[Federal Register Volume 70, Number 151 (Monday, August 8, 2005)]
[Proposed Rules]
[Pages 45764-46064]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-15370]



[[Page 45763]]

-----------------------------------------------------------------------

Part II





Department of Health and Human Services





-----------------------------------------------------------------------



Centers for Medicare & Medicaid Services



-----------------------------------------------------------------------



42 CFR Part 405, et al.



Medicare Program; Revisions to Payment Policies Under the Physician Fee 
Schedule for Calendar Year 2006; Proposed Rule

  Federal Register / Vol. 70, No. 151 / Monday, August 8, 2005 / 
Proposed Rules  

[[Page 45764]]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Part 405, 410, 411, 413, 414, and 426

[CMS-1502-P]
RIN 0938-AN84


Medicare Program; Revisions to Payment Policies Under the 
Physician Fee Schedule for Calendar Year 2006

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

ACTION: Proposed rule.

-----------------------------------------------------------------------

SUMMARY: This proposed rule would refine the resource-based practice 
expense relative value units (PE RVUs) and propose changes to payment 
based on supplemental survey data for practice expense and revisions to 
our methodology for calculating practice expense RVUs, as well as make 
other proposed changes to Medicare Part B payment policy. We are also 
proposing policy changes related to revisions to malpractice RVUs, in 
addition to revising the list of telehealth services. In this proposed 
rule, we also discuss multiple procedure payment reduction for 
diagnostic imaging, and several coding issues.
    We are proposing these changes to ensure that our payment systems 
are updated to reflect changes in medical practice and the relative 
value of services. This proposed rule also discusses geographic 
locality changes; payment for covered outpatient drugs and biologicals; 
supplemental payments to federally qualified health centers (FQHCs); 
payment for renal dialysis services; the national coverage decision 
(NCD) process; coverage of screening for glaucoma; private contracts; 
and physician referrals for nuclear medicine services and supplies to 
health care entities with which they have financial relationships.
    In addition, we include discussions on payment for teaching 
anesthesiologists, the therapy cap, the chiropractic demonstration and 
the Sustainable Growth Rate (SGR).

DATES: Comment Date: Comments will be considered if we receive them at 
one of the addresses provided below, no later than 5 p.m. on September 
30, 2005.

ADDRESSES: In commenting, please refer to file code CMS-1502-P. Because 
of staff and resource limitations, we cannot accept comments by 
facsimile (FAX) transmission.
    You may submit comments in one of three ways (no duplicates, 
please):
    1. Electronically. You may submit electronic comments on specific 
issues in this regulation to http://www.cms.hhs.gov/regulations/ecomments. (Attachments should be in Microsoft Word, WordPerfect, or 
Excel; however, we prefer Microsoft Word.)
    2. By mail. You may 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-1502-
P, P.O. Box 8017, Baltimore, MD 21244-8017.
    Please allow sufficient time for mailed comments to be received 
before the close of the comment period.
    3. By express or overnight mail. You may send 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-1502-P, Mail Stop C4-26-05, 7500 Security Boulevard, 
Baltimore, MD 21244-1850.
    4. By hand or courier. If you prefer, you may deliver (by hand or 
courier) your written comments (one original and two copies) before the 
close of the comment period to one of the following addresses. If you 
intend to deliver your comments to the Baltimore address, please call 
telephone number (410) 786-7197 in advance to schedule your arrival 
with one of our staff members. Room 445-G, Hubert H. Humphrey Building, 
200 Independence Avenue, SW., Washington, DC 20201; or 7500 Security 
Boulevard, Baltimore, MD 21244-1850.
    (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 for persons wishing to retain a 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 received after the comment 
period.
    Submission of comments on paperwork requirements. You may submit 
comments on this document's paperwork requirements by mailing your 
comments to the addresses provided at the end of the ``Collection of 
Information Requirements'' section in this document.
    For information on viewing public comments, see the beginning of 
the SUPPLEMENTARY INFORMATION section.

FOR FURTHER INFORMATION CONTACT: 
    Pam West (410) 786-2302 (for issues related to practice expense).
    Rick Ensor (410) 786-5617 (for issues related to the non-physician 
workpool and supplemental survey data).
    Stephanie Monroe (410) 786-6864 (for issues related to the 
geographic practice cost index).
    Craig Dobyski (410) 786-4584 (for issues related to list of 
telehealth services).
    Ken Marsalek (410) 786-4502 (for issues related to multiple 
procedure reduction for diagnostic imaging services and payment for 
teaching anesthesiologists).
    Henry Richter (410) 786-4562 (for issues related to payments for 
end stage renal disease facilities).
    Angela Mason (410) 786-7452 or Catherine Jansto (410) 786-7762 (for 
issues related to payment for covered outpatient drugs and 
biologicals).
    Fred Grabau (410) 786-0206 (for issues related to private contracts 
and opt out provision).
    David Worgo (410) 786-5919 (for issues related to Federally 
Qualified Health Centers).
    Vadim Lubarsky (410) 786-0840 (for issues related National Coverage 
Decision timeframes).
    Bill Larson (410) 786-7176 (for issues related to coverage of 
screening for glaucoma).
    Diane Milstead (410) 786-3355 or Gaysha Brooks (410) 786-9649 (for 
all other issues).

SUPPLEMENTARY INFORMATION: 
    Submitting Comments: We welcome comments from the public on all 
issues set forth in this rule to assist us in fully considering issues 
and developing policies. You can assist us by referencing the file code 
CMS-1502-P and the specific ``issue identifier'' that precedes the 
section on which you choose to comment.
    Inspection of Public Comments: All comments received before the 
close of the comment period are available for viewing by the public, 
including any personally identifiable or confidential business 
information that is included in a comment. CMS posts all electronic 
comments received before the close of the comment period on its public 
website as soon as possible after they have been received. Hard copy 
comments received timely will be available for public inspection as 
they are received, 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

[[Page 45765]]

through Friday of each week from 8:30 a.m. to 4 p.m. To schedule an 
appointment to view public comments, phone 1-800-743-3951.
    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.
    Information on the physician fee schedule can be found on the CMS 
homepage. You can access this data by using the following directions:
    1. Go to the CMS homepage (http://www.cms.hhs.gov).
    2. Place your cursor over the word ``Professionals'' in the blue 
areas near the top of the page. Select ``physicians'' from the drop-
down menu.
    3. Under ``Billing/Payment'' select ``Physician Fee Schedule''.
    To assist readers in referencing sections contained in this 
preamble, we are providing the following table of contents. Some of the 
issues discussed in this preamble affect the payment policies, but do 
not require changes to the regulations in the Code of Federal 
Regulations. Information on the regulation's impact appears throughout 
the preamble and is not exclusively in section VI.

Table of Contents

I. Background
    A. Introduction
    B. Development of the Relative Value System
    C. Components of the Fee Schedule Payment Amounts
    D. Most Recent Changes to the Fee Schedule
II. Provisions of the Proposed Rule
    A. Resource-Based Practice Expense RVUs
    1. Current Methodology
    2. Practice Expense Proposals for Calendar Year 2006
    B. Geographic Practice Cost Indices
    C. Malpractice Relative Value Units (RVUs)
    D. Medicare Telehealth Services
    E. Contractor Pricing of Unlisted Therapy Modalities and 
Procedures
    F. Payment for Teaching Anesthesiologists
    G. End Stage Renal Disease (ESRD) Related Provisions
    1. Revised Pricing Methodology for Separately Billable Drugs and 
Biologicals Furnished by ESRD Facilities.
    2. Adjustment to Account for Changes in the Pricing of 
Separately Billable Drugs and Biologicals and the Estimated Increase 
in Expenditures for Drugs and Biologicals
    3. Proposed Revisions to Geographic Designations and Wage 
Indexes Applied to the End Stage Renal Disease Composite Payment 
Rate Wage Index
    4. Proposed Revisions to Sec.  413.170 (Scope) and Sec.  413.174 
(Prospective rates for hospital-based and independent ESRD 
facilities)
    5. Proposed Revisions to the Composite Payment Rate Exceptions 
Process
    H. Payment for Covered Outpatient Drugs and Biologicals
    I. Private Contracts and Opt-out Provision
    J. Multiple Procedure Reduction for Diagnostic Imaging
    K. Therapy Cap
    L. Chiropractic Services Demonstration
    M. Supplemental Payments to Federally Qualified Health Centers 
(FQHCs) Subcontracting with Medicare Advantage Plans
    N. National Coverage Decisions Timeframes
    O. Coverage of Screening for Glaucoma
    P. Physician Referrals for Nuclear Medicine Services and 
Suppliers to Health Care Entities with Which They Have Financial 
Relationships
    Q. Sustainable Growth Rate
III. Collection of Information Requirements
IV. Response to Comments
V. Regulatory Impact Analysis

Regulation Text
Addendum A--Explanation and Use of Addendum B
Addendum B--2006 Relative Value Units and Related Information Used 
in Determining Medicare Payments for 2006
Addendum C--Codes for Which we Received Practice Expense Review 
Committee (PERC) Recommendations on Practice Expense Direct Cost 
Inputs.
Addendum D--2006 Geographic Practice Cost Indices By Medicare 
Carrier and Locality
Addendum E--Proposed 2006 Geographic Adjustment Factors (GAFs)
Addendum F--ESRD Facilities Metropolitan Statistical Areas (MSA)/
Core-Based Statistical Areas (CBSA) Crosswalk
Addendum G--List of CPT/HCPCS Codes Used to Describe Nuclear 
Medicine Designated Health Services Under Section 1877 of the Social 
Security Act

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

AADA American Academy of Dermatology Association
AAH American Association of Homecare
ACC American College of Cardiology
ACG American College of Gastroenterology
ACR American College of Radiology
AFROC Association of Freestanding Radiation Oncology Centers
AGA American Gastroenterological Association
AMA American Medical Association
AMP Average manufacturer price
ASA American Society of Anesthesiologists
ASGE American Society of Gastrointestinal Endoscopy
ASP Average sales price
ASTRO American Society for Therapeutic Radiation Oncology
ATA American Telemedicine Association
AUA American Urological Association
AWP Average wholesale price
BBA Balanced Budget Act of 1997
BBRA Balanced Budget Refinement Act of 1999
BES (Bureau of the Census') Business Expenditure Survey
BIPA Benefits Improvement and Protection Act of 2000
BLS Bureau of Labor Statistics
BMI Body mass index
BNF Budget neutrality factor
BSA Body surface area
CAP College of American Pathologists
CBSA Core-Based Statistical Area
CF Conversion factor
CFR Code of Federal Regulations
CMA California Medical Association
CMS Centers for Medicare & Medicaid Services
CNS Clinical nurse specialist
CPEP Clinical Practice Expert Panel
CPI Consumer Price Index
CPO Care Plan Oversight
CPT (Physicians') Current Procedural Terminology (4th Edition, 2002, 
copyrighted by the American Medical Association)
CRNA Certified Registered Nurse Anesthetist
CT Computed tomography
CTA Computed tomographic angiography
CY Calendar year
DHS Designated health services
DME Durable medical equipment
DMERC Durable Medical Equipment Regional Carrier
DSMT Diabetes outpatient self-management training services
E&M Evaluation and management
EPO Erythopoeitin
ESRD End stage renal disease
FAX Facsimile
FI Fiscal intermediary
FQHC Federally qualified healthcare center
FR Federal Register
GAF Geographic adjustment factor
GAO General Accounting Office
GPCI Geographic practice cost index
HCPAC Health Care Professional Advisory Committee
HCPCS Healthcare Common Procedure Coding System
HHA Home health agency
HHS (Department of) Health and Human Services
HOCM High Osmolar Contrast Media
HPSA Health professional shortage area
HRSA Health Resources Services Administration (HHS)
IDTFs Independent diagnostic testing facilities
IPF Inpatient psychiatric facility
IPPS Inpatient prospective payment system
IRF Inpatient rehabilitation facility
ISO Insurance Services Office
IVIG Intravenous immune globulin
JCAAI Joint Council of Allergy, Asthma, and Immunology
JUA Joint underwriting association
LCD Local coverage determination
LTCH Long-term care hospital
LOCM Low Osmolar Contrast Media
MA Medicare Advantage
MCAC Medicare Coverage Advisory Committee
MCG Medical College of Georgia
MedPAC Medicare Payment Advisory Commission
MEI Medicare Economic Index

[[Page 45766]]

MMA Medicare Prescription Drug, Improvement, and Modernization Act 
of 2003
MNT Medical nutrition therapy
MRA Magnetic resonance angiography
MRI Magnetic resonance imaging
MSA Metropolitan statistical area
NCD National coverage determination
NCQDIS National Coalition of Quality Diagnostic Imaging Services
NDC National drug code
NECMA New England County Metropolitan Area
NECTA New England City and Town Area
NP Nurse practitioner
NPP Nonphysician practitioners
OBRA Omnibus Budget Reconciliation Act
OIG Office of Inspector General
OMB Office of Management and Budget
OPPS Outpatient prospective payment system
PA Physician assistant
PC Professional component
PE Practice Expense
PEAC Practice Expense Advisory Committee
PERC Practice Expense Review Committee
PET Positron emission tomography
PFS Physician Fee Schedule
PLI Professional liability insurance
PPI Producer price index
PPO Preferred provider organization
PPS Prospective payment system
PRA Paperwork Reduction Act
PT Physical therapy
RFA Regulatory Flexibility Act
RIA Regulatory impact analysis
RN Registered nurse
RUC (AMA's Specialty Society) Relative (Value) Update Committee
RVU Relative value unit
SGR Sustainable growth rate
SMS (AMA's) Socioeconomic Monitoring System
SNF Skilled nursing facility
SNM Society for Nuclear Medicine
TA Technology assessment
TC Technical component
tPA Tissue-type plasminogen activator
UAF Update adjustment factor
WAC Wholesale acquisition cost
WAMP Widely available market price

I. Background

[If you choose to comment on issues in this section, please include the 
caption ``BACKGROUND'' at the beginning of your comments.]

A. Introduction

    Since January 1, 1992, Medicare has paid for physicians' services 
under section 1848 of the Social Security Act (the Act), ``Payment for 
Physicians' Services.'' The Act requires that payments under the 
physician fee schedule (PFS) be based on national uniform relative 
value units (RVUs) based on the resources used in furnishing a service. 
Section 1848(c) of the Act requires that national RVUs be established 
for physician work, practice expense (PE), and malpractice expense. 
Prior to the establishment of the resource-based relative value system, 
Medicare payment for physicians' services was based on reasonable 
charges.

B. Development of the Relative Value System

1. Work RVUs
    The concepts and methodology underlying the PFS were enacted as 
part of the Omnibus Budget Reconciliation Act (OBRA) of 1989, Pub. L. 
101-239, and OBRA 1990, (Pub. L. 101-508). The final rule, published 
November 25, 1991 (56 FR 59502), set forth the fee schedule for payment 
for physicians' services beginning January 1, 1992. Initially, only the 
physician work RVUs were resource-based, and the PE and malpractice 
RVUs were based on average allowable charges.
    The physician work RVUs established for the implementation of the 
fee schedule in January 1992 were developed with extensive input from 
the physician community. A research team at the Harvard School of 
Public Health developed the original physician work RVUs for most codes 
in a cooperative agreement with the Department of Health and Human 
Services. In constructing the code-specific vignettes for the original 
physician work RVUs, Harvard worked with panels of experts, both inside 
and outside the government and obtained input from numerous physician 
specialty groups.
    Section 1848(b)(2)(A) of the Act specifies that the RVUs for 
radiology services are based on relative value scale we adopted under 
section 1834(b)(1)(A) of the Act, (the American College of Radiology 
(ACR) relative value scale), which we integrated into the overall PFS. 
Section 1848(b)(2)(B) of the Act specifies that the RVUs for anesthesia 
services are based on RVUs from a uniform relative value guide. We 
established a separate conversion factor (CF) for anesthesia services, 
and we continue to utilize time units as a factor in determining 
payment for these services. As a result, there is a separate payment 
methodology for anesthesia services.
    We establish physician work RVUs for new and revised codes based on 
recommendations received from the American Medical Association's (AMA) 
Specialty Society Relative Value Update Committee (RUC).
2. Practice Expense Relative Value Units (PE RVUs)
    Section 121 of the Social Security Act Amendments of 1994 (Pub. L. 
103-432), enacted on October 31, 1994, amended section 
1848(c)(2)(C)(ii) of the Act and required us to develop resource-based 
PE RVUs for each physician's service beginning in 1998. We were to 
consider general categories of expenses (such as office rent and wages 
of personnel, but excluding malpractice expenses) comprising practice 
expenses.
    Section 4505(a) of the Balanced Budget Act of 1997 (BBA) (Pub. L. 
105-33), amended section 1848(c)(2)(C)(ii) of the Act to delay 
implementation of the resource-based PE RVU system until January 1, 
1999. In addition, section 4505(b) of the BBA provided for a 4-year 
transition period from charge-based PE RVUs to resource-based RVUs.
    We established the resource-based PE RVUs for each physician's 
service in a final rule, published November 2, 1998 (63 FR 58814), 
effective for services furnished in 1999. Based on the requirement to 
transition to a resource-based system for PE over a 4-year period, 
resource-based PE RVUs did not become fully effective until 2002.
    This resource-based system was based on two significant sources of 
actual PE data: The Clinical Practice Expert Panel (CPEP) data and the 
AMA's Socioeconomic Monitoring System (SMS) data. The CPEP data were 
collected from panels of physicians, practice administrators, and 
nonphysicians (for example, registered nurses) nominated by physician 
specialty societies and other groups. The CPEP panels identified the 
direct inputs required for each physician's service in both the office 
setting and out-of-office setting. The AMA's SMS data provided 
aggregate specialty-specific information on hours worked and practice 
expenses.
    Separate PE RVUs are established for procedures that can be 
performed in both a nonfacility setting, such as a physician's office, 
and a facility setting, such as a hospital outpatient department. The 
difference between the facility and nonfacility RVUs reflects the fact 
that a facility receives separate payment from Medicare for its costs 
of providing the service, apart from payment under the PFS. The 
nonfacility RVUs reflect all of the direct and indirect practice 
expenses of providing a particular service.
    Section 212 of the Balanced Budget Refinement Act of 1999 (BBRA) 
(Pub. L. 106-113) directed the Secretary to establish a process under 
which we accept and use, to the maximum extent practicable and 
consistent with sound data practices, data collected or developed by 
entities and organizations to supplement the data we normally collect 
in determining the PE component. On May 3, 2000, we

[[Page 45767]]

published the interim final rule (65 FR 25664) that set forth the 
criteria for the submission of these supplemental PE survey data. The 
criteria were modified in response to comments received, and published 
in the Federal Register (65 FR 65376) as part of a November 1, 2000 
final rule. The PFS final rules published in 2001 and 2003, 
respectively, (66 FR 55246 and 68 FR 63196) extended the period during 
which we would accept these supplemental data.
3. Resource-Based Malpractice RVUs
    Section 4505(f) of the BBA amended section 1848(c) of the Act to 
require us to implement resource-based malpractice RVUs for services 
furnished on or after 2000. The resource-based malpractice RVUs were 
implemented in the PFS final rule published November 2, 1999 (64 FR 
59380). The malpractice RVUs were based on malpractice insurance 
premium data collected from commercial and physician-owned insurers 
from all the States, the District of Columbia, and Puerto Rico.
4. Refinements to the RVUs
    Section 1848(c)(2)(B)(i) of the Act requires that we review all 
RVUs no less often than every five years. The first 5-year review of 
the physician work RVUs went into effect in 1997, published on November 
22, 1996 (61 FR 59489). The second 5-year review went into effect in 
2002, published on November 1, 2001 (66 FR 55246). The next scheduled 
5-year review is scheduled to go into effect in 2007.
    In 1999, the AMA's RUC established the Practice Expense Advisory 
Committee (PEAC) for the purpose of refining the direct PE inputs. 
Through March of 2004, the PEAC provided recommendations to CMS for 
over 7,600 codes (all but a few hundred of the codes currently listed 
in the AMA's Current Procedural Terminology (CPT) codes).
    In the November 15, 2004, PFS final rule (69 FR 66236), we 
implemented the first 5-year review of the malpractice RVUs (69 FR 
66263).
5. Adjustments to RVUs are Budget Neutral
    Section 1848(c)(2)(B)(ii)(II) of the Act provides that adjustments 
in RVUs for a year may not cause total PFS payments to differ by more 
than $20 million from what they would have been if the adjustments were 
not made. In accordance with section 1848(c)(2)(B)(ii)(II) of the Act, 
if adjustments to RVUs cause expenditures to change by more than $20 
million, we make adjustments to ensure that expenditures do not 
increase or decrease by more than $20 million.

C. Components of the Fee Schedule Payment Amounts

    To calculate the payment for every physician service, the 
components of the fee schedule (physician work, PE, and malpractice 
RVUs) are adjusted by a geographic practice cost index (GPCI). The 
GPCIs reflect the relative costs of physician work, practice expenses, 
and malpractice insurance in an area compared to the national average 
costs for each component.
    Payments are converted to dollar amounts through the application of 
a CF, which is calculated by the Office of the Actuary and is updated 
annually for inflation.
    The general formula for calculating the Medicare fee schedule 
amount for a given service and fee schedule area can be expressed as:
    Payment = [(RVU work x GPCI work) + (RVU PE x GPCI PE) + (RVU 
malpractice x GPCI malpractice)] x CF.

D. Most Recent Changes to the Fee Schedule

    In the November 15, 2004 PFS final rule (69 FR 66236), we refined 
the resource-based PE RVUs and made other changes to Medicare Part B 
payment policy. These policy changes included--
     Supplemental survey data for PE;
     Updated GPCIs for physician work and PE;
     Updated malpractice RVUs;
     Revised requirements for supervision of therapy 
assistants;
     Revised payment rules for low osmolar contrast media;
     Payment policies for physicians and practitioners managing 
dialysis patients;
     Clarification of care plan oversight CPO) requirements;
     Requirements for supervision of diagnostic psychological 
testing services;
     Clarifications to the policies affecting therapy services 
provided incident to a physician's service;
     Requirements for assignment of Medicare claims;
     Additions to the list of telehealth services;
     Changes to payments for drug administration services; and
     Several coding issues.
    The November 15, 2004, final rule also addressed the following 
provisions of the Medicare Prescription Drug, Improvement, and 
Modernization Act of 2003 (MMA) (Pub. L. 108-173):
     Coverage of an initial preventive physical examination.
     Coverage of cardiovascular screening blood tests.
     Coverage of diabetes screening tests.
     Incentive payment improvements for physicians in physician 
shortage areas.
     Changes to payment for covered outpatient drugs and 
biologicals and drug administration services.
     Changes to payment for renal dialysis services.
     Coverage of routine costs associated with certain clinical 
trials of category A devices as defined by the Food and Drug 
Administration.
     Coverage of hospice consultation service.
     Indexing the Part B deductible to inflation.
     Extension of coverage of intravenous immune globulin 
(IVIG) for the treatment in the home of primary immune deficiency 
diseases.
     Revisions to reassignment provisions.
     Payment for diagnostic mammograms.
     Coverage of religious nonmedical health care institution 
items and services to the beneficiary's home.
    In addition, the November 15, 2004 PFS final rule finalized the 
calendar year (CY) 2004 interim RVUs for new and revised codes in 
effect during CY 2004 and issued interim RVUs for new and revised 
procedure codes for CY 2005; updated the codes subject to the physician 
self-referral prohibition; discussed payment for set-up of portable x-
ray equipment; discussed the third 5-year refinement of work RVUs; and 
solicited comments on potentially misvalued work RVUs.
    In accordance with section 1848(d)(1)(E) of the Act, we also 
announced that the PFS update for CY 2005 would be 1.5 percent; the 
initial estimate for the sustainable growth rate for CY 2005 is 4.3; 
and the CF for CY 2005 is $37.8975.

II. Provisions of the Proposed Rule

    This proposed rule would affect the regulations set forth at Part 
405, Federal Health Insurance for the Aged and Disabled; Part 410, 
Supplementary Medical Insurance (SMI) Benefits; Part 411, Exclusions 
from Medicare and Limitations on Medicare Payment; Part 413, Principles 
of Reasonable Cost Reimbursement, Payment for End-Stage Renal Disease 
Services, Prospectively Determined Payment Rates for Skilled Nursing 
Facilities; 414, Payment for Part B Medical and Other Health Services; 
Part 426, Review of National Coverage Determinations and Local Coverage 
Determinations.

[[Page 45768]]

A. Resource-Based Practice Expense (PE) RVUs

    Based on section 1848(c)(1)(B) of the Act practice expenses are the 
portion of the resources used in furnishing the service that reflects 
the general categories of physician and practitioner expenses (such as 
office rent and wages of personnel, but excluding malpractice 
expenses).
    Section 121 of the Social Security Amendments of 1994 (Pub. L. 103-
432), enacted on October 31, 1994, required us to develop a methodology 
for a resource-based system for determining PE RVUs for each 
physician's service. Up until this point, physicians' practice expenses 
were based on historical allowed charges. This legislation stated that 
the revised PE methodology must consider the staff, equipment, and 
supplies used in the provision of various medical and surgical services 
in various settings beginning in 1998. The Secretary has interpreted 
this to mean that Medicare payments for each service would be based on 
the relative PE resources typically involved with performing the 
service.
    The initial implementation of resource-based PE RVUs was delayed 
until January 1, 1999, by section 4505(a) of the BBA 1997. In addition, 
section 4505(b) of the BBA 1997 required the new payment methodology be 
phased-in over 4 years, effective for services furnished in CY 1999, 
and fully effective in CY 2002. The first step toward implementation 
called for by the statute was to adjust the PE values for certain 
services for CY 1998. Section 4505(d) of BBA 1997 required that, in 
developing the resource-based PE RVUs, the Secretary must:
     Use, to the maximum extent possible, generally accepted 
cost accounting principles that recognize all staff, equipment, 
supplies, and expenses, not solely those that can be linked to specific 
procedures.
     Develop a refinement method to be used during the 
transition.
     Consider, in the course of notice and comment rulemaking, 
impact projections that compare new proposed payment amounts to data on 
actual physician PEs.
    Beginning in CY 1999, Medicare began the four year transition to 
resource-based PE RVUs. In CY 2002, the resource-based PE RVUs were 
fully transitioned.
1. Current Methodology
    The following sections discuss the current PE methodology.
a. Data Sources
    There are two primary data sources used to calculate PEs. The 
American Medical Association's (AMA) Socioeconomic Monitoring System 
(SMS) survey data are used to develop the PEs per hour for each 
specialty. The second source of data used to calculate PEs was 
originally developed by the Clinical Practice Expert Panels (CPEP). The 
CPEP data include the supplies, equipment and staff times specific to 
each procedure.
    The AMA developed the SMS survey in 1981 and discontinued it in 
1999. Beginning in 2002, we incorporated the 1999 SMS survey data into 
our calculation of the PE RVUs, using a 5-year average of SMS survey 
data. (See Revisions to Payment Policies and Five-Year Review of and 
Adjustments to the Relative Value Units Under the Physician Fee 
Schedule for Calendar Year 2002 final rule, published November 1, 2001 
(66 FR 55246).) The SMS PE survey data are adjusted to a common year, 
1995. The SMS data provide the following six categories of PE costs:
     Clinical payroll expenses, which are payroll expenses 
(including fringe benefits) for nonphysician personnel.
     Administrative payroll expenses, which are payroll 
expenses (including fringe benefits) for nonphysician personnel 
involved in administrative, secretarial or clerical activities.
     Office expenses, which include expenses for rent, mortgage 
interest, depreciation on medical buildings, utilities and telephones.
     Medical material and supply expenses, which include 
expenses for drugs, x-ray films, and disposable medical products.
     Medical equipment expenses, which include expenses 
depreciation, leases, and rent of medical equipment used in the 
diagnosis or treatment of patients.
     All other expenses, which include expenses for legal 
services, accounting, office management, professional association 
memberships, and any professional expenses not mentioned above.
    In accordance with section 212 of the BBRA, we established a 
process to supplement the SMS data for a specialty with data collected 
by entities and organizations other than the AMA (that is, the 
specialty itself). (See the Criteria for Submitting Supplemental 
Practice Expense Survey Data interim final rule with comment period, 
published on May 3, 2000 (65 FR 25664).) Originally, the deadline to 
submit supplementary survey data was through August 1, 2001. This 
deadline was extended in the November 1, 2001 final rule through August 
1, 2003. (See the Revisions to Payment Policies and Five-Year Review of 
and Adjustments to the Relative Value Units Under the Physician Fee 
Schedule for Calendar Year 2002 final rule, published on November 1, 
2001 (66 FR 55246).) Then, to ensure maximum opportunity for 
specialties to submit supplementary survey data, we extended the 
deadline to submit surveys until March 1, 2005. (See the Revisions to 
Payment Policies Under the Physician Fee Schedule for Calendar Year 
2002 final rule, published on November 7, 2003 (68 FR 63196).)
    The CPEPs consisted of panels of physicians, practice 
administrators, and nonphysicians (registered nurses (RNs), for 
example) who were nominated by physician specialty societies and other 
groups. There were 15 CPEPs consisting of 180 members from more than 61 
specialties and subspecialties. Approximately 50 percent of the 
panelists were physicians.
    The CPEPs identified specific inputs involved in each physician 
service provided in an office or facility setting. The inputs 
identified were the quantity and type of nonphysician labor, medical 
supplies, and medical equipment.
    In 1999, the AMA's RUC established the Practice Expense Advisory 
Committee (PEAC). Since 1999, and until March 2004, the PEAC, a multi-
specialty committee, reviewed the original CPEP inputs and provided us 
with recommendations for refining these direct PE inputs for existing 
CPT codes. Through its last meeting in March 2004, the PEAC provided 
recommendations which we have reviewed and accepted for over 7,600 
codes. As a result of this scrutiny, the current CPEP inputs differ 
markedly from those originally recommended by the CPEPs. The PEAC has 
now been replaced by the Practice Expense Review Committee (PERC), 
which acts to assist the RUC in recommending PE inputs.
b. Allocation of Practice Expenses to Services
    In order to establish PE RVUs for specific services, it is 
necessary to establish the direct and indirect PE associated with each 
service. Our current approach allocates aggregate specialty practice 
costs to specific procedures and, thus, is often referred to as a 
``top-down'' approach. The specialty PEs are derived from the AMA's SMS 
survey and supplementary survey data. The PEs for a given specialty are 
allocated to the services performed by that specialty on the basis

[[Page 45769]]

of the CPEP data and work RVUs assigned to each CPT code. The specific 
process is detailed as follows:

Step 1--Calculation of the SMS Cost Pool for Each Specialty

    The six SMS cost categories can be described as either direct or 
indirect expenses. The three direct expense categories include clinical 
labor, medical supplies and medical equipment. Indirect expenses 
include administrative labor, office expense, and all other expenses. 
We combine these indirect expenses into a single category. The SMS cost 
pool for each specialty is calculated as follows:
     The specialty PE per hour (PE/HR) for each of the three 
direct and one indirect cost categories from the SMS is calculated by 
dividing the aggregate PE per specialty by the specialty's total hours 
spent in patient care activities (also determined by the SMS survey). 
The PE/HR is divided by 60 seconds to obtain the PE per minute (PE/
MIN).
     Each specialty's PE pools (for each of the three direct 
and one indirect cost categories) are created by multiplying the PE/MIN 
for the specialty by the total time the specialty spent treating 
Medicare patients for all procedures (determined using Medicare 
utilization data). Physician time on a procedure-specific level is 
available through RUC surveys of new or revised codes and through 
surveys conducted as part of the 5 year review process. For codes that 
the RUC has not yet reviewed, the original data from the Harvard 
resource-based RVU system survey is used. Physician time includes time 
spent on the case prior to, during, and after the procedure. The 
physician procedure time is multiplied by the frequency that each 
procedure is performed on Medicare patients by the specialty.
     The total specialty-specific SMS PE for each cost category 
is the sum, for each direct and indirect cost category, of all of the 
procedure-specific total PEs.
    Table 1 illustrates an example of the calculation of the total SMS 
cost pools for the three direct and one indirect cost categories 
discussed in step 1. For this specialty, PE/HR for clinical payroll 
expenses is $9.30 per hour. The hourly rate is divided by 60 minutes to 
obtain the clinical payroll per minute for the specialty.
    The total clinical payroll for providing hypothetical procedure 
00001 for this specialty of $3,633,465 is the result of taking the 
clinical payroll per minute of $0.16; multiplying this by the physician 
time for procedure 00001 (56 minutes); and multiplying the result by 
the number of times this procedure was provided to Medicare patients by 
this specialty (418,602). The total amount spent on clinical payroll in 
this specialty is $667,457,018. This amount is calculated by summing 
the clinical payroll expenses of procedure 00001 and all of the other 
services provided by this specialty.

                                                         TABLE 1.--Calculation of SMS Cost Pool
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                         Clinical         Medical          Medical          Indirect
                        Standard methodology                           payroll  (A)    supplies  (B)    equipment  (C)   expenses  (D)     Total *  (E)
--------------------------------------------------------------------------------------------------------------------------------------------------------
(a) PE/HR..........................................................            $9.30            $4.80            $7.40           $46.50           $68.00
(b) PE/Minute......................................................            $0.16            $0.08            $0.12            $0.78            $1.13
(c) Physician Time--00001..........................................               56               56               56               56               56
(d) Number of Services.............................................          418,602          418,602          418,602          418,602          418,602
(e) Subtotal.......................................................       $3,633,465       $1,875,337       $2,891,144      $18,167,327      $26,567,274
(f) All Other Services.............................................     $663,823,552     $342,618,608     $528,203,687   $3,319,117,762   $4,853,763,609
(g) Total--SMS Pool................................................     $667,457,018     $344,493,945     $531,094,831   $3,337,285,089  $4,880,330,883
--------------------------------------------------------------------------------------------------------------------------------------------------------
(b) = (a)/60
(e) = (b)*(c)*(d)
(g) = (e)+(f)
* Components may not add to totals due to rounding.

Step 2--Calculation of CPEP Cost Pool

    CPEP data provide expenditure amounts for the direct expense 
categories (clinical labor, supplies and equipment cost) at the 
procedure level. Multiplying the CPEP procedure-level PEs for each of 
these three categories by the number of times the specialty provided 
the procedure, produces a total category cost, per procedure, for that 
specialty. The sum of the total expenses from each procedure results in 
the total CPEP category cost for the specialty.
    For example, in Table 2, using CPEP data, the clinical labor cost 
of procedure 00001 is $65.23. Under the methodology described above in 
this step, this is multiplied by the number of services for the 
specialty (418,602), to yield the total CPEP data clinical labor cost 
of the procedure: $27,305,408. In this example, the clinical labor cost 
for all other services performed by this specialty is $831,618,600. 
Therefore, the entire clinical labor CPEP expense pool for the 
specialty is $858,924,008. Step 2 is repeated to calculate the CPEP 
supply and equipment costs.

                                     TABLE 2.--Calculation of CPEP Cost Pool
----------------------------------------------------------------------------------------------------------------
                                                               Clinical  labor
                    Standard  methodology                             (A)        Supplies  (B)    Equipment  (C)
----------------------------------------------------------------------------------------------------------------
(a) CPT 00001................................................           $65.23           $52.49        $1,556.86
(b) Allowed Services.........................................          418,602          418,602          418,602
(c) Subtotal.................................................      $27,305,408      $21,972,838     $651,704,875
(d) All Other Services.......................................     $831,618,600     $389,921,779   $5,277,570,148
(e) Total CPEP Pool..........................................     $858,924,008     $411,894,617  $5,929,275,023
----------------------------------------------------------------------------------------------------------------
(c) = (a)*(b)
(e) = (c)+(d)


[[Page 45770]]

Step 3--Calculation and Application of Scaling Factors

    This step ensures that the total of the CPEP costs across all 
procedures performed by the specialty equates with the total direct 
costs for the specialty as reflected by the SMS data. To accomplish 
this, the CPEP data are scaled to SMS data by means of a scaling factor 
so that the total CPEP costs for each specialty equals the total SMS 
cost for the specialty. (The scaling factor is calculated by dividing 
the specialty's SMS pool by the specialty's CPEP pool.)
    The unscaled CPEP cost per procedure value, at the direct cost 
level, is then multiplied by the respective specialty scalar to yield 
the scaled CPEP procedure value. The sum of the scaled CPEP direct cost 
pool expenditures equals the total scaled direct expense for the 
specific procedure at the specialty level.
    In the Step 3 example shown in Table 3, the SMS total clinical 
labor costs for the specialty is $667,457,018. This amount divided by 
the CPEP total clinical labor amount of $858,924,008 yields a scaling 
factor of 0.78. The CPEP clinical labor cost for hypothetical procedure 
00001 is $65.23. Multiplying the 0.78 scaling factor for clinical labor 
costs by $65.23 yields the scaled clinical labor cost amount of $50.69. 
Individual scaling factors must also be calculated for supply and 
equipment expenses. The sum of the scaled direct cost values, $50.69, 
$43.90 and $139.45, respectively, equals the total scaled direct 
expense of $234.04.
[GRAPHIC] [TIFF OMITTED] TP08AU05.000

Step 4--Calculation of Indirect Expenses

    Indirect PEs cannot be directly attributed to a specific service 
because they are incurred by the practice as a whole. Indirect costs 
include rent, utilities, office equipment and supplies, and accounting 
and legal fees. There is not a single, universally accepted approach 
for allocating indirect practice costs to individual procedure codes. 
Rather allocation involves judgment in identifying the base or bases 
that are the best measures of a practice's indirect costs.
    To allocate the indirect PEs to a specific service, we use the 
following methodology:
     The scaled direct expenses and the converted work RVU (the 
work RVU for the service is multiplied by $34.5030, the 1995 CF) are 
added together, and then multiplied by the number of services provided 
by the specialty to Medicare patients;
     The total indirect PEs per specialty are calculated by 
summing the indirect expenses for all other procedures provided by that 
specialty.
    In the Table 4, the physician work RVU for procedure 00001 is 2.36. 
Multiplying the work RVU by the 1995 CF of $34.5030 equals $81.43. The 
physician work value is added to the scaled total direct expense from 
Step 3 ($234.04). The total of $314.47 is a proxy for the indirect PE 
for the specialty attributed to this procedure. The total indirect 
expenses are then multiplied by the number of services provided by the 
specialty (418,602), to calculate total indirect expenses for this 
procedure of $132,055,728. The process is repeated across all 
procedures performed by the specialty, and the indirect expenses for 
each service are summed to arrive at the total specialty indirect PE 
pool of $6,745,545,434.

                                    Table 4.--Calculation of Indirect Expense
----------------------------------------------------------------------------------------------------------------
                                                                  Physician     Total direct
                     Standard methodology                           work*          expense           Total
                                                                          (A)             (B)                (C)
--------------------------------------------------------------
(a) CPT 00001................................................          $81.43         $234.04            $315.47
(b) Allowed Services.........................................  ..............  ..............            418,602
(c) Subtotal.................................................  ..............  ..............       $132,055,728
(d) All Other Services.......................................  ..............  ..............     $6,613,489,706
(e) Total Indirect Expense...................................  ..............  ..............    $6,745,545,434
----------------------------------------------------------------------------------------------------------------
*Calculated by multiplying work RVU of 2.36 by 1995 conversion factor of $34.5030.


[[Page 45771]]

Step 5--Calculation and Application of Indirect Scaling Factors

    Similar to the direct costs, the indirect costs are scaled to 
ensure that the total across all procedures performed by the specialty 
equates with the total indirect costs for the specialty as reflected by 
the SMS data. To accomplish this, the indirect costs calculated in Step 
4 (Table 4) are scaled to SMS data. The calculation of the indirect 
scaling factors is as follows:
     The specialty's total SMS indirect expense pool is divided 
by the specialty's total indirect expense pool calculated in Step 4 
(Table 4), to yield the indirect expense scaling factor.
     The unscaled indirect expense amount, at the procedure 
level, is multiplied by the specialty's scaling factor to calculate the 
procedure's scaled indirect expenses.
     The sum of the scaled indirect expense amount and the 
procedure's direct expenses yields the total PEs for the specialty for 
this procedure.
    In table 5, to calculate the indirect scaling factor for 
hypothetical procedure 00001, divide the total SMS indirect pool, 
$3,337,285,089 (calculated in Step 1--Table 1), by the total indirect 
expense for the specialty across all procedures of $6,745,545,434. This 
results in a scaling factor of 0.49. Next, the unscaled indirect cost 
of $315.47 is multiplied by the 0.49 scaling factor, resulting in 
scaled indirect cost of $156.07. To calculate the total PEs for the 
specialty for procedure 00001, the scaled direct and indirect expenses 
are added, totaling $390.12.
[GRAPHIC] [TIFF OMITTED] TP08AU05.001

Step 6--Weighted Average of RVUs for Procedures Performed by More Than 
One Specialty

    For codes that are performed by more than one specialty, a weighted 
average PE is calculated based on Medicare frequency data of all 
specialties performing the procedure as shown in Table 6.

             Table 6.--Weight Averaging for All Specialties
------------------------------------------------------------------------
                                                            Percent of
          Standard Methodology               Practice      total allowed
                                           expense value     services
                                                     (A)             (B)
-----------------------------------------
(a) Specialty Total Practice Expense....         $390.12              83
(b) Weighted Avg.--All Other Specialties         $929.87              17
(c) Weighted Avg.--All Specialties......         $481.70             100
------------------------------------------------------------------------

Step 7--Budget Neutrality and Final RVU Calculation

    The total scaled direct and indirect inputs are then adjusted by a 
budget neutrality factor to calculate RVUs. Section 
1848(c)(2)(B)(ii)(II) of the Act provides that adjustments in RVUs may 
not cause total PFS payments to differ by more than $20 million from 
what they would have been if the adjustments were not made. Budget 
neutrality for the upcoming year is determined relative to the sum of 
PE RVUs for the current year. Although the PE RVUs for any particular 
code may vary from year-to-year, the sum of PE RVUs across all codes is 
set equal to the current year. The budget neutrality factor (BNF) is 
equal to the sum of the current year's PE RVUs, divided by the sum of 
the direct and indirect inputs across all codes for the upcoming year. 
The BNF is applied to (multiplied by) the scaled direct and indirect 
expenses for each code to set the PE RVU for the upcoming year.
    In Table 7, the sum of the scaled direct and indirect expenses for 
hypothetical code 00001 ($481.70) is multiplied by the BNF (0.02 in 
this example) to yield a PE RVU of 10.60.

[[Page 45772]]



                                           Table 7.--Calculate PE RVU
----------------------------------------------------------------------------------------------------------------
                                                                   Total scaled
                                                                    direct and        Budget
                                                                     indirect       neutrality     Final PE RVU
                                                                      inputs          factor
                                                                             (A)             (B)             (C)
-----------------------------------------------------------------
(a) Code 00001..................................................         $481.70            0.02           10.60
----------------------------------------------------------------------------------------------------------------

c. Other Methodological Issues: Nonphysician Work Pool (NPWP)
    As an interim measure, until we could further analyze the effect of 
the top-down methodology on the Medicare payment for services with no 
physician work (including the technical components (TCs) of radiation 
oncology, radiology and other diagnostic tests), we created a separate 
PE pool for these services. However, any specialty society could 
request that its services be removed from the nonphysician work pool. 
We have removed some services from the nonphysician work pool if we 
find that the requesting specialty provides the service the majority of 
the time.

NPWP Step 1--Calculation of the SMS Cost Pool for Each Specialty

    This step parallels the calculations described above for the 
standard ``top-down'' PE allocation methodology. For codes in the 
nonphysician work pool, the direct and indirect SMS costs are set equal 
to the weighted average of the PE/HR for the specialties that provide 
the services in the pool. Clinical staff time is substituted for 
physician time in the calculation. The clinical staff time for the code 
is from CPEP data. Otherwise, the calculation is similar to the method 
described previously for codes with physician time.
    The following example in Table 8 illustrates this calculation for 
hypothetical code 00002. In this example, the average clinical payroll 
PE/HR for all specialties in the nonphysician work pool is $12.30 and 
the clinical staff time for code 00002 is 116 minutes.

                          Table 8.--Calculate SMS Cost Pools for Nonphysician Work Pool
----------------------------------------------------------------------------------------------------------------
     Non-Physician work pool         Clinical         Medical         Medical        Indirect
       methodology (NPWP)             payroll        supplies        equipment       expenses         Total*
                                             (A)             (B)             (C)             (D)             (E)
---------------------------------
(a) NPWP--PE/HR.................          $12.30           $7.40           $3.20          $46.30          $69.00
(b) NPWP--PE/Minute.............            0.21            0.12            0.05            0.77            1.15
(c) Clinical Staff Time--00002..             116             116             116             116             116
(d) Number of Services..........         105,095         105,095         105,095         105,095         105,095
(e) Total--NPWP ``SMS'' Pool....      $2,499,159      $1,503,559        $650,188      $9,407,404    $14,019,673
----------------------------------------------------------------------------------------------------------------
(b) = (a)/60
(e) = (b)*(c)*(d)
* Components may not add to totals due to rounding.

NPWP Step 2--Calculation of Charge-based PE RVU Cost Pool

    The nonphysician work pool calculation uses the 1998 (charge-based) 
PE RVU value for the code, multiplied by the 1995 CF (25.74 x $34.503 = 
$888.11). The percentage of clinical labor, supplies and equipment are 
the percentage that each PE category represents for all physicians 
relative to the total PE for all physicians (calculated from the SMS 
data) as shown in Table 9.

                     Table 9.--Calculate Charge-Based Cost Pools for Nonphysician Work Pool
----------------------------------------------------------------------------------------------------------------
                        NPWP methodology                             Clinical        Supplies        Equipment
                                                                             (A)             (B)             (C)
-----------------------------------------------------------------
(a) CPT 00002--Charge Based Value...............................         $888.11         $888.11         $888.11
(b) Percent Clinical, Supplies, Equipment.......................            0.18            0.11            0.05
(c) CPT 00002...................................................          158.08           95.03           41.74
(d) Number of--NPWP.............................................         105,095         105,095         105,095
(e) Total NPWP ``CPEP'' Pool....................................     $16,613,742      $4,386,775     $9,986,912
----------------------------------------------------------------------------------------------------------------
(c) = (a)*(b)
(e) = (c)*(d)

NPWP Step 3--Calculation and Application of Scaling Factors

    After the total cost pools for each specialty and code performed by 
the specialty are calculated, the steps to ensure the total costs for 
all of the procedures performed by a specialty do not exceed the total 
costs for the specialty (scaling) are the same as those described 
previously for codes with physician work.
    In Table 10 below, the SMS total clinical labor costs is 
$2,499,159. This amount divided by the charge-based total clinical 
labor amount of $16,613,742 yields a scaling factor of 0.15. The 
charge-based clinical labor cost for hypothetical procedure 00002 is 
$158.08 (from step 2--Table 2). Multiplying the 0.15 scaling factor for 
clinical labor costs by $158.08 yields the

[[Page 45773]]

scaled clinical labor cost amount of $23.78. Individual scaling factors 
must be calculated for both supply and equipment expenses. The sum of 
the scaled direct cost values, $23.78, $32.57 and $2.72, respectively, 
equals the total scaled direct expense of $59.07.
[GRAPHIC] [TIFF OMITTED] TP08AU05.002

NPWP Step 4--Calculation of Indirect Expenses

    Because codes in the nonphysician work pool do not have work RVUs, 
indirect expenses are set equal to direct expenses (for codes with 
physician work, indirect expenses equal the sum of the scaled direct 
expenses and the converted work RVU). This amount is then multiplied by 
the number of times the procedure is performed.
    In Table 11, the scaled total direct expense from Step 3 (Table 3) 
($408.79) is also the proxy for the total indirect expense attributed 
to the procedure. The total indirect expense is multiplied by the 
number of services (105,095), to calculate total indirect cost for this 
procedure of $6,207,961.

                                   Table 11.--Calculation of Indirect Expenses
----------------------------------------------------------------------------------------------------------------
                                                                     Physician     Total direct
                        NPWP methodology                               work*          expense          Total
                                                                             (A)             (B)             (C)
-----------------------------------------------------------------
(a) CPT 00002...................................................               $          $59.07          $59.07
(b) Allowed Services--NPWP......................................  ..............  ..............         105,095
(c) Total NPWP Indirect Expense.................................  ..............  ..............      $6,207,961
----------------------------------------------------------------------------------------------------------------

NPWP Step 5--Calculation and Application of Indirect Scaling Factors

    Similar to the direct costs, the indirect costs are scaled to 
ensure that the total of the charge-based PE RVU costs across all 
procedures equates with the total indirect costs as reflected by the 
SMS data for the NPWP. To accomplish this, the charge-based data are 
scaled to SMS data so the total charge-based costs equal the total SMS 
costs.
    In Table 12, to calculate the indirect scaling factor for 
hypothetical procedure 00002, divide the total SMS indirect expense, 
$9,407,404 (from Step 1--Table 1), by the total charge-based indirect 
expense of $6,207,961. This results in a scaling factor of 1.51. Next, 
the unscaled indirect charge-based cost for procedure 00002 of $59.07 
(from step 4--Table 4) is multiplied by the 1.51 scaling factor, 
resulting in scaled indirect costs for this procedure of $89.19.

[[Page 45774]]

[GRAPHIC] [TIFF OMITTED] TP08AU05.092

    NPWP Step 6--Budget Neutrality and Final RVU Calculation
    Similar to the calculation for codes with physician work, the BNF 
is applied to (multiplied by) the scaled direct and indirect expenses 
for each code to set the PE RVU for the upcoming year.
    In Table 13, the sum of the scaled direct and indirect expenses for 
hypothetical code 00002 ($148.26) is multiplied by the BNF (0.022 in 
this example) to yield a PE RVU of 3.26.

         Table 13.--Budget Neutrality and Final RVU Calculation
------------------------------------------------------------------------
                                          Total
                                          scaled
                                          direct     Budget     Final PE
                                           and     neutrality     RVU
                                         indirect    factor
                                          inputs
------------------------------------------------------------------------
Code 00002............................    $148.26       0.022       3.26
------------------------------------------------------------------------

d. Facility/Non-facility Costs
    Procedures that can be performed in a physician's office as well as 
in a hospital have two PE RVUs; facility and non-facility. The non-
facility setting includes physicians' offices, patients' homes, 
freestanding imaging centers, and independent pathology labs. Facility 
settings include hospitals, ambulatory surgery centers, and skilled 
nursing facilities (SNFs). The methodology for calculating the PE RVU 
is the same for both facility and non-facility RVUs, but is calculated 
independently to yield two separate PE RVUs. Because the PEs for 
services provided in a facility setting are generally included in the 
payment to the facility (rather than the payment to the physician under 
the fee schedule), the PE RVUs are generally lower for services 
provided in the facility setting.
2. PE Proposals for CY 2006
    The following discussions outline the specific PE related proposals 
for CY 2006.
a. Supplemental PE Surveys
    The following discussions outline the criteria for supplemental 
survey submission as well as information we have received for approval.
(1) Survey Criteria and Submission Dates
    In accordance with section 212 of the BBRA, we established criteria 
to evaluate survey data collected by organizations to supplement the 
SMS survey data normally used in the calculation of the PE component of 
the PFS. In the Payment Policies Under the Physician Fee Schedule for 
Calendar Year 2002 final rule, published November 7, 2003 (68 FR 
63196), we provided that, beginning in 2004, supplemental survey data 
had to be submitted by March 1 to be considered for use in computing PE 
RVUs for the following year. This allows us to publish our decisions 
regarding survey data in the proposed rule and provides the opportunity 
for public comment on these results before implementation.
    To continue to ensure the maximum opportunity for specialties to 
submit supplemental PE data, we extended until 2005 the period that we 
would accept survey data that meet the criteria set forth in the 
November 2000 PFS final rule. The deadline for submission of 
supplemental data to be considered in CY 2006 was March 1, 2005.
(2) Submission of Supplemental Survey Data
    The following discussion outlines the survey data submitted for CY 
2004 and CY 2005.
 Surveys Submitted in 2004
    As explained in the November 15, 2004 Physician Fee Schedule final 
rule (69 FR 66242), we received surveys by March 1, 2004 from the 
American College of Cardiology (ACC), the American College of Radiology 
(ACR), and the American Society for Therapeutic Radiation Oncology 
(ASTRO). The data submitted by the ACC and the ACR met our criteria. 
However, as requested by the ACC and the ACR, we deferred using their 
data until issues related to the nonphysician work pool could be 
addressed. We are proposing to use the ACC and ACR survey data in the 
calculation of PE RVUs for 2006, but only as specified in the proposals 
relating to a revised methodology for establishing direct PE RVUs, and 
a transition period for the revised methodology, as described below.
    The survey data from ASTRO did not meet the precision criteria 
established for supplemental surveys, therefore, we did not use it in 
the calculation of PE RVUs for 2005.
 Surveys Submitted in 2005
    This year we received surveys from the Association of Freestanding 
Radiation Oncology Centers (AFROC), the American Urological Association 
(AUA), the American Academy of Dermatology Association (AADA), the 
Joint Council of Allergy, Asthma, and Immunology (JCAAI), the National 
Coalition of Quality Diagnostic Imaging Services (NCQDIS) and a joint 
survey from the American Gastroenterological Association (AGA), the 
American Society of Gastrointestinal Endoscopy (ASGE) and the American 
College of Gastroenterology (ACG)
    We contract with the Lewin Group to evaluate whether the 
supplemental

[[Page 45775]]

survey data that are submitted meet our criteria and to make 
recommendations to us regarding their suitability for use in 
calculating PE RVUs. (The Lewin Group report on the 2005 submissions is 
available on the CMS Web site at http://www.cms.hhs.gov/physicians/pfs/ pfs/). The report indicated that, except for the survey from NCQDIS, 
all met our criteria and we are proposing to accept these. The survey 
data submitted by the NCQDIS on independent diagnostic testing 
facilities (IDTFs) did not meet the precision criterion of a 90 percent 
confidence interval with a range of plus or minus 15 percent of the 
mean (that is, 1.645 times the standard error of the mean, divided by 
the mean, is equal to or less than 15 percent of the mean). For the 
NCQDIS survey, the precision level was calculated at 16.3 percent of 
the mean PE/HR (weighted by the number of physicians in the practice). 
However, the Lewin Group has recommended that we accept the data from 
NCQDIS. The Lewin Group points out that PE data for IDTFs do not 
currently exist, and suggests that the need for data for the specialty 
should be weighed against the precision requirement.
    We are proposing not to accept the NCQDIS data to calculate the PE 
RVUs for services provided by IDTFs. As just noted, the NCQDIS data do 
not meet our precision requirements. We established the minimum 
precision standards because we believe it is necessary to ensure that 
the data used are valid and reliable, and the consistent application of 
the precision criteria is the best way to accomplish that objective.
    Section 303(a)(1) of the MMA added section 1848(c)(2)(I) of the Act 
to require us to use survey data submitted by a specialty group where 
at least 40 percent of the specialty's payments for Part B services are 
attributable to the administration of drugs in 2002 to adjust PE RVUs 
for drug administration services. The statute applies to surveys that 
include expenses for the administration of drugs and biologicals, and 
are received by March 1, 2005 for determining the CY 2006 PE RVUs. 
Section 303(a)(1) of the MMA also amended section 1848(c)(2)(B)(iv)(II) 
of the Act to provide an exemption from budget neutrality for any 
additional expenditures resulting from the use of these surveys. In the 
Changes to Medicare Payment for Drugs and Physician Fee Schedule 
Payments for Calendar Year 2004 interim final rule published January 7, 
2004 (69 FR 1084), we stated that the specialty of urology meets the 
above criteria, along with gynecology and rheumatology (69 FR 1094). 
Because we are accepting new survey data from the AUA, we are required 
to exempt, from the budget neutrality adjustment any impacts of 
accepting these data for purposes of calculating PE RVUs for drug 
administration services.
    In addition, Lewin recommended blending the radiation oncology data 
from this year's AFROC survey data with last year's ASTRO survey data 
to calculate the PE/HR. According to the Lewin Group, the goal of the 
AFROC survey was to represent the population of freestanding radiation 
oncology centers only. In order to develop an overall average for the 
radiation oncology PE pool, the Lewin Group recommended we use the 
AFROC survey for freestanding radiation oncology centers, and the 
hospital-based subset of last year's ASTRO survey. We agree that this 
blending of the AFROC and ASTRO data is a reasonable way to calculate 
an average PE/HR that fully reflects the practice of radiation oncology 
in all settings. Therefore, we are proposing to use the new PE/HR 
calculated in this manner for radiation oncology.
    We propose to use the following PE/HR figures (deflated to 1995 
values to be consistent with the SMS data):

                                                      TABLE 14.--Practice Expense Per Hour Figures
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                 Clinical      Admin.       Office      Medical      Medical
                          Specialty                               staff        staff       expense      supplies    equipment      Other        Total
--------------------------------------------------------------------------------------------------------------------------------------------------------
Radiology....................................................         14.8         18.6         16.5          6.5         13.1         26.8         96.3
Cardiology...................................................         38.3         34.5         35.7         16.5         12.2         19.1        156.3
Radiation Oncology...........................................         35.6         18.9         28.5            4         20.1         21.2        128.3
Urology......................................................         18.4         27.9         35.3         16.7          7.5         15.9        121.7
Dermatology..................................................         27.9         35.2         49.4         12.4          7.2           20        152.1
Allergy/Immunology...........................................         48.2         39.8           47         17.3          4.8         22.4        179.6
Gastroenterology.............................................         15.4         23.2         26.8          4.8          3.3         11.5           85
--------------------------------------------------------------------------------------------------------------------------------------------------------

    The deadline to submit supplemental PE surveys was March 1, 2005. 
As discussed in detail below, we are proposing to revise our 
methodology to calculate direct PE RVUs from the current top-down cost 
allocation methodology to a bottom-up methodology. Although we would 
continue to use the SMS data and the incorporated supplemental survey 
data for indirect PEs, we are not proposing to extend the deadline for 
submitting supplemental survey data at this time. Instead, we are 
inviting comment on the most appropriate way to proceed to ensure the 
indirect PEs per hour are accurate and consistent across specialties.
(3) Revisions to the PE Methodology
    Since 1997, when we first proposed a resource-based PE methodology, 
we have had several major goals for this payment system. One has been 
to encourage the maximum input from the medical community regarding our 
PE data and methodology. We have worked closely with the PEAC, PERC, 
RUC and the Health Care Professional Advisory Committee (HCPAC) which 
are all multi-specialty groups that allow the medical community to 
participate by making recommendations to us on the PE direct inputs. We 
also extended the deadline for the submission of supplementary PE 
surveys to ensure that specialties had the opportunity to submit new 
aggregate PE data. In addition, we have had scores of meetings with 
physician, practitioner and industry groups, and have made many 
modifications to our methodology in response to their comments and 
input. We look forward to continuing to work with the medical community 
as we strive to further improve our PE methodology.
    We also have had three specific goals for the resource-based PE 
methodology itself. The following goals have also been supported in 
numerous comments we have received from the medical community:
     To ensure that the PE payments reflect, to the greatest 
extent possible, the actual relative resources required for each of the 
services on the PFS. This could only be accomplished by using

[[Page 45776]]

the best available data to calculate the PE RVUs.
     To develop a payment system for PE that is understandable 
and at least somewhat intuitive, so that specialties could generally 
predict the impacts of changes in the PE data.
     To stabilize the PE payments so that there are not large 
fluctuations in the payment for given procedures from year-to-year.
    We believe that we have consistently made a good faith effort to 
ensure fairness in our PE payment system by using the best data 
available at any one time. The change from the originally proposed 
``bottom-up'' to the ``top-down'' methodology came about because of a 
concern that the resource input data developed in 1995 by the CPEP were 
less reliable than the aggregate specialty cost data derived from the 
SMS process. The adoption of the top-down approach necessitated the 
creation of the nonphysician work pool. The nonphysician work pool is a 
separate pool created to allocate PEs for codes that have only a 
technical (rather than professional) component, or codes that are not 
performed by physicians. In the Physician Fee Schedule (CY 2000); 
Payment Policies and Relative Value Unit Adjustment final rule, 
published November 2, 1999 (64 FR 59379), we indicated that ``the 
purpose of this pool was only to protect the (TC) services from the 
substantial decreases * * * until further refinement could take place * 
* *'' (64 FR 59406).
    However, the situation has now changed. The PEAC/PERC/RUC has 
completed the refinement of the original CPEP data and we believe that 
the refined PE inputs now, in general, accurately capture the relative 
direct costs of performing PFS services. On the other hand, although we 
have now accepted supplementary survey data from 13 specialties, we 
have not received updated aggregate cost data from most specialties. 
Thus, we believe that, in the aggregate, the refined CPEP data 
represent, more reliably, the relative direct costs PE inputs for 
physician services.
    The major specialties comprising the nonphysician work pool 
(radiology, radiation oncology and cardiology) have submitted 
supplemental survey data that we are proposing to accept. (See the 
discussion on supplementary surveys above.) Now that we have 
representative aggregate PE data for these specialties, the continued 
necessity and equity of treating these technical services outside the 
PE methodology applied to other services is questionable.
    We have also taken steps to make our complex top-down PE 
methodology more understandable. For example, we eliminated the 
somewhat arcane ``linking'' of direct cost input data when more than 
one CPEP panel reviewed a service and did away with the confusing and 
unhelpful distinction between procedure-specific and indirect 
equipment. However, we acknowledge that most in the medical community 
would find our current methodology, as described above, neither clear 
nor intuitive. For example, because of the need to scale the CPEP/RUC 
inputs to the SMS PEs under our top-down methodology, the PE RVUs for a 
procedure do not necessarily change proportionately with changes in the 
direct inputs. This raises the question as to what would now be the 
most straightforward and intuitive methodology for calculating the 
direct PE RVUs.
    Due to the ongoing refinement by the RUC of the direct PE inputs, 
we had expected that the PE RVUs would necessarily fluctuate from year-
to-year, frustrating temporarily our efforts to reach the goal of 
stabilizing the PE portion of the PFS. At the same time, it became 
apparent that certain aspects of our methodology exacerbated the yearly 
fluctuations. For example, the need to scale the CPEP costs to equal 
the SMS costs meant that any changes in the direct PE inputs for one 
service often leads to unexpected results for other services where the 
inputs had not been altered. In addition, the services priced by the 
nonphysician work pool methodology have proved to be especially 
vulnerable to any change in the pool's composition. We understand the 
need for stable PE RVUs, so that physicians and other practitioners can 
anticipate from year-to-year what the relative payments will be for the 
services they perform. Now, that the CPEP/RUC refinement of existing 
services is virtually complete, this appears to be an opportunity for 
us to propose a way to provide stability to the PE RVUs.
    Therefore, consistent with our goals of using the most appropriate 
data, simplifying our methodology, and increasing the stability of the 
payment system, we are proposing the following changes to our PE 
methodology:
 Use a Bottom-Up Methodology To Calculate Direct PE Costs
    Instead of using the top-down approach to calculate the direct PE 
RVUs, where the aggregate CPEP/RUC costs for each specialty are scaled 
to match the aggregate SMS costs, we propose to adopt a bottom-up 
method of determining the relative direct costs for each service. Under 
this method, the direct costs would be determined by summing the costs 
of the resources--the clinical staff, equipment and supplies--typically 
required to provide the service. The costs of the resources, in turn, 
would be calculated from the refined CPEP/RUC inputs in our PE 
database.
 Eliminate the Nonphysician Work Pool
    Now that we have new survey data for the major specialties that 
comprise the nonphysician work pool, we would eliminate the pool and 
calculate the PE RVUs for the services currently in the pool by the 
same methodology used for all other services. This would allow the use 
of the refined CPEP/RUC data to price the direct costs of individual 
services, rather than utilizing the pre-1998 charge-based PE RVUs.
 Utilize the Current Indirect PE RVUs, Except for Those 
Services Affected by the Accepted Supplementary Survey Data
    As described previously, the SMS and supplementary survey data are 
the source for the specialty-specific aggregate indirect costs used in 
our PE calculations. We then allocate to particular codes on the basis 
of the direct costs allocated to a code and the work RVUs. Although we 
now believe the CPEP/RUC data are preferable to the SMS data for 
determining direct costs, we have no information that would indicate 
that the current indirect PE methodology is inaccurate. We also are not 
aware of any alternative approaches or data sources that we could use 
to calculate more appropriately the indirect PE, other than the new 
supplementary survey data, which we propose to incorporate into our PE 
calculations. Therefore, we propose to use the current indirect PEs in 
our calculation incorporating the new survey data into the codes 
performed by the specialities submitting the surveys. We would welcome 
any suggestions that would assist us in further refinement of this 
indirect PE methodology. For example, we are considering whether we 
should continue to accept supplementary survey data or whether it would 
be preferable and feasible to have an SMS-type survey of only indirect 
costs for all specialties, or whether a more formula-based methodology 
independent of the SMS data should be adopted, perhaps using the 
specialty-specific indirect-to-total cost percentage as a basis of the 
calculation. For a prior discussion of many of the issues associated 
with allocating indirect costs, we would refer the reader to the 
Physician Fee Schedule (CY 2000);

[[Page 45777]]

Payment Policies and Relative Value Unit Adjustment proposed rule, 
published June 5, 1998 (63 FR 30823).
 Transition the Resulting Revised PE RVUs over a Four-Year 
Period
    A complete analysis of the impacts of these changes is contained in 
the impact analysis in section V. of this proposed rule. We are 
concerned that, when combined with an expected negative update factor 
for CY 2006, the shifts in some of the PE RVUs resulting from our 
proposals could cause some measure of financial stress on medical 
practices. Therefore, we are proposing to transition the proposed PE 
changes over a 4-year period. This would also give ample opportunity 
for us, as well as the medical specialties and the RUC, to identify any 
anomalies in the PE data, to make any further appropriate revisions, 
and to collect additional data, as needed prior to the full 
implementation of the proposed PE changes.
    During the transition period, the PE RVUs will be calculated on the 
basis of a blend of RVUs calculated using our proposed methodology 
described above (weighted by 25 percent during CY 2006, 50 percent 
during CY 2007, 75 percent during CY 2008, and 100 percent thereafter), 
and the current CY 2005 PE RVUs for each existing code.
    We believe that implementing these proposed changes will meet our 
goals to produce a more accurate, more intuitive and more stable PE 
methodology.
    Now that the direct PE inputs have been refined, we believe that 
the proposed CPEP/RUC direct input data are superior to the specialty-
specific SMS PE/HR data for the purposes of determining the typical 
direct PE resources required to perform each service on the PFS. First, 
we have received recommendations on the procedure-specific inputs from 
the multi-specialty PEAC that were based on presentations from the 
relevant specialties after being closely scrutinized by the PEAC using 
standards and packages agreed to by all involved specialties. Second, 
the refined CPEP/RUC data are more current than the SMS data for the 
majority of specialties. Third, for direct costs, it appears more 
accurate to assume that the costs of the clinical staff, supplies and 
equipment are the same for a given service, regardless of the specialty 
that is performing it. This assumption does not hold true under the 
top-down direct cost methodology, where the specialty-specific scaling 
factors create widely differing costs for the same service.
    We also would argue that the proposed methodology is less confusing 
and more intuitive than the current approach. First, the nonphysician 
work pool would be eliminated and all services would be priced using 
one methodology, eliminating the complicated calculations needed to 
price nonphysician work pool services. Second, the method for 
calculation of direct costs can now be described in sentences rather 
than paragraphs. Third, any revisions made to the direct inputs would 
now have predictable results. Changes in the direct practice inputs for 
a service would proportionately change the PE RVUs for that service 
without significantly affecting the PE RVUs for unrelated services.
    The proposed methodology would also create a system that would be 
significantly more stable from year-to-year than the current approach. 
Specialties should no longer experience the wide fluctuations in 
payment for a given service due to an aberrant direct cost scaling 
factor. Direct PEs should only change for a service if it is further 
refined or when prices are updated, while indirect PEs should change 
only when there are changes in the mix of specialties performing the 
service or with the use of any future new survey data for indirect 
costs.
    We recognize that there are still some outstanding issues that need 
further consideration, as well as input from the medical community. For 
example, although we believe that the elimination of the nonphysician 
work pool would be, on the whole, a positive step, some practitioner 
services, such as audiology and medical nutrition therapy, would be 
significantly impacted by the proposed change. In addition, there are 
still services, such as the ESRD visit codes, for which we have no 
direct input information. Also, as mentioned above, we do not have 
current SMS or supplementary survey data to calculate the indirect 
costs for most specialties. Further, we do not yet have accurate 
utilization for the new drug administration codes that were created in 
response to the MMA provision on drug administration. Therefore, we are 
not proposing to change the RVU for these services at this time, but to 
include them under our proposed methodology in next year's rule when we 
have appropriate data. The proposed transition period would give us the 
opportunity to work with the affected specialties to collect the needed 
survey or other data or to determine whether further revisions to our 
PE methodology are needed.
    We, therefore, welcome all comments on these proposed changes, 
particularly those concerning additional modifications to the indirect 
PE methodology that might help us further our intended goals.
(4) PE Recommendations on CPEP Inputs for CY 2006
    Since 1999, the PEAC, an advisory committee of the AMA's RUC, 
provided us with recommendations for refining the direct PE inputs 
(clinical staff, supplies, and equipment) for existing CPT codes. The 
PEAC held its last meeting in March 2004 and the AMA established a new 
committee, PERC, to assist the RUC in recommending PE inputs.
    The PERC completed refinement of approximately 200 remaining codes 
at its meetings held in September 2004 and February 2005. (A list of 
these codes can be found in Addendum C of this proposed rule.)
    We have reviewed the PERC-submitted recommendations and propose to 
adopt nearly all of them. We have worked with the AMA staff to correct 
any typographical errors and to make certain that the recommendations 
are in line with previously accepted standards.
    The complete PERC recommendations and the revised PE database can 
be found on our Web site. (See the ``Supplementary Information'' 
section of this proposed rule for directions on accessing our Web 
site.)
    We disagreed with the PERC recommendation for clinical labor time 
for CPT code 36522, Extracorporeal Photophoresis. In last year's 
Revisions to Payment Policies Under the Physician Fee Schedule for 
Calendar Year 2005 final rule, published November 15, 2004 (69 FR 
66236) we assigned, on an interim basis, 223 minutes of total clinical 
labor for the service period based on the typical treatment time of 
approximately 4 hours. The PERC, however, recommended 122 minutes total 
clinical labor time for the service period, which allows for 90 minutes 
of nurse ``intra service'' time for the performance of the procedure 
(the society originally proposed 180 minutes). We believe that 135 
minutes is a more appropriate estimation of the clinical staff time 
actually needed for the intra time, as it more closely approximates the 
time assigned to the other procedures in this family of codes, 
including CPT codes 36514, 36515, and 36516. Therefore, we are 
proposing a total clinical labor time of 167 minutes for the service 
period.
    The PERC/RUC also recommended that no inputs be assigned to several 
codes because the services were not performed in the office setting. 
However, our utilization data shows that four of these codes (CPT codes

[[Page 45778]]

15852, 76975, 78350, and 86585) are currently priced in the office and 
are performed with sufficient frequency in the office to warrant this. 
Therefore, we are proposing not to accept the PERC/RUC recommendations 
for these services at this time, but are requesting comments from the 
relevant specialties as to whether the recommendations should be 
accepted.
(5) Payment for Splint and Cast Supplies
    In the Physician Fee Schedule (CY 2000); Payment Policies and 
Relative Value Unit Adjustment final rule, published November 2, 1999 
(64 FR 59379) and the Physician Fee Schedule (CY 2002); Payment 
Policies and Relative Value Units Five-Year Review and Adjustments 
final rule, published November 1, 2000 (66 FR 55245), we removed cast 
and splint supplies from the PE database for the CPT codes for fracture 
management and cast/strapping application procedures. Because casting 
supplies could be separately billed using Healthcare Common Procedure 
Coding System (HCPCS) codes that were established for payment of these 
supplies under section 1861(s)(5) of the Act, we did not want to make 
duplicate payment under the PFS for these items.
    However, in limiting payment of these supplies to the HCPCS codes 
Q4001 through Q4051, we unintentionally prohibited remuneration for 
these supplies when they are not used for reduction of a fracture or 
dislocation, but rather, are provided (and covered) as incident to a 
physician's service under section 1861(s)(2)(A) of the Act.
    Because these casting supplies are covered either through sections 
1861(s)(5) of the Act or 1861(s)(2)(A) of the Act, we are proposing to 
eliminate the separate HCPCS codes for these casting supplies and to 
again include these supplies in the PE database. This will allow for 
payment for these supplies whether based on section 1861(s)(5) of the 
Act or section 1861(s)(2)(A) of the Act, while ensuring that no 
duplicate payments are made. In addition, by bundling the cost of the 
cast and splint supplies into the PE component of the applicable 
procedure codes under the PFS, physicians will no longer need to bill 
Q-codes in addition to the procedure codes to be paid for these 
materials.
    Because these supplies were removed from the PE database prior to 
the refinement of these services by the PEAC, we are proposing to add 
back the original CPEP supply data for casts and splints to each 
applicable CPT code. For this reason, it is imperative that the 
relevant medical societies review the ``Direct Practice Expense 
Inputs'' on our Web site at http://www.cms.hhs.gov/physicians/pfs 
(under the supporting documents for the 2006 proposed rule) and provide 
us with feedback regarding the appropriateness of the type and amount 
of casting and splinting supplies. We are also requesting specific 
information about the amount of casting supplies needed for the 10-day 
and 90-day global procedures, because these supplies may not be 
required at each follow-up visit; therefore, the number of follow-up 
visits may not reflect the typical number of cast changes required for 
each service.
    The following cast and splint supplies have been reincorporated as 
direct inputs: fiberglass roll, 3 inch and 4 inch; cast padding, 4 
inch; webril (now designated as cast padding, 3 inch); cast shoe; 
stockingnet/stockinette, 4 inch and 6 inch; dome paste bandage; cast 
sole; elastoplast roll; fiberglass splint; ace wrap, 6 inch; and kerlix 
(now designated as bandage, kerlix, sterile, 4.5 inch) and malleable 
arch bars. The cast and splint supplies have been added to the 
following CPT codes: 23500 through 23680, 24500 through 24685, 25500 
through 25695, 26600 through 26785, 27500 through 27566, 27750 through 
27848, 28400 through 28675, and 29000 through 29750.
    Because we are proposing to pay for splint and cast through the PE 
component of the PFS, we would no longer make separate payment for 
these items using the HCPCS Q-codes.
(6) Miscellaneous PE Issues
    In this section, we discuss our specific proposals related to PE 
inputs.
 Supply Items for CPT Code 95015
    We are proposing to change the supply inputs for CPT code 95015, 
intracutaneous (intradermal) tests, sequential and incremental, with 
drugs, biologicals or venoms, immediate type reaction, specify number 
of tests, based on comments received from the JCAAI. The society 
reports that ``venom'' is the most typical test substance used when 
performing this service and that ``antigen'', currently listed in the 
PE database, is never used. The JCAAI also suggests that the 
appropriate venom quantity should be 0.3 ml (instead of the 0.1 ml now 
listed) because of the necessity to use all five venoms (honey bee, 
yellow jacket, yellow hornet, white face hornet and wasp) to perform 
this sensitivity testing; that is, 1 ml of each venom type for a total 
of 5 ml of venom. The diluted venoms are sequentially administered 
until sensitivity is shown, beginning with the lowest concentration of 
venom and subsequently administering increasing concentrations of each 
venom. The JCAAI states that the typical number of tests per session is 
approximately 17, consistent with the RUC-approved vignette, which 
represents 0.3 ml of venom per test when divided into the total of 5 ml 
of venom needed to perform the entire service. We accept the 
specialty's argument and propose to change the test substance in CPT 
code 95015 to venom, at $10.70(from single antigen, at $5.18) and the 
quantity to 0.3 ml (from 0.1 ml).
 Flow Cytometry Services
    In the November 15, 2004 final rule (69 FR 66236), we solicited 
comments on the interim RVUs and PE inputs for new and revised codes, 
including flow cytometry services. Based on comments received and 
additional discussions with representatives from the society 
representing independent laboratories, we are proposing to revise the 
PE inputs for the flow cytometry CPT codes 88184 and 88185.
    The specialty society indicated that a cytotechnologist is the 
typical clinical staff type to perform the intra portion of this 
service for both codes. They also provided us with a list of six 
additional equipment items, along with documented prices, and with the 
minutes in use for each service. All six equipment items are necessary 
to perform the flow cytometry services described in CPT code 88184, 
while only two (the computer and printer) are needed for CPT code 
88185. For supplies, the society believes the antibody cost currently 
reflected in the PE database is too low, and so they provided us with 
an average antibody cost of $8.50, derived from a survey of 
laboratories performing these services. Using the vignette for the 
myeloid/lymphoid panel to represent the typical service, this average 
cost was based on the cost of the total number of antibodies that are 
required to report the typical number of reported markers. Based on 
this information, we are proposing to change the following direct 
inputs used for PE:
    + Clinical Labor: Change the staff type in the service 
(intra)period in both CPT codes 88184 and 88185 to cytotechnologist, at 
$0.45 per minute (currently lab technician, at $0.33 per minute).
    + Supplies: Change the antibody cost for both CPT codes 88184 and 
88185 to $8.50 (from $3.544).
    + Equipment: Add a computer, printer, slide strainer, biohazard 
hood, and FACS wash assistant to CPT code 88184. Add a computer and 
printer to the equipment for CPT code 88185.

[[Page 45779]]

 Low Osmolar Contrast Media (LOCM) and High Osmolar Contrast 
Media (HOCM)
    HOCM and LOCM are used to enhance images produced by various types 
of diagnostic radiological procedures. In the November 15, 2004 final 
rule (69 FR 66356), we eliminated the criteria for the payment of LOCM 
that had been included at Sec.  414.38. Effective January 1, 2005, 
providers can be paid for either LOCM or HOCM when used with procedures 
requiring contrast media. Payment for LOCM is made through the use of 
separate Q-codes, while payment for HOCM is currently included as part 
of the PE component under the PFS. Effective January 1, 2006, we will 
no longer include payment for HOCM under the PFS. When HOCM is used, Q-
codes that have been established specifically for HOCM will be used for 
payment.
    We have reviewed the PE database and are proposing to remove the 
following two supply items which we have identified as HOCM from the PE 
database:
    + Conray inj. iothalamate 43 percent(supply item SH026, 
deleted from 64 procedures).
    + Diatrizoate sodium 50 percent (supply item SH0238, 
deleted from 74 procedures).
    In reviewing the PE database we also identified 5 CPT codes 
(specifically CPT codes 42550, 70370, 93508, 93510 and 93526) that 
include omnipaque as a supply item. Since omnipaque is actually a type 
of LOCM that is separately billable, we are proposing to remove this 
supply item from these five CPT codes.
 Imaging Rooms
    We include standardized ``rooms'' for certain services in our PE 
equipment database, rather than listing each item separately. We 
received pricing information from the ACR for the following rooms that 
are included in the database. We have accepted most of the proposed 
items that meet the $500 threshold for equipment and are proposing to 
include the items in each specific room, as follows:
    + Basic Radiology Room: $127,750 (x-ray machine @ $125,550 and 
camera @ $2,200). The recommended viewbox was not included because most 
codes assigned this room have also been assigned an alternator 
(automated film viewer) or a 4-panel viewbox.
    + Radiographic-Flouroscopic Room: $367,664 (Radiographic machine @ 
$365,464 and camera @ $2,200). The recommended viewbox was not included 
because most codes assigned this room have also been assigned an 
alternator (automated film viewer) or a 4-panel viewbox.
    + Mammography Room: $168,214 (mammography unit @ $124,900; 
reporting system @ $16,690; mammography phantom @ $674; densitometer @ 
$3,660; sensitometer @ $2,750; desktop PC for monitoring @ $1,840; and 
processor @ $17,700. Separately listed equipment items (densitometer, 
mammography reporting system, sensitometer, mammography phantom, 
desktop computer, and the film processor) that duplicated items 
included in the mammography room were removed from the codes assigned 
the room, eliminating the reporting system, sensitometer and phantom 
from the PE database.
    + Computed tomography (CT) Room: $1,284,000 (16-slice CT scanner 
with power injector and monitoring system)
    + Magnetic Resonance (MR) Room: $1,605,000 (1.5T MR scanner with 
power injector and monitoring system)
     Equipment Pricing for Select Services and Procedures from 
the November 15, 2004 final rule (69 FR 66236).
    Equipment pricing for certain radiology services was received and 
supported with sufficient documentation from the ACR. We have accepted 
the following equipment prices as shown in table 15.

                                Table 15
------------------------------------------------------------------------
 
------------------------------------------------------------------------
CAD processor (CPT 76082-83).................................   $115,000
Collimator, cardiofocal set (CPT 78206-07, 78647, 78803,           8,543
 78807)......................................................
Densitometer/DPA (CPT 78351).................................    150,000
Detector Probe (CPT 78455)...................................     19,995
IVAC Injection Pump, single channel (CPT 78206-07, 78647,          3,000
 78803, 78807)...............................................
Computer workstation/MRA includes: Includes 2 monitors,          122,000
 volume viewer, advanced x-ray analysis, data export, CD-RW,
 DICOM Print, 2 GB RAM (CPT 71555, 72159, 72198, 73225,
 73727, 74185)...............................................
------------------------------------------------------------------------

    We accepted the documentation supplied from the American College of 
Obstetricians and Gynecologists (ACOG) to price the following equipment 
for which we assigned an average price from the three sources, as 
follows:

Ultrasound color Doppler transducers and vaginal probe (CPT 59070, 
59074, 76818-19, 76825-28)--$157,897

    For CPT 36522, extracorporeal photopheresis, we received and 
accepted equipment pricing information specific to this procedure, as 
follows:

Plasma pheresis machine with UV light source (CPT 36522)--$65,000

    We received comments from the American Academy of Ophthalmology 
that included documentation from two sources for the pricing of the EMG 
botox machine used in CPT code 92265 and we are proposing to accept 
$16,188 as the average price for this equipment.
 Supply Item for In Situ Hybridization Codes (CPT 88365, 88367, 
and 88368)
    We received comments from the College of American Pathologists 
(CAP) regarding the number of DNA probes assigned to the in situ 
hybridization codes, CPT codes 88365, 88367, and 88368. Currently, CPT 
codes 88365 and 88368 have 1.5 probes assigned, while CPT code 88367 
has only .75 of a probe assigned. CAP requested that we also assign 1.5 
probes to CPT code 88367, and the comment provided justification for 
this request. We accept the CAP rationale and propose to change the 
probe quantity for CPT code 88367 to 1.5.
 Supply Item for Percutaneous Vertebroplasty Procedures (CPT 
codes 22520 and 22525)
    The Society for Interventional Radiology provided us with 
documentation for the price of the vertebroplasty kit used in CPT codes 
22520 and 22525. We propose to accept a new price of $696 for this 
supply, currently listed as $660.50, a placeholder price from last 
year's final rule.
 Clinical Labor for G-codes Related to Home Health and Hospice 
Physician Supervision, Certification and Recertification
    It has come to our attention that four G-codes related to home 
health and hospice physician supervision, certification and 
recertification, G0179, 180, 181, and 182, are incorrectly valued for 
clinical labor. These codes are cross-walked from CPT codes 99375 and 
99378, which underwent PEAC refinement for the 2004 fee schedule. 
However, we did not apply the new refinements to these specific G-codes 
at that time, and are proposing to revise the PE database to reflect 
the new values.
 Programmers for Implantable Neurostimulators and Intrathecal 
Drug Infusion Pumps
    We received comments from the neurological division of Medtronic 
Incorporated, the manufacturer of programmers for implantable 
neurostimulators and intrathecal drug infusion pumps, that the 
equipment

[[Page 45780]]

costs for these programmers are not a direct expense for the physicians 
performing the programming of these devices. The manufacturer furnishes 
these devices without cost because the programming device is considered 
a ``necessary, ancillary item to the neurostimulator and drug pump and 
can only be used to program these devices.'' As such, we are proposing 
to remove the two programmers from the PE database: EQ208 for 
medication pump from 2 codes (CPT 62367 and 62368) and EQ209 for the 
neurostimulator from 8 codes (CPT 95970-97979). We are asking for 
comments from the specialty societies performing these services to let 
us know if this proposal reflects typical practice.
 Pricing of New Supply and Equipment Items
    As part of last year's rulemaking process, we reviewed and updated 
the prices for equipment items in our PE database and assigned a unique 
identifier to each equipment item with the first two elements 
corresponding to one of seven categories. It has come to our attention 
that we have assigned the same category identifier (ELXXX) for both 
``lanes/rooms'' as well as ``laboratory equipment''. To correct this, 
we are assigning laboratory equipment items the new category identifier 
``EPXXX'', but the specific numbers associated with each item will 
remain the same. Supply items were reviewed and updated in the 
rulemaking process for the 2004 PFS. During subsequent meetings of both 
the PEAC (now referred to as the PERC) and the RUC, supply and 
equipment items were added that were not included in the pricing 
updates. The following two tables (Table 16: Proposed Practice Expense 
Supply Items and Table 17: Proposed Practice Expense Equipment Items) 
list the additional supply and equipment items for 2006 and the 
proposed associated prices that we will use in the PE calculation.

                       Table 16.--Proposed Practice Expense Supply Item Additions for 2006
----------------------------------------------------------------------------------------------------------------
                                                           Unit      *CPT code(s) associated
   Supply  code       Supply description       Unit       price             with item            Supply category
----------------------------------------------------------------------------------------------------------------
SJ071.............  ACD-A anticoagulant...  item......       6.58          36514, 36515, 36516  Pharmacy, NonRx.
SL186.............  Antibody, flow          item......        8.5                 88184, 88185  Lab.
                     cytometry (each test).
SL187.............  Balance salt solution   ml........  .........                        92265  Lab.
                     (BSS), sterile, 15cc.
SG093.............  Bandage, Dome paste,    item......      14.95                        29580  Wound care,
                     3in.                                                                        dressings.
SJ072.............  Brush, disposable       item......  .........                        17360  Pharmacy, NonRx.
                     applicator.
SG094.............  Cast, padding 3in x     item......       1.22                     18 codes  Wound care,
                     4yd (Webril).                                                               dressings.
SG095.............  Cast, sole............  item......      14.74          29355, 29425, 29440  Wound care,
                                                                                                 dressings.
SG096.............  Casting tape,           item......        9.2  29065, 29075, 29105, 29365,  Wound care,
                     fiberglass 3in x 4                                           29405, 29425   dressings.
                     yds.
SD216.............  Catheter, balloon,      item......     217.00                 91120, 91040  Accessory,
                     esophageal or rectal                                                        Procedure.
                     (graded distention
                     test).
SK102.............  Communication book/     item......  .........                        92510  Office supply,
                     treatment notebook.                                                         grocery.
SB049.............  Condom, Diapulse,       item......       0.69                        G0329  Gown, drape.
                     Asepticap.
SK103.............  Cork sheet, 1cm x 1cm.  item......  .........                        88355  Office supply,
                                                                                                 grocery.
SD217.............  Diaphragm fitting set.  item......  .........                        57170  Accessory,
                                                                                                 Procedure.
SJ073.............  DMV remover...........  item......  .........  92311, 92312, 92313, 92314,  Pharmacy, NonRx.
                                                                    92315, 92317, 92316, 92310
SL188.............  EM fixative,            ml........      0.086                 88355, 88356  Lab.
                     karnovsky's.
SL189.............  Ethanol, 100%.........  ml........      0.003          88365, 88367, 88368  Lab.
SL190.............  Ethanol, 70%..........  ml........      0.003          88367, 88368, 88365  Lab.
SL191.............  Ethanol, 85%..........  ml........      0.003          88368, 88367, 88365  Lab.
SC088.............  Fistula set, dialysis,  item......  .........                        36522  Hypodermic, IV.
                     17g.
SK104.............  Foil, aluminum, 10cm x  item......  .........                        88355  Office supply,
                     10cm.                                                                       grocery.
SL192.............  Formamide.............  ml........       0.22          88368, 88365, 88367  Lab.
SL193.............  Glycolic acid, 20-50%.  ml........  .........                        17360  Lab.
SL194.............  Hemo-De...............  ml........      0.008          88368, 88367, 88365  Lab.
SA089.............  Kit, boston original    kit.......        4.5  92311, 92315, 92310, 92313,  Kit, Pack, Tray.
                     system.                                        92313, 92314, 92317, 92316
SL195.............  Kit, FISH paraffin      kit.......      20.85          88367, 88368, 88365  Lab.
                     pretreatment.
SL196.............  Kit, HER-2/neu DNA      kit.......     105.00                 88367, 88368  Lab.
                     Probe.
SA090.............  Kit, moulage            kit.......      75.00                        19396  Kit, Pack, Tray.
                     (implantech).
SL197.............  Label for blood tube..  item......      0.004          36516, 36515, 36514  Lab.
SL198.............  Label, vial...........  item......      0.003                        88355  Lab.
SJ074.............  Lens cleaner..........  ounce.....  .........   92342, 92313, 92340, 92341  Pharmacy, NonRx.
SL199.............  Lithium carbonate,      ml........  .........                 88355, 88356  Lab
                     saturated.
SH092.............  LMX 4% anesthetic       gm........        1.6                        96567  Pharmacy, Rx.
                     cream.
SJ075.............  Methoxsalen, 10ml vial  item......       49.5                        36522  Pharmacy, NonRx.
SF044.............  Micro air burr........  item......  .........   28755, 28750, 28740, 28760  Cutters,
                                                                                                 closures,
                                                                                                 cautery
SC089.............  Needle, Vacutainer....  item......       0.32          36514, 36515, 36516  Hypodermic, IV.
SJ076.............  Nose pads.............  item......  .........                        92370  Pharmacy, NonRx.
SG092.............  Packing, gauze, plain,  item......  .........                        57180  Wound care,
                     1 in (5 yd uou).                                                            dressings.
SJ077.............  Screws, spectacles....  item......       0.14                        92370  Pharmacy, NonRx.
SL200.............  Sodium bicarbonate      item......  .........                        17360  Lab.
                     spray, 8 oz.
                    Splint, fiberglass,     item......       16.5                        29125  Wound care,
                     4in x 15in.                                                                 dressings.
SL201.............  Stain, eosin..........  ml........      0.044                 88356, 88355  Lab.
SJ078.............  Temple tips...........  pair......       1.00                        92370  Pharmacy, NonRx.
SL202.............  Tissue conditioner,     item......  .........                        42280  Lab.
                     coesoft.
SA091.............  Tray, scoop, fast       item......     750.00                        31730  Kit, Pack, Tray.
                     track system.
SC090.............  Tube, gastrostomy.....  item......  .........                        43760  Hypodermic, IV.
SC091.............  Vacutainer............  item......        5.9          36514, 36515, 36516  Hypodermic, IV.

[[Page 45781]]

 
SL203.............  Vial, 10 ml, plastic (- item......      1.016                        88355  Lab.
                     70 degree storage).
SL204.............  Vial, kimble sample,    item......      0.708                 88356, 88355  Lab.
                     non sterile glass, 20
                     ml.
----------------------------------------------------------------------------------------------------------------
 *CPT codes and descriptions only are copyright 2004 American Medical Association. All Rights Reserved.
  Applicable FARS/DFARS apply.


                     Table 17.--Proposed Practice Expense Equipment Item Additions for 2006
----------------------------------------------------------------------------------------------------------------
                                                          Unit      *CPT code(s) associated        Equipment
    Equip  code      Equipment description     Life      price             with item                category
----------------------------------------------------------------------------------------------------------------
EQ269.............  Blood pressure                  5       3000          93786, 93784, 93788  OTHER EQUIP.
                     monitor, ambulatory.
EP044.............  Centrifuge, cytospin..          7       7330                        88184  LABORATORY.
EP045.............  Chamber, hybridization          7       7107          88368, 88365, 88367  LABORATORY.
EP046.............  Freezer, ultradeep (-          10      16552                        88355  LABORATORY.
                     70 degrees).
                    Light assembly,         .........  .........                        36522  OTHER EQUIP.
                     photophoresis.
EP047.............  Loader, FACS..........          7      22500                        88184  LABORATORY.
EP048.............  Microfuge, benchtop...          7       2410          88368, 88367, 88365  LABORATORY.
0EQ270............  Plasma pheresis                 6      65000                        36522  OTHER EQUIP.
                     machine w/ UV light.
EP049.............  Oven, isotemp (lab)...         10       2383          88368, 88367, 88365  LABORATORY.
EQ271.............  Radiuscope............          7  .........  92315, 92317, 92316, 92310,  OTHER EQUIP.
                                                                   92314, 92313, 92312, 92311
EP050.............  Scanner, AutoVysion...          5     135000                        88367  LABORATORY.
EQ272.............  Sleep diagnostic                5      46799                        95805  OTHER EQUIP.
                     system, attended.
EP051.............  Slide warmer..........          7        568          88368, 88365, 88367  LABORATORY.
EP052.............  Ultrasonic nebulizer..         10       1000                        89220  LABORATORY.
EP053.............  Wash assistant, FACS..          7      38000                        88184  LABORATORY.
EP054.............  Water bath, FISH                7       2111                 88367, 88365  LABORATORY.
                     procedures (lab).
----------------------------------------------------------------------------------------------------------------
 *CPT codes and descriptions only are copyright 2004 American medical Association. All Rights Reserved.
  Applicable FARS/DFARS apply.

     Supply and Equipment Items Needing Specialty Input
    We have identified certain supply and equipment items for which we 
were unable to verify the pricing information (see Table 18: Supply 
Items Needing Specialty Input for Pricing and Table 19: Equipment Items 
Needing Specialty Input for Pricing). During last year's rulemaking, we 
listed both supply and equipment items for which pricing documentation 
was needed from the medical specialty societies and, for many of these 
items, we received sufficient documentation in the form of catalog 
listings, vendor websites, and invoices. We have accepted the 
documented prices for many of these items and have already incorporated 
them into the PE database. The items listed on Tables 18 and 19 
represent the outstanding items from last year and new items added from 
the RUC recommendations. Therefore, we are requesting that commenters, 
particularly specialty organizations, provide pricing information on 
items in these tables along with documentation to support the 
recommended price.

                                               Table 18.--Supply Items Needing Specialty Input for Pricing
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                      Unit      Primary specialties     *CPT code(s) associated
          Code              2005 Description           Unit          Price     associated with item            with item               Status of item
--------------------------------------------------------------------------------------------------------------------------------------------------------
SK105..................  Blood pressure          Item............       0.31  Cardiology............          93784, 93786, 93788  See Note A.
                          recording form,
                          average.
SJ072..................  Brush, disposable       Item............  .........  Dermatology...........                        17360  See Note A.
                          applicator.
SK102..................  Communication book/     Item............  .........  Audiology, ENT........                        92510  See Note A.
                          treatment note book.
SK103..................  Cork sheet, 1 cm x 1    Item............  .........  Pathology.............                        88355  See Note A.
                          cm.
SJ073..................  DMV remover...........  Item............  .........  Optometry,                              92310-92317  See Note A.
                                                                               Opthalmology.
SD217..................  Diaphragm fitting set.  Item............  .........  Ob-gyn................                        57170  See Note A.
SD053..................  Electrode, EEG, tin     Item............  .........  Neurology.............      95812-13, 95816, 95819,  See Note A.
                          cup (12 pack uou).                                                           95822, 95950, 95954, 95956
SC088..................  Fistula set, dialysis,  Item............  .........  Dermatology...........                        36522  See Note A
                          17g.
SK104..................  Foil, aluminum, 10 cm   Item............  .........  Pathology.............                        88355  See Note A.
                          x 10 cm.
SL193..................  Glycolic acid, 20-50%.  ml..............  .........  Dermatology...........                        17360  See Note A.
SA090..................  Kit, moulage            Item............      75.00  Ob-Gyn................                        19396  See Note A.
                          (implantech).
SJ074..................  Lens cleaner..........  oz..............  .........  Optometry,                      92313, 92341, 92342  See Note A.
                                                                               Opthalmology.

[[Page 45782]]

 
SL199..................  Lithium carbonate,      ml..............  .........  Pathology.............                 88355, 88356  See Note A.
                          saturated.
SF044..................  Micro air burr........  Item............  .........  Podiatry, Orthopedics.   28740, 28750, 28755, 28760  See Note A.
SJ076..................  Nose pads.............  Item............  .........  Optometry.............                        92370  See Note A.
SG092..................  Packing, gauze, plain,  Item............  .........  Ob-Gyn................                        57180  See Note A.
                          1 in (5yd uou).
SH087..................  Pentagastrin..........  ml..............  .........  Gastroenterology......                        91052  See Note A.
SD140..................  Pressure bag..........  Item............      8.925  Cardiology............   93501, 93508, 93510, 93526  See Note A.
SL119..................  Sealant spray.........  oz..............  .........  Radiation Oncology....                        77333  See Note A.
SL200..................  Sodium bicarbonate      Item............  .........  Dermatology...........                        17360  See Note A.
                          spray, 8 oz.
SL203..................  Tissue conditioner,     Item............  .........  Maxillofacial Surgery                         42280  See Note A.
                          coesoft.                                             ENT.
SA091..................  Tray, scoop, fast       Tray............     750.00  ENT...................                        31730  See Note A.
                          track system.
SD213..................  Tubing, sterile, non-   Item............       1.99  Cardiology............   93501, 93508, 93510, 93526  See Note A.
                          vented (fluid
                          administration).
--------------------------------------------------------------------------------------------------------------------------------------------------------
*CPT codes and descriptions only are copyright 2004 American Medical Association. All Rights Reserved. Applicable FARS/DFARS apply.
Note A: Additional information required. Need detailed description (including kit contents), source, and current pricing information (including pricing
  per specified unit of measure in database).


                                  Table 19.--Equipment Items Needing Specialty Input for Pricing and Proposed Deletions
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                       Primary specialties      * CPT code(s) associated
           Code                2005 Description           Price        associated with item            with item                   Status of item
--------------------------------------------------------------------------------------------------------------------------------------------------------
EQ269....................  Ambulatory blood                3,000.00  Cardiology.............          93784, 93786, 93788  See Note A.
                            pressure monitor.
EQ089....................  cortical bipolar-         ..............  Neurosurger, neurology.                 95961, 95962  See Note A.
                            biphasic stimulating
                            equipment.
EQ091....................  Cryo-thermal unit.......  ..............  Anesthesia.............                        64620  See Notes A and C.
ER025....................  densitometry unit, whole       22,500.00  Radiology..............                        78350  See Notes A and C.
                            body, SPA.
EQ100....................  dialysis access flow           10,000.00  Nephrology.............                        90940  See Note A.
                            monitor.
EQ101....................  diathermy, microwave....  ..............  anesthesia, GP,                                97020  See Notes A and C.
                                                                      podiatry.
EQ008....................  ECG signal averaging            8,250.00  Cardiology, IM.........                        93278  See Note A.
                            system.
EQ112....................  electromagnetic therapy        25,000.00  Physical therapy.......                        G0329  See Note A.
                            machine.
EQ122....................  fetal monitor software..       35,000.00  ob-gyn, radiology......                 76818, 76819  See Note A.
ER029....................  film alternator                27,500.00  Radiology..............                    329 codes  See Notes A and B.
                            (motorized film
                            viewbox).
EQ124....................  generator, constant               950.00  Neurology, NP..........                        95923  See Note A.
                            current.
EQ131....................  hyperbaric chamber......      125,000.00  FP, IM, EM.............                        99183  See Note A.
ER036....................  hyperthermia system,          250,000.00  radiation oncology.....                        77620  See Note A.
                            ultrasound,
                            intracavitary.
                           Light assembly,           ..............  Dermatology............                        36522  See Note A.
                            photopheresis.
ER045....................  orthovoltage                  140,000.00  radiation oncology.....                        77401  See Note A.
                            radiotherapy system.
ER008....................  OSHA ventilated hood....        5,000.00  radiation oncology.....                        77334  See Notes A and B.
                           plasma pheresis machine        37,900.00  radiology, dermatology.                 36481, G0341  See Note A.
                            w/UV light source.
EQ208....................  Programmer, for                    1,975  anesthesiology,                      62367 and 62368  See Note D.
                            implanted medication                      physical medicine.
                            pump (spine).
EQ209....................  Programmer,                        1,975  neurology, neuro         95970, 95971, 95972, 95973,  See Note D.
                            neurostimulator (w-                       surgery,                 95974, 95975, 95978, 95979
                            printer).                                 anesthesiology.
EQ212....................  pulse oxymetry recording        3,660.00  Pulmonary disease, IM..                        94762  See Note A.
                            software (prolonged
                            monitoring).
EP055....................  Slide Stainer...........        9,291.00  Pathology..............                        88184  See Note A.
EQ271....................  Radiuscope..............  ..............  ophthalmology,                          92310--92317  See Note A.
                                                                      optometry.
EQ220....................  remote monitoring               9,500.00  Neurology..............                        95955  See Note A.
                            service
                            (neurodiagnostics).
EQ221....................  review master...........       23,500.00  pulmonary disease,           95805, 95807-11, 95816,  See Note A.
                                                                      neurology.                          95822, 95955-56

[[Page 45783]]

 
EF022....................  table, cystoscopy.......  ..............  Urology................   52204-24, 52265-75, 52310-  See Note A.
                                                                                                             17, 52327-32
EQ253....................  ultrasound,                    29,900.00  ob-gyn, cardiology,       76825-28, 93303-12, 93314,  See Note A.
                            echocardiography                          pediatrics.                     93320, 93325, 93350
                            digital acquisition
                            (Novo Microsonics,
                            TomTec).
EQ261....................  vacuum cart.............  ..............  anesthesia.............                        64620  See Notes A and C
EP054....................  Wash assistant, FACS....       38,000.00  pathology..............                        88184  See Note A.
--------------------------------------------------------------------------------------------------------------------------------------------------------
*CPT codes and descriptions only are copyright 2004 American Medical Association. All Rights Reserved. Applicable FARS/DFARS apply.
Notes:
A. Additional information required. Need detailed description (including system components as specified), source, and current pricing information.
B. Proposed deletion as indirect expense.
C. Item may no longer be available.
D. Proposed deletion as supplied to physicians at no cost.

B. Geographic Practice Cost Indices (GPCIs)

[If you choose to comment on issues in this section, please include the 
caption ``GPCIs'' at the beginning of your comments.]

    Section 1848(e)(1)(A) of the Act requires us to develop separate 
GPCIs to measure resource cost differences among localities compared to 
the national average for each of the three fee schedule components. 
While requiring that the practice expense and malpractice GPCIs reflect 
the full relative cost differences, section 1848(e)(1)(A)(iii) of the 
Act requires that the physician work GPCIs reflect only one-quarter of 
the relative cost differences compared to the national average.
    Section 1848(1)(E) of the Act, as amended by section 412 of the 
MMA, established a floor of 1.0 for the work GPCI for any locality 
where the GPCI would otherwise fall below 1.0. This 1.0 work GPCI floor 
was used for purposes of payment for services furnished on or after 
January 1, 2004 and before January 1, 2007. This 1.0 floor will remain 
in effect in 2006.
    Section 602 of the MMA added section 1848(e)(1)(G) of the Act, 
which sets a floor of 1.67 for the work, practice expense, and 
malpractice GPCIs for services furnished in Alaska between January 1, 
2004 and December 31, 2005 for any locality where the GPCI would 
otherwise fall below 1.67. Effective January 1, 2006, this provision 
will end and the proposed 2006 GPCIs for Alaska will be 1.017 for 
physician work, 1.103 for PE, and 1.029 for malpractice.
Payment Localities
    In the August 15, 2004 PFS rule proposed rule, we discussed the 
issue of changes to the GPCI payment localities (69 FR 47504). In that 
proposed rule, we noted that we look for the support of a State medical 
society as the impetus for changes to existing payment localities. 
Because the GPCIs for each locality are calculated using the average of 
the county-specific data from all of the counties in the locality, 
removing high-cost counties from a locality will result in lower GPCIs 
for the remaining counties. Therefore, because of this redistributive 
impact, we have refrained, in the past, from making changes to payment 
localities unless the State medical association provides evidence that 
any proposed change has statewide support.
    In the November 15, 2004 PFS final rule, we discussed a 
``placeholder'' proposal submitted to us in comments received from the 
California Medical Association (CMA) (69 FR 66263). The proposal 
described in CMA's comment would move any county with a county-specific 
geographic adjustment factor (GAF) that is at least 5 percent greater 
than its locality GAF to its own individual county payment locality. 
(The GAF is the weighted average of the GPCIs for each locality. The 
GPCIs are weighted by the same weighting factors applied to physician 
work, practice expense, and malpractice in the Medicare Economic Index 
(MEI) used to update the CF.) However, in order to minimize reductions 
in the 2005 GAF of the Rest of California locality that would otherwise 
result from removal of the data for these high-cost counties, the CMA 
proposed maintaining Rest of California locality payments at the 2004 
level by redistributing payments from the existing (and newly created) 
payment localities.
    On October 21, 2004, the CMA Board of Trustees voted without 
objection to support the placeholder proposal with the amendment that 
the redistribution of payments designed to maintain 2004 levels of 
payment for the Rest of California payment locality would occur for two 
years only, in 2005 and 2006. However, we determined that we do not 
have the authority under section 1848(e) of the Act to modify the GPCIs 
of some localities in a State solely in order to offset higher payments 
to other localities.
    After the publication of the November 15, 2004 PFS final rule, the 
CMA submitted a proposal for a demonstration project that was the same 
as its proposal discussed in that final rule. There were several 
aspects of the proposal that made implementation problematic for us 
under our demonstration authority. For example, physicians whose 
payments would decrease under the demonstration could challenge the 
validity of a new locality configuration established without providing 
them the opportunity to comment through the regulatory process (as is 
our normal process for making locality changes). In particular, 
physicians who are not members of county medical societies or the CMA 
did not agree to participate in the proposed demonstration, and some of 
them may have challenged its implementation.
    Also, the Medicare PFS currently uses identical GPCIs to pay for 
services provided in an area by both physicians and nonphysician 
providers such as podiatrists, optometrists, physical therapists, and 
nurse practitioners (NPs). Changing the locality configuration for 
medical doctors and doctors of osteopathic medicine, but not for other 
professionals, would have some peculiar results that were not addressed 
in the CMA proposal. For example, in areas where the GPCIs would be 
reduced under the demonstration, some practitioners not

[[Page 45784]]

participating under the demonstration (such as physical therapists) 
could be paid more than physicians in the same locality. Conversely, 
where the GPCIs would be increased under the demonstration, there would 
likely be complaints from the nonphysician practitioners (NPP) not 
included in the demonstration.
    Nonetheless, we do recognize the potential impact of wide 
variations in the practice costs within a single payment locality. In 
last year's PFS final rule, we noted that we received many comments 
from physicians and individuals in Santa Cruz County expressing the 
opinion that Santa Cruz County should be removed from the Rest of 
California payment locality and placed in its own payment locality. The 
county-specific GAF of Santa Cruz County is 10 percent higher than the 
Rest of California locality GAF. Santa Cruz County is adjacent to Santa 
Clara County and San Mateo County. Santa Clara and San Mateo Counties 
have two of the highest GAFs in the nation. The published 2006 GAF for 
the Rest of California payment locality is 24 percent less than the 
GAFs of Santa Clara and San Mateo.
    Sonoma County is also part of the Rest of California payment 
locality. The county-specific GAF of Sonoma County is 8 percent higher 
than the Rest of California locality GAF. Sonoma County is bordered by 
Marin County and Napa County. Using published 2006 values, the payment 
locality that includes Marin and Napa counties has the fourth highest 
GAF in the nation, and is 13 percent higher than the GAF of the Rest of 
California payment locality.
    We recognize that changing demographics over time may lead to 
payment disparities in particular circumstances. We rely upon State 
medical societies to identify and resolve these disparities because 
there are redistributive impacts within a State when new localities are 
created (or existing ones reconfigured). Yet we also recognize that CMS 
is ultimately responsible for establishing fee schedule areas. We have 
considered a number of alternative locality configurations including--
     The CMA approach which calculates county-specific GAFs, 
and compares them to their locality GAF and designating any county with 
a GAF at least 5 percent higher than its locality GAF as a new 
locality;
     An approach that sorts counties by descending GAFs and 
compares the highest county to the second highest county. If the 
difference between these two counties is 5 percent or less, they are 
included in the same locality. The third highest county GAF is then 
compared to the highest county GAF and so on, until the next county GAP 
is not within 5 percent of the highest county GAF. At that point, the 
county GAF that is more than 5 percent lower than the highest county 
GAF becomes the comparison for the next lowest county GAF, to create a 
second locality. This process is repeated down throughout all of the 
counties;
     An approach that compares the county with the highest GAF 
to the statewide average, removing counties that are 5 percent or more 
than the statewide average; and
     An approach that uses Metropolitan Statistical Ares 
defined by the Office of Management and Budget.
    However, because these reconfigurations would result in significant 
redistributions across most California counties, we are simply 
proposing that Santa Cruz and Sonoma Counties (the two counties with 
the most significant disparity between the assigned Rest of California 
GAF and the county-specific GAF) be removed from the Rest of California 
payment locality and that each would be its own payment locality. We 
invite comments regarding this proposal and possible alternative 
approaches to address this issue. We are particularly interested in 
whether the CMA supports this approach.
    If implemented, our proposal would change the 2006 GPCIs and GAFs 
for Santa Cruz County, Sonoma County and the Rest of California. The 
Santa Cruz GAF would be 1.119, a value 10 percent above the 2005 Rest 
of California GAF. The Sonoma County GAF would be 1.098, a value 8 
percent above the 2005 Rest of California GAF. The Rest of California 
GAF would be 1.011, a value 0.01 percent below the 2005 Rest of 
California GAF. We would note that the 2006 Rest of California GAF 
published in the November 15, 2004 PFS final rule (69 FR 66695) was 
1.017. This represents the second year of the transition to the new 
GPCIs and GAFs incorporating updated data (69 FR 66260). The proposed 
2006 Rest of California GAF of 1.011 fully reflects incorporating the 
updated data.
    The issue of payment locality designation in light of changing 
economic and population trends will be of importance to us for the 
foreseeable future. We are interested in other solutions to the 
problem, and will work with anyone who presents an idea or makes a 
suggestion that will help resolve the problems associated with the 
designation and revision of payment localities.

C. Malpractice Relative Value Units (RVUs)

[If you choose to comment on issues in this section, please include the 
caption ``Malpractice RVUs'' at the beginning of your comments.]

    As discussed in the Revisions to Payment Policies Under the 
Physician Fee Schedule for Calendar Year 2005 final rule, published 
November 15, 2004 (69 FR 66236), we revised the resource-based 
malpractice expense RVUs using specialty-specific malpractice premium 
data because those data represent the actual malpractice expense to the 
physician and are widely available. Based upon discussions with the 
medical community, we concluded that the primary determinants of 
malpractice liability costs are physician specialty, level of surgical 
involvement, and the physician's malpractice history.
    Malpractice premium data were collected for the 20 Medicare 
physician specialties with the largest share of malpractice RVUs. We 
collected data based on premiums for a $1 million/$3 million mature 
claims-made policy (a policy covering claims made, rather than services 
provided during the policy term). We collected premium data from all 50 
States, Washington, DC, and Puerto Rico. Data were collected from 
commercial and physician-owned insurers and from joint underwriting 
associations (JUAs). The premium data collected represented at least 50 
percent of total physician malpractice premiums paid in each State. For 
a more detailed description of the methodology utilized in the 
development of resource based malpractice RVUs, refer to the November 
15, 2004 final rule.
1. Five Percent Specialty Threshold
    As discussed in the November 15, 2004 final rule, we are concerned 
that the malpractice RVUs could be inappropriately inflated or deflated 
due to aberrant data based upon incorrectly reported specialty 
classifications. Therefore, we examined the impact of establishing a 
minimum percentage threshold for any procedure performed by any 
specialty before the risk factor of that specialty is included in the 
malpractice RVU calculation of a particular code.
    We conducted an analysis excluding data for any specialty that 
performs less than 5 percent of a particular service or procedure from 
the malpractice RVU calculation for that service or procedure. The 
purpose of applying the minimum threshold was to identify and remove 
from the data specialties listed infrequently as performing a certain 
procedure. The assumption was that the

[[Page 45785]]

infrequent instances of these specialties in our data represent 
aberrant occurrences and removing the associated risk factor from the 
malpractice RVU calculation would improve accuracy and stability of the 
RVUs.
    We excluded evaluation and management (E&M) services from the 
analysis. Medicare claims data show that E&M codes are performed by 
virtually all physician specialties. Therefore, in the case of E&M 
codes, it is likely that even the low relative percentages of 
performance by some specialties would accurately represent the 
provision of the service by those specialties.
    For all services other than E&M services, we believe removing data 
attributable to specialties that occur in our data less than 5 percent 
of the time would most appropriately balance the objective to identify 
aberrant data (claims with a specialty identified that is highly 
unlikely to have performed a particular procedure) while including 
specialties that perform a procedure a small percentage of the time. We 
believe a higher threshold would result in the removal of data for 
specialties actually performing the procedure, while a lower threshold 
would likely fail to remove some aberrant data, particularly for low-
volume codes (fewer than 100 occurrences, where each claim represent 1 
or more percentage points).
    The overall impact of removing the risk factor for specialties that 
occur less than 5 percent of the time in our data for a procedure is 
minimal. There is no impact on the malpractice RVUs for over 5,280 
codes, and there is an impact of less than 1 percent on the malpractice 
RVUs for over 1,300 additional codes. Only 16 codes decrease by at 
least 0.1 RVUs, with the biggest decrease being a negative 0.28 impact 
on the malpractice RVU for CPT code 17108, Destruction of skin lesions, 
from a current RVU of 0.82 to a proposed RVU of 0.54.
    Conversely, there are 219 codes for which RVUs increase by at least 
0.1, the largest increase being a positive 0.81 RVU increase for CPT 
code 61583, Craniofacial approach, skull, from a current RVU of 8.32 to 
a proposed RVU of 9.13. Among codes whose malpractice RVUs would 
increase under our proposal, 646 have increases of less than 1 percent. 
The impact analysis section of this proposed rule examines the effects 
of this proposed change by specialty.
2. Specialty Crosswalk Issues
    Malpractice insurers generally use five-digit codes developed by 
the Insurance Services Office (ISO), an advisory body serving property 
and casualty insurers, to classify physician specialties into different 
risk classes for premium rating purposes. ISO codes classify physicians 
not only by specialty, but in many cases also by whether or not the 
specialty performs surgical procedures. A given specialty could thus 
have two ISO codes, one for use in rating a member of that specialty 
who performs surgical procedures and another for rating a member who 
does not perform surgery.
    Medicare uses its own system of specialty classification for 
payment and data purposes. Therefore, to calculate the malpractice 
RVUs, it was necessary to map Medicare specialties to ISO codes and 
insurer risk classes. For some physician specialties, NPP, and other 
entities (for example, IDTFs) paid under the PFS, there was not a clear 
ISO assignment available. In these instances, we crosswalked these 
unassigned specialties to the most approximate existing ISO codes and 
risk classes based upon their relationship to those specialties for 
which we did have clear ISO crosswalks. The crosswalks we used to 
establish the 2005 malpractice RVUs were displayed in the November 15, 
2004 PFS final rule (69 FR 66268). In most instances, when an 
appropriate crosswalk could not be identified we utilized the average 
for all physicians category, which is a weighted average of all 
specialty premium data.
    Differences among specialties in malpractice premiums are a direct 
reflection of the malpractice risk associated with the services 
performed by a given specialty. The relative differences in national 
average premiums between various specialties can be expressed as a 
specialty risk factor. These risk factors are an index calculated by 
dividing the national average premium for each specialty by the 
national average premium for nephrology, which is the specialty with 
the lowest average premium among the 20 specialties for which data were 
collected.
    We stated in the November 15, 2004 PFS final rule that we would 
continue to work with the AMA RUC's Professional Liability Insurance 
(PLI) Workgroup to address any potential inconsistencies that may still 
exist in our methodology. Based upon this commitment, the RUC PLI 
Workgroup has forwarded various recommendations for our consideration. 
The RUC developed its recommendations based upon comments submitted to 
them by physician specialty organizations.
    The RUC PLI Workgroup provided all specialty societies and the 
HCPAC with the opportunity to submit comments on the crosswalks listed 
in the November 15, 2004 final rule. Based on the comments, the 
Workgroup believes the risk factors assigned to certain professions 
overestimate the insurance premiums for these professions. We 
crosswalked clinical psychology, licensed clinical social work, and 
psychology to the nonsurgical risk factor for psychiatry (risk factor 
of 1.11). We crosswalked occupational therapy to occupational medicine 
(risk factor of 1.11). The PLI Workgroup recommends crosswalking these 
professions to allergy and immunology, with a risk factor of 1.00 
(although the Workgroup suggests the actual risk factor for these 
professions may be below the risk factor for allergy and immunology and 
encourages the collection of malpractice premium data for these 
professions).
    The Workgroup also believes that opticians and optometrists should 
be assigned this risk factor of 1.0, as opposed to being crosswalked to 
ophthalmology (nonsurgical risk factor of 1.24, surgical risk factor of 
2.31). The Workgroup further suggests that it would be more appropriate 
to assign the risk factor of 1.0 to the chiropractic and physical 
therapy specialties rather than their current crosswalk to physical 
medicine and rehabilitation (nonsurgical and surgical risk factors of 
1.26). The Workgroup felt that these specialties will not incur PLI 
premiums in excess of the current base premiums associated a risk 
factor of 1.0.
    We examined the risk factors assigned to these professions, and 
agree that the PLI associated with them should reflect the lowest 
physician specialty risk factor (absent actual premium data for these 
professions). Therefore, we propose assigning these specialties a risk 
factor of 1.00. We invite comment from representatives of the affected 
specialties and others regarding the appropriateness of this proposal, 
as well as other specialty crosswalks and suggestions for reliable 
sources of actual malpractice premium data for nonphysician groups.
    The RUC PLI Workgroup also felt that a number of professions that 
were assigned to the average for all physicians risk factor should be 
removed from the calculation of malpractice RVUs altogether. The PLI 
Workgroup believes that it would be more appropriate to exclude data 
from the following professions: Certified clinical nurse specialist 
(CNS), clinical laboratory, multispecialty clinic or group practice, 
NP, physician assistant (PA), and physiological laboratory 
(independent). In calculating the malpractice RVUs applicable for 2005,

[[Page 45786]]

34 Medicare specialties were excluded from the calculation because they 
could not be otherwise assigned or crosswalked. The RUC recommends the 
above specialties and professions be similarly excluded. We agree and 
propose to establish malpractice RVUs based upon the mix of specialties 
exclusive of the above specialties and professions.
    The PLI Workgroup also made the following recommendations that we 
are not accepting: Certified registered nurse anesthetists (CRNAs) 
should be crosswalked to anesthesiology which is 2.84 rather than to 
the ``all physicians'' which is 3.04; colorectal surgeons should be 
crosswalked to general surgery (the current risk factor is based on 
actual data); and gynecologists and oncologists (currently 5.63) should 
be crosswalked to surgical oncology (currently 6.13). We believe the 
current crosswalks we are using for these specialties appropriately 
reflect the types of services they provide. However, we would welcome 
comments on these proposals as well.
3. Cardiac Catheterization and Angioplasty Exception
    In response to a comment received on our proposed methodology at 
the time, in the November 2, 1999 final rule (64 FR 59384), we applied 
surgical risk factors to the following cardiology catheterization and 
angioplasty codes: 92980 to 92998 and 93501 to 93536. This exception 
was established because these procedures are quite invasive and more 
akin to surgical than nonsurgical procedures.
    In the November 15, 2004 final rule (69 FR 66275), we discussed 
changes in those codes that would fall under the exception. Based on a 
recommendation by the RUC, we revised the list of codes to which this 
exception applies. The RUC's PLI Workgroup requests that we correct a 
clerical error made by the RUC in identifying those codes that would 
fall under the exception. We agree with the RUC PLI Workgroup 
recommendation and propose that the following CPT codes be added to the 
existing list of codes under the exception: 92975; 92980 to 92998; and 
93617 to 93641.
4. Dominant Specialty for Low-Volume Codes
    The final recommendation from the PLI Workgroup is to use the 
dominant specialty approach for services or procedures with fewer than 
100 occurrences. The Workgroup supplied a list of 1,844 services for 
our review and recommends that we utilize only the dominant specialty 
in calculating the final malpractice RVUs for these services. The PLI 
Workgroup worked in conjunction with various specialty organizations to 
identify the dominant specialty that performs each service.
    We recognize and appreciate the efforts of the Workgroup to review 
these codes. We have considered the data that was presented to us and 
the argument for using the dominant specialty to establish the 
malpractice RVUs for these 1,844 codes.
    We have previously registered our concerns with the dominant 
specialty approach. We believe that basing payment on all specialties 
that perform a particular service ensures that the actual PLI costs of 
all specialties are included in the calculation of the malpractice 
RVUs. Therefore, we do not believe it would appropriate, even for these 
low-volume services, to include only the dominant specialty if other 
specialties regularly provide the service.
    However, as noted previously in our proposal to remove data for 
specialties that make up less than 5 percent of the total volume for 
that service, we also recognize the need to take steps to minimize the 
risk that aberrant data would inappropriately skew the malpractice RVU 
calculation. We believe that, for most services, the proposal to remove 
specialties making up less than 5 percent of the occurrences will 
ensure that aberrant data are removed. Yet for those services with 
especially low volumes, the malpractice RVUs may be especially 
susceptible to the influence of aberrant data in only a very few cases 
(but more than 5 percent, that is, 2 cases in a service with 20 
occurrences). We will continue to evaluate ways to ensure these low-
volume services are not skewed by a few occurrences of aberrant data, 
but we are concerned that including only the dominant specialty 
performing these services would exclude data from other specialties 
that are actually performing them.
    We are not proposing to adopt this methodology at this time. We 
would note that low volume procedures or services are not necessarily 
performed by only one specialty. As noted above, we would distinguish 
between excluding data presumed to be erroneous from data reflecting 
utilization by specialties that perform a service but are not the 
dominant specialty. However, we acknowledge that there may be instances 
where aberrant data exist that would not be identified and removed by 
our proposed 5 percent threshold discussed previously. We will continue 
to work with the RUC PLI Workgroup examine this issue in the future.

D. Medicare Telehealth Services

[If you choose to comment on issues in this section, please include the 
caption ``TELEHEALTH'' at the beginning of your comments.]
1. Requests for Adding Services to the List of Medicare Telehealth 
Services
    Section 1834(m) of the Act defines telehealth services as 
professional consultations, office and other outpatient visits, and 
office psychiatry services identified as of July 1, 2000 by CPT codes 
99241 through 99275, 99201 through 99215, 90804 through 90809, and 
90862. In addition, the statute requires us to establish a process for 
adding services to or deleting services from the list of telehealth 
services on an annual basis.
    In the December 31, 2002 Federal Register (67 FR 79988), we 
established a process for adding or deleting services to the list of 
Medicare telehealth services. This process provides the public an 
ongoing opportunity to submit requests for adding services. We assign 
any request to make additions to the list of Medicare telehealth 
services to one of the following categories:
     Category 1: Services that are similar to office 
and other outpatient visits, consultation, and office psychiatry 
services. In reviewing these requests, we look for similarities between 
the proposed and existing telehealth services for the roles of, and 
interactions among, the beneficiary, the physician (or other 
practitioner) at the distant site and, if necessary, the telepresenter. 
We also look for similarities in the telecommunications system used to 
deliver the proposed service, for example, the use of interactive audio 
and video equipment.
     Category 2: Services that are not similar to the 
current list of telehealth services. Our review of these requests 
includes an assessment of whether the use of a telecommunications 
system to deliver the service produces similar diagnostic findings or 
therapeutic interventions as compared with the face-to-face ``hands 
on'' delivery of the same service. Requestors should submit evidence 
showing that the use of a telecommunications system does not affect the 
diagnosis or treatment plan as compared to a face-to-face delivery of 
the requested service.
    Since establishing the process, we have added the psychiatric 
diagnostic interview examination and ESRD services with 2 to 3 visits 
per month and 4 or more visits per month to the list of Medicare 
telehealth services (although we require at least one visit a month by 
a physician, CNS, NP, or PA to examine the vascular access site).

[[Page 45787]]

    Requests for adding services to the list of Medicare telehealth 
services must be submitted and received no later than December 31st of 
each CY to be considered for the next proposed rule. For example, 
requests submitted before the end of CY 2004 are considered for the CY 
2006 proposed rule. For more information on submitting a request for an 
addition to the list of Medicare telehealth services, visit our Web 
site at http://www.cms.hhs.gov/physicians/telehealth.
2. Submitted Requests for Addition to the List of Telehealth Services
    We received the following public requests for additional approved 
services in CY 2004: (1) Diabetes outpatient self-management training 
services and medical nutritional therapy; and (2) modification of the 
definition of an interactive telecommunications system for purposes of 
furnishing a telehealth service. The following is a discussion of the 
requests submitted in CY 2004.
a. Medical Nutrition Therapy and Diabetes Self-Management Training
    The American Telemedicine Association (ATA) and an individual 
practitioner submitted a request to add medical nutrition therapy (MNT) 
(as represented by HCPCS codes G0270, G0271 and 97802 through 97804) 
and diabetes outpatient self-management training services (DSMT) (as 
defined by HCPCS codes G0108 and G0109). The requestors believe that 
MNT and DSMT are similar to the services currently on the list of 
Medicare telehealth services and, therefore, should be added to the 
list of Medicare telehealth services.

CMS Review

    Section 1861(s)(2) of the Act authorizes coverage and payment of 
MNT for certain beneficiaries who have diabetes or a renal disease. 
Individual MNT typically involves obtaining a nutrition history, 
counseling, the formulation of a treatment plan, implementation of a 
treatment plan through discussion with the patient, and follow-up with 
the patient. These components would be comparable to E&M office or 
other outpatient visits which are currently Medicare telehealth 
services. Additionally, the interactive dynamic of individual MNT is 
similar in nature to an E&M office visit because the nutrition 
professional is able to have a direct one-on-one discussion with the 
beneficiary and the beneficiary is able to ask immediate questions 
regarding his or role in following the treatment plan. Therefore, we 
propose to add individual MNT as represented by HCPCS codes G0270, 
97802 and 97803 to the list of Medicare telehealth services.

Practitioners Who May Furnish Medical Nutrition Therapy Services

    Section 1834(m) of the Act specifies that practitioners defined in 
section 1842(b)(18)(C) of the Act may receive payment for furnishing 
telehealth services at the distant site. Effective January 1, 2002, 
section 1842(b)(18)(C) of the Act includes a registered dietitian or 
nutrition professional as a Medicare practitioner. As a condition of 
Medicare Part B payment, the statute allows only a registered dietitian 
or nutrition professional to furnish medical nutrition therapy services 
(subject to referral made by the treating physician) for the purpose of 
managing diabetes or renal disease. Medicare practitioners who are not 
a licensed or certified registered dietitian or other nutrition 
professional, as defined in Sec.  410.134, may not furnish and receive 
payment for MNT services.
    We propose to revise Sec.  410.78 and Sec.  414.65 to include 
individual MNT as a Medicare telehealth service. Additionally, since a 
certified registered dietitian or other nutrition professional are the 
only practitioners permitted by law to furnish MNT, we propose to 
revise Sec.  410.78 to add a registered dietitian and nutrition 
professional as defined in Sec.  410.134 to the list of practitioners 
that may furnish and receive payment for a telehealth service.

