..............  A               Explore/treat hand          3.68         NA       3.36       0.42         NA       7.46        090
                                                       joint.
26075...............  ..............  A               Explore/treat finger        3.78         NA       3.76       0.48         NA       8.02        090
                                                       joint.
26080...............  ..............  A               Explore/treat finger        4.23         NA       4.78       0.63         NA       9.64        090
                                                       joint.
26100...............  ..............  A               Biopsy hand joint           3.66         NA       4.10       0.54         NA       8.30        090
                                                       lining.
26105...............  ..............  A               Biopsy finger joint         3.70         NA       4.17       0.54         NA       8.41        090
                                                       lining.
26110...............  ..............  A               Biopsy finger joint         3.52         NA       3.98       0.53         NA       8.03        090
                                                       lining.
26115...............  ..............  A               Removel hand lesion         3.85      13.33       4.67       0.58      17.76       9.10        090
                                                       subcut.
26116...............  ..............  A               Removel hand lesion,        5.52         NA       5.92       0.83         NA      12.27        090
                                                       deep.
26117...............  ..............  A               Remove tumor, hand/         8.54         NA       7.03       1.22         NA      16.79        090
                                                       finger.
26121...............  ..............  A               Release palm                7.53         NA       6.90       1.13         NA      15.56        090
                                                       contracture.
26123...............  ..............  A               Release palm                9.28         NA       8.74       1.41         NA      19.43        090
                                                       contracture.
26125...............  ..............  A               Release palm                4.60         NA       2.46       0.69         NA       7.75        ZZZ
                                                       contracture.
26130...............  ..............  A               Remove wrist joint          5.41         NA       5.30       0.78         NA      11.49        090
                                                       lining.
26135...............  ..............  A               Revise finger joint,        6.95         NA       6.39       1.05         NA      14.39        090
                                                       each.
26140...............  ..............  A               Revise finger joint,        6.16         NA       5.97       0.92         NA      13.05        090
                                                       each.
26145...............  ..............  A               Tendon excision, palm/      6.31         NA       5.98       0.93         NA      13.22        090
                                                       finger.
26160...............  ..............  A               Remove tendon sheath        3.15      12.69       4.04       0.47      16.31       7.66        090
                                                       lesion.
26170...............  ..............  A               Removal of palm             4.76         NA       4.88       0.72         NA      10.36        090
                                                       tendon, each.
26180...............  ..............  A               Removal of finger           5.17         NA       5.35       0.77         NA      11.29        090
                                                       tendon.
26185...............  ..............  A               Remove finger bone...       5.24         NA       5.91       0.81         NA      11.96        090
26200...............  ..............  A               Remove hand bone            5.50         NA       5.29       0.86         NA      11.65        090
                                                       lesion.
26205...............  ..............  A               Remove/graft bone           7.69         NA       6.84       1.15         NA      15.68        090
                                                       lesion.
26210...............  ..............  A               Removal of finger           5.14         NA       5.36       0.77         NA      11.27        090
                                                       lesion.
26215...............  ..............  A               Remove/graft finger         7.09         NA       6.26       0.93         NA      14.28        090
                                                       lesion.
26230...............  ..............  A               Partial removal of          6.32         NA       5.85       1.01         NA      13.18        090
                                                       hand bone.
26235...............  ..............  A               Partial removal,            6.18         NA       5.75       0.94         NA      12.87        090
                                                       finger bone.
26236...............  ..............  A               Partial removal,            5.31         NA       5.28       0.80         NA      11.39        090
                                                       finger bone.
26250...............  ..............  A               Extensive hand              7.54         NA       6.38       1.11         NA      15.03        090
                                                       surgery.
26255...............  ..............  A               Extensive hand             12.41         NA       9.35       1.27         NA      23.03        090
                                                       surgery.
26260...............  ..............  A               Extensive finger            7.02         NA       6.14       1.00         NA      14.16        090
                                                       surgery.
26261...............  ..............  A               Extensive finger            9.08         NA       6.23       1.01         NA      16.32        090
                                                       surgery.
26262...............  ..............  A               Partial removal of          5.66         NA       5.29       0.84         NA      11.79        090
                                                       finger.
26320...............  ..............  A               Removal of implant          3.97         NA       4.25       0.59         NA       8.81        090
                                                       from hand.
26340...............  ..............  A               Manipulate finger w/        2.50         NA       4.74       0.36         NA       7.60        090
                                                       anesth.
26350...............  ..............  A               Repair finger/hand          5.98         NA      15.49       0.88         NA      22.35        090
                                                       tendon.

[[Page 1134]]

 
26352...............  ..............  A               Repair/graft hand           7.67         NA      16.08       1.12         NA      24.87        090
                                                       tendon.
26356...............  ..............  A               Repair finger/hand          8.06         NA      18.91       1.19         NA      28.16        090
                                                       tendon.
26357...............  ..............  A               Repair finger/hand          8.57         NA      16.53       1.23         NA      26.33        090
                                                       tendon.
26358...............  ..............  A               Repair/graft hand           9.13         NA      17.43       1.29         NA      27.85        090
                                                       tendon.
26370...............  ..............  A               Repair finger/hand          7.10         NA      15.95       1.09         NA      24.14        090
                                                       tendon.
26372...............  ..............  A               Repair/graft hand           8.75         NA      17.32       1.28         NA      27.35        090
                                                       tendon.
26373...............  ..............  A               Repair finger/hand          8.15         NA      16.87       1.18         NA      26.20        090
                                                       tendon.
26390...............  ..............  A               Revise hand/finger          9.18         NA      13.92       1.31         NA      24.41        090
                                                       tendon.
26392...............  ..............  A               Repair/graft hand          10.24         NA      17.66       1.52         NA      29.42        090
                                                       tendon.
26410...............  ..............  A               Repair hand tendon...       4.62         NA      12.59       0.69         NA      17.90        090
26412...............  ..............  A               Repair/graft hand           6.30         NA      13.92       0.96         NA      21.18        090
                                                       tendon.
26415...............  ..............  A               Excision, hand/finger       8.33         NA      12.28       0.93         NA      21.54        090
                                                       tendon.
26416...............  ..............  A               Graft hand or finger        9.36         NA      15.21       1.45         NA      26.02        090
                                                       tendon.
26418...............  ..............  A               Repair finger tendon.       4.24         NA      12.95       0.60         NA      17.79        090
26420...............  ..............  A               Repair/graft finger         6.76         NA      14.26       1.00         NA      22.02        090
                                                       tendon.
26426...............  ..............  A               Repair finger/hand          6.14         NA      13.78       0.93         NA      20.85        090
                                                       tendon.
26428...............  ..............  A               Repair/graft finger         7.20         NA      14.58       1.01         NA      22.79        090
                                                       tendon.
26432...............  ..............  A               Repair finger tendon.       4.01         NA      10.69       0.58         NA      15.28        090
26433...............  ..............  A               Repair finger tendon.       4.55         NA      11.37       0.68         NA      16.60        090
26434...............  ..............  A               Repair/graft finger         6.08         NA      12.06       0.86         NA      19.00        090
                                                       tendon.
26437...............  ..............  A               Realignment of              5.81         NA      11.98       0.89         NA      18.68        090
                                                       tendons.
26440...............  ..............  A               Release palm/finger         5.01         NA      14.18       0.75         NA      19.94        090
                                                       tendon.
26442...............  ..............  A               Release palm & finger       8.15         NA      16.61       1.13         NA      25.89        090
                                                       tendon.
26445...............  ..............  A               Release hand/finger         4.30         NA      13.93       0.65         NA      18.88        090
                                                       tendon.
26449...............  ..............  A               Release forearm/hand        6.99         NA      16.39       1.01         NA      24.39        090
                                                       tendon.
26450...............  ..............  A               Incision of palm            3.66         NA       7.58       0.55         NA      11.79        090
                                                       tendon.
26455...............  ..............  A               Incision of finger          3.63         NA       7.50       0.57         NA      11.70        090
                                                       tendon.
26460...............  ..............  A               Incise hand/finger          3.45         NA       7.32       0.53         NA      11.30        090
                                                       tendon.
26471...............  ..............  A               Fusion of finger            5.72         NA      11.65       0.88         NA      18.25        090
                                                       tendons.
26474...............  ..............  A               Fusion of finger            5.31         NA      11.84       0.83         NA      17.98        090
                                                       tendons.
26476...............  ..............  A               Tendon lengthening...       5.17         NA      11.37       0.75         NA      17.29        090
26477...............  ..............  A               Tendon shortening....       5.14         NA      11.54       0.72         NA      17.40        090
26478...............  ..............  A               Lengthening of hand         5.79         NA      12.24       0.93         NA      18.96        090
                                                       tendon.
26479...............  ..............  A               Shortening of hand          5.73         NA      12.08       0.92         NA      18.73        090
                                                       tendon.
26480...............  ..............  A               Transplant hand             6.68         NA      15.68       1.01         NA      23.37        090
                                                       tendon.
26483...............  ..............  A               Transplant/graft hand       8.28         NA      16.12       1.24         NA      25.64        090
                                                       tendon.
26485...............  ..............  A               Transplant palm             7.69         NA      16.01       1.13         NA      24.83        090
                                                       tendon.
26489...............  ..............  A               Transplant/graft palm       9.54         NA      12.54       1.18         NA      23.26        090
                                                       tendon.
26490...............  ..............  A               Revise thumb tendon..       8.40         NA      13.16       1.27         NA      22.83        090
26492...............  ..............  A               Tendon transfer with        9.61         NA      13.97       1.44         NA      25.02        090
                                                       graft.
26494...............  ..............  A               Hand tendon/muscle          8.46         NA      13.61       1.36         NA      23.43        090
                                                       transfer.
26496...............  ..............  A               Revise thumb tendon..       9.58         NA      13.61       1.41         NA      24.60        090
26497...............  ..............  A               Finger tendon               9.56         NA      13.96       1.41         NA      24.93        090
                                                       transfer.
26498...............  ..............  A               Finger tendon              13.98         NA      16.55       2.10         NA      32.63        090
                                                       transfer.
26499...............  ..............  A               Revision of finger...       8.97         NA      13.50       1.13         NA      23.60        090
26500...............  ..............  A               Hand tendon                 5.95         NA      12.12       0.80         NA      18.87        090
                                                       reconstruction.
26502...............  ..............  A               Hand tendon                 7.13         NA      12.58       1.05         NA      20.76        090
                                                       reconstruction.
26504...............  ..............  A               Hand tendon                 7.46         NA      13.01       1.01         NA      21.48        090
                                                       reconstruction.
26508...............  ..............  A               Release thumb               6.00         NA      12.11       0.92         NA      19.03        090
                                                       contracture.
26510...............  ..............  A               Thumb tendon transfer       5.42         NA      11.79       0.86         NA      18.07        090
26516...............  ..............  A               Fusion of knuckle           7.14         NA      12.65       1.09         NA      20.88        090
                                                       joint.
26517...............  ..............  A               Fusion of knuckle           8.82         NA      13.96       1.16         NA      23.94        090
                                                       joints.
26518...............  ..............  A               Fusion of knuckle           9.01         NA      13.77       1.36         NA      24.14        090
                                                       joints.
26520...............  ..............  A               Release knuckle             5.29         NA      14.63       0.78         NA      20.70        090
                                                       contracture.
26525...............  ..............  A               Release finger              5.32         NA      14.74       0.80         NA      20.86        090
                                                       contracture.
26530...............  ..............  A               Revise knuckle joint.       6.68         NA       6.02       1.04         NA      13.74        090
26531...............  ..............  A               Revise knuckle with         7.90         NA       6.99       1.22         NA      16.11        090
                                                       implant.
26535...............  ..............  A               Revise finger joint..       5.23         NA       3.69       0.80         NA       9.72        090
26536...............  ..............  A               Revise/implant finger       6.36         NA       9.74       0.96         NA      17.06        090
                                                       joint.
26540...............  ..............  A               Repair hand joint....       6.42         NA      12.35       0.98         NA      19.75        090
26541...............  ..............  A               Repair hand joint           8.61         NA      13.83       1.35         NA      23.79        090
                                                       with graft.
26542...............  ..............  A               Repair hand joint           6.77         NA      12.39       1.05         NA      20.21        090
                                                       with graft.
26545...............  ..............  A               Reconstruct finger          6.91         NA      12.79       0.95         NA      20.65        090
                                                       joint.
26546...............  ..............  A               Repair nonunion hand.       8.91         NA      15.20       1.37         NA      25.48        090
26548...............  ..............  A               Reconstruct finger          8.02         NA      13.39       1.18         NA      22.59        090
                                                       joint.
26550...............  ..............  A               Construct thumb            21.21         NA      18.16       2.17         NA      41.54        090
                                                       replacement.
26551...............  ..............  A               Great toe-hand             46.51         NA      33.71       7.92         NA      88.14        090
                                                       transfer.
26553...............  ..............  A               Single transfer, toe-      46.20         NA      23.22       2.40         NA      71.82        090
                                                       hand.
26554...............  ..............  A               Double transfer, toe-      54.87         NA      38.02       9.36         NA     102.25        090
                                                       hand.
26555...............  ..............  A               Positional change of       16.61         NA      18.67       2.57         NA      37.85        090
                                                       finger.
26556...............  ..............  A               Toe joint transfer...      47.19         NA      34.50       8.04         NA      89.73        090
26560...............  ..............  A               Repair of web finger.       5.37         NA      10.28       0.72         NA      16.37        090
26561...............  ..............  A               Repair of web finger.      10.90         NA      12.93       0.83         NA      24.66        090
26562...............  ..............  A               Repair of web finger.      14.98         NA      17.59       1.18         NA      33.75        090
26565...............  ..............  A               Correct metacarpal          6.73         NA      12.46       1.01         NA      20.20        090
                                                       flaw.

[[Page 1135]]

 
26567...............  ..............  A               Correct finger              6.81         NA      12.39       1.01         NA      20.21        090
                                                       deformity.
26568...............  ..............  A               Lengthen metacarpal/        9.07         NA      16.09       1.33         NA      26.49        090
                                                       finger.
26580...............  ..............  A               Repair hand deformity      18.15         NA      13.98       1.76         NA      33.89        090
26587...............  ..............  A               Reconstruct extra          14.03         NA       9.05       1.35         NA      24.43        090
                                                       finger.
26590...............  ..............  A               Repair finger              17.93         NA      14.40       1.59         NA      33.92        090
                                                       deformity.
26591...............  ..............  A               Repair muscles of           3.25         NA      10.44       0.45         NA      14.14        090
                                                       hand.
26593...............  ..............  A               Release muscles of          5.30         NA      11.51       0.77         NA      17.58        090
                                                       hand.
26596...............  ..............  A               Excision constricting       8.94         NA       9.01       1.05         NA      19.00        090
                                                       tissue.
26600...............  ..............  A               Treat metacarpal            1.96       4.08       2.64       0.30       6.34       4.90        090
                                                       fracture.
26605...............  ..............  A               Treat metacarpal            2.85       5.25       3.58       0.46       8.56       6.89        090
                                                       fracture.
26607...............  ..............  A               Treat metacarpal            5.35         NA       6.35       0.84         NA      12.54        090
                                                       fracture.
26608...............  ..............  A               Treat metacarpal            5.35         NA       6.35       0.88         NA      12.58        090
                                                       fracture.
26615...............  ..............  A               Treat metacarpal            5.32         NA       5.53       0.84         NA      11.69        090
                                                       fracture.
26641...............  ..............  A               Treat thumb                 3.93       5.40       3.58       0.51       9.84       8.02        090
                                                       dislocation.
26645...............  ..............  A               Treat thumb fracture.       4.40       6.10       4.17       0.65      11.15       9.22        090
26650...............  ..............  A               Treat thumb fracture.       5.71         NA       6.76       0.93         NA      13.40        090
26665...............  ..............  A               Treat thumb fracture.       7.59         NA       6.80       1.17         NA      15.56        090
26670...............  ..............  A               Treat hand                  3.68       4.89       3.03       0.43       9.00       7.14        090
                                                       dislocation.
26675...............  ..............  A               Treat hand                  4.63       6.23       4.41       0.68      11.54       9.72        090
                                                       dislocation.
26676...............  ..............  A               Pin hand dislocation.       5.51         NA       6.79       0.92         NA      13.22        090
26685...............  ..............  A               Treat hand                  6.97         NA       6.26       1.15         NA      14.38        090
                                                       dislocation.
26686...............  ..............  A               Treat hand                  7.93         NA       7.03       1.27         NA      16.23        090
                                                       dislocation.
26700...............  ..............  A               Treat knuckle               3.68       4.65       2.96       0.42       8.75       7.06        090
                                                       dislocation.
26705...............  ..............  A               Treat knuckle               4.18       6.03       4.24       0.60      10.81       9.02        090
                                                       dislocation.
26706...............  ..............  A               Pin knuckle                 5.11         NA       5.09       0.77         NA      10.97        090
                                                       dislocation.
26715...............  ..............  A               Treat knuckle               5.73         NA       5.71       0.90         NA      12.34        090
                                                       dislocation.
26720...............  ..............  A               Treat finger                1.66       3.89       2.60       0.24       5.79       4.50        090
                                                       fracture, each.
26725...............  ..............  A               Treat finger                3.33       6.09       4.04       0.52       9.94       7.89        090
                                                       fracture, each.
26727...............  ..............  A               Treat finger                5.22         NA       6.40       0.83         NA      12.45        090
                                                       fracture, each.
26735...............  ..............  A               Treat finger                5.97         NA       5.86       0.93         NA      12.76        090
                                                       fracture, each.
26740...............  ..............  A               Treat finger                1.94       3.56       2.69       0.29       5.79       4.92        090
                                                       fracture, each.
26742...............  ..............  A               Treat finger                3.84       5.81       3.85       0.59      10.24       8.28        090
                                                       fracture, each.
26746...............  ..............  A               Treat finger                5.80         NA       5.91       0.89         NA      12.60        090
                                                       fracture, each.
26750...............  ..............  A               Treat finger                1.70       3.14       2.08       0.23       5.07       4.01        090
                                                       fracture, each.
26755...............  ..............  A               Treat finger                3.10       4.81       3.05       0.45       8.36       6.60        090
                                                       fracture, each.
26756...............  ..............  A               Pin finger fracture,        4.38         NA       6.04       0.68         NA      11.10        090
                                                       each.
26765...............  ..............  A               Treat finger                4.16         NA       4.78       0.62         NA       9.56        090
                                                       fracture, each.
26770...............  ..............  A               Treat finger                3.02       4.40       2.55       0.33       7.75       5.90        090
                                                       dislocation.
26775...............  ..............  A               Treat finger                3.70       5.85       3.82       0.52      10.07       8.04        090
                                                       dislocation.
26776...............  ..............  A               Pin finger                  4.79         NA       6.21       0.76         NA      11.76        090
                                                       dislocation.
26785...............  ..............  A               Treat finger                4.20         NA       4.81       0.65         NA       9.66        090
                                                       dislocation.
26820...............  ..............  A               Thumb fusion with           8.25         NA      13.63       1.34         NA      23.22        090
                                                       graft.
26841...............  ..............  A               Fusion of thumb......       7.12         NA      13.53       1.17         NA      21.82        090
26842...............  ..............  A               Thumb fusion with           8.23         NA      13.71       1.33         NA      23.27        090
                                                       graft.
26843...............  ..............  A               Fusion of hand joint.       7.60         NA      12.68       1.19         NA      21.47        090
26844...............  ..............  A               Fusion/graft of hand        8.72         NA      13.68       1.35         NA      23.75        090
                                                       joint.
26850...............  ..............  A               Fusion of knuckle....       6.96         NA      12.56       1.07         NA      20.59        090
26852...............  ..............  A               Fusion of knuckle           8.45         NA      13.25       1.27         NA      22.97        090
                                                       with graft.
26860...............  ..............  A               Fusion of finger            4.68         NA      11.55       0.72         NA      16.95        090
                                                       joint.
26861...............  ..............  A               Fusion of finger jnt,       1.74         NA       0.93       0.27         NA       2.94        ZZZ
                                                       add-on.
26862...............  ..............  A               Fusion/graft of             7.36         NA      12.75       1.11         NA      21.22        090
                                                       finger joint.
26863...............  ..............  A               Fuse/graft added            3.89         NA       2.12       0.62         NA       6.63        ZZZ
                                                       joint.
26910...............  ..............  A               Amputate metacarpal         7.59         NA      11.70       1.09         NA      20.38        090
                                                       bone.
26951...............  ..............  A               Amputation of finger/       4.58         NA      10.62       0.68         NA      15.88        090
                                                       thumb.
26952...............  ..............  A               Amputation of finger/       6.30         NA      12.23       0.89         NA      19.42        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          7.47         NA       7.63       1.11         NA      16.21        090
                                                       lesion.
26991...............  ..............  A               Drainage of pelvis          6.67       7.47       5.94       1.03      15.17      13.64        090
                                                       bursa.
26992...............  ..............  A               Drainage of bone           13.00         NA      10.86       2.11         NA      25.97        090
                                                       lesion.
27000...............  ..............  A               Incision of hip             5.61         NA       5.29       0.92         NA      11.82        090
                                                       tendon.
27001...............  ..............  A               Incision of hip             6.93         NA       6.15       1.15         NA      14.23        090
                                                       tendon.
27003...............  ..............  A               Incision of hip             7.33         NA       6.55       1.12         NA      15.00        090
                                                       tendon.
27005...............  ..............  A               Incision of hip             9.65         NA       7.85       1.64         NA      19.14        090
                                                       tendon.
27006...............  ..............  A               Incision of hip             9.67         NA       7.99       1.60         NA      19.26        090
                                                       tendons.
27025...............  ..............  A               Incision of hip/thigh      11.14         NA       8.60       1.66         NA      21.40        090
                                                       fascia.
27030...............  ..............  A               Drainage of hip joint      12.99         NA       9.66       2.18         NA      24.83        090
27033...............  ..............  A               Exploration of hip         13.37         NA       9.93       2.26         NA      25.56        090
                                                       joint.
27035...............  ..............  A               Denervation of hip         16.66         NA      12.33       2.05         NA      31.04        090
                                                       joint.
27036...............  ..............  A               Excision of hip joint/     12.86         NA      10.03       2.17         NA      25.06        090
                                                       muscle.
27040...............  ..............  A               Biopsy of soft              2.87       2.62       2.05       0.25       5.74       5.17        010
                                                       tissues.
27041...............  ..............  A               Biopsy of soft              9.88         NA       6.73       1.22         NA      17.83        090
                                                       tissues.
27047...............  ..............  A               Remove hip/pelvis           7.44       6.55       4.99       0.95      14.94      13.38        090
                                                       lesion.
27048...............  ..............  A               Remove hip/pelvis           6.24         NA       5.04       0.88         NA      12.16        090
                                                       lesion.
27049...............  ..............  A               Remove tumor, hip/         13.64         NA       8.81       1.93         NA      24.38        090
                                                       pelvis.
27050...............  ..............  A               Biopsy of sacroiliac        4.35         NA       4.48       0.64         NA       9.47        090
                                                       joint.

[[Page 1136]]

 
27052...............  ..............  A               Biopsy of hip joint..       6.22         NA       5.89       1.03         NA      13.14        090
27054...............  ..............  A               Removal of hip joint        8.53         NA       7.36       1.41         NA      17.30        090
                                                       lining.
27060...............  ..............  A               Removal of ischial          5.42         NA       4.84       0.72         NA      10.98        090
                                                       bursa.
27062...............  ..............  A               Remove femur lesion/        5.36         NA       5.22       0.89         NA      11.47        090
                                                       bursa.
27065...............  ..............  A               Removal of hip bone         5.89         NA       5.54       0.92         NA      12.35        090
                                                       lesion.
27066...............  ..............  A               Removal of hip bone        10.31         NA       8.51       1.71         NA      20.53        090
                                                       lesion.
27067...............  ..............  A               Remove/graft hip bone      13.81         NA      10.67       2.35         NA      26.83        090
                                                       lesion.
27070...............  ..............  A               Partial removal of         10.70         NA       9.78       1.64         NA      22.12        090
                                                       hip bone.
27071...............  ..............  A               Partial removal of         11.44         NA      10.75       1.82         NA      24.01        090
                                                       hip bone.
27075...............  ..............  A               Extensive hip surgery      34.95         NA      19.68       2.68         NA      57.31        090
27076...............  ..............  A               Extensive hip surgery      22.09         NA      14.79       3.45         NA      40.33        090
27077...............  ..............  A               Extensive hip surgery      39.94         NA      23.10       3.84         NA      66.88        090
27078...............  ..............  A               Extensive hip surgery      13.42         NA      10.43       2.01         NA      25.86        090
27079...............  ..............  A               Extensive hip surgery      13.73         NA      10.09       2.24         NA      26.06        090
27080...............  ..............  A               Removal of tail bone.       6.38         NA       5.08       0.96         NA      12.42        090
27086...............  ..............  A               Remove hip foreign          1.87       2.01       1.87       0.21       4.09       3.95        010
                                                       body.
27087...............  ..............  A               Remove hip foreign          8.53         NA       6.71       1.31         NA      16.55        090
                                                       body.
27090...............  ..............  A               Removal of hip             11.13         NA       8.65       1.87         NA      21.65        090
                                                       prosthesis.
27091...............  ..............  A               Removal of hip             22.11         NA      13.86       3.75         NA      39.72        090
                                                       prosthesis.
27093...............  ..............  A               Injection for hip x-        1.30      12.21       0.48       0.11      13.62       1.89        000
                                                       ray.
27095...............  ..............  A               Injection for hip x-        1.50      10.76       0.52       0.12      12.38       2.14        000
                                                       ray.
27096...............  ..............  A               Inject sacroiliac           1.40       9.35       0.33       0.10      10.85       1.83        000
                                                       joint.
27097...............  ..............  A               Revision of hip             8.79         NA       6.47       1.47         NA      16.73        090
                                                       tendon.
27098...............  ..............  A               Transfer tendon to          8.82         NA       7.10       1.50         NA      17.42        090
                                                       pelvis.
27100...............  ..............  A               Transfer of abdominal      11.06         NA       8.73       1.89         NA      21.68        090
                                                       muscle.
27105...............  ..............  A               Transfer of spinal         11.75         NA       9.20       2.00         NA      22.95        090
                                                       muscle.
27110...............  ..............  A               Transfer of iliopsoas      13.24         NA       9.33       1.66         NA      24.23        090
                                                       muscle.
27111...............  ..............  A               Transfer of iliopsoas      12.13         NA       9.18       1.79         NA      23.10        090
                                                       muscle.
27120...............  ..............  A               Reconstruction of hip      17.98         NA      11.74       2.95         NA      32.67        090
                                                       socket.
27122...............  ..............  A               Reconstruction of hip      14.96         NA      10.91       2.51         NA      28.38        090
                                                       socket.
27125...............  ..............  A               Partial hip                14.67         NA      10.49       2.47         NA      27.63        090
                                                       replacement.
27130...............  ..............  A               Total hip                  20.09         NA      13.21       3.40         NA      36.70        090
                                                       arthroplasty.
27132...............  ..............  A               Total hip                  23.27         NA      15.48       3.93         NA      42.68        090
                                                       arthroplasty.
27134...............  ..............  A               Revise hip joint           28.48         NA      17.69       4.79         NA      50.96        090
                                                       replacement.
27137...............  ..............  A               Revise hip joint           21.14         NA      13.82       3.58         NA      38.54        090
                                                       replacement.
27138...............  ..............  A               Revise hip joint           22.14         NA      14.28       3.75         NA      40.17        090
                                                       replacement.
27140...............  ..............  A               Transplant femur           12.22         NA       9.41       2.01         NA      23.64        090
                                                       ridge.
27146...............  ..............  A               Incision of hip bone.      17.40         NA      12.27       2.74         NA      32.41        090
27147...............  ..............  A               Revision of hip bone.      20.55         NA      13.34       3.15         NA      37.04        090
27151...............  ..............  A               Incision of hip bones      22.48         NA       8.21       3.76         NA      34.45        090
27156...............  ..............  A               Revision of hip bones      24.59         NA      16.10       4.20         NA      44.89        090
27158...............  ..............  A               Revision of pelvis...      19.71         NA      11.24       3.14         NA      34.09        090
27161...............  ..............  A               Incision of neck of        16.68         NA      12.09       2.80         NA      31.57        090
                                                       femur.
27165...............  ..............  A               Incision/fixation of       17.88         NA      12.85       3.03         NA      33.76        090
                                                       femur.
27170...............  ..............  A               Repair/graft femur         16.05         NA      11.30       2.65         NA      30.00        090
                                                       head/neck.
27175...............  ..............  A               Treat slipped               8.45         NA       6.58       1.44         NA      16.47        090
                                                       epiphysis.
27176...............  ..............  A               Treat slipped              12.03         NA       8.98       2.03         NA      23.04        090
                                                       epiphysis.
27177...............  ..............  A               Treat slipped              15.06         NA      10.83       2.54         NA      28.43        090
                                                       epiphysis.
27178...............  ..............  A               Treat slipped              11.97         NA       8.40       2.03         NA      22.40        090
                                                       epiphysis.
27179...............  ..............  A               Revise head/neck of        12.96         NA       9.92       2.22         NA      25.10        090
                                                       femur.
27181...............  ..............  A               Treat slipped              14.66         NA      10.15       2.10         NA      26.91        090
                                                       epiphysis.
27185...............  ..............  A               Revision of femur           9.17         NA       7.58       1.56         NA      18.31        090
                                                       epiphysis.
27187...............  ..............  A               Reinforce hip bones..      13.52         NA      10.33       2.28         NA      26.13        090
27193...............  ..............  A               Treat pelvic ring           5.55       7.10       5.74       0.93      13.58      12.22        090
                                                       fracture.
27194...............  ..............  A               Treat pelvic ring           9.64       8.75       7.50       1.59      19.98      18.73        090
                                                       fracture.
27200...............  ..............  A               Treat tail bone             1.84       3.04       2.17       0.27       5.15       4.28        090
                                                       fracture.
27202...............  ..............  A               Treat tail bone             7.03         NA      17.65       0.83         NA      25.51        090
                                                       fracture.
27215...............  ..............  A               Treat pelvic               10.03         NA       7.17       1.65         NA      18.85        090
                                                       fracture(s).
27216...............  ..............  A               Treat pelvic ring          15.17         NA       9.72       2.59         NA      27.48        090
                                                       fracture.
27217...............  ..............  A               Treat pelvic ring          14.09         NA      10.15       2.35         NA      26.59        090
                                                       fracture.
27218...............  ..............  A               Treat pelvic ring          20.12         NA      11.50       3.44         NA      35.06        090
                                                       fracture.
27220...............  ..............  A               Treat hip socket            6.17       7.06       5.51       1.03      14.26      12.71        090
                                                       fracture.
27222...............  ..............  A               Treat hip socket           12.68         NA       9.88       2.13         NA      24.69        090
                                                       fracture.
27226...............  ..............  A               Treat hip wall             14.89         NA       7.92       2.50         NA      25.31        090
                                                       fracture.
27227...............  ..............  A               Treat hip fracture(s)      23.41         NA      15.35       3.91         NA      42.67        090
27228...............  ..............  A               Treat hip fracture(s)      27.12         NA      17.57       4.55         NA      49.24        090
27230...............  ..............  A               Treat thigh fracture.       5.49       6.51       5.04       0.88      12.88      11.41        090
27232...............  ..............  A               Treat thigh fracture.      10.66         NA       7.18       1.75         NA      19.59        090
27235...............  ..............  A               Treat thigh fracture.      12.14         NA       9.39       2.06         NA      23.59        090
27236...............  ..............  A               Treat thigh fracture.      15.58         NA      10.93       2.63         NA      29.14        090
27238...............  ..............  A               Treat thigh fracture.       5.51         NA       5.09       0.92         NA      11.52        090
27240...............  ..............  A               Treat thigh fracture.      12.48         NA       9.37       2.04         NA      23.89        090
27244...............  ..............  A               Treat thigh fracture.      15.92         NA      11.26       2.69         NA      29.87        090
27245...............  ..............  A               Treat thigh fracture.      20.28         NA      13.70       3.44         NA      37.42        090
27246...............  ..............  A               Treat thigh fracture.       4.70       5.66       4.41       0.80      11.16       9.91        090

[[Page 1137]]

 
27248...............  ..............  A               Treat thigh fracture.      10.43         NA       8.19       1.75         NA      20.37        090
27250...............  ..............  A               Treat hip dislocation       6.94         NA       4.77       0.82         NA      12.53        090
27252...............  ..............  A               Treat hip dislocation      10.37         NA       7.39       1.65         NA      19.41        090
27253...............  ..............  A               Treat hip dislocation      12.90         NA       9.72       2.18         NA      24.80        090
27254...............  ..............  A               Treat hip dislocation      18.23         NA      12.03       3.04         NA      33.30        090
27256...............  ..............  A               Treat hip dislocation       4.11       3.43       2.09       0.59       8.13       6.79        010
27257...............  ..............  A               Treat hip dislocation       5.21         NA       2.88       0.68         NA       8.77        010
27258...............  ..............  A               Treat hip dislocation      15.41         NA      10.91       2.48         NA      28.80        090
27259...............  ..............  A               Treat hip dislocation      21.52         NA      14.16       3.61         NA      39.29        090
27265...............  ..............  A               Treat hip dislocation       5.04         NA       4.76       0.78         NA      10.58        090
27266...............  ..............  A               Treat hip dislocation       7.48         NA       6.27       1.25         NA      15.00        090
27275...............  ..............  A               Manipulation of hip         2.27         NA       2.13       0.37         NA       4.77        010
                                                       joint.
27280...............  ..............  A               Fusion of sacroiliac       13.37         NA      10.30       2.39         NA      26.06        090
                                                       joint.
27282...............  ..............  A               Fusion of pubic bones      11.32         NA       8.23       1.37         NA      20.92        090
27284...............  ..............  A               Fusion of hip joint..      23.41         NA      14.83       2.85         NA      41.09        090
27286...............  ..............  A               Fusion of hip joint..      23.41         NA      15.81       2.86         NA      42.08        090
27290...............  ..............  A               Amputation of leg at       23.25         NA      14.16       3.55         NA      40.96        090
                                                       hip.
27295...............  ..............  A               Amputation of leg at       18.62         NA      11.54       2.83         NA      32.99        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            6.48       7.34       5.88       0.96      14.78      13.32        090
                                                       lesion.
27303...............  ..............  A               Drainage of bone            8.27         NA       7.24       1.37         NA      16.88        090
                                                       lesion.
27305...............  ..............  A               Incise thigh tendon &       5.91         NA       5.36       0.93         NA      12.20        090
                                                       fascia.
27306...............  ..............  A               Incision of thigh           4.61         NA       4.80       0.75         NA      10.16        090
                                                       tendon.
27307...............  ..............  A               Incision of thigh           5.79         NA       5.52       0.94         NA      12.25        090
                                                       tendons.
27310...............  ..............  A               Exploration of knee         9.26         NA       7.54       1.56         NA      18.36        090
                                                       joint.
27315...............  ..............  A               Partial removal,            6.96         NA       4.83       0.95         NA      12.74        090
                                                       thigh nerve.
27320...............  ..............  A               Partial removal,            6.29         NA       5.12       0.94         NA      12.35        090
                                                       thigh nerve.
27323...............  ..............  A               Biopsy, thigh soft          2.28       2.19       1.92       0.21       4.68       4.41        010
                                                       tissues.
27324...............  ..............  A               Biopsy, thigh soft          4.89         NA       4.35       0.71         NA       9.95        090
                                                       tissues.
27327...............  ..............  A               Removal of thigh            4.46       5.34       3.91       0.60      10.40       8.97        090
                                                       lesion.
27328...............  ..............  A               Removal of thigh            5.56         NA       4.57       0.80         NA      10.93        090
                                                       lesion.
27329...............  ..............  A               Remove tumor, thigh/       14.12         NA       9.51       2.03         NA      25.66        090
                                                       knee.
27330...............  ..............  A               Biopsy, knee joint          4.96         NA       4.61       0.80         NA      10.37        090
                                                       lining.
27331...............  ..............  A               Explore/treat knee          5.87         NA       5.51       0.98         NA      12.36        090
                                                       joint.
27332...............  ..............  A               Removal of knee             8.26         NA       7.08       1.39         NA      16.73        090
                                                       cartilage.
27333...............  ..............  A               Removal of knee             7.29         NA       6.60       1.24         NA      15.13        090
                                                       cartilage.
27334...............  ..............  A               Remove knee joint           8.69         NA       7.38       1.46         NA      17.53        090
                                                       lining.
27335...............  ..............  A               Remove knee joint           9.99         NA       8.18       1.70         NA      19.87        090
                                                       lining.
27340...............  ..............  A               Removal of kneecap          4.17         NA       4.53       0.70         NA       9.40        090
                                                       bursa.
27345...............  ..............  A               Removal of knee cyst.       5.91         NA       5.61       0.98         NA      12.50        090
27347...............  ..............  A               Remove knee cyst.....       5.77         NA       5.42       0.92         NA      12.11        090
27350...............  ..............  A               Removal of kneecap...       8.16         NA       7.19       1.39         NA      16.74        090
27355...............  ..............  A               Remove femur lesion..       7.64         NA       6.81       1.29         NA      15.74        090
27356...............  ..............  A               Remove femur lesion/        9.47         NA       7.88       1.56         NA      18.91        090
                                                       graft.
27357...............  ..............  A               Remove femur lesion/       10.51         NA       8.70       1.79         NA      21.00        090
                                                       graft.
27358...............  ..............  A               Remove femur lesion/        4.73         NA       2.54       0.81         NA       8.08        ZZZ
                                                       fixation.
27360...............  ..............  A               Partial removal, leg       10.48         NA       9.95       1.71         NA      22.14        090
                                                       bone(s).
27365...............  ..............  A               Extensive leg surgery      16.25         NA      11.67       2.73         NA      30.65        090
27370...............  ..............  A               Injection for knee x-       0.96      12.01       0.32       0.07      13.04       1.35        000
                                                       ray.
27372...............  ..............  A               Removal of foreign          5.06       6.00       4.69       0.75      11.81      10.50        090
                                                       body.
27380...............  ..............  A               Repair of kneecap           7.15         NA       7.25       1.21         NA      15.61        090
                                                       tendon.
27381...............  ..............  A               Repair/graft kneecap       10.32         NA       9.05       1.74         NA      21.11        090
                                                       tendon.
27385...............  ..............  A               Repair of thigh             7.75         NA       7.59       1.31         NA      16.65        090
                                                       muscle.
27386...............  ..............  A               Repair/graft of thigh      10.54         NA       9.46       1.80         NA      21.80        090
                                                       muscle.
27390...............  ..............  A               Incision of thigh           5.32         NA       5.26       0.83         NA      11.41        090
                                                       tendon.
27391...............  ..............  A               Incision of thigh           7.19         NA       6.63       1.19         NA      15.01        090
                                                       tendons.
27392...............  ..............  A               Incision of thigh           9.19         NA       7.72       1.48         NA      18.39        090
                                                       tendons.
27393...............  ..............  A               Lengthening of thigh        6.38         NA       5.85       1.09         NA      13.32        090
                                                       tendon.
27394...............  ..............  A               Lengthening of thigh        8.49         NA       7.28       1.41         NA      17.18        090
                                                       tendons.
27395...............  ..............  A               Lengthening of thigh       11.71         NA       9.38       1.97         NA      23.06        090
                                                       tendons.
27396...............  ..............  A               Transplant of thigh         7.85         NA       7.07       1.34         NA      16.26        090
                                                       tendon.
27397...............  ..............  A               Transplants of thigh       11.26         NA       9.03       1.91         NA      22.20        090
                                                       tendons.
27400...............  ..............  A               Revise thigh muscles/       9.01         NA       7.34       1.42         NA      17.77        090
                                                       tendons.
27403...............  ..............  A               Repair of knee              8.32         NA       7.14       1.40         NA      16.86        090
                                                       cartilage.
27405...............  ..............  A               Repair of knee              8.64         NA       7.46       1.46         NA      17.56        090
                                                       ligament.
27407...............  ..............  A               Repair of knee             10.26         NA       8.30       1.66         NA      20.22        090
                                                       ligament.
27409...............  ..............  A               Repair of knee             12.88         NA       9.91       2.11         NA      24.90        090
                                                       ligaments.
27418...............  ..............  A               Repair degenerated         10.83         NA       8.85       1.82         NA      21.50        090
                                                       kneecap.
27420...............  ..............  A               Revision of unstable        9.82         NA       8.05       1.66         NA      19.53        090
                                                       kneecap.
27422...............  ..............  A               Revision of unstable        9.77         NA       8.07       1.65         NA      19.49        090
                                                       kneecap.
27424...............  ..............  A               Revision/removal of         9.80         NA       8.04       1.66         NA      19.50        090
                                                       kneecap.
27425...............  ..............  A               Lat retinacular             5.21         NA       5.49       0.88         NA      11.58        090
                                                       release open.
27427...............  ..............  A               Reconstruction, knee.       9.35         NA       7.74       1.56         NA      18.65        090
27428...............  ..............  A               Reconstruction, knee.      13.98         NA      11.10       2.35         NA      27.43        090
27429...............  ..............  A               Reconstruction, knee.      15.50         NA      12.34       2.63         NA      30.47        090

[[Page 1138]]

 
27430...............  ..............  A               Revision of thigh           9.66         NA       7.96       1.63         NA      19.25        090
                                                       muscles.
27435...............  ..............  A               Incision of knee            9.48         NA       8.36       1.60         NA      19.44        090
                                                       joint.
27437...............  ..............  A               Revise kneecap.......       8.45         NA       7.11       1.42         NA      16.98        090
27438...............  ..............  A               Revise kneecap with        11.21         NA       8.43       1.88         NA      21.52        090
                                                       implant.
27440...............  ..............  A               Revision of knee           10.41         NA       5.97       1.71         NA      18.09        090
                                                       joint.
27441...............  ..............  A               Revision of knee           10.80         NA       6.65       1.80         NA      19.25        090
                                                       joint.
27442...............  ..............  A               Revision of knee           11.87         NA       8.80       2.03         NA      22.70        090
                                                       joint.
27443...............  ..............  A               Revision of knee           10.91         NA       8.59       1.83         NA      21.33        090
                                                       joint.
27445...............  ..............  A               Revision of knee           17.65         NA      12.23       3.00         NA      32.88        090
                                                       joint.
27446...............  ..............  A               Revision of knee           15.82         NA      11.15       2.68         NA      29.65        090
                                                       joint.
27447...............  ..............  A               Total knee                 21.45         NA      14.46       3.62         NA      39.53        090
                                                       arthroplasty.
27448...............  ..............  A               Incision of thigh....      11.04         NA       8.65       1.82         NA      21.51        090
27450...............  ..............  A               Incision of thigh....      13.96         NA      10.59       2.36         NA      26.91        090
27454...............  ..............  A               Realignment of thigh       17.53         NA      12.50       2.97         NA      33.00        090
                                                       bone.
27455...............  ..............  A               Realignment of knee..      12.80         NA       9.87       2.15         NA      24.82        090
27457...............  ..............  A               Realignment of knee..      13.43         NA       9.91       2.27         NA      25.61        090
27465...............  ..............  A               Shortening of thigh        13.85         NA      10.34       2.24         NA      26.43        090
                                                       bone.
27466...............  ..............  A               Lengthening of thigh       16.31         NA      11.87       2.32         NA      30.50        090
                                                       bone.
27468...............  ..............  A               Shorten/lengthen           18.94         NA      12.45       3.23         NA      34.62        090
                                                       thighs.
27470...............  ..............  A               Repair of thigh......      16.05         NA      11.83       2.70         NA      30.58        090
27472...............  ..............  A               Repair/graft of thigh      17.69         NA      12.72       3.00         NA      33.41        090
27475...............  ..............  A               Surgery to stop leg         8.63         NA       7.22       1.36         NA      17.21        090
                                                       growth.
27477...............  ..............  A               Surgery to stop leg         9.84         NA       7.73       1.58         NA      19.15        090
                                                       growth.
27479...............  ..............  A               Surgery to stop leg        12.78         NA       9.86       2.18         NA      24.82        090
                                                       growth.
27485...............  ..............  A               Surgery to stop leg         8.83         NA       7.38       1.50         NA      17.71        090
                                                       growth.
27486...............  ..............  A               Revise/replace knee        19.24         NA      13.34       3.26         NA      35.84        090
                                                       joint.
27487...............  ..............  A               Revise/replace knee        25.23         NA      16.41       4.27         NA      45.91        090
                                                       joint.
27488...............  ..............  A               Removal of knee            15.72         NA      11.54       2.67         NA      29.93        090
                                                       prosthesis.
27495...............  ..............  A               Reinforce thigh......      15.53         NA      11.47       2.63         NA      29.63        090
27496...............  ..............  A               Decompression of            6.10         NA       5.72       0.93         NA      12.75        090
                                                       thigh/knee.
27497...............  ..............  A               Decompression of            7.16         NA       5.66       1.01         NA      13.83        090
                                                       thigh/knee.
27498...............  ..............  A               Decompression of            7.98         NA       6.11       1.17         NA      15.26        090
                                                       thigh/knee.
27499...............  ..............  A               Decompression of            8.99         NA       6.99       1.42         NA      17.40        090
                                                       thigh/knee.
27500...............  ..............  A               Treatment of thigh          5.91       7.01       4.99       0.96      13.88      11.86        090
                                                       fracture.
27501...............  ..............  A               Treatment of thigh          5.91       7.57       5.66       1.00      14.48      12.57        090
                                                       fracture.
27502...............  ..............  A               Treatment of thigh         10.56         NA       8.10       1.80         NA      20.46        090
                                                       fracture.
27503...............  ..............  A               Treatment of thigh         10.56         NA       8.26       1.80         NA      20.62        090
                                                       fracture.
27506...............  ..............  A               Treatment of thigh         17.42         NA      12.70       2.81         NA      32.93        090
                                                       fracture.
27507...............  ..............  A               Treatment of thigh         13.97         NA       9.88       2.35         NA      26.20        090
                                                       fracture.
27508...............  ..............  A               Treatment of thigh          5.82       6.97       5.32       0.96      13.75      12.10        090
                                                       fracture.
27509...............  ..............  A               Treatment of thigh          7.70         NA       7.90       1.30         NA      16.90        090
                                                       fracture.
27510...............  ..............  A               Treatment of thigh          9.12         NA       7.17       1.52         NA      17.81        090
                                                       fracture.
27511...............  ..............  A               Treatment of thigh         13.62         NA      11.19       2.30         NA      27.11        090
                                                       fracture.
27513...............  ..............  A               Treatment of thigh         17.89         NA      13.83       3.03         NA      34.75        090
                                                       fracture.
27514...............  ..............  A               Treatment of thigh         17.27         NA      13.29       2.91         NA      33.47        090
                                                       fracture.
27516...............  ..............  A               Treat thigh fx growth       5.36       7.27       5.38       0.89      13.52      11.63        090
                                                       plate.
27517...............  ..............  A               Treat thigh fx growth       8.77       8.89       7.35       1.47      19.13      17.59        090
                                                       plate.
27519...............  ..............  A               Treat thigh fx growth      15.00         NA      11.61       2.52         NA      29.13        090
                                                       plate.
27520...............  ..............  A               Treat kneecap               2.86       5.22       3.41       0.46       8.54       6.73        090
                                                       fracture.
27524...............  ..............  A               Treat kneecap               9.99         NA       8.14       1.69         NA      19.82        090
                                                       fracture.
27530...............  ..............  A               Treat knee fracture..       3.77       5.88       4.26       0.62      10.27       8.65        090
27532...............  ..............  A               Treat knee fracture..       7.29       7.82       6.26       1.23      16.34      14.78        090
27535...............  ..............  A               Treat knee fracture..      11.48         NA      10.09       1.94         NA      23.51        090
27536...............  ..............  A               Treat knee fracture..      15.63         NA      11.48       2.64         NA      29.75        090
27538...............  ..............  A               Treat knee                  4.86       7.07       5.08       0.81      12.74      10.75        090
                                                       fracture(s).
27540...............  ..............  A               Treat knee fracture..      13.08         NA       9.46       2.17         NA      24.71        090
27550...............  ..............  A               Treat knee                  5.75       6.57       4.92       0.82      13.14      11.49        090
                                                       dislocation.
27552...............  ..............  A               Treat knee                  7.89         NA       6.86       1.33         NA      16.08        090
                                                       dislocation.
27556...............  ..............  A               Treat knee                 14.39         NA      11.66       2.42         NA      28.47        090
                                                       dislocation.
27557...............  ..............  A               Treat knee                 16.74         NA      13.12       2.86         NA      32.72        090
                                                       dislocation.
27558...............  ..............  A               Treat knee                 17.69         NA      13.08       3.03         NA      33.80        090
                                                       dislocation.
27560...............  ..............  A               Treat kneecap               3.81       5.58       3.29       0.48       9.87       7.58        090
                                                       dislocation.
27562...............  ..............  A               Treat kneecap               5.78         NA       4.79       0.83         NA      11.40        090
                                                       dislocation.
27566...............  ..............  A               Treat kneecap              12.21         NA       9.26       2.09         NA      23.56        090
                                                       dislocation.
27570...............  ..............  A               Fixation of knee            1.74         NA       1.81       0.29         NA       3.84        010
                                                       joint.
27580...............  ..............  A               Fusion of knee.......      19.34         NA      14.75       3.26         NA      37.35        090
27590...............  ..............  A               Amputate leg at thigh      12.01         NA       7.10       1.63         NA      20.74        090
27591...............  ..............  A               Amputate leg at thigh      12.66         NA       8.87       1.97         NA      23.50        090
27592...............  ..............  A               Amputate leg at thigh      10.00         NA       6.59       1.41         NA      18.00        090
27594...............  ..............  A               Amputation follow-up        6.91         NA       5.45       0.99         NA      13.35        090
                                                       surgery.
27596...............  ..............  A               Amputation follow-up       10.58         NA       7.22       1.50         NA      19.30        090
                                                       surgery.
27598...............  ..............  A               Amputate lower leg at      10.51         NA       7.32       1.50         NA      19.33        090
                                                       knee.
27599...............  ..............  C               Leg surgery procedure       0.00       0.00       0.00       0.00       0.00       0.00        YYY
27600...............  ..............  A               Decompression of            5.64         NA       4.75       0.82         NA      11.21        090
                                                       lower leg.
27601...............  ..............  A               Decompression of            5.63         NA       5.04       0.83         NA      11.50        090
                                                       lower leg.

[[Page 1139]]

 
27602...............  ..............  A               Decompression of            7.34         NA       5.33       1.03         NA      13.70        090
                                                       lower leg.
27603...............  ..............  A               Drain lower leg             4.93      10.64       4.85       0.68      16.25      10.46        090
                                                       lesion.
27604...............  ..............  A               Drain lower leg bursa       4.46       8.58       4.53       0.65      13.69       9.64        090
27605...............  ..............  A               Incision of achilles        2.87       8.80       2.34       0.46      12.13       5.67        010
                                                       tendon.
27606...............  ..............  A               Incision of achilles        4.13      10.03       3.40       0.69      14.85       8.22        010
                                                       tendon.
27607...............  ..............  A               Treat lower leg bone        7.96         NA       6.58       1.30         NA      15.84        090
                                                       lesion.
27610...............  ..............  A               Explore/treat ankle         8.33         NA       7.06       1.39         NA      16.78        090
                                                       joint.
27612...............  ..............  A               Exploration of ankle        7.32         NA       6.12       1.22         NA      14.66        090
                                                       joint.
27613...............  ..............  A               Biopsy lower leg soft       2.17       3.77       1.76       0.19       6.13       4.12        010
                                                       tissue.
27614...............  ..............  A               Biopsy lower leg soft       5.65       8.78       4.63       0.75      15.18      11.03        090
                                                       tissue.
27615...............  ..............  A               Remove tumor, lower        12.54         NA      10.56       1.68         NA      24.78        090
                                                       leg.
27618...............  ..............  A               Remove lower leg            5.08       9.10       4.21       0.65      14.83       9.94        090
                                                       lesion.
27619...............  ..............  A               Remove lower leg            8.39      10.62       6.17       1.22      20.23      15.78        090
                                                       lesion.
27620...............  ..............  A               Explore/treat ankle         5.97         NA       5.50       1.00         NA      12.47        090
                                                       joint.
27625...............  ..............  A               Remove ankle joint          8.29         NA       6.54       1.40         NA      16.23        090
                                                       lining.
27626...............  ..............  A               Remove ankle joint          8.90         NA       7.00       1.48         NA      17.38        090
                                                       lining.
27630...............  ..............  A               Removal of tendon           4.79       8.99       4.46       0.72      14.50       9.97        090
                                                       lesion.
27635...............  ..............  A               Remove lower leg bone       7.77         NA       6.84       1.28         NA      15.89        090
                                                       lesion.
27637...............  ..............  A               Remove/graft leg bone       9.84         NA       8.35       1.66         NA      19.85        090
                                                       lesion.
27638...............  ..............  A               Remove/graft leg bone      10.55         NA       8.39       1.77         NA      20.71        090
                                                       lesion.
27640...............  ..............  A               Partial removal of         11.35         NA      10.81       1.86         NA      24.02        090
                                                       tibia.
27641...............  ..............  A               Partial removal of          9.23         NA       8.83       1.47         NA      19.53        090
                                                       fibula.
27645...............  ..............  A               Extensive lower leg        14.15         NA      12.34       2.39         NA      28.88        090
                                                       surgery.
27646...............  ..............  A               Extensive lower leg        12.64         NA      11.34       1.87         NA      25.85        090
                                                       surgery.
27647...............  ..............  A               Extensive ankle/heel       12.22         NA       7.85       1.98         NA      22.05        090
                                                       surgery.
27648...............  ..............  A               Injection for ankle x-      0.96       9.45       0.33       0.06      10.47       1.35        000
                                                       ray.
27650...............  ..............  A               Repair achilles             9.68         NA       7.51       1.63         NA      18.82        090
                                                       tendon.
27652...............  ..............  A               Repair/graft achilles      10.31         NA       8.01       1.75         NA      20.07        090
                                                       tendon.
27654...............  ..............  A               Repair of achilles         10.00         NA       7.23       1.70         NA      18.93        090
                                                       tendon.
27656...............  ..............  A               Repair leg fascia           4.56       9.93       4.01       0.58      15.07       9.15        090
                                                       defect.
27658...............  ..............  A               Repair of leg tendon,       4.97       9.18       4.77       0.82      14.97      10.56        090
                                                       each.
27659...............  ..............  A               Repair of leg tendon,       6.80      11.30       5.80       1.16      19.26      13.76        090
                                                       each.
27664...............  ..............  A               Repair of leg tendon,       4.58      11.26       4.74       0.76      16.60      10.08        090
                                                       each.
27665...............  ..............  A               Repair of leg tendon,       5.39      11.05       5.18       0.90      17.34      11.47        090
                                                       each.
27675...............  ..............  A               Repair lower leg            7.17         NA       5.79       1.22         NA      14.18        090
                                                       tendons.
27676...............  ..............  A               Repair lower leg            8.41         NA       6.77       1.39         NA      16.57        090
                                                       tendons.
27680...............  ..............  A               Release of lower leg        5.73         NA       5.19       0.96         NA      11.88        090
                                                       tendon.
27681...............  ..............  A               Release of lower leg        6.81         NA       5.96       1.11         NA      13.88        090
                                                       tendons.
27685...............  ..............  A               Revision of lower leg       6.49       8.11       5.51       1.10      15.70      13.10        090
                                                       tendon.
27686...............  ..............  A               Revise lower leg            7.45      12.57       6.59       1.27      21.29      15.31        090
                                                       tendons.
27687...............  ..............  A               Revision of calf            6.23         NA       5.42       1.06         NA      12.71        090
                                                       tendon.
27690...............  ..............  A               Revise lower leg            8.70         NA       6.45       1.47         NA      16.62        090
                                                       tendon.
27691...............  ..............  A               Revise lower leg            9.95         NA       7.81       1.69         NA      19.45        090
                                                       tendon.
27692...............  ..............  A               Revise additional leg       1.87         NA       0.93       0.31         NA       3.11        ZZZ
                                                       tendon.
27695...............  ..............  A               Repair of ankle             6.50         NA       5.92       1.09         NA      13.51        090
                                                       ligament.
27696...............  ..............  A               Repair of ankle             8.26         NA       6.50       1.40         NA      16.16        090
                                                       ligaments.
27698...............  ..............  A               Repair of ankle             9.35         NA       6.98       1.58         NA      17.91        090
                                                       ligament.
27700...............  ..............  A               Revision of ankle           9.28         NA       5.62       1.50         NA      16.40        090
                                                       joint.
27702...............  ..............  A               Reconstruct ankle          13.65         NA      10.32       2.32         NA      26.29        090
                                                       joint.
27703...............  ..............  A               Reconstruction, ankle      15.85         NA      11.09       2.70         NA      29.64        090
                                                       joint.
27704...............  ..............  A               Removal of ankle            7.61         NA       5.52       0.74         NA      13.87        090
                                                       implant.
27705...............  ..............  A               Incision of tibia....      10.36         NA       8.23       1.74         NA      20.33        090
27707...............  ..............  A               Incision of fibula...       4.36         NA       5.01       0.72         NA      10.09        090
27709...............  ..............  A               Incision of tibia &         9.94         NA       8.16       1.68         NA      19.78        090
                                                       fibula.
27712...............  ..............  A               Realignment of lower       14.23         NA      10.72       2.41         NA      27.36        090
                                                       leg.
27715...............  ..............  A               Revision of lower leg      14.37         NA      10.84       2.41         NA      27.62        090
27720...............  ..............  A               Repair of tibia......      11.77         NA       9.45       2.00         NA      23.22        090
27722...............  ..............  A               Repair/graft of tibia      11.80         NA       9.21       1.99         NA      23.00        090
27724...............  ..............  A               Repair/graft of tibia      18.17         NA      12.45       2.53         NA      33.15        090
27725...............  ..............  A               Repair of lower leg..      15.57         NA      11.88       2.65         NA      30.10        090
27727...............  ..............  A               Repair of lower leg..      13.99         NA      10.41       2.22         NA      26.62        090
27730...............  ..............  A               Repair of tibia             7.40      17.74       6.45       0.90      26.04      14.75        090
                                                       epiphysis.
27732...............  ..............  A               Repair of fibula            5.31      11.60       5.00       0.76      17.67      11.07        090
                                                       epiphysis.
27734...............  ..............  A               Repair lower leg            8.47         NA       6.42       1.03         NA      15.92        090
                                                       epiphyses.
27740...............  ..............  A               Repair of leg               9.29      20.61       7.93       1.58      31.48      18.80        090
                                                       epiphyses.
27742...............  ..............  A               Repair of leg              10.28      12.50       7.26       1.87      24.65      19.41        090
                                                       epiphyses.
27745...............  ..............  A               Reinforce tibia......      10.05         NA       8.21       1.66         NA      19.92        090
27750...............  ..............  A               Treatment of tibia          3.19       5.37       3.77       0.52       9.08       7.48        090
                                                       fracture.
27752...............  ..............  A               Treatment of tibia          5.83       7.38       5.49       0.99      14.20      12.31        090
                                                       fracture.
27756...............  ..............  A               Treatment of tibia          6.77         NA       6.52       1.13         NA      14.42        090
                                                       fracture.
27758...............  ..............  A               Treatment of tibia         11.65         NA       9.19       1.83         NA      22.67        090
                                                       fracture.
27759...............  ..............  A               Treatment of tibia         13.74         NA      10.32       2.33         NA      26.39        090
                                                       fracture.
27760...............  ..............  A               Treatment of ankle          3.01       5.25       3.53       0.47       8.73       7.01        090
                                                       fracture.
27762...............  ..............  A               Treatment of ankle          5.24       7.12       5.16       0.86      13.22      11.26        090
                                                       fracture.
27766...............  ..............  A               Treatment of ankle          8.35         NA       7.16       1.41         NA      16.92        090
                                                       fracture.

[[Page 1140]]

 
27780...............  ..............  A               Treatment of fibula         2.65       4.92       3.21       0.40       7.97       6.26        090
                                                       fracture.
27781...............  ..............  A               Treatment of fibula         4.39       6.35       4.49       0.69      11.43       9.57        090
                                                       fracture.
27784...............  ..............  A               Treatment of fibula         7.10         NA       6.45       1.18         NA      14.73        090
                                                       fracture.
27786...............  ..............  A               Treatment of ankle          2.84       5.09       3.33       0.45       8.38       6.62        090
                                                       fracture.
27788...............  ..............  A               Treatment of ankle          4.44       6.46       4.50       0.74      11.64       9.68        090
                                                       fracture.
27792...............  ..............  A               Treatment of ankle          7.65         NA       6.90       1.29         NA      15.84        090
                                                       fracture.
27808...............  ..............  A               Treatment of ankle          2.83       5.68       3.60       0.46       8.97       6.89        090
                                                       fracture.
27810...............  ..............  A               Treatment of ankle          5.12       6.95       4.99       0.86      12.93      10.97        090
                                                       fracture.
27814...............  ..............  A               Treatment of ankle         10.66         NA       8.55       1.81         NA      21.02        090
                                                       fracture.
27816...............  ..............  A               Treatment of ankle          2.89       4.99       3.40       0.45       8.33       6.74        090
                                                       fracture.
27818...............  ..............  A               Treatment of ankle          5.49       7.06       5.04       0.89      13.44      11.42        090
                                                       fracture.
27822...............  ..............  A               Treatment of ankle         10.98         NA      10.63       1.56         NA      23.17        090
                                                       fracture.
27823...............  ..............  A               Treatment of ankle         12.98         NA      11.49       1.99         NA      26.46        090
                                                       fracture.
27824...............  ..............  A               Treat lower leg             2.89       5.56       3.74       0.47       8.92       7.10        090
                                                       fracture.
27825...............  ..............  A               Treat lower leg             6.18       8.19       5.86       1.03      15.40      13.07        090
                                                       fracture.
27826...............  ..............  A               Treat lower leg             8.53         NA       8.87       1.44         NA      18.84        090
                                                       fracture.
27827...............  ..............  A               Treat lower leg            14.04         NA      12.71       2.36         NA      29.11        090
                                                       fracture.
27828...............  ..............  A               Treat lower leg            16.21         NA      13.85       2.74         NA      32.80        090
                                                       fracture.
27829...............  ..............  A               Treat lower leg joint       5.48         NA       6.77       0.93         NA      13.18        090
27830...............  ..............  A               Treat lower leg             3.78       5.12       3.83       0.53       9.43       8.14        090
                                                       dislocation.
27831...............  ..............  A               Treat lower leg             4.55         NA       4.43       0.74         NA       9.72        090
                                                       dislocation.
27832...............  ..............  A               Treat lower leg             6.48         NA       6.16       1.10         NA      13.74        090
                                                       dislocation.
27840...............  ..............  A               Treat ankle                 4.57         NA       3.89       0.57         NA       9.03        090
                                                       dislocation.
27842...............  ..............  A               Treat ankle                 6.20         NA       5.08       0.92         NA      12.20        090
                                                       dislocation.
27846...............  ..............  A               Treat ankle                 9.78         NA       7.91       1.64         NA      19.33        090
                                                       dislocation.
27848...............  ..............  A               Treat ankle                11.18         NA       9.71       1.87         NA      22.76        090
                                                       dislocation.
27860...............  ..............  A               Fixation of ankle           2.34         NA       2.01       0.37         NA       4.72        010
                                                       joint.
27870...............  ..............  A               Fusion of ankle            13.89         NA      10.50       2.35         NA      26.74        090
                                                       joint, open.
27871...............  ..............  A               Fusion of                   9.16         NA       7.62       1.56         NA      18.34        090
                                                       tibiofibular joint.
27880...............  ..............  A               Amputation of lower        11.83         NA       7.46       1.66         NA      20.95        090
                                                       leg.
27881...............  ..............  A               Amputation of lower        12.32         NA       9.01       1.92         NA      23.25        090
                                                       leg.
27882...............  ..............  A               Amputation of lower         8.93         NA       6.93       1.24         NA      17.10        090
                                                       leg.
27884...............  ..............  A               Amputation follow-up        8.20         NA       6.10       1.15         NA      15.45        090
                                                       surgery.
27886...............  ..............  A               Amputation follow-up        9.31         NA       6.82       1.36         NA      17.49        090
                                                       surgery.
27888...............  ..............  A               Amputation of foot at       9.66         NA       7.60       1.52         NA      18.78        090
                                                       ankle.
27889...............  ..............  A               Amputation of foot at       9.97         NA       6.74       1.44         NA      18.15        090
                                                       ankle.
27892...............  ..............  A               Decompression of leg.       7.38         NA       5.85       1.04         NA      14.27        090
27893...............  ..............  A               Decompression of leg.       7.34         NA       5.74       1.09         NA      14.17        090
27894...............  ..............  A               Decompression of leg.      10.47         NA       7.93       1.51         NA      19.91        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       5.82       3.51       0.37       8.92       6.61        010
                                                       foot.
28002...............  ..............  A               Treatment of foot           4.61       7.22       4.64       0.68      12.51       9.93        010
                                                       infection.
28003...............  ..............  A               Treatment of foot           8.40       7.68       6.04       1.24      17.32      15.68        090
                                                       infection.
28005...............  ..............  A               Treat foot bone             8.67         NA       6.36       1.37         NA      16.40        090
                                                       lesion.
28008...............  ..............  A               Incision of foot            4.44       5.68       3.55       0.68      10.80       8.67        090
                                                       fascia.
28010...............  ..............  A               Incision of toe             2.84       5.53       2.91       0.47       8.84       6.22        090
                                                       tendon.
28011...............  ..............  A               Incision of toe             4.13       7.42       4.24       0.70      12.25       9.07        090
                                                       tendons.
28020...............  ..............  A               Exploration of foot         5.00       7.07       4.20       0.77      12.84       9.97        090
                                                       joint.
28022...............  ..............  A               Exploration of foot         4.66       6.09       3.93       0.75      11.50       9.34        090
                                                       joint.
28024...............  ..............  A               Exploration of toe          4.37       6.20       3.99       0.60      11.17       8.96        090
                                                       joint.
28030...............  ..............  A               Removal of foot nerve       6.14         NA       3.58       1.03         NA      10.75        090
28035...............  ..............  A               Decompression of            5.08       5.54       4.03       0.86      11.48       9.97        090
                                                       tibia nerve.
28043...............  ..............  A               Excision of foot            3.53       5.79       3.28       0.54       9.86       7.35        090
                                                       lesion.
28045...............  ..............  A               Excision of foot            4.71       6.12       3.71       0.75      11.58       9.17        090
                                                       lesion.
28046...............  ..............  A               Resection of tumor,        10.16       9.42       7.34       1.36      20.94      18.86        090
                                                       foot.
28050...............  ..............  A               Biopsy of foot joint        4.24       5.78       3.66       0.66      10.68       8.56        090
                                                       lining.
28052...............  ..............  A               Biopsy of foot joint        3.93       5.97       3.56       0.62      10.52       8.11        090
                                                       lining.
28054...............  ..............  A               Biopsy of toe joint         3.44       5.82       3.36       0.54       9.80       7.34        090
                                                       lining.
28060...............  ..............  A               Partial removal, foot       5.22       6.39       4.03       0.83      12.44      10.08        090
                                                       fascia.
28062...............  ..............  A               Removal of foot             6.51       7.13       4.19       1.03      14.67      11.73        090
                                                       fascia.
28070...............  ..............  A               Removal of foot joint       5.09       5.96       3.89       0.82      11.87       9.80        090
                                                       lining.
28072...............  ..............  A               Removal of foot joint       4.57       6.43       4.32       0.77      11.77       9.66        090
                                                       lining.
28080...............  ..............  A               Removal of foot             3.57       5.93       3.70       0.60      10.10       7.87        090
                                                       lesion.
28086...............  ..............  A               Excise foot tendon          4.77       9.50       4.69       0.80      15.07      10.26        090
                                                       sheath.
28088...............  ..............  A               Excise foot tendon          3.85       7.04       4.00       0.63      11.52       8.48        090
                                                       sheath.
28090...............  ..............  A               Removal of foot             4.40       6.02       3.55       0.69      11.11       8.64        090
                                                       lesion.
28092...............  ..............  A               Removal of toe              3.63       6.33       3.61       0.55      10.51       7.79        090
                                                       lesions.
28100...............  ..............  A               Removal of ankle/heel       5.65       9.21       4.81       0.92      15.78      11.38        090
                                                       lesion.
28102...............  ..............  A               Remove/graft foot           7.72         NA       6.05       1.17         NA      14.94        090
                                                       lesion.
28103...............  ..............  A               Remove/graft foot           6.49       8.41       4.76       1.07      15.97      12.32        090
                                                       lesion.
28104...............  ..............  A               Removal of foot             5.11       6.35       4.05       0.83      12.29       9.99        090
                                                       lesion.
28106...............  ..............  A               Remove/graft foot           7.15         NA       4.59       1.22         NA      12.96        090
                                                       lesion.
28107...............  ..............  A               Remove/graft foot           5.55       7.24       4.32       0.89      13.68      10.76        090
                                                       lesion.
28108...............  ..............  A               Removal of toe              4.15       5.44       3.36       0.63      10.22       8.14        090
                                                       lesions.
28110...............  ..............  A               Part removal of             4.07       6.03       3.68       0.59      10.69       8.34        090
                                                       metatarsal.

[[Page 1141]]

 
28111...............  ..............  A               Part removal of             5.00       7.18       4.18       0.76      12.94       9.94        090
                                                       metatarsal.
28112...............  ..............  A               Part removal of             4.48       6.69       4.06       0.72      11.89       9.26        090
                                                       metatarsal.
28113...............  ..............  A               Part removal of             4.78       6.81       4.66       0.76      12.35      10.20        090
                                                       metatarsal.
28114...............  ..............  A               Removal of metatarsal       9.78      11.93       8.52       1.64      23.35      19.94        090
                                                       heads.
28116...............  ..............  A               Revision of foot.....       7.74       7.20       5.22       1.24      16.18      14.20        090
28118...............  ..............  A               Removal of heel bone.       5.95       7.13       4.53       0.95      14.03      11.43        090
28119...............  ..............  A               Removal of heel spur.       5.38       6.21       3.87       0.89      12.48      10.14        090
28120...............  ..............  A               Part removal of ankle/      5.39       8.67       5.07       0.83      14.89      11.29        090
                                                       heel.
28122...............  ..............  A               Partial removal of          7.28       7.89       5.69       1.16      16.33      14.13        090
                                                       foot bone.
28124...............  ..............  A               Partial removal of          4.80       6.08       4.06       0.78      11.66       9.64        090
                                                       toe.
28126...............  ..............  A               Partial removal of          3.51       5.34       3.51       0.59       9.44       7.61        090
                                                       toe.
28130...............  ..............  A               Removal of ankle bone       8.10         NA       6.70       1.34         NA      16.14        090
28140...............  ..............  A               Removal of metatarsal       6.90       8.26       5.00       1.01      16.17      12.91        090
28150...............  ..............  A               Removal of toe.......       4.08       5.98       3.78       0.63      10.69       8.49        090
28153...............  ..............  A               Partial removal of          3.65       5.40       3.08       0.59       9.64       7.32        090
                                                       toe.
28160...............  ..............  A               Partial removal of          3.73       5.68       3.83       0.62      10.03       8.18        090
                                                       toe.
28171...............  ..............  A               Extensive foot              9.59         NA       5.69       1.36         NA      16.64        090
                                                       surgery.
28173...............  ..............  A               Extensive foot              8.79       8.26       5.64       1.25      18.30      15.68        090
                                                       surgery.
28175...............  ..............  A               Extensive foot              6.04       6.68       4.10       0.90      13.62      11.04        090
                                                       surgery.
28190...............  ..............  A               Removal of foot             1.96       6.51       3.47       0.19       8.66       5.62        010
                                                       foreign body.
28192...............  ..............  A               Removal of foot             4.63       6.43       3.72       0.63      11.69       8.98        090
                                                       foreign body.
28193...............  ..............  A               Removal of foot             5.72       6.35       4.11       0.76      12.83      10.59        090
                                                       foreign body.
28200...............  ..............  A               Repair of foot tendon       4.59       5.94       3.71       0.71      11.24       9.01        090
28202...............  ..............  A               Repair/graft of foot        6.83       8.16       4.63       1.04      16.03      12.50        090
                                                       tendon.
28208...............  ..............  A               Repair of foot tendon       4.36       5.72       3.46       0.71      10.79       8.53        090
28210...............  ..............  A               Repair/graft of foot        6.34       7.12       4.19       0.93      14.39      11.46        090
                                                       tendon.
28220...............  ..............  A               Release of foot             4.52       5.56       3.56       0.76      10.84       8.84        090
                                                       tendon.
28222...............  ..............  A               Release of foot             5.61       5.95       4.23       0.93      12.49      10.77        090
                                                       tendons.
28225...............  ..............  A               Release of foot             3.65       5.26       3.07       0.60       9.51       7.32        090
                                                       tendon.
28226...............  ..............  A               Release of foot             4.52       5.61       3.85       0.75      10.88       9.12        090
                                                       tendons.
28230...............  ..............  A               Incision of foot            4.23       5.62       3.81       0.71      10.56       8.75        090
                                                       tendon(s).
28232...............  ..............  A               Incision of toe             3.38       5.66       3.44       0.58       9.62       7.40        090
                                                       tendon.
28234...............  ..............  A               Incision of foot            3.36       5.81       3.47       0.55       9.72       7.38        090
                                                       tendon.
28238...............  ..............  A               Revision of foot            7.72       7.97       5.07       1.30      16.99      14.09        090
                                                       tendon.
28240...............  ..............  A               Release of big toe...       4.35       5.59       3.63       0.74      10.68       8.72        090
28250...............  ..............  A               Revision of foot            5.91       6.53       4.25       0.98      13.42      11.14        090
                                                       fascia.
28260...............  ..............  A               Release of midfoot          7.95       7.09       5.14       1.30      16.34      14.39        090
                                                       joint.
28261...............  ..............  A               Revision of foot           11.71       8.91       7.34       2.00      22.62      21.05        090
                                                       tendon.
28262...............  ..............  A               Revision of foot and       15.81      14.32      11.44       2.68      32.81      29.93        090
                                                       ankle.
28264...............  ..............  A               Release of midfoot         10.33       8.51       7.82       1.76      20.60      19.91        090
                                                       joint.
28270...............  ..............  A               Release of foot             4.75       5.90       4.19       0.81      11.46       9.75        090
                                                       contracture.
28272...............  ..............  A               Release of toe joint,       3.79       5.14       3.04       0.63       9.56       7.46        090
                                                       each.
28280...............  ..............  A               Fusion of toes.......       5.18       7.25       4.52       0.87      13.30      10.57        090
28285...............  ..............  A               Repair of hammertoe..       4.58       5.96       3.85       0.77      11.31       9.20        090
28286...............  ..............  A               Repair of hammertoe..       4.55       5.74       3.67       0.77      11.06       8.99        090
28288...............  ..............  A               Partial removal of          4.73       6.69       5.30       0.78      12.20      10.81        090
                                                       foot bone.
28289...............  ..............  A               Repair hallux rigidus       7.03       8.97       6.21       1.16      17.16      14.40        090
28290...............  ..............  A               Correction of bunion.       5.65       7.02       5.28       0.95      13.62      11.88        090
28292...............  ..............  A               Correction of bunion.       7.03       7.80       5.75       1.18      16.01      13.96        090
28293...............  ..............  A               Correction of bunion.       9.14      10.84       6.01       1.54      21.52      16.69        090
28294...............  ..............  A               Correction of bunion.       8.55       7.64       5.08       1.40      17.59      15.03        090
28296...............  ..............  A               Correction of bunion.       9.17       8.14       5.80       1.54      18.85      16.51        090
28297...............  ..............  A               Correction of bunion.       9.17       9.11       6.74       1.58      19.86      17.49        090
28298...............  ..............  A               Correction of bunion.       7.93       7.31       5.40       1.35      16.59      14.68        090
28299...............  ..............  A               Correction of bunion.      10.56       8.71       6.41       1.50      20.77      18.47        090
28300...............  ..............  A               Incision of heel bone       9.53      13.10       7.07       1.58      24.21      18.18        090
28302...............  ..............  A               Incision of ankle           9.54      13.11       6.95       1.39      24.04      17.88        090
                                                       bone.
28304...............  ..............  A               Incision of midfoot         9.15       8.16       5.80       1.21      18.52      16.16        090
                                                       bones.
28305...............  ..............  A               Incise/graft midfoot       10.48      10.90       6.80       0.66      22.04      17.94        090
                                                       bones.
28306...............  ..............  A               Incision of                 5.85       7.19       4.25       0.98      14.02      11.08        090
                                                       metatarsal.
28307...............  ..............  A               Incision of                 6.32      11.59       5.33       0.86      18.77      12.51        090
                                                       metatarsal.
28308...............  ..............  A               Incision of                 5.28       6.07       3.76       0.89      12.24       9.93        090
                                                       metatarsal.
28309...............  ..............  A               Incision of                12.76         NA       8.05       1.98         NA      22.79        090
                                                       metatarsals.
28310...............  ..............  A               Revision of big toe..       5.42       6.24       3.96       0.92      12.58      10.30        090
28312...............  ..............  A               Revision of toe......       4.54       5.98       4.11       0.75      11.27       9.40        090
28313...............  ..............  A               Repair deformity of         5.00       6.43       5.45       0.82      12.25      11.27        090
                                                       toe.
28315...............  ..............  A               Removal of sesamoid         4.85       5.82       3.67       0.80      11.47       9.32        090
                                                       bone.
28320...............  ..............  A               Repair of foot bones.       9.17         NA       6.76       1.53         NA      17.46        090
28322...............  ..............  A               Repair of metatarsals       8.33      10.13       6.33       1.41      19.87      16.07        090
28340...............  ..............  A               Resect enlarged toe         6.97       7.06       4.41       1.18      15.21      12.56        090
                                                       tissue.
28341...............  ..............  A               Resect enlarged toe..       8.40       7.23       4.95       1.42      17.05      14.77        090
28344...............  ..............  A               Repair extra toe(s)..       4.25       6.78       3.69       0.72      11.75       8.66        090
28345...............  ..............  A               Repair webbed toe(s).       5.91       6.99       4.79       1.01      13.91      11.71        090
28360...............  ..............  A               Reconstruct cleft          13.32         NA      10.50       2.27         NA      26.09        090
                                                       foot.
28400...............  ..............  A               Treatment of heel           2.16       4.28       2.98       0.35       6.79       5.49        090
                                                       fracture.

[[Page 1142]]

 
28405...............  ..............  A               Treatment of heel           4.56       5.51       4.53       0.76      10.83       9.85        090
                                                       fracture.
28406...............  ..............  A               Treatment of heel           6.30         NA       6.80       1.05         NA      14.15        090
                                                       fracture.
28415...............  ..............  A               Treat heel fracture..      15.95         NA      13.24       2.70         NA      31.89        090
28420...............  ..............  A               Treat/graft heel           16.62         NA      12.97       2.76         NA      32.35        090
                                                       fracture.
28430...............  ..............  A               Treatment of ankle          2.09       4.07       2.61       0.33       6.49       5.03        090
                                                       fracture.
28435...............  ..............  A               Treatment of ankle          3.39       4.49       3.63       0.57       8.45       7.59        090
                                                       fracture.
28436...............  ..............  A               Treatment of ankle          4.70         NA       5.90       0.80         NA      11.40        090
                                                       fracture.
28445...............  ..............  A               Treat ankle fracture.      15.60         NA      11.02       1.56         NA      28.18        090
28450...............  ..............  A               Treat midfoot               1.90       4.07       2.52       0.30       6.27       4.72        090
                                                       fracture, each.
28455...............  ..............  A               Treat midfoot               3.09       3.97       3.41       0.52       7.58       7.02        090
                                                       fracture, each.
28456...............  ..............  A               Treat midfoot               2.68         NA       4.21       0.43         NA       7.32        090
                                                       fracture.
28465...............  ..............  A               Treat midfoot               7.00         NA       6.37       1.05         NA      14.42        090
                                                       fracture, each.
28470...............  ..............  A               Treat metatarsal            1.99       3.87       2.48       0.31       6.17       4.78        090
                                                       fracture.
28475...............  ..............  A               Treat metatarsal            2.97       4.05       3.19       0.49       7.51       6.65        090
                                                       fracture.
28476...............  ..............  A               Treat metatarsal            3.37         NA       4.99       0.55         NA       8.91        090
                                                       fracture.
28485...............  ..............  A               Treat metatarsal            5.70         NA       5.55       0.96         NA      12.21        090
                                                       fracture.
28490...............  ..............  A               Treat big toe               1.09       2.21       1.73       0.16       3.46       2.98        090
                                                       fracture.
28495...............  ..............  A               Treat big toe               1.58       2.50       2.06       0.23       4.31       3.87        090
                                                       fracture.
28496...............  ..............  A               Treat big toe               2.33       9.72       3.63       0.39      12.44       6.35        090
                                                       fracture.
28505...............  ..............  A               Treat big toe               3.80       9.71       4.70       0.60      14.11       9.10        090
                                                       fracture.
28510...............  ..............  A               Treatment of toe            1.09       1.98       1.69       0.16       3.23       2.94        090
                                                       fracture.
28515...............  ..............  A               Treatment of toe            1.46       2.33       1.99       0.21       4.00       3.66        090
                                                       fracture.
28525...............  ..............  A               Treat toe fracture...       3.32       9.30       4.25       0.53      13.15       8.10        090
28530...............  ..............  A               Treat sesamoid bone         1.06       2.08       1.46       0.16       3.30       2.68        090
                                                       fracture.
28531...............  ..............  A               Treat sesamoid bone         2.35       8.98       2.51       0.40      11.73       5.26        090
                                                       fracture.
28540...............  ..............  A               Treat foot                  2.04       2.87       2.67       0.29       5.20       5.00        090
                                                       dislocation.
28545...............  ..............  A               Treat foot                  2.45       2.86       2.86       0.40       5.71       5.71        090
                                                       dislocation.
28546...............  ..............  A               Treat foot                  3.20       7.89       4.84       0.55      11.64       8.59        090
                                                       dislocation.
28555...............  ..............  A               Repair foot                 6.29      11.49       6.54       1.06      18.84      13.89        090
                                                       dislocation.
28570...............  ..............  A               Treat foot                  1.66       2.89       2.29       0.27       4.82       4.22        090
                                                       dislocation.
28575...............  ..............  A               Treat foot                  3.31       4.37       4.03       0.54       8.22       7.88        090
                                                       dislocation.
28576...............  ..............  A               Treat foot                  4.16      10.15       5.51       0.68      14.99      10.35        090
                                                       dislocation.
28585...............  ..............  A               Repair foot                 7.98       8.14       6.53       1.36      17.48      15.87        090
                                                       dislocation.
28600...............  ..............  A               Treat foot                  1.89       3.29       2.66       0.29       5.47       4.84        090
                                                       dislocation.
28605...............  ..............  A               Treat foot                  2.71       3.74       3.61       0.42       6.87       6.74        090
                                                       dislocation.
28606...............  ..............  A               Treat foot                  4.89      16.02       6.01       0.82      21.73      11.72        090
                                                       dislocation.
28615...............  ..............  A               Repair foot                 7.76         NA       7.98       1.31         NA      17.05        090
                                                       dislocation.
28630...............  ..............  A               Treat toe dislocation       1.70       1.22       1.12       0.21       3.13       3.03        010
28635...............  ..............  A               Treat toe dislocation       1.91       1.66       1.49       0.29       3.86       3.69        010
28636...............  ..............  A               Treat toe dislocation       2.77       6.14       3.07       0.47       9.38       6.31        010
28645...............  ..............  A               Repair toe                  4.21       5.66       3.50       0.70      10.57       8.41        090
                                                       dislocation.
28660...............  ..............  A               Treat toe dislocation       1.23       1.61       1.16       0.13       2.97       2.52        010
28665...............  ..............  A               Treat toe dislocation       1.92       1.65       1.63       0.29       3.86       3.84        010
28666...............  ..............  A               Treat toe dislocation       2.66       5.93       2.24       0.46       9.05       5.36        010
28675...............  ..............  A               Repair of toe               2.92       8.81       3.77       0.49      12.22       7.18        090
                                                       dislocation.
28705...............  ..............  A               Fusion of foot bones.      18.77         NA      12.43       2.57         NA      33.77        090
28715...............  ..............  A               Fusion of foot bones.      13.08         NA       9.74       2.22         NA      25.04        090
28725...............  ..............  A               Fusion of foot bones.      11.59         NA       8.30       1.97         NA      21.86        090
28730...............  ..............  A               Fusion of foot bones.      10.74         NA       8.47       1.82         NA      21.03        090
28735...............  ..............  A               Fusion of foot bones.      10.83         NA       7.86       1.82         NA      20.51        090
28737...............  ..............  A               Revision of foot            9.63         NA       6.87       1.64         NA      18.14        090
                                                       bones.
28740...............  ..............  A               Fusion of foot bones.       8.01      11.59       6.43       1.36      20.96      15.80        090
28750...............  ..............  A               Fusion of big toe           7.29      12.97       6.59       1.24      21.50      15.12        090
                                                       joint.
28755...............  ..............  A               Fusion of big toe           4.73       6.83       3.86       0.80      12.36       9.39        090
                                                       joint.
28760...............  ..............  A               Fusion of big toe           7.74       8.04       5.62       1.29      17.07      14.65        090
                                                       joint.
28800...............  ..............  A               Amputation of midfoot       8.20         NA       6.04       1.18         NA      15.42        090
28805...............  ..............  A               Amputation thru             8.38         NA       5.90       1.17         NA      15.45        090
                                                       metatarsal.
28810...............  ..............  A               Amputation toe &            6.20         NA       4.76       0.84         NA      11.80        090
                                                       metatarsal.
28820...............  ..............  A               Amputation of toe....       4.40       8.50       4.10       0.62      13.52       9.12        090
28825...............  ..............  A               Partial amputation of       3.58       7.91       3.79       0.52      12.01       7.89        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       3.09       1.72       0.36       5.70       4.33        000
                                                       cast.
29010...............  ..............  A               Application of body         2.06       3.30       1.73       0.33       5.69       4.12        000
                                                       cast.
29015...............  ..............  A               Application of body         2.41       3.01       1.58       0.25       5.67       4.24        000
                                                       cast.
29020...............  ..............  A               Application of body         2.11       3.30       1.41       0.19       5.60       3.71        000
                                                       cast.
29025...............  ..............  A               Application of body         2.40       3.22       1.83       0.31       5.93       4.54        000
                                                       cast.
29035...............  ..............  A               Application of body         1.77       3.45       1.54       0.29       5.51       3.60        000
                                                       cast.
29040...............  ..............  A               Application of body         2.22       2.57       1.51       0.42       5.21       4.15        000
                                                       cast.
29044...............  ..............  A               Application of body         2.12       3.80       1.85       0.35       6.27       4.32        000
                                                       cast.
29046...............  ..............  A               Application of body         2.41       3.27       2.02       0.41       6.09       4.84        000
                                                       cast.
29049...............  ..............  A               Application of figure       0.89       1.24       0.54       0.14       2.27       1.57        000
                                                       eight.
29055...............  ..............  A               Application of              1.78       2.81       1.43       0.29       4.88       3.50        000
                                                       shoulder cast.
29058...............  ..............  A               Application of              1.31       1.50       0.73       0.17       2.98       2.21        000
                                                       shoulder cast.
29065...............  ..............  A               Application of long         0.87       1.26       0.74       0.14       2.27       1.75        000
                                                       arm cast.
29075...............  ..............  A               Application of              0.77       1.20       0.67       0.13       2.10       1.57        000
                                                       forearm cast.

[[Page 1143]]

 
29085...............  ..............  A               Apply hand/wrist cast       0.87       1.23       0.63       0.13       2.23       1.63        000
29086...............  ..............  A               Apply finger cast....       0.62       0.93       0.51       0.07       1.62       1.20        000
29105...............  ..............  A               Apply long arm splint       0.87       1.18       0.52       0.13       2.18       1.52        000
29125...............  ..............  A               Apply forearm splint.       0.59       0.99       0.40       0.07       1.65       1.06        000
29126...............  ..............  A               Apply forearm splint.       0.77       1.19       0.46       0.07       2.03       1.30        000
29130...............  ..............  A               Application of finger       0.50       0.45       0.17       0.06       1.01       0.73        000
                                                       splint.
29131...............  ..............  A               Application of finger       0.55       0.73       0.24       0.04       1.32       0.83        000
                                                       splint.
29200...............  ..............  A               Strapping of chest...       0.65       0.75       0.36       0.05       1.45       1.06        000
29220...............  ..............  A               Strapping of low back       0.64       0.72       0.39       0.08       1.44       1.11        000
29240...............  ..............  A               Strapping of shoulder       0.71       0.86       0.37       0.06       1.63       1.14        000
29260...............  ..............  A               Strapping of elbow or       0.55       0.75       0.34       0.05       1.35       0.94        000
                                                       wrist.
29280...............  ..............  A               Strapping of hand or        0.51       0.81       0.34       0.05       1.37       0.90        000
                                                       finger.
29305...............  ..............  A               Application of hip          2.03       3.19       1.71       0.35       5.57       4.09        000
                                                       cast.
29325...............  ..............  A               Application of hip          2.32       3.37       1.89       0.37       6.06       4.58        000
                                                       casts.
29345...............  ..............  A               Application of long         1.40       1.69       1.04       0.23       3.32       2.67        000
                                                       leg cast.
29355...............  ..............  A               Application of long         1.53       1.65       1.10       0.24       3.42       2.87        000
                                                       leg cast.
29358...............  ..............  A               Apply long leg cast         1.43       1.96       1.07       0.23       3.62       2.73        000
                                                       brace.
29365...............  ..............  A               Application of long         1.18       1.58       0.93       0.21       2.97       2.32        000
                                                       leg cast.
29405...............  ..............  A               Apply short leg cast.       0.86       1.17       0.70       0.14       2.17       1.70        000
29425...............  ..............  A               Apply short leg cast.       1.01       1.18       0.72       0.17       2.36       1.90        000
29435...............  ..............  A               Apply short leg cast.       1.18       1.49       0.91       0.21       2.88       2.30        000
29440...............  ..............  A               Addition of walker to       0.57       0.67       0.28       0.08       1.32       0.93        000
                                                       cast.
29445...............  ..............  A               Apply rigid leg cast.       1.78       1.75       0.96       0.29       3.82       3.03        000
29450...............  ..............  A               Application of leg          2.08       1.45       1.10       0.16       3.69       3.34        000
                                                       cast.
29505...............  ..............  A               Application, long leg       0.69       1.15       0.46       0.07       1.91       1.22        000
                                                       splint.
29515...............  ..............  A               Application lower leg       0.73       0.85       0.47       0.08       1.66       1.28        000
                                                       splint.
29520...............  ..............  A               Strapping of hip.....       0.54       0.87       0.45       0.02       1.43       1.01        000
29530...............  ..............  A               Strapping of knee....       0.57       0.80       0.35       0.05       1.42       0.97        000
29540...............  ..............  A               Strapping of ankle          0.51       0.41       0.32       0.05       0.97       0.88        000
                                                       and/or ft.
29550...............  ..............  A               Strapping of toes....       0.47       0.41       0.28       0.06       0.94       0.81        000
29580...............  ..............  A               Application of paste        0.57       0.65       0.36       0.06       1.28       0.99        000
                                                       boot.
29590...............  ..............  A               Application of foot         0.76       0.50       0.30       0.07       1.33       1.13        000
                                                       splint.
29700...............  ..............  A               Removal/revision of         0.57       0.88       0.28       0.08       1.53       0.93        000
                                                       cast.
29705...............  ..............  A               Removal/revision of         0.76       0.79       0.38       0.12       1.67       1.26        000
                                                       cast.
29710...............  ..............  A               Removal/revision of         1.34       1.49       0.70       0.21       3.04       2.25        000
                                                       cast.
29715...............  ..............  A               Removal/revision of         0.94       1.14       0.40       0.10       2.18       1.44        000
                                                       cast.
29720...............  ..............  A               Repair of body cast..       0.68       1.10       0.38       0.12       1.90       1.18        000
29730...............  ..............  A               Windowing of cast....       0.75       0.78       0.36       0.12       1.65       1.23        000
29740...............  ..............  A               Wedging of cast......       1.12       1.12       0.49       0.18       2.42       1.79        000
29750...............  ..............  A               Wedging of clubfoot         1.26       1.04       0.58       0.19       2.49       2.03        000
                                                       cast.
29799...............  ..............  C               Casting/strapping           0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
29800...............  ..............  A               Jaw arthroscopy/            6.42         NA       7.12       1.01         NA      14.55        090
                                                       surgery.
29804...............  ..............  A               Jaw arthroscopy/            8.13         NA       8.41       0.80         NA      17.34        090
                                                       surgery.
29805...............  ..............  A               Shoulder arthroscopy,       5.88         NA       5.65       1.01         NA      12.54        090
                                                       dx.
29806...............  ..............  A               Shoulder arthroscopy/      14.35         NA      10.94       2.41         NA      27.70        090
                                                       surgery.
29807...............  ..............  A               Shoulder arthroscopy/      13.88         NA      10.78       2.34         NA      27.00        090
                                                       surgery.
29819...............  ..............  A               Shoulder arthroscopy/       7.61         NA       6.66       1.29         NA      15.56        090
                                                       surgery.
29820...............  ..............  A               Shoulder arthroscopy/       7.06         NA       6.12       1.19         NA      14.37        090
                                                       surgery.
29821...............  ..............  A               Shoulder arthroscopy/       7.71         NA       6.68       1.30         NA      15.69        090
                                                       surgery.
29822...............  ..............  A               Shoulder arthroscopy/       7.42         NA       6.56       1.25         NA      15.23        090
                                                       surgery.
29823...............  ..............  A               Shoulder arthroscopy/       8.16         NA       7.09       1.39         NA      16.64        090
                                                       surgery.
29824...............  ..............  A               Shoulder arthroscopy/       8.24         NA       7.33       1.39         NA      16.96        090
                                                       surgery.
29825...............  ..............  A               Shoulder arthroscopy/       7.61         NA       6.64       1.28         NA      15.53        090
                                                       surgery.
29826...............  ..............  A               Shoulder arthroscopy/       8.98         NA       7.41       1.52         NA      17.91        090
                                                       surgery.
29827...............  ..............  A               Arthroscop rotator         15.34         NA      11.32       2.24         NA      28.90        090
                                                       cuff repr.
29830...............  ..............  A               Elbow arthroscopy....       5.75         NA       5.25       0.95         NA      11.95        090
29834...............  ..............  A               Elbow arthroscopy/          6.27         NA       5.72       1.04         NA      13.03        090
                                                       surgery.
29835...............  ..............  A               Elbow arthroscopy/          6.47         NA       5.77       1.06         NA      13.30        090
                                                       surgery.
29836...............  ..............  A               Elbow arthroscopy/          7.54         NA       6.66       1.28         NA      15.48        090
                                                       surgery.
29837...............  ..............  A               Elbow arthroscopy/          6.86         NA       6.02       1.16         NA      14.04        090
                                                       surgery.
29838...............  ..............  A               Elbow arthroscopy/          7.70         NA       6.76       1.29         NA      15.75        090
                                                       surgery.
29840...............  ..............  A               Wrist arthroscopy....       5.53         NA       5.24       0.83         NA      11.60        090
29843...............  ..............  A               Wrist arthroscopy/          6.00         NA       5.54       0.99         NA      12.53        090
                                                       surgery.
29844...............  ..............  A               Wrist arthroscopy/          6.36         NA       5.71       1.04         NA      13.11        090
                                                       surgery.
29845...............  ..............  A               Wrist arthroscopy/          7.51         NA       6.38       1.01         NA      14.90        090
                                                       surgery.
29846...............  ..............  A               Wrist arthroscopy/          6.74         NA       5.95       1.07         NA      13.76        090
                                                       surgery.
29847...............  ..............  A               Wrist arthroscopy/          7.07         NA       6.10       1.10         NA      14.27        090
                                                       surgery.
29848...............  ..............  A               Wrist endoscopy/            5.43         NA       5.49       0.87         NA      11.79        090
                                                       surgery.
29850...............  ..............  A               Knee arthroscopy/           8.18         NA       5.04       0.89         NA      14.11        090
                                                       surgery.
29851...............  ..............  A               Knee arthroscopy/          13.08         NA       9.66       2.18         NA      24.92        090
                                                       surgery.
29855...............  ..............  A               Tibial arthroscopy/        10.60         NA       8.60       1.81         NA      21.01        090
                                                       surgery.
29856...............  ..............  A               Tibial arthroscopy/        14.12         NA      10.51       2.41         NA      27.04        090
                                                       surgery.
29860...............  ..............  A               Hip arthroscopy, dx..       8.04         NA       6.82       1.37         NA      16.23        090
29861...............  ..............  A               Hip arthroscopy/            9.14         NA       7.22       1.56         NA      17.92        090
                                                       surgery.
29862...............  ..............  A               Hip arthroscopy/            9.89         NA       8.39       1.68         NA      19.96        090
                                                       surgery.

[[Page 1144]]

 
29863...............  ..............  A               Hip arthroscopy/            9.89         NA       8.34       1.69         NA      19.92        090
                                                       surgery.
29870...............  ..............  A               Knee arthroscopy, dx.       5.06         NA       4.80       0.81         NA      10.67        090
29871...............  ..............  A               Knee arthroscopy/           6.54         NA       5.76       1.06         NA      13.36        090
                                                       drainage.
29873...............  ..............  A               Knee arthroscopy/           5.99         NA       6.37       0.88         NA      13.24        090
                                                       surgery.
29874...............  ..............  A               Knee arthroscopy/           7.04         NA       5.97       1.05         NA      14.06        090
                                                       surgery.
29875...............  ..............  A               Knee arthroscopy/           6.30         NA       5.74       1.06         NA      13.10        090
                                                       surgery.
29876...............  ..............  A               Knee arthroscopy/           7.91         NA       6.88       1.34         NA      16.13        090
                                                       surgery.
29877...............  ..............  A               Knee arthroscopy/           7.34         NA       6.59       1.24         NA      15.17        090
                                                       surgery.
29879...............  ..............  A               Knee arthroscopy/           8.03         NA       6.97       1.36         NA      16.36        090
                                                       surgery.
29880...............  ..............  A               Knee arthroscopy/           8.49         NA       7.21       1.44         NA      17.14        090
                                                       surgery.
29881...............  ..............  A               Knee arthroscopy/           7.75         NA       6.82       1.31         NA      15.88        090
                                                       surgery.
29882...............  ..............  A               Knee arthroscopy/           8.64         NA       7.10       1.31         NA      17.05        090
                                                       surgery.
29883...............  ..............  A               Knee arthroscopy/          11.03         NA       8.90       1.60         NA      21.53        090
                                                       surgery.
29884...............  ..............  A               Knee arthroscopy/           7.32         NA       6.55       1.24         NA      15.11        090
                                                       surgery.
29885...............  ..............  A               Knee arthroscopy/           9.08         NA       7.81       1.53         NA      18.42        090
                                                       surgery.
29886...............  ..............  A               Knee arthroscopy/           7.53         NA       6.70       1.28         NA      15.51        090
                                                       surgery.
29887...............  ..............  A               Knee arthroscopy/           9.03         NA       7.78       1.53         NA      18.34        090
                                                       surgery.
29888...............  ..............  A               Knee arthroscopy/          13.88         NA      10.09       2.35         NA      26.32        090
                                                       surgery.
29889...............  ..............  A               Knee arthroscopy/          15.98         NA      12.23       2.54         NA      30.75        090
                                                       surgery.
29891...............  ..............  A               Ankle arthroscopy/          8.39         NA       7.35       1.41         NA      17.15        090
                                                       surgery.
29892...............  ..............  A               Ankle arthroscopy/          8.99         NA       7.59       1.52         NA      18.10        090
                                                       surgery.
29893...............  ..............  A               Scope, plantar              5.21       6.14       3.92       0.89      12.24      10.02        090
                                                       fasciotomy.
29894...............  ..............  A               Ankle arthroscopy/          7.20         NA       5.39       1.22         NA      13.81        090
                                                       surgery.
29895...............  ..............  A               Ankle arthroscopy/          6.98         NA       5.39       1.17         NA      13.54        090
                                                       surgery.
29897...............  ..............  A               Ankle arthroscopy/          7.17         NA       5.78       1.22         NA      14.17        090
                                                       surgery.
29898...............  ..............  A               Ankle arthroscopy/          8.31         NA       6.11       1.37         NA      15.79        090
                                                       surgery.
29899...............  ..............  A               Ankle arthroscopy/         13.89         NA       9.84       2.35         NA      26.08        090
                                                       surgery.
29900...............  ..............  A               Mcp joint                   5.41         NA       5.69       0.90         NA      12.00        090
                                                       arthroscopy, dx.
29901...............  ..............  A               Mcp joint                   6.12         NA       6.09       1.03         NA      13.24        090
                                                       arthroscopy, surg.
29902...............  ..............  A               Mcp joint                   6.69         NA       6.37       1.12         NA      14.18        090
                                                       arthroscopy, surg.
29999...............  ..............  C               Arthroscopy of joint.       0.00       0.00       0.00       0.00       0.00       0.00        YYY
30000...............  ..............  A               Drainage of nose            1.43       4.19       1.41       0.12       5.74       2.96        010
                                                       lesion.
30020...............  ..............  A               Drainage of nose            1.43       3.35       1.48       0.10       4.88       3.01        010
                                                       lesion.
30100...............  ..............  A               Intranasal biopsy....       0.94       2.05       0.82       0.07       3.06       1.83        000
30110...............  ..............  A               Removal of nose             1.63       3.36       1.58       0.14       5.13       3.35        010
                                                       polyp(s).
30115...............  ..............  A               Removal of nose             4.34         NA       4.02       0.37         NA       8.73        090
                                                       polyp(s).
30117...............  ..............  A               Removal of intranasal       3.16       4.38       3.28       0.27       7.81       6.71        090
                                                       lesion.
30118...............  ..............  A               Removal of intranasal       9.68         NA       7.27       0.80         NA      17.75        090
                                                       lesion.
30120...............  ..............  A               Revision of nose.....       5.26       5.53       5.48       0.49      11.28      11.23        090
30124...............  ..............  A               Removal of nose             3.10         NA       3.03       0.24         NA       6.37        090
                                                       lesion.
30125...............  ..............  A               Removal of nose             7.15         NA       5.92       0.65         NA      13.72        090
                                                       lesion.
30130...............  ..............  A               Removal of turbinate        3.37         NA       3.51       0.27         NA       7.15        090
                                                       bones.
30140...............  ..............  A               Removal of turbinate        3.42         NA       3.97       0.29         NA       7.68        090
                                                       bones.
30150...............  ..............  A               Partial removal of          9.13         NA       7.66       0.92         NA      17.71        090
                                                       nose.
30160...............  ..............  A               Removal of nose......       9.57         NA       7.65       0.94         NA      18.16        090
30200...............  ..............  A               Injection treatment         0.78       1.70       0.77       0.07       2.55       1.62        000
                                                       of nose.
30210...............  ..............  A               Nasal sinus therapy..       1.08       2.17       1.32       0.10       3.35       2.50        010
30220...............  ..............  A               Insert nasal septal         1.54       4.50       1.54       0.13       6.17       3.21        010
                                                       button.
30300...............  ..............  A               Remove nasal foreign        1.04       4.84       1.96       0.08       5.96       3.08        010
                                                       body.
30310...............  ..............  A               Remove nasal foreign        1.96         NA       3.20       0.17         NA       5.33        010
                                                       body.
30320...............  ..............  A               Remove nasal foreign        4.51         NA       4.49       0.43         NA       9.43        090
                                                       body.
30400...............  ..............  R               Reconstruction of           9.82         NA       9.16       0.96         NA      19.94        090
                                                       nose.
30410...............  ..............  R               Reconstruction of          12.96         NA      10.94       1.30         NA      25.20        090
                                                       nose.
30420...............  ..............  R               Reconstruction of          15.86         NA      12.42       1.50         NA      29.78        090
                                                       nose.
30430...............  ..............  R               Revision of nose.....       7.20         NA       8.10       0.75         NA      16.05        090
30435...............  ..............  R               Revision of nose.....      11.69         NA      10.62       1.33         NA      23.64        090
30450...............  ..............  R               Revision of nose.....      18.62         NA      14.10       1.85         NA      34.57        090
30460...............  ..............  A               Revision of nose.....       9.95         NA       7.75       1.03         NA      18.73        090
30462...............  ..............  A               Revision of nose.....      19.54         NA      13.67       2.32         NA      35.53        090
30465...............  ..............  A               Repair nasal stenosis      11.62         NA       7.67       1.17         NA      20.46        090
30520...............  ..............  A               Repair of nasal             5.69         NA       5.15       0.49         NA      11.33        090
                                                       septum.
30540...............  ..............  A               Repair nasal defect..       7.74         NA       5.62       0.64         NA      14.00        090
30545...............  ..............  A               Repair nasal defect..      11.36         NA       8.64       0.96         NA      20.96        090
30560...............  ..............  A               Release of nasal            1.26       4.92       2.16       0.11       6.29       3.53        010
                                                       adhesions.
30580...............  ..............  A               Repair upper jaw            6.68       7.17       6.12       0.60      14.45      13.40        090
                                                       fistula.
30600...............  ..............  A               Repair mouth/nose           6.01       6.32       5.52       0.84      13.17      12.37        090
                                                       fistula.
30620...............  ..............  A               Intranasal                  5.96         NA       5.78       0.54         NA      12.28        090
                                                       reconstruction.
30630...............  ..............  A               Repair nasal septum         7.11         NA       6.18       0.62         NA      13.91        090
                                                       defect.
30801...............  ..............  A               Cauterization, inner        1.09       2.17       2.07       0.10       3.36       3.26        010
                                                       nose.
30802...............  ..............  A               Cauterization, inner        2.03       2.71       2.58       0.18       4.92       4.79        010
                                                       nose.
30901...............  ..............  A               Control of nosebleed.       1.21       1.36       0.33       0.11       2.68       1.65        000
30903...............  ..............  A               Control of nosebleed.       1.54       2.80       0.50       0.14       4.48       2.18        000
30905...............  ..............  A               Control of nosebleed.       1.97       3.57       0.76       0.18       5.72       2.91        000
30906...............  ..............  A               Repeat control of           2.45       3.96       1.20       0.21       6.62       3.86        000
                                                       nosebleed.
30915...............  ..............  A               Ligation, nasal sinus       7.19         NA       5.82       0.60         NA      13.61        090
                                                       artery.

[[Page 1145]]

 
30920...............  ..............  A               Ligation, upper jaw         9.82         NA       7.49       0.83         NA      18.14        090
                                                       artery.
30930...............  ..............  A               Therapy, fracture of        1.26         NA       1.65       0.11         NA       3.02        010
                                                       nose.
30999...............  ..............  C               Nasal surgery               0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
31000...............  ..............  A               Irrigation, maxillary       1.15       2.91       1.41       0.10       4.16       2.66        010
                                                       sinus.
31002...............  ..............  A               Irrigation, sphenoid        1.91         NA       3.29       0.17         NA       5.37        010
                                                       sinus.
31020...............  ..............  A               Exploration,                2.94       4.12       3.51       0.24       7.30       6.69        090
                                                       maxillary sinus.
31030...............  ..............  A               Exploration,                5.91       5.64       4.81       0.51      12.06      11.23        090
                                                       maxillary sinus.
31032...............  ..............  A               Explore sinus, remove       6.56         NA       5.60       0.57         NA      12.73        090
                                                       polyps.
31040...............  ..............  A               Exploration behind          9.41         NA       6.27       0.86         NA      16.54        090
                                                       upper jaw.
31050...............  ..............  A               Exploration, sphenoid       5.27         NA       4.50       0.47         NA      10.24        090
                                                       sinus.
31051...............  ..............  A               Sphenoid sinus              7.10         NA       5.86       0.66         NA      13.62        090
                                                       surgery.
31070...............  ..............  A               Exploration of              4.27         NA       4.20       0.36         NA       8.83        090
                                                       frontal sinus.
31075...............  ..............  A               Exploration of              9.15         NA       7.21       0.77         NA      17.13        090
                                                       frontal sinus.
31080...............  ..............  A               Removal of frontal         11.40         NA       8.44       0.94         NA      20.78        090
                                                       sinus.
31081...............  ..............  A               Removal of frontal         12.73         NA       9.46       2.22         NA      24.41        090
                                                       sinus.
31084...............  ..............  A               Removal of frontal         13.49         NA      10.04       1.16         NA      24.69        090
                                                       sinus.
31085...............  ..............  A               Removal of frontal         14.18         NA      10.41       1.42         NA      26.01        090
                                                       sinus.
31086...............  ..............  A               Removal of frontal         12.84         NA       9.86       1.09         NA      23.79        090
                                                       sinus.
31087...............  ..............  A               Removal of frontal         13.08         NA       9.79       1.39         NA      24.26        090
                                                       sinus.
31090...............  ..............  A               Exploration of              9.52         NA       8.59       0.80         NA      18.91        090
                                                       sinuses.
31200...............  ..............  A               Removal of ethmoid          4.96         NA       5.02       0.30         NA      10.28        090
                                                       sinus.
31201...............  ..............  A               Removal of ethmoid          8.36         NA       6.82       0.70         NA      15.88        090
                                                       sinus.
31205...............  ..............  A               Removal of ethmoid         10.22         NA       7.63       0.70         NA      18.55        090
                                                       sinus.
31225...............  ..............  A               Removal of upper jaw.      19.20         NA      13.74       1.66         NA      34.60        090
31230...............  ..............  A               Removal of upper jaw.      21.91         NA      15.12       1.89         NA      38.92        090
31231...............  ..............  A               Nasal endoscopy, dx..       1.10       3.55       0.92       0.10       4.75       2.12        000
31233...............  ..............  A               Nasal/sinus                 2.18       4.49       1.51       0.19       6.86       3.88        000
                                                       endoscopy, dx.
31235...............  ..............  A               Nasal/sinus                 2.64       5.10       1.76       0.22       7.96       4.62        000
                                                       endoscopy, dx.
31237...............  ..............  A               Nasal/sinus                 2.98       5.40       1.91       0.25       8.63       5.14        000
                                                       endoscopy, surg.
31238...............  ..............  A               Nasal/sinus                 3.26       5.45       2.12       0.28       8.99       5.66        000
                                                       endoscopy, surg.
31239...............  ..............  A               Nasal/sinus                 8.69         NA       8.28       0.55         NA      17.52        010
                                                       endoscopy, surg.
31240...............  ..............  A               Nasal/sinus                 2.61         NA       1.76       0.22         NA       4.59        000
                                                       endoscopy, surg.
31254...............  ..............  A               Revision of ethmoid         4.64         NA       2.89       0.39         NA       7.92        000
                                                       sinus.
31255...............  ..............  A               Removal of ethmoid          6.95         NA       4.15       0.59         NA      11.69        000
                                                       sinus.
31256...............  ..............  A               Exploration maxillary       3.29         NA       2.14       0.28         NA       5.71        000
                                                       sinus.
31267...............  ..............  A               Endoscopy, maxillary        5.45         NA       3.34       0.46         NA       9.25        000
                                                       sinus.
31276...............  ..............  A               Sinus endoscopy,            8.84         NA       5.17       0.75         NA      14.76        000
                                                       surgical.
31287...............  ..............  A               Nasal/sinus                 3.91         NA       2.49       0.33         NA       6.73        000
                                                       endoscopy, surg.
31288...............  ..............  A               Nasal/sinus                 4.57         NA       2.85       0.39         NA       7.81        000
                                                       endoscopy, surg.
31290...............  ..............  A               Nasal/sinus                17.21         NA      12.15       1.45         NA      30.81        010
                                                       endoscopy, surg.
31291...............  ..............  A               Nasal/sinus                18.16         NA      12.55       2.09         NA      32.80        010
                                                       endoscopy, surg.
31292...............  ..............  A               Nasal/sinus                14.74         NA      10.71       1.19         NA      26.64        010
                                                       endoscopy, surg.
31293...............  ..............  A               Nasal/sinus                16.19         NA      11.52       1.17         NA      28.88        010
                                                       endoscopy, surg.
31294...............  ..............  A               Nasal/sinus                19.03         NA      13.00       1.25         NA      33.28        010
                                                       endoscopy, surg.
31299...............  ..............  C               Sinus surgery               0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
31300...............  ..............  A               Removal of larynx          14.27         NA      12.03       1.19         NA      27.49        090
                                                       lesion.
31320...............  ..............  A               Diagnostic incision,        5.25         NA       7.24       0.48         NA      12.97        090
                                                       larynx.
31360...............  ..............  A               Removal of larynx....      17.05         NA      13.95       1.45         NA      32.45        090
31365...............  ..............  A               Removal of larynx....      24.12         NA      17.63       2.07         NA      43.82        090
31367...............  ..............  A               Partial removal of         21.83         NA      17.41       1.89         NA      41.13        090
                                                       larynx.
31368...............  ..............  A               Partial removal of         27.05         NA      21.00       2.29         NA      50.34        090
                                                       larynx.
31370...............  ..............  A               Partial removal of         21.35         NA      17.05       1.82         NA      40.22        090
                                                       larynx.
31375...............  ..............  A               Partial removal of         20.18         NA      15.35       1.72         NA      37.25        090
                                                       larynx.
31380...............  ..............  A               Partial removal of         20.18         NA      15.31       1.69         NA      37.18        090
                                                       larynx.
31382...............  ..............  A               Partial removal of         20.49         NA      16.56       1.74         NA      38.79        090
                                                       larynx.
31390...............  ..............  A               Removal of larynx &        27.49         NA      21.24       2.35         NA      51.08        090
                                                       pharynx.
31395...............  ..............  A               Reconstruct larynx &       31.04         NA      25.13       2.74         NA      58.91        090
                                                       pharynx.
31400...............  ..............  A               Revision of larynx...      10.29         NA      10.00       0.87         NA      21.16        090
31420...............  ..............  A               Removal of epiglottis      10.20         NA       9.80       0.86         NA      20.86        090
31500...............  ..............  A               Insert emergency            2.33         NA       0.55       0.18         NA       3.06        000
                                                       airway.
31502...............  ..............  A               Change of windpipe          0.65       1.49       0.26       0.05       2.19       0.96        000
                                                       airway.
31505...............  ..............  A               Diagnostic                  0.61       1.57       0.64       0.05       2.23       1.30        000
                                                       laryngoscopy.
31510...............  ..............  A               Laryngoscopy with           1.92       3.42       1.28       0.18       5.52       3.38        000
                                                       biopsy.
31511...............  ..............  A               Remove foreign body,        2.16       3.25       1.11       0.19       5.60       3.46        000
                                                       larynx.
31512...............  ..............  A               Removal of larynx           2.07       3.34       1.39       0.19       5.60       3.65        000
                                                       lesion.
31513...............  ..............  A               Injection into vocal        2.10         NA       1.49       0.18         NA       3.77        000
                                                       cord.
31515...............  ..............  A               Laryngoscopy for            1.80       3.71       1.10       0.14       5.65       3.04        000
                                                       aspiration.
31520...............  ..............  A               Diagnostic                  2.56         NA       1.60       0.21         NA       4.37        000
                                                       laryngoscopy.
31525...............  ..............  A               Diagnostic                  2.63       3.86       1.70       0.22       6.71       4.55        000
                                                       laryngoscopy.
31526...............  ..............  A               Diagnostic                  2.57         NA       1.75       0.22         NA       4.54        000
                                                       laryngoscopy.
31527...............  ..............  A               Laryngoscopy for            3.27         NA       1.90       0.25         NA       5.42        000
                                                       treatment.
31528...............  ..............  A               Laryngoscopy and            2.37         NA       1.45       0.19         NA       4.01        000
                                                       dilation.
31529...............  ..............  A               Laryngoscopy and            2.68         NA       1.72       0.22         NA       4.62        000
                                                       dilation.
31530...............  ..............  A               Operative                   3.38         NA       1.98       0.29         NA       5.65        000
                                                       laryngoscopy.
31531...............  ..............  A               Operative                   3.58         NA       2.31       0.30         NA       6.19        000
                                                       laryngoscopy.