Group Medical Nutritional Therapy (MNT)

    We believe that group counseling services have a different 
interactive dynamic between the physician or practitioner at the 
distant site and beneficiary at the originating site as compared to the 
current list of Medicare telehealth services. We do not currently have 
other group counseling services as telehealth services and do not 
believe that group MNT falls within the first category of requests. 
Category 1 requests must be similar to the current list of Medicare 
telehealth services in order to be added to the list.
    For instance, office and other outpatient visits, consultation and 
the current office psychiatry services involve an individual 
professional encounter between the physician or practitioner and 
beneficiary. Through direct discussion with the beneficiary, the 
physician or practitioner provides patient counseling regarding 
diagnostic test results, recommendations for further studies, 
prognosis, treatment options, and other follow-up instructions. In this 
interactive dynamic, the patient is able to ask immediate questions and 
the physician or practitioner is able to discern whether the 
beneficiary understands his or her responsibilities in following the 
treatment plan. However, group therapy services do not allow for the 
same degree of direct patient interaction as compared with individual 
therapy services.
    As such, we were not able to conclude that the roles of and 
interaction among the physician or practitioner at the distant site and 
beneficiary at the originating site are similar to the existing 
Medicare telehealth services. Furthermore, the requestors did not 
submit comparative analyses illustrating that the use of a 
telecommunications system is an adequate substitute for the face-to-
face delivery of group MNT services (which is a requirement for 
category 2). Therefore, we propose to not add group MNT (as described 
by HCPCS codes G0271 and 97804) to the list of Medicare telehealth 
services. However, we invite specific public comments on whether the 
use of an interactive telecommunications system is clinically adequate 
for furnishing group MNT. Additionally, if the requestors were to 
submit data showing that the use of a telecommunications system does 
not change the diagnosis or treatment plan as compared to face-to-face 
delivery, we would consider approving group MNT as a category 2 
service.

Diabetes Outpatient Self-Management Training Services (DSMT)

    The DSMT benefit, described at section 1861(qq) of the Act, is a 
comprehensive diabetes training program (one component of which is 
MNT). We consider DSMT as a category 2 request because the major 
portion of DSMT is furnished in the group setting and, as explained 
above, we believe group therapy has a different interactive dynamic 
than the current list of Medicare telehealth services. Additionally, 
the statute requires the training content for DSMT to include teaching 
beneficiaries the skills necessary for the self-administration of 
injectable drugs. We question the merits of providing beneficiary 
training to administer insulin injections via telehealth. For example, 
teaching a patient how to inject insulin requires consideration and 
instruction regarding factors such as the type of needle to be used, 
the anatomic location of the injection, the injection technique, and 
possible complications of the injection, all of which we believe, 
absent evidence to the contrary, require the physical presence of the 
teaching practitioner.

[[Page 45788]]

    These components are typically not part of the services currently 
on the list of telehealth services and the requestor did not provide 
any comparative analyses illustrating that the use of a 
telecommunications system is an adequate substitute for the in-person, 
collaborative, skill-based training required for DSMT services. 
Therefore, we propose to not add DSMT (as described by HCPCS codes 
G0108 and G0109) to the list of Medicare telehealth services.
b. Definition of an Interactive Telecommunications System
    The Medical College of Georgia (MCG) requested that we modify our 
definition of an interactive telecommunications system for purposes of 
furnishing a telehealth consultation. The MCG uses an interactive audio 
and one-way, real-time video telecommunications system, over an 
internet-based protocol, to furnish consultations for acute ischemic 
stroke patients. The physician at the distant site (typically a 
neurologist) can see the patient; however, the patient and physician 
(or practitioner) in the emergency room who is with the patient cannot 
see the neurologist. Under this model, the neurologist at the distant 
site examines the stroke patient in real-time video and reviews CT 
scans and other critical laboratory data to assess the stroke patient's 
suitability for tissue-type plasminogen activator (tPA) treatment. The 
requestor noted that the use of tPA treatment is restricted to 3 hours 
after onset of stroke, and argued that rapid evaluation by a 
neurologist for stroke patients located in outlying rural hospitals is 
crucial. The requestor believes that the use of an interactive two-way 
video system does not provide added benefit to the consulting 
neurologist, would be unnecessarily cumbersome, and noted that the use 
of one-way video currently prohibits billing as a telehealth 
consultation.

CMS Review

    As noted previously, consultations are included on the list of 
approved telehealth services. However, as a condition of payment, Sec.  
410.78 of the regulations requires the use of an interactive two-way 
audio and video telecommunications system to furnish a telehealth 
consultation. The use of one-way video does not meet the current 
interactive telecommunications system requirements for telehealth 
services and, therefore, the requestor cannot bill for a consultation 
service based on the model described above.
    We have concerns with modifying our definition of an interactive 
telecommunications system to permit one-way video in place of an 
interactive two-way video system. The use of an interactive audio and 
video telecommunications system permitting two-way real-time 
interaction between the physician or practitioner at the distant site 
and the beneficiary and telepresenter (if necessary) at the originating 
site is a substitute for the face-to-face examination requirements of a 
consultation under Medicare.
    We are concerned that the use of one-way video may not be 
clinically adequate for the evaluation of certain types of patients. 
Since telehealth services are intended as a substitute for services 
that traditionally require a face-to-face interaction between a 
physician (or practitioner) and a patient, we believe that the use of a 
two-way video communication is much less of a departure from this 
standard than a one-way video communication, because the face-to-face 
interaction between a physician and a patient allows two-way 
interactive communication, both verbally and physically. We are 
concerned that, without two-way video, communication of many subtle but 
important nuances of the interaction between the physician at the 
distant site and patient or clinical staff at the originating site 
would be lost, leading to reduced diagnostic accuracy and the 
possibility of unfavorable medical outcomes.
    However, we recognize that a timely neurological evaluation is 
critical for determining suitability for tPA treatment. Given the 
potential for adverse affects, such as the increased risk of bleeding, 
the decision to administer tPA (or not to administer) is crucial in 
determining the course of management for the stroke patient. Therefore, 
we are currently reviewing the definition of an interactive 
telecommunications system and request specific public comments 
regarding the added clinical value of two-way interactive video as 
compared to one-way video for the purpose of furnishing telehealth 
services. We are also interested in receiving comments as to whether an 
interactive audio and one-way video telecommunications system that 
permits the physician at the distant site to examine the patient in 
real-time is clinically adequate for a broad range of specialty 
consultations.
c. Definition of a Telehealth Originating Site
    Section 418 of the MMA required the Health Resources Services 
Administration (HRSA) within the Department of Health and Human 
Services (HHS), in consultation with CMS, to conduct an evaluation of 
demonstration projects under which SNFs, as defined in section 1819(a) 
of the Act, are treated as originating sites for Medicare telehealth 
services. The MMA also required HRSA to submit a report to the Congress 
that would include recommendations on ``mechanisms to ensure that 
permitting a SNF to serve as an originating site for the use of 
telehealth services or any other service delivered via a 
telecommunications system does not serve as a substitute for in-person 
visits furnished by a physician, or for in-person visits furnished by a 
PA, NP or CNS, as is otherwise required by the Secretary.'' This report 
is currently under development.
    The MMA provides us with the authority to include a SNF as a 
Medicare telehealth originating site under section 1834(m) of the Act 
effective January 1, 2006, if the Secretary concludes in the report 
that it is advisable to do so and that mechanisms could be established 
to ensure that the use of a telecommunications system does not 
substitute for the required in-person physician or practitioner SNF 
visits. We will review and consider the recommendations of the report 
to determine whether to add SNFs to the list of approved originating 
sites. We are also soliciting public comments on this topic.

E. Contractor Pricing of Unlisted Therapy Modalities and Procedures

[If you choose to comment on issues in this section, please include the 
caption ``CODING--CONTRACTOR PRICING'' at the beginning of your 
comments.]
    We recognize that there may be services or procedures performed 
that have no specific CPT codes assigned. In these situations, it is 
appropriate to use one of the CPT codes designated for reporting 
unlisted procedures. These unlisted codes do not typically have RVUs 
assigned to them.
    For services coded using these unlisted codes, the provider 
includes a description of specific procedures that were furnished. The 
contractor uses this information to determine an appropriate valuation.
    Currently, there are two unlisted CPT codes with assigned RVUs, CPT 
97039, Unlisted modality (specify and time if constant attendance), and 
97139 Unlisted therapeutic procedure. Given the variability of the 
services that could be provided using these nonspecific codes, use of 
assigned RVUs may not accurately reflect the resources actually 
associated with the provided services. This may result in an 
inappropriate

[[Page 45789]]

payment (overpayment or underpayment) for the service provided.
    Other unlisted services that are under the PFS are contractor 
priced. To make the pricing methodology consistent with our policy for 
other unlisted services, and to more appropriately match payments with 
the actual resources expended to deliver the services provided, we 
propose to have the contractors value CPT codes 97039 and 97139.

F. Payment for Teaching Anesthesiologists

[If you choose to comment on issues in this section, please include the 
caption ``TEACHING ANESTHESIOLOGISTS'' at the beginning of your 
comments.]
    The following discussion summarizes the current policy for the 
payment for services provided by teaching anesthesiologists and 
solicits public comments on possible revisions to the current payment 
policy.
1. Payment for Anesthesia Services
    Anesthesia services are paid under the PFS, but on a different 
basis than other physician services. Payments for anesthesia services 
are calculated using a ``base unit'' that is specific to the anesthesia 
code plus the anesthesia time units. As noted in our regulations at 
Sec.  414.46(a)(1), the base unit reflects all activities other than 
anesthesia time and includes the usual pre-operative and post-operative 
care. Anesthesia time units are computed (in 15 minute increments) from 
the actual elapsed time for the anesthesia procedure.
    Anesthesia services may be personally performed by the 
anesthesiologist, or the anesthesiologist may medically direct 
qualified individuals involved in up to four concurrent anesthesia 
cases. Qualified individuals can include anesthesiologist assistants 
(AAs), certified registered nurse anesthetists (CRNAs), interns, or 
residents, and, under certain circumstances, student nurse 
anesthetists. When the anesthesiologist medically directs an anesthesia 
case, the payment for the physician's medical direction service is 50 
percent of the allowance otherwise recognized if the anesthesiologist 
personally performed the service. The physician would have to fulfill 
each of the medical direction criteria in Sec.  415.110(a) to bill 
under the medical direction policy.
2. Teaching Physician Payment Policy
    Under the teaching physician payment policy for complex surgery, 
the full fee schedule payment can be made for the services of the 
teaching physician as long as the teaching physician is present with 
the resident for the critical or key portions of the service. In order 
to bill for two overlapping surgeries, the teaching surgeon must be 
present during the key or critical portions of both operations.
    Beginning in 1994, the teaching physician payment policy has been 
applied to anesthesiologists only when the teaching anesthesiologist is 
involved in one anesthesia case with a resident. If the teaching 
physician is involved with two concurrent cases, then the rules for 
``medical direction'' of anesthesia apply.
    In August 2002, we released a Medicare Carriers Manual transmittal 
relating to the involvement of a non-medically directed teaching CRNA 
with two student nurse anesthetists. The new policy allowed the 
teaching CRNA to be paid for his or her involvement with two concurrent 
cases with student nurse anesthetists, but not at the full fee level. 
If a teaching CRNA is involved with two concurrent cases with student 
nurse anesthetists, payment may be based on the base unit plus the time 
of each case that the teaching CRNA is present with the student nurse 
anesthetist. To bill the base unit, the teaching CRNA must be present 
with the student nurse anesthetist throughout the pre- and post-
anesthesia care.
    In the Revisions to Payment Policies Under the Physician Fee 
Schedule for Calendar Year 2004 final rule, published November 7, 2003 
(68 FR 63196-63395), we revised Sec.  414.46 of our regulations to 
allow teaching anesthesiologists to bill in a similar manner to 
teaching CRNAs for the teaching anesthesiologist's involvement in two 
concurrent cases involving residents. This policy took effect for 
services furnished on or after January 1, 2004. This was intended as an 
alternative to the ``medical direction'' payment policy applicable to 
concurrent cases involving teaching anesthesiologists and residents.
    Under this policy, teaching anesthesiologists can bill and be paid 
the full fee schedule for the base unit portion of the payment if they 
are present with the resident during the pre- and post-anesthesia care 
included in the base units. Teaching anesthesiologists can also bill 
and be paid the full fee schedule amount for anesthesia time based on 
the amount of time the physician is present with the resident during 
each of the two concurrent cases. Payment to a teaching 
anesthesiologist for two concurrent cases involving residents under 
this policy would be greater than under the medical direction payment 
policy. However, if the teaching anesthesiologist is not present with 
the resident during the pre- and post-anesthesia care for both 
concurrent cases, the physician could only bill the cases as 
``medically directed.''
    Despite the higher level of payment available under this policy, 
the American Society of Anesthesiologists (ASA) has informed us that it 
is not aware of any teaching anesthesia programs that have arranged 
their practices to meet the conditions necessary to bill under the 
revised policy. The ASA suggests that the teaching physician 
regulations for teaching anesthesiologists should be similar to those 
for teaching surgeons for overlapping complex surgery procedures. The 
ASA thinks that anesthesia is similar to complex surgery in terms of 
critical periods, overlap, and availability of teaching physicians. 
However, the critical portions of the teaching anesthesia service and 
the critical portions of the teaching surgeon service are not the same. 
The ASA believes that inadequate payment levels have contributed to the 
loss of teaching anesthesiologists and an inability to recruit new 
faculty.
    We are requesting comments on a teaching physician policy for 
anesthesiologists that could build on the policy announced in the 
November 7, 2003 PFS final rule, but provide the appropriate revisions 
that would allow it to be more flexible for teaching anesthesia 
programs. We would also be interested in receiving data and studies 
relevant to this issue as well as any offsetting savings that could be 
made to account for any potential costs that could be incurred if there 
was a policy change.

G. End Stage Renal Disease (ESRD) Related Provisions

    On November 15, 2004, we published the Revisions to Payment 
Policies Under the Physician Fee Schedule for Calendar Year 2005 final 
rule in the Federal Register (69 FR 66319), revising payments to ESRD 
facilities in accordance with provisions of the MMA. This final rule 
implemented section 1881(b) of the Act, as amended by section 623 of 
the MMA, which directed the Secretary to make a number of revisions to 
the composite rate payment system, as well as payment for separately 
billable drugs furnished by ESRD facilities. Changes that were 
implemented January 1, 2005 included a revision to payments for drugs 
billed separately by ESRD facilities whereby the top ten ESRD drugs are 
paid based on acquisition costs (as determined by the Office of 
Inspector General (OIG)) and other separately billed drugs are paid 
average sales price (ASP) +6 percent.

[[Page 45790]]

    Also, in accordance with section 623 of the MMA, an adjustment of 
8.7 percent was made to the composite payment rate to account for the 
difference between previous payments for separately billed drugs and 
biologicals and the revised pricing that took effect January 1, 2005. 
As required by section 623 of the MMA, we are proposing to update this 
add-on adjustment to reflect changes in ESRD drug utilization. In 
addition, we are proposing to revise the add-on adjustment to reflect 
the methodology we will be using for ESRD drugs.
    Section 623 of the MMA also required the establishment of basic 
case-mix adjustments to the composite payment rate for a limited number 
of patient characteristics. The November 15, 2004 final rule 
implemented three categories of patient characteristic adjustments 
(age, low body mass index (BMI), and body surface area (BSA)) that were 
implemented April 1, 2005. We are proposing to maintain these 
categories and patient characteristics as established in the November 
15, 2004 final rule (69 FR 66238).
    Also, section 1881(b)(12) of the Act as amended by section 623 of 
the MMA provided authority to revise the geographic adjustment applied 
to the composite payment rate. Accordingly, we are proposing to revise 
the geographic classifications and wage indexes currently in effect for 
adjusting composite rate payments. As required by section 623 of the 
MMA, these proposed changes will be phased in over time.
    In addition, we are proposing revisions to the regulations 
applicable to the composite rate exceptions process to reflect section 
623 of the MMA provisions that restrict exceptions to pediatric 
facilities.
1. Revised Pricing Methodology for Separately Billable Drugs and 
Biologicals Furnished by ESRD Facilities
[If you choose to comment on issues in this section, please include the 
caption ``ESRD-Pricing Methodology'' at the beginning of your 
comments.]
    In the Revisions to Payment Policies under the Physician Fee 
Schedule for Calendar Year 2005 final rule, published on November 15, 
2004, we determined that for CY 2005, payment for the top 10 separately 
billable ESRD drugs billed by freestanding facilities would be based on 
the acquisition cost of the drug, as determined by the OIG, updated by 
the Producer Price Index (PPI). The remaining separately billable ESRD 
drugs would be paid at the ASP +6 percent for freestanding facilities. 
We also determined that hospital-based facilities would continue cost 
reimbursement for all drugs with the exception of erythopoeitin (EPO) 
which would be paid the acquisition cost, as determined by the OIG, 
updated by the PPI.
    As discussed in section II.H. of this proposed rule, for CY 2006, 
we are proposing that payment for a drug furnished in connection with 
renal dialysis services and separately billed by freestanding renal 
dialysis facilities will be based on section 1874A of the Act. We are 
also proposing to update the payment allowances quarterly based on the 
ASP reported to us by drug manufacturers. For CY 2006, we are proposing 
to continue cost reimbursement for hospital-based facilities; while, 
proposing to pay for EPO in hospital-based facilities at the ASP +6 
percent.
2. Adjustment to Account for Changes in the Pricing of Separately 
Billable Drugs and Biologicals, and the Estimated Increase in 
Expenditures for Drugs and Biologicals.
[If you choose to comment on issues in this section, please include the 
caption ``ESRD--Drugs and Biologicals'' at the beginning of your 
comments.]
    Section 623(d) of the MMA, added section 1881(b)(12) of the Act 
which contains two provisions that describe how the drug add-on 
adjustment will be implemented in the ESRD payment system. First, that 
the add-on adjustment reflects the difference between payment 
methodology for separately billed drugs under the drug price in effect 
in CY 2004 and current drug pricing and, second, the aggregate payments 
for CY 2005 must equal aggregate payments absent this MMA provision.
    In the November 15, 2004 final rule (69 FR 66322), we described in 
detail the methodology that we used for developing the drug add-on 
adjustment to the composite rate to account for the difference between 
estimated drug payments under the average wholesale price (AWP) payment 
system and the acquisition costs as determined by the OIG. This 
adjustment was developed so that aggregate spending for composite rate 
plus separately billed drugs would remain budget neutral for CY 2005.
    Section 1881(b)(12) of the Act also contains two provisions related 
to adjustments to payments for drugs and biologicals for CY 2006. 
First, section 1881(b)(12)(C)(ii) of the Act provides that we 
recalculate the add-on adjustment to reflect the drug pricing 
methodology applied by the Secretary under section 1881(b)(13)(A)(iii) 
of the Act. That is, we must compute the drug add-on adjustment based 
on the difference between estimated payments using the AWP payment 
methodology and the proposed new payment methodology using ASP +6 
percent.
    In addition, section 1881(b)(12)(F) of the Act requires that, 
beginning in 2006, we establish an annual update adjustment to reflect 
estimated growth in expenditures for separately billable drugs and 
biologicals furnished by ESRD facilities. This update would be applied 
only to the drug add-on portion of the composite rate. In order to meet 
both requirements, we are proposing to develop the CY 2006 drug add-on 
adjustment in two steps.
    First, we would recalculate the CY 2005 add-on adjustment to 
reflect the difference in drug payments using 95 percent AWP pricing 
and payments using ASP +6 pricing. This calculation would replace the 
current 8.7 percent adjustment and would be budget neutral to CY 2005 
payments. The next step would be to develop a proposed annual update 
methodology that we would use in CY 2006 to reflect the estimated 
growth in drug expenditures each year. As mentioned above, this update 
would be applied only to the drug add-on portion of the composite 
payment rate. The following sections discuss the recomputation of the 
drug add-on adjustment followed by a discussion of the update of the 
adjustment for CY 2006.
a. Proposed Recalculation of the CY 2005 Drug Add-on Adjustment
    For CY 2006, we are proposing to use the same method that we used 
to develop the drug add-on adjustment for CY 2005 to recalculate the 
adjustment to reflect the proposed revision to the ESRD drug payment 
methodology from acquisition costs to ASP +6 percent. That is, we 
propose to calculate the spread based on the difference in aggregate 
payments between estimated payment based on AWP pricing and estimated 
payment based on ASP +6 pricing. As discussed in detail below, we 
propose to use pricing data from the second quarter of CY 2005. All of 
the data used to develop the proposed add-on adjustment will be updated 
for the final rule, as more current data, including ASP data, will be 
available.
(1) Historical Drug Expenditure Data
    To develop the drug add-on adjustment we used historical total 
aggregate payments for separately billed ESRD drugs for half of CY 2000 
and all of CY 2001, CY 2002 and CY 2003. For EPO, these payments were 
broken down according to type of ESRD facility

[[Page 45791]]

(hospital-based versus independent). We also used the number of 
dialysis treatments performed by these two types of facilities over the 
same period.
(2) ASP +6 Percent Prices
    We obtained the ASP +6 percent prices, for the second quarter of CY 
2005, as shown in the following table. For purposes of this proposed 
rule, we have used the latest ASP pricing available, which are second 
quarter prices. For the final rule, we will have prices for all 4 
quarters of CY 2005 and plan to develop prices representing the average 
CY 2005 ASP payments for the drugs listed in Table 20 below.

                                TABLE 20.
------------------------------------------------------------------------
                                                               Second
                           Drugs                             quarter ASP
                                                             +6 percent
------------------------------------------------------------------------
Epogen....................................................         $9.25
Calcitriol................................................         $0.86
Doxercalciferol...........................................         $2.78
Iron_dextran..............................................        $11.22
Iron_sucrose..............................................         $0.37
Levocarnitine.............................................        $11.12
Paricalcitol..............................................         $3.97
Sodium--ferric--glut......................................         $4.73
Alteplase, Recombinant....................................        $30.09
Vancomycin................................................         $3.19
------------------------------------------------------------------------

(3) Estimated Medicare Payments Using 95 Percent of AWP
    In order to estimate AWP payments we used the first quarter 2005 
AWP prices and updated them to the second quarter by applying, for 
drugs other than EPO, an estimated AWP quarterly growth of 
approximately 0.74 percent (annual growth factor of 3 percent). This 
growth factor is based on historical trends of AWP pricing (for all 
drugs) for the year 1997-2003. We did not increase the payment rate for 
Epogen since payment was maintained at $10.00 per thousand units prior 
to MMA. (See Table 21.)

                                TABLE 21.
------------------------------------------------------------------------
                                                              AWP rates
                                                               for the
                           Drugs                               second
                                                             quarter of
                                                                2005
------------------------------------------------------------------------
Epogen....................................................      $10.00 *
Calcitriol................................................         $1.40
Doxercalciferol...........................................         $3.11
Iron_dextran..............................................        $18.04
Iron--sucrose.............................................         $0.66
Levocarnitine.............................................        $36.75
Paricalcitol..............................................         $5.37
Sodium_ferric--glut.......................................         $8.23
Alteplase, Recombinant....................................        $38.82
Vancomycin................................................        $5.55
------------------------------------------------------------------------
* Statutory rate.

(4) Dialysis Treatments
    We updated the number of dialysis treatments by the actuarial 
projected growth in the number of ESRD beneficiaries. Since Medicare 
covers a maximum of three treatments per week, utilization growth is 
limited, and, therefore, any increase in the number of treatments 
should be due to beneficiary enrollment. In CY 2005, we estimate there 
will be a total of 34.5 million treatments performed. We note that this 
represents the most current actuarial projection and differs slightly 
from the projection published in the November, 15, 2004 final rule. (69 
FR 66323)
(5) Drug Payments
    We updated the total aggregate Epogen drug payments for both 
hospital-based and independent facilities by using historical trend 
factors. For CY 2004 and CY 2005, the CY 2003 payment level was 
increased each year by trend factor of 9.0 percent.
    Using the 9 percent growth factor for Epogen, we updated the 
aggregate spending for separately billable drugs, other than EPO, for 
independent facilities. Aggregate payments in this category show 
extremely varied growth between 2000 and 2003, and, for this reason, we 
felt that trend analysis was not sufficient. Therefore, we believe it 
would be reasonable to correlate the growth of Epogen and separately 
billable drugs in an independent facility, since Epogen constitute the 
largest amount of drugs dispensed in an independent facility. 
Additionally, we deducted 50 cents for each administration of Epogen 
from the total Epogen spending for both hospital-based and independent 
facilities, to account for spending on syringes that were included in 
the EPO payments prior to the implementation of the MMA drug payment 
provisions. In CY 2005, we estimate payments for these syringes will 
amount to $1.6 million for hospital-based facilities and $26.8 million 
for independent facilities. For CY 2005, we estimate that total 
spending, after the deduction of payments for syringes, will reach $246 
million for Epogen provided in hospital-based facilities, and $2.850 
million for drugs provided in independent facilities ($1.960 million 
for Epogen and $890 million for other drugs). We note that all other 
drugs provided in hospital-based ESRD facilities continue to be paid at 
cost.
(6) Add-On Calculation and Budget Neutrality
    For each of the top 10 drugs (as explained below), we calculated 
the percent by which ASP +6 percent is projected to be less than 
payment amounts under the 95 percent of AWP pricing system for CY 2005. 
For Epogen, this amount is 7.5 percent. We applied this 7.5 percent 
figure to the total aggregate drug payments for Epogen in hospital-
based facilities, resulting in a difference of $18 million.
    We then calculated a weighted average of the percentages by which 
ASP +6 percent would be below 95 percent of AWP payment prices, for the 
top 10 ESRD drugs for independent facilities. We weighted these 
percentages by using the CY 2005 estimated Medicare payment amounts for 
the top 10 drugs. This procedure resulted in a weighted average payment 
reduction of 12 percent. We note that in the previous calculation for 
the CY 2005 add-on adjustment, we had used CY 2002 values from the OIG. 
(See Table 22 for the calculated drug weights, and Table 23 for the 
percentage by which ASP prices are lower than AWP prices.) The CY 2003 
data projected forward to CY 2005 indicated a significant drop in 
payments for drugs other than Epogen that are provided in an 
independent facility. This trend, which we expect will continue when we 
obtain CY 2004 historical data for the final rule, decreases the 
weights of the drugs, other than Epogen and increases the weight of 
Epogen. The overall effect is to lower the weighted average by several 
percentage points.

[[Page 45792]]



                                TABLE 22.
------------------------------------------------------------------------
                                                 CY 2005
                                                estimated    CY 2002 OIG
                                                  drug          drug
                                               payments as   payments as
                    Drugs                     a percentage  a percentage
                                                of total      of total
                                                  drug          drug
                                              expenditures  expenditures
                                                (percent)     (percent)
------------------------------------------------------------------------
Epogen......................................         78.83         67.85
Calcitriol..................................          0.13          1.22
Doxercalciferol.............................          1.74          1.28
Iron_dextran................................          0.38          0.65
Iron_sucrose................................          0.71          5.00
Levocarnitine...............................          0.89          1.68
Paricalcitol................................         17.37         15.90
Sodium_ferric_glut..........................          0.53          6.03
Alteplase, Recombinant......................          0.18          0.19
Vancomycin..................................          0.24         0.20
------------------------------------------------------------------------
* Compared to the $10.00 statutory price.


                                TABLE 23.
------------------------------------------------------------------------
                                                             Percent by
                                                             which ASP+6
                                                               percent
                                                              rates are
                           Drugs                              below 95
                                                             percent of
                                                             AWP prices
                                                            (except EPO)
                                                              (percent)
------------------------------------------------------------------------
Epogen....................................................         * 7.5
Calcitriol................................................          38.7
Doxercalciferol...........................................          10.6
Iron_dextran..............................................          37.8
Iron_sucrose..............................................          45.1
Levocarnitine.............................................          69.7
Paricalcitol..............................................          26.0
Sodium_ferric_glut........................................          42.6
Alteplase, Recombinant....................................          22.5
Vancomycin................................................         42.6
------------------------------------------------------------------------
* Compared to the $10.00 statutory price.

    We estimate that these ten drugs represent nearly 92 percent of 
total CY 2005 drug payments to independent facilities. To account for 
the drug spread related to the 8 percent of drug expenditures for which 
we do not have pricing data, we applied the weighted average to 100 
percent of aggregate drug spending projections for independent 
facilities, producing a projected difference of $343 million. The 
weighted average is applied to 100 percent of drug spending projections 
for independent facilities to account for the drug spread related to 
the 8 percent of drugs expenditures for which we do not have pricing 
data.
    We combined the CY 2005 figures of $18 million for the hospital-
based facilities and $343 million for the independent facilities, for a 
total of $362 million. We distributed this over a total projected 34.5 
million treatments resulting in a revised CY 2005 add-on to the per 
treatment composite rate of 8.1 percent. By making this adjustment to 
the composite rate, we estimate that the aggregate payments to both 
independent and hospital-based ESRD facilities would be budget neutral 
with respect to drug payments for CY 2005, as required by the MMA. We 
note that this 8.1 percent adjustment replaces the current 8.7 percent 
adjustment for CY 2005 in our calculations.
b. Calculation of the Proposed CY 2006 Update to the Drug Add-On 
Adjustment
    This section describes the approach that we are proposing to use to 
update the drug add-on adjustment.
(1) Drug Payments and Dialysis Treatments
    Similar to the process discussed in the previous section, we 
updated the total aggregate Epogen drug payments for each hospital-
based and independent facility using historical trend factors. For CY 
2006, the payment level was increased from CY 2005 by a trend factor of 
9.0 percent.
    We also updated aggregate spending for separately billable drugs, 
other than EPO, for independent facilities using the 9 percent growth 
factor for Epogen. As discussed earlier, payments in this category have 
shown extremely varied growth in recent history and historical data 
between CY 2002 and CY 2003 showed a significant drop in aggregate 
spending. We felt it was reasonable to use trend analysis and correlate 
the growth of Epogen and other separately billable drugs. We expect 
that we will have further data for the final rule. This procedure 
resulted in projected expenditures of $268 million for Epogen provided 
in hospital-based facilities and $3.107 million for drugs provided in 
independent facilities ($2.137 million for Epogen and $970 million for 
other drugs). These numbers include an estimated reduction for the 50 
cent payment for syringes of $1.6 million for hospital-based facilities 
and $27.5 million for independent facilities. We also updated the 
projected number of dialysis treatments using CMS actuarial enrollment 
projections. This resulted in a projected 35.4 million treatments for 
CY 2006.
(2) Adjustment to Composite Rate Add-On
    We then applied the 9 percent growth between projected CY 2005 and 
CY 2006 aggregate drug expenditures to the CY 2005 expected drug spread 
figures of $18 million for Epogen provided in hospital-based facilities 
and $343 million for drugs provided in independent facilities. This 
resulted in an incremental increase in the drug spread in CY 2006 of $2 
million for Epogen provided in hospital-based facilities and $31 
million for drugs provided in independent facilities. We distributed 
the combined $33 million over 35.4 million projected treatments, 
resulting in an additional 0.7 percent addition to the CY 2005 add-on 
of 8.1 percent.
(3) Proposed Drug Add-On Adjustment for CY 2006
    With the recalculated CY 2005 add-on to the per treatment composite 
rate being 8.1 percent and with the additional increment for 
expenditures in CY 2006 being 0.7 percent, we combine them to produce 
one drug add-on adjustment for CY 2006 that would be 8.9 percent.
(4) Add-On for Spread for Drugs Furnished in Hospital-Based Facilities
    In its June 2005 Report to Congress, MedPAC recommended that 
payment differences be eliminated for separately billed drugs furnished 
in independent and hospital-based facilities and that all these drugs 
be paid under the ASP +6 percent system. While we agree with MedPAC 
that paying the same rates in both settings would be the preferable

[[Page 45793]]

policy, we have not proposed this policy because data on dosing units 
for drugs furnished by hospital-based facilities are not available. 
This data is needed to estimate the drug payments using ASP +6 percent 
pricing. That is a key component of the calculation of the drug add-on 
adjustment. In their report, MedPAC acknowledges these data issues and 
recommends that CMS take steps to collect data on acquisition costs and 
payment per unit for drugs provided in hospital-based ESRD facilities. 
We are currently examining approaches for obtaining these data. 
However, we seek comment about a potential method to estimate the drug 
add-on amount for drugs furnished in hospital-based facilities, and we 
seek comment about alternative estimation methodologies, data, or both.
    One estimation approach could be an approach where the pricing 
spread for drugs other than EPO furnished in hospital based facilities 
would be assumed to be the same as for those drugs in independent 
facilities. This aggregate approach would assume that the add-on amount 
for drugs other than EPO furnished in hospital-based facilities results 
in the same relative amount of drugs furnished as for those drugs in 
independent facilities. Using aggregate ratios, the drug add-on amounts 
calculated for drugs other than EPO furnished in independent facilities 
might be extrapolated for drugs other than EPO furnished in hospital-
based facilities.
    Use of this approach could allow calculation of a reasonable 
estimate of aggregate drug add-on amount for drugs other than EPO 
furnished in hospital-based facilities until the time that data becomes 
available to more accurately calculate the drug add-on adjustment. This 
approach would allow payment of all drugs furnished in hospital-based 
facilities under the ASP +6 percent payment methodology, achieve 
consistent payments for ESRD separately billed drugs regardless of 
setting, and provide a reasonable estimation of the drug add-on amount 
needed to adjust the composite rates for drugs other than EPO furnished 
in hospital-based facilities. We seek comment about this potential 
method to estimate spread for drugs furnished in hospital-based 
facilities, as well as alternative estimation methodologies, data, or 
both.
3. Proposed Revisions to Geographic Designations and Wage Indexes 
Applied to the ESRD Composite Payment Rate
[If you choose to comment on issues in this section, please include the 
caption ``ESRD-Composite Payment Rate Wage Index'' at the beginning of 
your comments.]
    Because of the significance of labor costs in determining the total 
cost of care, the prospective payment systems (PPSs) which we 
administer traditionally have used a wage index to account for 
differences in area wage levels. The labor-related shares of costs used 
to develop the composite rates were 36.78 percent for hospital-based 
facilities and 40.65 percent for independent facilities. The current 
composite payment rates are calculated using a blend of two wage 
indexes, one based on hospital wage data for fiscal years ending in CY 
1982, and the other developed from CY 1980 data from the Bureau of 
Labor Statistics (BLS). The wage indexes are calculated for each urban 
and rural area based on 1980 U.S. Census definitions of metropolitan 
statistical areas (MSAs) or their equivalents, and areas outside of 
MSAs in each State, respectively. (51 FR 29411)
    Section 4201(a)(2) of OBRA 1990 (Pub. L. 101-508) froze the 
composite payment rates, and the basis for their calculation, at the 
level in effect as of September 30, 1990 (except for subsequent 
statutory updates that did not affect the data used to calculate wage 
indexes). The OBRA 1990 restriction on revising the ESRD composite 
payment rates has had another effect. ESRD facilities located in 
counties classified as rural based on the 1980 Census, but which 
subsequently are classified as urban, are still considered rural for 
purposes of determining whether urban or rural composite payment rates 
apply. The rural rates are generally lower than those for urban ESRD 
facilities.
    In addition, restrictions also apply to the wage index values used 
to compute the ESRD composite payment rates. Payments to facilities in 
areas where labor costs fall below 90 percent of the national average, 
or exceed 130 percent of that average, are not adjusted beyond the 90 
percent or 130 percent level. (See the Prospective Reimbursement for 
Dialysis Services and Approval of Special Purpose Renal Dialysis 
Facilities final rule (48 FR 21254) and the Composite Rates and 
Methodology for Determining the Rates final notice (51 FR 29404)). This 
effectively means that ESRD facilities located in areas with wage index 
values less than 0.9000 are paid more than they would otherwise receive 
if we fully adjusted for area wage differences. Conversely, facilities 
in locales with wage index values greater than 1.3000 are paid less 
than they would receive if we fully adjusted the rates based on actual 
wage levels.
    Section 1881(b)(12)(D) of the Act, as amended by section 623(d) of 
the MMA, gave the Secretary the discretionary authority to revise the 
current wage index. That provision also requires that any revised 
measure be phased-in over a multiyear period. In the November 15, 2004 
final rule establishing new case-mix adjusted composite payment rates 
(69 FR 66332), we stated that we were deferring replacing the current 
wage index pending further assessment. We have completed our review, 
and believe that modernizing the current ESRD wage index is a matter of 
some urgency. After further analysis we are proposing to use OMB's 
revised geographic definitions announced in OMB Bulletin No. 03-04, 
issued June 6, 2003. These new definitions are known as Core-Based 
Statistical Areas (CBSAs). In conjunction with the CBSAs, we are also 
proposing to recalculate the ESRD wage indexes based on acute care 
hospital wage and employment data for FY 2002, as reported to us in 
connection with the development of the wage index used in the inpatient 
hospital prospective payment system (IPPS). In addition, we are also 
proposing to update the labor portion of the ESRD composite rate to 
which the wage index is applied. The basis for our proposed revisions 
to the current ESRD composite rate wage index to reflect these changes 
is set forth in the following sections.
a. Current Urban and Rural Locales Based on MSAs
    We currently adjust the labor-related share of the composite 
payment rates to account for differences in area wage levels using a 
wage index which is a blend of two wage index values, one based on 
hospital wage data from FY 1982, and the other developed from 1980 
hospital data from the BLS. The hospital and BLS proportions of the 
blended wage index are 40 percent and 60 percent, respectively. The 
hospital and BLS wage index values used to compute the blended wage 
index were published in the Federal Register on August 15, 1986 (51 FR 
29412).
    The use of a blended wage index results from our effort to 
transition ESRD facilities from composite payment rates using a wage 
index based on BLS data, to one developed from hospital wage and 
employment data obtained from Medicare cost reports (``the hospital 
wage index''). A major limitation of the BLS wage index was its 
inability to distinguish area differences in the use of part-time 
hospital workers. In order to mitigate the impact of changes in 
facility payment rates as a

[[Page 45794]]

result of our adoption of the new hospital wage index, we began a five-
year phase-in of the new measure. During the phase-in period, we had 
intended to use a weighted wage index, under which the BLS portion 
would decrease 20 percent and the share represented by the hospital 
wage index would increase 20 percent each year. During the second year 
of the phase-in, for which the hospital and BLS portions of the wage 
index were 40 percent and 60 percent, respectively, the wage index was 
frozen as a result of the OBRA 1990 prohibition on composite payment 
rate revisions.
    The wage indexes are calculated for each urban and rural area. In 
general, an urban area is a MSA or New England County Metropolitan Area 
as defined by OMB based on 1980 U.S. Census definitions. A rural area 
consists of all counties within each State outside of an urban area. 
The counties which comprise the urban locales currently used to compute 
the wage index values incorporated in the urban composite payment rates 
were last published in the Federal Register on May 30, 1986 (51 FR 
19738-19739). Although OMB has revised the definitions of the MSAs 
since that time, the composite payment rate urban/rural designations 
have not been changed due to the prohibition on revising the ESRD 
payment methodology established under section 4201(a)(2) of OBRA 1990. 
More current MSAs are used in connection with several other non-acute 
care Medicare PPSs that we administer, including those for SNFs, long-
term care hospitals (LTCHs), inpatient psychiatric facilities (IPFs), 
home health agencies (HHAs), and inpatient rehabilitation facilities 
(IRFs).
b. Revision of Geographic Classifications
    On June 6, 2003, OMB issued Bulletin 03-04 that announced new 
geographic area designations based on the 2000 Census. The bulletin 
established revised definitions for the nation's MSAs, designated 
county based Metropolitan Divisions within the MSAs that have a single 
core with a population of at least 2.5 million, created two new sets of 
statistical areas (Micropolitan Statistical Areas and Combined 
Statistical Areas), and defined New England City and Town Areas. The 
bulletin may be accessed on the Internet at: http://www.whitehouse.gov/omb/bulletins/bo3-04.html.
    Section 623 of the MMA gave the Secretary the authority to revise 
the geographic areas used to develop the wage indexes currently 
reflected in the composite payment rates, removing the OBRA 1990 
restriction. Although we published revised composite payment rates in 
the November 15, 2004 final rule implementing MMA mandated revisions to 
those rates, we did not propose revising the wage indexes, or the 
geographic areas on which they are based at that time. For reasons 
discussed below, we are proposing to use OMB's list of geographic 
designations for purposes of adjusting the urban and rural composite 
payment rates. Facilities located in counties within MSAs or 
Metropolitan Divisions within CBSAs would be considered urban, while 
facilities located in micropolitan counties or other counties outside 
of the CBSAs would be classified as rural. We point out that these are 
the same urban and rural definitions used in connection with the 
Medicare IPPS, and are discussed in the August 11, 2004 final rule 
establishing the IPPS FY 2005 payment rates (69 FR 49026).
c. Core-Based Statistical Areas (CBSAs)
    OMB reviews its metropolitan area definitions preceding each 
decennial census. As explained in the August 11, 2004 IPPS final rule 
(69 FR 49026), OMB chartered the Metropolitan Standards Review 
Committee to examine the metropolitan area standards and develop 
recommendations for possible changes to those standards. Three notices 
related to the review of the standards, providing an opportunity for 
public comment on the recommendations of the Committee, were published 
in the Federal Register on December 21, 1998 (63 FR 70526), October 20, 
1999 (64 FR 56628), and August 22, 2000 (65 FR 51060).
    In the December 27, 2000 Federal Register (65 FR 82228), OMB 
published a notice announcing its new standards. According to that 
notice, OMB defines a CBSA beginning in 2003 as ``a geographic entity 
associated with at least one core of 10,000 or more population, plus 
adjacent territory that has a high degree of social and economic 
integration with the core as measured by commuting ties.'' The 
standards designate and define two categories of CBSAs: MSAs and 
Micropolitan Statistical Areas (65 FR 82235).
    According to OMB, MSAs are based on urbanized areas of 50,000 or 
more population, and Micropolitan Statistical Areas (referred to 
hereafter as Micropolitan Areas) are based on urban clusters with at 
least 10,000, but less than 50,000 population. Counties that do not 
fall within CBSAs are deemed ``Outside CBSAs''. Previously OMB defined 
MSAs around areas with a minimum core population of 50,000, and smaller 
areas were ``Outside MSAs''. On June 6, 2003 OMB announced the new 
CBSAs, consisting of MSAs and the new Micropolitan Areas based on the 
results of the 2000 Census.
d. Adoption of MSAs as Urban Areas for Composite Payments
    In its June 6, 2003 announcement, OMB cautioned that its new 
metropolitan area definitions ``should not be used to develop and 
implement Federal, State, and local nonstatistical programs and 
policies without full consideration of the effects of using these 
definitions for these purposes. These areas should not serve as a 
general purpose geographic framework for nonstatistical activities, and 
they may or may not be suitable for use in program funding formulas.''
    We point out that Medicare's PPSs, including the ESRD composite 
payment rate, historically have used the metropolitan area definitions 
developed by OMB. While the hospital IPPS is the most significant of 
these, the OMB geographic designations are also used to define labor 
market areas for purposes of recognizing area differences in labor 
costs under the SNF, inpatient rehabilitation, IPFs, and home health 
PPSs. In discussing the adoption of the OMB geographic designation for 
the IPPS area labor adjustment, the FY 1985 IPPS proposed rule 
published July 3, 1984 (49 FR 27426) noted as follows:

    [i]n administering a national payment system, we must have a 
national classification system built on clear, objective standards. 
Otherwise the program becomes increasingly difficult to administer 
because the distinction between rural and urban hospitals is 
blurred. We believe that the MSA system (developed by OMB) is the 
only one that currently meets the requirements for use as a 
classification system in a national payment program. The MSA 
classification system is a statistical standard developed for use by 
Federal agencies in the production, analysis, and publication of 
data on metropolitan areas. The standards have been developed with 
the aim of producing definitions that will be as consistent as 
possible for all MSAs nationwide.

    The logic represented in the statement above still applies today. 
The process used by OMB to develop the geographic designations resulted 
in the creation of geographic locales that we believe also reflect the 
characteristics of unified labor market areas. The CBSAs contain a core 
population plus adjacent areas that reflect a high degree of social and 
economic integration. This integration is measured by commuting 
patterns, thus demonstrating that the areas likely draw workers from 
the same general locale. In

[[Page 45795]]

addition, the CBSAs reflect the most up-to-date information, based on 
the 2000 Census. OMB reviews its metropolitan area definitions 
preceding each decennial census to ensure consideration of the most 
recent population changes. Finally, in the context of the IPPS, we have 
reviewed alternative methods for determining geographic areas for 
purposes of the wage index. In each case, we have concluded that it was 
preferable to retain the independently developed OMB designations 
rather than replace them with alternatives. (See the August 11, 2004 
final IPPS rule at 69 FR 49027-49028.)
    Aside from the long established precedent of using OMB geographic 
designations to adjust for differing area wage levels in the PPSs that 
we administer, we also point out that the Congress has recognized the 
propriety of the OMB definitions in distinguishing among geographic 
areas for making Medicare payments. For example, section 1886(d)(2)(D) 
of the Act defines an ``urban area'' as ``an area within a MSA (as 
defined by the OMB) or within a similar area as the Secretary has 
recognized.'' Similarly, in the sections of the Act governing the 
guidelines to be used by the Medicare Geographic Classification Review 
Board for hospital reclassification, the Congress directed the 
Secretary to create guidelines for ``determining whether the county in 
which the hospital is located should be treated as being a part of a 
particular [MSA]''. (See sections 1886(d)(10)(A) and (D)(i)(II) of the 
Act.) The Congress has accepted the use of MSAs as a reasonable basis 
for dividing the nation into labor market areas for purposes of 
Medicare payments. Accordingly, we are proposing to revise the ESRD 
composite payment system labor market areas based on OMB's geographic 
designations. Facilities located in counties within MSAs (including 
those in the MSA category of CBSA) would be classified as urban. We are 
proposing that facilities located in Micropolitan Areas (the other 
category of CBSA) or in other counties outside of CBSAs in each State, 
would be considered rural.
e. Revised OMB Geographic Areas
    In the following sections we discuss the classification of 
facilities located in New England MSAs, within Metropolitan Divisions 
of MSAs, and our proposed treatment of the CBSA classification of 
Micropolitan Areas.
(1) New England MSAs
    Under the current composite payment system, urban areas in New 
England reflect county-based locales known as New England County 
Metropolitan Areas (NECMAs), rather than MSAs. We use NECMAs in New 
England to provide consistency in labor market definitions compared to 
the MSAs used in the rest of the country, which are also based on 
counties. Under the new CBSAs, OMB has defined MSAs and Micropolitan 
Areas in New England on the basis of counties. OMB has also established 
a new classification, New England City and Town Areas (NECTAs), which 
are similar to the previous New England MSAs, but which are not used in 
the geographic area revisions proposed in this proposed rule.
    In the interest of consistency among all urban labor market areas, 
we are proposing to use the county-based definitions for all MSAs in 
the nation. As a result of the 2000 Census, we now have county-based 
MSAs in New England. We believe that adopting county-based definitions 
for all urban areas in the country provides consistency and stability, 
and minimizes administrative complexity in the Medicare program. We 
point out that our use of MSAs in New England comports with the 
implementation of the CBSA designations under the IPPS for New England 
urban locales. (See the August 11, 2004 Federal Register, 69 FR 49208.) 
Accordingly, under the revised composite payment rates discussed in 
this proposed rule, we are proposing to use New England MSAs along with 
MSAs in the rest of the nation to define urban areas. As a result, 
urban locales in New England would no longer be based on NECMAs.
(2) Metropolitan Divisions
    Under OMB's new CBSA designations, a Metropolitan Division is a 
county or group of counties within a CBSA that contains a core 
population of at least 2.5 million, representing an employment center, 
plus adjacent counties associated with the main county or counties 
through commuting ties. A county qualifies as a main county if 65 
percent or more of its employed residents work within the county, and 
the ratio of the number of jobs located in the county to the number of 
employed residents is at least 75 percent. A county qualifies as a 
secondary county if at least 50 percent, but less than 65 percent, of 
its employed residents work within the county, and the ratio of the 
number of jobs located in the county to the number of employed 
residents is at least 75 percent. After all the main and secondary 
counties are identified and grouped, each additional county that 
already has qualified for inclusion in the MSA falls within the 
Metropolitan Division associated with the main or secondary county or 
counties with which the county at issue has the highest employment 
interchange measure. Counties in a Metropolitan Division must be 
contiguous (See the December 27, 2000 Federal Register, Standards for 
Defining Metropolitan and Micropolitan Statistical Areas, (65 FR 
82236)).
    Under the CBSA definitions, there are 11 MSAs containing 
Metropolitan Divisions: Boston; Chicago; Dallas; Detroit; Los Angeles; 
Miami; New York; Philadelphia; San Francisco; Seattle; and Washington, 
DC. We believe that these MSAs may be too large to accurately reflect 
the local labor costs prevailing within each of these areas. For 
example, the Chicago-Naperville-Joliet IL-IN-WI MSA consists of 14 
counties classified among 3 Metropolitan Divisions: Chicago-Naperville-
Joliet IL (8 counties); Lake County-Kenosha County IL-WI (2 counties); 
and Gary IN (4 counties). Similarly, the New York-Newark-Edison NY-NJ-
PA MSA consists of 23 counties classified among 4 Metropolitan 
Divisions: New York-Wayne-White Plains NY-NJ (11 counties); Newark-
Union NJ-PA (6 counties); Edison NJ (4 counties); and Suffolk County-
Nassau County NY (2 counties). Accordingly, for the 11 MSAs with 
Metropolitan Divisions, we are proposing to use the Metropolitan 
Division as the urban area for purposes of constructing the wage index 
and applying revised composite payment rates.
    We believe that the proposed use of Metropolitan Divisions would 
result in a more accurate adjustment accounting for local variation in 
labor costs within each of the 11 MSAs with those Divisions. We are 
proposing to recognize each county-based Metropolitan Division within 
the 11 affected MSAs as a separate urban area for purposes of applying 
revised composite payment rates. Each Metropolitan Division would have 
its own wage index and its own urban composite payment rate. This 
proposed methodology is consistent with the new CBSA-based labor market 
definitions under the IPPS. (See the August 11, 2004 Federal Register, 
69 FR 49029.)
(3) Micropolitan Statistical Areas
    In its June 6, 2003 bulletin, OMB also designated another 
classification of metropolitan area, Micropolitan Statistical Areas, 
which we will refer to as Micropolitan Areas. That bulletin listed 565 
Micropolitan Areas. Of the 3142 counties in the United States, 1090 are 
in MSAs and 674 are in

[[Page 45796]]

Micropolitan Areas, with the remaining 1378 outside of either 
classification. As discussed in greater detail in the August 11, 2004 
IPPS final rule (69 FR 49029-49032), the way that Micropolitan Area 
counties are classified in connection with developing revised wage 
indexes has a substantial impact on the wage index adjustment. 
Specifically, whether or not Micropolitan Areas are included in 
computing the statewide rural wage indexes has a significant effect on 
the rural wage index in any State that contains these locales. 
Consistent with the IPPS final rule, we are proposing that each 
Micropolitan Area county continue to be considered part of each State's 
rural labor market area. That is, we would continue to classify all 
Micropolitan counties as rural.
    To facilitate an understanding of our proposed policies relating to 
the revisions to the ESRD facility labor market areas discussed in this 
proposed rule, we have provided addendum F in the Addendum section to 
this proposed rule. Addendum F is a crosswalk table that contains a 
listing of each SSA State and county location code; state and county 
name; existing 1980 MSA based labor market area designation; and CBSA-
based labor market area. Addendum F also contains the new wage indexes 
for each urban and rural area.
f. Proposed Revisions to the Labor Component of the Composite Rate
    The current labor-related portions of the hospital-based and 
independent composite payment rates (in other words, the portion 
adjusted by each facility's area wage index) are 36.78 percent and 
40.65 percent, respectively. These labor-related shares have not been 
revised since the inception of the ESRD composite payment system in 
1983.
    When the composite rates were established in 1983, we developed the 
labor-related share of the rate based on 1978 and 1979 cost data 
collected from 110 ESRD facilities; 40 independent and 70 hospital-
based. For other PPSs administered by us, the labor-related shares are 
determined based on the labor components established in the relevant 
market baskets for each provider type.
    The basis for determining the current labor shares is based on 
outdated data from very few facilities relative to the current number 
of ESRD facilities (110 versus approximately 4300 facilities). We are 
proposing to establish a single labor-related share applicable to all 
ESRD facilities based on the labor-related categories included in the 
ESRD composite rate market basket. This change will bring the 
methodology for the ESRD composite rate labor-related share more in 
line with that for determining the labor-related shares for other 
Medicare PPSs.
(1) ESRD Composite Rate Market Basket
    In the following sections, we present a brief background on market 
baskets, provide a reference to the detailed methodology used to 
develop the ESRD composite rate market basket, and outline the 
methodology used to determine the proposed ESRD labor share.
    As required by section 422(b) of the Medicare, Medicaid, and SCHIP 
Benefits Improvement and Protection Act of 2000 (BIPA), Pub. L. 106-
554, we developed an ESRD composite rate market basket. Each of the 
PPSs that we administer utilizes a market basket that reflects each 
type of provider's production patterns used to furnish patient care. 
The market baskets capture the rate of price inflation for a fixed 
quantity of inputs (both goods and services used to provide medical 
services) relative to a base year. Each of the PPS market baskets 
distinguishes between labor-related and non-labor costs. Similar to 
other PPSs, we believe the ESRD composite rate market basket index is 
an appropriate measure for revising the labor-related portion of the 
composite payment rate. The detailed methodology used to develop the 
ESRD composite rate market basket, including data sources, cost 
categories, and price proxies, is set forth in the Secretary's May 2003 
report to the Congress, Toward a Bundled Outpatient Medicare ESRD 
Prospective Payment System. That report is available on the Internet at 
http://qa.cms.hhs.gov/providers/esrd and we recommend it to interested 
readers. We used CY 1997 as the base year for the development of the 
ESRD composite rate market basket cost categories. Source data included 
CY 1997 Medicare cost reports (Form CMS-265-94), supplemented with 1997 
data from the U.S. Department of Commerce, Bureau of the Census' 
Business Expenditure Survey (BES). Analysis of Medicare cost reports 
for CYs 1996, 1997, 1998, and 1999 showed little difference in cost 
weights compared to CY 1997. Medicare cost reports from independent 
ESRD facilities were used to construct the market basket because data 
from independent ESRD facilities tend to reflect the actual cost 
structure faced by the ESRD facility itself, and are not influenced by 
the allocation of overhead over the entire institution as in hospital-
based facilities. This approach is consistent with our standard 
methodology used in the development of other market baskets, 
particularly those used for updating the SNF and home health PPSs. We 
expect that the cost structure in both hospital-based and independent 
ESRD facilities and units would be similar. Therefore, we are proposing 
to base the labor-related share of the composite payment rates on data 
from freestanding facilities only.
    In Table 24, we have reproduced Table 2 from the May 2003 report to 
the Congress containing the ESRD composite rate market basket cost 
categories, weights, and price proxies in this proposed rule. This 
table lists all of the expenditure categories in the ESRD composite 
rate market basket.

  Table 24.--ESRD Composite Rate Market Basket Cost Categories, Weights,
                            and Price Proxies
------------------------------------------------------------------------
                                                             Base-year:
                                                               CY 1997
          Cost category              Price/wage variable       weights
                                                              (percent)
------------------------------------------------------------------------
Total...........................  ........................       100.000
Compensation....................  ........................        47.388
    Wages and Salaries..........  ECI--Health Care Workers        38.808
    Employee Benefits...........  ECI--Benefits Health             8.580
                                   Care Workers.
Professional Fees...............  ECI--Compensation Prof.          0.903
                                   & Tech. (Priv.).
Utilities.......................  ........................         1.524
    Electricity.................  WPI--Commercial Electric         0.818
                                   Power.
    Natural Gas.................  WPI--Commercial Natural          0.113
                                   Gas.
    Water and Sewerage..........  CPI--Water & Sewage.....         0.593
All Other.......................  ........................        36.156

[[Page 45797]]

 
    Pharmaceuticals.............  WPI--Prescription Drugs.         0.967
    Supplies....................  PPI--Surgical, Medical          17.748
                                   and Dental*.
    Labs........................  PPI--Medical Labs.......         0.433
    Telephone...................  CPI--Telephone Services.         0.875
    Housekeeping and Operations.  PPI--Building, cleaning,         1.247
                                   and maintenance.
    Administrative and Other      CPI--All items less food        14.886
     Costs.                        and energy.
Capital Costs...................  ........................        14.029
    Capital Related--Building     CPI--Residential Rent...         9.071
     and Equipment.
    Capital Related--Machinery..  PPI--Electrical                  4.957
                                   Machinery and Equipment.
------------------------------------------------------------------------

    The labor-related share of a market basket is determined by 
identifying the national average proportion of operating costs that are 
related to, influenced by, or vary with the local labor market. The 
labor-related share is typically the sum of wages and salaries, fringe 
benefits, professional fees, labor-intensive services, and a portion of 
the capital share from the appropriate market basket.
    We used the 1997-based ESRD composite rate market basket costs to 
determine the proposed labor-related share for ESRD facilities. The 
proposed labor-related share for ESRD facilities is 53.711, as shown in 
Table 25. It is the sum of wages and salaries, employee benefits, 
professional fees, housekeeping and operations, and 46 percent of the 
weight for capital-related building and equipment (the portion of 
capital that we have determined to be influenced by local labor 
markets). The following section describes each of the categories that 
make up the proposed labor-related share for the ESRD composite rate 
payment system and how they were derived.

       Table 25.--Proposed ESRD Composite Rate Labor-Related Share
------------------------------------------------------------------------
                                                             Proposed CY
                                                             1997-based
                                                                ESRD
                       Cost category                          composite
                                                             rate labor
                                                                share
                                                              (percent)
------------------------------------------------------------------------
Wages and salaries........................................        38.808
Employee benefits.........................................         8.580
Professional fees.........................................         0.903
Housekeeping and operations...............................         1.247
-----------------------------------------------------------
    SUBTOTAL..............................................        49.538
-----------------------------------------------------------
Labor-related share of capital costs......................         4.173
===========================================================
    Total.................................................        53.711
------------------------------------------------------------------------

(2) Wage and Salaries
    The wages and salaries weight for the ESRD composite rate labor-
related share includes salaries for both direct and indirect patient 
care. We computed a weight for wages and salaries for direct patient 
care from Worksheet B of the Medicare cost report. However, Worksheet B 
only includes direct patient care salaries. We had to derive an 
estimate for non-direct patient care salaries in order to calculate the 
market basket weight. We first computed the ratio of salaries to total 
cost in each cost center from the trial balance of the cost report 
(Worksheet A). We applied these ratios to the costs reported on 
Worksheet B for the corresponding cost centers to obtain the total 
wages and salaries for each composite rate cost center. These salaries 
were then summed and added to the direct patient care salary amount 
that is reported separately. When divided by total composite rate 
costs, the result is a cost weight for total salaries. This increased 
the expenditure weight from 34.154 percent for direct patient care 
salaries to 38.808 percent for total salaries.
(3) Employee Benefits
    The benefits weight was derived from the BES since a benefit share 
for all employees is not available for the ESRD Medicare cost reports. 
The cost reports only reflect benefits for direct patient care. We 
applied the benefits proportion of wages and salaries for kidney 
dialysis centers from the BES to the salary amount calculated from the 
cost reports as described above. This resulted in a benefit weight that 
was 1.758 percentage points larger (8.850 versus 6.822) than the 
benefits for direct patient care calculated from the cost reports. To 
avoid double counting and to ensure all of the market basket weights 
still totaled 100 percent, we removed this additional 1.758 percentage 
points for benefits from pharmaceuticals, administrative and general, 
supplies, laboratory services, housekeeping and operations, and the 
capital components. This calculation reapportions the benefits expense 
for each of these categories using a method similar to the method used 
for distributing non-direct patient care salaries as described above. 
This method approximates the proportion of each cost center's costs 
that are benefits using available salary expenditure data.
(4) Professional Fees
    Professional fees include accounting, bookkeeping, and legal 
expenses. We derived the weight for professional fees from the BES 
since the Medicare cost reports do not include this level of detail. We 
first calculated the ratio of BES professional fees for kidney dialysis 
centers to total BES wages and salaries for kidney dialysis centers. We 
applied this ratio to the total wages and salaries share calculated 
from the cost reports to estimate the proportion of ESRD facility 
professional fees. The resulting weight was 0.903 percent. To avoid 
double counting, this proportion was deducted from the calculated 
weight for the administrative and other expenditure category, where the 
fees would have been reported on the Medicare cost reports.
(5) Housekeeping and Operations
    The housekeeping and operations cost category includes expenses 
such as janitorial and building services costs. We developed a market 
basket weight for this category using data from both Worksheets A and B 
of the cost reports. Worksheet B combines the capital-related costs for 
buildings and fixtures with the operation and maintenance of plant 
(operations) and housekeeping cost centers, so we were unable to 
calculate a weight directly from Worksheet B. Accordingly, we computed 
the proportion of housekeeping and operations costs, to the combination 
of total capital-related costs for buildings and fixtures and 
housekeeping and operations costs

[[Page 45798]]

using Worksheet A because these categories are individually reported on 
this worksheet. We then subtracted this share from the proportion of 
Worksheet B total capital-related costs to yield a weight for 
housekeeping and operations. To avoid double counting, we subtracted 
utilities expenditures (which are included in the utilities weight 
shown in Table 24) from the housekeeping and operations weight, as well 
as the non-direct patient care salaries and benefits share associated 
with the operations and housekeeping cost centers from Worksheet A. The 
resulting market basket weight for housekeeping and operations was 
1.247 percent.
(6) Labor-Related Share for Capital-Related Expenses
    The labor-related share for capital-related expenses (46 percent of 
ESRD facilities' adjusted capital-related building and equipment 
expenses) reflects the proportion of ESRD facilities' capital-related 
building and equipment expenses that we believe varies with local area 
wages.
    Capital-related expenses are affected in some proportion by local 
area labor costs (such as construction worker wages) that are reflected 
in the price of the capital asset. However, many other inputs that 
determine capital costs are not related to local area wage costs, such 
as interest rates. Thus, it is appropriate that capital-related 
expenses would vary less with local wages than would the operating 
expenses for ESRD facilities. The 46 percent figure is based on 
regressions run for the Prospective Payment System for Inpatient 
Hospital Capital-Related Costs in 1991 (56 FR 43375).
    We use a similar methodology to calculate capital-related expenses 
for the labor-related shares for rehabilitation facilities, psychiatric 
facilities, long-term care facilities, and SNFs. (See Rehabilitation 
Facility Prospective Payment System for FY 2006, Part II (70 FR 30233) 
and Prospective Payment System and Consolidated Billing for Skilled 
Nursing Facilities-Update (66 FR 39585)).
    Table 26 provides a comparison of the current and proposed labor/
nonlabor portions of the ESRD base composite rate.

    TABLE 26.--Comparison of the Current and Proposed Labor/Nonlabor
                Portions of the ESRD Base Composite Rate
------------------------------------------------------------------------
                                                Hospital-
                                                  based      Independent
------------------------------------------------------------------------
Base Composite Rate.........................       $132.41       $128.35
Current Labor Share.........................         48.70         52.17
Current NonLabor Share......................         83.71         76.18
                                              ............  ............
Proposed Labor Share (53.711 percent).......         71.12         68.94
Proposed NonLabor Share.....................         61.29         59.41
------------------------------------------------------------------------

    As indicated earlier in this discussion, the ESRD market basket was 
derived from CY 1997 data. As with other payment systems, we would 
propose updating the labor share of the composite payment when the 
components of the ESRD market basket are rebased to reflect more recent 
data.
g. Implementation of Revised Composite Wage Indexes
    In the section below, we explain how each ESRD facility's new 
composite payment rate would be determined to reflect the proposed 2 
year transition, based on section 623(d)(1) of the MMA's requirement 
that the application of any revised geographic index be phased in over 
a multi-year period.
(1) Hospital Data Used
    In this proposed rule, for purposes of adjusting the labor-related 
portion of the ESRD composite rate beginning January 1, 2006, we 
propose to use acute care hospital inpatient wage index data. This data 
was generated from cost reporting periods beginning FY 2002, and is the 
most recent complete data available.
    To determine the applicable ESRD wage index values, we are 
proposing to use the acute care hospital inpatient wage data without 
regard to any approved geographic reclassification under section 
1886(d)(8) or (d)(10) of the Act, which only applies to hospitals that 
are paid under the IPPS. We note this policy is consistent with the 
area wage adjustments used in all other non-acute care facility PPSs 
(such as, SNFs, IPPSs, HHAs, and IRFs).
    The proposed wage index values that would be applicable to the ESRD 
composite rate for services furnished on or after January 1, 2006, are 
shown in Tables 27 and 28 in this proposed rule.
(2) Labor Market Areas With No Hospital Wage Data
    In adopting OMB's CBSA designations, we identified a small number 
of ESRD facilities in both urban and rural geographic areas where there 
were no hospitals, and, thus, no hospital wage index data on which to 
base the calculations of the FY 2006 ESRD wage index. The first 
situation is rural Massachusetts. Because there is no reasonable proxy 
for rural data within Massachusetts, we are proposing to use last 
year's acute care hospital wage index value for rural Massachusetts.
    The second situation involves ESRD facilities in urban areas in 
Hinesville, GA (CBSA 25980) and Mansfield, OH (CBSA 31900). We propose 
to use a wage index based on the wage indexes in all of the other urban 
areas within the state to serve as a reasonable proxy for the urban 
areas without hospital wage index data. Specifically, we are proposing 
to use the average wage index for all urban areas within the State as 
the urban wage index value for purposes of the ESRD wage index for 
these areas. We solicit comments on these approaches to calculating the 
wage index values for areas without hospitals (and, thus, without 
hospital wage data) for FY 2006 and subsequent years.
(3) Use of Floor/Ceiling Values
    As discussed in this preamble, the current wage index values 
applied to the labor share of the ESRD composite payment rate are 
restricted at the high and low ends with a floor of 0.9000 and a cap of 
1.3000. The effects of these restrictions have been to overpay 
facilities in low wage areas and underpay facilities in high wage 
areas. The floor and cap were originally intended to remain in effect 
only until the transition from use of BLS wage date to hospital wage 
data ended. However, since the transition was never completed because 
of the statutory restrictions discussed above in this

[[Page 45799]]

preamble, the floor and cap have remained in effect since 1983.
    The basis for the 1.3000 wage index cap was to ensure that we did 
not pay any more than the allowable reasonable charge per treatment 
that was in effect before the composite payment rate system was 
implemented. Since the allowable reasonable charge screen no longer has 
any relevance to the current composite rate, and because of the effect 
it has had on restricting payment in high cost wage areas, we are 
proposing to eliminate the wage index cap.
    However, because of the potential adverse impact that removing the 
wage index floor could have on access to dialysis for ESRD 
beneficiaries, we are proposing to maintain a wage index floor at this 
time. We note that when we established the 0.9000 floor beginning in 
1983, it was intended that the floor would be phased out by the end of 
the transition. Because the floor has been in place for so long, we are 
concerned that eliminating the floor entirely could decrease payments 
to facilities in some areas significantly. However, we believe that a 
floor of 0.9000 may be too high under the proposed revision to the 
labor market areas, since a substantial number of wage areas (172 out 
of 481 wage areas) have wage index values less than 0.9000. The current 
wage areas used for adjusting composite rate payments have only 83 
areas with wage index values below 0.9000.
    Given that the distribution of wage index values has changed so 
significantly, we are proposing to reduce the floor to 0.8500 for CY 
2006 and to 0.8000 for CY 2007 as we transition to the new geographic 
areas and wage indexes. This would result in application of the wage 
index floor to 17.7 percent of facilities that would otherwise have 
been subject to the current 0.9000 floor in CY 2006 and to 10.0 percent 
of facilities in CY 2007. It would also protect 86 geographic areas at 
a floor of 0.8500 in CY 2006 and 36 geographic areas at a floor of 
0.8000 in CY 2007.
    Although we are proposing to maintain a wage index floor through CY 
2007, our goal is to eliminate the wage index floor in the future. 
Therefore, for CY 2008 we would re-evaluate the need for continuing the 
floor. We are soliciting comment on this issue, especially in light of 
the fact the any wage index changes must be budget neutral for 
aggregate payments to facilities.
(4) Transition Period
    Section 623(d) of MMA added section 1881(b)(12)(D) of the Act which 
requires that any revisions to the geographic adjustments applied to 
the composite payment rate must be phased-in over a multiyear period. 
In determining the best approach to phasing-in the proposed new wage 
index adjustments, we considered not only the immediate impact on 
payments from revising the wage index values, but also the impact on 
payments over time because of our inability to update the wage index. 
Facilities in areas where wages have increased at a higher rate than 
the national average may have been disadvantaged by the continued use 
of outdated wage data and geographic designations to adjust the 
composite payment rate.
    With both of these considerations in mind, we are proposing a two-
year transition under which facilities would be paid the higher of the 
new wage-adjusted composite rate, or a 50-50 blend of the current wage 
adjusted composite rate and the new wage-adjusted composite rate. This 
proposed transition would allow facilities that may have been 
disadvantaged under the current wage index adjustment to move 
immediately to the new wage adjustment. It also provides for a 
reasonable transition period for other facilities. Given the age of the 
current wage index adjustments, we believe it is appropriate to move as 
quickly as possible to the revised updated wage adjustments. Since we 
are proposing to maintain the wage index floor during the transition 
period, we believe the overall impact to facilities will be mitigated. 
Also, as discussed in the following section, the proposed budget 
neutrality adjustment will ensure that the level of aggregate payments 
to ESRD facilities is maintained. We note that our proposal to allow 
some facilities to move directly to the new wage-adjusted composite 
rate will have some impact on the level of the budget neutrality 
adjustment. However, we estimate that the overall effect on total 
payments to facilities would not be significant. For example, the 
impact on aggregate payments to rural facilities would be a decrease of 
about 0.2 percent and an increase of about 0.1 percent for urban 
facilities. This occurs because all of the facilities that are 
currently subject to the 1.300 wage index cap are located in urban 
areas.
    We also considered alternative approaches for transitioning 
facilities to the proposed updated wage adjustments. Another approach 
would be to apply the proposed 50-50 transition to all facilities, 
whether or not they do better using the updated wage index adjustment. 
This approach would treat all facilities equally for transition 
purposes, but would mean that those facilities that are currently 
underpaid because of the current outdated wage index adjustment would 
have to wait until the transition was completed to receive the higher 
payment to which they are entitled.
    An alternative to the proposed two-year transition would be to 
adopt a three-year transition. This would allow facilities that would 
receive lower payments using the revised wage adjustment to have an 
additional year to adapt to the lower payment amount. This approach, if 
coupled with allowing facilities that do better to move immediately to 
the new wage index, would have a more significant impact on the budget 
neutrality adjustment required by MMA. (See budget neutrality 
discussion below.).
    We are specifically seeking comments on the proposed transition or 
any of the alternative approaches mentioned above.
(5) ESRD Wage Index Budget Neutrality
    Section 623(d) of MMA amended section 1881(b)(12)(E)(i) of the Act 
which requires that any revisions to the ESRD composite rate payment 
system as a result of the MMA provision (including the geographic 
adjustment) be made in a budget neutral manner. This means that 
aggregate payments to ESRD facilities in CY 2006 should be the same as 
aggregate payments would have been if we had not made any changes to 
the geographic adjusters. In order to achieve budget neutrality, we are 
proposing to apply a budget neutrality adjustment factor directly to 
the revised ESRD wage index values, rather than applying the adjustment 
to the base composite payment rates. For payment purposes, we believe 
this is the simplest approach since it allows us to maintain a base 
composite rate for hospital-based facilities and one for independent 
facilities during the transition from the current wage adjustments to 
the revised wage adjustments.
    In order to compute the proposed wage index budget neutrality 
adjustment factor, we used treatment counts from the CY 2004 billing 
data and facility-specific 2005 composite payment rates. We note that 
this file is currently only about 85 percent complete. For the final 
rule, we expect to use the most complete CY 2004 file available. Using 
the CY 2004 billing data, we first computed the estimated total dollar 
amount that ESRD facilities would have received in CY 2006 had there 
been no changes to the ESRD wage index. This amount becomes the 
estimated target amount of expenditures for all ESRD facilities. Then 
we

[[Page 45800]]

computed the estimated dollar amount that would be paid to the same 
ESRD facilities using the revised ESRD wage index. After comparing 
these two dollar amounts, we calculate an adjustment factor to the ESRD 
wage index as the factor that when multiplied by the revised ESRD wage 
index will result in the target amount of expenditures for all ESRD 
facilities. Since the revised wage index values are only applied to the 
labor-related portion of the composite payment rate, we computed the 
adjustment based on that proportion (that is, 53.711 percent). We 
applied the estimated budget neutrality adjustment factor to the 
revised wage index values and then simulated payments for CY 2006 to 
ensure that estimated aggregate payments to ESRD facilities would 
remain budget neutral. This proposed adjustment factor would be 
1.023024.
    Each ESRD wage index value has been adjusted by this factor to 
establish the budget neutral wage index values that we propose to use 
to adjust the labor portion of the composite payment rate beginning 
January 1, 2006. (See Tables 27 and 28.) By using these adjusted ESRD 
wage index values, the estimated aggregate payments to ESRD facilities 
will meet the estimated target expenditure amount.
    This calculation becomes more complex because of our proposed 
transition policy. Under that policy an ESRD facility that would 
receive a higher composite rate payment using the new geographic 
adjustment would receive 100 percent of that rate in the first year of 
transition. However, if an ESRD facility's composite rate using the new 
geographic adjustment is less than its current rate, then that facility 
will receive 50 percent of the composite rate payment it would have 
received using the current wage index and 50 percent of the composite 
rate using the revised wage index. To account for the differential 
payments, we compare the target amount of expenditures for all ESRD 
facilities in an iterative fashion until the time that the ESRD wage 
index adjustment factor would result in the target amount of 
expenditures for all ESRD facilities. This is shown in column 4 of 
Table 37 in section V. (Regulatory Impact Analysis) of this proposed 
rule. In aggregate the change to all ESRD facilities would be 0.0 
percent. The distributive effect of the revised ESRD wage index can be 
seen in the various impact table groupings in column 4 of Table 37 in 
section V. of this proposed rule.
    Another element of the proposed transition policy would be a 
proposed wage index floor of 0.8500. Using the method described above 
to compute the budget neutrality factor, makes it necessary to apply 
the budget neutrality factor to this floor which would result in a 
proposed adjusted floor of 0.8696.
(6) Transition Examples
    In the following examples, we show the application of revised wage 
adjusted composite payment rates during the proposed two year 
transition period:
     Example 1--Neighborhood Dialysis Center is an independent 
dialysis facility located in Baltimore County, Maryland. As the 
Crosswalk Table (see addendum F) reveals, Baltimore County was 
previously classified as part of the Baltimore MSA, and is still 
classified as an urban county under the new CBSA classification system. 
The current wage-adjusted composite payment rate for Neighborhood 
Dialysis Center is $134.93.
    Because Neighborhood Dialysis Center is located within the 
Baltimore-Towson MD CBSA (code 12580), its new wage index, which has 
been adjusted for budget neutrality, is 1.0135. Applying the wage index 
of 1.0135 to the revised labor-related component of the base composite 
rate for independent facilities shown in Table 26, yields a labor 
adjusted payment rate of $129.28.

($68.94 x 1.0135) + $59.41 = $129.28

    This labor adjusted payment rate of $129.28 is less than the wage-
adjusted composite rate of $134.93 currently applicable to Neighborhood 
Dialysis Center. In accordance with our proposed two year transition, 
this facility would receive a wage-adjusted composite payment rate 
beginning January 1, 2006 equal to 50 percent of its current wage-
adjusted rate plus 50 percent of its new wage-adjusted rate. The CY 
2006 blended wage-adjusted rate for this facility would be $132.11.

($0.50 x $134.93) + (0.50 x $129.28) = $132.11

    The 8.9 percent drug add-on adjustment and relevant case-mix 
adjustments (related to the budget neutrality adjustment) would be 
applied to this blended rate.
     Example 2--Serve U Well is a hospital-based dialysis 
facility located in Morrow County, Ohio. The Crosswalk table (see 
Addendum F) reveals that Morrow County was previously classified as 
rural, but is now classified urban as part of the Columbus, OH CBSA, 
code 18140. The new CBSA wage index applicable to Serve U Well, 
adjusted for budget neutrality, is 1.0077. Applying the wage index of 
1.0077 to the revised labor related component of the base composite 
rate for hospital-based facilities shown in Table 26 yields a wage-
adjusted composite rate of $132.96.

($71.12 x 1.0077) + $61.29 = $132.96


    Serve U Well's current rural Ohio wage-adjusted composite payment 
rate is $128.66. Because the revised wage-adjusted composite payment 
rate of $132.96 is greater than $128.66, Serve U Well would receive 100 
percent of its new wage-adjusted composite payment rate of $132.96 
beginning January 1, 2006.
    As in the previous example, the 8.9 percent drug add-on adjustment 
and relevant case-mix adjustments (related to the budget neutrality 
adjustment) would be applied to this new wage-adjusted composite rate.
(7) Frequency of Update
    Section 623(d)(1) of the MMA provides that any revised wage index 
used in connection with the composite payment rates must be phased-in 
over a multiyear period. We are proposing a two-year transition period 
to the new wage indexes based on CBSAs. An issue remains as to how 
frequently the new wage index values should be updated to reflect 
changes in area wage levels. These changes would be detected through 
our receipt of hospital wage and employment data obtained from the 
Medicare hospital cost reports subsequent to FY 2005. In order to keep 
payments to ESRD facilities as up-to-date as possible, we propose to 
update the wage index on an annual basis, as part of the overall ESRD 
payment update.
(8) Wage Index Table
    The following two tables show the proposed ESRD wage index for 
urban areas (Table 27) and rural areas (Table 28).

BILLING CODE 4120-01-P

[[Page 45801]]

[GRAPHIC] [TIFF OMITTED] TP08AU05.003


[[Page 45802]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.004


[[Page 45803]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.005


[[Page 45804]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.006


[[Page 45805]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.007


[[Page 45806]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.008


[[Page 45807]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.009


[[Page 45808]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.010


[[Page 45809]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.011


[[Page 45810]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.012


[[Page 45811]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.013


[[Page 45812]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.014


[[Page 45813]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.015


[[Page 45814]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.016


[[Page 45815]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.017


[[Page 45816]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.018


[[Page 45817]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.019


[[Page 45818]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.020


[[Page 45819]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.021


[[Page 45820]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.022


[[Page 45821]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.023


[[Page 45822]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.024


[[Page 45823]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.025


[[Page 45824]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.026


[[Page 45825]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.027


[[Page 45826]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.028


[[Page 45827]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.029


[[Page 45828]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.030


[[Page 45829]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.031


[[Page 45830]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.032


[[Page 45831]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.033


[[Page 45832]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.034


[[Page 45833]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.035


[[Page 45834]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.036


[[Page 45835]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.037


[[Page 45836]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.038


[[Page 45837]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.039


[[Page 45838]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.040


[[Page 45839]]


[GRAPHIC] [TIFF OMITTED] TP08AU05.041

BILLING CODE 4120-01-C

[[Page 45840]]



 Table 28.--Proposed ESRD Wage Index for Rural Areas Based on CBSA Labor
                              Market Areas
------------------------------------------------------------------------
                                                                   Wage
         CBSA  code                    Nonurban  area             index
------------------------------------------------------------------------
1..........................  Alabama...........................   0.8696
2..........................  Alaska............................   1.2266
3..........................  Arizona...........................   0.8979
4..........................  Arkansas..........................   0.8696
5..........................  California........................   1.1107
6..........................  Colorado..........................   0.9605
7..........................  Connecticut.......................   1.2066
8..........................  Delaware..........................   0.9827
10.........................  Florida...........................   0.8796
11.........................  Georgia...........................   0.8696
12.........................  Hawaii............................   1.0805
13.........................  Idaho.............................   0.8696
14.........................  Illinois..........................   0.8696
15.........................  Indiana...........................   0.8829
16.........................  Iowa..............................   0.8698
17.........................  Kansas............................   0.8696
18.........................  Kentucky..........................   0.8696
19.........................  Louisiana.........................   0.8696
20.........................  Maine.............................   0.9056
21.........................  Maryland..........................   0.9304
22.........................  Massachusetts.....................   1.0451
23.........................  Michigan..........................   0.9074
24.........................  Minnesota.........................   0.9394
25.........................  Mississippi.......................   0.8696
26.........................  Missouri..........................   0.8696
27.........................  Montana...........................   0.9036
28.........................  Nebraska..........................   0.8865
29.........................  Nevada............................   0.9283
30.........................  New Hampshire.....................   1.0923
32.........................  New Mexico........................   0.8843
33.........................  New York..........................   0.8696
34.........................  North Carolina....................   0.8764
35.........................  North Dakota......................   0.8696
36.........................  Ohio..............................   0.8988
37.........................  Oklahoma..........................   0.8696
38.........................  Oregon............................   1.0056
39.........................  Pennsylvania......................   0.8696
42.........................  South Carolina....................   0.8840
43.........................  South Dakota......................   0.8696
44.........................  Tennessee.........................   0.8696
45.........................  Texas.............................   0.8696
46.........................  Utah..............................   0.8696
47.........................  Vermont...........................   1.0067
48.........................  Virginia..........................   0.8696
49.........................  Washington........................   1.0699
50.........................  West Virginia.....................   0.8696
51.........................  Wisconsin.........................   0.9698
52.........................  Wyoming...........................   0.9426
------------------------------------------------------------------------

(9) Crosswalk Table
    The crosswalk table for the MSA and CBSA can be found in Addendum F 
to this proposed rule.
4. Proposed Revisions to Sec.  413.170 (Scope) and Sec.  413.174 
(Prospective Rates for Hospital-Based and Independent ESRD Facilities)
    Under section 623 of the MMA, we propose to revise Sec.  413.170(b) 
to specify that this subpart provides procedures and criteria under 
which only a pediatric facility may receive an exception.
    Also under section 623 of the MMA, we propose to revise Sec.  
413.174 to reflect the changes in the additional payment for separately 
billable drugs.
5. Proposed Revisions to the Composite Payment Rate Exceptions Process
[If you choose to comment on issues in this section, please include the 
caption ``ESRD-Exceptions Process'' at the beginning of your comments.]
    The current regulations at Sec.  413.180 through Sec.  413.192 
contain the procedures for requesting exceptions to ESRD facility 
composite payment rates, and establish five criteria for approval of 
exception requests. The five criteria are as follows:
     Atypical service intensity (Sec.  413.184).
     Isolated essential facility (Sec.  413.186).
     Extraordinary circumstances (Sec.  413.188).
     Self-dialysis training costs (Sec.  413.190).
     Frequency of dialysis (Sec.  413.192).
    Under section 1881(b)(7) of the Act, when a facility's costs were 
higher than the prospectively determined composite rate, we could, 
under certain conditions, grant the facility an exception to its 
composite payment rate and set a higher prospective rate. The facility 
had to show, on the basis of projected cost and utilization trends, 
that it would have an allowable cost per treatment higher than its 
prospective composite payment rate and that any excess costs were 
attributable to one or more of the specific exception criteria.
    As explained further below, ESRD facility exception rates in effect 
on December 31, 2000, or those that were subsequently approved based on 
an application under section 422(a)(2)(B) of BIPA, (collectively 
hereinafter termed ``existing exception rates''), will remain in effect 
under section 422(a)(2)(C) of BIPA as long as the exception rate 
exceeds the facility's updated composite payment rate.
    Section 623 of the MMA amended BIPA to provide that the prohibition 
on exceptions to the ESRD composite rate does not apply to pediatric 
facilities that do not have an exception rate in effect on October 1, 
2002. As a result, only pediatric facilities can now qualify for 
exception rates. We do not intend for the proposed regulation changes 
detailed below to limit the exception criteria under which a pediatric 
facility may qualify. However, we believe that pediatric facilities 
would not qualify for an exception under most of the existing exception 
criteria because of the uniqueness of their pediatric patient 
population (at least 50 percent) and, in the past, ESRD facilities with 
high percentages of pediatric patients only qualified for exceptions 
under the ``atypical patient mix'' criterion. Therefore, we are 
proposing to revise the regulations by eliminating the other exception 
criteria (Isolated essential facilities, Extraordinary circumstances, 
and Frequency of dialysis) specified in Sec.  413.182(b), (c), and (e). 
However, we are proposing to retain the exception criterion for self-
dialysis training costs under Sec.  413.182(d) because some pediatric 
facilities may qualify for an exception on that basis.
a. Statutory Changes
    Section 422 of BIPA 2000, prohibited us from providing for any 
further composite rate exceptions on or after December 31, 2000; 
allowed one final opportunity for ESRD facilities that did not apply 
for an exception during 2000 to apply for one by July 1, 2001; and 
provided for approved exceptions (either those in effect or those that 
were approved based on subsequent applications) to continue in effect 
as long as the rate exceeds the updated composite rate.
    By prohibiting future exceptions to the composite rate for ESRD 
facilities, we believe the Congress intended to make the ESRD composite 
rate payment system more compatible with other Medicare PPSs that do 
not allow exceptions to their payment rates. By providing for the 
continuation of existing exception rates as long as those rates exceed 
the updated case-mix adjusted composite rate, we believe the Congress 
intended, in effect, to provide for the transition of most ESRD 
facilities to payment under the composite rate payment system.
    In response to ESRD facility concerns about the current composite 
rate payment methodology, the Congress enacted section 623 of the MMA, 
which revised ESRD facility prospective composite payment rates. As a 
result, effective January 1, 2005, ESRD facility prospective composite 
payment rates were increased 1.6 percent and include a drug add-on of 
8.7 percent. These increases were implemented in the PFS final rule 
published on November 15, 2004 (69 FR 66319-66320). Section 623 also 
amended section 422(a)(2) of BIPA to provide that the prohibition on 
exceptions to the ESRD composite rates does not apply as of October 1, 
2002, to pediatric facilities that do not have an exception rate in 
effect on October 1, 2002--in effect restoring the exception process 
for pediatric facilities. Pediatric facilities are defined as ``renal 
facilities at least 50 percent of whose patients are individuals under 
18 years of age.''
    Existing exception rates are protected under section 422(a)(2)(C) 
of BIPA 2000.

[[Page 45841]]

The ``protection'' clause for existing exception rates provides that 
exception rates in effect on December 1, 2000 (or approved based on an 
application by July 1, 2001) shall remain in effect as long as the 
facility's exception rate is higher than the updated composite rate. 
Pediatric ESRD facility exception rates granted under the provisions of 
section 623 of the MMA are not subject to the ``protection'' clause for 
existing exception rates.
b. Summary of Proposed Changes to Part 413, Subpart H
    As a result of the statutory changes discussed above, we are 
proposing to revise both the content and the organization of the 
existing regulations at 42 CFR part 413, subpart H (Payment for ESRD 
Services and Organ Procurement Costs) by limiting certain 
qualifications and clarifying the regulations. Currently, all of the 
Medicare rules for requesting exceptions to composite rate payments for 
covered outpatient maintenance dialysis treatments can be found at 
Sec.  413.180 through Sec.  413.192. We propose to revise the current 
regulations at part 413, subpart H by--
     Adding a definition of a ``pediatric facility'' (in 
accordance with section 422(a)(2)of BIPA 2000, as amended by section 
623(b) of the MMA) to mean a renal facility at least 50 percent of 
whose patients are individuals under 18 years of age;
     Removing existing exception criteria that are no longer 
applicable; and
     Adjudicating future exception requests in accordance with 
the proposed revised exception criteria.
(1) Proposed Revisions to Sec.  413.180 (Procedures for Requesting 
Exceptions to Payment Rates)
    In response to the changes made by section 422 of BIPA 2000 and 
section 623 of MMA, we are proposing significant changes to the 
existing regulations at Sec.  413.180 through Sec.  413.192 regarding 
ESRD exception criteria and application procedures. Under our current 
regulations, existing exception rates that were approved prior to 
December 31, 2000 (or those approved during the window that closed on 
July 1, 2001) would remain in effect as long as the conditions under 
which the exception was granted have not changed and as long as the 
facility files a request to retain the exception rate with its fiscal 
intermediary during the 30-day period before the opening of an 
exception cycle (and the request is approved by the fiscal 
intermediary.) Even though pediatric exceptions are not subject to the 
``protection'' clause under section 422(a)(2)(C) of BIPA, we propose to 
continue all exception rates in effect on the same basis. Since section 
422(a)(2)(B) of BIPA allows existing exception rates to continue in 
effect as long as the exception rate exceeds the facility's updated 
composite payment rate, we expect that the facilities will compare 
their existing exception rates to their basic case-mix adjusted 
composite rates to determine which is the best payment rate for their 
facility. We expect that each ESRD facility would choose to be paid at 
the higher of its existing exception rate or its basic case-mix 
composite rate (which includes all the payment adjustments required 
under section 623 of the MMA). If the facility retains its exception 
rate, the rate is not subject to any of the adjustments specified in 
section 623 of the MMA. We believe the determination as to whether an 
ESRD facility's exception rate per treatment will exceed its average 
case-mix adjusted composite rate per treatment is best left to the 
affected entity. An ESRD facility that has an existing exception rate 
may give up that rate if it determines that it should be paid instead 
under the case-mix adjusted composite rate methodology.
    In Sec.  413.180, we propose to revise our regulations to provide 
that each ESRD facility must notify its fiscal intermediary (in 
writing) if it wishes to give up its exception rate. The facility would 
be paid based on its case-mix adjusted composite payment rate beginning 
thirty days after the intermediary's receipt of written notification 
that the facility wishes to give up its exception rate. Once a facility 
notifies its fiscal intermediary that it wishes to give up its 
exception rate, that decision could not be subsequently rescinded or 
reversed. We also propose to revise paragraph (b) of this section to 
provide that ESRD facilities that retain their existing exception rates 
do not need to notify their intermediaries. Therefore, we propose to 
remove the last sentence from paragraph (b) that states, ``However, a 
facility may only request an exception or seek to retain its previously 
approved exception rate when authorized under the conditions specified 
in paragraphs (d) and (e) of this section.''
    In the past, an ESRD facility could request an exception to its 
prospective composite payment rate within 180 days of the effective 
date of its new composite rate(s) or the date on which we opened a 
specific exception window. Because only pediatric facilities can now 
file for exceptions, we expect to receive a minimal number of exception 
applications. In this section, we propose to revise paragraph (d) to 
remove the requirement that an application for an exception be filed 
within the 180-day window because we believe the small volume of 
applications will make it administratively feasible for us to accept 
applications on a rolling basis. Further, we are proposing to revise 
paragraph (d) to state that a pediatric ESRD facility may request an 
exception to its composite payment rate at any time after it is in 
operation for at least 12 consecutive months.
    We are proposing to permit pediatric ESRD facilities to file 
exception requests at any time. We also propose to change our 
regulations to continue pediatric facility exception rates granted 
under section 623 of the MMA (hereinafter referred to as ``pediatric 
facility exception rates'') in the same way as existing exception 
rates. Specifically, we are proposing that pediatric facility exception 
rates would remain in effect until the facility notifies its fiscal 
intermediary that it wishes to give up its rate because its case-mix 
adjusted composite rate is higher. Therefore, we propose to eliminate 
paragraph (e) of this section, entitled ``Criteria for retaining a 
previously approved exception request'' and replace it with paragraph 
(f) (Completion of requirements and criteria) of this section. We are 
proposing to eliminate paragraph (e) because ESRD facilities that have 
an approved exception rate (either an existing exception rate or a 
pediatric facility exception rate) and elect to retain it do not need 
to notify their intermediaries. Current paragraph (f), entitled, 
``Documentation for a payment rate exception request'', would be 
redesignated as proposed paragraph (e). We are proposing to clarify 
existing regulations by indicating that the applicant must include in 
its documentation a copy of the most recent cost report filed in 
accordance with Sec.  413.198. As a result of these proposed changes to 
this section, we propose to revise the remaining paragraphs as follows:
     Current paragraph (g) would be redesignated as proposed 
paragraph (f).
     Current paragraph (h) would be redesignated as proposed 
paragraph (g).
     Current paragraph (i) would be redesignated as proposed 
paragraph (h).
     Current paragraph (j) provides the period of an exception 
approval. We would redesignate paragraph (j) as proposed paragraph (i). 
We propose to revise the redesignated paragraph to state that an 
approved exception payment rate applies for the period from the date 
the complete exception request

[[Page 45842]]

was filed with the facility's fiscal intermediary until thirty days 
after the intermediary's receipt of the facility's letter notifying the 
intermediary of the facility's request to give up its exception rate 
and become subject to the current composite payment rate methodology. 
Once a facility decides not to retain its current exception rate (and 
puts that decision in writing), that decision cannot be subsequently 
rescinded or reversed.
     Current paragraph (k) would be removed.
     Current paragraph (l) would be redesignated as proposed 
paragraph (j).
     Current paragraph (m) would be redesignated as proposed 
paragraph (k). In the past, a pediatric facility denied an exception 
rate would have to wait until a subsequent exception window opened to 
file a new request. We are proposing to revise redesignated paragraph 
(m) to state that a pediatric ESRD facility that has been denied an 
exception rate may immediately file another exception request. Any 
subsequent exception request would be required to address and document 
the issues cited in our denial letter.
(2) Proposed Revisions to Sec.  413.182 (Criteria for Approval of 
Exception Requests)
    We propose to revise this section to state that CMS may approve 
exceptions to a pediatric ESRD facility's prospective payment rate if 
the pediatric facility did not have an approved exception rate as of 
October 1, 2002. The proposed revised section would also state that the 
pediatric facility would be required to demonstrate, by convincing 
objective evidence, that its total per treatment costs are reasonable 
and allowable under the relevant cost reimbursement principles of part 
413 and that its per treatment costs in excess of its payment rate 
would be directly attributable to any of the following criteria:
     Pediatric patient mix, as specified in Sec.  413.184.
     Self-dialysis training costs in pediatric facilities, as 
specified in Sec.  413.186.
    In the future, pediatric facilities would file for an exception 
under the proposed revised exception criteria in revised Sec.  413.184 
(Payment exception: Pediatric patient mix) and redesignated Sec.  
413.190 (Payment exception: Self-dialysis training costs in pediatric 
facilities). (We are proposing to revise Sec.  413.190 and redesignate 
it as Sec.  413.186, see discussion below.).
(3) Proposed Revisions to Sec.  413.184 (Payment Exception: Atypical 
Service Intensity (Patient Mix))
    Because only pediatric ESRD facilities (those with at least a 50 
percent patient mix) may qualify for an exception rate, we are 
proposing to rename Sec.  413.184 to read, ``Payment exception: 
Pediatric patient mix''. We also propose to revise paragraph (a) of 
this section to specify that to qualify for an exception to its 
prospective payment rate based on its pediatric patient mix, a facility 
would be required to demonstrate that--
     At least 50 percent of its patients are individuals under 
18 years of age;
     Its nursing personnel costs are allocated properly between 
each mode of care;
     The additional nursing hours per treatment are not the 
result of an excess number of employees;
     Its pediatric patients require a significantly higher 
staff-to-patient ratio than typical adult patients; and
     These services, procedures, or supplies and its per 
treatment costs are clearly prudent and reasonable when compared to 
those of pediatric facilities with a similar patient mix.
    The ``Atypical service intensity'' criterion is the one under which 
exceptions for facilities that treated a high proportion of pediatric 
patients were granted in the past. In order to receive approval for an 
exception rate, pediatric facilities would still need to meet many of 
the same criteria previously required under Sec.  413.184 for 
``Atypical service intensity.''
    To better match the patient listing documentation requirements to 
the characteristics of pediatric ESRD facilities, we are proposing to 
eliminate five categories currently required in Sec.  413.184(b) 
(Documentation) and replace those items with a revised list. Under the 
proposed revised paragraph, a facility would be required to submit a 
listing of all outpatient dialysis patients (including all home 
patients) treated during its most recently completed and filed cost 
report (cost reporting requirements under Sec.  413.198) showing--
     Age of patients, and the percentage of patients under the 
age of 18;
     Individual patient diagnosis;
     Home patients and ages;
     In-facility patients, staff assisted, or self-dialysis;
     Diabetic patients; and
     Patients isolated because of contagious disease.
(4) Proposed Removal of Sec.  413.186 (Payment Exception: Isolated 
Essential Facility)
    Since pediatric facilities are the only ESRD facilities that can 
now apply for exceptions, we are proposing to remove Sec.  413.186 to 
conform with the elimination of Sec.  413.182(b), (c) and (e) as 
discussed above and redesignate Sec.  413.190 as the new Sec.  413.186. 
We would also rename the section to read, ``Payment exception: Self-
dialysis training costs in pediatric facilities''. No further changes 
are proposed to Sec.  413.186.
(5) Proposed Removal of Sec.  413.188 (Payment Exception: Extraordinary 
Circumstances)
    We are proposing to remove this Sec.  413.188 to conform with the 
elimination of elimination of Sec.  413.182(b), (c) and (e) as 
discussed above.
(6) Proposed Redesignation of Sec.  413.190 (Payment Exception: Self-
Dialysis Training Costs)
    We propose to continue to recognize exceptions for self-dialysis 
training costs under Sec.  413.190 only for pediatric facilities, and 
to rename this section, ``Payment exception: Self-dialysis training 
costs in pediatric facilities.'' We are proposing to change the name to 
conform with the current statute that prohibits exceptions for 
facilities other than pediatric ESRD facilities. We are also proposing 
to redesignate this section as Sec.  413.186. (As discussed above, we 
are proposing to remove existing Sec.  413.186.) The current regulatory 
language in Sec.  413.190 (proposed to be redesignated as Sec.  
413.186) would remain unchanged.
(7) Proposed Removal of Sec.  413.192 (Payment Exception: Frequency of 
Dialysis)
    We are proposing to remove this section to conform with the 
elimination of Sec.  413.182(b), (c) and (e) as discussed above.

H. Payment for Covered Outpatient Drugs and Biologicals

[If you choose to comment on issues in this section, please include the 
caption ``Payment for Covered Outpatient Drugs and Biologicals'' at the 
beginning of your comments.]
    Medicare Part B covers a limited number of prescription drugs and 
biologicals. For the purposes of this proposed rule, the term ``drugs'' 
will hereafter refer to both drugs and biologicals. Medicare Part B 
covered drugs not paid on a cost or prospective

[[Page 45843]]

payment basis generally fall into three categories:
     Drugs furnished incident to a physician's service.
     DME drugs.
     Drugs specifically covered by statute (immunosuppressive 
drugs, for example).
    Beginning in CY 2005, the vast majority of Medicare Part B drugs 
not paid on a cost or prospective payment basis are paid under the ASP 
methodology. The ASP methodology is based on data submitted to us 
quarterly by manufacturers. In addition to the payment for the drug, 
Medicare currently pays a dispensing fee for inhalation drugs, a 
furnishing fee for blood clotting factors, and a supplying fee for 
certain Part B drugs.
    This section of the preamble discusses proposed changes and issues 
related to the determination of the payment amounts for covered Part B 
drugs and the separate payments allowable for dispensing inhalation 
drugs, furnishing blood clotting factor, and supplying certain other 
Part B drugs. This section of the preamble also discusses proposed 
changes in how manufacturers calculate and report ASP data to us.
1. ASP Issues
[If you choose to comment on issues in this section, please include the 
caption ``ASP Issues'' at the beginning of your comments.]
    Section 303(c) of the MMA amended Title XVIII of the Act by adding 
new section 1847A. This new section establishes the use of the ASP 
methodology for payment for most drugs and biologicals not paid on a 
cost or prospective payment basis furnished on or after January 1, 
2005. The ASP reporting requirements are set forth in section 1927(b) 
of the Act. Manufacturers must submit ASP data to us quarterly. The 
manufacturers' submissions are due to us not later than 30 days after 
the last day of each calendar quarter. The methodology for developing 
Medicare drug payment allowances based on the manufacturers' submitted 
ASP data is specified in the regulations in part 414, subpart K. Based 
on the data we receive, we update the Part B drug payment amounts 
quarterly.
    In this section of the preamble, we discuss issues and propose 
changes related to the methodology manufacturers use to apply the 
estimate of lagged price concessions in the ASP calculation. We also 
discuss the submission of ASP data, including WAC, and our intent to 
propose, in a separate notice, the collection of additional information 
from manufacturers, using a revised reporting format, to ensure more 
accurate calculation of the Medicare payment amounts.
    Also, included in this section is a discussion of the weighting 
methodology we follow to establish the Medicare payment amounts using 
the ASP data.
a. Estimation Methodology for Lagged Price Concessions
    Section 1847A(c)(5)(A) of the Act states that the ASP is to be 
calculated by the manufacturer on a quarterly basis. As a part of that 
calculation, manufacturers are to take into account price concessions 
such as--
     Volume discounts.
     Prompt pay discounts.
     Cash discounts.
     Free goods that are contingent on any purchase 
requirement.
     Chargebacks.
     Rebates (other than rebates under the Medicaid drug rebate 
programs).
    If the data on these price concessions are lagged, then the 
manufacturer is required to estimate costs attributable to these price 
concessions. Specifically, the manufacturer sums the price concessions 
for the most recent 12-month period available associated with all sales 
subject to the ASP reporting requirements. The manufacturer then 
calculates a percentage using this summed amount as the numerator and 
the corresponding total sales data as the denominator. This results in 
a 12-month rolling average price concession percentage that is applied 
to the total in dollars for the sales subject to the ASP reporting 
requirement for the quarter being submitted to determine the price 
concession estimate for the quarter. The methodology is specified in 
Sec.  414.804(a)(3) and was published in the Manufacturer Submission of 
Manufacturer's ASP Data for Medicare Part B Drugs and Biologicals final 
rule published on September 16, 2004 (69 FR 55763).
    Our goal is to ensure that the ASP data submitted by manufacturers 
reflects an appropriate estimate of lagged price concessions. Since 
publication of the September 16, 2004 final rule, we have identified a 
refinement of the ASP calculation and lagged price concession 
estimation methodology related to chargebacks that we believe will 
improve the accuracy of the estimate. As a result, we are proposing to 
clarify the ASP calculation in this proposed rule.
b. Price Concessions: Wholesaler Chargebacks
    Wholesaler chargebacks are a type of price concession, generally 
paid on a lagged basis, that apply to sales to customers (for example, 
physicians) via a wholesaler (or distributor). Wholesaler chargeback 
arrangements may vary in scope and complexity. However, simply put, the 
wholesaler administers contract prices negotiated between the 
manufacturer and end purchasers (for example, physician or other health 
care providers), or otherwise implements pricing terms established by 
the manufacturer (for example, pricing that varies by type of purchaser 
or class of trade). The wholesaler charges the customer a certain price 
and charges back the manufacturer an agreed upon amount for the 
purposes of making up the difference between the wholesaler's price 
(for example, WAC) and the customer's price.
    Under the current estimation methodology for lagged price 
concessions, total lagged price concessions, including lagged 
wholesaler chargebacks, for the 12-month period are divided by total 
sales for that same period to determine a ratio that is applied to the 
total sales for the reporting period. The ratio of lagged price 
concessions to sales is calculated over all sales, both indirect sales 
(sales to wholesalers and distributors and other similar entities that 
sells to others in the distribution chain) and direct sales (sales 
directly from manufacturer to providers, such as hospitals or HMOs). To 
the extent that the relationship between total dollars for indirect 
sales and total dollars for all sales is different for the reporting 
quarter and the 12-month period used, the current ratio methodology for 
estimating lagged price concessions may overstate or understate 
wholesaler chargebacks expected for the reporting period. A more 
accurate estimation of lagged price concessions would minimize the 
effect of quarter to quarter variations in the relationship between 
indirect sales and all sales.
    As a result, we propose to revise Sec.  414.804 to require 
manufacturers to calculate the ASP for direct sales independently from 
the ASP for all other sales subject to the ASP reporting requirement 
(indirect sales). Then, the manufacturer would calculate a weighted 
average of the direct sales ASP and the indirect sales ASP to submit to 
us. For example, for a National Drug Code (NDC), the manufacturer has 
100 direct sales and 200 indirect sales. Taking into account applicable 
price concessions for direct sales and those for indirect sales, 
including use of the ratio methodology for estimating lagged price 
concessions, the direct sales ASP is $25, and the indirect sales ASP is 
$27.

[[Page 45844]]

The weighted average of the ASPs would be as shown in this example.
[GRAPHIC] [TIFF OMITTED] TP08AU05.042

    We believe the weighted average of direct sales ASP and indirect 
sales ASP improves the overall accuracy of the ASP calculation, 
particularly for NDCs with significant fluctuations in the percentage 
of sales that are direct sales.
    We are proposing conforming changes to Sec.  414.804 for the 
methodology for calculating the lagged price concessions percentage. We 
are also proposing to revise the regulation text to clarify that the 
estimation ratio methodology relates to lagged price concessions. We 
also are proposing to define direct sales and indirect sales in Sec.  
414.802, and seek to develop definitions for these terms so that all 
sales subject to the ASP reporting requirement are included under these 
two definitions.
    We seek comments about the advisability of requiring manufacturers 
to calculate the ASP for direct sales, including price concessions, 
independently from the ASP for indirect sales and then calculating a 
weighted average of these ASPs to submit to CMS. We also seek comments 
about the potential affects of this approach on the ASP as well as our 
proposed definitions of direct sales and indirect sales (that is, that 
direct sales are from manufacturer to provider or supplier, and 
indirect sales are the remaining sales subject to the ASP reporting 
requirement).
c. Determining the Payment Amount Based on ASP Data
    We have received inquiries related to the formula we use to 
calculate the payment amount for each billing code. We posted a 
Frequently Asked Question on this subject on our Web site (http://www.questions.cms.hhs.gov) earlier this year. We are including this 
section in this preamble to ensure greater public access to this 
information. Our approach to calculating the payment amounts is as 
follows:
     For each billing code, we calculate a weighted ASP using 
the ASP data submitted by manufacturers.
     Manufacturers submit ASP data at the 11-digit NDC level.
     Manufacturers submit the number of units of the 11-digit 
NDC sold and the ASP for those units.
     We convert the manufacturers' ASP for each NDC into the 
ASP per billing unit by dividing the manufacturer's ASP for that NDC by 
the number of billing units in that NDC. For example, a manufacturer 
sells a box of 4 vials of a drug. Each vial contains 20 milligrams 
(mg). The billing code is per 10 mg. The conversion formula is: 
Manufacturer's ASP/[(4 vials x 20 mg)/10 mg = 8 billable units per 
NDC].
     Then, the ASP per billing unit and the number of units 
(11-digit NDCs) sold for each NDC assigned to the billing code are used 
to calculate a weighted ASP for the billing code. We sum the ASP per 
billing unit times the number of 11-digit NDCs sold for each NDC 
assigned to the billing code, and then divide by the total number of 
NDCs sold. The ASP per billing unit for each NDC is weighted equally 
regardless of package size.
d. Reporting WAC
    In response to manufacturer's questions about reporting WAC, we 
posted a Frequently Asked Question on this subject on our Web site 
(http://www.questions.cms.hhs.gov) last year. In the posting on the Web 
site, we state that manufacturers must report the WAC for a single 
source drug or biological if it is less than the ASP for a quarter and 
in cases where the ASP during the first quarter of sales is 
unavailable. Upon further review, we have determined that the WAC must 
be reported each quarter if required for payment to be made under 
section 1847A of the Act, in addition to the ASP, if available.
    Section 1927(b)(3)(A)(iii) of the Act specifies the ASP data 
manufacturers must report. Section 1927(b)(3)(A)(iii)(II) of the Act 
specifies that the manufacturer must report the WAC, if it is required 
in order for payment to be made under section 1847A of the Act. Under 
section 1847A of the Act, the payment is based on WAC (as opposed to 
ASP) in the following cases:
     For a single source drug or biological, when the WAC-based 
calculated payment is less than the ASP-based calculated payment for 
all NDCs assigned to such drug or biological product. (See section 
1847A(b)(4) of the Act.)
     During an initial period in which data on the prices for 
sales for the drug or biological is not sufficiently available from the 
manufacturer to compute an ASP. (See section 1847A(c)(4) of the Act.)
    In these instances, we must make the determination of whether the 
payment amount is based on ASP or WAC. Therefore, WAC is required for 
payment in all of these instances.
    On April 6, 2004, we published the ASP reporting regulations in the 
Manufacturer Submission of Manufacturer's ASP Data for Medicare Part B 
Drugs and Biologicals interim final rule with comment (66 FR 17935-
17941). In that interim final rule, we specified that manufacturers 
must report the ASP data to us using the template provided in Addendum 
A of that interim final rule. That template included the manufacturer's 
name, NDC, manufacturer's ASP, and number of units. The WAC was not 
included in the template. Therefore, in order to report the WAC, 
manufacturers have used several approaches. Some manufacturers have 
appended the WAC to the template; others have noted it in their written 
cover letters to their submissions. Still others have sent the WAC to 
us using electronic mail. Because a place for the WAC was not included 
in the template, it is possible that manufacturers may not have 
submitted the WAC even though it was required. On a few occasions, we 
have contacted the manufacturer to obtain the WAC when it was needed to 
determine the payment amount. Therefore, because of the requirement to 
submit the WAC and the confusion manufacturers have experienced in 
submitting the WAC data we will propose, in a separate information 
collection notice, to revise the reporting template to include a place 
to report WAC. See the discussion in section e. below for further 
details about potential changes to the reporting format.
    To clarify the instances when manufacturers are required to report 
the WAC, in this proposed rule we are clarifying that manufacturers are 
required to report quarterly both the ASP and the WAC for NDCs assigned 
to a single source drug or biological billing code. Manufacturers are 
also required to report the WAC for use in determining the payment 
during the initial period under section 1847A(c)(4) of the Act. That 
is, the WAC is reported for the reporting period prior to reporting the 
ASP based on a full quarter of sales.
    Because the WAC could change during a reporting period, we are 
proposing that in reporting the WAC, manufacturers would be required to 
report the WAC in effect on the last day of the reporting period.
e. Revised Format for Submitting ASP Data
    As specified in the April 6, 2004 interim final rule, manufacturers 
are required to report the ASP data to us in Microsoft Excel using the 
specified template. As discussed above, the current template does not 
provide adequate instructions for manufacturers to report both the ASP 
and the WAC. Therefore, in a separate information collection notice 
that will be published at or about the same time as this

[[Page 45845]]

proposed rule, we will propose to revise the ASP reporting format to 
accommodate submission of both the ASP and the WAC. We will also 
propose to collect the following additional information:
     Drug name.
     Package size (strength of product, volume per item, and 
number of items per NDC).
     Expiration date for last lot manufactured.
     Date the NDC was first marketed (for products first 
marketed on or after October 1, 2005).
     Date of first sale for products first sold on or after 
October 1, 2005.
    We are mentioning the separate information collection notice in 
this proposed rule in order to broaden public awareness of the separate 
notice. The separate notice will be posted at http://www.cms.hhs.gov/regulations/pra/. The current reporting format is an approved 
information collection. The OMB control number is 0938-0921.
f. Limitations on ASP
    Section 1847A(d)(1) of the Act states that ``the Inspector General 
of the Department of Health and Human Services shall conduct studies, 
which may include surveys to determine the widely available market 
prices of drugs and biologicals to which this section applies, as the 
Inspector General, in consultation with the Secretary determines to be 
appropriate.'' Section 1847A(d)(2) of the Act states that ``Based upon 
such studies and other data for drugs and biologicals, the Inspector 
General shall compare the ASP under this section for drugs and 
biologicals with--
     The widely available market price for such drugs and 
biologicals (if any); and
     The average manufacturer price (as determined under 
section 1927(k)(1) for such drugs and biologicals.''
    Section 1847A(d)(3)(A) of the Act states that ``The Secretary may 
disregard the ASP for a drug or biological that exceeds the widely 
available market price or the average manufacturer price for such drug 
or biological by the applicable threshold percentage (as defined in 
subparagraph (B)).'' The applicable threshold is specified as 5 percent 
for CY 2005. For CY 2006 and subsequent years, section 1847A(d)(3)(B)of 
the Act establishes that the applicable threshold is ``the percentage 
applied under this subparagraph subject to such adjustment as the 
Secretary may specify for the widely available market price or the 
average manufacturer price, or both.''
    For CY 2006, we propose to specify an applicable threshold 
percentage of 5 percent for both the widely available market price 
(WAMP) and average manufacturer price (AMP). The OIG is conducting its 
first review. However, we did not receive the OIG's final report in 
time for consideration before developing this proposed rule. Thus, we 
believe that continuing the CY 2005 threshold percentage applicable to 
both the WAMP and AMP is most appropriate.
2. Payment for Drugs Furnished During CY 2006 in Connection With the 
Furnishing of Renal Dialysis Services if Separately Billed by Renal 
Dialysis Facilities
[If you choose to comment on issues in this section, please include the 
caption ``Payment for ESRD Drugs'' at the beginning of your comments.]
    Section 1881(b)(13)(A)(iii) of the Act indicates that payment for a 
drug furnished during CY 2006 and subsequent years in connection with 
the furnishing of renal dialysis services, if separately billed by 
renal dialysis facilities, will be based on the acquisition cost of the 
drug as determined by the OIG report to the Secretary as required by 
section 623(c) of the MMA or, the amount determined under section 1847A 
of the Act for the drug, as the Secretary may specify. In the report 
entitled, ``Medicare Reimbursement for Existing End Stage Renal Disease 
Drugs,'' the OIG obtained the drug acquisition costs for the top 10 
ESRD drugs for the 4 largest ESRD chains as well as a sampling of the 
remaining independent facilities. Based on the information obtained 
from this report, for CY 2005, payment for the top 10 ESRD drugs billed 
by freestanding facilities and payment for EPO billed by hospital-based 
facilities was based on acquisition costs as determined by the OIG. Due 
to the lag in the data obtained by the OIG, we updated the acquisition 
costs for the top 10 ESRD drugs to 2005 by the PPI. The separately 
billable ESRD drugs not contained in the OIG report were paid at the 
ASP +6 percent for freestanding facilities. The payment allowances for 
these remaining drugs were updated on a quarterly basis during 2005.
    Section 1881(b)(13)(A)(iii) of the Act gives the Secretary the 
authority to establish the payment amounts for separately billable ESRD 
drugs beginning in 2006 based on acquisition costs or the amount 
determined under section 1847A of the Act. For reasons discussed below, 
we do not believe that it is appropriate to continue to use 2002 
acquisition costs updated by the PPI for another year as the basis for 
payment. The acquisition costs are based on 2002 data which, despite 
updates by the PPI, do not necessarily reflect current market 
conditions. As discussed below, the chances increase that Medicare 
payments will either overpay or underpay for drugs, thus, resulting in 
payments that are inconsistent with the goal of making accurate 
payments for drugs. We also considered whether actual acquisition cost 
data could be periodically updated. However, we do not believe that it 
would be feasible to base Medicare payments over the long term on 
continually acquiring data on actual acquisition costs from ESRD 
facilities. This approach would provide incentives for manufacturers 
and facilities to increase acquisition costs without constraint. It 
also would not necessarily provide data regarding current market rates. 
Therefore, we believe it is appropriate for the payment methodology for 
all ESRD drugs when separately billed by freestanding ESRD facilities 
during CY 2006 to be paid the amount determined under section 1847A of 
the Act. This payment amount is the ASP +6 percent rate.
    In reaching the conclusion about establishing payment using the 
amount determined under section 1847A of the Act rather than actual 
acquisition costs, we analyzed the ASP +6 percent payment rates for all 
separately billable ESRD drugs, including the top 10, for both the 
first and second quarters of CY 2005. (We note that the ASP payment 
rates are updated quarterly. The new rates are made available each 
quarter at the following Web site: http://www.cms.hhs.gov/providers/drugs/asp.asp.). Additionally, we analyzed the CY 2005 payment rates, 
based on OIG data, updated by the PPI to reflect inflation as well as 
the potential CY 2006 payment rates, based on the OIG data, also 
updated by the PPI to reflect inflation for the top 10 separately 
billable ESRD drugs. As indicated in the ``Top 10 Separately Billable 
ESRD Drugs'' chart, the payment rates for the top 10 separately 
billable ESRD drugs based on the acquisition costs (as determined by 
the OIG), updated by the PPI would increase by 7 percent for CY 2006. 
In contrast, the percentage change in the ASP +6 percent payment rates 
for the top 10 separately billable ESRD drugs based on the first and 
second quarters of CY 2005 varied on a drug-by-drug basis.