[[Page 1146]]

 
31535...............  ..............  A               Operative                   3.16         NA       2.02       0.27         NA       5.45        000
                                                       laryngoscopy.
31536...............  ..............  A               Operative                   3.55         NA       2.29       0.30         NA       6.14        000
                                                       laryngoscopy.
31540...............  ..............  A               Operative                   4.12         NA       2.59       0.35         NA       7.06        000
                                                       laryngoscopy.
31541...............  ..............  A               Operative                   4.52         NA       2.81       0.39         NA       7.72        000
                                                       laryngoscopy.
31560...............  ..............  A               Operative                   5.45         NA       3.17       0.46         NA       9.08        000
                                                       laryngoscopy.
31561...............  ..............  A               Operative                   5.99         NA       3.38       0.51         NA       9.88        000
                                                       laryngoscopy.
31570...............  ..............  A               Laryngoscopy with           3.86       5.74       2.42       0.29       9.89       6.57        000
                                                       injection.
31571...............  ..............  A               Laryngoscopy with           4.26         NA       2.63       0.36         NA       7.25        000
                                                       injection.
31575...............  ..............  A               Diagnostic                  1.10       1.88       0.91       0.10       3.08       2.11        000
                                                       laryngoscopy.
31576...............  ..............  A               Laryngoscopy with           1.97       3.62       1.31       0.16       5.75       3.44        000
                                                       biopsy.
31577...............  ..............  A               Remove foreign body,        2.47       3.74       1.57       0.21       6.42       4.25        000
                                                       larynx.
31578...............  ..............  A               Removal of larynx           2.84       4.25       1.56       0.24       7.33       4.64        000
                                                       lesion.
31579...............  ..............  A               Diagnostic                  2.26       3.80       1.52       0.19       6.25       3.97        000
                                                       laryngoscopy.
31580...............  ..............  A               Revision of larynx...      12.36         NA      11.12       1.05         NA      24.53        090
31582...............  ..............  A               Revision of larynx...      21.59         NA      17.42       1.83         NA      40.84        090
31584...............  ..............  A               Treat larynx fracture      19.61         NA      14.58       1.71         NA      35.90        090
31585...............  ..............  A               Treat larynx fracture       4.63         NA       5.59       0.36         NA      10.58        090
31586...............  ..............  A               Treat larynx fracture       8.02         NA       8.36       0.68         NA      17.06        090
31587...............  ..............  A               Revision of larynx...      11.97         NA      10.05       1.06         NA      23.08        090
31588...............  ..............  A               Revision of larynx...      13.09         NA      13.10       1.11         NA      27.30        090
31590...............  ..............  A               Reinnervate larynx...       6.96         NA       8.81       0.60         NA      16.37        090
31595...............  ..............  A               Larynx nerve surgery.       8.33         NA       7.65       0.75         NA      16.73        090
31599...............  ..............  C               Larynx surgery              0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
31600...............  ..............  A               Incision of windpipe.       7.17         NA       3.20       0.41         NA      10.78        000
31601...............  ..............  A               Incision of windpipe.       4.44         NA       2.41       0.47         NA       7.32        000
31603...............  ..............  A               Incision of windpipe.       4.14         NA       1.72       0.42         NA       6.28        000
31605...............  ..............  A               Incision of windpipe.       3.57         NA       1.19       0.40         NA       5.16        000
31610...............  ..............  A               Incision of windpipe.       8.75         NA       7.45       0.83         NA      17.03        090
31611...............  ..............  A               Surgery/speech              5.63         NA       5.95       0.48         NA      12.06        090
                                                       prosthesis.
31612...............  ..............  A               Puncture/clear              0.91       1.12       0.36       0.07       2.10       1.34        000
                                                       windpipe.
31613...............  ..............  A               Repair windpipe             4.58         NA       5.42       0.45         NA      10.45        090
                                                       opening.
31614...............  ..............  A               Repair windpipe             7.11         NA       7.81       0.62         NA      15.54        090
                                                       opening.
31615...............  ..............  A               Visualization of            2.09       2.63       1.20       0.17       4.89       3.46        000
                                                       windpipe.
31622...............  ..............  A               Dx bronchoscope/wash.       2.78       4.17       0.89       0.17       7.12       3.84        000
31623...............  ..............  A               Dx bronchoscope/brush       2.88       5.05       0.89       0.17       8.10       3.94        000
31624...............  ..............  A               Dx bronchoscope/            2.88       4.28       0.90       0.16       7.32       3.94        000
                                                       lavage.
31625...............  ..............  A               Bronchoscopy w/             3.36       5.37       1.26       0.19       8.92       4.81        000
                                                       biopsy(s).
31628...............  ..............  A               Bronchoscopy/lung bx,       3.80       5.53       1.34       0.17       9.50       5.31        000
                                                       each.
31629...............  ..............  A               Bronchoscopy/needle         3.36         NA       1.22       0.16         NA       4.74        000
                                                       bx, each.
31630...............  ..............  A               Bronchoscopy dilate/        3.81         NA       2.00       0.36         NA       6.17        000
                                                       fx repr.
31631...............  ..............  A               Bronchoscopy, dilate        4.36         NA       2.02       0.37         NA       6.75        000
                                                       w/stent.
31632...............  ..............  A               Bronchoscopy/lung bx,       1.03       0.76       0.32       0.17       1.96       1.52        ZZZ
                                                       add'l.
31633...............  ..............  A               Bronchoscopy/needle         1.32       0.91       0.40       0.17       2.40       1.89        ZZZ
                                                       bx add'l.
31635...............  ..............  A               Bronchoscopy w/fb           3.67         NA       1.67       0.25         NA       5.59        000
                                                       removal.
31640...............  ..............  A               Bronchoscopy w/tumor        4.93         NA       2.35       0.45         NA       7.73        000
                                                       excise.
31641...............  ..............  A               Bronchoscopy, treat         5.02         NA       2.12       0.36         NA       7.50        000
                                                       blockage.
31643...............  ..............  A               Diag bronchoscope/          3.49         NA       1.31       0.18         NA       4.98        000
                                                       catheter.
31645...............  ..............  A               Bronchoscopy, clear         3.16         NA       1.20       0.16         NA       4.52        000
                                                       airways.
31646...............  ..............  A               Bronchoscopy, reclear       2.72         NA       1.08       0.14         NA       3.94        000
                                                       airway.
31656...............  ..............  A               Bronchoscopy, inj for       2.17         NA       0.93       0.12         NA       3.22        000
                                                       x-ray.
31700...............  ..............  A               Insertion of airway         1.34       2.05       0.69       0.08       3.47       2.11        000
                                                       catheter.
31708...............  ..............  A               Instill airway              1.41         NA       0.58       0.07         NA       2.06        000
                                                       contrast dye.
31710...............  ..............  A               Insertion of airway         1.30         NA       0.71       0.07         NA       2.08        000
                                                       catheter.
31715...............  ..............  A               Injection for               1.11         NA       0.59       0.07         NA       1.77        000
                                                       bronchus x-ray.
31717...............  ..............  A               Bronchial brush             2.12       2.96       0.87       0.11       5.19       3.10        000
                                                       biopsy.
31720...............  ..............  A               Clearance of airways.       1.06       1.45       0.33       0.07       2.58       1.46        000
31725...............  ..............  A               Clearance of airways.       1.96       1.87       0.58       0.12       3.95       2.66        000
31730...............  ..............  A               Intro, windpipe wire/       2.85       2.22       1.09       0.18       5.25       4.12        000
                                                       tube.
31750...............  ..............  A               Repair of windpipe...      13.00         NA      11.57       1.23         NA      25.80        090
31755...............  ..............  A               Repair of windpipe...      15.91         NA      14.20       1.39         NA      31.50        090
31760...............  ..............  A               Repair of windpipe...      22.32         NA      10.82       1.79         NA      34.93        090
31766...............  ..............  A               Reconstruction of          30.38         NA      13.76       3.81         NA      47.95        090
                                                       windpipe.
31770...............  ..............  A               Repair/graft of            22.48         NA      10.34       2.74         NA      35.56        090
                                                       bronchus.
31775...............  ..............  A               Reconstruct bronchus.      23.50         NA      11.89       3.51         NA      38.90        090
31780...............  ..............  A               Reconstruct windpipe.      17.69         NA      11.14       1.87         NA      30.70        090
31781...............  ..............  A               Reconstruct windpipe.      23.49         NA      12.22       2.46         NA      38.17        090
31785...............  ..............  A               Remove windpipe            17.20         NA      10.26       1.64         NA      29.10        090
                                                       lesion.
31786...............  ..............  A               Remove windpipe            23.94         NA      13.20       2.65         NA      39.79        090
                                                       lesion.
31800...............  ..............  A               Repair of windpipe          7.42         NA       4.88       0.81         NA      13.11        090
                                                       injury.
31805...............  ..............  A               Repair of windpipe         13.11         NA       7.29       1.75         NA      22.15        090
                                                       injury.
31820...............  ..............  A               Closure of windpipe         4.48       5.52       4.93       0.42      10.42       9.83        090
                                                       lesion.
31825...............  ..............  A               Repair of windpipe          6.80       7.61       7.06       0.60      15.01      14.46        090
                                                       defect.
31830...............  ..............  A               Revise windpipe scar.       4.49       5.68       5.30       0.43      10.60      10.22        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       3.13       0.48       0.08       4.75       2.10        000

[[Page 1147]]

 
32002...............  ..............  A               Treatment of                2.19       3.32       0.84       0.13       5.64       3.16        000
                                                       collapsed lung.
32005...............  ..............  A               Treat lung lining           2.19       6.58       0.70       0.21       8.98       3.10        000
                                                       chemically.
32020...............  ..............  A               Insertion of chest          3.97         NA       1.45       0.43         NA       5.85        000
                                                       tube.
32035...............  ..............  A               Exploration of chest.       8.66         NA       5.91       1.23         NA      15.80        090
32036...............  ..............  A               Exploration of chest.       9.67         NA       6.49       1.45         NA      17.61        090
32095...............  ..............  A               Biopsy through chest        8.35         NA       5.42       1.19         NA      14.96        090
                                                       wall.
32100...............  ..............  A               Exploration/biopsy of      15.22         NA       7.88       1.75         NA      24.85        090
                                                       chest.
32110...............  ..............  A               Explore/repair chest.      22.97         NA      10.81       1.97         NA      35.75        090
32120...............  ..............  A               Re-exploration of          11.52         NA       7.13       1.71         NA      20.36        090
                                                       chest.
32124...............  ..............  A               Explore chest free         12.70         NA       7.27       1.82         NA      21.79        090
                                                       adhesions.
32140...............  ..............  A               Removal of lung            13.91         NA       7.75       2.03         NA      23.69        090
                                                       lesion(s).
32141...............  ..............  A               Remove/treat lung          13.98         NA       7.62       2.07         NA      23.67        090
                                                       lesions.
32150...............  ..............  A               Removal of lung            14.13         NA       7.68       1.93         NA      23.74        090
                                                       lesion(s).
32151...............  ..............  A               Remove lung foreign        14.19         NA       8.07       1.80         NA      24.06        090
                                                       body.
32160...............  ..............  A               Open chest heart            9.29         NA       5.32       1.22         NA      15.83        090
                                                       massage.
32200...............  ..............  A               Drain, open, lung          15.27         NA       8.66       1.76         NA      25.69        090
                                                       lesion.
32201...............  ..............  A               Drain, percut, lung         3.99         NA       1.30       0.22         NA       5.51        000
                                                       lesion.
32215...............  ..............  A               Treat chest lining...      11.31         NA       6.96       1.62         NA      19.89        090
32220...............  ..............  A               Release of lung......      23.96         NA      13.02       2.88         NA      39.86        090
32225...............  ..............  A               Partial release of         13.94         NA       7.72       2.05         NA      23.71        090
                                                       lung.
32310...............  ..............  A               Removal of chest           13.42         NA       7.46       1.99         NA      22.87        090
                                                       lining.
32320...............  ..............  A               Free/remove chest          23.96         NA      12.22       3.02         NA      39.20        090
                                                       lining.
32400...............  ..............  A               Needle biopsy chest         1.76       1.70       0.55       0.08       3.54       2.39        000
                                                       lining.
32402...............  ..............  A               Open biopsy chest           7.55         NA       5.17       1.10         NA      13.82        090
                                                       lining.
32405...............  ..............  A               Biopsy, lung or             1.93       2.14       0.63       0.11       4.18       2.67        000
                                                       mediastinum.
32420...............  ..............  A               Puncture/clear lung..       2.18         NA       0.83       0.13         NA       3.14        000
32440...............  ..............  A               Removal of lung......      24.96         NA      12.96       3.09         NA      41.01        090
32442...............  ..............  A               Sleeve pneumonectomy.      26.20         NA      14.82       3.76         NA      44.78        090
32445...............  ..............  A               Removal of lung......      25.05         NA      14.13       3.75         NA      42.93        090
32480...............  ..............  A               Partial removal of         23.71         NA      12.12       2.70         NA      38.53        090
                                                       lung.
32482...............  ..............  A               Bilobectomy..........      24.96         NA      12.97       2.83         NA      40.76        090
32484...............  ..............  A               Segmentectomy........      20.66         NA      11.44       3.06         NA      35.16        090
32486...............  ..............  A               Sleeve lobectomy.....      23.88         NA      13.30       3.62         NA      40.80        090
32488...............  ..............  A               Completion                 25.67         NA      13.84       3.84         NA      43.35        090
                                                       pneumonectomy.
32491...............  ..............  R               Lung volume reduction      21.22         NA      12.68       3.21         NA      37.11        090
32500...............  ..............  A               Partial removal of         21.97         NA      12.40       2.13         NA      36.50        090
                                                       lung.
32501...............  ..............  A               Repair bronchus add-        4.68         NA       1.54       0.68         NA       6.90        ZZZ
                                                       on.
32520...............  ..............  A               Remove lung & revise       21.65         NA      11.36       3.27         NA      36.28        090
                                                       chest.
32522...............  ..............  A               Remove lung & revise       24.16         NA      12.17       3.43         NA      39.76        090
                                                       chest.
32525...............  ..............  A               Remove lung & revise       26.46         NA      12.86       3.92         NA      43.24        090
                                                       chest.
32540...............  ..............  A               Removal of lung            14.62         NA       9.68       2.22         NA      26.52        090
                                                       lesion.
32601...............  ..............  A               Thoracoscopy,               5.45         NA       2.42       0.76         NA       8.63        000
                                                       diagnostic.
32602...............  ..............  A               Thoracoscopy,               5.95         NA       2.58       0.84         NA       9.37        000
                                                       diagnostic.
32603...............  ..............  A               Thoracoscopy,               7.80         NA       3.09       0.92         NA      11.81        000
                                                       diagnostic.
32604...............  ..............  A               Thoracoscopy,               8.77         NA       3.53       1.17         NA      13.47        000
                                                       diagnostic.
32605...............  ..............  A               Thoracoscopy,               6.92         NA       2.97       1.04         NA      10.93        000
                                                       diagnostic.
32606...............  ..............  A               Thoracoscopy,               8.39         NA       3.39       1.19         NA      12.97        000
                                                       diagnostic.
32650...............  ..............  A               Thoracoscopy,              10.73         NA       6.80       1.51         NA      19.04        090
                                                       surgical.
32651...............  ..............  A               Thoracoscopy,              12.89         NA       7.26       1.81         NA      21.96        090
                                                       surgical.
32652...............  ..............  A               Thoracoscopy,              18.63         NA      10.19       2.77         NA      31.59        090
                                                       surgical.
32653...............  ..............  A               Thoracoscopy,              12.85         NA       7.01       1.87         NA      21.73        090
                                                       surgical.
32654...............  ..............  A               Thoracoscopy,              12.42         NA       7.57       1.82         NA      21.81        090
                                                       surgical.
32655...............  ..............  A               Thoracoscopy,              13.08         NA       7.27       1.85         NA      22.20        090
                                                       surgical.
32656...............  ..............  A               Thoracoscopy,              12.89         NA       7.97       1.94         NA      22.80        090
                                                       surgical.
32657...............  ..............  A               Thoracoscopy,              13.63         NA       7.72       1.98         NA      23.33        090
                                                       surgical.
32658...............  ..............  A               Thoracoscopy,              11.61         NA       7.38       1.77         NA      20.76        090
                                                       surgical.
32659...............  ..............  A               Thoracoscopy,              11.57         NA       7.49       1.68         NA      20.74        090
                                                       surgical.
32660...............  ..............  A               Thoracoscopy,              17.40         NA       9.52       2.52         NA      29.44        090
                                                       surgical.
32661...............  ..............  A               Thoracoscopy,              13.23         NA       7.83       2.00         NA      23.06        090
                                                       surgical.
32662...............  ..............  A               Thoracoscopy,              16.42         NA       8.85       2.42         NA      27.69        090
                                                       surgical.
32663...............  ..............  A               Thoracoscopy,              18.44         NA      10.81       2.75         NA      32.00        090
                                                       surgical.
32664...............  ..............  A               Thoracoscopy,              14.18         NA       7.67       2.05         NA      23.90        090
                                                       surgical.
32665...............  ..............  A               Thoracoscopy,              15.52         NA       8.17       2.16         NA      25.85        090
                                                       surgical.
32800...............  ..............  A               Repair lung hernia...      13.67         NA       7.49       1.82         NA      22.98        090
32810...............  ..............  A               Close chest after          13.03         NA       7.59       1.87         NA      22.49        090
                                                       drainage.
32815...............  ..............  A               Close bronchial            23.12         NA      11.04       3.43         NA      37.59        090
                                                       fistula.
32820...............  ..............  A               Reconstruct injured        21.45         NA      12.29       2.79         NA      36.53        090
                                                       chest.
32850...............  ..............  X               Donor pneumonectomy..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
32851...............  ..............  A               Lung transplant,           38.57         NA      27.97       5.91         NA      72.45        090
                                                       single.
32852...............  ..............  A               Lung transplant with       41.74         NA      33.35       6.24         NA      81.33        090
                                                       bypass.
32853...............  ..............  A               Lung transplant,           47.74         NA      31.96       7.39         NA      87.09        090
                                                       double.
32854...............  ..............  A               Lung transplant with       50.90         NA      34.97       7.73         NA      93.60        090
                                                       bypass.
32900...............  ..............  A               Removal of rib(s)....      20.24         NA       9.95       2.92         NA      33.11        090
32905...............  ..............  A               Revise & repair chest      20.72         NA      10.19       3.06         NA      33.97        090
                                                       wall.
32906...............  ..............  A               Revise & repair chest      26.73         NA      12.14       3.98         NA      42.85        090
                                                       wall.

[[Page 1148]]

 
32940...............  ..............  A               Revision of lung.....      19.40         NA       9.53       2.98         NA      31.91        090
32960...............  ..............  A               Therapeutic                 1.84       1.76       0.57       0.14       3.74       2.55        000
                                                       pneumothorax.
32997...............  ..............  A               Total lung lavage....       5.99         NA       1.91       0.66         NA       8.56        000
32999...............  ..............  C               Chest surgery               0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
33010...............  ..............  A               Drainage of heart sac       2.24         NA       0.96       0.16         NA       3.36        000
33011...............  ..............  A               Repeat drainage of          2.24         NA       1.00       0.16         NA       3.40        000
                                                       heart sac.
33015...............  ..............  A               Incision of heart sac       6.79         NA       4.98       0.77         NA      12.54        090
33020...............  ..............  A               Incision of heart sac      12.59         NA       6.84       1.81         NA      21.24        090
33025...............  ..............  A               Incision of heart sac      12.07         NA       6.39       1.81         NA      20.27        090
33030...............  ..............  A               Partial removal of         18.68         NA       9.59       2.89         NA      31.16        090
                                                       heart sac.
33031...............  ..............  A               Partial removal of         21.76         NA      10.10       3.35         NA      35.21        090
                                                       heart sac.
33050...............  ..............  A               Removal of heart sac       14.34         NA       7.90       2.09         NA      24.33        090
                                                       lesion.
33120...............  ..............  A               Removal of heart           24.52         NA      11.68       3.69         NA      39.89        090
                                                       lesion.
33130...............  ..............  A               Removal of heart           21.36         NA      10.18       3.03         NA      34.57        090
                                                       lesion.
33140...............  ..............  A               Heart revascularize        19.97         NA      10.94       2.74         NA      33.65        090
                                                       (tmr).
33141...............  ..............  A               Heart tmr w/other           4.83         NA       1.59       0.66         NA       7.08        ZZZ
                                                       procedure.
33200...............  ..............  A               Insertion of heart         12.46         NA       6.98       1.41         NA      20.85        090
                                                       pacemaker.
33201...............  ..............  A               Insertion of heart         10.16         NA       6.73       1.46         NA      18.35        090
                                                       pacemaker.
33206...............  ..............  A               Insertion of heart          6.66         NA       4.57       0.60         NA      11.83        090
                                                       pacemaker.
33207...............  ..............  A               Insertion of heart          8.03         NA       4.76       0.69         NA      13.48        090
                                                       pacemaker.
33208...............  ..............  A               Insertion of heart          8.12         NA       4.86       0.65         NA      13.63        090
                                                       pacemaker.
33210...............  ..............  A               Insertion of heart          3.30         NA       1.25       0.21         NA       4.76        000
                                                       electrode.
33211...............  ..............  A               Insertion of heart          3.39         NA       1.32       0.21         NA       4.92        000
                                                       electrode.
33212...............  ..............  A               Insertion of pulse          5.51         NA       3.42       0.53         NA       9.46        090
                                                       generator.
33213...............  ..............  A               Insertion of pulse          6.36         NA       3.78       0.55         NA      10.69        090
                                                       generator.
33214...............  ..............  A               Upgrade of pacemaker        7.74         NA       4.99       0.63         NA      13.36        090
                                                       system.
33215...............  ..............  A               Reposition pacing-          4.75         NA       3.18       0.43         NA       8.36        090
                                                       defib lead.
33216...............  ..............  A               Insert lead pace-           5.77         NA       4.30       0.43         NA      10.50        090
                                                       defib, one.
33217...............  ..............  A               Insert lead pace-           5.74         NA       4.33       0.43         NA      10.50        090
                                                       defib, dual.
33218...............  ..............  A               Repair lead pace-           5.43         NA       4.37       0.48         NA      10.28        090
                                                       defib, one.
33220...............  ..............  A               Repair lead pace-           5.51         NA       4.34       0.47         NA      10.32        090
                                                       defib, dual.
33222...............  ..............  A               Revise pocket,              4.95         NA       4.36       0.47         NA       9.78        090
                                                       pacemaker.
33223...............  ..............  A               Revise pocket, pacing-      6.45         NA       4.64       0.53         NA      11.62        090
                                                       defib.
33224...............  ..............  A               Insert pacing lead &        9.04         NA       4.02       0.43         NA      13.49        000
                                                       connect.
33225...............  ..............  A               L ventric pacing lead       8.33         NA       3.23       0.43         NA      11.99        ZZZ
                                                       add-on.
33226...............  ..............  A               Reposition l ventric        8.68         NA       3.88       0.43         NA      12.99        000
                                                       lead.
33233...............  ..............  A               Removal of pacemaker        3.29         NA       3.31       0.27         NA       6.87        090
                                                       system.
33234...............  ..............  A               Removal of pacemaker        7.81         NA       4.95       0.68         NA      13.44        090
                                                       system.
33235...............  ..............  A               Removal pacemaker           9.39         NA       6.86       0.82         NA      17.07        090
                                                       electrode.
33236...............  ..............  A               Remove electrode/          12.58         NA       7.48       1.80         NA      21.86        090
                                                       thoracotomy.
33237...............  ..............  A               Remove electrode/          13.69         NA       7.84       1.89         NA      23.42        090
                                                       thoracotomy.
33238...............  ..............  A               Remove electrode/          15.20         NA       8.26       1.88         NA      25.34        090
                                                       thoracotomy.
33240...............  ..............  A               Insert pulse                7.59         NA       4.66       0.64         NA      12.89        090
                                                       generator.
33241...............  ..............  A               Remove pulse                3.24         NA       2.99       0.25         NA       6.48        090
                                                       generator.
33243...............  ..............  A               Remove eltrd/              22.61         NA      11.50       3.05         NA      37.16        090
                                                       thoracotomy.
33244...............  ..............  A               Remove eltrd,              13.74         NA       8.96       1.27         NA      23.97        090
                                                       transven.
33245...............  ..............  A               Insert epic eltrd          14.28         NA       8.03       1.54         NA      23.85        090
                                                       pace-defib.
33246...............  ..............  A               Insert epic eltrd/         20.68         NA      10.41       2.68         NA      33.77        090
                                                       generator.
33249...............  ..............  A               Eltrd/insert pace-         14.21         NA       8.49       0.96         NA      23.66        090
                                                       defib.
33250...............  ..............  A               Ablate heart               21.82         NA      11.13       1.22         NA      34.17        090
                                                       dysrhythm focus.
33251...............  ..............  A               Ablate heart               24.84         NA      11.74       2.91         NA      39.49        090
                                                       dysrhythm focus.
33253...............  ..............  A               Reconstruct atria....      31.01         NA      13.91       4.44         NA      49.36        090
33261...............  ..............  A               Ablate heart               24.84         NA      11.85       3.40         NA      40.09        090
                                                       dysrhythm focus.
33282...............  ..............  A               Implant pat-active ht       4.16         NA       4.11       0.47         NA       8.74        090
                                                       record.
33284...............  ..............  A               Remove pat-active ht        2.50         NA       3.58       0.28         NA       6.36        090
                                                       record.
33300...............  ..............  A               Repair of heart wound      17.89         NA       9.31       2.30         NA      29.50        090
33305...............  ..............  A               Repair of heart wound      21.41         NA      10.70       3.23         NA      35.34        090
33310...............  ..............  A               Exploratory heart          18.48         NA       9.65       2.73         NA      30.86        090
                                                       surgery.
33315...............  ..............  A               Exploratory heart          22.34         NA      10.95       3.50         NA      36.79        090
                                                       surgery.
33320...............  ..............  A               Repair major blood         16.76         NA       8.30       2.00         NA      27.06        090
                                                       vessel(s).
33321...............  ..............  A               Repair major vessel..      20.17         NA       9.86       3.26         NA      33.29        090
33322...............  ..............  A               Repair major blood         20.59         NA      10.44       3.03         NA      34.06        090
                                                       vessel(s).
33330...............  ..............  A               Insert major vessel        21.40         NA      10.35       3.00         NA      34.75        090
                                                       graft.
33332...............  ..............  A               Insert major vessel        23.92         NA      10.59       2.95         NA      37.46        090
                                                       graft.
33335...............  ..............  A               Insert major vessel        29.96         NA      13.42       4.57         NA      47.95        090
                                                       graft.
33400...............  ..............  A               Repair of aortic           28.46         NA      15.73       3.73         NA      47.92        090
                                                       valve.
33401...............  ..............  A               Valvuloplasty, open..      23.87         NA      13.57       3.27         NA      40.71        090
33403...............  ..............  A               Valvuloplasty, w/cp        24.85         NA      14.37       2.99         NA      42.21        090
                                                       bypass.
33404...............  ..............  A               Prepare heart-aorta        28.50         NA      14.58       3.99         NA      47.07        090
                                                       conduit.
33405...............  ..............  A               Replacement of aortic      34.95         NA      18.36       4.66         NA      57.97        090
                                                       valve.
33406...............  ..............  A               Replacement of aortic      37.44         NA      19.20       4.91         NA      61.55        090
                                                       valve.
33410...............  ..............  A               Replacement of aortic      32.41         NA      16.66       4.96         NA      54.03        090
                                                       valve.
33411...............  ..............  A               Replacement of aortic      36.20         NA      18.83       5.02         NA      60.05        090
                                                       valve.
33412...............  ..............  A               Replacement of aortic      41.94         NA      20.50       5.62         NA      68.06        090
                                                       valve.
33413...............  ..............  A               Replacement of aortic      43.43         NA      20.91       5.14         NA      69.48        090
                                                       valve.

[[Page 1149]]

 
33414...............  ..............  A               Repair of aortic           30.30         NA      14.23       4.57         NA      49.10        090
                                                       valve.
33415...............  ..............  A               Revision, subvalvular      27.11         NA      12.11       3.92         NA      43.14        090
                                                       tissue.
33416...............  ..............  A               Revise ventricle           30.30         NA      13.59       4.64         NA      48.53        090
                                                       muscle.
33417...............  ..............  A               Repair of aortic           28.49         NA      13.71       4.32         NA      46.52        090
                                                       valve.
33420...............  ..............  A               Revision of mitral         22.67         NA       9.66       1.79         NA      34.12        090
                                                       valve.
33422...............  ..............  A               Revision of mitral         25.90         NA      13.71       3.98         NA      43.59        090
                                                       valve.
33425...............  ..............  A               Repair of mitral           26.96         NA      13.10       3.62         NA      43.68        090
                                                       valve.
33426...............  ..............  A               Repair of mitral           32.95         NA      17.21       4.67         NA      54.83        090
                                                       valve.
33427...............  ..............  A               Repair of mitral           39.94         NA      19.44       5.19         NA      64.57        090
                                                       valve.
33430...............  ..............  A               Replacement of mitral      33.45         NA      17.37       4.76         NA      55.58        090
                                                       valve.
33460...............  ..............  A               Revision of tricuspid      23.56         NA      11.38       3.64         NA      38.58        090
                                                       valve.
33463...............  ..............  A               Valvuloplasty,             25.58         NA      12.99       3.82         NA      42.39        090
                                                       tricuspid.
33464...............  ..............  A               Valvuloplasty,             27.29         NA      13.60       4.19         NA      45.08        090
                                                       tricuspid.
33465...............  ..............  A               Replace tricuspid          28.75         NA      13.05       4.35         NA      46.15        090
                                                       valve.
33468...............  ..............  A               Revision of tricuspid      30.07         NA      13.76       4.82         NA      48.65        090
                                                       valve.
33470...............  ..............  A               Revision of pulmonary      20.78         NA      10.78       3.39         NA      34.95        090
                                                       valve.
33471...............  ..............  A               Valvotomy, pulmonary       22.22         NA       9.82       3.62         NA      35.66        090
                                                       valve.
33472...............  ..............  A               Revision of pulmonary      22.22         NA      11.97       3.52         NA      37.71        090
                                                       valve.
33474...............  ..............  A               Revision of pulmonary      23.01         NA      10.95       3.43         NA      37.39        090
                                                       valve.
33475...............  ..............  A               Replacement,               32.95         NA      15.48       3.18         NA      51.61        090
                                                       pulmonary valve.
33476...............  ..............  A               Revision of heart          25.73         NA      12.03       2.89         NA      40.65        090
                                                       chamber.
33478...............  ..............  A               Revision of heart          26.70         NA      13.13       4.29         NA      44.12        090
                                                       chamber.
33496...............  ..............  A               Repair, prosth valve       27.21         NA      12.83       4.15         NA      44.19        090
                                                       clot.
33500...............  ..............  A               Repair heart vessel        25.51         NA      11.54       3.38         NA      40.43        090
                                                       fistula.
33501...............  ..............  A               Repair heart vessel        17.75         NA       8.34       2.47         NA      28.56        090
                                                       fistula.
33502...............  ..............  A               Coronary artery            21.01         NA      11.15       3.03         NA      35.19        090
                                                       correction.
33503...............  ..............  A               Coronary artery graft      21.75         NA       9.83       1.71         NA      33.29        090
33504...............  ..............  A               Coronary artery graft      24.62         NA      11.91       3.67         NA      40.20        090
33505...............  ..............  A               Repair artery w/           26.80         NA      13.02       1.83         NA      41.65        090
                                                       tunnel.
33506...............  ..............  A               Repair artery,             35.45         NA      14.66       3.85         NA      53.96        090
                                                       translocation.
33508...............  ..............  A               Endoscopic vein             0.31         NA       0.10       0.04         NA       0.45        ZZZ
                                                       harvest.
33510...............  ..............  A               CABG, vein, single...      28.96         NA      16.41       3.78         NA      49.15        090
33511...............  ..............  A               CABG, vein, two......      29.96         NA      17.15       4.03         NA      51.14        090
33512...............  ..............  A               CABG, vein, three....      31.75         NA      17.68       4.46         NA      53.89        090
33513...............  ..............  A               CABG, vein, four.....      31.95         NA      17.86       4.81         NA      54.62        090
33514...............  ..............  A               CABG, vein, five.....      32.70         NA      18.14       5.27         NA      56.11        090
33516...............  ..............  A               Cabg, vein, six or         34.95         NA      18.88       5.57         NA      59.40        090
                                                       more.
33517...............  ..............  A               CABG, artery-vein,          2.57         NA       0.84       0.39         NA       3.80        ZZZ
                                                       single.
33518...............  ..............  A               CABG, artery-vein,          4.84         NA       1.59       0.74         NA       7.17        ZZZ
                                                       two.
33519...............  ..............  A               CABG, artery-vein,          7.11         NA       2.33       1.07         NA      10.51        ZZZ
                                                       three.
33521...............  ..............  A               CABG, artery-vein,          9.39         NA       3.08       1.42         NA      13.89        ZZZ
                                                       four.
33522...............  ..............  A               CABG, artery-vein,         11.65         NA       3.82       1.79         NA      17.26        ZZZ
                                                       five.
33523...............  ..............  A               Cabg, art-vein, six        13.93         NA       4.55       2.15         NA      20.63        ZZZ
                                                       or more.
33530...............  ..............  A               Coronary artery,            5.85         NA       1.91       0.88         NA       8.64        ZZZ
                                                       bypass/reop.
33533...............  ..............  A               CABG, arterial,            29.96         NA      16.54       3.91         NA      50.41        090
                                                       single.
33534...............  ..............  A               CABG, arterial, two..      32.15         NA      17.79       4.38         NA      54.32        090
33535...............  ..............  A               CABG, arterial, three      34.45         NA      18.22       4.79         NA      57.46        090
33536...............  ..............  A               Cabg, arterial, four       37.44         NA      18.38       3.97         NA      59.79        090
                                                       or more.
33542...............  ..............  A               Removal of heart           28.81         NA      13.08       4.35         NA      46.24        090
                                                       lesion.
33545...............  ..............  A               Repair of heart            36.72         NA      15.73       5.31         NA      57.76        090
                                                       damage.
33572...............  ..............  A               Open coronary               4.44         NA       1.46       0.66         NA       6.56        ZZZ
                                                       endarterectomy.
33600...............  ..............  A               Closure of valve.....      29.47         NA      12.62       2.77         NA      44.86        090
33602...............  ..............  A               Closure of valve.....      28.50         NA      12.54       3.50         NA      44.54        090
33606...............  ..............  A               Anastomosis/artery-        30.69         NA      13.75       4.33         NA      48.77        090
                                                       aorta.
33608...............  ..............  A               Repair anomaly w/          31.04         NA      14.19       5.03         NA      50.26        090
                                                       conduit.
33610...............  ..............  A               Repair by enlargement      30.56         NA      14.20       4.85         NA      49.61        090
33611...............  ..............  A               Repair double              33.95         NA      14.23       3.96         NA      52.14        090
                                                       ventricle.
33612...............  ..............  A               Repair double              34.95         NA      15.25       5.36         NA      55.56        090
                                                       ventricle.
33615...............  ..............  A               Repair, modified           33.95         NA      15.14       3.80         NA      52.89        090
                                                       fontan.
33617...............  ..............  A               Repair single              36.94         NA      16.11       4.93         NA      57.98        090
                                                       ventricle.
33619...............  ..............  A               Repair single              44.93         NA      20.94       5.68         NA      71.55        090
                                                       ventricle.
33641...............  ..............  A               Repair heart septum        21.36         NA       9.64       3.22         NA      34.22        090
                                                       defect.
33645...............  ..............  A               Revision of heart          24.78         NA      11.84       3.94         NA      40.56        090
                                                       veins.
33647...............  ..............  A               Repair heart septum        28.69         NA      13.86       4.06         NA      46.61        090
                                                       defects.
33660...............  ..............  A               Repair of heart            29.96         NA      13.58       3.40         NA      46.94        090
                                                       defects.
33665...............  ..............  A               Repair of heart            28.56         NA      13.91       4.60         NA      47.07        090
                                                       defects.
33670...............  ..............  A               Repair of heart            34.95         NA      13.39       2.63         NA      50.97        090
                                                       chambers.
33681...............  ..............  A               Repair heart septum        30.56         NA      14.77       4.26         NA      49.59        090
                                                       defect.
33684...............  ..............  A               Repair heart septum        29.61         NA      13.71       4.55         NA      47.87        090
                                                       defect.
33688...............  ..............  A               Repair heart septum        30.57         NA      10.58       4.69         NA      45.84        090
                                                       defect.
33690...............  ..............  A               Reinforce pulmonary        19.52         NA      10.32       3.09         NA      32.93        090
                                                       artery.
33692...............  ..............  A               Repair of heart            30.70         NA      14.02       4.55         NA      49.27        090
                                                       defects.
33694...............  ..............  A               Repair of heart            33.95         NA      14.32       5.15         NA      53.42        090
                                                       defects.
33697...............  ..............  A               Repair of heart            35.95         NA      14.95       5.48         NA      56.38        090
                                                       defects.
33702...............  ..............  A               Repair of heart            26.50         NA      12.65       4.16         NA      43.31        090
                                                       defects.

[[Page 1150]]

 
33710...............  ..............  A               Repair of heart            29.67         NA      14.08       4.64         NA      48.39        090
                                                       defects.
33720...............  ..............  A               Repair of heart            26.52         NA      12.36       3.87         NA      42.75        090
                                                       defect.
33722...............  ..............  A               Repair of heart            28.37         NA      13.94       4.58         NA      46.89        090
                                                       defect.
33730...............  ..............  A               Repair heart-vein          34.20         NA      14.23       3.44         NA      51.87        090
                                                       defect(s).
33732...............  ..............  A               Repair heart-vein          28.12         NA      13.50       3.35         NA      44.97        090
                                                       defect.
33735...............  ..............  A               Revision of heart          21.36         NA      10.08       1.35         NA      32.79        090
                                                       chamber.
33736...............  ..............  A               Revision of heart          23.48         NA      11.95       3.26         NA      38.69        090
                                                       chamber.
33737...............  ..............  A               Revision of heart          21.73         NA      11.02       3.53         NA      36.28        090
                                                       chamber.
33750...............  ..............  A               Major vessel shunt...      21.38         NA      10.31       2.10         NA      33.79        090
33755...............  ..............  A               Major vessel shunt...      21.76         NA       8.86       3.53         NA      34.15        090
33762...............  ..............  A               Major vessel shunt...      21.76         NA      10.24       1.92         NA      33.92        090
33764...............  ..............  A               Major vessel shunt &       21.76         NA      10.31       2.33         NA      34.40        090
                                                       graft.
33766...............  ..............  A               Major vessel shunt...      22.73         NA      11.73       3.67         NA      38.13        090
33767...............  ..............  A               Major vessel shunt...      24.46         NA      11.81       3.79         NA      40.06        090
33770...............  ..............  A               Repair great vessels       36.94         NA      14.77       5.42         NA      57.13        090
                                                       defect.
33771...............  ..............  A               Repair great vessels       34.60         NA      12.48       5.63         NA      52.71        090
                                                       defect.
33774...............  ..............  A               Repair great vessels       30.93         NA      14.23       5.04         NA      50.20        090
                                                       defect.
33775...............  ..............  A               Repair great vessels       32.15         NA      14.28       5.23         NA      51.66        090
                                                       defect.
33776...............  ..............  A               Repair great vessels       33.99         NA      15.88       5.52         NA      55.39        090
                                                       defect.
33777...............  ..............  A               Repair great vessels       33.41         NA      14.95       5.44         NA      53.80        090
                                                       defect.
33778...............  ..............  A               Repair great vessels       39.94         NA      16.98       5.83         NA      62.75        090
                                                       defect.
33779...............  ..............  A               Repair great vessels       36.16         NA      15.49       2.89         NA      54.54        090
                                                       defect.
33780...............  ..............  A               Repair great vessels       41.69         NA      19.13       6.28         NA      67.10        090
                                                       defect.
33781...............  ..............  A               Repair great vessels       36.40         NA      13.56       5.92         NA      55.88        090
                                                       defect.
33786...............  ..............  A               Repair arterial trunk      38.94         NA      16.79       5.66         NA      61.39        090
33788...............  ..............  A               Revision of pulmonary      26.58         NA      12.03       4.00         NA      42.61        090
                                                       artery.
33800...............  ..............  A               Aortic suspension....      16.22         NA       8.21       1.34         NA      25.77        090
33802...............  ..............  A               Repair vessel defect.      17.63         NA       9.30       1.88         NA      28.81        090
33803...............  ..............  A               Repair vessel defect.      19.57         NA       9.84       3.17         NA      32.58        090
33813...............  ..............  A               Repair septal defect.      20.62         NA      10.99       3.35         NA      34.96        090
33814...............  ..............  A               Repair septal defect.      25.73         NA      12.73       3.04         NA      41.50        090
33820...............  ..............  A               Revise major vessel..      16.27         NA       8.39       2.53         NA      27.19        090
33822...............  ..............  A               Revise major vessel..      17.29         NA       9.03       2.81         NA      29.13        090
33824...............  ..............  A               Revise major vessel..      19.49         NA      10.06       3.15         NA      32.70        090
33840...............  ..............  A               Remove aorta               20.60         NA      10.36       2.85         NA      33.81        090
                                                       constriction.
33845...............  ..............  A               Remove aorta               22.09         NA      11.42       3.50         NA      37.01        090
                                                       constriction.
33851...............  ..............  A               Remove aorta               21.24         NA      10.78       3.45         NA      35.47        090
                                                       constriction.
33852...............  ..............  A               Repair septal defect.      23.67         NA      11.45       3.85         NA      38.97        090
33853...............  ..............  A               Repair septal defect.      31.67         NA      14.92       5.10         NA      51.69        090
33860...............  ..............  A               Ascending aortic           37.94         NA      16.55       5.19         NA      59.68        090
                                                       graft.
33861...............  ..............  A               Ascending aortic           41.94         NA      17.81       5.11         NA      64.86        090
                                                       graft.
33863...............  ..............  A               Ascending aortic           44.93         NA      18.80       5.55         NA      69.28        090
                                                       graft.
33870...............  ..............  A               Transverse aortic          43.93         NA      18.49       6.14         NA      68.56        090
                                                       arch graft.
33875...............  ..............  A               Thoracic aortic graft      33.01         NA      14.18       4.92         NA      52.11        090
33877...............  ..............  A               Thoracoabdominal           42.54         NA      16.43       6.11         NA      65.08        090
                                                       graft.
33910...............  ..............  A               Remove lung artery         24.55         NA      11.52       3.69         NA      39.76        090
                                                       emboli.
33915...............  ..............  A               Remove lung artery         20.99         NA       9.68       1.45         NA      32.12        090
                                                       emboli.
33916...............  ..............  A               Surgery of great           25.79         NA      11.43       3.67         NA      40.89        090
                                                       vessel.
33917...............  ..............  A               Repair pulmonary           24.46         NA      12.27       3.82         NA      40.55        090
                                                       artery.
33918...............  ..............  A               Repair pulmonary           26.41         NA      12.19       4.12         NA      42.72        090
                                                       atresia.
33919...............  ..............  A               Repair pulmonary           39.94         NA      17.62       4.20         NA      61.76        090
                                                       atresia.
33920...............  ..............  A               Repair pulmonary           31.90         NA      13.92       4.35         NA      50.17        090
                                                       atresia.
33922...............  ..............  A               Transect pulmonary         23.48         NA      10.98       2.77         NA      37.23        090
                                                       artery.
33924...............  ..............  A               Remove pulmonary            5.49         NA       1.85       0.89         NA       8.23        ZZZ
                                                       shunt.
33930...............  ..............  X               Removal of donor            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       heart/lung.
33935...............  ..............  R               Transplantation,           60.87         NA      29.07       9.83         NA      99.77        090
                                                       heart/lung.
33940...............  ..............  X               Removal of donor            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       heart.
33945...............  ..............  R               Transplantation of         42.04         NA      21.66       6.54         NA      70.24        090
                                                       heart.
33960...............  ..............  A               External circulation       19.33         NA       4.93       2.58         NA      26.84        000
                                                       assist.
33961...............  ..............  A               External circulation       10.91         NA       3.63       1.77         NA      16.31        ZZZ
                                                       assist.
33967...............  ..............  A               Insert ia percut            4.84         NA       1.85       0.34         NA       7.03        000
                                                       device.
33968...............  ..............  A               Remove aortic assist        0.64         NA       0.23       0.08         NA       0.95        000
                                                       device.
33970...............  ..............  A               Aortic circulation          6.74         NA       2.29       0.84         NA       9.87        000
                                                       assist.
33971...............  ..............  A               Aortic circulation          9.68         NA       6.07       1.17         NA      16.92        090
                                                       assist.
33973...............  ..............  A               Insert balloon device       9.75         NA       3.32       1.22         NA      14.29        000
33974...............  ..............  A               Remove intra-aortic        14.39         NA       7.95       1.79         NA      24.13        090
                                                       balloon.
33975...............  ..............  A               Implant ventricular        20.97         NA       6.31       2.07         NA      29.35        XXX
                                                       device.
33976...............  ..............  A               Implant ventricular        22.97         NA       7.58       3.40         NA      33.95        XXX
                                                       device.
33977...............  ..............  A               Remove ventricular         19.26         NA      11.13       2.94         NA      33.33        090
                                                       device.
33978...............  ..............  A               Remove ventricular         21.70         NA      11.80       3.21         NA      36.71        090
                                                       device.
33979...............  ..............  A               Insert intracorporeal      45.93         NA      14.97       4.80         NA      65.70        XXX
                                                       device.
33980...............  ..............  A               Remove intracorporeal      56.17         NA      25.52       5.55         NA      87.24        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          12.89         NA       6.75       1.76         NA      21.40        090
                                                       clot.
34051...............  ..............  A               Removal of artery          15.19         NA       7.82       2.29         NA      25.30        090
                                                       clot.

[[Page 1151]]

 
34101...............  ..............  A               Removal of artery           9.99         NA       5.38       1.34         NA      16.71        090
                                                       clot.
34111...............  ..............  A               Removal of arm artery       9.99         NA       5.38       1.03         NA      16.40        090
                                                       clot.
34151...............  ..............  A               Removal of artery          24.96         NA      10.45       2.22         NA      37.63        090
                                                       clot.
34201...............  ..............  A               Removal of artery          10.01         NA       5.45       1.23         NA      16.69        090
                                                       clot.
34203...............  ..............  A               Removal of leg artery      16.48         NA       8.09       1.65         NA      26.22        090
                                                       clot.
34401...............  ..............  A               Removal of vein clot.      24.96         NA      10.72       1.45         NA      37.13        090
34421...............  ..............  A               Removal of vein clot.      11.98         NA       6.33       1.15         NA      19.46        090
34451...............  ..............  A               Removal of vein clot.      26.96         NA      11.49       1.92         NA      40.37        090
34471...............  ..............  A               Removal of vein clot.      10.16         NA       5.35       1.09         NA      16.60        090
34490...............  ..............  A               Removal of vein clot.       9.85         NA       5.46       0.88         NA      16.19        090
34501...............  ..............  A               Repair valve, femoral      15.98         NA       8.55       1.65         NA      26.18        090
                                                       vein.
34502...............  ..............  A               Reconstruct vena cava      26.91         NA      12.34       3.61         NA      42.86        090
34510...............  ..............  A               Transposition of vein      18.92         NA       9.48       1.93         NA      30.33        090
                                                       valve.
34520...............  ..............  A               Cross-over vein graft      17.92         NA       8.72       1.70         NA      28.34        090
34530...............  ..............  A               Leg vein fusion......      16.62         NA       8.65       2.48         NA      27.75        090
34800...............  ..............  A               Endovasc abdo repair       20.72         NA       9.21       1.80         NA      31.73        090
                                                       w/tube.
34802...............  ..............  A               Endovasc abdo repr w/      22.97         NA       9.83       1.99         NA      34.79        090
                                                       device.
34804...............  ..............  A               Endovasc abdo repr w/      22.97         NA       9.84       1.99         NA      34.80        090
                                                       device.
34805...............  ..............  A               Endovasc abdo repair       21.85         NA       9.46       1.99         NA      33.30        090
                                                       w/pros.
34808...............  ..............  A               Endovasc abdo occlud        4.12         NA       1.38       0.35         NA       5.85        ZZZ
                                                       device.
34812...............  ..............  A               Xpose for endoprosth,       6.74         NA       2.24       0.59         NA       9.57        000
                                                       femorl.
34813...............  ..............  A               Femoral endovas graft       4.79         NA       1.58       0.41         NA       6.78        ZZZ
                                                       add-on.
34820...............  ..............  A               Xpose for endoprosth,       9.74         NA       3.25       0.84         NA      13.83        000
                                                       iliac.
34825...............  ..............  A               Endovasc extend            11.98         NA       6.17       1.04         NA      19.19        090
                                                       prosth, init.
34826...............  ..............  A               Endovasc exten              4.12         NA       1.38       0.35         NA       5.85        ZZZ
                                                       prosth, add'l.
34830...............  ..............  A               Open aortic tube           32.54         NA      13.76       2.82         NA      49.12        090
                                                       prosth repr.
34831...............  ..............  A               Open aortoiliac            35.29         NA      11.80       3.05         NA      50.14        090
                                                       prosth repr.
34832...............  ..............  A               Open aortofemor            35.29         NA      14.68       3.05         NA      53.02        090
                                                       prosth repr.
34833...............  ..............  A               Xpose for endoprosth,      11.98         NA       4.51       0.84         NA      17.33        000
                                                       iliac.
34834...............  ..............  A               Xpose, endoprosth,          5.34         NA       2.23       0.59         NA       8.16        000
                                                       brachial.
34900...............  ..............  A               Endovasc iliac repr w/     16.36         NA       7.82       1.80         NA      25.98        090
                                                       graft.
35001...............  ..............  A               Repair defect of           19.61         NA       9.59       2.94         NA      32.14        090
                                                       artery.
35002...............  ..............  A               Repair artery              20.97         NA       9.74       2.20         NA      32.91        090
                                                       rupture, neck.
35005...............  ..............  A               Repair defect of           18.09         NA       8.89       1.63         NA      28.61        090
                                                       artery.
35011...............  ..............  A               Repair defect of           17.97         NA       8.02       1.57         NA      27.56        090
                                                       artery.
35013...............  ..............  A               Repair artery              21.97         NA       9.73       2.30         NA      34.00        090
                                                       rupture, arm.
35021...............  ..............  A               Repair defect of           19.62         NA       9.50       2.33         NA      31.45        090
                                                       artery.
35022...............  ..............  A               Repair artery              23.15         NA      10.10       2.40         NA      35.65        090
                                                       rupture, chest.
35045...............  ..............  A               Repair defect of arm       17.54         NA       7.58       1.51         NA      26.63        090
                                                       artery.
35081...............  ..............  A               Repair defect of           27.97         NA      11.51       3.86         NA      43.34        090
                                                       artery.
35082...............  ..............  A               Repair artery              38.44         NA      15.35       4.91         NA      58.70        090
                                                       rupture, aorta.
35091...............  ..............  A               Repair defect of           35.35         NA      13.63       4.93         NA      53.91        090
                                                       artery.
35092...............  ..............  A               Repair artery              44.93         NA      17.70       5.20         NA      67.83        090
                                                       rupture, aorta.
35102...............  ..............  A               Repair defect of           30.71         NA      12.41       4.15         NA      47.27        090
                                                       artery.
35103...............  ..............  A               Repair artery              40.44         NA      15.92       4.57         NA      60.93        090
                                                       rupture, groin.
35111...............  ..............  A               Repair defect of           24.96         NA      10.51       2.18         NA      37.65        090
                                                       artery.
35112...............  ..............  A               Repair artery              29.96         NA      12.01       2.35         NA      44.32        090
                                                       rupture,spleen.
35121...............  ..............  A               Repair defect of           29.96         NA      12.42       3.53         NA      45.91        090
                                                       artery.
35122...............  ..............  A               Repair artery              34.95         NA      13.86       4.27         NA      53.08        090
                                                       rupture, belly.
35131...............  ..............  A               Repair defect of           24.96         NA      10.80       2.54         NA      38.30        090
                                                       artery.
35132...............  ..............  A               Repair artery              29.96         NA      12.42       2.99         NA      45.37        090
                                                       rupture, groin.
35141...............  ..............  A               Repair defect of           19.97         NA       8.95       1.99         NA      30.91        090
                                                       artery.
35142...............  ..............  A               Repair artery              23.27         NA      10.40       2.11         NA      35.78        090
                                                       rupture, thigh.
35151...............  ..............  A               Repair defect of           22.61         NA      10.04       2.33         NA      34.98        090
                                                       artery.
35152...............  ..............  A               Repair artery              25.58         NA      11.43       2.33         NA      39.34        090
                                                       rupture, knee.
35161...............  ..............  A               Repair defect of           18.73         NA       9.19       2.67         NA      30.59        090
                                                       artery.
35162...............  ..............  A               Repair artery rupture      19.75         NA       9.61       2.67         NA      32.03        090
35180...............  ..............  A               Repair blood vessel        13.60         NA       6.98       1.74         NA      22.32        090
                                                       lesion.
35182...............  ..............  A               Repair blood vessel        29.96         NA      12.85       2.27         NA      45.08        090
                                                       lesion.
35184...............  ..............  A               Repair blood vessel        17.97         NA       8.34       1.62         NA      27.93        090
                                                       lesion.
35188...............  ..............  A               Repair blood vessel        14.26         NA       7.67       1.85         NA      23.78        090
                                                       lesion.
35189...............  ..............  A               Repair blood vessel        27.96         NA      12.00       2.56         NA      42.52        090
                                                       lesion.
35190...............  ..............  A               Repair blood vessel        12.73         NA       6.50       1.60         NA      20.83        090
                                                       lesion.
35201...............  ..............  A               Repair blood vessel        16.12         NA       8.02       1.41         NA      25.55        090
                                                       lesion.
35206...............  ..............  A               Repair blood vessel        13.23         NA       6.61       1.25         NA      21.09        090
                                                       lesion.
35207...............  ..............  A               Repair blood vessel        10.13         NA       7.51       1.39         NA      19.03        090
                                                       lesion.
35211...............  ..............  A               Repair blood vessel        22.09         NA      10.70       3.41         NA      36.20        090
                                                       lesion.
35216...............  ..............  A               Repair blood vessel        18.72         NA       9.04       2.62         NA      30.38        090
                                                       lesion.
35221...............  ..............  A               Repair blood vessel        24.35         NA       9.98       2.16         NA      36.49        090
                                                       lesion.
35226...............  ..............  A               Repair blood vessel        14.48         NA       7.52       1.01         NA      23.01        090
                                                       lesion.
35231...............  ..............  A               Repair blood vessel        19.97         NA       9.81       1.59         NA      31.37        090
                                                       lesion.
35236...............  ..............  A               Repair blood vessel        17.08         NA       7.95       1.44         NA      26.47        090
                                                       lesion.
35241...............  ..............  A               Repair blood vessel        23.09         NA      11.20       3.50         NA      37.79        090
                                                       lesion.
35246...............  ..............  A               Repair blood vessel        26.41         NA      11.51       2.68         NA      40.60        090
                                                       lesion.
35251...............  ..............  A               Repair blood vessel        30.15         NA      11.84       2.26         NA      44.25        090
                                                       lesion.

[[Page 1152]]

 
35256...............  ..............  A               Repair blood vessel        18.33         NA       8.43       1.59         NA      28.35        090
                                                       lesion.
35261...............  ..............  A               Repair blood vessel        17.77         NA       8.05       1.62         NA      27.44        090
                                                       lesion.
35266...............  ..............  A               Repair blood vessel        14.89         NA       7.06       1.40         NA      23.35        090
                                                       lesion.
35271...............  ..............  A               Repair blood vessel        22.09         NA      10.59       3.34         NA      36.02        090
                                                       lesion.
35276...............  ..............  A               Repair blood vessel        24.21         NA      11.28       2.86         NA      38.35        090
                                                       lesion.
35281...............  ..............  A               Repair blood vessel        27.96         NA      11.75       2.20         NA      41.91        090
                                                       lesion.
35286...............  ..............  A               Repair blood vessel        16.14         NA       8.12       1.64         NA      25.90        090
                                                       lesion.
35301...............  ..............  A               Rechanneling of            18.67         NA       8.50       2.69         NA      29.86        090
                                                       artery.
35311...............  ..............  A               Rechanneling of            26.96         NA      11.79       3.32         NA      42.07        090
                                                       artery.
35321...............  ..............  A               Rechanneling of            15.98         NA       7.41       1.64         NA      25.03        090
                                                       artery.
35331...............  ..............  A               Rechanneling of            26.16         NA      11.28       3.27         NA      40.71        090
                                                       artery.
35341...............  ..............  A               Rechanneling of            25.07         NA      10.91       3.46         NA      39.44        090
                                                       artery.
35351...............  ..............  A               Rechanneling of            22.97         NA       9.64       2.76         NA      35.37        090
                                                       artery.
35355...............  ..............  A               Rechanneling of            18.47         NA       8.12       2.17         NA      28.76        090
                                                       artery.
35361...............  ..............  A               Rechanneling of            28.16         NA      11.75       3.21         NA      43.12        090
                                                       artery.
35363...............  ..............  A               Rechanneling of            30.15         NA      12.63       3.34         NA      46.12        090
                                                       artery.
35371...............  ..............  A               Rechanneling of            14.70         NA       6.99       1.59         NA      23.28        090
                                                       artery.
35372...............  ..............  A               Rechanneling of            17.97         NA       8.08       1.85         NA      27.90        090
                                                       artery.
35381...............  ..............  A               Rechanneling of            15.79         NA       7.85       2.17         NA      25.81        090
                                                       artery.
35390...............  ..............  A               Reoperation, carotid        3.19         NA       1.07       0.46         NA       4.72        ZZZ
                                                       add-on.
35400...............  ..............  A               Angioscopy...........       3.00         NA       1.12       0.41         NA       4.53        ZZZ
35450...............  ..............  A               Repair arterial            10.05         NA       4.04       1.01         NA      15.10        000
                                                       blockage.
35452...............  ..............  A               Repair arterial             6.90         NA       3.17       0.92         NA      10.99        000
                                                       blockage.
35454...............  ..............  A               Repair arterial             6.03         NA       2.84       0.81         NA       9.68        000
                                                       blockage.
35456...............  ..............  A               Repair arterial             7.34         NA       3.29       0.99         NA      11.62        000
                                                       blockage.
35458...............  ..............  A               Repair arterial             9.48         NA       4.01       1.31         NA      14.80        000
                                                       blockage.
35459...............  ..............  A               Repair arterial             8.62         NA       3.64       1.16         NA      13.42        000
                                                       blockage.
35460...............  ..............  A               Repair venous               6.03         NA       2.68       0.80         NA       9.51        000
                                                       blockage.
35470...............  ..............  A               Repair arterial             8.62         NA       3.85       0.60         NA      13.07        000
                                                       blockage.
35471...............  ..............  A               Repair arterial            10.05         NA       4.45       0.60         NA      15.10        000
                                                       blockage.
35472...............  ..............  A               Repair arterial             6.90         NA       3.24       0.47         NA      10.61        000
                                                       blockage.
35473...............  ..............  A               Repair arterial             6.03         NA       2.92       0.41         NA       9.36        000
                                                       blockage.
35474...............  ..............  A               Repair arterial             7.35         NA       2.88       0.48         NA      10.71        000
                                                       blockage.
35475...............  ..............  R               Repair arterial             9.48         NA       4.06       0.57         NA      14.11        000
                                                       blockage.
35476...............  ..............  A               Repair venous               6.03         NA       2.85       0.33         NA       9.21        000
                                                       blockage.
35480...............  ..............  A               Atherectomy, open....      11.06         NA       4.51       1.36         NA      16.93        000
35481...............  ..............  A               Atherectomy, open....       7.60         NA       3.48       1.01         NA      12.09        000
35482...............  ..............  A               Atherectomy, open....       6.64         NA       3.09       0.90         NA      10.63        000
35483...............  ..............  A               Atherectomy, open....       8.09         NA       3.54       0.98         NA      12.61        000
35484...............  ..............  A               Atherectomy, open....      10.42         NA       4.23       1.36         NA      16.01        000
35485...............  ..............  A               Atherectomy, open....       9.48         NA       4.06       1.28         NA      14.82        000
35490...............  ..............  A               Atherectomy,               11.06         NA       4.71       0.66         NA      16.43        000
                                                       percutaneous.
35491...............  ..............  A               Atherectomy,                7.60         NA       3.30       0.59         NA      11.49        000
                                                       percutaneous.
35492...............  ..............  A               Atherectomy,                6.64         NA       3.19       0.52         NA      10.35        000
                                                       percutaneous.
35493...............  ..............  A               Atherectomy,                8.09         NA       3.81       0.57         NA      12.47        000
                                                       percutaneous.
35494...............  ..............  A               Atherectomy,               10.42         NA       4.40       0.58         NA      15.40        000
                                                       percutaneous.
35495...............  ..............  A               Atherectomy,                9.48         NA       4.39       0.62         NA      14.49        000
                                                       percutaneous.
35500...............  ..............  A               Harvest vein for            6.44         NA       2.03       0.76         NA       9.23        ZZZ
                                                       bypass.
35501...............  ..............  A               Artery bypass graft..      19.16         NA       8.51       2.81         NA      30.48        090
35506...............  ..............  A               Artery bypass graft..      19.64         NA       9.51       2.81         NA      31.96        090
35507...............  ..............  A               Artery bypass graft..      19.64         NA       9.46       2.74         NA      31.84        090
35508...............  ..............  A               Artery bypass graft..      18.62         NA       9.48       2.82         NA      30.92        090
35509...............  ..............  A               Artery bypass graft..      18.04         NA       8.80       2.56         NA      29.40        090
35510...............  ..............  A               Artery bypass graft..      22.97         NA      10.17       2.10         NA      35.24        090
35511...............  ..............  A               Artery bypass graft..      21.17         NA       9.39       2.10         NA      32.66        090
35512...............  ..............  A               Artery bypass graft..      22.47         NA      10.00       2.10         NA      34.57        090
35515...............  ..............  A               Artery bypass graft..      18.62         NA       9.33       2.73         NA      30.68        090
35516...............  ..............  A               Artery bypass graft..      16.30         NA       6.84       2.27         NA      25.41        090
35518...............  ..............  A               Artery bypass graft..      21.17         NA       9.02       2.15         NA      32.34        090
35521...............  ..............  A               Artery bypass graft..      22.17         NA       9.87       2.20         NA      34.24        090
35522...............  ..............  A               Artery bypass graft..      21.73         NA       9.74       2.10         NA      33.57        090
35525...............  ..............  A               Artery bypass graft..      20.60         NA       9.35       2.10         NA      32.05        090
35526...............  ..............  A               Artery bypass graft..      29.91         NA      12.56       2.63         NA      45.10        090
35531...............  ..............  A               Artery bypass graft..      36.15         NA      14.54       3.51         NA      54.20        090
35533...............  ..............  A               Artery bypass graft..      27.96         NA      11.77       2.83         NA      42.56        090
35536...............  ..............  A               Artery bypass graft..      31.65         NA      13.00       3.16         NA      47.81        090
35541...............  ..............  A               Artery bypass graft..      25.76         NA      11.25       3.30         NA      40.31        090
35546...............  ..............  A               Artery bypass graft..      25.50         NA      10.91       3.43         NA      39.84        090
35548...............  ..............  A               Artery bypass graft..      21.54         NA       9.46       2.95         NA      33.95        090
35549...............  ..............  A               Artery bypass graft..      23.31         NA      10.42       3.34         NA      37.07        090
35551...............  ..............  A               Artery bypass graft..      26.63         NA      11.56       3.85         NA      42.04        090
35556...............  ..............  A               Artery bypass graft..      21.73         NA       9.77       2.99         NA      34.49        090
35558...............  ..............  A               Artery bypass graft..      21.17         NA       9.59       1.91         NA      32.67        090
35560...............  ..............  A               Artery bypass graft..      31.95         NA      13.37       3.29         NA      48.61        090
35563...............  ..............  A               Artery bypass graft..      24.16         NA      10.57       2.03         NA      36.76        090

[[Page 1153]]

 
35565...............  ..............  A               Artery bypass graft..      23.17         NA      10.17       2.06         NA      35.40        090
35566...............  ..............  A               Artery bypass graft..      26.88         NA      11.45       3.64         NA      41.97        090
35571...............  ..............  A               Artery bypass graft..      24.02         NA      10.91       2.58         NA      37.51        090
35572...............  ..............  A               Harvest                     6.81         NA       2.34       0.76         NA       9.91        ZZZ
                                                       femoropopliteal vein.
35582...............  ..............  A               Vein bypass graft....      27.09         NA      11.62       3.75         NA      42.46        090
35583...............  ..............  A               Vein bypass graft....      22.34         NA      10.21       3.05         NA      35.60        090
35585...............  ..............  A               Vein bypass graft....      28.35         NA      12.32       3.87         NA      44.54        090
35587...............  ..............  A               Vein bypass graft....      24.71         NA      11.54       2.62         NA      38.87        090
35600...............  ..............  A               Harvest artery for          4.94         NA       1.63       0.72         NA       7.29        ZZZ
                                                       cabg.
35601...............  ..............  A               Artery bypass graft..      17.47         NA       8.66       2.51         NA      28.64        090
35606...............  ..............  A               Artery bypass graft..      18.68         NA       9.06       2.62         NA      30.36        090
35612...............  ..............  A               Artery bypass graft..      15.74         NA       7.92       2.07         NA      25.73        090
35616...............  ..............  A               Artery bypass graft..      15.68         NA       8.14       2.22         NA      26.04        090
35621...............  ..............  A               Artery bypass graft..      19.97         NA       8.71       2.03         NA      30.71        090
35623...............  ..............  A               Bypass graft, not          23.96         NA      10.54       2.30         NA      36.80        090
                                                       vein.
35626...............  ..............  A               Artery bypass graft..      27.71         NA      12.03       3.49         NA      43.23        090
35631...............  ..............  A               Artery bypass graft..      33.95         NA      13.88       3.41         NA      51.24        090
35636...............  ..............  A               Artery bypass graft..      29.46         NA      12.35       2.86         NA      44.67        090
35641...............  ..............  A               Artery bypass graft..      24.53         NA      11.11       3.41         NA      39.05        090
35642...............  ..............  A               Artery bypass graft..      17.95         NA       8.72       2.22         NA      28.89        090
35645...............  ..............  A               Artery bypass graft..      17.44         NA       8.31       2.30         NA      28.05        090
35646...............  ..............  A               Artery bypass graft..      30.95         NA      13.15       4.38         NA      48.48        090
35647...............  ..............  A               Artery bypass graft..      27.96         NA      11.82       3.96         NA      43.74        090
35650...............  ..............  A               Artery bypass graft..      18.97         NA       8.40       1.98         NA      29.35        090
35651...............  ..............  A               Artery bypass graft..      25.00         NA      10.89       3.05         NA      38.94        090
35654...............  ..............  A               Artery bypass graft..      24.96         NA      10.70       2.53         NA      38.19        090
35656...............  ..............  A               Artery bypass graft..      19.50         NA       8.64       2.67         NA      30.81        090
35661...............  ..............  A               Artery bypass graft..      18.97         NA       8.96       1.81         NA      29.74        090
35663...............  ..............  A               Artery bypass graft..      21.97         NA      10.02       1.87         NA      33.86        090
35665...............  ..............  A               Artery bypass graft..      20.97         NA       9.48       2.12         NA      32.57        090
35666...............  ..............  A               Artery bypass graft..      22.16         NA      10.72       2.64         NA      35.52        090
35671...............  ..............  A               Artery bypass graft..      19.30         NA       9.43       2.03         NA      30.76        090
35681...............  ..............  A               Composite bypass            1.60         NA       0.53       0.22         NA       2.35        ZZZ
                                                       graft.
35682...............  ..............  A               Composite bypass            7.19         NA       2.40       1.00         NA      10.59        ZZZ
                                                       graft.
35683...............  ..............  A               Composite bypass            8.49         NA       2.83       1.18         NA      12.50        ZZZ
                                                       graft.
35685...............  ..............  A               Bypass graft patency/       4.04         NA       1.35       0.30         NA       5.69        ZZZ
                                                       patch.
35686...............  ..............  A               Bypass graft/av fist        3.34         NA       1.13       0.25         NA       4.72        ZZZ
                                                       patency.
35691...............  ..............  A               Arterial                   18.02         NA       8.45       2.48         NA      28.95        090
                                                       transposition.
35693...............  ..............  A               Arterial                   15.34         NA       7.76       2.17         NA      25.27        090
                                                       transposition.
35694...............  ..............  A               Arterial                   19.13         NA       8.64       2.57         NA      30.34        090
                                                       transposition.
35695...............  ..............  A               Arterial                   19.13         NA       8.60       2.64         NA      30.37        090
                                                       transposition.
35697...............  ..............  A               Reimplant artery each       3.00         NA       1.03       0.41         NA       4.44        ZZZ
35700...............  ..............  A               Reoperation, bypass         3.08         NA       1.03       0.43         NA       4.54        ZZZ
                                                       graft.
35701...............  ..............  A               Exploration, carotid        8.49         NA       5.18       0.77         NA      14.44        090
                                                       artery.
35721...............  ..............  A               Exploration, femoral        7.17         NA       4.48       0.71         NA      12.36        090
                                                       artery.
35741...............  ..............  A               Exploration popliteal       7.99         NA       4.71       0.72         NA      13.42        090
                                                       artery.
35761...............  ..............  A               Exploration of artery/      5.36         NA       4.07       0.72         NA      10.15        090
                                                       vein.
35800...............  ..............  A               Explore neck vessels.       7.01         NA       4.68       0.95         NA      12.64        090
35820...............  ..............  A               Explore chest vessels      12.86         NA       7.20       1.94         NA      22.00        090
35840...............  ..............  A               Explore abdominal           9.76         NA       5.31       1.28         NA      16.35        090
                                                       vessels.
35860...............  ..............  A               Explore limb vessels.       5.54         NA       4.06       0.76         NA      10.36        090
35870...............  ..............  A               Repair vessel graft        22.14         NA       9.81       2.98         NA      34.93        090
                                                       defect.
35875...............  ..............  A               Removal of clot in         10.11         NA       5.24       1.17         NA      16.52        090
                                                       graft.
35876...............  ..............  A               Removal of clot in         16.97         NA       7.59       2.27         NA      26.83        090
                                                       graft.
35879...............  ..............  A               Revise graft w/vein..      15.98         NA       7.75       1.63         NA      25.36        090
35881...............  ..............  A               Revise graft w/vein..      17.97         NA       8.75       1.74         NA      28.46        090
35901...............  ..............  A               Excision, graft, neck       8.18         NA       5.36       1.09         NA      14.63        090
35903...............  ..............  A               Excision, graft,            9.38         NA       6.01       1.24         NA      16.63        090
                                                       extremity.
35905...............  ..............  A               Excision, graft,           31.20         NA      13.26       2.59         NA      47.05        090
                                                       thorax.
35907...............  ..............  A               Excision, graft,           34.95         NA      14.11       2.62         NA      51.68        090
                                                       abdomen.
36000...............  ..............  A               Place needle in vein.       0.18       0.60       0.05       0.01       0.79       0.24        XXX
36002...............  ..............  A               Pseudoaneurysm              1.96       2.91       0.99       0.12       4.99       3.07        000
                                                       injection trt.
36005...............  ..............  A               Injection ext               0.95       8.47       0.32       0.05       9.47       1.32        000
                                                       venography.
36010...............  ..............  A               Place catheter in           2.43         NA       0.79       0.19         NA       3.41        XXX
                                                       vein.
36011...............  ..............  A               Place catheter in           3.14         NA       1.03       0.21         NA       4.38        XXX
                                                       vein.
36012...............  ..............  A               Place catheter in           3.51         NA       1.15       0.21         NA       4.87        XXX
                                                       vein.
36013...............  ..............  A               Place catheter in           2.52         NA       0.66       0.21         NA       3.39        XXX
                                                       artery.
36014...............  ..............  A               Place catheter in           3.02         NA       0.99       0.17         NA       4.18        XXX
                                                       artery.
36015...............  ..............  A               Place catheter in           3.51         NA       1.15       0.19         NA       4.85        XXX
                                                       artery.
36100...............  ..............  A               Establish access to         3.02         NA       1.10       0.22         NA       4.34        XXX
                                                       artery.
36120...............  ..............  A               Establish access to         2.01         NA       0.65       0.13         NA       2.79        XXX
                                                       artery.
36140...............  ..............  A               Establish access to         2.01         NA       0.64       0.14         NA       2.79        XXX
                                                       artery.
36145...............  ..............  A               Artery to vein shunt.       2.01         NA       0.66       0.12         NA       2.79        XXX
36160...............  ..............  A               Establish access to         2.52         NA       0.85       0.24         NA       3.61        XXX
                                                       aorta.
36200...............  ..............  A               Place catheter in           3.02         NA       1.02       0.18         NA       4.22        XXX
                                                       aorta.

[[Page 1154]]

 
36215...............  ..............  A               Place catheter in           4.67         NA       1.58       0.27         NA       6.52        XXX
                                                       artery.
36216...............  ..............  A               Place catheter in           5.27         NA       1.76       0.29         NA       7.32        XXX
                                                       artery.
36217...............  ..............  A               Place catheter in           6.29         NA       2.14       0.39         NA       8.82        XXX
                                                       artery.
36218...............  ..............  A               Place catheter in           1.01         NA       0.35       0.06         NA       1.42        ZZZ
                                                       artery.
36245...............  ..............  A               Place catheter in           4.67         NA       1.65       0.28         NA       6.60        XXX
                                                       artery.
36246...............  ..............  A               Place catheter in           5.27         NA       1.79       0.31         NA       7.37        XXX
                                                       artery.
36247...............  ..............  A               Place catheter in           6.29         NA       2.10       0.39         NA       8.78        XXX
                                                       artery.
36248...............  ..............  A               Place catheter in           1.01         NA       0.35       0.07         NA       1.43        ZZZ
                                                       artery.
36260...............  ..............  A               Insertion of infusion       9.70         NA       4.90       1.21         NA      15.81        090
                                                       pump.
36261...............  ..............  A               Revision of infusion        5.44         NA       3.66       0.60         NA       9.70        090
                                                       pump.
36262...............  ..............  A               Removal of infusion         4.01         NA       2.77       0.52         NA       7.30        090
                                                       pump.
36299...............  ..............  C               Vessel injection            0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
36400...............  ..............  A               Bl draw < 3 yrs fem/        0.38       0.29       0.09       0.01       0.68       0.48        XXX
                                                       jugular.
36405...............  ..............  A               Bl draw < 3 yrs scalp       0.31       0.27       0.08       0.01       0.59       0.40        XXX
                                                       vein.
36406...............  ..............  A               Bl draw < 3 yrs other       0.18       0.30       0.05       0.01       0.49       0.24        XXX
                                                       vein.
36410...............  ..............  A               Non-routine bl draw         0.18       0.30       0.05       0.01       0.49       0.24        XXX
                                                        3 yrs.
36415...............  ..............  I               Routine venipuncture.       0.00       0.00       0.00       0.00       0.00       0.00        XXX
36416...............  ..............  I               Capillary blood draw.       0.00       0.00       0.00       0.00       0.00       0.00        XXX
36420...............  ..............  A               Vein access cutdown <       1.01       3.06       0.28       0.11       4.18       1.40        XXX
                                                       1 yr.
36425...............  ..............  A               Vein access cutdown         0.76         NA       0.22       0.06         NA       1.04        XXX
                                                        1 yr.
36430...............  ..............  A               Blood transfusion           0.00       1.01         NA       0.06       1.07         NA        XXX
                                                       service.
36440...............  ..............  A               Bl push transfuse, 2        1.03         NA       0.30       0.10         NA       1.43        XXX
                                                       yr or <.
36450...............  ..............  A               Bl exchange/                2.23         NA       0.71       0.19         NA       3.13        XXX
                                                       transfuse, nb.
36455...............  ..............  A               Bl exchange/transfuse       2.43         NA       1.02       0.12         NA       3.57        XXX
                                                       non-nb.
36460...............  ..............  A               Transfusion service,        6.58         NA       2.25       0.68         NA       9.51        XXX
                                                       fetal.
36468...............  ..............  R               Injection(s), spider        0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       veins.
36469...............  ..............  R               Injection(s), spider        0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       veins.
36470...............  ..............  A               Injection therapy of        1.09       2.72       0.44       0.12       3.93       1.65        010
                                                       vein.
36471...............  ..............  A               Injection therapy of        1.57       3.07       0.60       0.18       4.82       2.35        010
                                                       veins.
36481...............  ..............  A               Insertion of                6.98       7.51       2.73       0.48      14.97      10.19        000
                                                       catheter, vein.
36488...............  ..............  D               Insertion of                0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       catheter, vein.
36489...............  ..............  D               Insertion of                0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       catheter, vein.
36490...............  ..............  D               Insertion of                0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       catheter, vein.
36491...............  ..............  D               Insertion of                0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       catheter, vein.
36493...............  ..............  D               Repositioning of cvc.       0.00       0.00       0.00       0.00       0.00       0.00        000
36500...............  ..............  A               Insertion of                3.51         NA       1.37       0.17         NA       5.05        000
                                                       catheter, vein.
36510...............  ..............  A               Insertion of                1.09       3.74       0.61       0.07       4.90       1.77        000
                                                       catheter, vein.
36511...............  ..............  A               Apheresis wbc........       1.74         NA       0.71       0.07         NA       2.52        000
36512...............  ..............  A               Apheresis rbc........       1.74         NA       0.71       0.07         NA       2.52        000
36513...............  ..............  A               Apheresis platelets..       1.74         NA       0.71       0.07         NA       2.52        000
36514...............  ..............  A               Apheresis plasma.....       1.74         NA       0.71       0.07         NA       2.52        000
36515...............  ..............  A               Apheresis, adsorp/          1.74         NA       0.73       0.07         NA       2.54        000
                                                       reinfuse.
36516...............  ..............  A               Apheresis, selective.       1.22         NA       0.51       0.07         NA       1.80        000
36522...............  ..............  A               Photopheresis........       1.67      30.33       1.13       0.08      32.08       2.88        000
36530...............  ..............  D               Insertion of infusion       0.00       0.00       0.00       0.00       0.00       0.00        010
                                                       pump.
36531...............  ..............  D               Revision of infusion        0.00       0.00       0.00       0.00       0.00       0.00        010
                                                       pump.
36532...............  ..............  D               Removal of infusion         0.00       0.00       0.00       0.00       0.00       0.00        010
                                                       pump.
36533...............  ..............  D               Insertion of access         0.00       0.00       0.00       0.00       0.00       0.00        010
                                                       device.
36534...............  ..............  D               Revision of access          0.00       0.00       0.00       0.00       0.00       0.00        010
                                                       device.
36535...............  ..............  D               Removal of access           0.00       0.00       0.00       0.00       0.00       0.00        010
                                                       device.
36536...............  ..............  D               Remove cva device           0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       obstruct.
36537...............  ..............  D               Remove cva lumen            0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       obstruct.
36540...............  ..............  B               Collect blood venous        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       device.
36550...............  ..............  A               Declot vascular             0.00       0.39         NA       0.37       0.76         NA        XXX
                                                       device.
36555...............  ..............  A               Insert non-tunnel cv        2.68       6.00       0.82       0.21       8.89       3.71        000
                                                       cath.
36556...............  ..............  A               Insert non-tunnel cv        2.50       5.85       0.74       0.10       8.45       3.34        000
                                                       cath.
36557...............  ..............  A               Insert tunneled cv          5.09      13.56       2.58       0.59      19.24       8.26        010
                                                       cath.
36558...............  ..............  A               Insert tunneled cv          4.79      13.45       2.47       0.59      18.83       7.85        010
                                                       cath.
36560...............  ..............  A               Insert tunneled cv          6.24      29.19       2.96       0.59      36.02       9.79        010
                                                       cath.
36561...............  ..............  A               Insert tunneled cv          5.99      29.11       2.87       0.59      35.69       9.45        010
                                                       cath.
36563...............  ..............  A               Insert tunneled cv          6.19      38.09       2.98       0.68      44.96       9.85        010
                                                       cath.
36565...............  ..............  A               Insert tunneled cv          5.99      22.15       2.87       0.59      28.73       9.45        010
                                                       cath.
36566...............  ..............  A               Insert tunneled cv          6.49      22.95       3.04       0.59      30.03      10.12        010
                                                       cath.
36568...............  ..............  A               Insert tunneled cv          1.92       8.19       0.59       0.21      10.32       2.72        000
                                                       cath.
36569...............  ..............  A               Insert tunneled cv          1.82       7.39       0.57       0.16       9.37       2.55        000
                                                       cath.
36570...............  ..............  A               Insert tunneled cv          5.31      40.27       2.64       0.59      46.17       8.54        010
                                                       cath.
36571...............  ..............  A               Insert tunneled cv          5.29      35.64       2.63       0.59      41.52       8.51        010
                                                       cath.
36575...............  ..............  A               Repair tunneled cv          0.67       3.35       0.26       0.59       4.61       1.52        000
                                                       cath.
36576...............  ..............  A               Repair tunneled cv          3.19       7.71       1.76       0.59      11.49       5.54        010
                                                       cath.
36578...............  ..............  A               Replace tunneled cv         3.49      10.54       2.20       0.59      14.62       6.28        010
                                                       cath.
36580...............  ..............  A               Replace tunneled cv         1.31       6.76       0.41       0.16       8.23       1.88        000
                                                       cath.
36581...............  ..............  A               Replace tunneled cv         3.43      13.27       1.84       0.59      17.29       5.86        010
                                                       cath.
36582...............  ..............  A               Replace tunneled cv         5.19      26.63       2.76       0.59      32.41       8.54        010
                                                       cath.
36583...............  ..............  A               Replace tunneled cv         5.24      13.13       2.77       0.59      18.96       8.60        010
                                                       cath.
36584...............  ..............  A               Replace tunneled cv         1.20       7.23       0.54       0.16       8.59       1.90        000
                                                       cath.

[[Page 1155]]

 
36585...............  ..............  A               Replace tunneled cv         4.79      35.46       2.62       0.59      40.84       8.00        010
                                                       cath.
36589...............  ..............  A               Removal tunneled cv         2.27       2.20       1.41       0.25       4.72       3.93        010
                                                       cath.
36590...............  ..............  A               Removal tunneled cv         3.30       6.41       1.64       0.41      10.12       5.35        010
                                                       cath.
36595...............  ..............  A               Mech remov tunneled         3.59      19.71       1.46       0.28      23.58       5.33        000
                                                       cv cath.
36596...............  ..............  A               Mech remov tunneled         0.75       4.39       0.49       0.05       5.19       1.29        000
                                                       cv cath.
36597...............  ..............  A               Reposition venous           1.21       3.18       0.43       0.07       4.46       1.71        000
                                                       catheter.
36600...............  ..............  A               Withdrawal of               0.32       0.48       0.09       0.02       0.82       0.43        XXX
                                                       arterial blood.
36620...............  ..............  A               Insertion catheter,         1.15         NA       0.24       0.07         NA       1.46        000
                                                       artery.
36625...............  ..............  A               Insertion catheter,         2.11         NA       0.52       0.19         NA       2.82        000
                                                       artery.
36640...............  ..............  A               Insertion catheter,         2.10         NA       1.05       0.22         NA       3.37        000
                                                       artery.
36660...............  ..............  A               Insertion catheter,         1.40         NA       0.44       0.10         NA       1.94        000
                                                       artery.
36680...............  ..............  A               Insert needle, bone         1.20         NA       0.49       0.10         NA       1.79        000
                                                       cavity.
36800...............  ..............  A               Insertion of cannula.       2.43         NA       1.81       0.21         NA       4.45        000
36810...............  ..............  A               Insertion of cannula.       3.96         NA       1.69       0.48         NA       6.13        000
36815...............  ..............  A               Insertion of cannula.       2.62         NA       1.17       0.31         NA       4.10        000
36819...............  ..............  A               Av fusion/uppr arm         13.98         NA       6.40       1.88         NA      22.26        090
                                                       vein.
36820...............  ..............  A               Av fusion/forearm          13.98         NA       6.40       1.88         NA      22.26        090
                                                       vein.
36821...............  ..............  A               Av fusion direct any        8.92         NA       4.71       1.17         NA      14.80        090
                                                       site.
36822...............  ..............  A               Insertion of                5.41         NA       4.49       0.76         NA      10.66        090
                                                       cannula(s).
36823...............  ..............  A               Insertion of               20.97         NA       9.48       2.63         NA      33.08        090
                                                       cannula(s).
36825...............  ..............  A               Artery-vein autograft       9.83         NA       5.14       1.31         NA      16.28        090
36830...............  ..............  A               Artery-vein                11.98         NA       5.30       1.59         NA      18.87        090
                                                       nonautograft.
36831...............  ..............  A               Open thrombect av           7.99         NA       3.97       0.95         NA      12.91        090
                                                       fistula.
36832...............  ..............  A               Av fistula revision,       10.48         NA       4.79       1.36         NA      16.63        090
                                                       open.
36833...............  ..............  A               Av fistula revision..      11.93         NA       5.25       1.56         NA      18.74        090
36834...............  ..............  A               Repair A-V aneurysm..       9.92         NA       4.81       1.28         NA      16.01        090
36835...............  ..............  A               Artery to vein shunt.       7.14         NA       4.39       0.96         NA      12.49        090
36838...............  ..............  A               Dist revas ligation,       20.60         NA       9.36       2.99         NA      32.95        090
                                                       hemo.
36860...............  ..............  A               External cannula            2.01       2.49       1.35       0.12       4.62       3.48        000
                                                       declotting.
36861...............  ..............  A               Cannula declotting...       2.52         NA       1.48       0.17         NA       4.17        000
36870...............  ..............  A               Percut thrombect av         5.15      46.98       3.14       0.28      52.41       8.57        090
                                                       fistula.
37140...............  ..............  A               Revision of                23.56         NA      10.50       1.46         NA      35.52        090
                                                       circulation.
37145...............  ..............  A               Revision of                24.57         NA      10.93       2.99         NA      38.49        090
                                                       circulation.
37160...............  ..............  A               Revision of                21.57         NA       9.30       2.61         NA      33.48        090
                                                       circulation.
37180...............  ..............  A               Revision of                24.57         NA      10.35       3.17         NA      38.09        090
                                                       circulation.
37181...............  ..............  A               Splice spleen/kidney       26.64         NA      11.06       3.22         NA      40.92        090
                                                       veins.
37182...............  ..............  A               Insert hepatic shunt       16.97         NA       6.27       1.80         NA      25.04        000
                                                       (tips).
37183...............  ..............  A               Remove hepatic shunt        7.99         NA       3.08       0.52         NA      11.59        000
                                                       (tips).
37195...............  ..............  A               Thrombolytic therapy,       0.00       8.08         NA       0.46       8.54         NA        XXX
                                                       stroke.
37200...............  ..............  A               Transcatheter biopsy.       4.55         NA       1.50       0.23         NA       6.28        000
37201...............  ..............  A               Transcatheter therapy       4.99         NA       2.52       0.29         NA       7.80        000
                                                       infuse.
37202...............  ..............  A               Transcatheter therapy       5.67         NA       3.03       0.46         NA       9.16        000
                                                       infuse.
37203...............  ..............  A               Transcatheter               5.02         NA       2.53       0.28         NA       7.83        000
                                                       retrieval.
37204...............  ..............  A               Transcatheter              18.11         NA       5.93       1.10         NA      25.14        000
                                                       occlusion.
37205...............  ..............  A               Transcatheter stent..       8.27         NA       3.74       0.52         NA      12.53        000
37206...............  ..............  A               Transcatheter stent         4.12         NA       1.44       0.27         NA       5.83        ZZZ
                                                       add-on.
37207...............  ..............  A               Transcatheter stent..       8.27         NA       3.17       1.07         NA      12.51        000
37208...............  ..............  A               Transcatheter stent         4.12         NA       1.39       0.53         NA       6.04        ZZZ
                                                       add-on.
37209...............  ..............  A               Exchange arterial           2.27         NA       0.75       0.13         NA       3.15        000
                                                       catheter.
37250...............  ..............  A               Iv us first vessel          2.10         NA       0.75       0.21         NA       3.06        ZZZ
                                                       add-on.
37251...............  ..............  A               Iv us each add vessel       1.60         NA       0.55       0.17         NA       2.32        ZZZ
                                                       add-on.
37500...............  ..............  A               Endoscopy ligate perf      10.98         NA       7.12       0.48         NA      18.58        090
                                                       veins.
37501...............  ..............  C               Vascular endoscopy          0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
37565...............  ..............  A               Ligation of neck vein      10.86         NA       5.65       0.54         NA      17.05        090
37600...............  ..............  A               Ligation of neck           11.23         NA       6.67       0.48         NA      18.38        090
                                                       artery.
37605...............  ..............  A               Ligation of neck           13.09         NA       6.94       0.93         NA      20.96        090
                                                       artery.
37606...............  ..............  A               Ligation of neck            6.27         NA       4.59       0.95         NA      11.81        090
                                                       artery.
37607...............  ..............  A               Ligation of a-v             6.15         NA       3.59       0.81         NA      10.55        090
                                                       fistula.
37609...............  ..............  A               Temporal artery             3.00       4.70       1.98       0.25       7.95       5.23        010
                                                       procedure.
37615...............  ..............  A               Ligation of neck            5.72         NA       4.12       0.69         NA      10.53        090
                                                       artery.
37616...............  ..............  A               Ligation of chest          16.47         NA       8.15       2.33         NA      26.95        090
                                                       artery.
37617...............  ..............  A               Ligation of abdomen        22.03         NA       9.22       2.04         NA      33.29        090
                                                       artery.
37618...............  ..............  A               Ligation of extremity       4.83         NA       3.59       0.65         NA       9.07        090
                                                       artery.
37620...............  ..............  A               Revision of major          10.54         NA       5.72       0.90         NA      17.16        090
                                                       vein.
37650...............  ..............  A               Revision of major           7.79         NA       4.72       0.68         NA      13.19        090
                                                       vein.
37660...............  ..............  A               Revision of major          20.97         NA       9.10       1.41         NA      31.48        090
                                                       vein.
37700...............  ..............  A               Revise leg vein......       3.72         NA       2.81       0.48         NA       7.01        090
37720...............  ..............  A               Removal of leg vein..       5.65         NA       3.73       0.74         NA      10.12        090
37730...............  ..............  A               Removal of leg veins.       7.32         NA       4.28       0.93         NA      12.53        090
37735...............  ..............  A               Removal of leg veins/      10.51         NA       5.54       1.41         NA      17.46        090
                                                       lesion.
37760...............  ..............  A               Ligation, leg veins,       10.45         NA       5.38       1.34         NA      17.17        090
                                                       open.
37765...............  ..............  A               Phleb veins - extrem -      7.34         NA       4.55       0.48         NA      12.37        090
                                                        to 20.
37766...............  ..............  A               Phleb veins - extrem        9.29         NA       5.26       0.48         NA      15.03        090
                                                       20+.
37780...............  ..............  A               Revision of leg vein.       3.83         NA       2.88       0.49         NA       7.20        090
37785...............  ..............  A               Ligate/divide/excise        3.83       5.14       2.64       0.49       9.46       6.96        090
                                                       vein.

[[Page 1156]]

 
37788...............  ..............  A               Revascularization,         21.98         NA       9.29       1.63         NA      32.90        090
                                                       penis.
37790...............  ..............  A               Penile venous               8.33         NA       4.53       0.76         NA      13.62        090
                                                       occlusion.
37799...............  ..............  C               Vascular surgery            0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
38100...............  ..............  A               Removal of spleen,         14.48         NA       6.23       1.57         NA      22.28        090
                                                       total.
38101...............  ..............  A               Removal of spleen,         15.29         NA       6.58       1.66         NA      23.53        090
                                                       partial.
38102...............  ..............  A               Removal of spleen,          4.79         NA       1.65       0.59         NA       7.03        ZZZ
                                                       total.
38115...............  ..............  A               Repair of ruptured         15.80         NA       6.70       1.69         NA      24.19        090
                                                       spleen.
38120...............  ..............  A               Laparoscopy,               16.97         NA       7.43       2.09         NA      26.49        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        2.64         NA       0.89       0.14         NA       3.67        000
                                                       x-ray.
38204...............  ..............  B               Bl donor search             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       management.
38205...............  ..............  R               Harvest allogenic           1.50         NA       0.67       0.06         NA       2.23        000
                                                       stem cells.
38206...............  ..............  R               Harvest auto stem           1.50         NA       0.67       0.06         NA       2.23        000
                                                       cells.
38207...............  ..............  I               Cryopreserve stem           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       cells.
38208...............  ..............  I               Thaw preserved stem         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       cells.
38209...............  ..............  I               Wash harvest stem           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       cells.
38210...............  ..............  I               T-cell depletion of         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       harvest.
38211...............  ..............  I               Tumor cell deplete of       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       harvst.
38212...............  ..............  I               Rbc depletion of            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       harvest.
38213...............  ..............  I               Platelet deplete of         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       harvest.
38214...............  ..............  I               Volume deplete of           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       harvest.
38215...............  ..............  I               Harvest stem cell           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       concentrte.
38220...............  ..............  A               Bone marrow                 1.08       3.98       0.52       0.04       5.10       1.64        XXX
                                                       aspiration.
38221...............  ..............  A               Bone marrow biopsy...       1.37       4.19       0.65       0.05       5.61       2.07        XXX
38230...............  ..............  R               Bone marrow                 4.53         NA       3.08       0.30         NA       7.91        010
                                                       collection.
38240...............  ..............  R               Bone marrow/stem            2.24         NA       1.03       0.10         NA       3.37        XXX
                                                       transplant.
38241...............  ..............  R               Bone marrow/stem            2.24         NA       1.04       0.10         NA       3.38        XXX
                                                       transplant.
38242...............  ..............  A               Lymphocyte infuse           1.71         NA       0.77       0.06         NA       2.54        000
                                                       transplant.
38300...............  ..............  A               Drainage, lymph node        1.99       4.42       2.07       0.18       6.59       4.24        010
                                                       lesion.
38305...............  ..............  A               Drainage, lymph node        5.99       5.98       4.38       0.43      12.40      10.80        090
                                                       lesion.
38308...............  ..............  A               Incision of lymph           6.44       5.71       3.75       0.62      12.77      10.81        090
                                                       channels.
38380...............  ..............  A               Thoracic duct               7.45         NA       5.71       0.82         NA      13.98        090
                                                       procedure.
38381...............  ..............  A               Thoracic duct              12.86         NA       6.94       1.91         NA      21.71        090
                                                       procedure.
38382...............  ..............  A               Thoracic duct              10.06         NA       5.83       1.30         NA      17.19        090
                                                       procedure.
38500...............  ..............  A               Biopsy/removal, lymph       3.74       3.78       2.10       0.34       7.86       6.18        010
                                                       nodes.
38505...............  ..............  A               Needle biopsy, lymph        1.14       2.13       0.78       0.11       3.38       2.03        000
                                                       nodes.
38510...............  ..............  A               Biopsy/removal, lymph       6.42       5.65       3.51       0.46      12.53      10.39        010
                                                       nodes.
38520...............  ..............  A               Biopsy/removal, lymph       6.66         NA       4.11       0.63         NA      11.40        090
                                                       nodes.
38525...............  ..............  A               Biopsy/removal, lymph       6.06         NA       3.36       0.58         NA      10.00        090
                                                       nodes.
38530...............  ..............  A               Biopsy/removal, lymph       7.97         NA       4.46       0.76         NA      13.19        090
                                                       nodes.
38542...............  ..............  A               Explore deep node(s),       5.90         NA       4.51       0.60         NA      11.01        090
                                                       neck.
38550...............  ..............  A               Removal, neck/armpit        6.91         NA       3.99       0.83         NA      11.73        090
                                                       lesion.
38555...............  ..............  A               Removal, neck/armpit       14.12         NA       8.62       1.76         NA      24.50        090
                                                       lesion.
38562...............  ..............  A               Removal, pelvic lymph      10.47         NA       5.83       1.17         NA      17.47        090
                                                       nodes.
38564...............  ..............  A               Removal, abdomen           10.81         NA       5.30       1.28         NA      17.39        090
                                                       lymph nodes.
38570...............  ..............  A               Laparoscopy, lymph          9.24         NA       3.94       1.07         NA      14.25        010
                                                       node biop.
38571...............  ..............  A               Laparoscopy,               14.66         NA       5.60       0.96         NA      21.22        010
                                                       lymphadenectomy.
38572...............  ..............  A               Laparoscopy,               16.57         NA       7.04       1.59         NA      25.20        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            8.23         NA       8.09       0.72         NA      17.04        090
                                                       nodes, neck.
38720...............  ..............  A               Removal of lymph           13.59         NA      11.07       1.24         NA      25.90        090
                                                       nodes, neck.
38724...............  ..............  A               Removal of lymph           14.52         NA      11.57       1.33         NA      27.42        090
                                                       nodes, neck.
38740...............  ..............  A               Remove armpit lymph        10.01         NA       5.01       0.83         NA      15.85        090
                                                       nodes.
38745...............  ..............  A               Remove armpit lymph        13.08         NA       6.19       1.09         NA      20.36        090
                                                       nodes.
38746...............  ..............  A               Remove thoracic lymph       4.88         NA       1.62       0.66         NA       7.16        ZZZ
                                                       nodes.
38747...............  ..............  A               Remove abdominal            4.88         NA       1.68       0.60         NA       7.16        ZZZ
                                                       lymph nodes.
38760...............  ..............  A               Remove groin lymph         12.93         NA       6.20       1.06         NA      20.19        090
                                                       nodes.
38765...............  ..............  A               Remove groin lymph         19.95         NA       8.92       1.81         NA      30.68        090
                                                       nodes.
38770...............  ..............  A               Remove pelvis lymph        13.21         NA       5.81       1.19         NA      20.21        090
                                                       nodes.
38780...............  ..............  A               Remove abdomen lymph       16.57         NA       8.27       1.93         NA      26.77        090
                                                       nodes.
38790...............  ..............  A               Inject for lymphatic        1.29      11.24       0.79       0.11      12.64       2.19        000
                                                       x-ray.
38792...............  ..............  A               Identify sentinel           0.52         NA       0.44       0.05         NA       1.01        000
                                                       node.
38794...............  ..............  A               Access thoracic lymph       4.44         NA       3.40       0.21         NA       8.05        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.       6.09         NA       4.70       0.88         NA      11.67        090
39010...............  ..............  A               Exploration of chest.      11.77         NA       6.67       1.76         NA      20.20        090
39200...............  ..............  A               Removal chest lesion.      13.60         NA       6.82       1.99         NA      22.41        090
39220...............  ..............  A               Removal chest lesion.      17.39         NA       8.55       2.53         NA      28.47        090
39400...............  ..............  A               Visualization of            5.60         NA       4.87       0.83         NA      11.30        010
                                                       chest.
39499...............  ..............  C               Chest procedure......       0.00       0.00       0.00       0.00       0.00       0.00        YYY
39501...............  ..............  A               Repair diaphragm           13.17         NA       6.52       1.66         NA      21.35        090
                                                       laceration.
39502...............  ..............  A               Repair paraesophageal      16.31         NA       7.20       2.03         NA      25.54        090
                                                       hernia.
39503...............  ..............  A               Repair of diaphragm        94.86         NA      33.56       4.25         NA     132.67        090
                                                       hernia.
39520...............  ..............  A               Repair of diaphragm        16.08         NA       8.11       2.21         NA      26.40        090
                                                       hernia.
39530...............  ..............  A               Repair of diaphragm        15.39         NA       7.20       2.00         NA      24.59        090
                                                       hernia.

[[Page 1157]]

 
39531...............  ..............  A               Repair of diaphragm        16.40         NA       7.45       2.21         NA      26.06        090
                                                       hernia.
39540...............  ..............  A               Repair of diaphragm        13.30         NA       6.29       1.66         NA      21.25        090
                                                       hernia.
39541...............  ..............  A               Repair of diaphragm        14.39         NA       6.65       1.83         NA      22.87        090
                                                       hernia.
39545...............  ..............  A               Revision of diaphragm      13.35         NA       7.62       1.87         NA      22.84        090
39560...............  ..............  A               Resect diaphragm,          11.98         NA       6.35       1.63         NA      19.96        090
                                                       simple.
39561...............  ..............  A               Resect diaphragm,          17.47         NA       9.40       2.38         NA      29.25        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       1.85       0.61       0.07       3.14       1.90        000
40500...............  ..............  A               Partial excision of         4.27       6.08       4.90       0.37      10.72       9.54        090
                                                       lip.
40510...............  ..............  A               Partial excision of         4.69       6.82       4.79       0.46      11.97       9.94        090
                                                       lip.
40520...............  ..............  A               Partial excision of         4.66       7.33       5.03       0.51      12.50      10.20        090
                                                       lip.
40525...............  ..............  A               Reconstruct lip with        7.54         NA       6.90       0.82         NA      15.26        090
                                                       flap.
40527...............  ..............  A               Reconstruct lip with        9.12         NA       7.85       0.99         NA      17.96        090
                                                       flap.
40530...............  ..............  A               Partial removal of          5.39       6.57       5.19       0.57      12.53      11.15        090
                                                       lip.
40650...............  ..............  A               Repair lip...........       3.63       5.55       3.80       0.37       9.55       7.80        090
40652...............  ..............  A               Repair lip...........       4.25       6.50       5.23       0.47      11.22       9.95        090
40654...............  ..............  A               Repair lip...........       5.30       7.16       5.96       0.58      13.04      11.84        090
40700...............  ..............  A               Repair cleft lip/          12.77         NA       9.51       1.12         NA      23.40        090
                                                       nasal.
40701...............  ..............  A               Repair cleft lip/          15.83         NA      11.79       1.64         NA      29.26        090
                                                       nasal.
40702...............  ..............  A               Repair cleft lip/          13.02         NA       8.47       1.22         NA      22.71        090
                                                       nasal.
40720...............  ..............  A               Repair cleft lip/          13.53         NA      10.50       1.58         NA      25.61        090
                                                       nasal.
40761...............  ..............  A               Repair cleft lip/          14.70         NA      10.82       1.70         NA      27.22        090
                                                       nasal.
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       2.21       1.14       0.11       3.49       2.42        010
                                                       lesion.
40801...............  ..............  A               Drainage of mouth           2.53       3.17       2.03       0.22       5.92       4.78        010
                                                       lesion.
40804...............  ..............  A               Removal, foreign            1.24       2.55       1.12       0.11       3.90       2.47        010
                                                       body, mouth.
40805...............  ..............  A               Removal, foreign            2.69       3.39       1.98       0.21       6.29       4.88        010
                                                       body, mouth.
40806...............  ..............  A               Incision of lip fold.       0.31       1.37       0.95       0.02       1.70       1.28        000
40808...............  ..............  A               Biopsy of mouth             0.96       2.29       1.08       0.08       3.33       2.12        010
                                                       lesion.
40810...............  ..............  A               Excision of mouth           1.31       2.38       1.21       0.11       3.80       2.63        010
                                                       lesion.
40812...............  ..............  A               Excise/repair mouth         2.31       3.24       1.78       0.21       5.76       4.30        010
                                                       lesion.
40814...............  ..............  A               Excise/repair mouth         3.41       4.74       3.29       0.31       8.46       7.01        090
                                                       lesion.
40816...............  ..............  A               Excision of mouth           3.66       4.91       3.39       0.33       8.90       7.38        090
                                                       lesion.
40818...............  ..............  A               Excise oral mucosa          2.41       5.16       3.53       0.17       7.74       6.11        090
                                                       for graft.
40819...............  ..............  A               Excise lip or cheek         2.41       4.38       2.92       0.21       7.00       5.54        090
                                                       fold.
40820...............  ..............  A               Treatment of mouth          1.28       2.69       2.35       0.10       4.07       3.73        010
                                                       lesion.
40830...............  ..............  A               Repair mouth                1.76       3.07       2.51       0.17       5.00       4.44        010
                                                       laceration.
40831...............  ..............  A               Repair mouth                2.46       3.61       3.08       0.25       6.32       5.79        010
                                                       laceration.
40840...............  ..............  R               Reconstruction of           8.72       8.58       7.36       0.95      18.25      17.03        090
                                                       mouth.
40842...............  ..............  R               Reconstruction of           8.72       8.68       7.10       0.78      18.18      16.60        090
                                                       mouth.
40843...............  ..............  R               Reconstruction of          12.08      10.87       8.61       1.01      23.96      21.70        090
                                                       mouth.
40844...............  ..............  R               Reconstruction of          15.99      13.82      11.75       1.97      31.78      29.71        090
                                                       mouth.
40845...............  ..............  R               Reconstruction of          18.55      15.82      13.55       1.77      36.14      33.87        090
                                                       mouth.
40899...............  ..............  C               Mouth surgery               0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
41000...............  ..............  A               Drainage of mouth           1.30       2.47       1.40       0.11       3.88       2.81        010
                                                       lesion.
41005...............  ..............  A               Drainage of mouth           1.26       2.67       1.62       0.11       4.04       2.99        010
                                                       lesion.
41006...............  ..............  A               Drainage of mouth           3.24       4.38       3.44       0.30       7.92       6.98        090
                                                       lesion.
41007...............  ..............  A               Drainage of mouth           3.10       4.16       3.31       0.27       7.53       6.68        090
                                                       lesion.
41008...............  ..............  A               Drainage of mouth           3.36       4.53       3.49       0.29       8.18       7.14        090
                                                       lesion.
41009...............  ..............  A               Drainage of mouth           3.58       4.86       3.85       0.30       8.74       7.73        090
                                                       lesion.
41010...............  ..............  A               Incision of tongue          1.06       3.46       3.46       0.07       4.59       4.59        010
                                                       fold.
41015...............  ..............  A               Drainage of mouth           3.95       5.36       4.06       0.35       9.66       8.36        090
                                                       lesion.
41016...............  ..............  A               Drainage of mouth           4.06       5.45       4.07       0.34       9.85       8.47        090
                                                       lesion.
41017...............  ..............  A               Drainage of mouth           4.06       5.36       4.14       0.39       9.81       8.59        090
                                                       lesion.
41018...............  ..............  A               Drainage of mouth           5.09       5.80       4.25       0.42      11.31       9.76        090
                                                       lesion.
41100...............  ..............  A               Biopsy of tongue.....       1.63       2.56       1.42       0.14       4.33       3.19        010
41105...............  ..............  A               Biopsy of tongue.....       1.42       2.46       1.31       0.12       4.00       2.85        010
41108...............  ..............  A               Biopsy of floor of          1.05       2.20       1.12       0.10       3.35       2.27        010
                                                       mouth.
41110...............  ..............  A               Excision of tongue          1.51       2.52       1.33       0.13       4.16       2.97        010
                                                       lesion.
41112...............  ..............  A               Excision of tongue          2.73       4.25       2.71       0.24       7.22       5.68        090
                                                       lesion.
41113...............  ..............  A               Excision of tongue          3.19       4.60       2.98       0.28       8.07       6.45        090
                                                       lesion.
41114...............  ..............  A               Excision of tongue          8.46       8.75       6.31       0.77      17.98      15.54        090
                                                       lesion.
41115...............  ..............  A               Excision of tongue          1.74       3.43       2.57       0.16       5.33       4.47        010
                                                       fold.
41116...............  ..............  A               Excision of mouth           2.44       4.22       2.77       0.21       6.87       5.42        090
                                                       lesion.
41120...............  ..............  A               Partial removal of          9.76         NA       7.58       0.84         NA      18.18        090
                                                       tongue.
41130...............  ..............  A               Partial removal of         11.13         NA       8.36       0.98         NA      20.47        090
                                                       tongue.
41135...............  ..............  A               Tongue and neck            23.06         NA      14.83       2.00         NA      39.89        090
                                                       surgery.
41140...............  ..............  A               Removal of tongue....      25.46         NA      16.06       2.23         NA      43.75        090
41145...............  ..............  A               Tongue removal, neck       30.01         NA      19.18       2.54         NA      51.73        090
                                                       surgery.
41150...............  ..............  A               Tongue, mouth, jaw         23.01         NA      15.49       2.01         NA      40.51        090
                                                       surgery.
41153...............  ..............  A               Tongue, mouth, neck        23.73         NA      15.96       2.06         NA      41.75        090
                                                       surgery.
41155...............  ..............  A               Tongue, jaw, & neck        27.68         NA      17.99       2.44         NA      48.11        090
                                                       surgery.
41250...............  ..............  A               Repair tongue               1.91       3.07       1.62       0.18       5.16       3.71        010
                                                       laceration.
41251...............  ..............  A               Repair tongue               2.27       3.58       1.93       0.22       6.07       4.42        010
                                                       laceration.
41252...............  ..............  A               Repair tongue               2.97       4.16       2.28       0.28       7.41       5.53        010
                                                       laceration.

[[Page 1158]]

 
41500...............  ..............  A               Fixation of tongue...       3.70         NA       3.63       0.31         NA       7.64        090
41510...............  ..............  A               Tongue to lip surgery       3.41         NA       3.10       0.29         NA       6.80        090
41520...............  ..............  A               Reconstruction,             2.73       4.07       3.22       0.23       7.03       6.18        090
                                                       tongue 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             1.17       2.66       1.44       0.11       3.94       2.72        010
                                                       lesion.
41805...............  ..............  A               Removal foreign body,       1.24       2.73       2.33       0.11       4.08       3.68        010
                                                       gum.
41806...............  ..............  A               Removal foreign             2.69       3.62       3.14       0.27       6.58       6.10        010
                                                       body,jawbone.
41820...............  ..............  R               Excision, gum, each         0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       quadrant.
41821...............  ..............  R               Excision of gum flap.       0.00       0.00       0.00       0.00       0.00       0.00        000
41822...............  ..............  R               Excision of gum             2.31       4.09       1.33       0.29       6.69       3.93        010
                                                       lesion.
41823...............  ..............  R               Excision of gum             3.30       5.82       4.10       0.35       9.47       7.75        090
                                                       lesion.
41825...............  ..............  A               Excision of gum             1.31       3.27       2.35       0.12       4.70       3.78        010
                                                       lesion.
41826...............  ..............  A               Excision of gum             2.31       3.85       2.89       0.21       6.37       5.41        010
                                                       lesion.
41827...............  ..............  A               Excision of gum             3.41       5.61       3.84       0.30       9.32       7.55        090
                                                       lesion.
41828...............  ..............  R               Excision of gum             3.09       4.38       3.35       0.27       7.74       6.71        010
                                                       lesion.
41830...............  ..............  R               Removal of gum tissue       3.34       4.91       3.57       0.28       8.53       7.19        010
41850...............  ..............  R               Treatment of gum            0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       lesion.
41870...............  ..............  R               Gum graft............       0.00       0.00       0.00       0.00       0.00       0.00        000
41872...............  ..............  R               Repair gum...........       2.59       4.63       3.53       0.22       7.44       6.34        090
41874...............  ..............  R               Repair tooth socket..       3.09       4.68       3.29       0.28       8.05       6.66        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       2.72       1.25       0.12       4.07       2.60        010
                                                       lesion.
42100...............  ..............  A               Biopsy roof of mouth.       1.31       2.27       1.36       0.12       3.70       2.79        010
42104...............  ..............  A               Excision lesion,            1.64       2.76       1.55       0.14       4.54       3.33        010
                                                       mouth roof.
42106...............  ..............  A               Excision lesion,            2.10       3.72       2.81       0.19       6.01       5.10        010
                                                       mouth roof.
42107...............  ..............  A               Excision lesion,            4.43       6.07       4.18       0.39      10.89       9.00        090
                                                       mouth roof.
42120...............  ..............  A               Remove palate/lesion.       6.16         NA       5.56       0.53         NA      12.25        090
42140...............  ..............  A               Excision of uvula....       1.62       2.48       2.37       0.14       4.24       4.13        090
42145...............  ..............  A               Repair palate,              8.04         NA       6.61       0.68         NA      15.33        090
                                                       pharynx/uvula.
42160...............  ..............  A               Treatment mouth roof        1.80       3.59       2.65       0.16       5.55       4.61        010
                                                       lesion.
42180...............  ..............  A               Repair palate........       2.50       3.38       2.12       0.23       6.11       4.85        010
42182...............  ..............  A               Repair palate........       3.82       4.23       3.06       0.33       8.38       7.21        010
42200...............  ..............  A               Reconstruct cleft          11.98         NA       9.01       1.17         NA      22.16        090
                                                       palate.
42205...............  ..............  A               Reconstruct cleft          13.27         NA       9.35       0.99         NA      23.61        090
                                                       palate.
42210...............  ..............  A               Reconstruct cleft          14.48         NA      10.52       1.50         NA      26.50        090
                                                       palate.
42215...............  ..............  A               Reconstruct cleft           8.81         NA       7.55       1.16         NA      17.52        090
                                                       palate.
42220...............  ..............  A               Reconstruct cleft           7.01         NA       5.64       0.49         NA      13.14        090
                                                       palate.
42225...............  ..............  A               Reconstruct cleft           9.53         NA       7.66       0.90         NA      18.09        090
                                                       palate.
42226...............  ..............  A               Lengthening of palate       9.99         NA       7.88       0.88         NA      18.75        090
42227...............  ..............  A               Lengthening of palate       9.51         NA       7.34       0.84         NA      17.69        090
42235...............  ..............  A               Repair palate........       7.86         NA       5.35       0.59         NA      13.80        090
42260...............  ..............  A               Repair nose to lip          9.79       9.23       7.44       1.03      20.05      18.26        090
                                                       fistula.
42280...............  ..............  A               Preparation, palate         1.54       2.00       0.88       0.14       3.68       2.56        010
                                                       mold.
42281...............  ..............  A               Insertion, palate           1.93       2.92       1.88       0.17       5.02       3.98        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       2.95       1.83       0.18       5.06       3.94        010
                                                       gland.
42305...............  ..............  A               Drainage of salivary        6.06         NA       4.95       0.55         NA      11.56        090
                                                       gland.
42310...............  ..............  A               Drainage of salivary        1.56       2.34       1.54       0.13       4.03       3.23        010
                                                       gland.
42320...............  ..............  A               Drainage of salivary        2.35       3.52       2.11       0.21       6.08       4.67        010
                                                       gland.
42325...............  ..............  A               Create salivary cyst        2.75       3.54       2.23       0.21       6.50       5.19        090
                                                       drain.
42326...............  ..............  A               Create salivary cyst        3.77       4.54       3.10       0.41       8.72       7.28        090
                                                       drain.
42330...............  ..............  A               Removal of salivary         2.21       3.30       1.86       0.19       5.70       4.26        010
                                                       stone.
42335...............  ..............  A               Removal of salivary         3.31       3.90       3.36       0.28       7.49       6.95        090
                                                       stone.
42340...............  ..............  A               Removal of salivary         4.59       5.14       4.27       0.41      10.14       9.27        090
                                                       stone.
42400...............  ..............  A               Biopsy of salivary          0.78       1.75       0.72       0.07       2.60       1.57        000
                                                       gland.
42405...............  ..............  A               Biopsy of salivary          3.29       4.17       2.48       0.29       7.75       6.06        010
                                                       gland.
42408...............  ..............  A               Excision of salivary        4.53       5.05       4.06       0.41       9.99       9.00        090
                                                       cyst.
42409...............  ..............  A               Drainage of salivary        2.81       3.55       3.09       0.24       6.60       6.14        090
                                                       cyst.
42410...............  ..............  A               Excise parotid gland/       9.33         NA       6.64       0.93         NA      16.90        090
                                                       lesion.
42415...............  ..............  A               Excise parotid gland/      16.86         NA      11.26       1.52         NA      29.64        090
                                                       lesion.
42420...............  ..............  A               Excise parotid gland/      19.56         NA      12.77       1.75         NA      34.08        090
                                                       lesion.
42425...............  ..............  A               Excise parotid gland/      13.00         NA       9.07       1.18         NA      23.25        090
                                                       lesion.
42426...............  ..............  A               Excise parotid gland/      21.23         NA      13.43       1.89         NA      36.55        090
                                                       lesion.
42440...............  ..............  A               Excise submaxillary         6.96         NA       5.06       0.62         NA      12.64        090
                                                       gland.
42450...............  ..............  A               Excise sublingual           4.61       5.66       4.24       0.41      10.68       9.26        090
                                                       gland.
42500...............  ..............  A               Repair salivary duct.       4.29       5.46       4.18       0.36      10.11       8.83        090
42505...............  ..............  A               Repair salivary duct.       6.17       6.90       5.36       0.53      13.60      12.06        090
42507...............  ..............  A               Parotid duct                6.10         NA       5.20       0.80         NA      12.10        090
                                                       diversion.
42508...............  ..............  A               Parotid duct                9.09         NA       7.02       0.77         NA      16.88        090
                                                       diversion.
42509...............  ..............  A               Parotid duct               11.52         NA       8.42       1.50         NA      21.44        090
                                                       diversion.
42510...............  ..............  A               Parotid duct                8.14         NA       6.11       0.69         NA      14.94        090
                                                       diversion.
42550...............  ..............  A               Injection for               1.25      13.05       0.41       0.07      14.37       1.73        000
                                                       salivary x-ray.
42600...............  ..............  A               Closure of salivary         4.81       5.83       4.52       0.41      11.05       9.74        090
                                                       fistula.
42650...............  ..............  A               Dilation of salivary        0.77       1.17       0.71       0.07       2.01       1.55        000
                                                       duct.
42660...............  ..............  A               Dilation of salivary        1.13       1.48       0.84       0.08       2.69       2.05        000
                                                       duct.

[[Page 1159]]

 
42665...............  ..............  A               Ligation of salivary        2.53       3.56       2.96       0.21       6.30       5.70        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       2.74       1.73       0.14       4.50       3.49        010
                                                       abscess.
42720...............  ..............  A               Drainage of throat          5.41       5.04       3.82       0.47      10.92       9.70        010
                                                       abscess.
42725...............  ..............  A               Drainage of throat         10.70         NA       8.00       0.96         NA      19.66        090
                                                       abscess.
42800...............  ..............  A               Biopsy of throat.....       1.39       2.23       1.40       0.12       3.74       2.91        010
42802...............  ..............  A               Biopsy of throat.....       1.54       4.38       1.94       0.13       6.05       3.61        010
42804...............  ..............  A               Biopsy of upper nose/       1.24       3.97       1.79       0.11       5.32       3.14        010
                                                       throat.
42806...............  ..............  A               Biopsy of upper nose/       1.58       4.11       1.92       0.14       5.83       3.64        010
                                                       throat.
42808...............  ..............  A               Excise pharynx lesion       2.30       3.17       1.93       0.21       5.68       4.44        010
42809...............  ..............  A               Remove pharynx              1.81       2.36       1.36       0.16       4.33       3.33        010
                                                       foreign body.
42810...............  ..............  A               Excision of neck cyst       3.25       4.84       3.37       0.30       8.39       6.92        090
42815...............  ..............  A               Excision of neck cyst       7.06         NA       5.42       0.64         NA      13.12        090
42820...............  ..............  A               Remove tonsils and          3.90         NA       3.47       0.34         NA       7.71        090
                                                       adenoids.
42821...............  ..............  A               Remove tonsils and          4.28         NA       3.68       0.36         NA       8.32        090
                                                       adenoids.
42825...............  ..............  A               Removal of tonsils...       3.41         NA       3.32       0.29         NA       7.02        090
42826...............  ..............  A               Removal of tonsils...       3.37         NA       3.21       0.28         NA       6.86        090
42830...............  ..............  A               Removal of adenoids..       2.57         NA       2.62       0.22         NA       5.41        090
42831...............  ..............  A               Removal of adenoids..       2.71         NA       2.86       0.23         NA       5.80        090
42835...............  ..............  A               Removal of adenoids..       2.30         NA       2.62       0.21         NA       5.13        090
42836...............  ..............  A               Removal of adenoids..       3.18         NA       3.14       0.27         NA       6.59        090
42842...............  ..............  A               Extensive surgery of        8.75         NA       6.74       0.74         NA      16.23        090
                                                       throat.
42844...............  ..............  A               Extensive surgery of       14.29         NA      10.03       1.25         NA      25.57        090
                                                       throat.
42845...............  ..............  A               Extensive surgery of       24.25         NA      16.11       2.12         NA      42.48        090
                                                       throat.
42860...............  ..............  A               Excision of tonsil          2.22         NA       2.58       0.19         NA       4.99        090
                                                       tags.
42870...............  ..............  A               Excision of lingual         5.39         NA       4.79       0.46         NA      10.64        090
                                                       tonsil.
42890...............  ..............  A               Partial removal of         12.92         NA       9.34       1.10         NA      23.36        090
                                                       pharynx.
42892...............  ..............  A               Revision of                15.81         NA      10.89       1.37         NA      28.07        090
                                                       pharyngeal walls.
42894...............  ..............  A               Revision of                22.85         NA      15.07       1.98         NA      39.90        090
                                                       pharyngeal walls.
42900...............  ..............  A               Repair throat wound..       5.24         NA       3.70       0.47         NA       9.41        010
42950...............  ..............  A               Reconstruction of           8.09         NA       6.60       0.70         NA      15.39        090
                                                       throat.
42953...............  ..............  A               Repair throat,              8.95         NA       7.53       0.88         NA      17.36        090
                                                       esophagus.
42955...............  ..............  A               Surgical opening of         7.38         NA       5.58       0.76         NA      13.72        090
                                                       throat.
42960...............  ..............  A               Control throat              2.33         NA       2.00       0.21         NA       4.54        010
                                                       bleeding.
42961...............  ..............  A               Control throat              5.58         NA       4.85       0.48         NA      10.91        090
                                                       bleeding.
42962...............  ..............  A               Control throat              7.13         NA       5.73       0.62         NA      13.48        090
                                                       bleeding.
42970...............  ..............  A               Control nose/throat         5.42         NA       3.61       0.45         NA       9.48        090
                                                       bleeding.
42971...............  ..............  A               Control nose/throat         6.20         NA       4.97       0.54         NA      11.71        090
                                                       bleeding.
42972...............  ..............  A               Control nose/throat         7.19         NA       5.47       0.65         NA      13.31        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       8.08         NA       5.70       0.84         NA      14.62        090
43030...............  ..............  A               Throat muscle surgery       7.68         NA       5.82       0.72         NA      14.22        090
43045...............  ..............  A               Incision of esophagus      20.09         NA      10.76       2.59         NA      33.44        090
43100...............  ..............  A               Excision of esophagus       9.18         NA       6.27       0.95         NA      16.40        090
                                                       lesion.
43101...............  ..............  A               Excision of esophagus      16.22         NA       7.94       2.18         NA      26.34        090
                                                       lesion.
43107...............  ..............  A               Removal of esophagus.      39.94         NA      17.14       3.97         NA      61.05        090
43108...............  ..............  A               Removal of esophagus.      34.14         NA      14.30       4.56         NA      53.00        090
43112...............  ..............  A               Removal of esophagus.      43.43         NA      18.24       4.43         NA      66.10        090
43113...............  ..............  A               Removal of esophagus.      35.22         NA      15.20       5.22         NA      55.64        090
43116...............  ..............  A               Partial removal of         31.17         NA      16.81       3.16         NA      51.14        090
                                                       esophagus.
43117...............  ..............  A               Partial removal of         39.94         NA      16.38       4.23         NA      60.55        090
                                                       esophagus.
43118...............  ..............  A               Partial removal of         33.15         NA      13.87       4.29         NA      51.31        090
                                                       esophagus.
43121...............  ..............  A               Partial removal of         29.15         NA      12.75       4.15         NA      46.05        090
                                                       esophagus.
43122...............  ..............  A               Partial removal of         39.94         NA      16.49       3.94         NA      60.37        090
                                                       esophagus.
43123...............  ..............  A               Partial removal of         33.15         NA      14.18       4.78         NA      52.11        090
                                                       esophagus.
43124...............  ..............  A               Removal of esophagus.      27.28         NA      13.16       3.56         NA      44.00        090
43130...............  ..............  A               Removal of esophagus       11.73         NA       7.62       1.28         NA      20.63        090
                                                       pouch.
43135...............  ..............  A               Removal of esophagus       16.08         NA       8.16       2.23         NA      26.47        090
                                                       pouch.
43200...............  ..............  A               Esophagus endoscopy..       1.59       4.01       1.10       0.13       5.73       2.82        000
43201...............  ..............  A               Esoph scope w/              2.09       4.70       1.27       0.14       6.93       3.50        000
                                                       submucous inj.
43202...............  ..............  A               Esophagus endoscopy,        1.89       5.38       0.96       0.14       7.41       2.99        000
                                                       biopsy.
43204...............  ..............  A               Esoph scope w/              3.76         NA       1.54       0.22         NA       5.52        000
                                                       sclerosis inj.
43205...............  ..............  A               Esophagus endoscopy/        3.78         NA       1.55       0.21         NA       5.54        000
                                                       ligation.
43215...............  ..............  A               Esophagus endoscopy..       2.60         NA       1.22       0.21         NA       4.03        000
43216...............  ..............  A               Esophagus endoscopy/        2.40         NA       1.18       0.18         NA       3.76        000
                                                       lesion.
43217...............  ..............  A               Esophagus endoscopy..       2.90       6.79       1.21       0.21       9.90       4.32        000
43219...............  ..............  A               Esophagus endoscopy..       2.80         NA       1.37       0.19         NA       4.36        000
43220...............  ..............  A               Esoph endoscopy,            2.10         NA       0.99       0.14         NA       3.23        000
                                                       dilation.
43226...............  ..............  A               Esoph endoscopy,            2.34         NA       1.06       0.14         NA       3.54        000
                                                       dilation.
43227...............  ..............  A               Esoph endoscopy,            3.59         NA       1.47       0.22         NA       5.28        000
                                                       repair.
43228...............  ..............  A               Esoph endoscopy,            3.76         NA       1.58       0.30         NA       5.64        000
                                                       ablation.
43231...............  ..............  A               Esoph endoscopy w/us        3.19         NA       1.33       0.24         NA       4.76        000
                                                       exam.
43232...............  ..............  A               Esoph endoscopy w/us        4.47         NA       1.84       0.31         NA       6.62        000
                                                       fn bx.
43234...............  ..............  A               Upper GI endoscopy,         2.01       5.21       0.90       0.16       7.38       3.07        000
                                                       exam.
43235...............  ..............  A               Uppr gi endoscopy,          2.39       5.04       1.07       0.16       7.59       3.62        000
                                                       diagnosis.

[[Page 1160]]

 
43236...............  ..............  A               Uppr gi scope w/            2.92       6.32       1.26       0.17       9.41       4.35        000
                                                       submuc inj.
43237...............  ..............  A               Endoscopic us exam,         3.98         NA       1.61       0.27         NA       5.86        000
                                                       esoph.
43238...............  ..............  A               Uppr gi endoscopy w/        5.02         NA       1.97       0.27         NA       7.26        000
                                                       us fn bx.
43239...............  ..............  A               Upper GI endoscopy,         2.87       5.58       1.23       0.17       8.62       4.27        000
                                                       biopsy.
43240...............  ..............  A               Esoph endoscope w/          6.85         NA       2.65       0.43         NA       9.93        000
                                                       drain cyst.
43241...............  ..............  A               Upper GI endoscopy          2.59         NA       1.14       0.17         NA       3.90        000
                                                       with tube.
43242...............  ..............  A               Uppr gi endoscopy w/        7.30         NA       2.78       0.35         NA      10.43        000
                                                       us fn bx.
43243...............  ..............  A               Upper gi endoscopy &        4.56         NA       1.84       0.25         NA       6.65        000
                                                       inject.
43244...............  ..............  A               Upper GI endoscopy/         5.04         NA       2.01       0.25         NA       7.30        000
                                                       ligation.
43245...............  ..............  A               Uppr gi scope dilate        3.18         NA       1.34       0.22         NA       4.74        000
                                                       strictr.
43246...............  ..............  A               Place gastrostomy           4.32         NA       1.74       0.29         NA       6.35        000
                                                       tube.
43247...............  ..............  A               Operative upper GI          3.38         NA       1.42       0.21         NA       5.01        000
                                                       endoscopy.
43248...............  ..............  A               Uppr gi endoscopy/          3.15         NA       1.35       0.18         NA       4.68        000
                                                       guide wire.
43249...............  ..............  A               Esoph endoscopy,            2.90         NA       1.25       0.18         NA       4.33        000
                                                       dilation.
43250...............  ..............  A               Upper GI endoscopy/         3.20         NA       1.35       0.21         NA       4.76        000
                                                       tumor.
43251...............  ..............  A               Operative upper GI          3.69         NA       1.53       0.23         NA       5.45        000
                                                       endoscopy.
43255...............  ..............  A               Operative upper GI          4.81         NA       1.92       0.24         NA       6.97        000
                                                       endoscopy.
43256...............  ..............  A               Uppr gi endoscopy w         4.34         NA       1.77       0.28         NA       6.39        000
                                                       stent.
43258...............  ..............  A               Operative upper GI          4.54         NA       1.84       0.27         NA       6.65        000
                                                       endoscopy.
43259...............  ..............  A               Endoscopic ultrasound       5.19         NA       2.04       0.27         NA       7.50        000
                                                       exam.
43260...............  ..............  A               Endo                        5.95         NA       2.31       0.33         NA       8.59        000
                                                       cholangiopancreatogr
                                                       aph.
43261...............  ..............  A               Endo                        6.26         NA       2.42       0.35         NA       9.03        000
                                                       cholangiopancreatogr
                                                       aph.
43262...............  ..............  A               Endo                        7.38         NA       2.81       0.41         NA      10.60        000
                                                       cholangiopancreatogr
                                                       aph.
43263...............  ..............  A               Endo                        7.28         NA       2.78       0.34         NA      10.40        000
                                                       cholangiopancreatogr
                                                       aph.
43264...............  ..............  A               Endo                        8.89         NA       3.35       0.49         NA      12.73        000
                                                       cholangiopancreatogr
                                                       aph.
43265...............  ..............  A               Endo                       10.00         NA       3.73       0.51         NA      14.24        000
                                                       cholangiopancreatogr
                                                       aph.
43267...............  ..............  A               Endo                        7.38         NA       2.80       0.41         NA      10.59        000
                                                       cholangiopancreatogr
                                                       aph.
43268...............  ..............  A               Endo                        7.38         NA       2.90       0.41         NA      10.69        000
                                                       cholangiopancreatogr
                                                       aph.
43269...............  ..............  A               Endo                        8.20         NA       3.10       0.34         NA      11.64        000
                                                       cholangiopancreatogr
                                                       aph.
43271...............  ..............  A               Endo                        7.38         NA       2.80       0.41         NA      10.59        000
                                                       cholangiopancreatogr
                                                       aph.
43272...............  ..............  A               Endo                        7.38         NA       2.81       0.41         NA      10.60        000
                                                       cholangiopancreatogr
                                                       aph.
43280...............  ..............  A               Laparoscopy,               17.22         NA       7.33       2.12         NA      26.67        090
                                                       fundoplasty.
43289...............  ..............  C               Laparoscope proc,           0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       esoph.
43300...............  ..............  A               Repair of esophagus..       9.13         NA       6.51       1.03         NA      16.67        090
43305...............  ..............  A               Repair esophagus and       17.36         NA      10.78       1.64         NA      29.78        090
                                                       fistula.
43310...............  ..............  A               Repair of esophagus..      25.35         NA      11.15       3.84         NA      40.34        090
43312...............  ..............  A               Repair esophagus and       28.38         NA      12.00       4.08         NA      44.46        090
                                                       fistula.
43313...............  ..............  A               Esophagoplasty             45.21         NA      20.15       6.55         NA      71.91        090
                                                       congenital.
43314...............  ..............  A               Tracheo-                   50.19         NA      22.05       6.67         NA      78.91        090
                                                       esophagoplasty cong.
43320...............  ..............  A               Fuse esophagus &           19.90         NA       9.27       1.92         NA      31.09        090
                                                       stomach.
43324...............  ..............  A               Revise esophagus &         20.54         NA       8.82       2.07         NA      31.43        090
                                                       stomach.
43325...............  ..............  A               Revise esophagus &         20.03         NA       8.84       1.99         NA      30.86        090
                                                       stomach.
43326...............  ..............  A               Revise esophagus &         19.71         NA       9.34       2.22         NA      31.27        090
                                                       stomach.
43330...............  ..............  A               Repair of esophagus..      19.74         NA       8.59       1.83         NA      30.16        090
43331...............  ..............  A               Repair of esophagus..      20.10         NA       9.83       2.33         NA      32.26        090
43340...............  ..............  A               Fuse esophagus &           19.58         NA       9.03       1.85         NA      30.46        090
                                                       intestine.
43341...............  ..............  A               Fuse esophagus &           20.82         NA      10.06       2.58         NA      33.46        090
                                                       intestine.
43350...............  ..............  A               Surgical opening,          15.76         NA       8.50       1.39         NA      25.65        090
                                                       esophagus.
43351...............  ..............  A               Surgical opening,          18.32         NA       9.85       1.82         NA      29.99        090
                                                       esophagus.
43352...............  ..............  A               Surgical opening,          15.24         NA       8.45       1.54         NA      25.23        090
                                                       esophagus.
43360...............  ..............  A               Gastrointestinal           35.65         NA      15.15       3.62         NA      54.42        090
                                                       repair.
43361...............  ..............  A               Gastrointestinal           40.44         NA      16.98       4.25         NA      61.67        090
                                                       repair.
43400...............  ..............  A               Ligate esophagus           21.17         NA       9.43       1.19         NA      31.79        090
                                                       veins.
43401...............  ..............  A               Esophagus surgery for      22.06         NA       9.56       2.09         NA      33.71        090
                                                       veins.
43405...............  ..............  A               Ligate/staple              19.98         NA       9.62       1.97         NA      31.57        090
                                                       esophagus.
43410...............  ..............  A               Repair esophagus           13.45         NA       7.69       1.39         NA      22.53        090
                                                       wound.
43415...............  ..............  A               Repair esophagus           24.96         NA      11.80       2.32         NA      39.08        090
                                                       wound.
43420...............  ..............  A               Repair esophagus           14.33         NA       7.48       1.04         NA      22.85        090
                                                       opening.
43425...............  ..............  A               Repair esophagus           21.00         NA      10.03       2.45         NA      33.48        090
                                                       opening.
43450...............  ..............  A               Dilate esophagus.....       1.38       2.52       0.73       0.08       3.98       2.19        000
43453...............  ..............  A               Dilate esophagus.....       1.51       5.95       0.78       0.10       7.56       2.39        000
43456...............  ..............  A               Dilate esophagus.....       2.57      13.75       1.15       0.17      16.49       3.89        000
43458...............  ..............  A               Dilate esophagus.....       3.06       6.55       1.33       0.21       9.82       4.60        000
43460...............  ..............  A               Pressure treatment          3.79         NA       1.49       0.25         NA       5.53        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        11.03         NA       5.00       1.01         NA      17.04        090
                                                       stomach.
43501...............  ..............  A               Surgical repair of         20.01         NA       8.36       1.87         NA      30.24        090
                                                       stomach.
43502...............  ..............  A               Surgical repair of         23.10         NA       9.51       2.21         NA      34.82        090
                                                       stomach.
43510...............  ..............  A               Surgical opening of        13.06         NA       6.59       1.09         NA      20.74        090
                                                       stomach.
43520...............  ..............  A               Incision of pyloric         9.98         NA       5.30       1.01         NA      16.29        090
                                                       muscle.
43600...............  ..............  A               Biopsy of stomach....       1.91         NA       1.03       0.13         NA       3.07        000
43605...............  ..............  A               Biopsy of stomach....      11.96         NA       5.32       1.12         NA      18.40        090
43610...............  ..............  A               Excision of stomach        14.58         NA       6.20       1.37         NA      22.15        090
                                                       lesion.
43611...............  ..............  A               Excision of stomach        17.81         NA       7.61       1.66         NA      27.08        090
                                                       lesion.

[[Page 1161]]

 
43620...............  ..............  A               Removal of stomach...      29.99         NA      11.87       2.76         NA      44.62        090
43621...............  ..............  A               Removal of stomach...      30.68         NA      12.06       2.85         NA      45.59        090
43622...............  ..............  A               Removal of stomach...      32.48         NA      12.66       2.99         NA      48.13        090
43631...............  ..............  A               Removal of stomach,        22.56         NA       9.21       2.40         NA      34.17        090
                                                       partial.
43632...............  ..............  A               Removal of stomach,        22.56         NA       9.21       2.41         NA      34.18        090
                                                       partial.
43633...............  ..............  A               Removal of stomach,        23.07         NA       9.37       2.47         NA      34.91        090
                                                       partial.
43634...............  ..............  A               Removal of stomach,        25.08         NA      10.14       2.63         NA      37.85        090
                                                       partial.
43635...............  ..............  A               Removal of stomach,         2.06         NA       0.70       0.25         NA       3.01        ZZZ
                                                       partial.
43638...............  ..............  A               Removal of stomach,        28.96         NA      11.94       2.70         NA      43.60        090
                                                       partial.
43639...............  ..............  A               Removal of stomach,        29.61         NA      11.74       2.79         NA      44.14        090
                                                       partial.
43640...............  ..............  A               Vagotomy & pylorus         16.99         NA       7.30       1.82         NA      26.11        090
                                                       repair.
43641...............  ..............  A               Vagotomy & pylorus         17.24         NA       7.41       1.85         NA      26.50        090
                                                       repair.
43651...............  ..............  A               Laparoscopy, vagus         10.13         NA       4.80       1.24         NA      16.17        090
                                                       nerve.
43652...............  ..............  A               Laparoscopy, vagus         12.13         NA       5.40       1.51         NA      19.04        090
                                                       nerve.
43653...............  ..............  A               Laparoscopy,                7.72         NA       4.22       0.94         NA      12.88        090
                                                       gastrostomy.
43659...............  ..............  C               Laparoscope proc,           0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       stom.
43750...............  ..............  A               Place gastrostomy           4.48         NA       2.72       0.40         NA       7.60        010
                                                       tube.
43752...............  ..............  A               Nasal/orogastric w/         0.68       0.26       0.26       0.02       0.96       0.96        000
                                                       stent.
43760...............  ..............  A               Change gastrostomy          1.10       1.65       0.45       0.08       2.83       1.63        000
                                                       tube.
43761...............  ..............  A               Reposition                  2.01         NA       0.79       0.12         NA       2.92        000
                                                       gastrostomy tube.
43800...............  ..............  A               Reconstruction of          13.67         NA       5.94       1.29         NA      20.90        090
                                                       pylorus.
43810...............  ..............  A               Fusion of stomach and      14.63         NA       6.23       1.33         NA      22.19        090
                                                       bowel.
43820...............  ..............  A               Fusion of stomach and      15.35         NA       6.45       1.42         NA      23.22        090
                                                       bowel.
43825...............  ..............  A               Fusion of stomach and      19.19         NA       8.06       1.81         NA      29.06        090
                                                       bowel.
43830...............  ..............  A               Place gastrostomy           9.52         NA       4.88       0.83         NA      15.23        090
                                                       tube.
43831...............  ..............  A               Place gastrostomy           7.83         NA       4.54       0.98         NA      13.35        090
                                                       tube.
43832...............  ..............  A               Place gastrostomy          15.58         NA       6.90       1.36         NA      23.84        090
                                                       tube.
43840...............  ..............  A               Repair of stomach          15.54         NA       6.81       1.45         NA      23.80        090
                                                       lesion.
43842...............  ..............  A               Gastroplasty for           18.44         NA       8.15       1.82         NA      28.41        090
                                                       obesity.
43843...............  ..............  A               Gastroplasty for           18.62         NA       8.12       1.85         NA      28.59        090
                                                       obesity.
43846...............  ..............  A               Gastric bypass for         24.01         NA      10.37       2.36         NA      36.74        090
                                                       obesity.
43847...............  ..............  A               Gastric bypass for         26.88         NA      11.32       2.58         NA      40.78        090
                                                       obesity.
43848...............  ..............  A               Revision gastroplasty      29.35         NA      12.25       2.88         NA      44.48        090
43850...............  ..............  A               Revise stomach-bowel       24.68         NA       9.87       2.38         NA      36.93        090
                                                       fusion.
43855...............  ..............  A               Revise stomach-bowel       26.12         NA      10.38       2.42         NA      38.92        090
                                                       fusion.
43860...............  ..............  A               Revise stomach-bowel       24.96         NA      10.03       2.45         NA      37.44        090
                                                       fusion.
43865...............  ..............  A               Revise stomach-bowel       26.48         NA      10.56       2.59         NA      39.63        090
                                                       fusion.
43870...............  ..............  A               Repair stomach              9.68         NA       4.55       0.86         NA      15.09        090
                                                       opening.
43880...............  ..............  A               Repair stomach-bowel       24.61         NA       9.97       2.34         NA      36.92        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           16.21         NA       6.77       1.68         NA      24.66        090
                                                       adhesion.
44010...............  ..............  A               Incision of small          12.50         NA       5.50       1.27         NA      19.27        090
                                                       bowel.
44015...............  ..............  A               Insert needle cath          2.62         NA       0.89       0.30         NA       3.81        ZZZ
                                                       bowel.
44020...............  ..............  A               Explore small              13.97         NA       5.98       1.45         NA      21.40        090
                                                       intestine.
44021...............  ..............  A               Decompress small           14.06         NA       6.02       1.42         NA      21.50        090
                                                       bowel.
44025...............  ..............  A               Incision of large          14.26         NA       6.07       1.46         NA      21.79        090
                                                       bowel.
44050...............  ..............  A               Reduce bowel               14.01         NA       6.00       1.39         NA      21.40        090
                                                       obstruction.
44055...............  ..............  A               Correct malrotation        21.97         NA       8.78       1.59         NA      32.34        090
                                                       of bowel.
44100...............  ..............  A               Biopsy of bowel......       2.01         NA       1.10       0.14         NA       3.25        000
44110...............  ..............  A               Excise intestine           11.79         NA       5.27       1.21         NA      18.27        090
                                                       lesion(s).
44111...............  ..............  A               Excision of bowel          14.27         NA       6.17       1.47         NA      21.91        090
                                                       lesion(s).
44120...............  ..............  A               Removal of small           16.97         NA       7.12       1.76         NA      25.85        090
                                                       intestine.
44121...............  ..............  A               Removal of small            4.44         NA       1.53       0.55         NA       6.52        ZZZ
                                                       intestine.
44125...............  ..............  A               Removal of small           17.51         NA       7.31       1.80         NA      26.62        090
                                                       intestine.
44126...............  ..............  A               Enterectomy w/o            35.45         NA      14.16       0.43         NA      50.04        090
                                                       taper, cong.
44127...............  ..............  A               Enterectomy w/taper,       40.94         NA      15.79       0.49         NA      57.22        090
                                                       cong.
44128...............  ..............  A               Enterectomy cong, add-      4.44         NA       1.54       0.54         NA       6.52        ZZZ
                                                       on.
44130...............  ..............  A               Bowel to bowel fusion      14.47         NA       6.26       1.48         NA      22.21        090
44132...............  ..............  R               Enterectomy, cadaver        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       donor.
44133...............  ..............  R               Enterectomy, live           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       donor.
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         NA       0.76       0.25         NA       3.24        ZZZ
44140...............  ..............  A               Partial removal of         20.97         NA       8.69       2.58         NA      32.24        090
                                                       colon.
44141...............  ..............  A               Partial removal of         19.48         NA      10.15       2.35         NA      31.98        090
                                                       colon.
44143...............  ..............  A               Partial removal of         22.96         NA      10.80       2.44         NA      36.20        090
                                                       colon.
44144...............  ..............  A               Partial removal of         21.50         NA       9.69       2.28         NA      33.47        090
                                                       colon.
44145...............  ..............  A               Partial removal of         26.38         NA      10.87       2.68         NA      39.93        090
                                                       colon.
44146...............  ..............  A               Partial removal of         27.50         NA      12.98       2.65         NA      43.13        090
                                                       colon.
44147...............  ..............  A               Partial removal of         20.68         NA       8.74       2.10         NA      31.52        090
                                                       colon.
44150...............  ..............  A               Removal of colon.....      23.91         NA      12.16       2.47         NA      38.54        090
44151...............  ..............  A               Removal of colon/          26.84         NA      13.54       2.38         NA      42.76        090
                                                       ileostomy.
44152...............  ..............  A               Removal of colon/          27.79         NA      11.68       2.85         NA      42.32        090
                                                       ileostomy.
44153...............  ..............  A               Removal of colon/          30.54         NA      14.56       2.81         NA      47.91        090
                                                       ileostomy.
44155...............  ..............  A               Removal of colon/          27.82         NA      13.44       2.73         NA      43.99        090
                                                       ileostomy.

[[Page 1162]]

 
44156...............  ..............  A               Removal of colon/          30.74         NA      15.20       2.64         NA      48.58        090
                                                       ileostomy.
44160...............  ..............  A               Removal of colon.....      18.59         NA       7.80       2.24         NA      28.63        090
44200...............  ..............  A               Laparoscopy,               14.42         NA       6.23       1.76         NA      22.41        090
                                                       enterolysis.
44201...............  ..............  A               Laparoscopy,                9.77         NA       4.70       1.17         NA      15.64        090
                                                       jejunostomy.
44202...............  ..............  A               Lap resect s/              22.01         NA       8.98       2.61         NA      33.60        090
                                                       intestine singl.
44203...............  ..............  A               Lap resect s/               4.44         NA       1.50       0.55         NA       6.49        ZZZ
                                                       intestine, addl.
44204...............  ..............  A               Laparo partial             25.04         NA      10.00       3.08         NA      38.12        090
                                                       colectomy.
44205...............  ..............  A               Lap colectomy part w/      22.20         NA       8.88       2.69         NA      33.77        090
                                                       ileum.
44206...............  ..............  A               Lap part colectomy w/      26.96         NA      11.37       2.44         NA      40.77        090
                                                       stoma.
44207...............  ..............  A               L colectomy/               29.96         NA      11.59       2.68         NA      44.23        090
                                                       coloproctostomy.
44208...............  ..............  A               L colectomy/               31.95         NA      13.27       2.65         NA      47.87        090
                                                       coloproctostomy.
44210...............  ..............  A               Laparo total               27.96         NA      12.03       2.47         NA      42.46        090
                                                       proctocolectomy.
44211...............  ..............  A               Laparo total               34.95         NA      14.74       2.81         NA      52.50        090
                                                       proctocolectomy.
44212...............  ..............  A               Laparo total               32.45         NA      13.88       2.73         NA      49.06        090
                                                       proctocolectomy.
44238...............  ..............  C               Laparoscope proc,           0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       intestine.
44239...............  ..............  C               Laparoscope proc,           0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       rectum.
44300...............  ..............  A               Open bowel to skin...      12.09         NA       5.53       1.06         NA      18.68        090
44310...............  ..............  A               Ileostomy/jejunostomy      15.93         NA       6.73       1.36         NA      24.02        090
44312...............  ..............  A               Revision of ileostomy       8.01         NA       4.03       0.65         NA      12.69        090
44314...............  ..............  A               Revision of ileostomy      15.03         NA       6.60       1.19         NA      22.82        090
44316...............  ..............  A               Devise bowel pouch...      21.06         NA       8.60       1.70         NA      31.36        090
44320...............  ..............  A               Colostomy............      17.61         NA       7.71       1.54         NA      26.86        090
44322...............  ..............  A               Colostomy with             11.96         NA       8.70       1.42         NA      22.08        090
                                                       biopsies.
44340...............  ..............  A               Revision of colostomy       7.71         NA       4.31       0.68         NA      12.70        090
44345...............  ..............  A               Revision of colostomy      15.41         NA       6.93       1.34         NA      23.68        090
44346...............  ..............  A               Revision of colostomy      16.96         NA       7.43       1.45         NA      25.84        090
44360...............  ..............  A               Small bowel endoscopy       2.59         NA       1.12       0.17         NA       3.88        000
44361...............  ..............  A               Small bowel endoscopy/      2.87         NA       1.21       0.18         NA       4.26        000
                                                       biopsy.
44363...............  ..............  A               Small bowel endoscopy       3.49         NA       1.40       0.23         NA       5.12        000
44364...............  ..............  A               Small bowel endoscopy       3.73         NA       1.52       0.25         NA       5.50        000
44365...............  ..............  A               Small bowel endoscopy       3.31         NA       1.38       0.22         NA       4.91        000
44366...............  ..............  A               Small bowel endoscopy       4.40         NA       1.76       0.27         NA       6.43        000
44369...............  ..............  A               Small bowel endoscopy       4.51         NA       1.76       0.28         NA       6.55        000
44370...............  ..............  A               Small bowel endoscopy/      4.79         NA       1.99       0.25         NA       7.03        000
                                                       stent.
44372...............  ..............  A               Small bowel endoscopy       4.40         NA       1.75       0.33         NA       6.48        000
44373...............  ..............  A               Small bowel endoscopy       3.49         NA       1.45       0.23         NA       5.17        000
44376...............  ..............  A               Small bowel endoscopy       5.25         NA       2.04       0.35         NA       7.64        000
44377...............  ..............  A               Small bowel endoscopy/      5.52         NA       2.15       0.34         NA       8.01        000
                                                       biopsy.
44378...............  ..............  A               Small bowel endoscopy       7.12         NA       2.71       0.45         NA      10.28        000
44379...............  ..............  A               S bowel endoscope w/        7.46         NA       2.93       0.46         NA      10.85        000
                                                       stent.
44380...............  ..............  A               Small bowel endoscopy       1.05         NA       0.56       0.10         NA       1.71        000
44382...............  ..............  A               Small bowel endoscopy       1.27         NA       0.65       0.11         NA       2.03        000
44383...............  ..............  A               Ileoscopy w/stent....       2.94         NA       1.28       0.16         NA       4.38        000
44385...............  ..............  A               Endoscopy of bowel          1.82       4.98       0.96       0.14       6.94       2.92        000
                                                       pouch.
44386...............  ..............  A               Endoscopy, bowel            2.12       6.51       1.12       0.18       8.81       3.42        000
                                                       pouch/biop.
44388...............  ..............  A               Colonoscopy..........       2.82       5.14       1.16       0.22       8.18       4.20        000
44389...............  ..............  A               Colonoscopy with            3.13       6.49       1.28       0.22       9.84       4.63        000
                                                       biopsy.
44390...............  ..............  A               Colonoscopy for             3.82       6.76       1.51       0.27      10.85       5.60        000
                                                       foreign body.
44391...............  ..............  A               Colonoscopy for             4.31       8.61       1.72       0.28      13.20       6.31        000
                                                       bleeding.
44392...............  ..............  A               Colonoscopy &               3.81       6.53       1.52       0.28      10.62       5.61        000
                                                       polypectomy.
44393...............  ..............  A               Colonoscopy, lesion         4.83       6.90       1.88       0.33      12.06       7.04        000
                                                       removal.
44394...............  ..............  A               Colonoscopy w/snare..       4.42       7.75       1.75       0.31      12.48       6.48        000
44397...............  ..............  A               Colonoscopy w/stent..       4.70         NA       2.06       0.34         NA       7.10        000
44500...............  ..............  A               Intro,                      0.49         NA       0.36       0.02         NA       0.87        000
                                                       gastrointestinal
                                                       tube.
44602...............  ..............  A               Suture, small              16.01         NA       6.42       1.29         NA      23.72        090
                                                       intestine.
44603...............  ..............  A               Suture, small              18.63         NA       7.31       1.68         NA      27.62        090
                                                       intestine.
44604...............  ..............  A               Suture, large              16.01         NA       6.49       1.71         NA      24.21        090
                                                       intestine.
44605...............  ..............  A               Repair of bowel            19.50         NA       8.46       1.86         NA      29.82        090
                                                       lesion.
44615...............  ..............  A               Intestinal                 15.91         NA       6.72       1.68         NA      24.31        090
                                                       stricturoplasty.
44620...............  ..............  A               Repair bowel opening.      12.18         NA       5.36       1.27         NA      18.81        090
44625...............  ..............  A               Repair bowel opening.      15.03         NA       6.35       1.57         NA      22.95        090
44626...............  ..............  A               Repair bowel opening.      25.32         NA       9.87       3.05         NA      38.24        090
44640...............  ..............  A               Repair bowel-skin          21.62         NA       8.62       1.76         NA      32.00        090
                                                       fistula.
44650...............  ..............  A               Repair bowel fistula.      22.54         NA       8.93       1.80         NA      33.27        090
44660...............  ..............  A               Repair bowel-bladder       21.33         NA       8.40       1.37         NA      31.10        090
                                                       fistula.
44661...............  ..............  A               Repair bowel-bladder       24.77         NA       9.60       1.85         NA      36.22        090
                                                       fistula.
44680...............  ..............  A               Surgical revision,         15.38         NA       6.48       1.65         NA      23.51        090
                                                       intestine.
44700...............  ..............  A               Suspend bowel w/           16.09         NA       6.69       1.46         NA      24.24        090
                                                       prosthesis.
44701...............  ..............  A               Intraop colon lavage        3.10         NA       1.06       0.25         NA       4.41        ZZZ
                                                       add-on.
44799...............  ..............  C               Unlisted procedure          0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       intestine.
44800...............  ..............  A               Excision of bowel          11.21         NA       5.43       1.34         NA      17.98        090
                                                       pouch.
44820...............  ..............  A               Excision of mesentery      12.07         NA       5.53       1.24         NA      18.84        090
                                                       lesion.
44850...............  ..............  A               Repair of mesentery..      10.72         NA       5.04       1.19         NA      16.95        090
44899...............  ..............  C               Bowel surgery               0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
44900...............  ..............  A               Drain app abscess,         10.12         NA       4.74       1.01         NA      15.87        090
                                                       open.

[[Page 1163]]

 
44901...............  ..............  A               Drain app abscess,          3.37         NA       1.12       0.21         NA       4.70        000
                                                       percut.
44950...............  ..............  A               Appendectomy.........       9.99         NA       4.35       1.06         NA      15.40        090
44955...............  ..............  A               Appendectomy add-on..       1.53         NA       0.53       0.19         NA       2.25        ZZZ
44960...............  ..............  A               Appendectomy.........      12.32         NA       5.38       1.31         NA      19.01        090
44970...............  ..............  A               Laparoscopy,                8.69         NA       4.23       1.06         NA      13.98        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          4.51         NA       2.98       0.45         NA       7.94        090
                                                       abscess.
45005...............  ..............  A               Drainage of rectal          1.99       4.84       1.69       0.22       7.05       3.90        010
                                                       abscess.
45020...............  ..............  A               Drainage of rectal          4.71         NA       3.31       0.49         NA       8.51        090
                                                       abscess.
45100...............  ..............  A               Biopsy of rectum.....       3.67         NA       2.39       0.40         NA       6.46        090
45108...............  ..............  A               Removal of anorectal        4.75         NA       2.91       0.55         NA       8.21        090
                                                       lesion.
45110...............  ..............  A               Removal of rectum....      27.96         NA      12.50       2.73         NA      43.19        090
45111...............  ..............  A               Partial removal of         16.46         NA       7.21       1.93         NA      25.60        090
                                                       rectum.
45112...............  ..............  A               Removal of rectum....      30.49         NA      11.82       2.83         NA      45.14        090
45113...............  ..............  A               Partial proctectomy..      30.53         NA      12.69       2.57         NA      45.79        090
45114...............  ..............  A               Partial removal of         27.28         NA      11.01       2.75         NA      41.04        090
                                                       rectum.
45116...............  ..............  A               Partial removal of         24.54         NA      10.08       2.41         NA      37.03        090
                                                       rectum.
45119...............  ..............  A               Remove rectum w/           30.79         NA      12.54       2.57         NA      45.90        090
                                                       reservoir.
45120...............  ..............  A               Removal of rectum....      24.56         NA      10.19       2.75         NA      37.50        090
45121...............  ..............  A               Removal of rectum and      27.00         NA      11.18       3.21         NA      41.39        090
                                                       colon.
45123...............  ..............  A               Partial proctectomy..      16.68         NA       6.90       1.25         NA      24.83        090
45126...............  ..............  A               Pelvic exenteration..      45.09         NA      19.38       3.90         NA      68.37        090
45130...............  ..............  A               Excision of rectal         16.42         NA       6.80       1.35         NA      24.57        090
                                                       prolapse.
45135...............  ..............  A               Excision of rectal         19.25         NA       8.48       1.83         NA      29.56        090
                                                       prolapse.
45136...............  ..............  A               Excise ileoanal            27.26         NA      12.52       3.28         NA      43.06        090
                                                       reservior.
45150...............  ..............  A               Excision of rectal          5.66         NA       2.98       0.55         NA       9.19        090
                                                       stricture.
45160...............  ..............  A               Excision of rectal         15.30         NA       6.68       1.29         NA      23.27        090
                                                       lesion.
45170...............  ..............  A               Excision of rectal         11.47         NA       5.27       1.07         NA      17.81        090
                                                       lesion.
45190...............  ..............  A               Destruction, rectal         9.73         NA       4.68       0.92         NA      15.33        090
                                                       tumor.
45300...............  ..............  A               Proctosigmoidoscopy         0.38       1.47       0.31       0.06       1.91       0.75        000
                                                       dx.
45303...............  ..............  A               Proctosigmoidoscopy         0.44      19.04       0.35       0.07      19.55       0.86        000
                                                       dilate.
45305...............  ..............  A               Proctosigmoidoscopy w/      1.01       2.58       0.52       0.11       3.70       1.64        000
                                                       bx.
45307...............  ..............  A               Proctosigmoidoscopy         0.94       3.00       0.50       0.18       4.12       1.62        000
                                                       fb.
45308...............  ..............  A               Proctosigmoidoscopy         0.83       1.94       0.46       0.16       2.93       1.45        000
                                                       removal.
45309...............  ..............  A               Proctosigmoidoscopy         2.01       2.77       0.86       0.21       4.99       3.08        000
                                                       removal.
45315...............  ..............  A               Proctosigmoidoscopy         1.40       2.80       0.65       0.24       4.44       2.29        000
                                                       removal.
45317...............  ..............  A               Proctosigmoidoscopy         1.50       2.38       0.68       0.24       4.12       2.42        000
                                                       bleed.
45320...............  ..............  A               Proctosigmoidoscopy         1.58       2.84       0.73       0.24       4.66       2.55        000
                                                       ablate.
45321...............  ..............  A               Proctosigmoidoscopy         1.17         NA       0.58       0.21         NA       1.96        000
                                                       volvul.
45327...............  ..............  A               Proctosigmoidoscopy w/      1.65         NA       0.70       0.12         NA       2.47        000
                                                       stent.
45330...............  ..............  A               Diagnostic                  0.96       2.20       0.52       0.06       3.22       1.54        000
                                                       sigmoidoscopy.
45331...............  ..............  A               Sigmoidoscopy and           1.15       2.91       0.63       0.08       4.14       1.86        000
                                                       biopsy.
45332...............  ..............  A               Sigmoidoscopy w/fb          1.79       4.86       0.85       0.13       6.78       2.77        000
                                                       removal.
45333...............  ..............  A               Sigmoidoscopy &             1.79       4.72       0.85       0.14       6.65       2.78        000
                                                       polypectomy.
45334...............  ..............  A               Sigmoidoscopy for           2.73         NA       1.18       0.19         NA       4.10        000
                                                       bleeding.
45335...............  ..............  A               Sigmoidoscopy w/            1.46       3.44       0.68       0.08       4.98       2.22        000
                                                       submuc inj.
45337...............  ..............  A               Sigmoidoscopy &             2.36         NA       1.05       0.18         NA       3.59        000
                                                       decompress.
45338...............  ..............  A               Sigmoidoscopy w/tumr        2.34       5.03       1.05       0.18       7.55       3.57        000
                                                       remove.
45339...............  ..............  A               Sigmoidoscopy w/            3.14       3.34       1.32       0.21       6.69       4.67        000
                                                       ablate tumr.
45340...............  ..............  A               Sig w/balloon               1.89       6.72       0.83       0.08       8.69       2.80        000
                                                       dilation.
45341...............  ..............  A               Sigmoidoscopy w/            2.60         NA       1.12       0.24         NA       3.96        000
                                                       ultrasound.
45342...............  ..............  A               Sigmoidoscopy w/us          4.05         NA       1.60       0.28         NA       5.93        000
                                                       guide bx.
45345...............  ..............  A               Sigmoidoscopy w/stent       2.92         NA       1.20       0.18         NA       4.30        000
45355...............  ..............  A               Surgical colonoscopy.       3.51         NA       1.40       0.31         NA       5.22        000
45378...............  ..............  A               Diagnostic                  3.69       6.04       1.58       0.24       9.97       5.51        000
                                                       colonoscopy.
45378...............  53............  A               Diagnostic                  0.96       2.20       0.52       0.06       3.22       1.54        000
                                                       colonoscopy.
45379...............  ..............  A               Colonoscopy w/fb            4.68       7.56       1.86       0.30      12.54       6.84        000
                                                       removal.
45380...............  ..............  A               Colonoscopy and             4.43       7.07       1.78       0.25      11.75       6.46        000
                                                       biopsy.
45381...............  ..............  A               Colonoscopy,                4.19       8.14       1.69       0.25      12.58       6.13        000
                                                       submucous inj.
45382...............  ..............  A               Colonoscopy/control         5.68       9.72       2.23       0.33      15.73       8.24        000
                                                       bleeding.
45383...............  ..............  A               Lesion removal              5.86       7.85       2.27       0.39      14.10       8.52        000
                                                       colonoscopy.
45384...............  ..............  A               Lesion remove               4.69       6.69       1.87       0.29      11.67       6.85        000
                                                       colonoscopy.
45385...............  ..............  A               Lesion removal              5.30       7.69       2.08       0.34      13.33       7.72        000
                                                       colonoscopy.
45386...............  ..............  A               Colonoscopy dilate          4.57      13.65       1.83       0.25      18.47       6.65        000
                                                       stricture.
45387...............  ..............  A               Colonoscopy w/stent..       5.90         NA       2.35       0.40         NA       8.65        000
45500...............  ..............  A               Repair of rectum.....       7.28         NA       3.59       0.68         NA      11.55        090
45505...............  ..............  A               Repair of rectum.....       7.57         NA       3.87       0.60         NA      12.04        090
45520...............  ..............  A               Treatment of rectal         0.55       0.85       0.19       0.05       1.45       0.79        000
                                                       prolapse.
45540...............  ..............  A               Correct rectal             16.25         NA       6.86       1.41         NA      24.52        090
                                                       prolapse.
45541...............  ..............  A               Correct rectal             13.38         NA       6.00       1.06         NA      20.44        090
                                                       prolapse.
45550...............  ..............  A               Repair rectum/remove       22.97         NA       9.29       1.91         NA      34.17        090
                                                       sigmoid.
45560...............  ..............  A               Repair of rectocele..      10.56         NA       5.12       0.88         NA      16.56        090
45562...............  ..............  A               Exploration/repair of      15.36         NA       7.05       1.39         NA      23.80        090
                                                       rectum.
45563...............  ..............  A               Exploration/repair of      23.43         NA      10.61       2.22         NA      36.26        090
                                                       rectum.
45800...............  ..............  A               Repair rect/bladder        17.74         NA       7.50       1.37         NA      26.61        090
                                                       fistula.

[[Page 1164]]

 
45805...............  ..............  A               Repair fistula w/          20.75         NA       9.60       1.77         NA      32.12        090
                                                       colostomy.
45820...............  ..............  A               Repair rectourethral       18.45         NA       7.70       1.41         NA      27.56        090
                                                       fistula.
45825...............  ..............  A               Repair fistula w/          21.22         NA       9.91       1.17         NA      32.30        090
                                                       colostomy.
45900...............  ..............  A               Reduction of rectal         2.61         NA       1.52       0.21         NA       4.34        010
                                                       prolapse.
45905...............  ..............  A               Dilation of anal            2.30         NA       1.43       0.17         NA       3.90        010
                                                       sphincter.
45910...............  ..............  A               Dilation of rectal          2.80         NA       1.66       0.17         NA       4.63        010
                                                       narrowing.
45915...............  ..............  A               Remove rectal               3.14       4.73       1.17       0.21       8.08       4.52        010
                                                       obstruction.
45999...............  ..............  C               Rectum surgery              0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
46020...............  ..............  A               Placement of seton...       2.90       2.28       1.86       0.27       5.45       5.03        010
46030...............  ..............  A               Removal of rectal           1.23       1.35       0.71       0.13       2.71       2.07        010
                                                       marker.
46040...............  ..............  A               Incision of rectal          4.95       5.30       3.17       0.58      10.83       8.70        090
                                                       abscess.
46045...............  ..............  A               Incision of rectal          4.31         NA       2.92       0.48         NA       7.71        090
                                                       abscess.
46050...............  ..............  A               Incision of anal            1.19       2.57       0.86       0.13       3.89       2.18        010
                                                       abscess.
46060...............  ..............  A               Incision of rectal          5.68         NA       3.30       0.63         NA       9.61        090
                                                       abscess.
46070...............  ..............  A               Incision of anal            2.71         NA       1.88       0.33         NA       4.92        090
                                                       septum.
46080...............  ..............  A               Incision of anal            2.49       2.39       1.13       0.28       5.16       3.90        010
                                                       sphincter.
46083...............  ..............  A               Incise external             1.40       2.50       0.95       0.14       4.04       2.49        010
                                                       hemorrhoid.
46200...............  ..............  A               Removal of anal             3.41       3.64       2.43       0.36       7.41       6.20        090
                                                       fissure.
46210...............  ..............  A               Removal of anal crypt       2.67       4.81       2.14       0.31       7.79       5.12        090
46211...............  ..............  A               Removal of anal             4.24       5.08       2.95       0.45       9.77       7.64        090
                                                       crypts.
46220...............  ..............  A               Removal of anal tag..       1.56       2.27       0.94       0.17       4.00       2.67        010
46221...............  ..............  A               Ligation of                 2.04       1.62       1.12       0.14       3.80       3.30        010
                                                       hemorrhoid(s).
46230...............  ..............  A               Removal of anal tags.       2.57       3.04       1.28       0.27       5.88       4.12        010
46250...............  ..............  A               Hemorrhoidectomy.....       3.88       4.86       2.46       0.52       9.26       6.86        090
46255...............  ..............  A               Hemorrhoidectomy.....       4.59       5.40       2.67       0.62      10.61       7.88        090
46257...............  ..............  A               Remove hemorrhoids &        5.39         NA       2.91       0.71         NA       9.01        090
                                                       fissure.
46258...............  ..............  A               Remove hemorrhoids &        5.72         NA       3.31       0.77         NA       9.80        090
                                                       fistula.
46260...............  ..............  A               Hemorrhoidectomy.....       6.36         NA       3.26       0.82         NA      10.44        090
46261...............  ..............  A               Remove hemorrhoids &        7.07         NA       3.66       0.84         NA      11.57        090
                                                       fissure.
46262...............  ..............  A               Remove hemorrhoids &        7.49         NA       3.79       0.92         NA      12.20        090
                                                       fistula.
46270...............  ..............  A               Removal of anal             3.71       4.66       2.38       0.43       8.80       6.52        090
                                                       fistula.
46275...............  ..............  A               Removal of anal             4.55       4.36       2.57       0.48       9.39       7.60        090
                                                       fistula.
46280...............  ..............  A               Removal of anal             5.97         NA       3.31       0.60         NA       9.88        090
                                                       fistula.
46285...............  ..............  A               Removal of anal             4.08       3.59       2.35       0.41       8.08       6.84        090
                                                       fistula.
46288...............  ..............  A               Repair anal fistula..       7.12         NA       3.72       0.72         NA      11.56        090
46320...............  ..............  A               Removal of hemorrhoid       1.61       2.12       0.85       0.17       3.90       2.63        010
                                                       clot.
46500...............  ..............  A               Injection into              1.61       2.79       0.62       0.14       4.54       2.37        010
                                                       hemorrhoid(s).
46600...............  ..............  A               Diagnostic anoscopy..       0.50       1.58       0.38       0.05       2.13       0.93        000
46604...............  ..............  A               Anoscopy and dilation       1.31       9.30       0.64       0.11      10.72       2.06        000
46606...............  ..............  A               Anoscopy and biopsy..       0.81       3.83       0.44       0.08       4.72       1.33        000
46608...............  ..............  A               Anoscopy, remove for        1.51       4.42       0.68       0.16       6.09       2.35        000
                                                       body.
46610...............  ..............  A               Anoscopy, remove            1.32       4.08       0.63       0.14       5.54       2.09        000
                                                       lesion.
46611...............  ..............  A               Anoscopy.............       1.81       3.35       0.80       0.18       5.34       2.79        000
46612...............  ..............  A               Anoscopy, remove            2.34       5.19       1.00       0.22       7.75       3.56        000
                                                       lesions.
46614...............  ..............  A               Anoscopy, control           2.01       2.28       0.87       0.17       4.46       3.05        000
                                                       bleeding.
46615...............  ..............  A               Anoscopy.............       2.68       2.52       1.10       0.28       5.48       4.06        000
46700...............  ..............  A               Repair of anal              9.12         NA       4.24       0.68         NA      14.04        090
                                                       stricture.
46705...............  ..............  A               Repair of anal              6.89         NA       3.75       0.88         NA      11.52        090
                                                       stricture.
46706...............  ..............  A               Repr of anal fistula        2.39         NA       1.24       0.21         NA       3.84        010
                                                       w/glue.
46715...............  ..............  A               Repair of anovaginal        7.19         NA       3.64       0.92         NA      11.75        090
                                                       fistula.
46716...............  ..............  A               Repair of anovaginal       15.05         NA       7.98       1.57         NA      24.60        090
                                                       fistula.
46730...............  ..............  A               Construction of            26.71         NA      12.04       2.45         NA      41.20        090
                                                       absent anus.
46735...............  ..............  A               Construction of            32.12         NA      13.58       3.18         NA      48.88        090
                                                       absent anus.
46740...............  ..............  A               Construction of            29.96         NA      13.21       2.40         NA      45.57        090
                                                       absent anus.
46742...............  ..............  A               Repair of                  35.75         NA      17.54       3.17         NA      56.46        090
                                                       imperforated anus.
46744...............  ..............  A               Repair of cloacal          52.55         NA      21.17       2.74         NA      76.46        090
                                                       anomaly.
46746...............  ..............  A               Repair of cloacal          58.13         NA      25.20       3.03         NA      86.36        090
                                                       anomaly.
46748...............  ..............  A               Repair of cloacal          64.11         NA      23.81       3.34         NA      91.26        090
                                                       anomaly.
46750...............  ..............  A               Repair of anal             10.23         NA       5.10       0.83         NA      16.16        090
                                                       sphincter.
46751...............  ..............  A               Repair of anal              8.76         NA       5.51       0.94         NA      15.21        090
                                                       sphincter.
46753...............  ..............  A               Reconstruction of           8.28         NA       3.88       0.70         NA      12.86        090
                                                       anus.
46754...............  ..............  A               Removal of suture           2.20       3.59       1.70       0.14       5.93       4.04        010
                                                       from anus.
46760...............  ..............  A               Repair of anal             14.41         NA       7.11       1.04         NA      22.56        090
                                                       sphincter.
46761...............  ..............  A               Repair of anal             13.82         NA       6.06       1.01         NA      20.89        090
                                                       sphincter.
46762...............  ..............  A               Implant artificial         12.69         NA       5.56       0.86         NA      19.11        090
                                                       sphincter.
46900...............  ..............  A               Destruction, anal           1.91       3.54       0.79       0.16       5.61       2.86        010
                                                       lesion(s).
46910...............  ..............  A               Destruction, anal           1.86       2.68       1.10       0.17       4.71       3.13        010
                                                       lesion(s).
46916...............  ..............  A               Cryosurgery, anal           1.86       3.12       1.40       0.11       5.09       3.37        010
                                                       lesion(s).
46917...............  ..............  A               Laser surgery, anal         1.86       9.17       1.12       0.19      11.22       3.17        010
                                                       lesions.
46922...............  ..............  A               Excision of anal            1.86       3.32       1.09       0.21       5.39       3.16        010
                                                       lesion(s).
46924...............  ..............  A               Destruction, anal           2.76       8.69       1.36       0.24      11.69       4.36        010
                                                       lesion(s).
46934...............  ..............  A               Destruction of              3.50       5.01       2.70       0.31       8.82       6.51        090
                                                       hemorrhoids.
46935...............  ..............  A               Destruction of              2.43       3.45       1.21       0.21       6.09       3.85        010
                                                       hemorrhoids.
46936...............  ..............  A               Destruction of              3.68       4.45       2.26       0.36       8.49       6.30        090
                                                       hemorrhoids.
46937...............  ..............  A               Cryotherapy of rectal       2.69       2.73       1.22       0.14       5.56       4.05        010
                                                       lesion.

[[Page 1165]]

 
46938...............  ..............  A               Cryotherapy of rectal       4.65       4.22       2.70       0.48       9.35       7.83        090
                                                       lesion.
46940...............  ..............  A               Treatment of anal           2.32       1.99       1.09       0.21       4.52       3.62        010
                                                       fissure.
46942...............  ..............  A               Treatment of anal           2.04       1.84       1.02       0.17       4.05       3.23        010
                                                       fissure.
46945...............  ..............  A               Ligation of                 1.84       3.54       1.88       0.21       5.59       3.93        090
                                                       hemorrhoids.
46946...............  ..............  A               Ligation of                 2.58       4.17       1.85       0.27       7.02       4.70        090
                                                       hemorrhoids.
46999...............  ..............  C               Anus surgery                0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
47000...............  ..............  A               Needle biopsy of            1.90       3.26       0.63       0.11       5.27       2.64        000
                                                       liver.
47001...............  ..............  A               Needle biopsy, liver        1.90         NA       0.65       0.22         NA       2.77        ZZZ
                                                       add-on.
47010...............  ..............  A               Open drainage, liver       15.99         NA       8.55       0.78         NA      25.32        090
                                                       lesion.
47011...............  ..............  A               Percut drain, liver         3.69         NA       1.21       0.21         NA       5.11        000
                                                       lesion.
47015...............  ..............  A               Inject/aspirate liver      15.09         NA       7.56       1.04         NA      23.69        090
                                                       cyst.
47100...............  ..............  A               Wedge biopsy of liver      11.65         NA       6.10       0.90         NA      18.65        090
47120...............  ..............  A               Partial removal of         35.45         NA      15.28       2.76         NA      53.49        090
                                                       liver.
47122...............  ..............  A               Extensive removal of       55.05         NA      21.62       4.34         NA      81.01        090
                                                       liver.
47125...............  ..............  A               Partial removal of         49.12         NA      19.67       3.84         NA      72.63        090
                                                       liver.
47130...............  ..............  A               Partial removal of         53.27         NA      21.14       4.19         NA      78.60        090
                                                       liver.
47133...............  ..............  C               Removal of donor            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       liver.
47134...............  ..............  D               Partial removal,            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       donor liver.
47135...............  ..............  R               Transplantation of         81.40         NA      32.07       9.81         NA     123.28        090
                                                       liver.
47136...............  ..............  R               Transplantation of         68.50         NA      27.50       8.36         NA     104.36        090
                                                       liver.
47140...............  ..............  A               Partial removal,           54.92         NA      22.74       4.80         NA      82.46        090
                                                       donor liver.
47141...............  ..............  A               Partial removal,           67.40         NA      27.39       4.80         NA      99.59        090
                                                       donor liver.
47142...............  ..............  A               Partial removal,           74.89         NA      29.97       4.80         NA     109.66        090
                                                       donor liver.
47300...............  ..............  A               Surgery for liver          15.06         NA       7.29       1.17         NA      23.52        090
                                                       lesion.
47350...............  ..............  A               Repair liver wound...      19.53         NA       8.93       1.51         NA      29.97        090
47360...............  ..............  A               Repair liver wound...      26.88         NA      11.67       2.06         NA      40.61        090
47361...............  ..............  A               Repair liver wound...      47.05         NA      18.64       3.75         NA      69.44        090
47362...............  ..............  A               Repair liver wound...      18.48         NA       8.80       1.47         NA      28.75        090
47370...............  ..............  A               Laparo ablate liver        19.66         NA       8.18       1.03         NA      28.87        090
                                                       tumor rf.
47371...............  ..............  A               Laparo ablate liver        19.66         NA       8.19       1.03         NA      28.88        090
                                                       cryosurg.
47379...............  ..............  C               Laparoscope                 0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure, liver.
47380...............  ..............  A               Open ablate liver          22.97         NA       9.39       1.03         NA      33.39        090
                                                       tumor rf.
47381...............  ..............  A               Open ablate liver          23.24         NA       9.65       1.03         NA      33.92        090
                                                       tumor cryo.
47382...............  ..............  A               Percut ablate liver        15.17         NA       6.10       1.37         NA      22.64        010
                                                       rf.
47399...............  ..............  C               Liver surgery               0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
47400...............  ..............  A               Incision of liver          32.44         NA      13.55       2.20         NA      48.19        090
                                                       duct.
47420...............  ..............  A               Incision of bile duct      19.85         NA       8.82       2.05         NA      30.72        090
47425...............  ..............  A               Incision of bile duct      19.80         NA       8.87       1.93         NA      30.60        090
47460...............  ..............  A               Incise bile duct           18.01         NA       8.42       1.50         NA      27.93        090
                                                       sphincter.
47480...............  ..............  A               Incision of                10.80         NA       5.97       1.03         NA      17.80        090
                                                       gallbladder.
47490...............  ..............  A               Incision of                 7.22         NA       5.83       0.40         NA      13.45        090
                                                       gallbladder.
47500...............  ..............  A               Injection for liver x-      1.96         NA       0.64       0.11         NA       2.71        000
                                                       rays.
47505...............  ..............  A               Injection for liver x-      0.76       2.60       0.25       0.04       3.40       1.05        000
                                                       rays.
47510...............  ..............  A               Insert catheter, bile       7.82         NA       5.01       0.43         NA      13.26        090
                                                       duct.
47511...............  ..............  A               Insert bile duct           10.48         NA       5.09       0.57         NA      16.14        090
                                                       drain.
47525...............  ..............  A               Change bile duct            5.54         NA       3.26       0.29         NA       9.09        010
                                                       catheter.
47530...............  ..............  A               Revise/reinsert bile        5.84         NA       4.32       0.35         NA      10.51        090
                                                       tube.
47550...............  ..............  A               Bile duct endoscopy         3.02         NA       1.03       0.36         NA       4.41        ZZZ
                                                       add-on.
47552...............  ..............  A               Biliary endoscopy           6.03         NA       2.40       0.51         NA       8.94        000
                                                       thru skin.
47553...............  ..............  A               Biliary endoscopy           6.34         NA       2.60       0.36         NA       9.30        000
                                                       thru skin.
47554...............  ..............  A               Biliary endoscopy           9.05         NA       3.38       0.89         NA      13.32        000
                                                       thru skin.
47555...............  ..............  A               Biliary endoscopy           7.55         NA       3.01       0.42         NA      10.98        000
                                                       thru skin.
47556...............  ..............  A               Biliary endoscopy           8.55         NA       3.33       0.46         NA      12.34        000
                                                       thru skin.
47560...............  ..............  A               Laparoscopy w/              4.88         NA       1.83       0.59         NA       7.30        000
                                                       cholangio.
47561...............  ..............  A               Laparo w/cholangio/         5.17         NA       2.13       0.59         NA       7.89        000
                                                       biopsy.
47562...............  ..............  A               Laparoscopic               11.07         NA       5.00       1.36         NA      17.43        090
                                                       cholecystectomy.
47563...............  ..............  A               Laparo                     11.92         NA       5.32       1.46         NA      18.70        090
                                                       cholecystectomy/
                                                       graph.
47564...............  ..............  A               Laparo                     14.21         NA       5.97       1.74         NA      21.92        090
                                                       cholecystectomy/
                                                       explr.
47570...............  ..............  A               Laparo                     12.56         NA       5.39       1.54         NA      19.49        090
                                                       cholecystoenterostom
                                                       y.
47579...............  ..............  C               Laparoscope proc,           0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       biliary.
47600...............  ..............  A               Removal of                 13.56         NA       6.20       1.40         NA      21.16        090
                                                       gallbladder.
47605...............  ..............  A               Removal of                 14.67         NA       6.55       1.51         NA      22.73        090
                                                       gallbladder.
47610...............  ..............  A               Removal of                 18.79         NA       7.99       1.94         NA      28.72        090
                                                       gallbladder.
47612...............  ..............  A               Removal of                 18.75         NA       7.94       1.93         NA      28.62        090
                                                       gallbladder.
47620...............  ..............  A               Removal of                 20.61         NA       8.59       2.13         NA      31.33        090
                                                       gallbladder.
47630...............  ..............  A               Remove bile duct            9.10         NA       4.80       0.55         NA      14.45        090
                                                       stone.
47700...............  ..............  A               Exploration of bile        15.60         NA       7.48       1.69         NA      24.77        090
                                                       ducts.
47701...............  ..............  A               Bile duct revision...      27.77         NA      11.58       3.62         NA      42.97        090
47711...............  ..............  A               Excision of bile duct      23.00         NA      10.01       2.39         NA      35.40        090
                                                       tumor.
47712...............  ..............  A               Excision of bile duct      30.19         NA      12.50       3.22         NA      45.91        090
                                                       tumor.
47715...............  ..............  A               Excision of bile duct      18.77         NA       8.49       1.92         NA      29.18        090
                                                       cyst.
47716...............  ..............  A               Fusion of bile duct        16.42         NA       7.88       1.70         NA      26.00        090
                                                       cyst.
47720...............  ..............  A               Fuse gallbladder &         15.89         NA       7.54       1.65         NA      25.08        090
                                                       bowel.
47721...............  ..............  A               Fuse upper gi              19.09         NA       8.63       1.97         NA      29.69        090
                                                       structures.
47740...............  ..............  A               Fuse gallbladder &         18.45         NA       8.45       1.92         NA      28.82        090
                                                       bowel.

[[Page 1166]]

 
47741...............  ..............  A               Fuse gallbladder &         21.31         NA       9.35       2.20         NA      32.86        090
                                                       bowel.
47760...............  ..............  A               Fuse bile ducts and        25.81         NA      10.92       2.67         NA      39.40        090
                                                       bowel.
47765...............  ..............  A               Fuse liver ducts &         24.84         NA      10.89       2.63         NA      38.36        090
                                                       bowel.
47780...............  ..............  A               Fuse bile ducts and        26.46         NA      11.28       2.74         NA      40.48        090
                                                       bowel.
47785...............  ..............  A               Fuse bile ducts and        31.13         NA      13.01       3.24         NA      47.38        090
                                                       bowel.
47800...............  ..............  A               Reconstruction of          23.27         NA      10.13       2.35         NA      35.75        090
                                                       bile ducts.
47801...............  ..............  A               Placement, bile duct       15.15         NA       8.33       0.83         NA      24.31        090
                                                       support.
47802...............  ..............  A               Fuse liver duct &          21.52         NA       9.76       2.22         NA      33.50        090
                                                       intestine.
47900...............  ..............  A               Suture bile duct           19.87         NA       8.93       1.99         NA      30.79        090
                                                       injury.
47999...............  ..............  C               Bile tract surgery          0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
48000...............  ..............  A               Drainage of abdomen..      28.03         NA      11.58       1.59         NA      41.20        090
48001...............  ..............  A               Placement of drain,        35.40         NA      13.95       2.29         NA      51.64        090
                                                       pancreas.
48005...............  ..............  A               Resect/debride             42.11         NA      16.63       2.73         NA      61.47        090
                                                       pancreas.
48020...............  ..............  A               Removal of pancreatic      15.68         NA       7.35       1.64         NA      24.67        090
                                                       stone.
48100...............  ..............  A               Biopsy of pancreas,        12.21         NA       5.65       1.30         NA      19.16        090
                                                       open.
48102...............  ..............  A               Needle biopsy,              4.67       9.04       2.45       0.24      13.95       7.36        010
                                                       pancreas.
48120...............  ..............  A               Removal of pancreas        15.83         NA       6.90       1.63         NA      24.36        090
                                                       lesion.
48140...............  ..............  A               Partial removal of         22.91         NA       9.60       2.56         NA      35.07        090
                                                       pancreas.
48145...............  ..............  A               Partial removal of         23.98         NA       9.91       2.71         NA      36.60        090
                                                       pancreas.
48146...............  ..............  A               Pancreatectomy.......      26.36         NA      12.09       2.93         NA      41.38        090
48148...............  ..............  A               Removal of pancreatic      17.31         NA       7.68       1.94         NA      26.93        090
                                                       duct.
48150...............  ..............  A               Partial removal of         47.93         NA      19.65       5.34         NA      72.92        090
                                                       pancreas.
48152...............  ..............  A               Pancreatectomy.......      43.68         NA      18.35       4.91         NA      66.94        090
48153...............  ..............  A               Pancreatectomy.......      47.82         NA      19.74       5.31         NA      72.87        090
48154...............  ..............  A               Pancreatectomy.......      44.03         NA      18.38       4.95         NA      67.36        090
48155...............  ..............  A               Removal of pancreas..      24.60         NA      11.82       2.77         NA      39.19        090
48160...............  ..............  N               Pancreas removal/           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       transplant.
48180...............  ..............  A               Fuse pancreas and          24.68         NA      10.22       2.70         NA      37.60        090
                                                       bowel.
48400...............  ..............  A               Injection, intraop          1.95         NA       0.64       0.12         NA       2.71        ZZZ
                                                       add-on.
48500...............  ..............  A               Surgery of pancreatic      15.26         NA       7.40       1.63         NA      24.29        090
                                                       cyst.
48510...............  ..............  A               Drain pancreatic           14.29         NA       7.54       1.29         NA      23.12        090
                                                       pseudocyst.
48511...............  ..............  A               Drain pancreatic            3.99         NA       1.31       0.21         NA       5.51        000
                                                       pseudocyst.
48520...............  ..............  A               Fuse pancreas cyst         15.57         NA       6.75       1.70         NA      24.02        090
                                                       and bowel.
48540...............  ..............  A               Fuse pancreas cyst         19.69         NA       8.16       2.20         NA      30.05        090
                                                       and bowel.
48545...............  ..............  A               Pancreatorrhaphy.....      18.15         NA       8.05       1.94         NA      28.14        090
48547...............  ..............  A               Duodenal exclusion...      25.79         NA      10.55       2.77         NA      39.11        090
48550...............  ..............  X               Donor pancreatectomy.       0.00       0.00       0.00       0.00       0.00       0.00        XXX
48554...............  ..............  R               Transpl allograft          34.12         NA      17.32       3.98         NA      55.42        090
                                                       pancreas.
48556...............  ..............  A               Removal, allograft         15.69         NA       8.29       1.83         NA      25.81        090
                                                       pancreas.
48999...............  ..............  C               Pancreas surgery            0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
49000...............  ..............  A               Exploration of             11.66         NA       5.42       1.41         NA      18.49        090
                                                       abdomen.
49002...............  ..............  A               Reopening of abdomen.      10.47         NA       5.07       1.28         NA      16.82        090
49010...............  ..............  A               Exploration behind         12.26         NA       5.95       1.47         NA      19.68        090
                                                       abdomen.
49020...............  ..............  A               Drain abdominal            22.81         NA      10.24       1.58         NA      34.63        090
                                                       abscess.
49021...............  ..............  A               Drain abdominal             3.37         NA       1.12       0.19         NA       4.68        000
                                                       abscess.
49040...............  ..............  A               Drain, open, abdom         13.50         NA       6.47       1.01         NA      20.98        090
                                                       abscess.
49041...............  ..............  A               Drain, percut, abdom        3.99         NA       1.31       0.22         NA       5.52        000
                                                       abscess.
49060...............  ..............  A               Drain, open, retrop        15.84         NA       7.48       0.93         NA      24.25        090
                                                       abscess.
49061...............  ..............  A               Drain, percut,              3.69         NA       1.21       0.21         NA       5.11        000
                                                       retroper absc.
49062...............  ..............  A               Drain to peritoneal        11.34         NA       5.50       1.30         NA      18.14        090
                                                       cavity.
49080...............  ..............  A               Puncture, peritoneal        1.35       4.20       0.45       0.08       5.63       1.88        000
                                                       cavity.
49081...............  ..............  A               Removal of abdominal        1.26       2.62       0.57       0.07       3.95       1.90        000
                                                       fluid.
49085...............  ..............  A               Remove abdomen             12.12         NA       5.56       1.06         NA      18.74        090
                                                       foreign body.
49180...............  ..............  A               Biopsy, abdominal           1.73       3.32       0.56       0.10       5.15       2.39        000
                                                       mass.
49200...............  ..............  A               Removal of abdominal       10.23         NA       5.08       1.11         NA      16.42        090
                                                       lesion.
49201...............  ..............  A               Remove abdom lesion,       14.82         NA       7.10       1.77         NA      23.69        090
                                                       complex.
49215...............  ..............  A               Excise sacral spine        33.45         NA      14.09       2.99         NA      50.53        090
                                                       tumor.
49220...............  ..............  A               Multiple surgery,          14.86         NA       6.69       1.82         NA      23.37        090
                                                       abdomen.
49250...............  ..............  A               Excision of umbilicus       8.34         NA       4.33       1.01         NA      13.68        090
49255...............  ..............  A               Removal of omentum...      11.12         NA       5.66       1.35         NA      18.13        090
49320...............  ..............  A               Diag laparo separate        5.09         NA       2.64       0.60         NA       8.33        010
                                                       proc.
49321...............  ..............  A               Laparoscopy, biopsy..       5.39         NA       2.65       0.64         NA       8.68        010
49322...............  ..............  A               Laparoscopy,                5.69         NA       2.99       0.69         NA       9.37        010
                                                       aspiration.
49323...............  ..............  A               Laparo drain                9.47         NA       4.52       1.06         NA      15.05        090
                                                       lymphocele.
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         NA       0.79       0.13         NA       2.80        000
                                                       abdomen.
49419...............  ..............  A               Insrt abdom cath for        6.64         NA       3.56       0.66         NA      10.86        090
                                                       chemotx.
49420...............  ..............  A               Insert abdom drain,         2.22         NA       1.12       0.16         NA       3.50        000
                                                       temp.
49421...............  ..............  A               Insert abdom drain,         5.53         NA       3.20       0.66         NA       9.39        090
                                                       perm.
49422...............  ..............  A               Remove perm cannula/        6.24         NA       2.91       0.76         NA       9.91        010
                                                       catheter.
49423...............  ..............  A               Exchange drainage           1.46         NA       0.67       0.08         NA       2.21        000
                                                       catheter.
49424...............  ..............  A               Assess cyst, contrast       0.76         NA       0.44       0.04         NA       1.24        000
                                                       inject.
49425...............  ..............  A               Insert abdomen-venous      11.35         NA       5.65       1.46         NA      18.46        090
                                                       drain.
49426...............  ..............  A               Revise abdomen-venous       9.62         NA       4.82       1.12         NA      15.56        090
                                                       shunt.
49427...............  ..............  A               Injection, abdominal        0.89         NA       0.48       0.06         NA       1.43        000
                                                       shunt.

[[Page 1167]]

 
49428...............  ..............  A               Ligation of shunt....       6.05         NA       3.29       0.37         NA       9.71        010
49429...............  ..............  A               Removal of shunt.....       7.39         NA       3.44       0.98         NA      11.81        010
49491...............  ..............  A               Rpr hern preemie           11.11         NA       5.07       1.33         NA      17.51        090
                                                       reduc.
49492...............  ..............  A               Rpr ing hern premie,       14.01         NA       6.14       1.77         NA      21.92        090
                                                       blocked.
49495...............  ..............  A               Rpr ing hernia baby,        5.88         NA       3.00       0.70         NA       9.58        090
                                                       reduc.
49496...............  ..............  A               Rpr ing hernia baby,        8.78         NA       4.37       1.11         NA      14.26        090
                                                       blocked.
49500...............  ..............  A               Rpr ing hernia, init,       5.47         NA       3.15       0.55         NA       9.17        090
                                                       reduce.
49501...............  ..............  A               Rpr ing hernia, init        8.87         NA       4.24       0.92         NA      14.03        090
                                                       blocked.
49505...............  ..............  A               Prp i/hern init             7.59       4.10       3.87       0.78      12.47      12.24        090
                                                       reduc5 yr.
49507...............  ..............  A               Prp i/hern init             9.56         NA       4.54       1.00         NA      15.10        090
                                                       block5 yr.
49520...............  ..............  A               Rerepair ing hernia,        9.62         NA       4.49       1.01         NA      15.12        090
                                                       reduce.
49521...............  ..............  A               Rerepair ing hernia,       11.95         NA       5.28       1.25         NA      18.48        090
                                                       blocked.
49525...............  ..............  A               Repair ing hernia,          8.56         NA       4.13       0.89         NA      13.58        090
                                                       sliding.
49540...............  ..............  A               Repair lumbar hernia.      10.37         NA       4.81       1.09         NA      16.27        090
49550...............  ..............  A               Rpr rem hernia, init,       8.62         NA       4.16       0.90         NA      13.68        090
                                                       reduce.
49553...............  ..............  A               Rpr fem hernia, init        9.43         NA       4.46       1.00         NA      14.89        090
                                                       blocked.
49555...............  ..............  A               Rerepair fem hernia,        9.02         NA       4.32       0.95         NA      14.29        090
                                                       reduce.
49557...............  ..............  A               Rerepair fem hernia,       11.13         NA       5.03       1.17         NA      17.33        090
                                                       blocked.
49560...............  ..............  A               Rpr ventral hern           11.55         NA       5.21       1.21         NA      17.97        090
                                                       init, reduc.
49561...............  ..............  A               Rpr ventral hern           14.23         NA       6.11       1.48         NA      21.82        090
                                                       init, block.
49565...............  ..............  A               Rerepair ventrl hern,      11.55         NA       5.28       1.21         NA      18.04        090
                                                       reduce.
49566...............  ..............  A               Rerepair ventrl hern,      14.38         NA       6.18       1.50         NA      22.06        090
                                                       block.
49568...............  ..............  A               Hernia repair w/mesh.       4.88         NA       1.68       0.60         NA       7.16        ZZZ
49570...............  ..............  A               Rpr epigastric hern,        5.68         NA       3.20       0.60         NA       9.48        090
                                                       reduce.
49572...............  ..............  A               Rpr epigastric hern,        6.72         NA       3.50       0.70         NA      10.92        090
                                                       blocked.
49580...............  ..............  A               Rpr umbil hern, reduc       4.10         NA       2.64       0.41         NA       7.15        090
                                                       < 5 yr.
49582...............  ..............  A               Rpr umbil hern, block       6.64         NA       3.53       0.69         NA      10.86        090
                                                       < 5 yr.
49585...............  ..............  A               Rpr umbil hern, reduc       6.22         NA       3.35       0.64         NA      10.21        090
                                                        5 yr.
49587...............  ..............  A               Rpr umbil hern, block       7.55         NA       3.78       0.78         NA      12.11        090
                                                        5 yr.
49590...............  ..............  A               Repair spigilian            8.53         NA       4.13       0.89         NA      13.55        090
                                                       hernia.
49600...............  ..............  A               Repair umbilical           10.94         NA       5.39       1.36         NA      17.69        090
                                                       lesion.
49605...............  ..............  A               Repair umbilical           75.89         NA      28.65       3.10         NA     107.64        090
                                                       lesion.
49606...............  ..............  A               Repair umbilical           18.57         NA       7.77       2.68         NA      29.02        090
                                                       lesion.
49610...............  ..............  A               Repair umbilical           10.48         NA       5.26       0.93         NA      16.67        090
                                                       lesion.
49611...............  ..............  A               Repair umbilical            8.91         NA       7.25       0.78         NA      16.94        090
                                                       lesion.
49650...............  ..............  A               Laparo hernia repair        6.26         NA       3.23       0.77         NA      10.26        090
                                                       initial.
49651...............  ..............  A               Laparo hernia repair        8.23         NA       4.09       1.01         NA      13.33        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        12.26         NA       6.28       1.48         NA      20.02        090
                                                       wall.
49904...............  ..............  A               Omental flap, extra-       19.97         NA      15.52       2.30         NA      37.79        090
                                                       abdom.
49905...............  ..............  A               Omental flap, intra-        6.54         NA       2.30       0.74         NA       9.58        ZZZ
                                                       abdom.
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      10.96         NA       5.42       0.95         NA      17.33        090
50020...............  ..............  A               Renal abscess, open        14.64         NA       8.81       0.96         NA      24.41        090
                                                       drain.
50021...............  ..............  A               Renal abscess, percut       3.37         NA       1.11       0.18         NA       4.66        000
                                                       drain.
50040...............  ..............  A               Drainage of kidney...      14.92         NA       8.42       0.99         NA      24.33        090
50045...............  ..............  A               Exploration of kidney      15.44         NA       6.80       1.28         NA      23.52        090
50060...............  ..............  A               Removal of kidney          19.27         NA       8.03       1.37         NA      28.67        090
                                                       stone.
50065...............  ..............  A               Incision of kidney...      20.76         NA       6.24       1.36         NA      28.36        090
50070...............  ..............  A               Incision of kidney...      20.29         NA       8.42       1.45         NA      30.16        090
50075...............  ..............  A               Removal of kidney          25.30         NA      10.19       1.82         NA      37.31        090
                                                       stone.
50080...............  ..............  A               Removal of kidney          14.69         NA       7.85       1.04         NA      23.58        090
                                                       stone.
50081...............  ..............  A               Removal of kidney          21.77         NA      10.35       1.57         NA      33.69        090
                                                       stone.
50100...............  ..............  A               Revise kidney blood        16.07         NA       7.99       1.98         NA      26.04        090
                                                       vessels.
50120...............  ..............  A               Exploration of kidney      15.89         NA       6.97       1.25         NA      24.11        090
50125...............  ..............  A               Explore and drain          16.50         NA       7.12       1.29         NA      24.91        090
                                                       kidney.
50130...............  ..............  A               Removal of kidney          17.26         NA       7.38       1.25         NA      25.89        090
                                                       stone.
50135...............  ..............  A               Exploration of kidney      19.15         NA       7.98       1.42         NA      28.55        090
50200...............  ..............  A               Biopsy of kidney.....       2.63         NA       0.90       0.14         NA       3.67        000
50205...............  ..............  A               Biopsy of kidney.....      11.29         NA       5.24       1.13         NA      17.66        090
50220...............  ..............  A               Remove kidney, open..      17.12         NA       7.44       1.40         NA      25.96        090
50225...............  ..............  A               Removal kidney open,       20.20         NA       8.36       1.52         NA      30.08        090
                                                       complex.
50230...............  ..............  A               Removal kidney open,       22.04         NA       8.83       1.63         NA      32.50        090
                                                       radical.
50234...............  ..............  A               Removal of kidney &        22.37         NA       9.04       1.65         NA      33.06        090
                                                       ureter.
50236...............  ..............  A               Removal of kidney &        24.82         NA      11.41       1.81         NA      38.04        090
                                                       ureter.
50240...............  ..............  A               Partial removal of         21.97         NA      10.50       1.64         NA      34.11        090
                                                       kidney.
50280...............  ..............  A               Removal of kidney          15.65         NA       6.89       1.19         NA      23.73        090
                                                       lesion.
50290...............  ..............  A               Removal of kidney          14.71         NA       6.65       1.34         NA      22.70        090
                                                       lesion.
50300...............  ..............  X               Removal of donor            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       kidney.
50320...............  ..............  A               Removal of donor           22.18         NA       9.96       2.15         NA      34.29        090
                                                       kidney.
50340...............  ..............  A               Removal of kidney....      12.13         NA       6.93       1.39         NA      20.45        090
50360...............  ..............  A               Transplantation of         31.48         NA      15.76       3.58         NA      50.82        090
                                                       kidney.
50365...............  ..............  A               Transplantation of         36.75         NA      18.55       4.23         NA      59.53        090
                                                       kidney.
50370...............  ..............  A               Remove transplanted        13.70         NA       7.52       1.52         NA      22.74        090
                                                       kidney.

[[Page 1168]]

 
50380...............  ..............  A               Reimplantation of          20.73         NA      13.26       2.17         NA      36.16        090
                                                       kidney.
50390...............  ..............  A               Drainage of kidney          1.96         NA       0.64       0.11         NA       2.71        000
                                                       lesion.
50392...............  ..............  A               Insert kidney drain..       3.37         NA       1.11       0.18         NA       4.66        000
50393...............  ..............  A               Insert ureteral tube.       4.15         NA       1.35       0.22         NA       5.72        000
50394...............  ..............  A               Injection for kidney        0.76       2.54       0.25       0.05       3.35       1.06        000
                                                       x-ray.
50395...............  ..............  A               Create passage to           3.37         NA       1.10       0.19         NA       4.66        000
                                                       kidney.
50396...............  ..............  A               Measure kidney              2.09         NA       0.86       0.12         NA       3.07        000
                                                       pressure.
50398...............  ..............  A               Change kidney tube...       1.46       1.19       0.47       0.08       2.73       2.01        000
50400...............  ..............  A               Revision of kidney/        19.47         NA       7.72       1.46         NA      28.65        090
                                                       ureter.
50405...............  ..............  A               Revision of kidney/        23.89         NA      10.41       1.75         NA      36.05        090
                                                       ureter.
50500...............  ..............  A               Repair of kidney           19.54         NA       8.77       1.75         NA      30.06        090
                                                       wound.
50520...............  ..............  A               Close kidney-skin          17.20         NA       8.75       1.52         NA      27.47        090
                                                       fistula.
50525...............  ..............  A               Repair renal-abdomen       22.24         NA      10.16       1.82         NA      34.22        090
                                                       fistula.
50526...............  ..............  A               Repair renal-abdomen       23.98         NA      10.88       1.95         NA      36.81        090
                                                       fistula.
50540...............  ..............  A               Revision of horseshoe      19.90         NA       8.55       1.54         NA      29.99        090
                                                       kidney.
50541...............  ..............  A               Laparo ablate renal        15.98         NA       6.41       1.19         NA      23.58        090
                                                       cyst.
50542...............  ..............  A               Laparo ablate renal        19.97         NA       8.13       1.64         NA      29.74        090
                                                       mass.
50543...............  ..............  A               Laparo partial             25.46         NA      10.27       1.64         NA      37.37        090
                                                       nephrectomy.
50544...............  ..............  A               Laparoscopy,               22.37         NA       8.47       1.70         NA      32.54        090
                                                       pyeloplasty.
50545...............  ..............  A               Laparo radical             23.96         NA       9.12       1.85         NA      34.93        090
                                                       nephrectomy.
50546...............  ..............  A               Laparoscopic               20.45         NA       8.30       1.65         NA      30.40        090
                                                       nephrectomy.
50547...............  ..............  A               Laparo removal donor       25.46         NA      10.44       2.46         NA      38.36        090
                                                       kidney.
50548...............  ..............  A               Laparo remove w/           24.36         NA       9.11       1.80         NA      35.27        090
                                                       ureter.
50549...............  ..............  C               Laparoscope proc,           0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       renal.
50551...............  ..............  A               Kidney endoscopy.....       5.59       4.92       1.80       0.40      10.91       7.79        000
50553...............  ..............  A               Kidney endoscopy.....       5.98      18.59       1.95       0.42      24.99       8.35        000
50555...............  ..............  A               Kidney endoscopy &          6.52      19.17       2.11       0.46      26.15       9.09        000
                                                       biopsy.
50557...............  ..............  A               Kidney endoscopy &          6.61      20.04       2.12       0.47      27.12       9.20        000
                                                       treatment.
50559...............  ..............  A               Renal endoscopy/            6.77         NA       2.19       0.33         NA       9.29        000
                                                       radiotracer.
50561...............  ..............  A               Kidney endoscopy &          7.58      17.69       2.44       0.53      25.80      10.55        000
                                                       treatment.
50562...............  ..............  A               Renal scope w/tumor        10.90         NA       3.84       1.01         NA      15.75        090
                                                       resect.
50570...............  ..............  A               Kidney endoscopy.....       9.53         NA       3.06       0.68         NA      13.27        000
50572...............  ..............  A               Kidney endoscopy.....      10.33         NA       3.33       0.77         NA      14.43        000
50574...............  ..............  A               Kidney endoscopy &         11.00         NA       3.57       0.78         NA      15.35        000
                                                       biopsy.
50575...............  ..............  A               Kidney endoscopy.....      13.96         NA       4.48       1.01         NA      19.45        000
50576...............  ..............  A               Kidney endoscopy &         10.97         NA       3.51       0.80         NA      15.28        000
                                                       treatment.
50578...............  ..............  A               Renal endoscopy/           11.33         NA       3.64       0.81         NA      15.78        000
                                                       radiotracer.
50580...............  ..............  A               Kidney endoscopy &         11.84         NA       3.80       0.84         NA      16.48        000
                                                       treatment.
50590...............  ..............  A               Fragmenting of kidney       9.08      10.77       5.03       0.65      20.50      14.76        090
                                                       stone.
50600...............  ..............  A               Exploration of ureter      15.82         NA       6.99       1.19         NA      24.00        090
50605...............  ..............  A               Insert ureteral            15.44         NA       7.00       1.36         NA      23.80        090
                                                       support.
50610...............  ..............  A               Removal of ureter          15.90         NA       7.24       1.30         NA      24.44        090
                                                       stone.
50620...............  ..............  A               Removal of ureter          15.14         NA       6.62       1.10         NA      22.86        090
                                                       stone.
50630...............  ..............  A               Removal of ureter          14.92         NA       6.56       1.09         NA      22.57        090
                                                       stone.
50650...............  ..............  A               Removal of ureter....      17.38         NA       7.50       1.29         NA      26.17        090
50660...............  ..............  A               Removal of ureter....      19.52         NA       8.24       1.44         NA      29.20        090
50684...............  ..............  A               Injection for ureter        0.76      15.38       0.25       0.05      16.19       1.06        000
                                                       x-ray.
50686...............  ..............  A               Measure ureter              1.51       4.56       0.65       0.11       6.18       2.27        000
                                                       pressure.
50688...............  ..............  A               Change of ureter tube       1.17         NA       1.75       0.07         NA       2.99        010
50690...............  ..............  A               Injection for ureter        1.16      15.84       0.37       0.07      17.07       1.60        000
                                                       x-ray.
50700...............  ..............  A               Revision of ureter...      15.19         NA       7.30       1.04         NA      23.53        090
50715...............  ..............  A               Release of ureter....      18.87         NA       9.03       2.03         NA      29.93        090
50722...............  ..............  A               Release of ureter....      16.33         NA       8.03       1.70         NA      26.06        090
50725...............  ..............  A               Release/revise ureter      18.46         NA       8.31       1.74         NA      28.51        090
50727...............  ..............  A               Revise ureter........       8.17         NA       5.20       0.62         NA      13.99        090
50728...............  ..............  A               Revise ureter........      12.00         NA       6.72       1.06         NA      19.78        090
50740...............  ..............  A               Fusion of ureter &         18.39         NA       7.96       1.80         NA      28.15        090
                                                       kidney.
50750...............  ..............  A               Fusion of ureter &         19.48         NA       8.27       1.50         NA      29.25        090
                                                       kidney.
50760...............  ..............  A               Fusion of ureters....      18.39         NA       7.95       1.51         NA      27.85        090
50770...............  ..............  A               Splicing of ureters..      19.48         NA       8.25       1.51         NA      29.24        090
50780...............  ..............  A               Reimplant ureter in        18.33         NA       7.86       1.45         NA      27.64        090
                                                       bladder.
50782...............  ..............  A               Reimplant ureter in        19.51         NA       9.83       1.36         NA      30.70        090
                                                       bladder.
50783...............  ..............  A               Reimplant ureter in        20.52         NA       9.35       1.63         NA      31.50        090
                                                       bladder.
50785...............  ..............  A               Reimplant ureter in        20.49         NA       8.58       1.57         NA      30.64        090
                                                       bladder.
50800...............  ..............  A               Implant ureter in          14.50         NA       6.99       1.11         NA      22.60        090
                                                       bowel.
50810...............  ..............  A               Fusion of ureter &         20.02         NA       9.57       2.15         NA      31.74        090
                                                       bowel.
50815...............  ..............  A               Urine shunt to             19.90         NA       8.93       1.58         NA      30.41        090
                                                       intestine.
50820...............  ..............  A               Construct bowel            21.86         NA       9.14       1.66         NA      32.66        090
                                                       bladder.
50825...............  ..............  A               Construct bowel            28.14         NA      11.65       2.18         NA      41.97        090
                                                       bladder.
50830...............  ..............  A               Revise urine flow....      31.23         NA      12.66       2.65         NA      46.54        090
50840...............  ..............  A               Replace ureter by          19.97         NA       8.93       1.52         NA      30.42        090
                                                       bowel.
50845...............  ..............  A               Appendico-vesicostomy      20.86         NA       8.87       1.52         NA      31.25        090
50860...............  ..............  A               Transplant ureter to       15.34         NA       6.89       1.22         NA      23.45        090
                                                       skin.
50900...............  ..............  A               Repair of ureter.....      13.60         NA       6.36       1.18         NA      21.14        090
50920...............  ..............  A               Closure ureter/skin        14.31         NA       6.79       1.01         NA      22.11        090
                                                       fistula.

[[Page 1169]]

 
50930...............  ..............  A               Closure ureter/bowel       18.69         NA       8.19       1.89         NA      28.77        090
                                                       fistula.
50940...............  ..............  A               Release of ureter....      14.49         NA       6.63       1.25         NA      22.37        090
50945...............  ..............  A               Laparoscopy                16.97         NA       6.96       1.39         NA      25.32        090
                                                       ureterolithotomy.
50947...............  ..............  A               Laparo new ureter/         24.46         NA       9.66       2.40         NA      36.52        090
                                                       bladder.
50948...............  ..............  A               Laparo new ureter/         22.47         NA       8.62       2.21         NA      33.30        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..       5.83       5.34       1.87       0.42      11.59       8.12        000
50953...............  ..............  A               Endoscopy of ureter..       6.23      18.61       2.00       0.45      25.29       8.68        000
50955...............  ..............  A               Ureter endoscopy &          6.74      20.51       2.22       0.46      27.71       9.42        000
                                                       biopsy.
50957...............  ..............  A               Ureter endoscopy &          6.78      18.26       2.18       0.48      25.52       9.44        000
                                                       treatment.
50959...............  ..............  A               Ureter endoscopy &          4.39         NA       1.37       0.22         NA       5.98        000
                                                       tracer.
50961...............  ..............  A               Ureter endoscopy &          6.04      25.47       1.94       0.42      31.93       8.40        000
                                                       treatment.
50970...............  ..............  A               Ureter endoscopy.....       7.13         NA       2.30       0.52         NA       9.95        000
50972...............  ..............  A               Ureter endoscopy &          6.88         NA       2.27       0.47         NA       9.62        000
                                                       catheter.
50974...............  ..............  A               Ureter endoscopy &          9.16         NA       2.93       0.64         NA      12.73        000
                                                       biopsy.
50976...............  ..............  A               Ureter endoscopy &          9.03         NA       2.91       0.64         NA      12.58        000
                                                       treatment.
50978...............  ..............  A               Ureter endoscopy &          5.09         NA       1.67       0.36         NA       7.12        000
                                                       tracer.
50980...............  ..............  A               Ureter endoscopy &          6.84         NA       2.20       0.49         NA       9.53        000
                                                       treatment.
51000...............  ..............  A               Drainage of bladder..       0.78       1.98       0.24       0.06       2.82       1.08        000
51005...............  ..............  A               Drainage of bladder..       1.02       4.80       0.34       0.10       5.92       1.46        000
51010...............  ..............  A               Drainage of bladder..       3.52       5.74       1.89       0.28       9.54       5.69        010
51020...............  ..............  A               Incise & treat              6.70         NA       3.98       0.51         NA      11.19        090
                                                       bladder.
51030...............  ..............  A               Incise & treat              6.76         NA       4.09       0.51         NA      11.36        090
                                                       bladder.
51040...............  ..............  A               Incise & drain              4.39         NA       2.87       0.33         NA       7.59        090
                                                       bladder.
51045...............  ..............  A               Incise bladder/drain        6.76         NA       4.06       0.57         NA      11.39        090
                                                       ureter.
51050...............  ..............  A               Removal of bladder          6.91         NA       3.75       0.51         NA      11.17        090
                                                       stone.
51060...............  ..............  A               Removal of ureter           8.84         NA       4.62       0.65         NA      14.11        090
                                                       stone.
51065...............  ..............  A               Remove ureter               8.84         NA       4.47       0.64         NA      13.95        090
                                                       calculus.
51080...............  ..............  A               Drainage of bladder         5.95         NA       3.66       0.42         NA      10.03        090
                                                       abscess.
51500...............  ..............  A               Removal of bladder         10.12         NA       5.08       1.06         NA      16.26        090
                                                       cyst.
51520...............  ..............  A               Removal of bladder          9.28         NA       4.79       0.70         NA      14.77        090
                                                       lesion.
51525...............  ..............  A               Removal of bladder         13.95         NA       6.25       1.03         NA      21.23        090
                                                       lesion.
51530...............  ..............  A               Removal of bladder         12.36         NA       5.87       0.99         NA      19.22        090
                                                       lesion.
51535...............  ..............  A               Repair of ureter           12.55         NA       6.23       1.09         NA      19.87        090
                                                       lesion.
51550...............  ..............  A               Partial removal of         15.64         NA       6.86       1.27         NA      23.77        090
                                                       bladder.
51555...............  ..............  A               Partial removal of         21.20         NA       8.81       1.65         NA      31.66        090
                                                       bladder.
51565...............  ..............  A               Revise bladder &           21.59         NA       9.12       1.69         NA      32.40        090
                                                       ureter(s).
51570...............  ..............  A               Removal of bladder...      24.20         NA       9.94       1.92         NA      36.06        090
51575...............  ..............  A               Removal of bladder &       30.40         NA      12.26       2.27         NA      44.93        090
                                                       nodes.
51580...............  ..............  A               Remove bladder/revise      31.03         NA      12.73       2.34         NA      46.10        090
                                                       tract.
51585...............  ..............  A               Removal of bladder &       35.18         NA      13.93       2.63         NA      51.74        090
                                                       nodes.
51590...............  ..............  A               Remove bladder/revise      32.61         NA      12.84       2.42         NA      47.87        090
                                                       tract.
51595...............  ..............  A               Remove bladder/revise      37.08         NA      14.36       2.69         NA      54.13        090
                                                       tract.
51596...............  ..............  A               Remove bladder/create      39.46         NA      15.47       2.88         NA      57.81        090
                                                       pouch.
51597...............  ..............  A               Removal of pelvic          38.29         NA      15.07       3.00         NA      56.36        090
                                                       structures.
51600...............  ..............  A               Injection for bladder       0.88       5.85       0.29       0.05       6.78       1.22        000
                                                       x-ray.
51605...............  ..............  A               Preparation for             0.64      10.80       0.35       0.05      11.49       1.04        000
                                                       bladder xray.
51610...............  ..............  A               Injection for bladder       1.05       1.72       0.60       0.06       2.83       1.71        000
                                                       x-ray.
51700...............  ..............  A               Irrigation of bladder       0.88       1.65       0.28       0.06       2.59       1.22        000
51701...............  ..............  A               Insert bladder              0.50       1.64       0.19       0.04       2.18       0.73        000
                                                       catheter.
51702...............  ..............  A               Insert temp bladder         0.50       2.34       0.26       0.04       2.88       0.80        000
                                                       cath.
51703...............  ..............  A               Insert bladder cath,        1.47       3.05       0.57       0.11       4.63       2.15        000
                                                       complex.
51705...............  ..............  A               Change of bladder           1.02       2.34       0.61       0.07       3.43       1.70        010
                                                       tube.
51710...............  ..............  A               Change of bladder           1.49       3.43       0.77       0.11       5.03       2.37        010
                                                       tube.
51715...............  ..............  A               Endoscopic injection/       3.73       4.01       1.35       0.29       8.03       5.37        000
                                                       implant.
51720...............  ..............  A               Treatment of bladder        1.96       1.79       0.71       0.14       3.89       2.81        000
                                                       lesion.
51725...............  ..............  A               Simple cystometrogram       1.51       5.77         NA       0.16       7.44         NA        000
51725...............  26............  A               Simple cystometrogram       1.51       0.49       0.49       0.12       2.12       2.12        000
51725...............  TC............  A               Simple cystometrogram       0.00       5.28         NA       0.04       5.32         NA        000
51726...............  ..............  A               Complex                     1.71       7.84         NA       0.18       9.73         NA        000
                                                       cystometrogram.
51726...............  26............  A               Complex                     1.71       0.56       0.56       0.13       2.40       2.40        000
                                                       cystometrogram.
51726...............  TC............  A               Complex                     0.00       7.28         NA       0.05       7.33         NA        000
                                                       cystometrogram.
51736...............  ..............  A               Urine flow                  0.61       0.58         NA       0.06       1.25         NA        000
                                                       measurement.
51736...............  26............  A               Urine flow                  0.61       0.20       0.20       0.05       0.86       0.86        000
                                                       measurement.
51736...............  TC............  A               Urine flow                  0.00       0.38         NA       0.01       0.39         NA        000
                                                       measurement.
51741...............  ..............  A               Electro-uroflowmetry,       1.14       0.80         NA       0.10       2.04         NA        000
                                                       first.
51741...............  26............  A               Electro-uroflowmetry,       1.14       0.37       0.37       0.08       1.59       1.59        000
                                                       first.
51741...............  TC............  A               Electro-uroflowmetry,       0.00       0.43         NA       0.02       0.45         NA        000
                                                       first.
51772...............  ..............  A               Urethra pressure            1.61       5.78         NA       0.19       7.58         NA        000
                                                       profile.
51772...............  26............  A               Urethra pressure            1.61       0.55       0.55       0.14       2.30       2.30        000
                                                       profile.
51772...............  TC............  A               Urethra pressure            0.00       5.23         NA       0.05       5.28         NA        000
                                                       profile.
51784...............  ..............  A               Anal/urinary muscle         1.53       4.11         NA       0.16       5.80         NA        000
                                                       study.
51784...............  26............  A               Anal/urinary muscle         1.53       0.50       0.50       0.12       2.15       2.15        000
                                                       study.
51784...............  TC............  A               Anal/urinary muscle         0.00       3.61         NA       0.04       3.65         NA        000
                                                       study.
51785...............  ..............  A               Anal/urinary muscle         1.53       4.62         NA       0.15       6.30         NA        000
                                                       study.

[[Page 1170]]

 
51785...............  26............  A               Anal/urinary muscle         1.53       0.50       0.50       0.11       2.14       2.14        000
                                                       study.
51785...............  TC............  A               Anal/urinary muscle         0.00       4.12         NA       0.04       4.16         NA        000
                                                       study.
51792...............  ..............  A               Urinary reflex study.       1.10       5.98         NA       0.24       7.32         NA        000
51792...............  26............  A               Urinary reflex study.       1.10       0.41       0.41       0.11       1.62       1.62        000
51792...............  TC............  A               Urinary reflex study.       0.00       5.57         NA       0.13       5.70         NA        000
51795...............  ..............  A               Urine voiding               1.53       7.62         NA       0.22       9.37         NA        000
                                                       pressure study.
51795...............  26............  A               Urine voiding               1.53       0.50       0.50       0.12       2.15       2.15        000
                                                       pressure study.
51795...............  TC............  A               Urine voiding               0.00       7.12         NA       0.10       7.22         NA        000
                                                       pressure study.
51797...............  ..............  A               Intraabdominal              1.60       5.95         NA       0.17       7.72         NA        000
                                                       pressure test.
51797...............  26............  A               Intraabdominal              1.60       0.52       0.52       0.12       2.24       2.24        000
                                                       pressure test.
51797...............  TC............  A               Intraabdominal              0.00       5.43         NA       0.05       5.48         NA        000
                                                       pressure test.
51798...............  ..............  A               Us urine capacity           0.00       0.36         NA       0.08       0.44         NA        XXX
                                                       measure.
51800...............  ..............  A               Revision of bladder/       17.39         NA       7.69       1.41         NA      26.49        090
                                                       urethra.
51820...............  ..............  A               Revision of urinary        17.86         NA       8.46       1.75         NA      28.07        090
                                                       tract.
51840...............  ..............  A               Attach bladder/            10.69         NA       5.57       1.05         NA      17.31        090
                                                       urethra.
51841...............  ..............  A               Attach bladder/            13.01         NA       6.37       1.25         NA      20.63        090
                                                       urethra.
51845...............  ..............  A               Repair bladder neck..       9.72         NA       4.87       0.75         NA      15.34        090
51860...............  ..............  A               Repair of bladder          12.00         NA       5.90       1.07         NA      18.97        090
                                                       wound.
51865...............  ..............  A               Repair of bladder          15.02         NA       6.83       1.22         NA      23.07        090
                                                       wound.
51880...............  ..............  A               Repair of bladder           7.65         NA       4.07       0.65         NA      12.37        090
                                                       opening.
51900...............  ..............  A               Repair bladder/vagina      12.95         NA       6.22       1.05         NA      20.22        090
                                                       lesion.
51920...............  ..............  A               Close bladder-uterus       11.79         NA       5.75       1.04         NA      18.58        090
                                                       fistula.
51925...............  ..............  A               Hysterectomy/bladder       15.56         NA       8.62       1.79         NA      25.97        090
                                                       repair.
51940...............  ..............  A               Correction of bladder      28.39         NA      12.36       2.38         NA      43.13        090
                                                       defect.
51960...............  ..............  A               Revision of bladder &      22.98         NA       9.87       1.70         NA      34.55        090
                                                       bowel.
51980...............  ..............  A               Construct bladder          11.34         NA       5.49       0.89         NA      17.72        090
                                                       opening.
51990...............  ..............  A               Laparo urethral            12.48         NA       6.18       1.23         NA      19.89        090
                                                       suspension.
51992...............  ..............  A               Laparo sling               13.99         NA       6.24       1.12         NA      21.35        090
                                                       operation.
52000...............  ..............  A               Cystoscopy...........       2.01       3.38       0.76       0.14       5.53       2.91        000
52001...............  ..............  A               Cystoscopy, removal         5.44       5.18       1.87       0.39      11.01       7.70        000
                                                       of clots.
52005...............  ..............  A               Cystoscopy & ureter         2.37       5.98       0.90       0.18       8.53       3.45        000
                                                       catheter.
52007...............  ..............  A               Cystoscopy and biopsy       3.02         NA       1.15       0.22         NA       4.39        000
52010...............  ..............  A               Cystoscopy & duct           3.02         NA       1.13       0.22         NA       4.37        000
                                                       catheter.
52204...............  ..............  A               Cystoscopy...........       2.37       3.63       0.91       0.18       6.18       3.46        000
52214...............  ..............  A               Cystoscopy and              3.70         NA       1.33       0.27         NA       5.30        000
                                                       treatment.
52224...............  ..............  A               Cystoscopy and              3.14         NA       1.15       0.22         NA       4.51        000
                                                       treatment.
52234...............  ..............  A               Cystoscopy and              4.62         NA       1.63       0.33         NA       6.58        000
                                                       treatment.
52235...............  ..............  A               Cystoscopy and              5.44         NA       1.90       0.39         NA       7.73        000
                                                       treatment.
52240...............  ..............  A               Cystoscopy and              9.71         NA       3.30       0.70         NA      13.71        000
                                                       treatment.
52250...............  ..............  A               Cystoscopy and              4.49         NA       1.66       0.33         NA       6.48        000
                                                       radiotracer.
52260...............  ..............  A               Cystoscopy and              3.91         NA       1.43       0.28         NA       5.62        000
                                                       treatment.
52265...............  ..............  A               Cystoscopy and              2.94       3.75       1.12       0.22       6.91       4.28        000
                                                       treatment.
52270...............  ..............  A               Cystoscopy & revise         3.36         NA       1.25       0.24         NA       4.85        000
                                                       urethra.
52275...............  ..............  A               Cystoscopy & revise         4.69         NA       1.67       0.34         NA       6.70        000
                                                       urethra.
52276...............  ..............  A               Cystoscopy and              4.99         NA       1.79       0.36         NA       7.14        000
                                                       treatment.
52277...............  ..............  A               Cystoscopy and              6.16         NA       2.26       0.46         NA       8.88        000
                                                       treatment.
52281...............  ..............  A               Cystoscopy and              2.80       7.43       1.08       0.21      10.44       4.09        000
                                                       treatment.
52282...............  ..............  A               Cystoscopy, implant         6.39         NA       2.24       0.46         NA       9.09        000
                                                       stent.
52283...............  ..............  A               Cystoscopy and              3.73       4.03       1.39       0.27       8.03       5.39        000
                                                       treatment.
52285...............  ..............  A               Cystoscopy and              3.60       4.10       1.34       0.27       7.97       5.21        000
                                                       treatment.
52290...............  ..............  A               Cystoscopy and              4.58         NA       1.66       0.33         NA       6.57        000
                                                       treatment.
52300...............  ..............  A               Cystoscopy and              5.30         NA       1.91       0.39         NA       7.60        000
                                                       treatment.
52301...............  ..............  A               Cystoscopy and              5.50         NA       2.00       0.47         NA       7.97        000
                                                       treatment.
52305...............  ..............  A               Cystoscopy and              5.30         NA       1.86       0.37         NA       7.53        000
                                                       treatment.
52310...............  ..............  A               Cystoscopy and              2.81       3.53       1.04       0.21       6.55       4.06        000
                                                       treatment.
52315...............  ..............  A               Cystoscopy and              5.20         NA       1.84       0.37         NA       7.41        000
                                                       treatment.
52317...............  ..............  A               Remove bladder stone.       6.71         NA       2.28       0.48         NA       9.47        000
52318...............  ..............  A               Remove bladder stone.       9.18         NA       3.10       0.65         NA      12.93        000
52320...............  ..............  A               Cystoscopy and              4.69         NA       1.64       0.34         NA       6.67        000
                                                       treatment.
52325...............  ..............  A               Cystoscopy, stone           6.15         NA       2.11       0.45         NA       8.71        000
                                                       removal.
52327...............  ..............  A               Cystoscopy, inject          5.18         NA       1.83       0.39         NA       7.40        000
                                                       material.
52330...............  ..............  A               Cystoscopy and              5.03         NA       1.76       0.36         NA       7.15        000
                                                       treatment.
52332...............  ..............  A               Cystoscopy and              2.83         NA       1.06       0.21         NA       4.10        000
                                                       treatment.
52334...............  ..............  A               Create passage to           4.82         NA       1.76       0.34         NA       6.92        000
                                                       kidney.
52341...............  ..............  A               Cysto w/ureter              5.99         NA       2.22       0.45         NA       8.66        000
                                                       stricture tx.
52342...............  ..............  A               Cysto w/up stricture        6.49         NA       2.35       0.48         NA       9.32        000
                                                       tx.
52343...............  ..............  A               Cysto w/renal               7.19         NA       2.59       0.53         NA      10.31        000
                                                       stricture tx.
52344...............  ..............  A               Cysto/uretero, stone        7.69         NA       2.80       0.57         NA      11.06        000
                                                       remove.
52345...............  ..............  A               Cysto/uretero w/up          8.19         NA       2.96       0.60         NA      11.75        000
                                                       stricture.
52346...............  ..............  A               Cystouretero w/renal        9.22         NA       3.29       0.69         NA      13.20        000
                                                       strict.
52347...............  ..............  A               Cystoscopy, resect          5.27         NA       1.71       0.40         NA       7.38        000
                                                       ducts.
52351...............  ..............  A               Cystouretero & or           5.85         NA       2.14       0.43         NA       8.42        000
                                                       pyeloscope.
52352...............  ..............  A               Cystouretero w/stone        6.87         NA       2.51       0.51         NA       9.89        000
                                                       remove.
52353...............  ..............  A               Cystouretero w/             7.96         NA       2.86       0.59         NA      11.41        000
                                                       lithotripsy.
52354...............  ..............  A               Cystouretero w/biopsy       7.33         NA       2.67       0.54         NA      10.54        000

[[Page 1171]]

 
52355...............  ..............  A               Cystouretero w/excise       8.81         NA       3.15       0.66         NA      12.62        000
                                                       tumor.
52400...............  ..............  A               Cystouretero w/congen       9.67         NA       3.78       0.72         NA      14.17        090
                                                       repr.
52450...............  ..............  A               Incision of prostate.       7.63         NA       3.71       0.55         NA      11.89        090
52500...............  ..............  A               Revision of bladder         8.46         NA       3.96       0.60         NA      13.02        090
                                                       neck.
52510...............  ..............  A               Dilation prostatic          6.71         NA       3.14       0.48         NA      10.33        090
                                                       urethra.
52601...............  ..............  A               Prostatectomy (TURP).      12.35         NA       5.15       0.89         NA      18.39        090
52606...............  ..............  A               Control postop              8.12         NA       3.58       0.59         NA      12.29        090
                                                       bleeding.
52612...............  ..............  A               Prostatectomy, first        7.97         NA       3.77       0.58         NA      12.32        090
                                                       stage.
52614...............  ..............  A               Prostatectomy, second       6.83         NA       3.38       0.49         NA      10.70        090
                                                       stage.
52620...............  ..............  A               Remove residual             6.60         NA       3.01       0.47         NA      10.08        090
                                                       prostate.
52630...............  ..............  A               Remove prostate             7.25         NA       3.22       0.52         NA      10.99        090
                                                       regrowth.
52640...............  ..............  A               Relieve bladder             6.61         NA       2.98       0.47         NA      10.06        090
                                                       contracture.
52647...............  ..............  A               Laser surgery of           10.34      76.71       4.57       0.74      87.79      15.65        090
                                                       prostate.
52648...............  ..............  A               Laser surgery of           11.19         NA       4.84       0.80         NA      16.83        090
                                                       prostate.
52700...............  ..............  A               Drainage of prostate        6.79         NA       3.21       0.49         NA      10.49        090
                                                       abscess.
53000...............  ..............  A               Incision of urethra..       2.28         NA       1.57       0.16         NA       4.01        010
53010...............  ..............  A               Incision of urethra..       3.63         NA       3.02       0.24         NA       6.89        090
53020...............  ..............  A               Incision of urethra..       1.77       3.10       0.67       0.13       5.00       2.57        000
53025...............  ..............  A               Incision of urethra..       1.13       3.87       0.51       0.08       5.08       1.72        000
53040...............  ..............  A               Drainage of urethra         6.39      11.28       6.33       0.49      18.16      13.21        090
                                                       abscess.
53060...............  ..............  A               Drainage of urethra         2.63         NA       1.45       0.28         NA       4.36        010
                                                       abscess.
53080...............  ..............  A               Drainage of urinary         6.28         NA       6.17       0.51         NA      12.96        090
                                                       leakage.
53085...............  ..............  A               Drainage of urinary        10.25         NA       7.63       0.81         NA      18.69        090
                                                       leakage.
53200...............  ..............  A               Biopsy of urethra....       2.59       4.29       0.98       0.21       7.09       3.78        000
53210...............  ..............  A               Removal of urethra...      12.55         NA       5.98       0.98         NA      19.51        090
53215...............  ..............  A               Removal of urethra...      15.56         NA       6.77       1.12         NA      23.45        090
53220...............  ..............  A               Treatment of urethra        6.99         NA       3.84       0.53         NA      11.36        090
                                                       lesion.
53230...............  ..............  A               Removal of urethra          9.57         NA       4.84       0.72         NA      15.13        090
                                                       lesion.
53235...............  ..............  A               Removal of urethra         10.12         NA       5.02       0.72         NA      15.86        090
                                                       lesion.
53240...............  ..............  A               Surgery for urethra         6.44         NA       3.64       0.51         NA      10.59        090
                                                       pouch.
53250...............  ..............  A               Removal of urethra          5.88         NA       3.38       0.42         NA       9.68        090
                                                       gland.
53260...............  ..............  A               Treatment of urethra        2.98       3.28       1.80       0.28       6.54       5.06        010
                                                       lesion.
53265...............  ..............  A               Treatment of urethra        3.12         NA       1.84       0.24         NA       5.20        010
                                                       lesion.
53270...............  ..............  A               Removal of urethra          3.09         NA       1.87       0.25         NA       5.21        010
                                                       gland.
53275...............  ..............  A               Repair of urethra           4.52         NA       2.28       0.34         NA       7.14        010
                                                       defect.
53400...............  ..............  A               Revise urethra, stage      12.75         NA       6.10       1.03         NA      19.88        090
                                                       1.
53405...............  ..............  A               Revise urethra, stage      14.46         NA       6.45       1.10         NA      22.01        090
                                                       2.
53410...............  ..............  A               Reconstruction of          16.42         NA       7.20       1.19         NA      24.81        090
                                                       urethra.
53415...............  ..............  A               Reconstruction of          19.38         NA       7.47       1.40         NA      28.25        090
                                                       urethra.
53420...............  ..............  A               Reconstruct urethra,       14.06         NA       6.45       1.09         NA      21.60        090
                                                       stage 1.
53425...............  ..............  A               Reconstruct urethra,       15.96         NA       7.05       1.17         NA      24.18        090
                                                       stage 2.
53430...............  ..............  A               Reconstruction of          16.32         NA       7.13       1.22         NA      24.67        090
                                                       urethra.
53431...............  ..............  A               Reconstruct urethra/       19.86         NA       8.17       1.57         NA      29.60        090
                                                       bladder.
53440...............  ..............  A               Male sling procedure.      13.60         NA       6.04       0.88         NA      20.52        090
53442...............  ..............  A               Remove/revise male         11.55         NA       5.51       0.66         NA      17.72        090
                                                       sling.
53444...............  ..............  A               Insert tandem cuff...      13.38         NA       5.91       1.06         NA      20.35        090
53445...............  ..............  A               Insert uro/ves nck         14.04         NA       7.26       1.01         NA      22.31        090
                                                       sphincter.
53446...............  ..............  A               Remove uro sphincter.      10.21         NA       5.27       0.81         NA      16.29        090
53447...............  ..............  A               Remove/replace ur          13.47         NA       6.48       0.95         NA      20.90        090
                                                       sphincter.
53448...............  ..............  A               Remov/replc ur             21.12         NA       9.13       1.68         NA      31.93        090
                                                       sphinctr comp.
53449...............  ..............  A               Repair uro sphincter.       9.69         NA       4.85       0.69         NA      15.23        090
53450...............  ..............  A               Revision of urethra..       6.13         NA       3.40       0.45         NA       9.98        090
53460...............  ..............  A               Revision of urethra..       7.11         NA       3.82       0.52         NA      11.45        090
53500...............  ..............  A               Urethrlys, transvag w/     12.19         NA       6.19       0.89         NA      19.27        090
                                                        scope.
53502...............  ..............  A               Repair of urethra           7.62         NA       4.11       0.60         NA      12.33        090
                                                       injury.
53505...............  ..............  A               Repair of urethra           7.62         NA       3.99       0.55         NA      12.16        090
                                                       injury.
53510...............  ..............  A               Repair of urethra          10.09         NA       5.29       0.72         NA      16.10        090
                                                       injury.
53515...............  ..............  A               Repair of urethra          13.29         NA       6.05       1.00         NA      20.34        090
                                                       injury.
53520...............  ..............  A               Repair of urethra           8.67         NA       4.60       0.64         NA      13.91        090
                                                       defect.
53600...............  ..............  A               Dilate urethra              1.21       1.17       0.43       0.08       2.46       1.72        000
                                                       stricture.
53601...............  ..............  A               Dilate urethra              0.98       1.30       0.38       0.07       2.35       1.43        000
                                                       stricture.
53605...............  ..............  A               Dilate urethra              1.28         NA       0.41       0.10         NA       1.79        000
                                                       stricture.
53620...............  ..............  A               Dilate urethra              1.62       2.04       0.60       0.12       3.78       2.34        000
                                                       stricture.
53621...............  ..............  A               Dilate urethra              1.35       2.13       0.50       0.10       3.58       1.95        000
                                                       stricture.
53660...............  ..............  A               Dilation of urethra..       0.71       1.34       0.33       0.05       2.10       1.09        000
53661...............  ..............  A               Dilation of urethra..       0.72       1.34       0.30       0.05       2.11       1.07        000
53665...............  ..............  A               Dilation of urethra..       0.76         NA       0.26       0.06         NA       1.08        000
53850...............  ..............  A               Prostatic microwave         9.44      97.84       4.30       0.68     107.96      14.42        090
                                                       thermotx.
53852...............  ..............  A               Prostatic rf thermotx       9.87      93.04       4.69       0.70     103.61      15.26        090
53853...............  ..............  A               Prostatic water             5.23      57.88       3.18       0.33      63.44       8.74        090
                                                       thermother.
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         NA       1.33       0.12         NA       2.99        010
54001...............  ..............  A               Slitting of prepuce..       2.19       4.30       1.51       0.17       6.66       3.87        010
54015...............  ..............  A               Drain penis lesion...       5.31         NA       2.59       0.40         NA       8.30        010
54050...............  ..............  A               Destruction, penis          1.24       1.69       1.05       0.08       3.01       2.37        010
                                                       lesion(s).

[[Page 1172]]

 
54055...............  ..............  A               Destruction, penis          1.22       1.60       0.80       0.08       2.90       2.10        010
                                                       lesion(s).
54056...............  ..............  A               Cryosurgery, penis          1.24       2.48       1.35       0.07       3.79       2.66        010
                                                       lesion(s).
54057...............  ..............  A               Laser surg, penis           1.24         NA       0.87       0.10         NA       2.21        010
                                                       lesion(s).
54060...............  ..............  A               Excision of penis           1.93       3.88       1.45       0.14       5.95       3.52        010
                                                       lesion(s).
54065...............  ..............  A               Destruction, penis          2.42         NA       1.72       0.16         NA       4.30        010
                                                       lesion(s).
54100...............  ..............  A               Biopsy of penis......       1.90       2.87       0.82       0.12       4.89       2.84        000
54105...............  ..............  A               Biopsy of penis......       3.49         NA       1.96       0.25         NA       5.70        010
54110...............  ..............  A               Treatment of penis         10.11         NA       5.64       0.72         NA      16.47        090
                                                       lesion.
54111...............  ..............  A               Treat penis lesion,        13.55         NA       6.69       0.95         NA      21.19        090
                                                       graft.
54112...............  ..............  A               Treat penis lesion,        15.84         NA       7.69       1.13         NA      24.66        090
                                                       graft.
54115...............  ..............  A               Treatment of penis          6.14       8.53       4.47       0.47      15.14      11.08        090
                                                       lesion.
54120...............  ..............  A               Partial removal of          9.96         NA       5.60       0.72         NA      16.28        090
                                                       penis.
54125...............  ..............  A               Removal of penis.....      13.51         NA       6.75       0.98         NA      21.24        090
54130...............  ..............  A               Remove penis & nodes.      20.11         NA       9.10       1.44         NA      30.65        090
54135...............  ..............  A               Remove penis & nodes.      26.32         NA      11.10       1.91         NA      39.33        090
54150...............  ..............  A               Circumcision.........       1.81         NA       0.97       0.21         NA       2.99        010
54152...............  ..............  A               Circumcision.........       2.31         NA       1.20       0.19         NA       3.70        010
54160...............  ..............  A               Circumcision.........       2.48         NA       1.11       0.19         NA       3.78        010
54161...............  ..............  A               Circumcision.........       3.27         NA       1.57       0.24         NA       5.08        010
54162...............  ..............  A               Lysis penil circumic        3.00         NA       2.00       0.24         NA       5.24        010
                                                       lesion.
54163...............  ..............  A               Repair of                   3.00         NA       2.01       0.24         NA       5.25        010
                                                       circumcision.
54164...............  ..............  A               Frenulotomy of penis.       2.50         NA       1.85       0.19         NA       4.54        010
54200...............  ..............  A               Treatment of penis          1.06       1.85       0.99       0.07       2.98       2.12        010
                                                       lesion.
54205...............  ..............  A               Treatment of penis          7.92         NA       4.83       0.57         NA      13.32        090
                                                       lesion.
54220...............  ..............  A               Treatment of penis          2.42       3.94       0.96       0.18       6.54       3.56        000
                                                       lesion.
54230...............  ..............  A               Prepare penis study..       1.34       1.12       0.62       0.10       2.56       2.06        000
54231...............  ..............  A               Dynamic                     2.04       1.40       0.87       0.17       3.61       3.08        000
                                                       cavernosometry.
54235...............  ..............  A               Penile injection.....       1.19       0.98       0.58       0.08       2.25       1.85        000
54240...............  ..............  A               Penis study..........       1.31       1.01         NA       0.16       2.48         NA        000
54240...............  26............  A               Penis study..........       1.31       0.42       0.42       0.10       1.83       1.83        000
54240...............  TC............  A               Penis study..........       0.00       0.59         NA       0.06       0.65         NA        000
54250...............  ..............  A               Penis study..........       2.22       0.93         NA       0.19       3.34         NA        000
54250...............  26............  A               Penis study..........       2.22       0.71       0.71       0.17       3.10       3.10        000
54250...............  TC............  A               Penis study..........       0.00       0.22         NA       0.02       0.24         NA        000
54300...............  ..............  A               Revision of penis....      10.39         NA       5.75       0.77         NA      16.91        090
54304...............  ..............  A               Revision of penis....      12.47         NA       6.54       0.89         NA      19.90        090
54308...............  ..............  A               Reconstruction of          11.81         NA       6.17       0.84         NA      18.82        090
                                                       urethra.
54312...............  ..............  A               Reconstruction of          13.55         NA       7.20       0.98         NA      21.73        090
                                                       urethra.
54316...............  ..............  A               Reconstruction of          16.79         NA       8.15       1.21         NA      26.15        090
                                                       urethra.
54318...............  ..............  A               Reconstruction of          11.23         NA       6.00       1.39         NA      18.62        090
                                                       urethra.
54322...............  ..............  A               Reconstruction of          12.99         NA       6.63       0.93         NA      20.55        090
                                                       urethra.
54324...............  ..............  A               Reconstruction of          16.29         NA       8.22       1.24         NA      25.75        090
                                                       urethra.
54326...............  ..............  A               Reconstruction of          15.70         NA       8.00       1.12         NA      24.82        090
                                                       urethra.
54328...............  ..............  A               Revise penis/urethra.      15.63         NA       7.45       1.11         NA      24.19        090
54332...............  ..............  A               Revise penis/urethra.      17.05         NA       7.93       1.22         NA      26.20        090
54336...............  ..............  A               Revise penis/urethra.      20.01         NA      10.71       2.29         NA      33.01        090
54340...............  ..............  A               Secondary urethral          8.90         NA       5.25       0.87         NA      15.02        090
                                                       surgery.
54344...............  ..............  A               Secondary urethral         15.92         NA       7.97       1.33         NA      25.22        090
                                                       surgery.
54348...............  ..............  A               Secondary urethral         17.12         NA       8.60       1.23         NA      26.95        090
                                                       surgery.
54352...............  ..............  A               Reconstruct urethra/       24.70         NA      11.50       1.95         NA      38.15        090
                                                       penis.
54360...............  ..............  A               Penis plastic surgery      11.91         NA       6.19       0.87         NA      18.97        090
54380...............  ..............  A               Repair penis.........      13.16         NA       6.83       1.40         NA      21.39        090
54385...............  ..............  A               Repair penis.........      15.37         NA       8.49       0.86         NA      24.72        090
54390...............  ..............  A               Repair penis and           21.58         NA       9.61       1.54         NA      32.73        090
                                                       bladder.
54400...............  ..............  A               Insert semi-rigid           8.98         NA       4.47       0.64         NA      14.09        090
                                                       prosthesis.
54401...............  ..............  A               Insert self-contd          10.26         NA       5.83       0.74         NA      16.83        090
                                                       prosthesis.
54405...............  ..............  A               Insert multi-comp          13.41         NA       6.06       0.96         NA      20.43        090
                                                       penis pros.
54406...............  ..............  A               Remove muti-comp           12.08         NA       5.46       0.90         NA      18.44        090
                                                       penis pros.
54408...............  ..............  A               Repair multi-comp          12.73         NA       5.77       0.95         NA      19.45        090
                                                       penis pros.
54410...............  ..............  A               Remove/replace penis       15.48         NA       6.66       1.16         NA      23.30        090
                                                       prosth.
54411...............  ..............  A               Remov/replc penis          15.98         NA       7.09       0.96         NA      24.03        090
                                                       pros, comp.
54415...............  ..............  A               Remove self-contd           8.19         NA       4.22       0.65         NA      13.06        090
                                                       penis pros.
54416...............  ..............  A               Remv/repl penis            10.85         NA       5.41       0.66         NA      16.92        090
                                                       contain pros.
54417...............  ..............  A               Remv/replc penis           14.17         NA       6.21       0.66         NA      21.04        090
                                                       pros, compl.
54420...............  ..............  A               Revision of penis....      11.40         NA       5.71       0.87         NA      17.98        090
54430...............  ..............  A               Revision of penis....      10.13         NA       5.25       0.72         NA      16.10        090
54435...............  ..............  A               Revision of penis....       6.11         NA       3.73       0.43         NA      10.27        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       1.11       0.47       0.08       2.31       1.67        000
54500...............  ..............  A               Biopsy of testis.....       1.31       0.61       0.56       0.10       2.02       1.97        000
54505...............  ..............  A               Biopsy of testis.....       3.45         NA       1.93       0.25         NA       5.63        010
54512...............  ..............  A               Excise lesion testis.       8.57         NA       4.15       0.68         NA      13.40        090
54520...............  ..............  A               Removal of testis....       5.22         NA       2.85       0.40         NA       8.47        090
54522...............  ..............  A               Orchiectomy, partial.       9.49         NA       4.91       0.75         NA      15.15        090
54530...............  ..............  A               Removal of testis....       8.57         NA       4.31       0.64         NA      13.52        090

[[Page 1173]]

 
54535...............  ..............  A               Extensive testis           12.14         NA       5.66       1.00         NA      18.80        090
                                                       surgery.
54550...............  ..............  A               Exploration for             7.77         NA       3.90       0.59         NA      12.26        090
                                                       testis.
54560...............  ..............  A               Exploration for            11.11         NA       5.28       0.95         NA      17.34        090
                                                       testis.
54600...............  ..............  A               Reduce testis torsion       7.00         NA       3.61       0.54         NA      11.15        090
54620...............  ..............  A               Suspension of testis.       4.89         NA       2.47       0.37         NA       7.73        010
54640...............  ..............  A               Suspension of testis.       6.89         NA       3.80       0.59         NA      11.28        090
54650...............  ..............  A               Orchiopexy (Fowler-        11.43         NA       5.52       0.98         NA      17.93        090
                                                       Stephens).
54660...............  ..............  A               Revision of testis...       5.10         NA       3.05       0.42         NA       8.57        090
54670...............  ..............  A               Repair testis injury.       6.40         NA       3.61       0.49         NA      10.50        090
54680...............  ..............  A               Relocation of              12.63         NA       6.29       1.13         NA      20.05        090
                                                       testis(es).
54690...............  ..............  A               Laparoscopy,               10.94         NA       5.06       1.19         NA      17.19        090
                                                       orchiectomy.
54692...............  ..............  A               Laparoscopy,               12.86         NA       5.45       1.05         NA      19.36        090
                                                       orchiopexy.
54699...............  ..............  C               Laparoscope proc,           0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       testis.
54700...............  ..............  A               Drainage of scrotum..       3.42         NA       1.95       0.28         NA       5.65        010
54800...............  ..............  A               Biopsy of epididymis.       2.33       0.95       0.90       0.17       3.45       3.40        000
54820...............  ..............  A               Exploration of              5.13         NA       3.00       0.40         NA       8.53        090
                                                       epididymis.
54830...............  ..............  A               Remove epididymis           5.37         NA       3.08       0.41         NA       8.86        090
                                                       lesion.
54840...............  ..............  A               Remove epididymis           5.19         NA       2.84       0.37         NA       8.40        090
                                                       lesion.
54860...............  ..............  A               Removal of epididymis       6.31         NA       3.37       0.46         NA      10.14        090
54861...............  ..............  A               Removal of epididymis       8.89         NA       4.38       0.63         NA      13.90        090
54900...............  ..............  A               Fusion of spermatic        13.18         NA       5.86       1.62         NA      20.66        090
                                                       ducts.
54901...............  ..............  A               Fusion of spermatic        17.91         NA       7.56       2.21         NA      27.68        090
                                                       ducts.
55000...............  ..............  A               Drainage of hydrocele       1.43       2.11       0.65       0.12       3.66       2.20        000
55040...............  ..............  A               Removal of hydrocele.       5.35         NA       2.96       0.42         NA       8.73        090
55041...............  ..............  A               Removal of hydroceles       7.73         NA       4.04       0.60         NA      12.37        090
55060...............  ..............  A               Repair of hydrocele..       5.51         NA       3.13       0.45         NA       9.09        090
55100...............  ..............  A               Drainage of scrotum         2.13       3.77       1.59       0.18       6.08       3.90        010
                                                       abscess.
55110...............  ..............  A               Explore scrotum......       5.69         NA       3.18       0.43         NA       9.30        090
55120...............  ..............  A               Removal of scrotum          5.08       5.76       2.98       0.40      11.24       8.46        090
                                                       lesion.
55150...............  ..............  A               Removal of scrotum...       7.21         NA       3.96       0.57         NA      11.74        090
55175...............  ..............  A               Revision of scrotum..       5.23         NA       3.06       0.40         NA       8.69        090
55180...............  ..............  A               Revision of scrotum..      10.70         NA       5.46       0.87         NA      17.03        090
55200...............  ..............  A               Incision of sperm           4.23       5.53       2.41       0.30      10.06       6.94        090
                                                       duct.
55250...............  ..............  A               Removal of sperm            3.29       9.07       2.78       0.25      12.61       6.32        090
                                                       duct(s).
55300...............  ..............  A               Prepare, sperm duct x-      3.50         NA       1.31       0.24         NA       5.05        000
                                                       ray.
55400...............  ..............  A               Repair of sperm duct.       8.48         NA       4.17       0.60         NA      13.25        090
55450...............  ..............  A               Ligation of sperm           4.11       7.21       1.87       0.29      11.61       6.27        010
                                                       duct.
55500...............  ..............  A               Removal of hydrocele.       5.58         NA       3.15       0.52         NA       9.25        090
55520...............  ..............  A               Removal of sperm cord       6.02         NA       3.31       0.68         NA      10.01        090
                                                       lesion.
55530...............  ..............  A               Revise spermatic cord       5.65         NA       3.07       0.43         NA       9.15        090
                                                       veins.
55535...............  ..............  A               Revise spermatic cord       6.55         NA       3.45       0.51         NA      10.51        090
                                                       veins.
55540...............  ..............  A               Revise hernia & sperm       7.66         NA       3.86       0.89         NA      12.41        090
                                                       veins.
55550...............  ..............  A               Laparo ligate               6.56         NA       3.32       0.57         NA      10.45        090
                                                       spermatic vein.
55559...............  ..............  C               Laparo proc,                0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       spermatic cord.
55600...............  ..............  A               Incise sperm duct           6.37         NA       3.39       0.46         NA      10.22        090
                                                       pouch.
55605...............  ..............  A               Incise sperm duct           7.95         NA       4.36       0.65         NA      12.96        090
                                                       pouch.
55650...............  ..............  A               Remove sperm duct          11.78         NA       5.35       0.87         NA      18.00        090
                                                       pouch.
55680...............  ..............  A               Remove sperm pouch          5.18         NA       3.03       0.37         NA       8.58        090
                                                       lesion.
55700...............  ..............  A               Biopsy of prostate...       1.57       4.33       0.71       0.12       6.02       2.40        000
55705...............  ..............  A               Biopsy of prostate...       4.56         NA       2.32       0.31         NA       7.19        010
55720...............  ..............  A               Drainage of prostate        7.63         NA       3.95       0.53         NA      12.11        090
                                                       abscess.
55725...............  ..............  A               Drainage of prostate        8.67         NA       4.62       0.62         NA      13.91        090
                                                       abscess.
55801...............  ..............  A               Removal of prostate..      17.77         NA       7.38       1.30         NA      26.45        090
55810...............  ..............  A               Extensive prostate         22.55         NA       8.71       1.63         NA      32.89        090
                                                       surgery.
55812...............  ..............  A               Extensive prostate         27.47         NA      11.14       2.04         NA      40.65        090
                                                       surgery.
55815...............  ..............  A               Extensive prostate         30.41         NA      12.07       2.22         NA      44.70        090
                                                       surgery.
55821...............  ..............  A               Removal of prostate..      14.23         NA       6.32       1.03         NA      21.58        090
55831...............  ..............  A               Removal of prostate..      15.60         NA       6.77       1.13         NA      23.50        090
55840...............  ..............  A               Extensive prostate         22.66         NA       9.44       1.65         NA      33.75        090
                                                       surgery.
55842...............  ..............  A               Extensive prostate         24.34         NA      10.01       1.79         NA      36.14        090
                                                       surgery.
55845...............  ..............  A               Extensive prostate         28.51         NA      11.11       2.06         NA      41.68        090
                                                       surgery.
55859...............  ..............  A               Percut/needle insert,      12.50         NA       5.91       0.89         NA      19.30        090
                                                       pros.
55860...............  ..............  A               Surgical exposure,         14.43         NA       6.44       0.99         NA      21.86        090
                                                       prostate.
55862...............  ..............  A               Extensive prostate         18.36         NA       7.96       1.37         NA      27.69        090
                                                       surgery.
55865...............  ..............  A               Extensive prostate         22.84         NA       9.38       1.65         NA      33.87        090
                                                       surgery.
55866...............  ..............  A               Laparo radical             30.69         NA      11.81       1.65         NA      44.15        090
                                                       prostatectomy.
55870...............  ..............  A               Electroejaculation...       2.58       1.54       1.09       0.17       4.29       3.84        000
55873...............  ..............  A               Cryoablate prostate..      19.44         NA       9.02       1.23         NA      29.69        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/             1.44       1.33       1.15       0.17       2.94       2.76        010
                                                       perineum.
56420...............  ..............  A               Drainage of gland           1.39       2.29       1.09       0.16       3.84       2.64        010
                                                       abscess.
56440...............  ..............  A               Surgery for vulva           2.84         NA       1.71       0.34         NA       4.89        010
                                                       lesion.
56441...............  ..............  A               Lysis of labial             1.97       1.83       1.42       0.21       4.01       3.60        010
                                                       lesion(s).