[[Page 45846]]



                                      Top 10 Separately Billable ESRD Drugs
----------------------------------------------------------------------------------------------------------------
                                                                  Estimated 2006
                                                                   payment rate                   Percent change
                                                                   based on OIG   Estimated 2006     in ASP +6
                                                   2005 Payment     data (2003     payment rate    rates between
                    Drug name                          rate        data inflated  based on ASP+6    1st quarter
                                                                   16.2% to 2006   (2nd quarter       and 2nd
                                                                      by the        2005 rates)    quarter 2005
                                                                  estimated PPI)                     (percent)
----------------------------------------------------------------------------------------------------------------
Epoetin alpha...................................          $9.760         $10.440          $9.250             -1%
Paricalcitol....................................          $4.000          $4.270          $3.971              -1
Sodium Ferric Gluconate.........................          $4.950          $5.290          $4.726              -2
Iron Sucrose....................................          $0.370          $0.390          $0.365               1
Levocarnitine...................................         $13.630         $14.560         $11.122             -24
Doxercalciferol.................................          $2.600          $2.780          $2.784            -0.5
Calcitriol......................................          $0.960          $1.030          $0.859              21
Iron Dextran....................................         $10.940         $11.700         $11.218               1
Vancomycin......................................          $2.980          $3.190          $3.188              32
Alteplase, Recombinant..........................         $31.740         $33.920         $30.089               0
----------------------------------------------------------------------------------------------------------------

    However, the percentage increases or decreases in the ASP +6 
percent payment rates are relatively minimal. For example, the payment 
allowance for Alteplase, recombinant, J2997, decreased from first 
quarter 2005 to second quarter 2005 by less than 1 percent. Based on an 
analysis of the 2002 acquisition costs for the top 10 separately 
billable ESRD drugs, when updated by the PPI for CY 2006, it is our 
contention that relying on 2002 acquisition cost data updated for a 
number of years as would be necessary to establish a payment amount for 
2006 is not the most appropriate option for determining Medicare 
payment rates when other drug-specific pricing is available. Further, 
we contend that relying on the ASP +6 percent as the payment rate for 
all separately billable ESRD drugs when billed by freestanding ESRD 
facilities for CY 2006 is a more reliable indicator of the market 
transaction prices for these drugs. The ASP is reflective of 
manufacturer sales for specific drug products and is more indicative of 
market and sales trends for those specific products than the 2002 OIG 
acquisition cost data.
    We also note MedPAC's recommendation in its June 2005 report that 
the ASP be the basis of payment for all separately billable ESRD drugs 
provided by both freestanding and hospital-based facilities in CY 2006 
(MedPAC, ``Report to the Congress: Issues in a Modernized Medicare 
Program,'' June 2005). In making this recommendation, MedPAC states 
that the ASP data are more current (updated quarterly), and, thus, more 
likely to reflect actual transaction prices, compared with acquisition 
cost data which are not regularly collected by the OIG or CMS. 
Furthermore, the report indicated that utilizing the same payment 
policy for both freestanding and hospital-based facilities would ensure 
uniformity across the various settings irrespective of the site of 
care. In addition, MedPAC recommends in its report that we obtain, ``* 
* * data to estimate hospitals' costs and Medicare's payment per unit 
for these drugs. No published source identifies the unit payment for 
these drugs because Medicare pays hospitals their reasonable costs.'' 
MedPAC further states: ``We attempted to calculate the unit payment 
from 2003 claims data, but the accuracy of the data fields we needed to 
make this calculation was unclear, particularly the number of units 
furnished and Medicare's payment to the hospital.'' MedPAC also 
recommends that CMS and/or OIG collect acquisition cost data 
periodically in the future to gauge the appropriate percentage of ASP 
for the payment amount.
    While we acknowledge MedPAC's recommendations, we are proposing to 
make payment using the ASP +6 percent methodology for all separately 
billed ESRD drugs furnished in freestanding facilities and for EPO 
furnished in hospital-based facilities. Paying for EPO furnished in 
hospital-based facilities using the ASP +6 percent methodology is 
consistent with past practices where we have paid for EPO in hospital-
based facilities consistent with freestanding facilities. That is, in 
2005, we paid for EPO in hospital-based facilities based on acquisition 
costs consistent with freestanding facilities. While we are not 
proposing to pay for drugs other than EPO furnished in hospital-based 
facilities under the ASP +6 percent methodology at this time, we are 
interested in moving to this approach. We believe that it is more 
appropriate to pay for separately billed drugs furnished in hospital-
based facilities under the ASP +6 percent methodology rather than on a 
reasonable cost basis, as we believe that there should be consistency 
across sites in payment for the same item or service. However, we have 
not made this proposal due to the lack of data regarding drug costs and 
expenditures associated with hospital-based ESRD payments. We have 
discussed a potential approach to making estimates of these costs and 
units. We seek comments about the estimation method discussed in 
section II.G. of this proposed rule or other methods or data that could 
be used.
    Therefore, for CY 2006, we propose that payment for a drug 
furnished in connection with renal dialysis services and separately 
billed by freestanding renal dialysis facilities and EPO billed by 
hospital-based facilities be based on section 1847A of the Act. We 
propose to update the payment allowances quarterly based on the ASP 
reported to us by drug manufacturers. We seek comment on our proposed 
decision to revise the payment methodology for separately billable ESRD 
drugs. While we have not proposed to pay hospital-based facilities 
under the ASP +6 percent methodology for 2006, we seek comments about 
the potential method we have discussed to accomplish this policy. We 
also seek comment on how this proposed decision could affect 
beneficiaries or providers access to these drugs.
3. Clotting Factor Furnishing Fee
[If you choose to comment on issues in this section, please include the 
caption ``Clotting Factor'' at the beginning of your comments.]
    Section 303(e)(1) of the MMA added section 1842(o)(5) of the Act 
which requires the Secretary, beginning in CY 2005 to pay a furnishing 
fee, in an amount the Secretary determines to be appropriate, to 
hemophilia treatment

[[Page 45847]]

centers and homecare companies for the items and services associated 
with the furnishing of blood clotting factor. In the Revisions to 
Payment Policies Under the Physician Fee Schedule for Calendar Year 
2005 final rule, published November 15, 2004 (69 FR 66236) we 
established a furnishing fee of $0.14 per unit of clotting factor for 
CY 2005. Section 1842(o)(5) of the Act specifies that the furnishing 
fee for clotting factor for years after CY 2005 will be equal to the 
fee for the previous year increased by the percentage increase in the 
consumer price index (CPI) for medical care for the 12-month period 
ending with June of the previous year. The CPI data for the 12-month 
period ending in June 2005 is not yet available. As a point of 
reference, we note that the percent change in the CPI for medical care 
for the 12-month period ending June 2004 was 5.1 percent. In the final 
rule, we will include the actual figure for the percent change in the 
CPI medical care for the 12-month period ending June 2005, and the 
updated furnishing fee for CY 2006 calculated based on that figure.
4. Payment for Inhalation Drugs and Dispensing Fee
[If you choose to comment on issues in this section, please include the 
caption ``Inhalation Drugs and Dispensing Fee'' at the beginning of 
your comments.]
    Medicare Part B pays for inhalation drugs administered via a 
nebulizer, a covered item of DME. Medicare Part B pays for DME and 
associated supplies, including inhalations drugs that are necessary for 
the operation of the nebulizer. Metered-dose inhalers (MDIs) are 
another mode of delivery for inhalation drugs. MDIs are considered 
disposable medical equipment (for which there is no current Medicare 
Part B benefit category), and consequently are not currently covered 
under Part B. Beginning in CY 2006, coverage for MDIs will generally be 
available through the Medicare Part D benefit. This represents an 
important expansion in the options available to beneficiaries for 
inhalation drug coverage under Medicare. With Medicare coverage of both 
delivery methods available, we anticipate that physicians will choose 
the option that best suits a patient's particular needs consistent with 
the applicable standards of medical practice. We expect that both modes 
of inhalation drug delivery will play an important role in the Medicare 
program in the years to come.
    Prior to CY 2004, most Medicare Part B covered drugs, including 
inhalation drugs, were paid at 95 percent of the AWP. Numerous studies 
by the OIG and General Accounting Office (GAO) indicated that 95 
percent of AWP substantially exceeded suppliers' acquisition costs for 
Medicare Part B drugs, particularly for the high volume nebulizer 
drugs, albuterol and ipratropium bromide.\1\ For example, supplier's 
acquisition costs were estimated to be 34 percent of AWP for 
ipratropium bromide and 17 percent of AWP for albuterol based on 
averaging results from a GAO and an OIG study.\2\ The MMA changed the 
Medicare payment methodology for many Part B covered drugs. As an 
interim step, in CY 2004, Medicare paid a reduced percentage of AWP, 80 
percent of AWP in the case of albuterol and ipratropium bromide. 
Beginning with CY 2005, Medicare paid for nebulizer drugs at 106 
percent of the ASP. The move to the ASP system represented a 
substantial reduction in reimbursement for the high volume nebulizer 
drugs.
---------------------------------------------------------------------------

    \1\ GAO, ``Medicare Payment for Covered Outpatient Drugs Exceed 
Providers' Costs,'' September 2001. OIG, ``Excessive Medicare 
Reimbursement for Albuterol,'' March 2002. OIG, ``Excessive Medicare 
Reimbursement for Ipratropium Bromide,'' March 2002.
    \2\ For more details see the Interim Final Rule regarding 
Changes to Medicare Payment for Drugs and Physician Fee Schedule 
Payments for Calendar Year 2004 published in the Federal Register on 
January 7, 2004.
---------------------------------------------------------------------------

    In addition to paying for the cost of the drug itself, Medicare has 
paid a dispensing fee for inhalation drugs. Prior to CY 2005, Medicare 
paid a monthly $5 dispensing fee for each covered nebulizer drug or 
combination of drugs used. In the Revisions to Payment Policies Under 
the Physician Fee Schedule for Calendar Year 2005 proposed rule, 
published August 5, 2004, we proposed to continue to pay a dispensing 
fee for these drugs. In that proposed rule, we sought comment on an 
appropriate dispensing fee level to cover the shipping, handling, 
compounding, and other pharmacy activities required to get these 
medications to beneficiaries.
    In response to last year's proposed rule, we received a number of 
comments that varied substantially in terms of the dispensing fee 
amount that commenters thought was adequate. We received comments from 
a retail pharmacy that indicated that a dispensing fee of five to six 
times the prior $5 fee was necessary to cover costs. Another retail 
pharmacy indicated that a dispensing fee of $25 would be an adequate 
amount and would be profitable.
    We also received several comments that asserted that a 
substantially higher fee was needed and that the dispensing fee should 
cover a variety of services. A number of commenters referenced an 
August 2004 report prepared for the American Association of Homecare 
(AAH) by a consultant that surveyed 104 home care agencies, which 
indicated that in order to maintain the CY 2004 levels of service to 
Medicare beneficiaries and provide an operating margin of 7 percent, 
Medicare would have to pay a dispensing fee of $68.10 per service 
encounter (service encounters they estimate occur on average every 42 
days). The survey included costs for a wide range of activities 
including activities associated with getting the drug to the 
beneficiary, as well as other additional services. More specifically, 
the AAH data included the following cost categories:
     Clinical intake.
     Establishing and revising the plan of care.
     Care coordination.
     Patient education.
     Caregiver training.
     Compliance monitoring/refill calls.
     In-home visits.
     Delivery of services.
     Billing/collections.
     Other costs (not specified by AAH).
    As an example, the AAH data indicated that inhalation drug 
suppliers spent on average about 29 minutes per new patient on patient 
education and caregiver training and continued to spend on average 
about 17 minutes per month for each established patient on patient 
education and caregiver training. The data also indicated that 
suppliers spent on average about 23 minutes per patient each month on 
in-home visits, with there being substantial variation in the provision 
of this service. A number of commenters asserted that these and other 
services included in the AAH data were important to the provision of 
inhalation drugs, and should be paid for by Medicare.
    Between publication of the August 5, 2004 proposed rule and the 
November 15, 2004 final rule, the GAO released a report based on a 
survey of 12 inhalation therapy companies, representing 42 percent of 
the market, which indicated wide variation across companies in the 
patient monthly cost of dispensing inhalation drugs from a low of $7 to 
a high of $204.\3\ The GAO report indicated that the wide variation in 
supplier costs is due, in part, to variation in the services suppliers 
offer and that some of the costs incurred by suppliers may not be 
necessary to dispense inhalation drugs, for example,

[[Page 45848]]

marketing, overnight shipping, and 24-hour hotlines.
---------------------------------------------------------------------------

    \3\ GAO, ``Appropirate Dispensing Fee Needed for Suppliers of 
Inhalation Therapy Drugs,'' GAO-05-72, October 2004.
---------------------------------------------------------------------------

    In light of the substantial changes occurring in inhalation drug 
reimbursement in 2005, we viewed 2005 as a transitional year. With the 
wide variation in the reported costs and services provided by 
inhalation drug suppliers suggested by the comments and the GAO study, 
we stated in last year's final rule that we would establish an interim 
dispensing fee for inhalation drugs applicable for CY 2005 and 
reconsider the issue for CY 2006. The 2005 dispensing fee for a 30-day 
supply of inhalation drugs was based on the industry recommended $68 
fee from AAH study, excluding certain costs that Medicare generally 
does not reimburse regardless of the scope of the Medicare benefit 
(that is, sales and marketing, bad debt, and an explicit profit 
margin). The resulting fee established for a 30-day supply of 
inhalation drugs was $57 for CY 2005. This CY 2005 fee substantially 
exceeded some providers' costs as reflected in a few comments on last 
year's proposed rule and the GAO study. For example, as noted 
previously, we received comments from two retail pharmacy companies 
indicating that a fee of $25 or a fee of five to six times the prior $5 
fee was adequate to cover costs. Because the AAH study did not include 
cost data for a 90-day supply, we applied the methodology used in the 
GAO report to convert the 30-day fee to a 90-day fee. The 2005 fee 
established for a 90-day supply was $80. In using the AAH data to 
establish an interim fee for dispensing for CY 2005, we indicated in 
last year's final rule that we were concerned that some of the services 
included in the AAH study may be outside the scope of a dispensing fee 
and that we would consider this issue further in order to establish an 
appropriate dispensing fee for CY 2006.
    Authority for a dispensing fee for inhalation drugs is based on 
section 1842(o)(2) of the Act. This section of the Act stipulates that 
if payment is made to a licensed pharmacy for a drug or biological 
under Medicare Part B, the Secretary may pay a dispensing fee (less the 
applicable deductible and coinsurance) to the pharmacy. The statute 
does not define ``dispensing fee.'' As noted above, the AAH data on 
which the 2005 dispensing fee is based includes a wide range of cost 
categories. The cost categories include basic pharmacy services such as 
delivery of drugs, as well as other services such as in-home visits. We 
are soliciting comments on what services appropriately fall within the 
scope of a dispensing fee, the cost of providing those services, and 
whether any of the services being provided by inhalation drug suppliers 
may be covered through another part of the Medicare program, such as 
the physician fee schedule or the DME benefit. We intend to establish a 
dispensing fee amount for 2006 that is adequate to cover the costs of 
those services that appropriately fall within the scope of a dispensing 
fee, and we think that it is likely that this fee amount will be lower 
than the 2005 level. As discussed previously, we believe that 2005 was 
a transition year. Payment for inhalation drugs in 2005 was reduced 
from a percentage of AWP to 106 percent of ASP and the 2005 dispensing 
fee was set at a much higher level than previously paid based on the 
limited information available and taking into account the transition. 
Additional changes will occur in 2006 because the implementation of the 
Medicare prescription drug benefit will expand coverage options for 
inhalation drugs to include metered dose inhalers under Medicare Part 
D. As noted above, we expect that physicians will choose the treatment 
option that best suits a particular beneficiary's needs and that both 
nebulizers and metered-dose inhalers will play an important role in the 
Medicare program. We do not know what the effect will be of this 
upcoming expansion of inhalation drug coverage options, but we believe 
it is important that this second transitional year be as smooth as 
possible. We are seeking comments on an appropriate dispensing fee 
level for 2006. We also seek data and information on the various 
services inhalation drug suppliers are currently providing to Medicare 
beneficiaries and the associated costs. Furthermore, we are also 
soliciting comments on how inhalation drug suppliers have utilized the 
newly available 90-day scripts in order to reduce unit shipping costs 
and any reasons as to why 90-day supplies may not have been utilized. 
We also seek information on how revised guidelines regarding the time 
frame for delivery of refills has affected the need for overnight 
delivery services. We are interested in comments that detail the extent 
to which suppliers have shifted their shipping to ground services.
    CMS takes quality of care seriously and we have been implementing a 
number of quality initiatives such as the chronic care improvement 
program. We expect that Medicare beneficiaries receive high quality 
care, and we seek data and information on any efforts by inhalation 
drug suppliers to measure patient outcomes. Furthermore, we seek 
comments and additional information about what are typical dispensing 
costs for an efficient, high-quality supplier. Finally, we seek comment 
on the potential impact on beneficiaries and providers of possible 
changes to the inhalation drug dispensing fee in 2006, as well as the 
impact of the new drug benefit on inhalation drug access.
5. Supplying Fee
    [If you choose to comment on issues in this section, please include 
the caption ``Supplying Fee'' at the beginning of your comments.]
    Section 303(e)(2) of the MMA added section 1842(o)(6) of the Act 
that requires the Secretary to pay a supplying fee (less applicable 
deductible and coinsurance) to pharmacies for certain Medicare Part B 
drugs and biologicals, as determined appropriate by the Secretary. The 
types of Medicare Part B drugs and biologicals eligible for a supplying 
fee are immunosuppressive drugs described in section 1861(s)(2)(J) of 
the Act, oral anticancer chemotherapeutic drugs described in section 
1861(s)(2)(Q) of the Act, and oral anti-emetic drugs used as part of an 
anticancer chemotherapeutic regimen described in section 1861(s)(2)(T) 
of the Act.
    Beginning with CY 2005, we established a supplying fee of $24 per 
prescription for these categories of drugs, with a higher fee of $50 
for the initial oral immunosuppressive prescription supplied in the 
first month after a transplant. When multiple drugs are supplied to a 
beneficiary, a separate supplying fee is paid for each prescription, 
except when different strengths of the same drug are supplied on a 
single day. In the November 15, 2004 final rule, we indicated that we 
were establishing a supplying fee that was higher than that of other 
payers due to the lack of on-line claims adjudication for Medicare Part 
B oral drugs. Other than the cost of billing Medicare Part B, we 
indicated that we did not believe there were any other significant cost 
differences between Medicare and other payers that justified a higher 
Medicare supplying fee for these drugs. We noted in last year's final 
rule that many other payers with online adjudication have dispensing 
fees in the range of $5 to $10 per prescription. We also indicated that 
we had received comments that the average cost to a pharmacy to 
dispense a non-Medicaid third party or cash prescription for those 
drugs ranges anywhere from $7.50 to $8.00.
    When multiple drugs are supplied to a beneficiary on the same day 
or in the same month, current policy is to pay a full supplying fee for 
each additional drug. As mentioned previously, we established a 
supplying fee higher than

[[Page 45849]]

that of other payers to compensate for the added costs associated with 
our lack of online claims adjudication. However, in situations where 
multiple drugs are supplied to a beneficiary during the same month, 
many of which are likely to be supplied on the same day, we are 
concerned that we are overpaying for the costs associated with our lack 
of online claims adjudication. We believe that there are likely to be 
substantial economies of scale and that the burden associated with our 
lack of online claims adjudication would be relatively similar whether 
one prescription or multiple prescriptions were supplied during the 
same month.
    Consequently, in Sec.  414.1001 (Basis of payment), we are 
proposing changes to the supplying fee for multiple prescriptions 
supplied during the same month. We would continue paying $24 for the 
first prescription supplied during a month (or $50 for the first oral 
immunosuppressive prescription supplied in the first month after a 
transplant). We believe that this $24 supplying fee for the first 
prescription would adequately compensate a supplier for the billing 
costs associated with the lack of on-line claims adjudication, and that 
the cost of supplying additional prescriptions in the same month should 
be comparable to that of other payers. Therefore, in that same section, 
we are proposing to pay a supplier an $8 supplying fee per prescription 
for any prescription, after the first one, that that supplier provided 
to a beneficiary during a month. If a beneficiary obtained 
prescriptions at two separate pharmacies during a one-month period, 
each pharmacy would be paid a $24 fee for the first drug it supplied 
and an $8 fee per prescription for any subsequent prescriptions during 
the month.
    We are also proposing to expand the circumstances under which we 
pay supplying fees for multiple prescriptions filled on the same day. 
Currently, we pay a supplying fee for each prescription supplied on the 
same day as long as the prescriptions are for different drugs. We are 
now proposing to pay a supplying fee for each prescription, even if the 
prescriptions are for different strengths of the same drug. This change 
is intended to recognize the costs involved in filling separate 
prescriptions for different strengths of a drug. For example, if two 
prescriptions were supplied on a single day and they were for different 
strengths of the same drug, we are proposing to pay a supplying fee of 
$24 for the first prescription and a supplying fee of $8 for the second 
prescription.
    Our goal is to ensure that each beneficiary who needs covered oral 
drugs has access to those medications while maintaining our fiduciary 
responsibility to pay appropriately for Medicare covered services. We 
seek comments about the appropriateness of our proposed supplying fee 
for multiple prescriptions supplied during a single month. We also seek 
data and information about the incremental costs of supplying 
additional prescriptions to a Medicare beneficiary during a single 
month, as well as data and information about how pharmacy costs and 
reimbursement for supplying oral drugs under Medicare compares to that 
of other payers.

I. Private Contracts and Opt-Out Provision

[If you choose to comment on issues in this section, please include the 
caption ``PRIVATE CONTRACTS AND OP-OUT'' at the beginning of your 
comments.]
    Section 4507 of the BBA of 1997 amended section 1802 of the Act to 
permit certain physicians and practitioners to opt-out of Medicare if 
certain conditions were met, and to provide through private contracts 
services that would otherwise be covered by Medicare. Under these 
private contracts, the mandatory claims submission and limiting charge 
rules of section 1848(g) of the Act would not apply. The amendments to 
section 1802 of the Act, which were effective on January 1, 1998, made 
the provisions of the Medicare statute that would ordinarily preclude 
physicians and practitioners from contracting privately with Medicare 
beneficiaries to pay without regard to Medicare limits inapplicable if 
the conditions necessary for an effective ``opt-out'' are met.
    When a physician or practitioner fails to maintain the conditions 
necessary for opt-out and does not take good faith efforts to correct 
his or her failure to maintain opt-out, current regulations at Sec.  
405.435(b) specify the consequences to that physician or practitioner 
for the remainder of that physician's or practitioner's 2-year opt-out 
period. However, Sec.  405.435(b) describes a situation where the 
Medicare carrier notifies the physician or practitioner that he or she 
is violating the regulations and the statute. The current regulations 
do not address the consequences to physicians and practitioners in 
situations when a condition resulting in failure to maintain opt-out 
occurs during the 2-year opt-out period, but a Medicare carrier does 
not discover or give notice of a physician's or practitioner's failure 
to maintain opt-out during the 2-year opt-out period. Therefore, we are 
proposing to amend Sec.  405.435 in order to clarify that the 
consequences specified in Sec.  405.435(b) for the failure on the part 
of a physician or practitioner to maintain opt-out will apply 
regardless of whether or when a carrier notifies a physician or 
practitioner of the failure to maintain opt-out. We are also proposing 
to add a new paragraph (d) to clarify that in situations where a 
violation of Sec.  405.435(a) is not discovered by the carrier during 
the 2-year opt-out period when the violation actually occurred, then 
the requirements of Sec.  405.435(b)(1) through (b)(8) would be 
applicable from the date that the first violation of Sec.  405.435(a) 
occurred until the end of the opt-out period during which the violation 
occurred (unless the physician or practitioner takes good faith efforts 
to restore opt-out conditions, for example, by refunding the amounts in 
excess of the charge limits to beneficiaries with whom he or she did 
not sign a private contract). These good faith efforts must be made 
within 45 days of any notice by the carrier that the physician or 
practitioner has failed to maintain opt-out (where the carrier 
discovers the failure after the two-year opt-out period has expired), 
or within 45 days after the physician or practitioner has discovered 
the failure to maintain opt-out, whichever is earlier.

J. Multiple Procedure Reduction for Diagnostic Imaging

[If you choose to comment on issues in this section, please include the 
caption ``MULTIPLE PROCEDURE REDUCTION'' at the beginning of your 
comments.]
    Medicare has a longstanding policy of reducing payment for multiple 
surgical procedures performed on the same patient, by the same 
physician, on the same day. In those cases, full payment is made for 
the highest priced procedure and each subsequent procedure is paid at 
50 percent. Effective January 1, 1995, the multiple procedure policy, 
with the same reductions, was extended to nuclear medicine diagnostic 
procedures (CPT codes 78306, 78320, 78802, 78803, 78806 and 78807). In 
the Medicare Program Physician Fee Schedule for Calendar Year 1995 
final rule, published on December 8, 1994 (59 FR 63410), we indicated 
that we would consider applying the policy to other diagnostic tests in 
the future.
    Under the PFS, diagnostic imaging procedures are priced in the 
following three ways:
     The professional component (PC) represents the physician 
work, that is, the interpretation.

[[Page 45850]]

     The TC represents practice expense, that is, clinical 
staff, supplies, and equipment.
     The global service represents both PC and TC. Generally, 
diagnostic imaging procedures even those performed on contiguous body 
parts are paid at 100 percent for each procedure. For example, the TC 
payment is approximately $978 for a magnetic resonance imaging (MRI) of 
the abdomen (without and with dye), and $529 for an MRI of the pelvis 
(with dye) (CPT codes 74183 and 72196, respectively), even when both 
procedures are performed in a single session.
    Under the resource-based PE methodology, specific PE inputs of 
clinical labor, supplies and equipment are used to calculate PE RVUs 
for each individual service. We do not believe these same inputs are 
needed to perform subsequent procedures. When multiple images are 
acquired in a single session, most of the clinical labor activities and 
most supplies are not performed or furnished twice. Specifically, we 
consider that the following clinical labor activities are not 
duplicated for subsequent procedures:
     Greeting the patient.
     Positioning and escorting the patient.
     Providing education and obtaining consent.
     Retrieving prior exams.
     Setting up the IV.
     Preparing and cleaning the room.
    In addition, we consider that supplies, with the exception of film, 
are not duplicated for subsequent procedures. Equipment time and 
indirect costs are allocated based on clinical labor time; therefore, 
these inputs should be reduced accordingly.
    Excluding the above practice expense inputs, along with the 
corresponding portion of equipment time and indirect costs, supports a 
50 percent reduction in the payment for the TC of subsequent 
procedures. Applying this reduction to the two procedures indicated 
above would result in a full payment of $978 for the highest priced 
procedure, and a reduced payment of $264.50 (50 percent x $529) for the 
second procedure. This same calculation is currently used for the 
multiple procedure payment reduction for surgery. We are not proposing 
to apply a multiple procedure reduction to PC services at this time 
because we believe physician work is not significantly affected for 
multiple procedures.
    The global service payment equals the combined PC and TC 
components. When the global service code is billed for these 
procedures, the TC would be reduced the same as above, but the PC would 
be paid in full at $117 and $90 for codes 74183 and 72196, 
respectively.
    In our view, duplicate payment is currently being made for the TC 
of multiple diagnostic imaging services, particularly when contiguous 
body parts are viewed in a single session. The Medicare Payment 
Advisory Commission (MedPAC) supports this reduction in its March 2005 
Report to the Congress on Medicare Payment Policy.
    We have identified 11 families of imaging procedures by imaging 
modality (ultrasound, CT and computed tomographic angiography (CTA), 
MRI and magnetic resonance angiography (MRA) and contiguous body area 
(for example, CT and CTA of Chest/Thorax/Abdomen/Pelvis). MedPAC 
pointed out that Medicare's payment rates are based on each service 
being provided independently and that the rates do not account for 
efficiencies that may be gained when multiple studies using the same 
imaging modality are performed in the same session. Those efficiencies 
are more likely when contiguous body areas are the focus of the imaging 
because the patient and equipment have already been prepared for the 
second and subsequent procedures, potentially yielding resource savings 
in areas such as clerical time, technical preparation, and supplies. 
Using billing data, we identified a number of contiguous body areas for 
which imaging is performed during the same session. Next, because our 
proposed discounting policies are based on the expectation that 
facilities will achieve savings by not having to expend more than once, 
many of the resources associated with performance of a second, and any 
subsequent procedures, we organized the families by imaging modality.
    We propose extending the multiple procedure payment reduction to TC 
only services and the TC portion of global services for the procedures 
in Table 29, below. At this time, we propose applying the reduction 
only to procedures involving contiguous body parts within a family of 
codes, not across families. For example, the reduction would not apply 
to an MRI of the brain (CPT 70552) in code family 5, when performed in 
the same session as an MRI of the neck and spine (CPT 72142) in code 
family 6. When multiple procedures within the same family are performed 
in the same session, we propose making full payment for the TC of the 
highest priced procedure and payment at 50 percent of the TC for each 
additional procedure. The following is an example of the current and 
proposed payments:

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                            Total current  Total proposed
                                                74183           72196          payment         payment                  Payment calculation
--------------------------------------------------------------------------------------------------------------------------------------------------------
PC.......................................         $117.00          $90.00         $207.00         $207.00  no reduction.
TC.......................................         $978.00         $530.00       $1,507.00          $1,243  $978 + (.5 x $530)
Global...................................       $1,095.00         $620.00       $1,714.00          $1,450  $207 + $978 + (.5 x $530)
--------------------------------------------------------------------------------------------------------------------------------------------------------


                 Table 29.--Diagnostic Imaging Services
------------------------------------------------------------------------
 
------------------------------------------------------------------------
       Family 1 Ultrasound (Chest/Abdomen/Pelvis--Non-Obstetrical
------------------------------------------------------------------------
76604...................................................................
76645...................................................................
76700...................................................................
76705...................................................................
76770...................................................................
76775...................................................................
76778...................................................................
76830...................................................................
76831...................................................................
76856...................................................................
76857...................................................................
------------------------------------------------------------------------
              Family 2 CT and CTA (Chest/Thorax/Abd/Pelvis)
------------------------------------------------------------------------
71250..................................  CT thorax w/o dye
71260..................................  CT thorax w/ dye
71270..................................  CT thorax w/o & w/ dye
71275..................................  CTA, chest
72191..................................  CTA, pelv w/o & w/ dye
72192..................................  CT pelvis w/o dye
72193..................................  CT pelvis w/ dye
72194..................................  CT pelvis w/o & w/ dye
74150..................................  CT abdomen w/o dye
74160..................................  CT abdomen w/ dye

[[Page 45851]]

 
74170..................................  CT abdomen w/o & w/ dye
74175..................................  CTA, abdom w/o & w/ dye
75635..................................  CTA abdominal arteries
0067T..................................  CT colonography; dx
----------------------------------------
        Family 3 CT and CTA (Head/Brain/Orbit/Maxillofacial/Neck)
------------------------------------------------------------------------
70450..................................  CT head/brain w/o dye
70460..................................  CT head/brain w/ dye
70470..................................  CT head/brain w/o & w/ dye
70480..................................  CT orbit/ear/fossa w/o dye
70481..................................  CT orbit/ear/fossa w/ dye
70482..................................  CT orbit/ear/fossa w/o & w/ dye
70486..................................  CT maxillofacial w/o dye
70487..................................  CT maxillofacial w/ dye
70488..................................  CT maxillofacial w/o & w/ dye
70490..................................  CT soft tissue neck w/o dye
70491..................................  CT soft tissue neck w/ dye
70492..................................  CT soft tissue neck w/o & w/
                                          dye
70496..................................  CTA, head
70498..................................  CTA, neck
----------------------------------------
                 Family 4 MRI and MRA (Chest/Abd/Pelvis)
------------------------------------------------------------------------
71550..................................  MRI chest w/o dye
71551..................................  MRI chest w/ dye
71552..................................  MRI chest w/o & w/ dye
71555..................................  MRI angio chest w/ or w/o dye
72195..................................  MRI pelvis w/o dye
72196..................................  MRI pelvis w/ dye
72197..................................  MRI pelvis w/o &w/ dye
72198..................................  MRI angio pelvis w/ or w/o dye
74181..................................  MRI abdomen w/o dye
74182..................................  MRI abdomen w/ dye
74183..................................  MRI abdomen w/o and w/ dye
74185..................................  MRI angio, abdom w/ or w/o dye
----------------------------------------
                 Family 5 MRI and MRA (Head/Brain/Neck)
------------------------------------------------------------------------
70540..................................  MRI orbit/face/neck w/o dye
70542..................................  MRI orbit/face/neck w/ dye
70543..................................  MRI orbit/face/neck w/o & w/dye
70544..................................  MRA head w/o dye
70545..................................  MRA head w/dye
70546..................................  MRA head w/o & w/dye
70547..................................  MRA neck w/o dye
70548..................................  MRA neck w/dye
70549..................................  MRA neck w/o & w/dye
70551..................................  MRI brain w/o dye
70552..................................  MRI brain w/dye
70553..................................  MRI brain w/o & w/dye
----------------------------------------
                      Family 6 MRI and MRA (spine)
------------------------------------------------------------------------
72141..................................  MRI neck spine w/o dye
72142..................................  MRI neck spine w/dye
72146..................................  MRI chest spine w/o dye
72147..................................  MRI chest spine w/dye
72148..................................  MRI lumbar spine w/o dye
72149..................................  MRI lumbar spine w/dye
72156..................................  MRI neck spine w/o & w/dye
72157..................................  MRI chest spine w/o & w/dye
72158..................................  MRI lumbar spine w/o & w/dye
----------------------------------------
                           Family 7 CT (spine)
------------------------------------------------------------------------
72125..................................  CT neck spine w/o dye
72126..................................  CT neck spine w/dye
72127..................................  CT neck spine w/o & w/dye
72128..................................  CT chest spine w/o dye
72129..................................  CT chest spine w/dye
72130..................................  CT chest spine w/o & w/dye
72131..................................  CT lumbar spine w/o dye
72132..................................  CT lumbar spine w/dye
72133..................................  CT lumbar spine w/o & w/dye
----------------------------------------
                Family 8 MRI and MRA (lower extremities)
------------------------------------------------------------------------
73718..................................  MRI lower extremity w/o dye
73719..................................  MRI lower extremity w/dye
73720..................................  MRI lower ext w/ & w/o dye
73721..................................  MRI joint of lwr extre w/o dye
73722..................................  MRI joint of lwr extr w/dye
73723..................................  MRI joint of lwr extr w/o & w/
                                          dye
73725..................................  MRA lower ext w or w/o dye
----------------------------------------
                 Family 9 CT and CTA (lower extremities)
------------------------------------------------------------------------
73700..................................  CT lower extremity w/o dye
73701..................................  CT lower extremity w/dye
73702..................................  CT lower extremity w/o & w/dye
73706..................................  CTA lower ext w/o & w/dye
----------------------------------------
           Family 10 Mr and MRI (upper extremities and joints)
------------------------------------------------------------------------
73218..................................  MRI upper extr w/o dye
73219..................................  MRI upper extr w/dye
73220..................................  MRI upper extremity w/o & w/dye
73221..................................  MRI joint upper extr w/o dye
73222..................................  MRI joint upper extr w/dye
73223..................................  MRI joint upper extr w/o & w/
                                          dye
----------------------------------------
                Family 11 CT and CTA (upper extremities)
------------------------------------------------------------------------
73200..................................  CT upper extremity w/o dye
73201..................................  CT upper extremity w/dye
73202..................................  CT upper extremity w/o & w/dye
73206..................................  CTA upper extr w/o & w/dye
------------------------------------------------------------------------

K. Therapy Cap

[If you choose to comment on issues in this section, please include the 
caption ``THERAPY CAP'' at the beginning of your comments.]
    Section 1833(g)(1) of the Act applies an annual, per beneficiary 
combined cap on outpatient physical therapy (PT) and speech-language 
pathology services, and a similar separate cap on outpatient 
occupational therapy services under Medicare Part B. This cap was added 
by section 4541 of the BBA 1997, Pub. L. 105-33. However, the 
application of the caps was suspended from CY 2000 through CY 2002 
under section 1833(g)(4) of the Act by section 221 of the of BBRA 1999, 
Pub. L. 106-113, and extended by section 421 of BIPA 2000, Pub. L. 105-
551. The caps were implemented from September 1, 2003 through December 
7, 2003. Section 624 of the MMA reinstated the moratorium on the 
application of these caps from December 8, 2003 through December 31, 
2005. Thus, the caps will again become effective beginning January 1, 
2006.
    Section 1883(g)(2) of the Act provides that, for 1999 through 2001, 
the caps were both $1500, and for years after 2001, the caps are equal 
to the preceding year's cap increased by the percentage increase in the 
MEI (except that if an increase for a year is not a multiple of $10, it 
is rounded to the nearest multiple of $10). We will publish the dollar 
amount for therapy caps in the final rule, when the MEI is available. 
Based on the April 4, 2005 MEI estimate, the estimated value of therapy 
caps for 2006 would be $1,750.

L. Chiropractic Services Demonstration

[If you choose to comment on issues in this section, please include the 
caption ``CHIROPRACTIC SERVICES'' at the beginning of your comments.]
    Section 1861(r)(5) of the Act limits current Medicare coverage for 
chiropractic treatment by means of the manual manipulation of the spine 
for the purpose of correcting a subluxation, defined generally as a 
malfunction of the spine. Specifically, Medicare covers three CPT Codes 
provided by chiropractors: 98940 (manipulative treatment, 1-2 regions 
of the spine), 98941 (manipulative treatment, 3-4 regions of the 
spine), and 98942 (manipulative treatment, 5 regions of the spine). 
Treatment must be provided for an active subluxation only, and not for 
prevention or maintenance. Additionally, treatment of the subluxation 
must be related to a neuromusculoskeletal condition where there is a 
reasonable expectation of recovery or functional improvement.
    Section 651 of the MMA provides for a 2-year demonstration to 
evaluate the feasibility and advisability of covering chiropractic 
services under Medicare. These services extend beyond the current 
coverage for manipulation to care for neuromusculoskeletal conditions 
typical among eligible beneficiaries, and will cover diagnostic and 
other services that a chiropractor is legally authorized to perform by 
the State or jurisdiction in which the treatment is provided. Physician 
approval will not be required for these services. The demonstration 
must be budget neutral and will be conducted in

[[Page 45852]]

four sites, two rural and two urban. One site of each area type must be 
a health professional shortage area (HPSA).
    On January 28, 2005, we published a notice in the Federal Register 
(70 FR 4130) describing the covered services and site selection for 
this demonstration. As recognized in the notice, the statute requires 
the Secretary to ensure that aggregate payments made under the Medicare 
program do not exceed the amount that would have been paid under the 
Medicare program in the absence of this demonstration.
    Ensuring budget neutrality requires that the Secretary develop a 
strategy for recouping funds should the demonstration result in costs 
higher than would occur in the absence of the demonstration. In this 
case, we stated we would make adjustments in the national chiropractor 
fee schedule to recover the costs of the demonstration in excess of the 
amount estimated to yield budget neutrality. We indicated that we will 
assess budget neutrality by determining the change in costs based on a 
pre/post comparison of costs and the rate of change for specific 
diagnoses that are treated by chiropractors and physicians in the 
demonstration sites and control sites. We will not limit our analysis 
to reviewing only chiropractor claims, because the costs of the 
expanded chiropractor services may have an impact on other Medicare 
costs.
    We anticipate that any necessary reduction will be made in the 2010 
and 2011 fee schedules because it will take approximately 2 years to 
complete the claims analysis. If we determine that the adjustment for 
budget neutrality is greater than 2 percent of spending for the 
chiropractor fee schedule codes (comprised of the 3 currently covered 
CPT codes 98940, 98941 and 98942), we will implement the adjustment 
over a 2-year period. However, if the adjustment is less than 2 percent 
of spending under the chiropractor fee schedule codes, we will 
implement the adjustment over a 1-year period. We will include the 
detailed analysis of budget neutrality and the proposed offset in the 
2009 Federal Register publication of the PFS.
    PT services that are performed by chiropractors under the 
demonstration will be included under the PT cap described in section J 
above. We are including these services under the cap because 
chiropractors are subject to the same rules as medical doctors for 
therapy services under the demonstration. Therefore these services 
should be included under the therapy cap. See our Web site http://www.cms.hhs.gov/researchers/demos/eccs/ for additional information 
concerning the chiropractic services demonstration.

M. Supplemental Payments to Federally Qualified Health Centers (FQHCs) 
Subcontracting With Medicare Advantage Plans

[If you choose to comment on issues in this section, please include the 
caption ``SUPPLEMENTAL PAYMENTS--FQHCS'' at the beginning of your 
comments.]
    Title II of the MMA established the Medicare Advantage (MA) 
program. The MA program replaces the Medicare+Choice (M+C) program 
established under Part C of the Act. Although the MA program retains 
many key features of the M+C program, it includes several new features, 
such as the availability of a regional MA plan option. Regional MA 
plans must be preferred provider organization (PPO) plans.
    Section 237 of the MMA amended section 1833(a)(3) of the Act to 
provide supplemental payments to FQHCs that contract with MA 
organizations to, in general, cover the difference, if any, between the 
payment received by the health center for treating enrollees in MA 
plans offered by the MA organization and the payment that the FQHC is 
entitled to receive under the cost-based all-inclusive payment rate as 
set forth in part 405, subpart X. This new supplemental payment for 
covered Medicare FQHC services furnished to MA enrollees augments the 
direct payments made by MA Plans to FQHCs for covered Medicare FQHC 
services. Medicare's obligation to provide supplemental payments to 
FQHCs applies to centers with direct or indirect subcontract 
arrangements following a written agreement with MA organizations.
    Centers eligible for supplemental payments under section 1833(a)(3) 
of the Act, as revised by Section 237 of the MMA, include any facility 
qualified to furnish FQHC services described in section 1832(a)(2)(D) 
of the Act. Only the following entities are qualified to furnish FQHC 
services: (1) entities receiving a grant under section 330 (other than 
subsection (h)) of Public Health Services Act or receiving funding from 
this grant under a contract with its recipient and meets the 
requirements to receive this grant; (2) entities determined by the 
Secretary to meet the requirements for receiving this grant; (3) 
entities treated by the Secretary, for purposes of Part B, as a 
comprehensive Federally funded health center as of January 1, 1990; or 
(4) an outpatient health program or facility operated by a tribe or 
tribal organization receiving funds under title V of Indian Health Care 
Improvement Act.
    In order to implement this new payment provision, CMS must 
determine whether the Medicare cost-based payments that the FQHC would 
be entitled to exceed the amount of payments received by the center 
from the MA organization and, if so, pay the difference to the FQHC at 
least quarterly. In determining the supplemental payment, the statute 
also excludes in the calculation of the supplemental payments any 
financial incentives provided to FQHCs under their MA arrangements, 
such as risk pool payments, bonuses, or withholds.
    Managed care organizations frequently use financial incentives in 
their contracts with providers to reduce unnecessary utilization of 
services. These incentives may be negative, such as withholding a 
portion of the capitation payments, if utilization goals are not 
satisfied. Incentives may also be positive, such as a bonus payment if 
utilization outcomes are achieved. In both cases, these incentives 
(whether positive or negative) are separate from the MA organization's 
payment for services provided under its direct or indirect contract 
with the FQHC and are prohibited by statute from being included in our 
calculation of supplemental payments due to the Medicare FQHC. In other 
words, in determining the difference between payments from the MA 
organization to the FQHC and what the FQHC will receive on a cost 
basis, we are precluded from using the incentive payments in the 
calculation of the FQHC supplemental payment. Only capitated per month 
per beneficiary or fee-for-service payments from the MA plan for 
services furnished to MA enrollees are included in the calculations of 
the rate differential.
    Under original Medicare, each center is paid an all-inclusive per 
visit rate based on its reasonable costs as reported in the FQHC cost 
report. The payment is calculated, in general, by dividing the center's 
total allowable cost by the total number of visits for FQHC services. 
At the beginning of the rate year, the Medicare Fiscal Intermediary 
(FI) calculates an interim rate based on estimated allowable costs and 
visits from the center if it is new to the FQHC program or actual costs 
and visits from the previous cost reporting period for existing FQHCs. 
The center's interim rate is reconciled to actual reasonable costs at 
the end of the cost reporting period.

[[Page 45853]]

Proposed Payment Methodology
    We are proposing a supplemental payment method based on a per visit 
calculation subject to an annual reconciliation. The supplemental 
payment for FQHC covered services rendered to MA enrollees is equal to 
the difference between 100 percent of the FQHC's all-inclusive cost-
based per visit rate and the average per visit rate received by the 
center from the MA plan in which the enrollee is enrolled, less any 
amount the FQHC may charge as described in section 1857(e)(3)(B) of the 
Act. Each center will be required to submit (for the first rate year) 
to the intermediary an estimate of the average MA payment per visit for 
covered FQHC services. Every eligible center will be required to submit 
a detailed estimate of its average per visit payment for enrollees in 
each MA plan offered by the MA organization and any other information 
as may be required to enable the intermediary to accurately establish 
an interim supplemental payment, which will be the difference between 
the estimated MA per visit payment rate and the center's interim all-
inclusive cost-based per visit rate. Expected payments from the MA plan 
will only be used until actual MA revenue and visits can be collected 
on the center's FQHC cost report. The interim and final supplemental 
payment amount will vary by center depending on its current Medicare 
reimbursement rates and its contractual arrangements with MA plans.
    Effective January 1, 2006, eligible FQHCs will report actual 
revenue received from the MA plan and visits on their cost reports. At 
the end of the cost reporting period the FI would use actual MA revenue 
and visit data along with the FQHCs' final all-inclusive payment rate, 
to determine the center's final actual supplemental per visit payment 
for enrollees in the relevant MA plan. This will serve as the interim 
rate for the subsequent rate year. Actual aggregated supplemental 
payments will then be reconciled with aggregated interim supplemental 
payments, and any underpayment or overpayment thereon will then be 
accounted for in determining final Medicare FQHC program liability at 
cost settlement. Necessary changes will be made to the FQHC cost report 
to effectuate the calculation of the supplemental rate.
    A supplemental payment will be made every time a face-to-face 
encounter occurs between a MA enrollee and any one of the following 
FQHC covered core practitioners: physicians, NPs, PAs, clinical nurse 
midwives, clinical psychologists, or clinical social workers. The 
supplemental payment is made directly to each qualified center through 
the Medicare FI. Each center is responsible for submitting Medicare 
claims with the proper codes for these visits. Necessary changes will 
be made to the instructions for the FQHC claim form to effectuate the 
billing and payment of supplemental payments.
    To conform our regulations to the statute, we are proposing to add 
Sec.  405.2469 to specify the per visit payment methodology for making 
supplemental payments to FQHCs under contract (directly or indirectly) 
with MA organizations.

N. National Coverage Decisions Timeframes

[If you choose to comment on issues in this section, please include the 
caption ``NCD TIMEFRAMES'' at the beginning of your comments.]
    We have established requirements concerning the administrative 
review of local coverage determinations (LCDs) and National Coverage 
Determinations (NCDs) at 42 CFR part 426, with subpart C specifically 
addressing the general provisions for the review of LCDs and NCDs. 
Under our existing regulations in part 426, subpart C, the Departmental 
Appeals Board may stay the adjudicatory proceedings in certain 
circumstances to allow CMS to consider significant new evidence that is 
submitted in the context of a challenge to an NCD. Our previous 
regulations at Sec.  426.340(e), permitted a brief stay of the 
adjudicatory proceedings (not more than 90 days), for CMS to complete 
its reconsideration of the NCD. Those time frames, although short, were 
consistent with the previous process for making NCDs that did not 
require publication of a proposed decision memorandum and an 
opportunity for public comment on the proposed decision memorandum.
    Section 731 of the MMA of 2003 modifies certain timeframes in the 
NCD review process. Specifically, the MMA amended section 1862(l) of 
the Act to specify that for NCD requests not requiring an external 
technology assessment (TA) or Medicare Coverage Advisory Committee 
(MCAC) review, the decision on the request shall be made not later than 
6 months after the date the request is received. For those NCD requests 
requiring either an external TA or MCAC review, where a clinical trial 
is not requested, the decision on the request must be made not later 
than 9 months after the date the request is received.
    Furthermore, section 731 of the MMA stipulates that not later than 
the end of the 6 or 9 month period described above, a draft of the 
proposed decision must be made available on the CMS website (or other 
appropriate means) for public comment. This comment period will last 30 
days. Comments will be reviewed and a final decision will be issued not 
later than 60 days after the conclusion of the comment period. A 
summary of the public comments received and responses to the comments 
will continue to be included in the final NCD.
    In light of the procedural change made by section 731 of the MMA 
that requires a public comment period before we can issue a final 
determination for NCDs, we are proposing to amend Sec.  426.340 to 
reflect the new timeframes in the MMA. The regulation is amended to 
state that if the CMS informs the Board that a revision or 
reconsideration was or will be initiated, then the Board will stay the 
proceedings and set appropriate timeframes by which the revision or 
reconsideration will be completed, that reflects sufficient time for 
the publication of a proposed determination, a thirty day public 
comment period, and time for CMS to prepare a final determination that 
responds to public comments as specified in section 1862(l) of the Act. 
Subsequently, the reference to the 90 day reconsideration period in 
Sec.  426.340(e)(3) will be eliminated for NCD appeals to reflect the 
new timeframes in the MMA. The LCD timeframes will not be affected by 
this change.

O. Coverage of Screening for Glaucoma

[If you choose to comment on issues in this section, please include the 
caption ``COVERAGE OF SCREENING--GLAUCOMA'' at the beginning of your 
comments.]
    On January 1, 2002, we implemented regulations at Sec.  
410.23(a)(2), Conditions for and limitations on coverage of screening 
for glaucoma, requiring that the term ``eligible beneficiary'' be 
defined to include individuals in the following high risk categories: 
(i) Individual with diabetes mellitus; (ii) Individual with a family 
history of glaucoma; or (iii) African-Americans age 50 and over. Based 
on our review of the current medical literature, we believe that there 
are other beneficiaries who are at risk for glaucoma and should be 
included in the definition of eligible beneficiary for purposes of the 
glaucoma screening benefit.
    The Eye Diseases Prevalence Research Group recently reviewed the 
literature on the prevalence of glaucoma in adults in the United States 
(Arch Ophthalmol 2004; 122:532-538) and provided separate data for 
Hispanic persons. They

[[Page 45854]]

reported that Hispanic subjects had a marked higher prevalence in the 
oldest age group. After controlling for age and gender, rates of open 
angle glaucoma in Hispanic persons did not differ significantly from 
that among whites, except for those age 65 years and older. The 
prevalence of open angle glaucoma in Hispanic persons age 65 years and 
older was significantly higher than among whites. Overall, Hispanic 
subjects had a significantly lower prevalence of open angle glaucoma 
than African-Americans. One notable limitation of this review article 
is that the data on Hispanic persons came from a single study of mostly 
Mexican-born Hispanics from Arizona (Quigley HA et al. The prevalence 
of glaucoma in a population based study of Hispanic subjects: proyecto 
VER. Ann Ophthalmol 2001; 119:1819-1825). We believe the evidence is 
adequate to conclude that Hispanic persons age 65 and older are at high 
risk and could benefit from glaucoma screening.
    Therefore in Sec.  410.23(a)(2), we are proposing to revise the 
definition of an eligible beneficiary to include Hispanic Americans age 
65 and over. If this proposal is adopted in the final rule, effective 
January 1, 2006, Hispanic Americans age 65 and older would qualify for 
Medicare coverage and payment for glaucoma screening services, if the 
applicable condition and limitations on coverage of screening for 
glaucoma specified in Sec.  410.23(b) and (c) are met.
    In view of the possibility that it may be appropriate to include 
other individuals in the statutory definition of those at ``high risk'' 
for glaucoma, we are requesting comments on this issue. Specifically, 
we request that anyone providing us with specific recommendations on 
this issue provide documentation in support of them from the peer-
reviewed medical literature.

P. Physician Referrals for Nuclear Medicine Services and Supplies to 
Health Care Entities With Which They Have Financial Relationships

[If you choose to comment on issues in this section, please include the 
caption ``NUCLEAR MEDICINE SERVICES'' at the beginning of your 
comments.]
1. Background
    Under section 1877 of the Act, a physician may not refer a Medicare 
patient for certain designated health services (DHS) to an entity with 
which the physician (or an immediate family member of the physician) 
has a financial relationship, unless an exception applies. Section 1877 
of the Act also prohibits the DHS entity from submitting claims to 
Medicare or billing the beneficiary or any other entity for Medicare 
DHS that are furnished as a result of a prohibited referral. Sections 
1877(h)(6)(D) and (E) of the Act define DHS to include ``[r]adiology 
services, including magnetic resonance imaging, computerized axial 
tomography and ultrasound services'' and ``[r]adiation therapy services 
and supplies.'' This proposed rule would include diagnostic and 
therapeutic nuclear medicine procedures under the DHS categories for 
radiology and certain other imaging services and radiation therapy 
services and supplies, respectively.
    On January 9, 1998, we published a proposed rule (63 FR 1659) that, 
among other things, proposed regulatory definitions for the various DHS 
categories listed in the statute. In that proposed rule, we proposed to 
include nuclear medicine services in the definition of radiology 
services. In the January 4, 2001 physician self-referral Phase I final 
rule (66 FR 856), we defined ``radiology and certain other imaging 
services'' and ``radiation therapy services and supplies'' at Sec.  
411.351. We did not include nuclear medicine services in either 
definition because, at that time, we believed that diagnostic nuclear 
medicine services were not commonly considered to be radiology services 
and that therapeutic nuclear medicine services were not commonly 
considered to be radiation therapy services. We received one comment 
urging us to include nuclear medicine services in the definition of 
radiology services. In the Phase II final rule, published on March 26, 
2004 (69 FR 16054), we indicated that we were concerned with the issues 
raised by the commenter and that we might revisit the issue of nuclear 
medicine in a proposed rule.
2. Proposal To Include Nuclear Medicine
    Our knowledge of nuclear medicine, which is based in part on our 
awareness of the health care community's view of nuclear medicine, has 
changed significantly since we published the Phase I final rule. As a 
result, we have reconsidered the question of whether nuclear medicine 
services should be considered a DHS. We are proposing to amend Sec.  
411.351 to include diagnostic nuclear medicine services in the 
definition of ``radiology and certain other imaging services'' and to 
include therapeutic nuclear medicine services in the definition of 
``radiation therapy services and supplies.'' We believe this change is 
needed in light of the statute's inclusion of radiology and radiation 
therapy as DHS. We also believe this change is appropriate, given the 
current manner in which these services are covered and paid under the 
Medicare program. As noted in the Phase I final rule (66 FR 860) and 
the Phase II final rule (69 FR 16071), we interpret the self-referral 
prohibition in a manner that is consistent with existing Medicare 
coverage and payment rules. In addition, we believe nuclear medicine 
services (both diagnostic and therapeutic services and supplies) pose 
the same risk of abuse that the Congress intended to eliminate for 
other types of radiology, imaging, and radiation therapy services and 
supplies. In Sec.  411.351 (Definitions), we would revise the 
definition of ``Radiation therapy services and supplies'' to remove the 
language that excluded therapeutic nuclear medicine services and 
supplies from the definition. We would also revise the definition of 
``Radiology and certain other imaging services'' to remove the language 
that excluded diagnostic nuclear medicine services from the definition. 
In addition, we would revise the list of radiology services on our 
website and in annual updates to include CPT and HCPCS codes that 
include the diagnostic uses of nuclear medicine, and the list of 
radiation therapy services and supplies to include the therapeutic use 
of nuclear medicine. For purposes of this proposed rule, we have 
attached Addendum G, which contains the codes for all diagnostic 
nuclear medicine procedures, all therapeutic nuclear medicine 
procedures, and the nuclear medicine radiopharmaceuticals. In the final 
rule, we intend to include the diagnostic nuclear medicine services in 
the list of codes for ``Radiology and Certain Other Imaging Services'' 
and the therapeutic nuclear medicine services in the list of 
``Radiation Therapy Services and Supplies.'' Each radiopharmaceutical 
would be included in each category in which it is used, that is, some 
may be included in both categories. We welcome comment on whether the 
list is accurate and complete.
    Section 1877(h)(6)(D) of the Act provides that ``radiology 
services, including magnetic resonance imaging, computerized axial 
tomography scans, and ultrasound services'' are DHS. We believe it is 
appropriate to include nuclear diagnostic services as radiology 
services within the meaning of this statute.
    Dorland's Illustrated Medical Dictionary, 29th Edition, 2000, at 
1512, defines radiology as ``that branch of the health sciences dealing 
with radioactive substances and radiant energy and with the diagnosis 
and treatment of disease by means of both ionizing (that is,

[[Page 45855]]

x-rays) and non-ionizing (that is, ultrasound) radiations.'' \4\ 
Nuclear medicine uses very small amounts of radioactive materials 
(radiopharmaceuticals) to diagnose and treat disease. In nuclear 
imaging, the radiopharmaceuticals are detected by special types of 
cameras that work with computers to provide very precise pictures about 
the area of the body being imaged. In treatment or therapy, the 
radiopharmaceuticals go directly to the organ being treated. The amount 
of radiation in a typical nuclear imaging procedure is comparable to 
that received during a diagnostic x-ray. The Society for Nuclear 
Medicine (SNM) states that the science of nuclear medicine, 
particularly nuclear medicine imaging, provides physicians with 
information about both structure and function of certain internal body 
organs. SNM further states that ``unlike a diagnostic X-ray where 
radiation is passed through the body, nuclear medicine tracers are 
taken internally; external detectors measure the radiation that they 
emit.'' (http://www.snm.org) The ACR, in its March 26, 2004 letter to 
us, stated that nuclear medicine is considered a part of the specialty 
of radiology. It noted that the American Board of Radiology certifies 
diagnostic radiologists through an examination process that includes 
nuclear medicine in both the written and oral exams. The AMA also 
recognizes nuclear medicine as a subspecialty of radiology. The AMA's 
``Current Procedural Terminology CPT 2005'', (2004), identifies its 
``Radiology Guidelines (including Nuclear Medicine and Diagnostic 
Ultrasound)'' as CPT codes in the 70000-79999 series. In its radiology 
section, at 273-302, the AMA includes both diagnostic imaging 
procedures (including diagnostic nuclear medicine), and therapeutic 
procedures. The radiology subsections are as follows: Diagnostic 
Radiology (Diagnostic Imaging) is comprised of CPT codes 70010-76499. 
Diagnostic Ultrasound is comprised of CPT codes 76506-76999. Radiation 
Oncology is comprised of CPT codes 77261-77799. Nuclear Medicine 
(Diagnostic) is comprised of CPT codes 78000-78999, and Nuclear 
Medicine (Therapeutic) is comprised of CPT codes 79005-79999.
---------------------------------------------------------------------------

    \4\ The Encyclopaedia Britannica online explains that radiology 
is a branch of medicine using radiation for the diagnosis and 
treatment of disease. It states that ``Radiology originally involved 
the use of X rays in the diagnosis of disease and the use of X rays, 
gamma rays, and other forms of ionizing radiation in the treatment 
of disease. In more recent years radiology has come also to embrace 
diagnosis by a method of organ scanning with the use of radioactive 
isotopes and also with non-ionizing radiation, such as ultrasound 
waves and nuclear magnetic resonance. Similarly, the scope of 
radiotherapy has extended to include, in the treatment of cancer, 
such agents as hormones and chemotherapeutic drugs.'' 
(``radiology.'' Encyclopaedia Britannica, 2005, Encyclopaedia 
Britannica Online 3 June 2005 http://search.ed.com/eb/article?tocid=9062423.)
---------------------------------------------------------------------------

    We also note that the Medicare statute places diagnostic nuclear 
medicine in the same category as diagnostic radiology for coverage and 
payment purposes. That is, we cover diagnostic nuclear medicine under 
our authority in section 1861(s)(3) of the Act, the same statutory 
section that authorizes coverage for diagnostic X-rays, CT scans, MRIs, 
and ultrasound services. In addition, section 1833(t) of the Act sets 
forth Medicare payment for ``outpatient hospital radiology services 
(including diagnostic and therapeutic radiology, nuclear medicine and 
CAT scan procedures, magnetic resonance imaging, and ultrasound and 
other imaging services, but excluding screening mammography)'' as 
described in section 1833(a)(2)(E)(i) of the Act.
    For these reasons, we believe that the Congress intended 
``radiology services'' in section 1877(h)(6) of the Act to include 
diagnostic and therapeutic nuclear medicine. While we believe that 
diagnostic nuclear medicine is a subset of radiology, even if it is 
not, it is an imaging service covered by 1861(s)(3) of the Act, and of 
the type that the Congress intended to prohibit.
    Similarly, we believe it is proper to interpret the DHS category 
described in section 1877(h)(6)(E) of the Act, ``radiation therapy 
services and supplies'' to include therapeutic nuclear medicine 
services. Radiation therapy is the treatment of disease (especially 
cancer) by exposure to radiation from a radioactive substance. 
Therapeutic nuclear medicine employs radioactive substances known as 
radionuclides. Medicare covers therapeutic nuclear medicine services 
and other forms of radiation therapy under section 1861(s)(4) of the 
Act, which authorizes coverage and payment for ``X-ray, radium, and 
radioactive isotope therapy.''
    Although our proposal to include as DHS diagnostic nuclear medicine 
services and therapeutic nuclear medicine services and supplies is 
based primarily on our view that nuclear medicine services are 
radiology and radiation therapy within the meaning of section 
1877(h)(6) of the Act, we would resolve any doubt on the matter in 
favor of our proposal because of the risk of abuse and anti-competitive 
behavior inherent in physician self-referrals for nuclear medicine 
services. The risk of abuse and anti-competitiveness is exacerbated by 
the greater affordability of nuclear medicine equipment, by our 
expansive coverage of nuclear medicine services, and by the setting in 
which mostly diagnostic and some therapeutic nuclear medicine services 
now are primarily performed.
    At the time we were preparing the Phase I final rule, the vast 
majority of nuclear medicine procedures were already subject to the 
physician self-referral prohibition because they were primarily 
performed in hospital facilities rather than in physician-owned 
freestanding facilities. Thus, they were performed as inpatient or 
outpatient hospital services and were therefore DHS subject to the 
self-referral prohibition in accordance with section 1877(h)(6)(K) of 
the Act. Since publication of the Phase I final rule, however, many 
more nuclear medicine procedures have been performed in physician 
offices or in physician-owned freestanding facilities. This has 
occurred for several reasons. First, positron emission tomography (PET) 
scanners may be used outside of a hospital setting. Second, there have 
been significant technological advances; an entity does not have to own 
a particle accelerator to produce the radioactive tracer necessary for 
a PET scan because a small network of pharmacies now distribute 
radioactive tracer. Third, our coverage of PET scans has increased 
dramatically. We began covering PET scans in December 2000. This 
initial, limited, coverage was for only a few types of cancers. Since 
December 2001, we have significantly expanded our coverage to include 
an increased number of cancers and other conditions. In his March 17, 
2005 testimony before the Congress concerning imaging services, the 
Executive Director of the MedPAC noted that diagnostic imaging services 
paid under Medicare's PFS grew more rapidly than any other type of 
physician service between 1999 and 2003. Whereas physician services 
grew 22 percent in those years, imaging services grew twice as fast, by 
45 percent. This measure is the growth in the volume and intensity of 
services per beneficiary. However, not all imaging services grew at 
that rate, and some grew even faster. Nuclear medicine grew 85 percent 
between those years (1999 and 2003).
    Under Medicare, almost all imaging services have two distinct 
parts: (1) The performance of the test; and (2) the interpretation of 
the results by a physician. If the study is performed in a physician 
office, the physician submits a TC claim and the interpreting physician 
submits a PC claim. Tests performed in a hospital result in a facility 
payment rather than a TC claim.

[[Page 45856]]

Thus, if more imaging services are performed in physician offices, TC 
claims will increase as a share of all fee schedule imagining claims. 
An increase in TC claims occurred between 1999 and 2002, which 
indicates that imaging procedures shifted to physician offices. Because 
the TC of an imaging service generally is assigned a higher payment 
rate than the PC, growth of TC claims as a share of all imaging claims 
leads to additional payments under the PFS. These additional payments 
accounted for about 20 percent of the growth in the volume and 
intensity of imaging services between 1999 and 2002 (MedPAC 2004).
    Recent studies and articles indicate that risk of abuse for 
radiology services (and diagnostic nuclear medicine) will continue if 
not specifically prohibited. The Journal of Radiology reported what 
happened after a managed care organization halted reimbursement to non-
radiologists for some forms of imaging (other than CT scans, MRIs, 
sonography or nuclear medicine) but left the physicians free to refer 
their patients to radiologists if they believe the imaging they had 
been conducting on their patients was needed. The following specialties 
were not allowed to perform any imaging services: Gastroenterologists, 
general surgeons, nephrologists, neurosurgeons, oncologists, pediatric 
surgeons, and physiatrists. The study found that imaging declined 20 to 
25 percent from what was expected given the previous trend of imaging 
growth, and an absolute decline of 6 percent. Prior to these 
prohibitions, non-radiologists were performing 39 percent of outpatient 
radiographs. The 20 to 25 percent decline from the trend was roughly 
half of this 39 percent initial share. That is, the research showed 
that approximately half of the imaging performed by self-referrers 
ceased when these self-referrers lost their financial interest in the 
services. (The Effect of Imaging Guidelines on the Number and Quality 
of Outpatient Radiographic Examinations. AJR 2000; 175:9-15. Harold 
Moskowitz, Jonathan Sunshine, Donald Grossman, Leslie Adams, Lynn 
Gelinas. See also Recent Rapid Increase in Utilization of Radionuclide 
Myocardial Perfusion Imaging and Related Procedures; 1996-1998 Practice 
Patterns. Radiology 2002; 222:144-148. David C. Levin, MD, Laurence 
Parker, PhD, Charles M. Intenzo, MD, Jonathan H. Sunshine, PhD.) 
(Growth in utilization of Radionuclide Myocardial Perfusion Imaging 
(MPI) between 1996 and 1998 was almost 10 times higher among 
cardiologists than radiologists). Although the Moskowitz study did not 
include nuclear imaging, we do not see a basis for assuming that 
physician behavior would be different for nuclear imaging than it is 
for other imaging services. To the contrary, we believe financial 
relationships related to diagnostic and therapeutic nuclear medicine, 
including joint ventures and leases, pose a risk of anti-competitive 
behavior and risk of abuse comparable to that associated with 
investment interests in CT, MRI, ultrasound, other radiology ventures, 
and radiation therapy facilities.
    Thus, we believe our proposal to include nuclear medicine as a DHS 
is consistent with the intent of the Congress to prevent over-
utilization of health care services covered by Medicare and to prohibit 
physicians from selecting treatment modalities based on financial 
incentives.
    We have been told that consultants and others have been actively 
encouraging physicians to participate in joint ventures to purchase 
diagnostic nuclear medicine machines for investment because Phase I did 
not include nuclear medicine services. We have received many inquiries 
from physicians and attorneys asking whether physician ownership of, 
and referral to, nuclear medicine facilities complies with the 
physician self-referral provisions. We are mindful that our previous 
guidance, particularly that provided in the Phase I final rule, may 
have encouraged physician investment in nuclear medicine equipment and 
ventures, particularly PET scanners, which are very expensive and often 
require a substantial financial investment on the part of physician-
owners. We are aware that including nuclear medicine services as DHS 
will require that physician-investors in nuclear medicine equipment 
(including PET scanners) divest their ownership or investment interests 
or be precluded from submitting claims to Medicare or billing the 
beneficiary or any entity for the nuclear medicine DHS referred by 
physician-owners and performed with the physician-owned equipment 
(unless the arrangement falls within an exception to section 1877 of 
the Act).
    We are soliciting comments as to whether, or how, to minimize the 
impact on physicians who are currently parties to arrangements that 
involve nuclear medicine services and supplies (that is, by specifying 
a delayed effective date or by grandfathering certain arrangements).

Q. Sustainable Growth Rate

[If you choose to comment on issues in this section, please include the 
caption ``SGR'' at the beginning of your comments.]
1. Current Estimate
    Sections 1848(d) and (f) of the Act require the Secretary to set 
the physician fee schedule update under the SGR system. We are 
currently forecasting an update of -4.3 percent for 2006, and 
anticipate further negative updates in later years. As in the past, we 
will include a complete discussion of our methodology for calculating 
the SGR in the final rule.
    Underlying the projected rate reductions is substantial growth in 
Medicare spending. The vast majority of spending growth in 2004 is 
attributable to the following five areas:
     An increase in spending for office visits, with a shift 
toward longer and more intense visits.
     Greater utilization of minor procedures, including 
physical therapy and drug administration.
     More patients receiving more frequent and more complex 
imaging services, such as MRIs and echocardiograms.
     More laboratory and other physician-ordered tests.
     Higher utilization of physician-administered prescription 
drugs.
    We would like to understand these trends further, including which 
changes in utilization are likely to be associated with important 
health improvements and which ones may have more questionable health 
benefits. Consequently, we have had discussions on these topics with 
numerous physician and nonphysician groups, as well as other Medicare 
stakeholders such as the Congress and the Medicare Payment Advisory 
Commission (MedPAC).
    The AMA has provided us with several illustrations of recent trends 
in medical practice that it believes contribute to the overall growth 
in spending on physicians' services. For example, the AMA points out 
that some payers are encouraging physicians to determine the left 
ventricular valve function of their patients with congestive heart 
failure using an echocardiogram. Also, five years ago, statin therapy 
to lower cholesterol levels was only recommended for patients as old as 
79. Now, patients as old as 86 may receive statin therapy, resulting in 
additional laboratory tests.
    The AMA provided many other examples, and we are evaluating them to 
better understand their impact on physician spending. With regard to 
the specific examples mentioned above, we agree the utilization of 
these services has increased. However, in the case of

[[Page 45857]]

echocardiograms, the 19 percent rate of increase from 2003 to 2004 is 
similar to the increase observed for all imaging services. There was 
also a 17 percent rate of increase in laboratory tests (lipid panels) 
consistent with more patients receiving statin therapy (new 
prescriptions require more frequent visits and more lab tests). 
However, total spending for the service was only $42 million.
2. Ongoing Issues
    In addition to providing adequate payments, Medicare's physician 
payment system should encourage physicians to provide quality care and 
prevent avoidable health care costs. We support MedPAC's recommendation 
for the development of measures related to the quality and efficiency 
of care furnished by physicians. Physicians' decisions are central to 
the health care their patients receive, and there are substantial 
variations across geographic areas and among similar specialties in the 
use of services, including those accounting for most of the spending 
growth. We want to work with physicians in this effort to better 
understand the consequences of these differences in the use of follow-
up visits, imaging procedures, laboratory testing, minor therapeutic 
procedures, and physician-administered drugs for the health of 
beneficiaries, and to identify ways to provide better support for 
utilization decisions that clearly increase the quality of care while 
avoiding unnecessary costs for beneficiaries and the Medicare program.
    We are already engaged with the physician community in developing 
useful quality measures, and we expect to intensify these efforts given 
the rapid growth in spending. As an early step in using such measures 
to improve care, we are now exploring means of sharing information 
related to quality of care and use of resources with individual 
physicians. We anticipate that only data showing the quality of care 
and resource use in the aggregate would be released to the public. Some 
measures can be derived from claims data with little or no collection 
burden (for example, information on the frequency and complexity of 
minor therapy procedures, imaging procedures, lab test, and visits for 
their patients with chronic illnesses.) We believe that by providing 
feedback to physicians individually and by working with physician 
groups to understand and respond to the overall trends, we can provide 
more useful information and support physicians' efforts to run more 
efficient practices.
    Finally, we continue to work closely with the medical community, 
Congress, MedPAC, and others toward a long-term approach ensuring 
adequate physician payments in the future while also ensuring 
Medicare's payments are made only for care that is necessary and 
beneficial. We are particularly interested in comments that build on 
recent progress on payment reforms to promote higher quality and avoid 
unnecessary costs, and that are consistent with the President's 
budgetary goal of paying for better value in Medicare without 
increasing overall Medicare costs. For example, we are interested in 
ways to promote higher-quality ambulatory care that can achieve 
offsetting savings by avoiding complications or unnecessary services. 
In addition, it has been suggested that we have the authority to make 
certain administrative adjustments in the SGR methodology, such as 
removing Part B drug payments from the calculation of both projected 
and actual expenditures (retroactive to 1996) that are used to set the 
spending target. We encourage comments regarding possible changes to 
the SGR methodology, including the legal theories that support them. We 
are particularly interested in comments on steps to promote physician 
payment adequacy without increasing overall Medicare costs.

III. Collection of Information Requirements

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

Section 413.180 Procedures for Requesting Exceptions to Payment Rates

    Paragraph (b) specifies the criteria for a pediatric ESRD facility 
requesting an exception to payment rates.
    Paragraph (e) outlines the documentation that a pediatric ESRD 
facility must submit to CMS when requesting an exception to its payment 
rates. Paragraph (i) discusses the period of approval for payment 
exception requests. A prospective exception payment rate approved by 
CMS applies for the period from the date the complete exception request 
was filed with its intermediary until thirty days after the 
intermediary's receipt of the facility's letter notifying the 
intermediary of the facility's request to give up its exception rate.
    The burden associated with the requirements in paragraph (e) is the 
time and effort required by the facility to prepare and submit the 
exception request to CMS. The burden associated with the requirement in 
paragraph (i) is the time and effort required by the facility to draft 
and mail the letter that notifies the intermediary of the facilities 
request to give up its exception rate.
    The collection requirement in this section has not changed. While 
this requirement is subject to the PRA, this requirement is currently 
approved in OMB No. 0938-0296.

Section 413.184 Payment Exception: Pediatric Patient Mix

    Paragraph (b) specifies the documentation requirements that a 
pediatric ESRD facility must meet in order to qualify for an exception 
to its prospective payment rate based on its pediatric patient mix. In 
addition to the other qualifications specified in this section, this 
section states that a facility must submit a listing of all outpatient 
dialysis patients (including all home patients) treated during the most 
recently completed and filed cost report.
    The burden associated with this requirement is the time and effort 
for the facility to submit a listing of all outpatient dialysis 
patients (including all home patients) treated during the most recently 
completed and filed cost report.
    The collection requirement in this section has not changed. While 
this requirement is subject to the PRA, this requirement is currently 
approved in OMB No. 0938-0296.

Section 413.186 Payment Exception: Self-Dialysis Training Costs in 
Pediatric Facilities

    In summary, this section outlines the requirements a pediatric ESRD 
facility

[[Page 45858]]

must meet to qualify for an exception to the prospective payment rate 
based on self-dialysis training costs. Paragraph (e) states that a 
facility must provide specific information to support its exception 
request. Paragraph (f) states that in addition to the other 
qualifications outlined in this section, pediatric ESRD facility must 
submit with its exception request a list of patients, by modality, 
trained during the most recent cost report period, in order to justify 
its accelerated training exception request.
    The burden associated with these requirements is the time and 
effort for the facility to prepare and submit the required information 
to support its exception request, and the time and effort for the 
pediatric ESRD facility to prepare and submit with its exception 
request a list of patients, by modality, trained during the most recent 
cost report period.
    The collection requirements in this section have not changed. While 
these requirements are subject to the PRA, they are currently approved 
in OMB No. 0938-0296.

Section 414.804 Basis of Payment

    In summary, this section requires manufacturers to report ASP data 
to CMS. This section details the process a manufacturer must follow to 
calculate the ASP. The ASP reporting requirements are discussed in 
further detail in the interim final rule with comment, Medicare 
Program; Manufacturer Submission of Manufacturer's Average Sales Price 
(ASP) Data for Medicare Part B Drugs and Biologicals, that published on 
April 2, 2004 in the Federal Register (69FR17935-17941).
    The burden associated with these requirements is the time and 
effort required by manufacturers of Medicare Part B Drugs and 
biologicals to prepare and submit to the required ASP data to CMS.
    While these requirements are subject to the PRA, the requirements 
are currently approved in OMB No. 0938-0921, with a current expiration 
date of September 30, 2007.
    We intend to revise this information collection to include adequate 
instructions for manufacturers to report the ASP, the WAC, and other 
data elements. These revisions will be addressed in detail in a revised 
information collection request in accordance with the Paperwork 
Reduction Act of 1995.
    We have submitted a copy of this proposed rule to OMB for its 
review of the information collection requirements described above. 
These requirements are not effective until they have been approved by 
OMB.
    If you comment on these information collection and recordkeeping 
requirements, please mail copies directly to the following:
    Centers for Medicare & Medicaid Services, Office of Strategic 
Operations and Regulatory Affairs, Regulations Development Group, Attn: 
Jim Wickliffe, [CMS-1502-P], Room C4-26-05, 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: Christopher Martin, CMS Desk Officer, CMS-1502-P, 
[email protected]. Fax (202) 395-6974.
IV. Response to Comments
    Because of the large number of public comments we normally receive 
on Federal Register documents, 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, when we proceed with a subsequent document, we will respond to the 
comments in the preamble to that document.

V. Regulatory Impact Analysis

[If you choose to comment on issues in this section, please include the 
caption ``IMPACT'' at the beginning of your comments.]
    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 (as amended by Executive Order 13258, which 
merely reassigns responsibilities of duties) directs agencies to assess 
all costs and benefits of available regulatory alternatives and, when 
regulation is necessary, to select regulatory approaches that maximize 
net benefits (including potential economic, environmental, public 
health and safety effects, distributive impacts, and equity). A 
regulatory impact analysis must be prepared for proposed rules with 
economically significant effects (that is, a proposed rule that would 
have an annual effect on the economy of $100 million or more in any one 
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). As indicated in more detail below, we estimate that the 
PFS provisions included in this proposed rule will redistribute more 
than $100 million in one year. We are considering this proposed rule to 
be economically significant because its provisions are estimated to 
result in an increase, decrease or aggregate redistribution of Medicare 
spending that will exceed $100 million. Therefore, this proposed rule 
is a major rule and we have prepared a regulatory impact analysis.
    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 with 
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. We have 
determined that this proposed rule would have minimal impact on small 
hospitals located in rural areas. Of 213 hospital-based ESRD facilities 
located in rural areas, only 40 are affiliated with hospitals with 
fewer than 100 beds.
    For purposes of the RFA, physicians, nonphysician practitioners, 
and suppliers are considered small businesses if they generate revenues 
of $6 million or less. Approximately 95 percent of physicians are 
considered to be small entities. There are about 875,000 physicians, 
other practitioners and medical suppliers that receive Medicare payment 
under the PFS.
    For purposes of the RFA, approximately 90 percent of suppliers of 
durable medical equipment (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 
durable medical equipment, prosthetics, orthotics, and supplies 
(DMEPOS) each year. Total annual estimated Medicare

[[Page 45859]]

revenues for DME suppliers exceed approximately $8.5 billion in 2004. 
Of this amount, approximately $1.4 billion were for nebulizer drugs in 
2004. The vast majority, 95 percent, of retail pharmacy companies are 
small businesses as measured by the SBA size standard. Approximately, 
16,000 pharmacies billed Medicare for immunosuppressive, oral anti-
cancer, or oral anti-emetic drugs in 2004. Pharmacies received Medicare 
revenues for those drugs of approximately $350 million in 2004.
    In addition, most ESRD facilities are considered small entities, 
either based on nonprofit status or by having revenues of $29 million 
or less in any year. We consider a substantial number of entities to be 
affected if the proposed rule is estimated to impact more than 5 
percent of the total number of small entities. Based on our analysis of 
the 896 nonprofit ESRD facilities considered small entities in 
accordance with the above definitions, we estimate that the combined 
impact of the proposed changes to payment for renal dialysis services 
included in this proposed rule would have a 1.3 percent increase in 
overall payments relative to current overall payments.
    The analysis and discussion provided in this section, as well as 
elsewhere in this proposed 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 expenditures in any year by State, 
local, or tribal governments, in the aggregate, or by the private 
sector, of $110 million. Medicare beneficiaries are considered to be 
part of the private sector for this purpose.
    We have examined this proposed 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. A discussion concerning the impact of 
this rule on beneficiaries is found later in this section.
    We have prepared the following analysis, which, together with the 
information provided in 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. As indicated elsewhere in this proposed rule, we propose to 
change our methodology for calculating resource-based practice expense 
RVUs and make a variety of other changes to our regulations, payments, 
or payment policies to ensure that our payment systems reflect changes 
in medical practice and the relative value of services. We provide 
information for each of the policy changes in the relevant sections of 
this proposed rule. We are unaware of any relevant Federal rules that 
duplicate, overlap or conflict with this proposed rule. The relevant 
sections of this proposed rule contain a description of significant 
alternatives if applicable.

A. Resource-Based PE RVUs

    Table 30 below shows the specialty level impact on payment of 
changes to the PE methodology being proposed for CY 2006. The columns 
in the table demonstrate the estimated impacts on payments (relative to 
estimated 2006 payments, absent any adjustment for inflation or 
utilization) during each year of the transition. For example, the first 
column displays the impact of blending 25 percent of the PE RVUs 
calculated using the methodology we are proposing with current PE RVUs. 
The percent of the RVUs based on the proposed method increase until the 
transition is complete in 2009.
    Our estimates of changes in physician Medicare revenues for PFS 
services compare payment rates for CY 2006 with payment rates for CY 
2005 using CY 2004 Medicare utilization for both years. In general, 
updating the utilization data has little or no impact on total payments 
to a specialty, but the practice expense values for a new code may 
change because we did not initially have Medicare utilization data to 
determine the specialty mix for the service. In these cases, we either 
assigned the code to a particular specialty's practice expense pool 
based on the specialty most likely to provide the service, or we used 
the ``all physician'' practice expense pool to determine the code's 
practice expense RVUs. While we try to minimize instability in the 
practice expense RVUs for new services by assigning the specialty that 
is most likely to perform the service until such time as we have actual 
utilization data, the addition of actual utilization data may still 
result in some change to the practice expense RVUs during the first few 
years a code is in existence.
    The estimated payment impacts reflect the averages for each 
specialty based on Medicare utilization. To the extent that there are 
year-to-year changes in the volume and mix of services provided by a 
specialty, the actual impact on total Medicare revenues may be 
different than those shown here. Also, the payment impact for an 
individual physician may be different from the specialty average 
impact, based on the mix of services the physician provides. Because 
physicians, practitioners and suppliers, furnish services to both 
Medicare and non-Medicare patients and they may receive substantial 
Medicare revenues for services that are not paid under the PFS, the 
average change in total revenues for any specialty, practitioner or 
supplier, would be less than the impacts displayed here. For instance, 
independent laboratories receive approximately 80 percent of their 
Medicare revenues from clinical laboratory services that are not paid 
under the PFS. The table shows only the payment impacts on PFS 
services.
    We modeled the impact of the proposed changes to the practice 
expense methodology and illustrated the effect in Table 30 below.

 Table 30.--Impact of Practice Expense Changes on Total Medicare Allowed Charges by Physician, Practitioner and
                                              Supplier Subcategory
----------------------------------------------------------------------------------------------------------------
                                                     2006 (25%       2007 (50%       2008 (75%      2009 (100%
                    Specialty                         Blend)          Blend)          Blend)          Blend)
----------------------------------------------------------------------------------------------------------------
Physicians:
    Allergy/Immunology..........................            0.6%            1.1%            1.7%            2.3%
    Anesthesiology..............................           -0.7%           -1.5%           -2.2%           -2.9%
    Cardiac Surgery.............................           -1.0%           -2.0%           -2.9%           -3.9%
    Cardiology..................................           -0.5%           -1.1%           -1.6%           -2.1%
    Colon and Rectal Surgery....................            0.7%            1.5%            2.2%            3.0%
    Critical Care...............................           -0.3%           -0.5%           -0.8%           -1.0%
    Dermatology.................................            4.1%            8.4%           12.8%           17.5%

[[Page 45860]]

 
    Emergency Medicine..........................           -0.4%           -0.8%           -1.3%           -1.7%
    Endocrinology...............................           -0.5%           -1.0%           -1.5%           -1.9%
    Family Practice.............................            0.1%            0.1%            0.2%            0.2%
    Gastroenterology............................            1.4%            2.8%            4.3%            5.7%
    General Practice............................            0.2%            0.3%            0.5%            0.7%
    General Surgery.............................            0.2%            0.3%            0.5%            0.6%
    Geriatrics..................................           -0.2%           -0.5%           -0.7%           -1.0%
    Hand Surgery................................           -0.5%           -1.0%           -1.5%           -1.9%
    Hematology/Oncology.........................            0.4%            0.7%            1.1%            1.4%
    Infectious Disease..........................           -0.1%           -0.2%           -0.2%           -0.3%
    Internal Medicine...........................           -0.1%           -0.3%           -0.4%           -0.6%
    Interventional Radiology....................            0.2%            0.5%            0.7%            0.9%
    Nephrology..................................           -0.2%           -0.4%           -0.6%           -0.8%
    Neurology...................................           -0.6%           -1.1%           -1.7%           -2.2%
    Neurosurgery................................           -0.7%           -1.4%           -2.0%           -2.7%
    Nuclear Medicine............................           -0.3%           -0.5%           -0.8%           -1.0%
    Obstetrics/Gynecology.......................            0.0%            0.1%            0.1%            0.2%
    Ophthalmology...............................           -1.1%           -2.2%           -3.3%           -4.4%
    Orthopedic Surgery..........................           -0.4%           -0.7%           -1.1%           -1.5%
    Otolaryngology..............................           -0.6%           -1.1%           -1.7%           -2.2%
    Pathology...................................            1.3%            2.6%            3.9%            5.3%
    Pediatrics..................................            0.1%            0.2%            0.3%            0.5%
    Physical Medicine...........................           -0.5%           -1.1%           -1.6%           -2.1%
    Plastic Surgery.............................            0.1%            0.1%            0.2%            0.3%
    Psychiatry..................................            0.0%            0.1%            0.1%            0.1%
    Pulmonary Disease...........................           -0.2%           -0.4%           -0.6%           -0.7%
    Radiation Oncology..........................            1.9%            3.9%            5.8%            7.9%
    Radiology...................................            0.4%            0.8%            1.2%            1.7%
    Rheumatology................................           -0.9%           -1.8%           -2.7%           -3.6%
    Thoracic Surgery............................           -0.8%           -1.5%           -2.3%           -3.0%
    Urology.....................................            1.8%            3.6%            5.5%            7.3%
    Vascular Surgery............................            0.5%            0.9%            1.4%            1.9%
Practitioners:
    Audiologist.................................           -5.8%          -11.3%          -16.5%          -21.3%
    Chiropractor................................           -1.3%           -2.7%           -4.0%           -5.3%
    Clinical Psychologist.......................           -0.6%           -1.1%           -1.7%           -2.2%
    Clinical Social Worker......................           -0.6%           -1.2%           -1.8%           -2.4%
    Nurse Anesthetist...........................           -0.4%           -0.8%           -1.2%           -1.6%
    Nurse Practitioner..........................            0.1%            0.1%            0.2%            0.2%
    Optometry...................................           -0.8%           -1.6%           -2.4%           -3.1%
    Oral/Maxillofacial Surgery..................            0.8%            1.6%            2.4%            3.2%
    Physical/Occupational Therapy...............            1.5%            2.9%            4.4%            6.0%
    Physician Assistants........................            0.0%            0.1%            0.1%            0.2%
    Podiatry....................................            1.3%            2.6%            3.9%            5.3%
Suppliers:
    Diagnostic Testing Facility.................           -2.4%           -4.7%           -7.0%           -9.2%
    Independent Laboratory......................            6.4%           13.1%           20.3%           28.0%
    Portable X-Ray Supplier.....................            0.4%            0.8%            1.1%            1.5%
----------------------------------------------------------------------------------------------------------------

    The table shows the effect of the proposed refinements to the PE 
methodology. As described in section II.A.2. in the preamble of this 
proposed rule, we are proposing to use the updated practice expense per 
hour data from the accepted supplementary surveys only in the 
calculation of indirect PE, and to utilize a ``bottom-up'' methodology 
to calculate direct PE.
    Even if no other changes were made to our PE calculation 
methodology, a significant redistribution of PE RVUs would still be 
produced by the acceptance of the supplementary PE surveys from seven 
specialties and the corresponding increases in the direct and indirect 
PE per hour for these specialties. As noted in the preamble discussion 
regarding our proposal to change the PE methodology, the nonphysician 
work pool was created to protect codes without physician work 
components until further refinement could occur. Removing these codes 
from the nonphysician work pool generally has a negative impact on 
these codes (although we note that we have consistently indicated this 
methodology was an interim approach until we had better data 
available). In addition, the limited number of codes remaining in the 
nonphysician work pool would also experience significant impacts. 
Eliminating the nonphysician work pool would generally negatively 
impact these codes remaining in the pool (for example, certain codes 
used by audiology and portable x-ray suppliers). We believe that much 
of this impact is due to the change in the scaling of the inputs when 
codes move from the nonphysician work pool to the individual specialty 
pool.
    We believe that, in addition to the increased accuracy and 
simplicity that result from using a ``bottom-up'' approach for direct 
costs, this proposed approach also helps mitigate some of the 
potentially inequitable redistribution of practice expense RVUs

[[Page 45861]]

resulting from the acceptance of new specialty-specific survey data. 
However, several of the impacts that are shown require further 
consideration.
    Audiology is clearly negatively impacted when its services are 
removed from the nonphysician work pool, though the impact is cut 
nearly in half when the ``bottom-up'' approach is used for the direct 
costs. This impact is in large part driven by the decrease in the PE 
RVUs for audiology CPT codes 92557, 92567 and 92588, which we believe 
may now be more appropriately priced in our proposal than they were in 
the nonphysician work pool that uses historic charge-based RVUs to 
determine the direct practice expense for a service. However, we would 
welcome discussions with audiologists regarding this impact, so that we 
can ensure that the relative costs are reflected appropriately.
    Despite submitting a supplementary survey that showed higher PE 
costs per hour, cardiology is shown to have an impact of -2.1 percent 
in the last column of Table 30. This is largely due to the decrease in 
direct PE for several high-volume services resulting from the adoption 
of the ``bottom up'' approach. For example, the RVUs for the complete 
electrocardiogram service, CPT code 93000, decline by 43 percent. The 
RVUs for multiple 3-D heart imaging, CPT Code 78465, decline by 32 
percent. However, it should be noted that, if the new survey data had 
not been used to calculate indirect PE, cardiology would have had a 
significantly larger (11 percent) negative impact.
    Both physical/occupational therapy and independent laboratory show 
significant positive impacts in the last column of 6.0 and 28.0 
percent, respectively. For therapy services, we had previously applied 
an adjustment that assigned all therapy services the therapy practice 
expense per hour, even when billed by specialties with higher costs. 
Under the top-down methodology, this adjustment was applied to both 
direct and indirect costs. However, under our proposed methodology, the 
practice expense per hour data would not be used to calculate direct 
expenses and this would eliminate the adjustment for direct practice 
expense costs.
    The total CPEP/RUC dollars for supplies and equipment for the 
services performed by independent laboratories are significantly higher 
than the aggregate dollars shown by the recent supplementary survey for 
these cost pools. Therefore, under the current top-down methodology, 
the CPEP/RUC dollars are scaled down to equal the survey dollars, and 
the practice expense RVUs are consequently reduced. Under our proposed 
methodology, the direct costs would no longer be scaled, resulting in 
higher practice expense RVUs for these services. (This also results in 
a positive 5.2 percent impact for pathologists, who also perform these 
services.) Although, as discussed above, we generally believe the 
refined CPEP/RUC data to be more accurate for calculating direct costs 
than the SMS or supplementary survey data, we are concerned that there 
is such a discrepancy between the refined direct cost inputs and a 
recent survey. We will want to discuss this issue with both the 
specialty and the RUC to ensure that the refined CPEP/RUC data 
accurately reflect the typical resources needed for these services. 
However, as we indicated above, independent laboratories receive only 
approximately 20 percent of their total Medicare revenues from PFS 
services, and there should not be significant impact on other 
specialties from this increase for independent laboratory services.
    As discussed in section II.C. of this proposed rule, we are 
proposing technical changes to the calculation of the malpractice RVUs. 
We are proposing to remove the malpractice data for specialties that 
occur less than 5 percent of the time in our data for a procedure code. 
In addition, the RUC practice liability workgroup has written to us 
recommending several changes to the crosswalks used to assign risk 
factors to specialties for which we did not have data otherwise. We are 
proposing to accept these recommendations, and, as also recommended, we 
are proposing to use the lowest risk factor of 1.00 for specialties 
such as clinical psychology, licensed clinical social work, 
chiropractors, and physical therapists. We are also proposing to add 
cardiology catheterization and angioplasty codes to the list of codes 
for which we apply surgical rather than nonsurgical risk adjustment 
factors. Table 31 below shows the impacts of these proposed changes. 
Because the malpractice RVUs account for less than 4 percent of total 
payments, the overall impacts on any particular specialty are 
negligible.

                             TABLE 31.--Specialty Impact of Malpractice RVU Changes
----------------------------------------------------------------------------------------------------------------
                                                                     Impact of
                                                                     removing        Impact of       Combined
                           Speciality                                aberrant        crosswalk       impacts *
                                                                    malpractice       changes        (percent)
                                                                  data (percent)     (percent)
----------------------------------------------------------------------------------------------------------------
Physicians:
    Allergy/Immunology..........................................             0.0             0.0             0.0
    Anesthesiology..............................................             0.0             0.0            -0.1
    Cardiac Surgery.............................................             0.2             0.1             0.2
    Cardiology..................................................             0.0             0.1             0.1
    Colon and Rectal Surgery....................................             0.0             0.0             0.0
    Critical Care...............................................             0.0             0.0             0.0
    Dermatology.................................................            -0.1             0.0            -0.1
    Emergency Medicine..........................................             0.0             0.0             0.0
    Endocrinology...............................................             0.0             0.0             0.0
    Family Practice.............................................             0.0             0.0             0.0
    Gastroenterology............................................             0.0             0.0             0.0
    General Practice............................................             0.0             0.0             0.0
    General Surgery.............................................             0.0             0.0             0.1
    Geriatrics..................................................             0.0             0.0             0.0
    Hand Surgery................................................             0.1             0.0             0.1
    Hematology/Oncology.........................................             0.0             0.0             0.0
    Infectious Disease..........................................             0.0             0.0             0.0
    Internal Medicine...........................................             0.0             0.0             0.0
    Interventional Radiology....................................            -0.1             0.0            -0.1

[[Page 45862]]

 
    Nephrology..................................................             0.0             0.0             0.0
    Neurology...................................................             0.0             0.0             0.0
    Neurosurgery................................................             0.2             0.1             0.2
    Nuclear Medicine............................................            -0.1             0.0            -0.1
    Obstetrics/Gynecology.......................................             0.0             0.0             0.0
    Ophthalmology...............................................             0.0             0.0             0.0
    Orthopedic Surgery..........................................             0.1             0.0             0.1
    Otolaryngology..............................................             0.0             0.0             0.0
    Pathology...................................................             0.0             0.0             0.0
    Pediatrics..................................................             0.0             0.0             0.0
    Physical Medicine...........................................             0.0             0.0            -0.1
    Plastic Surgery.............................................             0.0             0.0             0.0
    Psychiatry..................................................             0.0            -0.1            -0.1
    Pulmonary Disease...........................................             0.0             0.0             0.0
    Radiation Oncology..........................................             0.0             0.0             0.0
    Radiology...................................................             0.0             0.0             0.0
    Rheumatology................................................             0.0             0.0             0.0
    Thoracic Surgery............................................             0.2             0.0             0.2
    Urology.....................................................             0.0             0.0             0.0
    Vascular Surgery............................................             0.0             0.0             0.0
Practitioners:
    Audiologist.................................................             0.0             0.0             0.0
    Chiropractor................................................             0.0            -0.5            -0.6
    Clinical Psychologist.......................................             0.0             0.0            -0.3
    Clinical Social Worker......................................             0.0             0.0            -0.4
    Nurse Anesthetist...........................................             0.0            -0.2             0.0
    Nurse Practitioner..........................................             0.0             0.0             0.0
    Optometry...................................................             0.0            -0.1             0.0
    Oral/Maxillofacial Surgery..................................             0.0             0.0             0.0
    Physical/Occupational Therapy...............................             0.0             0.0            -0.5
    Physician Assistants........................................             0.0             0.0             0.0
    Podiatry....................................................             0.2             0.0             0.0
Suppliers:
    Diagnostic Testing Facility.................................             0.0             0.0             0.0
    Independent Laboratory......................................             0.0             0.0             0.0
    Portable X-Ray Supplier.....................................             0.0             0.0            0.0
----------------------------------------------------------------------------------------------------------------
*Sum of the columns may be different due to rounding.

    As discussed in section II.J. of this proposed rule, we are 
proposing to reduce payments for technical components of certain 
multiple imaging procedures performed in the same session within the 
same imaging families. In order to calculate the impact of this 
proposed change, we examined 2004 PFS carrier claims processed through 
March 31, 2005. We extracted all claims that were billed on the same 
day, for the same beneficiary, at the same provider, for multiple 
diagnostic imaging procedures within the same family of codes. For each 
subset of claims, the procedures were arrayed based on the pricing of 
the technical component of these services. We simulated the effect of 
the multiple procedure payment reduction by accounting for 100 percent 
of the highest priced technical component, and 50 percent of all other 
technical components. Note that if the procedure was billed globally, 
the professional component was always calculated at 100 percent of the 
professional component (modifier-26) value.
    The simulated total allowed charges for each family of codes 
includes all global, technical, and professional utilization for the 
family of codes (for example, the sum of claims where the multiple 
procedure payment reduction would have been in effect, in addition to 
claims that would not have been subject to the multiple procedure 
payment reduction). These simulated totals were then compared to the 
actual allowed charges for each family of codes within the same time 
period to calculate the impacts of the proposed change.
    Table 32 below shows the actual 2004 allowed charges by family of 
imaging procedures and lists the percentage impact by family if this 
proposed policy had been in effect. Family 2 has the largest (-18.9 
percent) impact, while Family 11 has the smallest (-1.3 percent) 
impact.

Table 32.--Impact of Multiple Procedure Reduction for Diagnostic Imaging
                      by Family of Imaging Services
------------------------------------------------------------------------
                                                  2004
                                                Medicare     Percentage
      Family        Description of family of     allowed       impact
                       imaging procedures      charges  ($    (percent)
                                              in millions)
------------------------------------------------------------------------
01...............  Ultrasound (Chest/Abdomen/         $138          -6.8
                    Pelvis--Non-Obstetrical.

[[Page 45863]]

 
02...............  CT and CTA (Chest/Thorax/           563         -18.9
                    Abd/Pelvis).
03...............  CT and CTA (Head/Brain/              97          -2.6
                    Orbit/Maxillofacial/
                    Neck).
04...............  MRI and MRA (Chest/Abd/             105          -4.7
                    Pelvis).
05...............  MRI and MRA (Head/Brain/            532          -6.2
                    Neck).
06...............  MRI and MRA (spine)......           540          -4.3
07...............  CT (spine)...............            24          -4.1
08...............  MRI and MRA (lower                  166          -3.2
                    extremities).
09...............  CT and CTA (lower                     5          -2.0
                    extremities).
10...............  MR and MRI (upper                   107          -2.7
                    extremities and joints).
11...............  CT and CTA (upper                     2          -1.3
                    extremities).
                                             ---------------
                   Total for all procedures          2,276          -8.3
                    subject to multiple
                    imaging reductions.
------------------------------------------------------------------------

    Using the same data, we also summarized the dollar value of the 
reductions by specialty. Specialty-specific percentage impacts were 
calculated by comparing each specialty's 2004 allowed charges for all 
Medicare allowed services to the reduced allowed charges that would 
have occurred had this proposal been in effect. As expected, the most 
significant impacts occur among radiologists, who would experience a -
2.1 percent impact. Diagnostic testing facilities experience a -2.9 
percent impact. Most other specialties experience a 0.2 percent payment 
increase as a result of the budget neutrality adjustment. (Because this 
multiple procedure reduction adjustment would otherwise reduce overall 
payments by 0.2 percent, it is necessary to include a budget neutrality 
adjustment to the RVUs, resulting in positive impacts for most 
specialties.) Table 33 below shows the percentage impact by specialty 
in combination with other proposed changes.
    Table 33 below shows the estimated change in average payments by 
specialty, nonphysician practitioner, and supplier, resulting from 
proposed changes to the calculation of practice expense and malpractice 
RVUs, and the multiple imaging procedure discount. The first column 
displays Medicare allowed charges during 2004 for each specialty, 
practitioner, and supplier. The practice expense changes shown in the 
second column represent the first year impact of a 4-year transition 
resulting from all practice expense revisions including the adoption of 
the bottom-up approach and the elimination of the nonphysician work 
pool. The impact shown is identical to the first column of Table 30. 
The malpractice impacts shown in the third column are identical to 
those displayed above in Table 31. The fourth column in Table 33 below 
demonstrates the impacts for each specialty of the proposed multiple 
imaging procedure discount. The fifth column shows the combined impact 
of all proposed changes by specialty.
    The largest impacts in this column are attributable to the proposed 
changes to the PE methodology. The final column includes the current 
estimate of the 2006 PFS update factor of -4.3 percent. It also 
combines the impacts of the previous three columns. In addition, this 
column reflects the expiration of the transitional adjustment required 
by section 303 of the MMA for drug administration services. This 
adjustment was set at 32 percent for 2004 and 3 percent for 2005.
    Section 1848(d) and (f) of the Act requires the Secretary to set 
the PFS update under the SGR system. We are currently forecasting a 
negative update of -4.3 percent for 2006 and negative updates for the 
next few years. As in the past, we will include a complete discussion 
of our methodology for calculating the SGR in the final rule.

 Table 33.--Impact of Practice Expense, Malpractice RVUs, Multiple Imaging Discount, and Physician Fee Schedule Update on Total Medicare Allowed Charges
                                                  by Physician, Practitioner, and Supplier Subcategory
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                                             Combined
                                                             Medicare                                        Impact of                        impact:
                                                              allowed      Impact of PE      Impact of       multiple      Impact of all     includes
                        Specialty                           charges for     RVU changes     malpractice       imaging        proposed       update and
                                                            2004 ($ in       (percent)      RVU changes      discount         changes       drug admin.
                                                             millions)                       (percent)       (percent)       (percent)        trans.
                                                                                                                                             (percent)
--------------------------------------------------------------------------------------------------------------------------------------------------------
Physicians:
    Allergy\Immunology..................................            $165             0.6             0.0             0.2             0.8            -3.5
    Anesthesiology......................................           1,486            -0.7            -0.1             0.2            -0.6            -4.9
    Cardiac Surgery.....................................             385            -1.0             0.2             0.2            -0.5            -4.8
    Cardiology..........................................           7,219            -0.5             0.1             0.2            -0.2            -4.5
    Colon and Rectal Surgery............................             118             0.7             0.0             0.2             1.0            -3.3
    Critical Care.......................................             147            -0.3             0.0             0.2            -0.1            -4.4
    Dermatology.........................................           2,033             4.1            -0.1             0.2             4.2            -0.1
    Emergency Medicine..................................           1,841            -0.4             0.0             0.2            -0.2            -4.5
    Endocrinology.......................................             301            -0.5             0.0             0.2            -0.3            -4.6
    Family Practice.....................................           4,683             0.1             0.0             0.1             0.2            -4.1
    Gastroenterology....................................           1,710             1.4             0.0             0.1             1.5            -2.8

[[Page 45864]]

 
    General Practice....................................           1,023             0.2             0.0             0.1             0.2            -4.1
    General Surgery.....................................           2,319             0.2             0.1             0.2             0.4            -3.9
    Geriatrics..........................................             123            -0.2             0.0             0.2            -0.1            -4.4
    Hand Surgery........................................              68            -0.5             0.1             0.2            -0.2            -4.5
    Hematology\Oncology.................................             985             0.4             0.0             0.1             0.5            -5.2
    Infectious Disease..................................             410            -0.1             0.0             0.2             0.1            -4.3
    Internal Medicine...................................           9,257            -0.1             0.0             0.2             0.1            -4.2
    Interventional Radiology............................             209             0.2            -0.1            -0.9            -0.8            -5.1
    Nephrology..........................................           1,507            -0.2             0.0             0.2             0.0            -4.3
    Neurology...........................................           1,284            -0.6             0.0             0.0            -0.6            -4.9
    Neurosurgery........................................             538            -0.7             0.2             0.1            -0.3            -4.6
    Nuclear Medicine....................................              87            -0.3            -0.1            -0.2            -0.5            -4.8
    Obstetrics\Gynecology...............................             599             0.0             0.0             0.1             0.2            -4.2
    Ophthalmology.......................................           4,739            -1.1             0.0             0.2            -1.0            -5.3
    Orthopedic Surgery..................................           3,145            -0.4             0.1             0.2            -0.1            -4.4
    Otolaryngology......................................             871            -0.6             0.0             0.2            -0.4            -4.7
    Pathology...........................................             915             1.3             0.0             0.2             1.5            -2.8
    Pediatrics..........................................              66             0.1             0.0             0.2             0.3            -4.1
    Physical Medicine...................................             750            -0.5            -0.1             0.2            -0.4            -4.7
    Plastic Surgery.....................................             279             0.1             0.0             0.2             0.3            -4.0
    Psychiatry..........................................           1,127             0.0            -0.1             0.2             0.1            -4.2
    Pulmonary Disease...................................           1,521            -0.2             0.0             0.2             0.0            -4.3
    Radiation Oncology..................................           1,308             1.9             0.0             0.1             2.0            -2.3
    Radiology...........................................           5,154             0.4             0.0            -2.1            -1.7            -6.0
    Rheumatology........................................             400            -0.9             0.0             0.1            -0.8            -5.4
    Thoracic Surgery....................................             464            -0.8             0.2             0.2            -0.4            -4.7
    Urology.............................................           1,782             1.8             0.0             0.0             1.8            -2.6
    Vascular Surgery....................................             560             0.5             0.0             0.2             0.7            -3.6
Practitioners:
    Audiologist.........................................              31            -5.8             0.0             0.2            -5.6            -9.9
    Chiropractor........................................             720            -1.3            -0.6             0.2            -1.8            -6.1
    Clinical Psychologist...............................             527            -0.6            -0.3             0.2            -0.6            -4.9
    Clinical Social Worker..............................             345            -0.6            -0.4             0.2            -0.8            -5.1
    Nurse Anesthetist...................................             523            -0.4             0.0             0.2            -0.2            -4.5
    Nurse Practitioner..................................             617             0.1             0.0             0.2             0.2            -4.1
    Optometry...........................................             720            -0.8             0.0             0.2            -0.6            -4.9
    Oral\Maxillofacial Surgery..........................              37             0.8             0.0             0.2             1.0            -3.3
    Physical\Occupational Therapy.......................           1,283             1.5            -0.5             0.2             1.2            -3.1
    Physicians Assistant................................             472             0.0             0.0             0.2             0.3            -4.0
    Podiatry............................................           1,487             1.3             0.0             0.2             1.5            -2.8
Suppliers:
    Diagnostic Testing Facility.........................           1,087            -2.4             0.0            -2.9            -5.3            -9.6
    Independent Laboratory..............................             631             6.4             0.0             0.2             6.6             2.3
    Portable X-Ray Supplier.............................              96             0.4             0.0             0.1             0.5            -3.8
--------------------------------------------------------------------------------------------------------------------------------------------------------

    Table 34 below shows the impact on total payments for selected 
high-volume procedures of all of the changes previously discussed. We 
selected these procedures because they are the most commonly provided 
by a broad spectrum of physician specialties. There are separate 
columns that show the change in the facility rates and the nonfacility 
rates. For an explanation of facility and nonfacility practice expense 
refer to section II.A. in the preamble of this proposed rule. If we 
change any of the proposed provisions following the consideration of 
public comments, these figures may change.

                                          Table 34.--Impact of Proposed Rule on Payment for Selected Procedures
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                 Non-facility                        Facility
                                                                                      ------------------------------------------------------------------
                  HCPCS                      MOD                Description                                    Percent                          Percent
                                                                                          Old        New       change       Old        New       change
--------------------------------------------------------------------------------------------------------------------------------------------------------
11721...................................  .........  Debride nail, 6 or more.........     $39.79     $38.77         -3      $31.08     $29.60         -5
17000...................................  .........  Destroy benign/premlg lesion....      60.64      62.54          3       44.34      44.39          0
27130...................................  .........  Total hip arthroplasty..........        N/A        N/A        N/A    1,396.14   1,321.88         -5

[[Page 45865]]

 
27244...................................  .........  Treat thigh fracture............        N/A        N/A        N/A    1,134.65   1,073.62         -5
27447...................................  .........  Total knee arthroplasty.........        N/A        N/A        N/A    1,507.94   1,427.92         -5
33533...................................  .........  CABG, arterial, single..........        N/A        N/A        N/A    1,923.30   1,813.54         -6
35301...................................  .........  Rechanneling of artery..........        N/A        N/A        N/A    1,128.59   1,072.23         -5
43239...................................  .........  Upper GI endoscopy, biopsy......     333.50     336.27          1      162.20     159.18         -2
66821...................................  .........  After cataract laser surgery....     248.23     233.25         -6      230.42     216.83         -6
66984...................................  .........  Cataract surg w/iol, 1 stage....        N/A        N/A        N/A      684.05     649.50         -5
67210...................................  .........  Treatment of retinal lesion.....     599.54     568.15         -5      573.39     544.48         -5
71010...................................  .........  Chest x-ray.....................      28.04      25.68         -8         N/A        N/A        N/A
71010...................................         26  Chest x-ray.....................       9.47       9.17         -3        9.47       9.17         -3
76091...................................  .........  Mammogram, both breasts.........      97.40     101.39          4         N/A        N/A        N/A
76091...................................         26  Mammogram, both breasts.........      45.10      43.77         -3       45.10      43.77         -3
76092...................................  .........  Mammogram, screening............      85.65      83.77         -2         N/A        N/A        N/A
76092...................................         26  Mammogram, screening............      36.38      35.33         -3       36.38      35.33         -3
77427...................................  .........  Radiation tx management, x5.....     172.05     168.64         -2      172.05     166.10         -3
78465...................................         26  Heart image (3d), multiple......      77.31      74.92         -3       77.31      74.92         -3
88305...................................         26  Tissue exam by pathologist......      42.07      40.14         -5       42.07      40.14         -5
90801...................................  .........  Psy dx interview................     153.11     147.29         -4      144.01     137.12         -5
90862...................................  .........  Medication management...........      51.92      50.31         -3       48.89      46.77         -4
90935...................................  .........  Hemodialysis, one evaluation....        N/A        N/A        N/A       73.14      69.37         -5
92012...................................  .........  Eye exam established pat........      65.18      61.63         -5       37.14      35.32         -5
92014...................................  .........  Eye exam & treatment............      96.26      91.31         -5       60.64      57.66         -5
92980...................................  .........  Insert intracoronary stent......        N/A        N/A        N/A      809.11     786.38         -3
93000...................................  .........  Electrocardiogram, complete.....      26.91      24.23        -10         N/A        N/A        N/A
93010...................................  .........  Electrocardiogram report........       9.10       8.81         -3        9.10       8.81         -3
93015...................................  .........  Cardiovascular stress test......     108.01     107.55          0         N/A        N/A        N/A
93307...................................         26  Echo exam of heart..............      49.27      47.67         -3       49.27      47.67         -3
93510...................................         26  Left heart catheterization......     257.32     252.61         -2      257.32     252.61         -2
98941...................................  .........  Chiropractic manipulation.......      36.76      34.78         -5       31.83      30.42         -4
99203...................................  .........  Office/outpatient visit, new....      97.02      93.33         -4       72.38      69.11         -5
99213...................................  .........  Office/outpatient visit, est....      52.68      50.65         -4       35.62      33.96         -5
99214...................................  .........  Office/outpatient visit, est....      82.62      79.62         -4       59.12      56.30         -5
99222...................................  .........  Initial hospital care...........        N/A        N/A        N/A      112.93     107.79         -5
99223...................................  .........  Initial hospital care...........        N/A        N/A        N/A      157.27     150.29         -4
99231...................................  .........  Subsequent hospital care........        N/A        N/A        N/A       34.11      32.60         -4
99232...................................  .........  Subsequent hospital care........        N/A        N/A        N/A       55.71      53.31         -4
99233...................................  .........  Subsequent hospital care........        N/A        N/A        N/A       79.21      75.74         -4
99236...................................  .........  Observ/hosp same date...........        N/A        N/A        N/A      223.22     213.40         -4
99239...................................  .........  Hospital discharge day..........        N/A        N/A        N/A       96.64      92.53         -4
99243...................................  .........  Office consultation.............     122.79     118.66         -3       93.99      90.08         -4
99244...................................  .........  Office consultation.............     172.81     166.69         -4      138.70     133.04         -4
99253...................................  .........  Initial inpatient consult.......        N/A        N/A        N/A       98.91      94.99         -4
99254...................................  .........  Initial inpatient consult.......        N/A        N/A        N/A      142.12     136.30         -4
99261...................................  .........  Follow-up inpatient consult.....        N/A        N/A        N/A       22.36      21.43         -4
99262...................................  .........  Follow-up inpatient consult.....        N/A        N/A        N/A       45.48      43.50         -4
99263...................................  .........  Follow-up inpatient consult.....        N/A        N/A        N/A       67.46      64.57         -4
99283...................................  .........  Emergency dept visit............        N/A        N/A        N/A       62.15      59.30         -5
99284...................................  .........  Emergency dept visit............        N/A        N/A        N/A       97.02      92.54         -5
99291...................................  .........  Critical care, first hour.......     256.57     243.87         -5      207.68     198.33         -4
99292...................................  .........  Critical care, addï'l 30 min     113.69     108.60         -4      103.84      99.17         -4
99302...................................  .........  Nursing facility care...........      87.92      84.00         -4       87.92      84.00         -4
99303...................................  .........  Nursing facility care...........     108.39     103.43         -5      108.39     103.43         -5
99312...................................  .........  Nursing fac care, subseq........      56.47      54.03         -4       56.47      54.03         -4
99313...................................  .........  Nursing fac care, subseq........      79.58      76.18         -4       79.58      76.18         -4
99348...................................  .........  Home visit, est patient.........      72.01      68.65         -5         N/A        N/A        N/A
99350...................................  .........  Home visit, est patient.........     164.48     156.46         -5         N/A        N/A        N/A
G0008...................................  .........  Immunization admin..............      18.57      17.88         -4         N/A        N/A        N/A
G0317...................................  .........  ESRD related svs 4+mo 20+yrs....     307.73     294.91         -4      307.73     294.91         -4
G0344...................................  .........  Initial preventive exam.........      97.40      93.69         -4       72.76      69.47         -5
G0366...................................  .........  EKG for initial prevent exam....      26.91      24.23        -10         N/A        N/A        N/A
G0367...................................  .........  EKG tracing for initial prev....      17.81      15.42        -13         N/A        N/A        N/A
G0368...................................  .........  EKG interpret & report preve....       9.10       8.81         -3        9.10       8.81         -3
--------------------------------------------------------------------------------------------------------------------------------------------------------

    In the November 15, 2004 PFS final rule, we showed the combined 
impact of PFS and drug payment changes on the total revenues for 
specialties that perform a significant volume of drug administration 
services. (69 FR 66406) Although we have not performed a similar 
combined impact analysis this year for all of the specialties 
considered

[[Page 45866]]

last year, we have undertaken a similar analysis of hematology/
oncology. In last year's final rule, we announced a one-year 
demonstration to collect information about symptoms for cancer patients 
receiving chemotherapy (69 FR 66308). Although this demonstration was 
implemented through the Secretary's authority under sections 
402(a)(1)(B) and 402(a)(2) of the Social Security Act Amendments of 
1967 (Pub. L. 90-248) and not through administrative rulemaking, we 
discussed the impacts of the additional payments from this 
demonstration in last year's final rule impact analysis.
    Therefore, we are also including an analysis of the impact on 
payments to hematology/oncology as this demonstration project ends. As 
indicated in Table 35 below, PFS services account for approximately 28 
percent of Medicare revenues for hematology/oncology. Medicare payments 
for all PFS services provided by the specialties of hematology/oncology 
are projected to decrease by 5.2 percent for 2006. We estimate the 
impact of the one-year demonstration was 15 percent higher payments 
relative to PFS payments during 2005. We estimate that approximately 69 
percent of total Medicare revenues for hematology/oncology are 
attributed to drugs, and, for purposes of this analysis, we are 
assuming no change in the payment levels for Part B drugs during 2006. 
Assuming no changes in utilization for 2006, we project total Medicare 
revenues to oncologists would decline by 5.6 percent. However, if the 
volume of drugs and PFS services increased at historical rates, total 
Medicare revenues for hematology/oncology would increase by 8.1 percent 
between 2005 and 2006.

                                           Table 35--Impact of Drug and Physician Fee Schedule Payment Changes
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                 Physician Fee Schedule                                                Drugs                       All Revenues
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                              Change                                                                         Combined
                                            Percent of       medicare       Change one-     Percent of        Change         Combined     percent change
                                          total medicare   physician fee       year       total medicare   medicare drug  percent change   all medicare
                Specialty                  revenues from     schedule      demonstration   revenues from     revenues      all medicare    revenues with
                                           fee schedule      revenues         project          drugs         (percent)       revenues*      utilization
                                             (percent)       (percent)       (percent)                                                      increase**
--------------------------------------------------------------------------------------------------------------------------------------------------------
Hematology/Oncology.....................              28            -5.2             -15              69               0            -5.6           8.1%
--------------------------------------------------------------------------------------------------------------------------------------------------------
*Note: Reflects changes in total Medicare revenues assuming no changes in utilization. Calculation reflects average changes in fee schedule payments and
  for drugs weighted by percent of Medicare revenues.
** Note: We estimate that Medicare payments to oncologists would increase by 8% between 2005 and 2006 if growth in the volume of drugs and physician fee
  schedule services were to grow at historical rates, despite the effect of the end of the one-year demonstration project.

B. Geographic Practice Cost Indices (GPCI)--Payment Localities

    As discussed in section II.B. of the preamble to this proposed 
rule, we are proposing two changes to the California GPCI payment 
localities. We are proposing to remove both Santa Cruz County and 
Sonoma County from the Rest of California payment locality, and make 
both of those counties separate payment localities.
    In the November 15, 2004 final rule, we published 2005 and 2006 
GPCI and GAF values reflecting the 2 year phase-in of the updated GPCI 
data. For the Rest of California payment locality that included Santa 
Cruz and Sonoma counties, the 2005 GAF is 1.012, and the 2006 GAF 
published at that time was 1.017. After removing Santa Cruz County from 
the Rest of California locality, its proposed 2006 GAF increases to 
1.119. Removing Sonoma County from the Rest of California locality 
results in a proposed 2006 GAF of 1.098 for the new Sonoma County 
payment locality. The Rest of California proposed 2006 GAF is 1.011. 
Table 36 below shows the impacts of the proposed changes in the GPCIs 
and GAFs. Although only Santa Cruz and Sonoma Counties and the Rest of 
California locality are specifically impacted by the proposed change, 
in Table 36, we are showing the GPCIs and GAFs for all California 
payment localities (the changes from the 2005 to 2006 GAFs for these 
counties represent the second year of the transition to updated GPCIs).

[[Page 45867]]



                                                   Table 36.--Impacts on California Payment Localities
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                        2005 GPCI                              2006 Proposed GPCI               Percent
                                                                 ----------------------           --------------------------------------------   change
          Locality name                  County        Work GPCI                           GAF                                                 from 2005
                                                                   PE GPCI    MP GPCI              Work GPCI   PE GPCI    MP GPCI      GAF        GAFs
--------------------------------------------------------------------------------------------------------------------------------------------------------
Anaheim\Santa Ana...............  Orange.............      1.036       1.21      0.954      1.109      1.034      1.236      0.954      1.119        0.9
Los Angeles.....................  Los Angeles........      1.049      1.147      0.954      1.088      1.041      1.156      0.954      1.088        0.0
Marin\Napa\Solano...............  Marin, Napa, Solano      1.025      1.294      0.651      1.128      1.035       1.34      0.651      1.154        2.3
Oakland\Berkley.................  Alameda, Contra          1.048      1.303      0.651      1.144      1.054      1.371      0.651      1.177        2.9
                                   Costa.
San Francisco...................  San Francisco......      1.064      1.501      0.651      1.239       1.06      1.543      0.651      1.256        1.4
San Mateo.......................  San Mateo..........      1.061      1.484      0.639       1.23      1.073      1.536      0.639      1.259        2.4
Santa Clara.....................  Santa Clara........      1.073       1.46      0.604      1.224      1.083       1.54      0.604      1.265        3.3
Santa Cruz......................  Santa Cruz.........      1.007      1.043      0.733      1.012      1.014      1.218      0.717      1.119       10.6
Sonoma..........................  Sonoma.............      1.007      1.043      0.733      1.012      1.017       1.23      0.717      1.098        8.5
Ventura.........................  Ventura............      1.028      1.152      0.744      1.072      1.028      1.179      0.744      1.083        1.0
Rest of California*.............  ...................      1.007      1.043      0.733      1.012      1.007      1.042      0.717      1.011     -0.1%
--------------------------------------------------------------------------------------------------------------------------------------------------------
*Alpine, Amador, Butte, Calaveras, Colusa, Del Norte, El Dorado, Fresno, Glenn, Humboldt, Imperial, Inyo, Kern, Kings, Lake, Lassen, Madera, Mariposa,
  Mendocino, Merced, Modoc, Mono, Monterey, Nevada, Placer, Plumas, Riverside, Sacramento, San Benito, San Bernardino, San Joaquin, San Diego, San Luis
  Obispo, Santa Barbara, Shasta, Sierra, Siskiyou, Stanislaus, Sutter, Tehama, Trinity, Tulare, Tuolumne, Yolo, Yuba


[[Page 45868]]

C. Medicare Telehealth Services

    In section II.D. of this proposed rule, we are proposing to add 
individual medical nutrition therapy, as represented by HCPCS codes 
G0270, 97802, and 97803, to the list of telehealth services. We believe 
that this change will have little effect on Medicare expenditures.

D. Contractor Pricing of CPT Codes 97039 and 97139

    As discussed earlier in the preamble of this proposed rule (section 
II.E.), we are proposing to have the contractors value CPT codes 97039 
and 97139. This will make the pricing methodology for these services 
consistent with our policy for other unlisted services and we believe 
it will have no significant impact on Medicare expenditures.

E. ESRD-MMA Related Provisions

    The ESRD related provisions in this proposed rule are discussed in 
section II.G. In order to understand the impact of the proposed changes 
affecting payments to different categories of ESRD facilities, it is 
necessary to compare estimated payments under the current payment 
system (current payments) to estimated payments under the proposed 
revisions to the composite rate payment system as set forth in this 
proposed rule (proposed payments). To estimate the impact among various 
classes of ESRD facilities, it is imperative that the estimates of 
current payments and proposed payments contain similar inputs. 
Therefore, we simulated payments only for those ESRD facilities for 
which we are able to calculate both current 2005 payments and proposed 
2006 payments.
    Due to data limitations, we are unable to estimate current and 
proposed payments for 77 facilities that bill for ESRD dialysis 
treatments. ESRD providers were grouped into the categories based on 
characteristics provided in the Online Survey and Certification and 
Reporting (OSCAR) file and the most recent cost report data from the 
Healthcare Cost Report Information System (HCRIS). We also used the 
December 2004 update of CY 2004 Standard Analytical File (SAF) claims 
as a basis for Medicare dialysis treatments and separately billable 
drugs and biologicals. While the December 2004 update of the 2004 SAF 
file is not complete, we wanted to use the most recent data available, 
and plan to use an updated version of the 2004 SAF file for the final 
rule.

  Table 37--Impact of Proposed Changes in Payments to Hospital Based and Independent ESRD Facilities (Includes
                                        Drug and Composite Rate Payments)
             [Percent change in total payments to ESRD facilities (both program and beneficiaries)]
----------------------------------------------------------------------------------------------------------------
                                                     Number of                       Effect of
                                     Number of       Dialysis        Effect of      changes in    Overall effect
                                    facilities      treatments      changes in         drug             \3\
                                                   (in millions)   wage index\1\    payments\2\
----------------------------------------------------------------------------------------------------------------
All.............................           4,293            29.5             0.0             1.2             0.5
Independent.....................           3,716            26.1            -0.1             1.2             0.4
Hospital Based..................             577             3.3             1.3             1.0             1.2
Size:
    Small < than 5000 treatments           1,714             4.9            -0.5             1.1             0.1
     per year...................
    Medium 5000 to 9999                    1,724            12.4             0.1             1.3             0.6
     treatments per year........
    Large > than 10000                       855            12.1             0.2             1.2             0.6
     treatments per year........
Type of Ownership:
    Profit......................           3,388            23.8            -0.2             1.2             0.4
    Nonprofit...................             896             5.6             1.0             1.1             1.0
    Rural.......................           1,189             6.0            -0.6             1.1             0.1
    Urban.......................           3,104            23.5             0.2             1.2             0.6
Region:
    New England.................             143             1.1             3.7             1.6             2.9
    Middle Atlantic.............             521             3.9             2.1             1.5             1.9
    East North Central..........             651             4.6            -1.9             0.9            -0.8
    West North Central..........             333             1.6            -0.9             1.0            -0.2
    South Atlantic..............             975             6.8            -0.3             1.2             0.4
    East South Central..........             342             2.2            -1.6             1.1            -0.4
    West South Central..........             585             4.1            -1.3             1.1            -0.3
    Mountain....................             226             1.3            -0.6             1.1             0.0
    Pacific.....................             486             3.7             2.6             1.5             2.2
    Puerto Rico.................              31             0.3            -1.6             0.7           -0.7
----------------------------------------------------------------------------------------------------------------
\1\ This column shows the effect of wage changes to composite rate payments to ESRD providers. Composite rate
  payments computed using the current wage index are compared to composite rate payments using the proposed wage
  index changes.
\2\ This column shows the effect of the changes in drug payments to ESRD providers. These include proposed
  changes In payment for separately billable drugs (2006 ASP+6) and the 8.9% drug add-on compared to current
  payment for separately billable drugs (2005 AAP) and the current 8.7 percent drug add-on.
\3\ This column shows the percent change between proposed and current payments to ESRD facilities. The proposed
  payments include the wage adjusted composite rate, and the 8.9% drug add-on times treatments plus proposed
  payment for separately billable drugs. The current payment to ESRD facilities includes the current wage
  adjusted composite rate times treatments plus current drug payments for separately billable drugs.

    Table 37 above shows the impact of this year's proposed changes to 
payments to hospital based and independent ESRD facilities. We have 
included both composite rate payments as well as payments for 
separately billable drugs and biologicals because both are affected by 
the proposed changes. The first column of Table 37 identifies the type 
of ESRD provider, the second column indicates the number of ESRD 
facilities for each type, and the third column indicates the number of 
dialysis treatments.
    The fourth column shows the effect of proposed changes to the ESRD 
wage index as it affects the composite rate payments to ESRD 
facilities. The fourth

[[Page 45869]]

column compares aggregate wage adjusted composite rate payments using 
the proposed ESRD wage index compared to the current ESRD wage adjusted 
composite rate payments. The overall effect to all ESRD providers in 
aggregate is zero because the proposed ESRD wage index has been 
multiplied by a budget neutrality factor to comply with the statutory 
requirement that any wage index revisions be done in a manner that 
results in the same aggregate amount of expenditures as would have been 
made without any changes in the wage index. The percent changes shown 
in the fifth and sixth columns are the result of the increase to the 
drug add-on and the changes in drug prices which are explained in 
section G below.
    The fifth column shows the effect of the proposed changes in drug 
payments to ESRD providers. Current payments for drugs represent 2005 
Medicare reimbursement using AAP prices for the top ten drugs (as 
discussed earlier in this preamble). Current Medicare spending for the 
top ten drugs is estimated using 2005 AAP prices times actual drug 
utilization from 2004 claims. (EPO units are estimated using payments 
because the units field on bills represents the number of EPO 
administrations rather than the number of EPO units). Spending under 
the proposed change is 2005 ASP +6 percent for the top ten drugs times 
actual drug utilization from 2004 claims. The proposed prices for these 
top ten drugs are discussed earlier in this preamble. In order to 
simulate what ASP +6 percent pricing will be in 2006 we inflated the 
2005 first quarter ASP +6 prices by a forecast of the PPI for 
prescription drugs (5.7 percent annual growth from 2005 to 2006).
    Proposed payment for drugs in 2006 also includes the 8.9 percent 
drug add-on to the composite rate. This amount is computed by 
multiplying the wage adjusted composite rate for each provider times 
dialysis treatments from 2004 claims. Column 5 is computed by comparing 
spending under the proposed payment for drugs (ASP +6 percent inflated 
to 2006) including the 8.9 percent drug add-on amount to spending under 
current payments for drugs with the current drug add-on of 8.7 percent. 
In order to make column 5 comparable with rest of Table 38, current 
composite rate payments to ESRD facilities were included in both 
current and proposed spending calculations.
    We did not simulate any case mix in this impact table because 2004 
claims data do not include the new data fields (height and weight) that 
are needed to calculate case mix. These data fields were not required 
be reported by providers until January 1, 2005. However, we have not 
proposed any changes to case mix for calendar year 2006.
    Column 6 shows the overall effect of all changes in drug and 
composite rate payments to ESRD providers. The overall effect is 
measured as the difference between proposed payment with all MMA 
changes as proposed in this rule and current payment. Proposed payment 
is computed by multiplying the composite rate for each provider (with 
both the proposed wage index and the 8.9 percent drug add-on) times 
dialysis treatments from 2004. In addition, the proposed payment 
includes payments for separately billable drugs under the ASP +6 drug 
pricing inflated to 2006 levels. Current payment is the current wage 
adjusted composite rate for each provider times dialysis treatments 
from 2004 claims plus current AAP priced drug payments for separately 
billable drugs with the current 8.7 percent drug add-on.
    The overall impact to ESRD providers in aggregate is 0.5 percent. 
Among the two separately shown effects, the effect of changes to the 
wage index has the most variation among provider type but is budget 
neutral in aggregate. The effect of change in drug payments contributes 
most to the overall effect, but varies little among provider types.
    We also note that the proposed revisions to the composite rate 
exceptions process will have no impact on payments to ESRD providers 
since we have only proposed changes in process and these changes do not 
affect which providers will be eligible for exceptions nor the amount 
of the exception.

F. Payment for Covered Outpatient Drugs and Biologicals

    As discussed in section II.H. of this proposed rule, the proposal 
to pay a reduced supplying fee for each Medicare Part B oral drug 
prescription, after the first one, supplied to a beneficiary during a 
month is estimated to reduce total Federal expenditures by $8 million 
in 2006, and $30 million over the five-year period, CY 2006 to 2010. 
The preamble seeks comment on an appropriate inhalation drug dispensing 
fee amount for 2006. The effect on Federal expenditures of a potential 
change to the inhalation drug dispensing fee would depend on the 
dispensing fee amount established.

G. Private Contracts and Opt-Out Provision

    The changes discussed in section II.I. of this proposed rule, with 
respect to private contracts and the opt-out provision, are currently 
estimated to have no significant impact on Medicare expenditures. 
However, we believe the changes will clarify that the consequences for 
the failure to maintain opt-out will apply regardless of whether the 
physician or practitioner was notified by the carrier.

H. FQHC Supplemental Payment Provision

    Section 237 of the MMA amended section 1833(a)(3) of Act to provide 
supplemental payments to FQHCs that contract with Medicare Advantage 
(MA) organizations to cover the difference, if any, between the payment 
received by the health center for treating MA enrollees and the payment 
to which the FQHC would be entitled to receive under its cost-based 
all-inclusive payment rate. We estimate that this new MMA payment 
provision for FQHC services will not increase Medicare payments. In 
other words, this MMA provision would have no budgetary impact on the 
Medicare trust fund due to the fact that a supplemental payment would 
only be made when the MA payment to the health center is less than its 
original FQHC cost based rate. Consequently, no additional Medicare 
expenditures would be needed to pay the center up to what it would have 
received under original Medicare.

I. National Coverage Decisions Timeframes

    The proposed changes to Sec.  426.340 discussed in section II.N. of 
this proposed rule, are made in order to conform certain timeframes in 
the regulation to meet legislative changes made by the MMA of 2003. 
These changes to the regulation will meet Congressional intent in the 
development of NCDs, and will conform the regulation to the overall NCD 
process. There will be no budget implications as a result of these 
changes.

J. Coverage of Screening for Glaucoma

    As discussed in section II.O. of the preamble to this proposed 
rule, we would expand the definition of an eligible beneficiary under 
the glaucoma screening benefit to include Hispanic Americans age 65 and 
over, effective January 1, 2006, subject to certain frequency and other 
limitations on coverage. At present, Sec.  410.23(a)(2) (Conditions for 
and limitations on coverage of screening for glaucoma) defines the term 
``eligible beneficiary''

[[Page 45870]]

to include individuals in the following high risk categories:
     Individual with diabetes mellitus.
     Individual with a family history of glaucoma.
     African-Americans age 50 and over.
    Based on the projected utilization of these screening services and 
related medically necessary follow-up tests and treatment that may be 
required for the additional beneficiaries screened, we estimate that 
this expanded benefit will result in an increase in Medicare payments 
to ophthalmologists or optometrists who will provide these screening 
tests and related follow-up tests and treatment. However, this is not 
expected to have a significant cost impact on the Medicare program.

K. Physician Referral for Nuclear Medicine Services

    This proposal, which is discussed in section II.P. of this proposed 
rule, would primarily affect physicians and health care entities that 
furnish items and services to Medicare beneficiaries. We have attempted 
to minimize its effect by interpreting the law in a practical and 
realistic manner. We are unable to quantify the number of physicians 
who have either an ownership or an investment interest in entities that 
furnish nuclear medicine services and/or supplies. Even if we assume 
that a substantial number of physicians have ownership or investment 
interests in these types of entities, we believe that, in general, the 
economic impact on these physicians would not necessarily be 
substantial, for the reasons stated below.
    Physician owners/investors of entities that furnish nuclear 
medicine services and supplies in a manner that satisfies the 
requirements of the in-office ancillary services exception would not be 
affected by this proposed rule. In addition, physician ownership of or 
investment in entities that furnish nuclear medicine services and 
supplies to residents of rural areas would not be affected by this 
requirement.
    If a physician's ownership or investment interest would lead to a 
prohibition on his or her referrals to that entity, the physician has 
two options. First, he or she can stop making referrals to that entity 
and make referrals to another entity. Second, the physician can divest 
himself or herself of the interest. While the impact on an individual 
physician may be significant, we do not believe that physicians, in 
general, will be significantly affected if they have to stop making 
referrals to an entity in which they have an ownership interest. We 
have come to this conclusion because we assume that the majority of 
physicians receive most of their income from the services they 
personally furnish, not from nuclear medicine services performed by 
entities that they own. In addition, we assume that, unless the 
physician established the entity to serve only his or her patients, the 
entity receives referrals from other physicians. Thus, the physician 
may still receive a return on the ownership or investment. We do not 
believe that the second option (divestiture of the ownership interest) 
would necessarily have a significant economic effect. However, we 
assume, that, at least from an economic standpoint, most physicians 
invest in entities because they are income producing. If an investment 
is successful, a physician may have little difficulty finding new 
investors willing to take over the physician's investment. The 
physician, in turn, can then invest the monies received in some other 
investment. We believe the cost of divestiture will vary from situation 
to situation.
    We also do not believe that beneficiary access to medically 
necessary nuclear medicine services would be threatened simply because 
most physician ownership of entities that furnish nuclear medicine 
services would be prohibited. As indicated above, we see no reason why 
medically necessary nuclear medicine services could not be furnished by 
entities owned by those not in a position to refer such services.
    We expect that this proposed rule may result in savings to both the 
Medicare and Medicaid programs by minimizing anti-competitive business 
arrangements as well as financial incentives that encourage over-
utilization of costly nuclear medicine services. (See David Armstrong, 
``MRI and CT Centers Offer Doctors Way to Profit on Scans,'' Wall 
Street Journal, May 2, 2005, et al.) We cannot gauge with any certainty 
the extent of these savings to either program at this time.

L. Alternatives Considered

    This proposed rule contains a range of policies, including some 
proposals related to specific MMA provisions. The preamble provides 
descriptions of the statutory provisions that are addressed, identifies 
those policies when discretion has been exercised, presents rationale 
for our decisions and, where relevant, alternatives that were 
considered.