[[Page 1174]]

 
56501...............  ..............  A               Destroy, vulva              1.53       1.79       1.25       0.18       3.50       2.96        010
                                                       lesions, sim.
56515...............  ..............  A               Destroy vulva lesion/       2.76       2.55       1.81       0.22       5.53       4.79        010
                                                       s compl.
56605...............  ..............  A               Biopsy of vulva/            1.10       1.09       0.46       0.13       2.32       1.69        000
                                                       perineum.
56606...............  ..............  A               Biopsy of vulva/            0.55       0.49       0.22       0.07       1.11       0.84        ZZZ
                                                       perineum.
56620...............  ..............  A               Partial removal of          7.46         NA       4.84       0.92         NA      13.22        090
                                                       vulva.
56625...............  ..............  A               Complete removal of         8.39         NA       5.39       1.01         NA      14.79        090
                                                       vulva.
56630...............  ..............  A               Extensive vulva            12.34         NA       6.96       1.48         NA      20.78        090
                                                       surgery.
56631...............  ..............  A               Extensive vulva            16.18         NA       8.96       1.97         NA      27.11        090
                                                       surgery.
56632...............  ..............  A               Extensive vulva            20.26         NA       9.62       2.45         NA      32.33        090
                                                       surgery.
56633...............  ..............  A               Extensive vulva            16.45         NA       8.70       2.00         NA      27.15        090
                                                       surgery.
56634...............  ..............  A               Extensive vulva            17.85         NA       9.59       2.15         NA      29.59        090
                                                       surgery.
56637...............  ..............  A               Extensive vulva            21.94         NA      11.23       2.63         NA      35.80        090
                                                       surgery.
56640...............  ..............  A               Extensive vulva            22.14         NA      10.80       2.73         NA      35.67        090
                                                       surgery.
56700...............  ..............  A               Partial removal of          2.52         NA       1.73       0.29         NA       4.54        010
                                                       hymen.
56720...............  ..............  A               Incision of hymen....       0.68         NA       0.39       0.08         NA       1.15        000
56740...............  ..............  A               Remove vagina gland         4.56         NA       2.47       0.45         NA       7.48        010
                                                       lesion.
56800...............  ..............  A               Repair of vagina.....       3.88         NA       2.19       0.45         NA       6.52        010
56805...............  ..............  A               Repair clitoris......      18.83         NA       9.43       2.20         NA      30.46        090
56810...............  ..............  A               Repair of perineum...       4.12         NA       2.30       0.49         NA       6.91        010
56820...............  ..............  A               Exam of vulva w/scope       1.50       1.34       0.63       0.12       2.96       2.25        000
56821...............  ..............  A               Exam/biopsy of vulva        2.05       1.78       0.90       0.16       3.99       3.11        000
                                                       w/scope.
57000...............  ..............  A               Exploration of vagina       2.97         NA       1.73       0.34         NA       5.04        010
57010...............  ..............  A               Drainage of pelvic          6.02         NA       3.85       0.69         NA      10.56        090
                                                       abscess.
57020...............  ..............  A               Drainage of pelvic          1.50       0.95       0.59       0.18       2.63       2.27        000
                                                       fluid.
57022...............  ..............  A               I & d vaginal               2.56         NA       1.50       0.29         NA       4.35        010
                                                       hematoma, pp.
57023...............  ..............  A               I & d vag hematoma,         4.74         NA       2.59       0.29         NA       7.62        010
                                                       non-ob.
57061...............  ..............  A               Destroy vag lesions,        1.25       1.66       1.12       0.16       3.07       2.53        010
                                                       simple.
57065...............  ..............  A               Destroy vag lesions,        2.61       2.30       1.68       0.31       5.22       4.60        010
                                                       complex.
57100...............  ..............  A               Biopsy of vagina.....       1.20       1.10       0.48       0.12       2.42       1.80        000
57105...............  ..............  A               Biopsy of vagina.....       1.69       1.93       1.32       0.21       3.83       3.22        010
57106...............  ..............  A               Remove vagina wall,         6.35         NA       4.20       0.70         NA      11.25        090
                                                       partial.
57107...............  ..............  A               Remove vagina tissue,      22.97         NA      10.50       2.62         NA      36.09        090
                                                       part.
57109...............  ..............  A               Vaginectomy partial w/     26.96         NA      11.34       2.38         NA      40.68        090
                                                       nodes.
57110...............  ..............  A               Remove vagina wall,        14.27         NA       7.31       1.72         NA      23.30        090
                                                       complete.
57111...............  ..............  A               Remove vagina tissue,      26.96         NA      12.64       3.27         NA      42.87        090
                                                       compl.
57112...............  ..............  A               Vaginectomy w/nodes,       28.96         NA      12.19       2.64         NA      43.79        090
                                                       compl.
57120...............  ..............  A               Closure of vagina....       7.40         NA       4.64       0.90         NA      12.94        090
57130...............  ..............  A               Remove vagina lesion.       2.43       2.17       1.55       0.28       4.88       4.26        010
57135...............  ..............  A               Remove vagina lesion.       2.67       2.27       1.66       0.31       5.25       4.64        010
57150...............  ..............  A               Treat vagina                0.55       1.11       0.22       0.07       1.73       0.84        000
                                                       infection.
57155...............  ..............  A               Insert uteri tandems/       6.26         NA       4.17       0.71         NA      11.14        090
                                                       ovoids.
57160...............  ..............  A               Insert pessary/other        0.89       1.09       0.38       0.11       2.09       1.38        000
                                                       device.
57170...............  ..............  A               Fitting of diaphragm/       0.91       1.49       0.34       0.11       2.51       1.36        000
                                                       cap.
57180...............  ..............  A               Treat vaginal               1.58       2.18       1.29       0.19       3.95       3.06        010
                                                       bleeding.
57200...............  ..............  A               Repair of vagina.....       3.93         NA       2.91       0.46         NA       7.30        090
57210...............  ..............  A               Repair vagina/              5.16         NA       3.44       0.60         NA       9.20        090
                                                       perineum.
57220...............  ..............  A               Revision of urethra..       4.30         NA       3.12       0.51         NA       7.93        090
57230...............  ..............  A               Repair of urethral          5.63         NA       3.42       0.60         NA       9.65        090
                                                       lesion.
57240...............  ..............  A               Repair bladder &            6.06         NA       3.84       0.64         NA      10.54        090
                                                       vagina.
57250...............  ..............  A               Repair rectum &             5.52         NA       3.59       0.65         NA       9.76        090
                                                       vagina.
57260...............  ..............  A               Repair of vagina.....       8.26         NA       4.86       1.00         NA      14.12        090
57265...............  ..............  A               Extensive repair of        11.32         NA       6.06       1.37         NA      18.75        090
                                                       vagina.
57268...............  ..............  A               Repair of bowel bulge       6.75         NA       4.21       0.80         NA      11.76        090
57270...............  ..............  A               Repair of bowel pouch      12.09         NA       6.28       1.41         NA      19.78        090
57280...............  ..............  A               Suspension of vagina.      15.02         NA       7.39       1.74         NA      24.15        090
57282...............  ..............  A               Repair of vaginal           8.85         NA       5.32       1.04         NA      15.21        090
                                                       prolapse.
57284...............  ..............  A               Repair paravaginal         12.68         NA       7.17       1.41         NA      21.26        090
                                                       defect.
57287...............  ..............  A               Revise/remove sling        10.69         NA       5.52       0.89         NA      17.10        090
                                                       repair.
57288...............  ..............  A               Repair bladder defect      13.00         NA       5.95       1.04         NA      19.99        090
57289...............  ..............  A               Repair bladder &           11.56         NA       6.07       1.15         NA      18.78        090
                                                       vagina.
57291...............  ..............  A               Construction of             7.94         NA       4.96       0.94         NA      13.84        090
                                                       vagina.
57292...............  ..............  A               Construct vagina with      13.07         NA       6.98       1.56         NA      21.61        090
                                                       graft.
57300...............  ..............  A               Repair rectum-vagina        7.60         NA       4.30       0.84         NA      12.74        090
                                                       fistula.
57305...............  ..............  A               Repair rectum-vagina       13.75         NA       6.30       1.60         NA      21.65        090
                                                       fistula.
57307...............  ..............  A               Fistula repair &           15.91         NA       7.07       1.92         NA      24.90        090
                                                       colostomy.
57308...............  ..............  A               Fistula repair,             9.93         NA       5.15       1.10         NA      16.18        090
                                                       transperine.
57310...............  ..............  A               Repair urethrovaginal       6.77         NA       3.90       0.54         NA      11.21        090
                                                       lesion.
57311...............  ..............  A               Repair urethrovaginal       7.97         NA       4.18       0.62         NA      12.77        090
                                                       lesion.
57320...............  ..............  A               Repair bladder-vagina       8.00         NA       4.43       0.72         NA      13.15        090
                                                       lesion.
57330...............  ..............  A               Repair bladder-vagina      12.33         NA       5.78       1.04         NA      19.15        090
                                                       lesion.
57335...............  ..............  A               Repair vagina........      18.70         NA       9.10       2.00         NA      29.80        090
57400...............  ..............  A               Dilation of vagina...       2.27         NA       1.13       0.27         NA       3.67        000
57410...............  ..............  A               Pelvic examination...       1.75       2.02       0.89       0.17       3.94       2.81        000
57415...............  ..............  A               Remove vaginal              2.17         NA       1.43       0.23         NA       3.83        010
                                                       foreign body.
57420...............  ..............  A               Exam of vagina w/           1.60       1.38       0.67       0.12       3.10       2.39        000
                                                       scope.

[[Page 1175]]

 
57421...............  ..............  A               Exam/biopsy of vag w/       2.20       1.87       0.96       0.16       4.23       3.32        000
                                                       scope.
57425...............  ..............  A               Laparoscopy, surg,         15.73         NA       6.69       1.74         NA      24.16        090
                                                       colpopexy.
57452...............  ..............  A               Exam of cervix w/           1.50       1.40       0.63       0.12       3.02       2.25        000
                                                       scope.
57454...............  ..............  A               Bx/curett of cervix w/      2.33       1.76       1.00       0.16       4.25       3.49        000
                                                       scope.
57455...............  ..............  A               Biopsy of cervix w/         1.99       1.75       0.87       0.16       3.90       3.02        000
                                                       scope.
57456...............  ..............  A               Endocerv curettage w/       1.85       1.68       0.82       0.16       3.69       2.83        000
                                                       scope.
57460...............  ..............  A               Bx of cervix w/scope,       2.83       6.03       1.22       0.34       9.20       4.39        000
                                                       leep.
57461...............  ..............  A               Conz of cervix w/           3.43       6.30       1.41       0.34      10.07       5.18        000
                                                       scope, leep.
57500...............  ..............  A               Biopsy of cervix.....       0.97       2.66       0.47       0.12       3.75       1.56        000
57505...............  ..............  A               Endocervical                1.14       1.47       1.10       0.14       2.75       2.38        010
                                                       curettage.
57510...............  ..............  A               Cauterization of            1.90       1.57       1.05       0.22       3.69       3.17        010
                                                       cervix.
57511...............  ..............  A               Cryocautery of cervix       1.90       1.84       1.38       0.22       3.96       3.50        010
57513...............  ..............  A               Laser surgery of            1.90       1.87       1.41       0.23       4.00       3.54        010
                                                       cervix.
57520...............  ..............  A               Conization of cervix.       4.03       4.88       2.77       0.49       9.40       7.29        090
57522...............  ..............  A               Conization of cervix.       3.35       4.35       2.67       0.41       8.11       6.43        090
57530...............  ..............  A               Removal of cervix....       4.78         NA       3.43       0.58         NA       8.79        090
57531...............  ..............  A               Removal of cervix,         27.96         NA      13.23       2.97         NA      44.16        090
                                                       radical.
57540...............  ..............  A               Removal of residual        12.20         NA       6.27       1.46         NA      19.93        090
                                                       cervix.
57545...............  ..............  A               Remove cervix/repair       13.01         NA       6.70       1.57         NA      21.28        090
                                                       pelvis.
57550...............  ..............  A               Removal of residual         5.52         NA       3.86       0.66         NA      10.04        090
                                                       cervix.
57555...............  ..............  A               Remove cervix/repair        8.94         NA       5.14       1.07         NA      15.15        090
                                                       vagina.
57556...............  ..............  A               Remove cervix, repair       8.36         NA       4.88       0.96         NA      14.20        090
                                                       bowel.
57700...............  ..............  A               Revision of cervix...       3.54         NA       3.10       0.40         NA       7.04        090
57720...............  ..............  A               Revision of cervix...       4.12         NA       3.15       0.49         NA       7.76        090
57800...............  ..............  A               Dilation of cervical        0.77       0.76       0.47       0.10       1.63       1.34        000
                                                       canal.
57820...............  ..............  A               D & c of residual           1.67       1.49       1.14       0.21       3.37       3.02        010
                                                       cervix.
58100...............  ..............  A               Biopsy of uterus            1.53       1.33       0.72       0.08       2.94       2.33        000
                                                       lining.
58120...............  ..............  A               Dilation and                3.27       2.31       1.87       0.40       5.98       5.54        010
                                                       curettage.
58140...............  ..............  A               Myomectomy abdom           14.58         NA       7.13       1.76         NA      23.47        090
                                                       method.
58145...............  ..............  A               Myomectomy vag method       8.03         NA       4.84       0.96         NA      13.83        090
58146...............  ..............  A               Myomectomy abdom           18.97         NA       8.79       1.76         NA      29.52        090
                                                       complex.
58150...............  ..............  A               Total hysterectomy...      15.22         NA       7.52       1.89         NA      24.63        090
58152...............  ..............  A               Total hysterectomy...      20.57         NA       9.89       1.83         NA      32.29        090
58180...............  ..............  A               Partial hysterectomy.      15.27         NA       7.49       1.86         NA      24.62        090
58200...............  ..............  A               Extensive                  21.56         NA      10.05       2.59         NA      34.20        090
                                                       hysterectomy.
58210...............  ..............  A               Extensive                  28.81         NA      13.27       3.51         NA      45.59        090
                                                       hysterectomy.
58240...............  ..............  A               Removal of pelvis          38.33         NA      17.72       4.53         NA      60.58        090
                                                       contents.
58260...............  ..............  A               Vaginal hysterectomy.      12.96         NA       6.72       1.48         NA      21.16        090
58262...............  ..............  A               Vag hyst including t/      14.75         NA       7.40       1.71         NA      23.86        090
                                                       o.
58263...............  ..............  A               Vag hyst w/t/o & vag       16.04         NA       7.90       1.87         NA      25.81        090
                                                       repair.
58267...............  ..............  A               Vag hyst w/urinary         17.01         NA       8.42       1.82         NA      27.25        090
                                                       repair.
58270...............  ..............  A               Vag hyst w/enterocele      14.24         NA       7.10       1.65         NA      22.99        090
                                                       repair.
58275...............  ..............  A               Hysterectomy/revise        15.74         NA       7.80       1.82         NA      25.36        090
                                                       vagina.
58280...............  ..............  A               Hysterectomy/revise        16.98         NA       8.28       1.86         NA      27.12        090
                                                       vagina.
58285...............  ..............  A               Extensive                  22.23         NA      10.02       2.27         NA      34.52        090
                                                       hysterectomy.
58290...............  ..............  A               Vag hyst complex.....      18.97         NA       8.92       1.48         NA      29.37        090
58291...............  ..............  A               Vag hyst incl t/o,         20.76         NA       9.89       1.71         NA      32.36        090
                                                       complex.
58292...............  ..............  A               Vag hyst t/o &             22.05         NA      10.40       1.87         NA      34.32        090
                                                       repair, compl.
58293...............  ..............  A               Vag hyst w/uro             23.03         NA      10.91       1.82         NA      35.76        090
                                                       repair, compl.
58294...............  ..............  A               Vag hyst w/                20.25         NA       9.68       1.65         NA      31.58        090
                                                       enterocele, compl.
58300...............  ..............  N               Insert intrauterine        +1.01       1.42       0.38       0.12       2.55       1.51        XXX
                                                       device.
58301...............  ..............  A               Remove intrauterine         1.27       1.33       0.48       0.16       2.76       1.91        000
                                                       device.
58321...............  ..............  A               Artificial                  0.92       1.15       0.37       0.12       2.19       1.41        000
                                                       insemination.
58322...............  ..............  A               Artificial                  1.10       1.21       0.41       0.13       2.44       1.64        000
                                                       insemination.
58323...............  ..............  A               Sperm washing........       0.23       0.24       0.09       0.02       0.49       0.34        000
58340...............  ..............  A               Catheter for                0.88       6.08       0.65       0.10       7.06       1.63        000
                                                       hysterography.
58345...............  ..............  A               Reopen fallopian tube       4.65         NA       2.44       0.43         NA       7.52        010
58346...............  ..............  A               Insert heyman uteri         6.74         NA       3.93       0.77         NA      11.44        090
                                                       capsule.
58350...............  ..............  A               Reopen fallopian tube       1.01       1.50       0.93       0.12       2.63       2.06        010
58353...............  ..............  A               Endometr ablate,            3.55      36.26       2.05       0.45      40.26       6.05        010
                                                       thermal.
58400...............  ..............  A               Suspension of uterus.       6.35         NA       3.97       0.75         NA      11.07        090
58410...............  ..............  A               Suspension of uterus.      12.71         NA       6.48       1.31         NA      20.50        090
58520...............  ..............  A               Repair of ruptured         11.90         NA       6.07       1.41         NA      19.38        090
                                                       uterus.
58540...............  ..............  A               Revision of uterus...      14.62         NA       6.98       1.54         NA      23.14        090
58545...............  ..............  A               Laparoscopic               14.58         NA       7.19       1.75         NA      23.52        090
                                                       myomectomy.
58546...............  ..............  A               Laparo-myomectomy,         18.97         NA       8.98       1.75         NA      29.70        090
                                                       complex.
58550...............  ..............  A               Laparo-asst vag            14.17         NA       7.31       1.74         NA      23.22        090
                                                       hysterectomy.
58552...............  ..............  A               Laparo-vag hyst incl       15.98         NA       8.02       1.74         NA      25.74        090
                                                       t/o.
58553...............  ..............  A               Laparo-vag hyst,           18.97         NA       8.97       1.48         NA      29.42        090
                                                       complex.
58554...............  ..............  A               Laparo-vag hyst w/t/       21.97         NA      10.46       1.48         NA      33.91        090
                                                       o, compl.
58555...............  ..............  A               Hysteroscopy, dx, sep       3.33       2.10       1.46       0.41       5.84       5.20        000
                                                       proc.
58558...............  ..............  A               Hysteroscopy, biopsy.       4.74         NA       2.06       0.59         NA       7.39        000
58559...............  ..............  A               Hysteroscopy, lysis..       6.16         NA       2.62       0.75         NA       9.53        000
58560...............  ..............  A               Hysteroscopy, resect        6.99         NA       2.97       0.86         NA      10.82        000
                                                       septum.
58561...............  ..............  A               Hysteroscopy, remove        9.99         NA       4.18       1.23         NA      15.40        000
                                                       myoma.

[[Page 1176]]

 
58562...............  ..............  A               Hysteroscopy, remove        5.20         NA       2.21       0.63         NA       8.04        000
                                                       fb.
58563...............  ..............  A               Hysteroscopy,               6.16         NA       2.63       0.75         NA       9.54        000
                                                       ablation.
58578...............  ..............  C               Laparo proc, uterus..       0.00       0.00       0.00       0.00       0.00       0.00        YYY
58579...............  ..............  C               Hysteroscope                0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
58600...............  ..............  A               Division of fallopian       5.59         NA       3.36       0.47         NA       9.42        090
                                                       tube.
58605...............  ..............  A               Division of fallopian       4.99         NA       3.15       0.40         NA       8.54        090
                                                       tube.
58611...............  ..............  A               Ligate oviduct(s) add-      1.45         NA       0.57       0.08         NA       2.10        ZZZ
                                                       on.
58615...............  ..............  A               Occlude fallopian           3.89         NA       2.72       0.48         NA       7.09        010
                                                       tube(s).
58660...............  ..............  A               Laparoscopy, lysis...      11.27         NA       5.28       1.37         NA      17.92        090
58661...............  ..............  A               Laparoscopy, remove        11.03         NA       5.14       1.35         NA      17.52        010
                                                       adnexa.
58662...............  ..............  A               Laparoscopy, excise        11.77         NA       5.80       1.42         NA      18.99        090
                                                       lesions.
58670...............  ..............  A               Laparoscopy, tubal          5.59         NA       3.28       0.66         NA       9.53        090
                                                       cautery.
58671...............  ..............  A               Laparoscopy, tubal          5.59         NA       3.30       0.68         NA       9.57        090
                                                       block.
58672...............  ..............  A               Laparoscopy,               12.86         NA       6.23       1.47         NA      20.56        090
                                                       fimbrioplasty.
58673...............  ..............  A               Laparoscopy,               13.72         NA       6.63       1.69         NA      22.04        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       12.03         NA       6.01       0.77         NA      18.81        090
                                                       tube.
58720...............  ..............  A               Removal of ovary/          11.34         NA       5.81       1.37         NA      18.52        090
                                                       tube(s).
58740...............  ..............  A               Revise fallopian           13.98         NA       7.16       0.71         NA      21.85        090
                                                       tube(s).
58750...............  ..............  A               Repair oviduct.......      14.82         NA       7.41       1.83         NA      24.06        090
58752...............  ..............  A               Revise ovarian             14.82         NA       6.99       1.82         NA      23.63        090
                                                       tube(s).
58760...............  ..............  A               Remove tubal               13.11         NA       6.75       1.62         NA      21.48        090
                                                       obstruction.
58770...............  ..............  A               Create new tubal           13.95         NA       6.95       1.71         NA      22.61        090
                                                       opening.
58800...............  ..............  A               Drainage of ovarian         4.13       4.49       2.99       0.43       9.05       7.55        090
                                                       cyst(s).
58805...............  ..............  A               Drainage of ovarian         5.87         NA       3.55       0.68         NA      10.10        090
                                                       cyst(s).
58820...............  ..............  A               Drain ovary abscess,        4.21         NA       3.34       0.35         NA       7.90        090
                                                       open.
58822...............  ..............  A               Drain ovary abscess,       10.11         NA       5.24       1.11         NA      16.46        090
                                                       percut.
58823...............  ..............  A               Drain pelvic abscess,       3.37         NA       1.12       0.22         NA       4.71        000
                                                       percut.
58825...............  ..............  A               Transposition,             10.96         NA       5.82       0.75         NA      17.53        090
                                                       ovary(s).
58900...............  ..............  A               Biopsy of ovary(s)...       5.98         NA       3.61       0.68         NA      10.27        090
58920...............  ..............  A               Partial removal of         11.34         NA       5.62       0.82         NA      17.78        090
                                                       ovary(s).
58925...............  ..............  A               Removal of ovarian         11.34         NA       5.71       1.37         NA      18.42        090
                                                       cyst(s).
58940...............  ..............  A               Removal of ovary(s)..       7.28         NA       4.13       0.88         NA      12.29        090
58943...............  ..............  A               Removal of ovary(s)..      18.40         NA       8.75       2.24         NA      29.39        090
58950...............  ..............  A               Resect ovarian             16.90         NA       8.50       1.87         NA      27.27        090
                                                       malignancy.
58951...............  ..............  A               Resect ovarian             22.35         NA      10.55       2.65         NA      35.55        090
                                                       malignancy.
58952...............  ..............  A               Resect ovarian             24.97         NA      11.85       3.10         NA      39.92        090
                                                       malignancy.
58953...............  ..............  A               Tah, rad dissect for       31.95         NA      14.61       3.98         NA      50.54        090
                                                       debulk.
58954...............  ..............  A               Tah rad debulk/lymph       34.95         NA      15.77       4.29         NA      55.01        090
                                                       remove.
58960...............  ..............  A               Exploration of             14.63         NA       7.45       1.77         NA      23.85        090
                                                       abdomen.
58970...............  ..............  A               Retrieval of oocyte..       3.52       2.32       1.50       0.43       6.27       5.45        000
58974...............  ..............  C               Transfer of embryo...       0.00       0.00       0.00       0.00       0.00       0.00        000
58976...............  ..............  A               Transfer of embryo...       3.82       2.64       1.83       0.47       6.93       6.12        000
58999...............  ..............  C               Genital surgery             0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
59000...............  ..............  A               Amniocentesis,              1.30       2.10       0.69       0.28       3.68       2.27        000
                                                       diagnostic.
59001...............  ..............  A               Amniocentesis,              3.00         NA       1.41       0.28         NA       4.69        000
                                                       therapeutic.
59012...............  ..............  A               Fetal cord                  3.44         NA       1.56       0.75         NA       5.75        000
                                                       puncture,prenatal.
59015...............  ..............  A               Chorion biopsy.......       2.20       1.57       1.06       0.48       4.25       3.74        000
59020...............  ..............  A               Fetal contract stress       0.66       0.79         NA       0.24       1.69         NA        000
                                                       test.
59020...............  26............  A               Fetal contract stress       0.66       0.27       0.27       0.14       1.07       1.07        000
                                                       test.
59020...............  TC............  A               Fetal contract stress       0.00       0.52         NA       0.10       0.62         NA        000
                                                       test.
59025...............  ..............  A               Fetal non-stress test       0.53       0.45         NA       0.14       1.12         NA        000
59025...............  26............  A               Fetal non-stress test       0.53       0.21       0.21       0.12       0.86       0.86        000
59025...............  TC............  A               Fetal non-stress test       0.00       0.24         NA       0.02       0.26         NA        000
59030...............  ..............  A               Fetal scalp blood           1.99         NA       1.05       0.43         NA       3.47        000
                                                       sample.
59050...............  ..............  A               Fetal monitor w/            0.89         NA       0.36       0.19         NA       1.44        XXX
                                                       report.
59051...............  ..............  A               Fetal monitor/              0.74         NA       0.30       0.17         NA       1.21        XXX
                                                       interpret only.
59070...............  ..............  A               Transabdom amnioinfus       5.24       5.12       2.41       0.28      10.64       7.93        000
                                                       w/ us.
59072...............  ..............  A               Umbilical cord occlud       8.99         NA       3.13       0.68         NA      12.80        000
                                                       w/ us.
59074...............  ..............  A               Fetal fluid drainage        5.24       4.61       2.41       0.28      10.13       7.93        000
                                                       w/ us.
59076...............  ..............  A               Fetal shunt                 8.99         NA       3.13       0.68         NA      12.80        000
                                                       placement, w/ us.
59100...............  ..............  A               Remove uterus lesion.      12.33         NA       6.48       2.67         NA      21.48        090
59120...............  ..............  A               Treat ectopic              11.47         NA       6.27       2.48         NA      20.22        090
                                                       pregnancy.
59121...............  ..............  A               Treat ectopic              11.65         NA       6.35       2.52         NA      20.52        090
                                                       pregnancy.
59130...............  ..............  A               Treat ectopic              14.20         NA       4.99       3.06         NA      22.25        090
                                                       pregnancy.
59135...............  ..............  A               Treat ectopic              13.86         NA       7.25       3.00         NA      24.11        090
                                                       pregnancy.
59136...............  ..............  A               Treat ectopic              13.16         NA       6.64       2.85         NA      22.65        090
                                                       pregnancy.
59140...............  ..............  A               Treat ectopic               5.45       5.20       3.59       1.18      11.83      10.22        090
                                                       pregnancy.
59150...............  ..............  A               Treat ectopic              11.65         NA       6.05       1.48         NA      19.18        090
                                                       pregnancy.
59151...............  ..............  A               Treat ectopic              11.47         NA       6.09       1.70         NA      19.26        090
                                                       pregnancy.
59160...............  ..............  A               D & c after delivery.       2.71       3.27       2.11       0.59       6.57       5.41        010
59200...............  ..............  A               Insert cervical             0.79       1.20       0.31       0.18       2.17       1.28        000
                                                       dilator.
59300...............  ..............  A               Episiotomy or vaginal       2.41       2.16       0.96       0.52       5.09       3.89        000
                                                       repair.
59320...............  ..............  A               Revision of cervix...       2.48         NA       1.26       0.54         NA       4.28        000
59325...............  ..............  A               Revision of cervix...       4.06         NA       1.92       0.88         NA       6.86        000

[[Page 1177]]

 
59350...............  ..............  A               Repair of uterus.....       4.94         NA       1.95       1.06         NA       7.95        000
59400...............  ..............  A               Obstetrical care.....      23.03         NA      15.48       4.99         NA      43.50        MMM
59409...............  ..............  A               Obstetrical care.....      13.48         NA       5.32       2.92         NA      21.72        MMM
59410...............  ..............  A               Obstetrical care.....      14.76         NA       6.33       3.20         NA      24.29        MMM
59412...............  ..............  A               Antepartum                  1.71         NA       0.81       0.37         NA       2.89        MMM
                                                       manipulation.
59414...............  ..............  A               Deliver placenta.....       1.61         NA       0.63       0.35         NA       2.59        MMM
59425...............  ..............  A               Antepartum care only.       4.80       4.26       1.87       1.04      10.10       7.71        MMM
59426...............  ..............  A               Antepartum care only.       8.27       7.65       3.23       1.80      17.72      13.30        MMM
59430...............  ..............  A               Care after delivery..       2.13       1.24       0.94       0.46       3.83       3.53        MMM
59510...............  ..............  A               Cesarean delivery....      26.18         NA      17.43       5.67         NA      49.28        MMM
59514...............  ..............  A               Cesarean delivery          15.95         NA       6.23       3.45         NA      25.63        MMM
                                                       only.
59515...............  ..............  A               Cesarean delivery....      17.34         NA       7.87       3.76         NA      28.97        MMM
59525...............  ..............  A               Remove uterus after         8.53         NA       3.32       1.85         NA      13.70        ZZZ
                                                       cesarean.
59610...............  ..............  A               Vbac delivery........      24.58         NA      16.03       5.32         NA      45.93        MMM
59612...............  ..............  A               Vbac delivery only...      15.04         NA       6.07       3.26         NA      24.37        MMM
59614...............  ..............  A               Vbac care after            16.32         NA       6.96       3.53         NA      26.81        MMM
                                                       delivery.
59618...............  ..............  A               Attempted vbac             27.74         NA      18.43       6.01         NA      52.18        MMM
                                                       delivery.
59620...............  ..............  A               Attempted vbac             17.50         NA       6.78       3.80         NA      28.08        MMM
                                                       delivery only.
59622...............  ..............  A               Attempted vbac after       18.90         NA       8.67       4.09         NA      31.66        MMM
                                                       care.
59812...............  ..............  A               Treatment of                4.00         NA       2.56       0.70         NA       7.26        090
                                                       miscarriage.
59820...............  ..............  A               Care of miscarriage..       4.00         NA       3.52       0.87         NA       8.39        090
59821...............  ..............  A               Treatment of                4.46         NA       3.45       0.96         NA       8.87        090
                                                       miscarriage.
59830...............  ..............  A               Treat uterus                6.10         NA       4.01       1.33         NA      11.44        090
                                                       infection.
59840...............  ..............  R               Abortion.............       3.01         NA       2.13       0.65         NA       5.79        010
59841...............  ..............  R               Abortion.............       5.23       2.58       2.58       1.13       8.94       8.94        010
59850...............  ..............  R               Abortion.............       5.90         NA       3.27       1.28         NA      10.45        090
59851...............  ..............  R               Abortion.............       5.92         NA       3.74       1.28         NA      10.94        090
59852...............  ..............  R               Abortion.............       8.23         NA       5.06       1.79         NA      15.08        090
59855...............  ..............  R               Abortion.............       6.11         NA       3.56       1.33         NA      11.00        090
59856...............  ..............  R               Abortion.............       7.47         NA       4.07       1.62         NA      13.16        090
59857...............  ..............  R               Abortion.............       9.28         NA       4.59       2.00         NA      15.87        090
59866...............  ..............  R               Abortion (mpr).......       3.99         NA       1.83       0.87         NA       6.69        000
59870...............  ..............  A               Evacuate mole of            6.00         NA       4.43       0.93         NA      11.36        090
                                                       uterus.
59871...............  ..............  A               Remove cerclage             2.13       1.76       1.13       0.46       4.35       3.72        000
                                                       suture.
59897...............  ..............  C               Fetal invas px w/ us.       0.00       0.00       0.00       0.00       0.00       0.00        YYY
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       2.16       2.04       0.17       4.09       3.97        010
                                                       cyst.
60001...............  ..............  A               Aspirate/inject             0.97       1.49       0.34       0.07       2.53       1.38        000
                                                       thyriod cyst.
60100...............  ..............  A               Biopsy of thyroid....       1.56       1.42       0.53       0.06       3.04       2.15        000
60200...............  ..............  A               Remove thyroid lesion       9.54         NA       6.14       1.01         NA      16.69        090
60210...............  ..............  A               Partial thyroid            10.86         NA       5.78       1.22         NA      17.86        090
                                                       excision.
60212...............  ..............  A               Partial thyroid            16.01         NA       7.82       1.82         NA      25.65        090
                                                       excision.
60220...............  ..............  A               Partial removal of         11.88         NA       6.30       1.17         NA      19.35        090
                                                       thyroid.
60225...............  ..............  A               Partial removal of         14.17         NA       7.55       1.58         NA      23.30        090
                                                       thyroid.
60240...............  ..............  A               Removal of thyroid...      16.04         NA       7.75       1.81         NA      25.60        090
60252...............  ..............  A               Removal of thyroid...      20.54         NA      10.29       1.97         NA      32.80        090
60254...............  ..............  A               Extensive thyroid          26.95         NA      14.38       2.36         NA      43.69        090
                                                       surgery.
60260...............  ..............  A               Repeat thyroid             17.44         NA       8.85       1.68         NA      27.97        090
                                                       surgery.
60270...............  ..............  A               Removal of thyroid...      20.24         NA      10.66       2.15         NA      33.05        090
60271...............  ..............  A               Removal of thyroid...      16.80         NA       8.78       1.63         NA      27.21        090
60280...............  ..............  A               Remove thyroid duct         5.86         NA       4.83       0.54         NA      11.23        090
                                                       lesion.
60281...............  ..............  A               Remove thyroid duct         8.52         NA       5.99       0.81         NA      15.32        090
                                                       lesion.
60500...............  ..............  A               Explore parathyroid        16.21         NA       7.53       1.94         NA      25.68        090
                                                       glands.
60502...............  ..............  A               Re-explore                 20.32         NA       9.49       2.41         NA      32.22        090
                                                       parathyroids.
60505...............  ..............  A               Explore parathyroid        21.46         NA      11.12       2.58         NA      35.16        090
                                                       glands.
60512...............  ..............  A               Autotransplant              4.44         NA       1.63       0.53         NA       6.60        ZZZ
                                                       parathyroid.
60520...............  ..............  A               Removal of thymus          16.78         NA       8.38       2.22         NA      27.38        090
                                                       gland.
60521...............  ..............  A               Removal of thymus          18.84         NA       9.63       2.82         NA      31.29        090
                                                       gland.
60522...............  ..............  A               Removal of thymus          23.06         NA      11.35       3.41         NA      37.82        090
                                                       gland.
60540...............  ..............  A               Explore adrenal gland      17.00         NA       7.65       1.71         NA      26.36        090
60545...............  ..............  A               Explore adrenal gland      19.85         NA       8.61       2.11         NA      30.57        090
60600...............  ..............  A               Remove carotid body        17.90         NA      10.90       2.26         NA      31.06        090
                                                       lesion.
60605...............  ..............  A               Remove carotid body        20.21         NA      12.79       2.75         NA      35.75        090
                                                       lesion.
60650...............  ..............  A               Laparoscopy                19.97         NA       7.99       2.39         NA      30.35        090
                                                       adrenalectomy.
60659...............  ..............  C               Laparo proc,                0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       endocrine.
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         NA       0.96       0.16         NA       2.70        000
                                                       fluid.
61001...............  ..............  A               Remove cranial cavity       1.49         NA       1.06       0.18         NA       2.73        000
                                                       fluid.
61020...............  ..............  A               Remove brain cavity         1.51         NA       1.35       0.31         NA       3.17        000
                                                       fluid.
61026...............  ..............  A               Injection into brain        1.69         NA       1.41       0.25         NA       3.35        000
                                                       canal.
61050...............  ..............  A               Remove brain canal          1.51         NA       1.26       0.16         NA       2.93        000
                                                       fluid.
61055...............  ..............  A               Injection into brain        2.10         NA       1.42       0.16         NA       3.68        000
                                                       canal.
61070...............  ..............  A               Brain canal shunt           0.89         NA       1.03       0.11         NA       2.03        000
                                                       procedure.
61105...............  ..............  A               Twist drill hole.....       5.13         NA       3.95       1.27         NA      10.35        090

[[Page 1178]]

 
61107...............  ..............  A               Drill skull for             4.99         NA       3.32       1.23         NA       9.54        000
                                                       implantation.
61108...............  ..............  A               Drill skull for            10.17         NA       7.14       2.46         NA      19.77        090
                                                       drainage.
61120...............  ..............  A               Burr hole for               8.75         NA       6.00       2.18         NA      16.93        090
                                                       puncture.
61140...............  ..............  A               Pierce skull for           15.88         NA       9.91       3.80         NA      29.59        090
                                                       biopsy.
61150...............  ..............  A               Pierce skull for           17.54         NA      10.41       4.25         NA      32.20        090
                                                       drainage.
61151...............  ..............  A               Pierce skull for           12.40         NA       7.85       2.95         NA      23.20        090
                                                       drainage.
61154...............  ..............  A               Pierce skull & remove      14.97         NA       9.50       3.68         NA      28.15        090
                                                       clot.
61156...............  ..............  A               Pierce skull for           16.30         NA       9.86       4.12         NA      30.28        090
                                                       drainage.
61210...............  ..............  A               Pierce skull, implant       5.83         NA       3.71       1.40         NA      10.94        000
                                                       device.
61215...............  ..............  A               Insert brain-fluid          4.88         NA       4.02       1.19         NA      10.09        090
                                                       device.
61250...............  ..............  A               Pierce skull &             10.40         NA       6.87       2.44         NA      19.71        090
                                                       explore.
61253...............  ..............  A               Pierce skull &             12.34         NA       7.74       2.73         NA      22.81        090
                                                       explore.
61304...............  ..............  A               Open skull for             21.93         NA      12.88       5.22         NA      40.03        090
                                                       exploration.
61305...............  ..............  A               Open skull for             26.57         NA      15.37       6.33         NA      48.27        090
                                                       exploration.
61312...............  ..............  A               Open skull for             24.53         NA      15.08       6.02         NA      45.63        090
                                                       drainage.
61313...............  ..............  A               Open skull for             24.89         NA      14.85       6.11         NA      45.85        090
                                                       drainage.
61314...............  ..............  A               Open skull for             24.19         NA      13.08       4.82         NA      42.09        090
                                                       drainage.
61315...............  ..............  A               Open skull for             27.64         NA      16.07       6.78         NA      50.49        090
                                                       drainage.
61316...............  ..............  A               Implt cran bone flap        1.39         NA       0.57       0.52         NA       2.48        ZZZ
                                                       to abdo.
61320...............  ..............  A               Open skull for             25.58         NA      14.80       6.27         NA      46.65        090
                                                       drainage.
61321...............  ..............  A               Open skull for             28.46         NA      16.18       6.45         NA      51.09        090
                                                       drainage.
61322...............  ..............  A               Decompressive              29.46         NA      14.45       6.02         NA      49.93        090
                                                       craniotomy.
61323...............  ..............  A               Decompressive              30.95         NA      14.64       6.02         NA      51.61        090
                                                       lobectomy.
61330...............  ..............  A               Decompress eye socket      23.29         NA      13.80       3.11         NA      40.20        090
61332...............  ..............  A               Explore/biopsy eye         27.24         NA      15.66       5.01         NA      47.91        090
                                                       socket.
61333...............  ..............  A               Explore orbit/remove       27.91         NA      15.66       2.70         NA      46.27        090
                                                       lesion.
61334...............  ..............  A               Explore orbit/remove       18.24         NA      10.70       3.64         NA      32.58        090
                                                       object.
61340...............  ..............  A               Subtemporal                18.63         NA      11.16       4.41         NA      34.20        090
                                                       decompression.
61343...............  ..............  A               Incise skull (press        29.73         NA      16.88       7.28         NA      53.89        090
                                                       relief).
61345...............  ..............  A               Relieve cranial            27.16         NA      15.47       6.31         NA      48.94        090
                                                       pressure.
61440...............  ..............  A               Incise skull for           26.59         NA      14.28       6.72         NA      47.59        090
                                                       surgery.
61450...............  ..............  A               Incise skull for           25.91         NA      14.35       6.16         NA      46.42        090
                                                       surgery.
61458...............  ..............  A               Incise skull for           27.25         NA      15.58       6.37         NA      49.20        090
                                                       brain wound.
61460...............  ..............  A               Incise skull for           28.35         NA      16.49       6.19         NA      51.03        090
                                                       surgery.
61470...............  ..............  A               Incise skull for           26.02         NA      13.91       5.61         NA      45.54        090
                                                       surgery.
61480...............  ..............  A               Incise skull for           26.45         NA      15.34       6.68         NA      48.47        090
                                                       surgery.
61490...............  ..............  A               Incise skull for           25.62         NA      14.39       6.48         NA      46.49        090
                                                       surgery.
61500...............  ..............  A               Removal of skull           17.89         NA      10.85       3.93         NA      32.67        090
                                                       lesion.
61501...............  ..............  A               Remove infected skull      14.82         NA       9.25       3.17         NA      27.24        090
                                                       bone.
61510...............  ..............  A               Removal of brain           28.41         NA      16.76       6.96         NA      52.13        090
                                                       lesion.
61512...............  ..............  A               Remove brain lining        35.04         NA      19.76       8.61         NA      63.41        090
                                                       lesion.
61514...............  ..............  A               Removal of brain           25.22         NA      14.50       6.18         NA      45.90        090
                                                       abscess.
61516...............  ..............  A               Removal of brain           24.57         NA      14.33       5.96         NA      44.86        090
                                                       lesion.
61517...............  ..............  A               Implt brain chemotx         1.38         NA       0.57       0.10         NA       2.05        ZZZ
                                                       add-on.
61518...............  ..............  A               Removal of brain           37.26         NA      21.20       9.08         NA      67.54        090
                                                       lesion.
61519...............  ..............  A               Remove brain lining        41.33         NA      22.75       9.83         NA      73.91        090
                                                       lesion.
61520...............  ..............  A               Removal of brain           54.76         NA      30.46      12.18         NA      97.40        090
                                                       lesion.
61521...............  ..............  A               Removal of brain           44.41         NA      24.33      10.67         NA      79.41        090
                                                       lesion.
61522...............  ..............  A               Removal of brain           29.41         NA      16.49       6.39         NA      52.29        090
                                                       abscess.
61524...............  ..............  A               Removal of brain           27.82         NA      15.74       6.04         NA      49.60        090
                                                       lesion.
61526...............  ..............  A               Removal of brain           52.09         NA      29.62       8.10         NA      89.81        090
                                                       lesion.
61530...............  ..............  A               Removal of brain           43.79         NA      25.19       7.44         NA      76.42        090
                                                       lesion.
61531...............  ..............  A               Implant brain              14.61         NA       9.17       3.43         NA      27.21        090
                                                       electrodes.
61533...............  ..............  A               Implant brain              19.68         NA      11.59       4.58         NA      35.85        090
                                                       electrodes.
61534...............  ..............  A               Removal of brain           20.94         NA      12.15       5.01         NA      38.10        090
                                                       lesion.
61535...............  ..............  A               Remove brain               11.61         NA       7.46       2.76         NA      21.83        090
                                                       electrodes.
61536...............  ..............  A               Removal of brain           35.47         NA      19.87       8.06         NA      63.40        090
                                                       lesion.
61537...............  ..............  A               Removal of brain           24.96         NA      14.45       6.49         NA      45.90        090
                                                       tissue.
61538...............  ..............  A               Removal of brain           26.77         NA      15.38       6.49         NA      48.64        090
                                                       tissue.
61539...............  ..............  A               Removal of brain           32.03         NA      17.85       7.98         NA      57.86        090
                                                       tissue.
61540...............  ..............  A               Removal of brain           29.96         NA      17.48       7.98         NA      55.42        090
                                                       tissue.
61541...............  ..............  A               Incision of brain          28.81         NA      16.28       6.63         NA      51.72        090
                                                       tissue.
61542...............  ..............  A               Removal of brain           30.97         NA      17.91       7.83         NA      56.71        090
                                                       tissue.
61543...............  ..............  A               Removal of brain           29.18         NA      16.46       7.37         NA      53.01        090
                                                       tissue.
61544...............  ..............  A               Remove & treat brain       25.46         NA      13.90       5.92         NA      45.28        090
                                                       lesion.
61545...............  ..............  A               Excision of brain          43.73         NA      24.33      10.71         NA      78.77        090
                                                       tumor.
61546...............  ..............  A               Removal of pituitary       31.25         NA      17.58       7.31         NA      56.14        090
                                                       gland.
61548...............  ..............  A               Removal of pituitary       21.50         NA      12.85       4.38         NA      38.73        090
                                                       gland.
61550...............  ..............  A               Release of skull           14.63         NA       7.01       1.37         NA      23.01        090
                                                       seams.
61552...............  ..............  A               Release of skull           19.53         NA       9.20       1.06         NA      29.79        090
                                                       seams.
61556...............  ..............  A               Incise skull/sutures.      22.23         NA      11.42       4.31         NA      37.96        090
61557...............  ..............  A               Incise skull/sutures.      22.35         NA      13.68       5.64         NA      41.67        090
61558...............  ..............  A               Excision of skull/         25.54         NA      14.25       3.15         NA      42.94        090
                                                       sutures.
61559...............  ..............  A               Excision of skull/         32.74         NA      19.39       8.27         NA      60.40        090
                                                       sutures.
61563...............  ..............  A               Excision of skull          26.79         NA      15.33       5.38         NA      47.50        090
                                                       tumor.

[[Page 1179]]

 
61564...............  ..............  A               Excision of skull          33.78         NA      18.37       8.54         NA      60.69        090
                                                       tumor.
61566...............  ..............  A               Removal of brain           30.95         NA      17.42       6.49         NA      54.86        090
                                                       tissue.
61567...............  ..............  A               Incision of brain          35.45         NA      20.73       6.49         NA      62.67        090
                                                       tissue.
61570...............  ..............  A               Remove foreign body,       24.56         NA      13.97       5.55         NA      44.08        090
                                                       brain.
61571...............  ..............  A               Incise skull for           26.35         NA      15.21       6.31         NA      47.87        090
                                                       brain wound.
61575...............  ..............  A               Skull base/brainstem       34.31         NA      19.74       6.05         NA      60.10        090
                                                       surgery.
61576...............  ..............  A               Skull base/brainstem       52.35         NA      29.68       5.64         NA      87.67        090
                                                       surgery.
61580...............  ..............  A               Craniofacial               30.30         NA      25.49       3.32         NA      59.11        090
                                                       approach, skull.
61581...............  ..............  A               Craniofacial               34.55         NA      23.05       4.06         NA      61.66        090
                                                       approach, skull.
61582...............  ..............  A               Craniofacial               31.61         NA      26.99       7.60         NA      66.20        090
                                                       approach, skull.
61583...............  ..............  A               Craniofacial               36.16         NA      25.01       8.37         NA      69.54        090
                                                       approach, skull.
61584...............  ..............  A               Orbitocranial              34.60         NA      24.41       7.88         NA      66.89        090
                                                       approach/skull.
61585...............  ..............  A               Orbitocranial              38.55         NA      26.46       7.47         NA      72.48        090
                                                       approach/skull.
61586...............  ..............  A               Resect nasopharynx,        25.06         NA      22.35       4.25         NA      51.66        090
                                                       skull.
61590...............  ..............  A               Infratemporal              41.72         NA      28.81       5.16         NA      75.69        090
                                                       approach/skull.
61591...............  ..............  A               Infratemporal              43.61         NA      29.71       6.34         NA      79.66        090
                                                       approach/skull.
61592...............  ..............  A               Orbitocranial              39.58         NA      26.60       9.11         NA      75.29        090
                                                       approach/skull.
61595...............  ..............  A               Transtemporal              29.53         NA      22.51       3.68         NA      55.72        090
                                                       approach/skull.
61596...............  ..............  A               Transcochlear              35.58         NA      24.59       5.13         NA      65.30        090
                                                       approach/skull.
61597...............  ..............  A               Transcondylar              37.90         NA      23.05       8.02         NA      68.97        090
                                                       approach/skull.
61598...............  ..............  A               Transpetrosal              33.36         NA      23.35       5.55         NA      62.26        090
                                                       approach/skull.
61600...............  ..............  A               Resect/excise cranial      25.81         NA      19.88       3.76         NA      49.45        090
                                                       lesion.
61601...............  ..............  A               Resect/excise cranial      27.85         NA      20.56       6.38         NA      54.79        090
                                                       lesion.
61605...............  ..............  A               Resect/excise cranial      29.29         NA      22.16       3.03         NA      54.48        090
                                                       lesion.
61606...............  ..............  A               Resect/excise cranial      38.77         NA      25.23       8.21         NA      72.21        090
                                                       lesion.
61607...............  ..............  A               Resect/excise cranial      36.22         NA      23.88       6.86         NA      66.96        090
                                                       lesion.
61608...............  ..............  A               Resect/excise cranial      42.04         NA      26.67      10.02         NA      78.73        090
                                                       lesion.
61609...............  ..............  A               Transect artery,            9.88         NA       4.87       2.50         NA      17.25        ZZZ
                                                       sinus.
61610...............  ..............  A               Transect artery,           29.63         NA      13.19       4.25         NA      47.07        ZZZ
                                                       sinus.
61611...............  ..............  A               Transect artery,            7.41         NA       3.84       1.87         NA      13.12        ZZZ
                                                       sinus.
61612...............  ..............  A               Transect artery,           27.84         NA      13.36       4.28         NA      45.48        ZZZ
                                                       sinus.
61613...............  ..............  A               Remove aneurysm,           40.80         NA      26.34      10.03         NA      77.17        090
                                                       sinus.
61615...............  ..............  A               Resect/excise lesion,      32.02         NA      22.82       5.60         NA      60.44        090
                                                       skull.
61616...............  ..............  A               Resect/excise lesion,      43.27         NA      28.77       8.47         NA      80.51        090
                                                       skull.
61618...............  ..............  A               Repair dura..........      16.96         NA      10.51       3.52         NA      30.99        090
61619...............  ..............  A               Repair dura..........      20.68         NA      12.31       4.12         NA      37.11        090
61623...............  ..............  A               Endovasc tempory            9.95         NA       4.23       0.60         NA      14.78        000
                                                       vessel occl.
61624...............  ..............  A               Transcath occlusion,       20.12         NA       6.93       1.39         NA      28.44        000
                                                       cns.
61626...............  ..............  A               Transcath occlusion,       16.60         NA       5.54       1.01         NA      23.15        000
                                                       non-cns.
61680...............  ..............  A               Intracranial vessel        30.66         NA      17.52       7.28         NA      55.46        090
                                                       surgery.
61682...............  ..............  A               Intracranial vessel        61.48         NA      32.37      15.31         NA     109.16        090
                                                       surgery.
61684...............  ..............  A               Intracranial vessel        39.75         NA      22.10       9.49         NA      71.34        090
                                                       surgery.
61686...............  ..............  A               Intracranial vessel        64.39         NA      34.88      15.92         NA     115.19        090
                                                       surgery.
61690...............  ..............  A               Intracranial vessel        29.27         NA      16.80       6.65         NA      52.72        090
                                                       surgery.
61692...............  ..............  A               Intracranial vessel        51.79         NA      27.61      12.27         NA      91.67        090
                                                       surgery.
61697...............  ..............  A               Brain aneurysm repr,       50.44         NA      28.13      12.43         NA      91.00        090
                                                       complx.
61698...............  ..............  A               Brain aneurysm repr,       48.34         NA      26.80      12.05         NA      87.19        090
                                                       complx.
61700...............  ..............  A               Brain aneurysm repr,       50.44         NA      27.93      12.28         NA      90.65        090
                                                       simple.
61702...............  ..............  A               Inner skull vessel         48.34         NA      26.15      11.76         NA      86.25        090
                                                       surgery.
61703...............  ..............  A               Clamp neck artery....      17.44         NA      10.52       4.37         NA      32.33        090
61705...............  ..............  A               Revise circulation to      36.15         NA      19.34       8.04         NA      63.53        090
                                                       head.
61708...............  ..............  A               Revise circulation to      35.25         NA      15.20       2.63         NA      53.08        090
                                                       head.
61710...............  ..............  A               Revise circulation to      29.63         NA      13.66       2.92         NA      46.21        090
                                                       head.
61711...............  ..............  A               Fusion of skull            36.28         NA      19.90       8.91         NA      65.09        090
                                                       arteries.
61720...............  ..............  A               Incise skull/brain         16.74         NA      10.03       4.23         NA      31.00        090
                                                       surgery.
61735...............  ..............  A               Incise skull/brain         20.40         NA      12.22       5.02         NA      37.64        090
                                                       surgery.
61750...............  ..............  A               Incise skull/brain         18.17         NA      10.67       4.47         NA      33.31        090
                                                       biopsy.
61751...............  ..............  A               Brain biopsy w/ct/mr       17.59         NA      10.86       4.31         NA      32.76        090
                                                       guide.
61760...............  ..............  A               Implant brain              22.24         NA       8.77       5.54         NA      36.55        090
                                                       electrodes.
61770...............  ..............  A               Incise skull for           21.41         NA      12.31       4.93         NA      38.65        090
                                                       treatment.
61790...............  ..............  A               Treat trigeminal           10.84         NA       5.95       2.20         NA      18.99        090
                                                       nerve.
61791...............  ..............  A               Treat trigeminal           14.59         NA       8.96       3.65         NA      27.20        090
                                                       tract.
61793...............  ..............  A               Focus radiation beam.      17.21         NA      10.16       4.23         NA      31.60        090
61795...............  ..............  A               Brain surgery using         4.03         NA       2.04       0.98         NA       7.05        ZZZ
                                                       computer.
61850...............  ..............  A               Implant                    12.37         NA       7.71       2.69         NA      22.77        090
                                                       neuroelectrodes.
61860...............  ..............  A               Implant                    20.84         NA      12.13       4.87         NA      37.84        090
                                                       neuroelectrodes.
61862...............  ..............  D               Implant neurostimul,        0.00       0.00       0.00       0.00       0.00       0.00        090
                                                       subcort.
61863...............  ..............  A               Implant                    18.97         NA       9.21       4.79         NA      32.97        090
                                                       neuroelectrode.
61864...............  ..............  A               Implant                     4.49         NA       2.29       1.13         NA       7.91        ZZZ
                                                       neuroelectrde, add'l.
61867...............  ..............  A               Implant                    31.29         NA      13.81       4.79         NA      49.89        090
                                                       neuroelectrode.
61868...............  ..............  A               Implant                     7.91         NA       4.03       1.21         NA      13.15        ZZZ
                                                       neuroelectrde, add'l.
61870...............  ..............  A               Implant                    14.92         NA       9.82       2.05         NA      26.79        090
                                                       neuroelectrodes.
61875...............  ..............  A               Implant                    15.04         NA       8.61       2.92         NA      26.57        090
                                                       neuroelectrodes.
61880...............  ..............  A               Revise/remove               6.28         NA       4.60       1.58         NA      12.46        090
                                                       neuroelectrode.
61885...............  ..............  A               Implant neurostim one       5.84         NA       5.32       1.47         NA      12.63        090
                                                       array.

[[Page 1180]]

 
61886...............  ..............  A               Implant neurostim           7.99         NA       6.36       1.98         NA      16.33        090
                                                       arrays.
61888...............  ..............  A               Revise/remove               5.06         NA       3.88       1.25         NA      10.19        010
                                                       neuroreceiver.
62000...............  ..............  A               Treat skull fracture.      12.51         NA       5.55       1.05         NA      19.11        090
62005...............  ..............  A               Treat skull fracture.      16.15         NA       8.83       2.81         NA      27.79        090
62010...............  ..............  A               Treatment of head          19.78         NA      11.75       4.88         NA      36.41        090
                                                       injury.
62100...............  ..............  A               Repair brain fluid         22.00         NA      12.85       4.91         NA      39.76        090
                                                       leakage.
62115...............  ..............  A               Reduction of skull         21.63         NA      11.69       5.46         NA      38.78        090
                                                       defect.
62116...............  ..............  A               Reduction of skull         23.55         NA      13.42       5.85         NA      42.82        090
                                                       defect.
62117...............  ..............  A               Reduction of skull         26.56         NA      15.44       6.71         NA      48.71        090
                                                       defect.
62120...............  ..............  A               Repair skull cavity        23.31         NA      14.33       3.70         NA      41.34        090
                                                       lesion.
62121...............  ..............  A               Incise skull repair..      21.55         NA      12.75       2.98         NA      37.28        090
62140...............  ..............  A               Repair of skull            13.49         NA       8.36       3.14         NA      24.99        090
                                                       defect.
62141...............  ..............  A               Repair of skull            14.89         NA       9.10       3.44         NA      27.43        090
                                                       defect.
62142...............  ..............  A               Remove skull plate/        10.77         NA       7.03       2.53         NA      20.33        090
                                                       flap.
62143...............  ..............  A               Replace skull plate/       13.03         NA       8.08       3.08         NA      24.19        090
                                                       flap.
62145...............  ..............  A               Repair of skull &          18.79         NA      10.95       4.60         NA      34.34        090
                                                       brain.
62146...............  ..............  A               Repair of skull with       16.10         NA       9.68       3.55         NA      29.33        090
                                                       graft.
62147...............  ..............  A               Repair of skull with       19.31         NA      11.38       4.39         NA      35.08        090
                                                       graft.
62148...............  ..............  A               Retr bone flap to fix       2.00         NA       0.82       0.52         NA       3.34        ZZZ
                                                       skull.
62160...............  ..............  A               Neuroendoscopy add-on       3.00         NA       1.14       0.63         NA       4.77        ZZZ
62161...............  ..............  A               Dissect brain w/scope      19.97         NA       9.56       4.46         NA      33.99        090
62162...............  ..............  A               Remove colloid cyst w/     25.21         NA      11.69       6.96         NA      43.86        090
                                                       scope.
62163...............  ..............  A               Neuroendoscopy w/fb        15.48         NA       7.85       4.46         NA      27.79        090
                                                       removal.
62164...............  ..............  A               Remove brain tumor w/      27.46         NA      12.90       6.96         NA      47.32        090
                                                       scope.
62165...............  ..............  A               Remove pituit tumor w/     21.97         NA      10.51       4.38         NA      36.86        090
                                                       scope.
62180...............  ..............  A               Establish brain            21.03         NA      12.34       5.21         NA      38.58        090
                                                       cavity shunt.
62190...............  ..............  A               Establish brain            11.05         NA       7.11       2.63         NA      20.79        090
                                                       cavity shunt.
62192...............  ..............  A               Establish brain            12.23         NA       7.66       2.97         NA      22.86        090
                                                       cavity shunt.
62194...............  ..............  A               Replace/irrigate            5.02         NA       2.79       0.60         NA       8.41        010
                                                       catheter.
62200...............  ..............  A               Establish brain            18.29         NA      10.89       4.46         NA      33.64        090
                                                       cavity shunt.
62201...............  ..............  A               Brain cavity shunt w/      14.84         NA       9.49       3.04         NA      27.37        090
                                                       scope.
62220...............  ..............  A               Establish brain            12.98         NA       8.02       3.05         NA      24.05        090
                                                       cavity shunt.
62223...............  ..............  A               Establish brain            12.85         NA       8.28       3.11         NA      24.24        090
                                                       cavity shunt.
62225...............  ..............  A               Replace/irrigate            5.40         NA       4.11       1.31         NA      10.82        090
                                                       catheter.
62230...............  ..............  A               Replace/revise brain       10.52         NA       6.51       2.53         NA      19.56        090
                                                       shunt.
62252...............  ..............  A               Csf shunt reprogram..       0.74       1.48         NA       0.21       2.43         NA        XXX
62252...............  26............  A               Csf shunt reprogram..       0.74       0.37       0.37       0.19       1.30       1.30        XXX
62252...............  TC............  A               Csf shunt reprogram..       0.00       1.11         NA       0.02       1.13         NA        XXX
62256...............  ..............  A               Remove brain cavity         6.59         NA       4.72       1.62         NA      12.93        090
                                                       shunt.
62258...............  ..............  A               Replace brain cavity       14.52         NA       8.74       3.51         NA      26.77        090
                                                       shunt.
62263...............  ..............  A               Epidural lysis mult         6.13      11.87       2.39       0.51      18.51       9.03        010
                                                       sessions.
62264...............  ..............  A               Epidural lysis on           4.42       7.66       1.40       0.36      12.44       6.18        010
                                                       single day.
62268...............  ..............  A               Drain spinal cord           4.73      10.58       2.18       0.35      15.66       7.26        000
                                                       cyst.
62269...............  ..............  A               Needle biopsy, spinal       5.01      12.80       2.01       0.35      18.16       7.37        000
                                                       cord.
62270...............  ..............  A               Spinal fluid tap,           1.13       3.08       0.49       0.07       4.28       1.69        000
                                                       diagnostic.
62272...............  ..............  A               Drain cerebro spinal        1.35       3.68       0.64       0.16       5.19       2.15        000
                                                       fluid.
62273...............  ..............  A               Treat epidural spine        2.15       2.73       0.57       0.17       5.05       2.89        000
                                                       lesion.
62280...............  ..............  A               Treat spinal cord           2.63       6.59       0.88       0.21       9.43       3.72        010
                                                       lesion.
62281...............  ..............  A               Treat spinal cord           2.66       5.76       0.77       0.19       8.61       3.62        010
                                                       lesion.
62282...............  ..............  A               Treat spinal canal          2.33       8.20       0.79       0.17      10.70       3.29        010
                                                       lesion.
62284...............  ..............  A               Injection for               1.54       4.88       0.60       0.12       6.54       2.26        000
                                                       myelogram.
62287...............  ..............  A               Percutaneous                8.07         NA       5.52       0.80         NA      14.39        090
                                                       diskectomy.
62290...............  ..............  A               Inject for spine disk       3.00       6.81       1.28       0.24      10.05       4.52        000
                                                       x-ray.
62291...............  ..............  A               Inject for spine disk       2.91       5.69       1.13       0.21       8.81       4.25        000
                                                       x-ray.
62292...............  ..............  A               Injection into disk         7.85         NA       4.50       0.78         NA      13.13        090
                                                       lesion.
62294...............  ..............  A               Injection into spinal      11.81         NA       5.62       1.03         NA      18.46        090
                                                       artery.
62310...............  ..............  A               Inject spine c/t.....       1.91       4.83       0.50       0.13       6.87       2.54        000
62311...............  ..............  A               Inject spine l/s (cd)       1.54       4.91       0.45       0.11       6.56       2.10        000
62318...............  ..............  A               Inject spine w/cath,        2.04       5.51       0.51       0.14       7.69       2.69        000
                                                       c/t.
62319...............  ..............  A               Inject spine w/cath l/      1.87       4.82       0.47       0.13       6.82       2.47        000
                                                       s (cd).
62350...............  ..............  A               Implant spinal canal        6.86         NA       3.99       0.77         NA      11.62        090
                                                       cath.
62351...............  ..............  A               Implant spinal canal        9.99         NA       7.10       2.16         NA      19.25        090
                                                       cath.
62355...............  ..............  A               Remove spinal canal         5.44         NA       3.20       0.57         NA       9.21        090
                                                       catheter.
62360...............  ..............  A               Insert spine infusion       2.62         NA       2.71       0.25         NA       5.58        090
                                                       device.
62361...............  ..............  A               Implant spine               5.41         NA       3.91       0.60         NA       9.92        090
                                                       infusion pump.
62362...............  ..............  A               Implant spine               7.03         NA       4.38       1.04         NA      12.45        090
                                                       infusion pump.
62365...............  ..............  A               Remove spine infusion       5.41         NA       3.60       0.70         NA       9.71        090
                                                       device.
62367...............  ..............  C               Analyze spine               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       infusion pump.
62367...............  26............  A               Analyze spine               0.48       0.13       0.13       0.04       0.65       0.65        XXX
                                                       infusion pump.
62367...............  TC............  C               Analyze spine               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       infusion pump.
62368...............  ..............  C               Analyze spine               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       infusion pump.
62368...............  26............  A               Analyze spine               0.75       0.19       0.19       0.06       1.00       1.00        XXX
                                                       infusion pump.
62368...............  TC............  C               Analyze spine               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       infusion pump.
63001...............  ..............  A               Removal of spinal          15.80         NA       9.52       3.65         NA      28.97        090
                                                       lamina.
63003...............  ..............  A               Removal of spinal          15.93         NA       9.86       3.59         NA      29.38        090
                                                       lamina.

[[Page 1181]]

 
63005...............  ..............  A               Removal of spinal          14.90         NA       9.93       3.16         NA      27.99        090
                                                       lamina.
63011...............  ..............  A               Removal of spinal          14.50         NA       8.26       1.72         NA      24.48        090
                                                       lamina.
63012...............  ..............  A               Removal of spinal          15.38         NA      10.09       3.27         NA      28.74        090
                                                       lamina.
63015...............  ..............  A               Removal of spinal          19.32         NA      11.89       4.63         NA      35.84        090
                                                       lamina.
63016...............  ..............  A               Removal of spinal          19.17         NA      11.79       4.37         NA      35.33        090
                                                       lamina.
63017...............  ..............  A               Removal of spinal          15.92         NA      10.36       3.51         NA      29.79        090
                                                       lamina.
63020...............  ..............  A               Neck spine disk            14.79         NA       9.67       3.49         NA      27.95        090
                                                       surgery.
63030...............  ..............  A               Low back disk surgery      11.98         NA       8.39       2.67         NA      23.04        090
63035...............  ..............  A               Spinal disk surgery         3.15         NA       1.59       0.69         NA       5.43        ZZZ
                                                       add-on.
63040...............  ..............  A               Laminotomy, single         18.78         NA      11.50       4.05         NA      34.33        090
                                                       cervical.
63042...............  ..............  A               Laminotomy, single         17.44         NA      11.30       3.75         NA      32.49        090
                                                       lumbar.
63043...............  ..............  C               Laminotomy, add'l           0.00       0.00       0.00       0.00       0.00       0.00        ZZZ
                                                       cervical.
63044...............  ..............  C               Laminotomy, add'l           0.00       0.00       0.00       0.00       0.00       0.00        ZZZ
                                                       lumbar.
63045...............  ..............  A               Removal of spinal          16.48         NA      10.35       3.85         NA      30.68        090
                                                       lamina.
63046...............  ..............  A               Removal of spinal          15.78         NA      10.16       3.49         NA      29.43        090
                                                       lamina.
63047...............  ..............  A               Removal of spinal          14.59         NA       9.85       3.15         NA      27.59        090
                                                       lamina.
63048...............  ..............  A               Remove spinal lamina        3.26         NA       1.67       0.70         NA       5.63        ZZZ
                                                       add-on.
63055...............  ..............  A               Decompress spinal          21.96         NA      13.14       4.93         NA      40.03        090
                                                       cord.
63056...............  ..............  A               Decompress spinal          20.33         NA      12.54       4.03         NA      36.90        090
                                                       cord.
63057...............  ..............  A               Decompress spine cord       5.25         NA       2.64       0.98         NA       8.87        ZZZ
                                                       add-on.
63064...............  ..............  A               Decompress spinal          24.57         NA      14.45       5.69         NA      44.71        090
                                                       cord.
63066...............  ..............  A               Decompress spine cord       3.26         NA       1.67       0.76         NA       5.69        ZZZ
                                                       add-on.
63075...............  ..............  A               Neck spine disk            19.38         NA      12.08       4.50         NA      35.96        090
                                                       surgery.
63076...............  ..............  A               Neck spine disk             4.04         NA       2.06       0.94         NA       7.04        ZZZ
                                                       surgery.
63077...............  ..............  A               Spine disk surgery,        21.41         NA      12.76       4.15         NA      38.32        090
                                                       thorax.
63078...............  ..............  A               Spine disk surgery,         3.28         NA       1.64       0.60         NA       5.52        ZZZ
                                                       thorax.
63081...............  ..............  A               Removal of vertebral       23.69         NA      14.33       5.38         NA      43.40        090
                                                       body.
63082...............  ..............  A               Remove vertebral body       4.36         NA       2.23       0.99         NA       7.58        ZZZ
                                                       add-on.
63085...............  ..............  A               Removal of vertebral       26.88         NA      15.47       5.67         NA      48.02        090
                                                       body.
63086...............  ..............  A               Remove vertebral body       3.19         NA       1.60       0.66         NA       5.45        ZZZ
                                                       add-on.
63087...............  ..............  A               Removal of vertebral       35.52         NA      19.45       7.08         NA      62.05        090
                                                       body.
63088...............  ..............  A               Remove vertebral body       4.32         NA       2.18       0.93         NA       7.43        ZZZ
                                                       add-on.
63090...............  ..............  A               Removal of vertebral       28.12         NA      16.01       5.15         NA      49.28        090
                                                       body.
63091...............  ..............  A               Remove vertebral body       3.03         NA       1.46       0.54         NA       5.03        ZZZ
                                                       add-on.
63101...............  ..............  A               Removal of vertebral       31.95         NA      19.34       5.69         NA      56.98        090
                                                       body.
63102...............  ..............  A               Removal of vertebral       31.95         NA      19.34       5.69         NA      56.98        090
                                                       body.
63103...............  ..............  A               Remove vertebral body       3.89         NA       2.01       0.76         NA       6.66        ZZZ
                                                       add-on.
63170...............  ..............  A               Incise spinal cord         19.80         NA      12.06       4.69         NA      36.55        090
                                                       tract(s).
63172...............  ..............  A               Drainage of spinal         17.63         NA      10.85       4.17         NA      32.65        090
                                                       cyst.
63173...............  ..............  A               Drainage of spinal         21.96         NA      13.03       4.99         NA      39.98        090
                                                       cyst.
63180...............  ..............  A               Revise spinal cord         18.24         NA      11.21       4.62         NA      34.07        090
                                                       ligaments.
63182...............  ..............  A               Revise spinal cord         20.47         NA      11.18       4.20         NA      35.85        090
                                                       ligaments.
63185...............  ..............  A               Incise spinal column/      15.02         NA       8.25       2.51         NA      25.78        090
                                                       nerves.
63190...............  ..............  A               Incise spinal column/      17.42         NA      10.31       3.47         NA      31.20        090
                                                       nerves.
63191...............  ..............  A               Incise spinal column/      17.51         NA      10.68       4.22         NA      32.41        090
                                                       nerves.
63194...............  ..............  A               Incise spinal column       19.16         NA      11.89       4.84         NA      35.89        090
                                                       & cord.
63195...............  ..............  A               Incise spinal column       18.81         NA      11.24       4.15         NA      34.20        090
                                                       & cord.
63196...............  ..............  A               Incise spinal column       22.27         NA      13.58       5.62         NA      41.47        090
                                                       & cord.
63197...............  ..............  A               Incise spinal column       21.08         NA      12.39       5.33         NA      38.80        090
                                                       & cord.
63198...............  ..............  A               Incise spinal column       25.34         NA       8.63       6.40         NA      40.37        090
                                                       & cord.
63199...............  ..............  A               Incise spinal column       26.85         NA      15.24       6.78         NA      48.87        090
                                                       & cord.
63200...............  ..............  A               Release of spinal          19.15         NA      11.48       4.35         NA      34.98        090
                                                       cord.
63250...............  ..............  A               Revise spinal cord         40.70         NA      20.03       9.23         NA      69.96        090
                                                       vessels.
63251...............  ..............  A               Revise spinal cord         41.14         NA      22.69       9.62         NA      73.45        090
                                                       vessels.
63252...............  ..............  A               Revise spinal cord         41.13         NA      22.33       9.35         NA      72.81        090
                                                       vessels.
63265...............  ..............  A               Excise intraspinal         21.53         NA      12.81       5.17         NA      39.51        090
                                                       lesion.
63266...............  ..............  A               Excise intraspinal         22.27         NA      13.22       5.39         NA      40.88        090
                                                       lesion.
63267...............  ..............  A               Excise intraspinal         17.92         NA      11.09       4.22         NA      33.23        090
                                                       lesion.
63268...............  ..............  A               Excise intraspinal         18.49         NA      10.42       3.84         NA      32.75        090
                                                       lesion.
63270...............  ..............  A               Excise intraspinal         26.76         NA      15.52       6.53         NA      48.81        090
                                                       lesion.
63271...............  ..............  A               Excise intraspinal         26.88         NA      15.63       6.71         NA      49.22        090
                                                       lesion.
63272...............  ..............  A               Excise intraspinal         25.28         NA      14.73       6.11         NA      46.12        090
                                                       lesion.
63273...............  ..............  A               Excise intraspinal         24.25         NA      14.39       6.13         NA      44.77        090
                                                       lesion.
63275...............  ..............  A               Biopsy/excise spinal       23.64         NA      13.83       5.64         NA      43.11        090
                                                       tumor.
63276...............  ..............  A               Biopsy/excise spinal       23.41         NA      13.72       5.58         NA      42.71        090
                                                       tumor.
63277...............  ..............  A               Biopsy/excise spinal       20.80         NA      12.54       4.86         NA      38.20        090
                                                       tumor.
63278...............  ..............  A               Biopsy/excise spinal       20.53         NA      12.39       4.85         NA      37.77        090
                                                       tumor.
63280...............  ..............  A               Biopsy/excise spinal       28.31         NA      16.37       7.00         NA      51.68        090
                                                       tumor.
63281...............  ..............  A               Biopsy/excise spinal       28.01         NA      16.22       6.84         NA      51.07        090
                                                       tumor.
63282...............  ..............  A               Biopsy/excise spinal       26.35         NA      15.38       6.43         NA      48.16        090
                                                       tumor.
63283...............  ..............  A               Biopsy/excise spinal       24.96         NA      14.71       6.18         NA      45.85        090
                                                       tumor.
63285...............  ..............  A               Biopsy/excise spinal       35.95         NA      20.01       8.82         NA      64.78        090
                                                       tumor.
63286...............  ..............  A               Biopsy/excise spinal       35.58         NA      19.97       8.53         NA      64.08        090
                                                       tumor.
63287...............  ..............  A               Biopsy/excise spinal       36.64         NA      20.53       9.02         NA      66.19        090
                                                       tumor.
63290...............  ..............  A               Biopsy/excise spinal       37.32         NA      20.66       9.23         NA      67.21        090
                                                       tumor.

[[Page 1182]]

 
63300...............  ..............  A               Removal of vertebral       24.39         NA      14.34       5.77         NA      44.50        090
                                                       body.
63301...............  ..............  A               Removal of vertebral       27.56         NA      15.58       6.07         NA      49.21        090
                                                       body.
63302...............  ..............  A               Removal of vertebral       27.77         NA      15.88       6.33         NA      49.98        090
                                                       body.
63303...............  ..............  A               Removal of vertebral       30.45         NA      16.92       6.28         NA      53.65        090
                                                       body.
63304...............  ..............  A               Removal of vertebral       30.28         NA      17.34       5.69         NA      53.31        090
                                                       body.
63305...............  ..............  A               Removal of vertebral       31.98         NA      18.06       6.50         NA      56.54        090
                                                       body.
63306...............  ..............  A               Removal of vertebral       32.17         NA      17.84       2.88         NA      52.89        090
                                                       body.
63307...............  ..............  A               Removal of vertebral       31.58         NA      16.82       5.10         NA      53.50        090
                                                       body.
63308...............  ..............  A               Remove vertebral body       5.24         NA       2.62       1.22         NA       9.08        ZZZ
                                                       add-on.
63600...............  ..............  A               Remove spinal cord         14.00         NA       5.44       1.47         NA      20.91        090
                                                       lesion.
63610...............  ..............  A               Stimulation of spinal       8.72      55.66       2.30       0.52      64.90      11.54        000
                                                       cord.
63615...............  ..............  A               Remove lesion of           16.26         NA       9.41       3.44         NA      29.11        090
                                                       spinal cord.
63650...............  ..............  A               Implant                     6.73         NA       3.22       0.58         NA      10.53        090
                                                       neuroelectrodes.
63655...............  ..............  A               Implant                    10.27         NA       6.90       2.23         NA      19.40        090
                                                       neuroelectrodes.
63660...............  ..............  A               Revise/remove               6.15         NA       3.63       0.78         NA      10.56        090
                                                       neuroelectrode.
63685...............  ..............  A               Implant neuroreceiver       7.03         NA       4.16       1.16         NA      12.35        090
63688...............  ..............  A               Revise/remove               5.38         NA       3.57       0.84         NA       9.79        090
                                                       neuroreceiver.
63700...............  ..............  A               Repair of spinal           16.51         NA      10.27       3.24         NA      30.02        090
                                                       herniation.
63702...............  ..............  A               Repair of spinal           18.45         NA      10.84       1.64         NA      30.93        090
                                                       herniation.
63704...............  ..............  A               Repair of spinal           21.15         NA      12.89       4.63         NA      38.67        090
                                                       herniation.
63706...............  ..............  A               Repair of spinal           24.07         NA      13.61       5.70         NA      43.38        090
                                                       herniation.
63707...............  ..............  A               Repair spinal fluid        11.24         NA       7.68       2.36         NA      21.28        090
                                                       leakage.
63709...............  ..............  A               Repair spinal fluid        14.30         NA       9.36       3.00         NA      26.66        090
                                                       leakage.
63710...............  ..............  A               Graft repair of spine      14.05         NA       9.05       3.15         NA      26.25        090
                                                       defect.
63740...............  ..............  A               Install spinal shunt.      11.34         NA       7.38       2.59         NA      21.31        090
63741...............  ..............  A               Install spinal shunt.       8.24         NA       4.78       1.27         NA      14.29        090
63744...............  ..............  A               Revision of spinal          8.09         NA       5.28       1.82         NA      15.19        090
                                                       shunt.
63746...............  ..............  A               Removal of spinal           6.42         NA       3.80       1.39         NA      11.61        090
                                                       shunt.
64400...............  ..............  A               N block inj,                1.11       2.01       0.37       0.07       3.19       1.55        000
                                                       trigeminal.
64402...............  ..............  A               N block inj, facial..       1.25       1.74       0.53       0.08       3.07       1.86        000
64405...............  ..............  A               N block inj,                1.32       1.52       0.39       0.10       2.94       1.81        000
                                                       occipital.
64408...............  ..............  A               N block inj, vagus...       1.41       1.58       0.66       0.11       3.10       2.18        000
64410...............  ..............  A               N block inj, phrenic.       1.43       2.56       0.39       0.10       4.09       1.92        000
64412...............  ..............  A               N block inj, spinal         1.18       2.71       0.37       0.10       3.99       1.65        000
                                                       accessor.
64413...............  ..............  A               N block inj, cervical       1.40       1.88       0.43       0.11       3.39       1.94        000
                                                       plexus.
64415...............  ..............  A               N block inj, brachial       1.48       2.84       0.39       0.10       4.42       1.97        000
                                                       plexus.
64416...............  ..............  A               N block cont infuse,        3.49         NA       0.72       0.10         NA       4.31        010
                                                       b plex.
64417...............  ..............  A               N block inj, axillary       1.44       3.09       0.42       0.11       4.64       1.97        000
64418...............  ..............  A               N block inj,                1.32       2.65       0.37       0.08       4.05       1.77        000
                                                       suprascapular.
64420...............  ..............  A               N block inj,                1.18       3.53       0.36       0.08       4.79       1.62        000
                                                       intercost, sng.
64421...............  ..............  A               N block inj,                1.68       5.39       0.45       0.12       7.19       2.25        000
                                                       intercost, mlt.
64425...............  ..............  A               N block inj ilio-ing/       1.75       1.70       0.47       0.13       3.58       2.35        000
                                                       hypogi.
64430...............  ..............  A               N block inj, pudendal       1.46       2.59       0.49       0.13       4.18       2.08        000
64435...............  ..............  A               N block inj,                1.45       2.58       0.63       0.18       4.21       2.26        000
                                                       paracervical.
64445...............  ..............  A               N block inj, sciatic,       1.48       2.69       0.37       0.10       4.27       1.95        000
                                                       sng.
64446...............  ..............  A               N blk inj, sciatic,         3.25         NA       1.18       0.10         NA       4.53        010
                                                       cont inf.
64447...............  ..............  A               N block inj fem,            1.50         NA       0.51       0.10         NA       2.11        000
                                                       single.
64448...............  ..............  A               N block inj fem, cont       3.00         NA       1.03       0.10         NA       4.13        010
                                                       inf.
64449...............  ..............  A               N block inj, lumbar         3.00         NA       0.97       0.10         NA       4.07        010
                                                       plexus.
64450...............  ..............  A               N block, other              1.27       1.26       0.41       0.10       2.63       1.78        000
                                                       peripheral.
64470...............  ..............  A               Inj paravertebral c/t       1.85       4.86       0.56       0.14       6.85       2.55        000
64472...............  ..............  A               Inj paravertebral c/t       1.29       1.94       0.31       0.11       3.34       1.71        ZZZ
                                                       add-on.
64475...............  ..............  A               Inj paravertebral l/s       1.41       4.56       0.47       0.11       6.08       1.99        000
64476...............  ..............  A               Inj paravertebral l/s       0.98       1.82       0.25       0.07       2.87       1.30        ZZZ
                                                       add-on.
64479...............  ..............  A               Inj foramen epidural        2.20       7.05       0.72       0.17       9.42       3.09        000
                                                       c/t.
64480...............  ..............  A               Inj foramen epidural        1.54       2.41       0.46       0.11       4.06       2.11        ZZZ
                                                       add-on.
64483...............  ..............  A               Inj foramen epidural        1.90       7.53       0.66       0.14       9.57       2.70        000
                                                       l/s.
64484...............  ..............  A               Inj foramen epidural        1.33       2.80       0.37       0.10       4.23       1.80        ZZZ
                                                       add-on.
64505...............  ..............  A               N block,                    1.36       1.22       0.47       0.10       2.68       1.93        000
                                                       spenopalatine gangl.
64508...............  ..............  A               N block, carotid            1.12       2.96       0.51       0.07       4.15       1.70        000
                                                       sinus s/p.
64510...............  ..............  A               N block, stellate           1.22       3.20       0.37       0.08       4.50       1.67        000
                                                       ganglion.
64517...............  ..............  A               N block inj, hypogas        2.20       2.70       0.87       0.13       5.03       3.20        000
                                                       plxs.
64520...............  ..............  A               N block, lumbar/            1.35       4.56       0.41       0.10       6.01       1.86        000
                                                       thoracic.
64530...............  ..............  A               N block inj, celiac         1.58       3.94       0.47       0.11       5.63       2.16        000
                                                       pelus.
64550...............  ..............  A               Apply neurostimulator       0.18       0.30       0.05       0.01       0.49       0.24        000
64553...............  ..............  A               Implant                     2.31       2.70       1.86       0.21       5.22       4.38        010
                                                       neuroelectrodes.
64555...............  ..............  A               Implant                     2.27       3.09       1.20       0.13       5.49       3.60        010
                                                       neuroelectrodes.
64560...............  ..............  A               Implant                     2.36       2.64       1.30       0.21       5.21       3.87        010
                                                       neuroelectrodes.
64561...............  ..............  A               Implant                     6.73         NA       3.16       0.13         NA      10.02        010
                                                       neuroelectrodes.
64565...............  ..............  A               Implant                     1.76       3.35       1.26       0.10       5.21       3.12        010
                                                       neuroelectrodes.
64573...............  ..............  A               Implant                     7.49         NA       5.23       1.79         NA      14.51        090
                                                       neuroelectrodes.
64575...............  ..............  A               Implant                     4.34         NA       2.70       0.45         NA       7.49        090
                                                       neuroelectrodes.
64577...............  ..............  A               Implant                     4.61         NA       3.32       0.60         NA       8.53        090
                                                       neuroelectrodes.
64580...............  ..............  A               Implant                     4.11         NA       3.55       0.25         NA       7.91        090
                                                       neuroelectrodes.
64581...............  ..............  A               Implant                    13.48         NA       5.41       0.45         NA      19.34        090
                                                       neuroelectrodes.

[[Page 1183]]

 
64585...............  ..............  A               Revise/remove               2.06      11.57       1.71       0.35      13.98       4.12        010
                                                       neuroelectrode.
64590...............  ..............  A               Implant neuroreceiver       2.40       7.26       1.90       0.48      10.14       4.78        010
64595...............  ..............  A               Revise/remove               1.73      10.69       1.49       0.27      12.69       3.49        010
                                                       neuroreceiver.
64600...............  ..............  A               Injection treatment         3.44       8.45       1.57       0.34      12.23       5.35        010
                                                       of nerve.
64605...............  ..............  A               Injection treatment         5.60       8.59       2.05       0.64      14.83       8.29        010
                                                       of nerve.
64610...............  ..............  A               Injection treatment         7.15       7.89       3.58       1.35      16.39      12.08        010
                                                       of nerve.
64612...............  ..............  A               Destroy nerve, face         1.96       2.62       1.08       0.11       4.69       3.15        010
                                                       muscle.
64613...............  ..............  A               Destroy nerve, spine        1.96       2.97       0.99       0.12       5.05       3.07        010
                                                       muscle.
64614...............  ..............  A               Destroy nerve, extrem       2.20       3.24       1.12       0.11       5.55       3.43        010
                                                       musc.
64620...............  ..............  A               Injection treatment         2.84       4.60       1.18       0.21       7.65       4.23        010
                                                       of nerve.
64622...............  ..............  A               Destr paravertebrl          3.00       7.62       1.23       0.21      10.83       4.44        010
                                                       nerve l/s.
64623...............  ..............  A               Destr paravertebral n       0.99       2.42       0.23       0.07       3.48       1.29        ZZZ
                                                       add-on.
64626...............  ..............  A               Destr paravertebrl          3.28       6.67       1.85       0.27      10.22       5.40        010
                                                       nerve c/t.
64627...............  ..............  A               Destr paravertebral n       1.16       2.61       0.27       0.10       3.87       1.53        ZZZ
                                                       add-on.
64630...............  ..............  A               Injection treatment         3.00       2.73       1.28       0.19       5.92       4.47        010
                                                       of nerve.
64640...............  ..............  A               Injection treatment         2.76       4.24       1.67       0.13       7.13       4.56        010
                                                       of nerve.
64680...............  ..............  A               Injection treatment         2.62       5.97       1.28       0.18       8.77       4.08        010
                                                       of nerve.
64681...............  ..............  A               Injection treatment         3.54       8.71       2.10       0.18      12.43       5.82        010
                                                       of nerve.
64702...............  ..............  A               Revise finger/toe           4.22         NA       3.82       0.62         NA       8.66        090
                                                       nerve.
64704...............  ..............  A               Revise hand/foot            4.56         NA       3.28       0.71         NA       8.55        090
                                                       nerve.
64708...............  ..............  A               Revise arm/leg nerve.       6.11         NA       4.83       0.99         NA      11.93        090
64712...............  ..............  A               Revision of sciatic         7.74         NA       4.99       0.65         NA      13.38        090
                                                       nerve.
64713...............  ..............  A               Revision of arm            10.98         NA       5.90       1.22         NA      18.10        090
                                                       nerve(s).
64714...............  ..............  A               Revise low back            10.31         NA       4.24       0.77         NA      15.32        090
                                                       nerve(s).
64716...............  ..............  A               Revision of cranial         6.30         NA       5.26       0.71         NA      12.27        090
                                                       nerve.
64718...............  ..............  A               Revise ulnar nerve at       5.98         NA       5.87       1.05         NA      12.90        090
                                                       elbow.
64719...............  ..............  A               Revise ulnar nerve at       4.84         NA       4.46       0.76         NA      10.06        090
                                                       wrist.
64721...............  ..............  A               Carpal tunnel surgery       4.28       4.95       4.95       0.71       9.94       9.94        090
64722...............  ..............  A               Relieve pressure on         4.69         NA       3.06       0.39         NA       8.14        090
                                                       nerve(s).
64726...............  ..............  A               Release foot/toe            4.17         NA       2.76       0.69         NA       7.62        090
                                                       nerve.
64727...............  ..............  A               Internal nerve              3.10         NA       1.51       0.48         NA       5.09        ZZZ
                                                       revision.
64732...............  ..............  A               Incision of brow            4.40         NA       3.53       0.93         NA       8.86        090
                                                       nerve.
64734...............  ..............  A               Incision of cheek           4.91         NA       4.06       1.00         NA       9.97        090
                                                       nerve.
64736...............  ..............  A               Incision of chin            4.59         NA       4.03       0.86         NA       9.48        090
                                                       nerve.
64738...............  ..............  A               Incision of jaw nerve       5.72         NA       4.62       1.01         NA      11.35        090
64740...............  ..............  A               Incision of tongue          5.58         NA       4.39       0.52         NA      10.49        090
                                                       nerve.
64742...............  ..............  A               Incision of facial          6.21         NA       4.74       0.83         NA      11.78        090
                                                       nerve.
64744...............  ..............  A               Incise nerve, back of       5.23         NA       3.79       1.18         NA      10.20        090
                                                       head.
64746...............  ..............  A               Incise diaphragm            5.92         NA       4.53       0.90         NA      11.35        090
                                                       nerve.
64752...............  ..............  A               Incision of vagus           7.05         NA       4.31       1.00         NA      12.36        090
                                                       nerve.
64755...............  ..............  A               Incision of stomach        13.50         NA       5.68       1.40         NA      20.58        090
                                                       nerves.
64760...............  ..............  A               Incision of vagus           6.95         NA       3.52       0.62         NA      11.09        090
                                                       nerve.
64761...............  ..............  A               Incision of pelvis          6.40         NA       3.56       0.31         NA      10.27        090
                                                       nerve.
64763...............  ..............  A               Incise hip/thigh            6.92         NA       5.24       0.93         NA      13.09        090
                                                       nerve.
64766...............  ..............  A               Incise hip/thigh            8.66         NA       5.26       1.19         NA      15.11        090
                                                       nerve.
64771...............  ..............  A               Sever cranial nerve..       7.34         NA       5.58       1.59         NA      14.51        090
64772...............  ..............  A               Incision of spinal          7.20         NA       4.93       1.45         NA      13.58        090
                                                       nerve.
64774...............  ..............  A               Remove skin nerve           5.16         NA       3.81       0.72         NA       9.69        090
                                                       lesion.
64776...............  ..............  A               Remove digit nerve          5.11         NA       3.67       0.76         NA       9.54        090
                                                       lesion.
64778...............  ..............  A               Digit nerve surgery         3.11         NA       1.50       0.46         NA       5.07        ZZZ
                                                       add-on.
64782...............  ..............  A               Remove limb nerve           6.22         NA       3.75       0.95         NA      10.92        090
                                                       lesion.
64783...............  ..............  A               Limb nerve surgery          3.71         NA       1.85       0.58         NA       6.14        ZZZ
                                                       add-on.
64784...............  ..............  A               Remove nerve lesion..       9.81         NA       6.57       1.41         NA      17.79        090
64786...............  ..............  A               Remove sciatic nerve       15.44         NA       9.84       2.68         NA      27.96        090
                                                       lesion.
64787...............  ..............  A               Implant nerve end....       4.29         NA       2.13       0.68         NA       7.10        ZZZ
64788...............  ..............  A               Remove skin nerve           4.60         NA       3.47       0.65         NA       8.72        090
                                                       lesion.
64790...............  ..............  A               Removal of nerve           11.29         NA       7.19       2.03         NA      20.51        090
                                                       lesion.
64792...............  ..............  A               Removal of nerve           14.90         NA       8.84       2.27         NA      26.01        090
                                                       lesion.
64795...............  ..............  A               Biopsy of nerve......       3.01         NA       1.59       0.48         NA       5.08        000
64802...............  ..............  A               Remove sympathetic          9.14         NA       5.17       1.05         NA      15.36        090
                                                       nerves.
64804...............  ..............  A               Remove sympathetic         14.62         NA       7.20       2.16         NA      23.98        090
                                                       nerves.
64809...............  ..............  A               Remove sympathetic         13.65         NA       5.80       1.16         NA      20.61        090
                                                       nerves.
64818...............  ..............  A               Remove sympathetic         10.28         NA       5.33       1.30         NA      16.91        090
                                                       nerves.
64820...............  ..............  A               Remove sympathetic         10.35         NA       7.11       1.41         NA      18.87        090
                                                       nerves.
64821...............  ..............  A               Remove sympathetic          8.74         NA       7.35       1.19         NA      17.28        090
                                                       nerves.
64822...............  ..............  A               Remove sympathetic          8.74         NA       7.27       1.19         NA      17.20        090
                                                       nerves.
64823...............  ..............  A               Remove sympathetic         10.35         NA       8.18       1.41         NA      19.94        090
                                                       nerves.
64831...............  ..............  A               Repair of digit nerve       9.43         NA       7.05       1.37         NA      17.85        090
64832...............  ..............  A               Repair nerve add-on..       5.65         NA       2.95       0.82         NA       9.42        ZZZ
64834...............  ..............  A               Repair of hand or          10.17         NA       7.08       1.48         NA      18.73        090
                                                       foot nerve.
64835...............  ..............  A               Repair of hand or          10.92         NA       7.67       1.64         NA      20.23        090
                                                       foot nerve.
64836...............  ..............  A               Repair of hand or          10.92         NA       7.65       1.59         NA      20.16        090
                                                       foot nerve.
64837...............  ..............  A               Repair nerve add-on..       6.25         NA       3.25       0.96         NA      10.46        ZZZ
64840...............  ..............  A               Repair of leg nerve..      13.00         NA       8.28       1.04         NA      22.32        090
64856...............  ..............  A               Repair/transpose           13.78         NA       9.17       2.06         NA      25.01        090
                                                       nerve.

[[Page 1184]]

 
64857...............  ..............  A               Repair arm/leg nerve.      14.47         NA       9.62       2.12         NA      26.21        090
64858...............  ..............  A               Repair sciatic nerve.      16.47         NA      10.74       3.35         NA      30.56        090
64859...............  ..............  A               Nerve surgery........       4.25         NA       2.20       0.60         NA       7.05        ZZZ
64861...............  ..............  A               Repair of arm nerves.      19.21         NA      11.83       2.95         NA      33.99        090
64862...............  ..............  A               Repair of low back         19.41         NA      11.96       2.98         NA      34.35        090
                                                       nerves.
64864...............  ..............  A               Repair of facial           12.53         NA       8.10       1.36         NA      21.99        090
                                                       nerve.
64865...............  ..............  A               Repair of facial           15.22         NA       9.87       1.65         NA      26.74        090
                                                       nerve.
64866...............  ..............  A               Fusion of facial/          15.72         NA       9.71       1.28         NA      26.71        090
                                                       other nerve.
64868...............  ..............  A               Fusion of facial/          14.02         NA       8.87       1.69         NA      24.58        090
                                                       other nerve.
64870...............  ..............  A               Fusion of facial/          15.97         NA       8.75       1.30         NA      26.02        090
                                                       other nerve.
64872...............  ..............  A               Subsequent repair of        1.99         NA       1.09       0.29         NA       3.37        ZZZ
                                                       nerve.
64874...............  ..............  A               Repair & revise nerve       2.98         NA       1.54       0.41         NA       4.93        ZZZ
                                                       add-on.
64876...............  ..............  A               Repair nerve/shorten        3.37         NA       1.28       0.47         NA       5.12        ZZZ
                                                       bone.
64885...............  ..............  A               Nerve graft, head or       17.50         NA      10.91       1.82         NA      30.23        090
                                                       neck.
64886...............  ..............  A               Nerve graft, head or       20.72         NA      12.75       2.09         NA      35.56        090
                                                       neck.
64890...............  ..............  A               Nerve graft, hand or       15.13         NA       9.99       2.10         NA      27.22        090
                                                       foot.
64891...............  ..............  A               Nerve graft, hand or       16.12         NA       7.63       1.66         NA      25.41        090
                                                       foot.
64892...............  ..............  A               Nerve graft, arm or        14.63         NA       8.86       1.99         NA      25.48        090
                                                       leg.
64893...............  ..............  A               Nerve graft, arm or        15.58         NA       9.89       2.13         NA      27.60        090
                                                       leg.
64895...............  ..............  A               Nerve graft, hand or       19.22         NA       9.67       2.46         NA      31.35        090
                                                       foot.
64896...............  ..............  A               Nerve graft, hand or       20.46         NA      11.01       2.23         NA      33.70        090
                                                       foot.
64897...............  ..............  A               Nerve graft, arm or        18.21         NA      10.72       3.18         NA      32.11        090
                                                       leg.
64898...............  ..............  A               Nerve graft, arm or        19.47         NA      11.81       3.27         NA      34.55        090
                                                       leg.
64901...............  ..............  A               Nerve graft add-on...      10.20         NA       5.29       1.19         NA      16.68        ZZZ
64902...............  ..............  A               Nerve graft add-on...      11.81         NA       5.99       1.33         NA      19.13        ZZZ
64905...............  ..............  A               Nerve pedicle              14.00         NA       8.56       1.83         NA      24.39        090
                                                       transfer.
64907...............  ..............  A               Nerve pedicle              18.80         NA      12.50       2.16         NA      33.46        090
                                                       transfer.
64999...............  ..............  C               Nervous system              0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       surgery.
65091...............  ..............  A               Revise eye...........       6.45         NA       9.73       0.31         NA      16.49        090
65093...............  ..............  A               Revise eye with             6.86         NA      10.09       0.34         NA      17.29        090
                                                       implant.
65101...............  ..............  A               Removal of eye.......       7.02         NA      10.68       0.34         NA      18.04        090
65103...............  ..............  A               Remove eye/insert           7.56         NA      10.87       0.36         NA      18.79        090
                                                       implant.
65105...............  ..............  A               Remove eye/attach           8.48         NA      11.52       0.41         NA      20.41        090
                                                       implant.
65110...............  ..............  A               Removal of eye.......      13.93         NA      14.61       0.82         NA      29.36        090
65112...............  ..............  A               Remove eye/revise          16.36         NA      16.88       1.16         NA      34.40        090
                                                       socket.
65114...............  ..............  A               Remove eye/revise          17.50         NA      17.10       1.13         NA      35.73        090
                                                       socket.
65125...............  ..............  A               Revise ocular implant       3.12       9.23       2.96       0.18      12.53       6.26        090
65130...............  ..............  A               Insert ocular implant       7.14         NA      10.24       0.34         NA      17.72        090
65135...............  ..............  A               Insert ocular implant       7.32         NA      10.42       0.35         NA      18.09        090
65140...............  ..............  A               Attach ocular implant       8.01         NA      10.87       0.37         NA      19.25        090
65150...............  ..............  A               Revise ocular implant       6.25         NA       9.29       0.30         NA      15.84        090
65155...............  ..............  A               Reinsert ocular             8.65         NA      11.59       0.48         NA      20.72        090
                                                       implant.
65175...............  ..............  A               Removal of ocular           6.27         NA       9.65       0.31         NA      16.23        090
                                                       implant.
65205...............  ..............  A               Remove foreign body         0.71       0.60       0.19       0.04       1.35       0.94        000
                                                       from eye.
65210...............  ..............  A               Remove foreign body         0.84       0.74       0.30       0.04       1.62       1.18        000
                                                       from eye.
65220...............  ..............  A               Remove foreign body         0.71       0.60       0.18       0.06       1.37       0.95        000
                                                       from eye.
65222...............  ..............  A               Remove foreign body         0.93       0.76       0.27       0.05       1.74       1.25        000
                                                       from eye.
65235...............  ..............  A               Remove foreign body         7.56         NA       7.26       0.36         NA      15.18        090
                                                       from eye.
65260...............  ..............  A               Remove foreign body        10.94         NA      11.43       0.52         NA      22.89        090
                                                       from eye.
65265...............  ..............  A               Remove foreign body        12.57         NA      12.67       0.60         NA      25.84        090
                                                       from eye.
65270...............  ..............  A               Repair of eye wound..       1.90       3.83       2.24       0.10       5.83       4.24        010
65272...............  ..............  A               Repair of eye wound..       3.81       5.78       5.21       0.19       9.78       9.21        090
65273...............  ..............  A               Repair of eye wound..       4.35         NA       5.63       0.21         NA      10.19        090
65275...............  ..............  A               Repair of eye wound..       5.33       5.66       5.66       0.33      11.32      11.32        090
65280...............  ..............  A               Repair of eye wound..       7.65         NA       8.17       0.36         NA      16.18        090
65285...............  ..............  A               Repair of eye wound..      12.88         NA      12.38       0.62         NA      25.88        090
65286...............  ..............  A               Repair of eye wound..       5.50       8.42       7.52       0.25      14.17      13.27        090
65290...............  ..............  A               Repair of eye socket        5.40         NA       6.47       0.31         NA      12.18        090
                                                       wound.
65400...............  ..............  A               Removal of eye lesion       6.05       8.63       7.47       0.29      14.97      13.81        090
65410...............  ..............  A               Biopsy of cornea.....       1.47       1.72       0.65       0.07       3.26       2.19        000
65420...............  ..............  A               Removal of eye lesion       4.16       7.53       6.74       0.21      11.90      11.11        090
65426...............  ..............  A               Removal of eye lesion       5.24       7.49       6.54       0.24      12.97      12.02        090
65430...............  ..............  A               Corneal smear........       1.47       4.95       0.66       0.07       6.49       2.20        000
65435...............  ..............  A               Curette/treat cornea.       0.92       1.32       0.39       0.05       2.29       1.36        000
65436...............  ..............  A               Curette/treat cornea.       4.18       5.85       5.22       0.21      10.24       9.61        090
65450...............  ..............  A               Treatment of corneal        3.27       7.22       6.33       0.16      10.65       9.76        090
                                                       lesion.
65600...............  ..............  A               Revision of cornea...       3.39       5.63       3.11       0.17       9.19       6.67        090
65710...............  ..............  A               Corneal transplant...      12.33         NA      12.33       0.59         NA      25.25        090
65730...............  ..............  A               Corneal transplant...      14.23         NA      11.86       0.68         NA      26.77        090
65750...............  ..............  A               Corneal transplant...      14.98         NA      13.35       0.71         NA      29.04        090
65755...............  ..............  A               Corneal transplant...      14.87         NA      13.26       0.70         NA      28.83        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         17.53         NA      14.31       0.83         NA      32.67        090
                                                       implant.

[[Page 1185]]

 
65771...............  ..............  N               Radial keratotomy....       0.00       0.00       0.00       0.00       0.00       0.00        XXX
65772...............  ..............  A               Correction of               4.28       7.15       6.46       0.21      11.64      10.95        090
                                                       astigmatism.
65775...............  ..............  A               Correction of               5.78         NA       7.35       0.27         NA      13.40        090
                                                       astigmatism.
65780...............  ..............  A               Ocular reconst,            10.23         NA       9.94       0.35         NA      20.52        090
                                                       transplant.
65781...............  ..............  A               Ocular reconst,            17.64         NA      13.31       0.35         NA      31.30        090
                                                       transplant.
65782...............  ..............  A               Ocular reconst,            14.98         NA      11.66       0.35         NA      26.99        090
                                                       transplant.
65800...............  ..............  A               Drainage of eye......       1.91       2.27       1.17       0.10       4.28       3.18        000
65805...............  ..............  A               Drainage of eye......       1.91       2.27       1.18       0.10       4.28       3.19        000
65810...............  ..............  A               Drainage of eye......       4.86         NA       8.05       0.23         NA      13.14        090
65815...............  ..............  A               Drainage of eye......       5.04       8.37       7.49       0.24      13.65      12.77        090
65820...............  ..............  A               Relieve inner eye           8.12         NA      10.65       0.39         NA      19.16        090
                                                       pressure.
65850...............  ..............  A               Incision of eye......      10.50         NA       9.38       0.49         NA      20.37        090
65855...............  ..............  A               Laser surgery of eye.       3.84       5.20       4.05       0.21       9.25       8.10        010
65860...............  ..............  A               Incise inner eye            3.54       3.90       3.26       0.17       7.61       6.97        090
                                                       adhesions.
65865...............  ..............  A               Incise inner eye            5.59         NA       6.48       0.27         NA      12.34        090
                                                       adhesions.
65870...............  ..............  A               Incise inner eye            6.26         NA       7.14       0.29         NA      13.69        090
                                                       adhesions.
65875...............  ..............  A               Incise inner eye            6.53         NA       7.44       0.30         NA      14.27        090
                                                       adhesions.
65880...............  ..............  A               Incise inner eye            7.08         NA       7.69       0.34         NA      15.11        090
                                                       adhesions.
65900...............  ..............  A               Remove eye lesion....      10.91         NA      11.51       0.55         NA      22.97        090
65920...............  ..............  A               Remove implant of eye       8.39         NA       8.70       0.40         NA      17.49        090
65930...............  ..............  A               Remove blood clot           7.43         NA       7.74       0.35         NA      15.52        090
                                                       from eye.
66020...............  ..............  A               Injection treatment         1.59       2.37       1.58       0.08       4.04       3.25        010
                                                       of eye.
66030...............  ..............  A               Injection treatment         1.25       2.21       1.42       0.06       3.52       2.73        010
                                                       of eye.
66130...............  ..............  A               Remove eye lesion....       7.68       7.48       6.92       0.37      15.53      14.97        090
66150...............  ..............  A               Glaucoma surgery.....       8.29         NA       9.86       0.40         NA      18.55        090
66155...............  ..............  A               Glaucoma surgery.....       8.28         NA       9.80       0.39         NA      18.47        090
66160...............  ..............  A               Glaucoma surgery.....      10.15         NA      10.65       0.49         NA      21.29        090
66165...............  ..............  A               Glaucoma surgery.....       8.00         NA       9.69       0.37         NA      18.06        090
66170...............  ..............  A               Glaucoma surgery.....      12.14         NA      12.45       0.58         NA      25.17        090
66172...............  ..............  A               Incision of eye......      15.02         NA      15.12       0.71         NA      30.85        090
66180...............  ..............  A               Implant eye shunt....      14.53         NA      11.56       0.69         NA      26.78        090
66185...............  ..............  A               Revise eye shunt.....       8.13         NA       8.19       0.39         NA      16.71        090
66220...............  ..............  A               Repair eye lesion....       7.76         NA       8.73       0.39         NA      16.88        090
66225...............  ..............  A               Repair/graft eye           11.03         NA       9.32       0.53         NA      20.88        090
                                                       lesion.
66250...............  ..............  A               Follow-up surgery of        5.97       7.67       6.50       0.28      13.92      12.75        090
                                                       eye.
66500...............  ..............  A               Incision of iris.....       3.70         NA       5.10       0.18         NA       8.98        090
66505...............  ..............  A               Incision of iris.....       4.07         NA       5.38       0.21         NA       9.66        090
66600...............  ..............  A               Remove iris and             8.67         NA       8.91       0.41         NA      17.99        090
                                                       lesion.
66605...............  ..............  A               Removal of iris......      12.77         NA      11.26       0.74         NA      24.77        090
66625...............  ..............  A               Removal of iris......       5.12       7.02       6.30       0.24      12.38      11.66        090
66630...............  ..............  A               Removal of iris......       6.15         NA       7.42       0.29         NA      13.86        090
66635...............  ..............  A               Removal of iris......       6.24         NA       6.64       0.29         NA      13.17        090
66680...............  ..............  A               Repair iris & ciliary       5.43         NA       6.04       0.25         NA      11.72        090
                                                       body.
66682...............  ..............  A               Repair iris & ciliary       6.20         NA       7.43       0.29         NA      13.92        090
                                                       body.
66700...............  ..............  A               Destruction, ciliary        4.77       5.34       4.05       0.23      10.34       9.05        090
                                                       body.
66710...............  ..............  A               Destruction, ciliary        4.77       5.22       3.85       0.22      10.21       8.84        090
                                                       body.
66720...............  ..............  A               Destruction, ciliary        4.77       5.68       4.60       0.23      10.68       9.60        090
                                                       body.
66740...............  ..............  A               Destruction, ciliary        4.77       5.38       4.21       0.22      10.37       9.20        090
                                                       body.
66761...............  ..............  A               Revision of iris.....       4.06       5.55       4.23       0.19       9.80       8.48        090
66762...............  ..............  A               Revision of iris.....       4.57       5.62       4.22       0.22      10.41       9.01        090
66770...............  ..............  A               Removal of inner eye        5.17       6.05       4.73       0.24      11.46      10.14        090
                                                       lesion.
66820...............  ..............  A               Incision, secondary         3.88         NA       7.10       0.19         NA      11.17        090
                                                       cataract.
66821...............  ..............  A               After cataract laser        2.35       3.98       3.88       0.12       6.45       6.35        090
                                                       surgery.
66825...............  ..............  A               Reposition                  8.22         NA      10.08       0.39         NA      18.69        090
                                                       intraocular lens.
66830...............  ..............  A               Removal of lens             8.19         NA       7.08       0.39         NA      15.66        090
                                                       lesion.
66840...............  ..............  A               Removal of lens             7.90         NA       6.99       0.37         NA      15.26        090
                                                       material.
66850...............  ..............  A               Removal of lens             9.10         NA       7.75       0.43         NA      17.28        090
                                                       material.
66852...............  ..............  A               Removal of lens             9.96         NA       8.20       0.47         NA      18.63        090
                                                       material.
66920...............  ..............  A               Extraction of lens...       8.85         NA       7.43       0.42         NA      16.70        090
66930...............  ..............  A               Extraction of lens...      10.16         NA       8.57       0.49         NA      19.22        090
66940...............  ..............  A               Extraction of lens...       8.92         NA       8.01       0.42         NA      17.35        090
66982...............  ..............  A               Cataract surgery,          13.48         NA       9.92       0.68         NA      24.08        090
                                                       complex.
66983...............  ..............  A               Cataract surg w/iol,        8.98         NA       6.20       0.45         NA      15.63        090
                                                       1 stage.
66984...............  ..............  A               Cataract surg w/iol,       10.21         NA       7.63       0.49         NA      18.33        090
                                                       1 stage.
66985...............  ..............  A               Insert lens                 8.38         NA       7.47       0.40         NA      16.25        090
                                                       prosthesis.
66986...............  ..............  A               Exchange lens              12.26         NA       9.22       0.59         NA      22.07        090
                                                       prosthesis.
66990...............  ..............  A               Ophthalmic endoscope        1.51         NA       0.69       0.07         NA       2.27        ZZZ
                                                       add-on.
66999...............  ..............  C               Eye surgery procedure       0.00       0.00       0.00       0.00       0.00       0.00        YYY
67005...............  ..............  A               Partial removal of          5.69         NA       4.38       0.27         NA      10.34        090
                                                       eye fluid.
67010...............  ..............  A               Partial removal of          6.86         NA       4.93       0.33         NA      12.12        090
                                                       eye fluid.
67015...............  ..............  A               Release of eye fluid.       6.91         NA       7.73       0.33         NA      14.97        090
67025...............  ..............  A               Replace eye fluid....       6.83      14.23       7.51       0.33      21.39      14.67        090
67027...............  ..............  A               Implant eye drug           10.83      12.78       8.79       0.55      24.16      20.17        090
                                                       system.
67028...............  ..............  A               Injection eye drug...       2.52       6.50       1.13       0.13       9.15       3.78        000
67030...............  ..............  A               Incise inner eye            4.83         NA       6.81       0.23         NA      11.87        090
                                                       strands.

[[Page 1186]]

 
67031...............  ..............  A               Laser surgery, eye          3.66       4.74       4.09       0.18       8.58       7.93        090
                                                       strands.
67036...............  ..............  A               Removal of inner eye       11.87         NA       9.35       0.57         NA      21.79        090
                                                       fluid.
67038...............  ..............  A               Strip retinal              21.21         NA      15.83       1.01         NA      38.05        090
                                                       membrane.
67039...............  ..............  A               Laser treatment of         14.50         NA      12.54       0.69         NA      27.73        090
                                                       retina.
67040...............  ..............  A               Laser treatment of         17.20         NA      14.02       0.82         NA      32.04        090
                                                       retina.
67101...............  ..............  A               Repair detached             7.52       9.85       8.11       0.35      17.72      15.98        090
                                                       retina.
67105...............  ..............  A               Repair detached             7.40       7.99       6.23       0.35      15.74      13.98        090
                                                       retina.
67107...............  ..............  A               Repair detached            14.82         NA      12.82       0.70         NA      28.34        090
                                                       retina.
67108...............  ..............  A               Repair detached            20.79         NA      17.02       0.99         NA      38.80        090
                                                       retina.
67110...............  ..............  A               Repair detached             8.80      15.37       9.23       0.42      24.59      18.45        090
                                                       retina.
67112...............  ..............  A               Rerepair detached          16.83         NA      14.59       0.80         NA      32.22        090
                                                       retina.
67115...............  ..............  A               Release encircling          4.98         NA       7.09       0.23         NA      12.30        090
                                                       material.
67120...............  ..............  A               Remove eye implant          5.97      12.30       6.93       0.28      18.55      13.18        090
                                                       material.
67121...............  ..............  A               Remove eye implant         10.65         NA      11.17       0.51         NA      22.33        090
                                                       material.
67141...............  ..............  A               Treatment of retina..       5.19       7.24       6.49       0.24      12.67      11.92        090
67145...............  ..............  A               Treatment of retina..       5.36       5.76       4.94       0.25      11.37      10.55        090
67208...............  ..............  A               Treatment of retinal        6.69       5.95       5.38       0.31      12.95      12.38        090
                                                       lesion.
67210...............  ..............  A               Treatment of retinal        8.81       6.25       5.79       0.42      15.48      15.02        090
                                                       lesion.
67218...............  ..............  A               Treatment of retinal       18.50         NA      14.13       0.64         NA      33.27        090
                                                       lesion.
67220...............  ..............  A               Treatment of choroid       13.11       9.84       8.83       0.62      23.57      22.56        090
                                                       lesion.
67221...............  ..............  R               Ocular photodynamic         4.00       4.69       1.81       0.19       8.88       6.00        000
                                                       ther.
67225...............  ..............  A               Eye photodynamic ther       0.47       0.26       0.22       0.01       0.74       0.70        ZZZ
                                                       add-on.
67227...............  ..............  A               Treatment of retinal        6.57       6.38       5.39       0.31      13.26      12.27        090
                                                       lesion.
67228...............  ..............  A               Treatment of retinal       12.72      10.83       8.42       0.60      24.15      21.74        090
                                                       lesion.
67250...............  ..............  A               Reinforce eye wall...       8.65         NA      10.37       0.43         NA      19.45        090
67255...............  ..............  A               Reinforce/graft eye         8.89         NA      10.95       0.42         NA      20.26        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....       6.64         NA       6.42       0.33         NA      13.39        090
67312...............  ..............  A               Revise two eye              8.53         NA       7.55       0.42         NA      16.50        090
                                                       muscles.
67314...............  ..............  A               Revise eye muscle....       7.51         NA       7.26       0.36         NA      15.13        090
67316...............  ..............  A               Revise two eye              9.65         NA       8.22       0.48         NA      18.35        090
                                                       muscles.
67318...............  ..............  A               Revise eye muscle(s).       7.84         NA       7.64       0.37         NA      15.85        090
67320...............  ..............  A               Revise eye muscle(s)        4.32         NA       1.96       0.21         NA       6.49        ZZZ
                                                       add-on.
67331...............  ..............  A               Eye surgery follow-up       4.05         NA       1.91       0.21         NA       6.17        ZZZ
                                                       add-on.
67332...............  ..............  A               Rerevise eye muscles        4.48         NA       2.03       0.22         NA       6.73        ZZZ
                                                       add-on.
67334...............  ..............  A               Revise eye muscle w/        3.97         NA       1.81       0.19         NA       5.97        ZZZ
                                                       suture.
67335...............  ..............  A               Eye suture during           2.49         NA       1.12       0.12         NA       3.73        ZZZ
                                                       surgery.
67340...............  ..............  A               Revise eye muscle add-      4.92         NA       2.23       0.23         NA       7.38        ZZZ
                                                       on.
67343...............  ..............  A               Release eye tissue...       7.34         NA       7.34       0.36         NA      15.04        090
67345...............  ..............  A               Destroy nerve of eye        2.96       4.36       1.37       0.16       7.48       4.49        010
                                                       muscle.
67350...............  ..............  A               Biopsy eye muscle....       2.87         NA       1.87       0.16         NA       4.90        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          9.75         NA      12.51       0.52         NA      22.78        090
                                                       socket.
67405...............  ..............  A               Explore/drain eye           7.92         NA      11.09       0.43         NA      19.44        090
                                                       socket.
67412...............  ..............  A               Explore/treat eye           9.49         NA      12.99       0.49         NA      22.97        090
                                                       socket.
67413...............  ..............  A               Explore/treat eye           9.99         NA      12.14       0.52         NA      22.65        090
                                                       socket.
67414...............  ..............  A               Explr/decompress eye       11.11         NA      14.01       0.58         NA      25.70        090
                                                       socket.
67415...............  ..............  A               Aspiration, orbital         1.76         NA       0.77       0.11         NA       2.64        000
                                                       contents.
67420...............  ..............  A               Explore/treat eye          20.03         NA      18.77       1.01         NA      39.81        090
                                                       socket.
67430...............  ..............  A               Explore/treat eye          13.37         NA      15.83       1.17         NA      30.37        090
                                                       socket.
67440...............  ..............  A               Explore/drain eye          13.07         NA      15.47       0.70         NA      29.24        090
                                                       socket.
67445...............  ..............  A               Explr/decompress eye       14.40         NA      15.70       0.76         NA      30.86        090
                                                       socket.
67450...............  ..............  A               Explore/biopsy eye         13.49         NA      15.82       0.68         NA      29.99        090
                                                       socket.
67500...............  ..............  A               Inject/treat eye            0.79       0.82       0.19       0.05       1.66       1.03        000
                                                       socket.
67505...............  ..............  A               Inject/treat eye            0.82       0.92       0.21       0.05       1.79       1.08        000
                                                       socket.
67515...............  ..............  A               Inject/treat eye            0.61       0.82       0.28       0.02       1.45       0.91        000
                                                       socket.
67550...............  ..............  A               Insert eye socket          10.17         NA      12.28       0.60         NA      23.05        090
                                                       implant.
67560...............  ..............  A               Revise eye socket          10.58         NA      12.33       0.57         NA      23.48        090
                                                       implant.
67570...............  ..............  A               Decompress optic           13.56         NA      15.33       0.83         NA      29.72        090
                                                       nerve.
67599...............  ..............  C               Orbit surgery               0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
67700...............  ..............  A               Drainage of eyelid          1.35       4.84       0.62       0.07       6.26       2.04        010
                                                       abscess.
67710...............  ..............  A               Incision of eyelid...       1.02       4.99       0.53       0.05       6.06       1.60        010
67715...............  ..............  A               Incision of eyelid          1.22       4.58       0.62       0.06       5.86       1.90        010
                                                       fold.
67800...............  ..............  A               Remove eyelid lesion.       1.38       2.50       0.69       0.07       3.95       2.14        010
67801...............  ..............  A               Remove eyelid lesions       1.88       5.34       0.92       0.10       7.32       2.90        010
67805...............  ..............  A               Remove eyelid lesions       2.22       5.49       1.08       0.11       7.82       3.41        010
67808...............  ..............  A               Remove eyelid               3.79         NA       5.23       0.21         NA       9.23        090
                                                       lesion(s).
67810...............  ..............  A               Biopsy of eyelid.....       1.48       3.65       0.68       0.07       5.20       2.23        000
67820...............  ..............  A               Revise eyelashes.....       0.89       1.11       0.37       0.05       2.05       1.31        000
67825...............  ..............  A               Revise eyelashes.....       1.38       1.58       1.08       0.07       3.03       2.53        010
67830...............  ..............  A               Revise eyelashes.....       1.70       7.48       1.95       0.08       9.26       3.73        010
67835...............  ..............  A               Revise eyelashes.....       5.55         NA       5.00       0.27         NA      10.82        090
67840...............  ..............  A               Remove eyelid lesion.       2.04       5.32       1.00       0.10       7.46       3.14        010
67850...............  ..............  A               Treat eyelid lesion..       1.69       6.06       1.89       0.08       7.83       3.66        010
67875...............  ..............  A               Closure of eyelid by        1.35       7.05       0.62       0.07       8.47       2.04        000
                                                       suture.

[[Page 1187]]

 
67880...............  ..............  A               Revision of eyelid...       3.79       9.66       4.29       0.19      13.64       8.27        090
67882...............  ..............  A               Revision of eyelid...       5.06      11.01       5.50       0.25      16.32      10.81        090
67900...............  ..............  A               Repair brow defect...       6.13      10.53       6.32       0.36      17.02      12.81        090
67901...............  ..............  A               Repair eyelid defect.       6.96         NA       6.41       0.39         NA      13.76        090
67902...............  ..............  A               Repair eyelid defect.       7.02         NA       6.47       0.41         NA      13.90        090
67903...............  ..............  A               Repair eyelid defect.       6.36      11.28       6.70       0.47      18.11      13.53        090
67904...............  ..............  A               Repair eyelid defect.       6.25      12.49       7.17       0.31      19.05      13.73        090
67906...............  ..............  A               Repair eyelid defect.       6.78       9.11       6.01       0.51      16.40      13.30        090
67908...............  ..............  A               Repair eyelid defect.       5.12       8.83       5.68       0.24      14.19      11.04        090
67909...............  ..............  A               Revise eyelid defect.       5.39       9.36       6.09       0.30      15.05      11.78        090
67911...............  ..............  A               Revise eyelid defect.       5.26         NA       6.04       0.28         NA      11.58        090
67912...............  ..............  A               Correction eyelid w/        5.67      20.38       5.27       0.28      26.33      11.22        090
                                                       implant.
67914...............  ..............  A               Repair eyelid defect.       3.67       9.30       3.95       0.19      13.16       7.81        090
67915...............  ..............  A               Repair eyelid defect.       3.18       7.90       2.58       0.16      11.24       5.92        090
67916...............  ..............  A               Repair eyelid defect.       5.30      11.78       5.69       0.27      17.35      11.26        090
67917...............  ..............  A               Repair eyelid defect.       6.01       9.71       6.15       0.30      16.02      12.46        090
67921...............  ..............  A               Repair eyelid defect.       3.39       9.11       3.75       0.17      12.67       7.31        090
67922...............  ..............  A               Repair eyelid defect.       3.06       7.86       3.49       0.16      11.08       6.71        090
67923...............  ..............  A               Repair eyelid defect.       5.87      11.35       5.90       0.29      17.51      12.06        090
67924...............  ..............  A               Repair eyelid defect.       5.78       9.10       5.65       0.28      15.16      11.71        090
67930...............  ..............  A               Repair eyelid wound..       3.60       8.42       2.95       0.21      12.23       6.76        010
67935...............  ..............  A               Repair eyelid wound..       6.21      11.36       5.95       0.35      17.92      12.51        090
67938...............  ..............  A               Remove eyelid foreign       1.33       5.81       0.56       0.07       7.21       1.96        010
                                                       body.
67950...............  ..............  A               Revision of eyelid...       5.81       8.25       6.57       0.36      14.42      12.74        090
67961...............  ..............  A               Revision of eyelid...       5.68      10.20       5.70       0.31      16.19      11.69        090
67966...............  ..............  A               Revision of eyelid...       6.56       8.33       5.66       0.40      15.29      12.62        090
67971...............  ..............  A               Reconstruction of           9.78         NA       7.27       0.51         NA      17.56        090
                                                       eyelid.
67973...............  ..............  A               Reconstruction of          12.85         NA       9.24       0.71         NA      22.80        090
                                                       eyelid.
67974...............  ..............  A               Reconstruction of          12.82         NA       9.16       0.65         NA      22.63        090
                                                       eyelid.
67975...............  ..............  A               Reconstruction of           9.12         NA       6.95       0.46         NA      16.53        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       5.69       0.68       0.07       7.13       2.12        010
                                                       lining.
68040...............  ..............  A               Treatment of eyelid         0.85       4.82       0.37       0.04       5.71       1.26        000
                                                       lesions.
68100...............  ..............  A               Biopsy of eyelid            1.35       5.01       0.61       0.07       6.43       2.03        000
                                                       lining.
68110...............  ..............  A               Remove eyelid lining        1.77       6.06       1.40       0.08       7.91       3.25        010
                                                       lesion.
68115...............  ..............  A               Remove eyelid lining        2.36       5.56       1.13       0.12       8.04       3.61        010
                                                       lesion.
68130...............  ..............  A               Remove eyelid lining        4.92       8.14       4.28       0.23      13.29       9.43        090
                                                       lesion.
68135...............  ..............  A               Remove eyelid lining        1.84       5.32       0.90       0.08       7.24       2.82        010
                                                       lesion.
68200...............  ..............  A               Treat eyelid by             0.49       0.72       0.23       0.02       1.23       0.74        000
                                                       injection.
68320...............  ..............  A               Revise/graft eyelid         5.36       6.56       5.41       0.25      12.17      11.02        090
                                                       lining.
68325...............  ..............  A               Revise/graft eyelid         7.35         NA       6.39       0.36         NA      14.10        090
                                                       lining.
68326...............  ..............  A               Revise/graft eyelid         7.14         NA       6.28       0.36         NA      13.78        090
                                                       lining.
68328...............  ..............  A               Revise/graft eyelid         8.17         NA       7.03       0.48         NA      15.68        090
                                                       lining.
68330...............  ..............  A               Revise eyelid lining.       4.82       7.24       6.05       0.23      12.29      11.10        090
68335...............  ..............  A               Revise/graft eyelid         7.18         NA       6.79       0.35         NA      14.32        090
                                                       lining.
68340...............  ..............  A               Separate eyelid             4.16      10.80       4.77       0.21      15.17       9.14        090
                                                       adhesions.
68360...............  ..............  A               Revise eyelid lining.       4.36       6.60       5.58       0.21      11.17      10.15        090
68362...............  ..............  A               Revise eyelid lining.       7.33         NA       7.72       0.35         NA      15.40        090
68371...............  ..............  A               Harvest eye tissue,         4.89         NA       4.62       0.21         NA       9.72        010
                                                       alograft.
68399...............  ..............  C               Eyelid lining surgery       0.00       0.00       0.00       0.00       0.00       0.00        YYY
68400...............  ..............  A               Incise/drain tear           1.69       7.61       2.04       0.08       9.38       3.81        010
                                                       gland.
68420...............  ..............  A               Incise/drain tear sac       2.30       7.92       2.33       0.12      10.34       4.75        010
68440...............  ..............  A               Incise tear duct            0.94       4.93       0.49       0.05       5.92       1.48        010
                                                       opening.
68500...............  ..............  A               Removal of tear gland      11.00         NA      10.16       0.72         NA      21.88        090
68505...............  ..............  A               Partial removal, tear      10.92         NA      11.17       0.69         NA      22.78        090
                                                       gland.
68510...............  ..............  A               Biopsy of tear gland.       4.60       8.42       2.10       0.23      13.25       6.93        000
68520...............  ..............  A               Removal of tear sac..       7.50         NA       7.78       0.40         NA      15.68        090
68525...............  ..............  A               Biopsy of tear sac...       4.42         NA       2.02       0.22         NA       6.66        000
68530...............  ..............  A               Clearance of tear           3.65       9.45       2.85       0.19      13.29       6.69        010
                                                       duct.
68540...............  ..............  A               Remove tear gland          10.58         NA       9.78       0.55         NA      20.91        090
                                                       lesion.
68550...............  ..............  A               Remove tear gland          13.24         NA      11.75       0.80         NA      25.79        090
                                                       lesion.
68700...............  ..............  A               Repair tear ducts....       6.59         NA       7.29       0.33         NA      14.21        090
68705...............  ..............  A               Revise tear duct            2.06       5.45       1.01       0.10       7.61       3.17        010
                                                       opening.
68720...............  ..............  A               Create tear sac drain       8.95         NA       8.26       0.46         NA      17.67        090
68745...............  ..............  A               Create tear duct            8.62         NA       8.22       0.46         NA      17.30        090
                                                       drain.
68750...............  ..............  A               Create tear duct            8.65         NA       8.69       0.45         NA      17.79        090
                                                       drain.
68760...............  ..............  A               Close tear duct             1.73       3.99       1.23       0.08       5.80       3.04        010
                                                       opening.
68761...............  ..............  A               Close tear duct             1.36       3.42       0.98       0.07       4.85       2.41        010
                                                       opening.
68770...............  ..............  A               Close tear system           7.01      12.75       6.78       0.34      20.10      14.13        090
                                                       fistula.
68801...............  ..............  A               Dilate tear duct            0.94       0.94       0.60       0.05       1.93       1.59        010
                                                       opening.
68810...............  ..............  A               Probe nasolacrimal          1.90       2.32       0.92       0.10       4.32       2.92        010
                                                       duct.
68811...............  ..............  A               Probe nasolacrimal          2.35         NA       2.36       0.12         NA       4.83        010
                                                       duct.
68815...............  ..............  A               Probe nasolacrimal          3.20       8.16       2.68       0.17      11.53       6.05        010
                                                       duct.
68840...............  ..............  A               Explore/irrigate tear       1.25       1.64       0.96       0.06       2.95       2.27        010
                                                       ducts.
68850...............  ..............  A               Injection for tear          0.80      16.32       0.30       0.04      17.16       1.14        000
                                                       sac x-ray.

[[Page 1188]]

 
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       2.95       1.39       0.12       4.52       2.96        010
                                                       lesion.
69005...............  ..............  A               Drain external ear          2.11       2.96       1.85       0.19       5.26       4.15        010
                                                       lesion.
69020...............  ..............  A               Drain outer ear canal       1.48       3.92       2.03       0.13       5.53       3.64        010
                                                       lesion.
69090...............  ..............  N               Pierce earlobes......       0.00       0.00       0.00       0.00       0.00       0.00        XXX
69100...............  ..............  A               Biopsy of external          0.81       1.74       0.39       0.05       2.60       1.25        000
                                                       ear.
69105...............  ..............  A               Biopsy of external          0.85       2.31       0.77       0.07       3.23       1.69        000
                                                       ear canal.
69110...............  ..............  A               Remove external ear,        3.43       4.07       3.03       0.29       7.79       6.75        090
                                                       partial.
69120...............  ..............  A               Removal of external         4.04         NA       3.96       0.37         NA       8.37        090
                                                       ear.
69140...............  ..............  A               Remove ear canal            7.96         NA       6.69       0.68         NA      15.33        090
                                                       lesion(s).
69145...............  ..............  A               Remove ear canal            2.62       3.57       2.60       0.22       6.41       5.44        090
                                                       lesion(s).
69150...............  ..............  A               Extensive ear canal        13.41         NA       9.90       1.29         NA      24.60        090
                                                       surgery.
69155...............  ..............  A               Extensive ear/neck         20.77         NA      14.47       1.82         NA      37.06        090
                                                       surgery.
69200...............  ..............  A               Clear outer ear canal       0.77       2.33       0.58       0.06       3.16       1.41        000
69205...............  ..............  A               Clear outer ear canal       1.20         NA       1.35       0.11         NA       2.66        010
69210...............  ..............  A               Remove impacted ear         0.61       0.63       0.24       0.05       1.29       0.90        000
                                                       wax.
69220...............  ..............  A               Clean out mastoid           0.83       2.31       0.74       0.07       3.21       1.64        000
                                                       cavity.
69222...............  ..............  A               Clean out mastoid           1.40       3.78       2.02       0.12       5.30       3.54        010
                                                       cavity.
69300...............  ..............  R               Revise external ear..       6.35         NA       4.23       0.52         NA      11.10        YYY
69310...............  ..............  A               Rebuild outer ear          10.77         NA       8.37       0.93         NA      20.07        090
                                                       canal.
69320...............  ..............  A               Rebuild outer ear          16.93         NA      12.09       1.41         NA      30.43        090
                                                       canal.
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       2.33       0.67       0.07       3.23       1.57        000
                                                       canal.
69401...............  ..............  A               Inflate middle ear          0.63       1.30       0.65       0.05       1.98       1.33        000
                                                       canal.
69405...............  ..............  A               Catheterize middle          2.63       3.48       2.29       0.22       6.33       5.14        010
                                                       ear canal.
69410...............  ..............  A               Inset middle ear            0.33       2.05       0.48       0.02       2.40       0.83        000
                                                       (baffle).
69420...............  ..............  A               Incision of eardrum..       1.33       3.08       1.58       0.12       4.53       3.03        010
69421...............  ..............  A               Incision of eardrum..       1.73         NA       2.09       0.16         NA       3.98        010
69424...............  ..............  A               Remove ventilating          0.85       2.14       0.68       0.07       3.06       1.60        000
                                                       tube.
69433...............  ..............  A               Create eardrum              1.52       3.09       1.66       0.13       4.74       3.31        010
                                                       opening.
69436...............  ..............  A               Create eardrum              1.96         NA       2.22       0.17         NA       4.35        010
                                                       opening.
69440...............  ..............  A               Exploration of middle       7.56         NA       6.28       0.64         NA      14.48        090
                                                       ear.
69450...............  ..............  A               Eardrum revision.....       5.56         NA       5.02       0.47         NA      11.05        090
69501...............  ..............  A               Mastoidectomy........       9.06         NA       7.06       0.78         NA      16.90        090
69502...............  ..............  A               Mastoidectomy........      12.36         NA       9.26       1.04         NA      22.66        090
69505...............  ..............  A               Remove mastoid             12.97         NA       9.51       1.11         NA      23.59        090
                                                       structures.
69511...............  ..............  A               Extensive mastoid          13.50         NA       9.85       1.16         NA      24.51        090
                                                       surgery.
69530...............  ..............  A               Extensive mastoid          19.16         NA      13.01       1.59         NA      33.76        090
                                                       surgery.
69535...............  ..............  A               Remove part of             36.09         NA      22.36       3.12         NA      61.57        090
                                                       temporal bone.
69540...............  ..............  A               Remove ear lesion....       1.20       3.68       1.93       0.11       4.99       3.24        010
69550...............  ..............  A               Remove ear lesion....      10.97         NA       8.31       0.96         NA      20.24        090
69552...............  ..............  A               Remove ear lesion....      19.43         NA      12.92       1.64         NA      33.99        090
69554...............  ..............  A               Remove ear lesion....      33.11         NA      20.88       2.80         NA      56.79        090
69601...............  ..............  A               Mastoid surgery            13.22         NA      10.01       1.11         NA      24.34        090
                                                       revision.
69602...............  ..............  A               Mastoid surgery            13.56         NA       9.95       1.13         NA      24.64        090
                                                       revision.
69603...............  ..............  A               Mastoid surgery            14.00         NA      10.16       1.21         NA      25.37        090
                                                       revision.
69604...............  ..............  A               Mastoid surgery            14.00         NA      10.14       1.18         NA      25.32        090
                                                       revision.
69605...............  ..............  A               Mastoid surgery            18.46         NA      12.80       1.56         NA      32.82        090
                                                       revision.
69610...............  ..............  A               Repair of eardrum....       4.42       5.39       3.27       0.37      10.18       8.06        010
69620...............  ..............  A               Repair of eardrum....       5.88       6.13       4.51       0.48      12.49      10.87        090
69631...............  ..............  A               Repair eardrum              9.85         NA       7.85       0.83         NA      18.53        090
                                                       structures.
69632...............  ..............  A               Rebuild eardrum            12.73         NA       9.72       1.07         NA      23.52        090
                                                       structures.
69633...............  ..............  A               Rebuild eardrum            12.08         NA       9.38       1.01         NA      22.47        090
                                                       structures.
69635...............  ..............  A               Repair eardrum             13.31         NA       9.38       1.05         NA      23.74        090
                                                       structures.
69636...............  ..............  A               Rebuild eardrum            15.20         NA      11.15       1.29         NA      27.64        090
                                                       structures.
69637...............  ..............  A               Rebuild eardrum            15.09         NA      11.09       1.28         NA      27.46        090
                                                       structures.
69641...............  ..............  A               Revise middle ear &        12.69         NA       9.47       1.07         NA      23.23        090
                                                       mastoid.
69642...............  ..............  A               Revise middle ear &        16.81         NA      12.11       1.42         NA      30.34        090
                                                       mastoid.
69643...............  ..............  A               Revise middle ear &        15.30         NA      11.15       1.30         NA      27.75        090
                                                       mastoid.
69644...............  ..............  A               Revise middle ear &        16.94         NA      12.06       1.44         NA      30.44        090
                                                       mastoid.
69645...............  ..............  A               Revise middle ear &        16.36         NA      11.70       1.40         NA      29.46        090
                                                       mastoid.
69646...............  ..............  A               Revise middle ear &        17.96         NA      12.63       1.52         NA      32.11        090
                                                       mastoid.
69650...............  ..............  A               Release middle ear          9.65         NA       7.40       0.82         NA      17.87        090
                                                       bone.
69660...............  ..............  A               Revise middle ear          11.88         NA       8.60       1.01         NA      21.49        090
                                                       bone.
69661...............  ..............  A               Revise middle ear          15.72         NA      11.07       1.33         NA      28.12        090
                                                       bone.
69662...............  ..............  A               Revise middle ear          15.42         NA      10.79       1.30         NA      27.51        090
                                                       bone.
69666...............  ..............  A               Repair middle ear           9.74         NA       7.48       0.82         NA      18.04        090
                                                       structures.
69667...............  ..............  A               Repair middle ear           9.75         NA       7.46       0.87         NA      18.08        090
                                                       structures.
69670...............  ..............  A               Remove mastoid air         11.49         NA       8.63       0.94         NA      21.06        090
                                                       cells.
69676...............  ..............  A               Remove middle ear           9.51         NA       7.60       0.83         NA      17.94        090
                                                       nerve.
69700...............  ..............  A               Close mastoid fistula       8.22         NA       5.87       0.66         NA      14.75        090
69710...............  ..............  N               Implant/replace             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       hearing aid.
69711...............  ..............  A               Remove/repair hearing      10.42         NA       8.06       0.75         NA      19.23        090
                                                       aid.
69714...............  ..............  A               Implant temple bone w/     13.98         NA       9.89       1.22         NA      25.09        090
                                                       stimul.
69715...............  ..............  A               Temple bne implnt w/       18.22         NA      12.37       1.59         NA      32.18        090
                                                       stimulat.

[[Page 1189]]

 
69717...............  ..............  A               Temple bone implant        14.96         NA       9.55       1.30         NA      25.81        090
                                                       revision.
69718...............  ..............  A               Revise temple bone         18.47         NA      12.27       1.62         NA      32.36        090
                                                       implant.
69720...............  ..............  A               Release facial nerve.      14.36         NA      10.74       1.24         NA      26.34        090
69725...............  ..............  A               Release facial nerve.      25.34         NA      16.83       2.15         NA      44.32        090
69740...............  ..............  A               Repair facial nerve..      15.94         NA      10.35       1.36         NA      27.65        090
69745...............  ..............  A               Repair facial nerve..      16.66         NA      11.34       1.21         NA      29.21        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.....       8.55         NA       6.81       0.72         NA      16.08        090
69802...............  ..............  A               Incise inner ear.....      13.08         NA       9.59       1.10         NA      23.77        090
69805...............  ..............  A               Explore inner ear....      13.80         NA      10.04       1.17         NA      25.01        090
69806...............  ..............  A               Explore inner ear....      12.33         NA       9.17       1.04         NA      22.54        090
69820...............  ..............  A               Establish inner ear        10.32         NA       7.83       0.80         NA      18.95        090
                                                       window.
69840...............  ..............  A               Revise inner ear           10.24         NA       6.91       0.77         NA      17.92        090
                                                       window.
69905...............  ..............  A               Remove inner ear.....      11.08         NA       8.30       0.93         NA      20.31        090
69910...............  ..............  A               Remove inner ear &         13.61         NA       9.70       1.13         NA      24.44        090
                                                       mastoid.
69915...............  ..............  A               Incise inner ear           21.20         NA      14.15       1.86         NA      37.21        090
                                                       nerve.
69930...............  ..............  A               Implant cochlear           16.78         NA      11.81       1.44         NA      30.03        090
                                                       device.
69949...............  ..............  C               Inner ear surgery           0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
69950...............  ..............  A               Incise inner ear           25.60         NA      16.04       3.50         NA      45.14        090
                                                       nerve.
69955...............  ..............  A               Release facial nerve.      27.00         NA      17.57       2.28         NA      46.85        090
69960...............  ..............  A               Release inner ear          27.00         NA      17.04       2.93         NA      46.97        090
                                                       canal.
69970...............  ..............  A               Remove inner ear           29.99         NA      18.32       2.82         NA      51.13        090
                                                       lesion.
69979...............  ..............  C               Temporal bone surgery       0.00       0.00       0.00       0.00       0.00       0.00        YYY
69990...............  ..............  R               Microsurgery add-on..       3.46         NA       1.80       0.68         NA       5.94        ZZZ
70010...............  ..............  A               Contrast x-ray of           1.19       4.73         NA       0.29       6.21         NA        XXX
                                                       brain.
70010...............  26............  A               Contrast x-ray of           1.19       0.39       0.39       0.07       1.65       1.65        XXX
                                                       brain.
70010...............  TC............  A               Contrast x-ray of           0.00       4.34         NA       0.22       4.56         NA        XXX
                                                       brain.
70015...............  ..............  A               Contrast x-ray of           1.19       1.75         NA       0.14       3.08         NA        XXX
                                                       brain.
70015...............  26............  A               Contrast x-ray of           1.19       0.39       0.39       0.06       1.64       1.64        XXX
                                                       brain.
70015...............  TC............  A               Contrast x-ray of           0.00       1.36         NA       0.08       1.44         NA        XXX
                                                       brain.
70030...............  ..............  A               X-ray eye for foreign       0.17       0.47         NA       0.03       0.67         NA        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       0.41         NA       0.02       0.43         NA        XXX
                                                       body.
70100...............  ..............  A               X-ray exam of jaw....       0.18       0.58         NA       0.03       0.79         NA        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       0.52         NA       0.02       0.54         NA        XXX
70110...............  ..............  A               X-ray exam of jaw....       0.25       0.70         NA       0.05       1.00         NA        XXX
70110...............  26............  A               X-ray exam of jaw....       0.25       0.08       0.08       0.01       0.34       0.34        XXX
70110...............  TC............  A               X-ray exam of jaw....       0.00       0.62         NA       0.04       0.66         NA        XXX
70120...............  ..............  A               X-ray exam of               0.18       0.68         NA       0.05       0.91         NA        XXX
                                                       mastoids.
70120...............  26............  A               X-ray exam of               0.18       0.06       0.06       0.01       0.25       0.25        XXX
                                                       mastoids.
70120...............  TC............  A               X-ray exam of               0.00       0.62         NA       0.04       0.66         NA        XXX
                                                       mastoids.
70130...............  ..............  A               X-ray exam of               0.34       0.90         NA       0.06       1.30         NA        XXX
                                                       mastoids.
70130...............  26............  A               X-ray exam of               0.34       0.11       0.11       0.01       0.46       0.46        XXX
                                                       mastoids.
70130...............  TC............  A               X-ray exam of               0.00       0.79         NA       0.05       0.84         NA        XXX
                                                       mastoids.
70134...............  ..............  A               X-ray exam of middle        0.34       0.85         NA       0.06       1.25         NA        XXX
                                                       ear.
70134...............  26............  A               X-ray exam of middle        0.34       0.11       0.11       0.01       0.46       0.46        XXX
                                                       ear.
70134...............  TC............  A               X-ray exam of middle        0.00       0.74         NA       0.05       0.79         NA        XXX
                                                       ear.
70140...............  ..............  A               X-ray exam of facial        0.19       0.68         NA       0.05       0.92         NA        XXX
                                                       bones.
70140...............  26............  A               X-ray exam of facial        0.19       0.06       0.06       0.01       0.26       0.26        XXX
                                                       bones.
70140...............  TC............  A               X-ray exam of facial        0.00       0.62         NA       0.04       0.66         NA        XXX
                                                       bones.
70150...............  ..............  A               X-ray exam of facial        0.26       0.88         NA       0.06       1.20         NA        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       0.79         NA       0.05       0.84         NA        XXX
                                                       bones.
70160...............  ..............  A               X-ray exam of nasal         0.17       0.58         NA       0.03       0.78         NA        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       0.52         NA       0.02       0.54         NA        XXX
                                                       bones.
70170...............  ..............  A               X-ray exam of tear          0.30       1.05         NA       0.07       1.42         NA        XXX
                                                       duct.
70170...............  26............  A               X-ray exam of tear          0.30       0.10       0.10       0.01       0.41       0.41        XXX
                                                       duct.
70170...............  TC............  A               X-ray exam of tear          0.00       0.95         NA       0.06       1.01         NA        XXX
                                                       duct.
70190...............  ..............  A               X-ray exam of eye           0.21       0.69         NA       0.05       0.95         NA        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       0.62         NA       0.04       0.66         NA        XXX
                                                       sockets.
70200...............  ..............  A               X-ray exam of eye           0.28       0.88         NA       0.06       1.22         NA        XXX
                                                       sockets.
70200...............  26............  A               X-ray exam of eye           0.28       0.09       0.09       0.01       0.38       0.38        XXX
                                                       sockets.
70200...............  TC............  A               X-ray exam of eye           0.00       0.79         NA       0.05       0.84         NA        XXX
                                                       sockets.
70210...............  ..............  A               X-ray exam of sinuses       0.17       0.68         NA       0.05       0.90         NA        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       0.62         NA       0.04       0.66         NA        XXX
70220...............  ..............  A               X-ray exam of sinuses       0.25       0.87         NA       0.06       1.18         NA        XXX
70220...............  26............  A               X-ray exam of sinuses       0.25       0.08       0.08       0.01       0.34       0.34        XXX
70220...............  TC............  A               X-ray exam of sinuses       0.00       0.79         NA       0.05       0.84         NA        XXX
70240...............  ..............  A               X-ray exam, pituitary       0.19       0.47         NA       0.03       0.69         NA        XXX
                                                       saddle.
70240...............  26............  A               X-ray exam, pituitary       0.19       0.06       0.06       0.01       0.26       0.26        XXX
                                                       saddle.
70240...............  TC............  A               X-ray exam, pituitary       0.00       0.41         NA       0.02       0.43         NA        XXX
                                                       saddle.

[[Page 1190]]

 
70250...............  ..............  A               X-ray exam of skull..       0.24       0.70         NA       0.05       0.99         NA        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       0.62         NA       0.04       0.66         NA        XXX
70260...............  ..............  A               X-ray exam of skull..       0.34       1.00         NA       0.07       1.41         NA        XXX
70260...............  26............  A               X-ray exam of skull..       0.34       0.11       0.11       0.01       0.46       0.46        XXX
70260...............  TC............  A               X-ray exam of skull..       0.00       0.89         NA       0.06       0.95         NA        XXX
70300...............  ..............  A               X-ray exam of teeth..       0.10       0.32         NA       0.03       0.45         NA        XXX
70300...............  26............  A               X-ray exam of teeth..       0.10       0.05       0.05       0.01       0.16       0.16        XXX
70300...............  TC............  A               X-ray exam of teeth..       0.00       0.27         NA       0.02       0.29         NA        XXX
70310...............  ..............  A               X-ray exam of teeth..       0.16       0.49         NA       0.03       0.68         NA        XXX
70310...............  26............  A               X-ray exam of teeth..       0.16       0.08       0.08       0.01       0.25       0.25        XXX
70310...............  TC............  A               X-ray exam of teeth..       0.00       0.41         NA       0.02       0.43         NA        XXX
70320...............  ..............  A               Full mouth x-ray of         0.22       0.87         NA       0.06       1.15         NA        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       0.79         NA       0.05       0.84         NA        XXX
                                                       teeth.
70328...............  ..............  A               X-ray exam of jaw           0.18       0.55         NA       0.03       0.76         NA        XXX
                                                       joint.
70328...............  26............  A               X-ray exam of jaw           0.18       0.06       0.06       0.01       0.25       0.25        XXX
                                                       joint.
70328...............  TC............  A               X-ray exam of jaw           0.00       0.49         NA       0.02       0.51         NA        XXX
                                                       joint.
70330...............  ..............  A               X-ray exam of jaw           0.24       0.93         NA       0.06       1.23         NA        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       0.85         NA       0.05       0.90         NA        XXX
                                                       joints.
70332...............  ..............  A               X-ray exam of jaw           0.54       2.30         NA       0.14       2.98         NA        XXX
                                                       joint.
70332...............  26............  A               X-ray exam of jaw           0.54       0.20       0.20       0.02       0.76       0.76        XXX
                                                       joint.
70332...............  TC............  A               X-ray exam of jaw           0.00       2.10         NA       0.12       2.22         NA        XXX
                                                       joint.
70336...............  ..............  A               Magnetic image, jaw         1.48      11.72         NA       0.67      13.87         NA        XXX
                                                       joint.
70336...............  26............  A               Magnetic image, jaw         1.48       0.48       0.48       0.08       2.04       2.04        XXX
                                                       joint.
70336...............  TC............  A               Magnetic image, jaw         0.00      11.24         NA       0.59      11.83         NA        XXX
                                                       joint.
70350...............  ..............  A               X-ray head for              0.17       0.44         NA       0.03       0.64         NA        XXX
                                                       orthodontia.
70350...............  26............  A               X-ray head for              0.17       0.07       0.07       0.01       0.25       0.25        XXX
                                                       orthodontia.
70350...............  TC............  A               X-ray head for              0.00       0.37         NA       0.02       0.39         NA        XXX
                                                       orthodontia.
70355...............  ..............  A               Panoramic x-ray of          0.20       0.65         NA       0.05       0.90         NA        XXX
                                                       jaws.
70355...............  26............  A               Panoramic x-ray of          0.20       0.08       0.08       0.01       0.29       0.29        XXX
                                                       jaws.
70355...............  TC............  A               Panoramic x-ray of          0.00       0.57         NA       0.04       0.61         NA        XXX
                                                       jaws.
70360...............  ..............  A               X-ray exam of neck...       0.17       0.47         NA       0.03       0.67         NA        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       0.41         NA       0.02       0.43         NA        XXX
70370...............  ..............  A               Throat x-ray &              0.32       1.42         NA       0.08       1.82         NA        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       1.31         NA       0.07       1.38         NA        XXX
                                                       fluoroscopy.
70371...............  ..............  A               Speech evaluation,          0.84       2.38         NA       0.17       3.39         NA        XXX
                                                       complex.
70371...............  26............  A               Speech evaluation,          0.84       0.28       0.28       0.05       1.17       1.17        XXX
                                                       complex.
70371...............  TC............  A               Speech evaluation,          0.00       2.10         NA       0.12       2.22         NA        XXX
                                                       complex.
70373...............  ..............  A               Contrast x-ray of           0.44       1.94         NA       0.13       2.51         NA        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       1.79         NA       0.11       1.90         NA        XXX
                                                       larynx.
70380...............  ..............  A               X-ray exam of               0.17       0.73         NA       0.05       0.95         NA        XXX
                                                       salivary gland.
70380...............  26............  A               X-ray exam of               0.17       0.06       0.06       0.01       0.24       0.24        XXX
                                                       salivary gland.
70380...............  TC............  A               X-ray exam of               0.00       0.67         NA       0.04       0.71         NA        XXX
                                                       salivary gland.
70390...............  ..............  A               X-ray exam of               0.38       1.92         NA       0.13       2.43         NA        XXX
                                                       salivary duct.
70390...............  26............  A               X-ray exam of               0.38       0.13       0.13       0.02       0.53       0.53        XXX
                                                       salivary duct.
70390...............  TC............  A               X-ray exam of               0.00       1.79         NA       0.11       1.90         NA        XXX
                                                       salivary duct.
70450...............  ..............  A               Ct head/brain w/o dye       0.85       5.02         NA       0.30       6.17         NA        XXX
70450...............  26............  A               Ct head/brain w/o dye       0.85       0.28       0.28       0.05       1.18       1.18        XXX
70450...............  TC............  A               Ct head/brain w/o dye       0.00       4.74         NA       0.25       4.99         NA        XXX
70460...............  ..............  A               Ct head/brain w/dye..       1.13       6.04         NA       0.36       7.53         NA        XXX
70460...............  26............  A               Ct head/brain w/dye..       1.13       0.37       0.37       0.06       1.56       1.56        XXX
70460...............  TC............  A               Ct head/brain w/dye..       0.00       5.67         NA       0.30       5.97         NA        XXX
70470...............  ..............  A               Ct head/brain w/o & w/      1.27       7.51         NA       0.44       9.22         NA        XXX
                                                        dye.
70470...............  26............  A               Ct head/brain w/o & w/      1.27       0.41       0.41       0.07       1.75       1.75        XXX
                                                        dye.
70470...............  TC............  A               Ct head/brain w/o & w/      0.00       7.10         NA       0.37       7.47         NA        XXX
                                                        dye.
70480...............  ..............  A               Ct orbit/ear/fossa w/       1.28       5.16         NA       0.32       6.76         NA        XXX
                                                       o dye.
70480...............  26............  A               Ct orbit/ear/fossa w/       1.28       0.42       0.42       0.07       1.77       1.77        XXX
                                                       o dye.
70480...............  TC............  A               Ct orbit/ear/fossa w/       0.00       4.74         NA       0.25       4.99         NA        XXX
                                                       o dye.
70481...............  ..............  A               Ct orbit/ear/fossa w/       1.38       6.12         NA       0.37       7.87         NA        XXX
                                                       dye.
70481...............  26............  A               Ct orbit/ear/fossa w/       1.38       0.45       0.45       0.07       1.90       1.90        XXX
                                                       dye.
70481...............  TC............  A               Ct orbit/ear/fossa w/       0.00       5.67         NA       0.30       5.97         NA        XXX
                                                       dye.
70482...............  ..............  A               Ct orbit/ear/fossa w/       1.45       7.57         NA       0.44       9.46         NA        XXX
                                                       o&w dye.
70482...............  26............  A               Ct orbit/ear/fossa w/       1.45       0.47       0.47       0.07       1.99       1.99        XXX
                                                       o&w dye.
70482...............  TC............  A               Ct orbit/ear/fossa w/       0.00       7.10         NA       0.37       7.47         NA        XXX
                                                       o&w dye.
70486...............  ..............  A               Ct maxillofacial w/o        1.14       5.11         NA       0.31       6.56         NA        XXX
                                                       dye.
70486...............  26............  A               Ct maxillofacial w/o        1.14       0.37       0.37       0.06       1.57       1.57        XXX
                                                       dye.
70486...............  TC............  A               Ct maxillofacial w/o        0.00       4.74         NA       0.25       4.99         NA        XXX
                                                       dye.
70487...............  ..............  A               Ct maxillofacial w/         1.30       6.09         NA       0.37       7.76         NA        XXX
                                                       dye.
70487...............  26............  A               Ct maxillofacial w/         1.30       0.42       0.42       0.07       1.79       1.79        XXX
                                                       dye.
70487...............  TC............  A               Ct maxillofacial w/         0.00       5.67         NA       0.30       5.97         NA        XXX
                                                       dye.

[[Page 1191]]

 
70488...............  ..............  A               Ct maxillofacial w/o        1.42       7.56         NA       0.44       9.42         NA        XXX
                                                       & w dye.
70488...............  26............  A               Ct maxillofacial w/o        1.42       0.46       0.46       0.07       1.95       1.95        XXX
                                                       & w dye.
70488...............  TC............  A               Ct maxillofacial w/o        0.00       7.10         NA       0.37       7.47         NA        XXX
                                                       & w dye.
70490...............  ..............  A               Ct soft tissue neck w/      1.28       5.16         NA       0.32       6.76         NA        XXX
                                                       o dye.
70490...............  26............  A               Ct soft tissue neck w/      1.28       0.42       0.42       0.07       1.77       1.77        XXX
                                                       o dye.
70490...............  TC............  A               Ct soft tissue neck w/      0.00       4.74         NA       0.25       4.99         NA        XXX
                                                       o dye.
70491...............  ..............  A               Ct soft tissue neck w/      1.38       6.12         NA       0.37       7.87         NA        XXX
                                                       dye.
70491...............  26............  A               Ct soft tissue neck w/      1.38       0.45       0.45       0.07       1.90       1.90        XXX
                                                       dye.
70491...............  TC............  A               Ct soft tissue neck w/      0.00       5.67         NA       0.30       5.97         NA        XXX
                                                       dye.
70492...............  ..............  A               Ct sft tsue nck w/o &       1.45       7.57         NA       0.44       9.46         NA        XXX
                                                       w/dye.
70492...............  26............  A               Ct sft tsue nck w/o &       1.45       0.47       0.47       0.07       1.99       1.99        XXX
                                                       w/dye.
70492...............  TC............  A               Ct sft tsue nck w/o &       0.00       7.10         NA       0.37       7.47         NA        XXX
                                                       w/dye.
70496...............  ..............  A               Ct angiography, head.       1.75      11.22         NA       0.68      13.65         NA        XXX
70496...............  26............  A               Ct angiography, head.       1.75       0.57       0.57       0.10       2.42       2.42        XXX
70496...............  TC............  A               Ct angiography, head.       0.00      10.65         NA       0.58      11.23         NA        XXX
70498...............  ..............  A               Ct angiography, neck.       1.75      11.22         NA       0.68      13.65         NA        XXX
70498...............  26............  A               Ct angiography, neck.       1.75       0.57       0.57       0.10       2.42       2.42        XXX
70498...............  TC............  A               Ct angiography, neck.       0.00      10.65         NA       0.58      11.23         NA        XXX
70540...............  ..............  A               Mri orbit/face/neck w/      1.35      11.68         NA       0.44      13.47         NA        XXX
                                                       o dye.
70540...............  26............  A               Mri orbit/face/neck w/      1.35       0.44       0.44       0.05       1.84       1.84        XXX
                                                       o dye.
70540...............  TC............  A               Mri orbit/face/neck w/      0.00      11.24         NA       0.39      11.63         NA        XXX
                                                       o dye.
70542...............  ..............  A               Mri orbit/face/neck w/      1.62      14.02         NA       0.53      16.17         NA        XXX
                                                       dye.
70542...............  26............  A               Mri orbit/face/neck w/      1.62       0.53       0.53       0.06       2.21       2.21        XXX
                                                       dye.
70542...............  TC............  A               Mri orbit/face/neck w/      0.00      13.49         NA       0.47      13.96         NA        XXX
                                                       dye.
70543...............  ..............  A               Mri orbt/fac/nck w/o        2.15      25.69         NA       0.92      28.76         NA        XXX
                                                       & w dye.
70543...............  26............  A               Mri orbt/fac/nck w/o        2.15       0.71       0.71       0.08       2.94       2.94        XXX
                                                       & w dye.
70543...............  TC............  A               Mri orbt/fac/nck w/o        0.00      24.98         NA       0.84      25.82         NA        XXX
                                                       & w dye.
70544...............  ..............  A               Mr angiography head w/      1.20      11.63         NA       0.65      13.48         NA        XXX
                                                       o dye.
70544...............  26............  A               Mr angiography head w/      1.20       0.39       0.39       0.06       1.65       1.65        XXX
                                                       o dye.
70544...............  TC............  A               Mr angiography head w/      0.00      11.24         NA       0.59      11.83         NA        XXX
                                                       o dye.
70545...............  ..............  A               Mr angiography head w/      1.20      11.63         NA       0.65      13.48         NA        XXX
                                                       dye.
70545...............  26............  A               Mr angiography head w/      1.20       0.39       0.39       0.06       1.65       1.65        XXX
                                                       dye.
70545...............  TC............  A               Mr angiography head w/      0.00      11.24         NA       0.59      11.83         NA        XXX
                                                       dye.
70546...............  ..............  A               Mr angiograph head w/       1.80      23.08         NA       0.69      25.57         NA        XXX
                                                       o&w dye.
70546...............  26............  A               Mr angiograph head w/       1.80       0.59       0.59       0.10       2.49       2.49        XXX
                                                       o&w dye.
70546...............  TC............  A               Mr angiograph head w/       0.00      22.49         NA       0.59      23.08         NA        XXX
                                                       o&w dye.
70547...............  ..............  A               Mr angiography neck w/      1.20      11.63         NA       0.65      13.48         NA        XXX
                                                       o dye.
70547...............  26............  A               Mr angiography neck w/      1.20       0.39       0.39       0.06       1.65       1.65        XXX
                                                       o dye.
70547...............  TC............  A               Mr angiography neck w/      0.00      11.24         NA       0.59      11.83         NA        XXX
                                                       o dye.
70548...............  ..............  A               Mr angiography neck w/      1.20      11.63         NA       0.65      13.48         NA        XXX
                                                       dye.
70548...............  26............  A               Mr angiography neck w/      1.20       0.39       0.39       0.06       1.65       1.65        XXX
                                                       dye.
70548...............  TC............  A               Mr angiography neck w/      0.00      11.24         NA       0.59      11.83         NA        XXX
                                                       dye.
70549...............  ..............  A               Mr angiograph neck w/       1.80      23.08         NA       0.69      25.57         NA        XXX
                                                       o&w dye.
70549...............  26............  A               Mr angiograph neck w/       1.80       0.59       0.59       0.10       2.49       2.49        XXX
                                                       o&w dye.
70549...............  TC............  A               Mr angiograph neck w/       0.00      22.49         NA       0.59      23.08         NA        XXX
                                                       o&w dye.
70551...............  ..............  A               Mri brain w/o dye....       1.48      11.73         NA       0.67      13.88         NA        XXX
70551...............  26............  A               Mri brain w/o dye....       1.48       0.49       0.49       0.08       2.05       2.05        XXX
70551...............  TC............  A               Mri brain w/o dye....       0.00      11.24         NA       0.59      11.83         NA        XXX
70552...............  ..............  A               Mri brain w/ dye.....       1.78      14.08         NA       0.80      16.66         NA        XXX
70552...............  26............  A               Mri brain w/ dye.....       1.78       0.59       0.59       0.10       2.47       2.47        XXX
70552...............  TC............  A               Mri brain w/ dye.....       0.00      13.49         NA       0.70      14.19         NA        XXX
70553...............  ..............  A               Mri brain w/o & w/          2.36      25.76         NA       1.43      29.55         NA        XXX
                                                       dye.
70553...............  26............  A               Mri brain w/o & w/          2.36       0.78       0.78       0.12       3.26       3.26        XXX
                                                       dye.
70553...............  TC............  A               Mri brain w/o & w/          0.00      24.98         NA       1.31      26.29         NA        XXX
                                                       dye.
70557...............  ..............  C               Mri brain w/o dye....       0.00       0.00       0.00       0.00       0.00       0.00        XXX
70557...............  26............  A               Mri brain w/o dye....       2.90       0.98       0.98       0.08       3.96       3.96        XXX
70557...............  TC............  C               Mri brain w/o dye....       0.00       0.00       0.00       0.00       0.00       0.00        XXX
70558...............  ..............  C               Mri brain w/ dye.....       0.00       0.00       0.00       0.00       0.00       0.00        XXX
70558...............  26............  A               Mri brain w/ dye.....       3.20       1.08       1.08       0.10       4.38       4.38        XXX
70558...............  TC............  C               Mri brain w/ dye.....       0.00       0.00       0.00       0.00       0.00       0.00        XXX
70559...............  ..............  C               Mri brain w/o & w/          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       dye.
70559...............  26............  A               Mri brain w/o & w/          3.20       1.08       1.08       0.12       4.40       4.40        XXX
                                                       dye.
70559...............  TC............  C               Mri brain w/o & w/          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       dye.
71010...............  ..............  A               Chest x-ray..........       0.18       0.53         NA       0.03       0.74         NA        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       0.47         NA       0.02       0.49         NA        XXX
71015...............  ..............  A               Chest x-ray..........       0.21       0.59         NA       0.03       0.83         NA        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       0.52         NA       0.02       0.54         NA        XXX
71020...............  ..............  A               Chest x-ray..........       0.22       0.69         NA       0.05       0.96         NA        XXX
71020...............  26............  A               Chest x-ray..........       0.22       0.07       0.07       0.01       0.30       0.30        XXX
71020...............  TC............  A               Chest x-ray..........       0.00       0.62         NA       0.04       0.66         NA        XXX
71021...............  ..............  A               Chest x-ray..........       0.27       0.83         NA       0.06       1.16         NA        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       0.74         NA       0.05       0.79         NA        XXX

[[Page 1192]]

 
71022...............  ..............  A               Chest x-ray..........       0.31       0.84         NA       0.07       1.22         NA        XXX
71022...............  26............  A               Chest x-ray..........       0.31       0.10       0.10       0.02       0.43       0.43        XXX
71022...............  TC............  A               Chest x-ray..........       0.00       0.74         NA       0.05       0.79         NA        XXX
71023...............  ..............  A               Chest x-ray and             0.38       0.92         NA       0.07       1.37         NA        XXX
                                                       fluoroscopy.
71023...............  26............  A               Chest x-ray and             0.38       0.13       0.13       0.02       0.53       0.53        XXX
                                                       fluoroscopy.
71023...............  TC............  A               Chest x-ray and             0.00       0.79         NA       0.05       0.84         NA        XXX
                                                       fluoroscopy.
71030...............  ..............  A               Chest x-ray..........       0.31       0.89         NA       0.06       1.26         NA        XXX
71030...............  26............  A               Chest x-ray..........       0.31       0.10       0.10       0.01       0.42       0.42        XXX
71030...............  TC............  A               Chest x-ray..........       0.00       0.79         NA       0.05       0.84         NA        XXX
71034...............  ..............  A               Chest x-ray and             0.46       1.60         NA       0.10       2.16         NA        XXX
                                                       fluoroscopy.
71034...............  26............  A               Chest x-ray and             0.46       0.16       0.16       0.02       0.64       0.64        XXX
                                                       fluoroscopy.
71034...............  TC............  A               Chest x-ray and             0.00       1.44         NA       0.08       1.52         NA        XXX
                                                       fluoroscopy.
71035...............  ..............  A               Chest x-ray..........       0.18       0.58         NA       0.03       0.79         NA        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       0.52         NA       0.02       0.54         NA        XXX
71040...............  ..............  A               Contrast x-ray of           0.58       1.65         NA       0.12       2.35         NA        XXX
                                                       bronchi.
71040...............  26............  A               Contrast x-ray of           0.58       0.19       0.19       0.04       0.81       0.81        XXX
                                                       bronchi.
71040...............  TC............  A               Contrast x-ray of           0.00       1.46         NA       0.08       1.54         NA        XXX
                                                       bronchi.
71060...............  ..............  A               Contrast x-ray of           0.74       2.46         NA       0.17       3.37         NA        XXX
                                                       bronchi.
71060...............  26............  A               Contrast x-ray of           0.74       0.25       0.25       0.04       1.03       1.03        XXX
                                                       bronchi.
71060...............  TC............  A               Contrast x-ray of           0.00       2.21         NA       0.13       2.34         NA        XXX
                                                       bronchi.
71090...............  ..............  A               X-ray & pacemaker           0.54       1.90         NA       0.13       2.57         NA        XXX
                                                       insertion.
71090...............  26............  A               X-ray & pacemaker           0.54       0.21       0.21       0.02       0.77       0.77        XXX
                                                       insertion.
71090...............  TC............  A               X-ray & pacemaker           0.00       1.69         NA       0.11       1.80         NA        XXX
                                                       insertion.
71100...............  ..............  A               X-ray exam of ribs...       0.22       0.64         NA       0.05       0.91         NA        XXX
71100...............  26............  A               X-ray exam of ribs...       0.22       0.07       0.07       0.01       0.30       0.30        XXX
71100...............  TC............  A               X-ray exam of ribs...       0.00       0.57         NA       0.04       0.61         NA        XXX
71101...............  ..............  A               X-ray exam of ribs/         0.27       0.76         NA       0.05       1.08         NA        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       0.67         NA       0.04       0.71         NA        XXX
                                                       chest.
71110...............  ..............  A               X-ray exam of ribs...       0.27       0.88         NA       0.06       1.21         NA        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       0.79         NA       0.05       0.84         NA        XXX
71111...............  ..............  A               X-ray exam of ribs/         0.32       1.00         NA       0.07       1.39         NA        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       0.89         NA       0.06       0.95         NA        XXX
                                                       chest.
71120...............  ..............  A               X-ray exam of               0.20       0.72         NA       0.05       0.97         NA        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       0.65         NA       0.04       0.69         NA        XXX
                                                       breastbone.
71130...............  ..............  A               X-ray exam of               0.22       0.78         NA       0.05       1.05         NA        XXX
                                                       breastbone.
71130...............  26............  A               X-ray exam of               0.22       0.07       0.07       0.01       0.30       0.30        XXX
                                                       breastbone.
71130...............  TC............  A               X-ray exam of               0.00       0.71         NA       0.04       0.75         NA        XXX
                                                       breastbone.
71250...............  ..............  A               Ct thorax w/o dye....       1.16       6.31         NA       0.37       7.84         NA        XXX
71250...............  26............  A               Ct thorax w/o dye....       1.16       0.38       0.38       0.06       1.60       1.60        XXX
71250...............  TC............  A               Ct thorax w/o dye....       0.00       5.93         NA       0.31       6.24         NA        XXX
71260...............  ..............  A               Ct thorax w/dye......       1.24       7.50         NA       0.43       9.17         NA        XXX
71260...............  26............  A               Ct thorax w/dye......       1.24       0.40       0.40       0.06       1.70       1.70        XXX
71260...............  TC............  A               Ct thorax w/dye......       0.00       7.10         NA       0.37       7.47         NA        XXX
71270...............  ..............  A               Ct thorax w/o & w/          1.38       9.33         NA       0.53      11.24         NA        XXX
                                                       dye.
71270...............  26............  A               Ct thorax w/o & w/          1.38       0.45       0.45       0.07       1.90       1.90        XXX
                                                       dye.
71270...............  TC............  A               Ct thorax w/o & w/          0.00       8.88         NA       0.46       9.34         NA        XXX
                                                       dye.
71275...............  ..............  A               Ct angiography, chest       1.92      13.05         NA       0.46      15.43         NA        XXX
71275...............  26............  A               Ct angiography, chest       1.92       0.63       0.63       0.07       2.62       2.62        XXX
71275...............  TC............  A               Ct angiography, chest       0.00      12.42         NA       0.39      12.81         NA        XXX
71550...............  ..............  A               Mri chest w/o dye....       1.46      11.72         NA       0.50      13.68         NA        XXX
71550...............  26............  A               Mri chest w/o dye....       1.46       0.48       0.48       0.05       1.99       1.99        XXX
71550...............  TC............  A               Mri chest w/o dye....       0.00      11.24         NA       0.45      11.69         NA        XXX
71551...............  ..............  A               Mri chest w/dye......       1.73      14.06         NA       0.59      16.38         NA        XXX
71551...............  26............  A               Mri chest w/dye......       1.73       0.57       0.57       0.07       2.37       2.37        XXX
71551...............  TC............  A               Mri chest w/dye......       0.00      13.49         NA       0.52      14.01         NA        XXX
71552...............  ..............  A               Mri chest w/o & w/dye       2.26      25.72         NA       0.78      28.76         NA        XXX
71552...............  26............  A               Mri chest w/o & w/dye       2.26       0.74       0.74       0.10       3.10       3.10        XXX
71552...............  TC............  A               Mri chest w/o & w/dye       0.00      24.98         NA       0.68      25.66         NA        XXX
71555...............  ..............  R               Mri angio chest w or        1.81      11.84         NA       0.69      14.34         NA        XXX
                                                       w/o dye.
71555...............  26............  R               Mri angio chest w or        1.81       0.60       0.60       0.10       2.51       2.51        XXX
                                                       w/o dye.
71555...............  TC............  R               Mri angio chest w or        0.00      11.24         NA       0.59      11.83         NA        XXX
                                                       w/o dye.
72010...............  ..............  A               X-ray exam of spine..       0.45       1.18         NA       0.10       1.73         NA        XXX
72010...............  26............  A               X-ray exam of spine..       0.45       0.15       0.15       0.04       0.64       0.64        XXX
72010...............  TC............  A               X-ray exam of spine..       0.00       1.03         NA       0.06       1.09         NA        XXX
72020...............  ..............  A               X-ray exam of spine..       0.15       0.46         NA       0.03       0.64         NA        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       0.41         NA       0.02       0.43         NA        XXX
72040...............  ..............  A               X-ray exam of neck          0.22       0.67         NA       0.05       0.94         NA        XXX
                                                       spine.
72040...............  26............  A               X-ray exam of neck          0.22       0.07       0.07       0.01       0.30       0.30        XXX
                                                       spine.
72040...............  TC............  A               X-ray exam of neck          0.00       0.60         NA       0.04       0.64         NA        XXX
                                                       spine.

[[Page 1193]]

 
72050...............  ..............  A               X-ray exam of neck          0.31       0.99         NA       0.08       1.38         NA        XXX
                                                       spine.
72050...............  26............  A               X-ray exam of neck          0.31       0.10       0.10       0.02       0.43       0.43        XXX
                                                       spine.
72050...............  TC............  A               X-ray exam of neck          0.00       0.89         NA       0.06       0.95         NA        XXX
                                                       spine.
72052...............  ..............  A               X-ray exam of neck          0.36       1.25         NA       0.08       1.69         NA        XXX
                                                       spine.
72052...............  26............  A               X-ray exam of neck          0.36       0.12       0.12       0.02       0.50       0.50        XXX
                                                       spine.
72052...............  TC............  A               X-ray exam of neck          0.00       1.13         NA       0.06       1.19         NA        XXX
                                                       spine.
72069...............  ..............  A               X-ray exam of trunk         0.22       0.57         NA       0.04       0.83         NA        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       0.49         NA       0.02       0.51         NA        XXX
                                                       spine.
72070...............  ..............  A               X-ray exam of               0.22       0.72         NA       0.05       0.99         NA        XXX
                                                       thoracic spine.
72070...............  26............  A               X-ray exam of               0.22       0.07       0.07       0.01       0.30       0.30        XXX
                                                       thoracic spine.
72070...............  TC............  A               X-ray exam of               0.00       0.65         NA       0.04       0.69         NA        XXX
                                                       thoracic spine.
72072...............  ..............  A               X-ray exam of               0.22       0.81         NA       0.06       1.09         NA        XXX
                                                       thoracic spine.
72072...............  26............  A               X-ray exam of               0.22       0.07       0.07       0.01       0.30       0.30        XXX
                                                       thoracic spine.
72072...............  TC............  A               X-ray exam of               0.00       0.74         NA       0.05       0.79         NA        XXX
                                                       thoracic spine.
72074...............  ..............  A               X-ray exam of               0.22       0.98         NA       0.07       1.27         NA        XXX
                                                       thoracic spine.
72074...............  26............  A               X-ray exam of               0.22       0.07       0.07       0.01       0.30       0.30        XXX
                                                       thoracic spine.
72074...............  TC............  A               X-ray exam of               0.00       0.91         NA       0.06       0.97         NA        XXX
                                                       thoracic spine.
72080...............  ..............  A               X-ray exam of trunk         0.22       0.74         NA       0.06       1.02         NA        XXX
                                                       spine.
72080...............  26............  A               X-ray exam of trunk         0.22       0.07       0.07       0.02       0.31       0.31        XXX
                                                       spine.
72080...............  TC............  A               X-ray exam of trunk         0.00       0.67         NA       0.04       0.71         NA        XXX
                                                       spine.
72090...............  ..............  A               X-ray exam of trunk         0.28       0.76         NA       0.06       1.10         NA        XXX
                                                       spine.
72090...............  26............  A               X-ray exam of trunk         0.28       0.09       0.09       0.02       0.39       0.39        XXX
                                                       spine.
72090...............  TC............  A               X-ray exam of trunk         0.00       0.67         NA       0.04       0.71         NA        XXX
                                                       spine.
72100...............  ..............  A               X-ray exam of lower         0.22       0.74         NA       0.06       1.02         NA        XXX
                                                       spine.
72100...............  26............  A               X-ray exam of lower         0.22       0.07       0.07       0.02       0.31       0.31        XXX
                                                       spine.
72100...............  TC............  A               X-ray exam of lower         0.00       0.67         NA       0.04       0.71         NA        XXX
                                                       spine.
72110...............  ..............  A               X-ray exam of lower         0.31       1.01         NA       0.08       1.40         NA        XXX
                                                       spine.
72110...............  26............  A               X-ray exam of lower         0.31       0.10       0.10       0.02       0.43       0.43        XXX
                                                       spine.
72110...............  TC............  A               X-ray exam of lower         0.00       0.91         NA       0.06       0.97         NA        XXX
                                                       spine.
72114...............  ..............  A               X-ray exam of lower         0.36       1.31         NA       0.10       1.77         NA        XXX
                                                       spine.
72114...............  26............  A               X-ray exam of lower         0.36       0.12       0.12       0.04       0.52       0.52        XXX
                                                       spine.
72114...............  TC............  A               X-ray exam of lower         0.00       1.19         NA       0.06       1.25         NA        XXX
                                                       spine.
72120...............  ..............  A               X-ray exam of lower         0.22       0.96         NA       0.08       1.26         NA        XXX
                                                       spine.
72120...............  26............  A               X-ray exam of lower         0.22       0.07       0.07       0.02       0.31       0.31        XXX
                                                       spine.
72120...............  TC............  A               X-ray exam of lower         0.00       0.89         NA       0.06       0.95         NA        XXX
                                                       spine.
72125...............  ..............  A               Ct neck spine w/o dye       1.16       6.31         NA       0.37       7.84         NA        XXX
72125...............  26............  A               Ct neck spine w/o dye       1.16       0.38       0.38       0.06       1.60       1.60        XXX
72125...............  TC............  A               Ct neck spine w/o dye       0.00       5.93         NA       0.31       6.24         NA        XXX
72126...............  ..............  A               Ct neck spine w/dye..       1.22       7.49         NA       0.43       9.14         NA        XXX
72126...............  26............  A               Ct neck spine w/dye..       1.22       0.39       0.39       0.06       1.67       1.67        XXX
72126...............  TC............  A               Ct neck spine w/dye..       0.00       7.10         NA       0.37       7.47         NA        XXX
72127...............  ..............  A               Ct neck spine w/o & w/      1.27       9.29         NA       0.53      11.09         NA        XXX
                                                       dye.
72127...............  26............  A               Ct neck spine w/o & w/      1.27       0.41       0.41       0.07       1.75       1.75        XXX
                                                       dye.
72127...............  TC............  A               Ct neck spine w/o & w/      0.00       8.88         NA       0.46       9.34         NA        XXX
                                                       dye.
72128...............  ..............  A               Ct chest spine w/o          1.16       6.31         NA       0.37       7.84         NA        XXX
                                                       dye.
72128...............  26............  A               Ct chest spine w/o          1.16       0.38       0.38       0.06       1.60       1.60        XXX
                                                       dye.
72128...............  TC............  A               Ct chest spine w/o          0.00       5.93         NA       0.31       6.24         NA        XXX
                                                       dye.
72129...............  ..............  A               Ct chest spine w/dye.       1.22       7.49         NA       0.43       9.14         NA        XXX
72129...............  26............  A               Ct chest spine w/dye.       1.22       0.39       0.39       0.06       1.67       1.67        XXX
72129...............  TC............  A               Ct chest spine w/dye.       0.00       7.10         NA       0.37       7.47         NA        XXX
72130...............  ..............  A               Ct chest spine w/o &        1.27       9.29         NA       0.53      11.09         NA        XXX
                                                       w/dye.
72130...............  26............  A               Ct chest spine w/o &        1.27       0.41       0.41       0.07       1.75       1.75        XXX
                                                       w/dye.
72130...............  TC............  A               Ct chest spine w/o &        0.00       8.88         NA       0.46       9.34         NA        XXX
                                                       w/dye.
72131...............  ..............  A               Ct lumbar spine w/o         1.16       6.31         NA       0.37       7.84         NA        XXX
                                                       dye.
72131...............  26............  A               Ct lumbar spine w/o         1.16       0.38       0.38       0.06       1.60       1.60        XXX
                                                       dye.
72131...............  TC............  A               Ct lumbar spine w/o         0.00       5.93         NA       0.31       6.24         NA        XXX
                                                       dye.
72132...............  ..............  A               Ct lumbar spine w/dye       1.22       7.50         NA       0.44       9.16         NA        XXX
72132...............  26............  A               Ct lumbar spine w/dye       1.22       0.40       0.40       0.07       1.69       1.69        XXX
72132...............  TC............  A               Ct lumbar spine w/dye       0.00       7.10         NA       0.37       7.47         NA        XXX
72133...............  ..............  A               Ct lumbar spine w/o &       1.27       9.30         NA       0.53      11.10         NA        XXX
                                                       w/dye.
72133...............  26............  A               Ct lumbar spine w/o &       1.27       0.42       0.42       0.07       1.76       1.76        XXX
                                                       w/dye.
72133...............  TC............  A               Ct lumbar spine w/o &       0.00       8.88         NA       0.46       9.34         NA        XXX
                                                       w/dye.
72141...............  ..............  A               Mri neck spine w/o          1.60      11.77         NA       0.67      14.04         NA        XXX
                                                       dye.
72141...............  26............  A               Mri neck spine w/o          1.60       0.53       0.53       0.08       2.21       2.21        XXX
                                                       dye.
72141...............  TC............  A               Mri neck spine w/o          0.00      11.24         NA       0.59      11.83         NA        XXX
                                                       dye.
72142...............  ..............  A               Mri neck spine w/dye.       1.92      14.14         NA       0.81      16.87         NA        XXX
72142...............  26............  A               Mri neck spine w/dye.       1.92       0.65       0.65       0.11       2.68       2.68        XXX
72142...............  TC............  A               Mri neck spine w/dye.       0.00      13.49         NA       0.70      14.19         NA        XXX
72146...............  ..............  A               Mri chest spine w/o         1.60      13.00         NA       0.72      15.32         NA        XXX
                                                       dye.
72146...............  26............  A               Mri chest spine w/o         1.60       0.52       0.52       0.08       2.20       2.20        XXX
                                                       dye.
72146...............  TC............  A               Mri chest spine w/o         0.00      12.48         NA       0.64      13.12         NA        XXX
                                                       dye.
72147...............  ..............  A               Mri chest spine w/dye       1.92      14.13         NA       0.81      16.86         NA        XXX
72147...............  26............  A               Mri chest spine w/dye       1.92       0.64       0.64       0.11       2.67       2.67        XXX
72147...............  TC............  A               Mri chest spine w/dye       0.00      13.49         NA       0.70      14.19         NA        XXX

[[Page 1194]]

 
72148...............  ..............  A               Mri lumbar spine w/o        1.48      12.97         NA       0.72      15.17         NA        XXX
                                                       dye.
72148...............  26............  A               Mri lumbar spine w/o        1.48       0.49       0.49       0.08       2.05       2.05        XXX
                                                       dye.
72148...............  TC............  A               Mri lumbar spine w/o        0.00      12.48         NA       0.64      13.12         NA        XXX
                                                       dye.
72149...............  ..............  A               Mri lumbar spine w/         1.78      14.09         NA       0.81      16.68         NA        XXX
                                                       dye.
72149...............  26............  A               Mri lumbar spine w/         1.78       0.60       0.60       0.11       2.49       2.49        XXX
                                                       dye.
72149...............  TC............  A               Mri lumbar spine w/         0.00      13.49         NA       0.70      14.19         NA        XXX
                                                       dye.
72156...............  ..............  A               Mri neck spine w/o &        2.57      25.83         NA       1.44      29.84         NA        XXX
                                                       w/dye.
72156...............  26............  A               Mri neck spine w/o &        2.57       0.85       0.85       0.13       3.55       3.55        XXX
                                                       w/dye.
72156...............  TC............  A               Mri neck spine w/o &        0.00      24.98         NA       1.31      26.29         NA        XXX
                                                       w/dye.
72157...............  ..............  A               Mri chest spine w/o &       2.57      25.83         NA       1.44      29.84         NA        XXX
                                                       w/dye.
72157...............  26............  A               Mri chest spine w/o &       2.57       0.85       0.85       0.13       3.55       3.55        XXX
                                                       w/dye.
72157...............  TC............  A               Mri chest spine w/o &       0.00      24.98         NA       1.31      26.29         NA        XXX
                                                       w/dye.
72158...............  ..............  A               Mri lumbar spine w/o        2.36      25.76         NA       1.44      29.56         NA        XXX
                                                       & w/dye.
72158...............  26............  A               Mri lumbar spine w/o        2.36       0.78       0.78       0.13       3.27       3.27        XXX
                                                       & w/dye.
72158...............  TC............  A               Mri lumbar spine w/o        0.00      24.98         NA       1.31      26.29         NA        XXX
                                                       & w/dye.
72159...............  ..............  N               Mr angio spine w/o&w/      +1.80      12.92      12.92       0.74      15.46      15.46        XXX
                                                       dye.
72159...............  26............  N               Mr angio spine w/o&w/      +1.80       0.69       0.69       0.10       2.59       2.59        XXX
                                                       dye.
72159...............  TC............  N               Mr angio spine w/o&w/      +0.00      12.23      12.23       0.64      12.87      12.87        XXX
                                                       dye.
72170...............  ..............  A               X-ray exam of pelvis.       0.17       0.58         NA       0.03       0.78         NA        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       0.52         NA       0.02       0.54         NA        XXX
72190...............  ..............  A               X-ray exam of pelvis.       0.21       0.74         NA       0.05       1.00         NA        XXX
72190...............  26............  A               X-ray exam of pelvis.       0.21       0.07       0.07       0.01       0.29       0.29        XXX
72190...............  TC............  A               X-ray exam of pelvis.       0.00       0.67         NA       0.04       0.71         NA        XXX
72191...............  ..............  A               Ct angiograph pelv w/       1.81      12.67         NA       0.46      14.94         NA        XXX
                                                       o&w/dye.
72191...............  26............  A               Ct angiograph pelv w/       1.81       0.60       0.60       0.07       2.48       2.48        XXX
                                                       o&w/dye.
72191...............  TC............  A               Ct angiograph pelv w/       0.00      12.07         NA       0.39      12.46         NA        XXX
                                                       o&w/dye.
72192...............  ..............  A               Ct pelvis w/o dye....       1.09       6.29         NA       0.37       7.75         NA        XXX
72192...............  26............  A               Ct pelvis w/o dye....       1.09       0.36       0.36       0.06       1.51       1.51        XXX
72192...............  TC............  A               Ct pelvis w/o dye....       0.00       5.93         NA       0.31       6.24         NA        XXX
72193...............  ..............  A               Ct pelvis w/dye......       1.16       7.25         NA       0.42       8.83         NA        XXX
72193...............  26............  A               Ct pelvis w/dye......       1.16       0.38       0.38       0.06       1.60       1.60        XXX
72193...............  TC............  A               Ct pelvis w/dye......       0.00       6.87         NA       0.36       7.23         NA        XXX
72194...............  ..............  A               Ct pelvis w/o & w/dye       1.22       8.92         NA       0.49      10.63         NA        XXX
72194...............  26............  A               Ct pelvis w/o & w/dye       1.22       0.40       0.40       0.06       1.68       1.68        XXX
72194...............  TC............  A               Ct pelvis w/o & w/dye       0.00       8.52         NA       0.43       8.95         NA        XXX
72195...............  ..............  A               Mri pelvis w/o dye...       1.46      11.72         NA       0.51      13.69         NA        XXX
72195...............  26............  A               Mri pelvis w/o dye...       1.46       0.48       0.48       0.06       2.00       2.00        XXX
72195...............  TC............  A               Mri pelvis w/o dye...       0.00      11.24         NA       0.45      11.69         NA        XXX
72196...............  ..............  A               Mri pelvis w/dye.....       1.73      14.06         NA       0.58      16.37         NA        XXX
72196...............  26............  A               Mri pelvis w/dye.....       1.73       0.57       0.57       0.06       2.36       2.36        XXX
72196...............  TC............  A               Mri pelvis w/dye.....       0.00      13.49         NA       0.52      14.01         NA        XXX
72197...............  ..............  A               Mri pelvis w/o & w/         2.26      25.72         NA       1.02      29.00         NA        XXX
                                                       dye.
72197...............  26............  A               Mri pelvis w/o & w/         2.26       0.74       0.74       0.10       3.10       3.10        XXX
                                                       dye.
72197...............  TC............  A               Mri pelvis w/o & w/         0.00      24.98         NA       0.92      25.90         NA        XXX
                                                       dye.
72198...............  ..............  A               Mr angio pelvis w/o &       1.80      11.92         NA       0.69      14.41         NA        XXX
                                                       w/dye.
72198...............  26............  A               Mr angio pelvis w/o &       1.80       0.68       0.68       0.10       2.58       2.58        XXX
                                                       w/dye.
72198...............  TC............  A               Mr angio pelvis w/o &       0.00      11.24         NA       0.59      11.83         NA        XXX
                                                       w/dye.
72200...............  ..............  A               X-ray exam sacroiliac       0.17       0.58         NA       0.03       0.78         NA        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       0.52         NA       0.02       0.54         NA        XXX
                                                       joints.
72202...............  ..............  A               X-ray exam sacroiliac       0.19       0.68         NA       0.05       0.92         NA        XXX
                                                       joints.
72202...............  26............  A               X-ray exam sacroiliac       0.19       0.06       0.06       0.01       0.26       0.26        XXX
                                                       joints.
72202...............  TC............  A               X-ray exam sacroiliac       0.00       0.62         NA       0.04       0.66         NA        XXX
                                                       joints.
72220...............  ..............  A               X-ray exam of               0.17       0.63         NA       0.05       0.85         NA        XXX
                                                       tailbone.
72220...............  26............  A               X-ray exam of               0.17       0.06       0.06       0.01       0.24       0.24        XXX
                                                       tailbone.
72220...............  TC............  A               X-ray exam of               0.00       0.57         NA       0.04       0.61         NA        XXX
                                                       tailbone.
72240...............  ..............  A               Contrast x-ray of           0.91       5.06         NA       0.30       6.27         NA        XXX
                                                       neck spine.
72240...............  26............  A               Contrast x-ray of           0.91       0.29       0.29       0.05       1.25       1.25        XXX
                                                       neck spine.
72240...............  TC............  A               Contrast x-ray of           0.00       4.77         NA       0.25       5.02         NA        XXX
                                                       neck spine.
72255...............  ..............  A               Contrast x-ray,             0.91       4.62         NA       0.27       5.80         NA        XXX
                                                       thorax spine.
72255...............  26............  A               Contrast x-ray,             0.91       0.28       0.28       0.05       1.24       1.24        XXX
                                                       thorax spine.
72255...............  TC............  A               Contrast x-ray,             0.00       4.34         NA       0.22       4.56         NA        XXX
                                                       thorax spine.
72265...............  ..............  A               Contrast x-ray, lower       0.83       4.35         NA       0.27       5.45         NA        XXX
                                                       spine.
72265...............  26............  A               Contrast x-ray, lower       0.83       0.26       0.26       0.05       1.14       1.14        XXX
                                                       spine.
72265...............  TC............  A               Contrast x-ray, lower       0.00       4.09         NA       0.22       4.31         NA        XXX
                                                       spine.
72270...............  ..............  A               Contrast x-ray, spine       1.33       6.53         NA       0.41       8.27         NA        XXX
72270...............  26............  A               Contrast x-ray, spine       1.33       0.41       0.41       0.08       1.82       1.82        XXX
72270...............  TC............  A               Contrast x-ray, spine       0.00       6.12         NA       0.33       6.45         NA        XXX
72275...............  ..............  A               Epidurography........       0.76       2.30         NA       0.26       3.32         NA        XXX
72275...............  26............  A               Epidurography........       0.76       0.20       0.20       0.04       1.00       1.00        XXX
72275...............  TC............  A               Epidurography........       0.00       2.10         NA       0.22       2.32         NA        XXX
72285...............  ..............  A               X-ray c/t spine disk.       1.16       8.77         NA       0.50      10.43         NA        XXX
72285...............  26............  A               X-ray c/t spine disk.       1.16       0.36       0.36       0.07       1.59       1.59        XXX
72285...............  TC............  A               X-ray c/t spine disk.       0.00       8.41         NA       0.43       8.84         NA        XXX

[[Page 1195]]

 
72295...............  ..............  A               X-ray of lower spine        0.83       8.15         NA       0.45       9.43         NA        XXX
                                                       disk.
72295...............  26............  A               X-ray of lower spine        0.83       0.27       0.27       0.05       1.15       1.15        XXX
                                                       disk.
72295...............  TC............  A               X-ray of lower spine        0.00       7.88         NA       0.40       8.28         NA        XXX
                                                       disk.
73000...............  ..............  A               X-ray exam of collar        0.16       0.57         NA       0.03       0.76         NA        XXX
                                                       bone.
73000...............  26............  A               X-ray exam of collar        0.16       0.05       0.05       0.01       0.22       0.22        XXX
                                                       bone.
73000...............  TC............  A               X-ray exam of collar        0.00       0.52         NA       0.02       0.54         NA        XXX
                                                       bone.
73010...............  ..............  A               X-ray exam of               0.17       0.58         NA       0.03       0.78         NA        XXX
                                                       shoulder blade.
73010...............  26............  A               X-ray exam of               0.17       0.06       0.06       0.01       0.24       0.24        XXX
                                                       shoulder blade.
73010...............  TC............  A               X-ray exam of               0.00       0.52         NA       0.02       0.54         NA        XXX
                                                       shoulder blade.
73020...............  ..............  A               X-ray exam of               0.15       0.52         NA       0.03       0.70         NA        XXX
                                                       shoulder.
73020...............  26............  A               X-ray exam of               0.15       0.05       0.05       0.01       0.21       0.21        XXX
                                                       shoulder.
73020...............  TC............  A               X-ray exam of               0.00       0.47         NA       0.02       0.49         NA        XXX
                                                       shoulder.
73030...............  ..............  A               X-ray exam of               0.18       0.63         NA       0.05       0.86         NA        XXX
                                                       shoulder.
73030...............  26............  A               X-ray exam of               0.18       0.06       0.06       0.01       0.25       0.25        XXX
                                                       shoulder.
73030...............  TC............  A               X-ray exam of               0.00       0.57         NA       0.04       0.61         NA        XXX
                                                       shoulder.
73040...............  ..............  A               Contrast x-ray of           0.54       2.28         NA       0.16       2.98         NA        XXX
                                                       shoulder.
73040...............  26............  A               Contrast x-ray of           0.54       0.18       0.18       0.04       0.76       0.76        XXX
                                                       shoulder.
73040...............  TC............  A               Contrast x-ray of           0.00       2.10         NA       0.12       2.22         NA        XXX
                                                       shoulder.
73050...............  ..............  A               X-ray exam of               0.20       0.74         NA       0.06       1.00         NA        XXX
                                                       shoulders.
73050...............  26............  A               X-ray exam of               0.20       0.07       0.07       0.02       0.29       0.29        XXX
                                                       shoulders.
73050...............  TC............  A               X-ray exam of               0.00       0.67         NA       0.04       0.71         NA        XXX
                                                       shoulders.
73060...............  ..............  A               X-ray exam of humerus       0.17       0.63         NA       0.05       0.85         NA        XXX
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       0.57         NA       0.04       0.61         NA        XXX
73070...............  ..............  A               X-ray exam of elbow..       0.15       0.57         NA       0.03       0.75         NA        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       0.52         NA       0.02       0.54         NA        XXX
73080...............  ..............  A               X-ray exam of elbow..       0.17       0.63         NA       0.05       0.85         NA        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       0.57         NA       0.04       0.61         NA        XXX
73085...............  ..............  A               Contrast x-ray of           0.54       2.29         NA       0.16       2.99         NA        XXX
                                                       elbow.
73085...............  26............  A               Contrast x-ray of           0.54       0.19       0.19       0.04       0.77       0.77        XXX
                                                       elbow.
73085...............  TC............  A               Contrast x-ray of           0.00       2.10         NA       0.12       2.22         NA        XXX
                                                       elbow.
73090...............  ..............  A               X-ray exam of forearm       0.16       0.57         NA       0.03       0.76         NA        XXX
73090...............  26............  A               X-ray exam of forearm       0.16       0.05       0.05       0.01       0.22       0.22        XXX
73090...............  TC............  A               X-ray exam of forearm       0.00       0.52         NA       0.02       0.54         NA        XXX
73092...............  ..............  A               X-ray exam of arm,          0.16       0.54         NA       0.03       0.73         NA        XXX
                                                       infant.
73092...............  26............  A               X-ray exam of arm,          0.16       0.05       0.05       0.01       0.22       0.22        XXX
                                                       infant.
73092...............  TC............  A               X-ray exam of arm,          0.00       0.49         NA       0.02       0.51         NA        XXX
                                                       infant.
73100...............  ..............  A               X-ray exam of wrist..       0.16       0.55         NA       0.04       0.75         NA        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       0.49         NA       0.02       0.51         NA        XXX
73110...............  ..............  A               X-ray exam of wrist..       0.17       0.59         NA       0.03       0.79         NA        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       0.53         NA       0.02       0.55         NA        XXX
73115...............  ..............  A               Contrast x-ray of           0.54       1.77         NA       0.14       2.45         NA        XXX
                                                       wrist.
73115...............  26............  A               Contrast x-ray of           0.54       0.19       0.19       0.04       0.77       0.77        XXX
                                                       wrist.
73115...............  TC............  A               Contrast x-ray of           0.00       1.58         NA       0.10       1.68         NA        XXX
                                                       wrist.
73120...............  ..............  A               X-ray exam of hand...       0.16       0.54         NA       0.03       0.73         NA        XXX
73120...............  26............  A               X-ray exam of hand...       0.16       0.05       0.05       0.01       0.22       0.22        XXX
73120...............  TC............  A               X-ray exam of hand...       0.00       0.49         NA       0.02       0.51         NA        XXX
73130...............  ..............  A               X-ray exam of hand...       0.17       0.59         NA       0.03       0.79         NA        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       0.53         NA       0.02       0.55         NA        XXX
73140...............  ..............  A               X-ray exam of               0.13       0.45         NA       0.03       0.61         NA        XXX
                                                       finger(s).
73140...............  26............  A               X-ray exam of               0.13       0.04       0.04       0.01       0.18       0.18        XXX
                                                       finger(s).
73140...............  TC............  A               X-ray exam of               0.00       0.41         NA       0.02       0.43         NA        XXX
                                                       finger(s).
73200...............  ..............  A               Ct upper extremity w/       1.09       5.33         NA       0.31       6.73         NA        XXX
                                                       o dye.
73200...............  26............  A               Ct upper extremity w/       1.09       0.36       0.36       0.06       1.51       1.51        XXX
                                                       o dye.
73200...............  TC............  A               Ct upper extremity w/       0.00       4.97         NA       0.25       5.22         NA        XXX
                                                       o dye.
73201...............  ..............  A               Ct upper extremity w/       1.16       6.31         NA       0.37       7.84         NA        XXX
                                                       dye.
73201...............  26............  A               Ct upper extremity w/       1.16       0.38       0.38       0.06       1.60       1.60        XXX
                                                       dye.
73201...............  TC............  A               Ct upper extremity w/       0.00       5.93         NA       0.31       6.24         NA        XXX
                                                       dye.
73202...............  ..............  A               Ct uppr extremity w/        1.22       7.85         NA       0.46       9.53         NA        XXX
                                                       o&w/dye.
73202...............  26............  A               Ct uppr extremity w/        1.22       0.40       0.40       0.07       1.69       1.69        XXX
                                                       o&w/dye.
73202...............  TC............  A               Ct uppr extremity w/        0.00       7.45         NA       0.39       7.84         NA        XXX
                                                       o&w/dye.
73206...............  ..............  A               Ct angio upr extrm w/       1.81      11.59         NA       0.46      13.86         NA        XXX
                                                       o&w/dye.
73206...............  26............  A               Ct angio upr extrm w/       1.81       0.59       0.59       0.07       2.47       2.47        XXX
                                                       o&w/dye.
73206...............  TC............  A               Ct angio upr extrm w/       0.00      11.00         NA       0.39      11.39         NA        XXX
                                                       o&w/dye.
73218...............  ..............  A               Mri upper extremity w/      1.35      11.68         NA       0.44      13.47         NA        XXX
                                                       o dye.
73218...............  26............  A               Mri upper extremity w/      1.35       0.44       0.44       0.05       1.84       1.84        XXX
                                                       o dye.
73218...............  TC............  A               Mri upper extremity w/      0.00      11.24         NA       0.39      11.63         NA        XXX
                                                       o dye.
73219...............  ..............  A               Mri upper extremity w/      1.62      14.02         NA       0.53      16.17         NA        XXX
                                                       dye.
73219...............  26............  A               Mri upper extremity w/      1.62       0.53       0.53       0.06       2.21       2.21        XXX
                                                       dye.
73219...............  TC............  A               Mri upper extremity w/      0.00      13.49         NA       0.47      13.96         NA        XXX
                                                       dye.

[[Page 1196]]

 
73220...............  ..............  A               Mri uppr extremity w/       2.15      25.69         NA       0.94      28.78         NA        XXX
                                                       o&w/dye.
73220...............  26............  A               Mri uppr extremity w/       2.15       0.71       0.71       0.10       2.96       2.96        XXX
                                                       o&w/dye.
73220...............  TC............  A               Mri uppr extremity w/       0.00      24.98         NA       0.84      25.82         NA        XXX
                                                       o&w/dye.
73221...............  ..............  A               Mri joint upr extrem        1.35      11.68         NA       0.44      13.47         NA        XXX
                                                       w/o dye.
73221...............  26............  A               Mri joint upr extrem        1.35       0.44       0.44       0.05       1.84       1.84        XXX
                                                       w/o dye.
73221...............  TC............  A               Mri joint upr extrem        0.00      11.24         NA       0.39      11.63         NA        XXX
                                                       w/o dye.
73222...............  ..............  A               Mri joint upr extrem        1.62      14.02         NA       0.53      16.17         NA        XXX
                                                       w/dye.
73222...............  26............  A               Mri joint upr extrem        1.62       0.53       0.53       0.06       2.21       2.21        XXX
                                                       w/dye.
73222...............  TC............  A               Mri joint upr extrem        0.00      13.49         NA       0.47      13.96         NA        XXX
                                                       w/dye.
73223...............  ..............  A               Mri joint upr extr w/       2.15      25.69         NA       0.92      28.76         NA        XXX
                                                       o&w/dye.
73223...............  26............  A               Mri joint upr extr w/       2.15       0.71       0.71       0.08       2.94       2.94        XXX
                                                       o&w/dye.
73223...............  TC............  A               Mri joint upr extr w/       0.00      24.98         NA       0.84      25.82         NA        XXX
                                                       o&w/dye.
73225...............  ..............  N               Mr angio upr extr w/       +1.73      11.68      11.68       0.69      14.10      14.10        XXX
                                                       o&w/dye.
73225...............  26............  N               Mr angio upr extr w/       +1.73       0.67       0.67       0.10       2.50       2.50        XXX
                                                       o&w/dye.
73225...............  TC............  N               Mr angio upr extr w/       +0.00      11.01      11.01       0.59      11.60      11.60        XXX
                                                       o&w/dye.
73500...............  ..............  A               X-ray exam of hip....       0.17       0.53         NA       0.03       0.73         NA        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       0.47         NA       0.02       0.49         NA        XXX
73510...............  ..............  A               X-ray exam of hip....       0.21       0.64         NA       0.06       0.91         NA        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       0.57         NA       0.04       0.61         NA        XXX
73520...............  ..............  A               X-ray exam of hips...       0.26       0.76         NA       0.06       1.08         NA        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       0.67         NA       0.04       0.71         NA        XXX
73525...............  ..............  A               Contrast x-ray of hip       0.54       2.28         NA       0.16       2.98         NA        XXX
73525...............  26............  A               Contrast x-ray of hip       0.54       0.18       0.18       0.04       0.76       0.76        XXX
73525...............  TC............  A               Contrast x-ray of hip       0.00       2.10         NA       0.12       2.22         NA        XXX
73530...............  ..............  A               X-ray exam of hip....       0.29       0.62         NA       0.03       0.94         NA        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       0.52         NA       0.02       0.54         NA        XXX
73540...............  ..............  A               X-ray exam of pelvis        0.20       0.64         NA       0.06       0.90         NA        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       0.57         NA       0.04       0.61         NA        XXX
                                                       & hips.
73542...............  ..............  A               X-ray exam,                 0.59       2.26         NA       0.16       3.01         NA        XXX
                                                       sacroiliac joint.
73542...............  26............  A               X-ray exam,                 0.59       0.16       0.16       0.04       0.79       0.79        XXX
                                                       sacroiliac joint.
73542...............  TC............  A               X-ray exam,                 0.00       2.10         NA       0.12       2.22         NA        XXX
                                                       sacroiliac joint.
73550...............  ..............  A               X-ray exam of thigh..       0.17       0.63         NA       0.05       0.85         NA        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       0.57         NA       0.04       0.61         NA        XXX
73560...............  ..............  A               X-ray exam of knee, 1       0.17       0.58         NA       0.04       0.79         NA        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       0.52         NA       0.02       0.54         NA        XXX
                                                       or 2.
73562...............  ..............  A               X-ray exam of knee, 3       0.18       0.63         NA       0.06       0.87         NA        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       0.57         NA       0.04       0.61         NA        XXX
73564...............  ..............  A               X-ray exam, knee, 4         0.22       0.70         NA       0.06       0.98         NA        XXX
                                                       or more.
73564...............  26............  A               X-ray exam, knee, 4         0.22       0.08       0.08       0.02       0.32       0.32        XXX
                                                       or more.
73564...............  TC............  A               X-ray exam, knee, 4         0.00       0.62         NA       0.04       0.66         NA        XXX
                                                       or more.
73565...............  ..............  A               X-ray exam of knees..       0.17       0.55         NA       0.04       0.76         NA        XXX
73565...............  26............  A               X-ray exam of knees..       0.17       0.06       0.06       0.02       0.25       0.25        XXX
73565...............  TC............  A               X-ray exam of knees..       0.00       0.49         NA       0.02       0.51         NA        XXX
73580...............  ..............  A               Contrast x-ray of           0.54       2.80         NA       0.18       3.52         NA        XXX
                                                       knee joint.
73580...............  26............  A               Contrast x-ray of           0.54       0.18       0.18       0.04       0.76       0.76        XXX
                                                       knee joint.
73580...............  TC............  A               Contrast x-ray of           0.00       2.62         NA       0.14       2.76         NA        XXX
                                                       knee joint.
73590...............  ..............  A               X-ray exam of lower         0.17       0.58         NA       0.03       0.78         NA        XXX
                                                       leg.
73590...............  26............  A               X-ray exam of lower         0.17       0.06       0.06       0.01       0.24       0.24        XXX
                                                       leg.
73590...............  TC............  A               X-ray exam of lower         0.00       0.52         NA       0.02       0.54         NA        XXX
                                                       leg.
73592...............  ..............  A               X-ray exam of leg,          0.16       0.55         NA       0.03       0.74         NA        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       0.49         NA       0.02       0.51         NA        XXX
                                                       infant.
73600...............  ..............  A               X-ray exam of ankle..       0.16       0.54         NA       0.03       0.73         NA        XXX
73600...............  26............  A               X-ray exam of ankle..       0.16       0.05       0.05       0.01       0.22       0.22        XXX
73600...............  TC............  A               X-ray exam of ankle..       0.00       0.49         NA       0.02       0.51         NA        XXX
73610...............  ..............  A               X-ray exam of ankle..       0.17       0.59         NA       0.03       0.79         NA        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       0.53         NA       0.02       0.55         NA        XXX
73615...............  ..............  A               Contrast x-ray of           0.54       2.29         NA       0.16       2.99         NA        XXX
                                                       ankle.
73615...............  26............  A               Contrast x-ray of           0.54       0.19       0.19       0.04       0.77       0.77        XXX
                                                       ankle.
73615...............  TC............  A               Contrast x-ray of           0.00       2.10         NA       0.12       2.22         NA        XXX
                                                       ankle.
73620...............  ..............  A               X-ray exam of foot...       0.16       0.54         NA       0.03       0.73         NA        XXX
73620...............  26............  A               X-ray exam of foot...       0.16       0.05       0.05       0.01       0.22       0.22        XXX
73620...............  TC............  A               X-ray exam of foot...       0.00       0.49         NA       0.02       0.51         NA        XXX
73630...............  ..............  A               X-ray exam of foot...       0.17       0.59         NA       0.03       0.79         NA        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       0.53         NA       0.02       0.55         NA        XXX

[[Page 1197]]

 
73650...............  ..............  A               X-ray exam of heel...       0.16       0.52         NA       0.03       0.71         NA        XXX
73650...............  26............  A               X-ray exam of heel...       0.16       0.05       0.05       0.01       0.22       0.22        XXX
73650...............  TC............  A               X-ray exam of heel...       0.00       0.47         NA       0.02       0.49         NA        XXX
73660...............  ..............  A               X-ray exam of toe(s).       0.13       0.45         NA       0.03       0.61         NA        XXX
73660...............  26............  A               X-ray exam of toe(s).       0.13       0.04       0.04       0.01       0.18       0.18        XXX
73660...............  TC............  A               X-ray exam of toe(s).       0.00       0.41         NA       0.02       0.43         NA        XXX
73700...............  ..............  A               Ct lower extremity w/       1.09       5.33         NA       0.31       6.73         NA        XXX
                                                       o dye.
73700...............  26............  A               Ct lower extremity w/       1.09       0.36       0.36       0.06       1.51       1.51        XXX
                                                       o dye.
73700...............  TC............  A               Ct lower extremity w/       0.00       4.97         NA       0.25       5.22         NA        XXX
                                                       o dye.
73701...............  ..............  A               Ct lower extremity w/       1.16       6.31         NA       0.37       7.84         NA        XXX
                                                       dye.
73701...............  26............  A               Ct lower extremity w/       1.16       0.38       0.38       0.06       1.60       1.60        XXX
                                                       dye.
73701...............  TC............  A               Ct lower extremity w/       0.00       5.93         NA       0.31       6.24         NA        XXX
                                                       dye.
73702...............  ..............  A               Ct lwr extremity w/         1.22       7.85         NA       0.45       9.52         NA        XXX
                                                       o&w/dye.
73702...............  26............  A               Ct lwr extremity w/         1.22       0.40       0.40       0.06       1.68       1.68        XXX
                                                       o&w/dye.
73702...............  TC............  A               Ct lwr extremity w/         0.00       7.45         NA       0.39       7.84         NA        XXX
                                                       o&w/dye.
73706...............  ..............  A               Ct angio lwr extr w/        1.90      11.62         NA       0.46      13.98         NA        XXX
                                                       o&w/dye.
73706...............  26............  A               Ct angio lwr extr w/        1.90       0.62       0.62       0.07       2.59       2.59        XXX
                                                       o&w/dye.
73706...............  TC............  A               Ct angio lwr extr w/        0.00      11.00         NA       0.39      11.39         NA        XXX
                                                       o&w/dye.
73718...............  ..............  A               Mri lower extremity w/      1.35      11.68         NA       0.44      13.47         NA        XXX
                                                       o dye.
73718...............  26............  A               Mri lower extremity w/      1.35       0.44       0.44       0.05       1.84       1.84        XXX
                                                       o dye.
73718...............  TC............  A               Mri lower extremity w/      0.00      11.24         NA       0.39      11.63         NA        XXX
                                                       o dye.
73719...............  ..............  A               Mri lower extremity w/      1.62      14.02         NA       0.53      16.17         NA        XXX
                                                       dye.
73719...............  26............  A               Mri lower extremity w/      1.62       0.53       0.53       0.06       2.21       2.21        XXX
                                                       dye.
73719...............  TC............  A               Mri lower extremity w/      0.00      13.49         NA       0.47      13.96         NA        XXX
                                                       dye.
73720...............  ..............  A               Mri lwr extremity w/        2.15      25.69         NA       0.94      28.78         NA        XXX
                                                       o&w/dye.
73720...............  26............  A               Mri lwr extremity w/        2.15       0.71       0.71       0.10       2.96       2.96        XXX
                                                       o&w/dye.
73720...............  TC............  A               Mri lwr extremity w/        0.00      24.98         NA       0.84      25.82         NA        XXX
                                                       o&w/dye.
73721...............  ..............  A               Mri jnt of lwr extre        1.35      11.68         NA       0.44      13.47         NA        XXX
                                                       w/o dye.
73721...............  26............  A               Mri jnt of lwr extre        1.35       0.44       0.44       0.05       1.84       1.84        XXX
                                                       w/o dye.
73721...............  TC............  A               Mri jnt of lwr extre        0.00      11.24         NA       0.39      11.63         NA        XXX
                                                       w/o dye.
73722...............  ..............  A               Mri joint of lwr extr       1.62      14.02         NA       0.54      16.18         NA        XXX
                                                       w/dye.
73722...............  26............  A               Mri joint of lwr extr       1.62       0.53       0.53       0.07       2.22       2.22        XXX
                                                       w/dye.
73722...............  TC............  A               Mri joint of lwr extr       0.00      13.49         NA       0.47      13.96         NA        XXX
                                                       w/dye.
73723...............  ..............  A               Mri joint lwr extr w/       2.15      25.69         NA       0.92      28.76         NA        XXX
                                                       o&w/dye.
73723...............  26............  A               Mri joint lwr extr w/       2.15       0.71       0.71       0.08       2.94       2.94        XXX
                                                       o&w/dye.
73723...............  TC............  A               Mri joint lwr extr w/       0.00      24.98         NA       0.84      25.82         NA        XXX
                                                       o&w/dye.
73725...............  ..............  R               Mr ang lwr ext w or w/      1.82      11.84         NA       0.69      14.35         NA        XXX
                                                       o dye.
73725...............  26............  R               Mr ang lwr ext w or w/      1.82       0.60       0.60       0.10       2.52       2.52        XXX
                                                       o dye.
73725...............  TC............  R               Mr ang lwr ext w or w/      0.00      11.24         NA       0.59      11.83         NA        XXX
                                                       o dye.
74000...............  ..............  A               X-ray exam of abdomen       0.18       0.58         NA       0.03       0.79         NA        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       0.52         NA       0.02       0.54         NA        XXX
74010...............  ..............  A               X-ray exam of abdomen       0.23       0.65         NA       0.05       0.93         NA        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       0.57         NA       0.04       0.61         NA        XXX
74020...............  ..............  A               X-ray exam of abdomen       0.27       0.71         NA       0.05       1.03         NA        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       0.62         NA       0.04       0.66         NA        XXX
74022...............  ..............  A               X-ray exam series,          0.32       0.85         NA       0.06       1.23         NA        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       0.74         NA       0.05       0.79         NA        XXX
                                                       abdomen.
74150...............  ..............  A               Ct abdomen w/o dye...       1.19       6.06         NA       0.36       7.61         NA        XXX
74150...............  26............  A               Ct abdomen w/o dye...       1.19       0.39       0.39       0.06       1.64       1.64        XXX
74150...............  TC............  A               Ct abdomen w/o dye...       0.00       5.67         NA       0.30       5.97         NA        XXX
74160...............  ..............  A               Ct abdomen w/dye.....       1.27       7.28         NA       0.43       8.98         NA        XXX
74160...............  26............  A               Ct abdomen w/dye.....       1.27       0.41       0.41       0.07       1.75       1.75        XXX
74160...............  TC............  A               Ct abdomen w/dye.....       0.00       6.87         NA       0.36       7.23         NA        XXX
74170...............  ..............  A               Ct abdomen w/o &w /         1.40       8.97         NA       0.50      10.87         NA        XXX
                                                       dye.
74170...............  26............  A               Ct abdomen w/o &w /         1.40       0.45       0.45       0.07       1.92       1.92        XXX
                                                       dye.
74170...............  TC............  A               Ct abdomen w/o &w /         0.00       8.52         NA       0.43       8.95         NA        XXX
                                                       dye.
74175...............  ..............  A               Ct angio abdom w/o &        1.90      12.69         NA       0.46      15.05         NA        XXX
                                                       w/dye.
74175...............  26............  A               Ct angio abdom w/o &        1.90       0.62       0.62       0.07       2.59       2.59        XXX
                                                       w/dye.
74175...............  TC............  A               Ct angio abdom w/o &        0.00      12.07         NA       0.39      12.46         NA        XXX
                                                       w/dye.
74181...............  ..............  A               Mri abdomen w/o dye..       1.46      11.72         NA       0.52      13.70         NA        XXX
74181...............  26............  A               Mri abdomen w/o dye..       1.46       0.48       0.48       0.07       2.01       2.01        XXX
74181...............  TC............  A               Mri abdomen w/o dye..       0.00      11.24         NA       0.45      11.69         NA        XXX
74182...............  ..............  A               Mri abdomen w/dye....       1.73      14.05         NA       0.59      16.37         NA        XXX
74182...............  26............  A               Mri abdomen w/dye....       1.73       0.56       0.56       0.07       2.36       2.36        XXX
74182...............  TC............  A               Mri abdomen w/dye....       0.00      13.49         NA       0.52      14.01         NA        XXX
74183...............  ..............  A               Mri abdomen w/o & w/        2.26      25.72         NA       1.02      29.00         NA        XXX
                                                       dye.
74183...............  26............  A               Mri abdomen w/o & w/        2.26       0.74       0.74       0.10       3.10       3.10        XXX
                                                       dye.
74183...............  TC............  A               Mri abdomen w/o & w/        0.00      24.98         NA       0.92      25.90         NA        XXX
                                                       dye.
74185...............  ..............  R               Mri angio, abdom w          1.80      11.83         NA       0.69      14.32         NA        XXX
                                                       orw/o dye.
74185...............  26............  R               Mri angio, abdom w          1.80       0.59       0.59       0.10       2.49       2.49        XXX
                                                       orw/o dye.
74185...............  TC............  R               Mri angio, abdom w          0.00      11.24         NA       0.59      11.83         NA        XXX
                                                       orw/o dye.

[[Page 1198]]

 
74190...............  ..............  A               X-ray exam of               0.48       1.47         NA       0.09       2.04         NA        XXX
                                                       peritoneum.
74190...............  26............  A               X-ray exam of               0.48       0.16       0.16       0.02       0.66       0.66        XXX
                                                       peritoneum.
74190...............  TC............  A               X-ray exam of               0.00       1.31         NA       0.07       1.38         NA        XXX
                                                       peritoneum.
74210...............  ..............  A               Contrst x-ray exam of       0.36       1.31         NA       0.08       1.75         NA        XXX
                                                       throat.
74210...............  26............  A               Contrst x-ray exam of       0.36       0.12       0.12       0.02       0.50       0.50        XXX
                                                       throat.
74210...............  TC............  A               Contrst x-ray exam of       0.00       1.19         NA       0.06       1.25         NA        XXX
                                                       throat.
74220...............  ..............  A               Contrast x-ray,             0.46       1.34         NA       0.08       1.88         NA        XXX
                                                       esophagus.
74220...............  26............  A               Contrast x-ray,             0.46       0.15       0.15       0.02       0.63       0.63        XXX
                                                       esophagus.
74220...............  TC............  A               Contrast x-ray,             0.00       1.19         NA       0.06       1.25         NA        XXX
                                                       esophagus.
74230...............  ..............  A               Cine/vid x-ray,             0.53       1.49         NA       0.09       2.11         NA        XXX
                                                       throat/esoph.
74230...............  26............  A               Cine/vid x-ray,             0.53       0.18       0.18       0.02       0.73       0.73        XXX
                                                       throat/esoph.
74230...............  TC............  A               Cine/vid x-ray,             0.00       1.31         NA       0.07       1.38         NA        XXX
                                                       throat/esoph.
74235...............  ..............  A               Remove esophagus            1.19       3.01         NA       0.20       4.40         NA        XXX
                                                       obstruction.
74235...............  26............  A               Remove esophagus            1.19       0.39       0.39       0.06       1.64       1.64        XXX
                                                       obstruction.
74235...............  TC............  A               Remove esophagus            0.00       2.62         NA       0.14       2.76         NA        XXX
                                                       obstruction.
74240...............  ..............  A               X-ray exam, upper gi        0.69       1.69         NA       0.12       2.50         NA        XXX
                                                       tract.
74240...............  26............  A               X-ray exam, upper gi        0.69       0.23       0.23       0.04       0.96       0.96        XXX
                                                       tract.
74240...............  TC............  A               X-ray exam, upper gi        0.00       1.46         NA       0.08       1.54         NA        XXX
                                                       tract.
74241...............  ..............  A               X-ray exam, upper gi        0.69       1.72         NA       0.12       2.53         NA        XXX
                                                       tract.
74241...............  26............  A               X-ray exam, upper gi        0.69       0.23       0.23       0.04       0.96       0.96        XXX
                                                       tract.
74241...............  TC............  A               X-ray exam, upper gi        0.00       1.49         NA       0.08       1.57         NA        XXX
                                                       tract.
74245...............  ..............  A               X-ray exam, upper gi        0.91       2.69         NA       0.18       3.78         NA        XXX
                                                       tract.
74245...............  26............  A               X-ray exam, upper gi        0.91       0.30       0.30       0.05       1.26       1.26        XXX
                                                       tract.
74245...............  TC............  A               X-ray exam, upper gi        0.00       2.39         NA       0.13       2.52         NA        XXX
                                                       tract.
74246...............  ..............  A               Contrst x-ray uppr gi       0.69       1.88         NA       0.14       2.71         NA        XXX
                                                       tract.
74246...............  26............  A               Contrst x-ray uppr gi       0.69       0.23       0.23       0.04       0.96       0.96        XXX
                                                       tract.
74246...............  TC............  A               Contrst x-ray uppr gi       0.00       1.65         NA       0.10       1.75         NA        XXX
                                                       tract.
74247...............  ..............  A               Contrst x-ray uppr gi       0.69       1.92         NA       0.15       2.76         NA        XXX
                                                       tract.
74247...............  26............  A               Contrst x-ray uppr gi       0.69       0.23       0.23       0.04       0.96       0.96        XXX
                                                       tract.
74247...............  TC............  A               Contrst x-ray uppr gi       0.00       1.69         NA       0.11       1.80         NA        XXX
                                                       tract.
74249...............  ..............  A               Contrst x-ray uppr gi       0.91       2.89         NA       0.19       3.99         NA        XXX
                                                       tract.
74249...............  26............  A               Contrst x-ray uppr gi       0.91       0.30       0.30       0.05       1.26       1.26        XXX
                                                       tract.
74249...............  TC............  A               Contrst x-ray uppr gi       0.00       2.59         NA       0.14       2.73         NA        XXX
                                                       tract.
74250...............  ..............  A               X-ray exam of small         0.47       1.47         NA       0.09       2.03         NA        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       1.31         NA       0.07       1.38         NA        XXX
                                                       bowel.
74251...............  ..............  A               X-ray exam of small         0.69       1.54         NA       0.11       2.34         NA        XXX
                                                       bowel.
74251...............  26............  A               X-ray exam of small         0.69       0.23       0.23       0.04       0.96       0.96        XXX
                                                       bowel.
74251...............  TC............  A               X-ray exam of small         0.00       1.31         NA       0.07       1.38         NA        XXX
                                                       bowel.
74260...............  ..............  A               X-ray exam of small         0.50       1.66         NA       0.10       2.26         NA        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       1.49         NA       0.08       1.57         NA        XXX
                                                       bowel.
74270...............  ..............  A               Contrast x-ray exam         0.69       1.94         NA       0.15       2.78         NA        XXX
                                                       of colon.
74270...............  26............  A               Contrast x-ray exam         0.69       0.23       0.23       0.04       0.96       0.96        XXX
                                                       of colon.
74270...............  TC............  A               Contrast x-ray exam         0.00       1.71         NA       0.11       1.82         NA        XXX
                                                       of colon.
74280...............  ..............  A               Contrast x-ray exam         0.99       2.57         NA       0.18       3.74         NA        XXX
                                                       of colon.
74280...............  26............  A               Contrast x-ray exam         0.99       0.33       0.33       0.05       1.37       1.37        XXX
                                                       of colon.
74280...............  TC............  A               Contrast x-ray exam         0.00       2.24         NA       0.13       2.37         NA        XXX
                                                       of colon.
74283...............  ..............  A               Contrast x-ray exam         2.02       3.24         NA       0.25       5.51         NA        XXX
                                                       of colon.
74283...............  26............  A               Contrast x-ray exam         2.02       0.66       0.66       0.11       2.79       2.79        XXX
                                                       of colon.
74283...............  TC............  A               Contrast x-ray exam         0.00       2.58         NA       0.14       2.72         NA        XXX
                                                       of colon.
74290...............  ..............  A               Contrast x-ray,             0.32       0.85         NA       0.06       1.23         NA        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       0.74         NA       0.05       0.79         NA        XXX
                                                       gallbladder.
74291...............  ..............  A               Contrast x-rays,            0.20       0.48         NA       0.03       0.71         NA        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       0.41         NA       0.02       0.43         NA        XXX
                                                       gallbladder.
74300...............  ..............  C               X-ray bile ducts/           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       pancreas.
74300...............  26............  A               X-ray bile ducts/           0.36       0.12       0.12       0.02       0.50       0.50        XXX
                                                       pancreas.
74300...............  TC............  C               X-ray bile ducts/           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       pancreas.
74301...............  ..............  C               X-rays at surgery add-      0.00       0.00       0.00       0.00       0.00       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       0.00       0.00       0.00       0.00       0.00        ZZZ
                                                       on.
74305...............  ..............  A               X-ray bile ducts/           0.42       0.93         NA       0.07       1.42         NA        XXX
                                                       pancreas.
74305...............  26............  A               X-ray bile ducts/           0.42       0.14       0.14       0.02       0.58       0.58        XXX
                                                       pancreas.
74305...............  TC............  A               X-ray bile ducts/           0.00       0.79         NA       0.05       0.84         NA        XXX
                                                       pancreas.
74320...............  ..............  A               Contrast x-ray of           0.54       3.35         NA       0.19       4.08         NA        XXX
                                                       bile ducts.
74320...............  26............  A               Contrast x-ray of           0.54       0.18       0.18       0.02       0.74       0.74        XXX
                                                       bile ducts.
74320...............  TC............  A               Contrast x-ray of           0.00       3.17         NA       0.17       3.34         NA        XXX
                                                       bile ducts.
74327...............  ..............  A               X-ray bile stone            0.70       2.00         NA       0.15       2.85         NA        XXX
                                                       removal.
74327...............  26............  A               X-ray bile stone            0.70       0.23       0.23       0.04       0.97       0.97        XXX
                                                       removal.
74327...............  TC............  A               X-ray bile stone            0.00       1.77         NA       0.11       1.88         NA        XXX
                                                       removal.
74328...............  ..............  A               X-ray bile duct             0.70       3.40         NA       0.21       4.31         NA        XXX
                                                       endoscopy.
74328...............  26............  A               X-ray bile duct             0.70       0.23       0.23       0.04       0.97       0.97        XXX
                                                       endoscopy.
74328...............  TC............  A               X-ray bile duct             0.00       3.17         NA       0.17       3.34         NA        XXX
                                                       endoscopy.

[[Page 1199]]

 
74329...............  ..............  A               X-ray for pancreas          0.70       3.40         NA       0.21       4.31         NA        XXX
                                                       endoscopy.
74329...............  26............  A               X-ray for pancreas          0.70       0.23       0.23       0.04       0.97       0.97        XXX
                                                       endoscopy.
74329...............  TC............  A               X-ray for pancreas          0.00       3.17         NA       0.17       3.34         NA        XXX
                                                       endoscopy.
74330...............  ..............  A               X-ray bile/panc             0.90       3.47         NA       0.22       4.59         NA        XXX
                                                       endoscopy.
74330...............  26............  A               X-ray bile/panc             0.90       0.30       0.30       0.05       1.25       1.25        XXX
                                                       endoscopy.
74330...............  TC............  A               X-ray bile/panc             0.00       3.17         NA       0.17       3.34         NA        XXX
                                                       endoscopy.
74340...............  ..............  A               X-ray guide for GI          0.54       2.80         NA       0.16       3.50         NA        XXX
                                                       tube.
74340...............  26............  A               X-ray guide for GI          0.54       0.18       0.18       0.02       0.74       0.74        XXX
                                                       tube.
74340...............  TC............  A               X-ray guide for GI          0.00       2.62         NA       0.14       2.76         NA        XXX
                                                       tube.
74350...............  ..............  A               X-ray guide, stomach        0.76       3.42         NA       0.21       4.39         NA        XXX
                                                       tube.
74350...............  26............  A               X-ray guide, stomach        0.76       0.25       0.25       0.04       1.05       1.05        XXX
                                                       tube.
74350...............  TC............  A               X-ray guide, stomach        0.00       3.17         NA       0.17       3.34         NA        XXX
                                                       tube.
74355...............  ..............  A               X-ray guide,                0.76       2.87         NA       0.18       3.81         NA        XXX
                                                       intestinal tube.
74355...............  26............  A               X-ray guide,                0.76       0.25       0.25       0.04       1.05       1.05        XXX
                                                       intestinal tube.
74355...............  TC............  A               X-ray guide,                0.00       2.62         NA       0.14       2.76         NA        XXX
                                                       intestinal tube.
74360...............  ..............  A               X-ray guide, GI             0.54       3.36         NA       0.19       4.09         NA        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       3.17         NA       0.17       3.34         NA        XXX
                                                       dilation.
74363...............  ..............  A               X-ray, bile duct            0.88       6.41         NA       0.38       7.67         NA        XXX
                                                       dilation.
74363...............  26............  A               X-ray, bile duct            0.88       0.29       0.29       0.05       1.22       1.22        XXX
                                                       dilation.
74363...............  TC............  A               X-ray, bile duct            0.00       6.12         NA       0.33       6.45         NA        XXX
                                                       dilation.
74400...............  ..............  A               Contrst x-ray,              0.49       1.85         NA       0.13       2.47         NA        XXX
                                                       urinary tract.
74400...............  26............  A               Contrst x-ray,              0.49       0.16       0.16       0.02       0.67       0.67        XXX
                                                       urinary tract.
74400...............  TC............  A               Contrst x-ray,              0.00       1.69         NA       0.11       1.80         NA        XXX
                                                       urinary tract.
74410...............  ..............  A               Contrst x-ray,              0.49       2.12         NA       0.13       2.74         NA        XXX
                                                       urinary tract.
74410...............  26............  A               Contrst x-ray,              0.49       0.16       0.16       0.02       0.67       0.67        XXX
                                                       urinary tract.
74410...............  TC............  A               Contrst x-ray,              0.00       1.96         NA       0.11       2.07         NA        XXX
                                                       urinary tract.
74415...............  ..............  A               Contrst x-ray,              0.49       2.28         NA       0.14       2.91         NA        XXX
                                                       urinary tract.
74415...............  26............  A               Contrst x-ray,              0.49       0.16       0.16       0.02       0.67       0.67        XXX
                                                       urinary tract.
74415...............  TC............  A               Contrst x-ray,              0.00       2.12         NA       0.12       2.24         NA        XXX
                                                       urinary tract.
74420...............  ..............  A               Contrst x-ray,              0.36       2.74         NA       0.16       3.26         NA        XXX
                                                       urinary tract.
74420...............  26............  A               Contrst x-ray,              0.36       0.12       0.12       0.02       0.50       0.50        XXX
                                                       urinary tract.
74420...............  TC............  A               Contrst x-ray,              0.00       2.62         NA       0.14       2.76         NA        XXX
                                                       urinary tract.
74425...............  ..............  A               Contrst x-ray,              0.36       1.43         NA       0.09       1.88         NA        XXX
                                                       urinary tract.
74425...............  26............  A               Contrst x-ray,              0.36       0.12       0.12       0.02       0.50       0.50        XXX
                                                       urinary tract.
74425...............  TC............  A               Contrst x-ray,              0.00       1.31         NA       0.07       1.38         NA        XXX
                                                       urinary tract.
74430...............  ..............  A               Contrast x-ray,             0.32       1.17         NA       0.08       1.57         NA        XXX
                                                       bladder.
74430...............  26............  A               Contrast x-ray,             0.32       0.11       0.11       0.02       0.45       0.45        XXX
                                                       bladder.
74430...............  TC............  A               Contrast x-ray,             0.00       1.06         NA       0.06       1.12         NA        XXX
                                                       bladder.
74440...............  ..............  A               X-ray, male genital         0.38       1.25         NA       0.08       1.71         NA        XXX
                                                       tract.
74440...............  26............  A               X-ray, male genital         0.38       0.12       0.12       0.02       0.52       0.52        XXX
                                                       tract.
74440...............  TC............  A               X-ray, male genital         0.00       1.13         NA       0.06       1.19         NA        XXX
                                                       tract.
74445...............  ..............  A               X-ray exam of penis..       1.14       1.50         NA       0.12       2.76         NA        XXX
74445...............  26............  A               X-ray exam of penis..       1.14       0.37       0.37       0.06       1.57       1.57        XXX
74445...............  TC............  A               X-ray exam of penis..       0.00       1.13         NA       0.06       1.19         NA        XXX
74450...............  ..............  A               X-ray, urethra/             0.33       1.57         NA       0.10       2.00         NA        XXX
                                                       bladder.
74450...............  26............  A               X-ray, urethra/             0.33       0.11       0.11       0.02       0.46       0.46        XXX
                                                       bladder.
74450...............  TC............  A               X-ray, urethra/             0.00       1.46         NA       0.08       1.54         NA        XXX
                                                       bladder.
74455...............  ..............  A               X-ray, urethra/             0.33       1.69         NA       0.12       2.14         NA        XXX
                                                       bladder.
74455...............  26............  A               X-ray, urethra/             0.33       0.11       0.11       0.02       0.46       0.46        XXX
                                                       bladder.
74455...............  TC............  A               X-ray, urethra/             0.00       1.58         NA       0.10       1.68         NA        XXX
                                                       bladder.
74470...............  ..............  A               X-ray exam of kidney        0.54       1.43         NA       0.09       2.06         NA        XXX
                                                       lesion.
74470...............  26............  A               X-ray exam of kidney        0.54       0.18       0.18       0.02       0.74       0.74        XXX
                                                       lesion.
74470...............  TC............  A               X-ray exam of kidney        0.00       1.25         NA       0.07       1.32         NA        XXX
                                                       lesion.
74475...............  ..............  A               X-ray control, cath         0.54       4.27         NA       0.24       5.05         NA        XXX
                                                       insert.
74475...............  26............  A               X-ray control, cath         0.54       0.18       0.18       0.02       0.74       0.74        XXX
                                                       insert.
74475...............  TC............  A               X-ray control, cath         0.00       4.09         NA       0.22       4.31         NA        XXX
                                                       insert.
74480...............  ..............  A               X-ray control, cath         0.54       4.27         NA       0.24       5.05         NA        XXX
                                                       insert.
74480...............  26............  A               X-ray control, cath         0.54       0.18       0.18       0.02       0.74       0.74        XXX
                                                       insert.
74480...............  TC............  A               X-ray control, cath         0.00       4.09         NA       0.22       4.31         NA        XXX
                                                       insert.
74485...............  ..............  A               X-ray guide, GU             0.54       3.35         NA       0.21       4.10         NA        XXX
                                                       dilation.
74485...............  26............  A               X-ray guide, GU             0.54       0.18       0.18       0.04       0.76       0.76        XXX
                                                       dilation.
74485...............  TC............  A               X-ray guide, GU             0.00       3.17         NA       0.17       3.34         NA        XXX
                                                       dilation.
74710...............  ..............  A               X-ray measurement of        0.34       1.17         NA       0.08       1.59         NA        XXX
                                                       pelvis.
74710...............  26............  A               X-ray measurement of        0.34       0.11       0.11       0.02       0.47       0.47        XXX
                                                       pelvis.
74710...............  TC............  A               X-ray measurement of        0.00       1.06         NA       0.06       1.12         NA        XXX
                                                       pelvis.
74740...............  ..............  A               X-ray, female genital       0.38       1.44         NA       0.09       1.91         NA        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       1.31         NA       0.07       1.38         NA        XXX
                                                       tract.
74742...............  ..............  A               X-ray, fallopian tube       0.61       3.37         NA       0.19       4.17         NA        XXX
74742...............  26............  A               X-ray, fallopian tube       0.61       0.20       0.20       0.02       0.83       0.83        XXX
74742...............  TC............  A               X-ray, fallopian tube       0.00       3.17         NA       0.17       3.34         NA        XXX
74775...............  ..............  A               X-ray exam of               0.62       1.67         NA       0.12       2.41         NA        XXX
                                                       perineum.
74775...............  26............  A               X-ray exam of               0.62       0.21       0.21       0.04       0.87       0.87        XXX
                                                       perineum.
74775...............  TC............  A               X-ray exam of               0.00       1.46         NA       0.08       1.54         NA        XXX
                                                       perineum.

[[Page 1200]]

 
75552...............  ..............  A               Heart mri for morph w/      1.60      11.77         NA       0.67      14.04         NA        XXX
                                                       o dye.
75552...............  26............  A               Heart mri for morph w/      1.60       0.53       0.53       0.08       2.21       2.21        XXX
                                                       o dye.
75552...............  TC............  A               Heart mri for morph w/      0.00      11.24         NA       0.59      11.83         NA        XXX
                                                       o dye.
75553...............  ..............  A               Heart mri for morph w/      2.00      11.89         NA       0.70      14.59         NA        XXX
                                                       dye.
75553...............  26............  A               Heart mri for morph w/      2.00       0.65       0.65       0.11       2.76       2.76        XXX
                                                       dye.
75553...............  TC............  A               Heart mri for morph w/      0.00      11.24         NA       0.59      11.83         NA        XXX
                                                       dye.
75554...............  ..............  A               Cardiac MRI/function.       1.83      11.88         NA       0.67      14.38         NA        XXX
75554...............  26............  A               Cardiac MRI/function.       1.83       0.64       0.64       0.08       2.55       2.55        XXX
75554...............  TC............  A               Cardiac MRI/function.       0.00      11.24         NA       0.59      11.83         NA        XXX
75555...............  ..............  A               Cardiac MRI/limited         1.74      11.88         NA       0.67      14.29         NA        XXX
                                                       study.
75555...............  26............  A               Cardiac MRI/limited         1.74       0.64       0.64       0.08       2.46       2.46        XXX
                                                       study.
75555...............  TC............  A               Cardiac MRI/limited         0.00      11.24         NA       0.59      11.83         NA        XXX
                                                       study.
75556...............  ..............  N               Cardiac MRI/flow            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       mapping.
75600...............  ..............  A               Contrast x-ray exam         0.49      12.83         NA       0.67      13.99         NA        XXX
                                                       of aorta.
75600...............  26............  A               Contrast x-ray exam         0.49       0.19       0.19       0.02       0.70       0.70        XXX
                                                       of aorta.
75600...............  TC............  A               Contrast x-ray exam         0.00      12.64         NA       0.65      13.29         NA        XXX
                                                       of aorta.
75605...............  ..............  A               Contrast x-ray exam         1.14      13.03         NA       0.71      14.88         NA        XXX
                                                       of aorta.
75605...............  26............  A               Contrast x-ray exam         1.14       0.39       0.39       0.06       1.59       1.59        XXX
                                                       of aorta.
75605...............  TC............  A               Contrast x-ray exam         0.00      12.64         NA       0.65      13.29         NA        XXX
                                                       of aorta.
75625...............  ..............  A               Contrast x-ray exam         1.14      13.02         NA       0.71      14.87         NA        XXX
                                                       of aorta.
75625...............  26............  A               Contrast x-ray exam         1.14       0.38       0.38       0.06       1.58       1.58        XXX
                                                       of aorta.
75625...............  TC............  A               Contrast x-ray exam         0.00      12.64         NA       0.65      13.29         NA        XXX
                                                       of aorta.
75630...............  ..............  A               X-ray aorta, leg            1.79      13.78         NA       0.79      16.36         NA        XXX
                                                       arteries.
75630...............  26............  A               X-ray aorta, leg            1.79       0.61       0.61       0.10       2.50       2.50        XXX
                                                       arteries.
75630...............  TC............  A               X-ray aorta, leg            0.00      13.17         NA       0.69      13.86         NA        XXX
                                                       arteries.
75635...............  ..............  A               Ct angio abdominal          2.40      16.77         NA       0.50      19.67         NA        XXX
                                                       arteries.
75635...............  26............  A               Ct angio abdominal          2.40       0.80       0.80       0.11       3.31       3.31        XXX
                                                       arteries.
75635...............  TC............  A               Ct angio abdominal          0.00      15.97         NA       0.39      16.36         NA        XXX
                                                       arteries.
75650...............  ..............  A               Artery x-rays, head &       1.49      13.13         NA       0.73      15.35         NA        XXX
                                                       neck.
75650...............  26............  A               Artery x-rays, head &       1.49       0.49       0.49       0.08       2.06       2.06        XXX
                                                       neck.
75650...............  TC............  A               Artery x-rays, head &       0.00      12.64         NA       0.65      13.29         NA        XXX
                                                       neck.
75658...............  ..............  A               Artery x-rays, arm...       1.31      13.11         NA       0.72      15.14         NA        XXX
75658...............  26............  A               Artery x-rays, arm...       1.31       0.47       0.47       0.07       1.85       1.85        XXX
75658...............  TC............  A               Artery x-rays, arm...       0.00      12.64         NA       0.65      13.29         NA        XXX
75660...............  ..............  A               Artery x-rays, head &       1.31      13.08         NA       0.72      15.11         NA        XXX
                                                       neck.
75660...............  26............  A               Artery x-rays, head &       1.31       0.44       0.44       0.07       1.82       1.82        XXX
                                                       neck.
75660...............  TC............  A               Artery x-rays, head &       0.00      12.64         NA       0.65      13.29         NA        XXX
                                                       neck.
75662...............  ..............  A               Artery x-rays, head &       1.66      13.23         NA       0.75      15.64         NA        XXX
                                                       neck.
75662...............  26............  A               Artery x-rays, head &       1.66       0.59       0.59       0.10       2.35       2.35        XXX
                                                       neck.
75662...............  TC............  A               Artery x-rays, head &       0.00      12.64         NA       0.65      13.29         NA        XXX
                                                       neck.
75665...............  ..............  A               Artery x-rays, head &       1.31      13.07         NA       0.73      15.11         NA        XXX
                                                       neck.
75665...............  26............  A               Artery x-rays, head &       1.31       0.43       0.43       0.08       1.82       1.82        XXX
                                                       neck.
75665...............  TC............  A               Artery x-rays, head &       0.00      12.64         NA       0.65      13.29         NA        XXX
                                                       neck.
75671...............  ..............  A               Artery x-rays, head &       1.66      13.19         NA       0.75      15.60         NA        XXX
                                                       neck.
75671...............  26............  A               Artery x-rays, head &       1.66       0.55       0.55       0.10       2.31       2.31        XXX
                                                       neck.
75671...............  TC............  A               Artery x-rays, head &       0.00      12.64         NA       0.65      13.29         NA        XXX
                                                       neck.
75676...............  ..............  A               Artery x-rays, neck..       1.31      13.08         NA       0.73      15.12         NA        XXX
75676...............  26............  A               Artery x-rays, neck..       1.31       0.44       0.44       0.08       1.83       1.83        XXX
75676...............  TC............  A               Artery x-rays, neck..       0.00      12.64         NA       0.65      13.29         NA        XXX
75680...............  ..............  A               Artery x-rays, neck..       1.66      13.19         NA       0.75      15.60         NA        XXX
75680...............  26............  A               Artery x-rays, neck..       1.66       0.55       0.55       0.10       2.31       2.31        XXX
75680...............  TC............  A               Artery x-rays, neck..       0.00      12.64         NA       0.65      13.29         NA        XXX
75685...............  ..............  A               Artery x-rays, spine.       1.31      13.07         NA       0.72      15.10         NA        XXX
75685...............  26............  A               Artery x-rays, spine.       1.31       0.43       0.43       0.07       1.81       1.81        XXX
75685...............  TC............  A               Artery x-rays, spine.       0.00      12.64         NA       0.65      13.29         NA        XXX
75705...............  ..............  A               Artery x-rays, spine.       2.18      13.37         NA       0.78      16.33         NA        XXX
75705...............  26............  A               Artery x-rays, spine.       2.18       0.73       0.73       0.13       3.04       3.04        XXX
75705...............  TC............  A               Artery x-rays, spine.       0.00      12.64         NA       0.65      13.29         NA        XXX
75710...............  ..............  A               Artery x-rays, arm/         1.14      13.02         NA       0.72      14.88         NA        XXX
                                                       leg.
75710...............  26............  A               Artery x-rays, arm/         1.14       0.38       0.38       0.07       1.59       1.59        XXX
                                                       leg.
75710...............  TC............  A               Artery x-rays, arm/         0.00      12.64         NA       0.65      13.29         NA        XXX
                                                       leg.
75716...............  ..............  A               Artery x-rays, arms/        1.31      13.07         NA       0.72      15.10         NA        XXX
                                                       legs.
75716...............  26............  A               Artery x-rays, arms/        1.31       0.43       0.43       0.07       1.81       1.81        XXX
                                                       legs.
75716...............  TC............  A               Artery x-rays, arms/        0.00      12.64         NA       0.65      13.29         NA        XXX
                                                       legs.
75722...............  ..............  A               Artery x-rays, kidney       1.14      13.04         NA       0.71      14.89         NA        XXX
75722...............  26............  A               Artery x-rays, kidney       1.14       0.40       0.40       0.06       1.60       1.60        XXX
75722...............  TC............  A               Artery x-rays, kidney       0.00      12.64         NA       0.65      13.29         NA        XXX
75724...............  ..............  A               Artery x-rays,              1.49      13.20         NA       0.71      15.40         NA        XXX
                                                       kidneys.
75724...............  26............  A               Artery x-rays,              1.49       0.56       0.56       0.06       2.11       2.11        XXX
                                                       kidneys.
75724...............  TC............  A               Artery x-rays,              0.00      12.64         NA       0.65      13.29         NA        XXX
                                                       kidneys.
75726...............  ..............  A               Artery x-rays,              1.14      13.01         NA       0.71      14.86         NA        XXX
                                                       abdomen.
75726...............  26............  A               Artery x-rays,              1.14       0.37       0.37       0.06       1.57       1.57        XXX
                                                       abdomen.
75726...............  TC............  A               Artery x-rays,              0.00      12.64         NA       0.65      13.29         NA        XXX
                                                       abdomen.
75731...............  ..............  A               Artery x-rays,              1.14      13.01         NA       0.71      14.86         NA        XXX
                                                       adrenal gland.
75731...............  26............  A               Artery x-rays,              1.14       0.37       0.37       0.06       1.57       1.57        XXX
                                                       adrenal gland.