M. Impact on Beneficiaries

    There are a number of changes made in this proposed rule that would 
have an effect on beneficiaries. In general, we believe these changes 
will improve beneficiary access to services that are currently covered 
or will expand the Medicare benefit package to include new services. As 
explained in more detail below, the regulatory provisions may affect 
beneficiary liability in some cases. Any changes in aggregate 
beneficiary liability from a particular provision will be a function of 
the coinsurance (20 percent if applicable for the particular provision 
after the beneficiary has met the deductible) and the effect of the 
aggregate cost (savings) of the provision on the calculation of the 
Medicare Part B premium rate (generally 25 percent of the provision's 
cost or savings).
    To illustrate this point, as shown in Table 34, the 2005 national 
payment amount in the nonfacility setting for CPT code 99203 (Office/
outpatient visit, new), is $97.02 which means that currently a 
beneficiary is responsible for 20 percent of this amount, or $19.40. 
Under this proposed rule the 2006 national payment amount in the 
nonfacility setting for CPT code 99203, as shown in Table 34, is $93.33 
which means that, in 2006, the beneficiary coinsurance for this service 
would be $18.66.
    Very few of the changes we are proposing impact overall payments 
and therefore will affect Medicare beneficiaries' coinsurance 
liability. Proposals discussed above that do affect overall spending 
would similarly impact beneficiaries' coinsurance.
    For example, we have tried to ensure that the proposal concerning 
physician self-referral for nuclear medicine services would not 
adversely impact the medical care of Medicare or Medicaid patients. 
While we recognize that these proposed revisions may have an impact on 
current arrangements under which patients are receiving medical care, 
there are other ways to structure these arrangements so that patients 
may continue to receive medically necessary nuclear medicine services. 
In almost all cases, we believe this proposal concerning physician 
referral for nuclear medicine services should not require substantial 
changes in delivery arrangements and would help minimize anti-
competitive behavior that can affect where a beneficiary receives 
health care services and possibly the quality of the services 
furnished. We also believe it will minimize the number of medically 
unnecessary nuclear medicine procedures billed to the Medicare and 
Medicaid programs.

N. Accounting Statement

    As required by OMB Circular A-4 (available at http://www.whitehouse.gov/omb/circulars/a004/a-4.pdf pdf), in

[[Page 45871]]

Table 38 below, we have prepared an accounting statement showing the 
classification of the expenditures associated with the provisions of 
this proposed rule. This table includes the impact of the proposed 
changes in this rule on providers and suppliers and encompasses the 
anticipated negative update to the physician fee schedule based on the 
statutory SGR formula.
    Expenditures are classified as transfers to Medicare providers/or 
suppliers (that is, ESRD facilities and physicians, other practitioners 
and medical suppliers that receive payment under the physician fee 
schedule or Medicare Part B).

      TABLE 38.--Accounting Statement: Classification of Estimated
                Expenditures, From CY 2005 to the CY 2006
                              [in millions]
------------------------------------------------------------------------
           Category                            Transfers
------------------------------------------------------------------------
Annualized Monetized           Negative transfer-Estimated decrease in
 Transfers.                     expenditures ($1,860).
From Whom To Whom?...........  Federal Government To ESRD Medicare
                                Providers; physicians, other
                                practitioners and suppliers who receive
                                payment under the Medicare Physician Fee
                                Schedule; and Medicare Suppliers billing
                                for Part B drugs.
------------------------------------------------------------------------

    In accordance with the provisions of Executive Order 12866, this 
final rule 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 410

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

42 CFR Part 411

    Kidney diseases, Medicare, Physician Referral, Reporting and 
recordkeeping requirements.

42 CFR Part 413

    Health facilities, Kidney diseases, Medicare, Reporting and 
recordkeeping requirements.

42 CFR Part 414

    Administrative practice and procedure, Health facilities, Health 
professions, Kidney diseases, Medicare, Reporting and recordkeeping 
requirements.

42 CFR Part 426

    Administrative practice and procedure, Medicare, Reporting and 
recordkeeping requirements.
    For the reasons set forth in the preamble, the Centers for Medicare 
& Medicaid Services proposes to amend 42 CFR chapter IV as set forth 
below:

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

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

    Authority: Secs. 1102, 1861, 1862(a), 1871, 1874, 1881, and 
1886(k) of the Social Security Act (42 U.S.C. 1302, 1395x, 1395y(a), 
1395hh, 1395kk, 1395rr, and 1395ww(k)), and sec. 353 of the Public 
Health Service Act (42 U.S.C. 263a).

Subpart D--Private Contracts

    2. Section 405.435 is amended by--
    A. Revising introductory text in paragraph (b).
    B. Adding paragraph (d).
    The revision and addition read as follows:


Sec.  405.435  Failure to maintain opt-out.

* * * * *
    (b) If a physician or practitioner fails to maintain opt-out in 
accordance with paragraph (a) of this section, then, for the remainder 
of the opt-out period, except as provided by paragraph (d) of this 
section--
* * * * *
    (d) If a physician or practitioner demonstrates that he or she has 
taken good faith efforts to maintain opt-out (including by refunding 
amounts in excess of the charge limits to beneficiaries with whom he or 
she did not sign a private contract) within 45 days of a notice from 
the carrier of a violation of paragraph (a) of this section, then the 
requirements of paragraphs (b)(1) through (b)(8) of this section are 
not applicable. In situations where a violation of paragraph (a) of 
this section is not discovered by the carrier during the 2-year opt-out 
period when the violation actually occurred, then the requirements of 
paragraphs (b)(1) through (b)(8) of this section are applicable from 
the date that the first violation of paragraph (a) of this section 
occurred until the end of the opt-out period during which the violation 
occurred (unless the physician or practitioner takes good faith 
efforts, within 45 days of any notice from the carrier that the 
physician or practitioner failed to maintain opt-out, or the 
physician's or practitioner's discovery of the failure to maintain opt-
out, whichever is earlier, to correct his or her violations of 
paragraph (a) of this section, for example, by refunding the amounts in 
excess of the charge limits to beneficiaries with whom he or she did 
not sign a private contract).
* * * * *

Subpart X--Rural Health Clinic and Federally Qualified Health 
Center Services

    3. Add Sec.  405.2469 to read as follows:


Sec.  405.2469  Federally Qualified Health Centers supplemental 
payments.

    Federally Qualified Health Centers under contract (directly or 
indirectly) with Medicare Advantage plans are eligible for supplemental 
payments for covered Federally Qualified Health Center services 
furnished to enrollees in Medicare Advantage plans offered by the 
Medicare Advantage organization to cover the difference, if any, 
between their payments from the Medicare Advantage plan and what they 
would receive under the cost-based Federally Qualified Health Center 
payment system.
    (a) Calculation of supplemental payment. (1) The supplemental 
payment for Federally Qualified Health Center covered services provided 
to Medicare patients enrolled in Medicare Advantage plans is based on--
    (i) The difference between payments received by the center from the 
Medicare Advantage plan as determined on a per visit basis;

[[Page 45872]]

    (ii) The Federally Qualified Health Center's all-inclusive cost-
based per visit rate as set forth in this subpart;
    (iii) Less any amount the FQHC may charge as described in section 
1857(e)(3)(B) of the Act.
    (2) Any financial incentives provided to Federally Qualified Health 
Centers under their Medicare Advantage contracts, such as risk pool 
payments, bonuses, or withholds, are prohibited from being included in 
the calculation of supplemental payments due to the Federally Qualified 
Health Center.
    (b) Per visit supplemental payment. A supplemental payment required 
under this section is made to the Federally Qualified Health Center 
when a covered face-to-face encounter occurs between a Medicare 
Advantage enrollee and a practitioner as set forth in Sec.  405.4563.

PART 410--SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS

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

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

Subpart B--Medical and Other Health Services

    5. Section 410.23 is amended by revising paragraph (a)(2)(i) 
through (iv) to read as follows:


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

    (a) * * *
    (2) * * *
    (i) Individual with diabetes mellitus.
    (ii) Individual with a family history of glaucoma.
    (iii) African-Americans age 50 and over.
    (iv) Hispanic-Americans age 65 and over.
* * * * *
    6. Section 410.78 is amended by--
    A. Revising paragraph (b) introductory text.
    B. Adding paragraph (b)(2)(viii).
    The revision and addition read as follows:


Sec.  410.78  Telehealth services

* * * * *
    (b) General rule. Medicare Part B pays for office and other 
outpatient visits, professional consultation, psychiatric diagnostic 
interview examination, individual psychotherapy, pharmacologic 
management, end stage renal disease related services included in the 
monthly capitation payment (except for one visit per month to examine 
the access site), and individual medical nutrition therapy furnished by 
an interactive telecommunications system if the following conditions 
are met:
    (2) * * *
    (viii) A registered dietician or nutrition professional as 
described in Sec.  410.134.
* * * * *

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

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

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

Subpart J--Financial Relationships Between Physicians and Entities 
Furnishing Designated Health Services

    8. Section 411.351 is amended by--
    A. Revising the definition ``Radiation therapy services and 
supplies''.
    B. Revising the definition ``Radiology and certain other imaging 
services''.
    The revisions read as follows:


Sec.  411.351  Definitions.

* * * * *
    Radiation therapy services and supplies means those particular 
services and supplies so identified on the List of CPT/HCPCS Codes. All 
services and supplies identified on the List of CPT/HCPCS Codes are 
radiation therapy services and supplies for purposes of this subpart. 
Any service or supply not specifically identified as radiation therapy 
services or supplies on the List of CPT/HCPCS Codes is not a radiation 
therapy service or supply for purposes of this subpart. The list of 
codes identifying radiation therapy services and supplies are those 
covered under section 1861(s)(4) of the Act and Sec.  410.35 of this 
chapter.
    Radiation and certain other imaging services means those particular 
services so identified on the List of CPT/HCPCS Codes. All services so 
identified on the List of CPT/HCPCS Codes are radiology and certain 
other imaging services for purposes of this subpart. Any service not 
specifically identified as radiology and certain other imaging services 
on the List of CPT/HCPCS Codes, is not a radiology or certain other 
imaging service for purposes of this subpart. The list of codes 
identifying radiology and certain other imaging services includes the 
professional and technical components of any diagnostic test or 
procedure using x-rays, ultrasound, or other imaging services, 
computerized axial tomography, or magnetic resonance imaging, or 
diagnostic nuclear medicine, as covered under section 1861(s)(3) of the 
Act and Sec.  410.32 and Sec.  410.34 of this chapter, but does not 
include--
    (1) X-ray, fluoroscopy, or ultrasound procedures that require the 
insertion of a needle, catheter, tube, or probe through the skin or 
into a body orifice.
    (2) Radiology procedures that are integral to the performance of a 
non-radiological medical procedure and performed--
    (i) During the nonradiological medical procedure; or
    (ii) Immediately following the non-radiological medical procedure 
where necessary to confirm placement of an item placed during the 
nonradiological medical procedure.
* * * * *

PART 413--PRINCIPLES OF REASONABLE COST REIMBURSEMENT; PAYMENT FOR 
END-STAGE RENAL DISEASE SERVICES; PROSPECTIVELY DETERMINED PAYMENT 
RATES FOR SKILLED NURSING FACILITIES

    9. The authority citation for part 413 continues to read as 
follows:

    Authority: Secs. 1102, 1812(d), 1814(b), 1815, 1833(a), (i), and 
(n), 1871, 1881, 1883, and 1886 of the Social Security Act (42 
U.S.C. 1302, 1395D(D), 1395f(b), 1395g, 13951(a), (i), and (n), 
1395hh, 1395rr, 1395tt, and 1395ww).

Subpart H--Payment for End-Stage Renal Disease (ESRD) Services and 
Organ Procurement Costs

    10. Section 413.170 is amended by revising paragraph (b) to read as 
follows:


Sec.  413.170  Scope.

* * * * *
    (b) Providing procedures and criteria under which a pediatric ESRD 
facility (an ESRD facility with at least a 50 percent pediatric patient 
mix) may receive an exception to the prospective payment rates; and
* * * * *
    11. Section 413.174 is amended by--
    A. Revising paragraph (f).
    B. Removing paragraph (g).
    The revisions read as follows:


Sec.  413.174  Prospective rates for hospital-based and independent 
ESRD facilities.

* * * * *
    (f) Additional payment for separately billable drugs. CMS makes an 
additional payment for certain drugs furnished to ESRD patients by a 
Medicare-approved ESRD facility. CMS makes this payment directly to the 
ESRD facility. Payment for these drugs is made--
    (1) Only on an assignment basis, directly to the facility which 
must

[[Page 45873]]

accept, as payment in full, the amount that CMS determines;
    (2) Subject to the Part B deductible and coinsurance;
    (3) To hospital-based facilities in accordance with the cost 
reimbursement rules set forth in this part, except for erythropoietin/
epogen (commonly called EPO), which is paid the same amount as 
independent facilities; and
    (4) To independent facilities in accordance with the methodology 
set forth in Sec.  405.517 of this chapter.
    12. Section 413.180 is amended by--
    A. Revising paragraphs (b) and (d)
    B. Removing paragraphs (e) and (k).
    C. Redesignating paragraphs (f) through (j) as paragraphs (e) 
through (i).
    D. Redesignating paragraphs (l) and (m) as paragraphs (j) and (k).
    The amendment reads as follows:


Sec.  413.180  Procedures for requesting exceptions to payment rates.

* * * * *
    (b) Criteria for requesting an exception. If a pediatric ESRD 
facility projects on the basis of prior year costs and utilization 
trends that it has an allowable cost per treatment higher than its 
prospective rate set under Sec.  413.174, and if these excess costs are 
attributable to one or more of the factors in Sec.  413.182, the 
facility may request, in accordance with paragraph (e) of this section, 
that CMS approve an exception to that rate and set a higher prospective 
payment rate.
* * * * *
    (d) Payment rate exception request. Effective October 1, 2002, CMS 
may approve exceptions to a pediatric ESRD facility's updated 
prospective payment rate, if the pediatric ESRD facility did not have 
an approved exception rate as of October 1, 2002. A pediatric ESRD 
facility may request an exception to its payment rate at any time after 
it is in operation for at least 12 consecutive months.
* * * * *
    13. Section 413.182 is revised to read as follows:


Sec.  413.182  Criteria for approval of exception requests.

    (a) CMS may approve exceptions to a pediatric ESRD facility's 
prospective payment rate if the pediatric ESRD facility did not have an 
approved exception rate as of October 1, 2002.
    (b) The pediatric ESRD facility must demonstrate, by convincing 
objective evidence, that its total per treatment costs are reasonable 
and allowable under the relevant cost reimbursement principles of part 
413 and that its per treatment costs in excess of its payment rate are 
directly attributable to any of the following criteria:
    (1) Pediatric patient mix, as specified in Sec.  413.184.
    (2) Self-dialysis training costs in pediatric facilities, as 
specified in Sec.  413.186
    14. Section 413.184 is amended by revising paragraphs (a) and 
(b)(1) to read as follows:


Sec.  413.184  Payment exception: Pediatric patient mix.

    (a) Qualifications. To qualify for an exception to its prospective 
payment rate based on its pediatric patient mix a facility must 
demonstrate that--
    (1) At least 50 percent of its patients are individuals under 18 
years of age;
    (2) Its nursing personnel costs are allocated properly between each 
mode of care;
    (3) The additional nursing hours per treatment are not the result 
of an excess number of employees;
    (4) Its pediatric patients require a significantly higher staff-to-
patient ratio than typical adult patients; and
    (5) These services, procedures, or supplies and its per treatment 
costs are clearly prudent and reasonable when compared to those of 
pediatric facilities with a similar patient mix.
    (b) Documentation. (1) A pediatric ESRD facility must submit a 
listing of all outpatient dialysis patients (including all home 
patients) treated during the most recently completed and filed cost 
report (in accordance with cost reporting requirements under Sec.  
413.198) showing--
    (i) Age of patients and percentage of patients under the age of 18;
    (ii) Individual patient diagnosis;
    (iii) Home patients and ages;
    (iv) In-facility patients, staff-assisted, or self-dialysis;
    (v) Diabetic patients; and
    (vi) Patients isolated because of contagious disease.
* * * * *


Sec.  413.186  [Removed]

    15. Section 413.186 is removed.


Sec.  413.188  [Removed]

    16. Section 413.188 is removed.
    17. Redesignate Sec.  413.190 as Sec.  413.186 and revise the newly 
designated Sec.  413.186 to read as follows:


Sec.  413.186  Payment exception: Self-dialysis training costs in 
pediatric facilities.

    (a) Qualification. To qualify for an exception to the prospective 
payment rate based on self-dialysis training costs, the pediatric ESRD 
facility must establish that it incurs per treatment costs for 
furnishing self-dialysis and home dialysis training that exceed the 
facility's payment rate for the training sessions.
    (b) Justification. To justify its exception request, a facility 
must--
    (1) Separately identify those elements contributing to its costs in 
excess of the composite training rate; and
    (2) Demonstrate that its per treatment costs are reasonable and 
allowable.
    (c) Criteria for determining proper cost reporting. CMS considers 
the pediatric ESRD facility's total costs, cost finding and 
apportionment, including its allocation of costs, to determine if costs 
are properly reported by treatment modality.
    (d) Limitation of exception requests. Exception requests for a 
higher training rate are limited to those cost components relating to 
training such as technical staff, medical supplies, and the special 
costs of education (manuals and education materials). These requests 
may include overhead and other indirect costs to the extent that these 
costs are directly attributable to the additional training costs.
    (e) Documentation. The pediatric ESRD facility must provide the 
following information to support its exception request:
    (1) A copy of the facility's training program.
    (2) Computation of the facility's cost per treatment for 
maintenance sessions and training sessions including an explanation of 
the cost difference between the two modalities.
    (3) Class size and patients' training schedules.
    (4) Number of training sessions required, by treatment modality, to 
train patients.
    (5) Number of patients trained for the current year and the prior 2 
years on a monthly basis.
    (6) Projection for the next 12 months of future training 
candidates.
    (7) The number and qualifications of staff at training sessions.
    (f) Accelerated training exception. (1) A pediatric ESRD facility 
may bill Medicare for a dialysis training session only when a patient 
receives a dialysis treatment (normally three times a week for 
hemodialysis). Continuous cycling peritoneal dialysis (CCPD) and 
continuous ambulatory peritoneal dialysis (CAPD) are daily treatment 
modalities; ESRD facilities are paid the equivalent of three 
hemodialysis treatments for each week that CCPD and CAPD treatments are 
provided.
    (2) If a pediatric ESRD facility elects to train all its patients 
using a particular treatment modality more often than during each 
dialysis treatment and, as a result, the number of billable training 
dialysis sessions is less than the number of actual training sessions, 
the facility

[[Page 45874]]

may request a composite rate exception, limited to the lesser of the--
    (i) Facility's projected training cost per treatment; or
    (ii) Cost per treatment the facility receives in training a patient 
if it had trained patients only during a dialysis treatment, that is, 
three times per week.
    (3) An ESRD facility may bill a maximum of 25 training sessions per 
patient for hemodialysis training and 15 sessions for CCPD and CAPD 
training.
    (4) In computing the payment amount under an accelerated training 
exception, CMS uses a minimum number of training sessions per patient 
(15 for hemodialysis and 5 for CAPD and CCPD) when the facility 
actually provides fewer than the minimum number of training sessions.
    (5) To justify an accelerated training exception request, an ESRD 
facility must document that a significant number of training sessions 
for a particular modality are provided during a shorter but more 
condensed period.
    (6) The facility must submit with the exception request a list of 
patients, by modality, trained during the most recent cost report 
period. The list must include each beneficiary's--
    (i) Name;
    (ii) Age; and
    (iii) Training status (completed, not completed, being retrained, 
or in the process of being trained).
    (7) The total treatments from the patient list must be the same as 
the total treatments reported on the cost report filed with the 
request.


Sec.  413.192  [Removed]

    18. Section 413.192 is removed.

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

    19. 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)).

Subpart B--Physicians and Other Practitioners

    20. Section 414.65 is amended by revising paragraph (a)(1) to read 
as follows:.


Sec.  414.65  Payment for telehealth services

    (a) * * *
    (1) The Medicare payment amount for office or other outpatient 
visits, consultation, individual psychotherapy, psychiatric diagnostic 
interview examination, pharmacologic management, end stage renal 
disease related services included in the monthly capitation payment 
(except for one visit per month to examine the access site), and 
individual medical nutrition therapy furnished via an interactive 
telecommunications system is equal to the current fee schedule amount 
applicable for the service of the physician or practitioner.
* * * * *
    21. Section 414.802 is amended by adding definitions of ``direct 
sales'' and ``indirect sales'' to read as follows:


Sec.  414.802  Definitions

* * * * *
    Direct Sales means sales directly from the manufacturer to the 
provider (for example, physician or other health care provider) or 
supplier.
* * * * *
    Indirect Sales means from the manufacturer to a wholesaler, 
distributor, or similar entity that sells to others in the distribution 
chain. Indirect sales also include any sale subject to the average 
sales price reporting requirement that is not a direct sale.
* * * * *
    22. Section 414.804(a) is amended by:
    A. Redesignating paragraphs (a)(3), (a)(4), (a)(5), and (a)(6), as 
paragraphs (a)(4), (a)(5), (a)(6), and (a)(7).
    B. Adding a new paragraph (a)(3).
    C. Revising newly redesignated paragraph (a)(4).
    The redesignations and revisions read as follows:


Sec.  414.804  Basis of payment.

    (a) * * *
    (3) In calculating the manufacturer's average sales price, a 
manufacturer must--
    (i) Calculate the average sales price for direct sales;
    (ii) Calculate the average sales price for indirect sales; and
    (iii) Calculate the weighted average of the results from paragraphs 
(a)(3)(i) and (a)(3)(ii). Example. [(ASP for direct sales x direct 
sales units) + (ASP for indirect sales x indirect sales units)]/(direct 
sales units + indirect units sales units).
    (4) To the extent that data on price concessions, as described in 
paragraph (a)(2) of this section, are available on a lagged basis, the 
manufacturer must estimate this amount in accordance with the 
methodology described in paragraphs (a)(4)(i) through (a)(4)(iv) of 
this section, for each of the amounts calculated under paragraphs 
(a)(3)(i) and (a)(3)(ii) of this section, before calculating the 
weighted average described in paragraph (a)(3)(iii) of this section.
    (i) For each National Drug Code, the manufacturer calculates a 
percentage equal to the sum of the price concessions for the most 
recent 12-month period available associated with sales subject to the 
average sales price reporting requirement divided by the total in 
dollars for the sales subject to the average sales price reporting 
requirement for the same 12-month period.
    (ii) The manufacturer then multiplies the percentage described in 
paragraph (a)(4)(i) of this section by the total in dollars for the 
sales subject to the average sales price reporting requirement for the 
quarter being submitted. (The manufacturer must carry a sufficient 
number of decimal places in the calculation of the price concessions 
percentage in order to round accurately the net total sales amount for 
the quarter to the nearest whole dollar.) The result of this 
multiplication is then subtracted from the total in dollars for the 
sales subject to the average sales price reporting requirement for the 
quarter being submitted.
    (iii) The manufacturer then uses the result of the calculation 
described in paragraph (a)(4)(ii) of this section as the numerator and 
the number of units sold in the quarter as the denominator to calculate 
the manufacturer's average sales price for the National Drug Code in 
the quarter being submitted.
    (iv) Example. The total lagged price concessions (discounts, 
rebates, etc.) over the most recent 12-month period available 
associated with direct sales for National Drug Code 12345-6789-01 
subject to the ASP reporting requirement equal $200,000. The total in 
dollars for the direct sales subject to the average sales price 
reporting requirement for the same period equals $600,000. The lagged 
price concessions percentage for this period equals 200,000/600,000 = 
.33333. The total in dollars for the direct sales subject to the 
average sales price reporting requirement for the quarter being 
reported equals $50,000 for 10,000 direct sales units sold. Assuming no 
non-lagged price concessions apply, the manufacturer's average sales 
price calculation for direct sales for this National Drug Code for this 
quarter is: $50,000--(0.33333 x $50,000) = $33,334 (net total direct 
sales amount); $33,334/10,000 = $3.33 (average sales price for direct 
sales). The average sales price for indirect sales is calculated 
independently.
* * * * *

[[Page 45875]]

Subpart L--Supplying and Dispensing Fees

    23. Section 414.1001 is amended by revising paragraph (a) as 
follows:


Sec.  414.1001  Basis of payment.

    (a) A supplying fee of $24 is paid to a supplier for the first 
prescription of drugs and biologicals described in sections 
1861(s)(2)(J), 1861(s)(2)(Q), and 1861(s)(2)(T) of the Act that that 
supplier provided to a beneficiary during a month. A supplying fee of 
$8 is paid to a supplier for each prescription of drugs and biologicals 
described in sections 1861(s)(2)(J), 1861(s)(2)(Q), and 1861(s)(2)(T) 
of the Act, after the first one, that that supplier provided to a 
beneficiary during a month.
* * * * *

PART 426--REVIEW OF NATIONAL COVERAGE DETERMINATIONS AND LOCAL 
COVERAGE DETERMINATIONS

    24. The authority citation for part 426 continues to read as 
follows:

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

    25. The heading for part 426 is revised to read as set forth above.

Subpart C--General Provisions for the Review of LCDs and NCDs

    26. Section 426.340 is amended by--
    A. Revising paragraph (e)(2).
    B. Adding paragraph (e)(3).
    C. Revising paragraph (f)(2).
    D. Adding paragraph (f)(3).
    The revisions and additions read as follows:


Sec.  426.340  Procedures for review of new evidence.

* * * * *
    (e) * * *
    (2) For LCDs, sets a reasonable timeframe, not more than 90 days, 
by which the contractor completes the reconsideration.
    (3) For NCDs, sets a reasonable timeframe, in compliance with the 
timeframes specified in section 1862(1) of the Act, by which CMS 
completes the reconsideration.
    (f) * * *
    (2) For LCDs, the 90-day reconsideration timeframe is not met.
    (3) For NCDs, the reconsideration timeframe as specified by the 
Board, in compliance with section 1862(1) of the Act, is not met.
* * * * *

(Catalog of Federal Domestic Assistance Program No. 93.778, Medical 
Assistance Program).

(Catalog of Federal Domestic Assistance Program No. 93.773, 
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program).

    Dated: July 12, 2005.
Mark B. McClellan,
Administrator, Centers for Medicare & Medicaid Services.
    Approved: July 18, 2005.
Michael O. Leavitt,
Secretary.


[[Page 45876]]


    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 
2006. 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--2006 Relative Value Units and Related Information Used in 
Determining Medicare Payments For 2006

    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 coverage determination 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/discontinued 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 CMS 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.) These codes are deleted effective with the beginning of the 
year and are never subject to a grace period. This indicator is no 
longer effective with the 2006 physician fee schedule as of January 1, 
2006.
    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. (Code subject to a 90 
day grace period.) This indicator is no longer effective with the 2006 
physician fee schedule as of January 1, 2006.
    H = Deleted modifier. For 2000 and later years, 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.
    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 is made for them under the physician fee schedule.

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

    R = Restricted coverage. Special coverage instructions apply. If 
the service is covered and no RVUs are shown, it is carrier-priced.
    T = Injections. There are RVUs for these services, but they are 
only paid if there are no other services payable under the physician 
fee schedule billed on the same date by the same provider. If any other 
services payable under the physician fee schedule are billed on the 
same date by the same provider, these services are bundled into the 
service(s) for which payment is made.
    X = Exclusion by law. These codes represent an item or service that 
is not within the definition of ``physicians' services'' for physician 
fee schedule payment purposes. No RVUs are shown for these codes, and 
no payment may be made under the physician fee schedule. (Examples are 
ambulance services and clinical diagnostic laboratory services.)
    4. Description of code. This is an abbreviated version of the 
narrative description of the code.
    5. Physician work RVUs. These are the RVUs for the physician work 
for this service in 2005. 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 2005.
    9. Facility total. This is the sum of the work, fully implemented 
facility practice expense, and malpractice expense RVUs.

[[Page 45877]]

    10. Non-facility total. This is the sum of the work, fully 
implemented non-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 2005 American Medical 
Associaiton. All rights reserved. Applicable FARS/DFARS apply.

\2\ Copyright 2005 American Dental Association. All rights reserved.

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

[[Page 45878]]



                                            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
--------------------------------------------------------------------------------------------------------------------------------------------------------
0003T...............  ..............  C               Cervicography........       0.00       0.00       0.00       0.00       0.00       0.00        XXX
0008T...............  ..............  C               Upper gi endoscopy w/       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       suture.
0010T...............  ..............  C               Tb test, gamma              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       interferon.
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.
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.
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.
0062T...............  ..............  C               Rep intradisc               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       annulus;1 lev.
0063T...............  ..............  C               Rep intradisc               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       annulus;>1lev.
0064T...............  ..............  C               Spectroscop eval            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       expired gas.
0065T...............  ..............  C               Ocular photoscreen          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       bilat.
0066T...............  ..............  N               Ct                          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       colonography;screen.
0066T...............  26............  N               Ct                          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       colonography;screen.
0066T...............  TC............  N               Ct                          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       colonography;screen.
0067T...............  ..............  C               Ct colonography;dx...       0.00       0.00       0.00       0.00       0.00       0.00        XXX
0067T...............  26............  C               Ct colonography;dx...       0.00       0.00       0.00       0.00       0.00       0.00        XXX
0067T...............  TC............  C               Ct colonography;dx...       0.00       0.00       0.00       0.00       0.00       0.00        XXX
0068T...............  ..............  C               Interp/rept heart           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       sound.
0069T...............  ..............  C               Analysis only heart         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       sound.
0070T...............  ..............  C               Interp only heart           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       sound.
0071T...............  ..............  C               U/s leiomyomata             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ablate <200.
0072T...............  ..............  C               U/s leiomyomata             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ablate >200.
0073T...............  ..............  A               Delivery, comp imrt..       0.00      16.71         NA       0.13      16.84         NA        XXX
0074T...............  ..............  N               Online physician e/m.       0.00       0.00       0.00       0.00       0.00       0.00        XXX
0075T...............  ..............  C               Perq stent/chest vert       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       art.
0075T...............  26............  C               Perq stent/chest vert       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       art.
0075T...............  TC............  C               Perq stent/chest vert       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       art.
0076T...............  ..............  C               S&i stent/chest vert        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       art.
0076T...............  26............  C               S&i stent/chest vert        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       art.
0076T...............  TC............  C               S&i stent/chest vert        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       art.
0077T...............  ..............  C               Cereb therm perfusion       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       probe.
0078T...............  ..............  C               Endovasc aort repr w/       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       device.
0079T...............  ..............  C               Endovasc visc extnsn        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       repr.
0080T...............  ..............  C               Endovasc aort repr          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       rad s&i.
0081T...............  ..............  C               Endovasc visc extnsn        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       s&i.

[[Page 45879]]

 
0082T...............  ..............  C               Stereotactic rad            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       delivery.
0083T...............  ..............  C               Stereotactic rad tx         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       mngmt.
0084T...............  ..............  C               Temp prostate               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       urethral stent.
0085T...............  ..............  C               Breath test heart           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       reject.
0086T...............  ..............  C               L ventricle fill            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       pressure.
0087T...............  ..............  C               Sperm eval hyaluronan       0.00       0.00       0.00       0.00       0.00       0.00        XXX
0088T...............  ..............  C               Rf tongue base vol          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       reduxn.
0500F...............  ..............  I               Initial prenatal care       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       visit.
0501F...............  ..............  I               Prenatal flow sheet..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
0502F...............  ..............  I               Subsequent prenatal         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       care.
0503F...............  ..............  I               Postpartum care visit       0.00       0.00       0.00       0.00       0.00       0.00        XXX
1000F...............  ..............  I               Tobacco use, smoking,       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       assess.
1001F...............  ..............  I               Tobacco use, non-           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       smoking.
10021...............  ..............  A               Fna w/o image........       1.27       2.11       0.53       0.10       3.48       1.90        XXX
10022...............  ..............  A               Fna w/image..........       1.27       2.51       0.44       0.08       3.86       1.79        XXX
1002F...............  ..............  I               Assess anginal              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       symptom/level.
10040...............  ..............  A               Acne surgery.........       1.18       1.12       0.84       0.05       2.35       2.07        010
10060...............  ..............  A               Drainage of skin            1.17       1.27       0.94       0.12       2.56       2.24        010
                                                       abscess.
10061...............  ..............  A               Drainage of skin            2.40       1.90       1.49       0.26       4.56       4.15        010
                                                       abscess.
10080...............  ..............  A               Drainage of pilonidal       1.17       2.98       1.07       0.11       4.27       2.36        010
                                                       cyst.
10081...............  ..............  A               Drainage of pilonidal       2.45       3.91       1.48       0.24       6.60       4.17        010
                                                       cyst.
10120...............  ..............  A               Remove foreign body..       1.22       2.14       0.94       0.12       3.49       2.28        010
10121...............  ..............  A               Remove foreign body..       2.70       3.47       1.75       0.33       6.49       4.77        010
10140...............  ..............  A               Drainage of hematoma/       1.53       1.83       1.29       0.19       3.56       3.01        010
                                                       fluid.
10160...............  ..............  A               Puncture drainage of        1.20       1.62       1.08       0.14       2.96       2.43        010
                                                       lesion.
10180...............  ..............  A               Complex drainage,           2.25       2.95       1.93       0.35       5.55       4.53        010
                                                       wound.
11000...............  ..............  A               Debride infected skin       0.60       0.61       0.21       0.07       1.28       0.88        000
11001...............  ..............  A               Debride infected skin       0.30       0.24       0.11       0.04       0.58       0.45        ZZZ
                                                       add-on.
11004...............  ..............  A               Debride genitalia &        10.33         NA       3.80       0.67         NA      14.80        000
                                                       perineum.
11005...............  ..............  A               Debride abdom wall...      13.78         NA       5.42       0.96         NA      20.16        000
11006...............  ..............  A               Debride genit/per/         12.64         NA       4.73       1.28         NA      18.64        000
                                                       abdom wall.
11008...............  ..............  A               Remove mesh from abd        5.01         NA       1.97       0.61         NA       7.59        ZZZ
                                                       wall.
11010...............  ..............  A               Debride skin, fx.....       4.20       6.68       2.57       0.66      11.54       7.43        010
11011...............  ..............  A               Debride skin/muscle,        4.95       7.80       2.29       0.74      13.49       7.98        000
                                                       fx.
11012...............  ..............  A               Debride skin/muscle/        6.88      11.37       3.73       1.16      19.41      11.78        000
                                                       bone, fx.
11040...............  ..............  A               Debride skin, partial       0.50       0.55       0.21       0.06       1.11       0.77        000
11041...............  ..............  A               Debride skin, full...       0.82       0.68       0.32       0.10       1.60       1.24        000
11042...............  ..............  A               Debride skin/tissue..       1.12       0.98       0.43       0.13       2.23       1.68        000
11043...............  ..............  A               Debride tissue/muscle       2.38       3.33       2.54       0.32       6.03       5.25        010
11044...............  ..............  A               Debride tissue/muscle/      3.07       4.38       3.65       0.43       7.88       7.15        010
                                                       bone.
11055...............  ..............  R               Trim skin lesion.....       0.43       0.60       0.17       0.05       1.08       0.65        000
11056...............  ..............  R               Trim skin lesions, 2        0.61       0.68       0.23       0.07       1.36       0.91        000
                                                       to 4.
11057...............  ..............  R               Trim skin lesions,          0.79       0.78       0.29       0.10       1.68       1.18        000
                                                       over 4.
11100...............  ..............  A               Biopsy, skin lesion..       0.81       1.38       0.39       0.03       2.22       1.23        000
11101...............  ..............  A               Biopsy, skin add-on..       0.41       0.37       0.20       0.02       0.80       0.63        ZZZ
11200...............  ..............  A               Removal of skin tags.       0.77       1.11       0.78       0.04       1.92       1.59        010
11201...............  ..............  A               Remove skin tags add-       0.29       0.17       0.12       0.02       0.48       0.43        ZZZ
                                                       on.
11300...............  ..............  A               Shave skin lesion....       0.51       1.05       0.21       0.03       1.59       0.75        000
11301...............  ..............  A               Shave skin lesion....       0.85       1.22       0.39       0.04       2.11       1.28        000
11302...............  ..............  A               Shave skin lesion....       1.05       1.43       0.46       0.05       2.53       1.57        000
11303...............  ..............  A               Shave skin lesion....       1.24       1.73       0.52       0.07       3.04       1.83        000
11305...............  ..............  A               Shave skin lesion....       0.67       0.91       0.27       0.07       1.65       1.01        000
11306...............  ..............  A               Shave skin lesion....       0.99       1.20       0.42       0.07       2.27       1.48        000
11307...............  ..............  A               Shave skin lesion....       1.14       1.41       0.49       0.07       2.63       1.70        000
11308...............  ..............  A               Shave skin lesion....       1.41       1.56       0.58       0.13       3.10       2.13        000
11310...............  ..............  A               Shave skin lesion....       0.73       1.19       0.32       0.04       1.96       1.09        000
11311...............  ..............  A               Shave skin lesion....       1.05       1.35       0.49       0.05       2.45       1.59        000
11312...............  ..............  A               Shave skin lesion....       1.20       1.57       0.55       0.06       2.83       1.81        000
11313...............  ..............  A               Shave skin lesion....       1.62       1.95       0.71       0.10       3.67       2.43        000
11400...............  ..............  A               Exc tr-ext b9+marg          0.85       1.98       0.88       0.06       2.89       1.79        010
                                                       0.5 < cm.
11401...............  ..............  A               Exc tr-ext b9+marg          1.23       2.08       1.01       0.10       3.42       2.35        010
                                                       0.6-1 cm.
11402...............  ..............  A               Exc tr-ext b9+marg          1.51       2.26       1.07       0.13       3.91       2.72        010
                                                       1.1-2 cm.
11403...............  ..............  A               Exc tr-ext b9+marg          1.79       2.43       1.32       0.17       4.39       3.28        010
                                                       2.1-3 cm.
11404...............  ..............  A               Exc tr-ext b9+marg          2.06       2.74       1.40       0.21       5.01       3.67        010
                                                       3.1-4 cm.
11406...............  ..............  A               Exc tr-ext b9+marg >        2.77       3.08       1.64       0.32       6.16       4.73        010
                                                       4.0 cm.
11420...............  ..............  A               Exc h-f-nk-sp b9+marg       0.98       1.79       0.93       0.09       2.86       2.00        010
                                                       0.5 <.
11421...............  ..............  A               Exc h-f-nk-sp b9+marg       1.42       2.11       1.10       0.13       3.66       2.66        010
                                                       0.6-1.
11422...............  ..............  A               Exc h-f-nk-sp b9+marg       1.63       2.30       1.33       0.16       4.09       3.12        010
                                                       1.1-2.
11423...............  ..............  A               Exc h-f-nk-sp b9+marg       2.01       2.61       1.45       0.20       4.83       3.66        010
                                                       2.1-3.
11424...............  ..............  A               Exc h-f-nk-sp b9+marg       2.43       2.87       1.60       0.25       5.55       4.28        010
                                                       3.1-4.
11426...............  ..............  A               Exc h-f-nk-sp b9+marg       3.78       3.50       2.09       0.44       7.72       6.30        010
                                                       > 4 cm.
11440...............  ..............  A               Exc face-mm b9+marg         1.06       2.19       1.29       0.08       3.33       2.43        010
                                                       0.5 < cm.
11441...............  ..............  A               Exc face-mm b9+marg         1.48       2.35       1.47       0.13       3.97       3.08        010
                                                       0.6-1 cm.
11442...............  ..............  A               Exc face-mm b9+marg         1.72       2.59       1.55       0.16       4.47       3.43        010
                                                       1.1-2 cm.

[[Page 45880]]

 
11443...............  ..............  A               Exc face-mm b9+marg         2.29       2.96       1.78       0.22       5.48       4.30        010
                                                       2.1-3 cm.
11444...............  ..............  A               Exc face-mm b9+marg         3.15       3.52       2.14       0.30       6.97       5.59        010
                                                       3.1-4 cm.
11446...............  ..............  A               Exc face-mm b9+marg >       4.49       4.17       2.71       0.43       9.09       7.63        010
                                                       4 cm.
11450...............  ..............  A               Removal, sweat gland        2.74       4.91       2.02       0.34       7.99       5.10        090
                                                       lesion.
11451...............  ..............  A               Removal, sweat gland        3.95       6.43       2.52       0.53      10.90       7.00        090
                                                       lesion.
11462...............  ..............  A               Removal, sweat gland        2.52       5.04       2.03       0.32       7.88       4.86        090
                                                       lesion.
11463...............  ..............  A               Removal, sweat gland        3.95       6.59       2.67       0.54      11.08       7.16        090
                                                       lesion.
11470...............  ..............  A               Removal, sweat gland        3.26       4.98       2.28       0.40       8.64       5.93        090
                                                       lesion.
11471...............  ..............  A               Removal, sweat gland        4.41       6.48       2.76       0.58      11.47       7.75        090
                                                       lesion.
11600...............  ..............  A               Exc tr-ext mlg+marg         1.31       2.68       0.96       0.10       4.09       2.38        010
                                                       0.5 < cm.
11601...............  ..............  A               Exc tr-ext mlg+marg         1.80       2.86       1.21       0.12       4.78       3.14        010
                                                       0.6-1 cm.
11602...............  ..............  A               Exc tr-ext mlg+marg         1.95       3.00       1.25       0.12       5.07       3.32        010
                                                       1.1-2 cm.
11603...............  ..............  A               Exc tr-ext mlg+marg         2.19       3.22       1.31       0.16       5.58       3.66        010
                                                       2.1-3 cm.
11604...............  ..............  A               Exc tr-ext mlg+marg         2.40       3.52       1.37       0.20       6.13       3.98        010
                                                       3.1-4 cm.
11606...............  ..............  A               Exc tr-ext mlg+marg >       3.43       4.22       1.70       0.36       8.01       5.49        010
                                                       4 cm.
11620...............  ..............  A               Exc h-f-nk-sp               1.19       2.65       0.94       0.09       3.93       2.22        010
                                                       mlg+marg 0.5 <.
11621...............  ..............  A               Exc h-f-nk-sp               1.76       2.86       1.22       0.12       4.74       3.11        010
                                                       mlg+marg 0.6-1.
11622...............  ..............  A               Exc h-f-nk-sp               2.09       3.14       1.37       0.14       5.38       3.60        010
                                                       mlg+marg 1.1-2.
11623...............  ..............  A               Exc h-f-nk-sp               2.62       3.49       1.55       0.20       6.30       4.36        010
                                                       mlg+marg 2.1-3.
11624...............  ..............  A               Exc h-f-nk-sp               3.07       3.90       1.74       0.27       7.23       5.07        010
                                                       mlg+marg 3.1-4.
11626...............  ..............  A               Exc h-f-nk-sp mlg+mar       4.30       4.79       2.34       0.45       9.54       7.09        010
                                                       > 4 cm.
11640...............  ..............  A               Exc face-mm                 1.35       2.74       1.09       0.11       4.20       2.55        010
                                                       malig+marg 0.5 <.
11641...............  ..............  A               Exc face-mm                 2.16       3.19       1.50       0.16       5.52       3.82        010
                                                       malig+marg 0.6-1.
11642...............  ..............  A               Exc face-mm                 2.60       3.59       1.67       0.19       6.38       4.45        010
                                                       malig+marg 1.1-2.
11643...............  ..............  A               Exc face-mm                 3.11       3.98       1.91       0.26       7.34       5.28        010
                                                       malig+marg 2.1-3.
11644...............  ..............  A               Exc face-mm                 4.03       4.87       2.39       0.37       9.27       6.79        010
                                                       malig+marg 3.1-4.
11646...............  ..............  A               Exc face-mm mlg+marg        5.95       5.96       3.38       0.61      12.53       9.94        010
                                                       > 4 cm.
11719...............  ..............  R               Trim nail(s).........       0.17       0.27       0.07       0.02       0.46       0.26        000
11720...............  ..............  A               Debride nail, 1-5....       0.32       0.36       0.12       0.04       0.72       0.48        000
11721...............  ..............  A               Debride nail, 6 or          0.54       0.46       0.21       0.07       1.07       0.82        000
                                                       more.
11730...............  ..............  A               Removal of nail plate       1.13       1.08       0.42       0.14       2.36       1.69        000
11732...............  ..............  A               Remove nail plate,          0.57       0.46       0.22       0.07       1.10       0.86        ZZZ
                                                       add-on.
11740...............  ..............  A               Drain blood from            0.37       0.59       0.36       0.04       1.00       0.77        000
                                                       under nail.
11750...............  ..............  A               Removal of nail bed..       1.86       2.27       1.76       0.22       4.35       3.85        010
11752...............  ..............  A               Remove nail bed/            2.68       3.09       2.95       0.35       6.12       5.98        010
                                                       finger tip.
11755...............  ..............  A               Biopsy, nail unit....       1.31       1.70       0.78       0.14       3.15       2.23        000
11760...............  ..............  A               Repair of nail bed...       1.58       2.68       1.71       0.21       4.47       3.50        010
11762...............  ..............  A               Reconstruction of           2.90       3.00       2.27       0.36       6.26       5.53        010
                                                       nail bed.
11765...............  ..............  A               Excision of nail            0.69       1.91       0.80       0.08       2.68       1.57        010
                                                       fold, toe.
11770...............  ..............  A               Removal of pilonidal        2.62       3.43       1.49       0.33       6.37       4.44        010
                                                       lesion.
11771...............  ..............  A               Removal of pilonidal        5.74       5.69       3.32       0.74      12.18       9.80        090
                                                       lesion.
11772...............  ..............  A               Removal of pilonidal        6.98       7.42       5.05       0.89      15.29      12.92        090
                                                       lesion.
11900...............  ..............  A               Injection into skin         0.52       0.72       0.22       0.02       1.26       0.76        000
                                                       lesions.
11901...............  ..............  A               Added skin lesions          0.80       0.76       0.38       0.03       1.59       1.21        000
                                                       injection.
11920...............  ..............  R               Correct skin color          1.61       3.44       1.08       0.24       5.30       2.93        000
                                                       defects.
11921...............  ..............  R               Correct skin color          1.93       3.70       1.24       0.29       5.92       3.47        000
                                                       defects.
11922...............  ..............  R               Correct skin color          0.49       1.08       0.24       0.07       1.65       0.80        ZZZ
                                                       defects.
11950...............  ..............  R               Therapy for contour         0.84       1.13       0.41       0.06       2.03       1.31        000
                                                       defects.
11951...............  ..............  R               Therapy for contour         1.19       1.47       0.51       0.11       2.77       1.82        000
                                                       defects.
11952...............  ..............  R               Therapy for contour         1.69       1.81       0.67       0.16       3.66       2.52        000
                                                       defects.
11954...............  ..............  R               Therapy for contour         1.85       2.32       0.89       0.25       4.42       3.00        000
                                                       defects.
11960...............  ..............  A               Insert tissue               9.09         NA      10.12       1.31         NA      20.51        090
                                                       expander(s).
11970...............  ..............  A               Replace tissue              7.06         NA       5.95       1.05         NA      14.07        090
                                                       expander.
11971...............  ..............  A               Remove tissue               2.13       8.65       3.67       0.32      11.10       6.12        090
                                                       expander(s).
11975...............  ..............  N               Insert contraceptive        1.48       1.50       0.57       0.17       3.15       2.22        XXX
                                                       cap.
11976...............  ..............  R               Removal of                  1.78       1.75       0.66       0.21       3.74       2.66        000
                                                       contraceptive cap.
11977...............  ..............  N               Removal/reinsert            3.31       2.31       1.25       0.37       5.99       4.93        XXX
                                                       contra cap.
11980...............  ..............  A               Implant hormone             1.48       1.12       0.58       0.13       2.73       2.19        000
                                                       pellet(s).
11981...............  ..............  A               Insert drug implant         1.48       1.82       0.67       0.12       3.43       2.28        XXX
                                                       device.
11982...............  ..............  A               Remove drug implant         1.78       2.03       0.82       0.17       3.98       2.78        XXX
                                                       device.
11983...............  ..............  A               Remove/insert drug          3.31       2.51       1.51       0.23       6.05       5.04        XXX
                                                       implant.
12001...............  ..............  A               Repair superficial          1.70       1.91       0.75       0.15       3.76       2.60        010
                                                       wound(s).
12002...............  ..............  A               Repair superficial          1.86       1.97       0.87       0.17       4.00       2.90        010
                                                       wound(s).
12004...............  ..............  A               Repair superficial          2.24       2.24       0.98       0.21       4.70       3.43        010
                                                       wound(s).
12005...............  ..............  A               Repair superficial          2.87       2.73       1.16       0.27       5.87       4.30        010
                                                       wound(s).
12006...............  ..............  A               Repair superficial          3.67       3.28       1.47       0.35       7.29       5.49        010
                                                       wound(s).
12007...............  ..............  A               Repair superficial          4.12       3.69       1.76       0.45       8.26       6.33        010
                                                       wound(s).
12011...............  ..............  A               Repair superficial          1.76       2.06       0.76       0.16       3.99       2.68        010
                                                       wound(s).
12013...............  ..............  A               Repair superficial          1.99       2.20       0.90       0.18       4.37       3.07        010
                                                       wound(s).
12014...............  ..............  A               Repair superficial          2.46       2.49       1.02       0.23       5.19       3.72        010
                                                       wound(s).
12015...............  ..............  A               Repair superficial          3.20       3.03       1.21       0.29       6.52       4.70        010
                                                       wound(s).
12016...............  ..............  A               Repair superficial          3.93       3.45       1.48       0.37       7.74       5.78        010
                                                       wound(s).
12017...............  ..............  A               Repair superficial          4.71         NA       1.84       0.47         NA       7.02        010
                                                       wound(s).
12018...............  ..............  A               Repair superficial          5.53         NA       2.19       0.64         NA       8.37        010
                                                       wound(s).

[[Page 45881]]

 
12020...............  ..............  A               Closure of split            2.63       3.78       1.88       0.30       6.71       4.80        010
                                                       wound.
12021...............  ..............  A               Closure of split            1.84       1.82       1.40       0.24       3.90       3.48        010
                                                       wound.
12031...............  ..............  A               Layer closure of            2.15       2.69       1.06       0.17       5.01       3.39        010
                                                       wound(s).
12032...............  ..............  A               Layer closure of            2.47       4.16       1.76       0.16       6.80       4.39        010
                                                       wound(s).
12034...............  ..............  A               Layer closure of            2.93       3.55       1.47       0.25       6.73       4.64        010
                                                       wound(s).
12035...............  ..............  A               Layer closure of            3.43       5.25       2.09       0.39       9.07       5.91        010
                                                       wound(s).
12036...............  ..............  A               Layer closure of            4.05       5.50       2.47       0.55      10.10       7.07        010
                                                       wound(s).
12037...............  ..............  A               Layer closure of            4.67       6.07       2.88       0.66      11.40       8.21        010
                                                       wound(s).
12041...............  ..............  A               Layer closure of            2.37       2.89       1.20       0.19       5.46       3.77        010
                                                       wound(s).
12042...............  ..............  A               Layer closure of            2.75       3.58       1.49       0.17       6.50       4.41        010
                                                       wound(s).
12044...............  ..............  A               Layer closure of            3.15       3.70       1.61       0.27       7.12       5.03        010
                                                       wound(s).
12045...............  ..............  A               Layer closure of            3.64       5.20       2.22       0.41       9.25       6.27        010
                                                       wound(s).
12046...............  ..............  A               Layer closure of            4.25       6.30       2.68       0.54      11.09       7.47        010
                                                       wound(s).
12047...............  ..............  A               Layer closure of            4.65       6.42       2.99       0.58      11.64       8.22        010
                                                       wound(s).
12051...............  ..............  A               Layer closure of            2.47       3.52       1.47       0.20       6.19       4.15        010
                                                       wound(s).
12052...............  ..............  A               Layer closure of            2.78       3.56       1.46       0.17       6.50       4.40        010
                                                       wound(s).
12053...............  ..............  A               Layer closure of            3.13       3.83       1.55       0.23       7.18       4.91        010
                                                       wound(s).
12054...............  ..............  A               Layer closure of            3.46       4.13       1.64       0.30       7.89       5.40        010
                                                       wound(s).
12055...............  ..............  A               Layer closure of            4.43       5.03       2.12       0.45       9.91       7.00        010
                                                       wound(s).
12056...............  ..............  A               Layer closure of            5.24       6.86       2.95       0.59      12.69       8.78        010
                                                       wound(s).
12057...............  ..............  A               Layer closure of            5.96       6.58       3.62       0.56      13.11      10.15        010
                                                       wound(s).
13100...............  ..............  A               Repair of wound or          3.13       4.22       2.26       0.26       7.60       5.64        010
                                                       lesion.
13101...............  ..............  A               Repair of wound or          3.92       5.05       2.65       0.26       9.23       6.82        010
                                                       lesion.
13102...............  ..............  A               Repair wound/lesion         1.24       1.27       0.56       0.13       2.64       1.93        ZZZ
                                                       add-on.
13120...............  ..............  A               Repair of wound or          3.31       4.29       2.29       0.26       7.85       5.86        010
                                                       lesion.
13121...............  ..............  A               Repair of wound or          4.33       5.26       2.75       0.25       9.84       7.32        010
                                                       lesion.
13122...............  ..............  A               Repair wound/lesion         1.44       1.54       0.62       0.15       3.13       2.21        ZZZ
                                                       add-on.
13131...............  ..............  A               Repair of wound or          3.79       4.58       2.63       0.26       8.63       6.68        010
                                                       lesion.
13132...............  ..............  A               Repair of wound or          5.95       6.47       4.16       0.32      12.74      10.43        010
                                                       lesion.
13133...............  ..............  A               Repair wound/lesion         2.19       1.80       1.02       0.18       4.18       3.39        ZZZ
                                                       add-on.
13150...............  ..............  A               Repair of wound or          3.81       4.92       2.70       0.34       9.06       6.85        010
                                                       lesion.
13151...............  ..............  A               Repair of wound or          4.45       5.08       3.10       0.31       9.83       7.86        010
                                                       lesion.
13152...............  ..............  A               Repair of wound or          6.33       6.56       3.96       0.40      13.30      10.69        010
                                                       lesion.
13153...............  ..............  A               Repair wound/lesion         2.38       2.07       1.11       0.24       4.69       3.74        ZZZ
                                                       add-on.
13160...............  ..............  A               Late closure of wound      10.48         NA       7.03       1.54         NA      19.05        090
14000...............  ..............  A               Skin tissue                 5.89       8.20       5.35       0.59      14.68      11.83        090
                                                       rearrangement.
14001...............  ..............  A               Skin tissue                 8.48      10.09       6.90       0.82      19.39      16.20        090
                                                       rearrangement.
14020...............  ..............  A               Skin tissue                 6.59       9.07       6.37       0.64      16.30      13.61        090
                                                       rearrangement.
14021...............  ..............  A               Skin tissue                10.06      10.93       8.08       0.81      21.80      18.95        090
                                                       rearrangement.
14040...............  ..............  A               Skin tissue                 7.88       9.46       7.06       0.62      17.95      15.55        090
                                                       rearrangement.
14041...............  ..............  A               Skin tissue                11.49      11.70       8.59       0.73      23.92      20.81        090
                                                       rearrangement.
14060...............  ..............  A               Skin tissue                 8.51       9.39       7.32       0.68      18.58      16.51        090
                                                       rearrangement.
14061...............  ..............  A               Skin tissue                12.29      12.73       9.39       0.76      25.78      22.44        090
                                                       rearrangement.
14300...............  ..............  A               Skin tissue                11.76      12.16       8.95       1.16      25.09      21.87        090
                                                       rearrangement.
14350...............  ..............  A               Skin tissue                 9.62         NA       7.01       1.34         NA      17.97        090
                                                       rearrangement.
15000...............  ..............  A               Skin graft...........       4.00       3.98       2.14       0.54       8.52       6.68        000
15001...............  ..............  A               Skin graft add-on....       1.00       1.32       0.40       0.14       2.46       1.54        ZZZ
15050...............  ..............  A               Skin pinch graft.....       4.30       6.91       4.97       0.57      11.78       9.84        090
15100...............  ..............  A               Skin split graft.....       9.06      12.29       7.58       1.28      22.63      17.91        090
15101...............  ..............  A               Skin split graft add-       1.72       3.48       1.11       0.24       5.45       3.08        ZZZ
                                                       on.
15120...............  ..............  A               Skin split graft.....       9.84      11.33       7.57       1.16      22.32      18.57        090
15121...............  ..............  A               Skin split graft add-       2.68       4.31       1.75       0.36       7.34       4.79        ZZZ
                                                       on.
15200...............  ..............  A               Skin full graft......       8.04       9.81       6.07       0.98      18.82      15.09        090
15201...............  ..............  A               Skin full graft add-        1.32       2.51       0.60       0.19       4.02       2.12        ZZZ
                                                       on.
15220...............  ..............  A               Skin full graft......       7.88       9.79       6.51       0.84      18.51      15.23        090
15221...............  ..............  A               Skin full graft add-        1.19       2.30       0.55       0.16       3.65       1.90        ZZZ
                                                       on.
15240...............  ..............  A               Skin full graft......       9.05      10.88       7.76       0.92      20.85      17.72        090
15241...............  ..............  A               Skin full graft add-        1.86       2.54       0.89       0.23       4.63       2.98        ZZZ
                                                       on.
15260...............  ..............  A               Skin full graft......      10.06      11.18       8.47       0.69      21.93      19.22        090
15261...............  ..............  A               Skin full graft add-        2.23       2.85       1.36       0.21       5.29       3.80        ZZZ
                                                       on.
15342...............  ..............  A               Cultured skin graft,        1.00       1.86       0.54       0.12       2.98       1.66        010
                                                       25 cm.
15343...............  ..............  A               Culture skn graft           0.25       0.09       0.09       0.03       0.37       0.37        ZZZ
                                                       addl 25 cm.
15350...............  ..............  A               Skin homograft.......       4.00       6.20       3.75       0.51      10.71       8.26        090
15351...............  ..............  A               Skin homograft add-on       1.00         NA       0.36       0.14         NA       1.50        ZZZ
15400...............  ..............  A               Skin heterograft.....       4.00       4.14       3.97       0.47       8.61       8.43        090
15401...............  ..............  A               Skin heterograft add-       1.00       1.79       0.43       0.14       2.93       1.57        ZZZ
                                                       on.
15570...............  ..............  A               Form skin pedicle           9.22      10.97       6.57       1.34      21.53      17.13        090
                                                       flap.
15572...............  ..............  A               Form skin pedicle           9.28       9.50       6.27       1.20      19.98      16.75        090
                                                       flap.
15574...............  ..............  A               Form skin pedicle           9.89      10.88       7.59       1.20      21.97      18.68        090
                                                       flap.
15576...............  ..............  A               Form skin pedicle           8.70       9.94       6.72       0.87      19.51      16.29        090
                                                       flap.
15600...............  ..............  A               Skin graft...........       1.91       7.11       2.95       0.27       9.29       5.13        090
15610...............  ..............  A               Skin graft...........       2.42       4.58       3.30       0.35       7.36       6.07        090
15620...............  ..............  A               Skin graft...........       2.95       7.48       3.77       0.35      10.77       7.07        090
15630...............  ..............  A               Skin graft...........       3.28       7.06       4.05       0.34      10.68       7.66        090

[[Page 45882]]

 
15650...............  ..............  A               Transfer skin pedicle       3.97       7.20       4.12       0.42      11.59       8.50        090
                                                       flap.
15732...............  ..............  A               Muscle-skin graft,         17.85      17.55      11.84       1.99      37.38      31.67        090
                                                       head/neck.
15734...............  ..............  A               Muscle-skin graft,         17.80      17.23      11.96       2.61      37.64      32.36        090
                                                       trunk.
15736...............  ..............  A               Muscle-skin graft,         16.28      17.29      10.85       2.45      36.03      29.58        090
                                                       arm.
15738...............  ..............  A               Muscle-skin graft,         17.93      17.10      11.35       2.65      37.68      31.92        090
                                                       leg.
15740...............  ..............  A               Island pedicle flap        10.25      11.22       8.29       0.63      22.11      19.17        090
                                                       graft.
15750...............  ..............  A               Neurovascular pedicle      11.41         NA       8.81       1.42         NA      21.65        090
                                                       graft.
15756...............  ..............  A               Free myo/skin flap         35.25         NA      19.96       4.61         NA      59.82        090
                                                       microvasc.
15757...............  ..............  A               Free skin flap,            35.25         NA      20.93       3.89         NA      60.07        090
                                                       microvasc.
15758...............  ..............  A               Free fascial flap,         35.12         NA      20.93       4.23         NA      60.28        090
                                                       microvasc.
15760...............  ..............  A               Composite skin graft.       8.75      10.37       7.07       0.85      19.97      16.66        090
15770...............  ..............  A               Derma-fat-fascia            7.53         NA       6.55       1.05         NA      15.13        090
                                                       graft.
15775...............  ..............  R               Hair transplant punch       3.96       4.40       1.34       0.52       8.88       5.82        000
                                                       grafts.
15776...............  ..............  R               Hair transplant punch       5.54       5.71       2.82       0.72      11.97       9.08        000
                                                       grafts.
15780...............  ..............  A               Abrasion treatment of       7.29      11.64       8.13       0.67      19.61      16.09        090
                                                       skin.
15781...............  ..............  A               Abrasion treatment of       4.85       7.37       5.36       0.34      12.56      10.55        090
                                                       skin.
15782...............  ..............  A               Abrasion treatment of       4.32       9.54       6.31       0.34      14.20      10.96        090
                                                       skin.
15783...............  ..............  A               Abrasion treatment of       4.29       7.10       4.35       0.28      11.67       8.92        090
                                                       skin.
15786...............  ..............  A               Abrasion, lesion,           2.03       3.43       1.39       0.11       5.58       3.54        010
                                                       single.
15787...............  ..............  A               Abrasion, lesions,          0.33       1.02       0.16       0.04       1.40       0.53        ZZZ
                                                       add-on.
15788...............  ..............  R               Chemical peel, face,        2.09       7.25       3.43       0.11       9.46       5.63        090
                                                       epiderm.
15789...............  ..............  R               Chemical peel, face,        4.92       8.43       5.00       0.20      13.55      10.12        090
                                                       dermal.
15792...............  ..............  R               Chemical peel,              1.86       7.34       4.59       0.13       9.33       6.59        090
                                                       nonfacial.
15793...............  ..............  A               Chemical peel,              3.74       6.85       4.57       0.19      10.78       8.50        090
                                                       nonfacial.
15810...............  ..............  A               Salabrasion..........       4.74       0.00       3.74       0.51       5.25       8.99        090
15811...............  ..............  A               Salabrasion..........       5.39       5.30       4.65       0.80      11.49      10.84        090
15819...............  ..............  A               Plastic surgery, neck       9.39         NA       7.02       0.97         NA      17.38        090
15820...............  ..............  A               Revision of lower           5.15       6.76       5.38       0.40      12.31      10.93        090
                                                       eyelid.
15821...............  ..............  A               Revision of lower           5.72       7.13       5.55       0.45      13.30      11.72        090
                                                       eyelid.
15822...............  ..............  A               Revision of upper           4.45       5.66       4.37       0.37      10.48       9.19        090
                                                       eyelid.
15823...............  ..............  A               Revision of upper           7.05       7.64       6.27       0.50      15.20      13.82        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      12.40         NA       7.99       1.75         NA      22.14        090
                                                       tissue.
15832...............  ..............  A               Excise excessive skin      11.59         NA       8.13       1.66         NA      21.39        090
                                                       tissue.
15833...............  ..............  A               Excise excessive skin      10.64         NA       7.89       1.49         NA      20.02        090
                                                       tissue.
15834...............  ..............  A               Excise excessive skin      10.85         NA       7.50       1.61         NA      19.96        090
                                                       tissue.
15835...............  ..............  A               Excise excessive skin      11.67         NA       7.42       1.60         NA      20.69        090
                                                       tissue.
15836...............  ..............  A               Excise excessive skin       9.35         NA       6.64       1.34         NA      17.33        090
                                                       tissue.
15837...............  ..............  A               Excise excessive skin       8.44       8.28       7.16       1.18      17.90      16.78        090
                                                       tissue.
15838...............  ..............  A               Excise excessive skin       7.13         NA       5.93       0.58         NA      13.64        090
                                                       tissue.
15839...............  ..............  A               Excise excessive skin       9.39       8.67       6.28       1.22      19.28      16.89        090
                                                       tissue.
15840...............  ..............  A               Graft for face nerve       13.27         NA       9.70       1.32         NA      24.28        090
                                                       palsy.
15841...............  ..............  A               Graft for face nerve       23.28         NA      14.69       2.54         NA      40.51        090
                                                       palsy.
15842...............  ..............  A               Flap for face nerve        37.98         NA      22.25       4.93         NA      65.16        090
                                                       palsy.
15845...............  ..............  A               Skin and muscle            12.58         NA       9.08       0.81         NA      22.47        090
                                                       repair, face.
15850...............  ..............  B               Removal of sutures...       0.78       1.53       0.30       0.05       2.36       1.13        XXX
15851...............  ..............  A               Removal of sutures...       0.86       1.62       0.30       0.06       2.54       1.22        000
15852...............  ..............  A               Dressing change not         0.86       1.77       0.32       0.09       2.72       1.27        000
                                                       for burn.
15860...............  ..............  A               Test for blood flow         1.95         NA       0.77       0.27         NA       2.99        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        7.96         NA       5.45       1.04         NA      14.44        090
                                                       ulcer.
15922...............  ..............  A               Removal of tail bone        9.91         NA       7.03       1.42         NA      18.36        090
                                                       ulcer.
15931...............  ..............  A               Remove sacrum               9.25         NA       5.58       1.25         NA      16.08        090
                                                       pressure sore.
15933...............  ..............  A               Remove sacrum              10.85         NA       7.66       1.52         NA      20.03        090
                                                       pressure sore.
15934...............  ..............  A               Remove sacrum              12.70         NA       7.84       1.78         NA      22.32        090
                                                       pressure sore.
15935...............  ..............  A               Remove sacrum              14.58         NA      10.04       2.09         NA      26.71        090
                                                       pressure sore.
15936...............  ..............  A               Remove sacrum              12.38         NA       7.99       1.76         NA      22.14        090
                                                       pressure sore.
15937...............  ..............  A               Remove sacrum              14.22         NA       9.53       2.06         NA      25.81        090
                                                       pressure sore.
15940...............  ..............  A               Remove hip pressure         9.35         NA       6.02       1.31         NA      16.68        090
                                                       sore.
15941...............  ..............  A               Remove hip pressure        11.43         NA       9.13       1.66         NA      22.23        090
                                                       sore.
15944...............  ..............  A               Remove hip pressure        11.46         NA       8.36       1.65         NA      21.47        090
                                                       sore.
15945...............  ..............  A               Remove hip pressure        12.70         NA       9.36       1.84         NA      23.90        090
                                                       sore.
15946...............  ..............  A               Remove hip pressure        21.58         NA      13.97       3.16         NA      38.71        090
                                                       sore.
15950...............  ..............  A               Remove thigh pressure       7.55         NA       5.30       1.04         NA      13.88        090
                                                       sore.
15951...............  ..............  A               Remove thigh pressure      10.72         NA       7.67       1.49         NA      19.88        090
                                                       sore.
15952...............  ..............  A               Remove thigh pressure      11.39         NA       7.57       1.60         NA      20.56        090
                                                       sore.
15953...............  ..............  A               Remove thigh pressure      12.64         NA       8.75       1.79         NA      23.18        090
                                                       sore.

[[Page 45883]]

 
15956...............  ..............  A               Remove thigh pressure      15.53         NA      10.47       2.21         NA      28.21        090
                                                       sore.
15958...............  ..............  A               Remove thigh pressure      15.49         NA      10.73       2.25         NA      28.47        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       0.84       0.25       0.08       1.81       1.22        000
                                                       burn(s).
16010...............  ..............  A               Treatment of burn(s).       0.87         NA       0.61       0.09         NA       1.58        000
16015...............  ..............  A               Treatment of burn(s).       2.35         NA       1.13       0.32         NA       3.81        000
16020...............  ..............  A               Treatment of burn(s).       0.80       1.24       0.57       0.08       2.13       1.45        000
16025...............  ..............  A               Treatment of burn(s).       1.85       1.71       0.94       0.19       3.75       2.99        000
16030...............  ..............  A               Treatment of burn(s).       2.08       2.09       1.10       0.24       4.41       3.43        000
16035...............  ..............  A               Incision of burn            3.75         NA       1.59       0.46         NA       5.80        090
                                                       scab, initi.
16036...............  ..............  A               Escharotomy; add'l          1.50         NA       0.59       0.20         NA       2.29        ZZZ
                                                       incision.
17000...............  ..............  A               Destroy benign/premlg       0.60       1.09       0.59       0.03       1.73       1.22        010
                                                       lesion.
17003...............  ..............  A               Destroy lesions, 2-14       0.15       0.12       0.08       0.01       0.28       0.24        ZZZ
17004...............  ..............  A               Destroy lesions, 15         2.80       2.58       1.71       0.11       5.49       4.62        010
                                                       or more.
17106...............  ..............  A               Destruction of skin         4.59       4.81       3.35       0.35       9.75       8.29        090
                                                       lesions.
17107...............  ..............  A               Destruction of skin         9.17       7.66       5.50       0.63      17.46      15.30        090
                                                       lesions.
17108...............  ..............  A               Destruction of skin        13.21       9.87       7.77       0.54      23.62      21.52        090
                                                       lesions.
17110...............  ..............  A               Destruct lesion, 1-14       0.65       1.65       0.75       0.05       2.35       1.45        010
17111...............  ..............  A               Destruct lesion, 15         0.92       1.79       0.87       0.05       2.76       1.84        010
                                                       or more.
17250...............  ..............  A               Chemical cautery,           0.50       1.23       0.34       0.06       1.79       0.90        000
                                                       tissue.
17260...............  ..............  A               Destruction of skin         0.91       1.33       0.69       0.04       2.28       1.64        010
                                                       lesions.
17261...............  ..............  A               Destruction of skin         1.17       1.83       0.91       0.05       3.05       2.13        010
                                                       lesions.
17262...............  ..............  A               Destruction of skin         1.58       2.13       1.11       0.06       3.78       2.76        010
                                                       lesions.
17263...............  ..............  A               Destruction of skin         1.79       2.32       1.18       0.07       4.19       3.04        010
                                                       lesions.
17264...............  ..............  A               Destruction of skin         1.94       2.51       1.19       0.08       4.53       3.22        010
                                                       lesions.
17266...............  ..............  A               Destruction of skin         2.34       2.79       1.26       0.09       5.23       3.69        010
                                                       lesions.
17270...............  ..............  A               Destruction of skin         1.32       1.89       0.94       0.05       3.27       2.31        010
                                                       lesions.
17271...............  ..............  A               Destruction of skin         1.49       2.01       1.07       0.06       3.56       2.63        010
                                                       lesions.
17272...............  ..............  A               Destruction of skin         1.77       2.25       1.21       0.07       4.10       3.06        010
                                                       lesions.
17273...............  ..............  A               Destruction of skin         2.05       2.48       1.31       0.08       4.62       3.44        010
                                                       lesions.
17274...............  ..............  A               Destruction of skin         2.60       2.87       1.53       0.10       5.56       4.23        010
                                                       lesions.
17276...............  ..............  A               Destruction of skin         3.21       3.26       1.72       0.16       6.63       5.08        010
                                                       lesions.
17280...............  ..............  A               Destruction of skin         1.17       1.80       0.87       0.05       3.03       2.09        010
                                                       lesions.
17281...............  ..............  A               Destruction of skin         1.72       2.15       1.18       0.07       3.94       2.98        010
                                                       lesions.
17282...............  ..............  A               Destruction of skin         2.04       2.43       1.35       0.08       4.55       3.47        010
                                                       lesions.
17283...............  ..............  A               Destruction of skin         2.65       2.86       1.58       0.11       5.61       4.34        010
                                                       lesions.
17284...............  ..............  A               Destruction of skin         3.22       3.26       1.82       0.13       6.60       5.17        010
                                                       lesions.
17286...............  ..............  A               Destruction of skin         4.44       4.01       2.44       0.23       8.68       7.11        010
                                                       lesions.
17304...............  ..............  A               1 stage mohs, up to 5       7.61       9.35       3.85       0.30      17.26      11.76        000
                                                       spec.
17305...............  ..............  A               2 stage mohs, up to 5       2.86       4.64       1.46       0.11       7.61       4.42        000
                                                       spec.
17306...............  ..............  A               3 stage mohs, up to 5       2.86       4.79       1.47       0.11       7.76       4.44        000
                                                       spec.
17307...............  ..............  A               Mohs addl stage up to       2.86       4.39       1.49       0.11       7.36       4.45        000
                                                       5 spec.
17310...............  ..............  A               Mohs any stage > 5          0.95       1.74       0.51       0.03       2.72       1.49        ZZZ
                                                       spec each.
17340...............  ..............  A               Cryotherapy of skin..       0.76       0.38       0.36       0.05       1.19       1.17        010
17360...............  ..............  A               Skin peel therapy....       1.43       1.51       0.96       0.06       3.00       2.46        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       1.97       0.32       0.08       2.89       1.24        000
                                                       lesion.
19001...............  ..............  A               Drain breast lesion         0.42       0.25       0.15       0.04       0.71       0.61        ZZZ
                                                       add-on.
19020...............  ..............  A               Incision of breast          3.57       6.18       2.67       0.45      10.20       6.68        090
                                                       lesion.
19030...............  ..............  A               Injection for breast        1.53       3.03       0.53       0.09       4.65       2.15        000
                                                       x-ray.
19100...............  ..............  A               Bx breast percut w/o        1.27       2.06       0.43       0.16       3.50       1.86        000
                                                       image.
19101...............  ..............  A               Biopsy of breast,           3.19       4.65       1.98       0.39       8.23       5.56        010
                                                       open.
19102...............  ..............  A               Bx breast percut w/         2.00       3.99       0.68       0.14       6.13       2.83        000
                                                       image.
19103...............  ..............  A               Bx breast percut w/         3.70      11.81       1.26       0.30      15.81       5.25        000
                                                       device.
19110...............  ..............  A               Nipple exploration...       4.30       5.75       2.87       0.57      10.62       7.74        090
19112...............  ..............  A               Excise breast duct          3.67       5.89       2.69       0.48      10.04       6.84        090
                                                       fistula.
19120...............  ..............  A               Removal of breast           5.56       4.56       3.06       0.73      10.85       9.35        090
                                                       lesion.
19125...............  ..............  A               Excision, breast            6.06       4.77       3.28       0.80      11.63      10.14        090
                                                       lesion.
19126...............  ..............  A               Excision, addl breast       2.94         NA       0.98       0.38         NA       4.29        ZZZ
                                                       lesion.
19140...............  ..............  A               Removal of breast           5.14       7.05       3.39       0.69      12.88       9.22        090
                                                       tissue.
19160...............  ..............  A               Partial mastectomy...       5.99         NA       3.41       0.79         NA      10.19        090
19162...............  ..............  A               P-mastectomy w/ln          13.54         NA       6.26       1.79         NA      21.59        090
                                                       removal.
19180...............  ..............  A               Removal of breast....       8.81         NA       5.00       1.18         NA      14.99        090
19182...............  ..............  A               Removal of breast....       7.74         NA       4.72       1.04         NA      13.50        090
19200...............  ..............  A               Removal of breast....      15.50         NA       7.87       1.92         NA      25.29        090
19220...............  ..............  A               Removal of breast....      15.73         NA       8.17       2.07         NA      25.98        090
19240...............  ..............  A               Removal of breast....      16.01         NA       8.15       2.12         NA      26.28        090
19260...............  ..............  A               Removal of chest wall      15.45         NA      10.76       2.13         NA      28.34        090
                                                       lesion.
19271...............  ..............  A               Revision of chest          18.91         NA      17.32       2.62         NA      38.84        090
                                                       wall.
19272...............  ..............  A               Extensive chest wall       21.56         NA      18.30       2.99         NA      42.85        090
                                                       surgery.
19290...............  ..............  A               Place needle wire,          1.27       3.01       0.44       0.07       4.36       1.78        000
                                                       breast.
19291...............  ..............  A               Place needle wire,          0.63       1.27       0.22       0.04       1.94       0.89        ZZZ
                                                       breast.
19295...............  ..............  A               Place breast clip,          0.00       2.74         NA       0.01       2.75         NA        ZZZ
                                                       percut.

[[Page 45884]]

 
19296...............  ..............  A               Place po breast cath        3.64     117.96       1.50       0.36     121.96       5.49        000
                                                       for rad.
19297...............  ..............  A               Place breast cath for       1.72         NA       0.62       0.17         NA       2.52        ZZZ
                                                       rad.
19298...............  ..............  A               Place breast rad tube/      6.01      39.56       2.35       0.43      46.00       8.79        000
                                                       caths.
19316...............  ..............  A               Suspension of breast.      10.69         NA       7.30       1.64         NA      19.63        090
19318...............  ..............  A               Reduction of large         15.63         NA      10.79       2.92         NA      29.34        090
                                                       breast.
19324...............  ..............  A               Enlarge breast.......       5.85         NA       4.79       0.84         NA      11.48        090
19325...............  ..............  A               Enlarge breast with         8.46         NA       6.33       1.33         NA      16.11        090
                                                       implant.
19328...............  ..............  A               Removal of breast           5.68         NA       4.88       0.91         NA      11.47        090
                                                       implant.
19330...............  ..............  A               Removal of implant          7.60         NA       5.88       1.26         NA      14.74        090
                                                       material.
19340...............  ..............  A               Immediate breast            6.33         NA       3.03       1.06         NA      10.42        ZZZ
                                                       prosthesis.
19342...............  ..............  A               Delayed breast             11.20         NA       8.67       1.83         NA      21.70        090
                                                       prosthesis.
19350...............  ..............  A               Breast reconstruction       8.93      13.03       6.95       1.41      23.37      17.28        090
19355...............  ..............  A               Correct inverted            7.58       9.85       4.63       0.92      18.34      13.12        090
                                                       nipple(s).
19357...............  ..............  A               Breast reconstruction      18.17         NA      15.13       2.93         NA      36.23        090
19361...............  ..............  A               Breast reconstruction      19.27         NA      12.09       2.92         NA      34.28        090
19364...............  ..............  A               Breast reconstruction      41.02         NA      22.83       6.22         NA      70.07        090
19366...............  ..............  A               Breast reconstruction      21.29         NA      11.31       3.24         NA      35.84        090
19367...............  ..............  A               Breast reconstruction      25.74         NA      16.16       4.03         NA      45.93        090
19368...............  ..............  A               Breast reconstruction      32.43         NA      18.34       5.52         NA      56.30        090
19369...............  ..............  A               Breast reconstruction      29.84         NA      17.81       4.50         NA      52.15        090
19370...............  ..............  A               Surgery of breast           8.06         NA       6.70       1.29         NA      16.05        090
                                                       capsule.
19371...............  ..............  A               Removal of breast           9.36         NA       7.60       1.62         NA      18.57        090
                                                       capsule.
19380...............  ..............  A               Revise breast               9.15         NA       7.48       1.44         NA      18.07        090
                                                       reconstruction.
19396...............  ..............  A               Design custom breast        2.17       2.17       1.02       0.30       4.65       3.50        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       2.70       1.73       0.25       5.07       4.10        010
20005...............  ..............  A               Incision of deep            3.42       3.50       2.23       0.46       7.37       6.10        010
                                                       abscess.
2000F...............  ..............  I               Blood pressure,             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       measured.
20100...............  ..............  A               Explore wound, neck..      10.08         NA       4.35       1.21         NA      15.64        010
20101...............  ..............  A               Explore wound, chest.       3.23       5.85       1.57       0.44       9.52       5.24        010
20102...............  ..............  A               Explore wound,              3.94       7.18       1.88       0.49      11.61       6.31        010
                                                       abdomen.
20103...............  ..............  A               Explore wound,              5.30       8.22       3.29       0.75      14.27       9.34        010
                                                       extremity.
20150...............  ..............  A               Excise epiphyseal bar      13.70         NA       7.00       2.03         NA      22.73        090
20200...............  ..............  A               Muscle biopsy........       1.46       2.95       0.74       0.23       4.64       2.44        000
20205...............  ..............  A               Deep muscle biopsy...       2.35       3.79       1.17       0.33       6.47       3.86        000
20206...............  ..............  A               Needle biopsy, muscle       0.99       6.34       0.66       0.07       7.40       1.72        000
20220...............  ..............  A               Bone biopsy, trocar/        1.27       4.29       0.79       0.08       5.65       2.15        000
                                                       needle.
20225...............  ..............  A               Bone biopsy, trocar/        1.87      22.84       1.17       0.22      24.94       3.27        000
                                                       needle.
20240...............  ..............  A               Bone biopsy,                3.24         NA       2.48       0.44         NA       6.16        010
                                                       excisional.
20245...............  ..............  A               Bone biopsy,                7.79         NA       6.39       1.31         NA      15.48        010
                                                       excisional.
20250...............  ..............  A               Open bone biopsy.....       5.03         NA       3.45       1.02         NA       9.50        010
20251...............  ..............  A               Open bone biopsy.....       5.56         NA       4.09       1.15         NA      10.80        010
20500...............  ..............  A               Injection of sinus          1.23       2.10       1.46       0.12       3.46       2.81        010
                                                       tract.
20501...............  ..............  A               Inject sinus tract          0.76       2.87       0.26       0.04       3.67       1.06        000
                                                       for x-ray.
20520...............  ..............  A               Removal of foreign          1.85       2.81       1.70       0.21       4.88       3.77        010
                                                       body.
20525...............  ..............  A               Removal of foreign          3.50       8.59       2.55       0.51      12.60       6.55        010
                                                       body.
20526...............  ..............  A               Ther injection, carp        0.94       0.94       0.51       0.13       2.01       1.58        000
                                                       tunnel.
20550...............  ..............  A               Inj tendon sheath/          0.75       0.69       0.23       0.09       1.54       1.07        000
                                                       ligament.
20551...............  ..............  A               Inj tendon origin/          0.75       0.67       0.32       0.08       1.50       1.15        000
                                                       insertion.
20552...............  ..............  A               Inj trigger point, 1/       0.66       0.70       0.20       0.05       1.41       0.91        000
                                                       2 muscl.
20553...............  ..............  A               Inject trigger              0.75       0.79       0.21       0.04       1.58       1.00        000
                                                       points, =/> 3.
20600...............  ..............  A               Drain/inject, joint/        0.66       0.66       0.35       0.08       1.40       1.09        000
                                                       bursa.
20605...............  ..............  A               Drain/inject, joint/        0.68       0.75       0.35       0.08       1.52       1.11        000
                                                       bursa.
20610...............  ..............  A               Drain/inject, joint/        0.79       0.92       0.41       0.11       1.83       1.31        000
                                                       bursa.
20612...............  ..............  A               Aspirate/inj ganglion       0.70       0.70       0.35       0.10       1.50       1.15        000
                                                       cyst.
20615...............  ..............  A               Treatment of bone           2.28       3.38       1.82       0.20       5.87       4.31        010
                                                       cyst.
20650...............  ..............  A               Insert and remove           2.23       2.35       1.54       0.31       4.90       4.09        010
                                                       bone pin.
20660...............  ..............  A               Apply, rem fixation         2.52       2.95       1.58       0.59       6.05       4.68        000
                                                       device.
20661...............  ..............  A               Application of head         4.89         NA       4.82       1.14         NA      10.85        090
                                                       brace.
20662...............  ..............  A               Application of pelvis       6.07         NA       5.39       0.56         NA      12.02        090
                                                       brace.
20663...............  ..............  A               Application of thigh        5.43         NA       4.71       0.94         NA      11.08        090
                                                       brace.
20664...............  ..............  A               Halo brace                  8.07         NA       6.89       1.74         NA      16.70        090
                                                       application.
20665...............  ..............  A               Removal of fixation         1.31       2.06       1.32       0.19       3.57       2.82        010
                                                       device.
20670...............  ..............  A               Removal of support          1.74      10.66       2.02       0.28      12.68       4.04        010
                                                       implant.
20680...............  ..............  A               Removal of support          3.35       8.36       3.59       0.56      12.27       7.50        090
                                                       implant.
20690...............  ..............  A               Apply bone fixation         3.52         NA       2.45       0.59         NA       6.56        090
                                                       device.
20692...............  ..............  A               Apply bone fixation         6.41         NA       3.67       1.05         NA      11.14        090
                                                       device.
20693...............  ..............  A               Adjust bone fixation        5.86         NA       5.26       0.98         NA      12.10        090
                                                       device.
20694...............  ..............  A               Remove bone fixation        4.16       6.78       3.93       0.71      11.65       8.80        090
                                                       device.
20802...............  ..............  A               Replantation, arm,         41.17         NA      20.55       3.81         NA      65.53        090
                                                       complete.
20805...............  ..............  A               Replant forearm,           50.03         NA      32.77       4.84         NA      87.64        090
                                                       complete.
20808...............  ..............  A               Replantation hand,         61.68         NA      40.74       6.86         NA     109.28        090
                                                       complete.
20816...............  ..............  A               Replantation digit,        30.95         NA      35.39       4.52         NA      70.86        090
                                                       complete.
20822...............  ..............  A               Replantation digit,        25.60         NA      32.40       4.18         NA      62.18        090
                                                       complete.

[[Page 45885]]

 
20824...............  ..............  A               Replantation thumb,        30.95         NA      34.30       4.61         NA      69.86        090
                                                       complete.
20827...............  ..............  A               Replantation thumb,        26.42         NA      34.08       3.66         NA      64.16        090
                                                       complete.
20838...............  ..............  A               Replantation foot,         41.43         NA      21.78       1.12         NA      64.34        090
                                                       complete.
20900...............  ..............  A               Removal of bone for         5.58       8.42       5.50       0.94      14.95      12.02        090
                                                       graft.
20902...............  ..............  A               Removal of bone for         7.56         NA       6.66       1.30         NA      15.52        090
                                                       graft.
20910...............  ..............  A               Remove cartilage for        5.34         NA       5.04       0.71         NA      11.09        090
                                                       graft.
20912...............  ..............  A               Remove cartilage for        6.35         NA       5.63       0.69         NA      12.67        090
                                                       graft.
20920...............  ..............  A               Removal of fascia for       5.31         NA       4.26       0.66         NA      10.23        090
                                                       graft.
20922...............  ..............  A               Removal of fascia for       6.61       7.41       4.87       0.70      14.72      12.18        090
                                                       graft.
20924...............  ..............  A               Removal of tendon for       6.48         NA       5.69       1.04         NA      13.22        090
                                                       graft.
20926...............  ..............  A               Removal of tissue for       5.53         NA       4.66       0.87         NA      11.06        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       0.90       0.43         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       2.80         NA       1.41       0.54         NA       4.74        ZZZ
20938...............  ..............  A               Spinal bone autograft       3.03         NA       1.52       0.64         NA       5.18        ZZZ
20950...............  ..............  A               Fluid pressure,             1.26       6.35       0.97       0.20       7.81       2.43        000
                                                       muscle.
20955...............  ..............  A               Fibula bone graft,         39.23         NA      23.52       4.89         NA      67.64        090
                                                       microvasc.
20956...............  ..............  A               Iliac bone graft,          39.29         NA      24.03       7.01         NA      70.33        090
                                                       microvasc.
20957...............  ..............  A               Mt bone graft,             40.67         NA      18.69       7.05         NA      66.42        090
                                                       microvasc.
20962...............  ..............  A               Other bone graft,          39.29         NA      25.76       6.55         NA      71.60        090
                                                       microvasc.
20969...............  ..............  A               Bone/skin graft,           43.94         NA      25.78       4.79         NA      74.51        090
                                                       microvasc.
20970...............  ..............  A               Bone/skin graft,           43.09         NA      24.61       6.60         NA      74.30        090
                                                       iliac crest.
20972...............  ..............  A               Bone/skin graft,           43.02         NA      20.22       5.30         NA      68.54        090
                                                       metatarsal.
20973...............  ..............  A               Bone/skin graft,           45.78         NA      24.42       5.54         NA      75.74        090
                                                       great toe.
20974...............  ..............  A               Electrical bone             0.62       0.71       0.53       0.11       1.44       1.26        000
                                                       stimulation.
20975...............  ..............  A               Electrical bone             2.61         NA       1.67       0.51         NA       4.78        000
                                                       stimulation.
20979...............  ..............  A               Us bone stimulation..       0.62       0.77       0.33       0.09       1.49       1.04        000
20982...............  ..............  A               Ablate, bone tumor(s)       7.28     105.12      12.41       0.69     113.09      20.38        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      10.14         NA       7.28       1.11         NA      18.53        090
21015...............  ..............  A               Resection of facial         5.29         NA       4.86       0.70         NA      10.86        090
                                                       tumor.
21025...............  ..............  A               Excision of bone,          10.06      12.30       9.24       1.32      23.68      20.62        090
                                                       lower jaw.
21026...............  ..............  A               Excision of facial          4.85       7.94       6.20       0.60      13.39      11.65        090
                                                       bone(s).
21029...............  ..............  A               Contour of face bone        7.72       9.32       6.85       0.94      17.98      15.50        090
                                                       lesion.
21030...............  ..............  A               Excise max/zygoma b9        4.50       6.45       4.96       0.54      11.49      10.00        090
                                                       tumor.
21031...............  ..............  A               Remove exostosis,           3.25       5.29       3.62       0.48       9.01       7.35        090
                                                       mandible.
21032...............  ..............  A               Remove exostosis,           3.25       5.45       3.51       0.47       9.16       7.23        090
                                                       maxilla.
21034...............  ..............  A               Excise max/zygoma mlg      16.18      15.67      12.29       1.71      33.56      30.19        090
                                                       tumor.
21040...............  ..............  A               Excise mandible             4.50       6.51       4.70       0.54      11.55       9.74        090
                                                       lesion.
21044...............  ..............  A               Removal of jaw bone        11.86         NA       9.18       1.12         NA      22.17        090
                                                       lesion.
21045...............  ..............  A               Extensive jaw surgery      16.18         NA      12.08       1.52         NA      29.79        090
21046...............  ..............  A               Remove mandible cyst       13.01         NA      11.91       1.85         NA      26.77        090
                                                       complex.
21047...............  ..............  A               Excise lwr jaw cyst w/     18.76         NA      13.17       2.12         NA      34.05        090
                                                       repair.
21048...............  ..............  A               Remove maxilla cyst        13.51         NA      12.13       1.76         NA      27.40        090
                                                       complex.
21049...............  ..............  A               Excis uppr jaw cyst w/     18.01         NA      12.78       1.59         NA      32.37        090
                                                       repair.
21050...............  ..............  A               Removal of jaw joint.      10.77         NA       9.31       1.47         NA      21.56        090
21060...............  ..............  A               Remove jaw joint           10.23         NA       8.51       1.38         NA      20.12        090
                                                       cartilage.
21070...............  ..............  A               Remove coronoid             8.21         NA       7.03       1.27         NA      16.50        090
                                                       process.
21076...............  ..............  A               Prepare face/oral          13.43      12.00       9.44       1.99      27.42      24.85        010
                                                       prosthesis.
21077...............  ..............  A               Prepare face/oral          33.77      29.60      24.40       4.55      67.91      62.72        090
                                                       prosthesis.
21079...............  ..............  A               Prepare face/oral          22.35      20.43      16.13       3.15      45.94      41.63        090
                                                       prosthesis.
21080...............  ..............  A               Prepare face/oral          25.11      23.16      18.23       3.74      52.01      47.08        090
                                                       prosthesis.
21081...............  ..............  A               Prepare face/oral          22.90      21.14      16.42       3.20      47.24      42.52        090
                                                       prosthesis.
21082...............  ..............  A               Prepare face/oral          20.88      18.48      14.83       3.11      42.47      38.82        090
                                                       prosthesis.
21083...............  ..............  A               Prepare face/oral          19.31      17.90      13.57       2.88      40.09      35.76        090
                                                       prosthesis.
21084...............  ..............  A               Prepare face/oral          22.52      21.12      16.44       2.18      45.82      41.15        090
                                                       prosthesis.
21085...............  ..............  A               Prepare face/oral           9.01       8.28       6.79       1.27      18.56      17.07        010
                                                       prosthesis.
21086...............  ..............  A               Prepare face/oral          24.93      22.34      18.15       3.71      50.98      46.79        090
                                                       prosthesis.
21087...............  ..............  A               Prepare face/oral          24.93      22.11      18.05       3.44      50.48      46.42        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               4.22      11.76       4.79       0.34      16.32       9.35        090
                                                       fixation.
21110...............  ..............  A               Interdental fixation.       5.21      10.08       8.54       0.72      16.01      14.47        090
21116...............  ..............  A               Injection, jaw joint        0.81       4.08       0.34       0.06       4.95       1.21        000
                                                       x-ray.
21120...............  ..............  A               Reconstruction of           4.93      10.42       7.29       0.60      15.95      12.82        090
                                                       chin.
21121...............  ..............  A               Reconstruction of           7.65       9.92       7.81       0.90      18.47      16.36        090
                                                       chin.
21122...............  ..............  A               Reconstruction of           8.53         NA       8.55       1.07         NA      18.15        090
                                                       chin.
21123...............  ..............  A               Reconstruction of          11.16         NA      10.59       1.40         NA      23.15        090
                                                       chin.
21125...............  ..............  A               Augmentation, lower        10.62      55.80       8.18       0.79      67.21      19.59        090
                                                       jaw bone.
21127...............  ..............  A               Augmentation, lower        11.12      48.12       9.27       1.52      60.76      21.91        090
                                                       jaw bone.
21137...............  ..............  A               Reduction of forehead       9.83         NA       7.48       1.32         NA      18.63        090
21138...............  ..............  A               Reduction of forehead      12.19         NA       9.25       1.74         NA      23.18        090
21139...............  ..............  A               Reduction of forehead      14.62         NA      11.13       1.18         NA      26.93        090

[[Page 45886]]

 
21141...............  ..............  A               Reconstruct midface,       18.11         NA      13.41       2.35         NA      33.87        090
                                                       lefort.
21142...............  ..............  A               Reconstruct midface,       18.82         NA      12.75       2.38         NA      33.95        090
                                                       lefort.
21143...............  ..............  A               Reconstruct midface,       19.59         NA      14.37       1.66         NA      35.62        090
                                                       lefort.
21145...............  ..............  A               Reconstruct midface,       19.95         NA      13.66       2.84         NA      36.45        090
                                                       lefort.
21146...............  ..............  A               Reconstruct midface,       20.72         NA      15.04       3.09         NA      38.85        090
                                                       lefort.
21147...............  ..............  A               Reconstruct midface,       21.78         NA      14.88       1.84         NA      38.51        090
                                                       lefort.
21150...............  ..............  A               Reconstruct midface,       25.25         NA      16.60       2.55         NA      44.40        090
                                                       lefort.
21151...............  ..............  A               Reconstruct midface,       28.32         NA      21.89       2.30         NA      52.51        090
                                                       lefort.
21154...............  ..............  A               Reconstruct midface,       30.53         NA      22.45       2.48         NA      55.46        090
                                                       lefort.
21155...............  ..............  A               Reconstruct midface,       34.47         NA      23.33       6.64         NA      64.44        090
                                                       lefort.
21159...............  ..............  A               Reconstruct midface,       42.40         NA      27.95       8.18         NA      78.53        090
                                                       lefort.
21160...............  ..............  A               Reconstruct midface,       46.46         NA      27.92       4.13         NA      78.51        090
                                                       lefort.
21172...............  ..............  A               Reconstruct orbit/         27.82         NA      13.53       3.55         NA      44.90        090
                                                       forehead.
21175...............  ..............  A               Reconstruct orbit/         33.19         NA      17.38       4.83         NA      55.40        090
                                                       forehead.
21179...............  ..............  A               Reconstruct entire         22.26         NA      13.72       2.80         NA      38.78        090
                                                       forehead.
21180...............  ..............  A               Reconstruct entire         25.20         NA      14.96       3.48         NA      43.65        090
                                                       forehead.
21181...............  ..............  A               Contour cranial bone        9.91         NA       7.23       1.32         NA      18.46        090
                                                       lesion.
21182...............  ..............  A               Reconstruct cranial        32.20         NA      18.55       2.80         NA      53.56        090
                                                       bone.
21183...............  ..............  A               Reconstruct cranial        35.33         NA      20.24       4.47         NA      60.04        090
                                                       bone.
21184...............  ..............  A               Reconstruct cranial        38.26         NA      21.33       5.70         NA      65.29        090
                                                       bone.
21188...............  ..............  A               Reconstruction of          22.47         NA      18.35       1.69         NA      42.52        090
                                                       midface.
21193...............  ..............  A               Reconst lwr jaw w/o        17.15         NA      12.42       2.23         NA      31.81        090
                                                       graft.
21194...............  ..............  A               Reconst lwr jaw w/         19.85         NA      13.45       2.02         NA      35.32        090
                                                       graft.
21195...............  ..............  A               Reconst lwr jaw w/o        17.24         NA      14.61       1.64         NA      33.50        090
                                                       fixation.
21196...............  ..............  A               Reconst lwr jaw w/         18.92         NA      15.41       2.07         NA      36.40        090
                                                       fixation.
21198...............  ..............  A               Reconstr lwr jaw           14.17         NA      12.46       1.44         NA      28.07        090
                                                       segment.
21199...............  ..............  A               Reconstr lwr jaw w/        16.01         NA       8.90       1.39         NA      26.30        090
                                                       advance.
21206...............  ..............  A               Reconstruct upper jaw      14.11         NA      12.46       1.33         NA      27.90        090
                                                       bone.
21208...............  ..............  A               Augmentation of            10.23      23.47       9.29       1.09      34.79      20.61        090
                                                       facial bones.
21209...............  ..............  A               Reduction of facial         6.72      10.88       7.90       0.90      18.50      15.52        090
                                                       bones.
21210...............  ..............  A               Face bone graft......      10.23      27.25       9.15       1.30      38.78      20.68        090
21215...............  ..............  A               Lower jaw bone graft.      10.77      47.37       9.24       1.53      59.67      21.54        090
21230...............  ..............  A               Rib cartilage graft..      10.77         NA       7.79       1.29         NA      19.85        090
21235...............  ..............  A               Ear cartilage graft..       6.72      10.18       6.28       0.61      17.52      13.62        090
21240...............  ..............  A               Reconstruction of jaw      14.06         NA      11.95       2.24         NA      28.25        090
                                                       joint.
21242...............  ..............  A               Reconstruction of jaw      12.96         NA      11.42       1.78         NA      26.15        090
                                                       joint.
21243...............  ..............  A               Reconstruction of jaw      20.80         NA      17.27       3.25         NA      41.33        090
                                                       joint.
21244...............  ..............  A               Reconstruction of          11.86         NA      11.91       1.25         NA      25.02        090
                                                       lower jaw.
21245...............  ..............  A               Reconstruction of jaw      11.86      14.32       9.62       1.19      27.37      22.67        090
21246...............  ..............  A               Reconstruction of jaw      12.47         NA       8.83       1.35         NA      22.65        090
21247...............  ..............  A               Reconstruct lower jaw      22.65         NA      17.07       2.83         NA      42.54        090
                                                       bone.
21248...............  ..............  A               Reconstruction of jaw      11.48      12.29       9.24       1.55      25.32      22.28        090
21249...............  ..............  A               Reconstruction of jaw      17.52      16.75      12.47       2.48      36.76      32.47        090
21255...............  ..............  A               Reconstruct lower jaw      16.72         NA      15.70       2.38         NA      34.80        090
                                                       bone.
21256...............  ..............  A               Reconstruction of          16.20         NA      11.48       1.50         NA      29.18        090
                                                       orbit.
21260...............  ..............  A               Revise eye sockets...      16.53         NA      13.26       0.97         NA      30.76        090
21261...............  ..............  A               Revise eye sockets...      31.50         NA      23.50       3.42         NA      58.42        090
21263...............  ..............  A               Revise eye sockets...      28.44         NA      19.87       2.62         NA      50.93        090
21267...............  ..............  A               Revise eye sockets...      18.91         NA      18.95       1.70         NA      39.56        090
21268...............  ..............  A               Revise eye sockets...      24.49         NA      19.69       3.65         NA      47.83        090
21270...............  ..............  A               Augmentation, cheek        10.23      11.66       7.09       0.72      22.61      18.04        090
                                                       bone.
21275...............  ..............  A               Revision,                  11.24         NA       7.91       1.29         NA      20.45        090
                                                       orbitofacial bones.
21280...............  ..............  A               Revision of eyelid...       6.03         NA       5.78       0.42         NA      12.23        090
21282...............  ..............  A               Revision of eyelid...       3.49         NA       4.35       0.26         NA       8.10        090
21295...............  ..............  A               Revision of jaw             1.53         NA       2.51       0.16         NA       4.20        090
                                                       muscle/bone.
21296...............  ..............  A               Revision of jaw             4.25         NA       4.95       0.34         NA       9.54        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       2.00       0.26       0.13       2.85       1.11        000
                                                       fracture.
21310...............  ..............  A               Treatment of nose           0.58       2.16       0.15       0.05       2.79       0.78        000
                                                       fracture.
21315...............  ..............  A               Treatment of nose           1.51       4.19       1.81       0.14       5.84       3.46        010
                                                       fracture.
21320...............  ..............  A               Treatment of nose           1.85       3.89       1.58       0.18       5.92       3.61        010
                                                       fracture.
21325...............  ..............  A               Treatment of nose           3.77         NA       8.21       0.31         NA      12.29        090
                                                       fracture.
21330...............  ..............  A               Treatment of nose           5.38         NA       9.26       0.56         NA      15.20        090
                                                       fracture.
21335...............  ..............  A               Treatment of nose           8.62         NA       9.38       0.74         NA      18.74        090
                                                       fracture.
21336...............  ..............  A               Treat nasal septal          5.72         NA       9.31       0.55         NA      15.59        090
                                                       fracture.
21337...............  ..............  A               Treat nasal septal          2.71       5.96       3.49       0.28       8.95       6.48        090
                                                       fracture.
21338...............  ..............  A               Treat nasoethmoid           6.46         NA      13.21       0.82         NA      20.49        090
                                                       fracture.
21339...............  ..............  A               Treat nasoethmoid           8.10         NA      13.20       0.96         NA      22.26        090
                                                       fracture.
21340...............  ..............  A               Treatment of nose          10.77         NA       8.17       1.15         NA      20.09        090
                                                       fracture.
21343...............  ..............  A               Treatment of sinus         12.96         NA      14.86       1.47         NA      29.28        090
                                                       fracture.
21344...............  ..............  A               Treatment of sinus         19.73         NA      15.85       2.43         NA      38.01        090
                                                       fracture.
21345...............  ..............  A               Treat nose/jaw              8.17       9.82       7.04       0.92      18.91      16.13        090
                                                       fracture.
21346...............  ..............  A               Treat nose/jaw             10.61         NA      11.91       1.21         NA      23.73        090
                                                       fracture.
21347...............  ..............  A               Treat nose/jaw             12.70         NA      15.39       1.47         NA      29.55        090
                                                       fracture.

[[Page 45887]]

 
21348...............  ..............  A               Treat nose/jaw             16.69         NA      10.81       2.48         NA      29.98        090
                                                       fracture.
21355...............  ..............  A               Treat cheek bone            3.77       6.07       3.42       0.34      10.18       7.52        010
                                                       fracture.
21356...............  ..............  A               Treat cheek bone            4.15       6.99       4.41       0.46      11.60       9.02        010
                                                       fracture.
21360...............  ..............  A               Treat cheek bone            6.46         NA       5.80       0.74         NA      13.00        090
                                                       fracture.
21365...............  ..............  A               Treat cheek bone           14.96         NA      10.51       1.69         NA      27.16        090
                                                       fracture.
21366...............  ..............  A               Treat cheek bone           17.78         NA      11.02       2.49         NA      31.29        090
                                                       fracture.
21385...............  ..............  A               Treat eye socket            9.17         NA       8.06       0.97         NA      18.20        090
                                                       fracture.
21386...............  ..............  A               Treat eye socket            9.17         NA       6.88       0.97         NA      17.01        090
                                                       fracture.
21387...............  ..............  A               Treat eye socket            9.71         NA       8.67       1.08         NA      19.46        090
                                                       fracture.
21390...............  ..............  A               Treat eye socket           10.13         NA       7.58       0.90         NA      18.61        090
                                                       fracture.
21395...............  ..............  A               Treat eye socket           12.69         NA       8.75       1.44         NA      22.88        090
                                                       fracture.
21400...............  ..............  A               Treat eye socket            1.40       2.60       1.82       0.15       4.15       3.37        090
                                                       fracture.
21401...............  ..............  A               Treat eye socket            3.27       7.77       3.44       0.38      11.41       7.09        090
                                                       fracture.
21406...............  ..............  A               Treat eye socket            7.01         NA       5.92       0.73         NA      13.67        090
                                                       fracture.
21407...............  ..............  A               Treat eye socket            8.62         NA       6.66       0.94         NA      16.22        090
                                                       fracture.
21408...............  ..............  A               Treat eye socket           12.38         NA       8.63       1.44         NA      22.45        090
                                                       fracture.
21421...............  ..............  A               Treat mouth roof            5.14       9.62       8.32       0.73      15.49      14.19        090
                                                       fracture.
21422...............  ..............  A               Treat mouth roof            8.33         NA       7.89       0.99         NA      17.20        090
                                                       fracture.
21423...............  ..............  A               Treat mouth roof           10.40         NA       9.02       1.27         NA      20.69        090
                                                       fracture.
21431...............  ..............  A               Treat craniofacial          7.05         NA       9.40       0.70         NA      17.15        090
                                                       fracture.
21432...............  ..............  A               Treat craniofacial          8.62         NA       7.96       0.81         NA      17.39        090
                                                       fracture.
21433...............  ..............  A               Treat craniofacial         25.36         NA      15.91       2.78         NA      44.05        090
                                                       fracture.
21435...............  ..............  A               Treat craniofacial         17.25         NA      12.37       1.98         NA      31.60        090
                                                       fracture.
21436...............  ..............  A               Treat craniofacial         28.06         NA      17.82       3.09         NA      48.96        090
                                                       fracture.
21440...............  ..............  A               Treat dental ridge          2.71       7.43       6.26       0.38      10.52       9.34        090
                                                       fracture.
21445...............  ..............  A               Treat dental ridge          5.38      10.05       8.32       0.78      16.21      14.48        090
                                                       fracture.
21450...............  ..............  A               Treat lower jaw             2.98       7.70       6.71       0.33      11.01      10.02        090
                                                       fracture.
21451...............  ..............  A               Treat lower jaw             4.87       9.77       8.44       0.63      15.27      13.94        090
                                                       fracture.
21452...............  ..............  A               Treat lower jaw             1.98      12.37       4.74       0.27      14.62       7.00        090
                                                       fracture.
21453...............  ..............  A               Treat lower jaw             5.54      11.18      10.71       0.74      17.46      16.99        090
                                                       fracture.
21454...............  ..............  A               Treat lower jaw             6.46         NA       6.17       0.82         NA      13.46        090
                                                       fracture.
21461...............  ..............  A               Treat lower jaw             8.10      26.43      12.53       0.98      35.51      21.60        090
                                                       fracture.
21462...............  ..............  A               Treat lower jaw             9.80      29.34      12.71       1.27      40.41      23.78        090
                                                       fracture.
21465...............  ..............  A               Treat lower jaw            11.91         NA       9.63       1.50         NA      23.05        090
                                                       fracture.
21470...............  ..............  A               Treat lower jaw            15.35         NA      11.78       1.96         NA      29.09        090
                                                       fracture.
21480...............  ..............  A               Reset dislocated jaw.       0.61       1.72       0.19       0.06       2.39       0.86        000
21485...............  ..............  A               Reset dislocated jaw.       3.99       8.73       7.76       0.51      13.23      12.25        090
21490...............  ..............  A               Repair dislocated jaw      11.86         NA       9.55       1.96         NA      23.37        090
21493...............  ..............  A               Treat hyoid bone            1.27         NA       0.53       0.12         NA       1.92        090
                                                       fracture.
21494...............  ..............  A               Treat hyoid bone            6.28         NA       3.42       0.57         NA      10.27        090
                                                       fracture.
21495...............  ..............  A               Treat hyoid bone            5.69         NA       8.55       0.46         NA      14.70        090
                                                       fracture.
21497...............  ..............  A               Interdental wiring...       3.86       8.88       7.77       0.50      13.24      12.12        090
21499...............  ..............  C               Head surgery                0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
21501...............  ..............  A               Drain neck/chest            3.81       6.31       3.73       0.43      10.55       7.97        090
                                                       lesion.
21502...............  ..............  A               Drain chest lesion...       7.12         NA       5.42       0.97         NA      13.52        090
21510...............  ..............  A               Drainage of bone            5.74         NA       5.42       0.80         NA      11.96        090
                                                       lesion.
21550...............  ..............  A               Biopsy of neck/chest.       2.06       3.85       1.74       0.16       6.08       3.96        010
21555...............  ..............  A               Remove lesion, neck/        4.35       5.54       3.17       0.56      10.45       8.08        090
                                                       chest.
21556...............  ..............  A               Remove lesion, neck/        5.57         NA       4.05       0.65         NA      10.27        090
                                                       chest.
21557...............  ..............  A               Remove tumor, neck/         8.89         NA       5.23       1.08         NA      15.19        090
                                                       chest.
21600...............  ..............  A               Partial removal of          6.89         NA       5.68       0.99         NA      13.57        090
                                                       rib.
21610...............  ..............  A               Partial removal of         14.62         NA       8.68       3.07         NA      26.37        090
                                                       rib.
21615...............  ..............  A               Removal of rib.......       9.88         NA       6.42       1.45         NA      17.75        090
21616...............  ..............  A               Removal of rib and         12.04         NA       7.95       1.86         NA      21.85        090
                                                       nerves.
21620...............  ..............  A               Partial removal of          6.79         NA       5.72       0.98         NA      13.50        090
                                                       sternum.
21627...............  ..............  A               Sternal debridement..       6.81         NA       6.17       1.02         NA      14.00        090
21630...............  ..............  A               Extensive sternum          17.38         NA      11.45       2.58         NA      31.42        090
                                                       surgery.
21632...............  ..............  A               Extensive sternum          18.15         NA      10.81       2.65         NA      31.60        090
                                                       surgery.
21685...............  ..............  A               Hyoid myotomy &            13.01         NA       9.82       1.06         NA      23.89        090
                                                       suspension.
21700...............  ..............  A               Revision of neck            6.19         NA       4.74       0.32         NA      11.26        090
                                                       muscle.
21705...............  ..............  A               Revision of neck            9.61         NA       5.43       1.43         NA      16.47        090
                                                       muscle/rib.
21720...............  ..............  A               Revision of neck            5.68         NA       2.87       0.91         NA       9.46        090
                                                       muscle.
21725...............  ..............  A               Revision of neck            6.99         NA       5.31       1.21         NA      13.51        090
                                                       muscle.
21740...............  ..............  A               Reconstruction of          16.51         NA       8.37       2.36         NA      27.24        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          10.77         NA       5.94       1.63         NA      18.35        090
                                                       separation.
21800...............  ..............  A               Treatment of rib            0.96       0.00       1.31       0.09       1.05       2.36        090
                                                       fracture.
21805...............  ..............  A               Treatment of rib            2.76         NA       3.20       0.38         NA       6.34        090
                                                       fracture.
21810...............  ..............  A               Treatment of rib            6.86         NA       4.93       0.94         NA      12.74        090
                                                       fracture(s).
21820...............  ..............  A               Treat sternum               1.28       1.78       1.70       0.16       3.22       3.15        090
                                                       fracture.
21825...............  ..............  A               Treat sternum               7.41         NA       6.25       1.11         NA      14.78        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       3.54       1.48       0.14       5.74       3.68        010
                                                       back.

[[Page 45888]]

 
21925...............  ..............  A               Biopsy soft tissue of       4.49       5.12       3.24       0.60      10.20       8.33        090
                                                       back.
21930...............  ..............  A               Remove lesion, back         5.00       5.82       3.39       0.66      11.48       9.05        090
                                                       or flank.
21935...............  ..............  A               Remove tumor, back...      17.97         NA       9.46       2.47         NA      29.90        090
22100...............  ..............  A               Remove part of neck         9.74         NA       7.39       2.13         NA      19.26        090
                                                       vertebra.
22101...............  ..............  A               Remove part, thorax         9.82         NA       7.57       1.90         NA      19.28        090
                                                       vertebra.
22102...............  ..............  A               Remove part, lumbar         9.82         NA       7.89       1.87         NA      19.58        090
                                                       vertebra.
22103...............  ..............  A               Remove extra spine          2.34         NA       1.17       0.44         NA       3.96        ZZZ
                                                       segment.
22110...............  ..............  A               Remove part of neck        12.75         NA       8.96       2.76         NA      24.47        090
                                                       vertebra.
22112...............  ..............  A               Remove part, thorax        12.82         NA       9.03       2.52         NA      24.36        090
                                                       vertebra.
22114...............  ..............  A               Remove part, lumbar        12.82         NA       9.02       2.63         NA      24.46        090
                                                       vertebra.
22116...............  ..............  A               Remove extra spine          2.32         NA       1.14       0.50         NA       3.96        ZZZ
                                                       segment.
22210...............  ..............  A               Revision of neck           23.83         NA      15.05       5.44         NA      44.31        090
                                                       spine.
22212...............  ..............  A               Revision of thorax         19.43         NA      12.99       3.90         NA      36.32        090
                                                       spine.
22214...............  ..............  A               Revision of lumbar         19.46         NA      13.43       3.91         NA      36.80        090
                                                       spine.
22216...............  ..............  A               Revise, extra spine         6.04         NA       3.04       1.29         NA      10.37        ZZZ
                                                       segment.
22220...............  ..............  A               Revision of neck           21.38         NA      13.33       5.06         NA      39.78        090
                                                       spine.
22222...............  ..............  A               Revision of thorax         21.53         NA      11.12       4.12         NA      36.78        090
                                                       spine.
22224...............  ..............  A               Revision of lumbar         21.53         NA      13.85       4.18         NA      39.56        090
                                                       spine.
22226...............  ..............  A               Revise, extra spine         6.04         NA       3.00       1.29         NA      10.34        ZZZ
                                                       segment.
22305...............  ..............  A               Treat spine process         2.05       2.25       1.86       0.39       4.69       4.31        090
                                                       fracture.
22310...............  ..............  A               Treat spine fracture.       2.62       2.72       2.28       0.50       5.84       5.40        090
22315...............  ..............  A               Treat spine fracture.       8.85       9.37       7.16       1.85      20.07      17.86        090
22318...............  ..............  A               Treat odontoid fx w/o      21.51         NA      13.09       5.28         NA      39.89        090
                                                       graft.
22319...............  ..............  A               Treat odontoid fx w/       24.01         NA      14.38       6.03         NA      44.41        090
                                                       graft.
22325...............  ..............  A               Treat spine fracture.      18.31         NA      11.94       3.87         NA      34.12        090
22326...............  ..............  A               Treat neck spine           19.60         NA      12.41       4.42         NA      36.43        090
                                                       fracture.
22327...............  ..............  A               Treat thorax spine         19.21         NA      12.28       3.98         NA      35.47        090
                                                       fracture.
22328...............  ..............  A               Treat each add spine        4.61         NA       2.21       0.94         NA       7.76        ZZZ
                                                       fx.
22505...............  ..............  A               Manipulation of spine       1.87         NA       0.92       0.36         NA       3.15        010
22520...............  ..............  A               Percut vertebroplasty       8.92      60.09       5.24       1.71      70.72      15.87        010
                                                       thor.
22521...............  ..............  A               Percut vertebroplasty       8.35      54.29       5.08       1.60      64.24      15.03        010
                                                       lumb.
22522...............  ..............  A               Percut vertebroplasty       4.31         NA       1.70       0.82         NA       6.83        ZZZ
                                                       add'l.
22532...............  ..............  A               Lat thorax spine           24.01         NA      14.47       4.34         NA      42.82        090
                                                       fusion.
22533...............  ..............  A               Lat lumbar spine           23.14         NA      13.34       3.15         NA      39.63        090
                                                       fusion.
22534...............  ..............  A               Lat thor/lumb, add'l        6.00         NA       2.95       1.25         NA      10.20        ZZZ
                                                       seg.
22548...............  ..............  A               Neck spine fusion....      25.83         NA      15.46       5.59         NA      46.88        090
22554...............  ..............  A               Neck spine fusion....      18.63         NA      12.07       4.45         NA      35.15        090
22556...............  ..............  A               Thorax spine fusion..      23.47         NA      14.33       4.34         NA      42.14        090
22558...............  ..............  A               Lumbar spine fusion..      22.29         NA      12.94       3.15         NA      38.39        090
22585...............  ..............  A               Additional spinal           5.53         NA       2.72       1.25         NA       9.50        ZZZ
                                                       fusion.
22590...............  ..............  A               Spine & skull spinal       20.52         NA      13.02       4.78         NA      38.32        090
                                                       fusion.
22595...............  ..............  A               Neck spinal fusion...      19.40         NA      12.54       4.40         NA      36.34        090
22600...............  ..............  A               Neck spine fusion....      16.15         NA      10.93       3.72         NA      30.80        090
22610...............  ..............  A               Thorax spine fusion..      16.03         NA      11.12       3.52         NA      30.67        090
22612...............  ..............  A               Lumbar spine fusion..      21.01         NA      13.81       4.46         NA      39.28        090
22614...............  ..............  A               Spine fusion, extra         6.44         NA       3.25       1.38         NA      11.08        ZZZ
                                                       segment.
22630...............  ..............  A               Lumbar spine fusion..      20.85         NA      13.27       4.72         NA      38.84        090
22632...............  ..............  A               Spine fusion, extra         5.23         NA       2.59       1.16         NA       8.98        ZZZ
                                                       segment.
22800...............  ..............  A               Fusion of spine......      18.26         NA      12.40       3.75         NA      34.41        090
22802...............  ..............  A               Fusion of spine......      30.89         NA      19.00       6.15         NA      56.04        090
22804...............  ..............  A               Fusion of spine......      36.29         NA      22.00       6.98         NA      65.27        090
22808...............  ..............  A               Fusion of spine......      26.28         NA      15.86       4.92         NA      47.07        090
22810...............  ..............  A               Fusion of spine......      30.28         NA      17.84       5.13         NA      53.25        090
22812...............  ..............  A               Fusion of spine......      32.72         NA      19.47       5.28         NA      57.46        090
22818...............  ..............  A               Kyphectomy, 1-2            31.84         NA      18.38       6.45         NA      56.67        090
                                                       segments.
22819...............  ..............  A               Kyphectomy, 3 or more      36.46         NA      19.51       7.65         NA      63.63        090
22830...............  ..............  A               Exploration of spinal      10.85         NA       7.73       2.29         NA      20.87        090
                                                       fusion.
22840...............  ..............  A               Insert spine fixation      12.55         NA       6.31       2.78         NA      21.63        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      12.59         NA       6.32       2.74         NA      21.64        ZZZ
                                                       device.
22843...............  ..............  A               Insert spine fixation      13.47         NA       6.41       2.85         NA      22.73        ZZZ
                                                       device.
22844...............  ..............  A               Insert spine fixation      16.45         NA       8.49       3.18         NA      28.12        ZZZ
                                                       device.
22845...............  ..............  A               Insert spine fixation      11.96         NA       5.91       2.85         NA      20.72        ZZZ
                                                       device.
22846...............  ..............  A               Insert spine fixation      12.42         NA       6.16       2.95         NA      21.53        ZZZ
                                                       device.
22847...............  ..............  A               Insert spine fixation      13.81         NA       6.82       2.99         NA      23.62        ZZZ
                                                       device.
22848...............  ..............  A               Insert pelv fixation        6.00         NA       3.09       1.15         NA      10.24        ZZZ
                                                       device.
22849...............  ..............  A               Reinsert spinal            18.52         NA      11.40       3.89         NA      33.80        090
                                                       fixation.
22850...............  ..............  A               Remove spine fixation       9.53         NA       6.80       2.04         NA      18.37        090
                                                       device.
22851...............  ..............  A               Apply spine prosth          6.71         NA       3.27       1.49         NA      11.47        ZZZ
                                                       device.
22852...............  ..............  A               Remove spine fixation       9.02         NA       6.60       1.89         NA      17.50        090
                                                       device.
22855...............  ..............  A               Remove spine fixation      15.14         NA       9.43       3.51         NA      28.08        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       5.80         NA       3.22       0.76         NA       9.78        090
                                                       lesion.
22999...............  ..............  C               Abdomen surgery             0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.

[[Page 45889]]

 
23000...............  ..............  A               Removal of calcium          4.36       8.16       4.28       0.68      13.20       9.32        090
                                                       deposits.
23020...............  ..............  A               Release shoulder            8.94         NA       7.31       1.54         NA      17.79        090
                                                       joint.
23030...............  ..............  A               Drain shoulder lesion       3.43       7.02       2.81       0.57      11.01       6.81        010
23031...............  ..............  A               Drain shoulder bursa.       2.75       7.33       2.62       0.46      10.54       5.83        010
23035...............  ..............  A               Drain shoulder bone         8.62         NA       7.93       1.47         NA      18.02        090
                                                       lesion.
23040...............  ..............  A               Exploratory shoulder        9.21         NA       7.61       1.60         NA      18.42        090
                                                       surgery.
23044...............  ..............  A               Exploratory shoulder        7.12         NA       6.22       1.24         NA      14.58        090
                                                       surgery.
23065...............  ..............  A               Biopsy shoulder             2.27       2.71       1.60       0.20       5.18       4.08        010
                                                       tissues.
23066...............  ..............  A               Biopsy shoulder             4.16       7.54       3.89       0.63      12.33       8.68        090
                                                       tissues.
23075...............  ..............  A               Removal of shoulder         2.39       3.59       1.75       0.34       6.33       4.49        010
                                                       lesion.
23076...............  ..............  A               Removal of shoulder         7.64         NA       5.45       1.13         NA      14.21        090
                                                       lesion.
23077...............  ..............  A               Remove tumor of            16.10         NA       9.99       2.33         NA      28.42        090
                                                       shoulder.
23100...............  ..............  A               Biopsy of shoulder          6.03         NA       5.48       1.04         NA      12.55        090
                                                       joint.
23101...............  ..............  A               Shoulder joint              5.58         NA       5.15       0.96         NA      11.69        090
                                                       surgery.
23105...............  ..............  A               Remove shoulder joint       8.24         NA       6.90       1.42         NA      16.56        090
                                                       lining.
23106...............  ..............  A               Incision of                 5.96         NA       5.51       0.99         NA      12.46        090
                                                       collarbone joint.
23107...............  ..............  A               Explore treat               8.63         NA       7.15       1.49         NA      17.27        090
                                                       shoulder joint.
23120...............  ..............  A               Partial removal,            7.11         NA       6.24       1.23         NA      14.59        090
                                                       collar bone.
23125...............  ..............  A               Removal of collar           9.40         NA       7.32       1.62         NA      18.34        090
                                                       bone.
23130...............  ..............  A               Remove shoulder bone,       7.56         NA       6.89       1.30         NA      15.75        090
                                                       part.
23140...............  ..............  A               Removal of bone             6.89         NA       5.09       1.08         NA      13.07        090
                                                       lesion.
23145...............  ..............  A               Removal of bone             9.10         NA       7.23       1.49         NA      17.82        090
                                                       lesion.
23146...............  ..............  A               Removal of bone             7.84         NA       6.88       1.35         NA      16.06        090
                                                       lesion.
23150...............  ..............  A               Removal of humerus          8.49         NA       6.70       1.32         NA      16.51        090
                                                       lesion.
23155...............  ..............  A               Removal of humerus         10.35         NA       8.07       1.80         NA      20.22        090
                                                       lesion.
23156...............  ..............  A               Removal of humerus          8.69         NA       7.14       1.50         NA      17.33        090
                                                       lesion.
23170...............  ..............  A               Remove collar bone          6.86         NA       5.82       1.12         NA      13.80        090
                                                       lesion.
23172...............  ..............  A               Remove shoulder blade       6.90         NA       6.08       1.01         NA      13.99        090
                                                       lesion.
23174...............  ..............  A               Remove humerus lesion       9.52         NA       8.10       1.65         NA      19.27        090
23180...............  ..............  A               Remove collar bone          8.54         NA       8.60       1.47         NA      18.61        090
                                                       lesion.
23182...............  ..............  A               Remove shoulder blade       8.16         NA       8.18       1.37         NA      17.71        090
                                                       lesion.
23184...............  ..............  A               Remove humerus lesion       9.39         NA       8.92       1.63         NA      19.94        090
23190...............  ..............  A               Partial removal of          7.24         NA       5.98       1.17         NA      14.40        090
                                                       scapula.
23195...............  ..............  A               Removal of head of          9.82         NA       7.48       1.70         NA      19.00        090
                                                       humerus.
23200...............  ..............  A               Removal of collar          12.08         NA       8.44       1.93         NA      22.46        090
                                                       bone.
23210...............  ..............  A               Removal of shoulder        12.49         NA       8.72       2.02         NA      23.24        090
                                                       blade.
23220...............  ..............  A               Partial removal of         14.57         NA      10.48       2.48         NA      27.53        090
                                                       humerus.
23221...............  ..............  A               Partial removal of         17.75         NA      11.47       3.05         NA      32.26        090
                                                       humerus.
23222...............  ..............  A               Partial removal of         23.93         NA      15.31       3.94         NA      43.17        090
                                                       humerus.
23330...............  ..............  A               Remove shoulder             1.85       3.54       1.81       0.24       5.64       3.90        010
                                                       foreign body.
23331...............  ..............  A               Remove shoulder             7.38         NA       6.57       1.27         NA      15.23        090
                                                       foreign body.
23332...............  ..............  A               Remove shoulder            11.62         NA       9.02       2.02         NA      22.66        090
                                                       foreign body.
23350...............  ..............  A               Injection for               1.00       3.39       0.35       0.06       4.45       1.41        000
                                                       shoulder x-ray.
23395...............  ..............  A               Muscle                     16.85         NA      12.46       2.93         NA      32.25        090
                                                       transfer,shoulder/
                                                       arm.
23397...............  ..............  A               Muscle transfers.....      16.14         NA      11.05       2.73         NA      29.92        090
23400...............  ..............  A               Fixation of shoulder       13.55         NA       9.73       2.29         NA      25.57        090
                                                       blade.
23405...............  ..............  A               Incision of tendon &        8.38         NA       6.69       1.45         NA      16.51        090
                                                       muscle.
23406...............  ..............  A               Incise tendon(s) &         10.79         NA       8.07       1.87         NA      20.74        090
                                                       muscle(s).
23410...............  ..............  A               Repair rotator cuff,       12.45         NA       9.10       2.16         NA      23.72        090
                                                       acute.
23412...............  ..............  A               Repair rotator cuff,       13.32         NA       9.58       2.31         NA      25.20        090
                                                       chronic.
23415...............  ..............  A               Release of shoulder         9.98         NA       7.73       1.73         NA      19.44        090
                                                       ligament.
23420...............  ..............  A               Repair of shoulder...      13.31         NA      10.51       2.31         NA      26.12        090
23430...............  ..............  A               Repair biceps tendon.       9.99         NA       7.84       1.73         NA      19.56        090
23440...............  ..............  A               Remove/transplant          10.48         NA       7.99       1.82         NA      20.29        090
                                                       tendon.
23450...............  ..............  A               Repair shoulder            13.41         NA       9.53       2.32         NA      25.26        090
                                                       capsule.
23455...............  ..............  A               Repair shoulder            14.38         NA      10.11       2.49         NA      26.98        090
                                                       capsule.
23460...............  ..............  A               Repair shoulder            15.38         NA      11.01       2.66         NA      29.05        090
                                                       capsule.
23462...............  ..............  A               Repair shoulder            15.31         NA      10.42       2.59         NA      28.32        090
                                                       capsule.
23465...............  ..............  A               Repair shoulder            15.86         NA      10.83       2.76         NA      29.46        090
                                                       capsule.
23466...............  ..............  A               Repair shoulder            14.23         NA      11.02       2.46         NA      27.71        090
                                                       capsule.
23470...............  ..............  A               Reconstruct shoulder       17.15         NA      11.86       2.98         NA      32.00        090
                                                       joint.
23472...............  ..............  A               Reconstruct shoulder       21.11         NA      13.97       3.66         NA      38.74        090
                                                       joint.
23480...............  ..............  A               Revision of collar         11.18         NA       8.49       1.94         NA      21.61        090
                                                       bone.
23485...............  ..............  A               Revision of collar         13.44         NA       9.57       2.33         NA      25.34        090
                                                       bone.
23490...............  ..............  A               Reinforce clavicle...      11.86         NA       8.43       1.47         NA      21.76        090
23491...............  ..............  A               Reinforce shoulder         14.22         NA      10.37       2.46         NA      27.05        090
                                                       bones.
23500...............  ..............  A               Treat clavicle              2.08       2.79       2.44       0.30       5.17       4.82        090
                                                       fracture.
23505...............  ..............  A               Treat clavicle              3.69       4.29       3.74       0.61       8.59       8.04        090
                                                       fracture.
23515...............  ..............  A               Treat clavicle              7.41         NA       6.34       1.28         NA      15.03        090
                                                       fracture.
23520...............  ..............  A               Treat clavicle              2.16       2.77       2.67       0.34       5.28       5.17        090
                                                       dislocation.
23525...............  ..............  A               Treat clavicle              3.60       4.40       3.83       0.46       8.46       7.88        090
                                                       dislocation.
23530...............  ..............  A               Treat clavicle              7.31         NA       5.75       1.20         NA      14.27        090
                                                       dislocation.
23532...............  ..............  A               Treat clavicle              8.02         NA       6.76       1.38         NA      16.15        090
                                                       dislocation.
23540...............  ..............  A               Treat clavicle              2.23       2.79       2.28       0.29       5.31       4.81        090
                                                       dislocation.

[[Page 45890]]

 
23545...............  ..............  A               Treat clavicle              3.26       4.10       3.29       0.35       7.71       6.90        090
                                                       dislocation.
23550...............  ..............  A               Treat clavicle              7.24         NA       6.18       1.25         NA      14.67        090
                                                       dislocation.
23552...............  ..............  A               Treat clavicle              8.46         NA       7.08       1.46         NA      17.00        090
                                                       dislocation.
23570...............  ..............  A               Treat shoulder blade        2.23       2.92       2.81       0.36       5.52       5.40        090
                                                       fx.
23575...............  ..............  A               Treat shoulder blade        4.06       4.75       4.19       0.59       9.40       8.84        090
                                                       fx.
23585...............  ..............  A               Treat scapula               8.97         NA       7.39       1.54         NA      17.90        090
                                                       fracture.
23600...............  ..............  A               Treat humerus               2.94       4.40       3.44       0.48       7.81       6.86        090
                                                       fracture.
23605...............  ..............  A               Treat humerus               4.87       5.95       4.97       0.84      11.66      10.68        090
                                                       fracture.
23615...............  ..............  A               Treat humerus               9.36         NA       8.56       1.62         NA      19.54        090
                                                       fracture.
23616...............  ..............  A               Treat humerus              21.28         NA      13.70       3.69         NA      38.67        090
                                                       fracture.
23620...............  ..............  A               Treat humerus               2.40       3.51       2.89       0.40       6.31       5.69        090
                                                       fracture.
23625...............  ..............  A               Treat humerus               3.93       4.80       4.16       0.67       9.40       8.76        090
                                                       fracture.
23630...............  ..............  A               Treat humerus               7.35         NA       6.41       1.27         NA      15.04        090
                                                       fracture.
23650...............  ..............  A               Treat shoulder              3.39       3.68       2.67       0.30       7.36       6.35        090
                                                       dislocation.
23655...............  ..............  A               Treat shoulder              4.57         NA       4.04       0.69         NA       9.30        090
                                                       dislocation.
23660...............  ..............  A               Treat shoulder              7.49         NA       6.18       1.29         NA      14.96        090
                                                       dislocation.
23665...............  ..............  A               Treat dislocation/          4.47       5.18       4.59       0.71      10.36       9.77        090
                                                       fracture.
23670...............  ..............  A               Treat dislocation/          7.91         NA       6.61       1.36         NA      15.88        090
                                                       fracture.
23675...............  ..............  A               Treat dislocation/          6.05       6.63       5.66       1.01      13.70      12.73        090
                                                       fracture.
23680...............  ..............  A               Treat dislocation/         10.06         NA       7.86       1.75         NA      19.67        090
                                                       fracture.
23700...............  ..............  A               Fixation of shoulder.       2.53         NA       2.11       0.44         NA       5.08        010
23800...............  ..............  A               Fusion of shoulder         14.17         NA      10.10       2.35         NA      26.62        090
                                                       joint.
23802...............  ..............  A               Fusion of shoulder         16.61         NA       9.87       2.70         NA      29.19        090
                                                       joint.
23900...............  ..............  A               Amputation of arm &        19.73         NA      11.40       3.18         NA      34.31        090
                                                       girdle.
23920...............  ..............  A               Amputation at              14.62         NA       9.65       2.46         NA      26.73        090
                                                       shoulder joint.
23921...............  ..............  A               Amputation follow-up        5.49         NA       4.93       0.78         NA      11.20        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             2.95       5.96       2.24       0.43       9.34       5.62        010
                                                       lesion.
23931...............  ..............  A               Drainage of arm bursa       1.79       5.52       2.09       0.28       7.60       4.16        010
23935...............  ..............  A               Drain arm/elbow bone        6.09         NA       5.72       1.05         NA      12.86        090
                                                       lesion.
24000...............  ..............  A               Exploratory elbow           5.82         NA       5.24       0.97         NA      12.03        090
                                                       surgery.
24006...............  ..............  A               Release elbow joint..       9.32         NA       7.51       1.50         NA      18.33        090
24065...............  ..............  A               Biopsy arm/elbow soft       2.08       3.47       1.72       0.17       5.73       3.97        010
                                                       tissue.
24066...............  ..............  A               Biopsy arm/elbow soft       5.21       8.65       4.03       0.80      14.66      10.04        090
                                                       tissue.
24075...............  ..............  A               Remove arm/elbow            3.92       7.23       3.34       0.56      11.71       7.81        090
                                                       lesion.
24076...............  ..............  A               Remove arm/elbow            6.30         NA       4.75       0.95         NA      12.01        090
                                                       lesion.
24077...............  ..............  A               Remove tumor of arm/       11.76         NA       7.55       1.72         NA      21.04        090
                                                       elbow.
24100...............  ..............  A               Biopsy elbow joint          4.93         NA       4.39       0.85         NA      10.17        090
                                                       lining.
24101...............  ..............  A               Explore/treat elbow         6.13         NA       5.73       1.03         NA      12.90        090
                                                       joint.
24102...............  ..............  A               Remove elbow joint          8.04         NA       6.64       1.33         NA      16.01        090
                                                       lining.
24105...............  ..............  A               Removal of elbow            3.61         NA       4.25       0.61         NA       8.47        090
                                                       bursa.
24110...............  ..............  A               Remove humerus lesion       7.39         NA       6.46       1.28         NA      15.13        090
24115...............  ..............  A               Remove/graft bone           9.64         NA       7.02       1.67         NA      18.33        090
                                                       lesion.
24116...............  ..............  A               Remove/graft bone          11.81         NA       8.78       2.05         NA      22.65        090
                                                       lesion.
24120...............  ..............  A               Remove elbow lesion..       6.65         NA       5.74       1.10         NA      13.49        090
24125...............  ..............  A               Remove/graft bone           7.90         NA       6.05       1.06         NA      15.01        090
                                                       lesion.
24126...............  ..............  A               Remove/graft bone           8.32         NA       6.82       1.16         NA      16.30        090
                                                       lesion.
24130...............  ..............  A               Removal of head of          6.25         NA       5.82       1.04         NA      13.11        090
                                                       radius.
24134...............  ..............  A               Removal of arm bone         9.74         NA       8.50       1.64         NA      19.88        090
                                                       lesion.
24136...............  ..............  A               Remove radius bone          8.00         NA       7.04       1.38         NA      16.42        090
                                                       lesion.
24138...............  ..............  A               Remove elbow bone           8.06         NA       7.53       1.34         NA      16.92        090
                                                       lesion.
24140...............  ..............  A               Partial removal of          9.19         NA       8.71       1.51         NA      19.41        090
                                                       arm bone.
24145...............  ..............  A               Partial removal of          7.59         NA       7.71       1.25         NA      16.54        090
                                                       radius.
24147...............  ..............  A               Partial removal of          7.55         NA       8.23       1.30         NA      17.08        090
                                                       elbow.
24149...............  ..............  A               Radical resection of       14.21         NA      11.28       2.34         NA      27.82        090
                                                       elbow.
24150...............  ..............  A               Extensive humerus          13.28         NA       9.69       2.32         NA      25.28        090
                                                       surgery.
24151...............  ..............  A               Extensive humerus          15.59         NA      11.17       2.59         NA      29.36        090
                                                       surgery.
24152...............  ..............  A               Extensive radius           10.06         NA       7.49       1.48         NA      19.04        090
                                                       surgery.
24153...............  ..............  A               Extensive radius           11.54         NA       5.91       0.74         NA      18.20        090
                                                       surgery.
24155...............  ..............  A               Removal of elbow           11.73         NA       8.15       1.92         NA      21.80        090
                                                       joint.
24160...............  ..............  A               Remove elbow joint          7.84         NA       6.68       1.30         NA      15.82        090
                                                       implant.
24164...............  ..............  A               Remove radius head          6.23         NA       5.58       1.03         NA      12.84        090
                                                       implant.
24200...............  ..............  A               Removal of arm              1.76       3.26       1.59       0.20       5.22       3.55        010
                                                       foreign body.
24201...............  ..............  A               Removal of arm              4.56       9.27       4.11       0.72      14.55       9.38        090
                                                       foreign body.
24220...............  ..............  A               Injection for elbow x-      1.31       3.46       0.46       0.08       4.85       1.85        000
                                                       ray.
24300...............  ..............  A               Manipulate elbow w/         3.75         NA       5.52       0.65         NA       9.92        090
                                                       anesth.
24301...............  ..............  A               Muscle/tendon              10.20         NA       7.93       1.66         NA      19.79        090
                                                       transfer.
24305...............  ..............  A               Arm tendon                  7.45         NA       6.49       1.15         NA      15.10        090
                                                       lengthening.
24310...............  ..............  A               Revision of arm             5.98         NA       5.40       0.96         NA      12.34        090
                                                       tendon.
24320...............  ..............  A               Repair of arm tendon.      10.56         NA       7.54       1.73         NA      19.83        090
24330...............  ..............  A               Revision of arm             9.61         NA       7.63       1.60         NA      18.84        090
                                                       muscles.
24331...............  ..............  A               Revision of arm            10.65         NA       8.40       1.77         NA      20.82        090
                                                       muscles.
24332...............  ..............  A               Tenolysis, triceps...       7.45         NA       6.56       1.23         NA      15.24        090
24340...............  ..............  A               Repair of biceps            7.90         NA       6.76       1.36         NA      16.01        090
                                                       tendon.

[[Page 45891]]

 
24341...............  ..............  A               Repair arm tendon/          7.91         NA       7.68       1.36         NA      16.94        090
                                                       muscle.
24342...............  ..............  A               Repair of ruptured         10.62         NA       8.25       1.85         NA      20.72        090
                                                       tendon.
24343...............  ..............  A               Repr elbow lat ligmnt       8.66         NA       7.89       1.43         NA      17.98        090
                                                       w/tiss.
24344...............  ..............  A               Reconstruct elbow lat      14.01         NA      11.16       2.36         NA      27.53        090
                                                       ligmnt.
24345...............  ..............  A               Repr elbw med ligmnt        8.66         NA       7.78       1.44         NA      17.87        090
                                                       w/tissu.
24346...............  ..............  A               Reconstruct elbow med      14.01         NA      11.00       2.33         NA      27.34        090
                                                       ligmnt.
24350...............  ..............  A               Repair of tennis            5.25         NA       5.40       0.87         NA      11.52        090
                                                       elbow.
24351...............  ..............  A               Repair of tennis            5.91         NA       5.72       1.02         NA      12.65        090
                                                       elbow.
24352...............  ..............  A               Repair of tennis            6.43         NA       5.97       1.10         NA      13.50        090
                                                       elbow.
24354...............  ..............  A               Repair of tennis            6.48         NA       5.95       1.07         NA      13.50        090
                                                       elbow.
24356...............  ..............  A               Revision of tennis          6.68         NA       6.10       1.11         NA      13.90        090
                                                       elbow.
24360...............  ..............  A               Reconstruct elbow          12.34         NA       9.17       2.05         NA      23.56        090
                                                       joint.
24361...............  ..............  A               Reconstruct elbow          14.09         NA      10.24       2.18         NA      26.51        090
                                                       joint.
24362...............  ..............  A               Reconstruct elbow          15.00         NA       9.75       2.60         NA      27.35        090
                                                       joint.
24363...............  ..............  A               Replace elbow joint..      18.50         NA      13.29       3.01         NA      34.80        090
24365...............  ..............  A               Reconstruct head of         8.40         NA       6.97       1.41         NA      16.78        090
                                                       radius.
24366...............  ..............  A               Reconstruct head of         9.14         NA       7.29       1.52         NA      17.95        090
                                                       radius.
24400...............  ..............  A               Revision of humerus..      11.06         NA       8.58       1.92         NA      21.56        090
24410...............  ..............  A               Revision of humerus..      14.83         NA      10.10       2.57         NA      27.49        090
24420...............  ..............  A               Revision of humerus..      13.45         NA      10.21       2.17         NA      25.83        090
24430...............  ..............  A               Repair of humerus....      12.82         NA       9.43       2.21         NA      24.45        090
24435...............  ..............  A               Repair humerus with        13.18         NA      10.55       2.27         NA      25.99        090
                                                       graft.
24470...............  ..............  A               Revision of elbow           8.75         NA       7.46       1.48         NA      17.69        090
                                                       joint.
24495...............  ..............  A               Decompression of            8.13         NA       8.34       1.18         NA      17.65        090
                                                       forearm.
24498...............  ..............  A               Reinforce humerus....      11.92         NA       8.97       2.06         NA      22.95        090
24500...............  ..............  A               Treat humerus               3.22       4.99       3.57       0.50       8.71       7.29        090
                                                       fracture.
24505...............  ..............  A               Treat humerus               5.17       6.69       5.24       0.89      12.75      11.30        090
                                                       fracture.
24515...............  ..............  A               Treat humerus              11.65         NA       9.09       2.02         NA      22.76        090
                                                       fracture.
24516...............  ..............  A               Treat humerus              11.65         NA       8.82       2.02         NA      22.49        090
                                                       fracture.
24530...............  ..............  A               Treat humerus               3.50       5.33       3.92       0.57       9.40       7.99        090
                                                       fracture.
24535...............  ..............  A               Treat humerus               6.87       7.89       6.43       1.18      15.94      14.48        090
                                                       fracture.
24538...............  ..............  A               Treat humerus               9.44         NA       8.42       1.64         NA      19.50        090
                                                       fracture.
24545...............  ..............  A               Treat humerus              10.46         NA       8.18       1.82         NA      20.46        090
                                                       fracture.
24546...............  ..............  A               Treat humerus              15.70         NA      10.96       2.73         NA      29.39        090
                                                       fracture.
24560...............  ..............  A               Treat humerus               2.81       4.64       3.09       0.44       7.88       6.33        090
                                                       fracture.
24565...............  ..............  A               Treat humerus               5.56       6.71       5.37       0.93      13.20      11.86        090
                                                       fracture.
24566...............  ..............  A               Treat humerus               7.80         NA       7.86       1.30         NA      16.96        090
                                                       fracture.
24575...............  ..............  A               Treat humerus              10.66         NA       8.14       1.86         NA      20.66        090
                                                       fracture.
24576...............  ..............  A               Treat humerus               2.87       4.90       3.60       0.46       8.23       6.93        090
                                                       fracture.
24577...............  ..............  A               Treat humerus               5.79       7.01       5.67       0.95      13.75      12.41        090
                                                       fracture.
24579...............  ..............  A               Treat humerus              11.60         NA       8.55       2.02         NA      22.17        090
                                                       fracture.
24582...............  ..............  A               Treat humerus               8.56         NA       8.78       1.48         NA      18.82        090
                                                       fracture.
24586...............  ..............  A               Treat elbow fracture.      15.22         NA      10.87       2.64         NA      28.73        090
24587...............  ..............  A               Treat elbow fracture.      15.17         NA      10.68       2.52         NA      28.37        090
24600...............  ..............  A               Treat elbow                 4.23       4.99       3.39       0.50       9.72       8.12        090
                                                       dislocation.
24605...............  ..............  A               Treat elbow                 5.42         NA       5.20       0.89         NA      11.51        090
                                                       dislocation.
24615...............  ..............  A               Treat elbow                 9.43         NA       7.57       1.60         NA      18.59        090
                                                       dislocation.
24620...............  ..............  A               Treat elbow fracture.       6.98         NA       6.08       1.07         NA      14.13        090
24635...............  ..............  A               Treat elbow fracture.      13.20         NA      13.92       2.28         NA      29.40        090
24640...............  ..............  A               Treat elbow                 1.20       2.03       0.77       0.12       3.35       2.10        010
                                                       dislocation.
24650...............  ..............  A               Treat radius fracture       2.16       4.11       2.66       0.35       6.62       5.18        090
24655...............  ..............  A               Treat radius fracture       4.40       6.05       4.65       0.70      11.15       9.75        090
24665...............  ..............  A               Treat radius fracture       8.15         NA       7.26       1.41         NA      16.81        090
24666...............  ..............  A               Treat radius fracture       9.50         NA       7.80       1.62         NA      18.92        090
24670...............  ..............  A               Treat ulnar fracture.       2.55       4.27       2.98       0.41       7.23       5.93        090
24675...............  ..............  A               Treat ulnar fracture.       4.72       6.10       4.83       0.81      11.63      10.36        090
24685...............  ..............  A               Treat ulnar fracture.       8.81         NA       7.27       1.52         NA      17.60        090
24800...............  ..............  A               Fusion of elbow joint      11.20         NA       8.49       1.63         NA      21.33        090
24802...............  ..............  A               Fusion/graft of elbow      13.70         NA      10.04       2.37         NA      26.11        090
                                                       joint.
24900...............  ..............  A               Amputation of upper         9.61         NA       6.91       1.53         NA      18.05        090
                                                       arm.
24920...............  ..............  A               Amputation of upper         9.55         NA       6.77       1.61         NA      17.93        090
                                                       arm.
24925...............  ..............  A               Amputation follow-up        7.07         NA       5.91       1.14         NA      14.12        090
                                                       surgery.
24930...............  ..............  A               Amputation follow-up       10.25         NA       7.05       1.67         NA      18.97        090
                                                       surgery.
24931...............  ..............  A               Amputate upper arm &       12.73         NA       5.68       1.89         NA      20.30        090
                                                       implant.
24935...............  ..............  A               Revision of                15.57         NA       7.92       2.13         NA      25.62        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          3.38         NA       6.49       0.55         NA      10.41        090
                                                       sheath.
25001...............  ..............  A               Incise flexor carpi         3.38         NA       4.10       0.55         NA       8.03        090
                                                       radialis.
25020...............  ..............  A               Decompress forearm 1        5.92         NA       9.00       0.93         NA      15.85        090
                                                       space.
25023...............  ..............  A               Decompress forearm 1       12.97         NA      14.21       2.03         NA      29.21        090
                                                       space.
25024...............  ..............  A               Decompress forearm 2        9.51         NA       7.28       1.36         NA      18.15        090
                                                       spaces.
25025...............  ..............  A               Decompress forearm 2       16.55         NA       9.75       1.82         NA      28.13        090
                                                       spaces.
25028...............  ..............  A               Drainage of forearm         5.25         NA       7.73       0.81         NA      13.79        090
                                                       lesion.

[[Page 45892]]

 
25031...............  ..............  A               Drainage of forearm         4.14         NA       7.45       0.63         NA      12.22        090
                                                       bursa.
25035...............  ..............  A               Treat forearm bone          7.36         NA      12.69       1.24         NA      21.29        090
                                                       lesion.
25040...............  ..............  A               Explore/treat wrist         7.18         NA       7.00       1.15         NA      15.34        090
                                                       joint.
25065...............  ..............  A               Biopsy forearm soft         1.99       3.49       1.85       0.15       5.64       4.00        010
                                                       tissues.
25066...............  ..............  A               Biopsy forearm soft         4.13         NA       6.69       0.64         NA      11.46        090
                                                       tissues.
25075...............  ..............  A               Removal forearm             3.74         NA       5.66       0.55         NA       9.95        090
                                                       lesion subcu.
25076...............  ..............  A               Removal forearm             4.92         NA       8.98       0.74         NA      14.64        090
                                                       lesion deep.
25077...............  ..............  A               Remove tumor, forearm/      9.77         NA      11.47       1.42         NA      22.66        090
                                                       wrist.
25085...............  ..............  A               Incision of wrist           5.50         NA       6.78       0.85         NA      13.13        090
                                                       capsule.
25100...............  ..............  A               Biopsy of wrist joint       3.90         NA       5.04       0.59         NA       9.53        090
25101...............  ..............  A               Explore/treat wrist         4.69         NA       5.64       0.75         NA      11.08        090
                                                       joint.
25105...............  ..............  A               Remove wrist joint          5.85         NA       6.97       0.92         NA      13.74        090
                                                       lining.
25107...............  ..............  A               Remove wrist joint          6.43         NA       7.98       0.99         NA      15.41        090
                                                       cartilage.
25110...............  ..............  A               Remove wrist tendon         3.92         NA       6.65       0.62         NA      11.19        090
                                                       lesion.
25111...............  ..............  A               Remove wrist tendon         3.39         NA       4.51       0.53         NA       8.43        090
                                                       lesion.
25112...............  ..............  A               Reremove wrist tendon       4.53         NA       5.05       0.70         NA      10.28        090
                                                       lesion.
25115...............  ..............  A               Remove wrist/forearm        8.83         NA      13.21       1.31         NA      23.35        090
                                                       lesion.
25116...............  ..............  A               Remove wrist/forearm        7.11         NA      12.34       1.11         NA      20.56        090
                                                       lesion.
25118...............  ..............  A               Excise wrist tendon         4.37         NA       5.49       0.68         NA      10.54        090
                                                       sheath.
25119...............  ..............  A               Partial removal of          6.04         NA       7.25       0.96         NA      14.25        090
                                                       ulna.
25120...............  ..............  A               Removal of forearm          6.10         NA      11.29       1.00         NA      18.39        090
                                                       lesion.
25125...............  ..............  A               Remove/graft forearm        7.48         NA      12.05       1.06         NA      20.60        090
                                                       lesion.
25126...............  ..............  A               Remove/graft forearm        7.56         NA      12.20       1.27         NA      21.02        090
                                                       lesion.
25130...............  ..............  A               Removal of wrist            5.26         NA       6.15       0.80         NA      12.21        090
                                                       lesion.
25135...............  ..............  A               Remove & graft wrist        6.89         NA       7.22       1.02         NA      15.13        090
                                                       lesion.
25136...............  ..............  A               Remove & graft wrist        5.97         NA       6.35       1.03         NA      13.35        090
                                                       lesion.
25145...............  ..............  A               Remove forearm bone         6.37         NA      11.29       1.01         NA      18.67        090
                                                       lesion.
25150...............  ..............  A               Partial removal of          7.09         NA       7.83       1.14         NA      16.06        090
                                                       ulna.
25151...............  ..............  A               Partial removal of          7.39         NA      11.93       1.18         NA      20.50        090
                                                       radius.
25170...............  ..............  A               Extensive forearm          11.09         NA      14.28       1.77         NA      27.15        090
                                                       surgery.
25210...............  ..............  A               Removal of wrist bone       5.95         NA       6.52       0.88         NA      13.35        090
25215...............  ..............  A               Removal of wrist            7.90         NA       8.37       1.19         NA      17.46        090
                                                       bones.
25230...............  ..............  A               Partial removal of          5.23         NA       5.89       0.79         NA      11.91        090
                                                       radius.
25240...............  ..............  A               Partial removal of          5.17         NA       6.61       0.81         NA      12.59        090
                                                       ulna.
25246...............  ..............  A               Injection for wrist x-      1.45       3.36       0.50       0.09       4.90       2.05        000
                                                       ray.
25248...............  ..............  A               Remove forearm              5.14         NA       8.08       0.72         NA      13.94        090
                                                       foreign body.
25250...............  ..............  A               Removal of wrist            6.60         NA       5.92       1.01         NA      13.53        090
                                                       prosthesis.
25251...............  ..............  A               Removal of wrist            9.58         NA       7.68       1.26         NA      18.52        090
                                                       prosthesis.
25259...............  ..............  A               Manipulate wrist w/         3.75         NA       5.53       0.62         NA       9.90        090
                                                       anesthes.
25260...............  ..............  A               Repair forearm tendon/      7.81         NA      12.49       1.19         NA      21.49        090
                                                       muscle.
25263...............  ..............  A               Repair forearm tendon/      7.83         NA      12.46       1.18         NA      21.47        090
                                                       muscle.
25265...............  ..............  A               Repair forearm tendon/      9.89         NA      13.46       1.47         NA      24.82        090
                                                       muscle.
25270...............  ..............  A               Repair forearm tendon/      6.00         NA      11.23       0.95         NA      18.18        090
                                                       muscle.
25272...............  ..............  A               Repair forearm tendon/      7.04         NA      11.96       1.11         NA      20.11        090
                                                       muscle.
25274...............  ..............  A               Repair forearm tendon/      8.76         NA      12.81       1.36         NA      22.92        090
                                                       muscle.
25275...............  ..............  A               Repair forearm tendon       8.51         NA       7.34       1.31         NA      17.15        090
                                                       sheath.
25280...............  ..............  A               Revise wrist/forearm        7.22         NA      11.85       1.08         NA      20.15        090
                                                       tendon.
25290...............  ..............  A               Incise wrist/forearm        5.29         NA      13.90       0.82         NA      20.01        090
                                                       tendon.
25295...............  ..............  A               Release wrist/forearm       6.55         NA      11.39       1.00         NA      18.94        090
                                                       tendon.
25300...............  ..............  A               Fusion of tendons at        8.81         NA       8.15       1.26         NA      18.22        090
                                                       wrist.
25301...............  ..............  A               Fusion of tendons at        8.41         NA       7.76       1.29         NA      17.46        090
                                                       wrist.
25310...............  ..............  A               Transplant forearm          8.15         NA      12.25       1.21         NA      21.61        090
                                                       tendon.
25312...............  ..............  A               Transplant forearm          9.58         NA      13.12       1.41         NA      24.11        090
                                                       tendon.
25315...............  ..............  A               Revise palsy hand          10.20         NA      13.54       1.58         NA      25.32        090
                                                       tendon(s).
25316...............  ..............  A               Revise palsy hand          12.33         NA      15.27       1.74         NA      29.35        090
                                                       tendon(s).
25320...............  ..............  A               Repair/revise wrist        10.77         NA      11.02       1.61         NA      23.40        090
                                                       joint.
25332...............  ..............  A               Revise wrist joint...      11.41         NA       8.89       1.83         NA      22.13        090
25335...............  ..............  A               Realignment of hand..      12.89         NA      11.18       1.92         NA      25.99        090
25337...............  ..............  A               Reconstruct ulna/          10.17         NA      10.64       1.61         NA      22.42        090
                                                       radioulnar.
25350...............  ..............  A               Revision of radius...       8.79         NA      13.10       1.46         NA      23.35        090
25355...............  ..............  A               Revision of radius...      10.17         NA      13.71       1.73         NA      25.61        090
25360...............  ..............  A               Revision of ulna.....       8.44         NA      12.99       1.41         NA      22.84        090
25365...............  ..............  A               Revise radius & ulna.      12.40         NA      14.72       2.15         NA      29.28        090
25370...............  ..............  A               Revise radius or ulna      13.37         NA      15.25       2.28         NA      30.89        090
25375...............  ..............  A               Revise radius & ulna.      13.05         NA      15.43       2.26         NA      30.73        090
25390...............  ..............  A               Shorten radius or          10.40         NA      13.71       1.65         NA      25.76        090
                                                       ulna.
25391...............  ..............  A               Lengthen radius or         13.66         NA      15.64       2.21         NA      31.51        090
                                                       ulna.
25392...............  ..............  A               Shorten radius & ulna      13.96         NA      15.22       2.10         NA      31.28        090
25393...............  ..............  A               Lengthen radius &          15.88         NA      16.66       2.76         NA      35.30        090
                                                       ulna.
25394...............  ..............  A               Repair carpal bone,        10.40         NA       7.82       1.59         NA      19.81        090
                                                       shorten.
25400...............  ..............  A               Repair radius or ulna      10.92         NA      14.27       1.82         NA      27.01        090
25405...............  ..............  A               Repair/graft radius        14.39         NA      16.29       2.32         NA      33.00        090
                                                       or ulna.
25415...............  ..............  A               Repair radius & ulna.      13.36         NA      15.55       2.17         NA      31.07        090
25420...............  ..............  A               Repair/graft radius &      16.34         NA      17.27       2.61         NA      36.23        090
                                                       ulna.

[[Page 45893]]

 
25425...............  ..............  A               Repair/graft radius        13.22         NA      20.06       2.08         NA      35.36        090
                                                       or ulna.
25426...............  ..............  A               Repair/graft radius &      15.83         NA      15.84       2.54         NA      34.22        090
                                                       ulna.
25430...............  ..............  A               Vasc graft into             9.26         NA       7.15       1.27         NA      17.68        090
                                                       carpal bone.
25431...............  ..............  A               Repair nonunion            10.44         NA       8.14       1.90         NA      20.48        090
                                                       carpal bone.
25440...............  ..............  A               Repair/graft wrist         10.44         NA       9.04       1.63         NA      21.11        090
                                                       bone.
25441...............  ..............  A               Reconstruct wrist          12.91         NA       9.69       2.07         NA      24.67        090
                                                       joint.
25442...............  ..............  A               Reconstruct wrist          10.85         NA       8.61       1.53         NA      21.00        090
                                                       joint.
25443...............  ..............  A               Reconstruct wrist          10.39         NA       8.50       1.37         NA      20.26        090
                                                       joint.
25444...............  ..............  A               Reconstruct wrist          11.15         NA       8.75       1.71         NA      21.61        090
                                                       joint.
25445...............  ..............  A               Reconstruct wrist           9.70         NA       7.74       1.55         NA      18.99        090
                                                       joint.
25446...............  ..............  A               Wrist replacement....      16.56         NA      11.56       2.47         NA      30.59        090
25447...............  ..............  A               Repair wrist joint(s)      10.37         NA       8.38       1.61         NA      20.36        090
25449...............  ..............  A               Remove wrist joint         14.50         NA      10.34       2.21         NA      27.05        090
                                                       implant.
25450...............  ..............  A               Revision of wrist           7.88         NA       9.64       1.36         NA      18.87        090
                                                       joint.
25455...............  ..............  A               Revision of wrist           9.50         NA      10.38       0.96         NA      20.84        090
                                                       joint.
25490...............  ..............  A               Reinforce radius.....       9.55         NA      12.92       1.43         NA      23.90        090
25491...............  ..............  A               Reinforce ulna.......       9.97         NA      13.59       1.60         NA      25.16        090
25492...............  ..............  A               Reinforce radius and       12.33         NA      14.41       2.14         NA      28.89        090
                                                       ulna.
25500...............  ..............  A               Treat fracture of           2.45       3.74       2.64       0.35       6.55       5.44        090
                                                       radius.
25505...............  ..............  A               Treat fracture of           5.21       6.63       5.27       0.90      12.74      11.38        090
                                                       radius.
25515...............  ..............  A               Treat fracture of           9.19         NA       7.21       1.59         NA      17.99        090
                                                       radius.
25520...............  ..............  A               Treat fracture of           6.26       6.94       5.89       1.08      14.28      13.23        090
                                                       radius.
25525...............  ..............  A               Treat fracture of          12.24         NA       9.67       2.12         NA      24.04        090
                                                       radius.
25526...............  ..............  A               Treat fracture of          12.99         NA      13.19       2.19         NA      28.36        090
                                                       radius.
25530...............  ..............  A               Treat fracture of           2.09       3.93       2.78       0.34       6.37       5.21        090
                                                       ulna.
25535...............  ..............  A               Treat fracture of           5.14       6.11       5.15       0.89      12.14      11.18        090
                                                       ulna.
25545...............  ..............  A               Treat fracture of           8.91         NA       7.41       1.53         NA      17.85        090
                                                       ulna.
25560...............  ..............  A               Treat fracture radius       2.44       3.86       2.52       0.35       6.66       5.31        090
                                                       & ulna.
25565...............  ..............  A               Treat fracture radius       5.63       6.78       5.27       0.93      13.34      11.83        090
                                                       & ulna.
25574...............  ..............  A               Treat fracture radius       7.01         NA       6.97       1.21         NA      15.19        090
                                                       & ulna.
25575...............  ..............  A               Treat fracture radius/     10.45         NA       9.21       1.81         NA      21.47        090
                                                       ulna.
25600...............  ..............  A               Treat fracture radius/      2.64       4.25       2.88       0.42       7.31       5.93        090
                                                       ulna.
25605...............  ..............  A               Treat fracture radius/      5.81       7.30       6.05       1.00      14.11      12.86        090
                                                       ulna.
25611...............  ..............  A               Treat fracture radius/      7.78         NA       8.63       1.34         NA      17.75        090
                                                       ulna.
25620...............  ..............  A               Treat fracture radius/      8.56         NA       7.02       1.42         NA      17.00        090
                                                       ulna.
25622...............  ..............  A               Treat wrist bone            2.62       4.43       3.00       0.41       7.45       6.03        090
                                                       fracture.
25624...............  ..............  A               Treat wrist bone            4.53       6.13       4.93       0.76      11.42      10.22        090
                                                       fracture.
25628...............  ..............  A               Treat wrist bone            8.44         NA       7.58       1.37         NA      17.38        090
                                                       fracture.
25630...............  ..............  A               Treat wrist bone            2.89       4.34       2.85       0.45       7.68       6.18        090
                                                       fracture.
25635...............  ..............  A               Treat wrist bone            4.39       6.05       3.80       0.74      11.18       8.92        090
                                                       fracture.
25645...............  ..............  A               Treat wrist bone            7.25         NA       6.41       1.20         NA      14.86        090
                                                       fracture.
25650...............  ..............  A               Treat wrist bone            3.06       4.20       3.07       0.45       7.71       6.57        090
                                                       fracture.
25651...............  ..............  A               Pin ulnar styloid           5.36         NA       5.32       0.86         NA      11.54        090
                                                       fracture.
25652...............  ..............  A               Treat fracture ulnar        7.61         NA       6.78       1.21         NA      15.60        090
                                                       styloid.
25660...............  ..............  A               Treat wrist                 4.76         NA       4.57       0.58         NA       9.91        090
                                                       dislocation.
25670...............  ..............  A               Treat wrist                 7.93         NA       6.76       1.28         NA      15.96        090
                                                       dislocation.
25671...............  ..............  A               Pin radioulnar              6.00         NA       5.95       1.00         NA      12.96        090
                                                       dislocation.
25675...............  ..............  A               Treat wrist                 4.67       5.76       4.51       0.62      11.05       9.80        090
                                                       dislocation.
25676...............  ..............  A               Treat wrist                 8.05         NA       7.06       1.34         NA      16.45        090
                                                       dislocation.
25680...............  ..............  A               Treat wrist fracture.       5.99         NA       4.65       0.78         NA      11.42        090
25685...............  ..............  A               Treat wrist fracture.       9.79         NA       7.57       1.60         NA      18.96        090
25690...............  ..............  A               Treat wrist                 5.50         NA       5.34       0.88         NA      11.72        090
                                                       dislocation.
25695...............  ..............  A               Treat wrist                 8.35         NA       6.86       1.32         NA      16.53        090
                                                       dislocation.
25800...............  ..............  A               Fusion of wrist joint       9.77         NA       8.74       1.57         NA      20.08        090
25805...............  ..............  A               Fusion/graft of wrist      11.28         NA       9.86       1.80         NA      22.94        090
                                                       joint.
25810...............  ..............  A               Fusion/graft of wrist      10.57         NA       9.54       1.67         NA      21.78        090
                                                       joint.
25820...............  ..............  A               Fusion of hand bones.       7.45         NA       7.54       1.22         NA      16.21        090
25825...............  ..............  A               Fuse hand bones with        9.28         NA       8.88       1.41         NA      19.57        090
                                                       graft.
25830...............  ..............  A               Fusion, radioulnar         10.06         NA      13.60       1.55         NA      25.21        090
                                                       jnt/ulna.
25900...............  ..............  A               Amputation of forearm       9.02         NA      11.89       1.30         NA      22.21        090
25905...............  ..............  A               Amputation of forearm       9.13         NA      11.58       1.40         NA      22.11        090
25907...............  ..............  A               Amputation follow-up        7.81         NA      11.06       1.10         NA      19.96        090
                                                       surgery.
25909...............  ..............  A               Amputation follow-up        8.97         NA      11.60       1.44         NA      22.01        090
                                                       surgery.
25915...............  ..............  A               Amputation of forearm      17.08         NA      17.81       2.93         NA      37.83        090
25920...............  ..............  A               Amputate hand at            8.69         NA       7.56       1.35         NA      17.59        090
                                                       wrist.
25922...............  ..............  A               Amputate hand at            7.42         NA       6.76       1.12         NA      15.31        090
                                                       wrist.
25924...............  ..............  A               Amputation follow-up        8.47         NA       7.77       1.32         NA      17.56        090
                                                       surgery.
25927...............  ..............  A               Amputation of hand...       8.81         NA      11.04       1.27         NA      21.11        090
25929...............  ..............  A               Amputation follow-up        7.60         NA       5.70       1.14         NA      14.43        090
                                                       surgery.
25931...............  ..............  A               Amputation follow-up        7.82         NA      10.79       1.15         NA      19.75        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       5.21       1.56       0.18       6.93       3.29        010
                                                       abscess.
26011...............  ..............  A               Drainage of finger          2.19       8.22       2.23       0.33      10.74       4.75        010
                                                       abscess.
26020...............  ..............  A               Drain hand tendon           4.67         NA       5.17       0.73         NA      10.56        090
                                                       sheath.

[[Page 45894]]

 
26025...............  ..............  A               Drainage of palm            4.82         NA       4.94       0.76         NA      10.52        090
                                                       bursa.
26030...............  ..............  A               Drainage of palm            5.93         NA       5.53       0.92         NA      12.38        090
                                                       bursa(s).
26034...............  ..............  A               Treat hand bone             6.23         NA       6.14       1.01         NA      13.38        090
                                                       lesion.
26035...............  ..............  A               Decompress fingers/         9.52         NA       7.64       1.47         NA      18.62        090
                                                       hand.
26037...............  ..............  A               Decompress fingers/         7.25         NA       6.11       1.13         NA      14.50        090
                                                       hand.
26040...............  ..............  A               Release palm                3.34         NA       3.91       0.53         NA       7.77        090
                                                       contracture.
26045...............  ..............  A               Release palm                5.56         NA       5.45       0.93         NA      11.94        090
                                                       contracture.
26055...............  ..............  A               Incise finger tendon        2.70      13.25       3.79       0.43      16.38       6.92        090
                                                       sheath.
26060...............  ..............  A               Incision of finger          2.82         NA       3.39       0.45         NA       6.65        090
                                                       tendon.
26070...............  ..............  A               Explore/treat hand          3.69         NA       3.29       0.48         NA       7.45        090
                                                       joint.
26075...............  ..............  A               Explore/treat finger        3.79         NA       3.68       0.53         NA       7.99        090
                                                       joint.
26080...............  ..............  A               Explore/treat finger        4.24         NA       4.69       0.66         NA       9.59        090
                                                       joint.
26100...............  ..............  A               Biopsy hand joint           3.67         NA       3.99       0.54         NA       8.19        090
                                                       lining.
26105...............  ..............  A               Biopsy finger joint         3.71         NA       4.08       0.59         NA       8.38        090
                                                       lining.
26110...............  ..............  A               Biopsy finger joint         3.53         NA       3.91       0.53         NA       7.97        090
                                                       lining.
26115...............  ..............  A               Removal hand lesion         3.86      12.36       4.61       0.59      16.81       9.06        090
                                                       subcut.
26116...............  ..............  A               Removal hand lesion,        5.53         NA       5.81       0.84         NA      12.18        090
                                                       deep.
26117...............  ..............  A               Remove tumor, hand/         8.56         NA       6.86       1.26         NA      16.67        090
                                                       finger.
26121...............  ..............  A               Release palm                7.55         NA       6.73       1.17         NA      15.44        090
                                                       contracture.
26123...............  ..............  A               Release palm                9.30         NA       8.57       1.43         NA      19.30        090
                                                       contracture.
26125...............  ..............  A               Release palm                4.61         NA       2.37       0.70         NA       7.68        ZZZ
                                                       contracture.
26130...............  ..............  A               Remove wrist joint          5.42         NA       5.17       0.94         NA      11.53        090
                                                       lining.
26135...............  ..............  A               Revise finger joint,        6.96         NA       6.25       1.07         NA      14.28        090
                                                       each.
26140...............  ..............  A               Revise finger joint,        6.17         NA       5.85       0.92         NA      12.94        090
                                                       each.
26145...............  ..............  A               Tendon excision, palm/      6.32         NA       5.85       0.97         NA      13.15        090
                                                       finger.
26160...............  ..............  A               Remove tendon sheath        3.16      11.58       3.98       0.49      15.23       7.63        090
                                                       lesion.
26170...............  ..............  A               Removal of palm             4.77         NA       4.78       0.69         NA      10.24        090
                                                       tendon, each.
26180...............  ..............  A               Removal of finger           5.18         NA       5.23       0.78         NA      11.19        090
                                                       tendon.
26185...............  ..............  A               Remove finger bone...       5.25         NA       5.85       0.81         NA      11.91        090
26200...............  ..............  A               Remove hand bone            5.51         NA       5.19       0.88         NA      11.58        090
                                                       lesion.
26205...............  ..............  A               Remove/graft bone           7.71         NA       6.67       1.20         NA      15.57        090
                                                       lesion.
26210...............  ..............  A               Removal of finger           5.15         NA       5.24       0.79         NA      11.18        090
                                                       lesion.
26215...............  ..............  A               Remove/graft finger         7.10         NA       6.17       0.98         NA      14.25        090
                                                       lesion.
26230...............  ..............  A               Partial removal of          6.33         NA       5.71       1.01         NA      13.05        090
                                                       hand bone.
26235...............  ..............  A               Partial removal,            6.19         NA       5.62       0.95         NA      12.76        090
                                                       finger bone.
26236...............  ..............  A               Partial removal,            5.32         NA       5.14       0.81         NA      11.27        090
                                                       finger bone.
26250...............  ..............  A               Extensive hand              7.56         NA       6.23       1.07         NA      14.85        090
                                                       surgery.
26255...............  ..............  A               Extensive hand             12.43         NA       9.06       1.68         NA      23.18        090
                                                       surgery.
26260...............  ..............  A               Extensive finger            7.03         NA       5.99       1.01         NA      14.03        090
                                                       surgery.
26261...............  ..............  A               Extensive finger            9.10         NA       5.99       1.14         NA      16.23        090
                                                       surgery.
26262...............  ..............  A               Partial removal of          5.67         NA       5.16       0.88         NA      11.71        090
                                                       finger.
26320...............  ..............  A               Removal of implant          3.98         NA       4.17       0.59         NA       8.74        090
                                                       from hand.
26340...............  ..............  A               Manipulate finger w/        2.51         NA       4.73       0.39         NA       7.62        090
                                                       anesth.
26350...............  ..............  A               Repair finger/hand          5.99         NA      13.59       0.93         NA      20.51        090
                                                       tendon.
26352...............  ..............  A               Repair/graft hand           7.69         NA      14.33       1.13         NA      23.15        090
                                                       tendon.
26356...............  ..............  A               Repair finger/hand          8.08         NA      17.23       1.21         NA      26.52        090
                                                       tendon.
26357...............  ..............  A               Repair finger/hand          8.59         NA      14.61       1.33         NA      24.52        090
                                                       tendon.
26358...............  ..............  A               Repair/graft hand           9.15         NA      15.56       1.38         NA      26.09        090
                                                       tendon.
26370...............  ..............  A               Repair finger/hand          7.11         NA      14.05       1.12         NA      22.28        090
                                                       tendon.
26372...............  ..............  A               Repair/graft hand           8.77         NA      15.41       1.40         NA      25.58        090
                                                       tendon.
26373...............  ..............  A               Repair finger/hand          8.17         NA      14.94       1.23         NA      24.33        090
                                                       tendon.
26390...............  ..............  A               Revise hand/finger          9.20         NA      12.48       1.40         NA      23.08        090
                                                       tendon.
26392...............  ..............  A               Repair/graft hand          10.26         NA      15.62       1.57         NA      27.45        090
                                                       tendon.
26410...............  ..............  A               Repair hand tendon...       4.63         NA      11.08       0.73         NA      16.44        090
26412...............  ..............  A               Repair/graft hand           6.31         NA      12.37       0.97         NA      19.65        090
                                                       tendon.
26415...............  ..............  A               Excision, hand/finger       8.35         NA      11.10       0.98         NA      20.43        090
                                                       tendon.
26416...............  ..............  A               Graft hand or finger        9.38         NA      13.70       0.79         NA      23.87        090
                                                       tendon.
26418...............  ..............  A               Repair finger tendon.       4.25         NA      11.46       0.67         NA      16.37        090
26420...............  ..............  A               Repair/graft finger         6.77         NA      12.71       1.07         NA      20.55        090
                                                       tendon.
26426...............  ..............  A               Repair finger/hand          6.15         NA      12.28       0.95         NA      19.38        090
                                                       tendon.
26428...............  ..............  A               Repair/graft finger         7.21         NA      12.96       1.09         NA      21.26        090
                                                       tendon.
26432...............  ..............  A               Repair finger tendon.       4.02         NA       9.55       0.64         NA      14.21        090
26433...............  ..............  A               Repair finger tendon.       4.56         NA      10.05       0.72         NA      15.32        090
26434...............  ..............  A               Repair/graft finger         6.09         NA      10.81       0.93         NA      17.84        090
                                                       tendon.
26437...............  ..............  A               Realignment of              5.82         NA      10.83       0.89         NA      17.54        090
                                                       tendons.
26440...............  ..............  A               Release palm/finger         5.02         NA      12.48       0.75         NA      18.25        090
                                                       tendon.
26442...............  ..............  A               Release palm & finger       8.17         NA      14.98       1.20         NA      24.35        090
                                                       tendon.
26445...............  ..............  A               Release hand/finger         4.31         NA      12.19       0.65         NA      17.15        090
                                                       tendon.
26449...............  ..............  A               Release forearm/hand        7.00         NA      14.77       1.06         NA      22.83        090
                                                       tendon.
26450...............  ..............  A               Incision of palm            3.67         NA       6.88       0.59         NA      11.14        090
                                                       tendon.
26455...............  ..............  A               Incision of finger          3.64         NA       6.84       0.58         NA      11.05        090
                                                       tendon.
26460...............  ..............  A               Incise hand/finger          3.46         NA       6.72       0.55         NA      10.72        090
                                                       tendon.
26471...............  ..............  A               Fusion of finger            5.73         NA      10.54       0.88         NA      17.15        090
                                                       tendons.
26474...............  ..............  A               Fusion of finger            5.32         NA      10.64       0.76         NA      16.72        090
                                                       tendons.

[[Page 45895]]

 
26476...............  ..............  A               Tendon lengthening...       5.18         NA      10.25       0.79         NA      16.22        090
26477...............  ..............  A               Tendon shortening....       5.15         NA      10.36       0.81         NA      16.32        090
26478...............  ..............  A               Lengthening of hand         5.80         NA      11.05       0.90         NA      17.75        090
                                                       tendon.
26479...............  ..............  A               Shortening of hand          5.74         NA      10.82       0.92         NA      17.48        090
                                                       tendon.
26480...............  ..............  A               Transplant hand             6.69         NA      14.01       1.02         NA      21.73        090
                                                       tendon.
26483...............  ..............  A               Transplant/graft hand       8.30         NA      14.50       1.26         NA      24.06        090
                                                       tendon.
26485...............  ..............  A               Transplant palm             7.71         NA      14.35       1.15         NA      23.20        090
                                                       tendon.
26489...............  ..............  A               Transplant/graft palm       9.56         NA      11.43       1.26         NA      22.25        090
                                                       tendon.
26490...............  ..............  A               Revise thumb tendon..       8.42         NA      12.07       1.21         NA      21.70        090
26492...............  ..............  A               Tendon transfer with        9.63         NA      12.83       1.40         NA      23.86        090
                                                       graft.
26494...............  ..............  A               Hand tendon/muscle          8.48         NA      12.21       1.28         NA      21.97        090
                                                       transfer.
26496...............  ..............  A               Revise thumb tendon..       9.60         NA      12.51       1.45         NA      23.56        090
26497...............  ..............  A               Finger tendon               9.58         NA      12.79       1.41         NA      23.78        090
                                                       transfer.
26498...............  ..............  A               Finger tendon              14.01         NA      15.30       2.10         NA      31.41        090
                                                       transfer.
26499...............  ..............  A               Revision of finger...       8.99         NA      12.25       1.35         NA      22.59        090
26500...............  ..............  A               Hand tendon                 5.96         NA      10.72       0.90         NA      17.58        090
                                                       reconstruction.
26502...............  ..............  A               Hand tendon                 7.14         NA      11.30       1.13         NA      19.57        090
                                                       reconstruction.
26504...............  ..............  A               Hand tendon                 7.47         NA      11.78       1.24         NA      20.50        090
                                                       reconstruction.
26508...............  ..............  A               Release thumb               6.01         NA      10.92       0.98         NA      17.92        090
                                                       contracture.
26510...............  ..............  A               Thumb tendon transfer       5.43         NA      10.60       0.79         NA      16.82        090
26516...............  ..............  A               Fusion of knuckle           7.15         NA      11.48       1.10         NA      19.73        090
                                                       joint.
26517...............  ..............  A               Fusion of knuckle           8.84         NA      12.69       1.41         NA      22.94        090
                                                       joints.
26518...............  ..............  A               Fusion of knuckle           9.03         NA      12.59       1.35         NA      22.97        090
                                                       joints.
26520...............  ..............  A               Release knuckle             5.30         NA      12.91       0.80         NA      19.01        090
                                                       contracture.
26525...............  ..............  A               Release finger              5.33         NA      12.98       0.81         NA      19.12        090
                                                       contracture.
26530...............  ..............  A               Revise knuckle joint.       6.69         NA       5.96       1.04         NA      13.70        090
26531...............  ..............  A               Revise knuckle with         7.92         NA       6.91       1.17         NA      16.00        090
                                                       implant.
26535...............  ..............  A               Revise finger joint..       5.24         NA       3.74       0.71         NA       9.69        090
26536...............  ..............  A               Revise/implant finger       6.37         NA       9.37       0.96         NA      16.70        090
                                                       joint.
26540...............  ..............  A               Repair hand joint....       6.43         NA      11.12       0.99         NA      18.55        090
26541...............  ..............  A               Repair hand joint           8.63         NA      12.57       1.28         NA      22.48        090
                                                       with graft.
26542...............  ..............  A               Repair hand joint           6.78         NA      11.28       1.02         NA      19.08        090
                                                       with graft.
26545...............  ..............  A               Reconstruct finger          6.92         NA      11.40       1.05         NA      19.37        090
                                                       joint.
26546...............  ..............  A               Repair nonunion hand.       8.93         NA      14.18       1.44         NA      24.54        090
26548...............  ..............  A               Reconstruct finger          8.04         NA      12.05       1.20         NA      21.29        090
                                                       joint.
26550...............  ..............  A               Construct thumb            21.25         NA      16.68       2.45         NA      40.38        090
                                                       replacement.
26551...............  ..............  A               Great toe-hand             46.60         NA      30.93       7.96         NA      85.49        090
                                                       transfer.
26553...............  ..............  A               Single transfer, toe-      46.29         NA      24.09       2.41         NA      72.79        090
                                                       hand.
26554...............  ..............  A               Double transfer, toe-      54.98         NA      35.75       9.41         NA     100.14        090
                                                       hand.
26555...............  ..............  A               Positional change of       16.64         NA      17.43       2.48         NA      36.56        090
                                                       finger.
26556...............  ..............  A               Toe joint transfer...      47.28         NA      33.97       2.57         NA      83.82        090
26560...............  ..............  A               Repair of web finger.       5.38         NA       9.22       0.85         NA      15.45        090
26561...............  ..............  A               Repair of web finger.      10.92         NA      11.75       1.45         NA      24.12        090
26562...............  ..............  A               Repair of web finger.      15.01         NA      16.25       2.23         NA      33.49        090
26565...............  ..............  A               Correct metacarpal          6.74         NA      11.26       1.00         NA      19.01        090
                                                       flaw.
26567...............  ..............  A               Correct finger              6.82         NA      11.21       1.04         NA      19.08        090
                                                       deformity.
26568...............  ..............  A               Lengthen metacarpal/        9.09         NA      14.50       1.49         NA      25.08        090
                                                       finger.
26580...............  ..............  A               Repair hand deformity      18.19         NA      13.16       2.28         NA      33.63        090
26587...............  ..............  A               Reconstruct extra          14.06         NA       8.99       1.53         NA      24.58        090
                                                       finger.
26590...............  ..............  A               Repair finger              17.97         NA      13.46       2.77         NA      34.20        090
                                                       deformity.
26591...............  ..............  A               Repair muscles of           3.26         NA       8.94       0.48         NA      12.68        090
                                                       hand.
26593...............  ..............  A               Release muscles of          5.31         NA      10.45       0.78         NA      16.54        090
                                                       hand.
26596...............  ..............  A               Excision constricting       8.96         NA       8.42       1.43         NA      18.81        090
                                                       tissue.
26600...............  ..............  A               Treat metacarpal            1.96       3.79       2.57       0.30       6.05       4.83        090
                                                       fracture.
26605...............  ..............  A               Treat metacarpal            2.86       4.70       3.55       0.49       8.05       6.90        090
                                                       fracture.
26607...............  ..............  A               Treat metacarpal            5.36         NA       5.98       0.87         NA      12.21        090
                                                       fracture.
26608...............  ..............  A               Treat metacarpal            5.36         NA       6.00       0.88         NA      12.25        090
                                                       fracture.
26615...............  ..............  A               Treat metacarpal            5.33         NA       5.12       0.86         NA      11.31        090
                                                       fracture.
26641...............  ..............  A               Treat thumb                 3.94       4.72       3.42       0.39       9.05       7.75        090
                                                       dislocation.
26645...............  ..............  A               Treat thumb fracture.       4.41       5.31       4.08       0.67      10.39       9.16        090
26650...............  ..............  A               Treat thumb fracture.       5.72         NA       6.43       0.94         NA      13.09        090
26665...............  ..............  A               Treat thumb fracture.       7.61         NA       6.39       0.90         NA      14.90        090
26670...............  ..............  A               Treat hand                  3.69       4.41       2.85       0.39       8.49       6.92        090
                                                       dislocation.
26675...............  ..............  A               Treat hand                  4.64       5.57       4.34       0.77      10.98       9.75        090
                                                       dislocation.
26676...............  ..............  A               Pin hand dislocation.       5.52         NA       6.43       0.91         NA      12.86        090
26685...............  ..............  A               Treat hand                  6.98         NA       5.94       1.09         NA      14.02        090
                                                       dislocation.
26686...............  ..............  A               Treat hand                  7.95         NA       6.67       1.24         NA      15.86        090
                                                       dislocation.
26700...............  ..............  A               Treat knuckle               3.69       3.68       2.76       0.35       7.71       6.80        090
                                                       dislocation.
26705...............  ..............  A               Treat knuckle               4.19       5.43       4.18       0.66      10.28       9.03        090
                                                       dislocation.
26706...............  ..............  A               Pin knuckle                 5.12         NA       4.95       0.81         NA      10.88        090
                                                       dislocation.
26715...............  ..............  A               Treat knuckle               5.74         NA       5.33       0.91         NA      11.98        090
                                                       dislocation.
26720...............  ..............  A               Treat finger                1.66       2.70       1.98       0.24       4.60       3.89        090
                                                       fracture, each.
26725...............  ..............  A               Treat finger                3.34       4.60       3.40       0.53       8.47       7.26        090
                                                       fracture, each.
26727...............  ..............  A               Treat finger                5.23         NA       5.98       0.84         NA      12.05        090
                                                       fracture, each.

[[Page 45896]]

 
26735...............  ..............  A               Treat finger                5.98         NA       5.37       0.95         NA      12.30        090
                                                       fracture, each.
26740...............  ..............  A               Treat finger                1.94       3.04       2.63       0.31       5.30       4.88        090
                                                       fracture, each.
26742...............  ..............  A               Treat finger                3.85       5.11       3.78       0.58       9.54       8.21        090
                                                       fracture, each.
26746...............  ..............  A               Treat finger                5.81         NA       5.37       0.91         NA      12.09        090
                                                       fracture, each.
26750...............  ..............  A               Treat finger                1.70       2.41       1.94       0.22       4.33       3.86        090
                                                       fracture, each.
26755...............  ..............  A               Treat finger                3.11       4.27       2.91       0.42       7.80       6.44        090
                                                       fracture, each.
26756...............  ..............  A               Pin finger fracture,        4.39         NA       5.49       0.71         NA      10.59        090
                                                       each.
26765...............  ..............  A               Treat finger                4.17         NA       4.24       0.66         NA       9.07        090
                                                       fracture, each.
26770...............  ..............  A               Treat finger                3.03       3.34       2.32       0.27       6.64       5.62        090
                                                       dislocation.
26775...............  ..............  A               Treat finger                3.71       5.29       3.69       0.54       9.54       7.94        090
                                                       dislocation.
26776...............  ..............  A               Pin finger                  4.80         NA       5.76       0.77         NA      11.33        090
                                                       dislocation.
26785...............  ..............  A               Treat finger                4.21         NA       4.37       0.68         NA       9.26        090
                                                       dislocation.
26820...............  ..............  A               Thumb fusion with           8.27         NA      12.42       1.30         NA      21.99        090
                                                       graft.
26841...............  ..............  A               Fusion of thumb......       7.13         NA      12.37       1.18         NA      20.69        090
26842...............  ..............  A               Thumb fusion with           8.25         NA      12.54       1.32         NA      22.11        090
                                                       graft.
26843...............  ..............  A               Fusion of hand joint.       7.62         NA      11.60       1.15         NA      20.37        090
26844...............  ..............  A               Fusion/graft of hand        8.74         NA      12.56       1.33         NA      22.63        090
                                                       joint.
26850...............  ..............  A               Fusion of knuckle....       6.97         NA      11.44       1.06         NA      19.48        090
26852...............  ..............  A               Fusion of knuckle           8.47         NA      12.16       1.22         NA      21.85        090
                                                       with graft.
26860...............  ..............  A               Fusion of finger            4.69         NA      10.46       0.73         NA      15.88        090
                                                       joint.
26861...............  ..............  A               Fusion of finger jnt,       1.74         NA       0.90       0.27         NA       2.92        ZZZ
                                                       add-on.
26862...............  ..............  A               Fusion/graft of             7.37         NA      11.62       1.10         NA      20.09        090
                                                       finger joint.
26863...............  ..............  A               Fuse/graft added            3.90         NA       2.05       0.56         NA       6.50        ZZZ
                                                       joint.
26910...............  ..............  A               Amputate metacarpal         7.61         NA      10.59       1.16         NA      19.36        090
                                                       bone.
26951...............  ..............  A               Amputation of finger/       4.59         NA       9.50       0.71         NA      14.80        090
                                                       thumb.
26952...............  ..............  A               Amputation of finger/       6.31         NA      10.91       0.95         NA      18.17        090
                                                       thumb.
26989...............  ..............  C               Hand/finger surgery..       0.00       0.00       0.00       0.00       0.00       0.00        YYY
26990...............  ..............  A               Drainage of pelvis          7.48         NA       6.97       1.22         NA      15.67        090
                                                       lesion.
26991...............  ..............  A               Drainage of pelvis          6.68      10.53       5.30       1.11      18.32      13.09        090
                                                       bursa.
26992...............  ..............  A               Drainage of bone           13.03         NA       9.96       2.16         NA      25.15        090
                                                       lesion.
27000...............  ..............  A               Incision of hip             5.62         NA       5.11       0.98         NA      11.71        090
                                                       tendon.
27001...............  ..............  A               Incision of hip             6.94         NA       5.89       1.24         NA      14.08        090
                                                       tendon.
27003...............  ..............  A               Incision of hip             7.34         NA       6.33       1.12         NA      14.79        090
                                                       tendon.
27005...............  ..............  A               Incision of hip             9.67         NA       7.57       1.72         NA      18.95        090
                                                       tendon.
27006...............  ..............  A               Incision of hip             9.69         NA       7.73       1.69         NA      19.11        090
                                                       tendons.
27025...............  ..............  A               Incision of hip/thigh      11.16         NA       8.32       1.84         NA      21.33        090
                                                       fascia.
27030...............  ..............  A               Drainage of hip joint      13.02         NA       9.33       2.26         NA      24.61        090
27033...............  ..............  A               Exploration of hip         13.40         NA       9.61       2.32         NA      25.33        090
                                                       joint.
27035...............  ..............  A               Denervation of hip         16.69         NA      10.89       2.15         NA      29.73        090
                                                       joint.
27036...............  ..............  A               Excision of hip joint/     12.89         NA       9.70       2.26         NA      24.85        090
                                                       muscle.
27040...............  ..............  A               Biopsy of soft              2.88       5.38       2.05       0.27       8.53       5.20        010
                                                       tissues.
27041...............  ..............  A               Biopsy of soft              9.90         NA       6.60       1.35         NA      17.85        090
                                                       tissues.
27047...............  ..............  A               Remove hip/pelvis           7.45       7.18       4.71       1.03      15.67      13.19        090
                                                       lesion.
27048...............  ..............  A               Remove hip/pelvis           6.25         NA       4.72       0.92         NA      11.89        090
                                                       lesion.
27049...............  ..............  A               Remove tumor, hip/         13.67         NA       8.24       2.06         NA      23.97        090
                                                       pelvis.
27050...............  ..............  A               Biopsy of sacroiliac        4.36         NA       4.30       0.60         NA       9.26        090
                                                       joint.
27052...............  ..............  A               Biopsy of hip joint..       6.23         NA       5.71       1.08         NA      13.02        090
27054...............  ..............  A               Removal of hip joint        8.55         NA       7.11       1.47         NA      17.13        090
                                                       lining.
27060...............  ..............  A               Removal of ischial          5.43         NA       4.27       0.80         NA      10.50        090
                                                       bursa.
27062...............  ..............  A               Remove femur lesion/        5.37         NA       5.02       0.93         NA      11.32        090
                                                       bursa.
27065...............  ..............  A               Removal of hip bone         5.90         NA       5.29       1.01         NA      12.20        090
                                                       lesion.
27066...............  ..............  A               Removal of hip bone        10.33         NA       8.19       1.79         NA      20.31        090
                                                       lesion.
27067...............  ..............  A               Remove/graft hip bone      13.84         NA      10.34       1.84         NA      26.02        090
                                                       lesion.
27070...............  ..............  A               Partial removal of         10.72         NA       8.80       1.74         NA      21.26        090
                                                       hip bone.
27071...............  ..............  A               Partial removal of         11.46         NA       9.74       1.92         NA      23.12        090
                                                       hip bone.
27075...............  ..............  A               Extensive hip surgery      35.02         NA      18.71       5.64         NA      59.37        090
27076...............  ..............  A               Extensive hip surgery      22.13         NA      14.10       3.70         NA      39.94        090
27077...............  ..............  A               Extensive hip surgery      40.02         NA      22.00       6.12         NA      68.14        090
27078...............  ..............  A               Extensive hip surgery      13.45         NA       9.64       2.22         NA      25.31        090
27079...............  ..............  A               Extensive hip surgery      13.76         NA       9.29       1.94         NA      24.99        090
27080...............  ..............  A               Removal of tail bone.       6.39         NA       4.72       0.93         NA      12.05        090
27086...............  ..............  A               Remove hip foreign          1.87       4.44       1.80       0.25       6.56       3.92        010
                                                       body.
27087...............  ..............  A               Remove hip foreign          8.55         NA       6.51       1.35         NA      16.41        090
                                                       body.
27090...............  ..............  A               Removal of hip             11.15         NA       8.50       1.94         NA      21.59        090
                                                       prosthesis.
27091...............  ..............  A               Removal of hip             22.15         NA      13.56       3.84         NA      39.56        090
                                                       prosthesis.
27093...............  ..............  A               Injection for hip x-        1.30       4.24       0.49       0.13       5.67       1.92        000
                                                       ray.
27095...............  ..............  A               Injection for hip x-        1.50       5.37       0.52       0.14       7.01       2.17        000
                                                       ray.
27096...............  ..............  A               Inject sacroiliac           1.40       4.02       0.32       0.08       5.50       1.81        000
                                                       joint.
27097...............  ..............  A               Revision of hip             8.81         NA       6.21       1.57         NA      16.58        090
                                                       tendon.
27098...............  ..............  A               Transfer tendon to          8.84         NA       6.82       0.95         NA      16.61        090
                                                       pelvis.
27100...............  ..............  A               Transfer of abdominal      11.08         NA       8.39       1.85         NA      21.33        090
                                                       muscle.
27105...............  ..............  A               Transfer of spinal         11.77         NA       8.87       1.72         NA      22.37        090
                                                       muscle.
27110...............  ..............  A               Transfer of iliopsoas      13.27         NA       8.88       2.18         NA      24.32        090
                                                       muscle.
27111...............  ..............  A               Transfer of iliopsoas      12.15         NA       8.85       1.94         NA      22.95        090
                                                       muscle.

[[Page 45897]]

 
27120...............  ..............  A               Reconstruction of hip      18.02         NA      11.51       3.08         NA      32.60        090
                                                       socket.
27122...............  ..............  A               Reconstruction of hip      14.99         NA      10.69       2.61         NA      28.29        090
                                                       socket.
27125...............  ..............  A               Partial hip                14.70         NA      10.30       2.54         NA      27.54        090
                                                       replacement.
27130...............  ..............  A               Total hip                  20.13         NA      12.88       3.50         NA      36.51        090
                                                       arthroplasty.
27132...............  ..............  A               Total hip                  23.32         NA      15.15       4.04         NA      42.51        090
                                                       arthroplasty.
27134...............  ..............  A               Revise hip joint           28.54         NA      17.24       4.94         NA      50.72        090
                                                       replacement.
27137...............  ..............  A               Revise hip joint           21.18         NA      13.50       3.67         NA      38.35        090
                                                       replacement.
27138...............  ..............  A               Revise hip joint           22.18         NA      13.95       3.84         NA      39.97        090
                                                       replacement.
27140...............  ..............  A               Transplant femur           12.24         NA       9.11       2.11         NA      23.47        090
                                                       ridge.
27146...............  ..............  A               Incision of hip bone.      17.43         NA      11.77       2.96         NA      32.17        090
27147...............  ..............  A               Revision of hip bone.      20.59         NA      12.90       3.57         NA      37.06        090
27151...............  ..............  A               Incision of hip bones      22.52         NA       7.72       3.91         NA      34.16        090
27156...............  ..............  A               Revision of hip bones      24.64         NA      15.58       4.21         NA      44.43        090
27158...............  ..............  A               Revision of pelvis...      19.75         NA      10.86       3.16         NA      33.77        090
27161...............  ..............  A               Incision of neck of        16.71         NA      11.73       2.94         NA      31.38        090
                                                       femur.
27165...............  ..............  A               Incision/fixation of       17.92         NA      12.51       3.10         NA      33.53        090
                                                       femur.
27170...............  ..............  A               Repair/graft femur         16.08         NA      10.95       2.81         NA      29.85        090
                                                       head/neck.
27175...............  ..............  A               Treat slipped               8.47         NA       6.48       1.46         NA      16.41        090
                                                       epiphysis.
27176...............  ..............  A               Treat slipped              12.05         NA       8.73       2.22         NA      23.01        090
                                                       epiphysis.
27177...............  ..............  A               Treat slipped              15.09         NA      10.56       2.61         NA      28.26        090
                                                       epiphysis.
27178...............  ..............  A               Treat slipped              11.99         NA       8.16       2.08         NA      22.24        090
                                                       epiphysis.
27179...............  ..............  A               Revise head/neck of        12.99         NA       9.67       2.25         NA      24.91        090
                                                       femur.
27181...............  ..............  A               Treat slipped              14.69         NA       9.92       1.57         NA      26.18        090
                                                       epiphysis.
27185...............  ..............  A               Revision of femur           9.19         NA       7.28       2.39         NA      18.86        090
                                                       epiphysis.
27187...............  ..............  A               Reinforce hip bones..      13.55         NA       9.99       2.37         NA      25.90        090
27193...............  ..............  A               Treat pelvic ring           5.56       4.94       4.94       0.96      11.47      11.47        090
                                                       fracture.
27194...............  ..............  A               Treat pelvic ring           9.66         NA       7.43       1.65         NA      18.74        090
                                                       fracture.
27200...............  ..............  A               Treat tail bone             1.84       2.16       2.09       0.28       4.29       4.21        090
                                                       fracture.
27202...............  ..............  A               Treat tail bone             7.04         NA      15.72       1.06         NA      23.83        090
                                                       fracture.
27215...............  ..............  A               Treat pelvic               10.05         NA       6.86       1.97         NA      18.88        090
                                                       fracture(s).
27216...............  ..............  A               Treat pelvic ring          15.20         NA       9.29       2.63         NA      27.12        090
                                                       fracture.
27217...............  ..............  A               Treat pelvic ring          14.12         NA       9.83       2.41         NA      26.36        090
                                                       fracture.
27218...............  ..............  A               Treat pelvic ring          20.16         NA      11.08       3.48         NA      34.72        090
                                                       fracture.
27220...............  ..............  A               Treat hip socket            6.18       5.56       5.47       1.07      12.81      12.72        090
                                                       fracture.
27222...............  ..............  A               Treat hip socket           12.71         NA       9.65       2.19         NA      24.54        090
                                                       fracture.
27226...............  ..............  A               Treat hip wall             14.92         NA       7.58       2.48         NA      24.97        090
                                                       fracture.
27227...............  ..............  A               Treat hip fracture(s)      23.46         NA      14.93       4.05         NA      42.44        090
27228...............  ..............  A               Treat hip fracture(s)      27.17         NA      17.08       4.66         NA      48.92        090
27230...............  ..............  A               Treat thigh fracture.       5.50       5.35       4.95       0.95      11.80      11.41        090
27232...............  ..............  A               Treat thigh fracture.      10.68         NA       6.97       1.85         NA      19.50        090
27235...............  ..............  A               Treat thigh fracture.      12.16         NA       9.14       2.11         NA      23.42        090
27236...............  ..............  A               Treat thigh fracture.      15.61         NA      10.71       2.71         NA      29.03        090
27238...............  ..............  A               Treat thigh fracture.       5.52         NA       4.99       0.89         NA      11.40        090
27240...............  ..............  A               Treat thigh fracture.      12.50         NA       9.20       2.16         NA      23.87        090
27244...............  ..............  A               Treat thigh fracture.      15.95         NA      10.94       2.77         NA      29.67        090
27245...............  ..............  A               Treat thigh fracture.      20.32         NA      13.31       3.52         NA      37.15        090
27246...............  ..............  A               Treat thigh fracture.       4.71       4.33       4.30       0.81       9.85       9.82        090
27248...............  ..............  A               Treat thigh fracture.      10.45         NA       7.95       1.81         NA      20.21        090
27250...............  ..............  A               Treat hip dislocation       6.95         NA       4.46       0.62         NA      12.03        090
27252...............  ..............  A               Treat hip dislocation      10.39         NA       7.21       1.66         NA      19.26        090
27253...............  ..............  A               Treat hip dislocation      12.93         NA       9.47       2.24         NA      24.63        090
27254...............  ..............  A               Treat hip dislocation      18.27         NA      11.66       3.17         NA      33.10        090
27256...............  ..............  A               Treat hip dislocation       4.12       3.43       2.02       0.46       8.01       6.60        010
27257...............  ..............  A               Treat hip dislocation       5.22         NA       2.73       0.69         NA       8.64        010
27258...............  ..............  A               Treat hip dislocation      15.44         NA      10.55       2.64         NA      28.63        090
27259...............  ..............  A               Treat hip dislocation      21.56         NA      13.80       3.74         NA      39.11        090
27265...............  ..............  A               Treat hip dislocation       5.05         NA       4.64       0.63         NA      10.32        090
27266...............  ..............  A               Treat hip dislocation       7.49         NA       6.15       1.29         NA      14.94        090
27275...............  ..............  A               Manipulation of hip         2.27         NA       2.04       0.39         NA       4.71        010
                                                       joint.
27280...............  ..............  A               Fusion of sacroiliac       13.40         NA       9.96       2.53         NA      25.89        090
                                                       joint.
27282...............  ..............  A               Fusion of pubic bones      11.34         NA       8.03       1.86         NA      21.24        090
27284...............  ..............  A               Fusion of hip joint..      23.46         NA      14.32       3.92         NA      41.69        090
27286...............  ..............  A               Fusion of hip joint..      23.46         NA      15.30       3.12         NA      41.88        090
27290...............  ..............  A               Amputation of leg at       23.30         NA      13.67       3.43         NA      40.40        090
                                                       hip.
27295...............  ..............  A               Amputation of leg at       18.66         NA      10.98       2.95         NA      32.59        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            6.49       9.54       5.00       1.04      17.08      12.54        090
                                                       lesion.
27303...............  ..............  A               Drainage of bone            8.29         NA       6.75       1.43         NA      16.47        090
                                                       lesion.
27305...............  ..............  A               Incise thigh tendon &       5.92         NA       5.02       1.01         NA      11.95        090
                                                       fascia.
27306...............  ..............  A               Incision of thigh           4.62         NA       4.56       0.85         NA      10.03        090
                                                       tendon.
27307...............  ..............  A               Incision of thigh           5.80         NA       5.21       1.04         NA      12.05        090
                                                       tendons.
27310...............  ..............  A               Exploration of knee         9.28         NA       7.35       1.61         NA      18.24        090
                                                       joint.
27315...............  ..............  A               Partial removal,            6.97         NA       4.85       1.09         NA      12.91        090
                                                       thigh nerve.
27320...............  ..............  A               Partial removal,            6.30         NA       5.10       1.06         NA      12.46        090
                                                       thigh nerve.

[[Page 45898]]

 
27323...............  ..............  A               Biopsy, thigh soft          2.28       3.74       1.85       0.24       6.26       4.37        010
                                                       tissues.
27324...............  ..............  A               Biopsy, thigh soft          4.90         NA       4.09       0.75         NA       9.74        090
                                                       tissues.
27327...............  ..............  A               Removal of thigh            4.47       5.95       3.65       0.64      11.06       8.76        090
                                                       lesion.
27328...............  ..............  A               Removal of thigh            5.57         NA       4.27       0.84         NA      10.68        090
                                                       lesion.
27329...............  ..............  A               Remove tumor, thigh/       14.15         NA       8.81       2.14         NA      25.09        090
                                                       knee.
27330...............  ..............  A               Biopsy, knee joint          4.97         NA       4.42       0.86         NA      10.25        090
                                                       lining.
27331...............  ..............  A               Explore/treat knee          5.88         NA       5.34       1.02         NA      12.24        090
                                                       joint.
27332...............  ..............  A               Removal of knee             8.28         NA       6.89       1.43         NA      16.60        090
                                                       cartilage.
27333...............  ..............  A               Removal of knee             7.30         NA       6.46       1.26         NA      15.02        090
                                                       cartilage.
27334...............  ..............  A               Remove knee joint           8.71         NA       7.18       1.51         NA      17.39        090
                                                       lining.
27335...............  ..............  A               Remove knee joint          10.01         NA       7.96       1.74         NA      19.71        090
                                                       lining.
27340...............  ..............  A               Removal of kneecap          4.18         NA       4.41       0.72         NA       9.31        090
                                                       bursa.
27345...............  ..............  A               Removal of knee cyst.       5.92         NA       5.44       1.00         NA      12.37        090
27347...............  ..............  A               Remove knee cyst.....       5.78         NA       5.27       0.98         NA      12.03        090
27350...............  ..............  A               Removal of kneecap...       8.18         NA       7.01       1.41         NA      16.60        090
27355...............  ..............  A               Remove femur lesion..       7.66         NA       6.55       1.32         NA      15.53        090
27356...............  ..............  A               Remove femur lesion/        9.49         NA       7.61       1.65         NA      18.75        090
                                                       graft.
27357...............  ..............  A               Remove femur lesion/       10.53         NA       8.42       1.95         NA      20.90        090
                                                       graft.
27358...............  ..............  A               Remove femur lesion/        4.74         NA       2.44       0.82         NA       8.00        ZZZ
                                                       fixation.
27360...............  ..............  A               Partial removal, leg       10.50         NA       9.16       1.83         NA      21.49        090
                                                       bone(s).
27365...............  ..............  A               Extensive leg surgery      16.28         NA      11.33       2.79         NA      30.40        090
27370...............  ..............  A               Injection for knee x-       0.96       3.56       0.33       0.08       4.60       1.38        000
                                                       ray.
27372...............  ..............  A               Removal of foreign          5.07       9.52       4.54       0.84      15.43      10.45        090
                                                       body.
27380...............  ..............  A               Repair of kneecap           7.16         NA       6.99       1.24         NA      15.40        090
                                                       tendon.
27381...............  ..............  A               Repair/graft kneecap       10.34         NA       8.75       1.79         NA      20.88        090
                                                       tendon.
27385...............  ..............  A               Repair of thigh             7.77         NA       7.33       1.36         NA      16.45        090
                                                       muscle.
27386...............  ..............  A               Repair/graft of thigh      10.56         NA       9.15       1.85         NA      21.56        090
                                                       muscle.
27390...............  ..............  A               Incision of thigh           5.33         NA       4.95       0.92         NA      11.20        090
                                                       tendon.
27391...............  ..............  A               Incision of thigh           7.20         NA       6.35       1.23         NA      14.78        090
                                                       tendons.
27392...............  ..............  A               Incision of thigh           9.21         NA       7.35       1.57         NA      18.13        090
                                                       tendons.
27393...............  ..............  A               Lengthening of thigh        6.39         NA       5.64       1.10         NA      13.13        090
                                                       tendon.
27394...............  ..............  A               Lengthening of thigh        8.51         NA       6.98       1.47         NA      16.96        090
                                                       tendons.
27395...............  ..............  A               Lengthening of thigh       11.73         NA       9.02       2.04         NA      22.79        090
                                                       tendons.
27396...............  ..............  A               Transplant of thigh         7.87         NA       6.77       1.34         NA      15.97        090
                                                       tendon.
27397...............  ..............  A               Transplants of thigh       11.28         NA       8.76       1.82         NA      21.87        090
                                                       tendons.
27400...............  ..............  A               Revise thigh muscles/       9.03         NA       7.04       1.31         NA      17.37        090
                                                       tendons.
27403...............  ..............  A               Repair of knee              8.34         NA       6.95       1.44         NA      16.72        090
                                                       cartilage.
27405...............  ..............  A               Repair of knee              8.66         NA       7.25       1.51         NA      17.42        090
                                                       ligament.
27407...............  ..............  A               Repair of knee             10.28         NA       8.05       1.78         NA      20.11        090
                                                       ligament.
27409...............  ..............  A               Repair of knee             12.91         NA       9.63       2.24         NA      24.78        090
                                                       ligaments.
27412...............  ..............  A               Autochondrocyte            23.28         NA      14.69       4.35         NA      42.32        090
                                                       implant knee.
27415...............  ..............  A               Osteochondral knee         18.53         NA      12.45       4.35         NA      35.33        090
                                                       allograft.
27418...............  ..............  A               Repair degenerated         10.85         NA       8.61       1.88         NA      21.34        090
                                                       kneecap.
27420...............  ..............  A               Revision of unstable        9.84         NA       7.85       1.71         NA      19.40        090
                                                       kneecap.
27422...............  ..............  A               Revision of unstable        9.79         NA       7.86       1.70         NA      19.35        090
                                                       kneecap.
27424...............  ..............  A               Revision/removal of         9.82         NA       7.83       1.70         NA      19.35        090
                                                       kneecap.
27425...............  ..............  A               Lat retinacular             5.22         NA       5.33       0.90         NA      11.45        090
                                                       release open.
27427...............  ..............  A               Reconstruction, knee.       9.37         NA       7.56       1.63         NA      18.55        090
27428...............  ..............  A               Reconstruction, knee.      14.01         NA      10.90       2.42         NA      27.33        090
27429...............  ..............  A               Reconstruction, knee.      15.53         NA      12.03       2.70         NA      30.27        090
27430...............  ..............  A               Revision of thigh           9.68         NA       7.75       1.69         NA      19.12        090
                                                       muscles.
27435...............  ..............  A               Incision of knee            9.50         NA       8.21       1.69         NA      19.40        090
                                                       joint.
27437...............  ..............  A               Revise kneecap.......       8.47         NA       7.01       1.49         NA      16.96        090
27438...............  ..............  A               Revise kneecap with        11.23         NA       8.28       1.95         NA      21.46        090
                                                       implant.
27440...............  ..............  A               Revision of knee           10.43         NA       5.82       1.81         NA      18.06        090
                                                       joint.
27441...............  ..............  A               Revision of knee           10.82         NA       6.50       1.88         NA      19.20        090
                                                       joint.
27442...............  ..............  A               Revision of knee           11.89         NA       8.64       2.09         NA      22.62        090
                                                       joint.
27443...............  ..............  A               Revision of knee           10.93         NA       8.44       1.90         NA      21.27        090
                                                       joint.
27445...............  ..............  A               Revision of knee           17.69         NA      11.96       3.08         NA      32.73        090
                                                       joint.
27446...............  ..............  A               Revision of knee           15.85         NA      10.91       2.80         NA      29.57        090
                                                       joint.
27447...............  ..............  A               Total knee                 21.49         NA      14.16       3.79         NA      39.44        090
                                                       arthroplasty.
27448...............  ..............  A               Incision of thigh....      11.06         NA       8.33       1.94         NA      21.33        090
27450...............  ..............  A               Incision of thigh....      13.99         NA      10.24       2.42         NA      26.65        090
27454...............  ..............  A               Realignment of thigh       17.57         NA      12.12       3.12         NA      32.81        090
                                                       bone.
27455...............  ..............  A               Realignment of knee..      12.83         NA       9.54       2.24         NA      24.61        090
27457...............  ..............  A               Realignment of knee..      13.46         NA       9.60       2.34         NA      25.40        090
27465...............  ..............  A               Shortening of thigh        13.88         NA       9.89       2.47         NA      26.24        090
                                                       bone.
27466...............  ..............  A               Lengthening of thigh       16.34         NA      11.46       2.77         NA      30.58        090
                                                       bone.
27468...............  ..............  A               Shorten/lengthen           18.98         NA      12.09       3.30         NA      34.37        090
                                                       thighs.
27470...............  ..............  A               Repair of thigh......      16.08         NA      11.42       2.79         NA      30.29        090
27472...............  ..............  A               Repair/graft of thigh      17.73         NA      12.28       3.07         NA      33.07        090
27475...............  ..............  A               Surgery to stop leg         8.65         NA       6.97       1.36         NA      16.98        090
                                                       growth.
27477...............  ..............  A               Surgery to stop leg         9.86         NA       7.49       1.73         NA      19.08        090
                                                       growth.
27479...............  ..............  A               Surgery to stop leg        12.81         NA       9.48       2.78         NA      25.07        090
                                                       growth.

[[Page 45899]]

 
27485...............  ..............  A               Surgery to stop leg         8.85         NA       7.16       1.53         NA      17.53        090
                                                       growth.
27486...............  ..............  A               Revise/replace knee        19.28         NA      13.08       3.36         NA      35.71        090
                                                       joint.
27487...............  ..............  A               Revise/replace knee        25.28         NA      16.04       4.39         NA      45.71        090
                                                       joint.
27488...............  ..............  A               Removal of knee            15.75         NA      11.34       2.74         NA      29.83        090
                                                       prosthesis.
27495...............  ..............  A               Reinforce thigh......      15.56         NA      11.05       2.71         NA      29.32        090
27496...............  ..............  A               Decompression of            6.11         NA       5.42       0.99         NA      12.52        090
                                                       thigh/knee.
27497...............  ..............  A               Decompression of            7.17         NA       5.28       1.15         NA      13.61        090
                                                       thigh/knee.
27498...............  ..............  A               Decompression of            8.00         NA       5.79       1.24         NA      15.03        090
                                                       thigh/knee.
27499...............  ..............  A               Decompression of            9.01         NA       6.64       1.47         NA      17.11        090
                                                       thigh/knee.
27500...............  ..............  A               Treatment of thigh          5.92       6.67       4.85       1.02      13.61      11.79        090
                                                       fracture.
27501...............  ..............  A               Treatment of thigh          5.92       6.35       5.23       1.03      13.30      12.18        090
                                                       fracture.
27502...............  ..............  A               Treatment of thigh         10.58         NA       7.88       1.78         NA      20.24        090
                                                       fracture.
27503...............  ..............  A               Treatment of thigh         10.58         NA       8.05       1.84         NA      20.47        090
                                                       fracture.
27506...............  ..............  A               Treatment of thigh         17.45         NA      12.39       3.03         NA      32.87        090
                                                       fracture.
27507...............  ..............  A               Treatment of thigh         14.00         NA       9.53       2.42         NA      25.95        090
                                                       fracture.
27508...............  ..............  A               Treatment of thigh          5.83       6.55       5.32       0.97      13.35      12.12        090
                                                       fracture.
27509...............  ..............  A               Treatment of thigh          7.72         NA       7.64       1.34         NA      16.69        090
                                                       fracture.
27510...............  ..............  A               Treatment of thigh          9.14         NA       7.12       1.53         NA      17.79        090
                                                       fracture.
27511...............  ..............  A               Treatment of thigh         13.65         NA      10.77       2.37         NA      26.79        090
                                                       fracture.
27513...............  ..............  A               Treatment of thigh         17.93         NA      13.38       3.12         NA      34.43        090
                                                       fracture.
27514...............  ..............  A               Treatment of thigh         17.30         NA      12.88       3.00         NA      33.19        090
                                                       fracture.
27516...............  ..............  A               Treat thigh fx growth       5.37       6.45       5.36       0.81      12.63      11.54        090
                                                       plate.
27517...............  ..............  A               Treat thigh fx growth       8.79         NA       7.24       1.22         NA      17.25        090
                                                       plate.
27519...............  ..............  A               Treat thigh fx growth      15.03         NA      11.17       2.55         NA      28.75        090
                                                       plate.
27520...............  ..............  A               Treat kneecap               2.87       4.69       3.34       0.47       8.03       6.67        090
                                                       fracture.
27524...............  ..............  A               Treat kneecap              10.01         NA       7.97       1.74         NA      19.72        090
                                                       fracture.
27530...............  ..............  A               Treat knee fracture..       3.78       5.44       4.30       0.65       9.87       8.72        090
27532...............  ..............  A               Treat knee fracture..       7.30       7.13       6.27       1.26      15.69      14.83        090
27535...............  ..............  A               Treat knee fracture..      11.50         NA       9.71       2.00         NA      23.21        090
27536...............  ..............  A               Treat knee fracture..      15.66         NA      11.25       2.73         NA      29.64        090
27538...............  ..............  A               Treat knee                  4.87       6.23       5.04       0.84      11.94      10.75        090
                                                       fracture(s).
27540...............  ..............  A               Treat knee fracture..      13.11         NA       9.21       2.27         NA      24.59        090
27550...............  ..............  A               Treat knee                  5.76       6.12       4.78       0.76      12.64      11.30        090
                                                       dislocation.
27552...............  ..............  A               Treat knee                  7.91         NA       6.75       1.36         NA      16.01        090
                                                       dislocation.
27556...............  ..............  A               Treat knee                 14.42         NA      11.21       2.50         NA      28.13        090
                                                       dislocation.
27557...............  ..............  A               Treat knee                 16.77         NA      12.63       2.97         NA      32.38        090
                                                       dislocation.
27558...............  ..............  A               Treat knee                 17.73         NA      12.57       3.08         NA      33.38        090
                                                       dislocation.
27560...............  ..............  A               Treat kneecap               3.82       4.97       3.08       0.40       9.19       7.29        090
                                                       dislocation.
27562...............  ..............  A               Treat kneecap               5.79         NA       4.62       0.94         NA      11.36        090
                                                       dislocation.
27566...............  ..............  A               Treat kneecap              12.23         NA       9.03       2.12         NA      23.38        090
                                                       dislocation.
27570...............  ..............  A               Fixation of knee            1.74         NA       1.72       0.30         NA       3.77        010
                                                       joint.
27580...............  ..............  A               Fusion of knee.......      19.38         NA      14.25       3.37         NA      37.00        090
27590...............  ..............  A               Amputate leg at thigh      12.03         NA       6.53       1.74         NA      20.30        090
27591...............  ..............  A               Amputate leg at thigh      12.69         NA       8.40       2.02         NA      23.11        090
27592...............  ..............  A               Amputate leg at thigh      10.02         NA       6.02       1.45         NA      17.49        090
27594...............  ..............  A               Amputation follow-up        6.92         NA       5.04       1.02         NA      12.99        090
                                                       surgery.
27596...............  ..............  A               Amputation follow-up       10.60         NA       6.65       1.57         NA      18.82        090
                                                       surgery.
27598...............  ..............  A               Amputate lower leg at      10.53         NA       6.85       1.65         NA      19.03        090
                                                       knee.
27599...............  ..............  C               Leg surgery procedure       0.00       0.00       0.00       0.00       0.00       0.00        YYY
27600...............  ..............  A               Decompression of            5.65         NA       4.37       0.86         NA      10.88        090
                                                       lower leg.
27601...............  ..............  A               Decompression of            5.64         NA       4.68       0.80         NA      11.13        090
                                                       lower leg.
27602...............  ..............  A               Decompression of            7.35         NA       4.97       1.10         NA      13.43        090
                                                       lower leg.
27603...............  ..............  A               Drain lower leg             4.94       7.21       4.07       0.74      12.89       9.75        090
                                                       lesion.
27604...............  ..............  A               Drain lower leg bursa       4.47       5.96       3.87       0.69      11.12       9.03        090
27605...............  ..............  A               Incision of achilles        2.88       7.29       2.26       0.41      10.58       5.55        010
                                                       tendon.
27606...............  ..............  A               Incision of achilles        4.14         NA       3.25       0.69         NA       8.07        010
                                                       tendon.
27607...............  ..............  A               Treat lower leg bone        7.98         NA       6.02       1.31         NA      15.30        090
                                                       lesion.
27610...............  ..............  A               Explore/treat ankle         8.35         NA       6.79       1.40         NA      16.54        090
                                                       joint.
27612...............  ..............  A               Exploration of ankle        7.33         NA       5.95       1.13         NA      14.42        090
                                                       joint.
27613...............  ..............  A               Biopsy lower leg soft       2.17       3.43       1.77       0.20       5.81       4.14        010
                                                       tissue.
27614...............  ..............  A               Biopsy lower leg soft       5.66       7.24       4.34       0.78      13.69      10.78        090
                                                       tissue.
27615...............  ..............  A               Remove tumor, lower        12.57         NA       9.08       1.83         NA      23.48        090
                                                       leg.
27618...............  ..............  A               Remove lower leg            5.09       6.11       3.92       0.72      11.92       9.73        090
                                                       lesion.
27619...............  ..............  A               Remove lower leg            8.41       9.38       5.82       1.25      19.03      15.48        090
                                                       lesion.
27620...............  ..............  A               Explore/treat ankle         5.98         NA       5.31       0.97         NA      12.26        090
                                                       joint.
27625...............  ..............  A               Remove ankle joint          8.31         NA       6.30       1.28         NA      15.89        090
                                                       lining.
27626...............  ..............  A               Remove ankle joint          8.92         NA       6.73       1.48         NA      17.12        090
                                                       lining.
27630...............  ..............  A               Removal of tendon           4.80       7.39       4.27       0.74      12.93       9.81        090
                                                       lesion.
27635...............  ..............  A               Remove lower leg bone       7.79         NA       6.54       1.31         NA      15.63        090
                                                       lesion.
27637...............  ..............  A               Remove/graft leg bone       9.86         NA       8.03       1.66         NA      19.55        090
                                                       lesion.
27638...............  ..............  A               Remove/graft leg bone      10.57         NA       8.04       1.84         NA      20.45        090
                                                       lesion.
27640...............  ..............  A               Partial removal of         11.37         NA       9.90       1.88         NA      23.15        090
                                                       tibia.
27641...............  ..............  A               Partial removal of          9.25         NA       8.03       1.46         NA      18.74        090
                                                       fibula.
27645...............  ..............  A               Extensive lower leg        14.18         NA      11.57       2.41         NA      28.16        090
                                                       surgery.

[[Page 45900]]

 
27646...............  ..............  A               Extensive lower leg        12.67         NA      10.60       2.05         NA      25.32        090
                                                       surgery.
27647...............  ..............  A               Extensive ankle/heel       12.24         NA       7.48       1.75         NA      21.47        090
                                                       surgery.
27648...............  ..............  A               Injection for ankle x-      0.96       3.39       0.34       0.08       4.43       1.38        000
                                                       ray.
27650...............  ..............  A               Repair achilles             9.70         NA       7.30       1.59         NA      18.59        090
                                                       tendon.
27652...............  ..............  A               Repair/graft achilles      10.33         NA       7.81       1.71         NA      19.85        090
                                                       tendon.
27654...............  ..............  A               Repair of achilles         10.02         NA       6.97       1.58         NA      18.57        090
                                                       tendon.
27656...............  ..............  A               Repair leg fascia           4.57       8.20       3.70       0.69      13.46       8.96        090
                                                       defect.
27658...............  ..............  A               Repair of leg tendon,       4.98         NA       4.45       0.79         NA      10.22        090
                                                       each.
27659...............  ..............  A               Repair of leg tendon,       6.81         NA       5.50       1.09         NA      13.40        090
                                                       each.
27664...............  ..............  A               Repair of leg tendon,       4.59         NA       4.42       0.76         NA       9.77        090
                                                       each.
27665...............  ..............  A               Repair of leg tendon,       5.40         NA       4.84       0.89         NA      11.14        090
                                                       each.
27675...............  ..............  A               Repair lower leg            7.18         NA       5.59       1.11         NA      13.89        090
                                                       tendons.
27676...............  ..............  A               Repair lower leg            8.43         NA       6.57       1.37         NA      16.36        090
                                                       tendons.
27680...............  ..............  A               Release of lower leg        5.74         NA       4.96       0.93         NA      11.63        090
                                                       tendon.
27681...............  ..............  A               Release of lower leg        6.82         NA       5.74       1.15         NA      13.72        090
                                                       tendons.
27685...............  ..............  A               Revision of lower leg       6.50       7.38       5.35       0.97      14.86      12.82        090
                                                       tendon.
27686...............  ..............  A               Revise lower leg            7.46         NA       6.30       1.24         NA      15.00        090
                                                       tendons.
27687...............  ..............  A               Revision of calf            6.24         NA       5.18       1.00         NA      12.43        090
                                                       tendon.
27690...............  ..............  A               Revise lower leg            8.72         NA       6.22       1.33         NA      16.27        090
                                                       tendon.
27691...............  ..............  A               Revise lower leg            9.97         NA       7.54       1.64         NA      19.15        090
                                                       tendon.
27692...............  ..............  A               Revise additional leg       1.87         NA       0.90       0.32         NA       3.10        ZZZ
                                                       tendon.
27695...............  ..............  A               Repair of ankle             6.51         NA       5.71       1.05         NA      13.27        090
                                                       ligament.
27696...............  ..............  A               Repair of ankle             8.28         NA       6.28       1.28         NA      15.83        090
                                                       ligaments.
27698...............  ..............  A               Repair of ankle             9.37         NA       6.77       1.47         NA      17.61        090
                                                       ligament.
27700...............  ..............  A               Revision of ankle           9.30         NA       5.63       1.30         NA      16.23        090
                                                       joint.
27702...............  ..............  A               Reconstruct ankle          13.68         NA      10.12       2.37         NA      26.17        090
                                                       joint.
27703...............  ..............  A               Reconstruction, ankle      15.88         NA      10.91       2.76         NA      29.56        090
                                                       joint.
27704...............  ..............  A               Removal of ankle            7.63         NA       5.42       1.27         NA      14.31        090
                                                       implant.
27705...............  ..............  A               Incision of tibia....      10.38         NA       7.92       1.80         NA      20.10        090
27707...............  ..............  A               Incision of fibula...       4.37         NA       4.78       0.76         NA       9.91        090
27709...............  ..............  A               Incision of tibia &         9.96         NA       7.87       1.73         NA      19.56        090
                                                       fibula.
27712...............  ..............  A               Realignment of lower       14.26         NA      10.43       2.47         NA      27.15        090
                                                       leg.
27715...............  ..............  A               Revision of lower leg      14.40         NA      10.43       2.49         NA      27.32        090
27720...............  ..............  A               Repair of tibia......      11.79         NA       9.10       2.04         NA      22.93        090
27722...............  ..............  A               Repair/graft of tibia      11.82         NA       8.84       2.05         NA      22.72        090
27724...............  ..............  A               Repair/graft of tibia      18.21         NA      11.98       3.16         NA      33.34        090
27725...............  ..............  A               Repair of lower leg..      15.60         NA      11.56       2.71         NA      29.87        090
27727...............  ..............  A               Repair of lower leg..      14.02         NA      10.02       2.43         NA      26.47        090
27730...............  ..............  A               Repair of tibia             7.41         NA       6.21       1.72         NA      15.35        090
                                                       epiphysis.
27732...............  ..............  A               Repair of fibula            5.32         NA       4.80       0.77         NA      10.90        090
                                                       epiphysis.
27734...............  ..............  A               Repair lower leg            8.49         NA       6.11       1.35         NA      15.95        090
                                                       epiphyses.
27740...............  ..............  A               Repair of leg               9.31         NA       7.72       1.62         NA      18.65        090
                                                       epiphyses.
27742...............  ..............  A               Repair of leg              10.30         NA       5.76       1.79         NA      17.85        090
                                                       epiphyses.
27745...............  ..............  A               Reinforce tibia......      10.07         NA       7.91       1.75         NA      19.73        090
27750...............  ..............  A               Treatment of tibia          3.20       4.90       3.74       0.55       8.65       7.49        090
                                                       fracture.
27752...............  ..............  A               Treatment of tibia          5.84       6.74       5.51       1.01      13.59      12.36        090
                                                       fracture.
27756...............  ..............  A               Treatment of tibia          6.78         NA       6.25       1.17         NA      14.20        090
                                                       fracture.
27758...............  ..............  A               Treatment of tibia         11.67         NA       8.89       2.03         NA      22.59        090
                                                       fracture.
27759...............  ..............  A               Treatment of tibia         13.77         NA       9.99       2.38         NA      26.13        090
                                                       fracture.
27760...............  ..............  A               Treatment of ankle          3.02       4.83       3.48       0.48       8.32       6.98        090
                                                       fracture.
27762...............  ..............  A               Treatment of ankle          5.25       6.43       5.12       0.85      12.53      11.22        090
                                                       fracture.
27766...............  ..............  A               Treatment of ankle          8.37         NA       6.99       1.44         NA      16.80        090
                                                       fracture.
27780...............  ..............  A               Treatment of fibula         2.66       4.05       3.12       0.41       7.12       6.18        090
                                                       fracture.
27781...............  ..............  A               Treatment of fibula         4.40       5.61       4.51       0.73      10.74       9.64        090
                                                       fracture.
27784...............  ..............  A               Treatment of fibula         7.11         NA       6.26       1.23         NA      14.60        090
                                                       fracture.
27786...............  ..............  A               Treatment of ankle          2.85       4.61       3.23       0.46       7.92       6.54        090
                                                       fracture.
27788...............  ..............  A               Treatment of ankle          4.45       5.76       4.52       0.74      10.95       9.71        090
                                                       fracture.
27792...............  ..............  A               Treatment of ankle          7.67         NA       6.74       1.32         NA      15.72        090
                                                       fracture.
27808...............  ..............  A               Treatment of ankle          2.84       4.94       3.59       0.46       8.24       6.89        090
                                                       fracture.
27810...............  ..............  A               Treatment of ankle          5.13       6.35       5.00       0.82      12.30      10.96        090
                                                       fracture.
27814...............  ..............  A               Treatment of ankle         10.68         NA       8.29       1.85         NA      20.82        090
                                                       fracture.
27816...............  ..............  A               Treatment of ankle          2.90       4.54       3.31       0.43       7.86       6.63        090
                                                       fracture.
27818...............  ..............  A               Treatment of ankle          5.50       6.47       5.02       0.82      12.79      11.34        090
                                                       fracture.
27822...............  ..............  A               Treatment of ankle         11.00         NA      13.08       1.91         NA      25.99        090
                                                       fracture.
27823...............  ..............  A               Treatment of ankle         13.01         NA      13.87       2.25         NA      29.12        090
                                                       fracture.
27824...............  ..............  A               Treat lower leg             2.90       4.22       3.47       0.45       7.56       6.81        090
                                                       fracture.
27825...............  ..............  A               Treat lower leg             6.19       6.69       5.23       1.02      13.91      12.44        090
                                                       fracture.
27826...............  ..............  A               Treat lower leg             8.55         NA      11.29       1.47         NA      21.31        090
                                                       fracture.
27827...............  ..............  A               Treat lower leg            14.07         NA      15.09       2.43         NA      31.58        090
                                                       fracture.
27828...............  ..............  A               Treat lower leg            16.24         NA      16.21       2.81         NA      35.26        090
                                                       fracture.
27829...............  ..............  A               Treat lower leg joint       5.49         NA       8.63       0.95         NA      15.08        090
27830...............  ..............  A               Treat lower leg             3.79       4.54       3.74       0.54       8.87       8.07        090
                                                       dislocation.
27831...............  ..............  A               Treat lower leg             4.56         NA       4.32       0.73         NA       9.61        090
                                                       dislocation.
27832...............  ..............  A               Treat lower leg             6.49         NA       5.97       1.03         NA      13.49        090
                                                       dislocation.

[[Page 45901]]

 
27840...............  ..............  A               Treat ankle                 4.58         NA       3.63       0.46         NA       8.67        090
                                                       dislocation.
27842...............  ..............  A               Treat ankle                 6.21         NA       4.96       1.00         NA      12.17        090
                                                       dislocation.
27846...............  ..............  A               Treat ankle                 9.80         NA       7.68       1.70         NA      19.18        090
                                                       dislocation.
27848...............  ..............  A               Treat ankle                11.20         NA      11.46       1.94         NA      24.61        090
                                                       dislocation.
27860...............  ..............  A               Fixation of ankle           2.34         NA       1.93       0.39         NA       4.67        010
                                                       joint.
27870...............  ..............  A               Fusion of ankle            13.92         NA      10.21       2.36         NA      26.49        090
                                                       joint, open.
27871...............  ..............  A               Fusion of                   9.18         NA       7.35       1.59         NA      18.12        090
                                                       tibiofibular joint.
27880...............  ..............  A               Amputation of lower        11.85         NA       6.96       1.75         NA      20.56        090
                                                       leg.
27881...............  ..............  A               Amputation of lower        12.34         NA       8.58       1.98         NA      22.90        090
                                                       leg.
27882...............  ..............  A               Amputation of lower         8.95         NA       6.29       1.29         NA      16.53        090
                                                       leg.
27884...............  ..............  A               Amputation follow-up        8.22         NA       5.60       1.22         NA      15.04        090
                                                       surgery.
27886...............  ..............  A               Amputation follow-up        9.33         NA       6.34       1.40         NA      17.06        090
                                                       surgery.
27888...............  ..............  A               Amputation of foot at       9.68         NA       7.28       1.51         NA      18.47        090
                                                       ankle.
27889...............  ..............  A               Amputation of foot at       9.99         NA       6.30       1.46         NA      17.75        090
                                                       ankle.
27892...............  ..............  A               Decompression of leg.       7.39         NA       5.44       1.10         NA      13.93        090
27893...............  ..............  A               Decompression of leg.       7.35         NA       5.32       1.10         NA      13.78        090
27894...............  ..............  A               Decompression of leg.      10.49         NA       7.57       1.65         NA      19.71        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        2.74       3.15       1.93       0.33       6.21       5.00        010
                                                       foot.
28002...............  ..............  A               Treatment of foot           4.62       5.17       3.71       0.61      10.39       8.94        010
                                                       infection.
28003...............  ..............  A               Treatment of foot           8.42       6.42       5.15       1.12      15.96      14.69        090
                                                       infection.
28005...............  ..............  A               Treat foot bone             8.69         NA       5.96       1.16         NA      15.81        090
                                                       lesion.
28008...............  ..............  A               Incision of foot            4.45       4.77       3.20       0.57       9.79       8.22        090
                                                       fascia.
28010...............  ..............  A               Incision of toe             2.85       2.45       2.42       0.36       5.66       5.62        090
                                                       tendon.
28011...............  ..............  A               Incision of toe             4.14       0.00       3.28       0.59       4.73       8.01        090
                                                       tendons.
28020...............  ..............  A               Exploration of foot         5.01       6.09       4.06       0.72      11.82       9.79        090
                                                       joint.
28022...............  ..............  A               Exploration of foot         4.67       5.39       3.80       0.62      10.68       9.09        090
                                                       joint.
28024...............  ..............  A               Exploration of toe          4.38       5.38       3.85       0.58      10.34       8.81        090
                                                       joint.
28030...............  ..............  A               Removal of foot nerve       6.15         NA       3.67       0.74         NA      10.56        090
28035...............  ..............  A               Decompression of            5.09       6.00       4.03       0.70      11.79       9.82        090
                                                       tibia nerve.
28043...............  ..............  A               Excision of foot            3.54       3.94       3.14       0.46       7.94       7.13        090
                                                       lesion.
28045...............  ..............  A               Excision of foot            4.72       5.58       3.58       0.63      10.93       8.93        090
                                                       lesion.
28046...............  ..............  A               Resection of tumor,        10.18       8.90       6.37       1.36      20.44      17.91        090
                                                       foot.
28050...............  ..............  A               Biopsy of foot joint        4.25       5.11       3.55       0.60       9.96       8.40        090
                                                       lining.
28052...............  ..............  A               Biopsy of foot joint        3.94       5.08       3.38       0.53       9.55       7.85        090
                                                       lining.
28054...............  ..............  A               Biopsy of toe joint         3.45       4.89       3.18       0.46       8.80       7.09        090
                                                       lining.
28060...............  ..............  A               Partial removal, foot       5.23       5.69       3.86       0.70      11.62       9.79        090
                                                       fascia.
28062...............  ..............  A               Removal of foot             6.52       6.70       4.03       0.83      14.05      11.38        090
                                                       fascia.
28070...............  ..............  A               Removal of foot joint       5.10       5.45       3.78       0.73      11.28       9.61        090
                                                       lining.
28072...............  ..............  A               Removal of foot joint       4.58       5.68       4.20       0.68      10.94       9.46        090
                                                       lining.
28080...............  ..............  A               Removal of foot             3.58       5.41       3.72       0.47       9.45       7.77        090
                                                       lesion.
28086...............  ..............  A               Excise foot tendon          4.78       7.81       4.55       0.76      13.35      10.09        090
                                                       sheath.
28088...............  ..............  A               Excise foot tendon          3.86       5.80       3.79       0.61      10.26       8.26        090
                                                       sheath.
28090...............  ..............  A               Removal of foot             4.41       5.34       3.44       0.59      10.34       8.44        090
                                                       lesion.
28092...............  ..............  A               Removal of toe              3.64       5.34       3.47       0.49       9.47       7.59        090
                                                       lesions.
28100...............  ..............  A               Removal of ankle/heel       5.66       7.86       4.61       0.82      14.34      11.09         90
                                                       lesion.
28102...............  ..............  A               Remove/graft foot           7.74         NA       5.81       1.14         NA      14.68        090
                                                       lesion.
28103...............  ..............  A               Remove/graft foot           6.50         NA       4.57       0.91         NA      11.98        090
                                                       lesion.
28104...............  ..............  A               Removal of foot             5.12       5.69       3.88       0.70      11.51       9.70        090
                                                       lesion.
28106...............  ..............  A               Remove/graft foot           7.16         NA       4.44       0.97         NA      12.58        090
                                                       lesion.
28107...............  ..............  A               Remove/graft foot           5.56       6.67       4.17       0.74      12.97      10.47        090
                                                       lesion.
28108...............  ..............  A               Removal of toe              4.16       4.85       3.25       0.53       9.54       7.94        090
                                                       lesions.
28110...............  ..............  A               Part removal of             4.08       5.43       3.22       0.54      10.05       7.84        090
                                                       metatarsal.
28111...............  ..............  A               Part removal of             5.01       6.36       3.62       0.67      12.04       9.30        090
                                                       metatarsal.
28112...............  ..............  A               Part removal of             4.49       5.96       3.54       0.61      11.06       8.64        090
                                                       metatarsal.
28113...............  ..............  A               Part removal of             4.79       6.33       4.34       0.63      11.75       9.76        090
                                                       metatarsal.
28114...............  ..............  A               Removal of metatarsal       9.80      11.63       8.27       1.42      22.85      19.49        090
                                                       heads.
28116...............  ..............  A               Revision of foot.....       7.76       7.08       5.17       1.03      15.87      13.96        090
28118...............  ..............  A               Removal of heel bone.       5.96       6.41       4.30       0.84      13.21      11.11        090
28119...............  ..............  A               Removal of heel spur.       5.39       5.67       3.73       0.70      11.76       9.83        090
28120...............  ..............  A               Part removal of ankle/      5.40       7.28       4.34       0.77      13.45      10.51        090
                                                       heel.
28122...............  ..............  A               Partial removal of          7.29       7.04       5.23       0.98      15.31      13.50        090
                                                       foot bone.
28124...............  ..............  A               Partial removal of          4.81       5.27       3.67       0.60      10.68       9.08        090
                                                       toe.
28126...............  ..............  A               Partial removal of          3.52       4.46       2.98       0.45       8.43       6.95        090
                                                       toe.
28130...............  ..............  A               Removal of ankle bone       8.12         NA       6.57       1.26         NA      15.94        090
28140...............  ..............  A               Removal of metatarsal       6.91       7.29       4.70       0.92      15.12      12.53        090
28150...............  ..............  A               Removal of toe.......       4.09       5.05       3.27       0.53       9.67       7.89        090
28153...............  ..............  A               Partial removal of          3.66       4.58       2.73       0.47       8.70       6.86        090
                                                       toe.
28160...............  ..............  A               Partial removal of          3.74       4.80       3.31       0.49       9.03       7.53        090
                                                       toe.
28171...............  ..............  A               Extensive foot              9.61         NA       5.43       1.33         NA      16.37        090
                                                       surgery.
28173...............  ..............  A               Extensive foot              8.81       7.79       5.16       1.12      17.71      15.08        090
                                                       surgery.
28175...............  ..............  A               Extensive foot              6.05       5.93       3.73       0.73      12.71      10.51        090
                                                       surgery.
28190...............  ..............  A               Removal of foot             1.96       3.47       1.44       0.22       5.65       3.62        010
                                                       foreign body.
28192...............  ..............  A               Removal of foot             4.64       5.62       3.60       0.61      10.87       8.85        090
                                                       foreign body.

[[Page 45902]]

 
28193...............  ..............  A               Removal of foot             5.73       5.84       3.91       0.73      12.30      10.37        090
                                                       foreign body.
28200...............  ..............  A               Repair of foot tendon       4.60       5.32       3.53       0.61      10.53       8.74        090
28202...............  ..............  A               Repair/graft of foot        6.84       7.31       4.47       0.91      15.06      12.23        090
                                                       tendon.
28208...............  ..............  A               Repair of foot tendon       4.37       5.05       3.30       0.58      10.00       8.25        090
28210...............  ..............  A               Repair/graft of foot        6.35       6.38       4.03       0.81      13.55      11.20        090
                                                       tendon.
28220...............  ..............  A               Release of foot             4.53       4.93       3.41       0.57      10.03       8.51        090
                                                       tendon.
28222...............  ..............  A               Release of foot             5.62       5.50       4.08       0.69      11.81      10.39        090
                                                       tendons.
28225...............  ..............  A               Release of foot             3.66       4.53       2.90       0.46       8.64       7.02        090
                                                       tendon.
28226...............  ..............  A               Release of foot             4.53       5.06       3.70       0.58      10.16       8.81        090
                                                       tendons.
28230...............  ..............  A               Incision of foot            4.24       4.90       3.61       0.55       9.69       8.40        090
                                                       tendon(s).
28232...............  ..............  A               Incision of toe             3.39       4.71       3.26       0.44       8.54       7.08        090
                                                       tendon.
28234...............  ..............  A               Incision of foot            3.37       4.87       3.33       0.44       8.68       7.14        090
                                                       tendon.
28238...............  ..............  A               Revision of foot            7.74       7.39       4.89       1.06      16.19      13.69        090
                                                       tendon.
28240...............  ..............  A               Release of big toe...       4.36       4.87       3.45       0.58       9.81       8.39        090
28250...............  ..............  A               Revision of foot            5.92       5.82       4.10       0.82      12.57      10.84        090
                                                       fascia.
28260...............  ..............  A               Release of midfoot          7.97       6.56       4.95       1.14      15.67      14.06        090
                                                       joint.
28261...............  ..............  A               Revision of foot           11.73       8.87       7.22       1.57      22.17      20.53        090
                                                       tendon.
28262...............  ..............  A               Revision of foot and       15.84      13.37      10.63       2.59      31.81      29.06        090
                                                       ankle.
28264...............  ..............  A               Release of midfoot         10.35       7.94       7.12       1.54      19.83      19.01        090
                                                       joint.
28270...............  ..............  A               Release of foot             4.76       5.16       3.72       0.62      10.54       9.10        090
                                                       contracture.
28272...............  ..............  A               Release of toe joint,       3.80       4.44       2.87       0.46       8.70       7.12        090
                                                       each.
28280...............  ..............  A               Fusion of toes.......       5.19       6.34       4.39       0.73      12.26      10.31        090
28285...............  ..............  A               Repair of hammertoe..       4.59       5.12       3.44       0.59      10.30       8.62        090
28286...............  ..............  A               Repair of hammertoe..       4.56       5.06       3.27       0.57      10.19       8.40        090
28288...............  ..............  A               Partial removal of          4.74       6.20       4.83       0.65      11.59      10.22        090
                                                       foot bone.
28289...............  ..............  A               Repair hallux rigidus       7.04       8.06       5.68       1.02      16.12      13.74        090
28290...............  ..............  A               Correction of bunion.       5.66       6.44       4.63       0.82      12.92      11.11        090
28292...............  ..............  A               Correction of bunion.       7.04       7.80       5.60       0.91      15.75      13.55        090
28293...............  ..............  A               Correction of bunion.       9.16      11.26       6.22       1.13      21.55      16.51        090
28294...............  ..............  A               Correction of bunion.       8.57       7.68       4.72       1.09      17.34      14.38        090
28296...............  ..............  A               Correction of bunion.       9.19       8.36       5.39       1.19      18.74      15.77        090
28297...............  ..............  A               Correction of bunion.       9.19       9.04       6.14       1.32      19.55      16.65        090
28298...............  ..............  A               Correction of bunion.       7.95       7.47       4.98       1.05      16.47      13.98        090
28299...............  ..............  A               Correction of bunion.      10.58       8.99       6.05       1.37      20.94      18.00        090
28300...............  ..............  A               Incision of heel bone       9.55         NA       6.86       1.54         NA      17.95        090
28302...............  ..............  A               Incision of ankle           9.56         NA       6.72       1.42         NA      17.70        090
                                                       bone.
28304...............  ..............  A               Incision of midfoot         9.17       8.16       5.67       1.27      18.60      16.11        090
                                                       bones.
28305...............  ..............  A               Incise/graft midfoot       10.50         NA       6.72       1.27         NA      18.49        090
                                                       bones.
28306...............  ..............  A               Incision of                 5.86       6.96       4.14       0.84      13.66      10.84        090
                                                       metatarsal.
28307...............  ..............  A               Incision of                 6.33      10.64       5.16       0.90      17.87      12.39        090
                                                       metatarsal.
28308...............  ..............  A               Incision of                 5.29       6.01       3.71       0.70      12.00       9.71        090
                                                       metatarsal.
28309...............  ..............  A               Incision of                12.79         NA       7.83       2.04         NA      22.65        090
                                                       metatarsals.
28310...............  ..............  A               Revision of big toe..       5.43       5.98       3.56       0.70      12.12       9.70        090
28312...............  ..............  A               Revision of toe......       4.55       5.67       3.60       0.63      10.85       8.78        090
28313...............  ..............  A               Repair deformity of         5.01       5.47       4.69       0.73      11.21      10.43        090
                                                       toe.
28315...............  ..............  A               Removal of sesamoid         4.86       5.15       3.35       0.63      10.63       8.84        090
                                                       bone.
28320...............  ..............  A               Repair of foot bones.       9.19         NA       6.56       1.43         NA      17.18        090
28322...............  ..............  A               Repair of metatarsals       8.35       9.10       6.19       1.27      18.72      15.81        090
28340...............  ..............  A               Resect enlarged toe         6.98       6.67       4.24       0.84      14.49      12.07        090
                                                       tissue.
28341...............  ..............  A               Resect enlarged toe..       8.42       7.22       4.82       1.01      16.64      14.25        090
28344...............  ..............  A               Repair extra toe(s)..       4.26       5.88       3.60       0.51      10.65       8.37        090
28345...............  ..............  A               Repair webbed toe(s).       5.92       6.38       4.61       0.80      13.10      11.33        090
28360...............  ..............  A               Reconstruct cleft          13.35         NA      10.20       2.28         NA      25.83        090
                                                       foot.
28400...............  ..............  A               Treatment of heel           2.16       3.82       2.96       0.35       6.33       5.48        090
                                                       fracture.
28405...............  ..............  A               Treatment of heel           4.57       5.00       4.50       0.73      10.30       9.80        090
                                                       fracture.
28406...............  ..............  A               Treatment of heel           6.31         NA       6.54       1.11         NA      13.97        090
                                                       fracture.
28415...............  ..............  A               Treat heel fracture..      15.98         NA      15.56       2.66         NA      34.20        090
28420...............  ..............  A               Treat/graft heel           16.65         NA      15.18       2.80         NA      34.63        090
                                                       fracture.
28430...............  ..............  A               Treatment of ankle          2.09       3.58       2.48       0.31       5.98       4.88        090
                                                       fracture.
28435...............  ..............  A               Treatment of ankle          3.40       4.07       3.64       0.55       8.02       7.59        090
                                                       fracture.
28436...............  ..............  A               Treatment of ankle          4.71         NA       5.69       0.81         NA      11.21        090
                                                       fracture.
28445...............  ..............  A               Treat ankle fracture.      15.63         NA      10.73       2.58         NA      28.94        090
28450...............  ..............  A               Treat midfoot               1.90       3.31       2.40       0.28       5.50       4.58        090
                                                       fracture, each.
28455...............  ..............  A               Treat midfoot               3.10       3.64       3.37       0.44       7.18       6.91        090
                                                       fracture, each.
28456...............  ..............  A               Treat midfoot               2.69         NA       4.03       0.44         NA       7.15        090
                                                       fracture.
28465...............  ..............  A               Treat midfoot               7.01         NA       7.98       1.10         NA      16.10        090
                                                       fracture, each.
28470...............  ..............  A               Treat metatarsal            1.99       3.31       2.36       0.30       5.60       4.66        090
                                                       fracture.
28475...............  ..............  A               Treat metatarsal            2.98       3.53       3.12       0.44       6.94       6.54        090
                                                       fracture.
28476...............  ..............  A               Treat metatarsal            3.38         NA       4.82       0.54         NA       8.74        090
                                                       fracture.
28485...............  ..............  A               Treat metatarsal            5.71         NA       7.53       0.83         NA      14.07        090
                                                       fracture.
28490...............  ..............  A               Treat big toe               1.09       2.00       1.59       0.14       3.23       2.82        090
                                                       fracture.
28495...............  ..............  A               Treat big toe               1.58       2.21       2.01       0.20       3.99       3.79        090
                                                       fracture.
28496...............  ..............  A               Treat big toe               2.33       7.96       3.12       0.36      10.66       5.82        090
                                                       fracture.
28505...............  ..............  A               Treat big toe               3.81       9.34       5.68       0.56      13.71      10.05        090
                                                       fracture.