[[Page 1201]]

 
75731...............  TC............  A               Artery x-rays,              0.00      12.64         NA       0.65      13.29         NA        XXX
                                                       adrenal gland.
75733...............  ..............  A               Artery x-rays,              1.31      13.07         NA       0.72      15.10         NA        XXX
                                                       adrenals.
75733...............  26............  A               Artery x-rays,              1.31       0.43       0.43       0.07       1.81       1.81        XXX
                                                       adrenals.
75733...............  TC............  A               Artery x-rays,              0.00      12.64         NA       0.65      13.29         NA        XXX
                                                       adrenals.
75736...............  ..............  A               Artery x-rays, pelvis       1.14      13.01         NA       0.71      14.86         NA        XXX
75736...............  26............  A               Artery x-rays, pelvis       1.14       0.37       0.37       0.06       1.57       1.57        XXX
75736...............  TC............  A               Artery x-rays, pelvis       0.00      12.64         NA       0.65      13.29         NA        XXX
75741...............  ..............  A               Artery x-rays, lung..       1.31      13.07         NA       0.72      15.10         NA        XXX
75741...............  26............  A               Artery x-rays, lung..       1.31       0.43       0.43       0.07       1.81       1.81        XXX
75741...............  TC............  A               Artery x-rays, lung..       0.00      12.64         NA       0.65      13.29         NA        XXX
75743...............  ..............  A               Artery x-rays, lungs.       1.66      13.18         NA       0.73      15.57         NA        XXX
75743...............  26............  A               Artery x-rays, lungs.       1.66       0.54       0.54       0.08       2.28       2.28        XXX
75743...............  TC............  A               Artery x-rays, lungs.       0.00      12.64         NA       0.65      13.29         NA        XXX
75746...............  ..............  A               Artery x-rays, lung..       1.14      13.01         NA       0.71      14.86         NA        XXX
75746...............  26............  A               Artery x-rays, lung..       1.14       0.37       0.37       0.06       1.57       1.57        XXX
75746...............  TC............  A               Artery x-rays, lung..       0.00      12.64         NA       0.65      13.29         NA        XXX
75756...............  ..............  A               Artery x-rays, chest.       1.14      13.08         NA       0.70      14.92         NA        XXX
75756...............  26............  A               Artery x-rays, chest.       1.14       0.44       0.44       0.05       1.63       1.63        XXX
75756...............  TC............  A               Artery x-rays, chest.       0.00      12.64         NA       0.65      13.29         NA        XXX
75774...............  ..............  A               Artery x-ray, each          0.36      12.77         NA       0.67      13.80         NA        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      12.64         NA       0.65      13.29         NA        ZZZ
                                                       vessel.
75790...............  ..............  A               Visualize A-V shunt..       1.84       1.96         NA       0.19       3.99         NA        XXX
75790...............  26............  A               Visualize A-V shunt..       1.84       0.60       0.60       0.11       2.55       2.55        XXX
75790...............  TC............  A               Visualize A-V shunt..       0.00       1.36         NA       0.08       1.44         NA        XXX
75801...............  ..............  A               Lymph vessel x-ray,         0.81       5.71         NA       0.35       6.87         NA        XXX
                                                       arm/leg.
75801...............  26............  A               Lymph vessel x-ray,         0.81       0.27       0.27       0.06       1.14       1.14        XXX
                                                       arm/leg.
75801...............  TC............  A               Lymph vessel x-ray,         0.00       5.44         NA       0.29       5.73         NA        XXX
                                                       arm/leg.
75803...............  ..............  A               Lymph vessel x-             1.17       5.82         NA       0.35       7.34         NA        XXX
                                                       ray,arms/legs.
75803...............  26............  A               Lymph vessel x-             1.17       0.38       0.38       0.06       1.61       1.61        XXX
                                                       ray,arms/legs.
75803...............  TC............  A               Lymph vessel x-             0.00       5.44         NA       0.29       5.73         NA        XXX
                                                       ray,arms/legs.
75805...............  ..............  A               Lymph vessel x-ray,         0.81       6.39         NA       0.38       7.58         NA        XXX
                                                       trunk.
75805...............  26............  A               Lymph vessel x-ray,         0.81       0.27       0.27       0.05       1.13       1.13        XXX
                                                       trunk.
75805...............  TC............  A               Lymph vessel x-ray,         0.00       6.12         NA       0.33       6.45         NA        XXX
                                                       trunk.
75807...............  ..............  A               Lymph vessel x-ray,         1.17       6.50         NA       0.39       8.06         NA        XXX
                                                       trunk.
75807...............  26............  A               Lymph vessel x-ray,         1.17       0.38       0.38       0.06       1.61       1.61        XXX
                                                       trunk.
75807...............  TC............  A               Lymph vessel x-ray,         0.00       6.12         NA       0.33       6.45         NA        XXX
                                                       trunk.
75809...............  ..............  A               Nonvascular shunt, x-       0.47       0.95         NA       0.07       1.49         NA        XXX
                                                       ray.
75809...............  26............  A               Nonvascular shunt, x-       0.47       0.16       0.16       0.02       0.65       0.65        XXX
                                                       ray.
75809...............  TC............  A               Nonvascular shunt, x-       0.00       0.79         NA       0.05       0.84         NA        XXX
                                                       ray.
75810...............  ..............  A               Vein x-ray, spleen/         1.14      13.01         NA       0.72      14.87         NA        XXX
                                                       liver.
75810...............  26............  A               Vein x-ray, spleen/         1.14       0.37       0.37       0.07       1.58       1.58        XXX
                                                       liver.
75810...............  TC............  A               Vein x-ray, spleen/         0.00      12.64         NA       0.65      13.29         NA        XXX
                                                       liver.
75820...............  ..............  A               Vein x-ray, arm/leg..       0.70       1.18         NA       0.10       1.98         NA        XXX
75820...............  26............  A               Vein x-ray, arm/leg..       0.70       0.23       0.23       0.04       0.97       0.97        XXX
75820...............  TC............  A               Vein x-ray, arm/leg..       0.00       0.95         NA       0.06       1.01         NA        XXX
75822...............  ..............  A               Vein x-ray, arms/legs       1.06       1.83         NA       0.14       3.03         NA        XXX
75822...............  26............  A               Vein x-ray, arms/legs       1.06       0.35       0.35       0.06       1.47       1.47        XXX
75822...............  TC............  A               Vein x-ray, arms/legs       0.00       1.48         NA       0.08       1.56         NA        XXX
75825...............  ..............  A               Vein x-ray, trunk....       1.14      13.01         NA       0.72      14.87         NA        XXX
75825...............  26............  A               Vein x-ray, trunk....       1.14       0.37       0.37       0.07       1.58       1.58        XXX
75825...............  TC............  A               Vein x-ray, trunk....       0.00      12.64         NA       0.65      13.29         NA        XXX
75827...............  ..............  A               Vein x-ray, chest....       1.14      13.01         NA       0.71      14.86         NA        XXX
75827...............  26............  A               Vein x-ray, chest....       1.14       0.37       0.37       0.06       1.57       1.57        XXX
75827...............  TC............  A               Vein x-ray, chest....       0.00      12.64         NA       0.65      13.29         NA        XXX
75831...............  ..............  A               Vein x-ray, kidney...       1.14      13.01         NA       0.71      14.86         NA        XXX
75831...............  26............  A               Vein x-ray, kidney...       1.14       0.37       0.37       0.06       1.57       1.57        XXX
75831...............  TC............  A               Vein x-ray, kidney...       0.00      12.64         NA       0.65      13.29         NA        XXX
75833...............  ..............  A               Vein x-ray, kidneys..       1.49      13.13         NA       0.73      15.35         NA        XXX
75833...............  26............  A               Vein x-ray, kidneys..       1.49       0.49       0.49       0.08       2.06       2.06        XXX
75833...............  TC............  A               Vein x-ray, kidneys..       0.00      12.64         NA       0.65      13.29         NA        XXX
75840...............  ..............  A               Vein x-ray, adrenal         1.14      13.01         NA       0.73      14.88         NA        XXX
                                                       gland.
75840...............  26............  A               Vein x-ray, adrenal         1.14       0.37       0.37       0.08       1.59       1.59        XXX
                                                       gland.
75840...............  TC............  A               Vein x-ray, adrenal         0.00      12.64         NA       0.65      13.29         NA        XXX
                                                       gland.
75842...............  ..............  A               Vein x-ray, adrenal         1.49      13.12         NA       0.73      15.34         NA        XXX
                                                       glands.
75842...............  26............  A               Vein x-ray, adrenal         1.49       0.48       0.48       0.08       2.05       2.05        XXX
                                                       glands.
75842...............  TC............  A               Vein x-ray, adrenal         0.00      12.64         NA       0.65      13.29         NA        XXX
                                                       glands.
75860...............  ..............  A               Vein x-ray, neck.....       1.14      13.03         NA       0.72      14.89         NA        XXX
75860...............  26............  A               Vein x-ray, neck.....       1.14       0.39       0.39       0.07       1.60       1.60        XXX
75860...............  TC............  A               Vein x-ray, neck.....       0.00      12.64         NA       0.65      13.29         NA        XXX
75870...............  ..............  A               Vein x-ray, skull....       1.14      13.03         NA       0.72      14.89         NA        XXX
75870...............  26............  A               Vein x-ray, skull....       1.14       0.39       0.39       0.07       1.60       1.60        XXX
75870...............  TC............  A               Vein x-ray, skull....       0.00      12.64         NA       0.65      13.29         NA        XXX
75872...............  ..............  A               Vein x-ray, skull....       1.14      13.01         NA       0.71      14.86         NA        XXX
75872...............  26............  A               Vein x-ray, skull....       1.14       0.37       0.37       0.06       1.57       1.57        XXX

[[Page 1202]]

 
75872...............  TC............  A               Vein x-ray, skull....       0.00      12.64         NA       0.65      13.29         NA        XXX
75880...............  ..............  A               Vein x-ray, eye             0.70       1.18         NA       0.10       1.98         NA        XXX
                                                       socket.
75880...............  26............  A               Vein x-ray, eye             0.70       0.23       0.23       0.04       0.97       0.97        XXX
                                                       socket.
75880...............  TC............  A               Vein x-ray, eye             0.00       0.95         NA       0.06       1.01         NA        XXX
                                                       socket.
75885...............  ..............  A               Vein x-ray, liver....       1.44      13.11         NA       0.72      15.27         NA        XXX
75885...............  26............  A               Vein x-ray, liver....       1.44       0.47       0.47       0.07       1.98       1.98        XXX
75885...............  TC............  A               Vein x-ray, liver....       0.00      12.64         NA       0.65      13.29         NA        XXX
75887...............  ..............  A               Vein x-ray, liver....       1.44      13.11         NA       0.72      15.27         NA        XXX
75887...............  26............  A               Vein x-ray, liver....       1.44       0.47       0.47       0.07       1.98       1.98        XXX
75887...............  TC............  A               Vein x-ray, liver....       0.00      12.64         NA       0.65      13.29         NA        XXX
75889...............  ..............  A               Vein x-ray, liver....       1.14      13.01         NA       0.71      14.86         NA        XXX
75889...............  26............  A               Vein x-ray, liver....       1.14       0.37       0.37       0.06       1.57       1.57        XXX
75889...............  TC............  A               Vein x-ray, liver....       0.00      12.64         NA       0.65      13.29         NA        XXX
75891...............  ..............  A               Vein x-ray, liver....       1.14      13.01         NA       0.71      14.86         NA        XXX
75891...............  26............  A               Vein x-ray, liver....       1.14       0.37       0.37       0.06       1.57       1.57        XXX
75891...............  TC............  A               Vein x-ray, liver....       0.00      12.64         NA       0.65      13.29         NA        XXX
75893...............  ..............  A               Venous sampling by          0.54      12.82         NA       0.67      14.03         NA        XXX
                                                       catheter.
75893...............  26............  A               Venous sampling by          0.54       0.18       0.18       0.02       0.74       0.74        XXX
                                                       catheter.
75893...............  TC............  A               Venous sampling by          0.00      12.64         NA       0.65      13.29         NA        XXX
                                                       catheter.
75894...............  ..............  A               X-rays, transcath           1.31      24.65         NA       1.35      27.31         NA        XXX
                                                       therapy.
75894...............  26............  A               X-rays, transcath           1.31       0.43       0.43       0.08       1.82       1.82        XXX
                                                       therapy.
75894...............  TC............  A               X-rays, transcath           0.00      24.22         NA       1.27      25.49         NA        XXX
                                                       therapy.
75896...............  ..............  A               X-rays, transcath           1.31      21.51         NA       1.17      23.99         NA        XXX
                                                       therapy.
75896...............  26............  A               X-rays, transcath           1.31       0.45       0.45       0.07       1.83       1.83        XXX
                                                       therapy.
75896...............  TC............  A               X-rays, transcath           0.00      21.06         NA       1.10      22.16         NA        XXX
                                                       therapy.
75898...............  ..............  A               Follow-up angiography       1.65       1.61         NA       0.14       3.40         NA        XXX
75898...............  26............  A               Follow-up angiography       1.65       0.55       0.55       0.08       2.28       2.28        XXX
75898...............  TC............  A               Follow-up angiography       0.00       1.06         NA       0.06       1.12         NA        XXX
75900...............  ..............  A               Arterial catheter           0.49      21.20         NA       1.13      22.82         NA        XXX
                                                       exchange.
75900...............  26............  A               Arterial catheter           0.49       0.16       0.16       0.02       0.67       0.67        XXX
                                                       exchange.
75900...............  TC............  A               Arterial catheter           0.00      21.04         NA       1.11      22.15         NA        XXX
                                                       exchange.
75901...............  ..............  A               Remove cva device           0.49       1.47         NA       0.85       2.81         NA        XXX
                                                       obstruct.
75901...............  26............  A               Remove cva device           0.49       0.16       0.16       0.02       0.67       0.67        XXX
                                                       obstruct.
75901...............  TC............  A               Remove cva device           0.00       1.31         NA       0.83       2.14         NA        XXX
                                                       obstruct.
75902...............  ..............  A               Remove cva lumen            0.39       1.44         NA       0.85       2.68         NA        XXX
                                                       obstruct.
75902...............  26............  A               Remove cva lumen            0.39       0.13       0.13       0.02       0.54       0.54        XXX
                                                       obstruct.
75902...............  TC............  A               Remove cva lumen            0.00       1.31         NA       0.83       2.14         NA        XXX
                                                       obstruct.
75940...............  ..............  A               X-ray placement, vein       0.54      12.82         NA       0.69      14.05         NA        XXX
                                                       filter.
75940...............  26............  A               X-ray placement, vein       0.54       0.18       0.18       0.04       0.76       0.76        XXX
                                                       filter.
75940...............  TC............  A               X-ray placement, vein       0.00      12.64         NA       0.65      13.29         NA        XXX
                                                       filter.
75945...............  ..............  A               Intravascular us.....       0.40       4.72         NA       0.28       5.40         NA        XXX
75945...............  26............  A               Intravascular us.....       0.40       0.14       0.14       0.04       0.58       0.58        XXX
75945...............  TC............  A               Intravascular us.....       0.00       4.58         NA       0.24       4.82         NA        XXX
75946...............  ..............  A               Intravascular us add-       0.40       2.44         NA       0.17       3.01         NA        ZZZ
                                                       on.
75946...............  26............  A               Intravascular us add-       0.40       0.14       0.14       0.04       0.58       0.58        ZZZ
                                                       on.
75946...............  TC............  A               Intravascular us add-       0.00       2.30         NA       0.13       2.43         NA        ZZZ
                                                       on.
75952...............  ..............  C               Endovasc repair abdom       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       aorta.
75952...............  26............  A               Endovasc repair abdom       4.49       1.50       1.50       0.82       6.81       6.81        XXX
                                                       aorta.
75952...............  TC............  C               Endovasc repair abdom       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       aorta.
75953...............  ..............  C               Abdom aneurysm              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       endovas rpr.
75953...............  26............  A               Abdom aneurysm              1.36       0.45       0.45       0.82       2.63       2.63        XXX
                                                       endovas rpr.
75953...............  TC............  C               Abdom aneurysm              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       endovas rpr.
75954...............  ..............  C               Iliac aneurysm              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       endovas rpr.
75954...............  26............  A               Iliac aneurysm              2.25       0.47       0.47       0.82       3.54       3.54        XXX
                                                       endovas rpr.
75954...............  TC............  C               Iliac aneurysm              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       endovas rpr.
75960...............  ..............  A               Transcatheter intro,        0.82      15.24         NA       0.82      16.88         NA        XXX
                                                       stent.
75960...............  26............  A               Transcatheter intro,        0.82       0.29       0.29       0.05       1.16       1.16        XXX
                                                       stent.
75960...............  TC............  A               Transcatheter intro,        0.00      14.95         NA       0.77      15.72         NA        XXX
                                                       stent.
75961...............  ..............  A               Retrieval, broken           4.24      11.94         NA       0.77      16.95         NA        XXX
                                                       catheter.
75961...............  26............  A               Retrieval, broken           4.24       1.40       1.40       0.22       5.86       5.86        XXX
                                                       catheter.
75961...............  TC............  A               Retrieval, broken           0.00      10.54         NA       0.55      11.09         NA        XXX
                                                       catheter.
75962...............  ..............  A               Repair arterial             0.54      15.99         NA       0.87      17.40         NA        XXX
                                                       blockage.
75962...............  26............  A               Repair arterial             0.54       0.19       0.19       0.04       0.77       0.77        XXX
                                                       blockage.
75962...............  TC............  A               Repair arterial             0.00      15.80         NA       0.83      16.63         NA        XXX
                                                       blockage.
75964...............  ..............  A               Repair artery               0.36       8.54         NA       0.45       9.35         NA        ZZZ
                                                       blockage, each.
75964...............  26............  A               Repair artery               0.36       0.12       0.12       0.02       0.50       0.50        ZZZ
                                                       blockage, each.
75964...............  TC............  A               Repair artery               0.00       8.42         NA       0.43       8.85         NA        ZZZ
                                                       blockage, each.
75966...............  ..............  A               Repair arterial             1.31      16.26         NA       0.90      18.47         NA        XXX
                                                       blockage.
75966...............  26............  A               Repair arterial             1.31       0.46       0.46       0.07       1.84       1.84        XXX
                                                       blockage.
75966...............  TC............  A               Repair arterial             0.00      15.80         NA       0.83      16.63         NA        XXX
                                                       blockage.
75968...............  ..............  A               Repair artery               0.36       8.55         NA       0.44       9.35         NA        ZZZ
                                                       blockage, each.
75968...............  26............  A               Repair artery               0.36       0.13       0.13       0.01       0.50       0.50        ZZZ
                                                       blockage, each.
75968...............  TC............  A               Repair artery               0.00       8.42         NA       0.43       8.85         NA        ZZZ
                                                       blockage, each.
75970...............  ..............  A               Vascular biopsy......       0.83      11.88         NA       0.65      13.36         NA        XXX
75970...............  26............  A               Vascular biopsy......       0.83       0.29       0.29       0.05       1.17       1.17        XXX

[[Page 1203]]

 
75970...............  TC............  A               Vascular biopsy......       0.00      11.59         NA       0.60      12.19         NA        XXX
75978...............  ..............  A               Repair venous               0.54      15.98         NA       0.85      17.37         NA        XXX
                                                       blockage.
75978...............  26............  A               Repair venous               0.54       0.18       0.18       0.02       0.74       0.74        XXX
                                                       blockage.
75978...............  TC............  A               Repair venous               0.00      15.80         NA       0.83      16.63         NA        XXX
                                                       blockage.
75980...............  ..............  A               Contrast xray exam          1.44       5.91         NA       0.36       7.71         NA        XXX
                                                       bile duct.
75980...............  26............  A               Contrast xray exam          1.44       0.47       0.47       0.07       1.98       1.98        XXX
                                                       bile duct.
75980...............  TC............  A               Contrast xray exam          0.00       5.44         NA       0.29       5.73         NA        XXX
                                                       bile duct.
75982...............  ..............  A               Contrast xray exam          1.44       6.58         NA       0.40       8.42         NA        XXX
                                                       bile duct.
75982...............  26............  A               Contrast xray exam          1.44       0.46       0.46       0.07       1.97       1.97        XXX
                                                       bile duct.
75982...............  TC............  A               Contrast xray exam          0.00       6.12         NA       0.33       6.45         NA        XXX
                                                       bile duct.
75984...............  ..............  A               Xray control catheter       0.72       2.20         NA       0.15       3.07         NA        XXX
                                                       change.
75984...............  26............  A               Xray control catheter       0.72       0.24       0.24       0.04       1.00       1.00        XXX
                                                       change.
75984...............  TC............  A               Xray control catheter       0.00       1.96         NA       0.11       2.07         NA        XXX
                                                       change.
75989...............  ..............  A               Abscess drainage            1.19       3.55         NA       0.23       4.97         NA        XXX
                                                       under x-ray.
75989...............  26............  A               Abscess drainage            1.19       0.38       0.38       0.06       1.63       1.63        XXX
                                                       under x-ray.
75989...............  TC............  A               Abscess drainage            0.00       3.17         NA       0.17       3.34         NA        XXX
                                                       under x-ray.
75992...............  ..............  A               Atherectomy, x-ray          0.54      15.99         NA       0.85      17.38         NA        XXX
                                                       exam.
75992...............  26............  A               Atherectomy, x-ray          0.54       0.19       0.19       0.02       0.75       0.75        XXX
                                                       exam.
75992...............  TC............  A               Atherectomy, x-ray          0.00      15.80         NA       0.83      16.63         NA        XXX
                                                       exam.
75993...............  ..............  A               Atherectomy, x-ray          0.36       8.56         NA       0.44       9.36         NA        ZZZ
                                                       exam.
75993...............  26............  A               Atherectomy, x-ray          0.36       0.14       0.14       0.01       0.51       0.51        ZZZ
                                                       exam.
75993...............  TC............  A               Atherectomy, x-ray          0.00       8.42         NA       0.43       8.85         NA        ZZZ
                                                       exam.
75994...............  ..............  A               Atherectomy, x-ray          1.31      16.26         NA       0.90      18.47         NA        XXX
                                                       exam.
75994...............  26............  A               Atherectomy, x-ray          1.31       0.46       0.46       0.07       1.84       1.84        XXX
                                                       exam.
75994...............  TC............  A               Atherectomy, x-ray          0.00      15.80         NA       0.83      16.63         NA        XXX
                                                       exam.
75995...............  ..............  A               Atherectomy, x-ray          1.31      16.27         NA       0.90      18.48         NA        XXX
                                                       exam.
75995...............  26............  A               Atherectomy, x-ray          1.31       0.47       0.47       0.07       1.85       1.85        XXX
                                                       exam.
75995...............  TC............  A               Atherectomy, x-ray          0.00      15.80         NA       0.83      16.63         NA        XXX
                                                       exam.
75996...............  ..............  A               Atherectomy, x-ray          0.36       8.54         NA       0.44       9.34         NA        ZZZ
                                                       exam.
75996...............  26............  A               Atherectomy, x-ray          0.36       0.12       0.12       0.01       0.49       0.49        ZZZ
                                                       exam.
75996...............  TC............  A               Atherectomy, x-ray          0.00       8.42         NA       0.43       8.85         NA        ZZZ
                                                       exam.
75998...............  ..............  A               Fluoroguide for vein        0.38       1.44         NA       0.15       1.97         NA        ZZZ
                                                       device.
75998...............  26............  A               Fluoroguide for vein        0.38       0.13       0.13       0.05       0.56       0.56        ZZZ
                                                       device.
75998...............  TC............  A               Fluoroguide for vein        0.00       1.31         NA       0.10       1.41         NA        ZZZ
                                                       device.
76000...............  ..............  A               Fluoroscope                 0.17       1.36         NA       0.08       1.61         NA        XXX
                                                       examination.
76000...............  26............  A               Fluoroscope                 0.17       0.05       0.05       0.01       0.23       0.23        XXX
                                                       examination.
76000...............  TC............  A               Fluoroscope                 0.00       1.31         NA       0.07       1.38         NA        XXX
                                                       examination.
76001...............  ..............  A               Fluoroscope exam,           0.67       2.84         NA       0.18       3.69         NA        XXX
                                                       extensive.
76001...............  26............  A               Fluoroscope exam,           0.67       0.22       0.22       0.04       0.93       0.93        XXX
                                                       extensive.
76001...............  TC............  A               Fluoroscope exam,           0.00       2.62         NA       0.14       2.76         NA        XXX
                                                       extensive.
76003...............  ..............  A               Needle localization         0.54       1.48         NA       0.11       2.13         NA        XXX
                                                       by x-ray.
76003...............  26............  A               Needle localization         0.54       0.17       0.17       0.04       0.75       0.75        XXX
                                                       by x-ray.
76003...............  TC............  A               Needle localization         0.00       1.31         NA       0.07       1.38         NA        XXX
                                                       by x-ray.
76005...............  ..............  A               Fluoroguide for spine       0.60       1.47         NA       0.11       2.18         NA        XXX
                                                       inject.
76005...............  26............  A               Fluoroguide for spine       0.60       0.16       0.16       0.04       0.80       0.80        XXX
                                                       inject.
76005...............  TC............  A               Fluoroguide for spine       0.00       1.31         NA       0.07       1.38         NA        XXX
                                                       inject.
76006...............  ..............  A               X-ray stress view....       0.41       0.19       0.19       0.05       0.65       0.65        XXX
76010...............  ..............  A               X-ray, nose to rectum       0.18       0.58         NA       0.03       0.79         NA        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       0.52         NA       0.02       0.54         NA        XXX
76012...............  ..............  C               Percut vertebroplasty       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       fluor.
76012...............  26............  A               Percut vertebroplasty       1.31       0.46       0.46       0.28       2.05       2.05        XXX
                                                       fluor.
76012...............  TC............  C               Percut vertebroplasty       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       fluor.
76013...............  ..............  C               Percut                      0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       vertebroplasty, ct.
76013...............  26............  A               Percut                      1.38       0.47       0.47       0.58       2.43       2.43        XXX
                                                       vertebroplasty, ct.
76013...............  TC............  C               Percut                      0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       vertebroplasty, ct.
76020...............  ..............  A               X-rays for bone age..       0.19       0.58         NA       0.03       0.80         NA        XXX
76020...............  26............  A               X-rays for bone age..       0.19       0.06       0.06       0.01       0.26       0.26        XXX
76020...............  TC............  A               X-rays for bone age..       0.00       0.52         NA       0.02       0.54         NA        XXX
76040...............  ..............  A               X-rays, bone                0.27       0.88         NA       0.09       1.24         NA        XXX
                                                       evaluation.
76040...............  26............  A               X-rays, bone                0.27       0.09       0.09       0.04       0.40       0.40        XXX
                                                       evaluation.
76040...............  TC............  A               X-rays, bone                0.00       0.79         NA       0.05       0.84         NA        XXX
                                                       evaluation.
76061...............  ..............  A               X-rays, bone survey..       0.45       1.15         NA       0.08       1.68         NA        XXX
76061...............  26............  A               X-rays, bone survey..       0.45       0.15       0.15       0.02       0.62       0.62        XXX
76061...............  TC............  A               X-rays, bone survey..       0.00       1.00         NA       0.06       1.06         NA        XXX
76062...............  ..............  A               X-rays, bone survey..       0.54       1.62         NA       0.10       2.26         NA        XXX
76062...............  26............  A               X-rays, bone survey..       0.54       0.18       0.18       0.02       0.74       0.74        XXX
76062...............  TC............  A               X-rays, bone survey..       0.00       1.44         NA       0.08       1.52         NA        XXX
76065...............  ..............  A               X-rays, bone                0.70       0.98         NA       0.06       1.74         NA        XXX
                                                       evaluation.
76065...............  26............  A               X-rays, bone                0.70       0.24       0.24       0.01       0.95       0.95        XXX
                                                       evaluation.
76065...............  TC............  A               X-rays, bone                0.00       0.74         NA       0.05       0.79         NA        XXX
                                                       evaluation.
76066...............  ..............  A               Joint survey, single        0.31       1.23         NA       0.08       1.62         NA        XXX
                                                       view.
76066...............  26............  A               Joint survey, single        0.31       0.11       0.11       0.02       0.44       0.44        XXX
                                                       view.
76066...............  TC............  A               Joint survey, single        0.00       1.12         NA       0.06       1.18         NA        XXX
                                                       view.
76070...............  ..............  A               Ct bone density,            0.25       3.04         NA       0.17       3.46         NA        XXX
                                                       axial.

[[Page 1204]]

 
76070...............  26............  A               Ct bone density,            0.25       0.08       0.08       0.01       0.34       0.34        XXX
                                                       axial.
76070...............  TC............  A               Ct bone density,            0.00       2.96         NA       0.16       3.12         NA        XXX
                                                       axial.
76071...............  ..............  A               Ct bone density,            0.22       3.03         NA       0.06       3.31         NA        XXX
                                                       peripheral.
76071...............  26............  A               Ct bone density,            0.22       0.07       0.07       0.01       0.30       0.30        XXX
                                                       peripheral.
76071...............  TC............  A               Ct bone density,            0.00       2.96         NA       0.05       3.01         NA        XXX
                                                       peripheral.
76075...............  ..............  A               Dexa, axial skeleton        0.30       3.21         NA       0.18       3.69         NA        XXX
                                                       study.
76075...............  26............  A               Dexa, axial skeleton        0.30       0.10       0.10       0.01       0.41       0.41        XXX
                                                       study.
76075...............  TC............  A               Dexa, axial skeleton        0.00       3.11         NA       0.17       3.28         NA        XXX
                                                       study.
76076...............  ..............  A               Dexa, peripheral            0.22       0.84         NA       0.06       1.12         NA        XXX
                                                       study.
76076...............  26............  A               Dexa, peripheral            0.22       0.08       0.08       0.01       0.31       0.31        XXX
                                                       study.
76076...............  TC............  A               Dexa, peripheral            0.00       0.76         NA       0.05       0.81         NA        XXX
                                                       study.
76078...............  ..............  A               Radiographic                0.20       0.83         NA       0.06       1.09         NA        XXX
                                                       absorptiometry.
76078...............  26............  A               Radiographic                0.20       0.07       0.07       0.01       0.28       0.28        XXX
                                                       absorptiometry.
76078...............  TC............  A               Radiographic                0.00       0.76         NA       0.05       0.81         NA        XXX
                                                       absorptiometry.
76080...............  ..............  A               X-ray exam of fistula       0.54       1.24         NA       0.08       1.86         NA        XXX
76080...............  26............  A               X-ray exam of fistula       0.54       0.18       0.18       0.02       0.74       0.74        XXX
76080...............  TC............  A               X-ray exam of fistula       0.00       1.06         NA       0.06       1.12         NA        XXX
76082...............  ..............  A               Computer mammogram          0.06       0.43         NA       0.02       0.51         NA        ZZZ
                                                       add-on.
76082...............  26............  A               Computer mammogram          0.06       0.02       0.02       0.01       0.09       0.09        ZZZ
                                                       add-on.
76082...............  TC............  A               Computer mammogram          0.00       0.41         NA       0.01       0.42         NA        ZZZ
                                                       add-on.
76083...............  ..............  A               Computer mammogram          0.06       0.43         NA       0.02       0.51         NA        ZZZ
                                                       add-on.
76083...............  26............  A               Computer mammogram          0.06       0.02       0.02       0.01       0.09       0.09        ZZZ
                                                       add-on.
76083...............  TC............  A               Computer mammogram          0.00       0.41         NA       0.01       0.42         NA        ZZZ
                                                       add-on.
76085...............  ..............  F               Computer mammogram         +0.00       0.00       0.00       0.00       0.00       0.00        ZZZ
                                                       add-on.
76085...............  26............  F               Computer mammogram         +0.00       0.00       0.00       0.00       0.00       0.00        ZZZ
                                                       add-on.
76085...............  TC............  F               Computer mammogram         +0.00       0.00       0.00       0.00       0.00       0.00        ZZZ
                                                       add-on.
76086...............  ..............  A               X-ray of mammary duct       0.36       2.74         NA       0.16       3.26         NA        XXX
76086...............  26............  A               X-ray of mammary duct       0.36       0.12       0.12       0.02       0.50       0.50        XXX
76086...............  TC............  A               X-ray of mammary duct       0.00       2.62         NA       0.14       2.76         NA        XXX
76088...............  ..............  A               X-ray of mammary            0.45       3.83         NA       0.21       4.49         NA        XXX
                                                       ducts.
76088...............  26............  A               X-ray of mammary            0.45       0.15       0.15       0.02       0.62       0.62        XXX
                                                       ducts.
76088...............  TC............  A               X-ray of mammary            0.00       3.68         NA       0.19       3.87         NA        XXX
                                                       ducts.
76090...............  ..............  A               Mammogram, one breast       0.70       1.29         NA       0.10       2.09         NA        XXX
76090...............  26............  A               Mammogram, one breast       0.70       0.23       0.23       0.04       0.97       0.97        XXX
76090...............  TC............  A               Mammogram, one breast       0.00       1.06         NA       0.06       1.12         NA        XXX
76091...............  ..............  A               Mammogram, both             0.87       1.60         NA       0.11       2.58         NA        XXX
                                                       breasts.
76091...............  26............  A               Mammogram, both             0.87       0.29       0.29       0.04       1.20       1.20        XXX
                                                       breasts.
76091...............  TC............  A               Mammogram, both             0.00       1.31         NA       0.07       1.38         NA        XXX
                                                       breasts.
76092...............  ..............  A               Mammogram, screening.       0.70       1.46         NA       0.11       2.27         NA        XXX
76092...............  26............  A               Mammogram, screening.       0.70       0.23       0.23       0.04       0.97       0.97        XXX
76092...............  TC............  A               Mammogram, screening.       0.00       1.23         NA       0.07       1.30         NA        XXX
76093...............  ..............  A               Magnetic image,             1.63      18.21         NA       1.00      20.84         NA        XXX
                                                       breast.
76093...............  26............  A               Magnetic image,             1.63       0.53       0.53       0.08       2.24       2.24        XXX
                                                       breast.
76093...............  TC............  A               Magnetic image,             0.00      17.68         NA       0.92      18.60         NA        XXX
                                                       breast.
76094...............  ..............  A               Magnetic image, both        1.63      24.52         NA       1.32      27.47         NA        XXX
                                                       breasts.
76094...............  26............  A               Magnetic image, both        1.63       0.53       0.53       0.08       2.24       2.24        XXX
                                                       breasts.
76094...............  TC............  A               Magnetic image, both        0.00      23.99         NA       1.24      25.23         NA        XXX
                                                       breasts.
76095...............  ..............  A               Stereotactic breast         1.59       7.71         NA       0.48       9.78         NA        XXX
                                                       biopsy.
76095...............  26............  A               Stereotactic breast         1.59       0.52       0.52       0.11       2.22       2.22        XXX
                                                       biopsy.
76095...............  TC............  A               Stereotactic breast         0.00       7.19         NA       0.37       7.56         NA        XXX
                                                       biopsy.
76096...............  ..............  A               X-ray of needle wire,       0.56       1.50         NA       0.11       2.17         NA        XXX
                                                       breast.
76096...............  26............  A               X-ray of needle wire,       0.56       0.19       0.19       0.04       0.79       0.79        XXX
                                                       breast.
76096...............  TC............  A               X-ray of needle wire,       0.00       1.31         NA       0.07       1.38         NA        XXX
                                                       breast.
76098...............  ..............  A               X-ray exam, breast          0.16       0.46         NA       0.03       0.65         NA        XXX
                                                       specimen.
76098...............  26............  A               X-ray exam, breast          0.16       0.05       0.05       0.01       0.22       0.22        XXX
                                                       specimen.
76098...............  TC............  A               X-ray exam, breast          0.00       0.41         NA       0.02       0.43         NA        XXX
                                                       specimen.
76100...............  ..............  A               X-ray exam of body          0.58       1.44         NA       0.11       2.13         NA        XXX
                                                       section.
76100...............  26............  A               X-ray exam of body          0.58       0.19       0.19       0.04       0.81       0.81        XXX
                                                       section.
76100...............  TC............  A               X-ray exam of body          0.00       1.25         NA       0.07       1.32         NA        XXX
                                                       section.
76101...............  ..............  A               Complex body section        0.58       1.62         NA       0.12       2.32         NA        XXX
                                                       x-ray.
76101...............  26............  A               Complex body section        0.58       0.19       0.19       0.04       0.81       0.81        XXX
                                                       x-ray.
76101...............  TC............  A               Complex body section        0.00       1.43         NA       0.08       1.51         NA        XXX
                                                       x-ray.
76102...............  ..............  A               Complex body section        0.58       1.94         NA       0.15       2.67         NA        XXX
                                                       x-rays.
76102...............  26............  A               Complex body section        0.58       0.20       0.20       0.04       0.82       0.82        XXX
                                                       x-rays.
76102...............  TC............  A               Complex body section        0.00       1.74         NA       0.11       1.85         NA        XXX
                                                       x-rays.
76120...............  ..............  A               Cine/video x-rays....       0.38       1.19         NA       0.08       1.65         NA        XXX
76120...............  26............  A               Cine/video x-rays....       0.38       0.13       0.13       0.02       0.53       0.53        XXX
76120...............  TC............  A               Cine/video x-rays....       0.00       1.06         NA       0.06       1.12         NA        XXX
76125...............  ..............  A               Cine/video x-rays add-      0.27       0.88         NA       0.06       1.21         NA        ZZZ
                                                       on.
76125...............  26............  A               Cine/video x-rays add-      0.27       0.09       0.09       0.01       0.37       0.37        ZZZ
                                                       on.
76125...............  TC............  A               Cine/video x-rays add-      0.00       0.79         NA       0.05       0.84         NA        ZZZ
                                                       on.
76140...............  ..............  I               X-ray consultation...       0.00       0.00       0.00       0.00       0.00       0.00        XXX
76150...............  ..............  A               X-ray exam, dry             0.00       0.41         NA       0.02       0.43         NA        XXX
                                                       process.
76350...............  ..............  C               Special x-ray               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       contrast study.
76355...............  ..............  A               Ct scan for                 1.21       8.69         NA       0.49      10.39         NA        XXX
                                                       localization.

[[Page 1205]]

 
76355...............  26............  A               Ct scan for                 1.21       0.40       0.40       0.07       1.68       1.68        XXX
                                                       localization.
76355...............  TC............  A               Ct scan for                 0.00       8.29         NA       0.42       8.71         NA        XXX
                                                       localization.
76360...............  ..............  A               Ct scan for needle          1.16       8.66         NA       0.48      10.30         NA        XXX
                                                       biopsy.
76360...............  26............  A               Ct scan for needle          1.16       0.37       0.37       0.06       1.59       1.59        XXX
                                                       biopsy.
76360...............  TC............  A               Ct scan for needle          0.00       8.29         NA       0.42       8.71         NA        XXX
                                                       biopsy.
76362...............  ..............  A               Ct guide for tissue         3.99       9.59         NA       1.68      15.26         NA        XXX
                                                       ablation.
76362...............  26............  A               Ct guide for tissue         3.99       1.30       1.30       0.22       5.51       5.51        XXX
                                                       ablation.
76362...............  TC............  A               Ct guide for tissue         0.00       8.29         NA       1.46       9.75         NA        XXX
                                                       ablation.
76370...............  ..............  A               Ct scan for therapy         0.85       3.24         NA       0.21       4.30         NA        XXX
                                                       guide.
76370...............  26............  A               Ct scan for therapy         0.85       0.28       0.28       0.05       1.18       1.18        XXX
                                                       guide.
76370...............  TC............  A               Ct scan for therapy         0.00       2.96         NA       0.16       3.12         NA        XXX
                                                       guide.
76375...............  ..............  A               3d/holograph reconstr       0.16       3.60         NA       0.19       3.95         NA        XXX
                                                       add-on.
76375...............  26............  A               3d/holograph reconstr       0.16       0.05       0.05       0.01       0.22       0.22        XXX
                                                       add-on.
76375...............  TC............  A               3d/holograph reconstr       0.00       3.55         NA       0.18       3.73         NA        XXX
                                                       add-on.
76380...............  ..............  A               CAT scan follow-up          0.98       3.84         NA       0.23       5.05         NA        XXX
                                                       study.
76380...............  26............  A               CAT scan follow-up          0.98       0.33       0.33       0.05       1.36       1.36        XXX
                                                       study.
76380...............  TC............  A               CAT scan follow-up          0.00       3.51         NA       0.18       3.69         NA        XXX
                                                       study.
76390...............  ..............  N               Mr spectroscopy......      +1.40      11.48      11.48       0.66      13.54      13.54        XXX
76390...............  26............  N               Mr spectroscopy......      +1.40       0.47       0.47       0.07       1.94       1.94        XXX
76390...............  TC............  N               Mr spectroscopy......      +0.00      11.01      11.01       0.59      11.60      11.60        XXX
76393...............  ..............  A               Mr guidance for             1.50      11.74         NA       0.63      13.87         NA        XXX
                                                       needle place.
76393...............  26............  A               Mr guidance for             1.50       0.50       0.50       0.08       2.08       2.08        XXX
                                                       needle place.
76393...............  TC............  A               Mr guidance for             0.00      11.24         NA       0.55      11.79         NA        XXX
                                                       needle place.
76394...............  ..............  A               Mri for tissue              4.24      12.63         NA       1.79      18.66         NA        XXX
                                                       ablation.
76394...............  26............  A               Mri for tissue              4.24       1.39       1.39       0.23       5.86       5.86        XXX
                                                       ablation.
76394...............  TC............  A               Mri for tissue              0.00      11.24         NA       1.56      12.80         NA        XXX
                                                       ablation.
76400...............  ..............  A               Magnetic image, bone        1.60      11.76         NA       0.67      14.03         NA        XXX
                                                       marrow.
76400...............  26............  A               Magnetic image, bone        1.60       0.52       0.52       0.08       2.20       2.20        XXX
                                                       marrow.
76400...............  TC............  A               Magnetic image, bone        0.00      11.24         NA       0.59      11.83         NA        XXX
                                                       marrow.
76490...............  ..............  D               Us for tissue               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ablation.
76490...............  26............  D               Us for tissue               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ablation.
76490...............  TC............  D               Us for tissue               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ablation.
76496...............  ..............  C               Fluoroscopic                0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
76496...............  26............  C               Fluoroscopic                0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
76496...............  TC............  C               Fluoroscopic                0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
76497...............  ..............  C               Ct procedure.........       0.00       0.00       0.00       0.00       0.00       0.00        XXX
76497...............  26............  C               Ct procedure.........       0.00       0.00       0.00       0.00       0.00       0.00        XXX
76497...............  TC............  C               Ct procedure.........       0.00       0.00       0.00       0.00       0.00       0.00        XXX
76498...............  ..............  C               Mri procedure........       0.00       0.00       0.00       0.00       0.00       0.00        XXX
76498...............  26............  C               Mri procedure........       0.00       0.00       0.00       0.00       0.00       0.00        XXX
76498...............  TC............  C               Mri procedure........       0.00       0.00       0.00       0.00       0.00       0.00        XXX
76499...............  ..............  C               Radiographic                0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
76499...............  26............  C               Radiographic                0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
76499...............  TC............  C               Radiographic                0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
76506...............  ..............  A               Echo exam of head....       0.63       1.68         NA       0.12       2.43         NA        XXX
76506...............  26............  A               Echo exam of head....       0.63       0.25       0.25       0.04       0.92       0.92        XXX
76506...............  TC............  A               Echo exam of head....       0.00       1.43         NA       0.08       1.51         NA        XXX
76511...............  ..............  A               Echo exam of eye.....       0.94       1.09         NA       0.09       2.12         NA        XXX
76511...............  26............  A               Echo exam of eye.....       0.94       0.40       0.40       0.02       1.36       1.36        XXX
76511...............  TC............  A               Echo exam of eye.....       0.00       0.69         NA       0.07       0.76         NA        XXX
76512...............  ..............  A               Echo exam of eye.....       0.66       1.02         NA       0.11       1.79         NA        XXX
76512...............  26............  A               Echo exam of eye.....       0.66       0.30       0.30       0.01       0.97       0.97        XXX
76512...............  TC............  A               Echo exam of eye.....       0.00       0.72         NA       0.10       0.82         NA        XXX
76513...............  ..............  A               Echo exam of eye,           0.66       1.10         NA       0.11       1.87         NA        XXX
                                                       water bath.
76513...............  26............  A               Echo exam of eye,           0.66       0.30       0.30       0.01       0.97       0.97        XXX
                                                       water bath.
76513...............  TC............  A               Echo exam of eye,           0.00       0.80         NA       0.10       0.90         NA        XXX
                                                       water bath.
76514...............  ..............  A               Echo exam of eye,           0.17       0.14         NA       0.02       0.33         NA        XXX
                                                       thickness.
76514...............  26............  A               Echo exam of eye,           0.17       0.08       0.08       0.01       0.26       0.26        XXX
                                                       thickness.
76514...............  TC............  A               Echo exam of eye,           0.00       0.06         NA       0.01       0.07         NA        XXX
                                                       thickness.
76516...............  ..............  A               Echo exam of eye.....       0.54       0.73         NA       0.08       1.35         NA        XXX
76516...............  26............  A               Echo exam of eye.....       0.54       0.25       0.25       0.01       0.80       0.80        XXX
76516...............  TC............  A               Echo exam of eye.....       0.00       0.48         NA       0.07       0.55         NA        XXX
76519...............  ..............  A               Echo exam of eye.....       0.54       0.81         NA       0.08       1.43         NA        XXX
76519...............  26............  A               Echo exam of eye.....       0.54       0.25       0.25       0.01       0.80       0.80        XXX
76519...............  TC............  A               Echo exam of eye.....       0.00       0.56         NA       0.07       0.63         NA        XXX
76529...............  ..............  A               Echo exam of eye.....       0.57       0.77         NA       0.09       1.43         NA        XXX
76529...............  26............  A               Echo exam of eye.....       0.57       0.25       0.25       0.01       0.83       0.83        XXX
76529...............  TC............  A               Echo exam of eye.....       0.00       0.52         NA       0.08       0.60         NA        XXX
76536...............  ..............  A               Us exam of head and         0.56       1.62         NA       0.10       2.28         NA        XXX
                                                       neck.
76536...............  26............  A               Us exam of head and         0.56       0.19       0.19       0.02       0.77       0.77        XXX
                                                       neck.
76536...............  TC............  A               Us exam of head and         0.00       1.43         NA       0.08       1.51         NA        XXX
                                                       neck.
76604...............  ..............  A               Us exam, chest, b-          0.55       1.49         NA       0.09       2.13         NA        XXX
                                                       scan.
76604...............  26............  A               Us exam, chest, b-          0.55       0.18       0.18       0.02       0.75       0.75        XXX
                                                       scan.
76604...............  TC............  A               Us exam, chest, b-          0.00       1.31         NA       0.07       1.38         NA        XXX
                                                       scan.
76645...............  ..............  A               Us exam, breast(s)...       0.54       1.24         NA       0.10       1.88         NA        XXX

[[Page 1206]]

 
76645...............  26............  A               Us exam, breast(s)...       0.54       0.18       0.18       0.04       0.76       0.76        XXX
76645...............  TC............  A               Us exam, breast(s)...       0.00       1.06         NA       0.06       1.12         NA        XXX
76700...............  ..............  A               Us exam, abdom,             0.81       2.25         NA       0.16       3.22         NA        XXX
                                                       complete.
76700...............  26............  A               Us exam, abdom,             0.81       0.27       0.27       0.05       1.13       1.13        XXX
                                                       complete.
76700...............  TC............  A               Us exam, abdom,             0.00       1.98         NA       0.11       2.09         NA        XXX
                                                       complete.
76705...............  ..............  A               Echo exam of abdomen.       0.59       1.63         NA       0.12       2.34         NA        XXX
76705...............  26............  A               Echo exam of abdomen.       0.59       0.20       0.20       0.04       0.83       0.83        XXX
76705...............  TC............  A               Echo exam of abdomen.       0.00       1.43         NA       0.08       1.51         NA        XXX
76770...............  ..............  A               Us exam abdo back           0.74       2.23         NA       0.15       3.12         NA        XXX
                                                       wall, comp.
76770...............  26............  A               Us exam abdo back           0.74       0.25       0.25       0.04       1.03       1.03        XXX
                                                       wall, comp.
76770...............  TC............  A               Us exam abdo back           0.00       1.98         NA       0.11       2.09         NA        XXX
                                                       wall, comp.
76775...............  ..............  A               Us exam abdo back           0.58       1.62         NA       0.12       2.32         NA        XXX
                                                       wall, lim.
76775...............  26............  A               Us exam abdo back           0.58       0.19       0.19       0.04       0.81       0.81        XXX
                                                       wall, lim.
76775...............  TC............  A               Us exam abdo back           0.00       1.43         NA       0.08       1.51         NA        XXX
                                                       wall, lim.
76778...............  ..............  A               Us exam kidney              0.74       2.23         NA       0.15       3.12         NA        XXX
                                                       transplant.
76778...............  26............  A               Us exam kidney              0.74       0.25       0.25       0.04       1.03       1.03        XXX
                                                       transplant.
76778...............  TC............  A               Us exam kidney              0.00       1.98         NA       0.11       2.09         NA        XXX
                                                       transplant.
76800...............  ..............  A               Us exam, spinal canal       1.13       1.78         NA       0.13       3.04         NA        XXX
76800...............  26............  A               Us exam, spinal canal       1.13       0.35       0.35       0.05       1.53       1.53        XXX
76800...............  TC............  A               Us exam, spinal canal       0.00       1.43         NA       0.08       1.51         NA        XXX
76801...............  ..............  A               Ob us < 14 wks,             0.99       2.45         NA       0.17       3.61         NA        XXX
                                                       single fetus.
76801...............  26............  A               Ob us < 14 wks,             0.99       0.35       0.35       0.05       1.39       1.39        XXX
                                                       single fetus.
76801...............  TC............  A               Ob us < 14 wks,             0.00       2.10         NA       0.12       2.22         NA        XXX
                                                       single fetus.
76802...............  ..............  A               Ob us < 14 wks, add'l       0.83       1.35         NA       0.17       2.35         NA        ZZZ
                                                       fetus.
76802...............  26............  A               Ob us < 14 wks, add'l       0.83       0.29       0.29       0.05       1.17       1.17        ZZZ
                                                       fetus.
76802...............  TC............  A               Ob us < 14 wks, add'l       0.00       1.06         NA       0.12       1.18         NA        ZZZ
                                                       fetus.
76805...............  ..............  A               Ob us /=         0.99       2.45         NA       0.17       3.61         NA        XXX
                                                       14 wks, sngl fetus.
76805...............  26............  A               Ob us /=         0.99       0.35       0.35       0.05       1.39       1.39        XXX
                                                       14 wks, sngl fetus.
76805...............  TC............  A               Ob us /=         0.00       2.10         NA       0.12       2.22         NA        XXX
                                                       14 wks, sngl fetus.
76810...............  ..............  A               Ob us /=         0.98       1.41         NA       0.30       2.69         NA        ZZZ
                                                       14 wks, addl fetus.
76810...............  26............  A               Ob us /=         0.98       0.35       0.35       0.08       1.41       1.41        ZZZ
                                                       14 wks, addl fetus.
76810...............  TC............  A               Ob us /=         0.00       1.06         NA       0.22       1.28         NA        ZZZ
                                                       14 wks, addl fetus.
76811...............  ..............  A               Ob us, detailed, sngl       1.90       4.20         NA       0.61       6.71         NA        XXX
                                                       fetus.
76811...............  26............  A               Ob us, detailed, sngl       1.90       0.66       0.66       0.18       2.74       2.74        XXX
                                                       fetus.
76811...............  TC............  A               Ob us, detailed, sngl       0.00       3.54         NA       0.43       3.97         NA        XXX
                                                       fetus.
76812...............  ..............  A               Ob us, detailed, addl       1.78       1.69         NA       0.55       4.02         NA        ZZZ
                                                       fetus.
76812...............  26............  A               Ob us, detailed, addl       1.78       0.63       0.63       0.14       2.55       2.55        ZZZ
                                                       fetus.
76812...............  TC............  A               Ob us, detailed, addl       0.00       1.06         NA       0.41       1.47         NA        ZZZ
                                                       fetus.
76815...............  ..............  A               Ob us, limited,             0.65       1.66         NA       0.10       2.41         NA        XXX
                                                       fetus(s).
76815...............  26............  A               Ob us, limited,             0.65       0.23       0.23       0.02       0.90       0.90        XXX
                                                       fetus(s).
76815...............  TC............  A               Ob us, limited,             0.00       1.43         NA       0.08       1.51         NA        XXX
                                                       fetus(s).
76816...............  ..............  A               Ob us, follow-up, per       0.85       1.44         NA       0.08       2.37         NA        XXX
                                                       fetus.
76816...............  26............  A               Ob us, follow-up, per       0.85       0.32       0.32       0.02       1.19       1.19        XXX
                                                       fetus.
76816...............  TC............  A               Ob us, follow-up, per       0.00       1.12         NA       0.06       1.18         NA        XXX
                                                       fetus.
76817...............  ..............  A               Transvaginal us,            0.75       1.80         NA       0.08       2.63         NA        XXX
                                                       obstetric.
76817...............  26............  A               Transvaginal us,            0.75       0.28       0.28       0.02       1.05       1.05        XXX
                                                       obstetric.
76817...............  TC............  A               Transvaginal us,            0.00       1.52         NA       0.06       1.58         NA        XXX
                                                       obstetric.
76818...............  ..............  A               Fetal biophys profile       1.05       2.00         NA       0.15       3.20         NA        XXX
                                                       w/nst.
76818...............  26............  A               Fetal biophys profile       1.05       0.38       0.38       0.05       1.48       1.48        XXX
                                                       w/nst.
76818...............  TC............  A               Fetal biophys profile       0.00       1.62         NA       0.10       1.72         NA        XXX
                                                       w/nst.
76819...............  ..............  A               Fetal biophys profil        0.77       1.90         NA       0.12       2.79         NA        XXX
                                                       w/o nst.
76819...............  26............  A               Fetal biophys profil        0.77       0.28       0.28       0.02       1.07       1.07        XXX
                                                       w/o nst.
76819...............  TC............  A               Fetal biophys profil        0.00       1.62         NA       0.10       1.72         NA        XXX
                                                       w/o nst.
76825...............  ..............  A               Echo exam of fetal          1.67       2.58         NA       0.18       4.43         NA        XXX
                                                       heart.
76825...............  26............  A               Echo exam of fetal          1.67       0.60       0.60       0.07       2.34       2.34        XXX
                                                       heart.
76825...............  TC............  A               Echo exam of fetal          0.00       1.98         NA       0.11       2.09         NA        XXX
                                                       heart.
76826...............  ..............  A               Echo exam of fetal          0.83       1.00         NA       0.09       1.92         NA        XXX
                                                       heart.
76826...............  26............  A               Echo exam of fetal          0.83       0.29       0.29       0.04       1.16       1.16        XXX
                                                       heart.
76826...............  TC............  A               Echo exam of fetal          0.00       0.71         NA       0.05       0.76         NA        XXX
                                                       heart.
76827...............  ..............  A               Echo exam of fetal          0.58       1.95         NA       0.14       2.67         NA        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       1.73         NA       0.12       1.85         NA        XXX
                                                       heart.
76828...............  ..............  A               Echo exam of fetal          0.56       1.34         NA       0.10       2.00         NA        XXX
                                                       heart.
76828...............  26............  A               Echo exam of fetal          0.56       0.22       0.22       0.02       0.80       0.80        XXX
                                                       heart.
76828...............  TC............  A               Echo exam of fetal          0.00       1.12         NA       0.08       1.20         NA        XXX
                                                       heart.
76830...............  ..............  A               Transvaginal us, non-       0.69       1.75         NA       0.14       2.58         NA        XXX
                                                       ob.
76830...............  26............  A               Transvaginal us, non-       0.69       0.23       0.23       0.04       0.96       0.96        XXX
                                                       ob.
76830...............  TC............  A               Transvaginal us, non-       0.00       1.52         NA       0.10       1.62         NA        XXX
                                                       ob.
76831...............  ..............  A               Echo exam, uterus....       0.72       1.78         NA       0.12       2.62         NA        XXX
76831...............  26............  A               Echo exam, uterus....       0.72       0.26       0.26       0.02       1.00       1.00        XXX
76831...............  TC............  A               Echo exam, uterus....       0.00       1.52         NA       0.10       1.62         NA        XXX
76856...............  ..............  A               Us exam, pelvic,            0.69       1.75         NA       0.14       2.58         NA        XXX
                                                       complete.
76856...............  26............  A               Us exam, pelvic,            0.69       0.23       0.23       0.04       0.96       0.96        XXX
                                                       complete.
76856...............  TC............  A               Us exam, pelvic,            0.00       1.52         NA       0.10       1.62         NA        XXX
                                                       complete.
76857...............  ..............  A               Us exam, pelvic,            0.38       1.70         NA       0.08       2.16         NA        XXX
                                                       limited.

[[Page 1207]]

 
76857...............  26............  A               Us exam, pelvic,            0.38       0.13       0.13       0.02       0.53       0.53        XXX
                                                       limited.
76857...............  TC............  A               Us exam, pelvic,            0.00       1.57         NA       0.06       1.63         NA        XXX
                                                       limited.
76870...............  ..............  A               Us exam, scrotum.....       0.64       1.73         NA       0.14       2.51         NA        XXX
76870...............  26............  A               Us exam, scrotum.....       0.64       0.21       0.21       0.04       0.89       0.89        XXX
76870...............  TC............  A               Us exam, scrotum.....       0.00       1.52         NA       0.10       1.62         NA        XXX
76872...............  ..............  A               Us, transrectal......       0.69       2.09         NA       0.15       2.93         NA        XXX
76872...............  26............  A               Us, transrectal......       0.69       0.23       0.23       0.05       0.97       0.97        XXX
76872...............  TC............  A               Us, transrectal......       0.00       1.86         NA       0.10       1.96         NA        XXX
76873...............  ..............  A               Echograp trans r,           1.55       2.59         NA       0.26       4.40         NA        XXX
                                                       pros study.
76873...............  26............  A               Echograp trans r,           1.55       0.49       0.49       0.10       2.14       2.14        XXX
                                                       pros study.
76873...............  TC............  A               Echograp trans r,           0.00       2.10         NA       0.16       2.26         NA        XXX
                                                       pros study.
76880...............  ..............  A               Us exam, extremity...       0.59       1.63         NA       0.12       2.34         NA        XXX
76880...............  26............  A               Us exam, extremity...       0.59       0.20       0.20       0.04       0.83       0.83        XXX
76880...............  TC............  A               Us exam, extremity...       0.00       1.43         NA       0.08       1.51         NA        XXX
76885...............  ..............  A               Us exam infant hips,        0.74       1.77         NA       0.14       2.65         NA        XXX
                                                       dynamic.
76885...............  26............  A               Us exam infant hips,        0.74       0.25       0.25       0.04       1.03       1.03        XXX
                                                       dynamic.
76885...............  TC............  A               Us exam infant hips,        0.00       1.52         NA       0.10       1.62         NA        XXX
                                                       dynamic.
76886...............  ..............  A               Us exam infant hips,        0.62       1.64         NA       0.12       2.38         NA        XXX
                                                       static.
76886...............  26............  A               Us exam infant hips,        0.62       0.21       0.21       0.04       0.87       0.87        XXX
                                                       static.
76886...............  TC............  A               Us exam infant hips,        0.00       1.43         NA       0.08       1.51         NA        XXX
                                                       static.
76930...............  ..............  A               Echo guide,                 0.67       1.78         NA       0.12       2.57         NA        XXX
                                                       cardiocentesis.
76930...............  26............  A               Echo guide,                 0.67       0.26       0.26       0.02       0.95       0.95        XXX
                                                       cardiocentesis.
76930...............  TC............  A               Echo guide,                 0.00       1.52         NA       0.10       1.62         NA        XXX
                                                       cardiocentesis.
76932...............  ..............  A               Echo guide for heart        0.67       1.78         NA       0.12       2.57         NA        XXX
                                                       biopsy.
76932...............  26............  A               Echo guide for heart        0.67       0.26       0.26       0.02       0.95       0.95        XXX
                                                       biopsy.
76932...............  TC............  A               Echo guide for heart        0.00       1.52         NA       0.10       1.62         NA        XXX
                                                       biopsy.
76936...............  ..............  A               Echo guide for artery       1.99       6.98         NA       0.47       9.44         NA        XXX
                                                       repair.
76936...............  26............  A               Echo guide for artery       1.99       0.66       0.66       0.13       2.78       2.78        XXX
                                                       repair.
76936...............  TC............  A               Echo guide for artery       0.00       6.32         NA       0.34       6.66         NA        XXX
                                                       repair.
76937...............  ..............  A               Us guide, vascular          0.30       0.47         NA       0.15       0.92         NA        ZZZ
                                                       access.
76937...............  26............  A               Us guide, vascular          0.30       0.10       0.10       0.05       0.45       0.45        ZZZ
                                                       access.
76937...............  TC............  A               Us guide, vascular          0.00       0.37         NA       0.10       0.47         NA        ZZZ
                                                       access.
76940...............  ..............  A               Us guide, tissue            2.00       2.17         NA       0.42       4.59         NA        XXX
                                                       ablation.
76940...............  26............  A               Us guide, tissue            2.00       0.65       0.65       0.13       2.78       2.78        XXX
                                                       ablation.
76940...............  TC............  A               Us guide, tissue            0.00       1.52         NA       0.29       1.81         NA        XXX
                                                       ablation.
76941...............  ..............  A               Echo guide for              1.34       2.00         NA       0.15       3.49         NA        XXX
                                                       transfusion.
76941...............  26............  A               Echo guide for              1.34       0.47       0.47       0.07       1.88       1.88        XXX
                                                       transfusion.
76941...............  TC............  A               Echo guide for              0.00       1.53         NA       0.08       1.61         NA        XXX
                                                       transfusion.
76942...............  ..............  A               Echo guide for biopsy       0.67       2.76         NA       0.15       3.58         NA        XXX
76942...............  26............  A               Echo guide for biopsy       0.67       0.22       0.22       0.05       0.94       0.94        XXX
76942...............  TC............  A               Echo guide for biopsy       0.00       2.54         NA       0.10       2.64         NA        XXX
76945...............  ..............  A               Echo guide, villus          0.67       1.76         NA       0.12       2.55         NA        XXX
                                                       sampling.
76945...............  26............  A               Echo guide, villus          0.67       0.23       0.23       0.04       0.94       0.94        XXX
                                                       sampling.
76945...............  TC............  A               Echo guide, villus          0.00       1.53         NA       0.08       1.61         NA        XXX
                                                       sampling.
76946...............  ..............  A               Echo guide for              0.38       1.66         NA       0.11       2.15         NA        XXX
                                                       amniocentesis.
76946...............  26............  A               Echo guide for              0.38       0.14       0.14       0.01       0.53       0.53        XXX
                                                       amniocentesis.
76946...............  TC............  A               Echo guide for              0.00       1.52         NA       0.10       1.62         NA        XXX
                                                       amniocentesis.
76948...............  ..............  A               Echo guide, ova             0.38       1.65         NA       0.12       2.15         NA        XXX
                                                       aspiration.
76948...............  26............  A               Echo guide, ova             0.38       0.13       0.13       0.02       0.53       0.53        XXX
                                                       aspiration.
76948...............  TC............  A               Echo guide, ova             0.00       1.52         NA       0.10       1.62         NA        XXX
                                                       aspiration.
76950...............  ..............  A               Echo guidance               0.58       1.50         NA       0.11       2.19         NA        XXX
                                                       radiotherapy.
76950...............  26............  A               Echo guidance               0.58       0.19       0.19       0.04       0.81       0.81        XXX
                                                       radiotherapy.
76950...............  TC............  A               Echo guidance               0.00       1.31         NA       0.07       1.38         NA        XXX
                                                       radiotherapy.
76965...............  ..............  A               Echo guidance               1.34       6.01         NA       0.37       7.72         NA        XXX
                                                       radiotherapy.
76965...............  26............  A               Echo guidance               1.34       0.42       0.42       0.08       1.84       1.84        XXX
                                                       radiotherapy.
76965...............  TC............  A               Echo guidance               0.00       5.59         NA       0.29       5.88         NA        XXX
                                                       radiotherapy.
76970...............  ..............  A               Ultrasound exam             0.40       1.19         NA       0.08       1.67         NA        XXX
                                                       follow-up.
76970...............  26............  A               Ultrasound exam             0.40       0.13       0.13       0.02       0.55       0.55        XXX
                                                       follow-up.
76970...............  TC............  A               Ultrasound exam             0.00       1.06         NA       0.06       1.12         NA        XXX
                                                       follow-up.
76975...............  ..............  A               GI endoscopic               0.81       1.80         NA       0.14       2.75         NA        XXX
                                                       ultrasound.
76975...............  26............  A               GI endoscopic               0.81       0.28       0.28       0.04       1.13       1.13        XXX
                                                       ultrasound.
76975...............  TC............  A               GI endoscopic               0.00       1.52         NA       0.10       1.62         NA        XXX
                                                       ultrasound.
76977...............  ..............  A               Us bone density             0.05       0.85         NA       0.06       0.96         NA        XXX
                                                       measure.
76977...............  26............  A               Us bone density             0.05       0.02       0.02       0.01       0.08       0.08        XXX
                                                       measure.
76977...............  TC............  A               Us bone density             0.00       0.83         NA       0.05       0.88         NA        XXX
                                                       measure.
76986...............  ..............  A               Ultrasound guide            1.20       3.02         NA       0.22       4.44         NA        XXX
                                                       intraoper.
76986...............  26............  A               Ultrasound guide            1.20       0.40       0.40       0.08       1.68       1.68        XXX
                                                       intraoper.
76986...............  TC............  A               Ultrasound guide            0.00       2.62         NA       0.14       2.76         NA        XXX
                                                       intraoper.
76999...............  ..............  C               Echo examination            0.00       0.00       0.00       0.00       0.00       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       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
77261...............  ..............  A               Radiation therapy           1.39       0.51       0.51       0.07       1.97       1.97        XXX
                                                       planning.
77262...............  ..............  A               Radiation therapy           2.11       0.75       0.75       0.11       2.97       2.97        XXX
                                                       planning.
77263...............  ..............  A               Radiation therapy           3.14       1.12       1.12       0.16       4.42       4.42        XXX
                                                       planning.
77280...............  ..............  A               Set radiation therapy       0.70       3.70         NA       0.22       4.62         NA        XXX
                                                       field.

[[Page 1208]]

 
77280...............  26............  A               Set radiation therapy       0.70       0.22       0.22       0.04       0.96       0.96        XXX
                                                       field.
77280...............  TC............  A               Set radiation therapy       0.00       3.48         NA       0.18       3.66         NA        XXX
                                                       field.
77285...............  ..............  A               Set radiation therapy       1.05       5.93         NA       0.35       7.33         NA        XXX
                                                       field.
77285...............  26............  A               Set radiation therapy       1.05       0.34       0.34       0.05       1.44       1.44        XXX
                                                       field.
77285...............  TC............  A               Set radiation therapy       0.00       5.59         NA       0.30       5.89         NA        XXX
                                                       field.
77290...............  ..............  A               Set radiation therapy       1.56       7.02         NA       0.42       9.00         NA        XXX
                                                       field.
77290...............  26............  A               Set radiation therapy       1.56       0.49       0.49       0.07       2.12       2.12        XXX
                                                       field.
77290...............  TC............  A               Set radiation therapy       0.00       6.53         NA       0.35       6.88         NA        XXX
                                                       field.
77295...............  ..............  A               Set radiation therapy       4.56      29.48         NA       1.70      35.74         NA        XXX
                                                       field.
77295...............  26............  A               Set radiation therapy       4.56       1.45       1.45       0.22       6.23       6.23        XXX
                                                       field.
77295...............  TC............  A               Set radiation therapy       0.00      28.03         NA       1.48      29.51         NA        XXX
                                                       field.
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           0.62       1.55         NA       0.11       2.28         NA        XXX
                                                       dose plan.
77300...............  26............  A               Radiation therapy           0.62       0.20       0.20       0.04       0.86       0.86        XXX
                                                       dose plan.
77300...............  TC............  A               Radiation therapy           0.00       1.35         NA       0.07       1.42         NA        XXX
                                                       dose plan.
77301...............  ..............  A               Radiotherapy dose           7.99      30.57         NA       1.70      40.26         NA        XXX
                                                       plan, imrt.
77301...............  26............  A               Radiotherapy dose           7.99       2.54       2.54       0.22      10.75      10.75        XXX
                                                       plan, imrt.
77301...............  TC............  A               Radiotherapy dose           0.00      28.03         NA       1.48      29.51         NA        XXX
                                                       plan, imrt.
77305...............  ..............  A               Teletx isodose plan         0.70       2.10         NA       0.15       2.95         NA        XXX
                                                       simple.
77305...............  26............  A               Teletx isodose plan         0.70       0.23       0.23       0.04       0.97       0.97        XXX
                                                       simple.
77305...............  TC............  A               Teletx isodose plan         0.00       1.87         NA       0.11       1.98         NA        XXX
                                                       simple.
77310...............  ..............  A               Teletx isodose plan         1.05       2.68         NA       0.18       3.91         NA        XXX
                                                       intermed.
77310...............  26............  A               Teletx isodose plan         1.05       0.34       0.34       0.05       1.44       1.44        XXX
                                                       intermed.
77310...............  TC............  A               Teletx isodose plan         0.00       2.34         NA       0.13       2.47         NA        XXX
                                                       intermed.
77315...............  ..............  A               Teletx isodose plan         1.56       3.15         NA       0.21       4.92         NA        XXX
                                                       complex.
77315...............  26............  A               Teletx isodose plan         1.56       0.49       0.49       0.07       2.12       2.12        XXX
                                                       complex.
77315...............  TC............  A               Teletx isodose plan         0.00       2.66         NA       0.14       2.80         NA        XXX
                                                       complex.
77321...............  ..............  A               Special teletx port         0.95       4.37         NA       0.26       5.58         NA        XXX
                                                       plan.
77321...............  26............  A               Special teletx port         0.95       0.31       0.31       0.05       1.31       1.31        XXX
                                                       plan.
77321...............  TC............  A               Special teletx port         0.00       4.06         NA       0.21       4.27         NA        XXX
                                                       plan.
77326...............  ..............  A               Brachytx isodose calc       0.93       2.67         NA       0.18       3.78         NA        XXX
                                                       simp.
77326...............  26............  A               Brachytx isodose calc       0.93       0.30       0.30       0.05       1.28       1.28        XXX
                                                       simp.
77326...............  TC............  A               Brachytx isodose calc       0.00       2.37         NA       0.13       2.50         NA        XXX
                                                       simp.
77327...............  ..............  A               Brachytx isodose calc       1.39       3.92         NA       0.25       5.56         NA        XXX
                                                       interm.
77327...............  26............  A               Brachytx isodose calc       1.39       0.44       0.44       0.07       1.90       1.90        XXX
                                                       interm.
77327...............  TC............  A               Brachytx isodose calc       0.00       3.48         NA       0.18       3.66         NA        XXX
                                                       interm.
77328...............  ..............  A               Brachytx isodose plan       2.09       5.63         NA       0.36       8.08         NA        XXX
                                                       compl.
77328...............  26............  A               Brachytx isodose plan       2.09       0.66       0.66       0.11       2.86       2.86        XXX
                                                       compl.
77328...............  TC............  A               Brachytx isodose plan       0.00       4.97         NA       0.25       5.22         NA        XXX
                                                       compl.
77331...............  ..............  A               Special radiation           0.87       0.78         NA       0.07       1.72         NA        XXX
                                                       dosimetry.
77331...............  26............  A               Special radiation           0.87       0.28       0.28       0.05       1.20       1.20        XXX
                                                       dosimetry.
77331...............  TC............  A               Special radiation           0.00       0.50         NA       0.02       0.52         NA        XXX
                                                       dosimetry.
77332...............  ..............  A               Radiation treatment         0.54       1.52         NA       0.09       2.15         NA        XXX
                                                       aid(s).
77332...............  26............  A               Radiation treatment         0.54       0.17       0.17       0.02       0.73       0.73        XXX
                                                       aid(s).
77332...............  TC............  A               Radiation treatment         0.00       1.35         NA       0.07       1.42         NA        XXX
                                                       aid(s).
77333...............  ..............  A               Radiation treatment         0.84       2.17         NA       0.16       3.17         NA        XXX
                                                       aid(s).
77333...............  26............  A               Radiation treatment         0.84       0.27       0.27       0.05       1.16       1.16        XXX
                                                       aid(s).
77333...............  TC............  A               Radiation treatment         0.00       1.90         NA       0.11       2.01         NA        XXX
                                                       aid(s).
77334...............  ..............  A               Radiation treatment         1.24       3.65         NA       0.23       5.12         NA        XXX
                                                       aid(s).
77334...............  26............  A               Radiation treatment         1.24       0.39       0.39       0.06       1.69       1.69        XXX
                                                       aid(s).
77334...............  TC............  A               Radiation treatment         0.00       3.26         NA       0.17       3.43         NA        XXX
                                                       aid(s).
77336...............  ..............  A               Radiation physics           0.00       2.99         NA       0.16       3.15         NA        XXX
                                                       consult.
77370...............  ..............  A               Radiation physics           0.00       3.50         NA       0.18       3.68         NA        XXX
                                                       consult.
77399...............  ..............  C               External radiation          0.00       0.00       0.00       0.00       0.00       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       0.00       0.00       0.00       0.00       0.00        XXX
                                                       dosimetry.
77401...............  ..............  A               Radiation treatment         0.00       1.78         NA       0.11       1.89         NA        XXX
                                                       delivery.
77402...............  ..............  A               Radiation treatment         0.00       1.78         NA       0.11       1.89         NA        XXX
                                                       delivery.
77403...............  ..............  A               Radiation treatment         0.00       1.78         NA       0.11       1.89         NA        XXX
                                                       delivery.
77404...............  ..............  A               Radiation treatment         0.00       1.78         NA       0.11       1.89         NA        XXX
                                                       delivery.
77406...............  ..............  A               Radiation treatment         0.00       1.78         NA       0.11       1.89         NA        XXX
                                                       delivery.
77407...............  ..............  A               Radiation treatment         0.00       2.09         NA       0.12       2.21         NA        XXX
                                                       delivery.
77408...............  ..............  A               Radiation treatment         0.00       2.09         NA       0.12       2.21         NA        XXX
                                                       delivery.
77409...............  ..............  A               Radiation treatment         0.00       2.09         NA       0.12       2.21         NA        XXX
                                                       delivery.
77411...............  ..............  A               Radiation treatment         0.00       2.09         NA       0.12       2.21         NA        XXX
                                                       delivery.
77412...............  ..............  A               Radiation treatment         0.00       2.34         NA       0.13       2.47         NA        XXX
                                                       delivery.
77413...............  ..............  A               Radiation treatment         0.00       2.34         NA       0.13       2.47         NA        XXX
                                                       delivery.
77414...............  ..............  A               Radiation treatment         0.00       2.34         NA       0.13       2.47         NA        XXX
                                                       delivery.
77416...............  ..............  A               Radiation treatment         0.00       2.34         NA       0.13       2.47         NA        XXX
                                                       delivery.
77417...............  ..............  A               Radiology port              0.00       0.59         NA       0.04       0.63         NA        XXX
                                                       film(s).
77418...............  ..............  A               Radiation tx                0.00      18.05         NA       0.13      18.18         NA        XXX
                                                       delivery, imrt.
77427...............  ..............  A               Radiation tx                3.31       1.05       1.05       0.17       4.53       4.53        XXX
                                                       management, x5.
77431...............  ..............  A               Radiation therapy           1.81       0.68       0.68       0.08       2.57       2.57        XXX
                                                       management.

[[Page 1209]]

 
77432...............  ..............  A               Stereotactic                7.92       2.91       2.91       0.40      11.23      11.23        XXX
                                                       radiation trmt.
77470...............  ..............  A               Special radiation           2.09      11.85         NA       0.70      14.64         NA        XXX
                                                       treatment.
77470...............  26............  A               Special radiation           2.09       0.66       0.66       0.11       2.86       2.86        XXX
                                                       treatment.
77470...............  TC............  A               Special radiation           0.00      11.19         NA       0.59      11.78         NA        XXX
                                                       treatment.
77499...............  ..............  C               Radiation therapy           0.00       0.00       0.00       0.00       0.00       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       0.00       0.00       0.00       0.00       0.00        XXX
                                                       management.
77520...............  ..............  C               Proton trmt, simple w/      0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       o 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                1.56       3.55         NA       0.26       5.37         NA        XXX
                                                       treatment.
77600...............  26............  R               Hyperthermia                1.56       0.49       0.49       0.10       2.15       2.15        XXX
                                                       treatment.
77600...............  TC............  R               Hyperthermia                0.00       3.06         NA       0.16       3.22         NA        XXX
                                                       treatment.
77605...............  ..............  R               Hyperthermia                2.09       4.74         NA       0.38       7.21         NA        XXX
                                                       treatment.
77605...............  26............  R               Hyperthermia                2.09       0.66       0.66       0.16       2.91       2.91        XXX
                                                       treatment.
77605...............  TC............  R               Hyperthermia                0.00       4.08         NA       0.22       4.30         NA        XXX
                                                       treatment.
77610...............  ..............  R               Hyperthermia                1.56       3.56         NA       0.24       5.36         NA        XXX
                                                       treatment.
77610...............  26............  R               Hyperthermia                1.56       0.50       0.50       0.08       2.14       2.14        XXX
                                                       treatment.
77610...............  TC............  R               Hyperthermia                0.00       3.06         NA       0.16       3.22         NA        XXX
                                                       treatment.
77615...............  ..............  R               Hyperthermia                2.09       4.74         NA       0.33       7.16         NA        XXX
                                                       treatment.
77615...............  26............  R               Hyperthermia                2.09       0.66       0.66       0.11       2.86       2.86        XXX
                                                       treatment.
77615...............  TC............  R               Hyperthermia                0.00       4.08         NA       0.22       4.30         NA        XXX
                                                       treatment.
77620...............  ..............  R               Hyperthermia                1.56       3.57         NA       0.23       5.36         NA        XXX
                                                       treatment.
77620...............  26............  R               Hyperthermia                1.56       0.51       0.51       0.07       2.14       2.14        XXX
                                                       treatment.
77620...............  TC............  R               Hyperthermia                0.00       3.06         NA       0.16       3.22         NA        XXX
                                                       treatment.
77750...............  ..............  A               Infuse radioactive          4.90       2.91         NA       0.28       8.09         NA        090
                                                       materials.
77750...............  26............  A               Infuse radioactive          4.90       1.57       1.57       0.21       6.68       6.68        090
                                                       materials.
77750...............  TC............  A               Infuse radioactive          0.00       1.34         NA       0.07       1.41         NA        090
                                                       materials.
77761...............  ..............  A               Apply intrcav radiat        3.80       3.62         NA       0.33       7.75         NA        090
                                                       simple.
77761...............  26............  A               Apply intrcav radiat        3.80       1.10       1.10       0.19       5.09       5.09        090
                                                       simple.
77761...............  TC............  A               Apply intrcav radiat        0.00       2.52         NA       0.14       2.66         NA        090
                                                       simple.
77762...............  ..............  A               Apply intrcav radiat        5.71       5.45         NA       0.46      11.62         NA        090
                                                       interm.
77762...............  26............  A               Apply intrcav radiat        5.71       1.83       1.83       0.27       7.81       7.81        090
                                                       interm.
77762...............  TC............  A               Apply intrcav radiat        0.00       3.62         NA       0.19       3.81         NA        090
                                                       interm.
77763...............  ..............  A               Apply intrcav radiat        8.56       7.22         NA       0.64      16.42         NA        090
                                                       compl.
77763...............  26............  A               Apply intrcav radiat        8.56       2.72       2.72       0.41      11.69      11.69        090
                                                       compl.
77763...............  TC............  A               Apply intrcav radiat        0.00       4.50         NA       0.23       4.73         NA        090
                                                       compl.
77776...............  ..............  A               Apply interstit             4.65       3.14         NA       0.42       8.21         NA        090
                                                       radiat simpl.
77776...............  26............  A               Apply interstit             4.65       0.96       0.96       0.29       5.90       5.90        090
                                                       radiat simpl.
77776...............  TC............  A               Apply interstit             0.00       2.18         NA       0.13       2.31         NA        090
                                                       radiat simpl.
77777...............  ..............  A               Apply interstit             7.47       6.61         NA       0.61      14.69         NA        090
                                                       radiat inter.
77777...............  26............  A               Apply interstit             7.47       2.36       2.36       0.39      10.22      10.22        090
                                                       radiat inter.
77777...............  TC............  A               Apply interstit             0.00       4.25         NA       0.22       4.47         NA        090
                                                       radiat inter.
77778...............  ..............  A               Apply interstit            11.17       8.69         NA       0.84      20.70         NA        090
                                                       radiat compl.
77778...............  26............  A               Apply interstit            11.17       3.54       3.54       0.57      15.28      15.28        090
                                                       radiat compl.
77778...............  TC............  A               Apply interstit             0.00       5.15         NA       0.27       5.42         NA        090
                                                       radiat compl.
77781...............  ..............  A               High intensity              1.66      20.91         NA       1.14      23.71         NA        090
                                                       brachytherapy.
77781...............  26............  A               High intensity              1.66       0.53       0.53       0.08       2.27       2.27        090
                                                       brachytherapy.
77781...............  TC............  A               High intensity              0.00      20.38         NA       1.06      21.44         NA        090
                                                       brachytherapy.
77782...............  ..............  A               High intensity              2.49      21.18         NA       1.18      24.85         NA        090
                                                       brachytherapy.
77782...............  26............  A               High intensity              2.49       0.80       0.80       0.12       3.41       3.41        090
                                                       brachytherapy.
77782...............  TC............  A               High intensity              0.00      20.38         NA       1.06      21.44         NA        090
                                                       brachytherapy.
77783...............  ..............  A               High intensity              3.72      21.56         NA       1.24      26.52         NA        090
                                                       brachytherapy.
77783...............  26............  A               High intensity              3.72       1.18       1.18       0.18       5.08       5.08        090
                                                       brachytherapy.
77783...............  TC............  A               High intensity              0.00      20.38         NA       1.06      21.44         NA        090
                                                       brachytherapy.
77784...............  ..............  A               High intensity              5.60      22.16         NA       1.33      29.09         NA        090
                                                       brachytherapy.
77784...............  26............  A               High intensity              5.60       1.78       1.78       0.27       7.65       7.65        090
                                                       brachytherapy.
77784...............  TC............  A               High intensity              0.00      20.38         NA       1.06      21.44         NA        090
                                                       brachytherapy.
77789...............  ..............  A               Apply surface               1.12       0.82         NA       0.06       2.00         NA        000
                                                       radiation.
77789...............  26............  A               Apply surface               1.12       0.37       0.37       0.04       1.53       1.53        000
                                                       radiation.
77789...............  TC............  A               Apply surface               0.00       0.45         NA       0.02       0.47         NA        000
                                                       radiation.
77790...............  ..............  A               Radiation handling...       1.05       0.84         NA       0.07       1.96         NA        XXX
77790...............  26............  A               Radiation handling...       1.05       0.34       0.34       0.05       1.44       1.44        XXX
77790...............  TC............  A               Radiation handling...       0.00       0.50         NA       0.02       0.52         NA        XXX
77799...............  ..............  C               Radium/radioisotope         0.00       0.00       0.00       0.00       0.00       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       0.00       0.00       0.00       0.00       0.00        XXX
                                                       therapy.
78000...............  ..............  A               Thyroid, single             0.19       1.04         NA       0.07       1.30         NA        XXX
                                                       uptake.
78000...............  26............  A               Thyroid, single             0.19       0.07       0.07       0.01       0.27       0.27        XXX
                                                       uptake.
78000...............  TC............  A               Thyroid, single             0.00       0.97         NA       0.06       1.03         NA        XXX
                                                       uptake.
78001...............  ..............  A               Thyroid, multiple           0.26       1.40         NA       0.08       1.74         NA        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       1.31         NA       0.07       1.38         NA        XXX
                                                       uptakes.
78003...............  ..............  A               Thyroid suppress/           0.33       1.08         NA       0.07       1.48         NA        XXX
                                                       stimul.

[[Page 1210]]

 
78003...............  26............  A               Thyroid suppress/           0.33       0.11       0.11       0.01       0.45       0.45        XXX
                                                       stimul.
78003...............  TC............  A               Thyroid suppress/           0.00       0.97         NA       0.06       1.03         NA        XXX
                                                       stimul.
78006...............  ..............  A               Thyroid imaging with        0.49       2.56         NA       0.15       3.20         NA        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       2.39         NA       0.13       2.52         NA        XXX
                                                       uptake.
78007...............  ..............  A               Thyroid image, mult         0.50       2.76         NA       0.16       3.42         NA        XXX
                                                       uptakes.
78007...............  26............  A               Thyroid image, mult         0.50       0.17       0.17       0.02       0.69       0.69        XXX
                                                       uptakes.
78007...............  TC............  A               Thyroid image, mult         0.00       2.59         NA       0.14       2.73         NA        XXX
                                                       uptakes.
78010...............  ..............  A               Thyroid imaging......       0.39       1.96         NA       0.13       2.48         NA        XXX
78010...............  26............  A               Thyroid imaging......       0.39       0.13       0.13       0.02       0.54       0.54        XXX
78010...............  TC............  A               Thyroid imaging......       0.00       1.83         NA       0.11       1.94         NA        XXX
78011...............  ..............  A               Thyroid imaging with        0.45       2.57         NA       0.15       3.17         NA        XXX
                                                       flow.
78011...............  26............  A               Thyroid imaging with        0.45       0.15       0.15       0.02       0.62       0.62        XXX
                                                       flow.
78011...............  TC............  A               Thyroid imaging with        0.00       2.42         NA       0.13       2.55         NA        XXX
                                                       flow.
78015...............  ..............  A               Thyroid met imaging..       0.67       2.82         NA       0.18       3.67         NA        XXX
78015...............  26............  A               Thyroid met imaging..       0.67       0.23       0.23       0.04       0.94       0.94        XXX
78015...............  TC............  A               Thyroid met imaging..       0.00       2.59         NA       0.14       2.73         NA        XXX
78016...............  ..............  A               Thyroid met imaging/        0.82       3.78         NA       0.22       4.82         NA        XXX
                                                       studies.
78016...............  26............  A               Thyroid met imaging/        0.82       0.29       0.29       0.04       1.15       1.15        XXX
                                                       studies.
78016...............  TC............  A               Thyroid met imaging/        0.00       3.49         NA       0.18       3.67         NA        XXX
                                                       studies.
78018...............  ..............  A               Thyroid met imaging,        0.86       5.75         NA       0.33       6.94         NA        XXX
                                                       body.
78018...............  26............  A               Thyroid met imaging,        0.86       0.30       0.30       0.04       1.20       1.20        XXX
                                                       body.
78018...............  TC............  A               Thyroid met imaging,        0.00       5.45         NA       0.29       5.74         NA        XXX
                                                       body.
78020...............  ..............  A               Thyroid met uptake...       0.60       1.52         NA       0.16       2.28         NA        ZZZ
78020...............  26............  A               Thyroid met uptake...       0.60       0.21       0.21       0.02       0.83       0.83        ZZZ
78020...............  TC............  A               Thyroid met uptake...       0.00       1.31         NA       0.14       1.45         NA        ZZZ
78070...............  ..............  A               Parathyroid nuclear         0.82       2.11         NA       0.15       3.08         NA        XXX
                                                       imaging.
78070...............  26............  A               Parathyroid nuclear         0.82       0.28       0.28       0.04       1.14       1.14        XXX
                                                       imaging.
78070...............  TC............  A               Parathyroid nuclear         0.00       1.83         NA       0.11       1.94         NA        XXX
                                                       imaging.
78075...............  ..............  A               Adrenal nuclear             0.74       5.72         NA       0.33       6.79         NA        XXX
                                                       imaging.
78075...............  26............  A               Adrenal nuclear             0.74       0.27       0.27       0.04       1.05       1.05        XXX
                                                       imaging.
78075...............  TC............  A               Adrenal nuclear             0.00       5.45         NA       0.29       5.74         NA        XXX
                                                       imaging.
78099...............  ..............  C               Endocrine nuclear           0.00       0.00       0.00       0.00       0.00       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       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
78102...............  ..............  A               Bone marrow imaging,        0.55       2.24         NA       0.14       2.93         NA        XXX
                                                       ltd.
78102...............  26............  A               Bone marrow imaging,        0.55       0.20       0.20       0.02       0.77       0.77        XXX
                                                       ltd.
78102...............  TC............  A               Bone marrow imaging,        0.00       2.04         NA       0.12       2.16         NA        XXX
                                                       ltd.
78103...............  ..............  A               Bone marrow imaging,        0.75       3.44         NA       0.21       4.40         NA        XXX
                                                       mult.
78103...............  26............  A               Bone marrow imaging,        0.75       0.26       0.26       0.04       1.05       1.05        XXX
                                                       mult.
78103...............  TC............  A               Bone marrow imaging,        0.00       3.18         NA       0.17       3.35         NA        XXX
                                                       mult.
78104...............  ..............  A               Bone marrow imaging,        0.80       4.36         NA       0.26       5.42         NA        XXX
                                                       body.
78104...............  26............  A               Bone marrow imaging,        0.80       0.27       0.27       0.04       1.11       1.11        XXX
                                                       body.
78104...............  TC............  A               Bone marrow imaging,        0.00       4.09         NA       0.22       4.31         NA        XXX
                                                       body.
78110...............  ..............  A               Plasma volume, single       0.19       1.02         NA       0.07       1.28         NA        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       0.95         NA       0.06       1.01         NA        XXX
78111...............  ..............  A               Plasma volume,              0.22       2.67         NA       0.15       3.04         NA        XXX
                                                       multiple.
78111...............  26............  A               Plasma volume,              0.22       0.08       0.08       0.01       0.31       0.31        XXX
                                                       multiple.
78111...............  TC............  A               Plasma volume,              0.00       2.59         NA       0.14       2.73         NA        XXX
                                                       multiple.
78120...............  ..............  A               Red cell mass, single       0.23       1.82         NA       0.12       2.17         NA        XXX
78120...............  26............  A               Red cell mass, single       0.23       0.08       0.08       0.01       0.32       0.32        XXX
78120...............  TC............  A               Red cell mass, single       0.00       1.74         NA       0.11       1.85         NA        XXX
78121...............  ..............  A               Red cell mass,              0.32       3.03         NA       0.15       3.50         NA        XXX
                                                       multiple.
78121...............  26............  A               Red cell mass,              0.32       0.11       0.11       0.01       0.44       0.44        XXX
                                                       multiple.
78121...............  TC............  A               Red cell mass,              0.00       2.92         NA       0.14       3.06         NA        XXX
                                                       multiple.
78122...............  ..............  A               Blood volume.........       0.45       4.78         NA       0.26       5.49         NA        XXX
78122...............  26............  A               Blood volume.........       0.45       0.16       0.16       0.02       0.63       0.63        XXX
78122...............  TC............  A               Blood volume.........       0.00       4.62         NA       0.24       4.86         NA        XXX
78130...............  ..............  A               Red cell survival           0.61       3.07         NA       0.18       3.86         NA        XXX
                                                       study.
78130...............  26............  A               Red cell survival           0.61       0.21       0.21       0.04       0.86       0.86        XXX
                                                       study.
78130...............  TC............  A               Red cell survival           0.00       2.86         NA       0.14       3.00         NA        XXX
                                                       study.
78135...............  ..............  A               Red cell survival           0.64       5.11         NA       0.29       6.04         NA        XXX
                                                       kinetics.
78135...............  26............  A               Red cell survival           0.64       0.22       0.22       0.04       0.90       0.90        XXX
                                                       kinetics.
78135...............  TC............  A               Red cell survival           0.00       4.89         NA       0.25       5.14         NA        XXX
                                                       kinetics.
78140...............  ..............  A               Red cell                    0.61       4.15         NA       0.25       5.01         NA        XXX
                                                       sequestration.
78140...............  26............  A               Red cell                    0.61       0.20       0.20       0.04       0.85       0.85        XXX
                                                       sequestration.
78140...............  TC............  A               Red cell                    0.00       3.95         NA       0.21       4.16         NA        XXX
                                                       sequestration.
78160...............  ..............  A               Plasma iron turnover.       0.33       3.80         NA       0.23       4.36         NA        XXX
78160...............  26............  A               Plasma iron turnover.       0.33       0.12       0.12       0.04       0.49       0.49        XXX
78160...............  TC............  A               Plasma iron turnover.       0.00       3.68         NA       0.19       3.87         NA        XXX
78162...............  ..............  A               Radioiron absorption        0.45       3.40         NA       0.18       4.03         NA        XXX
                                                       exam.
78162...............  26............  A               Radioiron absorption        0.45       0.19       0.19       0.01       0.65       0.65        XXX
                                                       exam.
78162...............  TC............  A               Radioiron absorption        0.00       3.21         NA       0.17       3.38         NA        XXX
                                                       exam.
78170...............  ..............  A               Red cell iron               0.41       5.47         NA       0.33       6.21         NA        XXX
                                                       utilization.

[[Page 1211]]

 
78170...............  26............  A               Red cell iron               0.41       0.14       0.14       0.05       0.60       0.60        XXX
                                                       utilization.
78170...............  TC............  A               Red cell iron               0.00       5.33         NA       0.28       5.61         NA        XXX
                                                       utilization.
78172...............  ..............  C               Total body iron             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       estimation.
78172...............  26............  A               Total body iron             0.53       0.18       0.18       0.02       0.73       0.73        XXX
                                                       estimation.
78172...............  TC............  C               Total body iron             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       estimation.
78185...............  ..............  A               Spleen imaging.......       0.40       2.51         NA       0.15       3.06         NA        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       2.37         NA       0.13       2.50         NA        XXX
78190...............  ..............  A               Platelet survival,          1.09       6.12         NA       0.37       7.58         NA        XXX
                                                       kinetics.
78190...............  26............  A               Platelet survival,          1.09       0.39       0.39       0.07       1.55       1.55        XXX
                                                       kinetics.
78190...............  TC............  A               Platelet survival,          0.00       5.73         NA       0.30       6.03         NA        XXX
                                                       kinetics.
78191...............  ..............  A               Platelet survival....       0.61       7.56         NA       0.41       8.58         NA        XXX
78191...............  26............  A               Platelet survival....       0.61       0.20       0.20       0.04       0.85       0.85        XXX
78191...............  TC............  A               Platelet survival....       0.00       7.36         NA       0.37       7.73         NA        XXX
78195...............  ..............  A               Lymph system imaging.       1.20       4.50         NA       0.28       5.98         NA        XXX
78195...............  26............  A               Lymph system imaging.       1.20       0.41       0.41       0.06       1.67       1.67        XXX
78195...............  TC............  A               Lymph system imaging.       0.00       4.09         NA       0.22       4.31         NA        XXX
78199...............  ..............  C               Blood/lymph nuclear         0.00       0.00       0.00       0.00       0.00       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       0.00       0.00       0.00       0.00       0.00        XXX
                                                       exam.
78201...............  ..............  A               Liver imaging........       0.44       2.52         NA       0.15       3.11         NA        XXX
78201...............  26............  A               Liver imaging........       0.44       0.15       0.15       0.02       0.61       0.61        XXX
78201...............  TC............  A               Liver imaging........       0.00       2.37         NA       0.13       2.50         NA        XXX
78202...............  ..............  A               Liver imaging with          0.51       3.07         NA       0.16       3.74         NA        XXX
                                                       flow.
78202...............  26............  A               Liver imaging with          0.51       0.18       0.18       0.02       0.71       0.71        XXX
                                                       flow.
78202...............  TC............  A               Liver imaging with          0.00       2.89         NA       0.14       3.03         NA        XXX
                                                       flow.
78205...............  ..............  A               Liver imaging (3D)...       0.71       6.18         NA       0.35       7.24         NA        XXX
78205...............  26............  A               Liver imaging (3D)...       0.71       0.25       0.25       0.04       1.00       1.00        XXX
78205...............  TC............  A               Liver imaging (3D)...       0.00       5.93         NA       0.31       6.24         NA        XXX
78206...............  ..............  A               Liver image (3d) with       0.96       6.27         NA       0.16       7.39         NA        XXX
                                                       flow.
78206...............  26............  A               Liver image (3d) with       0.96       0.34       0.34       0.05       1.35       1.35        XXX
                                                       flow.
78206...............  TC............  A               Liver image (3d) with       0.00       5.93         NA       0.11       6.04         NA        XXX
                                                       flow.
78215...............  ..............  A               Liver and spleen            0.49       3.12         NA       0.16       3.77         NA        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       2.95         NA       0.14       3.09         NA        XXX
                                                       imaging.
78216...............  ..............  A               Liver & spleen image/       0.57       3.69         NA       0.20       4.46         NA        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       3.49         NA       0.18       3.67         NA        XXX
                                                       flow.
78220...............  ..............  A               Liver function study.       0.49       3.91         NA       0.21       4.61         NA        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       3.74         NA       0.19       3.93         NA        XXX
78223...............  ..............  A               Hepatobiliary imaging       0.84       3.96         NA       0.24       5.04         NA        XXX
78223...............  26............  A               Hepatobiliary imaging       0.84       0.28       0.28       0.05       1.17       1.17        XXX
78223...............  TC............  A               Hepatobiliary imaging       0.00       3.68         NA       0.19       3.87         NA        XXX
78230...............  ..............  A               Salivary gland              0.45       2.33         NA       0.15       2.93         NA        XXX
                                                       imaging.
78230...............  26............  A               Salivary gland              0.45       0.15       0.15       0.02       0.62       0.62        XXX
                                                       imaging.
78230...............  TC............  A               Salivary gland              0.00       2.18         NA       0.13       2.31         NA        XXX
                                                       imaging.
78231...............  ..............  A               Serial salivary             0.52       3.37         NA       0.19       4.08         NA        XXX
                                                       imaging.
78231...............  26............  A               Serial salivary             0.52       0.19       0.19       0.02       0.73       0.73        XXX
                                                       imaging.
78231...............  TC............  A               Serial salivary             0.00       3.18         NA       0.17       3.35         NA        XXX
                                                       imaging.
78232...............  ..............  A               Salivary gland              0.47       3.72         NA       0.19       4.38         NA        XXX
                                                       function exam.
78232...............  26............  A               Salivary gland              0.47       0.17       0.17       0.01       0.65       0.65        XXX
                                                       function exam.
78232...............  TC............  A               Salivary gland              0.00       3.55         NA       0.18       3.73         NA        XXX
                                                       function exam.
78258...............  ..............  A               Esophageal motility         0.74       3.14         NA       0.18       4.06         NA        XXX
                                                       study.
78258...............  26............  A               Esophageal motility         0.74       0.25       0.25       0.04       1.03       1.03        XXX
                                                       study.
78258...............  TC............  A               Esophageal motility         0.00       2.89         NA       0.14       3.03         NA        XXX
                                                       study.
78261...............  ..............  A               Gastric mucosa              0.69       4.36         NA       0.26       5.31         NA        XXX
                                                       imaging.
78261...............  26............  A               Gastric mucosa              0.69       0.25       0.25       0.04       0.98       0.98        XXX
                                                       imaging.
78261...............  TC............  A               Gastric mucosa              0.00       4.11         NA       0.22       4.33         NA        XXX
                                                       imaging.
78262...............  ..............  A               Gastroesophageal            0.68       4.51         NA       0.26       5.45         NA        XXX
                                                       reflux exam.
78262...............  26............  A               Gastroesophageal            0.68       0.24       0.24       0.04       0.96       0.96        XXX
                                                       reflux exam.
78262...............  TC............  A               Gastroesophageal            0.00       4.27         NA       0.22       4.49         NA        XXX
                                                       reflux exam.
78264...............  ..............  A               Gastric emptying            0.78       4.41         NA       0.26       5.45         NA        XXX
                                                       study.
78264...............  26............  A               Gastric emptying            0.78       0.27       0.27       0.04       1.09       1.09        XXX
                                                       study.
78264...............  TC............  A               Gastric emptying            0.00       4.14         NA       0.22       4.36         NA        XXX
                                                       study.
78267...............  ..............  X               Breath tst attain/          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       anal c-14.
78268...............  ..............  X               Breath test analysis,       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       c-14.
78270...............  ..............  A               Vit B-12 absorption         0.20       1.62         NA       0.11       1.93         NA        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       1.55         NA       0.10       1.65         NA        XXX
                                                       exam.
78271...............  ..............  A               Vit b-12 absrp exam,        0.20       1.72         NA       0.11       2.03         NA        XXX
                                                       int fac.
78271...............  26............  A               Vit b-12 absrp exam,        0.20       0.07       0.07       0.01       0.28       0.28        XXX
                                                       int fac.
78271...............  TC............  A               Vit b-12 absrp exam,        0.00       1.65         NA       0.10       1.75         NA        XXX
                                                       int fac.
78272...............  ..............  A               Vit B-12 absorp,            0.27       2.43         NA       0.14       2.84         NA        XXX
                                                       combined.
78272...............  26............  A               Vit B-12 absorp,            0.27       0.10       0.10       0.01       0.38       0.38        XXX
                                                       combined.

[[Page 1212]]

 
78272...............  TC............  A               Vit B-12 absorp,            0.00       2.33         NA       0.13       2.46         NA        XXX
                                                       combined.
78278...............  ..............  A               Acute GI blood loss         0.99       5.23         NA       0.30       6.52         NA        XXX
                                                       imaging.
78278...............  26............  A               Acute GI blood loss         0.99       0.34       0.34       0.05       1.38       1.38        XXX
                                                       imaging.
78278...............  TC............  A               Acute GI blood loss         0.00       4.89         NA       0.25       5.14         NA        XXX
                                                       imaging.
78282...............  ..............  C               GI protein loss exam.       0.00       0.00       0.00       0.00       0.00       0.00        XXX
78282...............  26............  A               GI protein loss exam.       0.38       0.13       0.13       0.02       0.53       0.53        XXX
78282...............  TC............  C               GI protein loss exam.       0.00       0.00       0.00       0.00       0.00       0.00        XXX
78290...............  ..............  A               Meckel's divert exam.       0.68       3.29         NA       0.20       4.17         NA        XXX
78290...............  26............  A               Meckel's divert exam.       0.68       0.23       0.23       0.04       0.95       0.95        XXX
78290...............  TC............  A               Meckel's divert exam.       0.00       3.06         NA       0.16       3.22         NA        XXX
78291...............  ..............  A               Leveen/shunt patency        0.88       3.38         NA       0.21       4.47         NA        XXX
                                                       exam.
78291...............  26............  A               Leveen/shunt patency        0.88       0.30       0.30       0.05       1.23       1.23        XXX
                                                       exam.
78291...............  TC............  A               Leveen/shunt patency        0.00       3.08         NA       0.16       3.24         NA        XXX
                                                       exam.
78299...............  ..............  C               GI nuclear procedure.       0.00       0.00       0.00       0.00       0.00       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       0.00       0.00       0.00       0.00       0.00        XXX
78300...............  ..............  A               Bone imaging, limited       0.62       2.71         NA       0.18       3.51         NA        XXX
                                                       area.
78300...............  26............  A               Bone imaging, limited       0.62       0.21       0.21       0.04       0.87       0.87        XXX
                                                       area.
78300...............  TC............  A               Bone imaging, limited       0.00       2.50         NA       0.14       2.64         NA        XXX
                                                       area.
78305...............  ..............  A               Bone imaging,               0.83       3.96         NA       0.23       5.02         NA        XXX
                                                       multiple areas.
78305...............  26............  A               Bone imaging,               0.83       0.28       0.28       0.04       1.15       1.15        XXX
                                                       multiple areas.
78305...............  TC............  A               Bone imaging,               0.00       3.68         NA       0.19       3.87         NA        XXX
                                                       multiple areas.
78306...............  ..............  A               Bone imaging, whole         0.86       4.58         NA       0.27       5.71         NA        XXX
                                                       body.
78306...............  26............  A               Bone imaging, whole         0.86       0.29       0.29       0.05       1.20       1.20        XXX
                                                       body.
78306...............  TC............  A               Bone imaging, whole         0.00       4.29         NA       0.22       4.51         NA        XXX
                                                       body.
78315...............  ..............  A               Bone imaging, 3 phase       1.02       5.15         NA       0.30       6.47         NA        XXX
78315...............  26............  A               Bone imaging, 3 phase       1.02       0.35       0.35       0.05       1.42       1.42        XXX
78315...............  TC............  A               Bone imaging, 3 phase       0.00       4.80         NA       0.25       5.05         NA        XXX
78320...............  ..............  A               Bone imaging (3D)....       1.04       6.30         NA       0.36       7.70         NA        XXX
78320...............  26............  A               Bone imaging (3D)....       1.04       0.37       0.37       0.05       1.46       1.46        XXX
78320...............  TC............  A               Bone imaging (3D)....       0.00       5.93         NA       0.31       6.24         NA        XXX
78350...............  ..............  A               Bone mineral, single        0.22       0.83         NA       0.06       1.11         NA        XXX
                                                       photon.
78350...............  26............  A               Bone mineral, single        0.22       0.07       0.07       0.01       0.30       0.30        XXX
                                                       photon.
78350...............  TC............  A               Bone mineral, single        0.00       0.76         NA       0.05       0.81         NA        XXX
                                                       photon.
78351...............  ..............  N               Bone mineral, dual         +0.30       1.72       0.12       0.01       2.03       0.43        XXX
                                                       photon.
78399...............  ..............  C               Musculoskeletal             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       nuclear exam.
78399...............  26............  C               Musculoskeletal             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       nuclear exam.
78399...............  TC............  C               Musculoskeletal             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       nuclear exam.
78414...............  ..............  C               Non-imaging heart           0.00       0.00       0.00       0.00       0.00       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       0.00       0.00       0.00       0.00       0.00        XXX
                                                       function.
78428...............  ..............  A               Cardiac shunt imaging       0.78       2.56         NA       0.17       3.51         NA        XXX
78428...............  26............  A               Cardiac shunt imaging       0.78       0.30       0.30       0.04       1.12       1.12        XXX
78428...............  TC............  A               Cardiac shunt imaging       0.00       2.26         NA       0.13       2.39         NA        XXX
78445...............  ..............  A               Vascular flow imaging       0.49       2.04         NA       0.13       2.66         NA        XXX
78445...............  26............  A               Vascular flow imaging       0.49       0.17       0.17       0.02       0.68       0.68        XXX
78445...............  TC............  A               Vascular flow imaging       0.00       1.87         NA       0.11       1.98         NA        XXX
78455...............  ..............  A               Venous thrombosis           0.73       4.25         NA       0.25       5.23         NA        XXX
                                                       study.
78455...............  26............  A               Venous thrombosis           0.73       0.25       0.25       0.04       1.02       1.02        XXX
                                                       study.
78455...............  TC............  A               Venous thrombosis           0.00       4.00         NA       0.21       4.21         NA        XXX
                                                       study.
78456...............  ..............  A               Acute venous thrombus       1.00       4.35         NA       0.34       5.69         NA        XXX
                                                       image.
78456...............  26............  A               Acute venous thrombus       1.00       0.35       0.35       0.05       1.40       1.40        XXX
                                                       image.
78456...............  TC............  A               Acute venous thrombus       0.00       4.00         NA       0.29       4.29         NA        XXX
                                                       image.
78457...............  ..............  A               Venous thrombosis           0.77       2.92         NA       0.18       3.87         NA        XXX
                                                       imaging.
78457...............  26............  A               Venous thrombosis           0.77       0.26       0.26       0.04       1.07       1.07        XXX
                                                       imaging.
78457...............  TC............  A               Venous thrombosis           0.00       2.66         NA       0.14       2.80         NA        XXX
                                                       imaging.
78458...............  ..............  A               Ven thrombosis              0.90       4.37         NA       0.25       5.52         NA        XXX
                                                       images, bilat.
78458...............  26............  A               Ven thrombosis              0.90       0.33       0.33       0.04       1.27       1.27        XXX
                                                       images, bilat.
78458...............  TC............  A               Ven thrombosis              0.00       4.04         NA       0.21       4.25         NA        XXX
                                                       images, bilat.
78459...............  ..............  C               Heart muscle imaging        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       (PET).
78459...............  26............  R               Heart muscle imaging        1.50       0.57       0.57       0.05       2.12       2.12        XXX
                                                       (PET).
78459...............  TC............  C               Heart muscle imaging        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       (PET).
78460...............  ..............  A               Heart muscle blood,         0.86       2.67         NA       0.17       3.70         NA        XXX
                                                       single.
78460...............  26............  A               Heart muscle blood,         0.86       0.30       0.30       0.04       1.20       1.20        XXX
                                                       single.
78460...............  TC............  A               Heart muscle blood,         0.00       2.37         NA       0.13       2.50         NA        XXX
                                                       single.
78461...............  ..............  A               Heart muscle blood,         1.23       5.17         NA       0.31       6.71         NA        XXX
                                                       multiple.
78461...............  26............  A               Heart muscle blood,         1.23       0.43       0.43       0.06       1.72       1.72        XXX
                                                       multiple.
78461...............  TC............  A               Heart muscle blood,         0.00       4.74         NA       0.25       4.99         NA        XXX
                                                       multiple.
78464...............  ..............  A               Heart image (3d),           1.09       7.48         NA       0.42       8.99         NA        XXX
                                                       single.
78464...............  26............  A               Heart image (3d),           1.09       0.38       0.38       0.05       1.52       1.52        XXX
                                                       single.
78464...............  TC............  A               Heart image (3d),           0.00       7.10         NA       0.37       7.47         NA        XXX
                                                       single.
78465...............  ..............  A               Heart image (3d),           1.46      12.35         NA       0.68      14.49         NA        XXX
                                                       multiple.
78465...............  26............  A               Heart image (3d),           1.46       0.52       0.52       0.06       2.04       2.04        XXX
                                                       multiple.
78465...............  TC............  A               Heart image (3d),           0.00      11.83         NA       0.62      12.45         NA        XXX
                                                       multiple.
78466...............  ..............  A               Heart infarct image..       0.69       2.87         NA       0.18       3.74         NA        XXX

[[Page 1213]]

 
78466...............  26............  A               Heart infarct image..       0.69       0.25       0.25       0.04       0.98       0.98        XXX
78466...............  TC............  A               Heart infarct image..       0.00       2.62         NA       0.14       2.76         NA        XXX
78468...............  ..............  A               Heart infarct image         0.80       3.96         NA       0.23       4.99         NA        XXX
                                                       (ef).
78468...............  26............  A               Heart infarct image         0.80       0.28       0.28       0.04       1.12       1.12        XXX
                                                       (ef).
78468...............  TC............  A               Heart infarct image         0.00       3.68         NA       0.19       3.87         NA        XXX
                                                       (ef).
78469...............  ..............  A               Heart infarct image         0.92       5.56         NA       0.32       6.80         NA        XXX
                                                       (3D).
78469...............  26............  A               Heart infarct image         0.92       0.32       0.32       0.04       1.28       1.28        XXX
                                                       (3D).
78469...............  TC............  A               Heart infarct image         0.00       5.24         NA       0.28       5.52         NA        XXX
                                                       (3D).
78472...............  ..............  A               Gated heart, planar,        0.98       5.88         NA       0.35       7.21         NA        XXX
                                                       single.
78472...............  26............  A               Gated heart, planar,        0.98       0.35       0.35       0.05       1.38       1.38        XXX
                                                       single.
78472...............  TC............  A               Gated heart, planar,        0.00       5.53         NA       0.30       5.83         NA        XXX
                                                       single.
78473...............  ..............  A               Gated heart, multiple       1.47       8.80         NA       0.48      10.75         NA        XXX
78473...............  26............  A               Gated heart, multiple       1.47       0.51       0.51       0.06       2.04       2.04        XXX
78473...............  TC............  A               Gated heart, multiple       0.00       8.29         NA       0.42       8.71         NA        XXX
78478...............  ..............  A               Heart wall motion add-      0.62       1.79         NA       0.12       2.53         NA        XXX
                                                       on.
78478...............  26............  A               Heart wall motion add-      0.62       0.23       0.23       0.02       0.87       0.87        XXX
                                                       on.
78478...............  TC............  A               Heart wall motion add-      0.00       1.56         NA       0.10       1.66         NA        XXX
                                                       on.
78480...............  ..............  A               Heart function add-on       0.62       1.79         NA       0.12       2.53         NA        XXX
78480...............  26............  A               Heart function add-on       0.62       0.23       0.23       0.02       0.87       0.87        XXX
78480...............  TC............  A               Heart function add-on       0.00       1.56         NA       0.10       1.66         NA        XXX
78481...............  ..............  A               Heart first pass,           0.98       5.61         NA       0.32       6.91         NA        XXX
                                                       single.
78481...............  26............  A               Heart first pass,           0.98       0.37       0.37       0.04       1.39       1.39        XXX
                                                       single.
78481...............  TC............  A               Heart first pass,           0.00       5.24         NA       0.28       5.52         NA        XXX
                                                       single.
78483...............  ..............  A               Heart first pass,           1.47       8.43         NA       0.47      10.37         NA        XXX
                                                       multiple.
78483...............  26............  A               Heart first pass,           1.47       0.54       0.54       0.06       2.07       2.07        XXX
                                                       multiple.
78483...............  TC............  A               Heart first pass,           0.00       7.89         NA       0.41       8.30         NA        XXX
                                                       multiple.
78491...............  ..............  I               Heart image (pet),          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       single.
78491...............  26............  I               Heart image (pet),         +1.50       0.59       0.59       0.06       2.15       2.15        XXX
                                                       single.
78491...............  TC............  I               Heart image (pet),          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       single.
78492...............  ..............  I               Heart image (pet),          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       multiple.
78492...............  26............  I               Heart image (pet),         +1.87       0.74       0.74       0.07       2.68       2.68        XXX
                                                       multiple.
78492...............  TC............  I               Heart image (pet),          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       multiple.
78494...............  ..............  A               Heart image, spect...       1.19       7.51         NA       0.35       9.05         NA        XXX
78494...............  26............  A               Heart image, spect...       1.19       0.41       0.41       0.05       1.65       1.65        XXX
78494...............  TC............  A               Heart image, spect...       0.00       7.10         NA       0.30       7.40         NA        XXX
78496...............  ..............  A               Heart first pass add-       0.50       7.28         NA       0.32       8.10         NA        ZZZ
                                                       on.
78496...............  26............  A               Heart first pass add-       0.50       0.18       0.18       0.02       0.70       0.70        ZZZ
                                                       on.
78496...............  TC............  A               Heart first pass add-       0.00       7.10         NA       0.30       7.40         NA        ZZZ
                                                       on.
78499...............  ..............  C               Cardiovascular              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       nuclear exam.
78499...............  26............  C               Cardiovascular              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       nuclear exam.
78499...............  TC............  C               Cardiovascular              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       nuclear exam.
78580...............  ..............  A               Lung perfusion              0.74       3.69         NA       0.22       4.65         NA        XXX
                                                       imaging.
78580...............  26............  A               Lung perfusion              0.74       0.25       0.25       0.04       1.03       1.03        XXX
                                                       imaging.
78580...............  TC............  A               Lung perfusion              0.00       3.44         NA       0.18       3.62         NA        XXX
                                                       imaging.
78584...............  ..............  A               Lung V/Q image single       0.99       3.54         NA       0.22       4.75         NA        XXX
                                                       breath.
78584...............  26............  A               Lung V/Q image single       0.99       0.33       0.33       0.05       1.37       1.37        XXX
                                                       breath.
78584...............  TC............  A               Lung V/Q image single       0.00       3.21         NA       0.17       3.38         NA        XXX
                                                       breath.
78585...............  ..............  A               Lung V/Q imaging.....       1.09       6.02         NA       0.36       7.47         NA        XXX
78585...............  26............  A               Lung V/Q imaging.....       1.09       0.37       0.37       0.06       1.52       1.52        XXX
78585...............  TC............  A               Lung V/Q imaging.....       0.00       5.65         NA       0.30       5.95         NA        XXX
78586...............  ..............  A               Aerosol lung image,         0.40       2.73         NA       0.16       3.29         NA        XXX
                                                       single.
78586...............  26............  A               Aerosol lung image,         0.40       0.13       0.13       0.02       0.55       0.55        XXX
                                                       single.
78586...............  TC............  A               Aerosol lung image,         0.00       2.60         NA       0.14       2.74         NA        XXX
                                                       single.
78587...............  ..............  A               Aerosol lung image,         0.49       2.98         NA       0.16       3.63         NA        XXX
                                                       multiple.
78587...............  26............  A               Aerosol lung image,         0.49       0.17       0.17       0.02       0.68       0.68        XXX
                                                       multiple.
78587...............  TC............  A               Aerosol lung image,         0.00       2.81         NA       0.14       2.95         NA        XXX
                                                       multiple.
78588...............  ..............  A               Perfusion lung image.       1.09       3.58         NA       0.24       4.91         NA        XXX
78588...............  26............  A               Perfusion lung image.       1.09       0.37       0.37       0.06       1.52       1.52        XXX
78588...............  TC............  A               Perfusion lung image.       0.00       3.21         NA       0.18       3.39         NA        XXX
78591...............  ..............  A               Vent image, 1 breath,       0.40       3.00         NA       0.16       3.56         NA        XXX
                                                       1 proj.
78591...............  26............  A               Vent image, 1 breath,       0.40       0.14       0.14       0.02       0.56       0.56        XXX
                                                       1 proj.
78591...............  TC............  A               Vent image, 1 breath,       0.00       2.86         NA       0.14       3.00         NA        XXX
                                                       1 proj.
78593...............  ..............  A               Vent image, 1 proj,         0.49       3.63         NA       0.20       4.32         NA        XXX
                                                       gas.
78593...............  26............  A               Vent image, 1 proj,         0.49       0.17       0.17       0.02       0.68       0.68        XXX
                                                       gas.
78593...............  TC............  A               Vent image, 1 proj,         0.00       3.46         NA       0.18       3.64         NA        XXX
                                                       gas.
78594...............  ..............  A               Vent image, mult            0.53       5.17         NA       0.27       5.97         NA        XXX
                                                       proj, gas.
78594...............  26............  A               Vent image, mult            0.53       0.18       0.18       0.02       0.73       0.73        XXX
                                                       proj, gas.
78594...............  TC............  A               Vent image, mult            0.00       4.99         NA       0.25       5.24         NA        XXX
                                                       proj, gas.
78596...............  ..............  A               Lung differential           1.27       7.52         NA       0.43       9.22         NA        XXX
                                                       function.
78596...............  26............  A               Lung differential           1.27       0.42       0.42       0.06       1.75       1.75        XXX
                                                       function.
78596...............  TC............  A               Lung differential           0.00       7.10         NA       0.37       7.47         NA        XXX
                                                       function.
78599...............  ..............  C               Respiratory nuclear         0.00       0.00       0.00       0.00       0.00       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       0.00       0.00       0.00       0.00       0.00        XXX
                                                       exam.
78600...............  ..............  A               Brain imaging, ltd          0.44       3.04         NA       0.16       3.64         NA        XXX
                                                       static.

[[Page 1214]]

 
78600...............  26............  A               Brain imaging, ltd          0.44       0.15       0.15       0.02       0.61       0.61        XXX
                                                       static.
78600...............  TC............  A               Brain imaging, ltd          0.00       2.89         NA       0.14       3.03         NA        XXX
                                                       static.
78601...............  ..............  A               Brain imaging, ltd w/       0.51       3.58         NA       0.20       4.29         NA        XXX
                                                       flow.
78601...............  26............  A               Brain imaging, ltd w/       0.51       0.17       0.17       0.02       0.70       0.70        XXX
                                                       flow.
78601...............  TC............  A               Brain imaging, ltd w/       0.00       3.41         NA       0.18       3.59         NA        XXX
                                                       flow.
78605...............  ..............  A               Brain imaging,              0.53       3.60         NA       0.20       4.33         NA        XXX
                                                       complete.
78605...............  26............  A               Brain imaging,              0.53       0.19       0.19       0.02       0.74       0.74        XXX
                                                       complete.
78605...............  TC............  A               Brain imaging,              0.00       3.41         NA       0.18       3.59         NA        XXX
                                                       complete.
78606...............  ..............  A               Brain imaging, compl        0.64       4.10         NA       0.25       4.99         NA        XXX
                                                       w/flow.
78606...............  26............  A               Brain imaging, compl        0.64       0.22       0.22       0.04       0.90       0.90        XXX
                                                       w/flow.
78606...............  TC............  A               Brain imaging, compl        0.00       3.88         NA       0.21       4.09         NA        XXX
                                                       w/flow.
78607...............  ..............  A               Brain imaging (3D)...       1.23       7.01         NA       0.41       8.65         NA        XXX
78607...............  26............  A               Brain imaging (3D)...       1.23       0.43       0.43       0.06       1.72       1.72        XXX
78607...............  TC............  A               Brain imaging (3D)...       0.00       6.58         NA       0.35       6.93         NA        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          0.30       1.69         NA       0.11       2.10         NA        XXX
                                                       only.
78610...............  26............  A               Brain flow imaging          0.30       0.11       0.11       0.01       0.42       0.42        XXX
                                                       only.
78610...............  TC............  A               Brain flow imaging          0.00       1.58         NA       0.10       1.68         NA        XXX
                                                       only.
78615...............  ..............  A               Cerebral vascular           0.42       4.02         NA       0.23       4.67         NA        XXX
                                                       flow image.
78615...............  26............  A               Cerebral vascular           0.42       0.16       0.16       0.02       0.60       0.60        XXX
                                                       flow image.
78615...............  TC............  A               Cerebral vascular           0.00       3.86         NA       0.21       4.07         NA        XXX
                                                       flow image.
78630...............  ..............  A               Cerebrospinal fluid         0.68       5.28         NA       0.31       6.27         NA        XXX
                                                       scan.
78630...............  26............  A               Cerebrospinal fluid         0.68       0.23       0.23       0.04       0.95       0.95        XXX
                                                       scan.
78630...............  TC............  A               Cerebrospinal fluid         0.00       5.05         NA       0.27       5.32         NA        XXX
                                                       scan.
78635...............  ..............  A               CSF ventriculography.       0.61       2.80         NA       0.16       3.57         NA        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       2.56         NA       0.14       2.70         NA        XXX
78645...............  ..............  A               CSF shunt evaluation.       0.57       3.64         NA       0.20       4.41         NA        XXX
78645...............  26............  A               CSF shunt evaluation.       0.57       0.20       0.20       0.02       0.79       0.79        XXX
78645...............  TC............  A               CSF shunt evaluation.       0.00       3.44         NA       0.18       3.62         NA        XXX
78647...............  ..............  A               Cerebrospinal fluid         0.90       6.25         NA       0.35       7.50         NA        XXX
                                                       scan.
78647...............  26............  A               Cerebrospinal fluid         0.90       0.32       0.32       0.04       1.26       1.26        XXX
                                                       scan.
78647...............  TC............  A               Cerebrospinal fluid         0.00       5.93         NA       0.31       6.24         NA        XXX
                                                       scan.
78650...............  ..............  A               CSF leakage imaging..       0.61       4.87         NA       0.26       5.74         NA        XXX
78650...............  26............  A               CSF leakage imaging..       0.61       0.21       0.21       0.02       0.84       0.84        XXX
78650...............  TC............  A               CSF leakage imaging..       0.00       4.66         NA       0.24       4.90         NA        XXX
78660...............  ..............  A               Nuclear exam of tear        0.53       2.30         NA       0.14       2.97         NA        XXX
                                                       flow.
78660...............  26............  A               Nuclear exam of tear        0.53       0.18       0.18       0.02       0.73       0.73        XXX
                                                       flow.
78660...............  TC............  A               Nuclear exam of tear        0.00       2.12         NA       0.12       2.24         NA        XXX
                                                       flow.
78699...............  ..............  C               Nervous system              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       nuclear exam.
78699...............  26............  C               Nervous system              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       nuclear exam.
78699...............  TC............  C               Nervous system              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       nuclear exam.
78700...............  ..............  A               Kidney imaging,             0.45       3.21         NA       0.18       3.84         NA        XXX
                                                       static.
78700...............  26............  A               Kidney imaging,             0.45       0.15       0.15       0.02       0.62       0.62        XXX
                                                       static.
78700...............  TC............  A               Kidney imaging,             0.00       3.06         NA       0.16       3.22         NA        XXX
                                                       static.
78701...............  ..............  A               Kidney imaging with         0.49       3.74         NA       0.20       4.43         NA        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       3.57         NA       0.18       3.75         NA        XXX
                                                       flow.
78704...............  ..............  A               Imaging renogram.....       0.74       4.22         NA       0.25       5.21         NA        XXX
78704...............  26............  A               Imaging renogram.....       0.74       0.25       0.25       0.04       1.03       1.03        XXX
78704...............  TC............  A               Imaging renogram.....       0.00       3.97         NA       0.21       4.18         NA        XXX
78707...............  ..............  A               Kidney flow/function        0.96       4.81         NA       0.28       6.05         NA        XXX
                                                       image.
78707...............  26............  A               Kidney flow/function        0.96       0.33       0.33       0.05       1.34       1.34        XXX
                                                       image.
78707...............  TC............  A               Kidney flow/function        0.00       4.48         NA       0.23       4.71         NA        XXX
                                                       image.
78708...............  ..............  A               Kidney flow/function        1.21       4.89         NA       0.29       6.39         NA        XXX
                                                       image.
78708...............  26............  A               Kidney flow/function        1.21       0.41       0.41       0.06       1.68       1.68        XXX
                                                       image.
78708...............  TC............  A               Kidney flow/function        0.00       4.48         NA       0.23       4.71         NA        XXX
                                                       image.
78709...............  ..............  A               Kidney flow/function        1.41       4.95         NA       0.30       6.66         NA        XXX
                                                       image.
78709...............  26............  A               Kidney flow/function        1.41       0.47       0.47       0.07       1.95       1.95        XXX
                                                       image.
78709...............  TC............  A               Kidney flow/function        0.00       4.48         NA       0.23       4.71         NA        XXX
                                                       image.
78710...............  ..............  A               Kidney imaging (3D)..       0.66       6.15         NA       0.35       7.16         NA        XXX
78710...............  26............  A               Kidney imaging (3D)..       0.66       0.22       0.22       0.04       0.92       0.92        XXX
78710...............  TC............  A               Kidney imaging (3D)..       0.00       5.93         NA       0.31       6.24         NA        XXX
78715...............  ..............  A               Renal vascular flow         0.30       1.69         NA       0.11       2.10         NA        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       1.58         NA       0.10       1.68         NA        XXX
                                                       exam.
78725...............  ..............  A               Kidney function study       0.38       1.92         NA       0.12       2.42         NA        XXX
78725...............  26............  A               Kidney function study       0.38       0.13       0.13       0.01       0.52       0.52        XXX
78725...............  TC............  A               Kidney function study       0.00       1.79         NA       0.11       1.90         NA        XXX
78730...............  ..............  A               Urinary bladder             0.36       1.59         NA       0.10       2.05         NA        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       1.46         NA       0.08       1.54         NA        XXX
                                                       retention.
78740...............  ..............  A               Ureteral reflux study       0.57       2.31         NA       0.14       3.02         NA        XXX
78740...............  26............  A               Ureteral reflux study       0.57       0.19       0.19       0.02       0.78       0.78        XXX

[[Page 1215]]

 
78740...............  TC............  A               Ureteral reflux study       0.00       2.12         NA       0.12       2.24         NA        XXX
78760...............  ..............  A               Testicular imaging...       0.66       2.90         NA       0.18       3.74         NA        XXX
78760...............  26............  A               Testicular imaging...       0.66       0.22       0.22       0.04       0.92       0.92        XXX
78760...............  TC............  A               Testicular imaging...       0.00       2.68         NA       0.14       2.82         NA        XXX
78761...............  ..............  A               Testicular imaging/         0.71       3.45         NA       0.21       4.37         NA        XXX
                                                       flow.
78761...............  26............  A               Testicular imaging/         0.71       0.24       0.24       0.04       0.99       0.99        XXX
                                                       flow.
78761...............  TC............  A               Testicular imaging/         0.00       3.21         NA       0.17       3.38         NA        XXX
                                                       flow.
78799...............  ..............  C               Genitourinary nuclear       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       exam.
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       0.00       0.00       0.00       0.00       0.00        XXX
                                                       exam.
78800...............  ..............  A               Tumor imaging,              0.66       3.63         NA       0.22       4.51         NA        XXX
                                                       limited area.
78800...............  26............  A               Tumor imaging,              0.66       0.22       0.22       0.04       0.92       0.92        XXX
                                                       limited area.
78800...............  TC............  A               Tumor imaging,              0.00       3.41         NA       0.18       3.59         NA        XXX
                                                       limited area.
78801...............  ..............  A               Tumor imaging, mult         0.79       4.51         NA       0.26       5.56         NA        XXX
                                                       areas.
78801...............  26............  A               Tumor imaging, mult         0.79       0.27       0.27       0.04       1.10       1.10        XXX
                                                       areas.
78801...............  TC............  A               Tumor imaging, mult         0.00       4.24         NA       0.22       4.46         NA        XXX
                                                       areas.
78802...............  ..............  A               Tumor imaging, whole        0.86       5.85         NA       0.34       7.05         NA        XXX
                                                       body.
78802...............  26............  A               Tumor imaging, whole        0.86       0.30       0.30       0.04       1.20       1.20        XXX
                                                       body.
78802...............  TC............  A               Tumor imaging, whole        0.00       5.55         NA       0.30       5.85         NA        XXX
                                                       body.
78803...............  ..............  A               Tumor imaging (3D)...       1.09       6.96         NA       0.40       8.45         NA        XXX
78803...............  26............  A               Tumor imaging (3D)...       1.09       0.38       0.38       0.05       1.52       1.52        XXX
78803...............  TC............  A               Tumor imaging (3D)...       0.00       6.58         NA       0.35       6.93         NA        XXX
78804...............  ..............  A               Tumor imaging, whole        1.07       4.66         NA       0.34       6.07         NA        XXX
                                                       body.
78804...............  26............  A               Tumor imaging, whole        1.07       0.37       0.37       0.04       1.48       1.48        XXX
                                                       body.
78804...............  TC............  A               Tumor imaging, whole        0.00       4.29         NA       0.30       4.59         NA        XXX
                                                       body.
78805...............  ..............  A               Abscess imaging, ltd        0.73       3.66         NA       0.22       4.61         NA        XXX
                                                       area.
78805...............  26............  A               Abscess imaging, ltd        0.73       0.25       0.25       0.04       1.02       1.02        XXX
                                                       area.
78805...............  TC............  A               Abscess imaging, ltd        0.00       3.41         NA       0.18       3.59         NA        XXX
                                                       area.
78806...............  ..............  A               Abscess imaging,            0.86       6.75         NA       0.39       8.00         NA        XXX
                                                       whole body.
78806...............  26............  A               Abscess imaging,            0.86       0.30       0.30       0.04       1.20       1.20        XXX
                                                       whole body.
78806...............  TC............  A               Abscess imaging,            0.00       6.45         NA       0.35       6.80         NA        XXX
                                                       whole body.
78807...............  ..............  A               Nuclear localization/       1.09       6.97         NA       0.40       8.46         NA        XXX
                                                       abscess.
78807...............  26............  A               Nuclear localization/       1.09       0.39       0.39       0.05       1.53       1.53        XXX
                                                       abscess.
78807...............  TC............  A               Nuclear localization/       0.00       6.58         NA       0.35       6.93         NA        XXX
                                                       abscess.
78810...............  ..............  N               Tumor imaging (PET)..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
78810...............  26............  N               Tumor imaging (PET)..      +1.93       0.74       0.74       0.11       2.78       2.78        XXX
78810...............  TC............  N               Tumor imaging (PET)..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
78890...............  ..............  B               Nuclear medicine data      +0.05       1.33         NA       0.07       1.45         NA        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       1.31         NA       0.06       1.37         NA        XXX
                                                       proc.
78891...............  ..............  B               Nuclear med data proc      +0.10       2.66         NA       0.14       2.90         NA        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       2.62         NA       0.13       2.75         NA        XXX
78990...............  ..............  I               Provide diag                0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       radionuclide(s).
78999...............  ..............  C               Nuclear diagnostic          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       exam.
78999...............  26............  C               Nuclear diagnostic          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       exam.
78999...............  TC............  C               Nuclear diagnostic          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       exam.
79000...............  ..............  A               Init hyperthyroid           1.80       3.22         NA       0.22       5.24         NA        XXX
                                                       therapy.
79000...............  26............  A               Init hyperthyroid           1.80       0.60       0.60       0.08       2.48       2.48        XXX
                                                       therapy.
79000...............  TC............  A               Init hyperthyroid           0.00       2.62         NA       0.14       2.76         NA        XXX
                                                       therapy.
79001...............  ..............  A               Repeat hyperthyroid         1.05       1.67         NA       0.12       2.84         NA        XXX
                                                       therapy.
79001...............  26............  A               Repeat hyperthyroid         1.05       0.36       0.36       0.05       1.46       1.46        XXX
                                                       therapy.
79001...............  TC............  A               Repeat hyperthyroid         0.00       1.31         NA       0.07       1.38         NA        XXX
                                                       therapy.
79020...............  ..............  A               Thyroid ablation.....       1.81       3.22         NA       0.22       5.25         NA        XXX
79020...............  26............  A               Thyroid ablation.....       1.81       0.60       0.60       0.08       2.49       2.49        XXX
79020...............  TC............  A               Thyroid ablation.....       0.00       2.62         NA       0.14       2.76         NA        XXX
79030...............  ..............  A               Thyroid ablation,           2.10       3.33         NA       0.24       5.67         NA        XXX
                                                       carcinoma.
79030...............  26............  A               Thyroid ablation,           2.10       0.71       0.71       0.10       2.91       2.91        XXX
                                                       carcinoma.
79030...............  TC............  A               Thyroid ablation,           0.00       2.62         NA       0.14       2.76         NA        XXX
                                                       carcinoma.
79035...............  ..............  A               Thyroid metastatic          2.52       3.50         NA       0.25       6.27         NA        XXX
                                                       therapy.
79035...............  26............  A               Thyroid metastatic          2.52       0.88       0.88       0.11       3.51       3.51        XXX
                                                       therapy.
79035...............  TC............  A               Thyroid metastatic          0.00       2.62         NA       0.14       2.76         NA        XXX
                                                       therapy.
79100...............  ..............  A               Hematopoetic nuclear        1.32       3.08         NA       0.20       4.60         NA        XXX
                                                       therapy.
79100...............  26............  A               Hematopoetic nuclear        1.32       0.46       0.46       0.06       1.84       1.84        XXX
                                                       therapy.
79100...............  TC............  A               Hematopoetic nuclear        0.00       2.62         NA       0.14       2.76         NA        XXX
                                                       therapy.
79200...............  ..............  A               Intracavitary nuclear       1.99       3.31         NA       0.22       5.52         NA        XXX
                                                       trmt.
79200...............  26............  A               Intracavitary nuclear       1.99       0.69       0.69       0.08       2.76       2.76        XXX
                                                       trmt.
79200...............  TC............  A               Intracavitary nuclear       0.00       2.62         NA       0.14       2.76         NA        XXX
                                                       trmt.
79300...............  ..............  C               Interstitial nuclear        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       therapy.
79300...............  26............  A               Interstitial nuclear        1.60       0.56       0.56       0.08       2.24       2.24        XXX
                                                       therapy.
79300...............  TC............  C               Interstitial nuclear        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       therapy.
79400...............  ..............  A               Nonhemato nuclear           1.96       3.29         NA       0.24       5.49         NA        XXX
                                                       therapy.
79400...............  26............  A               Nonhemato nuclear           1.96       0.67       0.67       0.10       2.73       2.73        XXX
                                                       therapy.
79400...............  TC............  A               Nonhemato nuclear           0.00       2.62         NA       0.14       2.76         NA        XXX
                                                       therapy.
79403...............  ..............  A               Hematopoetic nuclear        2.25       5.19         NA       0.24       7.68         NA        XXX
                                                       therapy.

[[Page 1216]]

 
79403...............  26............  A               Hematopoetic nuclear        2.25       0.90       0.90       0.10       3.25       3.25        XXX
                                                       therapy.
79403...............  TC............  A               Hematopoetic nuclear        0.00       4.29         NA       0.14       4.43         NA        XXX
                                                       therapy.
79420...............  ..............  C               Intravascular nuclear       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ther.
79420...............  26............  A               Intravascular nuclear       1.51       0.49       0.49       0.07       2.07       2.07        XXX
                                                       ther.
79420...............  TC............  C               Intravascular nuclear       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ther.
79440...............  ..............  A               Nuclear joint therapy       1.99       3.34         NA       0.24       5.57         NA        XXX
79440...............  26............  A               Nuclear joint therapy       1.99       0.72       0.72       0.10       2.81       2.81        XXX
79440...............  TC............  A               Nuclear joint therapy       0.00       2.62         NA       0.14       2.76         NA        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       0.00       0.00       0.00       0.00       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       0.00       0.00       0.00       0.00       0.00        XXX
                                                       therapy.
80500...............  ..............  A               Lab pathology               0.37       0.22       0.16       0.01       0.60       0.54        XXX
                                                       consultation.
80502...............  ..............  A               Lab pathology               1.33       0.62       0.58       0.06       2.01       1.97        XXX
                                                       consultation.
83020...............  26............  A               Hemoglobin                  0.37       0.16       0.16       0.01       0.54       0.54        XXX
                                                       electrophoresis.
83912...............  26............  A               Genetic examination..       0.37       0.15       0.15       0.01       0.53       0.53        XXX
84165...............  26............  A               Electrophoreisis of         0.37       0.16       0.16       0.01       0.54       0.54        XXX
                                                       proteins.
84181...............  26............  A               Western blot test....       0.37       0.14       0.14       0.01       0.52       0.52        XXX
84182...............  26............  A               Protein, western blot       0.37       0.17       0.16       0.01       0.55       0.54        XXX
                                                       test.
85060...............  ..............  A               Blood smear                 0.45       0.20       0.20       0.02       0.67       0.67        XXX
                                                       interpretation.
85097...............  ..............  A               Bone marrow                 0.94       1.75       0.41       0.04       2.73       1.39        XXX
                                                       interpretation.
85390...............  26............  A               Fibrinolysins screen.       0.37       0.15       0.15       0.01       0.53       0.53        XXX
85396...............  ..............  A               Clotting assay, whole       0.37         NA       0.17       0.04         NA       0.58        XXX
                                                       blood.
85576...............  26............  A               Blood platelet              0.37       0.17       0.16       0.01       0.55       0.54        XXX
                                                       aggregation.
86077...............  ..............  A               Physician blood bank        0.94       0.46       0.41       0.04       1.44       1.39        XXX
                                                       service.
86078...............  ..............  A               Physician blood bank        0.94       0.49       0.40       0.04       1.47       1.38        XXX
                                                       service.
86079...............  ..............  A               Physician blood bank        0.94       0.49       0.41       0.04       1.47       1.39        XXX
                                                       service.
86255...............  26............  A               Fluorescent antibody,       0.37       0.17       0.16       0.01       0.55       0.54        XXX
                                                       screen.
86256...............  26............  A               Fluorescent antibody,       0.37       0.16       0.16       0.01       0.54       0.54        XXX
                                                       titer.
86320...............  26............  A               Serum                       0.37       0.16       0.16       0.01       0.54       0.54        XXX
                                                       immunoelectrophoresi
                                                       s.
86325...............  26............  A               Other                       0.37       0.16       0.16       0.01       0.54       0.54        XXX
                                                       immunoelectrophoresi
                                                       s.
86327...............  26............  A               Immunoelectrophoresis       0.42       0.19       0.19       0.01       0.62       0.62        XXX
                                                       assay.
86334...............  26............  A               Immunofixation              0.37       0.16       0.16       0.01       0.54       0.54        XXX
                                                       procedure.
86485...............  ..............  C               Skin test, candida...       0.00       0.00       0.00       0.00       0.00       0.00        XXX
86490...............  ..............  A               Coccidioidomycosis          0.00       0.29         NA       0.02       0.31         NA        XXX
                                                       skin test.
86510...............  ..............  A               Histoplasmosis skin         0.00       0.32         NA       0.02       0.34         NA        XXX
                                                       test.
86580...............  ..............  A               TB intradermal test..       0.00       0.26         NA       0.02       0.28         NA        XXX
86585...............  ..............  A               TB tine test.........       0.00       0.21         NA       0.01       0.22         NA        XXX
86586...............  ..............  C               Skin test, unlisted..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
87164...............  26............  A               Dark field                  0.37       0.12       0.12       0.01       0.50       0.50        XXX
                                                       examination.
87207...............  26............  A               Smear, special stain.       0.37       0.17       0.16       0.01       0.55       0.54        XXX
88104...............  ..............  A               Cytopathology, fluids       0.56       0.75         NA       0.04       1.35         NA        XXX
88104...............  26............  A               Cytopathology, fluids       0.56       0.25       0.25       0.02       0.83       0.83        XXX
88104...............  TC............  A               Cytopathology, fluids       0.00       0.50         NA       0.02       0.52         NA        XXX
88106...............  ..............  A               Cytopathology, fluids       0.56       0.62         NA       0.04       1.22         NA        XXX
88106...............  26............  A               Cytopathology, fluids       0.56       0.25       0.25       0.02       0.83       0.83        XXX
88106...............  TC............  A               Cytopathology, fluids       0.00       0.37         NA       0.02       0.39         NA        XXX
88107...............  ..............  A               Cytopathology, fluids       0.76       0.98         NA       0.06       1.80         NA        XXX
88107...............  26............  A               Cytopathology, fluids       0.76       0.34       0.34       0.04       1.14       1.14        XXX
88107...............  TC............  A               Cytopathology, fluids       0.00       0.64         NA       0.02       0.66         NA        XXX
88108...............  ..............  A               Cytopath, concentrate       0.56       0.81         NA       0.04       1.41         NA        XXX
                                                       tech.
88108...............  26............  A               Cytopath, concentrate       0.56       0.25       0.25       0.02       0.83       0.83        XXX
                                                       tech.
88108...............  TC............  A               Cytopath, concentrate       0.00       0.56         NA       0.02       0.58         NA        XXX
                                                       tech.
88112...............  ..............  A               Cytopath, cell              1.18       1.98         NA       0.08       3.24         NA        XXX
                                                       enhance tech.
88112...............  26............  A               Cytopath, cell              1.18       0.51       0.51       0.06       1.75       1.75        XXX
                                                       enhance tech.
88112...............  TC............  A               Cytopath, cell              0.00       1.47         NA       0.02       1.49         NA        XXX
                                                       enhance tech.
88125...............  ..............  A               Forensic                    0.26       0.26         NA       0.02       0.54         NA        XXX
                                                       cytopathology.
88125...............  26............  A               Forensic                    0.26       0.12       0.12       0.01       0.39       0.39        XXX
                                                       cytopathology.
88125...............  TC............  A               Forensic                    0.00       0.14         NA       0.01       0.15         NA        XXX
                                                       cytopathology.
88141...............  ..............  A               Cytopath, c/v,              0.42       0.18       0.18       0.01       0.61       0.61        XXX
                                                       interpret.
88160...............  ..............  A               Cytopath smear, other       0.50       0.92         NA       0.04       1.46         NA        XXX
                                                       source.
88160...............  26............  A               Cytopath smear, other       0.50       0.22       0.22       0.02       0.74       0.74        XXX
                                                       source.
88160...............  TC............  A               Cytopath smear, other       0.00       0.70         NA       0.02       0.72         NA        XXX
                                                       source.
88161...............  ..............  A               Cytopath smear, other       0.50       0.88         NA       0.04       1.42         NA        XXX
                                                       source.
88161...............  26............  A               Cytopath smear, other       0.50       0.22       0.22       0.02       0.74       0.74        XXX
                                                       source.
88161...............  TC............  A               Cytopath smear, other       0.00       0.66         NA       0.02       0.68         NA        XXX
                                                       source.
88162...............  ..............  A               Cytopath smear, other       0.76       0.68         NA       0.06       1.50         NA        XXX
                                                       source.
88162...............  26............  A               Cytopath smear, other       0.76       0.34       0.34       0.04       1.14       1.14        XXX
                                                       source.
88162...............  TC............  A               Cytopath smear, other       0.00       0.34         NA       0.02       0.36         NA        XXX
                                                       source.
88172...............  ..............  A               Cytopathology eval of       0.60       0.66         NA       0.04       1.30         NA        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       0.39         NA       0.02       0.41         NA        XXX
                                                       fna.
88173...............  ..............  A               Cytopath eval, fna,         1.39       1.75         NA       0.08       3.22         NA        XXX
                                                       report.
88173...............  26............  A               Cytopath eval, fna,         1.39       0.60       0.60       0.06       2.05       2.05        XXX
                                                       report.
88173...............  TC............  A               Cytopath eval, fna,         0.00       1.15         NA       0.02       1.17         NA        XXX
                                                       report.

[[Page 1217]]

 
88180...............  ..............  A               Cell marker study....       0.36       1.43         NA       0.03       1.82         NA        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       1.27         NA       0.02       1.29         NA        XXX
88182...............  ..............  A               Cell marker study....       0.77       1.59         NA       0.08       2.44         NA        XXX
88182...............  26............  A               Cell marker study....       0.77       0.34       0.34       0.04       1.15       1.15        XXX
88182...............  TC............  A               Cell marker study....       0.00       1.25         NA       0.04       1.29         NA        XXX
88199...............  ..............  C               Cytopathology               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
88199...............  26............  C               Cytopathology               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
88199...............  TC............  C               Cytopathology               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
88291...............  ..............  A               Cyto/molecular report       0.52       0.28       0.28       0.02       0.82       0.82        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       0.28         NA       0.02       0.38         NA        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       0.24         NA       0.01       0.25         NA        XXX
88302...............  ..............  A               Tissue exam by              0.13       0.69         NA       0.03       0.85         NA        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       0.63         NA       0.02       0.65         NA        XXX
                                                       pathologist.
88304...............  ..............  A               Tissue exam by              0.22       0.87         NA       0.03       1.12         NA        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       0.77         NA       0.02       0.79         NA        XXX
                                                       pathologist.
88305...............  ..............  A               Tissue exam by              0.75       1.74         NA       0.06       2.55         NA        XXX
                                                       pathologist.
88305...............  26............  A               Tissue exam by              0.75       0.34       0.34       0.02       1.11       1.11        XXX
                                                       pathologist.
88305...............  TC............  A               Tissue exam by              0.00       1.40         NA       0.04       1.44         NA        XXX
                                                       pathologist.
88307...............  ..............  A               Tissue exam by              1.59       2.65         NA       0.13       4.37         NA        XXX
                                                       pathologist.
88307...............  26............  A               Tissue exam by              1.59       0.69       0.69       0.07       2.35       2.35        XXX
                                                       pathologist.
88307...............  TC............  A               Tissue exam by              0.00       1.96         NA       0.06       2.02         NA        XXX
                                                       pathologist.
88309...............  ..............  A               Tissue exam by              2.28       3.25         NA       0.16       5.69         NA        XXX
                                                       pathologist.
88309...............  26............  A               Tissue exam by              2.28       1.00       1.00       0.10       3.38       3.38        XXX
                                                       pathologist.
88309...............  TC............  A               Tissue exam by              0.00       2.25         NA       0.06       2.31         NA        XXX
                                                       pathologist.
88311...............  ..............  A               Decalcify tissue.....       0.24       0.20         NA       0.02       0.46         NA        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       0.09         NA       0.01       0.10         NA        XXX
88312...............  ..............  A               Special stains.......       0.54       1.35         NA       0.03       1.92         NA        XXX
88312...............  26............  A               Special stains.......       0.54       0.24       0.24       0.02       0.80       0.80        XXX
88312...............  TC............  A               Special stains.......       0.00       1.11         NA       0.01       1.12         NA        XXX
88313...............  ..............  A               Special stains.......       0.24       1.09         NA       0.02       1.35         NA        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       0.98         NA       0.01       0.99         NA        XXX
88314...............  ..............  A               Histochemical stain..       0.45       0.89         NA       0.04       1.38         NA        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       0.69         NA       0.02       0.71         NA        XXX
88318...............  ..............  A               Chemical                    0.42       0.80         NA       0.02       1.24         NA        XXX
                                                       histochemistry.
88318...............  26............  A               Chemical                    0.42       0.19       0.19       0.01       0.62       0.62        XXX
                                                       histochemistry.
88318...............  TC............  A               Chemical                    0.00       0.61         NA       0.01       0.62         NA        XXX
                                                       histochemistry.
88319...............  ..............  A               Enzyme histochemistry       0.53       1.89         NA       0.04       2.46         NA        XXX
88319...............  26............  A               Enzyme histochemistry       0.53       0.23       0.23       0.02       0.78       0.78        XXX
88319...............  TC............  A               Enzyme histochemistry       0.00       1.66         NA       0.02       1.68         NA        XXX
88321...............  ..............  A               Microslide                  1.30       0.82       0.56       0.05       2.17       1.91        XXX
                                                       consultation.
88323...............  ..............  A               Microslide                  1.35       1.44         NA       0.08       2.87         NA        XXX
                                                       consultation.
88323...............  26............  A               Microslide                  1.35       0.59       0.59       0.06       2.00       2.00        XXX
                                                       consultation.
88323...............  TC............  A               Microslide                  0.00       0.85         NA       0.02       0.87         NA        XXX
                                                       consultation.
88325...............  ..............  A               Comprehensive review        2.22       2.90       0.97       0.10       5.22       3.29        XXX
                                                       of data.
88329...............  ..............  A               Path consult introp..       0.67       0.63       0.30       0.02       1.32       0.99        XXX
88331...............  ..............  A               Path consult intraop,       1.19       0.98         NA       0.09       2.26         NA        XXX
                                                       1 bloc.
88331...............  26............  A               Path consult intraop,       1.19       0.52       0.52       0.05       1.76       1.76        XXX
                                                       1 bloc.
88331...............  TC............  A               Path consult intraop,       0.00       0.46         NA       0.04       0.50         NA        XXX
                                                       1 bloc.
88332...............  ..............  A               Path consult intraop,       0.59       0.50         NA       0.04       1.13         NA        XXX
                                                       add'l.
88332...............  26............  A               Path consult intraop,       0.59       0.26       0.26       0.02       0.87       0.87        XXX
                                                       add'l.
88332...............  TC............  A               Path consult intraop,       0.00       0.24         NA       0.02       0.26         NA        XXX
                                                       add'l.
88342...............  ..............  A               Immunohistochemistry.       0.85       1.35         NA       0.06       2.26         NA        XXX
88342...............  26............  A               Immunohistochemistry.       0.85       0.37       0.37       0.04       1.26       1.26        XXX
88342...............  TC............  A               Immunohistochemistry.       0.00       0.98         NA       0.02       1.00         NA        XXX
88346...............  ..............  A               Immunofluorescent           0.86       1.44         NA       0.06       2.36         NA        XXX
                                                       study.
88346...............  26............  A               Immunofluorescent           0.86       0.37       0.37       0.04       1.27       1.27        XXX
                                                       study.
88346...............  TC............  A               Immunofluorescent           0.00       1.07         NA       0.02       1.09         NA        XXX
                                                       study.
88347...............  ..............  A               Immunofluorescent           0.86       1.76         NA       0.06       2.68         NA        XXX
                                                       study.
88347...............  26............  A               Immunofluorescent           0.86       0.36       0.36       0.04       1.26       1.26        XXX
                                                       study.
88347...............  TC............  A               Immunofluorescent           0.00       1.40         NA       0.02       1.42         NA        XXX
                                                       study.
88348...............  ..............  A               Electron microscopy..       1.51       8.47         NA       0.13      10.11         NA        XXX
88348...............  26............  A               Electron microscopy..       1.51       0.65       0.65       0.06       2.22       2.22        XXX
88348...............  TC............  A               Electron microscopy..       0.00       7.82         NA       0.07       7.89         NA        XXX
88349...............  ..............  A               Scanning electron           0.76       9.99         NA       0.10      10.85         NA        XXX
                                                       microscopy.
88349...............  26............  A               Scanning electron           0.76       0.34       0.34       0.04       1.14       1.14        XXX
                                                       microscopy.
88349...............  TC............  A               Scanning electron           0.00       9.65         NA       0.06       9.71         NA        XXX
                                                       microscopy.
88355...............  ..............  A               Analysis, skeletal          1.85       2.60         NA       0.14       4.59         NA        XXX
                                                       muscle.

[[Page 1218]]

 
88355...............  26............  A               Analysis, skeletal          1.85       0.80       0.80       0.08       2.73       2.73        XXX
                                                       muscle.
88355...............  TC............  A               Analysis, skeletal          0.00       1.80         NA       0.06       1.86         NA        XXX
                                                       muscle.
88356...............  ..............  A               Analysis, nerve......       3.02       2.87         NA       0.19       6.08         NA        XXX
88356...............  26............  A               Analysis, nerve......       3.02       1.27       1.27       0.12       4.41       4.41        XXX
88356...............  TC............  A               Analysis, nerve......       0.00       1.60         NA       0.07       1.67         NA        XXX
88358...............  ..............  A               Analysis, tumor......       0.95       1.38         NA       0.19       2.52         NA        XXX
88358...............  26............  A               Analysis, tumor......       0.95       1.23       1.23       0.12       2.30       2.30        XXX
88358...............  TC............  A               Analysis, tumor......       0.00       0.15         NA       0.07       0.22         NA        XXX
88361...............  ..............  A               Immunohistochemistry,       0.94       2.59         NA       0.19       3.72         NA        XXX
                                                       tumor.
88361...............  26............  A               Immunohistochemistry,       0.94       0.41       0.41       0.12       1.47       1.47        XXX
                                                       tumor.
88361...............  TC............  A               Immunohistochemistry,       0.00       2.18         NA       0.07       2.25         NA        XXX
                                                       tumor.
88362...............  ..............  A               Nerve teasing               2.17       4.40         NA       0.14       6.71         NA        XXX
                                                       preparations.
88362...............  26............  A               Nerve teasing               2.17       0.93       0.93       0.08       3.18       3.18        XXX
                                                       preparations.
88362...............  TC............  A               Nerve teasing               0.00       3.47         NA       0.06       3.53         NA        XXX
                                                       preparations.
88365...............  ..............  A               Tissue hybridization.       0.93       2.21         NA       0.06       3.20         NA        XXX
88365...............  26............  A               Tissue hybridization.       0.93       0.41       0.41       0.04       1.38       1.38        XXX
88365...............  TC............  A               Tissue hybridization.       0.00       1.80         NA       0.02       1.82         NA        XXX
88371...............  26............  A               Protein, western blot       0.37       0.13       0.13       0.01       0.51       0.51        XXX
                                                       tissue.
88372...............  26............  A               Protein analysis w/         0.37       0.17       0.17       0.01       0.55       0.55        XXX
                                                       probe.
88380...............  ..............  C               Microdissection......       0.00       0.00       0.00       0.00       0.00       0.00        XXX
88380...............  26............  C               Microdissection......       0.00       0.00       0.00       0.00       0.00       0.00        XXX
88380...............  TC............  C               Microdissection......       0.00       0.00       0.00       0.00       0.00       0.00        XXX
88399...............  ..............  C               Surgical pathology          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
88399...............  26............  C               Surgical pathology          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
88399...............  TC............  C               Surgical pathology          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
89060...............  26............  A               Exam,synovial fluid         0.37       0.17       0.16       0.01       0.55       0.54        XXX
                                                       crystals.
89100...............  ..............  A               Sample intestinal           0.60       1.60       0.22       0.02       2.22       0.84        XXX
                                                       contents.
89105...............  ..............  A               Sample intestinal           0.50       2.24       0.17       0.02       2.76       0.69        XXX
                                                       contents.
89130...............  ..............  A               Sample stomach              0.45       1.74       0.13       0.02       2.21       0.60        XXX
                                                       contents.
89132...............  ..............  A               Sample stomach              0.19       1.48       0.06       0.01       1.68       0.26        XXX
                                                       contents.
89135...............  ..............  A               Sample stomach              0.79       1.59       0.25       0.04       2.42       1.08        XXX
                                                       contents.
89136...............  ..............  A               Sample stomach              0.21       1.60       0.09       0.01       1.82       0.31        XXX
                                                       contents.
89140...............  ..............  A               Sample stomach              0.94       2.06       0.28       0.04       3.04       1.26        XXX
                                                       contents.
89141...............  ..............  A               Sample stomach              0.85       2.72       0.34       0.04       3.61       1.23        XXX
                                                       contents.
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
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             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       treated.
90378...............  ..............  X               Rsv ig, im, 50mg.....       0.00       0.00       0.00       0.00       0.00       0.00        XXX
90379...............  ..............  I               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...............  ..............  I               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,        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       im.
90399...............  ..............  I               Immune globulin......       0.00       0.00       0.00       0.00       0.00       0.00        XXX
90471...............  ..............  A               Immunization admin...       0.00       0.21         NA       0.01       0.22         NA        XXX
90472...............  ..............  A               Immunization admin,         0.00       0.14         NA       0.01       0.15         NA        ZZZ
                                                       each add.
90473...............  ..............  N               Immune admin oral/          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       nasal.
90474...............  ..............  N               Immune admin oral/          0.00       0.00       0.00       0.00       0.00       0.00        ZZZ
                                                       nasal addl.
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        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       im.
90633...............  ..............  E               Hep a vacc, ped/adol,       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       2 dose.
90634...............  ..............  E               Hep a vacc, ped/adol,       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       3 dose.
90636...............  ..............  E               Hep a/hep b vacc,           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       adult 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,         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       im.
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,         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       im.
90655...............  ..............  X               Flu vaccine, 6-35 mo,       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       im.
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,         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       im.
90659...............  ..............  D               Flu vaccine, whole,         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       im.
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.

[[Page 1219]]

 
90669...............  ..............  N               Pneumococcal vacc,          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ped <5.
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,          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       oral.
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.
90698...............  ..............  E               Dtap-hib-ip vaccine,        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       im.
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.
90710...............  ..............  E               Mmrv vaccine, sc.....       0.00       0.00       0.00       0.00       0.00       0.00        XXX
90712...............  ..............  E               Oral poliovirus             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       vaccine.
90713...............  ..............  E               Poliovirus, ipv, sc..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
90715...............  ..............  E               Tdap vaccine 7 im.
90716...............  ..............  E               Chicken pox vaccine,        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       sc.
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.
90719...............  ..............  E               Diphtheria vaccine,         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       im.
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...............  ..............  I               Dtap-hep b-ipv              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       vaccine, 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 vaccine.       0.00       0.00       0.00       0.00       0.00       0.00        XXX
90733...............  ..............  E               Meningococcal               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       vaccine, sc.
90734...............  ..............  E               Meningococcal               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       vaccine, im.
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...............  ..............  I               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,        0.17       2.15         NA       0.07       2.39         NA        XXX
                                                       1 hour.
90781...............  ..............  A               IV infusion,                0.17       0.46         NA       0.04       0.67         NA        ZZZ
                                                       additional hour.
90782...............  ..............  T               Injection, sc/im.....       0.17       0.32         NA       0.01       0.50         NA        XXX
90783...............  ..............  T               Injection, ia........       0.17       0.32         NA       0.02       0.51         NA        XXX
90784...............  ..............  T               Injection, iv........       0.17       0.80         NA       0.04       1.01         NA        XXX
90788...............  ..............  T               Injection of                0.17       0.27         NA       0.01       0.45         NA        XXX
                                                       antibiotic.
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       1.17       0.94       0.07       4.04       3.81        XXX
90802...............  ..............  A               Intac psy dx                3.01       1.20       0.98       0.08       4.29       4.07        XXX
                                                       interview.
90804...............  ..............  A               Psytx, office, 20-30        1.21       0.49       0.38       0.04       1.74       1.63        XXX
                                                       min.
90805...............  ..............  A               Psytx, off, 20-30 min       1.37       0.50       0.42       0.04       1.91       1.83        XXX
                                                       w/e&m.
90806...............  ..............  A               Psytx, off, 45-50 min       1.86       0.70       0.60       0.05       2.61       2.51        XXX
90807...............  ..............  A               Psytx, off, 45-50 min       2.02       0.70       0.63       0.06       2.78       2.71        XXX
                                                       w/e&m.
90808...............  ..............  A               Psytx, office, 75-80        2.79       1.03       0.91       0.08       3.90       3.78        XXX
                                                       min.
90809...............  ..............  A               Psytx, off, 75-80, w/       2.95       1.00       0.92       0.08       4.03       3.95        XXX
                                                       e&m.
90810...............  ..............  A               Intac psytx, off, 20-       1.32       0.50       0.42       0.04       1.86       1.78        XXX
                                                       30 min.
90811...............  ..............  A               Intac psytx, 20-30, w/      1.48       0.57       0.46       0.04       2.09       1.98        XXX
                                                       e&m.
90812...............  ..............  A               Intac psytx, off, 45-       1.97       0.79       0.64       0.06       2.82       2.67        XXX
                                                       50 min.
90813...............  ..............  A               Intac psytx, 45-50          2.13       0.77       0.67       0.06       2.96       2.86        XXX
                                                       min w/e&m.
90814...............  ..............  A               Intac psytx, off, 75-       2.90       1.11       0.99       0.08       4.09       3.97        XXX
                                                       80 min.
90815...............  ..............  A               Intac psytx, 75-80 w/       3.06       1.05       0.95       0.08       4.19       4.09        XXX
                                                       e&m.
90816...............  ..............  A               Psytx, hosp, 20-30          1.25         NA       0.46       0.04         NA       1.75        XXX
                                                       min.
90817...............  ..............  A               Psytx, hosp, 20-30          1.41         NA       0.45       0.04         NA       1.90        XXX
                                                       min w/e&m.
90818...............  ..............  A               Psytx, hosp, 45-50          1.89         NA       0.69       0.05         NA       2.63        XXX
                                                       min.
90819...............  ..............  A               Psytx, hosp, 45-50          2.05         NA       0.65       0.06         NA       2.76        XXX
                                                       min w/e&m.
90821...............  ..............  A               Psytx, hosp, 75-80          2.83         NA       1.01       0.07         NA       3.91        XXX
                                                       min.
90822...............  ..............  A               Psytx, hosp, 75-80          2.99         NA       0.95       0.08         NA       4.02        XXX
                                                       min w/e&m.
90823...............  ..............  A               Intac psytx, hosp, 20-      1.36         NA       0.48       0.04         NA       1.88        XXX
                                                       30 min.
90824...............  ..............  A               Intac psytx, hsp 20-        1.52         NA       0.49       0.04         NA       2.05        XXX
                                                       30 w/e&m.
90826...............  ..............  A               Intac psytx, hosp, 45-      2.01         NA       0.73       0.05         NA       2.79        XXX
                                                       50 min.
90827...............  ..............  A               Intac psytx, hsp 45-        2.16         NA       0.69       0.06         NA       2.91        XXX
                                                       50 w/e&m.
90828...............  ..............  A               Intac psytx, hosp, 75-      2.94         NA       1.07       0.08         NA       4.09        XXX
                                                       80 min.
90829...............  ..............  A               Intac psytx, hsp 75-        3.10         NA       0.99       0.08         NA       4.17        XXX
                                                       80 w/e&m.

[[Page 1220]]

 
90845...............  ..............  A               Psychoanalysis.......       1.79       0.58       0.55       0.05       2.42       2.39        XXX
90846...............  ..............  R               Family psytx w/o            1.83       0.65       0.65       0.05       2.53       2.53        XXX
                                                       patient.
90847...............  ..............  R               Family psytx w/             2.21       0.82       0.76       0.06       3.09       3.03        XXX
                                                       patient.
90849...............  ..............  R               Multiple family group       0.59       0.27       0.24       0.01       0.87       0.84        XXX
                                                       psytx.
90853...............  ..............  A               Group psychotherapy..       0.59       0.25       0.23       0.01       0.85       0.83        XXX
90857...............  ..............  A               Intac group psytx....       0.63       0.30       0.26       0.02       0.95       0.91        XXX
90862...............  ..............  A               Medication management       0.95       0.40       0.32       0.02       1.37       1.29        XXX
90865...............  ..............  A               Narcosynthesis.......       2.84       1.59       0.89       0.08       4.51       3.81        XXX
90870...............  ..............  A               Electroconvulsive           1.88       0.79       0.79       0.05       2.72       2.72        000
                                                       therapy.
90871...............  ..............  N               Electroconvulsive          +2.72       1.07       1.07       0.07       3.86       3.86        000
                                                       therapy.
90875...............  ..............  N               Psychophysiological        +1.20       0.90       0.46       0.04       2.14       1.70        XXX
                                                       therapy.
90876...............  ..............  N               Psychophysiological        +1.90       1.16       0.73       0.05       3.11       2.68        XXX
                                                       therapy.
90880...............  ..............  A               Hypnotherapy.........       2.19       1.04       0.69       0.06       3.29       2.94        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       0.37       0.37       0.02       1.36       1.36        XXX
                                                       records.
90887...............  ..............  B               Consultation with          +1.48       0.82       0.56       0.04       2.34       2.08        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,          0.41       0.66       0.14       0.02       1.09       0.57        000
                                                       any meth.
90911...............  ..............  A               Biofeedback peri/uro/       0.89       1.61       0.31       0.05       2.55       1.25        000
                                                       rectal.
90918...............  ..............  I               ESRD related              +11.16       7.34       7.34       0.36      18.86      18.86        XXX
                                                       services, month.
90919...............  ..............  I               ESRD related               +8.53       4.07       4.07       0.29      12.89      12.89        XXX
                                                       services, month.
90920...............  ..............  I               ESRD related               +7.26       3.81       3.81       0.23      11.30      11.30        XXX
                                                       services, month.
90921...............  ..............  I               ESRD related               +4.46       2.48       2.48       0.14       7.08       7.08        XXX
                                                       services, month.
90922...............  ..............  I               ESRD related               +0.37       0.22       0.22       0.01       0.60       0.60        XXX
                                                       services, day.
90923...............  ..............  I               Esrd related               +0.28       0.13       0.13       0.01       0.42       0.42        XXX
                                                       services, day.
90924...............  ..............  I               Esrd related               +0.24       0.12       0.12       0.01       0.37       0.37        XXX
                                                       services, day.
90925...............  ..............  I               Esrd related               +0.15       0.08       0.08       0.01       0.24       0.24        XXX
                                                       services, day.
90935...............  ..............  A               Hemodialysis, one           1.22         NA       0.67       0.04         NA       1.93        000
                                                       evaluation.
90937...............  ..............  A               Hemodialysis,               2.11         NA       0.98       0.07         NA       3.16        000
                                                       repeated eval.
90939...............  ..............  X               Hemodialysis study,         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       transcut.
90940...............  ..............  X               Hemodialysis access         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       study.
90945...............  ..............  A               Dialysis, one               1.28         NA       0.70       0.05         NA       2.03        000
                                                       evaluation.
90947...............  ..............  A               Dialysis, repeated          2.16         NA       1.01       0.07         NA       3.24        000
                                                       eval.
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         NA       1.41       0.06         NA       3.31        000
90999...............  ..............  C               Dialysis procedure...       0.00       0.00       0.00       0.00       0.00       0.00        XXX
91000...............  ..............  A               Esophageal intubation       0.73       0.33         NA       0.05       1.11         NA        000
91000...............  26............  A               Esophageal intubation       0.73       0.25       0.25       0.04       1.02       1.02        000
91000...............  TC............  A               Esophageal intubation       0.00       0.08         NA       0.01       0.09         NA        000
91010...............  ..............  A               Esophagus motility          1.25       2.71         NA       0.12       4.08         NA        000
                                                       study.
91010...............  26............  A               Esophagus motility          1.25       0.43       0.43       0.06       1.74       1.74        000
                                                       study.
91010...............  TC............  A               Esophagus motility          0.00       2.28         NA       0.06       2.34         NA        000
                                                       study.
91011...............  ..............  A               Esophagus motility          1.50       3.20         NA       0.12       4.82         NA        000
                                                       study.
91011...............  26............  A               Esophagus motility          1.50       0.53       0.53       0.06       2.09       2.09        000
                                                       study.
91011...............  TC............  A               Esophagus motility          0.00       2.67         NA       0.06       2.73         NA        000
                                                       study.
91012...............  ..............  A               Esophagus motility          1.46       3.34         NA       0.14       4.94         NA        000
                                                       study.
91012...............  26............  A               Esophagus motility          1.46       0.51       0.51       0.07       2.04       2.04        000
                                                       study.
91012...............  TC............  A               Esophagus motility          0.00       2.83         NA       0.07       2.90         NA        000
                                                       study.
91020...............  ..............  A               Gastric motility.....       1.44       2.93         NA       0.13       4.50         NA        000
91020...............  26............  A               Gastric motility.....       1.44       0.48       0.48       0.07       1.99       1.99        000
91020...............  TC............  A               Gastric motility.....       0.00       2.45         NA       0.06       2.51         NA        000
91030...............  ..............  A               Acid perfusion of           0.91       2.40         NA       0.06       3.37         NA        000
                                                       esophagus.
91030...............  26............  A               Acid perfusion of           0.91       0.33       0.33       0.04       1.28       1.28        000
                                                       esophagus.
91030...............  TC............  A               Acid perfusion of           0.00       2.07         NA       0.02       2.09         NA        000
                                                       esophagus.
91032...............  ..............  A               Esophagus, acid             1.21       4.10         NA       0.12       5.43         NA        000
                                                       reflux test.
91032...............  26............  A               Esophagus, acid             1.21       0.41       0.41       0.06       1.68       1.68        000
                                                       reflux test.
91032...............  TC............  A               Esophagus, acid             0.00       3.69         NA       0.06       3.75         NA        000
                                                       reflux test.
91033...............  ..............  A               Prolonged acid reflux       1.30       4.16         NA       0.17       5.63         NA        000
                                                       test.
91033...............  26............  A               Prolonged acid reflux       1.30       0.45       0.45       0.06       1.81       1.81        000
                                                       test.
91033...............  TC............  A               Prolonged acid reflux       0.00       3.71         NA       0.11       3.82         NA        000
                                                       test.
91052...............  ..............  A               Gastric analysis test       0.79       2.19         NA       0.06       3.04         NA        000
91052...............  26............  A               Gastric analysis test       0.79       0.28       0.28       0.04       1.11       1.11        000
91052...............  TC............  A               Gastric analysis test       0.00       1.91         NA       0.02       1.93         NA        000
91055...............  ..............  A               Gastric intubation          0.94       2.37         NA       0.07       3.38         NA        000
                                                       for smear.
91055...............  26............  A               Gastric intubation          0.94       0.27       0.27       0.05       1.26       1.26        000
                                                       for smear.
91055...............  TC............  A               Gastric intubation          0.00       2.10         NA       0.02       2.12         NA        000
                                                       for smear.
91060...............  ..............  A               Gastric saline load         0.45       0.30         NA       0.04       0.79         NA        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       0.16         NA       0.02       0.18         NA        000
                                                       test.
91065...............  ..............  A               Breath hydrogen test.       0.20       1.96         NA       0.03       2.19         NA        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       1.89         NA       0.02       1.91         NA        000
91100...............  ..............  A               Pass intestine              1.08         NA       0.29       0.07         NA       1.44        000
                                                       bleeding tube.

[[Page 1221]]

 
91105...............  ..............  A               Gastric intubation          0.37         NA       0.09       0.02         NA       0.48        000
                                                       treatment.
91110...............  ..............  A               Gi tract capsule            3.64      21.13         NA       0.09      24.86         NA        XXX
                                                       endoscopy.
91110...............  26............  A               Gi tract capsule            3.64       1.30       1.30       0.02       4.96       4.96        XXX
                                                       endoscopy.
91110...............  TC............  A               Gi tract capsule            0.00      19.83         NA       0.07      19.90         NA        XXX
                                                       endoscopy.
91122...............  ..............  A               Anal pressure record.       1.77       6.06         NA       0.20       8.03         NA        000
91122...............  26............  A               Anal pressure record.       1.77       0.60       0.60       0.12       2.49       2.49        000
91122...............  TC............  A               Anal pressure record.       0.00       5.46         NA       0.08       5.54         NA        000
91123...............  ..............  B               Irrigate fecal              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       impaction.
91132...............  ..............  C               Electrogastrography..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
91132...............  26............  A               Electrogastrography..       0.52       0.19       0.19       0.04       0.75       0.75        XXX
91132...............  TC............  C               Electrogastrography..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
91133...............  ..............  C               Electrogastrography w/      0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       test.
91133...............  26............  A               Electrogastrography w/      0.66       0.24       0.24       0.04       0.94       0.94        XXX
                                                       test.
91133...............  TC............  C               Electrogastrography w/      0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       test.
91299...............  ..............  C               Gastroenterology            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
91299...............  26............  C               Gastroenterology            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
91299...............  TC............  C               Gastroenterology            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
92002...............  ..............  A               Eye exam, new patient       0.88       0.96       0.35       0.02       1.86       1.25        XXX
92004...............  ..............  A               Eye exam, new patient       1.67       1.68       0.68       0.04       3.39       2.39        XXX
92012...............  ..............  A               Eye exam established        0.67       1.02       0.29       0.01       1.70       0.97        XXX
                                                       pat.
92014...............  ..............  A               Eye exam & treatment.       1.10       1.38       0.46       0.02       2.50       1.58        XXX
92015...............  ..............  N               Refraction...........      +0.38       1.49       0.15       0.01       1.88       0.54        XXX
92018...............  ..............  A               New eye exam &              2.50         NA       1.08       0.04         NA       3.62        XXX
                                                       treatment.
92019...............  ..............  A               Eye exam & treatment.       1.31         NA       0.56       0.04         NA       1.91        XXX
92020...............  ..............  A               Special eye                 0.37       0.33       0.16       0.01       0.71       0.54        XXX
                                                       evaluation.
92060...............  ..............  A               Special eye                 0.69       0.72         NA       0.02       1.43         NA        XXX
                                                       evaluation.
92060...............  26............  A               Special eye                 0.69       0.29       0.29       0.01       0.99       0.99        XXX
                                                       evaluation.
92060...............  TC............  A               Special eye                 0.00       0.43         NA       0.01       0.44         NA        XXX
                                                       evaluation.
92065...............  ..............  A               Orthoptic/pleoptic          0.37       0.54         NA       0.02       0.93         NA        XXX
                                                       training.
92065...............  26............  A               Orthoptic/pleoptic          0.37       0.15       0.15       0.01       0.53       0.53        XXX
                                                       training.
92065...............  TC............  A               Orthoptic/pleoptic          0.00       0.39         NA       0.01       0.40         NA        XXX
                                                       training.
92070...............  ..............  A               Fitting of contact          0.70       1.08       0.32       0.01       1.79       1.03        XXX
                                                       lens.
92081...............  ..............  A               Visual field                0.36       0.85         NA       0.02       1.23         NA        XXX
                                                       examination(s).
92081...............  26............  A               Visual field                0.36       0.15       0.15       0.01       0.52       0.52        XXX
                                                       examination(s).
92081...............  TC............  A               Visual field                0.00       0.70         NA       0.01       0.71         NA        XXX
                                                       examination(s).
92082...............  ..............  A               Visual field                0.44       1.15         NA       0.02       1.61         NA        XXX
                                                       examination(s).
92082...............  26............  A               Visual field                0.44       0.19       0.19       0.01       0.64       0.64        XXX
                                                       examination(s).
92082...............  TC............  A               Visual field                0.00       0.96         NA       0.01       0.97         NA        XXX
                                                       examination(s).
92083...............  ..............  A               Visual field                0.50       1.33         NA       0.02       1.85         NA        XXX
                                                       examination(s).
92083...............  26............  A               Visual field                0.50       0.22       0.22       0.01       0.73       0.73        XXX
                                                       examination(s).
92083...............  TC............  A               Visual field                0.00       1.11         NA       0.01       1.12         NA        XXX
                                                       examination(s).
92100...............  ..............  A               Serial tonometry            0.92       1.26       0.37       0.02       2.20       1.31        XXX
                                                       exam(s).
92120...............  ..............  A               Tonography & eye            0.81       1.04       0.32       0.02       1.87       1.15        XXX
                                                       evaluation.
92130...............  ..............  A               Water provocation           0.81       1.23       0.37       0.02       2.06       1.20        XXX
                                                       tonography.
92135...............  ..............  A               Opthalmic dx imaging.       0.35       0.78         NA       0.02       1.15         NA        XXX
92135...............  26............  A               Opthalmic dx imaging.       0.35       0.16       0.16       0.01       0.52       0.52        XXX
92135...............  TC............  A               Opthalmic dx imaging.       0.00       0.62         NA       0.01       0.63         NA        XXX
92136...............  ..............  A               Ophthalmic biometry..       0.54       1.75         NA       0.08       2.37         NA        XXX
92136...............  26............  A               Ophthalmic biometry..       0.54       0.25       0.25       0.01       0.80       0.80        XXX
92136...............  TC............  A               Ophthalmic biometry..       0.00       1.50         NA       0.07       1.57         NA        XXX
92140...............  ..............  A               Glaucoma provocative        0.50       0.94       0.21       0.01       1.45       0.72        XXX
                                                       tests.
92225...............  ..............  A               Special eye exam,           0.38       0.22       0.16       0.01       0.61       0.55        XXX
                                                       initial.
92226...............  ..............  A               Special eye exam,           0.33       0.21       0.15       0.01       0.55       0.49        XXX
                                                       subsequent.
92230...............  ..............  A               Eye exam with photos.       0.60       1.67       0.20       0.02       2.29       0.82        XXX
92235...............  ..............  A               Eye exam with photos.       0.81       2.93         NA       0.08       3.82         NA        XXX
92235...............  26............  A               Eye exam with photos.       0.81       0.37       0.37       0.02       1.20       1.20        XXX
92235...............  TC............  A               Eye exam with photos.       0.00       2.56         NA       0.06       2.62         NA        XXX
92240...............  ..............  A               Icg angiography......       1.10       7.03         NA       0.08       8.21         NA        XXX
92240...............  26............  A               Icg angiography......       1.10       0.49       0.49       0.02       1.61       1.61        XXX
92240...............  TC............  A               Icg angiography......       0.00       6.54         NA       0.06       6.60         NA        XXX
92250...............  ..............  A               Eye exam with photos.       0.44       1.73         NA       0.02       2.19         NA        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       1.53         NA       0.01       1.54         NA        XXX
92260...............  ..............  A               Ophthalmoscopy/             0.20       0.29       0.09       0.01       0.50       0.30        XXX
                                                       dynamometry.
92265...............  ..............  A               Eye muscle evaluation       0.81       1.88         NA       0.04       2.73         NA        XXX
92265...............  26............  A               Eye muscle evaluation       0.81       0.28       0.28       0.02       1.11       1.11        XXX
92265...............  TC............  A               Eye muscle evaluation       0.00       1.60         NA       0.02       1.62         NA        XXX
92270...............  ..............  A               Electro-oculography..       0.81       1.56         NA       0.06       2.43         NA        XXX
92270...............  26............  A               Electro-oculography..       0.81       0.34       0.34       0.04       1.19       1.19        XXX
92270...............  TC............  A               Electro-oculography..       0.00       1.22         NA       0.02       1.24         NA        XXX
92275...............  ..............  A               Electroretinography..       1.01       1.93         NA       0.04       2.98         NA        XXX
92275...............  26............  A               Electroretinography..       1.01       0.42       0.42       0.02       1.45       1.45        XXX
92275...............  TC............  A               Electroretinography..       0.00       1.51         NA       0.02       1.53         NA        XXX
92283...............  ..............  A               Color vision                0.17       0.83         NA       0.02       1.02         NA        XXX
                                                       examination.
92283...............  26............  A               Color vision                0.17       0.07       0.07       0.01       0.25       0.25        XXX
                                                       examination.

[[Page 1222]]

 
92283...............  TC............  A               Color vision                0.00       0.76         NA       0.01       0.77         NA        XXX
                                                       examination.
92284...............  ..............  A               Dark adaptation eye         0.24       2.31         NA       0.02       2.57         NA        XXX
                                                       exam.
92284...............  26............  A               Dark adaptation eye         0.24       0.09       0.09       0.01       0.34       0.34        XXX
                                                       exam.
92284...............  TC............  A               Dark adaptation eye         0.00       2.22         NA       0.01       2.23         NA        XXX
                                                       exam.
92285...............  ..............  A               Eye photography......       0.20       1.07         NA       0.02       1.29         NA        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       0.98         NA       0.01       0.99         NA        XXX
92286...............  ..............  A               Internal eye                0.66       3.37         NA       0.03       4.06         NA        XXX
                                                       photography.
92286...............  26............  A               Internal eye                0.66       0.30       0.30       0.01       0.97       0.97        XXX
                                                       photography.
92286...............  TC............  A               Internal eye                0.00       3.07         NA       0.02       3.09         NA        XXX
                                                       photography.
92287...............  ..............  A               Internal eye                0.81       2.69       0.31       0.02       3.52       1.14        XXX
                                                       photography.
92310...............  ..............  N               Contact lens fitting.      +1.17       1.12       0.45       0.04       2.33       1.66        XXX
92311...............  ..............  A               Contact lens fitting.       1.08       1.18       0.35       0.04       2.30       1.47        XXX
92312...............  ..............  A               Contact lens fitting.       1.26       1.16       0.49       0.04       2.46       1.79        XXX
92313...............  ..............  A               Contact lens fitting.       0.92       1.16       0.29       0.02       2.10       1.23        XXX
92314...............  ..............  N               Prescription of            +0.69       0.94       0.27       0.01       1.64       0.97        XXX
                                                       contact lens.
92315...............  ..............  A               Prescription of             0.45       0.95       0.16       0.01       1.41       0.62        XXX
                                                       contact lens.
92316...............  ..............  A               Prescription of             0.68       1.00       0.30       0.01       1.69       0.99        XXX
                                                       contact lens.
92317...............  ..............  A               Prescription of             0.45       1.05       0.15       0.01       1.51       0.61        XXX
                                                       contact lens.
92325...............  ..............  A               Modification of             0.00       0.39         NA       0.01       0.40         NA        XXX
                                                       contact lens.
92326...............  ..............  A               Replacement of              0.00       1.64         NA       0.06       1.70         NA        XXX
                                                       contact lens.
92330...............  ..............  A               Fitting of artificial       1.08       1.08       0.33       0.05       2.21       1.46        XXX
                                                       eye.
92335...............  ..............  A               Fitting of artificial       0.45       1.01       0.17       0.01       1.47       0.63        XXX
                                                       eye.
92340...............  ..............  N               Fitting of spectacles      +0.37       0.70       0.14       0.01       1.08       0.52        XXX
92341...............  ..............  N               Fitting of spectacles      +0.47       0.74       0.18       0.01       1.22       0.66        XXX
92342...............  ..............  N               Fitting of spectacles      +0.53       0.76       0.21       0.01       1.30       0.75        XXX
92352...............  ..............  B               Special spectacles         +0.37       0.73       0.14       0.01       1.11       0.52        XXX
                                                       fitting.
92353...............  ..............  B               Special spectacles         +0.50       0.78       0.19       0.02       1.30       0.71        XXX
                                                       fitting.
92354...............  ..............  B               Special spectacles         +0.00       8.89         NA       0.10       8.99         NA        XXX
                                                       fitting.
92355...............  ..............  B               Special spectacles         +0.00       4.34         NA       0.01       4.35         NA        XXX
                                                       fitting.
92358...............  ..............  B               Eye prosthesis             +0.00       0.97         NA       0.05       1.02         NA        XXX
                                                       service.
92370...............  ..............  N               Repair & adjust            +0.32       0.55       0.13       0.02       0.89       0.47        XXX
                                                       spectacles.
92371...............  ..............  B               Repair & adjust            +0.00       0.62         NA       0.02       0.64         NA        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       3.79       3.79       0.02       3.81       3.81        XXX
                                                       aids.
92393...............  ..............  I               Supply of artificial       +0.00      11.76      11.76       0.57      12.33      12.33        XXX
                                                       eye.
92395...............  ..............  I               Supply of spectacles.      +0.00       1.28       1.28       0.10       1.38       1.38        XXX
92396...............  ..............  I               Supply of contact          +0.00       2.16       2.16       0.07       2.23       2.23        XXX
                                                       lenses.
92499...............  ..............  C               Eye service or              0.00       0.00       0.00       0.00       0.00       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       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
92502...............  ..............  A               Ear and throat              1.51         NA       1.13       0.07         NA       2.71        000
                                                       examination.
92504...............  ..............  A               Ear microscopy              0.18       0.49       0.09       0.01       0.68       0.28        XXX
                                                       examination.
92506...............  ..............  A               Speech/hearing              0.86       2.61       0.40       0.05       3.52       1.31        XXX
                                                       evaluation.
92507...............  ..............  A               Speech/hearing              0.52       1.13       0.24       0.02       1.67       0.78        XXX
                                                       therapy.
92508...............  ..............  A               Speech/hearing              0.26       0.52       0.12       0.01       0.79       0.39        XXX
                                                       therapy.
92510...............  ..............  I               Rehab for ear implant      +1.50       2.08       0.82       0.07       3.65       2.39        XXX
92511...............  ..............  A               Nasopharyngoscopy....       0.84       3.14       0.79       0.04       4.02       1.67        000
92512...............  ..............  A               Nasal function              0.55       1.08       0.18       0.02       1.65       0.75        XXX
                                                       studies.
92516...............  ..............  A               Facial nerve function       0.43       0.89       0.22       0.02       1.34       0.67        XXX
                                                       test.
92520...............  ..............  A               Laryngeal function          0.76       0.50       0.38       0.04       1.30       1.18        XXX
                                                       studies.
92526...............  ..............  A               Oral function therapy       0.55       1.66       0.20       0.02       2.23       0.77        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
                                                       test.
92533...............  ..............  B               Caloric vestibular          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       test.
92534...............  ..............  B               Optokinetic nystagmus       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       test.
92541...............  ..............  A               Spontaneous nystagmus       0.40       0.97         NA       0.04       1.41         NA        XXX
                                                       test.
92541...............  26............  A               Spontaneous nystagmus       0.40       0.19       0.19       0.02       0.61       0.61        XXX
                                                       test.
92541...............  TC............  A               Spontaneous nystagmus       0.00       0.78         NA       0.02       0.80         NA        XXX
                                                       test.
92542...............  ..............  A               Positional nystagmus        0.33       1.06         NA       0.03       1.42         NA        XXX
                                                       test.
92542...............  26............  A               Positional nystagmus        0.33       0.16       0.16       0.01       0.50       0.50        XXX
                                                       test.
92542...............  TC............  A               Positional nystagmus        0.00       0.90         NA       0.02       0.92         NA        XXX
                                                       test.
92543...............  ..............  A               Caloric vestibular          0.10       0.53         NA       0.02       0.65         NA        XXX
                                                       test.
92543...............  26............  A               Caloric vestibular          0.10       0.05       0.05       0.01       0.16       0.16        XXX
                                                       test.
92543...............  TC............  A               Caloric vestibular          0.00       0.48         NA       0.01       0.49         NA        XXX
                                                       test.
92544...............  ..............  A               Optokinetic nystagmus       0.26       0.84         NA       0.03       1.13         NA        XXX
                                                       test.
92544...............  26............  A               Optokinetic nystagmus       0.26       0.12       0.12       0.01       0.39       0.39        XXX
                                                       test.
92544...............  TC............  A               Optokinetic nystagmus       0.00       0.72         NA       0.02       0.74         NA        XXX
                                                       test.
92545...............  ..............  A               Oscillating tracking        0.23       0.79         NA       0.03       1.05         NA        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       0.68         NA       0.02       0.70         NA        XXX
                                                       test.
92546...............  ..............  A               Sinusoidal rotational       0.29       1.80         NA       0.03       2.12         NA        XXX
                                                       test.
92546...............  26............  A               Sinusoidal rotational       0.29       0.13       0.13       0.01       0.43       0.43        XXX
                                                       test.
92546...............  TC............  A               Sinusoidal rotational       0.00       1.67         NA       0.02       1.69         NA        XXX
                                                       test.

[[Page 1223]]

 
92547...............  ..............  A               Supplemental                0.00       1.15         NA       0.06       1.21         NA        ZZZ
                                                       electrical test.
92548...............  ..............  A               Posturography........       0.50       3.19         NA       0.15       3.84         NA        XXX
92548...............  26............  A               Posturography........       0.50       0.26       0.26       0.02       0.78       0.78        XXX
92548...............  TC............  A               Posturography........       0.00       2.93         NA       0.13       3.06         NA        XXX
92551...............  ..............  N               Pure tone hearing           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       test, air.
92552...............  ..............  A               Pure tone audiometry,       0.00       0.44         NA       0.04       0.48         NA        XXX
                                                       air.
92553...............  ..............  A               Audiometry, air &           0.00       0.66         NA       0.06       0.72         NA        XXX
                                                       bone.
92555...............  ..............  A               Speech threshold            0.00       0.37         NA       0.04       0.41         NA        XXX
                                                       audiometry.
92556...............  ..............  A               Speech audiometry,          0.00       0.57         NA       0.06       0.63         NA        XXX
                                                       complete.
92557...............  ..............  A               Comprehensive hearing       0.00       1.19         NA       0.12       1.31         NA        XXX
                                                       test.
92559...............  ..............  N               Group audiometric           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       testing.
92560...............  ..............  N               Bekesy audiometry,          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       screen.
92561...............  ..............  A               Bekesy audiometry,          0.00       0.72         NA       0.06       0.78         NA        XXX
                                                       diagnosis.
92562...............  ..............  A               Loudness balance test       0.00       0.40         NA       0.04       0.44         NA        XXX
92563...............  ..............  A               Tone decay hearing          0.00       0.37         NA       0.04       0.41         NA        XXX
                                                       test.
92564...............  ..............  A               Sisi hearing test....       0.00       0.47         NA       0.05       0.52         NA        XXX
92565...............  ..............  A               Stenger test, pure          0.00       0.39         NA       0.04       0.43         NA        XXX
                                                       tone.
92567...............  ..............  A               Tympanometry.........       0.00       0.52         NA       0.06       0.58         NA        XXX
92568...............  ..............  A               Acoustic reflex             0.00       0.37         NA       0.04       0.41         NA        XXX
                                                       testing.
92569...............  ..............  A               Acoustic reflex decay       0.00       0.40         NA       0.04       0.44         NA        XXX
                                                       test.
92571...............  ..............  A               Filtered speech             0.00       0.38         NA       0.04       0.42         NA        XXX
                                                       hearing test.
92572...............  ..............  A               Staggered spondaic          0.00       0.09         NA       0.01       0.10         NA        XXX
                                                       word test.
92573...............  ..............  A               Lombard test.........       0.00       0.35         NA       0.04       0.39         NA        XXX
92575...............  ..............  A               Sensorineural acuity        0.00       0.30         NA       0.02       0.32         NA        XXX
                                                       test.
92576...............  ..............  A               Synthetic sentence          0.00       0.44         NA       0.05       0.49         NA        XXX
                                                       test.
92577...............  ..............  A               Stenger test, speech.       0.00       0.72         NA       0.07       0.79         NA        XXX
92579...............  ..............  A               Visual audiometry           0.00       0.73         NA       0.06       0.79         NA        XXX
                                                       (vra).
92582...............  ..............  A               Conditioning play           0.00       0.73         NA       0.06       0.79         NA        XXX
                                                       audiometry.
92583...............  ..............  A               Select picture              0.00       0.89         NA       0.08       0.97         NA        XXX
                                                       audiometry.
92584...............  ..............  A               Electrocochleography.       0.00       2.49         NA       0.21       2.70         NA        XXX
92585...............  ..............  A               Auditor evoke potent,       0.50       2.08         NA       0.16       2.74         NA        XXX
                                                       compre.
92585...............  26............  A               Auditor evoke potent,       0.50       0.22       0.22       0.02       0.74       0.74        XXX
                                                       compre.
92585...............  TC............  A               Auditor evoke potent,       0.00       1.86         NA       0.14       2.00         NA        XXX
                                                       compre.
92586...............  ..............  A               Auditor evoke potent,       0.00       1.86         NA       0.14       2.00         NA        XXX
                                                       limit.
92587...............  ..............  A               Evoked auditory test.       0.13       1.38         NA       0.12       1.63         NA        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       1.31         NA       0.11       1.42         NA        XXX
92588...............  ..............  A               Evoked auditory test.       0.36       1.64         NA       0.14       2.14         NA        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       1.47         NA       0.13       1.60         NA        XXX
92589...............  ..............  A               Auditory function           0.00       0.53         NA       0.06       0.59         NA        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,           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       both ears.
92592...............  ..............  N               Hearing aid check,          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       one ear.
92593...............  ..............  N               Hearing aid check,          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       both ears.
92594...............  ..............  N               Electro hearng aid          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       test, one.
92595...............  ..............  N               Electro hearng aid          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       tst, both.
92596...............  ..............  A               Ear protector               0.00       0.59         NA       0.06       0.65         NA        XXX
                                                       evaluation.
92597...............  ..............  A               Oral speech device          0.86       1.69       0.45       0.05       2.60       1.36        XXX
                                                       eval.
92601...............  ..............  A               Cochlear implt f/up         0.00       3.41         NA       0.07       3.48         NA        XXX
                                                       exam < 7.
92602...............  ..............  A               Reprogram cochlear          0.00       2.36         NA       0.07       2.43         NA        XXX
                                                       implt < 7.
92603...............  ..............  A               Cochlear implt f/up         0.00       2.23         NA       0.07       2.30         NA        XXX
                                                       exam 7 .
92604...............  ..............  A               Reprogram cochlear          0.00       1.47         NA       0.07       1.54         NA        XXX
                                                       implt 7 .
92605...............  ..............  B               Eval for nonspeech          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       device rx.
92606...............  ..............  B               Non-speech device           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       service.
92607...............  ..............  A               Ex for speech device        0.00       3.22         NA       0.05       3.27         NA        XXX
                                                       rx, 1hr.
92608...............  ..............  A               Ex for speech device        0.00       0.67         NA       0.05       0.72         NA        XXX
                                                       rx addl.
92609...............  ..............  A               Use of speech device        0.00       1.60         NA       0.04       1.64         NA        XXX
                                                       service.
92610...............  ..............  A               Evaluate swallowing         0.00       3.44         NA       0.08       3.52         NA        XXX
                                                       function.
92611...............  ..............  A               Motion fluoroscopy/         0.00       3.44         NA       0.08       3.52         NA        XXX
                                                       swallow.
92612...............  ..............  A               Endoscopy swallow tst       1.27       2.71       0.67       0.08       4.06       2.02        XXX
                                                       (fees).
92613...............  ..............  A               Endoscopy swallow tst       0.71       0.39       0.39       0.05       1.15       1.15        XXX
                                                       (fees).
92614...............  ..............  A               Laryngoscopic sensory       1.27       2.41       0.61       0.08       3.76       1.96        XXX
                                                       test.
92615...............  ..............  A               Eval laryngoscopy           0.63       0.36       0.36       0.05       1.04       1.04        XXX
                                                       sense tst.
92616...............  ..............  A               Fees w/laryngeal            1.88       3.29       0.97       0.08       5.25       2.93        XXX
                                                       sense test.
92617...............  ..............  A               Interprt fees/              0.79       0.44       0.44       0.05       1.28       1.28        XXX
                                                       laryngeal test.
92700...............  ..............  C               Ent procedure/service       0.00       0.00       0.00       0.00       0.00       0.00        XXX
92950...............  ..............  A               Heart/lung                  3.79         NA       0.98       0.25         NA       5.02        000
                                                       resuscitation cpr.
92953...............  ..............  A               Temporary external          0.23         NA       0.23       0.01         NA       0.47        000
                                                       pacing.
92960...............  ..............  A               Cardioversion               2.25       6.66       1.17       0.10       9.01       3.52        000
                                                       electric, ext.
92961...............  ..............  A               Cardioversion,              4.59         NA       2.09       0.21         NA       6.89        000
                                                       electric, int.
92970...............  ..............  A               Cardioassist,               3.51         NA       1.07       0.21         NA       4.79        000
                                                       internal.
92971...............  ..............  A               Cardioassist,               1.77         NA       0.85       0.07         NA       2.69        000
                                                       external.
92973...............  ..............  A               Percut coronary             3.28         NA       1.29       0.14         NA       4.71        ZZZ
                                                       thrombectomy.
92974...............  ..............  A               Cath place, cardio          3.00         NA       1.18       0.17         NA       4.35        ZZZ
                                                       brachytx.

[[Page 1224]]

 
92975...............  ..............  A               Dissolve clot, heart        7.24         NA       2.81       0.27         NA      10.32        000
                                                       vessel.
92977...............  ..............  A               Dissolve clot, heart        0.00       8.08         NA       0.46       8.54         NA        XXX
                                                       vessel.
92978...............  ..............  A               Intravasc us, heart         1.80       5.29         NA       0.31       7.40         NA        ZZZ
                                                       add-on.
92978...............  26............  A               Intravasc us, heart         1.80       0.71       0.71       0.07       2.58       2.58        ZZZ
                                                       add-on.
92978...............  TC............  A               Intravasc us, heart         0.00       4.58         NA       0.24       4.82         NA        ZZZ
                                                       add-on.
92979...............  ..............  A               Intravasc us, heart         1.44       2.86         NA       0.18       4.48         NA        ZZZ
                                                       add-on.
92979...............  26............  A               Intravasc us, heart         1.44       0.56       0.56       0.05       2.05       2.05        ZZZ
                                                       add-on.
92979...............  TC............  A               Intravasc us, heart         0.00       2.30         NA       0.13       2.43         NA        ZZZ
                                                       add-on.
92980...............  ..............  A               Insert intracoronary       14.82         NA       6.07       0.86         NA      21.75        000
                                                       stent.
92981...............  ..............  A               Insert intracoronary        4.16         NA       1.64       0.24         NA       6.04        ZZZ
                                                       stent.
92982...............  ..............  A               Coronary artery            10.96         NA       4.55       0.63         NA      16.14        000
                                                       dilation.
92984...............  ..............  A               Coronary artery             2.97         NA       1.16       0.17         NA       4.30        ZZZ
                                                       dilation.
92986...............  ..............  A               Revision of aortic         21.77         NA      11.62       1.37         NA      34.76        090
                                                       valve.
92987...............  ..............  A               Revision of mitral         22.67         NA      12.01       1.42         NA      36.10        090
                                                       valve.
92990...............  ..............  A               Revision of pulmonary      17.31         NA       9.63       1.09         NA      28.03        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.      12.07         NA       4.98       0.70         NA      17.75        000
92996...............  ..............  A               Coronary atherectomy        3.26         NA       1.28       0.19         NA       4.73        ZZZ
                                                       add-on.
92997...............  ..............  A               Pul art balloon repr,      11.98         NA       4.85       0.76         NA      17.59        000
                                                       percut.
92998...............  ..............  A               Pul art balloon repr,       5.99         NA       2.21       0.37         NA       8.57        ZZZ
                                                       percut.
93000...............  ..............  A               Electrocardiogram,          0.17       0.51         NA       0.03       0.71         NA        XXX
                                                       complete.
93005...............  ..............  A               Electrocardiogram,          0.00       0.45         NA       0.02       0.47         NA        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       6.04         NA       0.18       6.22         NA        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       1.98         NA       0.13       2.86         NA        XXX
                                                       test.
93016...............  ..............  A               Cardiovascular stress       0.45       0.17       0.17       0.01       0.63       0.63        XXX
                                                       test.
93017...............  ..............  A               Cardiovascular stress       0.00       1.69         NA       0.11       1.80         NA        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       1.57         NA       0.13       2.87         NA        XXX
                                                       test.
93024...............  26............  A               Cardiac drug stress         1.17       0.45       0.45       0.05       1.67       1.67        XXX
                                                       test.
93024...............  TC............  A               Cardiac drug stress         0.00       1.12         NA       0.08       1.20         NA        XXX
                                                       test.
93025...............  ..............  A               Microvolt t-wave            0.75       8.18         NA       0.13       9.06         NA        XXX
                                                       assess.
93025...............  26............  A               Microvolt t-wave            0.75       0.29       0.29       0.02       1.06       1.06        XXX
                                                       assess.
93025...............  TC............  A               Microvolt t-wave            0.00       7.89         NA       0.11       8.00         NA        XXX
                                                       assess.
93040...............  ..............  A               Rhythm ECG with             0.16       0.20         NA       0.02       0.38         NA        XXX
                                                       report.
93041...............  ..............  A               Rhythm ECG, tracing..       0.00       0.15         NA       0.01       0.16         NA        XXX
93042...............  ..............  A               Rhythm ECG, report...       0.16       0.05       0.05       0.01       0.22       0.22        XXX
93224...............  ..............  A               ECG monitor/report,         0.52       3.63         NA       0.24       4.39         NA        XXX
                                                       24 hrs.
93225...............  ..............  A               ECG monitor/record,         0.00       1.24         NA       0.08       1.32         NA        XXX
                                                       24 hrs.
93226...............  ..............  A               ECG monitor/report,         0.00       2.19         NA       0.14       2.33         NA        XXX
                                                       24 hrs.
93227...............  ..............  A               ECG monitor/review,         0.52       0.20       0.20       0.02       0.74       0.74        XXX
                                                       24 hrs.
93230...............  ..............  A               ECG monitor/report,         0.52       3.90         NA       0.26       4.68         NA        XXX
                                                       24 hrs.
93231...............  ..............  A               Ecg monitor/record,         0.00       1.52         NA       0.11       1.63         NA        XXX
                                                       24 hrs.
93232...............  ..............  A               ECG monitor/report,         0.00       2.18         NA       0.13       2.31         NA        XXX
                                                       24 hrs.
93233...............  ..............  A               ECG monitor/review,         0.52       0.20       0.20       0.02       0.74       0.74        XXX
                                                       24 hrs.
93235...............  ..............  A               ECG monitor/report,         0.45       2.79         NA       0.15       3.39         NA        XXX
                                                       24 hrs.
93236...............  ..............  A               ECG monitor/report,         0.00       2.62         NA       0.14       2.76         NA        XXX
                                                       24 hrs.
93237...............  ..............  A               ECG monitor/review,         0.45       0.17       0.17       0.01       0.63       0.63        XXX
                                                       24 hrs.
93268...............  ..............  A               ECG record/review....       0.52       7.47         NA       0.28       8.27         NA        XXX
93270...............  ..............  A               ECG recording........       0.00       1.24         NA       0.08       1.32         NA        XXX
93271...............  ..............  A               Ecg/monitoring and          0.00       6.04         NA       0.18       6.22         NA        XXX
                                                       analysis.
93272...............  ..............  A               Ecg/review, interpret       0.52       0.19       0.19       0.02       0.73       0.73        XXX
                                                       only.
93278...............  ..............  A               ECG/signal-averaged..       0.25       1.25         NA       0.12       1.62         NA        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       1.15         NA       0.11       1.26         NA        XXX
93303...............  ..............  A               Echo transthoracic...       1.30       4.35         NA       0.28       5.93         NA        XXX
93303...............  26............  A               Echo transthoracic...       1.30       0.48       0.48       0.05       1.83       1.83        XXX
93303...............  TC............  A               Echo transthoracic...       0.00       3.87         NA       0.23       4.10         NA        XXX
93304...............  ..............  A               Echo transthoracic...       0.75       2.23         NA       0.15       3.13         NA        XXX
93304...............  26............  A               Echo transthoracic...       0.75       0.28       0.28       0.02       1.05       1.05        XXX
93304...............  TC............  A               Echo transthoracic...       0.00       1.95         NA       0.13       2.08         NA        XXX
93307...............  ..............  A               Echo exam of heart...       0.92       4.23         NA       0.27       5.42         NA        XXX
93307...............  26............  A               Echo exam of heart...       0.92       0.36       0.36       0.04       1.32       1.32        XXX
93307...............  TC............  A               Echo exam of heart...       0.00       3.87         NA       0.23       4.10         NA        XXX
93308...............  ..............  A               Echo exam of heart...       0.53       2.16         NA       0.15       2.84         NA        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       1.95         NA       0.13       2.08         NA        XXX
93312...............  ..............  A               Echo transesophageal.       2.20       4.58         NA       0.39       7.17         NA        XXX
93312...............  26............  A               Echo transesophageal.       2.20       0.79       0.79       0.10       3.09       3.09        XXX
93312...............  TC............  A               Echo transesophageal.       0.00       3.79         NA       0.29       4.08         NA        XXX
93313...............  ..............  A               Echo transesophageal.       0.95         NA       0.21       0.06         NA       1.22        XXX
93314...............  ..............  A               Echo transesophageal.       1.25       4.26         NA       0.34       5.85         NA        XXX
93314...............  26............  A               Echo transesophageal.       1.25       0.47       0.47       0.05       1.77       1.77        XXX

[[Page 1225]]

 
93314...............  TC............  A               Echo transesophageal.       0.00       3.79         NA       0.29       4.08         NA        XXX
93315...............  ..............  C               Echo transesophageal.       0.00       0.00         NA       0.00       0.00         NA        XXX
93315...............  26............  A               Echo transesophageal.       2.78       1.02       1.02       0.12       3.92       3.92        XXX
93315...............  TC............  C               Echo transesophageal.       0.00       0.00         NA       0.00       0.00         NA        XXX
93316...............  ..............  A               Echo transesophageal.       0.95         NA       0.24       0.06         NA       1.25        XXX
93317...............  ..............  C               Echo transesophageal.       0.00       0.00         NA       0.00       0.00         NA        XXX
93317...............  26............  A               Echo transesophageal.       1.83       0.67       0.67       0.07       2.57       2.57        XXX
93317...............  TC............  C               Echo transesophageal.       0.00       0.00         NA       0.00       0.00         NA        XXX
93318...............  ..............  C               Echo transesophageal        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       intraop.
93318...............  26............  A               Echo transesophageal        2.20       0.47       0.47       0.07       2.74       2.74        XXX
                                                       intraop.
93318...............  TC............  C               Echo transesophageal        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       intraop.
93320...............  ..............  A               Doppler echo exam,          0.38       1.87         NA       0.13       2.38         NA        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       1.72         NA       0.12       1.84         NA        ZZZ
                                                       heart.
93321...............  ..............  A               Doppler echo exam,          0.15       1.18         NA       0.09       1.42         NA        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       1.12         NA       0.08       1.20         NA        ZZZ
                                                       heart.
93325...............  ..............  A               Doppler color flow          0.07       2.94         NA       0.22       3.23         NA        ZZZ
                                                       add-on.
93325...............  26............  A               Doppler color flow          0.07       0.03       0.03       0.01       0.11       0.11        ZZZ
                                                       add-on.
93325...............  TC............  A               Doppler color flow          0.00       2.91         NA       0.21       3.12         NA        ZZZ
                                                       add-on.
93350...............  ..............  A               Echo transthoracic...       1.48       2.34         NA       0.15       3.97         NA        XXX
93350...............  26............  A               Echo transthoracic...       1.48       0.57       0.57       0.02       2.07       2.07        XXX
93350...............  TC............  A               Echo transthoracic...       0.00       1.77         NA       0.13       1.90         NA        XXX
93501...............  ..............  A               Right heart                 3.02      18.11         NA       1.24      22.37         NA        000
                                                       catheterization.
93501...............  26............  A               Right heart                 3.02       1.15       1.15       0.19       4.36       4.36        000
                                                       catheterization.
93501...............  TC............  A               Right heart                 0.00      16.96         NA       1.05      18.01         NA        000
                                                       catheterization.
93503...............  ..............  A               Insert/place heart          2.91         NA       0.68       0.19         NA       3.78        000
                                                       catheter.
93505...............  ..............  A               Biopsy of heart             4.37       3.68         NA       0.44       8.49         NA        000
                                                       lining.
93505...............  26............  A               Biopsy of heart             4.37       1.69       1.69       0.28       6.34       6.34        000
                                                       lining.
93505...............  TC............  A               Biopsy of heart             0.00       1.99         NA       0.16       2.15         NA        000
                                                       lining.
93508...............  ..............  A               Cath placement,             4.09      14.73         NA       0.90      19.72         NA        000
                                                       angiography.
93508...............  26............  A               Cath placement,             4.09       2.09       2.09       0.25       6.43       6.43        000
                                                       angiography.
93508...............  TC............  A               Cath placement,             0.00      12.64         NA       0.65      13.29         NA        000
                                                       angiography.
93510...............  ..............  A               Left heart                  4.32      39.26         NA       2.57      46.15         NA        000
                                                       catheterization.
93510...............  26............  A               Left heart                  4.32       2.18       2.18       0.27       6.77       6.77        000
                                                       catheterization.
93510...............  TC............  A               Left heart                  0.00      37.08         NA       2.30      39.38         NA        000
                                                       catheterization.
93511...............  ..............  A               Left heart                  5.02      38.55         NA       2.54      46.11         NA        000
                                                       catheterization.
93511...............  26............  A               Left heart                  5.02       2.45       2.45       0.31       7.78       7.78        000
                                                       catheterization.
93511...............  TC............  A               Left heart                  0.00      36.10         NA       2.23      38.33         NA        000
                                                       catheterization.
93514...............  ..............  A               Left heart                  7.04      39.24         NA       2.68      48.96         NA        000
                                                       catheterization.
93514...............  26............  A               Left heart                  7.04       3.14       3.14       0.45      10.63      10.63        000
                                                       catheterization.
93514...............  TC............  A               Left heart                  0.00      36.10         NA       2.23      38.33         NA        000
                                                       catheterization.
93524...............  ..............  A               Left heart                  6.94      50.36         NA       3.36      60.66         NA        000
                                                       catheterization.
93524...............  26............  A               Left heart                  6.94       3.19       3.19       0.43      10.56      10.56        000
                                                       catheterization.
93524...............  TC............  A               Left heart                  0.00      47.17         NA       2.93      50.10         NA        000
                                                       catheterization.
93526...............  ..............  A               Rt & Lt heart               5.98      51.28         NA       3.39      60.65         NA        000
                                                       catheters.
93526...............  26............  A               Rt & Lt heart               5.98       2.82       2.82       0.37       9.17       9.17        000
                                                       catheters.
93526...............  TC............  A               Rt & Lt heart               0.00      48.46         NA       3.02      51.48         NA        000
                                                       catheters.
93527...............  ..............  A               Rt & Lt heart               7.27      50.50         NA       3.39      61.16         NA        000
                                                       catheters.
93527...............  26............  A               Rt & Lt heart               7.27       3.33       3.33       0.46      11.06      11.06        000
                                                       catheters.
93527...............  TC............  A               Rt & Lt heart               0.00      47.17         NA       2.93      50.10         NA        000
                                                       catheters.
93528...............  ..............  A               Rt & Lt heart               8.99      51.22         NA       3.50      63.71         NA        000
                                                       catheters.
93528...............  26............  A               Rt & Lt heart               8.99       4.05       4.05       0.57      13.61      13.61        000
                                                       catheters.
93528...............  TC............  A               Rt & Lt heart               0.00      47.17         NA       2.93      50.10         NA        000
                                                       catheters.
93529...............  ..............  A               Rt, lt heart                4.79      49.46         NA       3.23      57.48         NA        000
                                                       catheterization.
93529...............  26............  A               Rt, lt heart                4.79       2.29       2.29       0.30       7.38       7.38        000
                                                       catheterization.
93529...............  TC............  A               Rt, lt heart                0.00      47.17         NA       2.93      50.10         NA        000
                                                       catheterization.
93530...............  ..............  A               Rt heart cath,              4.22      18.90         NA       1.34      24.46         NA        000
                                                       congenital.
93530...............  26............  A               Rt heart cath,              4.22       1.94       1.94       0.29       6.45       6.45        000
                                                       congenital.
93530...............  TC............  A               Rt heart cath,              0.00      16.96         NA       1.05      18.01         NA        000
                                                       congenital.
93531...............  ..............  A               R & l heart cath,           8.34      52.05         NA       3.57      63.96         NA        000
                                                       congenital.
93531...............  26............  A               R & l heart cath,           8.34       3.59       3.59       0.55      12.48      12.48        000
                                                       congenital.
93531...............  TC............  A               R & l heart cath,           0.00      48.46         NA       3.02      51.48         NA        000
                                                       congenital.
93532...............  ..............  A               R & l heart cath,           9.99      51.44         NA       3.56      64.99         NA        000
                                                       congenital.
93532...............  26............  A               R & l heart cath,           9.99       4.27       4.27       0.63      14.89      14.89        000
                                                       congenital.
93532...............  TC............  A               R & l heart cath,           0.00      47.17         NA       2.93      50.10         NA        000
                                                       congenital.
93533...............  ..............  A               R & l heart cath,           6.69      49.98         NA       3.45      60.12         NA        000
                                                       congenital.
93533...............  26............  A               R & l heart cath,           6.69       2.81       2.81       0.52      10.02      10.02        000
                                                       congenital.
93533...............  TC............  A               R & l heart cath,           0.00      47.17         NA       2.93      50.10         NA        000
                                                       congenital.
93539...............  ..............  A               Injection, cardiac          0.40         NA       0.16       0.01         NA       0.57        000
                                                       cath.
93540...............  ..............  A               Injection, cardiac          0.43         NA       0.17       0.01         NA       0.61        000
                                                       cath.
93541...............  ..............  A               Injection for lung          0.29         NA       0.11       0.01         NA       0.41        000
                                                       angiogram.
93542...............  ..............  A               Injection for heart x-      0.29         NA       0.11       0.01         NA       0.41        000
                                                       rays.
93543...............  ..............  A               Injection for heart x-      0.29         NA       0.12       0.01         NA       0.42        000
                                                       rays.
93544...............  ..............  A               Injection for               0.25         NA       0.10       0.01         NA       0.36        000
                                                       aortography.

[[Page 1226]]

 
93545...............  ..............  A               Inject for coronary x-      0.40         NA       0.16       0.01         NA       0.57        000
                                                       rays.
93555...............  ..............  A               Imaging, cardiac cath       0.81       6.62         NA       0.38       7.81         NA        XXX
93555...............  26............  A               Imaging, cardiac cath       0.81       0.32       0.32       0.04       1.17       1.17        XXX
93555...............  TC............  A               Imaging, cardiac cath       0.00       6.30         NA       0.34       6.64         NA        XXX
93556...............  ..............  A               Imaging, cardiac cath       0.83      10.26         NA       0.55      11.64         NA        XXX
93556...............  26............  A               Imaging, cardiac cath       0.83       0.33       0.33       0.04       1.20       1.20        XXX
93556...............  TC............  A               Imaging, cardiac cath       0.00       9.93         NA       0.51      10.44         NA        XXX
93561...............  ..............  A               Cardiac output              0.50       0.68         NA       0.08       1.26         NA        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       0.52         NA       0.06       0.58         NA        000
                                                       measurement.
93562...............  ..............  A               Cardiac output              0.16       0.37         NA       0.05       0.58         NA        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       0.32         NA       0.04       0.36         NA        000
                                                       measurement.
93571...............  ..............  A               Heart flow reserve          1.80       5.26         NA       0.37       7.43         NA        ZZZ
                                                       measure.
93571...............  26............  A               Heart flow reserve          1.80       0.68       0.68       0.13       2.61       2.61        ZZZ
                                                       measure.
93571...............  TC............  A               Heart flow reserve          0.00       4.58         NA       0.24       4.82         NA        ZZZ
                                                       measure.
93572...............  ..............  A               Heart flow reserve          1.44       2.80         NA       0.34       4.58         NA        ZZZ
                                                       measure.
93572...............  26............  A               Heart flow reserve          1.44       0.50       0.50       0.21       2.15       2.15        ZZZ
                                                       measure.
93572...............  TC............  A               Heart flow reserve          0.00       2.30         NA       0.13       2.43         NA        ZZZ
                                                       measure.
93580...............  ..............  A               Transcath closure of       17.97         NA       7.21       1.37         NA      26.55        000
                                                       asd.
93581...............  ..............  A               Transcath closure of       24.39         NA       9.66       1.37         NA      35.42        000
                                                       vsd.
93600...............  ..............  A               Bundle of His               2.12       2.79         NA       0.26       5.17         NA        000
                                                       recording.
93600...............  26............  A               Bundle of His               2.12       0.83       0.83       0.13       3.08       3.08        000
                                                       recording.
93600...............  TC............  A               Bundle of His               0.00       1.96         NA       0.13       2.09         NA        000
                                                       recording.
93602...............  ..............  A               Intra-atrial                2.12       1.95         NA       0.21       4.28         NA        000
                                                       recording.
93602...............  26............  A               Intra-atrial                2.12       0.83       0.83       0.14       3.09       3.09        000
                                                       recording.
93602...............  TC............  A               Intra-atrial                0.00       1.12         NA       0.07       1.19         NA        000
                                                       recording.
93603...............  ..............  A               Right ventricular           2.12       2.51         NA       0.24       4.87         NA        000
                                                       recording.
93603...............  26............  A               Right ventricular           2.12       0.82       0.82       0.13       3.07       3.07        000
                                                       recording.
93603...............  TC............  A               Right ventricular           0.00       1.69         NA       0.11       1.80         NA        000
                                                       recording.
93609...............  ..............  A               Map tachycardia, add-       4.99       4.67         NA       0.80      10.46         NA        ZZZ
                                                       on.
93609...............  26............  A               Map tachycardia, add-       4.99       1.95       1.95       0.63       7.57       7.57        ZZZ
                                                       on.
93609...............  TC............  A               Map tachycardia, add-       0.00       2.72         NA       0.17       2.89         NA        ZZZ
                                                       on.
93610...............  ..............  A               Intra-atrial pacing..       3.02       2.52         NA       0.31       5.85         NA        000
93610...............  26............  A               Intra-atrial pacing..       3.02       1.16       1.16       0.21       4.39       4.39        000
93610...............  TC............  A               Intra-atrial pacing..       0.00       1.36         NA       0.10       1.46         NA        000
93612...............  ..............  A               Intraventricular            3.02       2.78         NA       0.32       6.12         NA        000
                                                       pacing.
93612...............  26............  A               Intraventricular            3.02       1.16       1.16       0.21       4.39       4.39        000
                                                       pacing.
93612...............  TC............  A               Intraventricular            0.00       1.62         NA       0.11       1.73         NA        000
                                                       pacing.
93613...............  ..............  A               Electrophys map 3d,         6.99         NA       2.76       0.63         NA      10.38        ZZZ
                                                       add-on.
93615...............  ..............  A               Esophageal recording.       0.99       0.59         NA       0.06       1.64         NA        000
93615...............  26............  A               Esophageal recording.       0.99       0.27       0.27       0.04       1.30       1.30        000
93615...............  TC............  A               Esophageal recording.       0.00       0.32         NA       0.02       0.34         NA        000
93616...............  ..............  A               Esophageal recording.       1.49       0.74         NA       0.09       2.32         NA        000
93616...............  26............  A               Esophageal recording.       1.49       0.42       0.42       0.07       1.98       1.98        000
93616...............  TC............  A               Esophageal recording.       0.00       0.32         NA       0.02       0.34         NA        000
93618...............  ..............  A               Heart rhythm pacing..       4.25       5.66         NA       0.51      10.42         NA        000
93618...............  26............  A               Heart rhythm pacing..       4.25       1.68       1.68       0.27       6.20       6.20        000
93618...............  TC............  A               Heart rhythm pacing..       0.00       3.98         NA       0.24       4.22         NA        000
93619...............  ..............  A               Electrophysiology           7.31      10.94         NA       0.93      19.18         NA        000
                                                       evaluation.
93619...............  26............  A               Electrophysiology           7.31       3.20       3.20       0.46      10.97      10.97        000
                                                       evaluation.
93619...............  TC............  A               Electrophysiology           0.00       7.74         NA       0.47       8.21         NA        000
                                                       evaluation.
93620...............  ..............  C               Electrophysiology           0.00       0.00         NA       0.00       0.00         NA        000
                                                       evaluation.
93620...............  26............  A               Electrophysiology          11.57       4.86       4.86       0.72      17.15      17.15        000
                                                       evaluation.
93620...............  TC............  C               Electrophysiology           0.00       0.00         NA       0.00       0.00         NA        000
                                                       evaluation.
93621...............  ..............  C               Electrophysiology           0.00       0.00       0.00       0.00       0.00       0.00        ZZZ
                                                       evaluation.
93621...............  26............  A               Electrophysiology           2.10       0.82       0.82       0.18       3.10       3.10        ZZZ
                                                       evaluation.
93621...............  TC............  C               Electrophysiology           0.00       0.00       0.00       0.00       0.00       0.00        ZZZ
                                                       evaluation.
93622...............  ..............  C               Electrophysiology           0.00       0.00       0.00       0.00       0.00       0.00        ZZZ
                                                       evaluation.
93622...............  26............  A               Electrophysiology           3.10       1.21       1.21       0.81       5.12       5.12        ZZZ
                                                       evaluation.
93622...............  TC............  C               Electrophysiology           0.00       0.00       0.00       0.00       0.00       0.00        ZZZ
                                                       evaluation.
93623...............  ..............  C               Stimulation, pacing         0.00       0.00       0.00       0.00       0.00       0.00        ZZZ
                                                       heart.
93623...............  26............  A               Stimulation, pacing         2.85       1.12       1.12       0.18       4.15       4.15        ZZZ
                                                       heart.
93623...............  TC............  C               Stimulation, pacing         0.00       0.00       0.00       0.00       0.00       0.00        ZZZ
                                                       heart.
93624...............  ..............  A               Electrophysiologic          4.80       4.19         NA       0.43       9.42         NA        000
                                                       study.
93624...............  26............  A               Electrophysiologic          4.80       2.20       2.20       0.30       7.30       7.30        000
                                                       study.
93624...............  TC............  A               Electrophysiologic          0.00       1.99         NA       0.13       2.12         NA        000
                                                       study.
93631...............  ..............  A               Heart pacing, mapping       7.59       8.95         NA       1.42      17.96         NA        000
93631...............  26............  A               Heart pacing, mapping       7.59       2.78       2.78       0.80      11.17      11.17        000
93631...............  TC............  A               Heart pacing, mapping       0.00       6.17         NA       0.62       6.79         NA        000
93640...............  ..............  A               Evaluation heart            3.51       8.56         NA       0.64      12.71         NA        000
                                                       device.
93640...............  26............  A               Evaluation heart            3.51       1.36       1.36       0.22       5.09       5.09        000
                                                       device.
93640...............  TC............  A               Evaluation heart            0.00       7.20         NA       0.42       7.62         NA        000
                                                       device.
93641...............  ..............  A               Electrophysiology           5.92       9.52         NA       0.79      16.23         NA        000
                                                       evaluation.
93641...............  26............  A               Electrophysiology           5.92       2.32       2.32       0.37       8.61       8.61        000
                                                       evaluation.

[[Page 1227]]

 
93641...............  TC............  A               Electrophysiology           0.00       7.20         NA       0.42       7.62         NA        000
                                                       evaluation.
93642...............  ..............  A               Electrophysiology           4.88       9.42         NA       0.61      14.91         NA        000
                                                       evaluation.
93642...............  26............  A               Electrophysiology           4.88       2.22       2.22       0.19       7.29       7.29        000
                                                       evaluation.
93642...............  TC............  A               Electrophysiology           0.00       7.20         NA       0.42       7.62         NA        000
                                                       evaluation.
93650...............  ..............  A               Ablate heart               10.49         NA       4.45       0.66         NA      15.60        000
                                                       dysrhythm focus.
93651...............  ..............  A               Ablate heart               16.23         NA       6.35       1.03         NA      23.61        000
                                                       dysrhythm focus.
93652...............  ..............  A               Ablate heart               17.65         NA       6.91       1.11         NA      25.67        000
                                                       dysrhythm focus.
93660...............  ..............  A               Tilt table evaluation       1.89       2.43         NA       0.09       4.41         NA        000
93660...............  26............  A               Tilt table evaluation       1.89       0.74       0.74       0.07       2.70       2.70        000
93660...............  TC............  A               Tilt table evaluation       0.00       1.69         NA       0.02       1.71         NA        000
93662...............  ..............  C               Intracardiac ecg            0.00       0.00       0.00       0.00       0.00       0.00        ZZZ
                                                       (ice).
93662...............  26............  A               Intracardiac ecg            2.80       1.11       1.11       0.49       4.40       4.40        ZZZ
                                                       (ice).
93662...............  TC............  C               Intracardiac ecg            0.00       0.00         NA       0.00       0.00         NA        ZZZ
                                                       (ice).
93668...............  ..............  N               Peripheral vascular         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       rehab.
93701...............  ..............  A               Bioimpedance,               0.17       1.02         NA       0.02       1.21         NA        XXX
                                                       thoracic.
93701...............  26............  A               Bioimpedance,               0.17       0.07       0.07       0.01       0.25       0.25        XXX
                                                       thoracic.
93701...............  TC............  A               Bioimpedance,               0.00       0.95         NA       0.01       0.96         NA        XXX
                                                       thoracic.
93720...............  ..............  A               Total body                  0.17       0.76         NA       0.07       1.00         NA        XXX
                                                       plethysmography.
93721...............  ..............  A               Plethysmography             0.00       0.71         NA       0.06       0.77         NA        XXX
                                                       tracing.
93722...............  ..............  A               Plethysmography             0.17       0.05       0.05       0.01       0.23       0.23        XXX
                                                       report.
93724...............  ..............  A               Analyze pacemaker           4.88       5.90         NA       0.46      11.24         NA        000
                                                       system.
93724...............  26............  A               Analyze pacemaker           4.88       1.92       1.92       0.22       7.02       7.02        000
                                                       system.
93724...............  TC............  A               Analyze pacemaker           0.00       3.98         NA       0.24       4.22         NA        000
                                                       system.
93727...............  ..............  A               Analyze ilr system...       0.52       0.20       0.20       0.06       0.78       0.78        XXX
93731...............  ..............  A               Analyze pacemaker           0.45       0.67         NA       0.06       1.18         NA        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       0.49         NA       0.04       0.53         NA        XXX
                                                       system.
93732...............  ..............  A               Analyze pacemaker           0.92       0.87         NA       0.08       1.87         NA        XXX
                                                       system.
93732...............  26............  A               Analyze pacemaker           0.92       0.36       0.36       0.04       1.32       1.32        XXX
                                                       system.
93732...............  TC............  A               Analyze pacemaker           0.00       0.51         NA       0.04       0.55         NA        XXX
                                                       system.
93733...............  ..............  A               Telephone analy,            0.17       0.80         NA       0.07       1.04         NA        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       0.73         NA       0.06       0.79         NA        XXX
                                                       pacemaker.
93734...............  ..............  A               Analyze pacemaker           0.38       0.50         NA       0.03       0.91         NA        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       0.35         NA       0.02       0.37         NA        XXX
                                                       system.
93735...............  ..............  A               Analyze pacemaker           0.74       0.73         NA       0.08       1.55         NA        XXX
                                                       system.
93735...............  26............  A               Analyze pacemaker           0.74       0.29       0.29       0.04       1.07       1.07        XXX
                                                       system.
93735...............  TC............  A               Analyze pacemaker           0.00       0.44         NA       0.04       0.48         NA        XXX
                                                       system.
93736...............  ..............  A               Telephonic analy,           0.15       0.69         NA       0.07       0.91         NA        XXX
                                                       pacemaker.
93736...............  26............  A               Telephonic analy,           0.15       0.06       0.06       0.01       0.22       0.22        XXX
                                                       pacemaker.
93736...............  TC............  A               Telephonic analy,           0.00       0.63         NA       0.06       0.69         NA        XXX
                                                       pacemaker.
93740...............  ..............  B               Temperature gradient       +0.16       0.20         NA       0.02       0.38         NA        XXX
                                                       studies.
93740...............  26............  B               Temperature gradient       +0.16       0.04       0.04       0.01       0.21       0.21        XXX
                                                       studies.
93740...............  TC............  B               Temperature gradient       +0.00       0.16         NA       0.01       0.17         NA        XXX
                                                       studies.
93741...............  ..............  A               Analyze ht pace             0.80       0.99         NA       0.06       1.85         NA        XXX
                                                       device sngl.
93741...............  26............  A               Analyze ht pace             0.80       0.32       0.32       0.02       1.14       1.14        XXX
                                                       device sngl.
93741...............  TC............  A               Analyze ht pace             0.00       0.67         NA       0.04       0.71         NA        XXX
                                                       device sngl.
93742...............  ..............  A               Analyze ht pace             0.91       1.03         NA       0.06       2.00         NA        XXX
                                                       device sngl.
93742...............  26............  A               Analyze ht pace             0.91       0.36       0.36       0.02       1.29       1.29        XXX
                                                       device sngl.
93742...............  TC............  A               Analyze ht pace             0.00       0.67         NA       0.04       0.71         NA        XXX
                                                       device sngl.
93743...............  ..............  A               Analyze ht pace             1.03       1.14         NA       0.08       2.25         NA        XXX
                                                       device dual.
93743...............  26............  A               Analyze ht pace             1.03       0.40       0.40       0.04       1.47       1.47        XXX
                                                       device dual.
93743...............  TC............  A               Analyze ht pace             0.00       0.74         NA       0.04       0.78         NA        XXX
                                                       device dual.
93744...............  ..............  A               Analyze ht pace             1.18       1.13         NA       0.08       2.39         NA        XXX
                                                       device dual.
93744...............  26............  A               Analyze ht pace             1.18       0.46       0.46       0.04       1.68       1.68        XXX
                                                       device dual.
93744...............  TC............  A               Analyze ht pace             0.00       0.67         NA       0.04       0.71         NA        XXX
                                                       device dual.
93760...............  ..............  N               Cephalic thermogram..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
93762...............  ..............  N               Peripheral thermogram       0.00       0.00       0.00       0.00       0.00       0.00        XXX
93770...............  ..............  B               Measure venous             +0.16       0.08         NA       0.02       0.26         NA        XXX
                                                       pressure.
93770...............  26............  B               Measure venous             +0.16       0.05       0.05       0.01       0.22       0.22        XXX
                                                       pressure.
93770...............  TC............  B               Measure venous             +0.00       0.03         NA       0.01       0.04         NA        XXX
                                                       pressure.
93784...............  ..............  A               Ambulatory BP               0.38       1.55         NA       0.03       1.96         NA        XXX
                                                       monitoring.
93786...............  ..............  A               Ambulatory BP               0.00       0.91         NA       0.01       0.92         NA        XXX
                                                       recording.
93788...............  ..............  A               Ambulatory BP               0.00       0.51         NA       0.01       0.52         NA        XXX
                                                       analysis.
93790...............  ..............  A               Review/report BP            0.38       0.13       0.13       0.01       0.52       0.52        XXX
                                                       recording.
93797...............  ..............  A               Cardiac rehab........       0.18       0.37       0.07       0.01       0.56       0.26        000
93798...............  ..............  A               Cardiac rehab/monitor       0.28       0.49       0.11       0.01       0.78       0.40        000
93799...............  ..............  C               Cardiovascular              0.00       0.00       0.00       0.00       0.00       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       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
93875...............  ..............  A               Extracranial study...       0.22       1.66         NA       0.12       2.00         NA        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       1.58         NA       0.11       1.69         NA        XXX
93880...............  ..............  A               Extracranial study...       0.60       4.18         NA       0.40       5.18         NA        XXX

[[Page 1228]]

 
93880...............  26............  A               Extracranial study...       0.60       0.21       0.21       0.05       0.86       0.86        XXX
93880...............  TC............  A               Extracranial study...       0.00       3.97         NA       0.35       4.32         NA        XXX
93882...............  ..............  A               Extracranial study...       0.40       3.01         NA       0.27       3.68         NA        XXX
93882...............  26............  A               Extracranial study...       0.40       0.14       0.14       0.05       0.59       0.59        XXX
93882...............  TC............  A               Extracranial study...       0.00       2.87         NA       0.22       3.09         NA        XXX
93886...............  ..............  A               Intracranial study...       0.94       4.47         NA       0.45       5.86         NA        XXX
93886...............  26............  A               Intracranial study...       0.94       0.37       0.37       0.06       1.37       1.37        XXX
93886...............  TC............  A               Intracranial study...       0.00       4.10         NA       0.39       4.49         NA        XXX
93888...............  ..............  A               Intracranial study...       0.62       3.02         NA       0.32       3.96         NA        XXX
93888...............  26............  A               Intracranial study...       0.62       0.23       0.23       0.05       0.90       0.90        XXX
93888...............  TC............  A               Intracranial study...       0.00       2.79         NA       0.27       3.06         NA        XXX
93922...............  ..............  A               Extremity study......       0.25       1.93         NA       0.15       2.33         NA        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       1.84         NA       0.13       1.97         NA        XXX
93923...............  ..............  A               Extremity study......       0.45       3.00         NA       0.27       3.72         NA        XXX
93923...............  26............  A               Extremity study......       0.45       0.15       0.15       0.05       0.65       0.65        XXX
93923...............  TC............  A               Extremity study......       0.00       2.85         NA       0.22       3.07         NA        XXX
93924...............  ..............  A               Extremity study......       0.50       3.76         NA       0.31       4.57         NA        XXX
93924...............  26............  A               Extremity study......       0.50       0.17       0.17       0.06       0.73       0.73        XXX
93924...............  TC............  A               Extremity study......       0.00       3.59         NA       0.25       3.84         NA        XXX
93925...............  ..............  A               Lower extremity study       0.58       4.87         NA       0.40       5.85         NA        XXX
93925...............  26............  A               Lower extremity study       0.58       0.20       0.20       0.05       0.83       0.83        XXX
93925...............  TC............  A               Lower extremity study       0.00       4.67         NA       0.35       5.02         NA        XXX
93926...............  ..............  A               Lower extremity study       0.39       3.49         NA       0.27       4.15         NA        XXX
93926...............  26............  A               Lower extremity study       0.39       0.13       0.13       0.04       0.56       0.56        XXX
93926...............  TC............  A               Lower extremity study       0.00       3.36         NA       0.23       3.59         NA        XXX
93930...............  ..............  A               Upper extremity study       0.46       3.85         NA       0.41       4.72         NA        XXX
93930...............  26............  A               Upper extremity study       0.46       0.16       0.16       0.04       0.66       0.66        XXX
93930...............  TC............  A               Upper extremity study       0.00       3.69         NA       0.37       4.06         NA        XXX
93931...............  ..............  A               Upper extremity study       0.31       2.82         NA       0.26       3.39         NA        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       2.71         NA       0.24       2.95         NA        XXX
93965...............  ..............  A               Extremity study......       0.35       1.86         NA       0.14       2.35         NA        XXX
93965...............  26............  A               Extremity study......       0.35       0.12       0.12       0.02       0.49       0.49        XXX
93965...............  TC............  A               Extremity study......       0.00       1.74         NA       0.12       1.86         NA        XXX
93970...............  ..............  A               Extremity study......       0.68       3.97         NA       0.46       5.11         NA        XXX
93970...............  26............  A               Extremity study......       0.68       0.23       0.23       0.06       0.97       0.97        XXX
93970...............  TC............  A               Extremity study......       0.00       3.74         NA       0.40       4.14         NA        XXX
93971...............  ..............  A               Extremity study......       0.45       2.86         NA       0.31       3.62         NA        XXX
93971...............  26............  A               Extremity study......       0.45       0.15       0.15       0.04       0.64       0.64        XXX
93971...............  TC............  A               Extremity study......       0.00       2.71         NA       0.27       2.98         NA        XXX
93975...............  ..............  A               Vascular study.......       1.80       5.82         NA       0.56       8.18         NA        XXX
93975...............  26............  A               Vascular study.......       1.80       0.60       0.60       0.13       2.53       2.53        XXX
93975...............  TC............  A               Vascular study.......       0.00       5.22         NA       0.43       5.65         NA        XXX
93976...............  ..............  A               Vascular study.......       1.21       3.46         NA       0.37       5.04         NA        XXX
93976...............  26............  A               Vascular study.......       1.21       0.40       0.40       0.07       1.68       1.68        XXX
93976...............  TC............  A               Vascular study.......       0.00       3.06         NA       0.30       3.36         NA        XXX
93978...............  ..............  A               Vascular study.......       0.65       3.58         NA       0.43       4.66         NA        XXX
93978...............  26............  A               Vascular study.......       0.65       0.22       0.22       0.06       0.93       0.93        XXX
93978...............  TC............  A               Vascular study.......       0.00       3.36         NA       0.37       3.73         NA        XXX
93979...............  ..............  A               Vascular study.......       0.44       2.65         NA       0.29       3.38         NA        XXX
93979...............  26............  A               Vascular study.......       0.44       0.15       0.15       0.05       0.64       0.64        XXX
93979...............  TC............  A               Vascular study.......       0.00       2.50         NA       0.24       2.74         NA        XXX
93980...............  ..............  A               Penile vascular study       1.25       4.78         NA       0.42       6.45         NA        XXX
93980...............  26............  A               Penile vascular study       1.25       0.41       0.41       0.08       1.74       1.74        XXX
93980...............  TC............  A               Penile vascular study       0.00       4.37         NA       0.34       4.71         NA        XXX
93981...............  ..............  A               Penile vascular study       0.44       4.61         NA       0.33       5.38         NA        XXX
93981...............  26............  A               Penile vascular study       0.44       0.15       0.15       0.02       0.61       0.61        XXX
93981...............  TC............  A               Penile vascular study       0.00       4.46         NA       0.31       4.77         NA        XXX
93990...............  ..............  A               Doppler flow testing.       0.25       3.42         NA       0.25       3.92         NA        XXX
93990...............  26............  A               Doppler flow testing.       0.25       0.09       0.09       0.02       0.36       0.36        XXX
93990...............  TC............  A               Doppler flow testing.       0.00       3.33         NA       0.23       3.56         NA        XXX
94010...............  ..............  A               Breathing capacity          0.17       0.67         NA       0.03       0.87         NA        XXX
                                                       test.
94010...............  26............  A               Breathing capacity          0.17       0.05       0.05       0.01       0.23       0.23        XXX
                                                       test.
94010...............  TC............  A               Breathing capacity          0.00       0.62         NA       0.02       0.64         NA        XXX
                                                       test.
94014...............  ..............  A               Patient recorded            0.52       0.77         NA       0.03       1.32         NA        XXX
                                                       spirometry.
94015...............  ..............  A               Patient recorded            0.00       0.60         NA       0.01       0.61         NA        XXX
                                                       spirometry.
94016...............  ..............  A               Review patient              0.52       0.17       0.17       0.02       0.71       0.71        XXX
                                                       spirometry.
94060...............  ..............  A               Evaluation of               0.31       1.12         NA       0.07       1.50         NA        XXX
                                                       wheezing.
94060...............  26............  A               Evaluation of               0.31       0.10       0.10       0.01       0.42       0.42        XXX
                                                       wheezing.
94060...............  TC............  A               Evaluation of               0.00       1.02         NA       0.06       1.08         NA        XXX
                                                       wheezing.
94070...............  ..............  A               Evaluation of               0.60       2.99         NA       0.12       3.71         NA        XXX
                                                       wheezing.
94070...............  26............  A               Evaluation of               0.60       0.19       0.19       0.02       0.81       0.81        XXX
                                                       wheezing.
94070...............  TC............  A               Evaluation of               0.00       2.80         NA       0.10       2.90         NA        XXX
                                                       wheezing.
94150...............  ..............  B               Vital capacity test..      +0.07       0.48         NA       0.02       0.57         NA        XXX

[[Page 1229]]

 
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       0.45         NA       0.01       0.46         NA        XXX
94200...............  ..............  A               Lung function test          0.11       0.44         NA       0.03       0.58         NA        XXX
                                                       (MBC/MVV).
94200...............  26............  A               Lung function test          0.11       0.03       0.03       0.01       0.15       0.15        XXX
                                                       (MBC/MVV).
94200...............  TC............  A               Lung function test          0.00       0.41         NA       0.02       0.43         NA        XXX
                                                       (MBC/MVV).
94240...............  ..............  A               Residual lung               0.26       0.65         NA       0.06       0.97         NA        XXX
                                                       capacity.
94240...............  26............  A               Residual lung               0.26       0.08       0.08       0.01       0.35       0.35        XXX
                                                       capacity.
94240...............  TC............  A               Residual lung               0.00       0.57         NA       0.05       0.62         NA        XXX
                                                       capacity.
94250...............  ..............  A               Expired gas                 0.11       0.65         NA       0.02       0.78         NA        XXX
                                                       collection.
94250...............  26............  A               Expired gas                 0.11       0.03       0.03       0.01       0.15       0.15        XXX
                                                       collection.
94250...............  TC............  A               Expired gas                 0.00       0.62         NA       0.01       0.63         NA        XXX
                                                       collection.
94260...............  ..............  A               Thoracic gas volume..       0.13       0.57         NA       0.05       0.75         NA        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       0.53         NA       0.04       0.57         NA        XXX
94350...............  ..............  A               Lung nitrogen washout       0.26       0.75         NA       0.05       1.06         NA        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       0.67         NA       0.04       0.71         NA        XXX
                                                       curve.
94360...............  ..............  A               Measure airflow             0.26       0.69         NA       0.07       1.02         NA        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       0.61         NA       0.06       0.67         NA        XXX
                                                       resistance.
94370...............  ..............  A               Breath airway closing       0.26       0.72         NA       0.03       1.01         NA        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       0.64         NA       0.02       0.66         NA        XXX
                                                       volume.
94375...............  ..............  A               Respiratory flow            0.31       0.61         NA       0.03       0.95         NA        XXX
                                                       volume loop.
94375...............  26............  A               Respiratory flow            0.31       0.10       0.10       0.01       0.42       0.42        XXX
                                                       volume loop.
94375...............  TC............  A               Respiratory flow            0.00       0.51         NA       0.02       0.53         NA        XXX
                                                       volume loop.
94400...............  ..............  A               CO2 breathing               0.40       0.84         NA       0.07       1.31         NA        XXX
                                                       response curve.
94400...............  26............  A               CO2 breathing               0.40       0.12       0.12       0.01       0.53       0.53        XXX
                                                       response curve.
94400...............  TC............  A               CO2 breathing               0.00       0.72         NA       0.06       0.78         NA        XXX
                                                       response curve.
94450...............  ..............  A               Hypoxia response            0.40       0.68         NA       0.04       1.12         NA        XXX
                                                       curve.
94450...............  26............  A               Hypoxia response            0.40       0.12       0.12       0.02       0.54       0.54        XXX
                                                       curve.
94450...............  TC............  A               Hypoxia response            0.00       0.56         NA       0.02       0.58         NA        XXX
                                                       curve.
94620...............  ..............  A               Pulmonary stress test/      0.64       2.42         NA       0.12       3.18         NA        XXX
                                                       simple.
94620...............  26............  A               Pulmonary stress test/      0.64       0.20       0.20       0.02       0.86       0.86        XXX
                                                       simple.
94620...............  TC............  A               Pulmonary stress test/      0.00       2.22         NA       0.10       2.32         NA        XXX
                                                       simple.
94621...............  ..............  A               Pulm stress test/           1.42       2.06         NA       0.16       3.64         NA        XXX
                                                       complex.
94621...............  26............  A               Pulm stress test/           1.42       0.43       0.43       0.06       1.91       1.91        XXX
                                                       complex.
94621...............  TC............  A               Pulm stress test/           0.00       1.63         NA       0.10       1.73         NA        XXX
                                                       complex.
94640...............  ..............  A               Airway inhalation           0.00       0.32         NA       0.02       0.34         NA        XXX
                                                       treatment.
94642...............  ..............  C               Aerosol inhalation          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       treatment.
94656...............  ..............  A               Initial ventilator          1.22       1.18       0.32       0.07       2.47       1.61        XXX
                                                       mgmt.
94657...............  ..............  A               Continued ventilator        0.83       1.00       0.25       0.04       1.87       1.12        XXX
                                                       mgmt.
94660...............  ..............  A               Pos airway pressure,        0.76       0.66       0.24       0.04       1.46       1.04        XXX
                                                       CPAP.
94662...............  ..............  A               Neg press                   0.76         NA       0.24       0.02         NA       1.02        XXX
                                                       ventilation, cnp.
94664...............  ..............  A               Evaluate pt use of          0.00       0.32         NA       0.04       0.36         NA        XXX
                                                       inhaler.
94667...............  ..............  A               Chest wall                  0.00       0.54         NA       0.05       0.59         NA        XXX
                                                       manipulation.
94668...............  ..............  A               Chest wall                  0.00       0.46         NA       0.02       0.48         NA        XXX
                                                       manipulation.
94680...............  ..............  A               Exhaled air analysis,       0.26       1.89         NA       0.07       2.22         NA        XXX
                                                       o2.
94680...............  26............  A               Exhaled air analysis,       0.26       0.08       0.08       0.01       0.35       0.35        XXX
                                                       o2.
94680...............  TC............  A               Exhaled air analysis,       0.00       1.81         NA       0.06       1.87         NA        XXX
                                                       o2.
94681...............  ..............  A               Exhaled air analysis,       0.20       2.62         NA       0.13       2.95         NA        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       2.55         NA       0.12       2.67         NA        XXX
                                                       o2/co2.
94690...............  ..............  A               Exhaled air analysis.       0.07       1.97         NA       0.05       2.09         NA        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       1.95         NA       0.04       1.99         NA        XXX
94720...............  ..............  A               Monoxide diffusing          0.26       1.00         NA       0.07       1.33         NA        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       0.92         NA       0.06       0.98         NA        XXX
                                                       capacity.
94725...............  ..............  A               Membrane diffusion          0.26       2.92         NA       0.13       3.31         NA        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       2.84         NA       0.12       2.96         NA        XXX
                                                       capacity.
94750...............  ..............  A               Pulmonary compliance        0.23       1.35         NA       0.05       1.63         NA        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       1.28         NA       0.04       1.32         NA        XXX
                                                       study.
94760...............  ..............  T               Measure blood oxygen        0.00       0.04         NA       0.02       0.06         NA        XXX
                                                       level.
94761...............  ..............  T               Measure blood oxygen        0.00       0.07         NA       0.06       0.13         NA        XXX
                                                       level.
94762...............  ..............  A               Measure blood oxygen        0.00       0.40         NA       0.10       0.50         NA        XXX
                                                       level.
94770...............  ..............  A               Exhaled carbon              0.15       1.67         NA       0.08       1.90         NA        XXX
                                                       dioxide test.
94770...............  26............  A               Exhaled carbon              0.15       0.04       0.04       0.01       0.20       0.20        XXX
                                                       dioxide test.
94770...............  TC............  A               Exhaled carbon              0.00       1.63         NA       0.07       1.70         NA        XXX
                                                       dioxide test.
94772...............  ..............  C               Breath recording,           0.00       0.00       0.00       0.00       0.00       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       0.00       0.00       0.00       0.00       0.00        XXX
                                                       infant.
94799...............  ..............  C               Pulmonary service/          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.