[[Page 45903]]

 
28510...............  ..............  A               Treatment of toe            1.09       1.54       1.49       0.14       2.77       2.72        090
                                                       fracture.
28515...............  ..............  A               Treatment of toe            1.46       1.93       1.85       0.18       3.58       3.50        090
                                                       fracture.
28525...............  ..............  A               Treat toe fracture...       3.33       8.76       5.19       0.49      12.58       9.01        090
28530...............  ..............  A               Treat sesamoid bone         1.06       1.67       1.41       0.14       2.87       2.61        090
                                                       fracture.
28531...............  ..............  A               Treat sesamoid bone         2.35       7.40       3.45       0.34      10.09       6.14        090
                                                       fracture.
28540...............  ..............  A               Treat foot                  2.04       2.65       2.41       0.26       4.95       4.72        090
                                                       dislocation.
28545...............  ..............  A               Treat foot                  2.45       2.60       2.48       0.37       5.42       5.30        090
                                                       dislocation.
28546...............  ..............  A               Treat foot                  3.21       6.89       4.25       0.52      10.62       7.97        090
                                                       dislocation.
28555...............  ..............  A               Repair foot                 6.30      11.09       7.52       1.04      18.43      14.86        090
                                                       dislocation.
28570...............  ..............  A               Treat foot                  1.66       2.65       2.27       0.23       4.54       4.17        090
                                                       dislocation.
28575...............  ..............  A               Treat foot                  3.32       3.92       3.70       0.56       7.79       7.58        090
                                                       dislocation.
28576...............  ..............  A               Treat foot                  4.17         NA       4.11       0.69         NA       8.97        090
                                                       dislocation.
28585...............  ..............  A               Repair foot                 8.00       8.69       7.47       1.25      17.94      16.71        090
                                                       dislocation.
28600...............  ..............  A               Treat foot                  1.89       3.03       2.61       0.27       5.20       4.77        090
                                                       dislocation.
28605...............  ..............  A               Treat foot                  2.72       3.35       3.16       0.40       6.46       6.28        090
                                                       dislocation.
28606...............  ..............  A               Treat foot                  4.90         NA       4.64       0.82         NA      10.36        090
                                                       dislocation.
28615...............  ..............  A               Repair foot                 7.78         NA       9.80       1.30         NA      18.87        090
                                                       dislocation.
28630...............  ..............  A               Treat toe dislocation       1.70       1.61       0.96       0.20       3.51       2.87        010
28635...............  ..............  A               Treat toe dislocation       1.91       2.21       1.51       0.26       4.38       3.68        010
28636...............  ..............  A               Treat toe dislocation       2.78       3.87       2.55       0.43       7.08       5.75        010
28645...............  ..............  A               Repair toe                  4.22       5.95       4.24       0.57      10.74       9.03        090
                                                       dislocation.
28660...............  ..............  A               Treat toe dislocation       1.23       1.48       0.76       0.13       2.84       2.13        010
28665...............  ..............  A               Treat toe dislocation       1.92       0.00       1.42       0.26       2.18       3.60        010
28666...............  ..............  A               Treat toe dislocation       2.67         NA       2.48       0.43         NA       5.58        010
28675...............  ..............  A               Repair of toe               2.93       7.92       4.53       0.45      11.29       7.91        090
                                                       dislocation.
28705...............  ..............  A               Fusion of foot bones.      18.81         NA      12.10       3.08         NA      33.99        090
28715...............  ..............  A               Fusion of foot bones.      13.11         NA       9.48       2.16         NA      24.75        090
28725...............  ..............  A               Fusion of foot bones.      11.61         NA       8.02       1.86         NA      21.49        090
28730...............  ..............  A               Fusion of foot bones.      10.76         NA       8.29       1.70         NA      20.75        090
28735...............  ..............  A               Fusion of foot bones.      10.85         NA       7.65       1.68         NA      20.18        090
28737...............  ..............  A               Revision of foot            9.65         NA       6.70       1.47         NA      17.82        090
                                                       bones.
28740...............  ..............  A               Fusion of foot bones.       8.03      10.65       6.34       1.22      19.89      15.58        090
28750...............  ..............  A               Fusion of big toe           7.30      11.53       6.49       1.13      19.97      14.93        090
                                                       joint.
28755...............  ..............  A               Fusion of big toe           4.74       6.22       3.72       0.65      11.61       9.11        090
                                                       joint.
28760...............  ..............  A               Fusion of big toe           7.76       8.16       5.48       1.05      16.96      14.28        090
                                                       joint.
28800...............  ..............  A               Amputation of midfoot       8.22         NA       5.67       1.15         NA      15.04        090
28805...............  ..............  A               Amputation thru             8.40         NA       5.52       1.18         NA      15.10        090
                                                       metatarsal.
28810...............  ..............  A               Amputation toe &            6.21         NA       4.39       0.86         NA      11.46        090
                                                       metatarsal.
28820...............  ..............  A               Amputation of toe....       4.41       7.47       3.72       0.61      12.49       8.74        090
28825...............  ..............  A               Partial amputation of       3.59       6.95       3.42       0.50      11.03       7.50        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       3.98       1.70       0.41       6.64       4.37        000
                                                       cast.
29010...............  ..............  A               Application of body         2.06       4.62       1.73       0.45       7.14       4.25        000
                                                       cast.
29015...............  ..............  A               Application of body         2.41       4.23       1.57       0.28       6.92       4.27        000
                                                       cast.
29020...............  ..............  A               Application of body         2.11       4.69       1.39       0.28       7.08       3.79        000
                                                       cast.
29025...............  ..............  A               Application of body         2.40       4.38       1.82       0.44       7.23       4.66        000
                                                       cast.
29035...............  ..............  A               Application of body         1.77       5.06       1.54       0.28       7.11       3.60        000
                                                       cast.
29040...............  ..............  A               Application of body         2.22       3.53       1.49       0.36       6.12       4.08        000
                                                       cast.
29044...............  ..............  A               Application of body         2.12       5.87       1.85       0.35       8.35       4.33        000
                                                       cast.
29046...............  ..............  A               Application of body         2.41       4.95       2.04       0.42       7.79       4.87        000
                                                       cast.
29049...............  ..............  A               Application of figure       0.89       2.01       0.51       0.13       3.03       1.54        000
                                                       eight.
29055...............  ..............  A               Application of              1.78       4.12       1.44       0.30       6.21       3.52        000
                                                       shoulder cast.
29058...............  ..............  A               Application of              1.31       2.28       0.70       0.17       3.76       2.19        000
                                                       shoulder cast.
29065...............  ..............  A               Application of long         0.87       2.25       0.73       0.15       3.28       1.75        000
                                                       arm cast.
29075...............  ..............  A               Application of              0.77       2.08       0.66       0.13       2.98       1.57        000
                                                       forearm cast.
29085...............  ..............  A               Apply hand/wrist cast       0.87       1.98       0.62       0.14       3.00       1.63        000
29086...............  ..............  A               Apply finger cast....       0.62       0.95       0.48       0.07       1.65       1.17        000
29105...............  ..............  A               Apply long arm splint       0.87       1.76       0.49       0.12       2.76       1.49        000
29125...............  ..............  A               Apply forearm splint.       0.59       1.51       0.38       0.07       2.17       1.04        000
29126...............  ..............  A               Apply forearm splint.       0.77       1.49       0.45       0.07       2.33       1.29        000
29130...............  ..............  A               Application of finger       0.50       0.46       0.17       0.06       1.02       0.73        000
                                                       splint.
29131...............  ..............  A               Application of finger       0.55       0.74       0.23       0.03       1.32       0.81        000
                                                       splint.
29200...............  ..............  A               Strapping of chest...       0.65       0.76       0.33       0.04       1.45       1.02        000
29220...............  ..............  A               Strapping of low back       0.64       0.74       0.39       0.04       1.42       1.07        000
29240...............  ..............  A               Strapping of shoulder       0.71       0.86       0.35       0.06       1.64       1.12        000
29260...............  ..............  A               Strapping of elbow or       0.55       0.78       0.31       0.05       1.38       0.91        000
                                                       wrist.
29280...............  ..............  A               Strapping of hand or        0.51       0.82       0.31       0.03       1.36       0.85        000
                                                       finger.
29305...............  ..............  A               Application of hip          2.03       4.78       1.72       0.35       7.17       4.10        000
                                                       cast.
29325...............  ..............  A               Application of hip          2.32       4.95       1.90       0.40       7.67       4.63        000
                                                       casts.
29345...............  ..............  A               Application of long         1.40       2.53       1.03       0.24       4.17       2.67        000
                                                       leg cast.
29355...............  ..............  A               Application of long         1.53       2.59       1.09       0.26       4.38       2.89        000
                                                       leg cast.
29358...............  ..............  A               Apply long leg cast         1.43       2.76       1.06       0.25       4.44       2.74        000
                                                       brace.
29365...............  ..............  A               Application of long         1.18       2.64       0.92       0.20       4.02       2.31        000
                                                       leg cast.
29405...............  ..............  A               Apply short leg cast.       0.86       2.14       0.69       0.14       3.14       1.70        000

[[Page 45904]]

 
29425...............  ..............  A               Apply short leg cast.       1.01       2.20       0.73       0.15       3.36       1.89        000
29435...............  ..............  A               Apply short leg cast.       1.18       2.22       0.90       0.20       3.60       2.29        000
29440...............  ..............  A               Addition of walker to       0.57       1.06       0.27       0.08       1.71       0.92        000
                                                       cast.
29445...............  ..............  A               Apply rigid leg cast.       1.78       2.49       0.95       0.27       4.54       3.00        000
29450...............  ..............  A               Application of leg          2.08       1.97       1.07       0.27       4.32       3.43        000
                                                       cast.
29505...............  ..............  A               Application, long leg       0.69       1.50       0.44       0.08       2.27       1.21        000
                                                       splint.
29515...............  ..............  A               Application lower leg       0.73       1.16       0.45       0.09       1.98       1.27        000
                                                       splint.
29520...............  ..............  A               Strapping of hip.....       0.54       0.88       0.46       0.03       1.45       1.03        000
29530...............  ..............  A               Strapping of knee....       0.57       0.83       0.32       0.05       1.45       0.94        000
29540...............  ..............  A               Strapping of ankle          0.51       0.48       0.31       0.06       1.05       0.88        000
                                                       and/or ft.
29550...............  ..............  A               Strapping of toes....       0.47       0.46       0.29       0.06       0.99       0.82        000
29580...............  ..............  A               Application of paste        0.57       0.76       0.35       0.07       1.40       0.99        000
                                                       boot.
29590...............  ..............  A               Application of foot         0.76       0.53       0.28       0.09       1.38       1.13        000
                                                       splint.
29700...............  ..............  A               Removal/revision of         0.57       0.89       0.27       0.08       1.54       0.92        000
                                                       cast.
29705...............  ..............  A               Removal/revision of         0.76       0.80       0.37       0.13       1.69       1.26        000
                                                       cast.
29710...............  ..............  A               Removal/revision of         1.34       1.49       0.68       0.20       3.03       2.22        000
                                                       cast.
29715...............  ..............  A               Removal/revision of         0.94       1.82       0.39       0.09       2.85       1.42        000
                                                       cast.
29720...............  ..............  A               Repair of body cast..       0.68       1.53       0.38       0.12       2.33       1.18        000
29730...............  ..............  A               Windowing of cast....       0.75       0.79       0.34       0.12       1.67       1.21        000
29740...............  ..............  A               Wedging of cast......       1.12       1.38       0.48       0.18       2.68       1.78        000
29750...............  ..............  A               Wedging of clubfoot         1.26       1.27       0.57       0.21       2.74       2.04        000
                                                       cast.
29799...............  ..............  C               Casting/strapping           0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
29800...............  ..............  A               Jaw arthroscopy/            6.43         NA       6.72       0.99         NA      14.14        090
                                                       surgery.
29804...............  ..............  A               Jaw arthroscopy/            8.15         NA       7.64       1.38         NA      17.16        090
                                                       surgery.
29805...............  ..............  A               Shoulder arthroscopy,       5.89         NA       5.48       1.02         NA      12.39        090
                                                       dx.
29806...............  ..............  A               Shoulder arthroscopy/      14.38         NA      10.80       2.49         NA      27.67        090
                                                       surgery.
29807...............  ..............  A               Shoulder arthroscopy/      13.91         NA      10.64       2.41         NA      26.96        090
                                                       surgery.
29819...............  ..............  A               Shoulder arthroscopy/       7.63         NA       6.56       1.32         NA      15.51        090
                                                       surgery.
29820...............  ..............  A               Shoulder arthroscopy/       7.07         NA       6.01       1.22         NA      14.31        090
                                                       surgery.
29821...............  ..............  A               Shoulder arthroscopy/       7.73         NA       6.57       1.33         NA      15.63        090
                                                       surgery.
29822...............  ..............  A               Shoulder arthroscopy/       7.43         NA       6.46       1.28         NA      15.18        090
                                                       surgery.
29823...............  ..............  A               Shoulder arthroscopy/       8.18         NA       6.98       1.41         NA      16.57        090
                                                       surgery.
29824...............  ..............  A               Shoulder arthroscopy/       8.26         NA       7.29       1.42         NA      16.96        090
                                                       surgery.
29825...............  ..............  A               Shoulder arthroscopy/       7.63         NA       6.54       1.32         NA      15.48        090
                                                       surgery.
29826...............  ..............  A               Shoulder arthroscopy/       9.00         NA       7.28       1.55         NA      17.83        090
                                                       surgery.
29827...............  ..............  A               Arthroscop rotator         15.37         NA      11.16       2.66         NA      29.19        090
                                                       cuff repr.
29830...............  ..............  A               Elbow arthroscopy....       5.76         NA       5.18       0.99         NA      11.93        090
29834...............  ..............  A               Elbow arthroscopy/          6.28         NA       5.64       1.08         NA      13.00        090
                                                       surgery.
29835...............  ..............  A               Elbow arthroscopy/          6.48         NA       5.69       1.13         NA      13.30        090
                                                       surgery.
29836...............  ..............  A               Elbow arthroscopy/          7.56         NA       6.56       1.22         NA      15.33        090
                                                       surgery.
29837...............  ..............  A               Elbow arthroscopy/          6.87         NA       5.92       1.19         NA      13.99        090
                                                       surgery.
29838...............  ..............  A               Elbow arthroscopy/          7.72         NA       6.66       1.30         NA      15.67        090
                                                       surgery.
29840...............  ..............  A               Wrist arthroscopy....       5.54         NA       5.15       0.84         NA      11.53        090
29843...............  ..............  A               Wrist arthroscopy/          6.01         NA       5.44       0.92         NA      12.37        090
                                                       surgery.
29844...............  ..............  A               Wrist arthroscopy/          6.37         NA       5.63       1.04         NA      13.04        090
                                                       surgery.
29845...............  ..............  A               Wrist arthroscopy/          7.53         NA       6.29       0.99         NA      14.81        090
                                                       surgery.
29846...............  ..............  A               Wrist arthroscopy/          6.75         NA       5.86       1.07         NA      13.68        090
                                                       surgery.
29847...............  ..............  A               Wrist arthroscopy/          7.08         NA       5.99       1.08         NA      14.16        090
                                                       surgery.
29848...............  ..............  A               Wrist endoscopy/            5.44         NA       5.43       0.86         NA      11.73        090
                                                       surgery.
29850...............  ..............  A               Knee arthroscopy/           8.20         NA       5.02       1.25         NA      14.47        090
                                                       surgery.
29851...............  ..............  A               Knee arthroscopy/          13.11         NA       9.49       2.34         NA      24.93        090
                                                       surgery.
29855...............  ..............  A               Tibial arthroscopy/        10.62         NA       8.48       1.84         NA      20.95        090
                                                       surgery.
29856...............  ..............  A               Tibial arthroscopy/        14.15         NA      10.34       2.39         NA      26.87        090
                                                       surgery.
29860...............  ..............  A               Hip arthroscopy, dx..       8.06         NA       6.73       1.36         NA      16.15        090
29861...............  ..............  A               Hip arthroscopy/            9.16         NA       7.11       1.59         NA      17.86        090
                                                       surgery.
29862...............  ..............  A               Hip arthroscopy/            9.91         NA       8.29       1.62         NA      19.82        090
                                                       surgery.
29863...............  ..............  A               Hip arthroscopy/            9.91         NA       8.25       1.42         NA      19.58        090
                                                       surgery.
29866...............  ..............  A               Autgrft implnt, knee       13.91         NA      10.98       2.39         NA      27.28        090
                                                       w/scope.
29867...............  ..............  A               Allgrft implnt, knee       17.03         NA      12.80       2.78         NA      32.61        090
                                                       w/scope.
29868...............  ..............  A               Meniscal trnspl, knee      23.64         NA      16.26       4.35         NA      44.25        090
                                                       w/scpe.
29870...............  ..............  A               Knee arthroscopy, dx.       5.07         NA       4.72       0.85         NA      10.64        090
29871...............  ..............  A               Knee arthroscopy/           6.55         NA       5.68       1.14         NA      13.38        090
                                                       drainage.
29873...............  ..............  A               Knee arthroscopy/           6.00         NA       6.35       1.04         NA      13.39        090
                                                       surgery.
29874...............  ..............  A               Knee arthroscopy/           7.05         NA       5.88       1.11         NA      14.04        090
                                                       surgery.
29875...............  ..............  A               Knee arthroscopy/           6.31         NA       5.65       1.09         NA      13.06        090
                                                       surgery.
29876...............  ..............  A               Knee arthroscopy/           7.93         NA       6.80       1.37         NA      16.09        090
                                                       surgery.
29877...............  ..............  A               Knee arthroscopy/           7.35         NA       6.52       1.28         NA      15.16        090
                                                       surgery.
29879...............  ..............  A               Knee arthroscopy/           8.05         NA       6.89       1.39         NA      16.32        090
                                                       surgery.
29880...............  ..............  A               Knee arthroscopy/           8.51         NA       7.12       1.47         NA      17.10        090
                                                       surgery.
29881...............  ..............  A               Knee arthroscopy/           7.77         NA       6.73       1.34         NA      15.84        090
                                                       surgery.
29882...............  ..............  A               Knee arthroscopy/           8.66         NA       7.01       1.50         NA      17.16        090
                                                       surgery.
29883...............  ..............  A               Knee arthroscopy/          11.05         NA       8.77       1.92         NA      21.74        090
                                                       surgery.
29884...............  ..............  A               Knee arthroscopy/           7.33         NA       6.48       1.27         NA      15.09        090
                                                       surgery.
29885...............  ..............  A               Knee arthroscopy/           9.10         NA       7.71       1.58         NA      18.39        090
                                                       surgery.

[[Page 45905]]

 
29886...............  ..............  A               Knee arthroscopy/           7.55         NA       6.63       1.30         NA      15.47        090
                                                       surgery.
29887...............  ..............  A               Knee arthroscopy/           9.05         NA       7.67       1.57         NA      18.29        090
                                                       surgery.
29888...............  ..............  A               Knee arthroscopy/          13.91         NA       9.87       2.41         NA      26.19        090
                                                       surgery.
29889...............  ..............  A               Knee arthroscopy/          16.01         NA      12.04       2.78         NA      30.83        090
                                                       surgery.
29891...............  ..............  A               Ankle arthroscopy/          8.41         NA       7.29       1.39         NA      17.09        090
                                                       surgery.
29892...............  ..............  A               Ankle arthroscopy/          9.01         NA       7.52       1.41         NA      17.94        090
                                                       surgery.
29893...............  ..............  A               Scope, plantar              5.22       6.64       4.09       0.63      12.49       9.94        090
                                                       fasciotomy.
29894...............  ..............  A               Ankle arthroscopy/          7.21         NA       5.34       1.15         NA      13.71        090
                                                       surgery.
29895...............  ..............  A               Ankle arthroscopy/          6.99         NA       5.34       1.11         NA      13.44        090
                                                       surgery.
29897...............  ..............  A               Ankle arthroscopy/          7.18         NA       5.71       1.17         NA      14.06        090
                                                       surgery.
29898...............  ..............  A               Ankle arthroscopy/          8.33         NA       6.05       1.28         NA      15.66        090
                                                       surgery.
29899...............  ..............  A               Ankle arthroscopy/         13.92         NA      10.23       2.40         NA      26.54        090
                                                       surgery.
29900...............  ..............  A               Mcp joint                   5.42         NA       5.67       0.94         NA      12.03        090
                                                       arthroscopy, dx.
29901...............  ..............  A               Mcp joint                   6.13         NA       6.05       1.06         NA      13.25        090
                                                       arthroscopy, surg.
29902...............  ..............  A               Mcp joint                   6.70         NA       6.33       1.12         NA      14.15        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       3.99       1.37       0.12       5.54       2.92        010
                                                       lesion.
30020...............  ..............  A               Drainage of nose            1.43       3.41       1.45       0.12       4.97       3.00        010
                                                       lesion.
30100...............  ..............  A               Intranasal biopsy....       0.94       2.03       0.80       0.07       3.04       1.82        000
30110...............  ..............  A               Removal of nose             1.63       3.28       1.54       0.14       5.05       3.31        010
                                                       polyp(s).
30115...............  ..............  A               Removal of nose             4.35         NA       5.73       0.41         NA      10.49        090
                                                       polyp(s).
30117...............  ..............  A               Removal of intranasal       3.17      13.54       4.61       0.26      16.97       8.04        090
                                                       lesion.
30118...............  ..............  A               Removal of intranasal       9.70         NA       9.03       0.78         NA      19.50        090
                                                       lesion.
30120...............  ..............  A               Revision of nose.....       5.27       6.80       5.78       0.52      12.59      11.57        090
30124...............  ..............  A               Removal of nose             3.11         NA       3.63       0.25         NA       6.98        090
                                                       lesion.
30125...............  ..............  A               Removal of nose             7.16         NA       8.11       0.63         NA      15.90        090
                                                       lesion.
30130...............  ..............  A               Removal of turbinate        3.38         NA       5.52       0.31         NA       9.21        090
                                                       bones.
30140...............  ..............  A               Removal of turbinate        3.43         NA       6.22       0.35         NA      10.00        090
                                                       bones.
30150...............  ..............  A               Partial removal of          9.15         NA      10.64       0.93         NA      20.72        090
                                                       nose.
30160...............  ..............  A               Removal of nose......       9.59         NA       9.92       0.88         NA      20.39        090
30200...............  ..............  A               Injection treatment         0.78       1.64       0.73       0.06       2.48       1.57        000
                                                       of nose.
30210...............  ..............  A               Nasal sinus therapy..       1.08       2.12       1.29       0.09       3.30       2.46        010
30220...............  ..............  A               Insert nasal septal         1.54       4.36       1.51       0.12       6.02       3.18        010
                                                       button.
30300...............  ..............  A               Remove nasal foreign        1.04       4.50       1.84       0.08       5.62       2.96        010
                                                       body.
30310...............  ..............  A               Remove nasal foreign        1.96         NA       3.04       0.16         NA       5.16        010
                                                       body.
30320...............  ..............  A               Remove nasal foreign        4.52         NA       6.84       0.39         NA      11.75        090
                                                       body.
30400...............  ..............  R               Reconstruction of           9.84         NA      15.01       1.04         NA      25.89        090
                                                       nose.
30410...............  ..............  R               Reconstruction of          12.99         NA      17.64       1.42         NA      32.05        090
                                                       nose.
30420...............  ..............  R               Reconstruction of          15.89         NA      17.44       1.46         NA      34.80        090
                                                       nose.
30430...............  ..............  R               Revision of nose.....       7.21         NA      15.31       0.77         NA      23.30        090
30435...............  ..............  R               Revision of nose.....      11.71         NA      18.43       1.22         NA      31.36        090
30450...............  ..............  R               Revision of nose.....      18.66         NA      21.03       1.96         NA      41.65        090
30460...............  ..............  A               Revision of nose.....       9.97         NA       9.57       1.03         NA      20.57        090
30462...............  ..............  A               Revision of nose.....      19.58         NA      19.21       2.53         NA      41.32        090
30465...............  ..............  A               Repair nasal stenosis      11.64         NA      11.57       1.06         NA      24.28        090
30520...............  ..............  A               Repair of nasal             5.70         NA       6.65       0.46         NA      12.81        090
                                                       septum.
30540...............  ..............  A               Repair nasal defect..       7.76         NA       9.00       0.67         NA      17.43        090
30545...............  ..............  A               Repair nasal defect..      11.38         NA      11.78       1.70         NA      24.86        090
30560...............  ..............  A               Release of nasal            1.26       4.73       2.09       0.10       6.09       3.45        010
                                                       adhesions.
30580...............  ..............  A               Repair upper jaw            6.69       7.88       5.69       0.89      15.46      13.27        090
                                                       fistula.
30600...............  ..............  A               Repair mouth/nose           6.02       7.54       4.90       0.70      14.26      11.63        090
                                                       fistula.
30620...............  ..............  A               Intranasal                  5.97         NA       8.69       0.57         NA      15.23        090
                                                       reconstruction.
30630...............  ..............  A               Repair nasal septum         7.12         NA       7.85       0.61         NA      15.58        090
                                                       defect.
30801...............  ..............  A               Cauterization, inner        1.09       4.06       1.92       0.09       5.25       3.10        010
                                                       nose.
30802...............  ..............  A               Cauterization, inner        2.03       4.58       2.36       0.16       6.78       4.56        010
                                                       nose.
30901...............  ..............  A               Control of nosebleed.       1.21       1.34       0.31       0.11       2.67       1.63        000
30903...............  ..............  A               Control of nosebleed.       1.54       2.74       0.48       0.13       4.42       2.16        000
30905...............  ..............  A               Control of nosebleed.       1.97       3.51       0.73       0.17       5.65       2.88        000
30906...............  ..............  A               Repeat control of           2.45       3.89       1.15       0.20       6.55       3.81        000
                                                       nosebleed.
30915...............  ..............  A               Ligation, nasal sinus       7.20         NA       6.62       0.58         NA      14.40        090
                                                       artery.
30920...............  ..............  A               Ligation, upper jaw         9.84         NA       8.89       0.80         NA      19.52        090
                                                       artery.
30930...............  ..............  A               Therapy, fracture of        1.26         NA       1.61       0.12         NA       2.99        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       2.85       1.38       0.09       4.09       2.63        010
                                                       sinus.
31002...............  ..............  A               Irrigation, sphenoid        1.91         NA       3.13       0.15         NA       5.19        010
                                                       sinus.
31020...............  ..............  A               Exploration,                2.95       8.41       5.16       0.29      11.65       8.40        090
                                                       maxillary sinus.
31030...............  ..............  A               Exploration,                5.92      11.21       6.59       0.60      17.73      13.11        090
                                                       maxillary sinus.
31032...............  ..............  A               Explore sinus, remove       6.57         NA       7.16       0.59         NA      14.32        090
                                                       polyps.
31040...............  ..............  A               Exploration behind          9.43         NA       9.43       0.87         NA      19.73        090
                                                       upper jaw.
31050...............  ..............  A               Exploration, sphenoid       5.28         NA       6.29       0.49         NA      12.06        090
                                                       sinus.
31051...............  ..............  A               Sphenoid sinus              7.11         NA       8.19       0.62         NA      15.92        090
                                                       surgery.
31070...............  ..............  A               Exploration of              4.28         NA       5.90       0.38         NA      10.56        090
                                                       frontal sinus.
31075...............  ..............  A               Exploration of              9.17         NA       9.59       0.75         NA      19.51        090
                                                       frontal sinus.
31080...............  ..............  A               Removal of frontal         11.42         NA      13.18       1.23         NA      25.83        090
                                                       sinus.

[[Page 45906]]

 
31081...............  ..............  A               Removal of frontal         12.76         NA      13.68       2.46         NA      28.90        090
                                                       sinus.
31084...............  ..............  A               Removal of frontal         13.52         NA      13.27       1.19         NA      27.98        090
                                                       sinus.
31085...............  ..............  A               Removal of frontal         14.21         NA      13.72       1.72         NA      29.65        090
                                                       sinus.
31086...............  ..............  A               Removal of frontal         12.87         NA      13.07       1.07         NA      27.00        090
                                                       sinus.
31087...............  ..............  A               Removal of frontal         13.11         NA      12.29       1.44         NA      26.83        090
                                                       sinus.
31090...............  ..............  A               Exploration of              9.54         NA      12.48       0.94         NA      22.96        090
                                                       sinuses.
31200...............  ..............  A               Removal of ethmoid          4.97         NA       8.87       0.29         NA      14.13        090
                                                       sinus.
31201...............  ..............  A               Removal of ethmoid          8.38         NA       9.09       0.82         NA      18.28        090
                                                       sinus.
31205...............  ..............  A               Removal of ethmoid         10.24         NA      11.45       0.67         NA      22.36        090
                                                       sinus.
31225...............  ..............  A               Removal of upper jaw.      19.24         NA      17.49       1.59         NA      38.32        090
31230...............  ..............  A               Removal of upper jaw.      21.95         NA      18.89       1.77         NA      42.62        090
31231...............  ..............  A               Nasal endoscopy, dx..       1.10       3.34       0.86       0.09       4.54       2.05        000
31233...............  ..............  A               Nasal/sinus                 2.18       4.23       1.44       0.20       6.62       3.82        000
                                                       endoscopy, dx.
31235...............  ..............  A               Nasal/sinus                 2.65       4.82       1.67       0.26       7.72       4.57        000
                                                       endoscopy, dx.
31237...............  ..............  A               Nasal/sinus                 2.99       5.08       1.82       0.28       8.35       5.09        000
                                                       endoscopy, surg.
31238...............  ..............  A               Nasal/sinus                 3.27       5.11       2.02       0.27       8.65       5.56        000
                                                       endoscopy, surg.
31239...............  ..............  A               Nasal/sinus                 8.71         NA       7.73       0.62         NA      17.05        010
                                                       endoscopy, surg.
31240...............  ..............  A               Nasal/sinus                 2.62         NA       1.68       0.24         NA       4.53        000
                                                       endoscopy, surg.
31254...............  ..............  A               Revision of ethmoid         4.65         NA       2.75       0.45         NA       7.85        000
                                                       sinus.
31255...............  ..............  A               Removal of ethmoid          6.96         NA       3.96       0.73         NA      11.65        000
                                                       sinus.
31256...............  ..............  A               Exploration maxillary       3.30         NA       2.04       0.33         NA       5.67        000
                                                       sinus.
31267...............  ..............  A               Endoscopy, maxillary        5.46         NA       3.17       0.55         NA       9.18        000
                                                       sinus.
31276...............  ..............  A               Sinus endoscopy,            8.86         NA       4.93       0.92         NA      14.71        000
                                                       surgical.
31287...............  ..............  A               Nasal/sinus                 3.92         NA       2.37       0.39         NA       6.68        000
                                                       endoscopy, surg.
31288...............  ..............  A               Nasal/sinus                 4.58         NA       2.71       0.46         NA       7.75        000
                                                       endoscopy, surg.
31290...............  ..............  A               Nasal/sinus                17.24         NA      11.64       1.40         NA      30.29        010
                                                       endoscopy, surg.
31291...............  ..............  A               Nasal/sinus                18.20         NA      12.08       1.68         NA      31.95        010
                                                       endoscopy, surg.
31292...............  ..............  A               Nasal/sinus                14.77         NA      10.26       1.21         NA      26.24        010
                                                       endoscopy, surg.
31293...............  ..............  A               Nasal/sinus                16.22         NA      11.00       1.28         NA      28.50        010
                                                       endoscopy, surg.
31294...............  ..............  A               Nasal/sinus                19.07         NA      12.43       1.53         NA      33.03        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          14.30         NA      14.71       1.17         NA      30.18        090
                                                       lesion.
31320...............  ..............  A               Diagnostic incision,        5.26         NA      10.05       0.46         NA      15.77        090
                                                       larynx.
31360...............  ..............  A               Removal of larynx....      17.08         NA      16.42       1.38         NA      34.88        090
31365...............  ..............  A               Removal of larynx....      24.17         NA      19.92       1.97         NA      46.06        090
31367...............  ..............  A               Partial removal of         21.87         NA      21.49       1.78         NA      45.14        090
                                                       larynx.
31368...............  ..............  A               Partial removal of         27.10         NA      25.03       2.20         NA      54.33        090
                                                       larynx.
31370...............  ..............  A               Partial removal of         21.39         NA      21.85       1.74         NA      44.98        090
                                                       larynx.
31375...............  ..............  A               Partial removal of         20.22         NA      20.05       1.63         NA      41.90        090
                                                       larynx.
31380...............  ..............  A               Partial removal of         20.22         NA      20.20       1.70         NA      42.12        090
                                                       larynx.
31382...............  ..............  A               Partial removal of         20.53         NA      21.26       1.67         NA      43.46        090
                                                       larynx.
31390...............  ..............  A               Removal of larynx &        27.54         NA      23.90       2.23         NA      53.67        090
                                                       pharynx.
31395...............  ..............  A               Reconstruct larynx &       31.10         NA      27.81       2.48         NA      61.39        090
                                                       pharynx.
31400...............  ..............  A               Revision of larynx...      10.31         NA      13.38       0.83         NA      24.52        090
31420...............  ..............  A               Removal of epiglottis      10.22         NA       9.33       0.83         NA      20.38        090
31500...............  ..............  A               Insert emergency            2.33         NA       0.54       0.17         NA       3.04        000
                                                       airway.
31502...............  ..............  A               Change of windpipe          0.65         NA       0.28       0.05         NA       0.98        000
                                                       airway.
31505...............  ..............  A               Diagnostic                  0.61       1.43       0.60       0.05       2.09       1.26        000
                                                       laryngoscopy.
31510...............  ..............  A               Laryngoscopy with           1.92       3.23       1.22       0.16       5.31       3.30        000
                                                       biopsy.
31511...............  ..............  A               Remove foreign body,        2.16       3.06       1.03       0.19       5.41       3.38        000
                                                       larynx.
31512...............  ..............  A               Removal of larynx           2.07       3.15       1.32       0.18       5.40       3.58        000
                                                       lesion.
31513...............  ..............  A               Injection into vocal        2.10         NA       1.42       0.17         NA       3.69        000
                                                       cord.
31515...............  ..............  A               Laryngoscopy for            1.80       3.44       1.04       0.14       5.38       2.98        000
                                                       aspiration.
31520...............  ..............  A               Diagnostic                  2.57         NA       1.52       0.20         NA       4.28        000
                                                       laryngoscopy.
31525...............  ..............  A               Diagnostic                  2.64       3.59       1.61       0.21       6.43       4.46        000
                                                       laryngoscopy.
31526...............  ..............  A               Diagnostic                  2.58         NA       1.67       0.21         NA       4.45        000
                                                       laryngoscopy.
31527...............  ..............  A               Laryngoscopy for            3.28         NA       1.82       0.26         NA       5.36        000
                                                       treatment.
31528...............  ..............  A               Laryngoscopy and            2.37         NA       1.43       0.19         NA       3.99        000
                                                       dilation.
31529...............  ..............  A               Laryngoscopy and            2.69         NA       1.66       0.22         NA       4.56        000
                                                       dilation.
31530...............  ..............  A               Operative                   3.39         NA       1.89       0.29         NA       5.57        000
                                                       laryngoscopy.
31531...............  ..............  A               Operative                   3.59         NA       2.20       0.29         NA       6.07        000
                                                       laryngoscopy.
31535...............  ..............  A               Operative                   3.17         NA       1.93       0.26         NA       5.36        000
                                                       laryngoscopy.
31536...............  ..............  A               Operative                   3.56         NA       2.18       0.29         NA       6.02        000
                                                       laryngoscopy.
31540...............  ..............  A               Operative                   4.13         NA       2.45       0.33         NA       6.91        000
                                                       laryngoscopy.
31541...............  ..............  A               Operative                   4.53         NA       2.69       0.37         NA       7.58        000
                                                       laryngoscopy.
31545...............  ..............  A               Remove vc lesion w/         6.31         NA       3.38       0.37         NA      10.07        000
                                                       scope.
31546...............  ..............  A               Remove vc lesion            9.75         NA       4.88       0.78         NA      15.41        000
                                                       scope/graft.
31560...............  ..............  A               Operative                   5.46         NA       3.04       0.43         NA       8.93        000
                                                       laryngoscopy.
31561...............  ..............  A               Operative                   6.00         NA       3.25       0.49         NA       9.74        000
                                                       laryngoscopy.
31570...............  ..............  A               Laryngoscopy with           3.87       5.43       2.30       0.31       9.61       6.48        000
                                                       injection.
31571...............  ..............  A               Laryngoscopy with           4.27         NA       2.51       0.35         NA       7.13        000
                                                       injection.
31575...............  ..............  A               Diagnostic                  1.10       1.86       0.87       0.09       3.05       2.06        000
                                                       laryngoscopy.
31576...............  ..............  A               Laryngoscopy with           1.97       3.62       1.26       0.14       5.73       3.37        000
                                                       biopsy.
31577...............  ..............  A               Remove foreign body,        2.47       3.67       1.49       0.21       6.36       4.17        000
                                                       larynx.

[[Page 45907]]

 
31578...............  ..............  A               Removal of larynx           2.85       4.19       1.48       0.23       7.27       4.55        000
                                                       lesion.
31579...............  ..............  A               Diagnostic                  2.26       3.64       1.44       0.18       6.09       3.88        000
                                                       laryngoscopy.
31580...............  ..............  A               Revision of larynx...      12.38         NA      15.50       1.00         NA      28.89        090
31582...............  ..............  A               Revision of larynx...      21.63         NA      25.01       1.75         NA      48.40        090
31584...............  ..............  A               Treat larynx fracture      19.65         NA      17.74       1.71         NA      39.10        090
31585...............  ..............  A               Treat larynx fracture       4.64         NA       6.55       0.38         NA      11.57        090
31586...............  ..............  A               Treat larynx fracture       8.04         NA      10.59       0.67         NA      19.29        090
31587...............  ..............  A               Revision of larynx...      11.99         NA       9.04       0.97         NA      22.00        090
31588...............  ..............  A               Revision of larynx...      13.12         NA      13.31       1.06         NA      27.48        090
31590...............  ..............  A               Reinnervate larynx...       6.97         NA      14.97       0.84         NA      22.79        090
31595...............  ..............  A               Larynx nerve surgery.       8.35         NA      10.28       0.68         NA      19.31        090
31599...............  ..............  C               Larynx surgery              0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
31600...............  ..............  A               Incision of windpipe.       7.18         NA       3.09       0.80         NA      11.08        000
31601...............  ..............  A               Incision of windpipe.       4.45         NA       2.32       0.40         NA       7.17        000
31603...............  ..............  A               Incision of windpipe.       4.15         NA       1.65       0.44         NA       6.24        000
31605...............  ..............  A               Incision of windpipe.       3.58         NA       1.15       0.40         NA       5.13        000
31610...............  ..............  A               Incision of windpipe.       8.77         NA       8.10       0.79         NA      17.66        090
31611...............  ..............  A               Surgery/speech              5.64         NA       6.98       0.46         NA      13.08        090
                                                       prosthesis.
31612...............  ..............  A               Puncture/clear              0.91       1.10       0.34       0.08       2.09       1.33        000
                                                       windpipe.
31613...............  ..............  A               Repair windpipe             4.59         NA       5.91       0.42         NA      10.92        090
                                                       opening.
31614...............  ..............  A               Repair windpipe             7.12         NA       8.67       0.58         NA      16.38        090
                                                       opening.
31615...............  ..............  A               Visualization of            2.09       2.55       1.17       0.16       4.80       3.43        000
                                                       windpipe.
31620...............  ..............  A               Endobronchial us add-       1.40       5.59       0.54       0.11       7.10       2.05        ZZZ
                                                       on.
31622...............  ..............  A               Dx bronchoscope/wash.       2.79       5.46       1.04       0.18       8.42       4.00        000
31623...............  ..............  A               Dx bronchoscope/brush       2.89       6.17       1.03       0.13       9.19       4.05        000
31624...............  ..............  A               Dx bronchoscope/            2.89       5.56       1.03       0.13       8.57       4.05        000
                                                       lavage.
31625...............  ..............  A               Bronchoscopy w/             3.37       5.61       1.18       0.18       9.16       4.73        000
                                                       biopsy(s).
31628...............  ..............  A               Bronchoscopy/lung bx,       3.81       6.81       1.28       0.18      10.80       5.26        000
                                                       each.
31629...............  ..............  A               Bronchoscopy/needle         4.10      13.48       1.37       0.16      17.74       5.63        000
                                                       bx, each.
31630...............  ..............  A               Bronchoscopy dilate/        3.82         NA       1.66       0.32         NA       5.80        000
                                                       fx repr.
31631...............  ..............  A               Bronchoscopy, dilate        4.37         NA       1.72       0.34         NA       6.43        000
                                                       w/stent.
31632...............  ..............  A               Bronchoscopy/lung bx,       1.03       0.80       0.30       0.18       2.01       1.52        ZZZ
                                                       add'l.
31633...............  ..............  A               Bronchoscopy/needle         1.32       0.91       0.39       0.16       2.39       1.87        ZZZ
                                                       bx add'l.
31635...............  ..............  A               Bronchoscopy w/fb           3.68       5.90       1.39       0.24       9.81       5.31        000
                                                       removal.
31636...............  ..............  A               Bronchoscopy, bronch        4.31         NA       1.72       0.31         NA       6.34        000
                                                       stents.
31637...............  ..............  A               Bronchoscopy, stent         1.58         NA       0.55       0.13         NA       2.26        ZZZ
                                                       add-on.
31638...............  ..............  A               Bronchoscopy, revise        4.89         NA       1.92       0.22         NA       7.03        000
                                                       stent.
31640...............  ..............  A               Bronchoscopy w/tumor        4.94         NA       2.01       0.46         NA       7.41        000
                                                       excise.
31641...............  ..............  A               Bronchoscopy, treat         5.03         NA       1.83       0.35         NA       7.21        000
                                                       blockage.
31643...............  ..............  A               Diag bronchoscope/          3.50         NA       1.20       0.20         NA       4.90        000
                                                       catheter.
31645...............  ..............  A               Bronchoscopy, clear         3.17       4.95       1.10       0.16       8.28       4.43        000
                                                       airways.
31646...............  ..............  A               Bronchoscopy, reclear       2.73       4.68       0.98       0.14       7.54       3.85        000
                                                       airway.
31656...............  ..............  A               Bronchoscopy, inj for       2.17       6.94       0.83       0.15       9.27       3.16        000
                                                       x-ray.
31700...............  ..............  A               Insertion of airway         1.34       2.16       0.67       0.08       3.58       2.10        000
                                                       catheter.
31708...............  ..............  A               Instill airway              1.41         NA       0.48       0.07         NA       1.97        000
                                                       contrast dye.
31710...............  ..............  A               Insertion of airway         1.30         NA       0.42       0.12         NA       1.84        000
                                                       catheter.
31715...............  ..............  A               Injection for               1.11         NA       0.34       0.07         NA       1.53        000
                                                       bronchus x-ray.
31717...............  ..............  A               Bronchial brush             2.12       7.76       0.78       0.14      10.02       3.05        000
                                                       biopsy.
31720...............  ..............  A               Clearance of airways.       1.06         NA       0.32       0.07         NA       1.46        000
31725...............  ..............  A               Clearance of airways.       1.96         NA       0.57       0.14         NA       2.67        000
31730...............  ..............  A               Intro, windpipe wire/       2.86       7.21       0.97       0.21      10.27       4.03        000
                                                       tube.
31750...............  ..............  A               Repair of windpipe...      13.03         NA      17.23       1.05         NA      31.30        090
31755...............  ..............  A               Repair of windpipe...      15.94         NA      24.11       1.29         NA      41.34        090
31760...............  ..............  A               Repair of windpipe...      22.36         NA      10.59       2.94         NA      35.89        090
31766...............  ..............  A               Reconstruction of          30.44         NA      13.49       4.52         NA      48.45        090
                                                       windpipe.
31770...............  ..............  A               Repair/graft of            22.52         NA      10.00       2.83         NA      35.35        090
                                                       bronchus.
31775...............  ..............  A               Reconstruct bronchus.      23.55         NA      11.47       3.01         NA      38.02        090
31780...............  ..............  A               Reconstruct windpipe.      17.73         NA      10.66       1.65         NA      30.03        090
31781...............  ..............  A               Reconstruct windpipe.      23.54         NA      11.70       2.24         NA      37.48        090
31785...............  ..............  A               Remove windpipe            17.23         NA       9.85       1.59         NA      28.67        090
                                                       lesion.
31786...............  ..............  A               Remove windpipe            23.99         NA      12.72       3.29         NA      40.00        090
                                                       lesion.
31800...............  ..............  A               Repair of windpipe          7.43         NA       8.95       0.79         NA      17.17        090
                                                       injury.
31805...............  ..............  A               Repair of windpipe         13.14         NA       7.04       1.82         NA      22.00        090
                                                       injury.
31820...............  ..............  A               Closure of windpipe         4.49       5.62       3.57       0.38      10.49       8.44        090
                                                       lesion.
31825...............  ..............  A               Repair of windpipe          6.81       7.56       5.24       0.53      14.90      12.58        090
                                                       defect.
31830...............  ..............  A               Revise windpipe scar.       4.50       5.72       3.90       0.44      10.66       8.83        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       2.92       0.48       0.08       4.54       2.10        000
32002...............  ..............  A               Treatment of                2.19       3.14       1.08       0.12       5.45       3.39        000
                                                       collapsed lung.
32005...............  ..............  A               Treat lung lining           2.19       6.09       0.68       0.23       8.51       3.11        000
                                                       chemically.
32019...............  ..............  A               Insert pleural              4.18      18.66       1.62       0.42      23.26       6.22        000
                                                       catheter.
32020...............  ..............  A               Insertion of chest          3.98         NA       1.32       0.43         NA       5.73        000
                                                       tube.
32035...............  ..............  A               Exploration of chest.       8.68         NA       5.73       1.26         NA      15.67        090
32036...............  ..............  A               Exploration of chest.       9.69         NA       6.26       1.43         NA      17.38        090

[[Page 45908]]

 
32095...............  ..............  A               Biopsy through chest        8.37         NA       5.25       1.22         NA      14.83        090
                                                       wall.
32100...............  ..............  A               Exploration/biopsy of      15.25         NA       7.65       2.23         NA      25.13        090
                                                       chest.
32110...............  ..............  A               Explore/repair chest.      23.02         NA      10.50       3.21         NA      36.72        090
32120...............  ..............  A               Re-exploration of          11.54         NA       6.89       1.63         NA      20.06        090
                                                       chest.
32124...............  ..............  A               Explore chest free         12.73         NA       7.08       1.89         NA      21.69        090
                                                       adhesions.
32140...............  ..............  A               Removal of lung            13.94         NA       7.53       1.96         NA      23.43        090
                                                       lesion(s).
32141...............  ..............  A               Remove/treat lung          14.01         NA       7.39       2.00         NA      23.40        090
                                                       lesions.
32150...............  ..............  A               Removal of lung            14.16         NA       7.47       2.00         NA      23.63        090
                                                       lesion(s).
32151...............  ..............  A               Remove lung foreign        14.22         NA       7.93       2.03         NA      24.18        090
                                                       body.
32160...............  ..............  A               Open chest heart            9.31         NA       5.19       1.31         NA      15.81        090
                                                       massage.
32200...............  ..............  A               Drain, open, lung          15.30         NA       8.72       2.13         NA      26.16        090
                                                       lesion.
32201...............  ..............  A               Drain, percut, lung         4.00      21.42       1.37       0.24      25.66       5.60        000
                                                       lesion.
32215...............  ..............  A               Treat chest lining...      11.33         NA       6.72       1.68         NA      19.73        090
32220...............  ..............  A               Release of lung......      24.01         NA      12.63       3.56         NA      40.20        090
32225...............  ..............  A               Partial release of         13.97         NA       7.49       2.06         NA      23.52        090
                                                       lung.
32310...............  ..............  A               Removal of chest           13.45         NA       7.24       1.99         NA      22.67        090
                                                       lining.
32320...............  ..............  A               Free/remove chest          24.01         NA      11.91       3.51         NA      39.42        090
                                                       lining.
32400...............  ..............  A               Needle biopsy chest         1.76       2.16       0.56       0.10       4.03       2.42        000
                                                       lining.
32402...............  ..............  A               Open biopsy chest           7.57         NA       4.98       1.07         NA      13.62        090
                                                       lining.
32405...............  ..............  A               Biopsy, lung or             1.93       0.69       0.66       0.11       2.74       2.71        000
                                                       mediastinum.
32420...............  ..............  A               Puncture/clear lung..       2.18         NA       0.69       0.12         NA       2.99        000
32440...............  ..............  A               Removal of lung......      25.01         NA      12.36       3.68         NA      41.05        090
32442...............  ..............  A               Sleeve pneumonectomy.      26.25         NA      14.11       3.84         NA      44.21        090
32445...............  ..............  A               Removal of lung......      25.10         NA      13.42       3.71         NA      42.23        090
32480...............  ..............  A               Partial removal of         23.76         NA      11.57       3.49         NA      38.82        090
                                                       lung.
32482...............  ..............  A               Bilobectomy..........      25.01         NA      12.42       3.66         NA      41.09        090
32484...............  ..............  A               Segmentectomy........      20.70         NA      10.89       3.03         NA      34.62        090
32486...............  ..............  A               Sleeve lobectomy.....      23.93         NA      12.60       3.51         NA      40.04        090
32488...............  ..............  A               Completion                 25.72         NA      13.17       3.80         NA      42.69        090
                                                       pneumonectomy.
32491...............  ..............  R               Lung volume reduction      21.26         NA      11.97       2.98         NA      36.21        090
32500...............  ..............  A               Partial removal of         22.01         NA      11.78       3.25         NA      37.04        090
                                                       lung.
32501...............  ..............  A               Repair bronchus add-        4.69         NA       1.51       0.65         NA       6.85        ZZZ
                                                       on.
32520...............  ..............  A               Remove lung & revise       21.69         NA      10.81       3.20         NA      35.70        090
                                                       chest.
32522...............  ..............  A               Remove lung & revise       24.21         NA      11.65       3.32         NA      39.18        090
                                                       chest.
32525...............  ..............  A               Remove lung & revise       26.51         NA      12.30       3.87         NA      42.68        090
                                                       chest.
32540...............  ..............  A               Removal of lung            14.65         NA       9.15       2.07         NA      25.87        090
                                                       lesion.
32601...............  ..............  A               Thoracoscopy,               5.46         NA       2.30       0.80         NA       8.57        000
                                                       diagnostic.
32602...............  ..............  A               Thoracoscopy,               5.96         NA       2.47       0.87         NA       9.30        000
                                                       diagnostic.
32603...............  ..............  A               Thoracoscopy,               7.82         NA       2.97       1.14         NA      11.92        000
                                                       diagnostic.
32604...............  ..............  A               Thoracoscopy,               8.79         NA       3.39       1.25         NA      13.43        000
                                                       diagnostic.
32605...............  ..............  A               Thoracoscopy,               6.93         NA       2.84       1.00         NA      10.78        000
                                                       diagnostic.
32606...............  ..............  A               Thoracoscopy,               8.41         NA       3.27       1.22         NA      12.89        000
                                                       diagnostic.
32650...............  ..............  A               Thoracoscopy,              10.75         NA       6.45       1.58         NA      18.78        090
                                                       surgical.
32651...............  ..............  A               Thoracoscopy,              12.92         NA       6.95       1.86         NA      21.73        090
                                                       surgical.
32652...............  ..............  A               Thoracoscopy,              18.67         NA       9.69       2.72         NA      31.08        090
                                                       surgical.
32653...............  ..............  A               Thoracoscopy,              12.88         NA       6.67       1.88         NA      21.42        090
                                                       surgical.
32654...............  ..............  A               Thoracoscopy,              12.44         NA       7.15       1.63         NA      21.22        090
                                                       surgical.
32655...............  ..............  A               Thoracoscopy,              13.11         NA       6.96       1.89         NA      21.96        090
                                                       surgical.
32656...............  ..............  A               Thoracoscopy,              12.92         NA       7.54       1.89         NA      22.34        090
                                                       surgical.
32657...............  ..............  A               Thoracoscopy,              13.66         NA       7.35       1.99         NA      22.99        090
                                                       surgical.
32658...............  ..............  A               Thoracoscopy,              11.63         NA       6.95       1.69         NA      20.27        090
                                                       surgical.
32659...............  ..............  A               Thoracoscopy,              11.59         NA       7.08       1.62         NA      20.29        090
                                                       surgical.
32660...............  ..............  A               Thoracoscopy,              17.43         NA       8.99       2.08         NA      28.50        090
                                                       surgical.
32661...............  ..............  A               Thoracoscopy,              13.26         NA       7.43       1.92         NA      22.61        090
                                                       surgical.
32662...............  ..............  A               Thoracoscopy,              16.45         NA       8.45       2.17         NA      27.07        090
                                                       surgical.
32663...............  ..............  A               Thoracoscopy,              18.48         NA      10.24       2.72         NA      31.44        090
                                                       surgical.
32664...............  ..............  A               Thoracoscopy,              14.21         NA       7.35       2.32         NA      23.88        090
                                                       surgical.
32665...............  ..............  A               Thoracoscopy,              15.55         NA       7.88       2.15         NA      25.58        090
                                                       surgical.
32800...............  ..............  A               Repair lung hernia...      13.70         NA       7.28       1.98         NA      22.96        090
32810...............  ..............  A               Close chest after          13.06         NA       7.37       1.93         NA      22.36        090
                                                       drainage.
32815...............  ..............  A               Close bronchial            23.17         NA      10.69       3.27         NA      37.12        090
                                                       fistula.
32820...............  ..............  A               Reconstruct injured        21.49         NA      11.99       2.52         NA      36.00        090
                                                       chest.
32851...............  ..............  A               Lung transplant,           38.65         NA      25.98       5.56         NA      70.19        090
                                                       single.
32852...............  ..............  A               Lung transplant with       41.82         NA      30.94       6.00         NA      78.76        090
                                                       bypass.
32853...............  ..............  A               Lung transplant,           47.84         NA      29.88       7.05         NA      84.77        090
                                                       double.
32854...............  ..............  A               Lung transplant with       51.00         NA      32.72       7.20         NA      90.92        090
                                                       bypass.
32855...............  ..............  C               Prepare donor lung,         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       single.
32856...............  ..............  C               Prepare donor lung,         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       double.
32900...............  ..............  A               Removal of rib(s)....      20.28         NA       9.73       2.93         NA      32.94        090
32905...............  ..............  A               Revise & repair chest      20.76         NA       9.90       3.15         NA      33.81        090
                                                       wall.
32906...............  ..............  A               Revise & repair chest      26.78         NA      11.79       3.97         NA      42.54        090
                                                       wall.
32940...............  ..............  A               Revision of lung.....      19.44         NA       9.22       2.88         NA      31.54        090
32960...............  ..............  A               Therapeutic                 1.84       1.72       0.55       0.16       3.72       2.55        000
                                                       pneumothorax.
32997...............  ..............  A               Total lung lavage....       6.00         NA       1.86       0.55         NA       8.41        000

[[Page 45909]]

 
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       0.80       0.14         NA       3.19        000
33011...............  ..............  A               Repeat drainage of          2.24         NA       0.84       0.15         NA       3.23        000
                                                       heart sac.
33015...............  ..............  A               Incision of heart sac       6.80         NA       4.87       0.65         NA      12.33        090
33020...............  ..............  A               Incision of heart sac      12.62         NA       6.63       1.79         NA      21.03        090
33025...............  ..............  A               Incision of heart sac      12.09         NA       6.19       1.80         NA      20.09        090
33030...............  ..............  A               Partial removal of         18.72         NA       9.25       2.83         NA      30.80        090
                                                       heart sac.
33031...............  ..............  A               Partial removal of         21.80         NA       9.77       3.13         NA      34.71        090
                                                       heart sac.
33050...............  ..............  A               Removal of heart sac       14.37         NA       7.68       2.14         NA      24.18        090
                                                       lesion.
33120...............  ..............  A               Removal of heart           24.57         NA      11.29       3.69         NA      39.54        090
                                                       lesion.
33130...............  ..............  A               Removal of heart           21.40         NA       9.93       3.00         NA      34.34        090
                                                       lesion.
33140...............  ..............  A               Heart revascularize        20.01         NA      10.59       2.85         NA      33.45        090
                                                       (tmr).
33141...............  ..............  A               Heart tmr w/other           4.84         NA       1.55       0.69         NA       7.08        ZZZ
                                                       procedure.
33200...............  ..............  A               Insertion of heart         12.48         NA       6.92       1.70         NA      21.11        090
                                                       pacemaker.
33201...............  ..............  A               Insertion of heart         10.18         NA       6.49       1.36         NA      18.03        090
                                                       pacemaker.
33206...............  ..............  A               Insertion of heart          6.67         NA       4.59       0.52         NA      11.79        090
                                                       pacemaker.
33207...............  ..............  A               Insertion of heart          8.05         NA       4.83       0.59         NA      13.46        090
                                                       pacemaker.
33208...............  ..............  A               Insertion of heart          8.14         NA       4.98       0.56         NA      13.67        090
                                                       pacemaker.
33210...............  ..............  A               Insertion of heart          3.31         NA       1.30       0.18         NA       4.78        000
                                                       electrode.
33211...............  ..............  A               Insertion of heart          3.40         NA       1.37       0.21         NA       4.97        000
                                                       electrode.
33212...............  ..............  A               Insertion of pulse          5.52         NA       3.44       0.43         NA       9.39        090
                                                       generator.
33213...............  ..............  A               Insertion of pulse          6.37         NA       3.86       0.45         NA      10.68        090
                                                       generator.
33214...............  ..............  A               Upgrade of pacemaker        7.76         NA       5.09       0.58         NA      13.43        090
                                                       system.
33215...............  ..............  A               Reposition pacing-          4.76         NA       3.38       0.37         NA       8.51        090
                                                       defib lead.
33216...............  ..............  A               Insert lead pace-           5.78         NA       4.39       0.36         NA      10.54        090
                                                       defib, one.
33217...............  ..............  A               Insert lead pace-           5.75         NA       4.45       0.39         NA      10.59        090
                                                       defib, dual.
33218...............  ..............  A               Repair lead pace-           5.44         NA       4.46       0.37         NA      10.27        090
                                                       defib, one.
33220...............  ..............  A               Repair lead pace-           5.52         NA       4.46       0.37         NA      10.35        090
                                                       defib, dual.
33222...............  ..............  A               Revise pocket,              4.96         NA       4.42       0.42         NA       9.80        090
                                                       pacemaker.
33223...............  ..............  A               Revise pocket, pacing-      6.46         NA       4.77       0.45         NA      11.68        090
                                                       defib.
33224...............  ..............  A               Insert pacing lead &        9.06         NA       4.21       0.54         NA      13.80        000
                                                       connect.
33225...............  ..............  A               L ventric pacing lead       8.35         NA       3.40       0.45         NA      12.20        ZZZ
                                                       add-on.
33226...............  ..............  A               Reposition l ventric        8.70         NA       3.97       0.59         NA      13.25        000
                                                       lead.
33233...............  ..............  A               Removal of pacemaker        3.30         NA       3.42       0.22         NA       6.94        090
                                                       system.
33234...............  ..............  A               Removal of pacemaker        7.83         NA       5.06       0.56         NA      13.45        090
                                                       system.
33235...............  ..............  A               Removal pacemaker           9.41         NA       7.06       0.73         NA      17.20        090
                                                       electrode.
33236...............  ..............  A               Remove electrode/          12.61         NA       7.35       1.68         NA      21.64        090
                                                       thoracotomy.
33237...............  ..............  A               Remove electrode/          13.72         NA       7.78       1.59         NA      23.08        090
                                                       thoracotomy.
33238...............  ..............  A               Remove electrode/          15.23         NA       8.15       2.02         NA      25.40        090
                                                       thoracotomy.
33240...............  ..............  A               Insert pulse                7.61         NA       4.72       0.41         NA      12.74        090
                                                       generator.
33241...............  ..............  A               Remove pulse                3.25         NA       3.09       0.18         NA       6.52        090
                                                       generator.
33243...............  ..............  A               Remove eltrd/              22.66         NA      11.36       2.09         NA      36.11        090
                                                       thoracotomy.
33244...............  ..............  A               Remove eltrd,              13.77         NA       9.12       0.99         NA      23.88        090
                                                       transven.
33245...............  ..............  A               Insert epic eltrd          14.31         NA       8.05       2.01         NA      24.37        090
                                                       pace-defib.
33246...............  ..............  A               Insert epic eltrd/         20.72         NA      10.36       2.63         NA      33.71        090
                                                       generator.
33249...............  ..............  A               Eltrd/insert pace-         14.24         NA       8.82       0.77         NA      23.83        090
                                                       defib.
33250...............  ..............  A               Ablate heart               21.86         NA      11.92       3.18         NA      36.96        090
                                                       dysrhythm focus.
33251...............  ..............  A               Ablate heart               24.89         NA      11.44       3.59         NA      39.92        090
                                                       dysrhythm focus.
33253...............  ..............  A               Reconstruct atria....      31.07         NA      13.48       4.52         NA      49.08        090
33261...............  ..............  A               Ablate heart               24.89         NA      11.47       3.45         NA      39.81        090
                                                       dysrhythm focus.
33282...............  ..............  A               Implant pat-active ht       4.17         NA       4.20       0.23         NA       8.60        090
                                                       record.
33284...............  ..............  A               Remove pat-active ht        2.51         NA       3.56       0.14         NA       6.20        090
                                                       record.
33300...............  ..............  A               Repair of heart wound      17.93         NA       9.18       2.65         NA      29.76        090
33305...............  ..............  A               Repair of heart wound      21.45         NA      10.32       3.12         NA      34.90        090
33310...............  ..............  A               Exploratory heart          18.52         NA       9.32       2.58         NA      30.42        090
                                                       surgery.
33315...............  ..............  A               Exploratory heart          22.38         NA      10.57       3.27         NA      36.22        090
                                                       surgery.
33320...............  ..............  A               Repair major blood         16.79         NA       8.23       2.07         NA      27.09        090
                                                       vessel(s).
33321...............  ..............  A               Repair major vessel..      20.21         NA       9.56       2.90         NA      32.67        090
33322...............  ..............  A               Repair major blood         20.63         NA      10.16       2.85         NA      33.64        090
                                                       vessel(s).
33330...............  ..............  A               Insert major vessel        21.44         NA      10.06       2.81         NA      34.31        090
                                                       graft.
33332...............  ..............  A               Insert major vessel        23.97         NA      10.31       3.02         NA      37.30        090
                                                       graft.
33335...............  ..............  A               Insert major vessel        30.02         NA      12.98       4.27         NA      47.27        090
                                                       graft.
33400...............  ..............  A               Repair of aortic           28.52         NA      14.97       4.10         NA      47.59        090
                                                       valve.
33401...............  ..............  A               Valvuloplasty, open..      23.92         NA      13.45       3.56         NA      40.93        090
33403...............  ..............  A               Valvuloplasty, w/cp        24.90         NA      13.75       3.54         NA      42.19        090
                                                       bypass.
33404...............  ..............  A               Prepare heart-aorta        28.56         NA      13.97       4.32         NA      46.84        090
                                                       conduit.
33405...............  ..............  A               Replacement of aortic      35.02         NA      17.44       5.31         NA      57.77        090
                                                       valve.
33406...............  ..............  A               Replacement of aortic      37.51         NA      18.22       5.43         NA      61.16        090
                                                       valve.
33410...............  ..............  A               Replacement of aortic      32.47         NA      15.85       4.68         NA      53.00        090
                                                       valve.
33411...............  ..............  A               Replacement of aortic      36.27         NA      17.89       5.46         NA      59.63        090
                                                       valve.
33412...............  ..............  A               Replacement of aortic      42.02         NA      19.54       6.37         NA      67.93        090
                                                       valve.
33413...............  ..............  A               Replacement of aortic      43.52         NA      19.98       6.51         NA      70.00        090
                                                       valve.
33414...............  ..............  A               Repair of aortic           30.36         NA      13.80       4.56         NA      48.72        090
                                                       valve.
33415...............  ..............  A               Revision, subvalvular      27.16         NA      11.72       4.13         NA      43.02        090
                                                       tissue.

[[Page 45910]]

 
33416...............  ..............  A               Revise ventricle           30.36         NA      13.13       4.56         NA      48.05        090
                                                       muscle.
33417...............  ..............  A               Repair of aortic           28.55         NA      13.26       4.09         NA      45.90        090
                                                       valve.
33420...............  ..............  A               Revision of mitral         22.72         NA       9.43       1.81         NA      33.95        090
                                                       valve.
33422...............  ..............  A               Revision of mitral         25.95         NA      12.99       3.93         NA      42.87        090
                                                       valve.
33425...............  ..............  A               Repair of mitral           27.01         NA      12.48       4.06         NA      43.56        090
                                                       valve.
33426...............  ..............  A               Repair of mitral           33.02         NA      16.35       5.01         NA      54.37        090
                                                       valve.
33427...............  ..............  A               Repair of mitral           40.02         NA      18.50       6.07         NA      64.59        090
                                                       valve.
33430...............  ..............  A               Replacement of mitral      33.52         NA      16.51       5.08         NA      55.10        090
                                                       valve.
33460...............  ..............  A               Revision of tricuspid      23.61         NA      10.97       3.44         NA      38.02        090
                                                       valve.
33463...............  ..............  A               Valvuloplasty,             25.63         NA      12.58       3.86         NA      42.07        090
                                                       tricuspid.
33464...............  ..............  A               Valvuloplasty,             27.34         NA      13.16       4.14         NA      44.65        090
                                                       tricuspid.
33465...............  ..............  A               Replace tricuspid          28.81         NA      12.64       4.38         NA      45.82        090
                                                       valve.
33468...............  ..............  A               Revision of tricuspid      30.13         NA      13.24       4.06         NA      47.43        090
                                                       valve.
33470...............  ..............  A               Revision of pulmonary      20.82         NA      10.71       1.03         NA      32.56        090
                                                       valve.
33471...............  ..............  A               Valvotomy, pulmonary       22.26         NA       9.77       3.38         NA      35.41        090
                                                       valve.
33472...............  ..............  A               Revision of pulmonary      22.26         NA      11.93       3.54         NA      37.73        090
                                                       valve.
33474...............  ..............  A               Revision of pulmonary      23.06         NA      10.74       3.21         NA      37.00        090
                                                       valve.
33475...............  ..............  A               Replacement,               33.02         NA      15.10       4.92         NA      53.04        090
                                                       pulmonary valve.
33476...............  ..............  A               Revision of heart          25.78         NA      12.17       2.41         NA      40.36        090
                                                       chamber.
33478...............  ..............  A               Revision of heart          26.75         NA      12.66       3.88         NA      43.29        090
                                                       chamber.
33496...............  ..............  A               Repair, prosth valve       27.26         NA      12.45       4.12         NA      43.83        090
                                                       clot.
33500...............  ..............  A               Repair heart vessel        25.56         NA      11.23       3.86         NA      40.65        090
                                                       fistula.
33501...............  ..............  A               Repair heart vessel        17.79         NA       8.19       1.90         NA      27.87        090
                                                       fistula.
33502...............  ..............  A               Coronary artery            21.05         NA      10.82       2.99         NA      34.86        090
                                                       correction.
33503...............  ..............  A               Coronary artery graft      21.79         NA       9.79       1.77         NA      33.36        090
33504...............  ..............  A               Coronary artery graft      24.67         NA      11.64       3.35         NA      39.66        090
33505...............  ..............  A               Repair artery w/           26.85         NA      12.68       2.18         NA      41.72        090
                                                       tunnel.
33506...............  ..............  A               Repair artery,             35.52         NA      14.19       4.65         NA      54.36        090
                                                       translocation.
33508...............  ..............  A               Endoscopic vein             0.31         NA       0.10       0.04         NA       0.45        ZZZ
                                                       harvest.
33510...............  ..............  A               CABG, vein, single...      29.02         NA      15.53       4.40         NA      48.95        090
33511...............  ..............  A               CABG, vein, two......      30.02         NA      16.23       4.55         NA      50.80        090
33512...............  ..............  A               CABG, vein, three....      31.81         NA      16.76       4.66         NA      53.24        090
33513...............  ..............  A               CABG, vein, four.....      32.01         NA      16.93       4.87         NA      53.81        090
33514...............  ..............  A               CABG, vein, five.....      32.77         NA      17.19       4.76         NA      54.72        090
33516...............  ..............  A               Cabg, vein, six or         35.02         NA      17.95       5.11         NA      58.08        090
                                                       more.
33517...............  ..............  A               CABG, artery-vein,          2.58         NA       0.82       0.39         NA       3.79        ZZZ
                                                       single.
33518...............  ..............  A               CABG, artery-vein,          4.85         NA       1.55       0.73         NA       7.13        ZZZ
                                                       two.
33519...............  ..............  A               CABG, artery-vein,          7.12         NA       2.28       1.04         NA      10.44        ZZZ
                                                       three.
33521...............  ..............  A               CABG, artery-vein,          9.41         NA       3.01       1.37         NA      13.79        ZZZ
                                                       four.
33522...............  ..............  A               CABG, artery-vein,         11.67         NA       3.74       1.77         NA      17.18        ZZZ
                                                       five.
33523...............  ..............  A               Cabg, art-vein, six        13.96         NA       4.44       2.12         NA      20.52        ZZZ
                                                       or more.
33530...............  ..............  A               Coronary artery,            5.86         NA       1.87       0.88         NA       8.61        ZZZ
                                                       bypass/reop.
33533...............  ..............  A               CABG, arterial,            30.02         NA      15.67       4.55         NA      50.24        090
                                                       single.
33534...............  ..............  A               CABG, arterial, two..      32.21         NA      16.85       4.69         NA      53.75        090
33535...............  ..............  A               CABG, arterial, three      34.52         NA      17.30       5.01         NA      56.83        090
33536...............  ..............  A               Cabg, arterial, four       37.51         NA      17.58       5.42         NA      60.52        090
                                                       or more.
33542...............  ..............  A               Removal of heart           28.87         NA      12.67       4.37         NA      45.91        090
                                                       lesion.
33545...............  ..............  A               Repair of heart            36.79         NA      15.37       5.19         NA      57.35        090
                                                       damage.
33572...............  ..............  A               Open coronary               4.45         NA       1.42       0.65         NA       6.52        ZZZ
                                                       endarterectomy.
33600...............  ..............  A               Closure of valve.....      29.53         NA      12.38       4.41         NA      46.32        090
33602...............  ..............  A               Closure of valve.....      28.56         NA      12.52       3.81         NA      44.88        090
33606...............  ..............  A               Anastomosis/artery-        30.75         NA      13.32       4.40         NA      48.47        090
                                                       aorta.
33608...............  ..............  A               Repair anomaly w/          31.10         NA      13.68       4.73         NA      49.51        090
                                                       conduit.
33610...............  ..............  A               Repair by enlargement      30.62         NA      13.44       4.55         NA      48.61        090
33611...............  ..............  A               Repair double              34.02         NA      13.78       4.36         NA      52.16        090
                                                       ventricle.
33612...............  ..............  A               Repair double              35.02         NA      14.82       5.28         NA      55.12        090
                                                       ventricle.
33615...............  ..............  A               Repair, modified           34.02         NA      12.93       4.31         NA      51.26        090
                                                       fontan.
33617...............  ..............  A               Repair single              37.01         NA      15.54       5.64         NA      58.19        090
                                                       ventricle.
33619...............  ..............  A               Repair single              45.02         NA      20.23       6.44         NA      71.69        090
                                                       ventricle.
33641...............  ..............  A               Repair heart septum        21.40         NA       9.33       3.22         NA      33.95        090
                                                       defect.
33645...............  ..............  A               Revision of heart          24.83         NA      11.50       3.78         NA      40.11        090
                                                       veins.
33647...............  ..............  A               Repair heart septum        28.75         NA      13.50       3.31         NA      45.56        090
                                                       defects.
33660...............  ..............  A               Repair of heart            30.02         NA      13.24       4.48         NA      47.74        090
                                                       defects.
33665...............  ..............  A               Repair of heart            28.62         NA      13.32       3.99         NA      45.93        090
                                                       defects.
33670...............  ..............  A               Repair of heart            35.02         NA      13.52       4.64         NA      53.18        090
                                                       chambers.
33681...............  ..............  A               Repair heart septum        30.62         NA      14.26       4.44         NA      49.32        090
                                                       defect.
33684...............  ..............  A               Repair heart septum        29.67         NA      13.27       3.38         NA      46.32        090
                                                       defect.
33688...............  ..............  A               Repair heart septum        30.63         NA      10.17       4.72         NA      45.52        090
                                                       defect.
33690...............  ..............  A               Reinforce pulmonary        19.56         NA       9.86       1.96         NA      31.38        090
                                                       artery.
33692...............  ..............  A               Repair of heart            30.76         NA      13.32       4.57         NA      48.66        090
                                                       defects.
33694...............  ..............  A               Repair of heart            34.02         NA      13.87       5.26         NA      53.15        090
                                                       defects.
33697...............  ..............  A               Repair of heart            36.02         NA      14.41       4.08         NA      54.51        090
                                                       defects.
33702...............  ..............  A               Repair of heart            26.55         NA      12.26       3.67         NA      42.48        090
                                                       defects.
33710...............  ..............  A               Repair of heart            29.73         NA      13.76       4.42         NA      47.91        090
                                                       defects.

[[Page 45911]]

 
33720...............  ..............  A               Repair of heart            26.57         NA      11.98       3.83         NA      42.38        090
                                                       defect.
33722...............  ..............  A               Repair of heart            28.43         NA      13.09       1.30         NA      42.82        090
                                                       defect.
33730...............  ..............  A               Repair heart-vein          34.27         NA      14.33       5.01         NA      53.61        090
                                                       defect(s).
33732...............  ..............  A               Repair heart-vein          28.18         NA      13.51       3.67         NA      45.36        090
                                                       defect.
33735...............  ..............  A               Revision of heart          21.40         NA       9.04       1.91         NA      32.35        090
                                                       chamber.
33736...............  ..............  A               Revision of heart          23.53         NA      11.97       3.08         NA      38.57        090
                                                       chamber.
33737...............  ..............  A               Revision of heart          21.77         NA      11.26       3.24         NA      36.27        090
                                                       chamber.
33750...............  ..............  A               Major vessel shunt...      21.42         NA      10.37       1.16         NA      32.95        090
33755...............  ..............  A               Major vessel shunt...      21.80         NA       8.58       3.25         NA      33.64        090
33762...............  ..............  A               Major vessel shunt...      21.80         NA      10.24       3.13         NA      35.18        090
33764...............  ..............  A               Major vessel shunt &       21.80         NA      10.24       3.00         NA      35.04        090
                                                       graft.
33766...............  ..............  A               Major vessel shunt...      22.78         NA      11.07       3.69         NA      37.53        090
33767...............  ..............  A               Major vessel shunt...      24.51         NA      11.37       3.81         NA      39.69        090
33770...............  ..............  A               Repair great vessels       37.01         NA      14.36       5.72         NA      57.09        090
                                                       defect.
33771...............  ..............  A               Repair great vessels       34.67         NA      12.11       5.66         NA      52.44        090
                                                       defect.
33774...............  ..............  A               Repair great vessels       30.99         NA      14.46       4.80         NA      50.25        090
                                                       defect.
33775...............  ..............  A               Repair great vessels       32.21         NA      14.39       4.98         NA      51.58        090
                                                       defect.
33776...............  ..............  A               Repair great vessels       34.06         NA      15.27       5.07         NA      54.40        090
                                                       defect.
33777...............  ..............  A               Repair great vessels       33.48         NA      14.86       5.47         NA      53.81        090
                                                       defect.
33778...............  ..............  A               Repair great vessels       40.02         NA      16.36       6.18         NA      62.56        090
                                                       defect.
33779...............  ..............  A               Repair great vessels       36.23         NA      15.87       2.91         NA      55.01        090
                                                       defect.
33780...............  ..............  A               Repair great vessels       41.77         NA      18.55       3.67         NA      64.00        090
                                                       defect.
33781...............  ..............  A               Repair great vessels       36.47         NA      13.19       5.95         NA      55.61        090
                                                       defect.
33786...............  ..............  A               Repair arterial trunk      39.02         NA      15.99       5.69         NA      60.69        090
33788...............  ..............  A               Revision of pulmonary      26.63         NA      11.48       4.02         NA      42.13        090
                                                       artery.
33800...............  ..............  A               Aortic suspension....      16.25         NA       7.95       2.45         NA      26.65        090
33802...............  ..............  A               Repair vessel defect.      17.67         NA       9.00       2.26         NA      28.93        090
33803...............  ..............  A               Repair vessel defect.      19.61         NA       9.30       3.19         NA      32.10        090
33813...............  ..............  A               Repair septal defect.      20.66         NA      10.52       3.12         NA      34.30        090
33814...............  ..............  A               Repair septal defect.      25.78         NA      12.31       3.84         NA      41.93        090
33820...............  ..............  A               Revise major vessel..      16.30         NA       8.10       2.34         NA      26.74        090
33822...............  ..............  A               Revise major vessel..      17.32         NA       8.59       2.67         NA      28.59        090
33824...............  ..............  A               Revise major vessel..      19.53         NA       9.68       2.88         NA      32.09        090
33840...............  ..............  A               Remove aorta               20.64         NA       9.97       2.15         NA      32.76        090
                                                       constriction.
33845...............  ..............  A               Remove aorta               22.13         NA      10.97       3.21         NA      36.31        090
                                                       constriction.
33851...............  ..............  A               Remove aorta               21.28         NA      10.39       3.17         NA      34.84        090
                                                       constriction.
33852...............  ..............  A               Repair septal defect.      23.72         NA      11.20       2.15         NA      37.07        090
33853...............  ..............  A               Repair septal defect.      31.73         NA      14.43       4.47         NA      50.63        090
33860...............  ..............  A               Ascending aortic           38.02         NA      16.03       5.74         NA      59.79        090
                                                       graft.
33861...............  ..............  A               Ascending aortic           42.02         NA      17.31       6.35         NA      65.68        090
                                                       graft.
33863...............  ..............  A               Ascending aortic           45.02         NA      18.24       6.57         NA      69.83        090
                                                       graft.
33870...............  ..............  A               Transverse aortic          44.02         NA      17.91       6.60         NA      68.53        090
                                                       arch graft.
33875...............  ..............  A               Thoracic aortic graft      33.08         NA      13.78       4.88         NA      51.73        090
33877...............  ..............  A               Thoracoabdominal           42.63         NA      16.01       5.92         NA      64.56        090
                                                       graft.
33910...............  ..............  A               Remove lung artery         24.60         NA      11.12       3.69         NA      39.41        090
                                                       emboli.
33915...............  ..............  A               Remove lung artery         21.03         NA       9.71       1.44         NA      32.18        090
                                                       emboli.
33916...............  ..............  A               Surgery of great           25.84         NA      11.10       3.66         NA      40.60        090
                                                       vessel.
33917...............  ..............  A               Repair pulmonary           24.51         NA      11.84       3.69         NA      40.04        090
                                                       artery.
33918...............  ..............  A               Repair pulmonary           26.46         NA      11.61       4.14         NA      42.21        090
                                                       atresia.
33919...............  ..............  A               Repair pulmonary           40.02         NA      17.47       5.95         NA      63.44        090
                                                       atresia.
33920...............  ..............  A               Repair pulmonary           31.96         NA      13.44       4.37         NA      49.77        090
                                                       atresia.
33922...............  ..............  A               Transect pulmonary         23.53         NA      10.87       3.09         NA      37.48        090
                                                       artery.
33924...............  ..............  A               Remove pulmonary            5.50         NA       1.79       0.82         NA       8.11        ZZZ
                                                       shunt.
33933...............  ..............  C               Prepare donor heart/        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       lung.
33935...............  ..............  R               Transplantation,           60.99         NA      27.47       9.03         NA      97.50        090
                                                       heart/lung.
33944...............  ..............  C               Prepare donor heart..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
33945...............  ..............  R               Transplantation of         42.12         NA      20.34       6.24         NA      68.70        090
                                                       heart.
33960...............  ..............  A               External circulation       19.37         NA       4.83       2.66         NA      26.86        000
                                                       assist.
33961...............  ..............  A               External circulation       10.93         NA       3.52       0.88         NA      15.33        ZZZ
                                                       assist.
33967...............  ..............  A               Insert ia percut            4.85         NA       1.91       0.35         NA       7.11        000
                                                       device.
33968...............  ..............  A               Remove aortic assist        0.64         NA       0.23       0.07         NA       0.94        000
                                                       device.
33970...............  ..............  A               Aortic circulation          6.75         NA       2.27       0.82         NA       9.84        000
                                                       assist.
33971...............  ..............  A               Aortic circulation          9.70         NA       6.06       1.25         NA      17.01        090
                                                       assist.
33973...............  ..............  A               Insert balloon device       9.77         NA       3.29       1.26         NA      14.32        000
33974...............  ..............  A               Remove intra-aortic        14.42         NA       7.94       1.73         NA      24.09        090
                                                       balloon.
33975...............  ..............  A               Implant ventricular        21.01         NA       6.15       3.06         NA      30.22        XXX
                                                       device.
33976...............  ..............  A               Implant ventricular        23.02         NA       7.41       3.25         NA      33.68        XXX
                                                       device.
33977...............  ..............  A               Remove ventricular         19.30         NA      10.77       2.80         NA      32.87        090
                                                       device.
33978...............  ..............  A               Remove ventricular         21.74         NA      11.54       3.30         NA      36.58        090
                                                       device.
33979...............  ..............  A               Insert intracorporeal      46.02         NA      14.63       6.95         NA      67.60        XXX
                                                       device.
33980...............  ..............  A               Remove intracorporeal      56.28         NA      24.71       8.56         NA      89.55        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          12.92         NA       6.54       1.84         NA      21.29        090
                                                       clot.
34051...............  ..............  A               Removal of artery          15.22         NA       7.62       2.20         NA      25.04        090
                                                       clot.

[[Page 45912]]

 
34101...............  ..............  A               Removal of artery          10.01         NA       5.21       1.41         NA      16.63        090
                                                       clot.
34111...............  ..............  A               Removal of arm artery      10.01         NA       5.24       1.40         NA      16.65        090
                                                       clot.
34151...............  ..............  A               Removal of artery          25.01         NA      10.17       3.55         NA      38.73        090
                                                       clot.
34201...............  ..............  A               Removal of artery          10.03         NA       5.25       1.45         NA      16.73        090
                                                       clot.
34203...............  ..............  A               Removal of leg artery      16.51         NA       7.83       2.35         NA      26.70        090
                                                       clot.
34401...............  ..............  A               Removal of vein clot.      25.01         NA      10.75       3.09         NA      38.85        090
34421...............  ..............  A               Removal of vein clot.      12.00         NA       6.19       1.55         NA      19.75        090
34451...............  ..............  A               Removal of vein clot.      27.01         NA      11.17       3.83         NA      42.02        090
34471...............  ..............  A               Removal of vein clot.      10.18         NA       5.27       1.18         NA      16.63        090
34490...............  ..............  A               Removal of vein clot.       9.87         NA       5.32       1.41         NA      16.60        090
34501...............  ..............  A               Repair valve, femoral      16.01         NA       8.30       2.34         NA      26.66        090
                                                       vein.
34502...............  ..............  A               Reconstruct vena cava      26.96         NA      12.14       3.62         NA      42.72        090
34510...............  ..............  A               Transposition of vein      18.96         NA       9.10       2.32         NA      30.37        090
                                                       valve.
34520...............  ..............  A               Cross-over vein graft      17.96         NA       8.32       2.28         NA      28.56        090
34530...............  ..............  A               Leg vein fusion......      16.65         NA       8.38       1.73         NA      26.77        090
34800...............  ..............  A               Endovas aaa repr w/sm      20.76         NA       9.00       2.45         NA      32.21        090
                                                       tube.
34802...............  ..............  A               Endovas aaa repr w/2-      23.02         NA       9.69       2.32         NA      35.03        090
                                                       p part.
34803...............  ..............  A               Endovas aaa repr w/3-      24.05         NA      10.04       2.00         NA      36.08        090
                                                       p part.
34804...............  ..............  A               Endovas aaa repr w/1-      23.02         NA       9.71       2.29         NA      35.02        090
                                                       p part.
34805...............  ..............  A               Endovas aaa repr w/        21.89         NA       9.29       2.00         NA      33.18        090
                                                       long tube.
34808...............  ..............  A               Endovas iliac a             4.13         NA       1.36       0.59         NA       6.08        ZZZ
                                                       device add-on.
34812...............  ..............  A               Xpose for endoprosth,       6.75         NA       2.18       1.18         NA      10.12        000
                                                       femorl.
34813...............  ..............  A               Femoral endovas graft       4.80         NA       1.54       0.67         NA       7.01        ZZZ
                                                       add-on.
34820...............  ..............  A               Xpose for endoprosth,       9.76         NA       3.16       1.50         NA      14.42        000
                                                       iliac.
34825...............  ..............  A               Endovasc extend            12.00         NA       6.06       1.28         NA      19.35        090
                                                       prosth, init.
34826...............  ..............  A               Endovasc exten              4.13         NA       1.36       0.44         NA       5.93        ZZZ
                                                       prosth, add'l.
34830...............  ..............  A               Open aortic tube           32.61         NA      13.30       4.54         NA      50.45        090
                                                       prosth repr.
34831...............  ..............  A               Open aortoiliac            35.36         NA      11.49       4.88         NA      51.73        090
                                                       prosth repr.
34832...............  ..............  A               Open aortofemor            35.36         NA      14.18       4.84         NA      54.38        090
                                                       prosth repr.
34833...............  ..............  A               Xpose for endoprosth,      12.00         NA       4.44       1.69         NA      18.14        000
                                                       iliac.
34834...............  ..............  A               Xpose, endoprosth,          5.35         NA       2.20       0.76         NA       8.31        000
                                                       brachial.
34900...............  ..............  A               Endovasc iliac repr w/     16.39         NA       7.46       1.99         NA      25.84        090
                                                       graft.
35001...............  ..............  A               Repair defect of           19.65         NA       9.25       2.80         NA      31.70        090
                                                       artery.
35002...............  ..............  A               Repair artery              21.01         NA       9.62       2.99         NA      33.62        090
                                                       rupture, neck.
35005...............  ..............  A               Repair defect of           18.13         NA       8.98       1.76         NA      28.87        090
                                                       artery.
35011...............  ..............  A               Repair defect of           18.01         NA       7.76       2.54         NA      28.31        090
                                                       artery.
35013...............  ..............  A               Repair artery              22.01         NA       9.41       3.09         NA      34.52        090
                                                       rupture, arm.
35021...............  ..............  A               Repair defect of           19.66         NA       9.21       2.86         NA      31.73        090
                                                       artery.
35022...............  ..............  A               Repair artery              23.20         NA       9.69       3.16         NA      36.05        090
                                                       rupture, chest.
35045...............  ..............  A               Repair defect of arm       17.58         NA       7.31       2.44         NA      27.33        090
                                                       artery.
35081...............  ..............  A               Repair defect of           28.03         NA      11.15       4.00         NA      43.18        090
                                                       artery.
35082...............  ..............  A               Repair artery              38.52         NA      14.91       5.42         NA      58.85        090
                                                       rupture, aorta.
35091...............  ..............  A               Repair defect of           35.42         NA      13.20       5.12         NA      53.74        090
                                                       artery.
35092...............  ..............  A               Repair artery              45.02         NA      17.18       6.38         NA      68.58        090
                                                       rupture, aorta.
35102...............  ..............  A               Repair defect of           30.77         NA      12.04       4.47         NA      47.28        090
                                                       artery.
35103...............  ..............  A               Repair artery              40.52         NA      15.45       5.74         NA      61.71        090
                                                       rupture, groin.
35111...............  ..............  A               Repair defect of           25.01         NA      10.22       3.46         NA      38.69        090
                                                       artery.
35112...............  ..............  A               Repair artery              30.02         NA      11.74       4.07         NA      45.83        090
                                                       rupture,spleen.
35121...............  ..............  A               Repair defect of           30.02         NA      12.04       4.29         NA      46.35        090
                                                       artery.
35122...............  ..............  A               Repair artery              35.02         NA      13.53       4.74         NA      53.29        090
                                                       rupture, belly.
35131...............  ..............  A               Repair defect of           25.01         NA      10.45       3.79         NA      39.25        090
                                                       artery.
35132...............  ..............  A               Repair artery              30.02         NA      12.07       4.29         NA      46.38        090
                                                       rupture, groin.
35141...............  ..............  A               Repair defect of           20.01         NA       8.64       2.89         NA      31.54        090
                                                       artery.
35142...............  ..............  A               Repair artery              23.32         NA      10.07       3.35         NA      36.73        090
                                                       rupture, thigh.
35151...............  ..............  A               Repair defect of           22.66         NA       9.70       3.23         NA      35.59        090
                                                       artery.
35152...............  ..............  A               Repair artery              25.63         NA      11.02       3.60         NA      40.25        090
                                                       rupture, knee.
35180...............  ..............  A               Repair blood vessel        13.63         NA       6.76       1.00         NA      21.39        090
                                                       lesion.
35182...............  ..............  A               Repair blood vessel        30.02         NA      12.67       4.35         NA      47.04        090
                                                       lesion.
35184...............  ..............  A               Repair blood vessel        18.01         NA       8.08       2.52         NA      28.60        090
                                                       lesion.
35188...............  ..............  A               Repair blood vessel        14.29         NA       7.41       2.15         NA      23.85        090
                                                       lesion.
35189...............  ..............  A               Repair blood vessel        28.02         NA      11.63       4.00         NA      43.65        090
                                                       lesion.
35190...............  ..............  A               Repair blood vessel        12.76         NA       6.29       1.79         NA      20.83        090
                                                       lesion.
35201...............  ..............  A               Repair blood vessel        16.15         NA       7.72       2.33         NA      26.20        090
                                                       lesion.
35206...............  ..............  A               Repair blood vessel        13.26         NA       6.37       1.86         NA      21.48        090
                                                       lesion.
35207...............  ..............  A               Repair blood vessel        10.15         NA       7.14       1.48         NA      18.77        090
                                                       lesion.
35211...............  ..............  A               Repair blood vessel        22.13         NA      10.31       3.19         NA      35.63        090
                                                       lesion.
35216...............  ..............  A               Repair blood vessel        18.76         NA       8.81       2.64         NA      30.21        090
                                                       lesion.
35221...............  ..............  A               Repair blood vessel        24.40         NA       9.73       3.36         NA      37.49        090
                                                       lesion.
35226...............  ..............  A               Repair blood vessel        14.51         NA       7.48       2.01         NA      24.00        090
                                                       lesion.
35231...............  ..............  A               Repair blood vessel        20.01         NA       9.46       2.88         NA      32.35        090
                                                       lesion.
35236...............  ..............  A               Repair blood vessel        17.11         NA       7.66       2.42         NA      27.19        090
                                                       lesion.
35241...............  ..............  A               Repair blood vessel        23.14         NA      10.80       3.52         NA      37.46        090
                                                       lesion.
35246...............  ..............  A               Repair blood vessel        26.46         NA      11.26       3.85         NA      41.58        090
                                                       lesion.
35251...............  ..............  A               Repair blood vessel        30.21         NA      11.57       4.12         NA      45.90        090
                                                       lesion.

[[Page 45913]]

 
35256...............  ..............  A               Repair blood vessel        18.37         NA       8.09       2.62         NA      29.08        090
                                                       lesion.
35261...............  ..............  A               Repair blood vessel        17.81         NA       7.90       2.60         NA      28.31        090
                                                       lesion.
35266...............  ..............  A               Repair blood vessel        14.92         NA       6.83       2.09         NA      23.84        090
                                                       lesion.
35271...............  ..............  A               Repair blood vessel        22.13         NA      10.20       3.15         NA      35.48        090
                                                       lesion.
35276...............  ..............  A               Repair blood vessel        24.26         NA      10.98       3.48         NA      38.72        090
                                                       lesion.
35281...............  ..............  A               Repair blood vessel        28.02         NA      11.44       3.96         NA      43.42        090
                                                       lesion.
35286...............  ..............  A               Repair blood vessel        16.17         NA       7.82       2.34         NA      26.34        090
                                                       lesion.
35301...............  ..............  A               Rechanneling of            18.71         NA       8.19       2.67         NA      29.56        090
                                                       artery.
35311...............  ..............  A               Rechanneling of            27.01         NA      11.26       3.41         NA      41.69        090
                                                       artery.
35321...............  ..............  A               Rechanneling of            16.01         NA       7.16       2.24         NA      25.41        090
                                                       artery.
35331...............  ..............  A               Rechanneling of            26.21         NA      10.90       3.82         NA      40.93        090
                                                       artery.
35341...............  ..............  A               Rechanneling of            25.12         NA      10.55       3.77         NA      39.44        090
                                                       artery.
35351...............  ..............  A               Rechanneling of            23.02         NA       9.34       3.34         NA      35.69        090
                                                       artery.
35355...............  ..............  A               Rechanneling of            18.51         NA       7.87       2.66         NA      29.04        090
                                                       artery.
35361...............  ..............  A               Rechanneling of            28.22         NA      11.40       4.14         NA      43.75        090
                                                       artery.
35363...............  ..............  A               Rechanneling of            30.21         NA      12.24       4.32         NA      46.77        090
                                                       artery.
35371...............  ..............  A               Rechanneling of            14.73         NA       6.75       2.13         NA      23.61        090
                                                       artery.
35372...............  ..............  A               Rechanneling of            18.01         NA       7.81       2.62         NA      28.44        090
                                                       artery.
35381...............  ..............  A               Rechanneling of            15.82         NA       7.58       2.25         NA      25.65        090
                                                       artery.
35390...............  ..............  A               Reoperation, carotid        3.20         NA       1.04       0.46         NA       4.69        ZZZ
                                                       add-on.
35400...............  ..............  A               Angioscopy...........       3.01         NA       1.08       0.43         NA       4.52        ZZZ
35450...............  ..............  A               Repair arterial            10.07         NA       3.53       1.25         NA      14.85        000
                                                       blockage.
35452...............  ..............  A               Repair arterial             6.91         NA       2.54       0.94         NA      10.40        000
                                                       blockage.
35454...............  ..............  A               Repair arterial             6.04         NA       2.26       0.87         NA       9.17        000
                                                       blockage.
35456...............  ..............  A               Repair arterial             7.35         NA       2.70       1.04         NA      11.10        000
                                                       blockage.
35458...............  ..............  A               Repair arterial             9.50         NA       3.38       1.26         NA      14.14        000
                                                       blockage.
35459...............  ..............  A               Repair arterial             8.64         NA       3.10       1.21         NA      12.95        000
                                                       blockage.
35460...............  ..............  A               Repair venous               6.04         NA       2.22       0.83         NA       9.09        000
                                                       blockage.
35470...............  ..............  A               Repair arterial             8.64      87.06       3.50       0.69      96.39      12.82        000
                                                       blockage.
35471...............  ..............  A               Repair arterial            10.07      97.32       4.16       0.67     108.06      14.90        000
                                                       blockage.
35472...............  ..............  A               Repair arterial             6.91      63.69       2.86       0.58      71.19      10.36        000
                                                       blockage.
35473...............  ..............  A               Repair arterial             6.04      59.64       2.53       0.51      66.20       9.08        000
                                                       blockage.
35474...............  ..............  A               Repair arterial             7.36      85.82       3.03       0.57      93.76      10.96        000
                                                       blockage.
35475...............  ..............  R               Repair arterial             9.50      57.78       3.73       0.62      67.90      13.85        000
                                                       blockage.
35476...............  ..............  A               Repair venous               6.04      45.66       2.47       0.34      52.04       8.85        000
                                                       blockage.
35480...............  ..............  A               Atherectomy, open....      11.08         NA       4.00       1.28         NA      16.36        000
35481...............  ..............  A               Atherectomy, open....       7.62         NA       2.83       1.13         NA      11.58        000
35482...............  ..............  A               Atherectomy, open....       6.65         NA       2.54       0.89         NA      10.08        000
35483...............  ..............  A               Atherectomy, open....       8.11         NA       2.98       1.15         NA      12.24        000
35484...............  ..............  A               Atherectomy, open....      10.44         NA       3.69       1.27         NA      15.40        000
35485...............  ..............  A               Atherectomy, open....       9.50         NA       3.49       1.35         NA      14.34        000
35490...............  ..............  A               Atherectomy,               11.08         NA       4.92       0.71         NA      16.72        000
                                                       percutaneous.
35491...............  ..............  A               Atherectomy,                7.62         NA       3.37       0.74         NA      11.72        000
                                                       percutaneous.
35492...............  ..............  A               Atherectomy,                6.65         NA       3.29       0.43         NA      10.37        000
                                                       percutaneous.
35493...............  ..............  A               Atherectomy,                8.11         NA       3.99       0.56         NA      12.66        000
                                                       percutaneous.
35494...............  ..............  A               Atherectomy,               10.44         NA       4.70       0.59         NA      15.73        000
                                                       percutaneous.
35495...............  ..............  A               Atherectomy,                9.50         NA       4.63       0.69         NA      14.82        000
                                                       percutaneous.
35500...............  ..............  A               Harvest vein for            6.45         NA       1.97       0.93         NA       9.35        ZZZ
                                                       bypass.
35501...............  ..............  A               Artery bypass graft..      19.20         NA       8.16       2.80         NA      30.16        090
35506...............  ..............  A               Artery bypass graft..      19.68         NA       9.16       2.86         NA      31.70        090
35507...............  ..............  A               Artery bypass graft..      19.68         NA       9.10       2.84         NA      31.62        090
35508...............  ..............  A               Artery bypass graft..      18.66         NA       9.26       2.77         NA      30.68        090
35509...............  ..............  A               Artery bypass graft..      18.08         NA       8.46       2.61         NA      29.14        090
35510...............  ..............  A               Artery bypass graft..      23.02         NA      10.15       2.11         NA      35.27        090
35511...............  ..............  A               Artery bypass graft..      21.21         NA       9.12       2.90         NA      33.23        090
35512...............  ..............  A               Artery bypass graft..      22.51         NA       9.96       2.11         NA      34.58        090
35515...............  ..............  A               Artery bypass graft..      18.66         NA       9.19       2.77         NA      30.61        090
35516...............  ..............  A               Artery bypass graft..      16.33         NA       6.58       2.33         NA      25.25        090
35518...............  ..............  A               Artery bypass graft..      21.21         NA       8.73       3.02         NA      32.97        090
35521...............  ..............  A               Artery bypass graft..      22.21         NA       9.54       3.12         NA      34.88        090
35522...............  ..............  A               Artery bypass graft..      21.77         NA       9.61       2.11         NA      33.50        090
35525...............  ..............  A               Artery bypass graft..      20.64         NA       9.13       2.11         NA      31.88        090
35526...............  ..............  A               Artery bypass graft..      29.97         NA      12.27       3.62         NA      45.86        090
35531...............  ..............  A               Artery bypass graft..      36.22         NA      14.08       5.16         NA      55.47        090
35533...............  ..............  A               Artery bypass graft..      28.02         NA      11.43       3.84         NA      43.28        090
35536...............  ..............  A               Artery bypass graft..      31.71         NA      12.60       4.61         NA      48.93        090
35541...............  ..............  A               Artery bypass graft..      25.81         NA      10.90       3.70         NA      40.41        090
35546...............  ..............  A               Artery bypass graft..      25.55         NA      10.58       3.69         NA      39.82        090
35548...............  ..............  A               Artery bypass graft..      21.58         NA       9.19       2.97         NA      33.74        090
35549...............  ..............  A               Artery bypass graft..      23.36         NA      10.07       3.29         NA      36.72        090
35551...............  ..............  A               Artery bypass graft..      26.68         NA      11.14       3.74         NA      41.57        090
35556...............  ..............  A               Artery bypass graft..      21.77         NA       9.44       3.09         NA      34.30        090
35558...............  ..............  A               Artery bypass graft..      21.21         NA       9.28       2.99         NA      33.48        090
35560...............  ..............  A               Artery bypass graft..      32.01         NA      12.93       4.74         NA      49.68        090

[[Page 45914]]

 
35563...............  ..............  A               Artery bypass graft..      24.21         NA      10.24       3.51         NA      37.95        090
35565...............  ..............  A               Artery bypass graft..      23.22         NA       9.85       3.29         NA      36.36        090
35566...............  ..............  A               Artery bypass graft..      26.93         NA      11.05       3.82         NA      41.81        090
35571...............  ..............  A               Artery bypass graft..      24.07         NA      10.52       3.42         NA      38.01        090
35572...............  ..............  A               Harvest                     6.82         NA       2.20       0.99         NA      10.02        ZZZ
                                                       femoropopliteal vein.
35583...............  ..............  A               Vein bypass graft....      22.38         NA       9.86       3.16         NA      35.41        090
35585...............  ..............  A               Vein bypass graft....      28.41         NA      11.88       4.01         NA      44.30        090
35587...............  ..............  A               Vein bypass graft....      24.76         NA      11.12       3.51         NA      39.39        090
35600...............  ..............  A               Harvest artery for          4.95         NA       1.59       0.73         NA       7.27        ZZZ
                                                       cabg.
35601...............  ..............  A               Artery bypass graft..      17.50         NA       8.32       2.49         NA      28.31        090
35606...............  ..............  A               Artery bypass graft..      18.72         NA       8.71       2.69         NA      30.12        090
35612...............  ..............  A               Artery bypass graft..      15.77         NA       7.64       2.08         NA      25.49        090
35616...............  ..............  A               Artery bypass graft..      15.71         NA       7.81       2.19         NA      25.71        090
35621...............  ..............  A               Artery bypass graft..      20.01         NA       8.42       2.91         NA      31.34        090
35623...............  ..............  A               Bypass graft, not          24.01         NA      10.18       3.45         NA      37.63        090
                                                       vein.
35626...............  ..............  A               Artery bypass graft..      27.77         NA      11.71       4.07         NA      43.54        090
35631...............  ..............  A               Artery bypass graft..      34.02         NA      13.43       4.95         NA      52.40        090
35636...............  ..............  A               Artery bypass graft..      29.52         NA      12.07       4.09         NA      45.68        090
35641...............  ..............  A               Artery bypass graft..      24.58         NA      10.71       3.53         NA      38.82        090
35642...............  ..............  A               Artery bypass graft..      17.99         NA       8.74       2.27         NA      28.99        090
35645...............  ..............  A               Artery bypass graft..      17.47         NA       8.09       2.49         NA      28.06        090
35646...............  ..............  A               Artery bypass graft..      31.01         NA      12.72       4.43         NA      48.16        090
35647...............  ..............  A               Artery bypass graft..      28.02         NA      11.42       3.98         NA      43.42        090
35650...............  ..............  A               Artery bypass graft..      19.01         NA       8.12       2.71         NA      29.84        090
35651...............  ..............  A               Artery bypass graft..      25.05         NA      10.43       3.35         NA      38.83        090
35654...............  ..............  A               Artery bypass graft..      25.01         NA      10.36       3.52         NA      38.89        090
35656...............  ..............  A               Artery bypass graft..      19.54         NA       8.36       2.79         NA      30.69        090
35661...............  ..............  A               Artery bypass graft..      19.01         NA       8.66       2.71         NA      30.38        090
35663...............  ..............  A               Artery bypass graft..      22.01         NA       9.68       3.10         NA      34.80        090
35665...............  ..............  A               Artery bypass graft..      21.01         NA       9.17       3.00         NA      33.18        090
35666...............  ..............  A               Artery bypass graft..      22.20         NA      10.32       3.15         NA      35.67        090
35671...............  ..............  A               Artery bypass graft..      19.34         NA       9.08       2.77         NA      31.19        090
35681...............  ..............  A               Composite bypass            1.60         NA       0.52       0.23         NA       2.35        ZZZ
                                                       graft.
35682...............  ..............  A               Composite bypass            7.20         NA       2.32       1.03         NA      10.56        ZZZ
                                                       graft.
35683...............  ..............  A               Composite bypass            8.51         NA       2.75       1.20         NA      12.46        ZZZ
                                                       graft.
35685...............  ..............  A               Bypass graft patency/       4.05         NA       1.34       0.58         NA       5.96        ZZZ
                                                       patch.
35686...............  ..............  A               Bypass graft/av fist        3.35         NA       1.12       0.47         NA       4.94        ZZZ
                                                       patency.
35691...............  ..............  A               Arterial                   18.06         NA       8.16       2.58         NA      28.79        090
                                                       transposition.
35693...............  ..............  A               Arterial                   15.37         NA       7.60       2.21         NA      25.18        090
                                                       transposition.
35694...............  ..............  A               Arterial                   19.17         NA       8.36       2.69         NA      30.22        090
                                                       transposition.
35695...............  ..............  A               Arterial                   19.17         NA       8.30       2.73         NA      30.20        090
                                                       transposition.
35697...............  ..............  A               Reimplant artery each       3.01         NA       1.00       0.41         NA       4.42        ZZZ
35700...............  ..............  A               Reoperation, bypass         3.09         NA       1.00       0.44         NA       4.52        ZZZ
                                                       graft.
35701...............  ..............  A               Exploration, carotid        8.51         NA       5.00       1.12         NA      14.63        090
                                                       artery.
35721...............  ..............  A               Exploration, femoral        7.18         NA       4.28       1.03         NA      12.49        090
                                                       artery.
35741...............  ..............  A               Exploration popliteal       8.01         NA       4.53       1.12         NA      13.65        090
                                                       artery.
35761...............  ..............  A               Exploration of artery/      5.37         NA       3.89       0.75         NA      10.01        090
                                                       vein.
35800...............  ..............  A               Explore neck vessels.       7.02         NA       4.49       0.95         NA      12.47        090
35820...............  ..............  A               Explore chest vessels      12.89         NA       7.01       1.94         NA      21.84        090
35840...............  ..............  A               Explore abdominal           9.78         NA       5.16       1.34         NA      16.28        090
                                                       vessels.
35860...............  ..............  A               Explore limb vessels.       5.55         NA       3.90       0.78         NA      10.23        090
35870...............  ..............  A               Repair vessel graft        22.18         NA       9.48       3.00         NA      34.67        090
                                                       defect.
35875...............  ..............  A               Removal of clot in         10.13         NA       5.10       1.41         NA      16.64        090
                                                       graft.
35876...............  ..............  A               Removal of clot in         17.00         NA       7.33       2.39         NA      26.72        090
                                                       graft.
35879...............  ..............  A               Revise graft w/vein..      16.01         NA       7.48       2.27         NA      25.76        090
35881...............  ..............  A               Revise graft w/vein..      18.01         NA       8.43       2.55         NA      28.99        090
35901...............  ..............  A               Excision, graft, neck       8.20         NA       5.13       1.15         NA      14.48        090
35903...............  ..............  A               Excision, graft,            9.40         NA       5.97       1.30         NA      16.67        090
                                                       extremity.
35905...............  ..............  A               Excision, graft,           31.26         NA      12.78       4.43         NA      48.47        090
                                                       thorax.
35907...............  ..............  A               Excision, graft,           35.02         NA      13.79       4.91         NA      53.71        090
                                                       abdomen.
36000...............  ..............  A               Place needle in vein.       0.18       0.56       0.05       0.01       0.75       0.24        XXX
36002...............  ..............  A               Pseudoaneurysm              1.96       2.77       1.00       0.17       4.90       3.13        000
                                                       injection trt.
36005...............  ..............  A               Injection ext               0.95       8.00       0.33       0.05       9.00       1.33        000
                                                       venography.
36010...............  ..............  A               Place catheter in           2.43      18.12       0.80       0.20      20.76       3.44        XXX
                                                       vein.
36011...............  ..............  A               Place catheter in           3.15      27.36       1.09       0.27      30.78       4.51        XXX
                                                       vein.
36012...............  ..............  A               Place catheter in           3.52      20.90       1.26       0.23      24.64       5.00        XXX
                                                       vein.
36013...............  ..............  A               Place catheter in           2.53      20.81       0.69       0.25      23.58       3.46        XXX
                                                       artery.
36014...............  ..............  A               Place catheter in           3.03      20.65       1.09       0.19      23.86       4.31        XXX
                                                       artery.
36015...............  ..............  A               Place catheter in           3.52      23.90       1.26       0.21      27.63       4.98        XXX
                                                       artery.
36100...............  ..............  A               Establish access to         3.03      12.20       1.14       0.26      15.49       4.43        XXX
                                                       artery.
36120...............  ..............  A               Establish access to         2.01      10.97       0.67       0.14      13.13       2.83        XXX
                                                       artery.
36140...............  ..............  A               Establish access to         2.01      12.60       0.66       0.16      14.77       2.83        XXX
                                                       artery.
36145...............  ..............  A               Artery to vein shunt.       2.01      12.69       0.69       0.11      14.81       2.82        XXX
36160...............  ..............  A               Establish access to         2.53      13.15       0.85       0.26      15.93       3.63        XXX
                                                       aorta.

[[Page 45915]]

 
36200...............  ..............  A               Place catheter in           3.03      16.72       1.06       0.24      19.99       4.33        XXX
                                                       aorta.
36215...............  ..............  A               Place catheter in           4.68      27.47       1.69       0.27      32.42       6.64        XXX
                                                       artery.
36216...............  ..............  A               Place catheter in           5.28      29.85       1.88       0.31      35.44       7.47        XXX
                                                       artery.
36217...............  ..............  A               Place catheter in           6.30      55.46       2.28       0.44      62.20       9.02        XXX
                                                       artery.
36218...............  ..............  A               Place catheter in           1.01       5.04       0.36       0.07       6.12       1.44        ZZZ
                                                       artery.
36245...............  ..............  A               Place catheter in           4.68      32.95       1.76       0.31      37.94       6.75        XXX
                                                       artery.
36246...............  ..............  A               Place catheter in           5.28      30.80       1.91       0.38      36.46       7.57        XXX
                                                       artery.
36247...............  ..............  A               Place catheter in           6.30      50.01       2.25       0.47      56.79       9.02        XXX
                                                       artery.
36248...............  ..............  A               Place catheter in           1.01       4.05       0.36       0.07       5.13       1.44        ZZZ
                                                       artery.
36260...............  ..............  A               Insertion of infusion       9.72         NA       4.82       1.29         NA      15.83        090
                                                       pump.
36261...............  ..............  A               Revision of infusion        5.45         NA       3.59       0.70         NA       9.75        090
                                                       pump.
36262...............  ..............  A               Removal of infusion         4.02         NA       2.71       0.54         NA       7.27        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       0.03       0.70       0.50        XXX
                                                       jugular.
36405...............  ..............  A               Bl draw < 3 yrs scalp       0.31       0.26       0.08       0.03       0.60       0.42        XXX
                                                       vein.
36406...............  ..............  A               Bl draw < 3 yrs other       0.18       0.28       0.05       0.01       0.47       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.
36416...............  ..............  B               Capillary blood draw.       0.00       0.00       0.00       0.00       0.00       0.00        XXX
36420...............  ..............  A               Vein access cutdown <       1.01         NA       0.27       0.07         NA       1.35        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       0.96         NA       0.06       1.02         NA        XXX
                                                       service.
36440...............  ..............  A               Bl push transfuse, 2        1.03         NA       0.28       0.10         NA       1.42        XXX
                                                       yr or <.
36450...............  ..............  A               Bl exchange/                2.23         NA       0.69       0.21         NA       3.14        XXX
                                                       transfuse, nb.
36455...............  ..............  A               Bl exchange/transfuse       2.43         NA       0.98       0.15         NA       3.57        XXX
                                                       non-nb.
36460...............  ..............  A               Transfusion service,        6.59         NA       2.18       0.79         NA       9.57        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       2.62       0.76       0.12       3.83       1.97        010
                                                       vein.
36471...............  ..............  A               Injection therapy of        1.57       2.99       0.95       0.19       4.75       2.71        010
                                                       veins.
36475...............  ..............  A               Endovenous rf, 1st          6.73      48.94       2.56       0.37      56.05       9.67        000
                                                       vein.
36476...............  ..............  A               Endovenous rf, vein         3.39       7.59       1.16       0.18      11.15       4.72        ZZZ
                                                       add-on.
36478...............  ..............  A               Endovenous laser, 1st       6.73      44.54       2.56       0.37      51.64       9.67        000
                                                       vein.
36479...............  ..............  A               Endovenous laser vein       3.39       7.69       1.16       0.18      11.26       4.72        ZZZ
                                                       add-on.
36481...............  ..............  A               Insertion of                6.99         NA       2.68       0.55         NA      10.22        000
                                                       catheter, vein.
36500...............  ..............  A               Insertion of                3.52         NA       1.39       0.20         NA       5.11        000
                                                       catheter, vein.
36510...............  ..............  A               Insertion of                1.09       3.44       0.56       0.10       4.63       1.75        000
                                                       catheter, vein.
36511...............  ..............  A               Apheresis wbc........       1.74         NA       0.71       0.08         NA       2.53        000
36512...............  ..............  A               Apheresis rbc........       1.74         NA       0.72       0.08         NA       2.54        000
36513...............  ..............  A               Apheresis platelets..       1.74         NA       0.71       0.17         NA       2.62        000
36514...............  ..............  A               Apheresis plasma.....       1.74      15.88       0.69       0.08      17.70       2.52        000
36515...............  ..............  A               Apheresis, adsorp/          1.74      62.05       0.65       0.08      63.87       2.47        000
                                                       reinfuse.
36516...............  ..............  A               Apheresis, selective.       1.22      76.84       0.47       0.08      78.15       1.77        000
36522...............  ..............  A               Photopheresis........       1.67      32.02       1.04       0.13      33.83       2.85        000
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       0.38         NA       0.37       0.75         NA        XXX
                                                       device.
36555...............  ..............  A               Insert non-tunnel cv        2.69       5.43       0.79       0.11       8.22       3.58        000
                                                       cath.
36556...............  ..............  A               Insert non-tunnel cv        2.51       5.21       0.72       0.19       7.91       3.42        000
                                                       cath.
36557...............  ..............  A               Insert tunneled cv          5.10      20.41       2.67       0.57      26.08       8.34        010
                                                       cath.
36558...............  ..............  A               Insert tunneled cv          4.80      20.32       2.61       0.57      25.69       7.97        010
                                                       cath.
36560...............  ..............  A               Insert tunneled cv          6.25      28.86       3.04       0.57      35.68       9.87        010
                                                       cath.
36561...............  ..............  A               Insert tunneled cv          6.00      28.25       2.93       0.57      34.82       9.50        010
                                                       cath.
36563...............  ..............  A               Insert tunneled cv          6.20      24.94       2.90       0.84      31.99       9.95        010
                                                       cath.
36565...............  ..............  A               Insert tunneled cv          6.00      24.32       2.91       0.57      30.89       9.48        010
                                                       cath.
36566...............  ..............  A               Insert tunneled cv          6.50      24.65       3.04       0.57      31.72      10.12        010
                                                       cath.
36568...............  ..............  A               Insert picc cath.....       1.92       7.06       0.60       0.11       9.10       2.64        000
36569...............  ..............  A               Insert picc cath.....       1.82       7.26       0.62       0.19       9.27       2.63        000
36570...............  ..............  A               Insert picvad cath...       5.32      31.95       2.74       0.57      37.84       8.63        010
36571...............  ..............  A               Insert picvad cath...       5.30      31.47       2.71       0.57      37.34       8.58        010
36575...............  ..............  A               Repair tunneled cv          0.67       4.06       0.27       0.20       4.93       1.14        000
                                                       cath.
36576...............  ..............  A               Repair tunneled cv          3.20       6.61       1.84       0.19      10.00       5.23        010
                                                       cath.
36578...............  ..............  A               Replace tunneled cv         3.50      11.13       2.34       0.19      14.82       6.03        010
                                                       cath.
36580...............  ..............  A               Replace cvad cath....       1.31       6.63       0.43       0.19       8.13       1.93        000
36581...............  ..............  A               Replace tunneled cv         3.44      19.51       1.98       0.19      23.13       5.61        010
                                                       cath.
36582...............  ..............  A               Replace tunneled cv         5.20      26.90       2.91       0.19      32.29       8.30        010
                                                       cath.
36583...............  ..............  A               Replace tunneled cv         5.25      26.86       2.99       0.19      32.30       8.43        010
                                                       cath.
36584...............  ..............  A               Replace picc cath....       1.20       6.64       0.61       0.19       8.04       2.00        000
36585...............  ..............  A               Replace picvad cath..       4.80      28.57       2.80       0.19      33.56       7.79        010
36589...............  ..............  A               Removal tunneled cv         2.27       2.16       1.41       0.24       4.68       3.92        010
                                                       cath.
36590...............  ..............  A               Removal tunneled cv         3.31       3.35       1.72       0.44       7.10       5.46        010
                                                       cath.
36595...............  ..............  A               Mech remov tunneled         3.60      16.43       1.51       0.21      20.23       5.32        000
                                                       cv cath.
36596...............  ..............  A               Mech remov tunneled         0.75       3.62       0.52       0.05       4.43       1.32        000
                                                       cv cath.
36597...............  ..............  A               Reposition venous           1.21       2.44       0.46       0.07       3.72       1.74        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       0.23       0.07         NA       1.45        000
                                                       artery.

[[Page 45916]]

 
36625...............  ..............  A               Insertion catheter,         2.11         NA       0.52       0.26         NA       2.89        000
                                                       artery.
36640...............  ..............  A               Insertion catheter,         2.10         NA       1.02       0.21         NA       3.34        000
                                                       artery.
36660...............  ..............  A               Insertion catheter,         1.40         NA       0.43       0.14         NA       1.97        000
                                                       artery.
36680...............  ..............  A               Insert needle, bone         1.20         NA       0.49       0.11         NA       1.81        000
                                                       cavity.
36800...............  ..............  A               Insertion of cannula.       2.43         NA       1.76       0.25         NA       4.44        000
36810...............  ..............  A               Insertion of cannula.       3.97         NA       1.67       0.45         NA       6.09        000
36815...............  ..............  A               Insertion of cannula.       2.63         NA       1.14       0.35         NA       4.12        000
36818...............  ..............  A               Av fuse, uppr arm,         11.54         NA       6.06       1.89         NA      19.49        090
                                                       cephalic.
36819...............  ..............  A               Av fuse, uppr arm,         14.01         NA       6.20       1.95         NA      22.16        090
                                                       basilic.
36820...............  ..............  A               Av fusion/forearm          14.01         NA       6.21       1.94         NA      22.16        090
                                                       vein.
36821...............  ..............  A               Av fusion direct any        8.94         NA       4.55       1.23         NA      14.71        090
                                                       site.
36822...............  ..............  A               Insertion of                5.42         NA       4.32       0.79         NA      10.53        090
                                                       cannula(s).
36823...............  ..............  A               Insertion of               21.01         NA       9.19       2.88         NA      33.09        090
                                                       cannula(s).
36825...............  ..............  A               Artery-vein autograft       9.85         NA       4.92       1.35         NA      16.12        090
36830...............  ..............  A               Artery-vein                12.00         NA       5.10       1.66         NA      18.77        090
                                                       nonautograft.
36831...............  ..............  A               Open thrombect av           8.01         NA       3.88       1.09         NA      12.98        090
                                                       fistula.
36832...............  ..............  A               Av fistula revision,       10.50         NA       4.62       1.44         NA      16.56        090
                                                       open.
36833...............  ..............  A               Av fistula revision..      11.95         NA       5.08       1.65         NA      18.68        090
36834...............  ..............  A               Repair A-V aneurysm..       9.94         NA       4.67       1.37         NA      15.98        090
36835...............  ..............  A               Artery to vein shunt.       7.15         NA       4.23       0.98         NA      12.37        090
36838...............  ..............  A               Dist revas ligation,       20.64         NA       9.21       3.01         NA      32.86        090
                                                       hemo.
36860...............  ..............  A               External cannula            2.01       2.26       0.70       0.11       4.38       2.82        000
                                                       declotting.
36861...............  ..............  A               Cannula declotting...       2.53         NA       1.54       0.27         NA       4.33        000
36870...............  ..............  A               Percut thrombect av         5.16      52.60       3.30       0.29      58.05       8.75        090
                                                       fistula.
37140...............  ..............  A               Revision of                23.61         NA      10.93       2.01         NA      36.54        090
                                                       circulation.
37145...............  ..............  A               Revision of                24.62         NA      10.73       3.25         NA      38.60        090
                                                       circulation.
37160...............  ..............  A               Revision of                21.61         NA       9.10       2.81         NA      33.52        090
                                                       circulation.
37180...............  ..............  A               Revision of                24.62         NA      10.06       3.34         NA      38.02        090
                                                       circulation.
37181...............  ..............  A               Splice spleen/kidney       26.69         NA      10.89       3.40         NA      40.98        090
                                                       veins.
37182...............  ..............  A               Insert hepatic shunt       17.00         NA       6.37       1.00         NA      24.37        000
                                                       (tips).
37183...............  ..............  A               Remove hepatic shunt        8.01         NA       3.16       0.47         NA      11.63        000
                                                       (tips).
37195...............  ..............  C               Thrombolytic therapy,       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       stroke.
37200...............  ..............  A               Transcatheter biopsy.       4.56         NA       1.58       0.27         NA       6.41        000
37201...............  ..............  A               Transcatheter therapy       5.00         NA       2.67       0.33         NA       8.00        000
                                                       infuse.
37202...............  ..............  A               Transcatheter therapy       5.68         NA       3.25       0.43         NA       9.36        000
                                                       infuse.
37203...............  ..............  A               Transcatheter               5.03      33.96       2.14       0.29      39.28       7.46        000
                                                       retrieval.
37204...............  ..............  A               Transcatheter              18.15         NA       6.22       1.48         NA      25.84        000
                                                       occlusion.
37205...............  ..............  A               Transcath iv stent,         8.29         NA       3.95       0.60         NA      12.84        000
                                                       percut.
37206...............  ..............  A               Transcath iv stent/         4.13         NA       1.50       0.31         NA       5.94        ZZZ
                                                       perc addl.
37207...............  ..............  A               Transcath iv stent,         8.29         NA       3.10       1.17         NA      12.56        000
                                                       open.
37208...............  ..............  A               Transcath iv stent/         4.13         NA       1.36       0.59         NA       6.08        ZZZ
                                                       open addl.
37209...............  ..............  A               Exchange arterial           2.27         NA       0.78       0.15         NA       3.21        000
                                                       catheter.
37215...............  ..............  R               Transcath stent, cca       18.75         NA       9.55       1.09         NA      29.39        090
                                                       w/eps.
37216...............  ..............  R               Transcath stent, cca       18.02         NA       9.26       1.04         NA      28.31        090
                                                       w/o eps.
37250...............  ..............  A               Iv us first vessel          2.10         NA       0.76       0.21         NA       3.08        ZZZ
                                                       add-on.
37251...............  ..............  A               Iv us each add vessel       1.60         NA       0.55       0.19         NA       2.35        ZZZ
                                                       add-on.
37500...............  ..............  A               Endoscopy ligate perf      11.00         NA       6.76       1.54         NA      19.30        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      10.88         NA       5.51       1.33         NA      17.72        090
37600...............  ..............  A               Ligation of neck           11.25         NA       6.44       1.41         NA      19.11        090
                                                       artery.
37605...............  ..............  A               Ligation of neck           13.12         NA       6.74       1.98         NA      21.84        090
                                                       artery.
37606...............  ..............  A               Ligation of neck            6.28         NA       4.46       1.23         NA      11.97        090
                                                       artery.
37607...............  ..............  A               Ligation of a-v             6.16         NA       3.48       0.85         NA      10.49        090
                                                       fistula.
37609...............  ..............  A               Temporal artery             3.01       4.38       1.93       0.36       7.75       5.29        010
                                                       procedure.
37615...............  ..............  A               Ligation of neck            5.73         NA       4.00       0.68         NA      10.41        090
                                                       artery.
37616...............  ..............  A               Ligation of chest          16.50         NA       7.92       2.32         NA      26.74        090
                                                       artery.
37617...............  ..............  A               Ligation of abdomen        22.07         NA       9.00       2.97         NA      34.05        090
                                                       artery.
37618...............  ..............  A               Ligation of extremity       4.84         NA       3.50       0.67         NA       9.01        090
                                                       artery.
37620...............  ..............  A               Revision of major          10.56         NA       5.83       0.91         NA      17.30        090
                                                       vein.
37650...............  ..............  A               Revision of major           7.81         NA       4.55       1.01         NA      13.36        090
                                                       vein.
37660...............  ..............  A               Revision of major          21.01         NA       8.86       2.48         NA      32.35        090
                                                       vein.
37700...............  ..............  A               Revise leg vein......       3.73         NA       2.73       0.53         NA       6.99        090
37720...............  ..............  A               Removal of leg vein..       5.66         NA       3.62       0.80         NA      10.08        090
37730...............  ..............  A               Removal of leg veins.       7.33         NA       4.20       1.04         NA      12.57        090
37735...............  ..............  A               Removal of leg veins/      10.53         NA       5.36       1.48         NA      17.37        090
                                                       lesion.
37760...............  ..............  A               Ligation, leg veins,       10.47         NA       5.22       1.44         NA      17.13        090
                                                       open.
37765...............  ..............  A               Phleb veins - extrem -      7.35         NA       4.46       0.48         NA      12.30        090
                                                        to 20.
37766...............  ..............  A               Phleb veins - extrem        9.31         NA       5.18       0.48         NA      14.97        090
                                                       20+.
37780...............  ..............  A               Revision of leg vein.       3.84         NA       2.79       0.53         NA       7.15        090
37785...............  ..............  A               Ligate/divide/excise        3.84       5.13       2.67       0.54       9.51       7.05        090
                                                       vein.
37788...............  ..............  A               Revascularization,         22.02         NA      10.13       2.25         NA      34.40        090
                                                       penis.
37790...............  ..............  A               Penile venous               8.35         NA       4.76       0.59         NA      13.70        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,         14.51         NA       6.10       1.91         NA      22.52        090
                                                       total.

[[Page 45917]]

 
38101...............  ..............  A               Removal of spleen,         15.32         NA       6.48       2.04         NA      23.84        090
                                                       partial.
38102...............  ..............  A               Removal of spleen,          4.80         NA       1.61       0.63         NA       7.04        ZZZ
                                                       total.
38115...............  ..............  A               Repair of ruptured         15.83         NA       6.57       2.08         NA      24.48        090
                                                       spleen.
38120...............  ..............  A               Laparoscopy,               17.00         NA       7.30       2.24         NA      26.55        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        2.65         NA       0.93       0.14         NA       3.72        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       0.65       0.07         NA       2.22        000
                                                       stem cells.
38206...............  ..............  R               Harvest auto stem           1.50         NA       0.65       0.07         NA       2.22        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       3.52       0.51       0.05       4.66       1.64        XXX
                                                       aspiration.
38221...............  ..............  A               Bone marrow biopsy...       1.37       3.73       0.63       0.07       5.17       2.07        XXX
38230...............  ..............  R               Bone marrow                 4.54         NA       3.13       0.48         NA       8.15        010
                                                       collection.
38240...............  ..............  R               Bone marrow/stem            2.24         NA       1.00       0.11         NA       3.35        XXX
                                                       transplant.
38241...............  ..............  R               Bone marrow/stem            2.24         NA       1.01       0.11         NA       3.36        XXX
                                                       transplant.
38242...............  ..............  A               Lymphocyte infuse           1.71         NA       0.76       0.08         NA       2.55        000
                                                       transplant.
38300...............  ..............  A               Drainage, lymph node        1.99       4.20       2.04       0.25       6.45       4.28        010
                                                       lesion.
38305...............  ..............  A               Drainage, lymph node        6.00         NA       4.41       0.88         NA      11.29        090
                                                       lesion.
38308...............  ..............  A               Incision of lymph           6.45         NA       3.68       0.85         NA      10.99        090
                                                       channels.
38380...............  ..............  A               Thoracic duct               7.46         NA       5.54       0.74         NA      13.75        090
                                                       procedure.
38381...............  ..............  A               Thoracic duct              12.89         NA       6.70       1.84         NA      21.43        090
                                                       procedure.
38382...............  ..............  A               Thoracic duct              10.08         NA       5.67       1.37         NA      17.12        090
                                                       procedure.
38500...............  ..............  A               Biopsy/removal, lymph       3.75       3.64       2.06       0.49       7.88       6.30        010
                                                       nodes.
38505...............  ..............  A               Needle biopsy, lymph        1.14       2.05       0.80       0.09       3.28       2.03        000
                                                       nodes.
38510...............  ..............  A               Biopsy/removal, lymph       6.43       5.44       3.41       0.72      12.59      10.56        010
                                                       nodes.
38520...............  ..............  A               Biopsy/removal, lymph       6.67         NA       3.96       0.84         NA      11.47        090
                                                       nodes.
38525...............  ..............  A               Biopsy/removal, lymph       6.07         NA       3.27       0.80         NA      10.15        090
                                                       nodes.
38530...............  ..............  A               Biopsy/removal, lymph       7.99         NA       4.30       1.12         NA      13.40        090
                                                       nodes.
38542...............  ..............  A               Explore deep node(s),       5.91         NA       4.39       0.60         NA      10.90        090
                                                       neck.
38550...............  ..............  A               Removal, neck/armpit        6.92         NA       3.86       0.88         NA      11.66        090
                                                       lesion.
38555...............  ..............  A               Removal, neck/armpit       14.15         NA       8.26       1.75         NA      24.16        090
                                                       lesion.
38562...............  ..............  A               Removal, pelvic lymph      10.49         NA       5.88       1.20         NA      17.57        090
                                                       nodes.
38564...............  ..............  A               Removal, abdomen           10.83         NA       5.25       1.32         NA      17.40        090
                                                       lymph nodes.
38570...............  ..............  A               Laparoscopy, lymph          9.26         NA       3.99       1.13         NA      14.38        010
                                                       node biop.
38571...............  ..............  A               Laparoscopy,               14.69         NA       6.36       1.15         NA      22.20        010
                                                       lymphadenectomy.
38572...............  ..............  A               Laparoscopy,               16.60         NA       7.09       1.90         NA      25.60        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            8.25         NA       6.11       0.72         NA      15.08        090
                                                       nodes, neck.
38720...............  ..............  A               Removal of lymph           13.62         NA       9.11       1.20         NA      23.92        090
                                                       nodes, neck.
38724...............  ..............  A               Removal of lymph           14.55         NA       9.57       1.28         NA      25.40        090
                                                       nodes, neck.
38740...............  ..............  A               Remove armpit lymph        10.03         NA       4.90       1.32         NA      16.25        090
                                                       nodes.
38745...............  ..............  A               Remove armpit lymph        13.11         NA       6.02       1.73         NA      20.85        090
                                                       nodes.
38746...............  ..............  A               Remove thoracic lymph       4.89         NA       1.57       0.72         NA       7.18        ZZZ
                                                       nodes.
38747...............  ..............  A               Remove abdominal            4.89         NA       1.63       0.64         NA       7.16        ZZZ
                                                       lymph nodes.
38760...............  ..............  A               Remove groin lymph         12.96         NA       6.08       1.71         NA      20.75        090
                                                       nodes.
38765...............  ..............  A               Remove groin lymph         19.99         NA       8.92       2.47         NA      31.38        090
                                                       nodes.
38770...............  ..............  A               Remove pelvis lymph        13.24         NA       6.35       1.40         NA      20.99        090
                                                       nodes.
38780...............  ..............  A               Remove abdomen lymph       16.60         NA       8.20       1.88         NA      26.69        090
                                                       nodes.
38790...............  ..............  A               Inject for lymphatic        1.29         NA       0.78       0.13         NA       2.20        000
                                                       x-ray.
38792...............  ..............  A               Identify sentinel           0.52         NA       0.46       0.06         NA       1.04        000
                                                       node.
38794...............  ..............  A               Access thoracic lymph       4.45         NA       3.68       0.32         NA       8.45        090
                                                       duct.
38999...............  ..............  C               Blood/lymph system          0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
39000...............  ..............  A               Exploration of chest.       6.10         NA       4.54       0.89         NA      11.53        090
39010...............  ..............  A               Exploration of chest.      11.79         NA       7.16       1.75         NA      20.70        090
39200...............  ..............  A               Removal chest lesion.      13.63         NA       7.22       2.02         NA      22.86        090
39220...............  ..............  A               Removal chest lesion.      17.42         NA       8.95       2.45         NA      28.83        090
39400...............  ..............  A               Visualization of            5.61         NA       4.56       0.82         NA      10.99        010
                                                       chest.
39499...............  ..............  C               Chest procedure......       0.00       0.00       0.00       0.00       0.00       0.00        YYY
39501...............  ..............  A               Repair diaphragm           13.20         NA       6.33       1.77         NA      21.29        090
                                                       laceration.
39502...............  ..............  A               Repair paraesophageal      16.34         NA       7.04       2.16         NA      25.54        090
                                                       hernia.
39503...............  ..............  A               Repair of diaphragm        95.05         NA      32.58      10.95         NA     138.58        090
                                                       hernia.
39520...............  ..............  A               Repair of diaphragm        16.11         NA       7.79       2.23         NA      26.14        090
                                                       hernia.
39530...............  ..............  A               Repair of diaphragm        15.42         NA       6.96       2.10         NA      24.48        090
                                                       hernia.
39531...............  ..............  A               Repair of diaphragm        16.43         NA       7.20       2.21         NA      25.84        090
                                                       hernia.
39540...............  ..............  A               Repair of diaphragm        13.33         NA       6.11       1.79         NA      21.23        090
                                                       hernia.
39541...............  ..............  A               Repair of diaphragm        14.42         NA       6.45       1.92         NA      22.79        090
                                                       hernia.