[[Page 1230]]

 
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       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
95004...............  ..............  A               Percut allergy skin         0.00       0.10         NA       0.01       0.11         NA        XXX
                                                       tests.
95010...............  ..............  A               Percut allergy              0.15       0.33       0.06       0.01       0.49       0.22        XXX
                                                       titrate test.
95015...............  ..............  A               Id allergy titrate-         0.15       0.15       0.06       0.01       0.31       0.22        XXX
                                                       drug/bug.
95024...............  ..............  A               Id allergy test, drug/      0.00       0.15         NA       0.01       0.16         NA        XXX
                                                       bug.
95027...............  ..............  A               Id allergy titrate-         0.00       0.15         NA       0.01       0.16         NA        XXX
                                                       airborne.
95028...............  ..............  A               Id allergy test-            0.00       0.24         NA       0.01       0.25         NA        XXX
                                                       delayed type.
95044...............  ..............  A               Allergy patch tests..       0.00       0.21         NA       0.01       0.22         NA        XXX
95052...............  ..............  A               Photo patch test.....       0.00       0.26         NA       0.01       0.27         NA        XXX
95056...............  ..............  A               Photosensitivity            0.00       0.18         NA       0.01       0.19         NA        XXX
                                                       tests.
95060...............  ..............  A               Eye allergy tests....       0.00       0.35         NA       0.02       0.37         NA        XXX
95065...............  ..............  A               Nose allergy test....       0.00       0.21         NA       0.01       0.22         NA        XXX
95070...............  ..............  A               Bronchial allergy           0.00       2.29         NA       0.02       2.31         NA        XXX
                                                       tests.
95071...............  ..............  A               Bronchial allergy           0.00       2.93         NA       0.02       2.95         NA        XXX
                                                       tests.
95075...............  ..............  A               Ingestion challenge         0.95       0.83       0.38       0.04       1.82       1.37        XXX
                                                       test.
95078...............  ..............  A               Provocative testing..       0.00       0.26         NA       0.02       0.28         NA        XXX
95115...............  ..............  A               Immunotherapy, one          0.00       0.38         NA       0.02       0.40         NA        000
                                                       injection.
95117...............  ..............  A               Immunotherapy               0.00       0.50         NA       0.02       0.52         NA        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       0.15       0.02       0.01       0.22       0.09        000
                                                       services.
95145...............  ..............  A               Antigen therapy             0.06       0.33       0.02       0.01       0.40       0.09        000
                                                       services.
95146...............  ..............  A               Antigen therapy             0.06       0.44       0.03       0.01       0.51       0.10        000
                                                       services.
95147...............  ..............  A               Antigen therapy             0.06       0.42       0.02       0.01       0.49       0.09        000
                                                       services.
95148...............  ..............  A               Antigen therapy             0.06       0.58       0.03       0.01       0.65       0.10        000
                                                       services.
95149...............  ..............  A               Antigen therapy             0.06       0.81       0.03       0.01       0.88       0.10        000
                                                       services.
95165...............  ..............  A               Antigen therapy             0.06       0.20       0.02       0.01       0.27       0.09        000
                                                       services.
95170...............  ..............  A               Antigen therapy             0.06       0.14       0.02       0.01       0.21       0.09        000
                                                       services.
95180...............  ..............  A               Rapid desensitization       2.01       1.52       0.82       0.05       3.58       2.88        000
95199...............  ..............  C               Allergy immunology          0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       services.
95250...............  ..............  A               Glucose monitoring,         0.00       3.82         NA       0.01       3.83         NA        XXX
                                                       cont.
95805...............  ..............  A               Multiple sleep              1.88      16.26         NA       0.41      18.55         NA        XXX
                                                       latency test.
95805...............  26............  A               Multiple sleep              1.88       0.66       0.66       0.07       2.61       2.61        XXX
                                                       latency test.
95805...............  TC............  A               Multiple sleep              0.00      15.60         NA       0.34      15.94         NA        XXX
                                                       latency test.
95806...............  ..............  A               Sleep study,                1.66       3.81         NA       0.38       5.85         NA        XXX
                                                       unattended.
95806...............  26............  A               Sleep study,                1.66       0.53       0.53       0.07       2.26       2.26        XXX
                                                       unattended.
95806...............  TC............  A               Sleep study,                0.00       3.28         NA       0.31       3.59         NA        XXX
                                                       unattended.
95807...............  ..............  A               Sleep study, attended       1.66      11.67         NA       0.48      13.81         NA        XXX
95807...............  26............  A               Sleep study, attended       1.66       0.53       0.53       0.06       2.25       2.25        XXX
95807...............  TC............  A               Sleep study, attended       0.00      11.14         NA       0.42      11.56         NA        XXX
95808...............  ..............  A               Polysomnography, 1-3.       2.65      12.91         NA       0.53      16.09         NA        XXX
95808...............  26............  A               Polysomnography, 1-3.       2.65       0.93       0.93       0.11       3.69       3.69        XXX
95808...............  TC............  A               Polysomnography, 1-3.       0.00      11.98         NA       0.42      12.40         NA        XXX
95810...............  ..............  A               Polysomnography, 4 or       3.52      17.02         NA       0.56      21.10         NA        XXX
                                                       more.
95810...............  26............  A               Polysomnography, 4 or       3.52       1.18       1.18       0.14       4.84       4.84        XXX
                                                       more.
95810...............  TC............  A               Polysomnography, 4 or       0.00      15.84         NA       0.42      16.26         NA        XXX
                                                       more.
95811...............  ..............  A               Polysomnography w/          3.79      18.45         NA       0.59      22.83         NA        XXX
                                                       cpap.
95811...............  26............  A               Polysomnography w/          3.79       1.27       1.27       0.16       5.22       5.22        XXX
                                                       cpap.
95811...............  TC............  A               Polysomnography w/          0.00      17.18         NA       0.43      17.61         NA        XXX
                                                       cpap.
95812...............  ..............  A               Eeg, 41-60 minutes...       1.08       3.91         NA       0.16       5.15         NA        XXX
95812...............  26............  A               Eeg, 41-60 minutes...       1.08       0.45       0.45       0.05       1.58       1.58        XXX
95812...............  TC............  A               Eeg, 41-60 minutes...       0.00       3.46         NA       0.11       3.57         NA        XXX
95813...............  ..............  A               Eeg, over 1 hour.....       1.73       4.93         NA       0.18       6.84         NA        XXX
95813...............  26............  A               Eeg, over 1 hour.....       1.73       0.70       0.70       0.07       2.50       2.50        XXX
95813...............  TC............  A               Eeg, over 1 hour.....       0.00       4.23         NA       0.11       4.34         NA        XXX
95816...............  ..............  A               Eeg, awake and drowsy       1.08       3.14         NA       0.15       4.37         NA        XXX
95816...............  26............  A               Eeg, awake and drowsy       1.08       0.46       0.46       0.05       1.59       1.59        XXX
95816...............  TC............  A               Eeg, awake and drowsy       0.00       2.68         NA       0.10       2.78         NA        XXX
95819...............  ..............  A               Eeg, awake and asleep       1.08       3.69         NA       0.15       4.92         NA        XXX
95819...............  26............  A               Eeg, awake and asleep       1.08       0.46       0.46       0.05       1.59       1.59        XXX
95819...............  TC............  A               Eeg, awake and asleep       0.00       3.23         NA       0.10       3.33         NA        XXX
95822...............  ..............  A               Eeg, coma or sleep          1.08       4.35         NA       0.18       5.61         NA        XXX
                                                       only.
95822...............  26............  A               Eeg, coma or sleep          1.08       0.45       0.45       0.05       1.58       1.58        XXX
                                                       only.
95822...............  TC............  A               Eeg, coma or sleep          0.00       3.90         NA       0.13       4.03         NA        XXX
                                                       only.
95824...............  ..............  C               Eeg, cerebral death         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       only.
95824...............  26............  A               Eeg, cerebral death         0.74       0.32       0.32       0.06       1.12       1.12        XXX
                                                       only.
95824...............  TC............  C               Eeg, cerebral death         0.00       0.00         NA       0.00       0.00         NA        XXX
                                                       only.
95827...............  ..............  A               Eeg, all night              1.08       2.70         NA       0.18       3.96         NA        XXX
                                                       recording.
95827...............  26............  A               Eeg, all night              1.08       0.40       0.40       0.04       1.52       1.52        XXX
                                                       recording.

[[Page 1231]]

 
95827...............  TC............  A               Eeg, all night              0.00       2.30         NA       0.14       2.44         NA        XXX
                                                       recording.
95829...............  ..............  A               Surgery                     6.20      31.30         NA       0.39      37.89         NA        XXX
                                                       electrocorticogram.
95829...............  26............  A               Surgery                     6.20       2.33       2.33       0.37       8.90       8.90        XXX
                                                       electrocorticogram.
95829...............  TC............  A               Surgery                     0.00      28.97         NA       0.02      28.99         NA        XXX
                                                       electrocorticogram.
95830...............  ..............  A               Insert electrodes for       1.70       3.37       0.73       0.08       5.15       2.51        XXX
                                                       EEG.
95831...............  ..............  A               Limb muscle testing,        0.28       0.34       0.13       0.01       0.63       0.42        XXX
                                                       manual.
95832...............  ..............  A               Hand muscle testing,        0.29       0.25       0.12       0.01       0.55       0.42        XXX
                                                       manual.
95833...............  ..............  A               Body muscle testing,        0.47       0.45       0.23       0.01       0.93       0.71        XXX
                                                       manual.
95834...............  ..............  A               Body muscle testing,        0.60       0.50       0.28       0.02       1.12       0.90        XXX
                                                       manual.
95851...............  ..............  A               Range of motion             0.16       0.37       0.08       0.01       0.54       0.25        XXX
                                                       measurements.
95852...............  ..............  A               Range of motion             0.11       0.26       0.05       0.01       0.38       0.17        XXX
                                                       measurements.
95857...............  ..............  A               Tensilon test........       0.53       0.61       0.23       0.02       1.16       0.78        XXX
95858...............  ..............  A               Tensilon test &             1.56       1.06         NA       0.09       2.71         NA        XXX
                                                       myogram.
95858...............  26............  A               Tensilon test &             1.56       0.67       0.67       0.05       2.28       2.28        XXX
                                                       myogram.
95858...............  TC............  A               Tensilon test &             0.00       0.39         NA       0.04       0.43         NA        XXX
                                                       myogram.
95860...............  ..............  A               Muscle test, one limb       0.96       1.45         NA       0.06       2.47         NA        XXX
95860...............  26............  A               Muscle test, one limb       0.96       0.42       0.42       0.04       1.42       1.42        XXX
95860...............  TC............  A               Muscle test, one limb       0.00       1.03         NA       0.02       1.05         NA        XXX
95861...............  ..............  A               Muscle test, 2 limbs.       1.54       1.42         NA       0.12       3.08         NA        XXX
95861...............  26............  A               Muscle test, 2 limbs.       1.54       0.68       0.68       0.06       2.28       2.28        XXX
95861...............  TC............  A               Muscle test, 2 limbs.       0.00       0.74         NA       0.06       0.80         NA        XXX
95863...............  ..............  A               Muscle test, 3 limbs.       1.87       1.75         NA       0.13       3.75         NA        XXX
95863...............  26............  A               Muscle test, 3 limbs.       1.87       0.81       0.81       0.07       2.75       2.75        XXX
95863...............  TC............  A               Muscle test, 3 limbs.       0.00       0.94         NA       0.06       1.00         NA        XXX
95864...............  ..............  A               Muscle test, 4 limbs.       1.99       2.66         NA       0.19       4.84         NA        XXX
95864...............  26............  A               Muscle test, 4 limbs.       1.99       0.87       0.87       0.07       2.93       2.93        XXX
95864...............  TC............  A               Muscle test, 4 limbs.       0.00       1.79         NA       0.12       1.91         NA        XXX
95867...............  ..............  A               Muscle test cran nerv       0.79       0.93         NA       0.08       1.80         NA        XXX
                                                       unilat.
95867...............  26............  A               Muscle test cran nerv       0.79       0.35       0.35       0.04       1.18       1.18        XXX
                                                       unilat.
95867...............  TC............  A               Muscle test cran nerv       0.00       0.58         NA       0.04       0.62         NA        XXX
                                                       unilat.
95868...............  ..............  A               Muscle test cran            1.18       1.21         NA       0.10       2.49         NA        XXX
                                                       nerve bilat.
95868...............  26............  A               Muscle test cran            1.18       0.51       0.51       0.05       1.74       1.74        XXX
                                                       nerve bilat.
95868...............  TC............  A               Muscle test cran            0.00       0.70         NA       0.05       0.75         NA        XXX
                                                       nerve bilat.
95869...............  ..............  A               Muscle test, thor           0.37       0.38         NA       0.03       0.78         NA        XXX
                                                       paraspinal.
95869...............  26............  A               Muscle test, thor           0.37       0.16       0.16       0.01       0.54       0.54        XXX
                                                       paraspinal.
95869...............  TC............  A               Muscle test, thor           0.00       0.22         NA       0.02       0.24         NA        XXX
                                                       paraspinal.
95870...............  ..............  A               Muscle test,                0.37       0.38         NA       0.03       0.78         NA        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       0.22         NA       0.02       0.24         NA        XXX
                                                       nonparaspinal.
95872...............  ..............  A               Muscle test, one            1.50       1.23         NA       0.10       2.83         NA        XXX
                                                       fiber.
95872...............  26............  A               Muscle test, one            1.50       0.63       0.63       0.05       2.18       2.18        XXX
                                                       fiber.
95872...............  TC............  A               Muscle test, one            0.00       0.60         NA       0.05       0.65         NA        XXX
                                                       fiber.
95875...............  ..............  A               Limb exercise test...       1.10       1.46         NA       0.11       2.67         NA        XXX
95875...............  26............  A               Limb exercise test...       1.10       0.46       0.46       0.05       1.61       1.61        XXX
95875...............  TC............  A               Limb exercise test...       0.00       1.00         NA       0.06       1.06         NA        XXX
95900...............  ..............  A               Motor nerve                 0.42       1.29         NA       0.03       1.74         NA        XXX
                                                       conduction test.
95900...............  26............  A               Motor nerve                 0.42       0.19       0.19       0.01       0.62       0.62        XXX
                                                       conduction test.
95900...............  TC............  A               Motor nerve                 0.00       1.10         NA       0.02       1.12         NA        XXX
                                                       conduction test.
95903...............  ..............  A               Motor nerve                 0.60       1.21         NA       0.04       1.85         NA        XXX
                                                       conduction test.
95903...............  26............  A               Motor nerve                 0.60       0.26       0.26       0.02       0.88       0.88        XXX
                                                       conduction test.
95903...............  TC............  A               Motor nerve                 0.00       0.95         NA       0.02       0.97         NA        XXX
                                                       conduction test.
95904...............  ..............  A               Sense nerve                 0.34       1.11         NA       0.03       1.48         NA        XXX
                                                       conduction test.
95904...............  26............  A               Sense nerve                 0.34       0.15       0.15       0.01       0.50       0.50        XXX
                                                       conduction test.
95904...............  TC............  A               Sense nerve                 0.00       0.96         NA       0.02       0.98         NA        XXX
                                                       conduction test.
95920...............  ..............  A               Intraop nerve test          2.11       2.25         NA       0.24       4.60         NA        ZZZ
                                                       add-on.
95920...............  26............  A               Intraop nerve test          2.11       0.94       0.94       0.17       3.22       3.22        ZZZ
                                                       add-on.
95920...............  TC............  A               Intraop nerve test          0.00       1.31         NA       0.07       1.38         NA        ZZZ
                                                       add-on.
95921...............  ..............  A               Autonomic nerv              0.90       0.70         NA       0.06       1.66         NA        XXX
                                                       function test.
95921...............  26............  A               Autonomic nerv              0.90       0.33       0.33       0.04       1.27       1.27        XXX
                                                       function test.
95921...............  TC............  A               Autonomic nerv              0.00       0.37         NA       0.02       0.39         NA        XXX
                                                       function test.
95922...............  ..............  A               Autonomic nerv              0.96       0.77         NA       0.06       1.79         NA        XXX
                                                       function test.
95922...............  26............  A               Autonomic nerv              0.96       0.40       0.40       0.04       1.40       1.40        XXX
                                                       function test.
95922...............  TC............  A               Autonomic nerv              0.00       0.37         NA       0.02       0.39         NA        XXX
                                                       function test.
95923...............  ..............  A               Autonomic nerv              0.90       2.08         NA       0.06       3.04         NA        XXX
                                                       function test.
95923...............  26............  A               Autonomic nerv              0.90       0.37       0.37       0.04       1.31       1.31        XXX
                                                       function test.
95923...............  TC............  A               Autonomic nerv              0.00       1.71         NA       0.02       1.73         NA        XXX
                                                       function test.
95925...............  ..............  A               Somatosensory testing       0.54       1.14         NA       0.08       1.76         NA        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       0.91         NA       0.06       0.97         NA        XXX
95926...............  ..............  A               Somatosensory testing       0.54       1.15         NA       0.08       1.77         NA        XXX
95926...............  26............  A               Somatosensory testing       0.54       0.24       0.24       0.02       0.80       0.80        XXX
95926...............  TC............  A               Somatosensory testing       0.00       0.91         NA       0.06       0.97         NA        XXX
95927...............  ..............  A               Somatosensory testing       0.54       1.16         NA       0.10       1.80         NA        XXX
95927...............  26............  A               Somatosensory testing       0.54       0.25       0.25       0.04       0.83       0.83        XXX
95927...............  TC............  A               Somatosensory testing       0.00       0.91         NA       0.06       0.97         NA        XXX

[[Page 1232]]

 
95930...............  ..............  A               Visual evoked               0.35       1.43         NA       0.02       1.80         NA        XXX
                                                       potential test.
95930...............  26............  A               Visual evoked               0.35       0.15       0.15       0.01       0.51       0.51        XXX
                                                       potential test.
95930...............  TC............  A               Visual evoked               0.00       1.28         NA       0.01       1.29         NA        XXX
                                                       potential test.
95933...............  ..............  A               Blink reflex test....       0.59       1.03         NA       0.08       1.70         NA        XXX
95933...............  26............  A               Blink reflex test....       0.59       0.24       0.24       0.02       0.85       0.85        XXX
95933...............  TC............  A               Blink reflex test....       0.00       0.79         NA       0.06       0.85         NA        XXX
95934...............  ..............  A               H-reflex test........       0.51       0.44         NA       0.04       0.99         NA        XXX
95934...............  26............  A               H-reflex test........       0.51       0.22       0.22       0.02       0.75       0.75        XXX
95934...............  TC............  A               H-reflex test........       0.00       0.22         NA       0.02       0.24         NA        XXX
95936...............  ..............  A               H-reflex test........       0.55       0.46         NA       0.04       1.05         NA        XXX
95936...............  26............  A               H-reflex test........       0.55       0.24       0.24       0.02       0.81       0.81        XXX
95936...............  TC............  A               H-reflex test........       0.00       0.22         NA       0.02       0.24         NA        XXX
95937...............  ..............  A               Neuromuscular               0.65       0.61         NA       0.04       1.30         NA        XXX
                                                       junction test.
95937...............  26............  A               Neuromuscular               0.65       0.27       0.27       0.02       0.94       0.94        XXX
                                                       junction test.
95937...............  TC............  A               Neuromuscular               0.00       0.34         NA       0.02       0.36         NA        XXX
                                                       junction test.
95950...............  ..............  A               Ambulatory eeg              1.51       4.47         NA       0.53       6.51         NA        XXX
                                                       monitoring.
95950...............  26............  A               Ambulatory eeg              1.51       0.64       0.64       0.10       2.25       2.25        XXX
                                                       monitoring.
95950...............  TC............  A               Ambulatory eeg              0.00       3.83         NA       0.43       4.26         NA        XXX
                                                       monitoring.
95951...............  ..............  C               EEG monitoring/             0.00       0.00         NA       0.00       0.00         NA        XXX
                                                       videorecord.
95951...............  26............  A               EEG monitoring/             5.99       2.57       2.57       0.24       8.80       8.80        XXX
                                                       videorecord.
95951...............  TC............  C               EEG monitoring/             0.00       0.00         NA       0.00       0.00         NA        XXX
                                                       videorecord.
95953...............  ..............  A               EEG monitoring/             3.08       7.64         NA       0.55      11.27         NA        XXX
                                                       computer.
95953...............  26............  A               EEG monitoring/             3.08       1.29       1.29       0.12       4.49       4.49        XXX
                                                       computer.
95953...............  TC............  A               EEG monitoring/             0.00       6.35         NA       0.43       6.78         NA        XXX
                                                       computer.
95954...............  ..............  A               EEG monitoring/giving       2.45       4.29         NA       0.18       6.92         NA        XXX
                                                       drugs.
95954...............  26............  A               EEG monitoring/giving       2.45       1.05       1.05       0.12       3.62       3.62        XXX
                                                       drugs.
95954...............  TC............  A               EEG monitoring/giving       0.00       3.24         NA       0.06       3.30         NA        XXX
                                                       drugs.
95955...............  ..............  A               EEG during surgery...       1.01       2.33         NA       0.23       3.57         NA        XXX
95955...............  26............  A               EEG during surgery...       1.01       0.36       0.36       0.06       1.43       1.43        XXX
95955...............  TC............  A               EEG during surgery...       0.00       1.97         NA       0.17       2.14         NA        XXX
95956...............  ..............  A               Eeg monitoring, cable/      3.08      14.14         NA       0.56      17.78         NA        XXX
                                                       radio.
95956...............  26............  A               Eeg monitoring, cable/      3.08       1.30       1.30       0.13       4.51       4.51        XXX
                                                       radio.
95956...............  TC............  A               Eeg monitoring, cable/      0.00      12.84         NA       0.43      13.27         NA        XXX
                                                       radio.
95957...............  ..............  A               EEG digital analysis.       1.98       2.56         NA       0.20       4.74         NA        XXX
95957...............  26............  A               EEG digital analysis.       1.98       0.85       0.85       0.08       2.91       2.91        XXX
95957...............  TC............  A               EEG digital analysis.       0.00       1.71         NA       0.12       1.83         NA        XXX
95958...............  ..............  A               EEG monitoring/             4.24       3.50         NA       0.35       8.09         NA        XXX
                                                       function test.
95958...............  26............  A               EEG monitoring/             4.24       1.75       1.75       0.22       6.21       6.21        XXX
                                                       function test.
95958...............  TC............  A               EEG monitoring/             0.00       1.75         NA       0.13       1.88         NA        XXX
                                                       function test.
95961...............  ..............  A               Electrode                   2.97       2.63         NA       0.29       5.89         NA        XXX
                                                       stimulation, brain.
95961...............  26............  A               Electrode                   2.97       1.32       1.32       0.22       4.51       4.51        XXX
                                                       stimulation, brain.
95961...............  TC............  A               Electrode                   0.00       1.31         NA       0.07       1.38         NA        XXX
                                                       stimulation, brain.
95962...............  ..............  A               Electrode stim, brain       3.21       2.70         NA       0.28       6.19         NA        ZZZ
                                                       add-on.
95962...............  26............  A               Electrode stim, brain       3.21       1.39       1.39       0.21       4.81       4.81        ZZZ
                                                       add-on.
95962...............  TC............  A               Electrode stim, brain       0.00       1.31         NA       0.07       1.38         NA        ZZZ
                                                       add-on.
95965...............  ..............  C               Meg, spontaneous.....       0.00       0.00       0.00       0.00       0.00       0.00        XXX
95965...............  26............  A               Meg, spontaneous.....       7.99       3.42       3.42       0.37      11.78      11.78        XXX
95965...............  TC............  C               Meg, spontaneous.....       0.00       0.00       0.00       0.00       0.00       0.00        XXX
95966...............  ..............  C               Meg, evoked, single..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
95966...............  26............  A               Meg, evoked, single..       3.99       1.73       1.73       0.18       5.90       5.90        XXX
95966...............  TC............  C               Meg, evoked, single..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
95967...............  ..............  C               Meg, evoked, each           0.00       0.00       0.00       0.00       0.00       0.00        ZZZ
                                                       add'l.
95967...............  26............  A               Meg, evoked, each           3.49       1.33       1.33       0.16       4.98       4.98        ZZZ
                                                       add'l.
95967...............  TC............  C               Meg, evoked, each           0.00       0.00       0.00       0.00       0.00       0.00        ZZZ
                                                       add'l.
95970...............  ..............  A               Analyze neurostim, no       0.45       0.17       0.15       0.04       0.66       0.64        XXX
                                                       prog.
95971...............  ..............  A               Analyze neurostim,          0.78       0.28       0.23       0.07       1.13       1.08        XXX
                                                       simple.
95972...............  ..............  A               Analyze neurostim,          1.50       0.59       0.49       0.21       2.30       2.20        XXX
                                                       complex.
95973...............  ..............  A               Analyze neurostim,          0.92       0.39       0.35       0.08       1.39       1.35        ZZZ
                                                       complex.
95974...............  ..............  A               Cranial neurostim,          3.00       1.29       1.29       0.18       4.47       4.47        XXX
                                                       complex.
95975...............  ..............  A               Cranial neurostim,          1.70       0.73       0.73       0.08       2.51       2.51        ZZZ
                                                       complex.
95990...............  ..............  A               Spin/brain pump refil       0.00       1.50         NA       0.06       1.56         NA        XXX
                                                       & main.
95991...............  ..............  A               Spin/brain pump refil       0.77       1.43       0.19       0.06       2.26       1.02        XXX
                                                       & main.
95999...............  ..............  C               Neurological                0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
96000...............  ..............  A               Motion analysis,            1.80         NA       0.55       0.02         NA       2.37        XXX
                                                       video/3d.
96001...............  ..............  A               Motion test w/ft            2.15         NA       0.66       0.02         NA       2.83        XXX
                                                       press meas.
96002...............  ..............  A               Dynamic surface emg..       0.41         NA       0.15       0.02         NA       0.58        XXX
96003...............  ..............  A               Dynamic fine wire emg       0.37         NA       0.14       0.04         NA       0.55        XXX
96004...............  ..............  A               Phys review of motion       2.14       0.95       0.95       0.10       3.19       3.19        XXX
                                                       tests.
96100...............  ..............  A               Psychological testing       0.00       1.77         NA       0.18       1.95         NA        XXX
96105...............  ..............  A               Assessment of aphasia       0.00       1.77         NA       0.18       1.95         NA        XXX
96110...............  ..............  A               Developmental test,         0.00       0.19         NA       0.18       0.37         NA        XXX
                                                       lim.
96111...............  ..............  A               Developmental test,         2.60       1.07         NA       0.18       3.85         NA        XXX
                                                       extend.
96115...............  ..............  A               Neurobehavior status        0.00       1.77         NA       0.18       1.95         NA        XXX
                                                       exam.
96117...............  ..............  A               Neuropsych test             0.00       1.77         NA       0.18       1.95         NA        XXX
                                                       battery.
96150...............  ..............  A               Assess lth/behave,          0.50       0.19       0.18       0.02       0.71       0.70        XXX
                                                       init.

[[Page 1233]]

 
96151...............  ..............  A               Assess hlth/behave,         0.48       0.18       0.17       0.02       0.68       0.67        XXX
                                                       subseq.
96152...............  ..............  A               Intervene hlth/             0.46       0.17       0.16       0.02       0.65       0.64        XXX
                                                       behave, indiv.
96153...............  ..............  A               Intervene hlth/             0.10       0.04       0.04       0.01       0.15       0.15        XXX
                                                       behave, group.
96154...............  ..............  A               Interv hlth/behav,          0.45       0.17       0.16       0.02       0.64       0.63        XXX
                                                       fam w/pt.
96155...............  ..............  N               Interv hlth/behav fam      +0.44       0.18       0.17       0.02       0.64       0.63        XXX
                                                       no pt.
96400...............  ..............  A               Chemotherapy, sc/im..       0.17       1.12         NA       0.01       1.30         NA        XXX
96405...............  ..............  A               Intralesional chemo         0.52       2.35       0.24       0.02       2.89       0.78        000
                                                       admin.
96406...............  ..............  A               Intralesional chemo         0.80       3.10       0.30       0.02       3.92       1.12        000
                                                       admin.
96408...............  ..............  A               Chemotherapy, push          0.17       2.91         NA       0.06       3.14         NA        XXX
                                                       technique.
96410...............  ..............  A               Chemotherapy,infusion       0.17       4.16         NA       0.08       4.41         NA        XXX
                                                       method.
96412...............  ..............  A               Chemo, infuse method        0.17       0.74         NA       0.07       0.98         NA        ZZZ
                                                       add-on.
96414...............  ..............  A               Chemo, infuse method        0.17       5.22         NA       0.08       5.47         NA        XXX
                                                       add-on.
96420...............  ..............  A               Chemotherapy, push          0.17       2.81         NA       0.08       3.06         NA        XXX
                                                       technique.
96422...............  ..............  A               Chemotherapy,infusion       0.17       5.19         NA       0.08       5.44         NA        XXX
                                                       method.
96423...............  ..............  A               Chemo, infuse method        0.17       1.96         NA       0.02       2.15         NA        ZZZ
                                                       add-on.
96425...............  ..............  A               Chemotherapy,infusion       0.17       4.73         NA       0.08       4.98         NA        XXX
                                                       method.
96440...............  ..............  A               Chemotherapy,               2.37       8.42       1.24       0.14      10.93       3.75        000
                                                       intracavitary.
96445...............  ..............  A               Chemotherapy,               2.20       8.54       1.19       0.08      10.82       3.47        000
                                                       intracavitary.
96450...............  ..............  A               Chemotherapy, into          1.89       7.32       1.10       0.07       9.28       3.06        000
                                                       CNS.
96520...............  ..............  A               Port pump refill &          0.17       3.94         NA       0.06       4.17         NA        XXX
                                                       main.
96530...............  ..............  A               Syst pump refill &          0.17       2.86         NA       0.06       3.09         NA        XXX
                                                       main.
96542...............  ..............  A               Chemotherapy                1.42       4.43       0.66       0.06       5.91       2.14        XXX
                                                       injection.
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.
96567...............  ..............  A               Photodynamic tx, skin       0.00       0.98         NA       0.04       1.02         NA        XXX
96570...............  ..............  A               Photodynamic tx, 30         1.10         NA       0.37       0.05         NA       1.52        ZZZ
                                                       min.
96571...............  ..............  A               Photodynamic tx, addl       0.55         NA       0.20       0.02         NA       0.77        ZZZ
                                                       15 min.
96900...............  ..............  A               Ultraviolet light           0.00       0.48         NA       0.02       0.50         NA        XXX
                                                       therapy.
96902...............  ..............  B               Trichogram...........      +0.41       0.25       0.16       0.01       0.67       0.58        XXX
96910...............  ..............  A               Photochemotherapy           0.00       1.07         NA       0.04       1.11         NA        XXX
                                                       with UV-B.
96912...............  ..............  A               Photochemotherapy           0.00       1.34         NA       0.05       1.39         NA        XXX
                                                       with UV-A.
96913...............  ..............  A               Photochemotherapy, UV-      0.00       1.78         NA       0.10       1.88         NA        XXX
                                                       A or B.
96920...............  ..............  A               Laser tx, skin < 250        1.15       7.67       0.56       0.11       8.93       1.82        000
                                                       sq cm.
96921...............  ..............  A               Laser tx, skin 250-         1.17       7.74       0.57       0.11       9.02       1.85        000
                                                       500 sq cm.
96922...............  ..............  A               Laser tx, skin  500 sq cm.
96999...............  ..............  C               Dermatological              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
97001...............  ..............  A               Pt evaluation........       1.20       0.73       0.45       0.06       1.99       1.71        XXX
97002...............  ..............  A               Pt re-evaluation.....       0.60       0.43       0.24       0.02       1.05       0.86        XXX
97003...............  ..............  A               Ot evaluation........       1.20       0.86       0.40       0.06       2.12       1.66        XXX
97004...............  ..............  A               Ot re-evaluation.....       0.60       0.60       0.20       0.02       1.22       0.82        XXX
97005...............  ..............  I               Athletic train eval..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
97006...............  ..............  I               Athletic train reeval       0.00       0.00       0.00       0.00       0.00       0.00        XXX
97010...............  ..............  B               Hot or cold packs          +0.06       0.05         NA       0.01       0.12         NA        XXX
                                                       therapy.
97012...............  ..............  A               Mechanical traction         0.25       0.14         NA       0.01       0.40         NA        XXX
                                                       therapy.
97014...............  ..............  I               Electric stimulation       +0.18       0.19       0.19       0.01       0.38       0.38        XXX
                                                       therapy.
97016...............  ..............  A               Vasopneumatic device        0.18       0.19         NA       0.01       0.38         NA        XXX
                                                       therapy.
97018...............  ..............  A               Paraffin bath therapy       0.06       0.11         NA       0.01       0.18         NA        XXX
97020...............  ..............  A               Microwave therapy....       0.06       0.06         NA       0.01       0.13         NA        XXX
97022...............  ..............  A               Whirlpool therapy....       0.17       0.22         NA       0.01       0.40         NA        XXX
97024...............  ..............  A               Diathermy treatment..       0.06       0.09         NA       0.01       0.16         NA        XXX
97026...............  ..............  A               Infrared therapy.....       0.06       0.06         NA       0.01       0.13         NA        XXX
97028...............  ..............  A               Ultraviolet therapy..       0.08       0.07         NA       0.01       0.16         NA        XXX
97032...............  ..............  A               Electrical                  0.25       0.16         NA       0.01       0.42         NA        XXX
                                                       stimulation.
97033...............  ..............  A               Electric current            0.26       0.28         NA       0.02       0.56         NA        XXX
                                                       therapy.
97034...............  ..............  A               Contrast bath therapy       0.21       0.16         NA       0.01       0.38         NA        XXX
97035...............  ..............  A               Ultrasound therapy...       0.21       0.11         NA       0.01       0.33         NA        XXX
97036...............  ..............  A               Hydrotherapy.........       0.28       0.33         NA       0.01       0.62         NA        XXX
97039...............  ..............  A               Physical therapy            0.20       0.10         NA       0.01       0.31         NA        XXX
                                                       treatment.
97110...............  ..............  A               Therapeutic exercises       0.45       0.28         NA       0.04       0.77         NA        XXX
97112...............  ..............  A               Neuromuscular               0.45       0.30         NA       0.02       0.77         NA        XXX
                                                       reeducation.
97113...............  ..............  A               Aquatic therapy/            0.44       0.40         NA       0.04       0.88         NA        XXX
                                                       exercises.
97116...............  ..............  A               Gait training therapy       0.40       0.24         NA       0.02       0.66         NA        XXX
97124...............  ..............  A               Massage therapy......       0.35       0.23         NA       0.01       0.59         NA        XXX
97139...............  ..............  A               Physical medicine           0.21       0.20         NA       0.01       0.42         NA        XXX
                                                       procedure.
97140...............  ..............  A               Manual therapy.......       0.43       0.26         NA       0.02       0.71         NA        XXX
97150...............  ..............  A               Group therapeutic           0.27       0.18         NA       0.02       0.47         NA        XXX
                                                       procedures.
97504...............  ..............  A               Orthotic training....       0.45       0.33         NA       0.04       0.82         NA        XXX
97520...............  ..............  A               Prosthetic training..       0.45       0.28         NA       0.02       0.75         NA        XXX
97530...............  ..............  A               Therapeutic                 0.44       0.32         NA       0.02       0.78         NA        XXX
                                                       activities.
97532...............  ..............  A               Cognitive skills            0.44       0.21         NA       0.01       0.66         NA        XXX
                                                       development.
97533...............  ..............  A               Sensory integration..       0.44       0.24         NA       0.01       0.69         NA        XXX
97535...............  ..............  A               Self care mngment           0.45       0.33         NA       0.02       0.80         NA        XXX
                                                       training.
97537...............  ..............  A               Community/work              0.45       0.27         NA       0.01       0.73         NA        XXX
                                                       reintegration.
97542...............  ..............  A               Wheelchair mngment          0.45       0.28         NA       0.01       0.74         NA        XXX
                                                       training.
97545...............  ..............  R               Work hardening.......       0.00       0.00       0.00       0.00       0.00       0.00        XXX

[[Page 1234]]

 
97546...............  ..............  R               Work hardening add-on       0.00       0.00       0.00       0.00       0.00       0.00        ZZZ
97601...............  ..............  A               Wound(s) care,              0.50       0.49         NA       0.05       1.04         NA        XXX
                                                       selective.
97602...............  ..............  B               Wound(s) care non-          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       selective.
97703...............  ..............  A               Prosthetic checkout..       0.25       0.41         NA       0.02       0.68         NA        XXX
97750...............  ..............  A               Physical performance        0.45       0.30         NA       0.02       0.77         NA        XXX
                                                       test.
97755...............  ..............  A               Assistive technology        0.62       0.29         NA       0.02       0.93         NA        XXX
                                                       assess.
97780...............  ..............  N               Acupuncture w/o             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       stimul.
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...............  ..............  A               Medical nutrition,          0.00       0.47         NA       0.01       0.48         NA        XXX
                                                       indiv, in.
97803...............  ..............  A               Med nutrition, indiv,       0.00       0.47         NA       0.01       0.48         NA        XXX
                                                       subseq.
97804...............  ..............  A               Medical nutrition,          0.00       0.19         NA       0.01       0.20         NA        XXX
                                                       group.
98925...............  ..............  A               Osteopathic                 0.45       0.33       0.14       0.01       0.79       0.60        000
                                                       manipulation.
98926...............  ..............  A               Osteopathic                 0.65       0.42       0.25       0.02       1.09       0.92        000
                                                       manipulation.
98927...............  ..............  A               Osteopathic                 0.87       0.51       0.30       0.04       1.42       1.21        000
                                                       manipulation.
98928...............  ..............  A               Osteopathic                 1.03       0.60       0.35       0.04       1.67       1.42        000
                                                       manipulation.
98929...............  ..............  A               Osteopathic                 1.19       0.68       0.37       0.05       1.92       1.61        000
                                                       manipulation.
98940...............  ..............  A               Chiropractic                0.45       0.24       0.12       0.01       0.70       0.58        000
                                                       manipulation.
98941...............  ..............  A               Chiropractic                0.65       0.30       0.18       0.02       0.97       0.85        000
                                                       manipulation.
98942...............  ..............  A               Chiropractic                0.87       0.36       0.24       0.04       1.27       1.15        000
                                                       manipulation.
98943...............  ..............  N               Chiropractic               +0.40       0.24       0.16       0.01       0.65       0.57        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            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       visit.
99025...............  ..............  F               Initial surgical            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       evaluation.
99026...............  ..............  N               In-hospital on call         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       service.
99027...............  ..............  N               Out-of-hosp on call         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       service.
99050...............  ..............  B               Medical services            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       after hrs.
99052...............  ..............  B               Medical services at         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       night.
99054...............  ..............  B               Medical servcs,             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       unusual hrs.
99056...............  ..............  B               Non-office medical          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       services.
99058...............  ..............  B               Office emergency care       0.00       0.00       0.00       0.00       0.00       0.00        XXX
99070...............  ..............  B               Special supplies.....       0.00       0.00       0.00       0.00       0.00       0.00        XXX
99071...............  ..............  B               Patient education           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       materials.
99075...............  ..............  N               Medical testimony....       0.00       0.00       0.00       0.00       0.00       0.00        XXX
99078...............  ..............  B               Group health                0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       education.
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               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       analysis.
99091...............  ..............  B               Collect/review data         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       from pt.
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       1.92       0.38       0.05       2.77       1.23        XXX
                                                       inhalant.
99142...............  ..............  B               Sedation, oral/rectal/     +0.60       0.99       0.31       0.04       1.63       0.95        XXX
                                                       nasal.
99170...............  ..............  A               Anogenital exam,            1.75       1.72       0.52       0.08       3.55       2.35        000
                                                       child.
99172...............  ..............  N               Ocular function             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       screen.
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       1.40         NA       0.10       1.50         NA        XXX
99183...............  ..............  A               Hyperbaric oxygen           2.34       4.75       0.72       0.14       7.23       3.20        XXX
                                                       therapy.
99185...............  ..............  A               Regional hypothermia.       0.00       0.64         NA       0.04       0.68         NA        XXX
99186...............  ..............  A               Total body                  0.00       1.79         NA       0.45       2.24         NA        XXX
                                                       hypothermia.
99190...............  ..............  X               Special pump services       0.00       0.00       0.00       0.00       0.00       0.00        XXX
99191...............  ..............  X               Special pump services       0.00       0.00       0.00       0.00       0.00       0.00        XXX
99192...............  ..............  X               Special pump services       0.00       0.00       0.00       0.00       0.00       0.00        XXX
99195...............  ..............  A               Phlebotomy...........       0.00       0.44         NA       0.02       0.46         NA        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       0.50       0.16       0.02       0.97       0.63        XXX
                                                       visit, new.
99202...............  ..............  A               Office/outpatient           0.88       0.79       0.32       0.06       1.73       1.26        XXX
                                                       visit, new.
99203...............  ..............  A               Office/outpatient           1.34       1.13       0.48       0.10       2.57       1.92        XXX
                                                       visit, new.
99204...............  ..............  A               Office/outpatient           2.00       1.51       0.71       0.12       3.63       2.83        XXX
                                                       visit, new.
99205...............  ..............  A               Office/outpatient           2.67       1.80       0.95       0.14       4.61       3.76        XXX
                                                       visit, new.
99211...............  ..............  A               Office/outpatient           0.17       0.39       0.06       0.01       0.57       0.24        XXX
                                                       visit, est.
99212...............  ..............  A               Office/outpatient           0.45       0.54       0.16       0.02       1.01       0.63        XXX
                                                       visit, est.
99213...............  ..............  A               Office/outpatient           0.67       0.70       0.24       0.04       1.41       0.95        XXX
                                                       visit, est.
99214...............  ..............  A               Office/outpatient           1.10       1.05       0.40       0.05       2.20       1.55        XXX
                                                       visit, est.
99215...............  ..............  A               Office/outpatient           1.77       1.34       0.65       0.08       3.19       2.50        XXX
                                                       visit, est.
99217...............  ..............  A               Observation care            1.28         NA       0.53       0.06         NA       1.87        XXX
                                                       discharge.
99218...............  ..............  A               Observation care.....       1.28         NA       0.43       0.06         NA       1.77        XXX
99219...............  ..............  A               Observation care.....       2.14         NA       0.72       0.10         NA       2.96        XXX
99220...............  ..............  A               Observation care.....       2.99         NA       1.03       0.13         NA       4.15        XXX
99221...............  ..............  A               Initial hospital care       1.28         NA       0.45       0.06         NA       1.79        XXX
99222...............  ..............  A               Initial hospital care       2.14         NA       0.74       0.10         NA       2.98        XXX

[[Page 1235]]

 
99223...............  ..............  A               Initial hospital care       2.99         NA       1.04       0.12         NA       4.15        XXX
99231...............  ..............  A               Subsequent hospital         0.64         NA       0.23       0.02         NA       0.89        XXX
                                                       care.
99232...............  ..............  A               Subsequent hospital         1.06         NA       0.37       0.04         NA       1.47        XXX
                                                       care.
99233...............  ..............  A               Subsequent hospital         1.51         NA       0.52       0.06         NA       2.09        XXX
                                                       care.
99234...............  ..............  A               Observ/hosp same date       2.56         NA       1.00       0.13         NA       3.69        XXX
99235...............  ..............  A               Observ/hosp same date       3.41         NA       1.29       0.16         NA       4.86        XXX
99236...............  ..............  A               Observ/hosp same date       4.26         NA       1.59       0.21         NA       6.06        XXX
99238...............  ..............  A               Hospital discharge          1.28         NA       0.54       0.05         NA       1.87        XXX
                                                       day.
99239...............  ..............  A               Hospital discharge          1.75         NA       0.74       0.06         NA       2.55        XXX
                                                       day.
99241...............  ..............  A               Office consultation..       0.64       0.65       0.22       0.05       1.34       0.91        XXX
99242...............  ..............  A               Office consultation..       1.29       1.05       0.46       0.11       2.45       1.86        XXX
99243...............  ..............  A               Office consultation..       1.72       1.39       0.63       0.12       3.23       2.47        XXX
99244...............  ..............  A               Office consultation..       2.58       1.83       0.92       0.16       4.57       3.66        XXX
99245...............  ..............  A               Office consultation..       3.42       2.29       1.24       0.19       5.90       4.85        XXX
99251...............  ..............  A               Initial inpatient           0.66         NA       0.25       0.05         NA       0.96        XXX
                                                       consult.
99252...............  ..............  A               Initial inpatient           1.32         NA       0.50       0.10         NA       1.92        XXX
                                                       consult.
99253...............  ..............  A               Initial inpatient           1.82         NA       0.68       0.11         NA       2.61        XXX
                                                       consult.
99254...............  ..............  A               Initial inpatient           2.64         NA       0.99       0.13         NA       3.76        XXX
                                                       consult.
99255...............  ..............  A               Initial inpatient           3.64         NA       1.35       0.18         NA       5.17        XXX
                                                       consult.
99261...............  ..............  A               Follow-up inpatient         0.42         NA       0.16       0.02         NA       0.60        XXX
                                                       consult.
99262...............  ..............  A               Follow-up inpatient         0.85         NA       0.31       0.04         NA       1.20        XXX
                                                       consult.
99263...............  ..............  A               Follow-up inpatient         1.27         NA       0.45       0.05         NA       1.77        XXX
                                                       consult.
99271...............  ..............  A               Confirmatory                0.45       0.55       0.16       0.04       1.04       0.65        XXX
                                                       consultation.
99272...............  ..............  A               Confirmatory                0.84       0.82       0.31       0.07       1.73       1.22        XXX
                                                       consultation.
99273...............  ..............  A               Confirmatory                1.19       1.10       0.44       0.08       2.37       1.71        XXX
                                                       consultation.
99274...............  ..............  A               Confirmatory                1.73       1.36       0.64       0.11       3.20       2.48        XXX
                                                       consultation.
99275...............  ..............  A               Confirmatory                2.31       1.64       0.84       0.12       4.07       3.27        XXX
                                                       consultation.
99281...............  ..............  A               Emergency dept visit.       0.33         NA       0.09       0.02         NA       0.44        XXX
99282...............  ..............  A               Emergency dept visit.       0.55         NA       0.15       0.04         NA       0.74        XXX
99283...............  ..............  A               Emergency dept visit.       1.24         NA       0.31       0.10         NA       1.65        XXX
99284...............  ..............  A               Emergency dept visit.       1.95         NA       0.47       0.14         NA       2.56        XXX
99285...............  ..............  A               Emergency dept visit.       3.06         NA       0.72       0.23         NA       4.01        XXX
99288...............  ..............  B               Direct advanced life        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       support.
99289...............  ..............  A               Ped crit care               4.79         NA       1.91       0.17         NA       6.87        XXX
                                                       transport.
99290...............  ..............  A               Ped crit care               2.40         NA       0.83       0.08         NA       3.31        ZZZ
                                                       transport addl.
99291...............  ..............  A               Critical care, first        3.99       2.34       1.28       0.17       6.50       5.44        XXX
                                                       hour.
99292...............  ..............  A               Critical care, add'l        2.00       0.81       0.64       0.08       2.89       2.72        ZZZ
                                                       30 min.
99293...............  ..............  A               Ped critical care,         15.98         NA       4.96       0.84         NA      21.78        XXX
                                                       initial.
99294...............  ..............  A               Ped critical care,          7.99         NA       2.49       0.28         NA      10.76        XXX
                                                       subseq.
99295...............  ..............  A               Neonate crit care,         18.46         NA       5.39       0.84         NA      24.69        XXX
                                                       initial.
99296...............  ..............  A               Neonate critical care       7.99         NA       2.55       0.28         NA      10.82        XXX
                                                       subseq.
99298...............  ..............  A               Ic for lbw infant <         2.75         NA       0.93       0.12         NA       3.80        XXX
                                                       1500 gm.
99299...............  ..............  A               Ic, lbw infant 1500-        2.50         NA       0.95       0.12         NA       3.57        XXX
                                                       2500 gm.
99301...............  ..............  A               Nursing facility care       1.20       0.67       0.40       0.05       1.92       1.65        XXX
99302...............  ..............  A               Nursing facility care       1.61       0.95       0.54       0.06       2.62       2.21        XXX
99303...............  ..............  A               Nursing facility care       2.01       1.16       0.67       0.07       3.24       2.75        XXX
99311...............  ..............  A               Nursing fac care,           0.60       0.47       0.20       0.02       1.09       0.82        XXX
                                                       subseq.
99312...............  ..............  A               Nursing fac care,           1.00       0.65       0.34       0.04       1.69       1.38        XXX
                                                       subseq.
99313...............  ..............  A               Nursing fac care,           1.42       0.84       0.47       0.05       2.31       1.94        XXX
                                                       subseq.
99315...............  ..............  A               Nursing fac discharge       1.13       0.70       0.37       0.05       1.88       1.55        XXX
                                                       day.
99316...............  ..............  A               Nursing fac discharge       1.50       0.90       0.51       0.06       2.46       2.07        XXX
                                                       day.
99321...............  ..............  A               Rest home visit, new        0.71       0.35         NA       0.02       1.08         NA        XXX
                                                       patient.
99322...............  ..............  A               Rest home visit, new        1.01       0.46         NA       0.04       1.51         NA        XXX
                                                       patient.
99323...............  ..............  A               Rest home visit, new        1.28       0.55         NA       0.05       1.88         NA        XXX
                                                       patient.
99331...............  ..............  A               Rest home visit, est        0.60       0.32         NA       0.02       0.94         NA        XXX
                                                       pat.
99332...............  ..............  A               Rest home visit, est        0.80       0.38         NA       0.04       1.22         NA        XXX
                                                       pat.
99333...............  ..............  A               Rest home visit, est        1.00       0.45         NA       0.04       1.49         NA        XXX
                                                       pat.
99341...............  ..............  A               Home visit, new             1.01       0.48         NA       0.06       1.55         NA        XXX
                                                       patient.
99342...............  ..............  A               Home visit, new             1.52       0.68         NA       0.06       2.26         NA        XXX
                                                       patient.
99343...............  ..............  A               Home visit, new             2.27       0.95         NA       0.08       3.30         NA        XXX
                                                       patient.
99344...............  ..............  A               Home visit, new             3.03       1.18         NA       0.12       4.33         NA        XXX
                                                       patient.
99345...............  ..............  A               Home visit, new             3.78       1.44         NA       0.14       5.36         NA        XXX
                                                       patient.
99347...............  ..............  A               Home visit, est             0.76       0.39         NA       0.04       1.19         NA        XXX
                                                       patient.
99348...............  ..............  A               Home visit, est             1.26       0.71         NA       0.05       2.02         NA        XXX
                                                       patient.
99349...............  ..............  A               Home visit, est             2.02       1.04         NA       0.07       3.13         NA        XXX
                                                       patient.
99350...............  ..............  A               Home visit, est             3.03       1.40         NA       0.12       4.55         NA        XXX
                                                       patient.
99354...............  ..............  A               Prolonged service,          1.77       0.75       0.66       0.07       2.59       2.50        ZZZ
                                                       office.
99355...............  ..............  A               Prolonged service,          1.77       0.73       0.62       0.07       2.57       2.46        ZZZ
                                                       office.
99356...............  ..............  A               Prolonged service,          1.71         NA       0.62       0.07         NA       2.40        ZZZ
                                                       inpatient.
99357...............  ..............  A               Prolonged service,          1.71         NA       0.63       0.07         NA       2.41        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.

[[Page 1236]]

 
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       0.70       0.41       0.05       1.85       1.56        XXX
                                                       supervision.
99375...............  ..............  I               Home health care           +1.73       1.55       1.55       0.07       3.35       3.35        XXX
                                                       supervision.
99377...............  ..............  B               Hospice care               +1.10       0.70       0.41       0.05       1.85       1.56        XXX
                                                       supervision.
99378...............  ..............  I               Hospice care               +1.73       1.94       1.94       0.07       3.74       3.74        XXX
                                                       supervision.
99379...............  ..............  B               Nursing fac care           +1.10       0.70       0.70       0.04       1.84       1.84        XXX
                                                       supervision.
99380...............  ..............  B               Nursing fac care           +1.73       1.00       1.00       0.06       2.79       2.79        XXX
                                                       supervision.
99381...............  ..............  N               Prev visit, new,           +1.19       1.50       0.45       0.05       2.74       1.69        XXX
                                                       infant.
99382...............  ..............  N               Prev visit, new, age       +1.36       1.54       0.52       0.05       2.95       1.93        XXX
                                                       1-4.
99383...............  ..............  N               Prev visit, new, age       +1.36       1.48       0.52       0.05       2.89       1.93        XXX
                                                       5-11.
99384...............  ..............  N               Prev visit, new, age       +1.53       1.55       0.59       0.06       3.14       2.18        XXX
                                                       12-17.
99385...............  ..............  N               Prev visit, new, age       +1.53       1.55       0.59       0.06       3.14       2.18        XXX
                                                       18-39.
99386...............  ..............  N               Prev visit, new, age       +1.88       1.74       0.72       0.07       3.69       2.67        XXX
                                                       40-64.
99387...............  ..............  N               Prev visit, new, 65 &      +2.06       1.87       0.79       0.07       4.00       2.92        XXX
                                                       over.
99391...............  ..............  N               Prev visit, est,           +1.02       1.02       0.39       0.04       2.08       1.45        XXX
                                                       infant.
99392...............  ..............  N               Prev visit, est, age       +1.19       1.09       0.45       0.05       2.33       1.69        XXX
                                                       1-4.
99393...............  ..............  N               Prev visit, est, age       +1.19       1.06       0.45       0.05       2.30       1.69        XXX
                                                       5-11.
99394...............  ..............  N               Prev visit, est, age       +1.36       1.13       0.52       0.05       2.54       1.93        XXX
                                                       12-17.
99395...............  ..............  N               Prev visit, est, age       +1.36       1.16       0.52       0.05       2.57       1.93        XXX
                                                       18-39.
99396...............  ..............  N               Prev visit, est, age       +1.53       1.25       0.59       0.06       2.84       2.18        XXX
                                                       40-64.
99397...............  ..............  N               Prev visit, est, 65 &      +1.71       1.36       0.66       0.06       3.13       2.43        XXX
                                                       over.
99401...............  ..............  N               Preventive                 +0.48       0.62       0.19       0.01       1.11       0.68        XXX
                                                       counseling, indiv.
99402...............  ..............  N               Preventive                 +0.98       0.87       0.37       0.02       1.87       1.37        XXX
                                                       counseling, indiv.
99403...............  ..............  N               Preventive                 +1.46       1.09       0.56       0.04       2.59       2.06        XXX
                                                       counseling, indiv.
99404...............  ..............  N               Preventive                 +1.95       1.32       0.75       0.05       3.32       2.75        XXX
                                                       counseling, indiv.
99411...............  ..............  N               Preventive                 +0.15       0.18       0.06       0.01       0.34       0.22        XXX
                                                       counseling, group.
99412...............  ..............  N               Preventive                 +0.25       0.25       0.10       0.01       0.51       0.36        XXX
                                                       counseling, group.
99420...............  ..............  N               Health risk                 0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       assessment 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         NA       0.38       0.05         NA       1.60        XXX
                                                       newborn.
99432...............  ..............  A               Newborn care, not in        1.26       0.90       0.40       0.07       2.23       1.73        XXX
                                                       hosp.
99433...............  ..............  A               Normal newborn care/        0.62         NA       0.20       0.02         NA       0.84        XXX
                                                       hospital.
99435...............  ..............  A               Newborn discharge day       1.50         NA       0.50       0.06         NA       2.06        XXX
                                                       hosp.
99436...............  ..............  A               Attendance, birth....       1.50         NA       0.46       0.06         NA       2.02        XXX
99440...............  ..............  A               Newborn resuscitation       2.93         NA       0.94       0.13         NA       4.00        XXX
99450...............  ..............  N               Life/disability             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       evaluation.
99455...............  ..............  R               Disability                  0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       examination.
99456...............  ..............  R               Disability                  0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       examination.
99499...............  ..............  C               Unlisted e&m service.       0.00       0.00       0.00       0.00       0.00       0.00        XXX
99500...............  ..............  I               Home visit, prenatal.       0.00       0.00       0.00       0.00       0.00       0.00        XXX
99501...............  ..............  I               Home visit, postnatal       0.00       0.00       0.00       0.00       0.00       0.00        XXX
99502...............  ..............  I               Home visit, nb care..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
99503...............  ..............  I               Home visit, resp            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       therapy.
99504...............  ..............  I               Home visit mech             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ventilator.
99505...............  ..............  I               Home visit, stoma           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       care.
99506...............  ..............  I               Home visit, im              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       injection.
99507...............  ..............  I               Home visit, cath            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       maintain.
99509...............  ..............  I               Home visit day life         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       activity.
99510...............  ..............  I               Home visit, sing/m/         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       fam couns.
99511...............  ..............  I               Home visit, fecal/          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       enema mgmt.
99512...............  ..............  I               Home visit for              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       hemodialysis.
99551...............  ..............  F               Home infus, pain            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       mgmt, iv/sc.
99552...............  ..............  F               Hm infus pain mgmt,         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       epid/ith.
99553...............  ..............  F               Home infuse,                0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       tocolytic tx.
99554...............  ..............  F               Home infus, hormone/        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       platelet.
99555...............  ..............  F               Home infuse,                0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       chemotheraphy.
99556...............  ..............  F               Home infus, antibio/        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       fung/vir.
99557...............  ..............  F               Home infuse,                0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       anticoagulant.
99558...............  ..............  F               Home infuse,                0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       immunotherapy.
99559...............  ..............  F               Home infus, periton         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       dialysis.
99560...............  ..............  F               Home infus, entero          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       nutrition.
99561...............  ..............  F               Home infuse,                0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       hydration tx.
99562...............  ..............  F               Home infus, parent          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       nutrition.
99563...............  ..............  F               Home admin,                 0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       pentamidine.
99564...............  ..............  F               Hme infus,                  0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       antihemophil agnt.
99565...............  ..............  F               Home infus,                 0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       proteinase inhib.
99566...............  ..............  F               Home infuse, iv             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       therapy.
99567...............  ..............  F               Home infuse, sympath        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       agent.
99568...............  ..............  F               Home infus, misc            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       drug, daily.
99569...............  ..............  F               Home infuse, each           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       addl tx.
99600...............  ..............  I               Home visit nos.......       0.00       0.00       0.00       0.00       0.00       0.00        XXX
99601...............  ..............  I               Home infusion/visit,        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       2 hrs.
99602...............  ..............  I               Home infusion, each         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       addtl hr.

[[Page 1237]]

 
A4890...............  ..............  R               Repair/maint cont           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       hemo equip.
D0150...............  ..............  R               Comprehensve oral           0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       evaluation.
D0240...............  ..............  R               Intraoral occlusal          0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       film.
D0250...............  ..............  R               Extraoral first film.       0.00       0.00       0.00       0.00       0.00       0.00        YYY
D0260...............  ..............  R               Extraoral ea                0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       additional film.
D0270...............  ..............  R               Dental bitewing             0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       single 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.
D0460...............  ..............  R               Pulp vitality test...       0.00       0.00       0.00       0.00       0.00       0.00        YYY
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.
D0502...............  ..............  R               Other oral pathology        0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedu.
D0999...............  ..............  R               Unspecified                 0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       diagnostic proce.
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.
D2970...............  ..............  R               Temporary- fractured        0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       tooth.
D2999...............  ..............  R               Dental unspec               0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       restorative pr.
D3460...............  ..............  R               Endodontic endosseous       0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       implan.
D3999...............  ..............  R               Endodontic procedure.       0.00       0.00       0.00       0.00       0.00       0.00        YYY
D4260...............  ..............  R               Osseous surgery per         0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       quadrant.
D4263...............  ..............  R               Bone replce graft           0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       first site.
D4264...............  ..............  R               Bone replce graft           0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       each add.
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            0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       graft proc.
D4273...............  ..............  R               Subepithelial tissue        0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       graft.
D4355...............  ..............  R               Full mouth                  0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       debridement.
D4381...............  ..............  R               Localized chemo             0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       delivery.
D5911...............  ..............  R               Facial moulage              0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       sectional.
D5912...............  ..............  R               Facial moulage              0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       complete.
D5951...............  ..............  R               Feeding aid..........       0.00       0.00       0.00       0.00       0.00       0.00        YYY
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              0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       locator.
D5987...............  ..............  R               Commissure splint....       0.00       0.00       0.00       0.00       0.00       0.00        YYY
D6920...............  ..............  R               Dental connector bar.       0.00       0.00       0.00       0.00       0.00       0.00        YYY
D7111...............  ..............  R               Coronal remnants            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       deciduous t.
D7140...............  ..............  R               Extraction erupted          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       tooth/exr.
D7210...............  ..............  R               Rem imp tooth w             0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       mucoper flp.
D7220...............  ..............  R               Impact tooth remov          0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       soft tiss.
D7230...............  ..............  R               Impact tooth remov          0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       part bony.
D7240...............  ..............  R               Impact tooth remov          0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       comp bony.
D7241...............  ..............  R               Impact tooth rem bony       0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       w/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.
D7261...............  ..............  R               Primary closure sinus       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       perf.
D7291...............  ..............  R               Transseptal                 0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       fiberotomy.
D7940...............  ..............  R               Reshaping bone              0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       orthognathic.
D9110...............  ..............  R               Tx dental pain minor        0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       proc.
D9230...............  ..............  R               Analgesia............       0.00       0.00       0.00       0.00       0.00       0.00        YYY
D9248...............  ..............  R               Sedation (non-iv)....       0.00       0.00       0.00       0.00       0.00       0.00        XXX
D9630...............  ..............  R               Other drugs/                0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       medicaments.
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
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.
G0001...............  ..............  X               Drawing blood for           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       specimen.
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.
G0027...............  ..............  X               Semen analysis.......       0.00       0.00       0.00       0.00       0.00       0.00        XXX
G0030...............  ..............  C               PET imaging prev PET        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       single.
G0030...............  26............  A               PET imaging prev PET        1.50       0.58       0.58       0.05       2.13       2.13        XXX
                                                       single.
G0030...............  TC............  C               PET imaging prev PET        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       single.
G0031...............  ..............  C               PET imaging prev PET        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       multple.
G0031...............  26............  A               PET imaging prev PET        1.87       0.72       0.72       0.07       2.66       2.66        XXX
                                                       multple.
G0031...............  TC............  C               PET imaging prev PET        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       multple.
G0032...............  ..............  C               PET follow SPECT            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       78464 singl.

[[Page 1238]]

 
G0032...............  26............  A               PET follow SPECT            1.50       0.54       0.54       0.06       2.10       2.10        XXX
                                                       78464 singl.
G0032...............  TC............  C               PET follow SPECT            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       78464 singl.
G0033...............  ..............  C               PET follow SPECT            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       78464 mult.
G0033...............  26............  A               PET follow SPECT            1.87       0.74       0.74       0.07       2.68       2.68        XXX
                                                       78464 mult.
G0033...............  TC............  C               PET follow SPECT            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       78464 mult.
G0034...............  ..............  C               PET follow SPECT            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       76865 singl.
G0034...............  26............  A               PET follow SPECT            1.50       0.57       0.57       0.06       2.13       2.13        XXX
                                                       76865 singl.
G0034...............  TC............  C               PET follow SPECT            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       76865 singl.
G0035...............  ..............  C               PET follow SPECT            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       78465 mult.
G0035...............  26............  A               PET follow SPECT            1.87       0.73       0.73       0.07       2.67       2.67        XXX
                                                       78465 mult.
G0035...............  TC............  C               PET follow SPECT            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       78465 mult.
G0036...............  ..............  C               PET follow cornry           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       angio sing.
G0036...............  26............  A               PET follow cornry           1.50       0.56       0.56       0.05       2.11       2.11        XXX
                                                       angio sing.
G0036...............  TC............  C               PET follow cornry           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       angio sing.
G0037...............  ..............  C               PET follow cornry           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       angio mult.
G0037...............  26............  A               PET follow cornry           1.87       0.71       0.71       0.07       2.65       2.65        XXX
                                                       angio mult.
G0037...............  TC............  C               PET follow cornry           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       angio mult.
G0038...............  ..............  C               PET follow myocard          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       perf sing.
G0038...............  26............  A               PET follow myocard          1.50       0.52       0.52       0.05       2.07       2.07        XXX
                                                       perf sing.
G0038...............  TC............  C               PET follow myocard          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       perf sing.
G0039...............  ..............  C               PET follow myocard          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       perf mult.
G0039...............  26............  A               PET follow myocard          1.87       0.71       0.71       0.08       2.66       2.66        XXX
                                                       perf mult.
G0039...............  TC............  C               PET follow myocard          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       perf mult.
G0040...............  ..............  C               PET follow stress           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       echo singl.
G0040...............  26............  A               PET follow stress           1.50       0.59       0.59       0.05       2.14       2.14        XXX
                                                       echo singl.
G0040...............  TC............  C               PET follow stress           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       echo singl.
G0041...............  ..............  C               PET follow stress           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       echo mult.
G0041...............  26............  A               PET follow stress           1.87       0.73       0.73       0.06       2.66       2.66        XXX
                                                       echo mult.
G0041...............  TC............  C               PET follow stress           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       echo mult.
G0042...............  ..............  C               PET follow                  0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ventriculogm sing.
G0042...............  26............  A               PET follow                  1.50       0.61       0.61       0.05       2.16       2.16        XXX
                                                       ventriculogm sing.
G0042...............  TC............  C               PET follow                  0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ventriculogm sing.
G0043...............  ..............  C               PET follow                  0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ventriculogm mult.
G0043...............  26............  A               PET follow                  1.87       0.75       0.75       0.07       2.69       2.69        XXX
                                                       ventriculogm mult.
G0043...............  TC............  C               PET follow                  0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ventriculogm mult.
G0044...............  ..............  C               PET following rest          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ECG singl.
G0044...............  26............  A               PET following rest          1.50       0.59       0.59       0.05       2.14       2.14        XXX
                                                       ECG singl.
G0044...............  TC............  C               PET following rest          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ECG singl.
G0045...............  ..............  C               PET following rest          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ECG mult.
G0045...............  26............  A               PET following rest          1.87       0.72       0.72       0.07       2.66       2.66        XXX
                                                       ECG mult.
G0045...............  TC............  C               PET following rest          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ECG mult.
G0046...............  ..............  C               PET follow stress ECG       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       singl.
G0046...............  26............  A               PET follow stress ECG       1.50       0.59       0.59       0.05       2.14       2.14        XXX
                                                       singl.
G0046...............  TC............  C               PET follow stress ECG       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       singl.
G0047...............  ..............  C               PET follow stress ECG       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       mult.
G0047...............  26............  A               PET follow stress ECG       1.87       0.73       0.73       0.07       2.67       2.67        XXX
                                                       mult.
G0047...............  TC............  C               PET follow stress ECG       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       mult.
G0101...............  ..............  A               CA screen;pelvic/           0.45       0.52       0.17       0.01       0.98       0.63        XXX
                                                       breast exam.
G0102...............  ..............  A               Prostate ca                 0.17       0.39       0.06       0.01       0.57       0.24        XXX
                                                       screening; dre.
G0103...............  ..............  X               Psa, total screening.       0.00       0.00       0.00       0.00       0.00       0.00        XXX
G0104...............  ..............  A               CA screen;flexi             0.96       2.20       0.52       0.06       3.22       1.54        000
                                                       sigmoidscope.
G0105...............  ..............  A               Colorectal scrn; hi         3.69       6.04       1.58       0.24       9.97       5.51        000
                                                       risk ind.
G0105...............  53............  A               Colorectal scrn; hi         0.96       2.20       0.52       0.06       3.22       1.54        000
                                                       risk ind.
G0106...............  ..............  A               Colon CA                    0.99       2.57         NA       0.18       3.74         NA        XXX
                                                       screen;barium enema.
G0106...............  26............  A               Colon CA                    0.99       0.33       0.33       0.05       1.37       1.37        XXX
                                                       screen;barium enema.
G0106...............  TC............  A               Colon CA                    0.00       2.24         NA       0.13       2.37         NA        XXX
                                                       screen;barium enema.
G0107...............  ..............  X               CA screen; fecal            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       blood test.
G0108...............  ..............  A               Diab manage trn per         0.00       0.84         NA       0.01       0.85         NA        XXX
                                                       indiv.
G0109...............  ..............  A               Diab manage trn ind/        0.00       0.48         NA       0.01       0.49         NA        XXX
                                                       group.
G0110...............  ..............  R               Nett pulm-rehab educ;       0.90       0.70       0.30       0.04       1.64       1.24        XXX
                                                       ind.
G0111...............  ..............  R               Nett pulm-rehab educ;       0.27       0.29       0.14       0.01       0.57       0.42        XXX
                                                       group.
G0112...............  ..............  R               Nett;nutrition guid,        1.72       1.20       0.66       0.06       2.98       2.44        XXX
                                                       initial.
G0113...............  ..............  R               Nett;nutrition              1.29       0.83       0.41       0.05       2.17       1.75        XXX
                                                       guid,subseqnt.
G0114...............  ..............  R               Nett; psychosocial          1.20       0.49       0.37       0.04       1.73       1.61        XXX
                                                       consult.
G0115...............  ..............  R               Nett; psychological         1.20       0.64       0.37       0.05       1.89       1.62        XXX
                                                       testing.
G0116...............  ..............  R               Nett; psychosocial          1.11       1.01       0.34       0.05       2.17       1.50        XXX
                                                       counsel.
G0117...............  ..............  T               Glaucoma scrn hgh           0.45       0.71       0.19       0.02       1.18       0.66        XXX
                                                       risk direc.
G0118...............  ..............  T               Glaucoma scrn hgh           0.17       0.52       0.07       0.01       0.70       0.25        XXX
                                                       risk direc.
G0120...............  ..............  A               Colon ca scrn; barium       0.99       2.57         NA       0.18       3.74         NA        XXX
                                                       enema.
G0120...............  26............  A               Colon ca scrn; barium       0.99       0.33       0.33       0.05       1.37       1.37        XXX
                                                       enema.
G0120...............  TC............  A               Colon ca scrn; barium       0.00       2.24         NA       0.13       2.37         NA        XXX
                                                       enema.
G0121...............  ..............  A               Colon ca scrn not hi        3.69       6.04       1.58       0.24       9.97       5.51        000
                                                       rsk ind.
G0121...............  53............  A               Colon ca scrn not hi        0.96       2.20       0.52       0.06       3.22       1.54        000
                                                       rsk ind.
G0122...............  ..............  N               Colon ca scrn; barium      +0.99       2.57       2.57       0.18       3.74       3.74        XXX
                                                       enema.
G0122...............  26............  N               Colon ca scrn; barium      +0.99       0.38       0.38       0.05       1.42       1.42        XXX
                                                       enema.

[[Page 1239]]

 
G0122...............  TC............  N               Colon ca scrn; barium      +0.00       2.19       2.19       0.13       2.32       2.32        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       0.18       0.18       0.01       0.61       0.61        XXX
                                                       by MD.
G0125...............  ..............  C               PET image pulmonary         0.00       0.00         NA       0.00       0.00         NA        XXX
                                                       nodule.
G0125...............  26............  A               PET image pulmonary         1.50       0.52       0.52       0.06       2.08       2.08        XXX
                                                       nodule.
G0125...............  TC............  C               PET image pulmonary         0.00       0.00         NA       0.00       0.00         NA        XXX
                                                       nodule.
G0127...............  ..............  R               Trim nail(s).........       0.17       0.25       0.07       0.01       0.43       0.25        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       0.88         NA       0.06       1.16         NA        XXX
                                                       study.
G0130...............  26............  A               Single energy x-ray         0.22       0.07       0.07       0.01       0.30       0.30        XXX
                                                       study.
G0130...............  TC............  A               Single energy x-ray         0.00       0.81         NA       0.05       0.86         NA        XXX
                                                       study.
G0141...............  ..............  A               Scr c/v cyto,autosys        0.42       0.18       0.18       0.01       0.61       0.61        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,               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       automated sys.
G0148...............  ..............  X               Scr c/v cyto,               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       autosys, rescr.
G0166...............  ..............  A               Extrnl counterpulse,        0.07       3.58       0.03       0.01       3.66       0.11        XXX
                                                       per tx.
G0167...............  ..............  D               Hyperbaric oz tx;no         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       md reqrd.
G0168...............  ..............  A               Wound closure by            0.45       1.92       0.16       0.01       2.38       0.62        000
                                                       adhesive.
G0173...............  ..............  X               Stereo                      0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       radoisurgery,complet
                                                       e.
G0175...............  ..............  X               OPPS Service,sched          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       team 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 &           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       educ serv.
G0179...............  ..............  A               MD recertification          0.45       1.07         NA       0.01       1.53         NA        XXX
                                                       HHA PT.
G0180...............  ..............  A               MD certification HHA        0.67       1.29         NA       0.02       1.98         NA        XXX
                                                       patient.
G0181...............  ..............  A               Home health care            1.73       1.52         NA       0.07       3.32         NA        XXX
                                                       supervision.
G0182...............  ..............  A               Hospice care                1.73       1.71         NA       0.07       3.51         NA        XXX
                                                       supervision.
G0186...............  ..............  C               Dstry eye lesn,fdr          0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       vssl tech.
G0202...............  ..............  A               Screeningmammographyd       0.70       2.79         NA       0.11       3.60         NA        XXX
                                                       igital.
G0202...............  26............  A               Screeningmammographyd       0.70       0.23       0.23       0.04       0.97       0.97        XXX
                                                       igital.
G0202...............  TC............  A               Screeningmammographyd       0.00       2.56         NA       0.07       2.63         NA        XXX
                                                       igital.
G0204...............  ..............  A               Diagnosticmammography       0.87       2.81         NA       0.12       3.80         NA        XXX
                                                       digital.
G0204...............  26............  A               Diagnosticmammography       0.87       0.29       0.29       0.05       1.21       1.21        XXX
                                                       digital.
G0204...............  TC............  A               Diagnosticmammography       0.00       2.52         NA       0.07       2.59         NA        XXX
                                                       digital.
G0206...............  ..............  A               Diagnosticmammography       0.70       2.25         NA       0.11       3.06         NA        XXX
                                                       digital.
G0206...............  26............  A               Diagnosticmammography       0.70       0.23       0.23       0.05       0.98       0.98        XXX
                                                       digital.
G0206...............  TC............  A               Diagnosticmammography       0.00       2.02         NA       0.06       2.08         NA        XXX
                                                       digital.
G0210...............  ..............  C               PET img wholebody           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       dxlung.
G0210...............  26............  A               PET img wholebody           1.50       0.51       0.51       0.05       2.06       2.06        XXX
                                                       dxlung.
G0210...............  TC............  C               PET img wholebody           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       dxlung.
G0211...............  ..............  C               PET img wholbody init       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       lung.
G0211...............  26............  A               PET img wholbody init       1.50       0.51       0.51       0.05       2.06       2.06        XXX
                                                       lung.
G0211...............  TC............  C               PET img wholbody init       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       lung.
G0212...............  ..............  C               PET img wholebod            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       restag lung.
G0212...............  26............  A               PET img wholebod            1.50       0.51       0.51       0.05       2.06       2.06        XXX
                                                       restag lung.
G0212...............  TC............  C               PET img wholebod            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       restag lung.
G0213...............  ..............  C               PET img wholbody dx..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
G0213...............  26............  A               PET img wholbody dx..       1.50       0.51       0.51       0.05       2.06       2.06        XXX
G0213...............  TC............  C               PET img wholbody dx..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
G0214...............  ..............  C               PET img wholebod init       0.00       0.00       0.00       0.00       0.00       0.00        XXX
G0214...............  26............  A               PET img wholebod init       1.50       0.51       0.51       0.05       2.06       2.06        XXX
G0214...............  TC............  C               PET img wholebod init       0.00       0.00       0.00       0.00       0.00       0.00        XXX
G0215...............  ..............  C               PETimg wholebod             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       restag.
G0215...............  26............  A               PETimg wholebod             1.50       0.51       0.51       0.05       2.06       2.06        XXX
                                                       restag.
G0215...............  TC............  C               PETimg wholebod             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       restag.
G0216...............  ..............  C               PET img wholebod dx         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       melanoma.
G0216...............  26............  A               PET img wholebod dx         1.50       0.51       0.51       0.05       2.06       2.06        XXX
                                                       melanoma.
G0216...............  TC............  C               PET img wholebod dx         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       melanoma.
G0217...............  ..............  C               PET img wholebod init       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       melan.
G0217...............  26............  A               PET img wholebod init       1.50       0.51       0.51       0.05       2.06       2.06        XXX
                                                       melan.
G0217...............  TC............  C               PET img wholebod init       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       melan.
G0218...............  ..............  C               PET img wholebod            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       restag mela.
G0218...............  26............  A               PET img wholebod            1.50       0.52       0.52       0.05       2.07       2.07        XXX
                                                       restag mela.
G0218...............  TC............  C               PET img wholebod            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       restag mela.
G0219...............  ..............  N               PET img wholbod             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       melano nonco.
G0219...............  26............  N               PET img wholbod             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       melano nonco.
G0219...............  TC............  N               PET img wholbod             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       melano nonco.
G0220...............  ..............  C               PET img wholebod dx         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       lymphoma.
G0220...............  26............  A               PET img wholebod dx         1.50       0.51       0.51       0.05       2.06       2.06        XXX
                                                       lymphoma.
G0220...............  TC............  C               PET img wholebod dx         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       lymphoma.
G0221...............  ..............  C               PET imag wholbod init       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       lympho.
G0221...............  26............  A               PET imag wholbod init       1.50       0.51       0.51       0.05       2.06       2.06        XXX
                                                       lympho.
G0221...............  TC............  C               PET imag wholbod init       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       lympho.
G0222...............  ..............  C               PET imag wholbod            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       resta lymph.

[[Page 1240]]

 
G0222...............  26............  A               PET imag wholbod            1.50       0.52       0.52       0.05       2.07       2.07        XXX
                                                       resta lymph.
G0222...............  TC............  C               PET imag wholbod            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       resta lymph.
G0223...............  ..............  C               PET imag wholbod reg        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       dx head.
G0223...............  26............  A               PET imag wholbod reg        1.50       0.51       0.51       0.05       2.06       2.06        XXX
                                                       dx head.
G0223...............  TC............  C               PET imag wholbod reg        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       dx head.
G0224...............  ..............  C               PET imag wholbod reg        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ini hea.
G0224...............  26............  A               PET imag wholbod reg        1.50       0.51       0.51       0.05       2.06       2.06        XXX
                                                       ini hea.
G0224...............  TC............  C               PET imag wholbod reg        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ini hea.
G0225...............  ..............  C               PET whol restag             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       headneckonly.
G0225...............  26............  A               PET whol restag             1.50       0.52       0.52       0.05       2.07       2.07        XXX
                                                       headneckonly.
G0225...............  TC............  C               PET whol restag             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       headneckonly.
G0226...............  ..............  C               PET img wholbody dx         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       esophagl.
G0226...............  26............  A               PET img wholbody dx         1.50       0.53       0.53       0.05       2.08       2.08        XXX
                                                       esophagl.
G0226...............  TC............  C               PET img wholbody dx         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       esophagl.
G0227...............  ..............  C               PET img wholbod ini         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       esophage.
G0227...............  26............  A               PET img wholbod ini         1.50       0.52       0.52       0.05       2.07       2.07        XXX
                                                       esophage.
G0227...............  TC............  C               PET img wholbod ini         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       esophage.
G0228...............  ..............  C               PET img wholbod restg       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       esopha.
G0228...............  26............  A               PET img wholbod restg       1.50       0.51       0.51       0.05       2.06       2.06        XXX
                                                       esopha.
G0228...............  TC............  C               PET img wholbod restg       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       esopha.
G0229...............  ..............  C               PET img metaboloc           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       brain pres.
G0229...............  26............  A               PET img metaboloc           1.50       0.51       0.51       0.05       2.06       2.06        XXX
                                                       brain pres.
G0229...............  TC............  C               PET img metaboloc           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       brain pres.
G0230...............  ..............  C               PET myocard viability       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       post.
G0230...............  26............  A               PET myocard viability       1.50       0.53       0.53       0.05       2.08       2.08        XXX
                                                       post.
G0230...............  TC............  C               PET myocard viability       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       post.
G0231...............  ..............  C               PET WhBD colorec;           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       gamma cam.
G0231...............  26............  A               PET WhBD colorec;           1.50       0.51       0.51       0.05       2.06       2.06        XXX
                                                       gamma cam.
G0231...............  TC............  C               PET WhBD colorec;           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       gamma cam.
G0232...............  ..............  C               PET whbd lymphoma;          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       gamma cam.
G0232...............  26............  A               PET whbd lymphoma;          1.50       0.52       0.52       0.05       2.07       2.07        XXX
                                                       gamma cam.
G0232...............  TC............  C               PET whbd lymphoma;          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       gamma cam.
G0233...............  ..............  C               PET whbd melanoma;          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       gamma cam.
G0233...............  26............  A               PET whbd melanoma;          1.50       0.52       0.52       0.05       2.07       2.07        XXX
                                                       gamma cam.
G0233...............  TC............  C               PET whbd melanoma;          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       gamma cam.
G0234...............  ..............  C               PET WhBD pulm nod;          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       gamma cam.
G0234...............  26............  A               PET WhBD pulm nod;          1.50       0.52       0.52       0.05       2.07       2.07        XXX
                                                       gamma cam.
G0234...............  TC............  C               PET WhBD pulm nod;          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       gamma cam.
G0236...............  ..............  F               Digital film convert       +0.00       0.00       0.00       0.00       0.00       0.00        ZZZ
                                                       diag ma.
G0236...............  26............  F               Digital film convert       +0.00       0.00       0.00       0.00       0.00       0.00        ZZZ
                                                       diag ma.
G0236...............  TC............  F               Digital film convert       +0.00       0.00       0.00       0.00       0.00       0.00        ZZZ
                                                       diag ma.
G0237...............  ..............  A               Therapeutic procd           0.00       0.47         NA       0.02       0.49         NA        XXX
                                                       strg endur.
G0238...............  ..............  C               Oth resp proc, indiv.       0.00       0.00       0.00       0.00       0.00       0.00        XXX
G0239...............  ..............  C               Oth resp proc, group.       0.00       0.00       0.00       0.00       0.00       0.00        XXX
G0242...............  ..............  X               Multisource photon          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ster plan.
G0243...............  ..............  X               Multisour photon            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       stero treat.
G0244...............  ..............  E               Observ care by              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       facility topt.
G0245...............  ..............  R               Initial foot exam pt        0.88       0.79       0.32       0.06       1.73       1.26        XXX
                                                       lops.
G0246...............  ..............  R               Followup eval of foot       0.45       0.54       0.16       0.02       1.01       0.63        XXX
                                                       pt lop.
G0247...............  ..............  R               Routine footcare pt w       0.50       0.51       0.21       0.06       1.07       0.77        ZZZ
                                                       lops.
G0248...............  ..............  R               Demonstrate use home        0.00       6.75         NA       0.01       6.76         NA        XXX
                                                       inr mon.
G0249...............  ..............  R               Provide test                0.00       3.91         NA       0.01       3.92         NA        XXX
                                                       material,equipm.
G0250...............  ..............  R               MD review interpret         0.18       0.06       0.06       0.01       0.25       0.25        XXX
                                                       of test.
G0251...............  ..............  E               Linear acc based            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       stero radio.
G0252...............  ..............  N               PET imaging initial         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       dx.
G0252...............  26............  N               PET imaging initial        +1.50       0.60       0.60       0.04       2.14       2.14        XXX
                                                       dx.
G0252...............  TC............  N               PET imaging initial         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       dx.
G0253...............  ..............  C               PET image brst              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       dection recur.
G0253...............  26............  A               PET image brst              1.87       0.71       0.71       0.08       2.66       2.66        XXX
                                                       dection recur.
G0253...............  TC............  C               PET image brst              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       dection recur.
G0254...............  ..............  C               PET image brst eval         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       to tx.
G0254...............  26............  A               PET image brst eval         1.87       0.71       0.71       0.08       2.66       2.66        XXX
                                                       to tx.
G0254...............  TC............  C               PET image brst eval         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       to tx.
G0255...............  ..............  N               Current percep              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       threshold tst.
G0255...............  26............  N               Current percep              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       threshold tst.
G0255...............  TC............  N               Current percep              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       threshold tst.
G0256...............  ..............  D               Prostate brachy w           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       palladium.
G0257...............  ..............  E               Unsched dialysis ESRD       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       pt hos.
G0258...............  ..............  E               IV infusion during          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       obs stay.
G0259...............  ..............  E               Inject for sacroiliac       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       joint.
G0260...............  ..............  E               Inj for sacroiliac jt       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       anesth.
G0261...............  ..............  D               Prostate brachy w           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       iodine see.
G0262...............  ..............  D               Sm intestinal image         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       capsule.
G0262...............  26............  D               Sm intestinal image         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       capsule.
G0262...............  TC............  D               Sm intestinal image         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       capsule.

[[Page 1241]]

 
G0263...............  ..............  E               Adm with CHF, CP,           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       asthma.
G0264...............  ..............  E               Assmt otr CHF, CP,          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       asthma.
G0265...............  ..............  X               Cryopresevation             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       Freeze+stora.
G0266...............  ..............  X               Thawing + expansion         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       froz cel.
G0267...............  ..............  X               Bone marrow or psc          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       harvest.
G0268...............  ..............  A               Removal of impacted         0.61       0.63       0.25       0.05       1.29       0.91        000
                                                       wax md.
G0269...............  ..............  B               Occlusive device in         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       vein art.
G0270...............  ..............  A               MNT subs tx for             0.00       0.47         NA       0.01       0.48         NA        XXX
                                                       change dx.
G0271...............  ..............  A               Group MNT 2 or more         0.00       0.19         NA       0.01       0.20         NA        XXX
                                                       30 mins.
G0272...............  ..............  D               Naso/oro gastric tube       0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       pl MD.
G0273...............  ..............  D               Pretx planning, non-        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       Hodgkins.
G0273...............  26............  D               Pretx planning, non-        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       Hodgkins.
G0273...............  TC............  D               Pretx planning, non-        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       Hodgkins.
G0274...............  ..............  D               Radiopharm tx, non-         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       Hodgkins.
G0274...............  26............  D               Radiopharm tx, non-         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       Hodgkins.
G0274...............  TC............  D               Radiopharm tx, non-         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       Hodgkins.
G0275...............  ..............  A               Renal angio, cardiac        0.25         NA       0.10       0.01         NA       0.36        ZZZ
                                                       cath.
G0278...............  ..............  A               Iliac art                   0.25         NA       0.10       0.01         NA       0.36        ZZZ
                                                       angio,cardiac cath.
G0279...............  ..............  C               Excorp shock tx,            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       elbow epi.
G0280...............  ..............  C               Excorp shock tx other       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       than.
G0281...............  ..............  A               Elec stim unattend          0.18       0.11         NA       0.01       0.30         NA        XXX
                                                       for press.
G0282...............  ..............  N               Elect stim wound care       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       not pd.
G0283...............  ..............  A               Elec stim other than        0.18       0.11         NA       0.01       0.30         NA        XXX
                                                       wound.
G0288...............  ..............  A               Recon, CTA for surg         0.00      10.66         NA       0.18      10.84         NA        XXX
                                                       plan.
G0289...............  ..............  A               Arthro, loose body +        1.48         NA       0.56       0.33         NA       2.37        ZZZ
                                                       chondro.
G0290...............  ..............  E               Drug-eluting stents,        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       single.
G0291...............  ..............  E               Drug-eluting                0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       stents,each add.
G0292...............  ..............  E               Adm exp                     0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       drugs,clinical trial.
G0293...............  ..............  E               Non-cov surg                0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       proc,clin trial.
G0294...............  ..............  E               Non-cov proc,               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       clinical trial.
G0295...............  ..............  N               Electromagnetic             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       therapy onc.
G0296...............  ..............  C               PET imge restag             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       thyrod cance.
G0296...............  26............  A               PET imge restag             1.87       0.71       0.71       0.08       2.66       2.66        XXX
                                                       thyrod cance.
G0296...............  TC............  C               PET imge restag             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       thyrod cance.
G0297...............  ..............  X               Insert single chamber/      0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       cd.
G0298...............  ..............  X               Insert dual chamber/        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       cd.
G0299...............  ..............  X               Inser/repos single          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       icd+leads.
G0300...............  ..............  X               Insert reposit lead         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       dual+gen.
G0302...............  ..............  X               Pre-op service LVRS         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       complete.
G0303...............  ..............  X               Pre-op service LVRS         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       10-15dos.
G0304...............  ..............  X               Pre-op service LVRS 1-      0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       9 dos.
G0305...............  ..............  X               Post op service LVRS        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       min 6.
G0306...............  ..............  X               CBC/diffwbc w/o             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       platelet.
G0307...............  ..............  X               CBC without platelet.       0.00       0.00       0.00       0.00       0.00       0.00        XXX
G0308...............  ..............  A               ESRD related svc           12.74       8.54       8.54       0.42      21.70      21.70        XXX
                                                       4+mo<2yrs.
G0309...............  ..............  A               ESRD related svc 2-        10.61       7.10       7.10       0.36      18.07      18.07        XXX
                                                       3mo<2yrs.
G0310...............  ..............  A               ESRD related svc 1          8.49       5.68       5.68       0.28      14.45      14.45        XXX
                                                       visit<2yr.
G0311...............  ..............  A               ESRD related svs 4+mo       9.73       4.72       4.72       0.34      14.79      14.79        XXX
                                                       2-11yr.
G0312...............  ..............  A               ESRD relate svs 2-3         8.11       3.92       3.92       0.29      12.32      12.32        XXX
                                                       mo 2-11y.
G0313...............  ..............  A               ESRD related svs 1          6.49       3.14       3.14       0.22       9.85       9.85        XXX
                                                       mon 2-11y.
G0314...............  ..............  A               ESRD related svs 4+         8.28       4.42       4.42       0.27      12.97      12.97        XXX
                                                       mo 12-19.
G0315...............  ..............  A               ESRD related svs 2-         6.90       3.67       3.67       0.23      10.80      10.80        XXX
                                                       3mo 12-19.
G0316...............  ..............  A               ESRD relate svs 1           5.52       2.94       2.94       0.17       8.63       8.63        XXX
                                                       vist 12-19.
G0317...............  ..............  A               ESRD related svs 4+mo       5.09       2.86       2.86       0.17       8.12       8.12        XXX
                                                       20+yrs.
G0318...............  ..............  A               ESRD related svs 2-3        4.24       2.38       2.38       0.14       6.76       6.76        XXX
                                                       mo 20+y.
G0319...............  ..............  A               ESRD related svs 1          3.39       1.90       1.90       0.11       5.40       5.40        XXX
                                                       visit 20+.
G0320...............  ..............  A               ESRD related svs home      10.61       7.10       7.10       0.36      18.07      18.07        XXX
                                                       under2.
G0321...............  ..............  A               ESRD related svs home       6.90       3.67       3.67       0.23      10.80      10.80        XXX
                                                       mo<2ys.
G0322...............  ..............  A               ESRD relate svs home        8.11       3.92       3.92       0.29      12.32      12.32        XXX
                                                       mo12-19.
G0323...............  ..............  A               ESRD related svs home       4.24       2.38       2.38       0.14       6.76       6.76        XXX
                                                       mo 20+.
G0324...............  ..............  A               ESRD related svs home/      0.35       0.24       0.24       0.01       0.60       0.60        XXX
                                                       dy<2y.
G0325...............  ..............  A               ESRD relate home/dy 2-      0.23       0.12       0.12       0.01       0.36       0.36        XXX
                                                       11 yr.
G0326...............  ..............  A               ESRD relate home/dy         0.27       0.13       0.13       0.01       0.41       0.41        XXX
                                                       12-19y.
G0327...............  ..............  A               ESRD relate home/dy         0.14       0.08       0.08       0.01       0.23       0.23        XXX
                                                       20+yrs.
G0328...............  ..............  X               Fecal blood scrn            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       immunoassay.
G0338...............  ..............  X               Linear accelerator          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       stero pln.
G0339...............  ..............  X               Robot lin-radsurg           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       com, first.
G0340...............  ..............  X               Robot linear                0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       steroradio max5.
G3001...............  ..............  X               Admin + supply,             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       tositumomab.
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

[[Page 1242]]

 
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.
G9009...............  ..............  X               MCCD, risk adj, level       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       3.
G9010...............  ..............  X               MCCD, risk adj, level       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       4.
G9011...............  ..............  X               MCCD, risk adj, level       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       5.
G9012...............  ..............  X               Other Specified Case        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       Mgmt.
G9016...............  ..............  N               Demo-smoking                0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       cessation coun.
M0064...............  ..............  A               Visit for drug              0.37       0.34       0.12       0.01       0.72       0.50        XXX
                                                       monitoring.
P3001...............  ..............  A               Screening pap smear         0.42       0.18       0.18       0.01       0.61       0.61        XXX
                                                       by phys.
Q0035...............  ..............  A               Cardiokymography.....       0.17       0.45         NA       0.03       0.65         NA        XXX
Q0035...............  26............  A               Cardiokymography.....       0.17       0.07       0.07       0.01       0.25       0.25        XXX
Q0035...............  TC............  A               Cardiokymography.....       0.00       0.38         NA       0.02       0.40         NA        XXX
Q0091...............  ..............  A               Obtaining screen pap        0.37       0.66       0.14       0.01       1.04       0.52        XXX
                                                       smear.
Q0092...............  ..............  A               Set up port xray            0.00       0.32         NA       0.01       0.33         NA        XXX
                                                       equipment.
Q3014...............  ..............  X               Telehealth facility         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       fee.
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          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       EKG.
V5299...............  ..............  R               Hearing service......       0.00       0.00       0.00       0.00       0.00       0.00       XXX
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ 1 CPT codes and descriptions only are copyright 2003 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2003 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.








  Federal Register / Vol. 69, No. 4 / Wednesday, January 7, 2004 / 
Rules and Regulations  

[[Page 1242]]



    --------------------
\1\ CPT codes and descriptions only are copyright 2003 American Medical 
Association. All Rights Reserved. Applicable FARS/DFARS Apply.

\2\ Copyright 2003 American Dental Association. All rights reserved.

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

[[Page 1242]]



                                                          Addendum C.--Codes With Interim RVUs
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                             Physician     Non-                  Mal-       Non-
 CPT \1\  HCPCS \2\         MOD           Status           Description          work     facility   Facility   practice   facility   Facility    Global
                                                                              RVUs \3\   PE RVUs    PE RVUs      RVUs      total      total
--------------------------------------------------------------------------------------------------------------------------------------------------------
11400...............  ..............  A               Exc tr-ext b9+marg          0.85       2.00       0.89       0.07       2.92       1.81        010
                                                       0.5 < cm.
11401...............  ..............  A               Exc tr-ext b9+marg          1.23       2.07       1.03       0.11       3.41       2.37        010
                                                       0.6-1 cm.
11402...............  ..............  A               Exc tr-ext b9+marg          1.51       2.25       1.10       0.14       3.90       2.75        010
                                                       1.1-2 cm.
11403...............  ..............  A               Exc tr-ext b9+marg          1.79       2.42       1.33       0.19       4.40       3.31        010
                                                       2.1-3 cm.
11404...............  ..............  A               Exc tr-ext b9+marg          2.06       2.73       1.41       0.22       5.01       3.69        010
                                                       3.1-4 cm.
11406...............  ..............  A               Exc tr-ext b9+marg          2.76       3.10       1.67       0.30       6.16       4.73        010
                                                        4.0 cm.
11420...............  ..............  A               Exc h-f-nk-sp b9+marg       0.98       1.77       0.94       0.10       2.85       2.02        010
                                                       0.5 <.
11421...............  ..............  A               Exc h-f-nk-sp b9+marg       1.42       2.08       1.12       0.13       3.63       2.67        010
                                                       0.6-1.
11422...............  ..............  A               Exc h-f-nk-sp b9+marg       1.63       2.27       1.34       0.17       4.07       3.14        010
                                                       1.1-2.
11423...............  ..............  A               Exc h-f-nk-sp b9+marg       2.01       2.61       1.46       0.21       4.83       3.68        010
                                                       2.1-3.
11424...............  ..............  A               Exc h-f-nk-sp b9+marg       2.43       2.82       1.61       0.25       5.50       4.29        010
                                                       3.1-4.
11426...............  ..............  A               Exc h-f-nk-sp b9+marg       3.77       3.52       2.11       0.41       7.70       6.29        010
                                                        4 cm.
11440...............  ..............  A               Exc face-mm b9+marg         1.06       2.28       1.33       0.10       3.44       2.49        010
                                                       0.5 < cm.
11441...............  ..............  A               Exc face-mm b9+marg         1.48       2.40       1.51       0.13       4.01       3.12        010
                                                       0.6-1 cm.
11442...............  ..............  A               Exc face-mm b9+marg         1.72       2.59       1.58       0.17       4.48       3.47        010
                                                       1.1-2 cm.
11443...............  ..............  A               Exc face-mm b9+marg         2.29       2.97       1.83       0.22       5.48       4.34        010
                                                       2.1-3 cm.
11444...............  ..............  A               Exc face-mm b9+marg         3.14       3.54       2.19       0.30       6.98       5.63        010
                                                       3.1-4 cm.
11446...............  ..............  A               Exc face-mm b9+marg         4.48       4.11       2.78       0.36       8.95       7.62        010
                                                        4 cm.
11600...............  ..............  A               Exc tr-ext mlg+marg         1.31       2.65       0.98       0.11       4.07       2.40        010
                                                       0.5 < cm.
11601...............  ..............  A               Exc tr-ext mlg+marg         1.80       2.72       1.23       0.14       4.66       3.17        010
                                                       0.6-1 cm.
11602...............  ..............  A               Exc tr-ext mlg+marg         1.95       2.86       1.27       0.16       4.97       3.38        010
                                                       1.1-2 cm.
11603...............  ..............  A               Exc tr-ext mlg+marg         2.19       3.11       1.33       0.19       5.49       3.71        010
                                                       2.1-3 cm.
11604...............  ..............  A               Exc tr-ext mlg+marg         2.40       3.41       1.40       0.22       6.03       4.02        010
                                                       3.1-4 cm.
11606...............  ..............  A               Exc tr-ext mlg+marg         3.42       4.11       1.75       0.34       7.87       5.51        010
                                                        4 cm.
11620...............  ..............  A               Exc h-f-nk-sp               1.19       2.62       0.96       0.11       3.92       2.26        010
                                                       mlg+marg 0.5 <.
11621...............  ..............  A               Exc h-f-nk-sp               1.76       2.73       1.25       0.14       4.63       3.15        010
                                                       mlg+marg 0.6-1.
11622...............  ..............  A               Exc h-f-nk-sp               2.09       3.00       1.39       0.18       5.27       3.66        010
                                                       mlg+marg 1.1-2.
11623...............  ..............  A               Exc h-f-nk-sp               2.61       3.36       1.59       0.24       6.21       4.44        010
                                                       mlg+marg 2.1-3.
11624...............  ..............  A               Exc h-f-nk-sp               3.06       3.79       1.78       0.30       7.15       5.14        010
                                                       mlg+marg 3.1-4.
11626...............  ..............  A               Exc h-f-nk-sp mlg+mar       4.29       4.70       2.40       0.42       9.41       7.11        010
                                                        4 cm.
11640...............  ..............  A               Exc face-mm                 1.35       2.69       1.12       0.12       4.16       2.59        010
                                                       malig+marg 0.5 <.
11641...............  ..............  A               Exc face-mm                 2.16       3.06       1.54       0.18       5.40       3.88        010
                                                       malig+marg 0.6-1.
11642...............  ..............  A               Exc face-mm                 2.59       3.44       1.73       0.22       6.25       4.54        010
                                                       malig+marg 1.1-2.
11643...............  ..............  A               Exc face-mm                 3.10       3.85       1.96       0.29       7.24       5.35        010
                                                       malig+marg 2.1-3.
11644...............  ..............  A               Exc face-mm                 4.02       4.74       2.47       0.40       9.16       6.89        010
                                                       malig+marg 3.1-4.
11646...............  ..............  A               Exc face-mm mlg+marg        5.94       5.81       3.49       0.55      12.30       9.98        010
                                                        4 cm.
20982...............  ..............  A               Ablate, bone tumor(s)       7.27     105.35       2.99       0.69     113.31      10.95        000
                                                       perq.
21030...............  ..............  A               Excise max/zygoma b9        4.49       6.84       4.31       0.72      12.05       9.52        090
                                                       tumor.
21040...............  ..............  A               Excise mandible             4.49       6.87       4.14       0.23      11.59       8.86        090
                                                       lesion.
21685...............  ..............  A               Hyoid myotomy &            12.98         NA      10.09       1.52         NA      24.59        090
                                                       suspension.
21742...............  ..............  C               Repair stern/nuss w/o       0.00       0.00       0.00       0.00       0.00       0.00        090
                                                       scope.
21743...............  ..............  C               Repair sternum/nuss w/      0.00       0.00       0.00       0.00       0.00       0.00        090
                                                       scope.
22532...............  ..............  A               Lat thorax spine           23.96         NA      14.82       4.56         NA      43.34        090
                                                       fusion.
22533...............  ..............  A               Lat lumbar spine           23.09         NA      13.48       3.84         NA      40.41        090
                                                       fusion.
22534...............  ..............  A               Lat thor/lumb, add'l        5.99         NA       3.04       1.18         NA      10.21        ZZZ
                                                       seg.

[[Page 1243]]

 
31622...............  ..............  A               Dx bronchoscope/wash.       2.78       4.17       0.89       0.17       7.12       3.84        000
31623...............  ..............  A               Dx bronchoscope/brush       2.88       5.05       0.89       0.17       8.10       3.94        000
31624...............  ..............  A               Dx bronchoscope/            2.88       4.28       0.90       0.16       7.32       3.94        000
                                                       lavage.
31625...............  ..............  A               Bronchoscopy w/             3.36       5.37       1.26       0.19       8.92       4.81        000
                                                       biopsy(s).
31628...............  ..............  A               Bronchoscopy/lung bx,       3.80       5.53       1.34       0.17       9.50       5.31        000
                                                       each.
31629...............  ..............  A               Bronchoscopy/needle         3.36         NA       1.22       0.16         NA       4.74        000
                                                       bx, each.
31630...............  ..............  A               Bronchoscopy dilate/        3.81         NA       2.00       0.36         NA       6.17        000
                                                       fx repr.
31631...............  ..............  A               Bronchoscopy, dilate        4.36         NA       2.02       0.37         NA       6.75        000
                                                       w/stent.
31632...............  ..............  A               Bronchoscopy/lung bx,       1.03       0.76       0.32       0.17       1.96       1.52        ZZZ
                                                       add'l.
31633...............  ..............  A               Bronchoscopy/needle         1.32       0.91       0.40       0.17       2.40       1.89        ZZZ
                                                       bx add'l.
31635...............  ..............  A               Bronchoscopy w/fb           3.67         NA       1.67       0.25         NA       5.59        000
                                                       removal.
31640...............  ..............  A               Bronchoscopy w/tumor        4.93         NA       2.35       0.45         NA       7.73        000
                                                       excise.
33310...............  ..............  A               Exploratory heart          18.48         NA       9.65       2.73         NA      30.86        090
                                                       surgery.
33315...............  ..............  A               Exploratory heart          22.34         NA      10.95       3.50         NA      36.79        090
                                                       surgery.
34805...............  ..............  A               Endovasc abdo repair       21.85         NA       9.46       1.99         NA      33.30        090
                                                       w/pros.
35510...............  ..............  A               Artery bypass graft..      22.97         NA      10.17       2.10         NA      35.24        090
35512...............  ..............  A               Artery bypass graft..      22.47         NA      10.00       2.10         NA      34.57        090
35522...............  ..............  A               Artery bypass graft..      21.73         NA       9.74       2.10         NA      33.57        090
35525...............  ..............  A               Artery bypass graft..      20.60         NA       9.35       2.10         NA      32.05        090
35697...............  ..............  A               Reimplant artery each       3.00         NA       1.03       0.41         NA       4.44        ZZZ
36511...............  ..............  A               Apheresis wbc........       1.74         NA       0.71       0.07         NA       2.52        000
36512...............  ..............  A               Apheresis rbc........       1.74         NA       0.71       0.07         NA       2.52        000
36513...............  ..............  A               Apheresis platelets..       1.74         NA       0.71       0.07         NA       2.52        000
36514...............  ..............  A               Apheresis plasma.....       1.74         NA       0.71       0.07         NA       2.52        000
36515...............  ..............  A               Apheresis, adsorp/          1.74         NA       0.73       0.07         NA       2.54        000
                                                       reinfuse.
36516...............  ..............  A               Apheresis, selective.       1.22         NA       0.51       0.07         NA       1.80        000
36555...............  ..............  A               Insert non-tunnel cv        2.68       6.00       0.82       0.21       8.89       3.71        000
                                                       cath.
36556...............  ..............  A               Insert non-tunnel cv        2.50       5.85       0.74       0.10       8.45       3.34        000
                                                       cath.
36557...............  ..............  A               Insert tunneled cv          5.09      13.56       2.58       0.59      19.24       8.26        010
                                                       cath.
36558...............  ..............  A               Insert tunneled cv          4.79      13.45       2.47       0.59      18.83       7.85        010
                                                       cath.
36560...............  ..............  A               Insert tunneled cv          6.24      29.19       2.96       0.59      36.02       9.79        010
                                                       cath.
36561...............  ..............  A               Insert tunneled cv          5.99      29.11       2.87       0.59      35.69       9.45        010
                                                       cath.
36563...............  ..............  A               Insert tunneled cv          6.19      38.09       2.98       0.68      44.96       9.85        010
                                                       cath.
36565...............  ..............  A               Insert tunneled cv          5.99      22.15       2.87       0.59      28.73       9.45        010
                                                       cath.
36566...............  ..............  A               Insert tunneled cv          6.49      22.95       3.04       0.59      30.03      10.12        010
                                                       cath.
36568...............  ..............  A               Insert tunneled cv          1.92       8.19       0.59       0.21      10.32       2.72        000
                                                       cath.
36569...............  ..............  A               Insert tunneled cv          1.82       7.39       0.57       0.16       9.37       2.55        000
                                                       cath.
36570...............  ..............  A               Insert tunneled cv          5.31      40.27       2.64       0.59      46.17       8.54        010
                                                       cath.
36571...............  ..............  A               Insert tunneled cv          5.29      35.64       2.63       0.59      41.52       8.51        010
                                                       cath.
36575...............  ..............  A               Repair tunneled cv          0.67       3.35       0.26       0.59       4.61       1.52        000
                                                       cath.
36576...............  ..............  A               Repair tunneled cv          3.19       7.71       1.76       0.59      11.49       5.54        010
                                                       cath.
36578...............  ..............  A               Replace tunneled cv         3.49      10.54       2.20       0.59      14.62       6.28        010
                                                       cath.
36580...............  ..............  A               Replace tunneled cv         1.31       6.76       0.41       0.16       8.23       1.88        000
                                                       cath.
36581...............  ..............  A               Replace tunneled cv         3.43      13.27       1.84       0.59      17.29       5.86        010
                                                       cath.
36582...............  ..............  A               Replace tunneled cv         5.19      26.63       2.76       0.59      32.41       8.54        010
                                                       cath.
36583...............  ..............  A               Replace tunneled cv         5.24      13.13       2.77       0.59      18.96       8.60        010
                                                       cath.
36584...............  ..............  A               Replace tunneled cv         1.20       7.23       0.54       0.16       8.59       1.90        000
                                                       cath.
36585...............  ..............  A               Replace tunneled cv         4.79      35.46       2.62       0.59      40.84       8.00        010
                                                       cath.
36589...............  ..............  A               Removal tunneled cv         2.27       2.20       1.41       0.25       4.72       3.93        010
                                                       cath.
36590...............  ..............  A               Removal tunneled cv         3.30       6.41       1.64       0.41      10.12       5.35        010
                                                       cath.
36595...............  ..............  A               Mech remov tunneled         3.59      19.71       1.46       0.28      23.58       5.33        000
                                                       cv cath.
36596...............  ..............  A               Mech remov tunneled         0.75       4.39       0.49       0.05       5.19       1.29        000
                                                       cv cath.
36597...............  ..............  A               Reposition venous           1.21       3.18       0.43       0.07       4.46       1.71        000
                                                       catheter.
36838...............  ..............  A               Dist revas ligation,       20.60         NA       9.36       2.99         NA      32.95        090
                                                       hemo.
37765...............  ..............  A               Phleb veins - extrem -      7.34         NA       4.55       0.48         NA      12.37        090
                                                        to 20.
37766...............  ..............  A               Phleb veins - extrem        9.29         NA       5.26       0.48         NA      15.03        090
                                                       20+.
37785...............  ..............  A               Ligate/divide/excise        3.83       5.14       2.64       0.49       9.46       6.96        090
                                                       vein.
38207...............  ..............  I               Cryopreserve stem           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       cells.
38208...............  ..............  I               Thaw preserved stem         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       cells.
38209...............  ..............  I               Wash harvest stem           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       cells.
38210...............  ..............  I               T-cell depletion of         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       harvest.
38211...............  ..............  I               Tumor cell deplete of       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       harvst.
38212...............  ..............  I               Rbc depletion of            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       harvest.
38213...............  ..............  I               Platelet deplete of         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       harvest.
38214...............  ..............  I               Volume deplete of           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       harvest.
38215...............  ..............  I               Harvest stem cell           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       concentrte.
43235...............  ..............  A               Uppr gi endoscopy,          2.39       5.04       1.07       0.16       7.59       3.62        000
                                                       diagnosis.
43237...............  ..............  A               Endoscopic us exam,         3.98         NA       1.61       0.27         NA       5.86        000
                                                       esoph.
43238...............  ..............  A               Uppr gi endoscopy w/        5.02         NA       1.97       0.27         NA       7.26        000
                                                       us fn bx.
43242...............  ..............  A               Uppr gi endoscopy w/        7.30         NA       2.78       0.35         NA      10.43        000
                                                       us fn bx.
43259...............  ..............  A               Endoscopic ultrasound       5.19         NA       2.04       0.27         NA       7.50        000
                                                       exam.
43752...............  ..............  A               Nasal/orogastric w/         0.68       0.26       0.26       0.02       0.96       0.96        000
                                                       stent.
47133...............  ..............  C               Removal of donor            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       liver.
47140...............  ..............  A               Partial removal,           54.92         NA      22.74       4.80         NA      82.46        090
                                                       donor liver.
47141...............  ..............  A               Partial removal,           67.40         NA      27.39       4.80         NA      99.59        090
                                                       donor liver.

[[Page 1244]]

 
47142...............  ..............  A               Partial removal,           74.89         NA      29.97       4.80         NA     109.66        090
                                                       donor liver.
53500...............  ..............  A               Urethrlys, transvag w/     12.19         NA       6.19       0.89         NA      19.27        090
                                                        scope.
57425...............  ..............  A               Laparoscopy, surg,         15.73         NA       6.69       1.74         NA      24.16        090
                                                       colpopexy.
58545...............  ..............  A               Laparoscopic               14.58         NA       7.19       1.75         NA      23.52        090
                                                       myomectomy.
58546...............  ..............  A               Laparo-myomectomy,         18.97         NA       8.98       1.75         NA      29.70        090
                                                       complex.
58550...............  ..............  A               Laparo-asst vag            14.17         NA       7.31       1.74         NA      23.22        090
                                                       hysterectomy.
58552...............  ..............  A               Laparo-vag hyst incl       15.98         NA       8.02       1.74         NA      25.74        090
                                                       t/o.
58553...............  ..............  A               Laparo-vag hyst,           18.97         NA       8.97       1.48         NA      29.42        090
                                                       complex.
58554...............  ..............  A               Laparo-vag hyst w/t/       21.97         NA      10.46       1.48         NA      33.91        090
                                                       o, compl.
59070...............  ..............  A               Transabdom amnioinfus       5.24       5.12       2.41       0.28      10.64       7.93        000
                                                       w/ us.
59072...............  ..............  A               Umbilical cord occlud       8.99         NA       3.13       0.68         NA      12.80        000
                                                       w/ us.
59074...............  ..............  A               Fetal fluid drainage        5.24       4.61       2.41       0.28      10.13       7.93        000
                                                       w/ us.
59076...............  ..............  A               Fetal shunt                 8.99         NA       3.13       0.68         NA      12.80        000
                                                       placement, w/ us.
59897...............  ..............  C               Fetal invas px w/ us.       0.00       0.00       0.00       0.00       0.00       0.00        YYY
61537...............  ..............  A               Removal of brain           24.96         NA      14.45       6.49         NA      45.90        090
                                                       tissue.
61538...............  ..............  A               Removal of brain           26.77         NA      15.38       6.49         NA      48.64        090
                                                       tissue.
61539...............  ..............  A               Removal of brain           32.03         NA      17.85       7.98         NA      57.86        090
                                                       tissue.
61540...............  ..............  A               Removal of brain           29.96         NA      17.48       7.98         NA      55.42        090
                                                       tissue.
61543...............  ..............  A               Removal of brain           29.18         NA      16.46       7.37         NA      53.01        090
                                                       tissue.
61566...............  ..............  A               Removal of brain           30.95         NA      17.42       6.49         NA      54.86        090
                                                       tissue.
61567...............  ..............  A               Incision of brain          35.45         NA      20.73       6.49         NA      62.67        090
                                                       tissue.
61863...............  ..............  A               Implant                    18.97         NA       9.21       4.79         NA      32.97        090
                                                       neuroelectrode.
61864...............  ..............  A               Implant                     4.49         NA       2.29       1.13         NA       7.91        ZZZ
                                                       neuroelectrde, add'l.
61867...............  ..............  A               Implant                    31.29         NA      13.81       4.79         NA      49.89        090
                                                       neuroelectrode.
61868...............  ..............  A               Implant                     7.91         NA       4.03       1.21         NA      13.15        ZZZ
                                                       neuroelectrde, add'l.
63101...............  ..............  A               Removal of vertebral       31.95         NA      19.34       5.69         NA      56.98        090
                                                       body.
63102...............  ..............  A               Removal of vertebral       31.95         NA      19.34       5.69         NA      56.98        090
                                                       body.
63103...............  ..............  A               Remove vertebral body       3.89         NA       2.01       0.76         NA       6.66        ZZZ
                                                       add-on.
64449...............  ..............  A               N block inj, lumbar         3.00         NA       0.97       0.10         NA       4.07        010
                                                       plexus.
64517...............  ..............  A               N block inj, hypogas        2.20       2.70       0.87       0.13       5.03       3.20        000
                                                       plxs.
64680...............  ..............  A               Injection treatment         2.62       5.97       1.28       0.18       8.77       4.08        010
                                                       of nerve.
64681...............  ..............  A               Injection treatment         3.54       8.71       2.10       0.18      12.43       5.82        010
                                                       of nerve.
65780...............  ..............  A               Ocular reconst,            10.23         NA       9.94       0.35         NA      20.52        090
                                                       transplant.
65781...............  ..............  A               Ocular reconst,            17.64         NA      13.31       0.35         NA      31.30        090
                                                       transplant.
65782...............  ..............  A               Ocular reconst,            14.98         NA      11.66       0.35         NA      26.99        090
                                                       transplant.
67912...............  ..............  A               Correction eyelid w/        5.67      20.38       5.27       0.28      26.33      11.22        090
                                                       implant.
68371...............  ..............  A               Harvest eye tissue,         4.89         NA       4.62       0.21         NA       9.72        010
                                                       alograft.
70557...............  26............  A               Mri brain w/o dye....       2.90       0.98       0.98       0.08       3.96       3.96        XXX
70558...............  26............  A               Mri brain w/ dye.....       3.20       1.08       1.08       0.10       4.38       4.38        XXX
70559...............  26............  A               Mri brain w/o & w/          3.20       1.08       1.08       0.12       4.40       4.40        XXX
                                                       dye.
75901...............  26............  A               Remove cva device           0.49       0.16       0.16       0.02       0.67       0.67        XXX
                                                       obstruct.
75902...............  26............  A               Remove cva lumen            0.39       0.13       0.13       0.02       0.54       0.54        XXX
                                                       obstruct.
75998...............  26............  A               Fluoroguide for vein        0.38       0.13       0.13       0.05       0.56       0.56        ZZZ
                                                       device.
76082...............  26............  A               Computer mammogram          0.06       0.02       0.02       0.01       0.09       0.09        ZZZ
                                                       add-on.
76083...............  26............  A               Computer mammogram          0.06       0.02       0.02       0.01       0.09       0.09        ZZZ
                                                       add-on.
76514...............  26............  A               Echo exam of eye,           0.17       0.08       0.08       0.01       0.26       0.26        XXX
                                                       thickness.
76937...............  26............  A               Us guide, vascular          0.30       0.10       0.10       0.05       0.45       0.45        ZZZ
                                                       access.
78800...............  26............  A               Tumor imaging,              0.66       0.22       0.22       0.04       0.92       0.92        XXX
                                                       limited area.
78801...............  26............  A               Tumor imaging, mult         0.79       0.27       0.27       0.04       1.10       1.10        XXX
                                                       areas.
78802...............  26............  A               Tumor imaging, whole        0.86       0.30       0.30       0.04       1.20       1.20        XXX
                                                       body.
78803...............  26............  A               Tumor imaging (3D)...       1.09       0.38       0.38       0.05       1.52       1.52        XXX
78804...............  26............  A               Tumor imaging, whole        1.07       0.37       0.37       0.04       1.48       1.48        XXX
                                                       body.
79100...............  26............  A               Hematopoetic nuclear        1.32       0.46       0.46       0.06       1.84       1.84        XXX
                                                       therapy.
79400...............  26............  A               Nonhemato nuclear           1.96       0.67       0.67       0.10       2.73       2.73        XXX
                                                       therapy.
79403...............  26............  A               Hematopoetic nuclear        2.25       0.90       0.90       0.10       3.25       3.25        XXX
                                                       therapy.
85396...............  ..............  A               Clotting assay, whole       0.37         NA       0.17       0.04         NA       0.58        XXX
                                                       blood.
88112...............  26............  A               Cytopath, cell              1.18       0.51       0.51       0.06       1.75       1.75        XXX
                                                       enhance tech.
88342...............  26............  A               Immunohistochemistry.       0.85       0.37       0.37       0.04       1.26       1.26        XXX
88358...............  26............  A               Analysis, tumor......       0.95       1.23       1.23       0.12       2.30       2.30        XXX
88361...............  26............  A               Immunohistochemistry,       0.94       0.41       0.41       0.12       1.47       1.47        XXX
                                                       tumor.
91110...............  26............  A               Gi tract capsule            3.64       1.30       1.30       0.02       4.96       4.96        XXX
                                                       endoscopy.
93784...............  ..............  A               Ambulatory BP               0.38       1.55         NA       0.03       1.96         NA        XXX
                                                       monitoring.
93786...............  ..............  A               Ambulatory BP               0.00       0.91         NA       0.01       0.92         NA        XXX
                                                       recording.
93788...............  ..............  A               Ambulatory BP               0.00       0.51         NA       0.01       0.52         NA        XXX
                                                       analysis.
93790...............  ..............  A               Review/report BP            0.38       0.13       0.13       0.01       0.52       0.52        XXX
                                                       recording.
95990...............  ..............  A               Spin/brain pump refil       0.00       1.50         NA       0.06       1.56         NA        XXX
                                                       & main.
95991...............  ..............  A               Spin/brain pump refil       0.77       1.43       0.19       0.06       2.26       1.02        XXX
                                                       & main.
96110...............  ..............  A               Developmental test,         0.00       0.19         NA       0.18       0.37         NA        XXX
                                                       lim.
96111...............  ..............  A               Developmental test,         2.60       1.07         NA       0.18       3.85         NA        XXX
                                                       extend.
97537...............  ..............  A               Community/work              0.45       0.27         NA       0.01       0.73         NA        XXX
                                                       reintegration.
97755...............  ..............  A               Assistive technology        0.62       0.29         NA       0.02       0.93         NA        XXX
                                                       assess.
G0308...............  ..............  A               ESRD related svc           12.74       8.54       8.54       0.42      21.70      21.70        XXX
                                                       4+mo<2yrs.
G0309...............  ..............  A               ESRD related svc 2-        10.61       7.10       7.10       0.36      18.07      18.07        XXX
                                                       3mo<2yrs.
G0310...............  ..............  A               ESRD related svc 1          8.49       5.68       5.68       0.28      14.45      14.45        XXX
                                                       visit<2yr.
G0311...............  ..............  A               ESRD related svs 4+mo       9.73       4.72       4.72       0.34      14.79      14.79        XXX
                                                       2-11yr.

[[Page 1245]]

 
G0312...............  ..............  A               ESRD relate svs 2-3         8.11       3.92       3.92       0.29      12.32      12.32        XXX
                                                       mo 2-11y.
G0313...............  ..............  A               ESRD related svs 1          6.49       3.14       3.14       0.22       9.85       9.85        XXX
                                                       mon 2-11y.
G0314...............  ..............  A               ESRD related svs 4+         8.28       4.42       4.42       0.27      12.97      12.97        XXX
                                                       mo 12-19.
G0315...............  ..............  A               ESRD related svs 2-         6.90       3.67       3.67       0.23      10.80      10.80        XXX
                                                       3mo 12-19.
G0316...............  ..............  A               ESRD relate svs 1           5.52       2.94       2.94       0.17       8.63       8.63        XXX
                                                       vist 12-19.
G0317...............  ..............  A               ESRD related svs 4+mo       5.09       2.86       2.86       0.17       8.12       8.12        XXX
                                                       20+yrs.
G0318...............  ..............  A               ESRD related svs 2-3        4.24       2.38       2.38       0.14       6.76       6.76        XXX
                                                       mo 20+y.
G0319...............  ..............  A               ESRD related svs 1          3.39       1.90       1.90       0.11       5.40       5.40        XXX
                                                       visit 20+.
G0320...............  ..............  A               ESRD related svs home      10.61       7.10       7.10       0.36      18.07      18.07        XXX
                                                       under2.
G0321...............  ..............  A               ESRD related svs home       6.90       3.67       3.67       0.23      10.80      10.80        XXX
                                                       mo<2ys.
G0322...............  ..............  A               ESRD relate svs home        8.11       3.92       3.92       0.29      12.32      12.32        XXX
                                                       mo12-19.
G0323...............  ..............  A               ESRD related svs home       4.24       2.38       2.38       0.14       6.76       6.76        XXX
                                                       mo 20+.
G0324...............  ..............  A               ESRD related svs home/      0.35       0.24       0.24       0.01       0.60       0.60        XXX
                                                       dy<2y.
G0325...............  ..............  A               ESRD relate home/dy 2-      0.23       0.12       0.12       0.01       0.36       0.36        XXX
                                                       11 yr.
G0326...............  ..............  A               ESRD relate home/dy         0.27       0.13       0.13       0.01       0.41       0.41        XXX
                                                       12-19y.
G0327...............  ..............  A               ESRD relate home/dy         0.14       0.08       0.08       0.01       0.23       0.23       XXX
                                                       20+yrs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2003 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 2003 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.








  Federal Register / Vol. 69, No. 4 / Wednesday, January 7, 2004 / 
Rules and Regulations  

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[FR Doc. 03-32323 Filed 12-31-03; 8:45 am]
BILLING CODE 4120-01-C