[[Page 45918]]

 
39545...............  ..............  A               Revision of diaphragm      13.38         NA       7.43       1.83         NA      22.64        090
39560...............  ..............  A               Resect diaphragm,          12.00         NA       6.12       1.59         NA      19.72        090
                                                       simple.
39561...............  ..............  A               Resect diaphragm,          17.50         NA       9.27       2.44         NA      29.21        090
                                                       complex.
39599...............  ..............  C               Diaphragm surgery           0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
4000F...............  ..............  I               Tobacco use txmnt           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       counseling.
4001F...............  ..............  I               Tobacco use txmnt,          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       pharmacol.
4002F...............  ..............  I               Statin therapy, rx...       0.00       0.00       0.00       0.00       0.00       0.00        XXX
4006F...............  ..............  I               Beta-blocker therapy,       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       rx.
4009F...............  ..............  I               Ace inhibitor               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       therapy, rx.
4011F...............  ..............  I               Oral antiplatelet tx,       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       rx.
40490...............  ..............  A               Biopsy of lip........       1.22       1.72       0.62       0.05       3.00       1.89        000
40500...............  ..............  A               Partial excision of         4.28       7.24       4.29       0.38      11.90       8.95        090
                                                       lip.
40510...............  ..............  A               Partial excision of         4.70       6.69       3.93       0.49      11.88       9.12        090
                                                       lip.
40520...............  ..............  A               Partial excision of         4.67       7.48       4.01       0.52      12.67       9.20        090
                                                       lip.
40525...............  ..............  A               Reconstruct lip with        7.56         NA       6.14       0.85         NA      14.55        090
                                                       flap.
40527...............  ..............  A               Reconstruct lip with        9.14         NA       7.15       0.97         NA      17.26        090
                                                       flap.
40530...............  ..............  A               Partial removal of          5.40       7.88       4.49       0.55      13.83      10.44        090
                                                       lip.
40650...............  ..............  A               Repair lip...........       3.64       6.63       3.19       0.38      10.65       7.21        090
40652...............  ..............  A               Repair lip...........       4.26       7.65       4.15       0.52      12.43       8.93        090
40654...............  ..............  A               Repair lip...........       5.31       8.62       4.82       0.60      14.53      10.73        090
40700...............  ..............  A               Repair cleft lip/          12.80         NA       8.83       0.95         NA      22.57        090
                                                       nasal.
40701...............  ..............  A               Repair cleft lip/          15.86         NA      10.99       1.65         NA      28.51        090
                                                       nasal.
40702...............  ..............  A               Repair cleft lip/          13.05         NA       8.06       1.23         NA      22.34        090
                                                       nasal.
40720...............  ..............  A               Repair cleft lip/          13.56         NA       9.60       1.79         NA      24.95        090
                                                       nasal.
40761...............  ..............  A               Repair cleft lip/          14.73         NA       9.96       1.93         NA      26.62        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       3.06       1.77       0.13       4.36       3.07        010
                                                       lesion.
40801...............  ..............  A               Drainage of mouth           2.54       4.13       2.73       0.31       6.98       5.57        010
                                                       lesion.
40804...............  ..............  A               Removal, foreign            1.24       3.40       1.80       0.11       4.75       3.15        010
                                                       body, mouth.
40805...............  ..............  A               Removal, foreign            2.70       4.51       2.77       0.32       7.52       5.79        010
                                                       body, mouth.
40806...............  ..............  A               Incision of lip fold.       0.31       1.86       0.50       0.04       2.21       0.85        000
40808...............  ..............  A               Biopsy of mouth             0.96       2.75       1.48       0.10       3.81       2.54        010
                                                       lesion.
40810...............  ..............  A               Excision of mouth           1.31       2.97       1.65       0.13       4.41       3.09        010
                                                       lesion.
40812...............  ..............  A               Excise/repair mouth         2.31       3.83       2.37       0.28       6.42       4.96        010
                                                       lesion.
40814...............  ..............  A               Excise/repair mouth         3.42       5.05       3.85       0.41       8.88       7.67        090
                                                       lesion.
40816...............  ..............  A               Excision of mouth           3.67       5.28       3.95       0.40       9.35       8.02        090
                                                       lesion.
40818...............  ..............  A               Excise oral mucosa          2.41       5.21       3.88       0.21       7.84       6.50        090
                                                       for graft.
40819...............  ..............  A               Excise lip or cheek         2.41       4.19       3.09       0.29       6.90       5.79        090
                                                       fold.
40820...............  ..............  A               Treatment of mouth          1.28       4.09       2.45       0.11       5.48       3.84        010
                                                       lesion.
40830...............  ..............  A               Repair mouth                1.76       3.71       2.00       0.19       5.66       3.96        010
                                                       laceration.
40831...............  ..............  A               Repair mouth                2.46       4.69       2.96       0.30       7.45       5.73        010
                                                       laceration.
40840...............  ..............  R               Reconstruction of           8.74       9.82       6.80       1.08      19.64      16.62        090
                                                       mouth.
40842...............  ..............  R               Reconstruction of           8.74      10.09       6.62       1.08      19.91      16.44        090
                                                       mouth.
40843...............  ..............  R               Reconstruction of          12.10      12.11       7.61       1.39      25.60      21.11        090
                                                       mouth.
40844...............  ..............  R               Reconstruction of          16.02      15.74      11.32       1.99      33.76      29.33        090
                                                       mouth.
40845...............  ..............  R               Reconstruction of          18.59      17.02      12.90       2.00      37.61      33.48        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       2.32       1.40       0.12       3.74       2.82        010
                                                       lesion.
41005...............  ..............  A               Drainage of mouth           1.26       3.42       1.71       0.12       4.80       3.09        010
                                                       lesion.
41006...............  ..............  A               Drainage of mouth           3.25       4.87       3.13       0.35       8.47       6.73        090
                                                       lesion.
41007...............  ..............  A               Drainage of mouth           3.11       5.08       2.98       0.31       8.50       6.40        090
                                                       lesion.
41008...............  ..............  A               Drainage of mouth           3.37       4.79       3.16       0.42       8.58       6.95        090
                                                       lesion.
41009...............  ..............  A               Drainage of mouth           3.59       5.09       3.53       0.47       9.15       7.59        090
                                                       lesion.
41010...............  ..............  A               Incision of tongue          1.06       3.43       1.65       0.07       4.56       2.78        010
                                                       fold.
41015...............  ..............  A               Drainage of mouth           3.96       5.52       4.14       0.46       9.93       8.56        090
                                                       lesion.
41016...............  ..............  A               Drainage of mouth           4.07       5.70       4.22       0.53      10.30       8.82        090
                                                       lesion.
41017...............  ..............  A               Drainage of mouth           4.07       5.72       4.29       0.53      10.32       8.89        090
                                                       lesion.
41018...............  ..............  A               Drainage of mouth           5.10       6.20       4.53       0.68      11.98      10.31        090
                                                       lesion.
41100...............  ..............  A               Biopsy of tongue.....       1.63       2.45       1.40       0.15       4.24       3.18        010
41105...............  ..............  A               Biopsy of tongue.....       1.42       2.34       1.30       0.13       3.89       2.85        010
41108...............  ..............  A               Biopsy of floor of          1.05       2.11       1.11       0.10       3.26       2.27        010
                                                       mouth.
41110...............  ..............  A               Excision of tongue          1.51       3.04       1.63       0.13       4.68       3.27        010
                                                       lesion.
41112...............  ..............  A               Excision of tongue          2.74       4.56       3.19       0.28       7.57       6.21        090
                                                       lesion.
41113...............  ..............  A               Excision of tongue          3.20       4.84       3.44       0.34       8.38       6.97        090
                                                       lesion.
41114...............  ..............  A               Excision of tongue          8.48         NA       7.11       0.83         NA      16.41        090
                                                       lesion.
41115...............  ..............  A               Excision of tongue          1.74       3.40       1.83       0.18       5.33       3.75        010
                                                       fold.
41116...............  ..............  A               Excision of mouth           2.44       4.49       2.78       0.23       7.16       5.45        090
                                                       lesion.
41120...............  ..............  A               Partial removal of          9.78         NA      15.03       0.79         NA      25.60        090
                                                       tongue.
41130...............  ..............  A               Partial removal of         11.15         NA      15.86       0.93         NA      27.94        090
                                                       tongue.
41135...............  ..............  A               Tongue and neck            23.11         NA      22.62       1.88         NA      47.60        090
                                                       surgery.
41140...............  ..............  A               Removal of tongue....      25.51         NA      25.94       2.26         NA      53.71        090
41145...............  ..............  A               Tongue removal, neck       30.07         NA      29.85       2.54         NA      62.46        090
                                                       surgery.
41150...............  ..............  A               Tongue, mouth, jaw         23.06         NA      24.08       1.94         NA      49.08        090
                                                       surgery.
41153...............  ..............  A               Tongue, mouth, neck        23.78         NA      24.40       2.00         NA      50.17        090
                                                       surgery.

[[Page 45919]]

 
41155...............  ..............  A               Tongue, jaw, & neck        27.74         NA      26.14       2.33         NA      56.21        090
                                                       surgery.
41250...............  ..............  A               Repair tongue               1.91       2.94       1.24       0.18       5.03       3.33        010
                                                       laceration.
41251...............  ..............  A               Repair tongue               2.27       3.33       1.61       0.22       5.83       4.10        010
                                                       laceration.
41252...............  ..............  A               Repair tongue               2.98       3.98       2.22       0.29       7.25       5.49        010
                                                       laceration.
41500...............  ..............  A               Fixation of tongue...       3.71         NA       7.33       0.30         NA      11.34        090
41510...............  ..............  A               Tongue to lip surgery       3.42         NA       7.57       0.20         NA      11.18        090
41520...............  ..............  A               Reconstruction,             2.74       4.77       3.55       0.27       7.78       6.56        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       2.92       1.40       0.12       4.21       2.69        010
                                                       lesion.
41805...............  ..............  A               Removal foreign body,       1.24       3.00       2.30       0.13       4.37       3.68        010
                                                       gum.
41806...............  ..............  A               Removal foreign             2.70       3.96       3.09       0.37       7.03       6.16        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       3.99       1.90       0.31       6.62       4.53        010
                                                       lesion.
41823...............  ..............  R               Excision of gum             3.31       5.68       3.99       0.47       9.46       7.77        090
                                                       lesion.
41825...............  ..............  A               Excision of gum             1.31       3.12       2.11       0.15       4.59       3.57        010
                                                       lesion.
41826...............  ..............  A               Excision of gum             2.31       2.95       2.19       0.30       5.56       4.81        010
                                                       lesion.
41827...............  ..............  A               Excision of gum             3.42       5.67       3.61       0.35       9.44       7.38        090
                                                       lesion.
41828...............  ..............  R               Excision of gum             3.10       3.86       2.82       0.44       7.40       6.35        010
                                                       lesion.
41830...............  ..............  R               Removal of gum tissue       3.35       5.14       3.57       0.44       8.93       7.35        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...........       2.60       5.14       3.43       0.30       8.03       6.33        090
41874...............  ..............  R               Repair tooth socket..       3.10       4.96       3.14       0.45       8.51       6.69        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       2.52       1.25       0.12       3.87       2.60        010
                                                       lesion.
42100...............  ..............  A               Biopsy roof of mouth.       1.31       2.09       1.34       0.13       3.53       2.78        010
42104...............  ..............  A               Excision lesion,            1.64       2.69       1.56       0.16       4.49       3.37        010
                                                       mouth roof.
42106...............  ..............  A               Excision lesion,            2.10       3.41       2.38       0.25       5.76       4.73        010
                                                       mouth roof.
42107...............  ..............  A               Excision lesion,            4.44       5.85       3.92       0.44      10.73       8.80        090
                                                       mouth roof.
42120...............  ..............  A               Remove palate/lesion.       6.17         NA      11.56       0.52         NA      18.25        090
42140...............  ..............  A               Excision of uvula....       1.62       3.76       2.07       0.13       5.52       3.82        090
42145...............  ..............  A               Repair palate,              8.06         NA       7.39       0.65         NA      16.10        090
                                                       pharynx/uvula.
42160...............  ..............  A               Treatment mouth roof        1.80       4.16       2.20       0.17       6.13       4.17        010
                                                       lesion.
42180...............  ..............  A               Repair palate........       2.51       3.11       2.06       0.21       5.82       4.78        010
42182...............  ..............  A               Repair palate........       3.83       3.90       2.95       0.40       8.13       7.18        010
42200...............  ..............  A               Reconstruct cleft          12.00         NA       9.92       1.27         NA      23.20        090
                                                       palate.
42205...............  ..............  A               Reconstruct cleft          13.30         NA       9.82       1.58         NA      24.70        090
                                                       palate.
42210...............  ..............  A               Reconstruct cleft          14.51         NA      11.21       2.16         NA      27.88        090
                                                       palate.
42215...............  ..............  A               Reconstruct cleft           8.83         NA       8.74       1.31         NA      18.88        090
                                                       palate.
42220...............  ..............  A               Reconstruct cleft           7.02         NA       6.92       0.73         NA      14.67        090
                                                       palate.
42225...............  ..............  A               Reconstruct cleft           9.55         NA      16.15       0.86         NA      26.56        090
                                                       palate.
42226...............  ..............  A               Lengthening of palate      10.01         NA      14.14       1.01         NA      25.16        090
42227...............  ..............  A               Lengthening of palate       9.53         NA      14.78       0.98         NA      25.29        090
42235...............  ..............  A               Repair palate........       7.88         NA      11.93       0.72         NA      20.52        090
42260...............  ..............  A               Repair nose to lip          9.81      10.14       6.90       1.26      21.21      17.97        090
                                                       fistula.
42280...............  ..............  A               Preparation, palate         1.54       1.98       1.11       0.19       3.71       2.85        010
                                                       mold.
42281...............  ..............  A               Insertion, palate           1.93       2.69       1.84       0.17       4.79       3.94        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       2.83       1.80       0.16       4.92       3.89        010
                                                       gland.
42305...............  ..............  A               Drainage of salivary        6.07         NA       4.62       0.51         NA      11.21        090
                                                       gland.
42310...............  ..............  A               Drainage of salivary        1.56       2.33       1.52       0.13       4.02       3.21        010
                                                       gland.
42320...............  ..............  A               Drainage of salivary        2.35       3.31       2.06       0.21       5.88       4.62        010
                                                       gland.
42325...............  ..............  A               Create salivary cyst        2.76       4.68       2.36       0.27       7.71       5.38        090
                                                       drain.
42326...............  ..............  A               Create salivary cyst        3.78       6.24       3.09       0.29      10.31       7.16        090
                                                       drain.
42330...............  ..............  A               Removal of salivary         2.21       3.15       1.81       0.19       5.56       4.21        010
                                                       stone.
42335...............  ..............  A               Removal of salivary         3.32       4.98       3.10       0.29       8.59       6.71        090
                                                       stone.
42340...............  ..............  A               Removal of salivary         4.60       6.10       3.86       0.42      11.12       8.88        090
                                                       stone.
42400...............  ..............  A               Biopsy of salivary          0.78       1.68       0.72       0.06       2.52       1.56        000
                                                       gland.
42405...............  ..............  A               Biopsy of salivary          3.30       3.98       2.40       0.28       7.56       5.98        010
                                                       gland.
42408...............  ..............  A               Excision of salivary        4.54       5.96       3.55       0.45      10.95       8.54        090
                                                       cyst.
42409...............  ..............  A               Drainage of salivary        2.82       4.58       2.72       0.27       7.67       5.80        090
                                                       cyst.
42410...............  ..............  A               Excise parotid gland/       9.35         NA       6.08       0.91         NA      16.34        090
                                                       lesion.
42415...............  ..............  A               Excise parotid gland/      16.89         NA      10.54       1.43         NA      28.87        090
                                                       lesion.
42420...............  ..............  A               Excise parotid gland/      19.60         NA      11.99       1.65         NA      33.24        090
                                                       lesion.
42425...............  ..............  A               Excise parotid gland/      13.03         NA       8.37       1.05         NA      22.45        090
                                                       lesion.
42426...............  ..............  A               Excise parotid gland/      21.27         NA      12.61       1.80         NA      35.68        090
                                                       lesion.
42440...............  ..............  A               Excise submaxillary         6.97         NA       4.67       0.59         NA      12.23        090
                                                       gland.
42450...............  ..............  A               Excise sublingual           4.62       5.96       4.22       0.42      11.00       9.26        090
                                                       gland.
42500...............  ..............  A               Repair salivary duct.       4.30       5.74       4.11       0.41      10.45       8.82        090
42505...............  ..............  A               Repair salivary duct.       6.18       7.14       5.27       0.55      13.87      12.00        090
42507...............  ..............  A               Parotid duct                6.11         NA       6.45       0.49         NA      13.05        090
                                                       diversion.
42508...............  ..............  A               Parotid duct                9.11         NA       8.25       1.04         NA      18.40        090
                                                       diversion.
42509...............  ..............  A               Parotid duct               11.54         NA       9.97       0.93         NA      22.44        090
                                                       diversion.

[[Page 45920]]

 
42510...............  ..............  A               Parotid duct                8.16         NA       7.61       0.66         NA      16.43        090
                                                       diversion.
42550...............  ..............  A               Injection for               1.25       3.10       0.43       0.07       4.43       1.75        000
                                                       salivary x-ray.
42600...............  ..............  A               Closure of salivary         4.82       6.55       4.03       0.43      11.80       9.28        090
                                                       fistula.
42650...............  ..............  A               Dilation of salivary        0.77       1.11       0.71       0.07       1.96       1.55        000
                                                       duct.
42660...............  ..............  A               Dilation of salivary        1.13       1.37       0.88       0.09       2.60       2.10        000
                                                       duct.
42665...............  ..............  A               Ligation of salivary        2.54       4.27       2.55       0.23       7.03       5.31        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       2.65       1.68       0.13       4.40       3.43        010
                                                       abscess.
42720...............  ..............  A               Drainage of throat          5.42       4.79       3.69       0.44      10.65       9.55        010
                                                       abscess.
42725...............  ..............  A               Drainage of throat         10.72         NA       8.03       0.91         NA      19.66        090
                                                       abscess.
42800...............  ..............  A               Biopsy of throat.....       1.39       2.19       1.38       0.11       3.69       2.88        010
42802...............  ..............  A               Biopsy of throat.....       1.54       4.59       1.99       0.12       6.26       3.65        010
42804...............  ..............  A               Biopsy of upper nose/       1.24       3.65       1.68       0.10       4.99       3.02        010
                                                       throat.
42806...............  ..............  A               Biopsy of upper nose/       1.58       3.97       1.87       0.13       5.68       3.58        010
                                                       throat.
42808...............  ..............  A               Excise pharynx lesion       2.30       3.08       1.88       0.19       5.58       4.38        010
42809...............  ..............  A               Remove pharynx              1.81       2.30       1.30       0.16       4.27       3.27        010
                                                       foreign body.
42810...............  ..............  A               Excision of neck cyst       3.26       5.63       3.51       0.29       9.18       7.06        090
42815...............  ..............  A               Excision of neck cyst       7.07         NA       6.34       0.61         NA      14.02        090
42820...............  ..............  A               Remove tonsils and          3.91         NA       3.22       0.31         NA       7.44        090
                                                       adenoids.
42821...............  ..............  A               Remove tonsils and          4.29         NA       3.43       0.35         NA       8.07        090
                                                       adenoids.
42825...............  ..............  A               Removal of tonsils...       3.42         NA       3.12       0.25         NA       6.78        090
42826...............  ..............  A               Removal of tonsils...       3.38         NA       2.97       0.27         NA       6.62        090
42830...............  ..............  A               Removal of adenoids..       2.58         NA       2.52       0.20         NA       5.30        090
42831...............  ..............  A               Removal of adenoids..       2.72         NA       2.80       0.22         NA       5.73        090
42835...............  ..............  A               Removal of adenoids..       2.30         NA       2.42       0.21         NA       4.93        090
42836...............  ..............  A               Removal of adenoids..       3.19         NA       2.91       0.26         NA       6.35        090
42842...............  ..............  A               Extensive surgery of        8.77         NA      10.81       0.71         NA      20.29        090
                                                       throat.
42844...............  ..............  A               Extensive surgery of       14.32         NA      15.91       1.16         NA      31.39        090
                                                       throat.
42845...............  ..............  A               Extensive surgery of       24.30         NA      22.66       1.98         NA      48.94        090
                                                       throat.
42860...............  ..............  A               Excision of tonsil          2.22         NA       2.37       0.18         NA       4.78        090
                                                       tags.
42870...............  ..............  A               Excision of lingual         5.40         NA       8.48       0.44         NA      14.32        090
                                                       tonsil.
42890...............  ..............  A               Partial removal of         12.95         NA      13.90       1.05         NA      27.90        090
                                                       pharynx.
42892...............  ..............  A               Revision of                15.84         NA      16.83       1.28         NA      33.95        090
                                                       pharyngeal walls.
42894...............  ..............  A               Revision of                22.90         NA      21.54       1.86         NA      46.30        090
                                                       pharyngeal walls.
42900...............  ..............  A               Repair throat wound..       5.25         NA       3.57       0.50         NA       9.32        010
42950...............  ..............  A               Reconstruction of           8.11         NA      11.60       0.72         NA      20.42        090
                                                       throat.
42953...............  ..............  A               Repair throat,              8.97         NA      16.55       0.88         NA      26.40        090
                                                       esophagus.
42955...............  ..............  A               Surgical opening of         7.39         NA      10.46       0.80         NA      18.66        090
                                                       throat.
42960...............  ..............  A               Control throat              2.33         NA       1.93       0.19         NA       4.46        010
                                                       bleeding.
42961...............  ..............  A               Control throat              5.59         NA       4.89       0.45         NA      10.93        090
                                                       bleeding.
42962...............  ..............  A               Control throat              7.14         NA       5.80       0.58         NA      13.52        090
                                                       bleeding.
42970...............  ..............  A               Control nose/throat         5.43         NA       4.09       0.39         NA       9.91        090
                                                       bleeding.
42971...............  ..............  A               Control nose/throat         6.21         NA       5.02       0.51         NA      11.74        090
                                                       bleeding.
42972...............  ..............  A               Control nose/throat         7.20         NA       5.58       0.62         NA      13.41        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       8.10         NA       5.31       0.87         NA      14.27        090
43030...............  ..............  A               Throat muscle surgery       7.70         NA       5.34       0.70         NA      13.74        090
43045...............  ..............  A               Incision of esophagus      20.13         NA      10.51       2.58         NA      33.22        090
43100...............  ..............  A               Excision of esophagus       9.20         NA       6.06       0.93         NA      16.19        090
                                                       lesion.
43101...............  ..............  A               Excision of esophagus      16.25         NA       7.77       2.31         NA      26.33        090
                                                       lesion.
43107...............  ..............  A               Removal of esophagus.      40.02         NA      17.70       5.22         NA      62.94        090
43108...............  ..............  A               Removal of esophagus.      34.21         NA      13.87       4.07         NA      52.14        090
43112...............  ..............  A               Removal of esophagus.      43.52         NA      18.73       5.79         NA      68.04        090
43113...............  ..............  A               Removal of esophagus.      35.29         NA      14.88       4.42         NA      54.59        090
43116...............  ..............  A               Partial removal of         31.23         NA      16.17       3.05         NA      50.45        090
                                                       esophagus.
43117...............  ..............  A               Partial removal of         40.02         NA      16.75       5.17         NA      61.94        090
                                                       esophagus.
43118...............  ..............  A               Partial removal of         33.22         NA      13.41       4.10         NA      50.73        090
                                                       esophagus.
43121...............  ..............  A               Partial removal of         29.21         NA      13.19       3.90         NA      46.30        090
                                                       esophagus.
43122...............  ..............  A               Partial removal of         40.02         NA      16.93       5.40         NA      62.35        090
                                                       esophagus.
43123...............  ..............  A               Partial removal of         33.22         NA      13.85       4.15         NA      51.22        090
                                                       esophagus.
43124...............  ..............  A               Removal of esophagus.      27.33         NA      12.85       3.73         NA      43.92        090
43130...............  ..............  A               Removal of esophagus       11.75         NA       7.35       1.16         NA      20.27        090
                                                       pouch.
43135...............  ..............  A               Removal of esophagus       16.11         NA       7.95       2.33         NA      26.39        090
                                                       pouch.
43200...............  ..............  A               Esophagus endoscopy..       1.59       4.08       1.08       0.13       5.80       2.80        000
43201...............  ..............  A               Esoph scope w/              2.09       4.71       1.14       0.15       6.95       3.39        000
                                                       submucous inj.
43202...............  ..............  A               Esophagus endoscopy,        1.89       5.75       0.98       0.15       7.79       3.03        000
                                                       biopsy.
43204...............  ..............  A               Esoph scope w/              3.77         NA       1.66       0.30         NA       5.73        000
                                                       sclerosis inj.
43205...............  ..............  A               Esophagus endoscopy/        3.79         NA       1.66       0.28         NA       5.73        000
                                                       ligation.
43215...............  ..............  A               Esophagus endoscopy..       2.61         NA       1.25       0.22         NA       4.08        000
43216...............  ..............  A               Esophagus endoscopy/        2.40       0.00       1.13       0.20       2.60       3.73        000
                                                       lesion.
43217...............  ..............  A               Esophagus endoscopy..       2.91       7.19       1.27       0.26      10.35       4.43        000
43219...............  ..............  A               Esophagus endoscopy..       2.81         NA       1.45       0.24         NA       4.50        000
43220...............  ..............  A               Esoph endoscopy,            2.10         NA       1.04       0.17         NA       3.32        000
                                                       dilation.
43226...............  ..............  A               Esoph endoscopy,            2.34         NA       1.13       0.19         NA       3.66        000
                                                       dilation.

[[Page 45921]]

 
43227...............  ..............  A               Esoph endoscopy,            3.60         NA       1.57       0.28         NA       5.45        000
                                                       repair.
43228...............  ..............  A               Esoph endoscopy,            3.77         NA       1.64       0.34         NA       5.75        000
                                                       ablation.
43231...............  ..............  A               Esoph endoscopy w/us        3.20         NA       1.42       0.23         NA       4.85        000
                                                       exam.
43232...............  ..............  A               Esoph endoscopy w/us        4.48         NA       1.92       0.34         NA       6.74        000
                                                       fn bx.
43234...............  ..............  A               Upper GI endoscopy,         2.01       5.49       0.92       0.17       7.67       3.11        000
                                                       exam.
43235...............  ..............  A               Uppr gi endoscopy,          2.39       5.55       1.11       0.19       8.13       3.70        000
                                                       diagnosis.
43236...............  ..............  A               Uppr gi scope w/            2.93       6.89       1.34       0.21      10.02       4.48        000
                                                       submuc inj.
43237...............  ..............  A               Endoscopic us exam,         3.99         NA       1.75       0.43         NA       6.17        000
                                                       esoph.
43238...............  ..............  A               Uppr gi endoscopy w/        5.03         NA       2.14       0.43         NA       7.60        000
                                                       us fn bx.
43239...............  ..............  A               Upper GI endoscopy,         2.88       6.18       1.30       0.22       9.28       4.39        000
                                                       biopsy.
43240...............  ..............  A               Esoph endoscope w/          6.86         NA       2.83       0.56         NA      10.25        000
                                                       drain cyst.
43241...............  ..............  A               Upper GI endoscopy          2.60         NA       1.19       0.21         NA       4.00        000
                                                       with tube.
43242...............  ..............  A               Uppr gi endoscopy w/        7.31         NA       2.93       0.53         NA      10.78        000
                                                       us fn bx.
43243...............  ..............  A               Upper gi endoscopy &        4.57         NA       1.95       0.33         NA       6.85        000
                                                       inject.
43244...............  ..............  A               Upper GI endoscopy/         5.05         NA       2.14       0.37         NA       7.56        000
                                                       ligation.
43245...............  ..............  A               Uppr gi scope dilate        3.19         NA       1.40       0.26         NA       4.85        000
                                                       strictr.
43246...............  ..............  A               Place gastrostomy           4.33         NA       1.81       0.34         NA       6.48        000
                                                       tube.
43247...............  ..............  A               Operative upper GI          3.39         NA       1.49       0.27         NA       5.14        000
                                                       endoscopy.
43248...............  ..............  A               Uppr gi endoscopy/          3.16         NA       1.45       0.23         NA       4.83        000
                                                       guide wire.
43249...............  ..............  A               Esoph endoscopy,            2.91         NA       1.33       0.22         NA       4.46        000
                                                       dilation.
43250...............  ..............  A               Upper GI endoscopy/         3.21         NA       1.42       0.26         NA       4.89        000
                                                       tumor.
43251...............  ..............  A               Operative upper GI          3.70         NA       1.61       0.29         NA       5.59        000
                                                       endoscopy.
43255...............  ..............  A               Operative upper GI          4.82         NA       2.05       0.35         NA       7.22        000
                                                       endoscopy.
43256...............  ..............  A               Uppr gi endoscopy w/        4.35         NA       1.85       0.32         NA       6.52        000
                                                       stent.
43257...............  ..............  A               Uppr gi scope w/thrml       5.51         NA       2.27       0.36         NA       8.14        000
                                                       txmnt.
43258...............  ..............  A               Operative upper GI          4.55         NA       1.93       0.33         NA       6.81        000
                                                       endoscopy.
43259...............  ..............  A               Endoscopic ultrasound       5.20         NA       2.15       0.35         NA       7.70        000
                                                       exam.
43260...............  ..............  A               Endo                        5.96         NA       2.48       0.43         NA       8.87        000
                                                       cholangiopancreatogr
                                                       aph.
43261...............  ..............  A               Endo                        6.27         NA       2.60       0.46         NA       9.33        000
                                                       cholangiopancreatogr
                                                       aph.
43262...............  ..............  A               Endo                        7.39         NA       3.02       0.54         NA      10.96        000
                                                       cholangiopancreatogr
                                                       aph.
43263...............  ..............  A               Endo                        7.29         NA       3.02       0.54         NA      10.85        000
                                                       cholangiopancreatogr
                                                       aph.
43264...............  ..............  A               Endo                        8.91         NA       3.59       0.65         NA      13.15        000
                                                       cholangiopancreatogr
                                                       aph.
43265...............  ..............  A               Endo                       10.02         NA       4.00       0.73         NA      14.75        000
                                                       cholangiopancreatogr
                                                       aph.
43267...............  ..............  A               Endo                        7.39         NA       3.00       0.54         NA      10.94        000
                                                       cholangiopancreatogr
                                                       aph.
43268...............  ..............  A               Endo                        7.39         NA       3.15       0.54         NA      11.08        000
                                                       cholangiopancreatogr
                                                       aph.
43269...............  ..............  A               Endo                        8.22         NA       3.33       0.60         NA      12.15        000
                                                       cholangiopancreatogr
                                                       aph.
43271...............  ..............  A               Endo                        7.39         NA       3.01       0.54         NA      10.94        000
                                                       cholangiopancreatogr
                                                       aph.
43272...............  ..............  A               Endo                        7.39         NA       3.01       0.54         NA      10.94        000
                                                       cholangiopancreatogr
                                                       aph.
43280...............  ..............  A               Laparoscopy,               17.25         NA       7.17       2.27         NA      26.69        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..       9.15         NA       6.22       1.12         NA      16.49        090
43305...............  ..............  A               Repair esophagus and       17.39         NA      10.37       1.54         NA      29.30        090
                                                       fistula.
43310...............  ..............  A               Repair of esophagus..      25.40         NA      10.89       3.60         NA      39.89        090
43312...............  ..............  A               Repair esophagus and       28.44         NA      11.55       4.00         NA      43.99        090
                                                       fistula.
43313...............  ..............  A               Esophagoplasty             45.30         NA      18.40       5.45         NA      69.15        090
                                                       congenital.
43314...............  ..............  A               Tracheo-                   50.29         NA      18.88       6.63         NA      75.80        090
                                                       esophagoplasty cong.
43320...............  ..............  A               Fuse esophagus &           19.94         NA       9.05       2.73         NA      31.72        090
                                                       stomach.
43324...............  ..............  A               Revise esophagus &         20.58         NA       8.62       2.75         NA      31.95        090
                                                       stomach.
43325...............  ..............  A               Revise esophagus &         20.07         NA       8.66       2.59         NA      31.32        090
                                                       stomach.
43326...............  ..............  A               Revise esophagus &         19.75         NA       9.17       2.84         NA      31.76        090
                                                       stomach.
43330...............  ..............  A               Repair of esophagus..      19.78         NA       8.46       2.62         NA      30.86        090
43331...............  ..............  A               Repair of esophagus..      20.14         NA       9.83       2.93         NA      32.90        090
43340...............  ..............  A               Fuse esophagus &           19.62         NA       8.81       2.45         NA      30.87        090
                                                       intestine.
43341...............  ..............  A               Fuse esophagus &           20.86         NA      10.35       2.91         NA      34.12        090
                                                       intestine.
43350...............  ..............  A               Surgical opening,          15.79         NA       8.31       1.42         NA      25.52        090
                                                       esophagus.
43351...............  ..............  A               Surgical opening,          18.36         NA       9.70       2.46         NA      30.51        090
                                                       esophagus.
43352...............  ..............  A               Surgical opening,          15.27         NA       8.27       2.05         NA      25.59        090
                                                       esophagus.
43360...............  ..............  A               Gastrointestinal           35.72         NA      14.98       4.96         NA      55.66        090
                                                       repair.
43361...............  ..............  A               Gastrointestinal           40.52         NA      16.63       4.49         NA      61.64        090
                                                       repair.
43400...............  ..............  A               Ligate esophagus           21.21         NA      10.06       1.95         NA      33.22        090
                                                       veins.
43401...............  ..............  A               Esophagus surgery for      22.10         NA       9.26       3.04         NA      34.40        090
                                                       veins.
43405...............  ..............  A               Ligate/staple              20.02         NA       9.60       2.83         NA      32.45        090
                                                       esophagus.
43410...............  ..............  A               Repair esophagus           13.48         NA       7.54       1.71         NA      22.72        090
                                                       wound.
43415...............  ..............  A               Repair esophagus           25.01         NA      11.61       3.52         NA      40.14        090
                                                       wound.
43420...............  ..............  A               Repair esophagus           14.36         NA       7.24       1.43         NA      23.03        090
                                                       opening.
43425...............  ..............  A               Repair esophagus           21.04         NA       9.84       3.02         NA      33.90        090
                                                       opening.
43450...............  ..............  A               Dilate esophagus.....       1.38       2.83       0.77       0.11       4.32       2.26        000
43453...............  ..............  A               Dilate esophagus.....       1.51       6.53       0.82       0.11       8.15       2.44        000
43456...............  ..............  A               Dilate esophagus.....       2.58      14.11       1.21       0.20      16.89       3.99        000
43458...............  ..............  A               Dilate esophagus.....       3.07       7.20       1.40       0.24      10.51       4.70        000
43460...............  ..............  A               Pressure treatment          3.80         NA       1.57       0.31         NA       5.68        000
                                                       esophagus.
43496...............  ..............  C               Free jejunum flap,          0.00       0.00       0.00       0.00       0.00       0.00        090
                                                       microvasc.
43499...............  ..............  C               Esophagus surgery           0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
43500...............  ..............  A               Surgical opening of        11.05         NA       4.93       1.45         NA      17.43        090
                                                       stomach.

[[Page 45922]]

 
43501...............  ..............  A               Surgical repair of         20.05         NA       8.20       2.64         NA      30.89        090
                                                       stomach.
43502...............  ..............  A               Surgical repair of         23.15         NA       9.34       3.09         NA      35.57        090
                                                       stomach.
43510...............  ..............  A               Surgical opening of        13.09         NA       6.97       1.48         NA      21.54        090
                                                       stomach.
43520...............  ..............  A               Incision of pyloric        10.00         NA       5.09       1.36         NA      16.45        090
                                                       muscle.
43600...............  ..............  A               Biopsy of stomach....       1.91         NA       0.69       0.14         NA       2.74        000
43605...............  ..............  A               Biopsy of stomach....      11.98         NA       5.22       1.58         NA      18.79        090
43610...............  ..............  A               Excision of stomach        14.61         NA       6.07       1.93         NA      22.61        090
                                                       lesion.
43611...............  ..............  A               Excision of stomach        17.85         NA       7.47       2.35         NA      27.67        090
                                                       lesion.
43620...............  ..............  A               Removal of stomach...      30.05         NA      11.60       3.95         NA      45.60        090
43621...............  ..............  A               Removal of stomach...      30.74         NA      11.77       4.03         NA      46.54        090
43622...............  ..............  A               Removal of stomach...      32.54         NA      12.36       4.29         NA      49.20        090
43631...............  ..............  A               Removal of stomach,        22.61         NA       9.03       2.98         NA      34.61        090
                                                       partial.
43632...............  ..............  A               Removal of stomach,        22.61         NA       9.03       2.98         NA      34.61        090
                                                       partial.
43633...............  ..............  A               Removal of stomach,        23.12         NA       9.19       3.05         NA      35.35        090
                                                       partial.
43634...............  ..............  A               Removal of stomach,        25.13         NA       9.90       3.32         NA      38.35        090
                                                       partial.
43635...............  ..............  A               Removal of stomach,         2.06         NA       0.68       0.27         NA       3.02        ZZZ
                                                       partial.
43638...............  ..............  A               Removal of stomach,        29.02         NA      11.70       3.80         NA      44.52        090
                                                       partial.
43639...............  ..............  A               Removal of stomach,        29.67         NA      11.47       3.90         NA      45.04        090
                                                       partial.
43640...............  ..............  A               Vagotomy & pylorus         17.02         NA       7.17       2.25         NA      26.44        090
                                                       repair.
43641...............  ..............  A               Vagotomy & pylorus         17.27         NA       7.28       2.24         NA      26.79        090
                                                       repair.
43644...............  ..............  A               Lap gastric bypass/        27.89         NA      11.14       3.15         NA      42.18        090
                                                       roux-en-y.
43645...............  ..............  A               Lap gastr bypass incl      30.02         NA      12.02       3.53         NA      45.57        090
                                                       smll i.
43651...............  ..............  A               Laparoscopy, vagus         10.15         NA       4.71       1.33         NA      16.19        090
                                                       nerve.
43652...............  ..............  A               Laparoscopy, vagus         12.15         NA       5.63       1.55         NA      19.33        090
                                                       nerve.
43653...............  ..............  A               Laparoscopy,                7.74         NA       4.16       1.01         NA      12.90        090
                                                       gastrostomy.
43659...............  ..............  C               Laparoscope proc,           0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       stom.
43750...............  ..............  A               Place gastrostomy           4.49         NA       2.14       0.43         NA       7.06        010
                                                       tube.
43752...............  ..............  A               Nasal/orogastric w/         0.81         NA       0.27       0.02         NA       1.10        000
                                                       stent.
43760...............  ..............  A               Change gastrostomy          1.10       5.82       0.45       0.09       7.01       1.65        000
                                                       tube.
43761...............  ..............  A               Reposition                  2.01       1.18       0.69       0.13       3.32       2.84        000
                                                       gastrostomy tube.
43800...............  ..............  A               Reconstruction of          13.70         NA       5.81       1.81         NA      21.32        090
                                                       pylorus.
43810...............  ..............  A               Fusion of stomach and      14.66         NA       6.10       1.93         NA      22.69        090
                                                       bowel.
43820...............  ..............  A               Fusion of stomach and      15.38         NA       6.33       2.03         NA      23.74        090
                                                       bowel.
43825...............  ..............  A               Fusion of stomach and      19.23         NA       7.91       2.53         NA      29.67        090
                                                       bowel.
43830...............  ..............  A               Place gastrostomy           9.54         NA       4.85       1.25         NA      15.64        090
                                                       tube.
43831...............  ..............  A               Place gastrostomy           7.85         NA       4.53       1.03         NA      13.41        090
                                                       tube.
43832...............  ..............  A               Place gastrostomy          15.61         NA       6.83       1.97         NA      24.41        090
                                                       tube.
43840...............  ..............  A               Repair of stomach          15.57         NA       6.69       2.05         NA      24.31        090
                                                       lesion.
43842...............  ..............  A               V-band gastroplasty..      18.48         NA       7.69       2.44         NA      28.60        090
43843...............  ..............  A               Gastroplasty w/o v-        18.66         NA       7.68       2.45         NA      28.79        090
                                                       band.
43845...............  ..............  C               Gastroplasty duodenal       0.00       0.00       0.00       0.00       0.00       0.00        090
                                                       switch.
43846...............  ..............  A               Gastric bypass for         24.06         NA       9.88       3.18         NA      37.12        090
                                                       obesity.
43847...............  ..............  A               Gastric bypass incl        26.93         NA      10.74       3.55         NA      41.23        090
                                                       small i.
43848...............  ..............  A               Revision gastroplasty      29.41         NA      11.64       3.87         NA      44.92        090
43850...............  ..............  A               Revise stomach-bowel       24.73         NA       9.69       3.27         NA      37.69        090
                                                       fusion.
43855...............  ..............  A               Revise stomach-bowel       26.17         NA      10.20       3.46         NA      39.83        090
                                                       fusion.
43860...............  ..............  A               Revise stomach-bowel       25.01         NA       9.81       3.30         NA      38.12        090
                                                       fusion.
43865...............  ..............  A               Revise stomach-bowel       26.53         NA      10.32       3.50         NA      40.35        090
                                                       fusion.
43870...............  ..............  A               Repair stomach              9.70         NA       4.51       1.27         NA      15.48        090
                                                       opening.
43880...............  ..............  A               Repair stomach-bowel       24.66         NA       9.78       3.26         NA      37.70        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           16.24         NA       6.64       2.14         NA      25.02        090
                                                       adhesion.
44010...............  ..............  A               Incision of small          12.53         NA       5.39       1.64         NA      19.56        090
                                                       bowel.
44015...............  ..............  A               Insert needle cath          2.63         NA       0.87       0.35         NA       3.84        ZZZ
                                                       bowel.
44020...............  ..............  A               Explore small              14.00         NA       5.87       1.85         NA      21.72        090
                                                       intestine.
44021...............  ..............  A               Decompress small           14.09         NA       5.92       1.86         NA      21.86        090
                                                       bowel.
44025...............  ..............  A               Incision of large          14.29         NA       5.96       1.89         NA      22.14        090
                                                       bowel.
44050...............  ..............  A               Reduce bowel               14.04         NA       5.88       1.85         NA      21.77        090
                                                       obstruction.
44055...............  ..............  A               Correct malrotation        22.01         NA       8.59       2.90         NA      33.51        090
                                                       of bowel.
44100...............  ..............  A               Biopsy of bowel......       2.01         NA       0.75       0.17         NA       2.94        000
44110...............  ..............  A               Excise intestine           11.81         NA       5.18       1.55         NA      18.54        090
                                                       lesion(s).
44111...............  ..............  A               Excision of bowel          14.30         NA       6.03       1.86         NA      22.19        090
                                                       lesion(s).
44120...............  ..............  A               Removal of small           17.00         NA       6.99       2.24         NA      26.23        090
                                                       intestine.
44121...............  ..............  A               Removal of small            4.45         NA       1.49       0.58         NA       6.51        ZZZ
                                                       intestine.
44125...............  ..............  A               Removal of small           17.55         NA       7.16       2.26         NA      26.97        090
                                                       intestine.
44126...............  ..............  A               Enterectomy w/o            35.52         NA      13.91       4.68         NA      54.11        090
                                                       taper, cong.
44127...............  ..............  A               Enterectomy w/taper,       41.02         NA      15.47       5.75         NA      62.24        090
                                                       cong.
44128...............  ..............  A               Enterectomy cong, add-      4.45         NA       1.49       0.61         NA       6.55        ZZZ
                                                       on.
44130...............  ..............  A               Bowel to bowel fusion      14.50         NA       6.15       1.87         NA      22.52        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.
44137...............  ..............  C               Remove intestinal           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       allograft.

[[Page 45923]]

 
44139...............  ..............  A               Mobilization of colon       2.23         NA       0.74       0.28         NA       3.26        ZZZ
44140...............  ..............  A               Partial removal of         21.01         NA       8.53       2.70         NA      32.25        090
                                                       colon.
44141...............  ..............  A               Partial removal of         19.52         NA       9.91       2.52         NA      31.95        090
                                                       colon.
44143...............  ..............  A               Partial removal of         23.01         NA      10.52       3.04         NA      36.57        090
                                                       colon.
44144...............  ..............  A               Partial removal of         21.54         NA       9.50       2.85         NA      33.89        090
                                                       colon.
44145...............  ..............  A               Partial removal of         26.43         NA      10.68       3.28         NA      40.39        090
                                                       colon.
44146...............  ..............  A               Partial removal of         27.56         NA      12.67       3.40         NA      43.62        090
                                                       colon.
44147...............  ..............  A               Partial removal of         20.72         NA       8.60       2.55         NA      31.87        090
                                                       colon.
44150...............  ..............  A               Removal of colon.....      23.96         NA      11.88       3.03         NA      38.87        090
44151...............  ..............  A               Removal of colon/          26.89         NA      13.23       3.48         NA      43.60        090
                                                       ileostomy.
44152...............  ..............  A               Removal of colon/          27.85         NA      11.39       3.51         NA      42.75        090
                                                       ileostomy.
44153...............  ..............  A               Removal of colon/          30.60         NA      14.27       3.54         NA      48.41        090
                                                       ileostomy.
44155...............  ..............  A               Removal of colon/          27.88         NA      13.17       3.27         NA      44.31        090
                                                       ileostomy.
44156...............  ..............  A               Removal of colon/          30.80         NA      14.81       3.94         NA      49.56        090
                                                       ileostomy.
44160...............  ..............  A               Removal of colon.....      18.63         NA       7.65       2.36         NA      28.64        090
44200...............  ..............  A               Laparoscopy,               14.45         NA       6.12       1.89         NA      22.46        090
                                                       enterolysis.
44201...............  ..............  A               Laparoscopy,                9.79         NA       4.60       1.30         NA      15.69        090
                                                       jejunostomy.
44202...............  ..............  A               Lap resect s/              22.05         NA       8.81       2.84         NA      33.71        090
                                                       intestine singl.
44203...............  ..............  A               Lap resect s/               4.45         NA       1.46       0.57         NA       6.48        ZZZ
                                                       intestine, addl.
44204...............  ..............  A               Laparo partial             25.09         NA       9.81       3.10         NA      38.00        090
                                                       colectomy.
44205...............  ..............  A               Lap colectomy part w/      22.24         NA       8.72       2.74         NA      33.71        090
                                                       ileum.
44206...............  ..............  A               Lap part colectomy w/      27.01         NA      11.08       3.45         NA      41.54        090
                                                       stoma.
44207...............  ..............  A               L colectomy/               30.02         NA      11.32       3.66         NA      45.00        090
                                                       coloproctostomy.
44208...............  ..............  A               L colectomy/               32.01         NA      12.97       3.87         NA      48.85        090
                                                       coloproctostomy.
44210...............  ..............  A               Laparo total               28.02         NA      11.74       3.41         NA      43.17        090
                                                       proctocolectomy.
44211...............  ..............  A               Laparo total               35.02         NA      14.52       4.16         NA      53.70        090
                                                       proctocolectomy.
44212...............  ..............  A               Laparo total               32.51         NA      13.56       3.77         NA      49.84        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...      12.11         NA       5.43       1.60         NA      19.15        090
44310...............  ..............  A               Ileostomy/jejunostomy      15.96         NA       6.62       1.98         NA      24.57        090
44312...............  ..............  A               Revision of ileostomy       8.03         NA       4.12       0.92         NA      13.06        090
44314...............  ..............  A               Revision of ileostomy      15.06         NA       6.65       1.74         NA      23.45        090
44316...............  ..............  A               Devise bowel pouch...      21.10         NA       8.65       2.37         NA      32.12        090
44320...............  ..............  A               Colostomy............      17.65         NA       7.58       2.25         NA      27.48        090
44322...............  ..............  A               Colostomy with             11.98         NA       8.49       1.54         NA      22.01        090
                                                       biopsies.
44340...............  ..............  A               Revision of colostomy       7.73         NA       4.26       0.99         NA      12.98        090
44345...............  ..............  A               Revision of colostomy      15.44         NA       6.83       1.96         NA      24.23        090
44346...............  ..............  A               Revision of colostomy      16.99         NA       7.34       2.12         NA      26.45        090
44360...............  ..............  A               Small bowel endoscopy       2.60         NA       1.21       0.19         NA       4.00        000
44361...............  ..............  A               Small bowel endoscopy/      2.88         NA       1.32       0.21         NA       4.40        000
                                                       biopsy.
44363...............  ..............  A               Small bowel endoscopy       3.50         NA       1.48       0.27         NA       5.25        000
44364...............  ..............  A               Small bowel endoscopy       3.74         NA       1.62       0.27         NA       5.63        000
44365...............  ..............  A               Small bowel endoscopy       3.32         NA       1.49       0.24         NA       5.05        000
44366...............  ..............  A               Small bowel endoscopy       4.41         NA       1.88       0.32         NA       6.61        000
44369...............  ..............  A               Small bowel endoscopy       4.52         NA       1.85       0.33         NA       6.70        000
44370...............  ..............  A               Small bowel endoscopy/      4.80         NA       2.16       0.37         NA       7.33        000
                                                       stent.
44372...............  ..............  A               Small bowel endoscopy       4.41         NA       1.85       0.35         NA       6.61        000
44373...............  ..............  A               Small bowel endoscopy       3.50         NA       1.53       0.27         NA       5.30        000
44376...............  ..............  A               Small bowel endoscopy       5.26         NA       2.17       0.42         NA       7.85        000
44377...............  ..............  A               Small bowel endoscopy/      5.53         NA       2.32       0.40         NA       8.25        000
                                                       biopsy.
44378...............  ..............  A               Small bowel endoscopy       7.13         NA       2.92       0.52         NA      10.58        000
44379...............  ..............  A               S bowel endoscope w/        7.47         NA       3.13       0.62         NA      11.23        000
                                                       stent.
44380...............  ..............  A               Small bowel endoscopy       1.05         NA       0.63       0.08         NA       1.76        000
44382...............  ..............  A               Small bowel endoscopy       1.27         NA       0.71       0.12         NA       2.10        000
44383...............  ..............  A               Ileoscopy w/stent....       2.95         NA       1.42       0.21         NA       4.57        000
44385...............  ..............  A               Endoscopy of bowel          1.82       3.53       0.83       0.15       5.51       2.80        000
                                                       pouch.
44386...............  ..............  A               Endoscopy, bowel            2.12       7.02       0.93       0.20       9.34       3.26        000
                                                       pouch/biop.
44388...............  ..............  A               Colonoscopy..........       2.83       5.31       1.21       0.26       8.40       4.30        000
44389...............  ..............  A               Colonoscopy with            3.14       7.02       1.36       0.27      10.43       4.76        000
                                                       biopsy.
44390...............  ..............  A               Colonoscopy for             3.83       7.54       1.59       0.32      11.68       5.74        000
                                                       foreign body.
44391...............  ..............  A               Colonoscopy for             4.32       8.94       1.82       0.34      13.60       6.48        000
                                                       bleeding.
44392...............  ..............  A               Colonoscopy &               3.82       6.91       1.57       0.34      11.06       5.73        000
                                                       polypectomy.
44393...............  ..............  A               Colonoscopy, lesion         4.84       7.17       1.99       0.42      12.43       7.25        000
                                                       removal.
44394...............  ..............  A               Colonoscopy w/snare..       4.43       8.31       1.82       0.38      13.12       6.63        000
44397...............  ..............  A               Colonoscopy w/stent..       4.71         NA       1.88       0.39         NA       6.98        000
44500...............  ..............  A               Intro,                      0.49         NA       0.17       0.03         NA       0.69        000
                                                       gastrointestinal
                                                       tube.
44602...............  ..............  A               Suture, small              16.04         NA       6.29       2.11         NA      24.44        090
                                                       intestine.
44603...............  ..............  A               Suture, small              18.67         NA       7.15       2.41         NA      28.23        090
                                                       intestine.
44604...............  ..............  A               Suture, large              16.04         NA       6.36       2.11         NA      24.51        090
                                                       intestine.
44605...............  ..............  A               Repair of bowel            19.54         NA       8.24       2.51         NA      30.29        090
                                                       lesion.
44615...............  ..............  A               Intestinal                 15.94         NA       6.60       2.06         NA      24.60        090
                                                       stricturoplasty.
44620...............  ..............  A               Repair bowel opening.      12.20         NA       5.27       1.51         NA      18.99        090
44625...............  ..............  A               Repair bowel opening.      15.06         NA       6.23       1.85         NA      23.14        090

[[Page 45924]]

 
44626...............  ..............  A               Repair bowel opening.      25.37         NA       9.65       3.26         NA      38.28        090
44640...............  ..............  A               Repair bowel-skin          21.66         NA       8.45       2.77         NA      32.89        090
                                                       fistula.
44650...............  ..............  A               Repair bowel fistula.      22.59         NA       8.78       2.92         NA      34.28        090
44660...............  ..............  A               Repair bowel-bladder       21.37         NA       8.77       2.13         NA      32.27        090
                                                       fistula.
44661...............  ..............  A               Repair bowel-bladder       24.82         NA       9.74       2.80         NA      37.36        090
                                                       fistula.
44680...............  ..............  A               Surgical revision,         15.41         NA       6.37       1.99         NA      23.77        090
                                                       intestine.
44700...............  ..............  A               Suspend bowel w/           16.12         NA       6.68       1.83         NA      24.63        090
                                                       prosthesis.
44701...............  ..............  A               Intraop colon lavage        3.11         NA       1.03       0.37         NA       4.51        ZZZ
                                                       add-on.
44715...............  ..............  C               Prepare donor               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       intestine.
44720...............  ..............  A               Prep donor intestine/       5.01         NA       1.67       0.37         NA       7.05        XXX
                                                       venous.
44721...............  ..............  A               Prep donor intestine/       7.01         NA       2.33       0.97         NA      10.32        XXX
                                                       artery.
44799...............  ..............  C               Unlisted procedure          0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       intestine.
44800...............  ..............  A               Excision of bowel          11.23         NA       5.38       1.47         NA      18.08        090
                                                       pouch.
44820...............  ..............  A               Excision of mesentery      12.09         NA       5.44       1.59         NA      19.12        090
                                                       lesion.
44850...............  ..............  A               Repair of mesentery..      10.74         NA       4.94       1.39         NA      17.07        090
44899...............  ..............  C               Bowel surgery               0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
44900...............  ..............  A               Drain app abscess,         10.14         NA       4.67       1.33         NA      16.14        090
                                                       open.
44901...............  ..............  A               Drain app abscess,          3.38      26.78       1.15       0.22      30.37       4.74        000
                                                       percut.
44950...............  ..............  A               Appendectomy.........      10.01         NA       4.26       1.31         NA      15.58        090
44955...............  ..............  A               Appendectomy add-on..       1.53         NA       0.53       0.20         NA       2.26        ZZZ
44960...............  ..............  A               Appendectomy.........      12.34         NA       5.27       1.63         NA      19.24        090
44970...............  ..............  A               Laparoscopy,                8.71         NA       4.06       1.14         NA      13.90        090
                                                       appendectomy.
44979...............  ..............  C               Laparoscope proc, app       0.00       0.00       0.00       0.00       0.00       0.00        YYY
45000...............  ..............  A               Drainage of pelvic          4.52         NA       3.02       0.52         NA       8.06        090
                                                       abscess.
45005...............  ..............  A               Drainage of rectal          1.99       3.94       1.55       0.25       6.19       3.80        010
                                                       abscess.
45020...............  ..............  A               Drainage of rectal          4.72         NA       3.33       0.55         NA       8.60        090
                                                       abscess.
45100...............  ..............  A               Biopsy of rectum.....       3.68         NA       2.40       0.44         NA       6.52        090
45108...............  ..............  A               Removal of anorectal        4.76         NA       2.78       0.59         NA       8.13        090
                                                       lesion.
45110...............  ..............  A               Removal of rectum....      28.02         NA      12.24       3.35         NA      43.61        090
45111...............  ..............  A               Partial removal of         16.49         NA       7.10       2.06         NA      25.65        090
                                                       rectum.
45112...............  ..............  A               Removal of rectum....      30.55         NA      11.60       3.42         NA      45.57        090
45113...............  ..............  A               Partial proctectomy..      30.59         NA      12.48       3.48         NA      46.56        090
45114...............  ..............  A               Partial removal of         27.33         NA      10.73       3.35         NA      41.42        090
                                                       rectum.
45116...............  ..............  A               Partial removal of         24.59         NA       9.88       2.87         NA      37.34        090
                                                       rectum.
45119...............  ..............  A               Remove rectum w/           30.85         NA      12.33       3.35         NA      46.54        090
                                                       reservoir.
45120...............  ..............  A               Removal of rectum....      24.61         NA      10.07       2.89         NA      37.57        090
45121...............  ..............  A               Removal of rectum and      27.05         NA      10.96       3.24         NA      41.26        090
                                                       colon.
45123...............  ..............  A               Partial proctectomy..      16.71         NA       6.81       1.85         NA      25.37        090
45126...............  ..............  A               Pelvic exenteration..      45.18         NA      19.60       4.32         NA      69.10        090
45130...............  ..............  A               Excision of rectal         16.45         NA       6.73       1.79         NA      24.98        090
                                                       prolapse.
45135...............  ..............  A               Excision of rectal         19.29         NA       8.34       2.35         NA      29.98        090
                                                       prolapse.
45136...............  ..............  A               Excise ileoanal            27.31         NA      12.34       2.81         NA      42.47        090
                                                       reservior.
45150...............  ..............  A               Excision of rectal          5.67         NA       3.01       0.61         NA       9.29        090
                                                       stricture.
45160...............  ..............  A               Excision of rectal         15.33         NA       6.62       1.67         NA      23.62        090
                                                       lesion.
45170...............  ..............  A               Excision of rectal         11.49         NA       5.21       1.35         NA      18.06        090
                                                       lesion.
45190...............  ..............  A               Destruction, rectal         9.75         NA       4.64       1.13         NA      15.52        090
                                                       tumor.
45300...............  ..............  A               Proctosigmoidoscopy         0.38       1.56       0.29       0.04       1.98       0.71        000
                                                       dx.
45303...............  ..............  A               Proctosigmoidoscopy         0.44      18.29       0.37       0.05      18.78       0.86        000
                                                       dilate.
45305...............  ..............  A               Proctosigmoidoscopy w/      1.01       2.68       0.51       0.11       3.80       1.63        000
                                                       bx.
45307...............  ..............  A               Proctosigmoidoscopy         0.94       3.03       0.49       0.11       4.09       1.54        000
                                                       fb.
45308...............  ..............  A               Proctosigmoidoscopy         0.83       2.10       0.45       0.09       3.02       1.37        000
                                                       removal.
45309...............  ..............  A               Proctosigmoidoscopy         2.01       2.86       0.85       0.22       5.09       3.09        000
                                                       removal.
45315...............  ..............  A               Proctosigmoidoscopy         1.40       2.95       0.65       0.15       4.50       2.20        000
                                                       removal.
45317...............  ..............  A               Proctosigmoidoscopy         1.50       2.57       0.68       0.15       4.22       2.33        000
                                                       bleed.
45320...............  ..............  A               Proctosigmoidoscopy         1.58       3.10       0.74       0.16       4.84       2.48        000
                                                       ablate.
45321...............  ..............  A               Proctosigmoidoscopy         1.17         NA       0.58       0.13         NA       1.89        000
                                                       volvul.
45327...............  ..............  A               Proctosigmoidoscopy w/      1.65         NA       0.69       0.16         NA       2.51        000
                                                       stent.
45330...............  ..............  A               Diagnostic                  0.96       2.33       0.55       0.08       3.37       1.59        000
                                                       sigmoidoscopy.
45331...............  ..............  A               Sigmoidoscopy and           1.15       3.20       0.65       0.09       4.44       1.90        000
                                                       biopsy.
45332...............  ..............  A               Sigmoidoscopy w/fb          1.79       5.02       0.86       0.16       6.97       2.82        000
                                                       removal.
45333...............  ..............  A               Sigmoidoscopy &             1.79       5.08       0.87       0.15       7.02       2.81        000
                                                       polypectomy.
45334...............  ..............  A               Sigmoidoscopy for           2.74         NA       1.24       0.20         NA       4.18        000
                                                       bleeding.
45335...............  ..............  A               Sigmoidoscopy w/            1.46       3.34       0.75       0.11       4.91       2.33        000
                                                       submuc inj.
45337...............  ..............  A               Sigmoidoscopy &             2.36         NA       1.07       0.21         NA       3.65        000
                                                       decompress.
45338...............  ..............  A               Sigmoidoscopy w/tumr        2.34       5.50        .09       0.19       8.04       3.62        000
                                                       remove.
45339...............  ..............  A               Sigmoidoscopy w/            3.15       3.72       1.39       0.26       7.12       4.79        000
                                                       ablate tumr.
45340...............  ..............  A               Sig w/balloon               1.89       6.40       0.89       0.15       8.44       2.94        000
                                                       dilation.
45341...............  ..............  A               Sigmoidoscopy w/            2.61         NA       1.11       0.19         NA       3.90        000
                                                       ultrasound.
45342...............  ..............  A               Sigmoidoscopy w/us          4.06         NA       1.61       0.30         NA       5.97        000
                                                       guide bx.
45345...............  ..............  A               Sigmoidoscopy w/stent       2.93         NA       1.21       0.23         NA       4.37        000
45355...............  ..............  A               Surgical colonoscopy.       3.52         NA       1.41       0.36         NA       5.29        000
45378...............  ..............  A               Diagnostic                  3.70       6.60       1.58       0.30      10.59       5.57        000
                                                       colonoscopy.
45378...............  53............  A               Diagnostic                  0.96       2.33       0.55       0.08       3.37       1.59        000
                                                       colonoscopy.
45379...............  ..............  A               Colonoscopy w/fb            4.69       7.80       1.93       0.39      12.88       7.01        000
                                                       removal.

[[Page 45925]]

 
45380...............  ..............  A               Colonoscopy and             4.44       7.80       1.86       0.35      12.59       6.65        000
                                                       biopsy.
45381...............  ..............  A               Colonoscopy,                4.20       7.72       1.79       0.30      12.22       6.29        000
                                                       submucous inj.
45382...............  ..............  A               Colonoscopy/control         5.69      10.76       2.36       0.41      16.86       8.47        000
                                                       bleeding.
45383...............  ..............  A               Lesion removal              5.87       8.55       2.37       0.48      14.91       8.72        000
                                                       colonoscopy.
45384...............  ..............  A               Lesion remove               4.70       7.38       1.96       0.38      12.46       7.04        000
                                                       colonoscopy.
45385...............  ..............  A               Lesion removal              5.31       8.44       2.18       0.42      14.17       7.91        000
                                                       colonoscopy.
45386...............  ..............  A               Colonoscopy dilate          4.58      13.23       1.91       0.39      18.20       6.88        000
                                                       stricture.
45387...............  ..............  A               Colonoscopy w/stent..       5.91         NA       2.50       0.48         NA       8.89        000
45391...............  ..............  A               Colonoscopy w/              5.10         NA       2.15       0.42         NA       7.67        000
                                                       endoscope us.
45392...............  ..............  A               Colonoscopy w/              6.55         NA       2.69       0.42         NA       9.66        000
                                                       endoscopic fnb.
45500...............  ..............  A               Repair of rectum.....       7.29         NA       3.57       0.75         NA      11.61        090
45505...............  ..............  A               Repair of rectum.....       7.59         NA       3.91       0.86         NA      12.36        090
45520...............  ..............  A               Treatment of rectal         0.55       1.77       0.40       0.05       2.37       1.00        000
                                                       prolapse.
45540...............  ..............  A               Correct rectal             16.28         NA       6.73       1.84         NA      24.85        090
                                                       prolapse.
45541...............  ..............  A               Correct rectal             13.41         NA       5.92       1.55         NA      20.88        090
                                                       prolapse.
45550...............  ..............  A               Repair rectum/remove       23.02         NA       9.11       2.61         NA      34.74        090
                                                       sigmoid.
45560...............  ..............  A               Repair of rectocele..      10.58         NA       5.13       1.13         NA      16.84        090
45562...............  ..............  A               Exploration/repair of      15.39         NA       7.05       1.83         NA      24.27        090
                                                       rectum.
45563...............  ..............  A               Exploration/repair of      23.48         NA      10.44       3.10         NA      37.02        090
                                                       rectum.
45800...............  ..............  A               Repair rect/bladder        17.78         NA       7.84       1.85         NA      27.46        090
                                                       fistula.
45805...............  ..............  A               Repair fistula w/          20.79         NA       9.62       2.02         NA      32.43        090
                                                       colostomy.
45820...............  ..............  A               Repair rectourethral       18.49         NA       8.03       1.58         NA      28.09        090
                                                       fistula.
45825...............  ..............  A               Repair fistula w/          21.26         NA       9.95       2.31         NA      33.53        090
                                                       colostomy.
45900...............  ..............  A               Reduction of rectal         2.62         NA       1.50       0.30         NA       4.41        010
                                                       prolapse.
45905...............  ..............  A               Dilation of anal            2.30         NA       1.47       0.27         NA       4.05        010
                                                       sphincter.
45910...............  ..............  A               Dilation of rectal          2.81         NA       1.76       0.30         NA       4.86        010
                                                       narrowing.
45915...............  ..............  A               Remove rectal               3.15       4.28       2.06       0.30       7.72       5.51        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...       2.91       2.40       1.89       0.31       5.62       5.10        010
46030...............  ..............  A               Removal of rectal           1.23       1.41       0.72       0.14       2.78       2.09        010
                                                       marker.
46040...............  ..............  A               Incision of rectal          4.96       5.50       3.59       0.62      11.08       9.17        090
                                                       abscess.
46045...............  ..............  A               Incision of rectal          4.32         NA       2.92       0.54         NA       7.78        090
                                                       abscess.
46050...............  ..............  A               Incision of anal            1.19       2.55       0.84       0.14       3.88       2.17        010
                                                       abscess.
46060...............  ..............  A               Incision of rectal          5.69         NA       3.28       0.67         NA       9.64        090
                                                       abscess.
46070...............  ..............  A               Incision of anal            2.72         NA       1.86       0.36         NA       4.93        090
                                                       septum.
46080...............  ..............  A               Incision of anal            2.49       2.40       1.13       0.30       5.20       3.92        010
                                                       sphincter.
46083...............  ..............  A               Incise external             1.40       2.46       0.91       0.15       4.01       2.47        010
                                                       hemorrhoid.
46200...............  ..............  A               Removal of anal             3.42       4.08       2.92       0.39       7.89       6.73        090
                                                       fissure.
46210...............  ..............  A               Removal of anal crypt       2.68       5.04       2.65       0.31       8.02       5.64        090
46211...............  ..............  A               Removal of anal             4.25       5.43       3.67       0.48      10.16       8.40        090
                                                       crypts.
46220...............  ..............  A               Removal of anal tag..       1.56       2.33       0.96       0.17       4.06       2.70        010
46221...............  ..............  A               Ligation of                 2.04       2.71       1.77       0.23       4.98       4.05        010
                                                       hemorrhoid(s).
46230...............  ..............  A               Removal of anal tags.       2.58       3.06       1.29       0.30       5.94       4.17        010
46250...............  ..............  A               Hemorrhoidectomy.....       3.89       5.25       2.60       0.48       9.62       6.97        090
46255...............  ..............  A               Hemorrhoidectomy.....       4.60       5.85       2.82       0.58      11.03       8.00        090
46257...............  ..............  A               Remove hemorrhoids &        5.40         NA       2.89       0.64         NA       8.93        090
                                                       fissure.
46258...............  ..............  A               Remove hemorrhoids &        5.73         NA       3.31       0.68         NA       9.72        090
                                                       fistula.
46260...............  ..............  A               Hemorrhoidectomy.....       6.37         NA       3.20       0.76         NA      10.33        090
46261...............  ..............  A               Remove hemorrhoids &        7.08         NA       3.64       0.79         NA      11.51        090
                                                       fissure.
46262...............  ..............  A               Remove hemorrhoids &        7.50         NA       3.77       0.83         NA      12.10        090
                                                       fistula.
46270...............  ..............  A               Removal of anal             3.72       4.97       2.85       0.46       9.15       7.02        090
                                                       fistula.
46275...............  ..............  A               Removal of anal             4.56       4.76       3.00       0.52       9.84       8.08        090
                                                       fistula.
46280...............  ..............  A               Removal of anal             5.98         NA       3.29       0.66         NA       9.94        090
                                                       fistula.
46285...............  ..............  A               Removal of anal             4.09       3.95       2.77       0.44       8.48       7.30        090
                                                       fistula.
46288...............  ..............  A               Repair anal fistula..       7.13         NA       3.69       0.79         NA      11.62        090
46320...............  ..............  A               Removal of hemorrhoid       1.61       2.12       0.84       0.18       3.91       2.63        010
                                                       clot.
46500...............  ..............  A               Injection into              1.61       2.26       1.26       0.16       4.04       3.04        010
                                                       hemorrhoid(s).
46600...............  ..............  A               Diagnostic anoscopy..       0.50       1.52       0.34       0.05       2.07       0.89        000
46604...............  ..............  A               Anoscopy and dilation       1.31       9.37       0.64       0.12      10.81       2.08        000
46606...............  ..............  A               Anoscopy and biopsy..       0.81       3.69       0.44       0.09       4.59       1.34        000
46608...............  ..............  A               Anoscopy, remove for        1.51       4.23       0.65       0.16       5.91       2.32        000
                                                       body.
46610...............  ..............  A               Anoscopy, remove            1.32       3.92       0.62       0.15       5.40       2.10        000
                                                       lesion.
46611...............  ..............  A               Anoscopy.............       1.81       3.20       0.78       0.19       5.20       2.78        000
46612...............  ..............  A               Anoscopy, remove            2.34       5.32       1.01       0.28       7.95       3.64        000
                                                       lesions.
46614...............  ..............  A               Anoscopy, control           2.01       2.48       0.87       0.20       4.69       3.08        000
                                                       bleeding.
46615...............  ..............  A               Anoscopy.............       2.69       2.43       1.07       0.33       5.45       4.09        000
46700...............  ..............  A               Repair of anal              9.14         NA       4.24       0.94         NA      14.32        090
                                                       stricture.
46705...............  ..............  A               Repair of anal              6.90         NA       3.77       0.91         NA      11.58        090
                                                       stricture.
46706...............  ..............  A               Repr of anal fistula        2.39       0.00       1.27       0.28       2.67       3.94        010
                                                       w/glue.
46715...............  ..............  A               Rep perf anoper fistu       7.20         NA       3.63       0.92         NA      11.75        090
46716...............  ..............  A               Rep perf anoper/           15.08         NA       7.93       1.58         NA      24.59        090
                                                       vestib fistu.
46730...............  ..............  A               Construction of            26.76         NA      11.97       2.46         NA      41.19        090
                                                       absent anus.
46735...............  ..............  A               Construction of            32.18         NA      13.46       3.20         NA      48.85        090
                                                       absent anus.
46740...............  ..............  A               Construction of            30.02         NA      13.17       2.41         NA      45.60        090
                                                       absent anus.

[[Page 45926]]

 
46742...............  ..............  A               Repair of                  35.82         NA      16.88       3.19         NA      55.89        090
                                                       imperforated anus.
46744...............  ..............  A               Repair of cloacal          52.66         NA      21.39       6.38         NA      80.42        090
                                                       anomaly.
46746...............  ..............  A               Repair of cloacal          58.25         NA      24.73       7.68         NA      90.65        090
                                                       anomaly.
46748...............  ..............  A               Repair of cloacal          64.24         NA      25.56       3.36         NA      93.15        090
                                                       anomaly.
46750...............  ..............  A               Repair of anal             10.25         NA       5.05       1.10         NA      16.40        090
                                                       sphincter.
46751...............  ..............  A               Repair of anal              8.78         NA       5.23       0.94         NA      14.94        090
                                                       sphincter.
46753...............  ..............  A               Reconstruction of           8.30         NA       3.85       0.94         NA      13.08        090
                                                       anus.
46754...............  ..............  A               Removal of suture           2.20       3.53       1.72       0.19       5.93       4.11        010
                                                       from anus.
46760...............  ..............  A               Repair of anal             14.44         NA       7.10       1.59         NA      23.13        090
                                                       sphincter.
46761...............  ..............  A               Repair of anal             13.85         NA       6.00       1.43         NA      21.28        090
                                                       sphincter.
46762...............  ..............  A               Implant artificial         12.72         NA       5.77       1.24         NA      19.72        090
                                                       sphincter.
46900...............  ..............  A               Destruction, anal           1.91       2.72       1.33       0.17       4.80       3.41        010
                                                       lesion(s).
46910...............  ..............  A               Destruction, anal           1.86       3.04       1.07       0.19       5.09       3.13        010
                                                       lesion(s).
46916...............  ..............  A               Cryosurgery, anal           1.86       3.30       1.52       0.11       5.27       3.49        010
                                                       lesion(s).
46917...............  ..............  A               Laser surgery, anal         1.86       9.15       1.15       0.21      11.23       3.22        010
                                                       lesions.
46922...............  ..............  A               Excision of anal            1.86       3.33       1.08       0.22       5.42       3.16        010
                                                       lesion(s).
46924...............  ..............  A               Destruction, anal           2.77       8.93       1.36       0.26      11.95       4.39        010
                                                       lesion(s).
46934...............  ..............  A               Destruction of              3.51       5.32       3.23       0.32       9.14       7.06        090
                                                       hemorrhoids.
46935...............  ..............  A               Destruction of              2.43       3.49       1.25       0.23       6.15       3.91        010
                                                       hemorrhoids.
46936...............  ..............  A               Destruction of              3.69       5.13       2.63       0.34       9.16       6.66        090
                                                       hemorrhoids.
46937...............  ..............  A               Cryotherapy of rectal       2.70       3.09       1.23       0.14       5.92       4.07        010
                                                       lesion.
46938...............  ..............  A               Cryotherapy of rectal       4.66       4.24       3.08       0.58       9.48       8.32        090
                                                       lesion.
46940...............  ..............  A               Treatment of anal           2.32       2.08       1.10       0.23       4.63       3.65        010
                                                       fissure.
46942...............  ..............  A               Treatment of anal           2.04       1.94       1.07       0.19       4.17       3.31        010
                                                       fissure.
46945...............  ..............  A               Ligation of                 1.84       3.37       2.65       0.19       5.41       4.69        090
                                                       hemorrhoids.
46946...............  ..............  A               Ligation of                 2.59       3.73       2.58       0.27       6.59       5.44        090
                                                       hemorrhoids.
46947...............  ..............  A               Hemorrhoidopexy by          5.21         NA       2.73       0.75         NA       8.69        090
                                                       stapling.
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       4.66       0.66       0.12       6.69       2.69        000
                                                       liver.
47001...............  ..............  A               Needle biopsy, liver        1.90         NA       0.64       0.25         NA       2.79        ZZZ
                                                       add-on.
47010...............  ..............  A               Open drainage, liver       16.02         NA       8.67       1.80         NA      26.49        090
                                                       lesion.
47011...............  ..............  A               Percut drain, liver         3.70         NA       1.27       0.22         NA       5.18        000
                                                       lesion.
47015...............  ..............  A               Inject/aspirate liver      15.12         NA       7.48       1.83         NA      24.43        090
                                                       cyst.
47100...............  ..............  A               Wedge biopsy of liver      11.67         NA       5.98       1.53         NA      19.18        090
47120...............  ..............  A               Partial removal of         35.52         NA      14.87       4.65         NA      55.05        090
                                                       liver.
47122...............  ..............  A               Extensive removal of       55.16         NA      20.98       7.19         NA      83.33        090
                                                       liver.
47125...............  ..............  A               Partial removal of         49.22         NA      19.10       6.45         NA      74.76        090
                                                       liver.
47130...............  ..............  A               Partial removal of         53.38         NA      20.51       6.94         NA      80.83        090
                                                       liver.
47135...............  ..............  R               Transplantation of         81.56         NA      31.02       9.93         NA     122.51        090
                                                       liver.
47136...............  ..............  R               Transplantation of         68.64         NA      26.67       8.41         NA     103.72        090
                                                       liver.
47140...............  ..............  A               Partial removal,           55.03         NA      22.05       5.17         NA      82.25        090
                                                       donor liver.
47141...............  ..............  A               Partial removal,           67.53         NA      26.60       5.17         NA      99.30        090
                                                       donor liver.
47142...............  ..............  A               Partial removal,           75.04         NA      29.09       5.17         NA     109.30        090
                                                       donor liver.
47143...............  ..............  C               Prep donor liver,           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       whole.
47144...............  ..............  C               Prep donor liver, 3-        0.00       0.00       0.00       0.00       0.00       0.00        090
                                                       segment.
47145...............  ..............  C               Prep donor liver,           0.00       0.00       0.00       0.00       0.00       0.00        090
                                                       lobe split.
47146...............  ..............  A               Prep donor liver/           6.01         NA       2.00       0.83         NA       8.84        XXX
                                                       venous.
47147...............  ..............  A               Prep donor liver/           7.01         NA       2.33       0.97         NA      10.32        XXX
                                                       arterial.
47300...............  ..............  A               Surgery for liver          15.09         NA       7.14       1.98         NA      24.21        090
                                                       lesion.
47350...............  ..............  A               Repair liver wound...      19.57         NA       8.75       2.58         NA      30.90        090
47360...............  ..............  A               Repair liver wound...      26.93         NA      11.43       3.37         NA      41.73        090
47361...............  ..............  A               Repair liver wound...      47.14         NA      18.17       5.85         NA      71.16        090
47362...............  ..............  A               Repair liver wound...      18.52         NA       8.58       2.50         NA      29.60        090
47370...............  ..............  A               Laparo ablate liver        19.70         NA       8.04       2.55         NA      30.29        090
                                                       tumor rf.
47371...............  ..............  A               Laparo ablate liver        19.70         NA       8.03       2.60         NA      30.33        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          23.02         NA       9.22       2.86         NA      35.10        090
                                                       tumor rf.
47381...............  ..............  A               Open ablate liver          23.29         NA       9.55       2.84         NA      35.68        090
                                                       tumor cryo.
47382...............  ..............  A               Percut ablate liver        15.20         NA       6.19       0.96         NA      22.35        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          32.50         NA      13.33       3.07         NA      48.90        090
                                                       duct.
47420...............  ..............  A               Incision of bile duct      19.89         NA       8.62       2.62         NA      31.13        090
47425...............  ..............  A               Incision of bile duct      19.84         NA       8.70       2.61         NA      31.15        090
47460...............  ..............  A               Incise bile duct           18.05         NA       8.55       2.20         NA      28.80        090
                                                       sphincter.
47480...............  ..............  A               Incision of                10.82         NA       5.85       1.42         NA      18.09        090
                                                       gallbladder.
47490...............  ..............  A               Incision of                 7.23         NA       5.80       0.43         NA      13.47        090
                                                       gallbladder.
47500...............  ..............  A               Injection for liver x-      1.96         NA       0.68       0.12         NA       2.76        000
                                                       rays.
47505...............  ..............  A               Injection for liver x-      0.76         NA       0.26       0.04         NA       1.06        000
                                                       rays.
47510...............  ..............  A               Insert catheter, bile       7.84         NA       5.27       0.46         NA      13.56        090
                                                       duct.
47511...............  ..............  A               Insert bile duct           10.50         NA       5.35       0.62         NA      16.47        090
                                                       drain.
47525...............  ..............  A               Change bile duct            5.55      15.88       2.95       0.33      21.77       8.83        010
                                                       catheter.
47530...............  ..............  A               Revise/reinsert bile        5.85      34.20       3.89       0.37      40.42      10.11        090
                                                       tube.
47550...............  ..............  A               Bile duct endoscopy         3.03         NA       1.00       0.40         NA       4.42        ZZZ
                                                       add-on.
47552...............  ..............  A               Biliary endoscopy           6.04         NA       2.43       0.42         NA       8.89        000
                                                       thru skin.

[[Page 45927]]

 
47553...............  ..............  A               Biliary endoscopy           6.35         NA       2.17       0.37         NA       8.89        000
                                                       thru skin.
47554...............  ..............  A               Biliary endoscopy           9.07         NA       3.38       0.96         NA      13.41        000
                                                       thru skin.
47555...............  ..............  A               Biliary endoscopy           7.57         NA       2.60       0.45         NA      10.62        000
                                                       thru skin.
47556...............  ..............  A               Biliary endoscopy           8.57         NA       2.94       0.50         NA      12.01        000
                                                       thru skin.
47560...............  ..............  A               Laparoscopy w/              4.89         NA       1.63       0.65         NA       7.17        000
                                                       cholangio.
47561...............  ..............  A               Laparo w/cholangio/         5.18         NA       1.88       0.66         NA       7.72        000
                                                       biopsy.
47562...............  ..............  A               Laparoscopic               11.09         NA       4.93       1.46         NA      17.48        090
                                                       cholecystectomy.
47563...............  ..............  A               Laparo                     11.94         NA       5.24       1.58         NA      18.76        090
                                                       cholecystectomy/
                                                       graph.
47564...............  ..............  A               Laparo                     14.24         NA       5.87       1.88         NA      21.99        090
                                                       cholecystectomy/
                                                       explr.
47570...............  ..............  A               Laparo                     12.59         NA       5.31       1.65         NA      19.55        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                 13.59         NA       6.04       1.79         NA      21.42        090
                                                       gallbladder.
47605...............  ..............  A               Removal of                 14.70         NA       6.41       1.94         NA      23.04        090
                                                       gallbladder.
47610...............  ..............  A               Removal of                 18.83         NA       7.80       2.48         NA      29.11        090
                                                       gallbladder.
47612...............  ..............  A               Removal of                 18.79         NA       7.76       2.47         NA      29.01        090
                                                       gallbladder.
47620...............  ..............  A               Removal of                 20.65         NA       8.37       2.73         NA      31.76        090
                                                       gallbladder.
47630...............  ..............  A               Remove bile duct            9.12         NA       5.10       0.65         NA      14.86        090
                                                       stone.
47700...............  ..............  A               Exploration of bile        15.63         NA       7.31       2.06         NA      25.00        090
                                                       ducts.
47701...............  ..............  A               Bile duct revision...      27.83         NA      11.28       3.67         NA      42.77        090
47711...............  ..............  A               Excision of bile duct      23.05         NA       9.75       3.04         NA      35.84        090
                                                       tumor.
47712...............  ..............  A               Excision of bile duct      30.25         NA      12.16       3.92         NA      46.33        090
                                                       tumor.
47715...............  ..............  A               Excision of bile duct      18.81         NA       8.31       2.48         NA      29.60        090
                                                       cyst.
47716...............  ..............  A               Fusion of bile duct        16.45         NA       7.69       2.14         NA      26.29        090
                                                       cyst.
47720...............  ..............  A               Fuse gallbladder &         15.92         NA       7.37       2.10         NA      25.39        090
                                                       bowel.
47721...............  ..............  A               Fuse upper gi              19.13         NA       8.43       2.52         NA      30.08        090
                                                       structures.
47740...............  ..............  A               Fuse gallbladder &         18.49         NA       8.24       2.41         NA      29.14        090
                                                       bowel.
47741...............  ..............  A               Fuse gallbladder &         21.35         NA       9.13       2.82         NA      33.31        090
                                                       bowel.
47760...............  ..............  A               Fuse bile ducts and        25.86         NA      10.66       3.41         NA      39.93        090
                                                       bowel.
47765...............  ..............  A               Fuse liver ducts &         24.89         NA      10.59       3.29         NA      38.77        090
                                                       bowel.
47780...............  ..............  A               Fuse bile ducts and        26.51         NA      11.02       3.49         NA      41.02        090
                                                       bowel.
47785...............  ..............  A               Fuse bile ducts and        31.19         NA      12.65       4.09         NA      47.93        090
                                                       bowel.
47800...............  ..............  A               Reconstruction of          23.32         NA       9.89       3.07         NA      36.27        090
                                                       bile ducts.
47801...............  ..............  A               Placement, bile duct       15.18         NA       8.39       1.16         NA      24.73        090
                                                       support.
47802...............  ..............  A               Fuse liver duct &          21.56         NA       9.49       2.85         NA      33.90        090
                                                       intestine.
47900...............  ..............  A               Suture bile duct           19.91         NA       8.73       2.64         NA      31.28        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..      28.09         NA      11.45       3.47         NA      43.01        090
48001...............  ..............  A               Placement of drain,        35.47         NA      13.61       4.68         NA      53.77        090
                                                       pancreas.
48005...............  ..............  A               Resect/debride             42.19         NA      16.29       5.54         NA      64.02        090
                                                       pancreas.
48020...............  ..............  A               Removal of pancreatic      15.71         NA       7.25       2.12         NA      25.09        090
                                                       stone.
48100...............  ..............  A               Biopsy of pancreas,        12.23         NA       5.54       1.62         NA      19.39        090
                                                       open.
48102...............  ..............  A               Needle biopsy,              4.68       8.56       2.01       0.28      13.52       6.97        010
                                                       pancreas.
48120...............  ..............  A               Removal of pancreas        15.86         NA       6.81       2.09         NA      24.76        090
                                                       lesion.
48140...............  ..............  A               Partial removal of         22.96         NA       9.40       3.02         NA      35.37        090
                                                       pancreas.
48145...............  ..............  A               Partial removal of         24.03         NA       9.69       3.17         NA      36.88        090
                                                       pancreas.
48146...............  ..............  A               Pancreatectomy.......      26.41         NA      11.78       3.49         NA      41.68        090
48148...............  ..............  A               Removal of pancreatic      17.34         NA       7.48       2.29         NA      27.12        090
                                                       duct.
48150...............  ..............  A               Partial removal of         48.03         NA      19.10       6.30         NA      73.43        090
                                                       pancreas.
48152...............  ..............  A               Pancreatectomy.......      43.77         NA      17.84       5.78         NA      67.39        090
48153...............  ..............  A               Pancreatectomy.......      47.92         NA      19.14       6.29         NA      73.35        090
48154...............  ..............  A               Pancreatectomy.......      44.12         NA      17.89       5.82         NA      67.83        090
48155...............  ..............  A               Removal of pancreas..      24.65         NA      11.47       3.26         NA      39.38        090
48160...............  ..............  N               Pancreas removal/           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       transplant.
48180...............  ..............  A               Fuse pancreas and          24.73         NA      10.02       3.27         NA      38.02        090
                                                       bowel.
48400...............  ..............  A               Injection, intraop          1.95         NA       0.67       0.15         NA       2.77        ZZZ
                                                       add-on.
48500...............  ..............  A               Surgery of pancreatic      15.29         NA       7.24       2.02         NA      24.55        090
                                                       cyst.
48510...............  ..............  A               Drain pancreatic           14.32         NA       7.52       1.82         NA      23.66        090
                                                       pseudocyst.
48511...............  ..............  A               Drain pancreatic            4.00      21.86       1.37       0.24      26.10       5.61        000
                                                       pseudocyst.
48520...............  ..............  A               Fuse pancreas cyst         15.60         NA       6.62       2.05         NA      24.27        090
                                                       and bowel.
48540...............  ..............  A               Fuse pancreas cyst         19.73         NA       7.98       2.60         NA      30.31        090
                                                       and bowel.
48545...............  ..............  A               Pancreatorrhaphy.....      18.19         NA       7.86       2.37         NA      28.42        090
48547...............  ..............  A               Duodenal exclusion...      25.84         NA      10.33       3.41         NA      39.58        090
48551...............  ..............  C               Prep donor pancreas..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
48552...............  ..............  A               Prep donor pancreas/        4.31         NA       1.44       0.31         NA       6.06        XXX
                                                       venous.
48554...............  ..............  R               Transpl allograft          34.19         NA      18.44       4.18         NA      56.81        090
                                                       pancreas.
48556...............  ..............  A               Removal, allograft         15.72         NA       8.08       2.07         NA      25.87        090
                                                       pancreas.
48999...............  ..............  C               Pancreas surgery            0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
49000...............  ..............  A               Exploration of             11.68         NA       5.34       1.52         NA      18.54        090
                                                       abdomen.
49002...............  ..............  A               Reopening of abdomen.      10.49         NA       4.98       1.37         NA      16.85        090
49010...............  ..............  A               Exploration behind         12.28         NA       5.89       1.51         NA      19.68        090
                                                       abdomen.
49020...............  ..............  A               Drain abdominal            22.86         NA      10.37       2.84         NA      36.07        090
                                                       abscess.
49021...............  ..............  A               Drain abdominal             3.38      21.59       1.15       0.20      25.17       4.73        000
                                                       abscess.
49040...............  ..............  A               Drain, open, abdom         13.53         NA       6.52       1.69         NA      21.74        090
                                                       abscess.
49041...............  ..............  A               Drain, percut, abdom        4.00      20.71       1.37       0.24      24.95       5.60        000
                                                       abscess.

[[Page 45928]]

 
49060...............  ..............  A               Drain, open, retrop        15.87         NA       7.69       1.74         NA      25.30        090
                                                       abscess.
49061...............  ..............  A               Drain, percut,              3.70      20.47       1.27       0.22      24.39       5.18        000
                                                       retroper absc.
49062...............  ..............  A               Drain to peritoneal        11.36         NA       5.43       1.39         NA      18.18        090
                                                       cavity.
49080...............  ..............  A               Puncture, peritoneal        1.35       3.87       0.48       0.08       5.30       1.91        000
                                                       cavity.
49081...............  ..............  A               Removal of abdominal        1.26       2.80       0.45       0.09       4.15       1.80        000
                                                       fluid.
49085...............  ..............  A               Remove abdomen             12.14         NA       5.45       1.62         NA      19.22        090
                                                       foreign body.
49180...............  ..............  A               Biopsy, abdominal           1.73       3.17       0.60       0.10       5.00       2.43        000
                                                       mass.
49200...............  ..............  A               Removal of abdominal       10.25         NA       5.04       1.24         NA      16.53        090
                                                       lesion.
49201...............  ..............  A               Remove abdom lesion,       14.85         NA       6.97       1.87         NA      23.69        090
                                                       complex.
49215...............  ..............  A               Excise sacral spine        33.52         NA      13.82       4.37         NA      51.70        090
                                                       tumor.
49220...............  ..............  A               Multiple surgery,          14.89         NA       6.56       1.88         NA      23.33        090
                                                       abdomen.
49250...............  ..............  A               Excision of umbilicus       8.36         NA       4.23       1.08         NA      13.67        090
49255...............  ..............  A               Removal of omentum...      11.14         NA       5.56       1.43         NA      18.13        090
49320...............  ..............  A               Diag laparo separate        5.10         NA       2.61       0.65         NA       8.36        010
                                                       proc.
49321...............  ..............  A               Laparoscopy, biopsy..       5.40         NA       2.62       0.70         NA       8.72        010
49322...............  ..............  A               Laparoscopy,                5.70         NA       2.95       0.71         NA       9.36        010
                                                       aspiration.
49323...............  ..............  A               Laparo drain                9.49         NA       4.56       1.20         NA      15.25        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       3.03       0.64       0.15       5.06       2.67        000
                                                       abdomen.
49419...............  ..............  A               Insrt abdom cath for        6.65         NA       3.52       0.81         NA      10.99        090
                                                       chemotx.
49420...............  ..............  A               Insert abdom drain,         2.22         NA       1.16       0.21         NA       3.59        000
                                                       temp.
49421...............  ..............  A               Insert abdom drain,         5.54         NA       3.12       0.74         NA       9.40        090
                                                       perm.
49422...............  ..............  A               Remove perm cannula/        6.25         NA       2.86       0.83         NA       9.94        010
                                                       catheter.
49423...............  ..............  A               Exchange drainage           1.46      14.27       0.55       0.09      15.82       2.10        000
                                                       catheter.
49424...............  ..............  A               Assess cyst, contrast       0.76       3.70       0.31       0.04       4.50       1.11        000
                                                       inject.
49425...............  ..............  A               Insert abdomen-venous      11.37         NA       5.48       1.54         NA      18.40        090
                                                       drain.
49426...............  ..............  A               Revise abdomen-venous       9.64         NA       4.71       1.28         NA      15.63        090
                                                       shunt.
49427...............  ..............  A               Injection, abdominal        0.89         NA       0.31       0.07         NA       1.27        000
                                                       shunt.
49428...............  ..............  A               Ligation of shunt....       6.06         NA       3.73       0.80         NA      10.59        010
49429...............  ..............  A               Removal of shunt.....       7.40         NA       3.35       1.02         NA      11.77        010
49491...............  ..............  A               Rpr hern preemie           11.13         NA       5.10       1.40         NA      17.63        090
                                                       reduc.
49492...............  ..............  A               Rpr ing hern premie,       14.04         NA       6.08       1.80         NA      21.92        090
                                                       blocked.
49495...............  ..............  A               Rpr ing hernia baby,        5.89         NA       2.97       0.74         NA       9.60        090
                                                       reduc.
49496...............  ..............  A               Rpr ing hernia baby,        8.80         NA       4.26       1.07         NA      14.13        090
                                                       blocked.
49500...............  ..............  A               Rpr ing hernia, init,       5.48         NA       3.18       0.71         NA       9.37        090
                                                       reduce.
49501...............  ..............  A               Rpr ing hernia, init        8.89         NA       4.19       1.12         NA      14.20        090
                                                       blocked.
49505...............  ..............  A               Prp i/hern init reduc       7.61         NA       3.73       1.03         NA      12.37        090
                                                       >5 yr.
49507...............  ..............  A               Prp i/hern init block       9.58         NA       4.42       1.27         NA      15.27        090
                                                       >5 yr.
49520...............  ..............  A               Rerepair ing hernia,        9.64         NA       4.40       1.28         NA      15.32        090
                                                       reduce.
49521...............  ..............  A               Rerepair ing hernia,       11.97         NA       5.18       1.59         NA      18.75        090
                                                       blocked.
49525...............  ..............  A               Repair ing hernia,          8.58         NA       4.06       1.13         NA      13.77        090
                                                       sliding.
49540...............  ..............  A               Repair lumbar hernia.      10.39         NA       4.70       1.37         NA      16.47        090
49550...............  ..............  A               Rpr rem hernia, init,       8.64         NA       4.09       1.14         NA      13.87        090
                                                       reduce.
49553...............  ..............  A               Rpr fem hernia, init        9.45         NA       4.38       1.24         NA      15.07        090
                                                       blocked.
49555...............  ..............  A               Rerepair fem hernia,        9.04         NA       4.23       1.20         NA      14.47        090
                                                       reduce.
49557...............  ..............  A               Rerepair fem hernia,       11.15         NA       4.93       1.47         NA      17.56        090
                                                       blocked.
49560...............  ..............  A               Rpr ventral hern           11.57         NA       5.09       1.52         NA      18.18        090
                                                       init, reduc.
49561...............  ..............  A               Rpr ventral hern           14.26         NA       5.98       1.88         NA      22.12        090
                                                       init, block.
49565...............  ..............  A               Rerepair ventrl hern,      11.57         NA       5.16       1.52         NA      18.25        090
                                                       reduce.
49566...............  ..............  A               Rerepair ventrl hern,      14.41         NA       6.05       1.90         NA      22.36        090
                                                       block.
49568...............  ..............  A               Hernia repair w/mesh.       4.89         NA       1.63       0.64         NA       7.16        ZZZ
49570...............  ..............  A               Rpr epigastric hern,        5.69         NA       3.15       0.75         NA       9.59        090
                                                       reduce.
49572...............  ..............  A               Rpr epigastric hern,        6.73         NA       3.44       0.88         NA      11.06        090
                                                       blocked.
49580...............  ..............  A               Rpr umbil hern, reduc       4.11         NA       2.58       0.54         NA       7.23        090
                                                       < 5 yr.
49582...............  ..............  A               Rpr umbil hern, block       6.65         NA       3.45       0.88         NA      10.99        090
                                                       < 5 yr.
49585...............  ..............  A               Rpr umbil hern, reduc       6.23         NA       3.28       0.82         NA      10.34        090
                                                       > 5 yr.
49587...............  ..............  A               Rpr umbil hern, block       7.57         NA       3.71       0.99         NA      12.27        090
                                                       > 5 yr.
49590...............  ..............  A               Repair spigelian            8.55         NA       4.06       1.13         NA      13.73        090
                                                       hernia.
49600...............  ..............  A               Repair umbilical           10.96         NA       5.26       1.32         NA      17.54        090
                                                       lesion.
49605...............  ..............  A               Repair umbilical           76.04         NA      27.99       9.36         NA     113.39        090
                                                       lesion.
49606...............  ..............  A               Repair umbilical           18.61         NA       7.55       2.45         NA      28.60        090
                                                       lesion.
49610...............  ..............  A               Repair umbilical           10.50         NA       5.11       1.07         NA      16.68        090
                                                       lesion.
49611...............  ..............  A               Repair umbilical            8.93         NA       6.74       0.78         NA      16.45        090
                                                       lesion.
49650...............  ..............  A               Laparo hernia repair        6.27         NA       3.18       0.93         NA      10.38        090
                                                       initial.
49651...............  ..............  A               Laparo hernia repair        8.25         NA       4.03       1.14         NA      13.41        090
                                                       recur.
49659...............  ..............  C               Laparo proc, hernia         0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       repair.
49900...............  ..............  A               Repair of abdominal        12.28         NA       6.21       1.62         NA      20.12        090
                                                       wall.
49904...............  ..............  A               Omental flap, extra-       20.01         NA      14.59       2.69         NA      37.29        090
                                                       abdom.
49905...............  ..............  A               Omental flap, intra-        6.55         NA       2.26       0.75         NA       9.57        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      10.98         NA       5.82       0.93         NA      17.74        090
50020...............  ..............  A               Renal abscess, open        14.67         NA       8.25       1.34         NA      24.26        090
                                                       drain.
50021...............  ..............  A               Renal abscess, percut       3.38      22.82       1.16       0.20      26.39       4.74        000
                                                       drain.

[[Page 45929]]

 
50040...............  ..............  A               Drainage of kidney...      14.95         NA       7.61       1.03         NA      23.59        090
50045...............  ..............  A               Exploration of kidney      15.47         NA       7.41       1.24         NA      24.12        090
50060...............  ..............  A               Removal of kidney          19.31         NA       9.10       1.36         NA      29.76        090
                                                       stone.
50065...............  ..............  A               Incision of kidney...      20.80         NA       6.01       1.59         NA      28.40        090
50070...............  ..............  A               Incision of kidney...      20.33         NA       9.43       1.44         NA      31.20        090
50075...............  ..............  A               Removal of kidney          25.35         NA      11.47       1.80         NA      38.62        090
                                                       stone.
50080...............  ..............  A               Removal of kidney          14.72         NA       7.28       1.04         NA      23.04        090
                                                       stone.
50081...............  ..............  A               Removal of kidney          21.81         NA      10.27       1.54         NA      33.62        090
                                                       stone.
50100...............  ..............  A               Revise kidney blood        16.10         NA       7.67       2.06         NA      25.83        090
                                                       vessels.
50120...............  ..............  A               Exploration of kidney      15.92         NA       7.79       1.21         NA      24.92        090
50125...............  ..............  A               Explore and drain          16.53         NA       7.75       1.43         NA      25.71        090
                                                       kidney.
50130...............  ..............  A               Removal of kidney          17.29         NA       8.29       1.22         NA      26.81        090
                                                       stone.
50135...............  ..............  A               Exploration of kidney      19.19         NA       8.99       1.33         NA      29.51        090
50200...............  ..............  A               Biopsy of kidney.....       2.64         NA       1.32       0.16         NA       4.11        000
50205...............  ..............  A               Biopsy of kidney.....      11.31         NA       5.32       1.30         NA      17.93        090
50220...............  ..............  A               Remove kidney, open..      17.15         NA       8.12       1.35         NA      26.63        090
50225...............  ..............  A               Removal kidney open,       20.24         NA       9.34       1.50         NA      31.08        090
                                                       complex.
50230...............  ..............  A               Removal kidney open,       22.08         NA       9.88       1.55         NA      33.51        090
                                                       radical.
50234...............  ..............  A               Removal of kidney &        22.41         NA      10.18       1.59         NA      34.19        090
                                                       ureter.
50236...............  ..............  A               Removal of kidney &        24.87         NA      11.78       1.76         NA      38.41        090
                                                       ureter.
50240...............  ..............  A               Partial removal of         22.01         NA      10.38       1.55         NA      33.94        090
                                                       kidney.
50280...............  ..............  A               Removal of kidney          15.68         NA       7.62       1.19         NA      24.49        090
                                                       lesion.
50290...............  ..............  A               Removal of kidney          14.74         NA       6.95       1.41         NA      23.10        090
                                                       lesion.
50320...............  ..............  A               Remove kidney, living      22.22         NA      11.43       2.35         NA      36.00        090
                                                       donor.
50323...............  ..............  C               Prep cadaver renal          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       allograft.
50325...............  ..............  C               Prep donor renal            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       graft.
50327...............  ..............  A               Prep renal graft/           4.01         NA       1.35       0.29         NA       5.65        XXX
                                                       venous.
50328...............  ..............  A               Prep renal graft/           3.51         NA       1.18       0.26         NA       4.95        XXX
                                                       arterial.
50329...............  ..............  A               Prep renal graft/           3.35         NA       1.13       0.25         NA       4.73        XXX
                                                       ureteral.
50340...............  ..............  A               Removal of kidney....      12.15         NA       6.71       1.65         NA      20.51        090
50360...............  ..............  A               Transplantation of         31.54         NA      15.94       3.81         NA      51.29        090
                                                       kidney.
50365...............  ..............  A               Transplantation of         36.82         NA      18.27       4.42         NA      59.52        090
                                                       kidney.
50370...............  ..............  A               Remove transplanted        13.73         NA       7.40       1.67         NA      22.80        090
                                                       kidney.
50380...............  ..............  A               Reimplantation of          20.77         NA      12.41       2.50         NA      35.69        090
                                                       kidney.
50390...............  ..............  A               Drainage of kidney          1.96         NA       0.68       0.12         NA       2.76        000
                                                       lesion.
50391...............  ..............  A               Instll rx agnt into         1.96       1.68       0.74       0.14       3.79       2.85        000
                                                       rnal tub.
50392...............  ..............  A               Insert kidney drain..       3.38         NA       1.61       0.20         NA       5.18        000
50393...............  ..............  A               Insert ureteral tube.       4.16         NA       1.88       0.25         NA       6.29        000
50394...............  ..............  A               Injection for kidney        0.76       2.72       0.70       0.05       3.53       1.51        000
                                                       x-ray.
50395...............  ..............  A               Create passage to           3.38         NA       1.61       0.21         NA       5.19        000
                                                       kidney.
50396...............  ..............  A               Measure kidney              2.09         NA       1.15       0.13         NA       3.38        000
                                                       pressure.
50398...............  ..............  A               Change kidney tube...       1.46      16.40       0.55       0.09      17.95       2.10        000
50400...............  ..............  A               Revision of kidney/        19.51         NA       9.04       1.38         NA      29.93        090
                                                       ureter.
50405...............  ..............  A               Revision of kidney/        23.94         NA      10.26       1.78         NA      35.98        090
                                                       ureter.
50500...............  ..............  A               Repair of kidney           19.58         NA       8.86       2.01         NA      30.45        090
                                                       wound.
50520...............  ..............  A               Close kidney-skin          17.23         NA       8.35       1.49         NA      27.07        090
                                                       fistula.
50525...............  ..............  A               Repair renal-abdomen       22.28         NA       9.57       1.83         NA      33.68        090
                                                       fistula.
50526...............  ..............  A               Repair renal-abdomen       24.03         NA      10.40       1.96         NA      36.38        090
                                                       fistula.
50540...............  ..............  A               Revision of horseshoe      19.94         NA       8.96       1.36         NA      30.26        090
                                                       kidney.
50541...............  ..............  A               Laparo ablate renal        16.01         NA       7.41       1.13         NA      24.55        090
                                                       cyst.
50542...............  ..............  A               Laparo ablate renal        20.01         NA       9.49       1.39         NA      30.89        090
                                                       mass.
50543...............  ..............  A               Laparo partial             25.51         NA      11.90       1.80         NA      39.21        090
                                                       nephrectomy.
50544...............  ..............  A               Laparoscopy,               22.41         NA       9.75       1.58         NA      33.74        090
                                                       pyeloplasty.
50545...............  ..............  A               Laparo radical             24.01         NA      10.60       1.70         NA      36.31        090
                                                       nephrectomy.
50546...............  ..............  A               Laparoscopic               20.49         NA       9.49       1.57         NA      31.55        090
                                                       nephrectomy.
50547...............  ..............  A               Laparo removal donor       25.51         NA      11.70       2.76         NA      39.97        090
                                                       kidney.
50548...............  ..............  A               Laparo remove w/           24.41         NA      10.57       1.72         NA      36.70        090
                                                       ureter.
50549...............  ..............  C               Laparoscope proc,           0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       renal.
50551...............  ..............  A               Kidney endoscopy.....       5.60       4.47       2.34       0.40      10.48       8.35        000
50553...............  ..............  A               Kidney endoscopy.....       5.99       4.72       2.52       0.39      11.11       8.90        000
50555...............  ..............  A               Kidney endoscopy &          6.53       5.03       2.69       0.45      12.01       9.67        000
                                                       biopsy.
50557...............  ..............  A               Kidney endoscopy &          6.62       5.04       2.73       0.47      12.13       9.82        000
                                                       treatment.
50561...............  ..............  A               Kidney endoscopy &          7.60       5.51       3.09       0.54      13.64      11.22        000
                                                       treatment.
50562...............  ..............  A               Renal scope w/tumor        10.92         NA       4.95       0.73         NA      16.60        090
                                                       resect.
50570...............  ..............  A               Kidney endoscopy.....       9.55         NA       3.81       0.68         NA      14.04        000
50572...............  ..............  A               Kidney endoscopy.....      10.35         NA       4.07       0.85         NA      15.27        000
50574...............  ..............  A               Kidney endoscopy &         11.02         NA       4.37       0.77         NA      16.16        000
                                                       biopsy.
50575...............  ..............  A               Kidney endoscopy.....      13.99         NA       5.49       0.99         NA      20.46        000
50576...............  ..............  A               Kidney endoscopy &         10.99         NA       4.34       0.78         NA      16.11        000
                                                       treatment.
50580...............  ..............  A               Kidney endoscopy &         11.86         NA       4.69       0.83         NA      17.38        000
                                                       treatment.
50590...............  ..............  A               Fragmenting of kidney       9.10      13.68       4.92       0.65      23.43      14.67        090
                                                       stone.
50600...............  ..............  A               Exploration of ureter      15.85         NA       7.56       1.13         NA      24.54        090
50605...............  ..............  A               Insert ureteral            15.47         NA       7.37       1.45         NA      24.29        090
                                                       support.
50610...............  ..............  A               Removal of ureter          15.93         NA       7.84       1.43         NA      25.20        090
                                                       stone.

[[Page 45930]]

 
50620...............  ..............  A               Removal of ureter          15.17         NA       7.35       1.07         NA      23.59        090
                                                       stone.
50630...............  ..............  A               Removal of ureter          14.95         NA       7.26       1.09         NA      23.30        090
                                                       stone.
50650...............  ..............  A               Removal of ureter....      17.41         NA       8.32       1.23         NA      26.97        090
50660...............  ..............  A               Removal of ureter....      19.56         NA       9.17       1.38         NA      30.11        090
50684...............  ..............  A               Injection for ureter        0.76       4.95       0.55       0.05       5.76       1.37        000
                                                       x-ray.
50686...............  ..............  A               Measure ureter              1.51       3.46       0.88       0.11       5.08       2.50        000
                                                       pressure.
50688...............  ..............  A               Change of ureter tube       1.17         NA       1.12       0.07         NA       2.37        010
50690...............  ..............  A               Injection for ureter        1.16       1.88       0.78       0.07       3.12       2.02        000
                                                       x-ray.
50700...............  ..............  A               Revision of ureter...      15.22         NA       7.83       1.27         NA      24.32        090
50715...............  ..............  A               Release of ureter....      18.91         NA       8.92       2.13         NA      29.96        090
50722...............  ..............  A               Release of ureter....      16.36         NA       7.93       1.90         NA      26.19        090
50725...............  ..............  A               Release/revise ureter      18.50         NA       8.71       1.52         NA      28.73        090
50727...............  ..............  A               Revise ureter........       8.19         NA       4.89       0.61         NA      13.68        090
50728...............  ..............  A               Revise ureter........      12.02         NA       6.12       1.00         NA      19.15        090
50740...............  ..............  A               Fusion of ureter &         18.43         NA       8.33       1.96         NA      28.72        090
                                                       kidney.
50750...............  ..............  A               Fusion of ureter &         19.52         NA       9.27       1.38         NA      30.17        090
                                                       kidney.
50760...............  ..............  A               Fusion of ureters....      18.43         NA       8.59       1.55         NA      28.56        090
50770...............  ..............  A               Splicing of ureters..      19.52         NA       9.08       1.45         NA      30.05        090
50780...............  ..............  A               Reimplant ureter in        18.37         NA       8.59       1.51         NA      28.47        090
                                                       bladder.
50782...............  ..............  A               Reimplant ureter in        19.55         NA       9.12       1.61         NA      30.28        090
                                                       bladder.
50783...............  ..............  A               Reimplant ureter in        20.56         NA       9.37       1.98         NA      31.91        090
                                                       bladder.
50785...............  ..............  A               Reimplant ureter in        20.53         NA       9.44       1.45         NA      31.42        090
                                                       bladder.
50800...............  ..............  A               Implant ureter in          14.53         NA       7.37       1.19         NA      23.09        090
                                                       bowel.
50810...............  ..............  A               Fusion of ureter &         20.06         NA       9.22       2.31         NA      31.59        090
                                                       bowel.
50815...............  ..............  A               Urine shunt to             19.94         NA       9.51       1.54         NA      30.99        090
                                                       intestine.
50820...............  ..............  A               Construct bowel            21.90         NA       9.64       1.89         NA      33.44        090
                                                       bladder.
50825...............  ..............  A               Construct bowel            28.20         NA      12.72       2.07         NA      42.98        090
                                                       bladder.
50830...............  ..............  A               Revise urine flow....      31.29         NA      13.62       2.37         NA      47.28        090
50840...............  ..............  A               Replace ureter by          20.01         NA       9.67       1.47         NA      31.15        090
                                                       bowel.
50845...............  ..............  A               Appendico-vesicostomy      20.90         NA      10.32       1.57         NA      32.79        090
50860...............  ..............  A               Transplant ureter to       15.37         NA       7.50       1.29         NA      24.16        090
                                                       skin.
50900...............  ..............  A               Repair of ureter.....      13.63         NA       6.74       1.14         NA      21.51        090
50920...............  ..............  A               Closure ureter/skin        14.34         NA       7.23       1.01         NA      22.58        090
                                                       fistula.
50930...............  ..............  A               Closure ureter/bowel       18.73         NA       8.70       1.28         NA      28.71        090
                                                       fistula.
50940...............  ..............  A               Release of ureter....      14.52         NA       7.19       1.26         NA      22.97        090
50945...............  ..............  A               Laparoscopy                17.00         NA       8.00       1.36         NA      26.37        090
                                                       ureterolithotomy.
50947...............  ..............  A               Laparo new ureter/         24.51         NA      11.02       2.16         NA      37.69        090
                                                       bladder.
50948...............  ..............  A               Laparo new ureter/         22.51         NA       9.77       1.70         NA      33.99        090
                                                       bladder.
50949...............  ..............  C               Laparoscope proc,           0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       ureter.
50951...............  ..............  A               Endoscopy of ureter..       5.84       4.63       2.43       0.41      10.88       8.68        000
50953...............  ..............  A               Endoscopy of ureter..       6.24       4.79       2.81       0.43      11.46       9.49        000
50955...............  ..............  A               Ureter endoscopy &          6.75       6.34       3.09       0.48      13.58      10.32        000
                                                       biopsy.
50957...............  ..............  A               Ureter endoscopy &          6.79       4.97       2.79       0.48      12.24      10.06        000
                                                       treatment.
50961...............  ..............  A               Ureter endoscopy &          6.05       4.74       2.53       0.41      11.20       8.99        000
                                                       treatment.
50970...............  ..............  A               Ureter endoscopy.....       7.14         NA       2.91       0.52         NA      10.57        000
50972...............  ..............  A               Ureter endoscopy &          6.89         NA       2.84       0.49         NA      10.23        000
                                                       catheter.
50974...............  ..............  A               Ureter endoscopy &          9.18         NA       3.63       0.64         NA      13.45        000
                                                       biopsy.
50976...............  ..............  A               Ureter endoscopy &          9.05         NA       3.62       0.66         NA      13.33        000
                                                       treatment.
50980...............  ..............  A               Ureter endoscopy &          6.85         NA       2.80       0.48         NA      10.13        000
                                                       treatment.
51000...............  ..............  A               Drainage of bladder..       0.78       1.80       0.26       0.05       2.63       1.09        000
51005...............  ..............  A               Drainage of bladder..       1.02       4.33       0.36       0.10       5.45       1.48        000
51010...............  ..............  A               Drainage of bladder..       3.53       5.61       2.03       0.28       9.42       5.83        010
51020...............  ..............  A               Incise & treat              6.71         NA       4.32       0.47         NA      11.50        090
                                                       bladder.
51030...............  ..............  A               Incise & treat              6.77         NA       4.37       0.58         NA      11.72        090
                                                       bladder.
51040...............  ..............  A               Incise & drain              4.40         NA       3.13       0.31         NA       7.84        090
                                                       bladder.
51045...............  ..............  A               Incise bladder/drain        6.77         NA       4.21       0.52         NA      11.50        090
                                                       ureter.
51050...............  ..............  A               Removal of bladder          6.92         NA       4.21       0.49         NA      11.62        090
                                                       stone.
51060...............  ..............  A               Removal of ureter           8.86         NA       5.16       0.62         NA      14.64        090
                                                       stone.
51065...............  ..............  A               Remove ureter               8.86         NA       5.01       0.63         NA      14.50        090
                                                       calculus.
51080...............  ..............  A               Drainage of bladder         5.96         NA       3.93       0.43         NA      10.32        090
                                                       abscess.
51500...............  ..............  A               Removal of bladder         10.14         NA       5.26       1.03         NA      16.43        090
                                                       cyst.
51520...............  ..............  A               Removal of bladder          9.30         NA       5.29       0.69         NA      15.28        090
                                                       lesion.
51525...............  ..............  A               Removal of bladder         13.98         NA       7.05       0.99         NA      22.01        090
                                                       lesion.
51530...............  ..............  A               Removal of bladder         12.38         NA       6.32       1.05         NA      19.76        090
                                                       lesion.
51535...............  ..............  A               Repair of ureter           12.58         NA       6.54       1.23         NA      20.35        090
                                                       lesion.
51550...............  ..............  A               Partial removal of         15.67         NA       7.46       1.31         NA      24.44        090
                                                       bladder.
51555...............  ..............  A               Partial removal of         21.24         NA       9.74       1.69         NA      32.68        090
                                                       bladder.
51565...............  ..............  A               Revise bladder &           21.63         NA      10.17       1.63         NA      33.44        090
                                                       ureter(s).
51570...............  ..............  A               Removal of bladder...      24.25         NA      11.12       1.71         NA      37.08        090
51575...............  ..............  A               Removal of bladder &       30.46         NA      13.75       2.16         NA      46.37        090
                                                       nodes.
51580...............  ..............  A               Remove bladder/revise      31.09         NA      14.21       2.24         NA      47.54        090
                                                       tract.
51585...............  ..............  A               Removal of bladder &       35.25         NA      15.79       2.48         NA      53.52        090
                                                       nodes.
51590...............  ..............  A               Remove bladder/revise      32.68         NA      14.45       2.27         NA      49.39        090
                                                       tract.
51595...............  ..............  A               Remove bladder/revise      37.15         NA      16.33       2.59         NA      56.08        090
                                                       tract.

[[Page 45931]]

 
51596...............  ..............  A               Remove bladder/create      39.54         NA      17.59       2.77         NA      59.90        090
                                                       pouch.
51597...............  ..............  A               Removal of pelvic          38.37         NA      16.73       2.81         NA      57.90        090
                                                       structures.
51600...............  ..............  A               Injection for bladder       0.88       5.08       0.32       0.06       6.02       1.26        000
                                                       x-ray.
51605...............  ..............  A               Preparation for             0.64         NA       0.39       0.04         NA       1.07        000
                                                       bladder xray.
51610...............  ..............  A               Injection for bladder       1.05       2.29       0.68       0.07       3.41       1.80        000
                                                       x-ray.
51700...............  ..............  A               Irrigation of bladder       0.88       1.65       0.32       0.06       2.59       1.26        000
51701...............  ..............  A               Insert bladder              0.50       1.55       0.20       0.04       2.09       0.74        000
                                                       catheter.
51702...............  ..............  A               Insert temp bladder         0.50       2.06       0.25       0.04       2.60       0.79        000
                                                       cath.
51703...............  ..............  A               Insert bladder cath,        1.47       2.77       0.67       0.10       4.35       2.24        000
                                                       complex.
51705...............  ..............  A               Change of bladder           1.02       2.31       0.69       0.07       3.41       1.79        010
                                                       tube.
51710...............  ..............  A               Change of bladder           1.49       3.37       0.92       0.11       4.97       2.53        010
                                                       tube.
51715...............  ..............  A               Endoscopic injection/       3.74         NA       1.59       0.29         NA       5.61        000
                                                       implant.
51720...............  ..............  A               Treatment of bladder        1.96       1.86       0.81       0.14       3.97       2.92        000
                                                       lesion.
51725...............  ..............  A               Simple cystometrogram       1.51       5.51         NA       0.16       7.19         NA        000
51725...............  26............  A               Simple cystometrogram       1.51       0.57       0.57       0.12       2.20       2.20        000
51725...............  TC............  A               Simple cystometrogram       0.00       4.94         NA       0.04       4.98         NA        000
51726...............  ..............  A               Complex                     1.71       7.56         NA       0.18       9.45         NA        000
                                                       cystometrogram.
51726...............  26............  A               Complex                     1.71       0.65       0.65       0.13       2.49       2.49        000
                                                       cystometrogram.
51726...............  TC............  A               Complex                     0.00       6.91         NA       0.05       6.96         NA        000
                                                       cystometrogram.
51736...............  ..............  A               Urine flow                  0.61       0.66         NA       0.06       1.33         NA        000
                                                       measurement.
51736...............  26............  A               Urine flow                  0.61       0.23       0.23       0.05       0.89       0.89        000
                                                       measurement.
51736...............  TC............  A               Urine flow                  0.00       0.43         NA       0.01       0.44         NA        000
                                                       measurement.
51741...............  ..............  A               Electro-uroflowmetry,       1.14       0.92         NA       0.11       2.17         NA        000
                                                       first.
51741...............  26............  A               Electro-uroflowmetry,       1.14       0.43       0.43       0.09       1.66       1.66        000
                                                       first.
51741...............  TC............  A               Electro-uroflowmetry,       0.00       0.49         NA       0.02       0.51         NA        000
                                                       first.
51772...............  ..............  A               Urethra pressure            1.61       5.53         NA       0.20       7.34         NA        000
                                                       profile.
51772...............  26............  A               Urethra pressure            1.61       0.61       0.61       0.15       2.37       2.37        000
                                                       profile.
51772...............  TC............  A               Urethra pressure            0.00       4.91         NA       0.05       4.96         NA        000
                                                       profile.
51784...............  ..............  A               Anal/urinary muscle         1.53       4.03         NA       0.16       5.73         NA        000
                                                       study.
51784...............  26............  A               Anal/urinary muscle         1.53       0.57       0.57       0.12       2.23       2.23        000
                                                       study.
51784...............  TC............  A               Anal/urinary muscle         0.00       3.46         NA       0.04       3.50         NA        000
                                                       study.
51785...............  ..............  A               Anal/urinary muscle         1.53       4.52         NA       0.15       6.21         NA        000
                                                       study.
51785...............  26............  A               Anal/urinary muscle         1.53       0.58       0.58       0.11       2.22       2.22        000
                                                       study.
51785...............  TC............  A               Anal/urinary muscle         0.00       3.95         NA       0.04       3.99         NA        000
                                                       study.
51792...............  ..............  A               Urinary reflex study.       1.10       5.83         NA       0.20       7.13         NA        000
51792...............  26............  A               Urinary reflex study.       1.10       0.43       0.43       0.07       1.61       1.61        000
51792...............  TC............  A               Urinary reflex study.       0.00       5.39         NA       0.13       5.52         NA        000
51795...............  ..............  A               Urine voiding               1.53       7.32         NA       0.22       9.08         NA        000
                                                       pressure study.
51795...............  26............  A               Urine voiding               1.53       0.58       0.58       0.12       2.23       2.23        000
                                                       pressure study.
51795...............  TC............  A               Urine voiding               0.00       6.75         NA       0.10       6.85         NA        000
                                                       pressure study.
51797...............  ..............  A               Intraabdominal              1.60       5.74         NA       0.17       7.51         NA        000
                                                       pressure test.
51797...............  26............  A               Intraabdominal              1.60       0.61       0.61       0.12       2.33       2.33        000
                                                       pressure test.
51797...............  TC............  A               Intraabdominal              0.00       5.13         NA       0.05       5.18         NA        000
                                                       pressure test.
51798...............  ..............  A               Us urine capacity           0.00       0.39         NA       0.08       0.47         NA        XXX
                                                       measure.
51800...............  ..............  A               Revision of bladder/       17.42         NA       8.48       1.32         NA      27.22        090
                                                       urethra.
51820...............  ..............  A               Revision of urinary        17.90         NA       8.52       1.74         NA      28.16        090
                                                       tract.
51840...............  ..............  A               Attach bladder/            10.71         NA       5.82       1.06         NA      17.59        090
                                                       urethra.
51841...............  ..............  A               Attach bladder/            13.04         NA       6.70       1.24         NA      20.97        090
                                                       urethra.
51845...............  ..............  A               Repair bladder neck..       9.74         NA       5.32       0.79         NA      15.85        090
51860...............  ..............  A               Repair of bladder          12.02         NA       6.15       1.16         NA      19.33        090
                                                       wound.
51865...............  ..............  A               Repair of bladder          15.05         NA       7.37       1.23         NA      23.65        090
                                                       wound.
51880...............  ..............  A               Repair of bladder           7.67         NA       4.26       0.72         NA      12.64        090
                                                       opening.
51900...............  ..............  A               Repair bladder/vagina      12.98         NA       6.71       1.21         NA      20.90        090
                                                       lesion.
51920...............  ..............  A               Close bladder-uterus       11.81         NA       6.19       1.18         NA      19.18        090
                                                       fistula.
51925...............  ..............  A               Hysterectomy/bladder       15.59         NA       8.45       2.03         NA      26.08        090
                                                       repair.
51940...............  ..............  A               Correction of bladder      28.45         NA      12.82       2.14         NA      43.40        090
                                                       defect.
51960...............  ..............  A               Revision of bladder &      23.03         NA      11.01       1.63         NA      35.67        090
                                                       bowel.
51980...............  ..............  A               Construct bladder          11.36         NA       6.10       0.86         NA      18.33        090
                                                       opening.
51990...............  ..............  A               Laparo urethral            12.50         NA       6.34       1.39         NA      20.23        090
                                                       suspension.
51992...............  ..............  A               Laparo sling               14.02         NA       6.88       1.41         NA      22.30        090
                                                       operation.
52000...............  ..............  A               Cystoscopy...........       2.01       3.39       0.90       0.14       5.55       3.06        000
52001...............  ..............  A               Cystoscopy, removal         5.45       5.34       2.21       0.39      11.18       8.06        000
                                                       of clots.
52005...............  ..............  A               Cystoscopy & ureter         2.37       5.72       1.07       0.17       8.26       3.62        000
                                                       catheter.
52007...............  ..............  A               Cystoscopy and biopsy       3.03      16.13       1.38       0.22      19.37       4.62        000
52010...............  ..............  A               Cystoscopy & duct           3.03      10.59       1.37       0.21      13.83       4.61        000
                                                       catheter.
52204...............  ..............  A               Cystoscopy...........       2.37      14.04       1.08       0.17      16.59       3.63        000
52214...............  ..............  A               Cystoscopy and              3.71      36.60       1.59       0.26      40.57       5.56        000
                                                       treatment.
52224...............  ..............  A               Cystoscopy and              3.15      34.94       1.38       0.22      38.31       4.74        000
                                                       treatment.
52234...............  ..............  A               Cystoscopy and              4.63         NA       1.98       0.33         NA       6.94        000
                                                       treatment.
52235...............  ..............  A               Cystoscopy and              5.45         NA       2.31       0.39         NA       8.15        000
                                                       treatment.
52240...............  ..............  A               Cystoscopy and              9.73         NA       3.93       0.69         NA      14.34        000
                                                       treatment.
52250...............  ..............  A               Cystoscopy and              4.50         NA       1.98       0.32         NA       6.80        000
                                                       radiotracer.
52260...............  ..............  A               Cystoscopy and              3.92         NA       1.70       0.28         NA       5.89        000
                                                       treatment.
52265...............  ..............  A               Cystoscopy and              2.95      12.97       1.33       0.22      16.13       4.49        000
                                                       treatment.

[[Page 45932]]

 
52270...............  ..............  A               Cystoscopy & revise         3.37      10.79       1.49       0.24      14.40       5.10        000
                                                       urethra.
52275...............  ..............  A               Cystoscopy & revise         4.70      15.22       1.99       0.33      20.24       7.02        000
                                                       urethra.
52276...............  ..............  A               Cystoscopy and              5.00         NA       2.13       0.35         NA       7.48        000
                                                       treatment.
52277...............  ..............  A               Cystoscopy and              6.17         NA       2.59       0.44         NA       9.20        000
                                                       treatment.
52281...............  ..............  A               Cystoscopy and              2.81       7.08       1.30       0.20      10.08       4.31        000
                                                       treatment.
52282...............  ..............  A               Cystoscopy, implant         6.40         NA       2.66       0.45         NA       9.51        000
                                                       stent.
52283...............  ..............  A               Cystoscopy and              3.74       4.14       1.65       0.26       8.14       5.65        000
                                                       treatment.
52285...............  ..............  A               Cystoscopy and              3.61       4.23       1.60       0.26       8.09       5.47        000
                                                       treatment.
52290...............  ..............  A               Cystoscopy and              4.59         NA       1.97       0.32         NA       6.88        000
                                                       treatment.
52300...............  ..............  A               Cystoscopy and              5.31         NA       2.27       0.38         NA       7.97        000
                                                       treatment.
52301...............  ..............  A               Cystoscopy and              5.51         NA       2.03       0.46         NA       8.00        000
                                                       treatment.
52305...............  ..............  A               Cystoscopy and              5.31         NA       2.21       0.38         NA       7.90        000
                                                       treatment.
52310...............  ..............  A               Cystoscopy and              2.82       4.79       1.23       0.20       7.81       4.25        000
                                                       treatment.
52315...............  ..............  A               Cystoscopy and              5.21       8.76       2.18       0.37      14.34       7.76        000
                                                       treatment.
52317...............  ..............  A               Remove bladder stone.       6.72      28.18       2.71       0.48      35.38       9.91        000
52318...............  ..............  A               Remove bladder stone.       9.20         NA       3.67       0.65         NA      13.52        000
52320...............  ..............  A               Cystoscopy and              4.70         NA       1.94       0.33         NA       6.97        000
                                                       treatment.
52325...............  ..............  A               Cystoscopy, stone           6.16         NA       2.52       0.44         NA       9.12        000
                                                       removal.
52327...............  ..............  A               Cystoscopy, inject          5.19      30.65       2.14       0.37      36.21       7.70        000
                                                       material.
52330...............  ..............  A               Cystoscopy and              5.04      37.29       2.08       0.36      42.69       7.48        000
                                                       treatment.
52332...............  ..............  A               Cystoscopy and              2.84       5.70       1.26       0.21       8.75       4.31        000
                                                       treatment.
52334...............  ..............  A               Create passage to           4.83         NA       2.05       0.35         NA       7.23        000
                                                       kidney.
52341...............  ..............  A               Cysto w/ureter              6.00         NA       2.62       0.43         NA       9.05        000
                                                       stricture tx.
52342...............  ..............  A               Cysto w/up stricture        6.50         NA       2.79       0.46         NA       9.75        000
                                                       tx.
52343...............  ..............  A               Cysto w/renal               7.20         NA       3.06       0.51         NA      10.77        000
                                                       stricture tx.
52344...............  ..............  A               Cysto/uretero,              7.71         NA       3.34       0.55         NA      11.59        000
                                                       stricture tx.
52345...............  ..............  A               Cysto/uretero w/up          8.21         NA       3.53       0.58         NA      12.31        000
                                                       stricture.
52346...............  ..............  A               Cystouretero w/renal        9.24         NA       3.92       0.65         NA      13.81        000
                                                       strict.
52351...............  ..............  A               Cystouretero & or           5.86         NA       2.56       0.41         NA       8.83        000
                                                       pyeloscope.
52352...............  ..............  A               Cystouretero w/stone        6.88         NA       2.99       0.49         NA      10.37        000
                                                       remove.
52353...............  ..............  A               Cystouretero w/             7.98         NA       3.40       0.57         NA      11.95        000
                                                       lithotripsy.
52354...............  ..............  A               Cystouretero w/biopsy       7.34         NA       3.16       0.52         NA      11.03        000
52355...............  ..............  A               Cystouretero w/excise       8.83         NA       3.73       0.63         NA      13.19        000
                                                       tumor.
52400...............  ..............  A               Cystouretero w/congen       9.69         NA       4.48       0.68         NA      14.85        090
                                                       repr.
52402...............  ..............  A               Cystourethro cut            5.28         NA       2.02       0.40         NA       7.70        000
                                                       ejacul duct.
52450...............  ..............  A               Incision of prostate.       7.65         NA       4.40       0.54         NA      12.58        090
52500...............  ..............  A               Revision of bladder         8.48         NA       4.70       0.60         NA      13.78        090
                                                       neck.
52510...............  ..............  A               Dilation prostatic          6.72         NA       3.71       0.48         NA      10.91        090
                                                       urethra.
52601...............  ..............  A               Prostatectomy (TURP).      12.37         NA       6.08       0.87         NA      19.33        090
52606...............  ..............  A               Control postop              8.14         NA       4.23       0.57         NA      12.93        090
                                                       bleeding.
52612...............  ..............  A               Prostatectomy, first        7.99         NA       4.40       0.56         NA      12.95        090
                                                       stage.
52614...............  ..............  A               Prostatectomy, second       6.84         NA       4.00       0.48         NA      11.33        090
                                                       stage.
52620...............  ..............  A               Remove residual             6.61         NA       3.57       0.47         NA      10.65        090
                                                       prostate.
52630...............  ..............  A               Remove prostate             7.26         NA       3.82       0.51         NA      11.59        090
                                                       regrowth.
52640...............  ..............  A               Relieve bladder             6.62         NA       3.53       0.47         NA      10.63        090
                                                       contracture.
52647...............  ..............  A               Laser surgery of           10.36      70.90       5.42       0.73      81.99      16.51        090
                                                       prostate.
52648...............  ..............  A               Laser surgery of           11.21         NA       5.70       0.79         NA      17.70        090
                                                       prostate.
52700...............  ..............  A               Drainage of prostate        6.80         NA       3.78       0.48         NA      11.06        090
                                                       abscess.
53000...............  ..............  A               Incision of urethra..       2.28         NA       1.67       0.16         NA       4.11        010
53010...............  ..............  A               Incision of urethra..       3.64         NA       3.21       0.24         NA       7.09        090
53020...............  ..............  A               Incision of urethra..       1.77         NA       0.80       0.13         NA       2.70        000
53025...............  ..............  A               Incision of urethra..       1.13         NA       0.63       0.08         NA       1.84        000
53040...............  ..............  A               Drainage of urethra         6.40         NA       3.88       0.45         NA      10.73        090
                                                       abscess.
53060...............  ..............  A               Drainage of urethra         2.64       2.08       1.50       0.28       4.99       4.42        010
                                                       abscess.
53080...............  ..............  A               Drainage of urinary         6.29         NA       6.21       0.52         NA      13.02        090
                                                       leakage.
53085...............  ..............  A               Drainage of urinary        10.27         NA       7.86       0.92         NA      19.05        090
                                                       leakage.
53200...............  ..............  A               Biopsy of urethra....       2.60       1.46       1.15       0.20       4.25       3.95        000
53210...............  ..............  A               Removal of urethra...      12.58         NA       6.55       0.89         NA      20.01        090
53215...............  ..............  A               Removal of urethra...      15.59         NA       7.67       1.10         NA      24.36        090
53220...............  ..............  A               Treatment of urethra        7.00         NA       4.21       0.49         NA      11.70        090
                                                       lesion.
53230...............  ..............  A               Removal of urethra          9.59         NA       5.39       0.73         NA      15.71        090
                                                       lesion.
53235...............  ..............  A               Removal of urethra         10.14         NA       5.61       0.72         NA      16.47        090
                                                       lesion.
53240...............  ..............  A               Surgery for urethra         6.45         NA       3.96       0.52         NA      10.93        090
                                                       pouch.
53250...............  ..............  A               Removal of urethra          5.89         NA       3.64       0.49         NA      10.02        090
                                                       gland.
53260...............  ..............  A               Treatment of urethra        2.99       2.27       1.63       0.25       5.51       4.87        010
                                                       lesion.
53265...............  ..............  A               Treatment of urethra        3.13       2.83       1.67       0.24       6.19       5.04        010
                                                       lesion.
53270...............  ..............  A               Removal of urethra          3.10       2.30       1.69       0.30       5.70       5.09        010
                                                       gland.
53275...............  ..............  A               Repair of urethra           4.53         NA       2.55       0.32         NA       7.39        010
                                                       defect.
53400...............  ..............  A               Revise urethra, stage      12.78         NA       6.83       0.98         NA      20.58        090
                                                       1.
53405...............  ..............  A               Revise urethra, stage      14.49         NA       7.31       1.10         NA      22.90        090
                                                       2.
53410...............  ..............  A               Reconstruction of          16.45         NA       8.18       1.16         NA      25.80        090
                                                       urethra.
53415...............  ..............  A               Reconstruction of          19.42         NA       8.22       1.37         NA      29.01        090
                                                       urethra.
53420...............  ..............  A               Reconstruct urethra,       14.09         NA       6.54       0.96         NA      21.59        090
                                                       stage 1.
53425...............  ..............  A               Reconstruct urethra,       15.99         NA       7.86       1.13         NA      24.99        090
                                                       stage 2.

[[Page 45933]]

 
53430...............  ..............  A               Reconstruction of          16.35         NA       7.95       1.15         NA      25.45        090
                                                       urethra.
53431...............  ..............  A               Reconstruct urethra/       19.90         NA       9.43       1.41         NA      30.74        090
                                                       bladder.
53440...............  ..............  A               Male sling procedure.      13.63         NA       6.96       0.96         NA      21.55        090
53442...............  ..............  A               Remove/revise male         11.57         NA       6.10       0.82         NA      18.50        090
                                                       sling.
53444...............  ..............  A               Insert tandem cuff...      13.41         NA       6.75       0.94         NA      21.10        090
53445...............  ..............  A               Insert uro/ves nck         14.07         NA       8.00       0.99         NA      23.06        090
                                                       sphincter.
53446...............  ..............  A               Remove uro sphincter.      10.23         NA       5.98       0.72         NA      16.93        090
53447...............  ..............  A               Remove/replace ur          13.50         NA       7.35       0.95         NA      21.80        090
                                                       sphincter.
53448...............  ..............  A               Remov/replc ur             21.16         NA      10.38       1.50         NA      33.04        090
                                                       sphinctr comp.
53449...............  ..............  A               Repair uro sphincter.       9.71         NA       5.49       0.68         NA      15.88        090
53450...............  ..............  A               Revision of urethra..       6.14         NA       3.83       0.43         NA      10.40        090
53460...............  ..............  A               Revision of urethra..       7.12         NA       4.26       0.50         NA      11.88        090
53500...............  ..............  A               Urethrlys, transvag w/     12.21         NA       6.83       0.90         NA      19.95        090
                                                        scope.
53502...............  ..............  A               Repair of urethra           7.64         NA       4.47       0.62         NA      12.73        090
                                                       injury.
53505...............  ..............  A               Repair of urethra           7.64         NA       4.46       0.54         NA      12.63        090
                                                       injury.
53510...............  ..............  A               Repair of urethra          10.11         NA       5.77       0.74         NA      16.62        090
                                                       injury.
53515...............  ..............  A               Repair of urethra          13.32         NA       6.71       1.05         NA      21.08        090
                                                       injury.
53520...............  ..............  A               Repair of urethra           8.69         NA       5.13       0.61         NA      14.43        090
                                                       defect.
53600...............  ..............  A               Dilate urethra              1.21       1.21       0.50       0.09       2.51       1.81        000
                                                       stricture.
53601...............  ..............  A               Dilate urethra              0.98       1.34       0.44       0.07       2.39       1.49        000
                                                       stricture.
53605...............  ..............  A               Dilate urethra              1.28         NA       0.48       0.09         NA       1.85        000
                                                       stricture.
53620...............  ..............  A               Dilate urethra              1.62       2.05       0.71       0.11       3.78       2.44        000
                                                       stricture.
53621...............  ..............  A               Dilate urethra              1.35       2.13       0.58       0.10       3.58       2.04        000
                                                       stricture.
53660...............  ..............  A               Dilation of urethra..       0.71       1.36       0.37       0.05       2.12       1.13        000
53661...............  ..............  A               Dilation of urethra..       0.72       1.35       0.35       0.05       2.12       1.12        000
53665...............  ..............  A               Dilation of urethra..       0.76         NA       0.28       0.06         NA       1.10        000
53850...............  ..............  A               Prostatic microwave         9.46      88.85       4.72       0.67      98.98      14.85        090
                                                       thermotx.
53852...............  ..............  A               Prostatic rf thermotx       9.89      84.87       5.22       0.70      95.46      15.81        090
53853...............  ..............  A               Prostatic water             5.24      53.22       3.35       0.37      58.83       8.96        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       2.98       1.12       0.11       4.63       2.77        010
54001...............  ..............  A               Slitting of prepuce..       2.19       3.29       1.32       0.15       5.63       3.66        010
54015...............  ..............  A               Drain penis lesion...       5.32         NA       2.90       0.38         NA       8.60        010
54050...............  ..............  A               Destruction, penis          1.24       1.81       1.15       0.08       3.13       2.48        010
                                                       lesion(s).
54055...............  ..............  A               Destruction, penis          1.22       1.72       0.92       0.08       3.02       2.22        010
                                                       lesion(s).
54056...............  ..............  A               Cryosurgery, penis          1.24       1.88       1.23       0.06       3.18       2.53        010
                                                       lesion(s).
54057...............  ..............  A               Laser surg, penis           1.24       2.38       1.00       0.09       3.71       2.33        010
                                                       lesion(s).
54060...............  ..............  A               Excision of penis           1.93       3.23       1.25       0.13       5.29       3.32        010
                                                       lesion(s).
54065...............  ..............  A               Destruction, penis          2.42       2.90       1.43       0.13       5.45       3.99        010
                                                       lesion(s).
54100...............  ..............  A               Biopsy of penis......       1.90       3.02       0.99       0.10       5.02       2.99        000
54105...............  ..............  A               Biopsy of penis......       3.50       4.45       2.18       0.25       8.20       5.93        010
54110...............  ..............  A               Treatment of penis         10.13         NA       5.51       0.72         NA      16.36        090
                                                       lesion.
54111...............  ..............  A               Treat penis lesion,        13.58         NA       6.75       0.96         NA      21.29        090
                                                       graft.
54112...............  ..............  A               Treat penis lesion,        15.87         NA       7.86       1.11         NA      24.84        090
                                                       graft.
54115...............  ..............  A               Treatment of penis          6.15       4.90       3.98       0.43      11.48      10.56        090
                                                       lesion.
54120...............  ..............  A               Partial removal of          9.98         NA       5.45       0.68         NA      16.11        090
                                                       penis.
54125...............  ..............  A               Removal of penis.....      13.54         NA       6.79       0.95         NA      21.28        090
54130...............  ..............  A               Remove penis & nodes.      20.15         NA       9.51       1.52         NA      31.18        090
54135...............  ..............  A               Remove penis & nodes.      26.37         NA      11.79       1.87         NA      40.03        090
54150...............  ..............  A               Circumcision.........       1.81       4.16       0.70       0.16       6.13       2.67        XXX
54152...............  ..............  A               Circumcision.........       2.31         NA       1.36       0.19         NA       3.86        010
54160...............  ..............  A               Circumcision.........       2.48       4.20       1.25       0.19       6.88       3.92        010
54161...............  ..............  A               Circumcision.........       3.28         NA       1.83       0.23         NA       5.34        010
54162...............  ..............  A               Lysis penil circumic        3.01       4.74       1.72       0.21       7.96       4.94        010
                                                       lesion.
54163...............  ..............  A               Repair of                   3.01         NA       2.30       0.21         NA       5.52        010
                                                       circumcision.
54164...............  ..............  A               Frenulotomy of penis.       2.51         NA       2.10       0.18         NA       4.78        010
54200...............  ..............  A               Treatment of penis          1.06       1.90       1.02       0.08       3.04       2.16        010
                                                       lesion.
54205...............  ..............  A               Treatment of penis          7.94         NA       5.26       0.56         NA      13.76        090
                                                       lesion.
54220...............  ..............  A               Treatment of penis          2.42       3.90       1.14       0.17       6.49       3.73        000
                                                       lesion.
54230...............  ..............  A               Prepare penis study..       1.34       1.21       0.75       0.09       2.65       2.18        000
54231...............  ..............  A               Dynamic                     2.04       1.48       1.02       0.16       3.68       3.23        000
                                                       cavernosometry.
54235...............  ..............  A               Penile injection.....       1.19       1.09       0.70       0.08       2.36       1.97        000
54240...............  ..............  A               Penis study..........       1.31       1.12         NA       0.17       2.60         NA        000
54240...............  26............  A               Penis study..........       1.31       0.47       0.47       0.11       1.90       1.90        000
54240...............  TC............  A               Penis study..........       0.00       0.64         NA       0.06       0.70         NA        000
54250...............  ..............  A               Penis study..........       2.22       0.98         NA       0.02       3.23         NA        000
54250...............  26............  A               Penis study..........       2.22       0.82       0.82       0.16       3.20       3.20        000
54250...............  TC............  A               Penis study..........       0.00       0.17         NA       0.02       0.19         NA        000
54300...............  ..............  A               Revision of penis....      10.41         NA       6.23       0.76         NA      17.40        090
54304...............  ..............  A               Revision of penis....      12.49         NA       7.09       0.88         NA      20.47        090
54308...............  ..............  A               Reconstruction of          11.83         NA       6.69       0.84         NA      19.36        090
                                                       urethra.
54312...............  ..............  A               Reconstruction of          13.58         NA       7.82       1.24         NA      22.63        090
                                                       urethra.
54316...............  ..............  A               Reconstruction of          16.82         NA       8.81       1.21         NA      26.84        090
                                                       urethra.
54318...............  ..............  A               Reconstruction of          11.25         NA       6.34       1.39         NA      18.98        090
                                                       urethra.

[[Page 45934]]

 
54322...............  ..............  A               Reconstruction of          13.02         NA       7.28       0.92         NA      21.22        090
                                                       urethra.
54324...............  ..............  A               Reconstruction of          16.32         NA       8.87       1.14         NA      26.34        090
                                                       urethra.
54326...............  ..............  A               Reconstruction of          15.73         NA       8.66       1.11         NA      25.51        090
                                                       urethra.
54328...............  ..............  A               Revise penis/urethra.      15.66         NA       8.24       0.98         NA      24.88        090
54332...............  ..............  A               Revise penis/urethra.      17.08         NA       8.69       1.21         NA      26.98        090
54336...............  ..............  A               Revise penis/urethra.      20.05         NA      11.00       2.20         NA      33.25        090
54340...............  ..............  A               Secondary urethral          8.92         NA       5.40       0.63         NA      14.95        090
                                                       surgery.
54344...............  ..............  A               Secondary urethral         15.95         NA       8.70       1.54         NA      26.19        090
                                                       surgery.
54348...............  ..............  A               Secondary urethral         17.15         NA       9.18       1.23         NA      27.57        090
                                                       surgery.
54352...............  ..............  A               Reconstruct urethra/       24.75         NA      12.36       2.24         NA      39.35        090
                                                       penis.
54360...............  ..............  A               Penis plastic surgery      11.93         NA       6.83       0.84         NA      19.60        090
54380...............  ..............  A               Repair penis.........      13.19         NA       7.19       0.93         NA      21.31        090
54385...............  ..............  A               Repair penis.........      15.40         NA       9.36       0.86         NA      25.62        090
54390...............  ..............  A               Repair penis and           21.62         NA      10.88       1.54         NA      34.04        090
                                                       bladder.
54400...............  ..............  A               Insert semi-rigid           9.00         NA       5.00       0.64         NA      14.64        090
                                                       prosthesis.
54401...............  ..............  A               Insert self-contd          10.28         NA       6.69       0.73         NA      17.70        090
                                                       prosthesis.
54405...............  ..............  A               Insert multi-comp          13.44         NA       6.85       0.95         NA      21.24        090
                                                       penis pros.
54406...............  ..............  A               Remove muti-comp           12.10         NA       6.33       0.86         NA      19.30        090
                                                       penis pros.
54408...............  ..............  A               Repair multi-comp          12.76         NA       6.73       0.90         NA      20.39        090
                                                       penis pros.
54410...............  ..............  A               Remove/replace penis       15.51         NA       7.78       1.10         NA      24.39        090
                                                       prosth.
54411...............  ..............  A               Remov/replc penis          16.01         NA       8.24       1.13         NA      25.38        090
                                                       pros, comp.
54415...............  ..............  A               Remove self-contd           8.21         NA       4.88       0.58         NA      13.66        090
                                                       penis pros.
54416...............  ..............  A               Remv/repl penis            10.87         NA       6.30       0.77         NA      17.94        090
                                                       contain pros.
54417...............  ..............  A               Remv/replc penis           14.20         NA       7.28       1.00         NA      22.48        090
                                                       pros, compl.
54420...............  ..............  A               Revision of penis....      11.42         NA       6.21       0.81         NA      18.45        090
54430...............  ..............  A               Revision of penis....      10.15         NA       5.85       0.72         NA      16.72        090
54435...............  ..............  A               Revision of penis....       6.12         NA       4.09       0.43         NA      10.64        090
54440...............  ..............  C               Repair of penis......       0.00       0.00       0.00       0.00       0.00       0.00        090
54450...............  ..............  A               Preputial stretching.       1.12       0.99       0.50       0.08       2.20       1.70        000
54500...............  ..............  A               Biopsy of testis.....       1.31         NA       0.65       0.10         NA       2.06        000
54505...............  ..............  A               Biopsy of testis.....       3.46         NA       2.15       0.27         NA       5.88        010
54512...............  ..............  A               Excise lesion testis.       8.59         NA       4.70       0.67         NA      13.96        090
54520...............  ..............  A               Removal of testis....       5.23         NA       3.16       0.50         NA       8.89        090
54522...............  ..............  A               Orchiectomy, partial.       9.51         NA       5.36       0.89         NA      15.76        090
54530...............  ..............  A               Removal of testis....       8.59         NA       4.87       0.66         NA      14.11        090
54535...............  ..............  A               Extensive testis           12.16         NA       6.19       0.95         NA      19.30        090
                                                       surgery.
54550...............  ..............  A               Exploration for             7.79         NA       4.31       0.59         NA      12.68        090
                                                       testis.
54560...............  ..............  A               Exploration for            11.13         NA       5.74       0.90         NA      17.77        090
                                                       testis.
54600...............  ..............  A               Reduce testis torsion       7.01         NA       4.05       0.51         NA      11.57        090
54620...............  ..............  A               Suspension of testis.       4.90         NA       2.78       0.37         NA       8.05        010
54640...............  ..............  A               Suspension of testis.       6.90         NA       4.20       0.62         NA      11.72        090
54650...............  ..............  A               Orchiopexy (Fowler-        11.45         NA       6.03       1.16         NA      18.64        090
                                                       Stephens).
54660...............  ..............  A               Revision of testis...       5.11         NA       3.39       0.44         NA       8.94        090
54670...............  ..............  A               Repair testis injury.       6.41         NA       3.95       0.47         NA      10.83        090
54680...............  ..............  A               Relocation of              12.66         NA       6.67       1.16         NA      20.48        090
                                                       testis(es).
54690...............  ..............  A               Laparoscopy,               10.96         NA       5.61       1.02         NA      17.59        090
                                                       orchiectomy.
54692...............  ..............  A               Laparoscopy,               12.89         NA       6.14       1.30         NA      20.33        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..       3.43         NA       2.13       0.28         NA       5.84        010
54800...............  ..............  A               Biopsy of epididymis.       2.33         NA       1.03       0.23         NA       3.60        000
54820...............  ..............  A               Exploration of              5.14         NA       3.32       0.40         NA       8.86        090
                                                       epididymis.
54830...............  ..............  A               Remove epididymis           5.38         NA       3.45       0.41         NA       9.25        090
                                                       lesion.
54840...............  ..............  A               Remove epididymis           5.20         NA       3.19       0.37         NA       8.76        090
                                                       lesion.
54860...............  ..............  A               Removal of epididymis       6.32         NA       3.85       0.45         NA      10.62        090
54861...............  ..............  A               Removal of epididymis       8.91         NA       5.03       0.63         NA      14.57        090
54900...............  ..............  A               Fusion of spermatic        13.21         NA       6.74       0.93         NA      20.87        090
                                                       ducts.
54901...............  ..............  A               Fusion of spermatic        17.95         NA       8.13       1.82         NA      27.89        090
                                                       ducts.
55000...............  ..............  A               Drainage of hydrocele       1.43       2.08       0.74       0.11       3.63       2.28        000
55040...............  ..............  A               Removal of hydrocele.       5.36         NA       3.26       0.43         NA       9.05        090
55041...............  ..............  A               Removal of hydroceles       7.75         NA       4.52       0.60         NA      12.86        090
55060...............  ..............  A               Repair of hydrocele..       5.52         NA       3.45       0.46         NA       9.43        090
55100...............  ..............  A               Drainage of scrotum         2.13       3.74       1.72       0.17       6.04       4.02        010
                                                       abscess.
55110...............  ..............  A               Explore scrotum......       5.70         NA       3.58       0.43         NA       9.71        090
55120...............  ..............  A               Removal of scrotum          5.09         NA       3.35       0.39         NA       8.83        090
                                                       lesion.
55150...............  ..............  A               Removal of scrotum...       7.22         NA       4.36       0.56         NA      12.15        090
55175...............  ..............  A               Revision of scrotum..       5.24         NA       3.45       0.37         NA       9.06        090
55180...............  ..............  A               Revision of scrotum..      10.72         NA       6.05       0.90         NA      17.67        090
55200...............  ..............  A               Incision of sperm           4.24      12.12       2.67       0.33      16.69       7.23        090
                                                       duct.
55250...............  ..............  A               Removal of sperm            3.30      11.22       2.51       0.25      14.77       6.05        090
                                                       duct(s).
55300...............  ..............  A               Prepare, sperm duct x-      3.51         NA       1.53       0.25         NA       5.28        000
                                                       ray.
55400...............  ..............  A               Repair of sperm duct.       8.50         NA       4.68       0.64         NA      13.81        090
55450...............  ..............  A               Ligation of sperm           4.12       7.06       2.20       0.29      11.47       6.61        010
                                                       duct.
55500...............  ..............  A               Removal of hydrocele.       5.59         NA       3.35       0.55         NA       9.49        090
55520...............  ..............  A               Removal of sperm cord       6.03         NA       3.31       0.75         NA      10.09        090
                                                       lesion.

[[Page 45935]]

 
55530...............  ..............  A               Revise spermatic cord       5.66         NA       3.41       0.45         NA       9.52        090
                                                       veins.
55535...............  ..............  A               Revise spermatic cord       6.56         NA       3.89       0.47         NA      10.92        090
                                                       veins.
55540...............  ..............  A               Revise hernia & sperm       7.68         NA       3.86       0.94         NA      12.47        090
                                                       veins.
55550...............  ..............  A               Laparo ligate               6.57         NA       3.59       0.57         NA      10.74        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           6.38         NA       3.89       0.62         NA      10.89        090
                                                       pouch.
55605...............  ..............  A               Incise sperm duct           7.97         NA       4.86       0.64         NA      13.46        090
                                                       pouch.
55650...............  ..............  A               Remove sperm duct          11.80         NA       6.12       0.92         NA      18.84        090
                                                       pouch.
55680...............  ..............  A               Remove sperm pouch          5.19         NA       3.39       0.47         NA       9.05        090
                                                       lesion.
55700...............  ..............  A               Biopsy of prostate...       1.57       4.22       0.76       0.11       5.90       2.45        000
55705...............  ..............  A               Biopsy of prostate...       4.57         NA       2.60       0.32         NA       7.49        010
55720...............  ..............  A               Drainage of prostate        7.65         NA       4.35       0.95         NA      12.94        090
                                                       abscess.
55725...............  ..............  A               Drainage of prostate        8.69         NA       5.02       0.70         NA      14.40        090
                                                       abscess.
55801...............  ..............  A               Removal of prostate..      17.81         NA       8.72       1.34         NA      27.86        090
55810...............  ..............  A               Extensive prostate         22.60         NA      10.31       1.60         NA      34.51        090
                                                       surgery.
55812...............  ..............  A               Extensive prostate         27.52         NA      12.47       2.04         NA      42.03        090
                                                       surgery.
55815...............  ..............  A               Extensive prostate         30.47         NA      13.65       2.16         NA      46.28        090
                                                       surgery.
55821...............  ..............  A               Removal of prostate..      14.26         NA       7.15       1.01         NA      22.42        090
55831...............  ..............  A               Removal of prostate..      15.63         NA       7.67       1.10         NA      24.40        090
55840...............  ..............  A               Extensive prostate         22.71         NA      10.68       1.61         NA      35.00        090
                                                       surgery.
55842...............  ..............  A               Extensive prostate         24.39         NA      11.28       1.72         NA      37.39        090
                                                       surgery.
55845...............  ..............  A               Extensive prostate         28.57         NA      12.67       2.02         NA      43.25        090
                                                       surgery.
55859...............  ..............  A               Percut/needle insert,      12.53         NA       6.72       0.89         NA      20.13        090
                                                       pros.
55860...............  ..............  A               Surgical exposure,         14.46         NA       7.23       1.02         NA      22.71        090
                                                       prostate.
55862...............  ..............  A               Extensive prostate         18.40         NA       8.62       1.49         NA      28.51        090
                                                       surgery.
55865...............  ..............  A               Extensive prostate         22.89         NA      10.64       1.63         NA      35.16        090
                                                       surgery.
55866...............  ..............  A               Laparo radical             30.75         NA      13.70       2.16         NA      46.62        090
                                                       prostatectomy.
55870...............  ..............  A               Electroejaculation...       2.59       1.83       1.25       0.16       4.57       3.99        000
55873...............  ..............  A               Cryoablate prostate..      19.48         NA      10.16       1.38         NA      31.02        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       1.31       1.14       0.17       2.92       2.75        010
                                                       perineum.
56420...............  ..............  A               Drainage of gland           1.39       2.14       0.98       0.16       3.69       2.53        010
                                                       abscess.
56440...............  ..............  A               Surgery for vulva           2.85         NA       1.70       0.34         NA       4.88        010
                                                       lesion.
56441...............  ..............  A               Lysis of labial             1.97       1.82       1.48       0.20       4.00       3.65        010
                                                       lesion(s).
56501...............  ..............  A               Destroy, vulva              1.53       1.76       1.24       0.18       3.48       2.95        010
                                                       lesions, sim.
56515...............  ..............  A               Destroy vulva lesion/       2.77       2.55       1.79       0.33       5.64       4.89        010
                                                       s compl.
56605...............  ..............  A               Biopsy of vulva/            1.10       1.05       0.45       0.13       2.28       1.68        000
                                                       perineum.
56606...............  ..............  A               Biopsy of vulva/            0.55       0.47       0.22       0.07       1.09       0.84        ZZZ
                                                       perineum.
56620...............  ..............  A               Partial removal of          7.47         NA       4.72       0.90         NA      13.09        090
                                                       vulva.
56625...............  ..............  A               Complete removal of         8.41         NA       5.22       1.02         NA      14.64        090
                                                       vulva.
56630...............  ..............  A               Extensive vulva            12.36         NA       6.69       1.49         NA      20.55        090
                                                       surgery.
56631...............  ..............  A               Extensive vulva            16.21         NA       8.62       1.95         NA      26.78        090
                                                       surgery.
56632...............  ..............  A               Extensive vulva            20.30         NA       9.30       2.38         NA      31.98        090
                                                       surgery.
56633...............  ..............  A               Extensive vulva            16.48         NA       8.40       1.97         NA      26.86        090
                                                       surgery.
56634...............  ..............  A               Extensive vulva            17.89         NA       9.22       2.16         NA      29.26        090
                                                       surgery.
56637...............  ..............  A               Extensive vulva            21.98         NA      10.81       2.60         NA      35.39        090
                                                       surgery.
56640...............  ..............  A               Extensive vulva            22.18         NA      10.38       2.88         NA      35.44        090
                                                       surgery.
56700...............  ..............  A               Partial removal of          2.53         NA       1.84       0.30         NA       4.67        010
                                                       hymen.
56720...............  ..............  A               Incision of hymen....       0.68         NA       0.51       0.08         NA       1.27        000
56740...............  ..............  A               Remove vagina gland         4.57         NA       2.53       0.56         NA       7.66        010
                                                       lesion.
56800...............  ..............  A               Repair of vagina.....       3.89         NA       2.21       0.44         NA       6.54        010
56805...............  ..............  A               Repair clitoris......      18.87         NA       9.45       2.14         NA      30.46        090
56810...............  ..............  A               Repair of perineum...       4.13         NA       2.27       0.49         NA       6.89        010
56820...............  ..............  A               Exam of vulva w/scope       1.50       1.30       0.66       0.18       2.98       2.34        000
56821...............  ..............  A               Exam/biopsy of vulva        2.05       1.72       0.89       0.25       4.03       3.20        000
                                                       w/scope.
57000...............  ..............  A               Exploration of vagina       2.98         NA       1.78       0.31         NA       5.06        010
57010...............  ..............  A               Drainage of pelvic          6.03         NA       3.81       0.71         NA      10.55        090
                                                       abscess.
57020...............  ..............  A               Drainage of pelvic          1.50       0.92       0.58       0.18       2.60       2.26        000
                                                       fluid.
57022...............  ..............  A               I & d vaginal               2.57         NA       1.49       0.26         NA       4.32        010
                                                       hematoma, pp.
57023...............  ..............  A               I & d vag hematoma,         4.75         NA       2.57       0.58         NA       7.90        010
                                                       non-ob.
57061...............  ..............  A               Destroy vag lesions,        1.25       1.63       1.13       0.15       3.03       2.53        010
                                                       simple.
57065...............  ..............  A               Destroy vag lesions,        2.62       2.26       1.66       0.31       5.19       4.58        010
                                                       complex.
57100...............  ..............  A               Biopsy of vagina.....       1.20       1.06       0.48       0.14       2.40       1.82        000
57105...............  ..............  A               Biopsy of vagina.....       1.69       1.76       1.42       0.20       3.65       3.31        010
57106...............  ..............  A               Remove vagina wall,         6.36         NA       4.16       0.73         NA      11.25        090
                                                       partial.
57107...............  ..............  A               Remove vagina tissue,      23.02         NA      10.42       2.71         NA      36.14        090
                                                       part.
57109...............  ..............  A               Vaginectomy partial w/     27.01         NA      12.16       3.21         NA      42.39        090
                                                       nodes.
57110...............  ..............  A               Remove vagina wall,        14.30         NA       7.17       1.73         NA      23.20        090
                                                       complete.
57111...............  ..............  A               Remove vagina tissue,      27.01         NA      12.41       3.17         NA      42.60        090
                                                       compl.
57112...............  ..............  A               Vaginectomy w/nodes,       29.02         NA      12.99       3.07         NA      45.08        090
                                                       compl.
57120...............  ..............  A               Closure of vagina....       7.41         NA       4.55       0.89         NA      12.85        090
57130...............  ..............  A               Remove vagina lesion.       2.43       2.13       1.55       0.29       4.86       4.27        010

[[Page 45936]]

 
57135...............  ..............  A               Remove vagina lesion.       2.68       2.23       1.66       0.31       5.21       4.64        010
57150...............  ..............  A               Treat vagina                0.55       1.01       0.21       0.07       1.64       0.83        000
                                                       infection.
57155...............  ..............  A               Insert uteri tandems/        .27         NA       4.44       0.43         NA      11.15        090
                                                       ovoids.
57160...............  ..............  A               Insert pessary/other        0.89       1.01       0.34       0.10       2.01       1.33        000
                                                       device.
57170...............  ..............  A               Fitting of diaphragm/       0.91       1.33       0.32       0.11       2.35       1.34        000
                                                       cap.
57180...............  ..............  A               Treat vaginal               1.58       2.08       1.21       0.19       3.85       2.99        010
                                                       bleeding.
57200...............  ..............  A               Repair of vagina.....       3.94         NA       2.90       0.46         NA       7.30        090
57210...............  ..............  A               Repair vagina/              5.17         NA       3.41       0.62         NA       9.20        090
                                                       perineum.
57220...............  ..............  A               Revision of urethra..       4.31         NA       3.10       0.51         NA       7.92        090
57230...............  ..............  A               Repair of urethral          5.64         NA       3.54       0.54         NA       9.72        090
                                                       lesion.
57240...............  ..............  A               Repair bladder &            6.07         NA       3.93       0.62         NA      10.62        090
                                                       vagina.
57250...............  ..............  A               Repair rectum &             5.53         NA       3.55       0.65         NA       9.74        090
                                                       vagina.
57260...............  ..............  A               Repair of vagina.....       8.28         NA       4.79       0.97         NA      14.04        090
57265...............  ..............  A               Extensive repair of        11.34         NA       5.98       1.32         NA      18.64        090
                                                       vagina.
57267...............  ..............  A               Insert mesh/pelvic          4.89         NA       1.93       0.64         NA       7.46        ZZZ
                                                       flr addon.
57268...............  ..............  A               Repair of bowel bulge       6.76         NA       4.19       0.79         NA      11.74        090
57270...............  ..............  A               Repair of bowel pouch      12.11         NA       6.22       1.42         NA      19.75        090
57280...............  ..............  A               Suspension of vagina.      15.05         NA       7.37       1.67         NA      24.09        090
57282...............  ..............  A               Colpopexy,                  6.87         NA       4.49       1.02         NA      12.38        090
                                                       extraperitoneal.
57283...............  ..............  A               Colpopexy,                 10.86         NA       5.90       1.02         NA      17.78        090
                                                       intraperitoneal.
57284...............  ..............  A               Repair paravaginal         12.71         NA       7.20       1.41         NA      21.32        090
                                                       defect.
57287...............  ..............  A               Revise/remove sling        10.71         NA       6.02       0.90         NA      17.63        090
                                                       repair.
57288...............  ..............  A               Repair bladder defect      13.03         NA       6.58       1.12         NA      20.73        090
57289...............  ..............  A               Repair bladder &           11.58         NA       6.31       1.21         NA      19.10        090
                                                       vagina.
57291...............  ..............  A               Construction of             7.96         NA       4.96       0.93         NA      13.85        090
                                                       vagina.
57292...............  ..............  A               Construct vagina with      13.10         NA       6.94       1.58         NA      21.61        090
                                                       graft.
57300...............  ..............  A               Repair rectum-vagina        7.62         NA       4.27       0.87         NA      12.76        090
                                                       fistula.
57305...............  ..............  A               Repair rectum-vagina       13.78         NA       6.22       1.72         NA      21.72        090
                                                       fistula.
57307...............  ..............  A               Fistula repair &           15.94         NA       6.93       2.01         NA      24.88        090
                                                       colostomy.
57308...............  ..............  A               Fistula repair,             9.95         NA       5.08       1.14         NA      16.17        090
                                                       transperine.
57310...............  ..............  A               Repair urethrovaginal       6.78         NA       4.24       0.54         NA      11.56        090
                                                       lesion.
57311...............  ..............  A               Repair urethrovaginal       7.99         NA       4.58       0.65         NA      13.22        090
                                                       lesion.
57320...............  ..............  A               Repair bladder-vagina       8.02         NA       4.75       0.69         NA      13.46        090
                                                       lesion.
57330...............  ..............  A               Repair bladder-vagina      12.35         NA       6.33       1.06         NA      19.74        090
                                                       lesion.
57335...............  ..............  A               Repair vagina........      18.74         NA       9.27       1.91         NA      29.92        090
57400...............  ..............  A               Dilation of vagina...       2.27         NA       1.12       0.26         NA       3.65        000
57410...............  ..............  A               Pelvic examination...       1.75         NA       0.92       0.18         NA       2.86        000
57415...............  ..............  A               Remove vaginal              2.17         NA       1.46       0.24         NA       3.88        010
                                                       foreign body.
57420...............  ..............  A               Exam of vagina w/           1.60       1.34       0.69       0.19       3.13       2.48        000
                                                       scope.
57421...............  ..............  A               Exam/biopsy of vag w/       2.20       1.81       0.94       0.27       4.28       3.42        000
                                                       scope.
57425...............  ..............  A               Laparoscopy, surg,         15.76         NA       6.86       1.75         NA      24.37        090
                                                       colpopexy.
57452...............  ..............  A               Exam of cervix w/           1.50       1.27       0.80       0.18       2.95       2.49        000
                                                       scope.
57454...............  ..............  A               Bx/curett of cervix w/      2.33       1.61       1.13       0.28       4.23       3.75        000
                                                       scope.
57455...............  ..............  A               Biopsy of cervix w/         1.99       1.69       0.85       0.24       3.93       3.09        000
                                                       scope.
57456...............  ..............  A               Endocerv curettage w/       1.85       1.63       0.81       0.22       3.70       2.88        000
                                                       scope.
57460...............  ..............  A               Bx of cervix w/scope,       2.84       5.57       1.36       0.34       8.75       4.53        000
                                                       leep.
57461...............  ..............  A               Conz of cervix w/           3.44       5.84       1.44       0.41       9.69       5.29        000
                                                       scope, leep.
57500...............  ..............  A               Biopsy of cervix.....       0.97       2.43       0.63       0.12       3.52       1.72        000
57505...............  ..............  A               Endocervical                1.14       1.44       1.09       0.14       2.72       2.38        010
                                                       curettage.
57510...............  ..............  A               Cauterization of            1.90       1.53       1.03       0.23       3.66       3.17        010
                                                       cervix.
57511...............  ..............  A               Cryocautery of cervix       1.90       1.79       1.36       0.23       3.92       3.49        010
57513...............  ..............  A               Laser surgery of            1.90       1.70       1.39       0.23       3.83       3.52        010
                                                       cervix.
57520...............  ..............  A               Conization of cervix.       4.04       3.85       2.83       0.49       8.38       7.36        090
57522...............  ..............  A               Conization of cervix.       3.36       3.09       2.42       0.41       6.85       6.19        090
57530...............  ..............  A               Removal of cervix....       4.79         NA       3.34       0.58         NA       8.71        090
57531...............  ..............  A               Removal of cervix,         28.02         NA      13.03       3.34         NA      44.39        090
                                                       radical.
57540...............  ..............  A               Removal of residual        12.22         NA       6.16       1.49         NA      19.88        090
                                                       cervix.
57545...............  ..............  A               Remove cervix/repair       13.04         NA       6.60       1.52         NA      21.15        090
                                                       pelvis.
57550...............  ..............  A               Removal of residual         5.53         NA       3.79       0.67         NA       9.99        090
                                                       cervix.
57555...............  ..............  A               Remove cervix/repair        8.96         NA       5.03       1.09         NA      15.08        090
                                                       vagina.
57556...............  ..............  A               Remove cervix, repair       8.38         NA       4.85       0.92         NA      14.15        090
                                                       bowel.
57700...............  ..............  A               Revision of cervix...       3.55         NA       3.14       0.41         NA       7.10        090
57720...............  ..............  A               Revision of cervix...       4.13         NA       3.09       0.49         NA       7.71        090
57800...............  ..............  A               Dilation of cervical        0.77       0.75       0.47       0.09       1.62       1.33        000
                                                       canal.
57820...............  ..............  A               D & c of residual           1.67       1.46       1.13       0.20       3.33       3.00        010
                                                       cervix.
58100...............  ..............  A               Biopsy of uterus            1.53       1.30       0.71       0.18       3.01       2.42        000
                                                       lining.
58120...............  ..............  A               Dilation and                3.28       2.27       1.85       0.39       5.94       5.51        010
                                                       curettage.
58140...............  ..............  A               Myomectomy abdom           14.61         NA       6.99       1.81         NA      23.41        090
                                                       method.
58145...............  ..............  A               Myomectomy vag method       8.05         NA       4.74       0.97         NA      13.75        090
58146...............  ..............  A               Myomectomy abdom           19.01         NA       8.83       2.32         NA      30.16        090
                                                       complex.
58150...............  ..............  A               Total hysterectomy...      15.25         NA       7.36       1.84         NA      24.45        090
58152...............  ..............  A               Total hysterectomy...      20.61         NA       9.68       2.47         NA      32.76        090
58180...............  ..............  A               Partial hysterectomy.      15.30         NA       7.32       1.64         NA      24.27        090
58200...............  ..............  A               Extensive                  21.60         NA       9.79       2.54         NA      33.93        090
                                                       hysterectomy.

[[Page 45937]]

 
58210...............  ..............  A               Extensive                  28.87         NA      12.91       3.37         NA      45.14        090
                                                       hysterectomy.
58240...............  ..............  A               Removal of pelvis          38.41         NA      17.43       4.22         NA      60.06        090
                                                       contents.
58260...............  ..............  A               Vaginal hysterectomy.      12.99         NA       6.61       1.57         NA      21.16        090
58262...............  ..............  A               Vag hyst including t/      14.78         NA       7.28       1.79         NA      23.85        090
                                                       o.
58263...............  ..............  A               Vag hyst w/t/o & vag       16.07         NA       7.77       1.94         NA      25.78        090
                                                       repair.
58267...............  ..............  A               Vag hyst w/urinary         17.04         NA       8.25       2.06         NA      27.35        090
                                                       repair.
58270...............  ..............  A               Vag hyst w/enterocele      14.27         NA       6.96       1.73         NA      22.96        090
                                                       repair.
58275...............  ..............  A               Hysterectomy/revise        15.77         NA       7.66       1.91         NA      25.34        090
                                                       vagina.
58280...............  ..............  A               Hysterectomy/revise        17.01         NA       8.15       2.06         NA      27.23        090
                                                       vagina.
58285...............  ..............  A               Extensive                  22.27         NA       9.74       2.70         NA      34.72        090
                                                       hysterectomy.
58290...............  ..............  A               Vag hyst complex.....      19.01         NA       8.96       2.29         NA      30.26        090
58291...............  ..............  A               Vag hyst incl t/o,         20.80         NA       9.69       2.52         NA      33.01        090
                                                       complex.
58292...............  ..............  A               Vag hyst t/o &             22.09         NA      10.16       2.67         NA      34.93        090
                                                       repair, compl.
58293...............  ..............  A               Vag hyst w/uro             23.08         NA      10.44       2.78         NA      36.29        090
                                                       repair, compl.
58294...............  ..............  A               Vag hyst w/                20.29         NA       9.37       2.39         NA      32.05        090
                                                       enterocele, compl.
58300...............  ..............  N               Insert intrauterine         1.01       1.33       0.38       0.12       2.46       1.51        XXX
                                                       device.
58301...............  ..............  A               Remove intrauterine         1.27       1.28       0.47       0.15       2.70       1.89        000
                                                       device.
58321...............  ..............  A               Artificial                  0.92       1.12       0.36       0.10       2.14       1.38        000
                                                       insemination.
58322...............  ..............  A               Artificial                  1.10       1.18       0.41       0.13       2.41       1.64        000
                                                       insemination.
58323...............  ..............  A               Sperm washing........       0.23       0.47       0.09       0.03       0.73       0.35        000
58340...............  ..............  A               Catheter for                0.88       3.02       0.68       0.09       3.99       1.65        000
                                                       hysterography.
58345...............  ..............  A               Reopen fallopian tube       4.66         NA       2.48       0.41         NA       7.55        010
58346...............  ..............  A               Insert heyman uteri         6.75         NA       3.93       0.56         NA      11.24        090
                                                       capsule.
58350...............  ..............  A               Reopen fallopian tube       1.01       1.50       0.92       0.12       2.64       2.05        010
58353...............  ..............  A               Endometr ablate,            3.56      33.29       2.02       0.43      37.28       6.01        010
                                                       thermal.
58356...............  ..............  A               Endometrial                 6.37       6.85       2.59       0.82      14.05       9.78        010
                                                       cryoablation.
58400...............  ..............  A               Suspension of uterus.       6.36         NA       3.91       0.75         NA      11.03        090
58410...............  ..............  A               Suspension of uterus.      12.74         NA       6.33       1.45         NA      20.51        090
58520...............  ..............  A               Repair of ruptured         11.92         NA       5.92       1.47         NA      19.31        090
                                                       uterus.
58540...............  ..............  A               Revision of uterus...      14.65         NA       6.85       1.78         NA      23.28        090
58545...............  ..............  A               Laparoscopic               14.61         NA       7.06       1.77         NA      23.44        090
                                                       myomectomy.
58546...............  ..............  A               Laparo-myomectomy,         19.01         NA       8.75       2.30         NA      30.06        090
                                                       complex.
58550...............  ..............  A               Laparo-asst vag            14.20         NA       7.18       1.72         NA      23.10        090
                                                       hysterectomy.
58552...............  ..............  A               Laparo-vag hyst incl       16.01         NA       7.88       1.72         NA      25.62        090
                                                       t/o.
58553...............  ..............  A               Laparo-vag hyst,           19.01         NA       8.78       2.30         NA      30.09        090
                                                       complex.
58554...............  ..............  A               Laparo-vag hyst w/t/       22.01         NA      10.24       2.27         NA      34.52        090
                                                       o, compl.
58555...............  ..............  A               Hysteroscopy, dx, sep       3.34       2.16       1.52       0.40       5.90       5.26        000
                                                       proc.
58558...............  ..............  A               Hysteroscopy, biopsy.       4.75         NA       2.13       0.57         NA       7.45        000
58559...............  ..............  A               Hysteroscopy, lysis..       6.17         NA       2.68       0.74         NA       9.60        000
58560...............  ..............  A               Hysteroscopy, resect        7.00         NA       3.02       0.84         NA      10.86        000
                                                       septum.
58561...............  ..............  A               Hysteroscopy, remove       10.01         NA       4.19       1.21         NA      15.41        000
                                                       myoma.
58562...............  ..............  A               Hysteroscopy, remove        5.21         NA       2.30       0.63         NA       8.14        000
                                                       fb.
58563...............  ..............  A               Hysteroscopy,               6.17      52.70       2.70       0.74      59.62       9.61        000
                                                       ablation.
58565...............  ..............  A               Hysteroscopy,               7.03      46.78       3.88       1.19      55.01      12.11        090
                                                       sterilization.
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       5.60         NA       3.29       0.66         NA       9.55        090
                                                       tube.
58605...............  ..............  A               Division of fallopian       5.00         NA       3.06       0.59         NA       8.65        090
                                                       tube.
58611...............  ..............  A               Ligate oviduct(s) add-      1.45         NA       0.56       0.18         NA       2.19        ZZZ
                                                       on.
58615...............  ..............  A               Occlude fallopian           3.90         NA       2.62       0.47         NA       6.98        010
                                                       tube(s).
58660...............  ..............  A               Laparoscopy, lysis...      11.29         NA       5.17       1.40         NA      17.87        090
58661...............  ..............  A               Laparoscopy, remove        11.05         NA       5.02       1.34         NA      17.41        010
                                                       adnexa.
58662...............  ..............  A               Laparoscopy, excise        11.79         NA       5.68       1.43         NA      18.90        090
                                                       lesions.
58670...............  ..............  A               Laparoscopy, tubal          5.60         NA       3.23       0.67         NA       9.50        090
                                                       cautery.
58671...............  ..............  A               Laparoscopy, tubal          5.60         NA       3.23       0.68         NA       9.51        090
                                                       block.
58672...............  ..............  A               Laparoscopy,               12.89         NA       6.06       1.60         NA      20.55        090
                                                       fimbrioplasty.
58673...............  ..............  A               Laparoscopy,               13.75         NA       6.45       1.69         NA      21.88        090
                                                       salpingostomy.
58679...............  ..............  C               Laparo proc, oviduct-       0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       ovary.
58700...............  ..............  A               Removal of fallopian       12.05         NA       5.91       1.51         NA      19.48        090
                                                       tube.
58720...............  ..............  A               Removal of ovary/          11.36         NA       5.69       1.39         NA      18.44        090
                                                       tube(s).
58740...............  ..............  A               Revise fallopian           14.01         NA       7.03       1.71         NA      22.74        090
                                                       tube(s).
58750...............  ..............  A               Repair oviduct.......      14.85         NA       7.22       1.84         NA      23.91        090
58752...............  ..............  A               Revise ovarian             14.85         NA       6.79       1.80         NA      23.44        090
                                                       tube(s).
58760...............  ..............  A               Remove tubal               13.14         NA       6.62       1.79         NA      21.54        090
                                                       obstruction.
58770...............  ..............  A               Create new tubal           13.98         NA       6.78       1.73         NA      22.49        090
                                                       opening.
58800...............  ..............  A               Drainage of ovarian         4.14       3.56       2.93       0.43       8.13       7.50        090
                                                       cyst(s).
58805...............  ..............  A               Drainage of ovarian         5.88         NA       3.49       0.69         NA      10.06        090
                                                       cyst(s).
58820...............  ..............  A               Drain ovary abscess,        4.22         NA       3.35       0.52         NA       8.09        090
                                                       open.
58822...............  ..............  A               Drain ovary abscess,       10.13         NA       5.19       1.16         NA      16.48        090
                                                       percut.
58823...............  ..............  A               Drain pelvic abscess,       3.38      21.63       1.16       0.24      25.24       4.77        000
                                                       percut.
58825...............  ..............  A               Transposition,             10.98         NA       5.69       1.32         NA      17.99        090
                                                       ovary(s).
58900...............  ..............  A               Biopsy of ovary(s)...       5.99         NA       3.57       0.69         NA      10.25        090
58920...............  ..............  A               Partial removal of         11.36         NA       5.49       1.43         NA      18.28        090
                                                       ovary(s).
58925...............  ..............  A               Removal of ovarian         11.36         NA       5.62       1.41         NA      18.39        090
                                                       cyst(s).

[[Page 45938]]

 
58940...............  ..............  A               Removal of ovary(s)..       7.29         NA       4.08       0.91         NA      12.29        090
58943...............  ..............  A               Removal of ovary(s)..      18.44         NA       8.48       2.22         NA      29.13        090
58950...............  ..............  A               Resect ovarian             16.93         NA       8.24       2.04         NA      27.22        090
                                                       malignancy.
58951...............  ..............  A               Resect ovarian             22.39         NA      10.22       2.63         NA      35.24        090
                                                       malignancy.
58952...............  ..............  A               Resect ovarian             25.02         NA      11.50       3.02         NA      39.54        090
                                                       malignancy.
58953...............  ..............  A               Tah, rad dissect for       32.01         NA      14.24       3.83         NA      50.08        090
                                                       debulk.
58954...............  ..............  A               Tah rad debulk/lymph       35.02         NA      15.44       4.17         NA      54.63        090
                                                       remove.
58956...............  ..............  A               Bso, omentectomy w/        20.82         NA      10.08       4.00         NA      34.90        090
                                                       tah.
58960...............  ..............  A               Exploration of             14.66         NA       7.21       1.79         NA      23.66        090
                                                       abdomen.
58970...............  ..............  A               Retrieval of oocyte..       3.53       2.27       1.46       0.43       6.23       5.42        000
58974...............  ..............  C               Transfer of embryo...       0.00       0.00       0.00       0.00       0.00       0.00        000
58976...............  ..............  A               Transfer of embryo...       3.83       2.63       1.79       0.47       6.93       6.09        000
58999...............  ..............  C               Genital surgery             0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       procedure.
59000...............  ..............  A               Amniocentesis,              1.30       2.01       0.66       0.31       3.63       2.27        000
                                                       diagnostic.
59001...............  ..............  A               Amniocentesis,              3.01         NA       1.39       0.71         NA       5.10        000
                                                       therapeutic.
59012...............  ..............  A               Fetal cord                  3.45         NA       1.51       0.82         NA       5.77        000
                                                       puncture,prenatal.
59015...............  ..............  A               Chorion biopsy.......       2.20       1.54       1.02       0.52       4.26       3.75        000
59020...............  ..............  A               Fetal contract stress       0.66       0.83         NA       0.26       1.76         NA        000
                                                       test.
59020...............  26............  A               Fetal contract stress       0.66       0.26       0.26       0.16       1.08       1.08        000
                                                       test.
59020...............  TC............  A               Fetal contract stress       0.00       0.58         NA       0.10       0.68         NA        000
                                                       test.
59025...............  ..............  A               Fetal non-stress test       0.53       0.48         NA       0.15       1.16         NA        000
59025...............  26............  A               Fetal non-stress test       0.53       0.21       0.21       0.13       0.87       0.87        000
59025...............  TC............  A               Fetal non-stress test       0.00       0.27         NA       0.02       0.29         NA        000
59030...............  ..............  A               Fetal scalp blood           1.99         NA       0.75       0.47         NA       3.22        000
                                                       sample.
59050...............  ..............  A               Fetal monitor w/            0.89         NA       0.34       0.21         NA       1.44        XXX
                                                       report.
59051...............  ..............  A               Fetal monitor/              0.74         NA       0.28       0.17         NA       1.19        XXX
                                                       interpret only.
59070...............  ..............  A               Transabdom amnioinfus       5.25       5.16       2.29       0.28      10.69       7.82        000
                                                       w/us.
59072...............  ..............  A               Umbilical cord occlud       9.01         NA       3.56       0.16         NA      12.73        000
                                                       w/us.
59074...............  ..............  A               Fetal fluid drainage        5.25       4.51       2.29       0.28      10.04       7.82        000
                                                       w/us.
59076...............  ..............  A               Fetal shunt                 9.01         NA       3.56       0.16         NA      12.73        000
                                                       placement, w/us.
59100...............  ..............  A               Remove uterus lesion.      12.35         NA       6.36       2.94         NA      21.65        090
59120...............  ..............  A               Treat ectopic              11.49         NA       6.14       2.72         NA      20.35        090
                                                       pregnancy.
59121...............  ..............  A               Treat ectopic              11.67         NA       6.21       2.78         NA      20.67        090
                                                       pregnancy.
59130...............  ..............  A               Treat ectopic              14.23         NA       4.59       3.38         NA      22.20        090
                                                       pregnancy.
59135...............  ..............  A               Treat ectopic              13.89         NA       7.09       3.30         NA      24.28        090
                                                       pregnancy.
59136...............  ..............  A               Treat ectopic              13.19         NA       6.48       3.13         NA      22.80        090
                                                       pregnancy.
59140...............  ..............  A               Treat ectopic               5.46         NA       2.49       1.29         NA       9.24        090
                                                       pregnancy.
59150...............  ..............  A               Treat ectopic              11.67         NA       5.90       2.78         NA      20.35        090
                                                       pregnancy.
59151...............  ..............  A               Treat ectopic              11.49         NA       5.95       2.73         NA      20.17        090
                                                       pregnancy.
59160...............  ..............  A               D & c after delivery.       2.72       3.09       1.99       0.64       6.44       5.35        010
59200...............  ..............  A               Insert cervical             0.79       1.15       0.30       0.19       2.13       1.28        000
                                                       dilator.
59300...............  ..............  A               Episiotomy or vaginal       2.41       2.34       1.02       0.57       5.33       4.01        000
                                                       repair.
59320...............  ..............  A               Revision of cervix...       2.48         NA       1.22       0.59         NA       4.30        000
59325...............  ..............  A               Revision of cervix...       4.07         NA       1.86       0.88         NA       6.80        000
59350...............  ..............  A               Repair of uterus.....       4.95         NA       1.84       1.17         NA       7.96        000
59400...............  ..............  A               Obstetrical care.....      23.08         NA      15.13       5.48         NA      43.68        MMM
59409...............  ..............  A               Obstetrical care.....      13.51         NA       5.17       3.21         NA      21.89        MMM
59410...............  ..............  A               Obstetrical care.....      14.79         NA       6.16       3.51         NA      24.46        MMM
59412...............  ..............  A               Antepartum                  1.71         NA       0.80       0.40         NA       2.91        MMM
                                                       manipulation.
59414...............  ..............  A               Deliver placenta.....       1.61         NA       0.62       0.38         NA       2.62        MMM
59425...............  ..............  A               Antepartum care only.       4.81       4.16       1.80       1.14      10.11       7.75        MMM
59426...............  ..............  A               Antepartum care only.       8.29       7.48       3.14       1.97      17.74      13.40        MMM
59430...............  ..............  A               Care after delivery..       2.13       1.21       0.91       0.50       3.84       3.55        MMM
59510...............  ..............  A               Cesarean delivery....      26.23         NA      17.03       6.23         NA      49.50        MMM
59514...............  ..............  A               Cesarean delivery          15.98         NA       6.06       3.79         NA      25.83        MMM
                                                       only.
59515...............  ..............  A               Cesarean delivery....      17.37         NA       7.67       4.12         NA      29.16        MMM
59525...............  ..............  A               Remove uterus after         8.55         NA       3.22       1.94         NA      13.71        ZZZ
                                                       cesarean.
59610...............  ..............  A               Vbac delivery........      24.63         NA      15.63       5.85         NA      46.11        MMM
59612...............  ..............  A               Vbac delivery only...      15.07         NA       5.90       3.58         NA      24.55        MMM
59614...............  ..............  A               Vbac care after            16.35         NA       6.77       3.88         NA      27.00        MMM
                                                       delivery.
59618...............  ..............  A               Attempted vbac             27.80         NA      17.88       6.59         NA      52.26        MMM
                                                       delivery.
59620...............  ..............  A               Attempted vbac             17.54         NA       6.59       4.16         NA      28.28        MMM
                                                       delivery only.
59622...............  ..............  A               Attempted vbac after       18.94         NA       8.59       4.49         NA      32.02        MMM
                                                       care.
59812...............  ..............  A               Treatment of                4.01         NA       2.50       0.95         NA       7.46        090
                                                       miscarriage.
59820...............  ..............  A               Care of miscarriage..       4.01       4.34       3.53       0.95       9.30       8.49        090
59821...............  ..............  A               Treatment of                4.47       4.20       3.36       1.06       9.72       8.89        090
                                                       miscarriage.
59830...............  ..............  A               Treat uterus                6.11         NA       3.91       1.44         NA      11.46        090
                                                       infection.
59840...............  ..............  R               Abortion.............       3.02         NA       2.09       0.71         NA       5.81        010
59841...............  ..............  R               Abortion.............       5.24         NA       2.93       1.24         NA       9.41        010
59850...............  ..............  R               Abortion.............       5.91         NA       3.22       1.28         NA      10.41        090
59851...............  ..............  R               Abortion.............       5.93         NA       3.70       1.28         NA      10.91        090
59852...............  ..............  R               Abortion.............       8.25         NA       4.94       1.80         NA      14.99        090
59855...............  ..............  R               Abortion.............       6.12         NA       3.48       1.45         NA      11.05        090
59856...............  ..............  R               Abortion.............       7.48         NA       4.00       1.78         NA      13.26        090

[[Page 45939]]

 
59857...............  ..............  R               Abortion.............       9.30         NA       4.63       2.01         NA      15.94        090
59866...............  ..............  R               Abortion (mpr).......       4.00         NA       1.86       0.87         NA       6.73        000
59870...............  ..............  A               Evacuate mole of            6.01         NA       4.43       1.42         NA      11.87        090
                                                       uterus.
59871...............  ..............  A               Remove cerclage             2.13         NA       1.11       0.50         NA       3.75        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       1.94       1.73       0.15       3.85       3.64        010
                                                       cyst.
60001...............  ..............  A               Aspirate/inject             0.97       1.57       0.33       0.07       2.61       1.38        000
                                                       thyriod cyst.
60100...............  ..............  A               Biopsy of thyroid....       1.56       1.38       0.55       0.10       3.05       2.21        000
60200...............  ..............  A               Remove thyroid lesion       9.56         NA       5.87       1.01         NA      16.44        090
60210...............  ..............  A               Partial thyroid            10.88         NA       5.53       1.23         NA      17.65        090
                                                       excision.
60212...............  ..............  A               Partial thyroid            16.04         NA       7.54       1.94         NA      25.52        090
                                                       excision.
60220...............  ..............  A               Partial removal of         11.90         NA       6.03       1.32         NA      19.25        090
                                                       thyroid.
60225...............  ..............  A               Partial removal of         14.20         NA       7.28       1.64         NA      23.12        090
                                                       thyroid.
60240...............  ..............  A               Removal of thyroid...      16.07         NA       7.41       1.85         NA      25.33        090
60252...............  ..............  A               Removal of thyroid...      20.58         NA       9.87       2.29         NA      32.75        090
60254...............  ..............  A               Extensive thyroid          27.00         NA      13.74       2.60         NA      43.35        090
                                                       surgery.
60260...............  ..............  A               Repeat thyroid             17.47         NA       8.44       1.93         NA      27.84        090
                                                       surgery.
60270...............  ..............  A               Removal of thyroid...      20.28         NA      10.12       2.32         NA      32.72        090
60271...............  ..............  A               Removal of thyroid...      16.83         NA       8.36       1.74         NA      26.93        090
60280...............  ..............  A               Remove thyroid duct         5.87         NA       4.59       0.54         NA      11.00        090
                                                       lesion.
60281...............  ..............  A               Remove thyroid duct         8.54         NA       5.72       0.73         NA      14.98        090
                                                       lesion.
60500...............  ..............  A               Explore parathyroid        16.24         NA       7.28       2.00         NA      25.52        090
                                                       glands.
60502...............  ..............  A               Re-explore                 20.36         NA       9.19       2.53         NA      32.08        090
                                                       parathyroids.
60505...............  ..............  A               Explore parathyroid        21.50         NA      10.63       2.64         NA      34.77        090
                                                       glands.
60512...............  ..............  A               Autotransplant              4.45         NA       1.58       0.53         NA       6.55        ZZZ
                                                       parathyroid.
60520...............  ..............  A               Removal of thymus          16.81         NA       8.03       2.19         NA      27.04        090
                                                       gland.
60521...............  ..............  A               Removal of thymus          18.88         NA       9.28       2.81         NA      30.97        090
                                                       gland.
60522...............  ..............  A               Removal of thymus          23.11         NA      11.00       3.26         NA      37.37        090
                                                       gland.
60540...............  ..............  A               Explore adrenal gland      17.03         NA       7.94       1.74         NA      26.71        090
60545...............  ..............  A               Explore adrenal gland      19.89         NA       8.85       2.07         NA      30.81        090
60600...............  ..............  A               Remove carotid body        17.94         NA      10.62       2.19         NA      30.75        090
                                                       lesion.
60605...............  ..............  A               Remove carotid body        20.25         NA      11.93       2.49         NA      34.67        090
                                                       lesion.
60650...............  ..............  A               Laparoscopy                20.01         NA       8.14       2.28         NA      30.43        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       0.00       0.98       0.13       1.71       2.70        000
                                                       fluid.
61001...............  ..............  A               Remove cranial cavity       1.49       0.00       1.03       0.16       1.65       2.68        000
                                                       fluid.
61020...............  ..............  A               Remove brain cavity         1.51       0.00       1.33       0.34       1.85       3.18        000
                                                       fluid.
61026...............  ..............  A               Injection into brain        1.69       0.00       1.38       0.33       2.02       3.40        000
                                                       canal.
61050...............  ..............  A               Remove brain canal          1.51         NA       1.31       0.11         NA       2.94        000
                                                       fluid.
61055...............  ..............  A               Injection into brain        2.10         NA       1.48       0.17         NA       3.75        000
                                                       canal.
61070...............  ..............  A               Brain canal shunt           0.89       0.00       1.02       0.17       1.06       2.08        000
                                                       procedure.
61105...............  ..............  A               Twist drill hole.....       5.14         NA       3.87       1.32         NA      10.33        090
61107...............  ..............  A               Drill skull for             5.00         NA       2.46       1.29         NA       8.75        000
                                                       implantation.
61108...............  ..............  A               Drill skull for            10.19         NA       7.02       2.63         NA      19.84        090
                                                       drainage.
61120...............  ..............  A               Burr hole for               8.77         NA       5.88       2.09         NA      16.74        090
                                                       puncture.
61140...............  ..............  A               Pierce skull for           15.91         NA       9.69       4.11         NA      29.71        090
                                                       biopsy.
61150...............  ..............  A               Pierce skull for           17.58         NA      10.16       4.31         NA      32.05        090
                                                       drainage.
61151...............  ..............  A               Pierce skull for           12.42         NA       7.65       3.00         NA      23.08        090
                                                       drainage.
61154...............  ..............  A               Pierce skull & remove      15.00         NA       9.30       4.20         NA      28.50        090
                                                       clot.
61156...............  ..............  A               Pierce skull for           16.33         NA       9.63       4.22         NA      30.18        090
                                                       drainage.
61210...............  ..............  A               Pierce skull, implant       5.84         NA       2.84       1.50         NA      10.18        000
                                                       device.
61215...............  ..............  A               Insert brain-fluid          4.89         NA       3.95       1.26         NA      10.10        090
                                                       device.
61250...............  ..............  A               Pierce skull &             10.42         NA       6.72       2.76         NA      19.90        090
                                                       explore.
61253...............  ..............  A               Pierce skull &             12.36         NA       7.56       2.61         NA      22.54        090
                                                       explore.
61304...............  ..............  A               Open skull for             21.97         NA      12.56       5.61         NA      40.14        090
                                                       exploration.
61305...............  ..............  A               Open skull for             26.62         NA      14.98       6.07         NA      47.67        090
                                                       exploration.
61312...............  ..............  A               Open skull for             24.58         NA      14.74       6.34         NA      45.66        090
                                                       drainage.
61313...............  ..............  A               Open skull for             24.94         NA      14.50       6.43         NA      45.87        090
                                                       drainage.
61314...............  ..............  A               Open skull for             24.24         NA      12.75       6.26         NA      43.25        090
                                                       drainage.
61315...............  ..............  A               Open skull for             27.70         NA      15.67       7.14         NA      50.51        090
                                                       drainage.
61316...............  ..............  A               Implt cran bone flap        1.39         NA       0.59       0.35         NA       2.33        ZZZ
                                                       to abdo.
61320...............  ..............  A               Open skull for             25.63         NA      14.43       6.60         NA      46.66        090
                                                       drainage.
61321...............  ..............  A               Open skull for             28.52         NA      15.77       7.12         NA      51.41        090
                                                       drainage.
61322...............  ..............  A               Decompressive              29.52         NA      15.34       7.61         NA      52.46        090
                                                       craniotomy.
61323...............  ..............  A               Decompressive              31.01         NA      15.73       8.01         NA      54.76        090
                                                       lobectomy.
61330...............  ..............  A               Decompress eye socket      23.34         NA      13.39       2.31         NA      39.03        090
61332...............  ..............  A               Explore/biopsy eye         27.29         NA      15.22       4.82         NA      47.33        090
                                                       socket.
61333...............  ..............  A               Explore orbit/remove       27.97         NA      15.20       3.91         NA      47.07        090
                                                       lesion.
61334...............  ..............  A               Explore orbit/remove       18.28         NA      10.39       1.74         NA      30.41        090
                                                       object.
61340...............  ..............  A               Subtemporal                18.67         NA      10.90       4.83         NA      34.40        090
                                                       decompression.
61343...............  ..............  A               Incise skull (press        29.79         NA      16.44       7.62         NA      53.84        090
                                                       relief).

[[Page 45940]]

 
61345...............  ..............  A               Relieve cranial            27.21         NA      15.07       7.02         NA      49.30        090
                                                       pressure.
61440...............  ..............  A               Incise skull for           26.64         NA      13.94       6.88         NA      47.46        090
                                                       surgery.
61450...............  ..............  A               Incise skull for           25.96         NA      13.98       5.77         NA      45.71        090
                                                       surgery.
61458...............  ..............  A               Incise skull for           27.30         NA      15.18       7.01         NA      49.49        090
                                                       brain wound.
61460...............  ..............  A               Incise skull for           28.41         NA      16.01       6.02         NA      50.43        090
                                                       surgery.
61470...............  ..............  A               Incise skull for           26.07         NA      13.55       5.88         NA      45.51        090
                                                       surgery.
61480...............  ..............  A               Incise skull for           26.50         NA      14.94       6.71         NA      48.16        090
                                                       surgery.
61490...............  ..............  A               Incise skull for           25.67         NA      14.02       6.90         NA      46.59        090
                                                       surgery.
61500...............  ..............  A               Removal of skull           17.93         NA      10.58       4.10         NA      32.60        090
                                                       lesion.
61501...............  ..............  A               Remove infected skull      14.85         NA       9.06       3.21         NA      27.12        090
                                                       bone.
61510...............  ..............  A               Removal of brain           28.47         NA      16.35       7.33         NA      52.15        090
                                                       lesion.
61512...............  ..............  A               Remove brain lining        35.11         NA      19.25       9.05         NA      63.41        090
                                                       lesion.
61514...............  ..............  A               Removal of brain           25.27         NA      14.13       6.52         NA      45.92        090
                                                       abscess.
61516...............  ..............  A               Removal of brain           24.62         NA      13.97       6.33         NA      44.91        090
                                                       lesion.
61517...............  ..............  A               Implt brain chemotx         1.38         NA       0.62       0.35         NA       2.36        ZZZ
                                                       add-on.
61518...............  ..............  A               Removal of brain           37.33         NA      20.64       9.62         NA      67.60        090
                                                       lesion.
61519...............  ..............  A               Remove brain lining        41.41         NA      22.14      10.60         NA      74.15        090
                                                       lesion.
61520...............  ..............  A               Removal of brain           54.87         NA      29.56      11.18         NA      95.61        090
                                                       lesion.
61521...............  ..............  A               Removal of brain           44.50         NA      23.66      11.36         NA      79.52        090
                                                       lesion.
61522...............  ..............  A               Removal of brain           29.47         NA      16.06       7.60         NA      53.13        090
                                                       abscess.
61524...............  ..............  A               Removal of brain           27.88         NA      15.32       7.14         NA      50.34        090
                                                       lesion.
61526...............  ..............  A               Removal of brain           52.19         NA      28.57       7.05         NA      87.82        090
                                                       lesion.
61530...............  ..............  A               Removal of brain           43.88         NA      24.30       6.13         NA      74.31        090
                                                       lesion.
61531...............  ..............  A               Implant brain              14.64         NA       8.96       3.78         NA      27.37        090
                                                       electrodes.
61533...............  ..............  A               Implant brain              19.72         NA      11.30       5.10         NA      36.12        090
                                                       electrodes.
61534...............  ..............  A               Removal of brain           20.98         NA      11.83       5.42         NA      38.24        090
                                                       lesion.
61535...............  ..............  A               Remove brain               11.63         NA       7.29       3.01         NA      21.93        090
                                                       electrodes.
61536...............  ..............  A               Removal of brain           35.54         NA      19.34       9.18         NA      64.06        090
                                                       lesion.
61537...............  ..............  A               Removal of brain           25.01         NA      14.46       6.92         NA      46.39        090
                                                       tissue.
61538...............  ..............  A               Removal of brain           26.82         NA      14.99       6.92         NA      48.73        090
                                                       tissue.
61539...............  ..............  A               Removal of brain           32.09         NA      17.37       8.30         NA      57.76        090
                                                       tissue.
61540...............  ..............  A               Removal of brain           30.02         NA      16.93       8.30         NA      55.25        090
                                                       tissue.
61541...............  ..............  A               Incision of brain          28.87         NA      15.84       6.58         NA      51.29        090
                                                       tissue.
61542...............  ..............  A               Removal of brain           31.03         NA      17.43       8.01         NA      56.47        090
                                                       tissue.
61543...............  ..............  A               Removal of brain           29.24         NA      16.02       7.54         NA      52.80        090
                                                       tissue.
61544...............  ..............  A               Remove & treat brain       25.51         NA      13.50       5.95         NA      44.96        090
                                                       lesion.
61545...............  ..............  A               Excision of brain          43.82         NA      23.67      10.60         NA      78.09        090
                                                       tumor.
61546...............  ..............  A               Removal of pituitary       31.31         NA      17.12       7.65         NA      56.08        090
                                                       gland.
61548...............  ..............  A               Removal of pituitary       21.54         NA      12.46       3.42         NA      37.43        090
                                                       gland.
61550...............  ..............  A               Release of skull           14.66         NA       6.92       0.98         NA      22.56        090
                                                       seams.
61552...............  ..............  A               Release of skull           19.57         NA       9.46       1.06         NA      30.09        090
                                                       seams.
61556...............  ..............  A               Incise skull/sutures.      22.27         NA      11.14       4.64         NA      38.05        090
61557...............  ..............  A               Incise skull/sutures.      22.39         NA      13.35       5.78         NA      41.52        090
61558...............  ..............  A               Excision of skull/         25.59         NA      13.91       1.36         NA      40.86        090
                                                       sutures.
61559...............  ..............  A               Excision of skull/         32.81         NA      18.91       8.48         NA      60.19        090
                                                       sutures.
61563...............  ..............  A               Excision of skull          26.84         NA      14.87       5.15         NA      46.87        090
                                                       tumor.
61564...............  ..............  A               Excision of skull          33.85         NA      17.88       8.75         NA      60.48        090
                                                       tumor.
61566...............  ..............  A               Removal of brain           31.01         NA      17.43       6.92         NA      55.36        090
                                                       tissue.
61567...............  ..............  A               Incision of brain          35.52         NA      20.22       6.52         NA      62.26        090
                                                       tissue.
61570...............  ..............  A               Remove foreign body,       24.61         NA      13.62       5.86         NA      44.09        090
                                                       brain.
61571...............  ..............  A               Incise skull for           26.40         NA      14.81       6.77         NA      47.98        090
                                                       brain wound.
61575...............  ..............  A               Skull base/brainstem       34.38         NA      19.10       5.32         NA      58.80        090
                                                       surgery.
61576...............  ..............  A               Skull base/brainstem       52.45         NA      33.91       5.56         NA      91.92        090
                                                       surgery.
61580...............  ..............  A               Craniofacial               30.36         NA      24.92       3.36         NA      58.65        090
                                                       approach, skull.
61581...............  ..............  A               Craniofacial               34.62         NA      22.74       3.91         NA      61.27        090
                                                       approach, skull.
61582...............  ..............  A               Craniofacial               31.67         NA      26.53       7.19         NA      65.39        090
                                                       approach, skull.
61583...............  ..............  A               Craniofacial               36.23         NA      24.49       9.18         NA      69.90        090
                                                       approach, skull.
61584...............  ..............  A               Orbitocranial              34.67         NA      23.90       8.16         NA      66.72        090
                                                       approach/skull.
61585...............  ..............  A               Orbitocranial              38.63         NA      25.74       7.01         NA      71.37        090
                                                       approach/skull.
61586...............  ..............  A               Resect nasopharynx,        25.11         NA      21.90       4.36         NA      51.37        090
                                                       skull.
61590...............  ..............  A               Infratemporal              41.80         NA      27.92       5.29         NA      75.01        090
                                                       approach/skull.
61591...............  ..............  A               Infratemporal              43.70         NA      28.74       5.64         NA      78.08        090
                                                       approach/skull.
61592...............  ..............  A               Orbitocranial              39.66         NA      25.87      10.04         NA      75.57        090
                                                       approach/skull.
61595...............  ..............  A               Transtemporal              29.59         NA      21.85       3.97         NA      55.41        090
                                                       approach/skull.
61596...............  ..............  A               Transcochlear              35.65         NA      23.83       3.39         NA      62.87        090
                                                       approach/skull.
61597...............  ..............  A               Transcondylar              37.98         NA      22.44       8.81         NA      69.23        090
                                                       approach/skull.
61598...............  ..............  A               Transpetrosal              33.43         NA      22.65       5.68         NA      61.75        090
                                                       approach/skull.
61600...............  ..............  A               Resect/excise cranial      25.86         NA      19.34       3.78         NA      48.98        090
                                                       lesion.
61601...............  ..............  A               Resect/excise cranial      27.91         NA      19.99       6.61         NA      54.51        090
                                                       lesion.
61605...............  ..............  A               Resect/excise cranial      29.35         NA      21.48       2.85         NA      53.68        090
                                                       lesion.
61606...............  ..............  A               Resect/excise cranial      38.85         NA      24.52       8.94         NA      72.31        090
                                                       lesion.
61607...............  ..............  A               Resect/excise cranial      36.29         NA      23.18       6.88         NA      66.35        090
                                                       lesion.
61608...............  ..............  A               Resect/excise cranial      42.12         NA      25.94      10.72         NA      78.79        090
                                                       lesion.
61609...............  ..............  A               Transect artery,            9.90         NA       4.72       2.55         NA      17.17        ZZZ
                                                       sinus.

[[Page 45941]]

 
61610...............  ..............  A               Transect artery,           29.69         NA      12.81       7.66         NA      50.15        ZZZ
                                                       sinus.
61611...............  ..............  A               Transect artery,            7.42         NA       3.72       1.88         NA      13.03        ZZZ
                                                       sinus.
61612...............  ..............  A               Transect artery,           27.90         NA      12.98       4.30         NA      45.18        ZZZ
                                                       sinus.
61613...............  ..............  A               Remove aneurysm,           40.88         NA      25.62       8.42         NA      74.92        090
                                                       sinus.
61615...............  ..............  A               Resect/excise lesion,      32.08         NA      22.18       4.72         NA      58.98        090
                                                       skull.
61616...............  ..............  A               Resect/excise lesion,      43.36         NA      27.92       8.24         NA      79.52        090
                                                       skull.
61618...............  ..............  A               Repair dura..........      16.99         NA      10.21       3.71         NA      30.92        090
61619...............  ..............  A               Repair dura..........      20.72         NA      11.95       3.94         NA      36.62        090
61623...............  ..............  A               Endovasc tempory            9.97         NA       4.07       1.05         NA      15.09        000
                                                       vessel occl.
61624...............  ..............  A               Transcath occlusion,       20.16         NA       7.17       1.95         NA      29.28        000
                                                       cns.
61626...............  ..............  A               Transcath occlusion,       16.63         NA       5.79       1.24         NA      23.66        000
                                                       non-cns.
61680...............  ..............  A               Intracranial vessel        30.72         NA      17.06       7.93         NA      55.71        090
                                                       surgery.
61682...............  ..............  A               Intracranial vessel        61.60         NA      31.45      15.85         NA     108.90        090
                                                       surgery.
61684...............  ..............  A               Intracranial vessel        39.83         NA      21.58      10.28         NA      71.69        090
                                                       surgery.
61686...............  ..............  A               Intracranial vessel        64.52         NA      33.92      16.66         NA     115.09        090
                                                       surgery.
61690...............  ..............  A               Intracranial vessel        29.33         NA      16.37       6.92         NA      52.62        090
                                                       surgery.
61692...............  ..............  A               Intracranial vessel        51.89         NA      26.84      13.39         NA      92.12        090
                                                       surgery.
61697...............  ..............  A               Brain aneurysm repr,       50.54         NA      27.39      12.81         NA      90.74        090
                                                       complx.
61698...............  ..............  A               Brain aneurysm repr,       48.44         NA      26.12      12.50         NA      87.06        090
                                                       complx.
61700...............  ..............  A               Brain aneurysm repr,       50.54         NA      27.19      12.98         NA      90.72        090
                                                       simple.
61702...............  ..............  A               Inner skull vessel         48.44         NA      25.43      10.76         NA      84.63        090
                                                       surgery.
61703...............  ..............  A               Clamp neck artery....      17.47         NA      10.25       4.05         NA      31.78        090
61705...............  ..............  A               Revise circulation to      36.22         NA      18.95       8.84         NA      64.01        090
                                                       head.
61708...............  ..............  A               Revise circulation to      35.32         NA      15.74       2.50         NA      53.56        090
                                                       head.
61710...............  ..............  A               Revise circulation to      29.69         NA      13.97       4.51         NA      48.16        090
                                                       head.
61711...............  ..............  A               Fusion of skull            36.35         NA      19.36       9.39         NA      65.10        090
                                                       arteries.
61720...............  ..............  A               Incise skull/brain         16.77         NA       9.79       2.78         NA      29.34        090
                                                       surgery.
61735...............  ..............  A               Incise skull/brain         20.44         NA      11.91       2.72         NA      35.07        090
                                                       surgery.
61750...............  ..............  A               Incise skull/brain         18.21         NA      10.39       4.71         NA      33.31        090
                                                       biopsy.
61751...............  ..............  A               Brain biopsy w/ct/mr       17.63         NA      10.61       4.55         NA      32.79        090
                                                       guide.
61760...............  ..............  A               Implant brain              22.28         NA       8.51       5.40         NA      36.19        090
                                                       electrodes.
61770...............  ..............  A               Incise skull for           21.45         NA      12.04       3.54         NA      37.03        090
                                                       treatment.
61790...............  ..............  A               Treat trigeminal           10.86         NA       5.79       2.81         NA      19.47        090
                                                       nerve.
61791...............  ..............  A               Treat trigeminal           14.62         NA       8.74       3.39         NA      26.75        090
                                                       tract.
61793...............  ..............  A               Focus radiation beam.      17.24         NA       9.91       4.45         NA      31.61        090
61795...............  ..............  A               Brain surgery using         4.04         NA       1.98       0.79         NA       6.80        ZZZ
                                                       computer.
61850...............  ..............  A               Implant                    12.39         NA       7.61       3.21         NA      23.22        090
                                                       neuroelectrodes.
61860...............  ..............  A               Implant                    20.88         NA      11.78       4.94         NA      37.61        090
                                                       neuroelectrodes.
61863...............  ..............  A               Implant                    19.01         NA      11.56       5.41         NA      35.98        090
                                                       neuroelectrode.
61864...............  ..............  A               Implant                     4.50         NA       2.23       5.41         NA      12.14        ZZZ
                                                       neuroelectrde, add'l.
61867...............  ..............  A               Implant                    31.35         NA      17.66       5.41         NA      54.42        090
                                                       neuroelectrode.
61868...............  ..............  A               Implant                     7.93         NA       3.92       5.41         NA      17.25        ZZZ
                                                       neuroelectrde, add'l.
61870...............  ..............  A               Implant                    14.95         NA       9.43       3.86         NA      28.24        090
                                                       neuroelectrodes.
61875...............  ..............  A               Implant                    15.07         NA       8.60       2.94         NA      26.61        090
                                                       neuroelectrodes.
61880...............  ..............  A               Revise/remove               6.29         NA       4.50       1.66         NA      12.45        090
                                                       neuroelectrode.
61885...............  ..............  A               Insrt/redo neurostim        5.85         NA       5.25       1.59         NA      12.69        090
                                                       1 array.
61886...............  ..............  A               Implant neurostim           8.01         NA       6.26       1.96         NA      16.22        090
                                                       arrays.
61888...............  ..............  A               Revise/remove               5.07         NA       3.56       1.33         NA       9.96        010
                                                       neuroreceiver.
62000...............  ..............  A               Treat skull fracture.      12.54         NA       6.22       1.06         NA      19.82        090
62005...............  ..............  A               Treat skull fracture.      16.18         NA       8.90       3.86         NA      28.94        090
62010...............  ..............  A               Treatment of head          19.82         NA      11.47       5.12         NA      36.41        090
                                                       injury.
62100...............  ..............  A               Repair brain fluid         22.04         NA      12.49       4.83         NA      39.37        090
                                                       leakage.
62115...............  ..............  A               Reduction of skull         21.67         NA      11.50       5.49         NA      38.67        090
                                                       defect.
62116...............  ..............  A               Reduction of skull         23.60         NA      13.10       6.09         NA      42.78        090
                                                       defect.
62117...............  ..............  A               Reduction of skull         26.61         NA      15.04       4.52         NA      46.17        090
                                                       defect.
62120...............  ..............  A               Repair skull cavity        23.36         NA      18.07       2.99         NA      44.42        090
                                                       lesion.
62121...............  ..............  A               Incise skull repair..      21.59         NA      15.08       4.16         NA      40.83        090
62140...............  ..............  A               Repair of skull            13.52         NA       8.16       3.46         NA      25.14        090
                                                       defect.
62141...............  ..............  A               Repair of skull            14.92         NA       8.86       3.75         NA      27.53        090
                                                       defect.
62142...............  ..............  A               Remove skull plate/        10.79         NA       6.86       2.72         NA      20.37        090
                                                       flap.
62143...............  ..............  A               Replace skull plate/       13.06         NA       7.89       3.36         NA      24.30        090
                                                       flap.
62145...............  ..............  A               Repair of skull &          18.83         NA      10.66       4.49         NA      33.98        090
                                                       brain.
62146...............  ..............  A               Repair of skull with       16.13         NA       9.43       3.61         NA      29.17        090
                                                       graft.
62147...............  ..............  A               Repair of skull with       19.35         NA      11.05       4.31         NA      34.71        090
                                                       graft.
62148...............  ..............  A               Retr bone flap to fix       2.00         NA       0.84       0.48         NA       3.32        ZZZ
                                                       skull.
62160...............  ..............  A               Neuroendoscopy add-on       3.01         NA       1.49       0.77         NA       5.27        ZZZ
62161...............  ..............  A               Dissect brain w/scope      20.01         NA      11.85       5.17         NA      37.03        090
62162...............  ..............  A               Remove colloid cyst w/     25.26         NA      14.54       5.89         NA      45.69        090
                                                       scope.
62163...............  ..............  A               Neuroendoscopy w/fb        15.51         NA       9.73       4.00         NA      29.24        090
                                                       removal.
62164...............  ..............  A               Remove brain tumor w/      27.51         NA      14.65       5.36         NA      47.53        090
                                                       scope.
62165...............  ..............  A               Remove pituit tumor w/     22.01         NA      13.05       3.00         NA      38.07        090
                                                       scope.
62180...............  ..............  A               Establish brain            21.07         NA      12.03       4.97         NA      38.07        090
                                                       cavity shunt.
62190...............  ..............  A               Establish brain            11.07         NA       6.95       2.79         NA      20.81        090
                                                       cavity shunt.
62192...............  ..............  A               Establish brain            12.25         NA       7.48       3.01         NA      22.74        090
                                                       cavity shunt.

[[Page 45942]]

 
62194...............  ..............  A               Replace/irrigate            5.03         NA       2.47       0.92         NA       8.42        010
                                                       catheter.
62200...............  ..............  A               Establish brain            18.33         NA      10.62       4.64         NA      33.59        090
                                                       cavity shunt.
62201...............  ..............  A               Brain cavity shunt w/      14.87         NA       9.26       3.67         NA      27.80        090
                                                       scope.
62220...............  ..............  A               Establish brain            13.01         NA       7.83       3.34         NA      24.18        090
                                                       cavity shunt.
62223...............  ..............  A               Establish brain            12.88         NA       8.10       3.13         NA      24.11        090
                                                       cavity shunt.
62225...............  ..............  A               Replace/irrigate            5.41         NA       4.03       1.39         NA      10.83        090
                                                       catheter.
62230...............  ..............  A               Replace/revise brain       10.54         NA       6.36       2.70         NA      19.60        090
                                                       shunt.
62252...............  ..............  A               Csf shunt reprogram..       0.74       1.35         NA       0.21       2.30         NA        XXX
62252...............  26............  A               Csf shunt reprogram..       0.74       0.36       0.36       0.19       1.29       1.29        XXX
62252...............  TC............  A               Csf shunt reprogram..       0.00       0.99         NA       0.02       1.01         NA        XXX
62256...............  ..............  A               Remove brain cavity         6.60         NA       4.62       1.71         NA      12.93        090
                                                       shunt.
62258...............  ..............  A               Replace brain cavity       14.55         NA       8.54       3.73         NA      26.82        090
                                                       shunt.
62263...............  ..............  A               Epidural lysis mult         6.14      12.01       3.10       0.41      18.56       9.65        010
                                                       sessions.
62264...............  ..............  A               Epidural lysis on           4.43       7.34       1.38       0.27      12.04       6.08        010
                                                       single day.
62268...............  ..............  A               Drain spinal cord           4.74      10.84       2.19       0.43      16.01       7.36        000
                                                       cyst.
62269...............  ..............  A               Needle biopsy, spinal       5.02      13.60       2.02       0.37      18.99       7.41        000
                                                       cord.
62270...............  ..............  A               Spinal fluid tap,           1.13       2.88       0.56       0.08       4.09       1.78        000
                                                       diagnostic.
62272...............  ..............  A               Drain cerebro spinal        1.35       3.51       0.71       0.18       5.05       2.24        000
                                                       fluid.
62273...............  ..............  A               Inject epidural patch       2.15       2.60       0.69       0.13       4.88       2.98        000
62280...............  ..............  A               Treat spinal cord           2.64       6.38       0.99       0.30       9.32       3.93        010
                                                       lesion.
62281...............  ..............  A               Treat spinal cord           2.67       5.32       0.87       0.19       8.18       3.72        010
                                                       lesion.
62282...............  ..............  A               Treat spinal canal          2.33       7.60       0.90       0.17      10.10       3.40        010
                                                       lesion.
62284...............  ..............  A               Injection for               1.54       4.79       0.69       0.13       6.46       2.36        000
                                                       myelogram.
62287...............  ..............  A               Percutaneous                8.09         NA       5.57       0.58         NA      14.23        090
                                                       diskectomy.
62290...............  ..............  A               Inject for spine disk       3.01       6.76       1.38       0.23       9.99       4.61        000
                                                       x-ray.
62291...............  ..............  A               Inject for spine disk       2.92       5.66       1.23       0.26       8.83       4.41        000
                                                       x-ray.
62292...............  ..............  A               Injection into disk         7.87         NA       4.34       0.82         NA      13.03        090
                                                       lesion.
62294...............  ..............  A               Injection into spinal      11.83         NA       5.73       1.24         NA      18.80        090
                                                       artery.
62310...............  ..............  A               Inject spine c/t.....       1.91       4.51       0.63       0.12       6.55       2.67        000
62311...............  ..............  A               Inject spine l/s (cd)       1.54       4.58       0.58       0.09       6.21       2.21        000
62318...............  ..............  A               Inject spine w/cath,        2.04       5.36       0.63       0.12       7.53       2.80        000
                                                       c/t.
62319...............  ..............  A               Inject spine w/cath l/      1.87       4.65       0.59       0.11       6.64       2.58        000
                                                       s (cd).
62350...............  ..............  A               Implant spinal canal        6.87         NA       3.85       1.02         NA      11.74        090
                                                       cath.
62351...............  ..............  A               Implant spinal canal       10.01         NA       6.96       2.24         NA      19.21        090
                                                       cath.
62355...............  ..............  A               Remove spinal canal         5.45         NA       3.09       0.71         NA       9.25        090
                                                       catheter.
62360...............  ..............  A               Insert spine infusion       2.63         NA       2.63       0.34         NA       5.59        090
                                                       device.
62361...............  ..............  A               Implant spine               5.42         NA       3.82       0.80         NA      10.04        090
                                                       infusion pump.
62362...............  ..............  A               Implant spine               7.04         NA       4.27       1.18         NA      12.50        090
                                                       infusion pump.
62365...............  ..............  A               Remove spine infusion       5.42         NA       3.50       0.86         NA       9.79        090
                                                       device.
62367...............  ..............  A               Analyze spine               0.48       0.22       0.12       0.00       0.70       0.60        XXX
                                                       infusion pump.
62368...............  ..............  A               Analyze spine               0.75       0.29       0.18       0.00       1.04       0.93        XXX
                                                       infusion pump.
63001...............  ..............  A               Removal of spinal          15.83         NA       9.30       3.76         NA      28.90        090
                                                       lamina.
63003...............  ..............  A               Removal of spinal          15.96         NA       9.63       3.72         NA      29.31        090
                                                       lamina.
63005...............  ..............  A               Removal of spinal          14.93         NA       9.73       3.34         NA      28.00        090
                                                       lamina.
63011...............  ..............  A               Removal of spinal          14.53         NA       8.08       3.37         NA      25.98        090
                                                       lamina.
63012...............  ..............  A               Removal of spinal          15.41         NA       9.87       3.48         NA      28.76        090
                                                       lamina.
63015...............  ..............  A               Removal of spinal          19.36         NA      11.62       4.75         NA      35.73        090
                                                       lamina.
63016...............  ..............  A               Removal of spinal          19.21         NA      11.52       4.58         NA      35.30        090
                                                       lamina.
63017...............  ..............  A               Removal of spinal          15.95         NA      10.15       3.63         NA      29.73        090
                                                       lamina.
63020...............  ..............  A               Neck spine disk            14.82         NA       9.47       3.71         NA      28.00        090
                                                       surgery.
63030...............  ..............  A               Low back disk surgery      12.00         NA       8.23       3.00         NA      23.24        090
63035...............  ..............  A               Spinal disk surgery         3.16         NA       1.55       0.79         NA       5.49        ZZZ
                                                       add-on.
63040...............  ..............  A               Laminotomy, single         18.82         NA      11.23       4.67         NA      34.72        090
                                                       cervical.
63042...............  ..............  A               Laminotomy, single         17.47         NA      11.06       4.25         NA      32.78        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          16.51         NA      10.13       3.98         NA      30.62        090
                                                       lamina.
63046...............  ..............  A               Removal of spinal          15.81         NA       9.94       3.55         NA      29.30        090
                                                       lamina.
63047...............  ..............  A               Removal of spinal          14.62         NA       9.65       3.23         NA      27.50        090
                                                       lamina.
63048...............  ..............  A               Remove spinal lamina        3.27         NA       1.62       0.72         NA       5.60        ZZZ
                                                       add-on.
63050...............  ..............  A               Cervical laminoplasty      20.79         NA      11.41       4.66         NA      36.86        090
63051...............  ..............  A               C-laminoplasty w/          24.30         NA      12.97       4.66         NA      41.93        090
                                                       graft/plate.
63055...............  ..............  A               Decompress spinal          22.00         NA      12.84       5.27         NA      40.11        090
                                                       cord.
63056...............  ..............  A               Decompress spinal          20.37         NA      12.25       4.75         NA      37.37        090
                                                       cord.
63057...............  ..............  A               Decompress spine cord       5.26         NA       2.56       1.22         NA       9.04        ZZZ
                                                       add-on.
63064...............  ..............  A               Decompress spinal          24.62         NA      14.08       5.69         NA      44.39        090
                                                       cord.
63066...............  ..............  A               Decompress spine cord       3.27         NA       1.62       0.69         NA       5.57        ZZZ
                                                       add-on.
63075...............  ..............  A               Neck spine disk            19.42         NA      11.81       4.62         NA      35.85        090
                                                       surgery.
63076...............  ..............  A               Neck spine disk             4.05         NA       2.00       0.96         NA       7.00        ZZZ
                                                       surgery.
63077...............  ..............  A               Spine disk surgery,        21.45         NA      12.43       3.98         NA      37.87        090
                                                       thorax.
63078...............  ..............  A               Spine disk surgery,         3.29         NA       1.59       0.66         NA       5.54        ZZZ
                                                       thorax.
63081...............  ..............  A               Removal of vertebral       23.74         NA      13.98       5.54         NA      43.26        090
                                                       body.
63082...............  ..............  A               Remove vertebral body       4.37         NA       2.16       1.02         NA       7.55        ZZZ
                                                       add-on.
63085...............  ..............  A               Removal of vertebral       26.93         NA      15.05       4.48         NA      46.47        090
                                                       body.

[[Page 45943]]

 
63086...............  ..............  A               Remove vertebral body       3.20         NA       1.55       0.59         NA       5.33        ZZZ
                                                       add-on.
63087...............  ..............  A               Removal of vertebral       35.59         NA      18.93       6.20         NA      60.72        090
                                                       body.
63088...............  ..............  A               Remove vertebral body       4.33         NA       2.11       0.82         NA       7.26        ZZZ
                                                       add-on.
63090...............  ..............  A               Removal of vertebral       28.18         NA      15.60       4.21         NA      47.99        090
                                                       body.
63091...............  ..............  A               Remove vertebral body       3.04         NA       1.42       0.48         NA       4.93        ZZZ
                                                       add-on.
63101...............  ..............  A               Removal of vertebral       32.01         NA      18.84       5.69         NA      56.54        090
                                                       body.
63102...............  ..............  A               Removal of vertebral       32.01         NA      18.78       5.69         NA      56.48        090
                                                       body.
63103...............  ..............  A               Remove vertebral body       4.83         NA       2.41       0.69         NA       7.93        ZZZ
                                                       add-on.
63170...............  ..............  A               Incise spinal cord         19.84         NA      11.62       4.86         NA      36.32        090
                                                       tract(s).
63172...............  ..............  A               Drainage of spinal         17.67         NA      10.42       4.48         NA      32.57        090
                                                       cyst.
63173...............  ..............  A               Drainage of spinal         22.00         NA      12.54       5.68         NA      40.22        090
                                                       cyst.
63180...............  ..............  A               Revise spinal cord         18.28         NA      10.77       3.95         NA      33.00        090
                                                       ligaments.
63182...............  ..............  A               Revise spinal cord         20.51         NA      10.76       5.30         NA      36.57        090
                                                       ligaments.
63185...............  ..............  A               Incise spinal column/      15.05         NA       7.93       2.79         NA      25.77        090
                                                       nerves.
63190...............  ..............  A               Incise spinal column/      17.45         NA       9.90       3.24         NA      30.59        090
                                                       nerves.
63191...............  ..............  A               Incise spinal column/      17.55         NA      10.21       6.34         NA      34.10        090
                                                       nerves.
63194...............  ..............  A               Incise spinal column       19.20         NA      11.48       3.26         NA      33.94        090
                                                       & cord.
63195...............  ..............  A               Incise spinal column       18.85         NA      10.81       4.87         NA      34.53        090
                                                       & cord.
63196...............  ..............  A               Incise spinal column       22.31         NA      13.11       5.76         NA      41.18        090
                                                       & cord.
63197...............  ..............  A               Incise spinal column       21.12         NA      11.95       5.36         NA      38.44        090
                                                       & cord.
63198...............  ..............  A               Incise spinal column       25.39         NA       8.28       6.43         NA      40.10        090
                                                       & cord.
63199...............  ..............  A               Incise spinal column       26.90         NA      14.73       1.40         NA      43.04        090
                                                       & cord.
63200...............  ..............  A               Release of spinal          19.19         NA      11.10       4.96         NA      35.25        090
                                                       cord.
63250...............  ..............  A               Revise spinal cord         40.78         NA      19.47       9.01         NA      69.26        090
                                                       vessels.
63251...............  ..............  A               Revise spinal cord         41.22         NA      22.08      10.41         NA      73.72        090
                                                       vessels.
63252...............  ..............  A               Revise spinal cord         41.21         NA      21.75      10.64         NA      73.60        090
                                                       vessels.
63265...............  ..............  A               Excise intraspinal         21.57         NA      12.49       5.43         NA      39.49        090
                                                       lesion.
63266...............  ..............  A               Excise intraspinal         22.31         NA      12.89       5.54         NA      40.74        090
                                                       lesion.
63267...............  ..............  A               Excise intraspinal         17.96         NA      10.83       4.37         NA      33.16        090
                                                       lesion.
63268...............  ..............  A               Excise intraspinal         18.53         NA      10.13       3.69         NA      32.35        090
                                                       lesion.
63270...............  ..............  A               Excise intraspinal         26.81         NA      15.13       6.82         NA      48.76        090
                                                       lesion.
63271...............  ..............  A               Excise intraspinal         26.93         NA      15.23       6.90         NA      49.06        090
                                                       lesion.
63272...............  ..............  A               Excise intraspinal         25.33         NA      14.36       6.18         NA      45.87        090
                                                       lesion.
63273...............  ..............  A               Excise intraspinal         24.30         NA      14.03       5.74         NA      44.06        090
                                                       lesion.
63275...............  ..............  A               Biopsy/excise spinal       23.69         NA      13.47       5.80         NA      42.95        090
                                                       tumor.
63276...............  ..............  A               Biopsy/excise spinal       23.46         NA      13.38       5.83         NA      42.66        090
                                                       tumor.
63277...............  ..............  A               Biopsy/excise spinal       20.84         NA      12.24       5.01         NA      38.09        090
                                                       tumor.
63278...............  ..............  A               Biopsy/excise spinal       20.57         NA      12.10       4.55         NA      37.22        090
                                                       tumor.
63280...............  ..............  A               Biopsy/excise spinal       28.37         NA      15.96       7.27         NA      51.59        090
                                                       tumor.
63281...............  ..............  A               Biopsy/excise spinal       28.07         NA      15.82       7.17         NA      51.06        090
                                                       tumor.
63282...............  ..............  A               Biopsy/excise spinal       26.40         NA      15.00       6.76         NA      48.17        090
                                                       tumor.
63283...............  ..............  A               Biopsy/excise spinal       25.01         NA      14.34       6.26         NA      45.61        090
                                                       tumor.
63285...............  ..............  A               Biopsy/excise spinal       36.02         NA      19.49       9.18         NA      64.69        090
                                                       tumor.
63286...............  ..............  A               Biopsy/excise spinal       35.65         NA      19.46       9.21         NA      64.32        090
                                                       tumor.
63287...............  ..............  A               Biopsy/excise spinal       36.71         NA      19.96       9.39         NA      66.06        090
                                                       tumor.
63290...............  ..............  A               Biopsy/excise spinal       37.39         NA      20.12       9.02         NA      66.54        090
                                                       tumor.
63295...............  ..............  A               Repair of laminectomy       5.26         NA       2.07       1.03         NA       8.36        ZZZ
                                                       defect.
63300...............  ..............  A               Removal of vertebral       24.44         NA      13.97       5.97         NA      44.37        090
                                                       body.
63301...............  ..............  A               Removal of vertebral       27.62         NA      15.16       5.39         NA      48.17        090
                                                       body.
63302...............  ..............  A               Removal of vertebral       27.83         NA      15.47       5.53         NA      48.82        090
                                                       body.
63303...............  ..............  A               Removal of vertebral       30.51         NA      16.47       4.68         NA      51.66        090
                                                       body.
63304...............  ..............  A               Removal of vertebral       30.34         NA      16.88       6.41         NA      53.63        090
                                                       body.
63305...............  ..............  A               Removal of vertebral       32.04         NA      17.60       5.71         NA      55.35        090
                                                       body.
63306...............  ..............  A               Removal of vertebral       32.23         NA      17.37       8.33         NA      57.93        090
                                                       body.
63307...............  ..............  A               Removal of vertebral       31.64         NA      16.65       4.46         NA      52.75        090
                                                       body.
63308...............  ..............  A               Remove vertebral body       5.25         NA       2.53       1.29         NA       9.07        ZZZ
                                                       add-on.
63600...............  ..............  A               Remove spinal cord         14.03         NA       5.29       1.52         NA      20.83        090
                                                       lesion.
63610...............  ..............  A               Stimulation of spinal       8.74      53.74       2.21       0.86      63.34      11.80        000
                                                       cord.
63615...............  ..............  A               Remove lesion of           16.29         NA       9.07       2.84         NA      28.20        090
                                                       spinal cord.
63650...............  ..............  A               Implant                     6.74         NA       3.09       0.53         NA      10.36        090
                                                       neuroelectrodes.
63655...............  ..............  A               Implant                    10.29         NA       6.75       2.43         NA      19.47        090
                                                       neuroelectrodes.
63660...............  ..............  A               Revise/remove               6.16         NA       3.53       0.78         NA      10.47        090
                                                       neuroelectrode.
63685...............  ..............  A               Insrt/redo spine n          7.04         NA       4.05       1.05         NA      12.14        090
                                                       generator.
63688...............  ..............  A               Revise/remove               5.39         NA       3.47       0.89         NA       9.76        090
                                                       neuroreceiver.
63700...............  ..............  A               Repair of spinal           16.54         NA      10.06       3.52         NA      30.12        090
                                                       herniation.
63702...............  ..............  A               Repair of spinal           18.49         NA      10.87       4.12         NA      33.48        090
                                                       herniation.
63704...............  ..............  A               Repair of spinal           21.19         NA      12.61       4.57         NA      38.37        090
                                                       herniation.
63706...............  ..............  A               Repair of spinal           24.12         NA      13.24       6.23         NA      43.58        090
                                                       herniation.
63707...............  ..............  A               Repair spinal fluid        11.26         NA       7.53       2.51         NA      21.30        090
                                                       leakage.
63709...............  ..............  A               Repair spinal fluid        14.33         NA       9.16       3.09         NA      26.58        090
                                                       leakage.
63710...............  ..............  A               Graft repair of spine      14.08         NA       8.84       3.40         NA      26.32        090
                                                       defect.
63740...............  ..............  A               Install spinal shunt.      11.36         NA       7.22       2.93         NA      21.51        090
63741...............  ..............  A               Install spinal shunt.       8.26         NA       4.68       1.66         NA      14.60        090
63744...............  ..............  A               Revision of spinal          8.11         NA       5.16       1.89         NA      15.16        090
                                                       shunt.

[[Page 45944]]

 
63746...............  ..............  A               Removal of spinal           6.43         NA       3.70       1.53         NA      11.66        090
                                                       shunt.
64400...............  ..............  A               N block inj,                1.11       1.83       0.42       0.07       3.01       1.60        000
                                                       trigeminal.
64402...............  ..............  A               N block inj, facial..       1.25       1.59       0.59       0.09       2.93       1.93        000
64405...............  ..............  A               N block inj,                1.32       1.42       0.45       0.08       2.82       1.85        000
                                                       occipital.
64408...............  ..............  A               N block inj, vagus...       1.41       1.57       0.83       0.10       3.08       2.34        000
64410...............  ..............  A               N block inj, phrenic.       1.43       2.36       0.45       0.09       3.89       1.97        000
64412...............  ..............  A               N block inj, spinal         1.18       2.49       0.42       0.08       3.75       1.68        000
                                                       accessor.
64413...............  ..............  A               N block inj, cervical       1.40       1.77       0.49       0.08       3.25       1.97        000
                                                       plexus.
64415...............  ..............  A               N block inj, brachial       1.48       2.66       0.45       0.09       4.23       2.02        000
                                                       plexus.
64416...............  ..............  A               N block cont infuse,        3.50         NA       0.77       0.31         NA       4.58        010
                                                       b plex.
64417...............  ..............  A               N block inj, axillary       1.44       2.84       0.48       0.11       4.40       2.03        000
64418...............  ..............  A               N block inj,                1.32       2.49       0.43       0.07       3.89       1.82        000
                                                       suprascapular.
64420...............  ..............  A               N block inj,                1.18       3.62       0.41       0.08       4.89       1.67        000
                                                       intercost, sng.
64421...............  ..............  A               N block inj,                1.68       5.65       0.51       0.11       7.44       2.30        000
                                                       intercost, mlt.
64425...............  ..............  A               N block inj, ilio-ing/      1.75       1.62       0.53       0.13       3.51       2.41        000
                                                       hypogi.
64430...............  ..............  A               N block inj, pudendal       1.46       2.47       0.56       0.10       4.03       2.12        000
64435...............  ..............  A               N block inj,                1.45       2.42       0.68       0.16       4.03       2.29        000
                                                       paracervical.
64445...............  ..............  A               N block inj, sciatic,       1.48       2.52       0.49       0.10       4.11       2.07        000
                                                       sng.
64446...............  ..............  A               N blk inj, sciatic,         3.26         NA       0.97       0.20         NA       4.43        010
                                                       cont inf.
64447...............  ..............  A               N block inj fem,            1.50         NA       0.42       0.09         NA       2.01        000
                                                       single.
64448...............  ..............  A               N block inj fem, cont       3.01         NA       0.79       0.18         NA       3.98        010
                                                       inf.
64449...............  ..............  A               N block inj, lumbar         3.01         NA       0.91       0.15         NA       4.07        010
                                                       plexus.
64450...............  ..............  A               N block, other              1.27       1.25       0.47       0.13       2.65       1.87        000
                                                       peripheral.
64470...............  ..............  A               Inj paravertebral c/t       1.85       6.70       0.69       0.11       8.66       2.66        000
64472...............  ..............  A               Inj paravertebral c/t       1.29       2.16       0.33       0.08       3.53       1.71        ZZZ
                                                       add-on.
64475...............  ..............  A               Inj paravertebral l/s       1.41       6.37       0.62       0.10       7.89       2.13        000
64476...............  ..............  A               Inj paravertebral l/s       0.98       1.95       0.24       0.07       3.00       1.29        ZZZ
                                                       add-on.
64479...............  ..............  A               Inj foramen epidural        2.20       6.90       0.87       0.12       9.22       3.19        000
                                                       c/t.
64480...............  ..............  A               Inj foramen epidural        1.54       2.62       0.46       0.10       4.26       2.10        ZZZ
                                                       add-on.
64483...............  ..............  A               Inj foramen epidural        1.90       7.23       0.81       0.11       9.25       2.82        000
                                                       l/s.
64484...............  ..............  A               Inj foramen epidural        1.33       3.01       0.36       0.08       4.42       1.77        ZZZ
                                                       add-on.
64505...............  ..............  A               N block,                    1.36       1.21       0.64       0.10       2.68       2.10        000
                                                       spenopalatine gangl.
64508...............  ..............  A               N block, carotid            1.12       3.15       0.76       0.07       4.35       1.95        000
                                                       sinus s/p.
64510...............  ..............  A               N block, stellate           1.22       3.19       0.50       0.07       4.49       1.79        000
                                                       ganglion.
64517...............  ..............  A               N block inj, hypogas        2.20       2.65       0.87       0.11       4.96       3.19        000
                                                       plxs.
64520...............  ..............  A               N block, lumbar/            1.35       4.76       0.54       0.08       6.19       1.97        000
                                                       thoracic.
64530...............  ..............  A               N block inj, celiac         1.58       4.14       0.64       0.10       5.82       2.32        000
                                                       pelus.
64550...............  ..............  A               Apply neurostimulator       0.18       0.27       0.05       0.01       0.46       0.24        000
64553...............  ..............  A               Implant                     2.31       2.70       1.81       0.18       5.20       4.31        010
                                                       neuroelectrodes.
64555...............  ..............  A               Implant                     2.27       2.98       1.26       0.19       5.44       3.73        010
                                                       neuroelectrodes.
64560...............  ..............  A               Implant                     2.36       2.54       1.25       0.22       5.12       3.84        010
                                                       neuroelectrodes.
64561...............  ..............  A               Implant                     6.74      29.47       3.21       0.51      36.73      10.46        010
                                                       neuroelectrodes.
64565...............  ..............  A               Implant                     1.76       3.12       1.24       0.13       5.01       3.14        010
                                                       neuroelectrodes.
64573...............  ..............  A               Implant                     7.50         NA       5.15       1.60         NA      14.25        090
                                                       neuroelectrodes.
64575...............  ..............  A               Implant                     4.35         NA       2.84       0.61         NA       7.80        090
                                                       neuroelectrodes.
64577...............  ..............  A               Implant                     4.62         NA       3.20       1.04         NA       8.86        090
                                                       neuroelectrodes.
64580...............  ..............  A               Implant                     4.12         NA       3.44       0.36         NA       7.92        090
                                                       neuroelectrodes.
64581...............  ..............  A               Implant                    13.51         NA       6.11       1.05         NA      20.67        090
                                                       neuroelectrodes.
64585...............  ..............  A               Revise/remove               2.06      10.39       2.13       0.20      12.65       4.39        010
                                                       neuroelectrode.
64590...............  ..............  A               Insrt/redo perph n          2.40       6.92       2.33       0.19       9.51       4.92        010
                                                       generator.
64595...............  ..............  A               Revise/remove               1.73       9.61       1.90       0.19      11.54       3.83        010
                                                       neuroreceiver.
64600...............  ..............  A               Injection treatment         3.45       8.75       1.62       0.34      12.54       5.40        010
                                                       of nerve.
64605...............  ..............  A               Injection treatment         5.61       8.92       2.13       0.79      15.32       8.53        010
                                                       of nerve.
64610...............  ..............  A               Injection treatment         7.16       8.48       3.64       1.58      17.22      12.38        010
                                                       of nerve.
64612...............  ..............  A               Destroy nerve, face         1.96       2.41       1.30       0.11       4.48       3.38        010
                                                       muscle.
64613...............  ..............  A               Destroy nerve, spine        1.96       2.86       1.20       0.11       4.93       3.28        010
                                                       muscle.
64614...............  ..............  A               Destroy nerve, extrem       2.20       3.07       1.28       0.10       5.37       3.58        010
                                                       musc.
64620...............  ..............  A               Injection treatment         2.85       4.75       1.29       0.20       7.80       4.33        010
                                                       of nerve.
64622...............  ..............  A               Destr paravertebrl          3.01       7.17       1.33       0.18      10.35       4.52        010
                                                       nerve l/s.
64623...............  ..............  A               Destr paravertebral n       0.99       2.74       0.22       0.06       3.79       1.27        ZZZ
                                                       add-on.
64626...............  ..............  A               Destr paravertebrl          3.29       7.26       1.90       0.20      10.75       5.39        010
                                                       nerve c/t.
64627...............  ..............  A               Destr paravertebral n       1.16       4.18       0.26       0.07       5.41       1.50        ZZZ
                                                       add-on.
64630...............  ..............  A               Injection treatment         3.01       2.69       1.42       0.22       5.92       4.65        010
                                                       of nerve.
64640...............  ..............  A               Injection treatment         2.77       3.94       1.78       0.29       7.00       4.84        010
                                                       of nerve.
64680...............  ..............  A               Injection treatment         2.63       6.22       1.40       0.18       9.03       4.20        010
                                                       of nerve.
64681...............  ..............  A               Injection treatment         3.55       8.67       2.01       0.28      12.50       5.84        010
                                                       of nerve.
64702...............  ..............  A               Revise finger/toe           4.23         NA       3.76       0.61         NA       8.60        090
                                                       nerve.
64704...............  ..............  A               Revise hand/foot            4.57         NA       3.29       0.61         NA       8.47        090
                                                       nerve.
64708...............  ..............  A               Revise arm/leg nerve.       6.12         NA       4.73       0.96         NA      11.81        090
64712...............  ..............  A               Revision of sciatic         7.76         NA       4.79       0.95         NA      13.49        090
                                                       nerve.
64713...............  ..............  A               Revision of arm            11.00         NA       5.70       1.82         NA      18.52        090
                                                       nerve(s).
64714...............  ..............  A               Revise low back            10.33         NA       4.09       1.19         NA      15.61        090
                                                       nerve(s).
64716...............  ..............  A               Revision of cranial         6.31         NA       5.84       0.63         NA      12.78        090
                                                       nerve.
64718...............  ..............  A               Revise ulnar nerve at       5.99         NA       5.84       1.05         NA      12.88        090
                                                       elbow.

[[Page 45945]]

 
64719...............  ..............  A               Revise ulnar nerve at       4.85         NA       4.39       0.77         NA      10.01        090
                                                       wrist.
64721...............  ..............  A               Carpal tunnel surgery       4.29       0.00       5.17       0.73       5.02      10.19        090
64722...............  ..............  A               Relieve pressure on         4.70         NA       2.96       0.48         NA       8.14        090
                                                       nerve(s).
64726...............  ..............  A               Release foot/toe            4.18         NA       2.77       0.54         NA       7.49        090
                                                       nerve.
64727...............  ..............  A               Internal nerve              3.11         NA       1.46       0.48         NA       5.04        ZZZ
                                                       revision.
64732...............  ..............  A               Incision of brow            4.41         NA       3.45       0.98         NA       8.84        090
                                                       nerve.
64734...............  ..............  A               Incision of cheek           4.92         NA       3.99       0.89         NA       9.80        090
                                                       nerve.
64736...............  ..............  A               Incision of chin            4.60         NA       3.98       0.52         NA       9.10        090
                                                       nerve.
64738...............  ..............  A               Incision of jaw nerve       5.73         NA       4.54       1.08         NA      11.36        090
64740...............  ..............  A               Incision of tongue          5.59         NA       5.06       0.69         NA      11.34        090
                                                       nerve.
64742...............  ..............  A               Incision of facial          6.22         NA       4.61       0.73         NA      11.56        090
                                                       nerve.
64744...............  ..............  A               Incise nerve, back of       5.24         NA       3.71       1.16         NA      10.11        090
                                                       head.
64746...............  ..............  A               Incise diaphragm            5.93         NA       4.29       0.82         NA      11.04        090
                                                       nerve.
64752...............  ..............  A               Incision of vagus           7.06         NA       4.18       0.93         NA      12.17        090
                                                       nerve.
64755...............  ..............  A               Incision of stomach        13.53         NA       5.57       1.83         NA      20.93        090
                                                       nerves.
64760...............  ..............  A               Incision of vagus           6.96         NA       3.41       0.81         NA      11.19        090
                                                       nerve.
64761...............  ..............  A               Incision of pelvis          6.41         NA       3.50       0.53         NA      10.44        090
                                                       nerve.
64763...............  ..............  A               Incise hip/thigh            6.93         NA       5.06       0.94         NA      12.93        090
                                                       nerve.
64766...............  ..............  A               Incise hip/thigh            8.68         NA       5.25       1.06         NA      14.99        090
                                                       nerve.
64771...............  ..............  A               Sever cranial nerve..       7.35         NA       5.45       1.23         NA      14.03        090
64772...............  ..............  A               Incision of spinal          7.21         NA       4.83       1.40         NA      13.45        090
                                                       nerve.
64774...............  ..............  A               Remove skin nerve           5.17         NA       3.77       0.74         NA       9.68        090
                                                       lesion.
64776...............  ..............  A               Remove digit nerve          5.12         NA       3.61       0.76         NA       9.49        090
                                                       lesion.
64778...............  ..............  A               Digit nerve surgery         3.12         NA       1.46       0.46         NA       5.03        ZZZ
                                                       add-on.
64782...............  ..............  A               Remove limb nerve           6.23         NA       3.76       0.86         NA      10.85        090
                                                       lesion.
64783...............  ..............  A               Limb nerve surgery          3.72         NA       1.78       0.51         NA       6.01        ZZZ
                                                       add-on.
64784...............  ..............  A               Remove nerve lesion..       9.83         NA       6.43       1.38         NA      17.64        090
64786...............  ..............  A               Remove sciatic nerve       15.47         NA       9.57       2.60         NA      27.64        090
                                                       lesion.
64787...............  ..............  A               Implant nerve end....       4.30         NA       2.06       0.58         NA       6.94        ZZZ
64788...............  ..............  A               Remove skin nerve           4.61         NA       3.43       0.73         NA       8.77        090
                                                       lesion.
64790...............  ..............  A               Removal of nerve           11.31         NA       7.05       2.10         NA      20.46        090
                                                       lesion.
64792...............  ..............  A               Removal of nerve           14.93         NA       8.63       2.48         NA      26.04        090
                                                       lesion.
64795...............  ..............  A               Biopsy of nerve......       3.02         NA       1.53       0.52         NA       5.07        000
64802...............  ..............  A               Remove sympathetic          9.16         NA       4.96       1.29         NA      15.41        090
                                                       nerves.
64804...............  ..............  A               Remove sympathetic         14.65         NA       6.92       2.14         NA      23.71        090
                                                       nerves.
64809...............  ..............  A               Remove sympathetic         13.68         NA       5.58       1.50         NA      20.76        090
                                                       nerves.
64818...............  ..............  A               Remove sympathetic         10.30         NA       5.10       1.33         NA      16.73        090
                                                       nerves.
64820...............  ..............  A               Remove sympathetic         10.37         NA       6.92       1.49         NA      18.78        090
                                                       nerves.
64821...............  ..............  A               Remove sympathetic          8.76         NA       7.13       1.24         NA      17.13        090
                                                       nerves.
64822...............  ..............  A               Remove sympathetic          8.76         NA       7.03       1.30         NA      17.09        090
                                                       nerves.
64823...............  ..............  A               Remove sympathetic         10.37         NA       7.91       1.57         NA      19.85        090
                                                       nerves.
64831...............  ..............  A               Repair of digit nerve       9.45         NA       6.88       1.41         NA      17.74        090
64832...............  ..............  A               Repair nerve add-on..       5.66         NA       2.85       0.85         NA       9.36        ZZZ
64834...............  ..............  A               Repair of hand or          10.19         NA       6.90       1.54         NA      18.63        090
                                                       foot nerve.
64835...............  ..............  A               Repair of hand or          10.94         NA       7.48       1.73         NA      20.15        090
                                                       foot nerve.
64836...............  ..............  A               Repair of hand or          10.94         NA       7.45       1.67         NA      20.07        090
                                                       foot nerve.
64837...............  ..............  A               Repair nerve add-on..       6.26         NA       3.14       0.97         NA      10.37        ZZZ
64840...............  ..............  A               Repair of leg nerve..      13.03         NA       8.05       1.37         NA      22.44        090
64856...............  ..............  A               Repair/transpose           13.81         NA       8.93       2.12         NA      24.86        090
                                                       nerve.
64857...............  ..............  A               Repair arm/leg nerve.      14.50         NA       9.37       2.21         NA      26.08        090
64858...............  ..............  A               Repair sciatic nerve.      16.50         NA      10.48       3.33         NA      30.31        090
64859...............  ..............  A               Nerve surgery........       4.26         NA       2.13       0.67         NA       7.06        ZZZ
64861...............  ..............  A               Repair of arm nerves.      19.25         NA      11.42       4.08         NA      34.75        090
64862...............  ..............  A               Repair of low back         19.45         NA      11.75       4.31         NA      35.50        090
                                                       nerves.
64864...............  ..............  A               Repair of facial           12.56         NA       8.49       1.26         NA      22.31        090
                                                       nerve.
64865...............  ..............  A               Repair of facial           15.25         NA      13.11       1.50         NA      29.86        090
                                                       nerve.
64866...............  ..............  A               Fusion of facial/          15.75         NA      12.78       2.04         NA      30.57        090
                                                       other nerve.
64868...............  ..............  A               Fusion of facial/          14.05         NA      11.16       1.43         NA      26.64        090
                                                       other nerve.
64870...............  ..............  A               Fusion of facial/          16.00         NA       8.55       1.30         NA      25.85        090
                                                       other nerve.
64872...............  ..............  A               Subsequent repair of        1.99         NA       1.05       0.29         NA       3.33        ZZZ
                                                       nerve.
64874...............  ..............  A               Repair & revise nerve       2.99         NA       1.48       0.42         NA       4.89        ZZZ
                                                       add-on.
64876...............  ..............  A               Repair nerve/shorten        3.38         NA       1.70       0.47         NA       5.54        ZZZ
                                                       bone.
64885...............  ..............  A               Nerve graft, head or       17.54         NA      11.26       1.63         NA      30.42        090
                                                       neck.
64886...............  ..............  A               Nerve graft, head or       20.76         NA      13.11       2.08         NA      35.96        090
                                                       neck.
64890...............  ..............  A               Nerve graft, hand or       15.16         NA       9.71       2.29         NA      27.16        090
                                                       foot.
64891...............  ..............  A               Nerve graft, hand or       16.15         NA       7.41       1.63         NA      25.19        090
                                                       foot.
64892...............  ..............  A               Nerve graft, arm or        14.66         NA       8.65       2.47         NA      25.78        090
                                                       leg.
64893...............  ..............  A               Nerve graft, arm or        15.61         NA       9.60       2.61         NA      27.82        090
                                                       leg.
64895...............  ..............  A               Nerve graft, hand or       19.26         NA       9.45       2.57         NA      31.27        090
                                                       foot.
64896...............  ..............  A               Nerve graft, hand or       20.50         NA      10.93       3.16         NA      34.59        090
                                                       foot.
64897...............  ..............  A               Nerve graft, arm or        18.25         NA      10.41       2.54         NA      31.20        090
                                                       leg.
64898...............  ..............  A               Nerve graft, arm or        19.51         NA      11.53       2.77         NA      33.80        090
                                                       leg.
64901...............  ..............  A               Nerve graft add-on...      10.22         NA       5.09       1.37         NA      16.68        ZZZ
64902...............  ..............  A               Nerve graft add-on...      11.83         NA       5.76       1.55         NA      19.15        ZZZ

[[Page 45946]]

 
64905...............  ..............  A               Nerve pedicle              14.03         NA       8.29       2.00         NA      24.32        090
                                                       transfer.
64907...............  ..............  A               Nerve pedicle              18.84         NA      12.19       3.16         NA      34.19        090
                                                       transfer.
64999...............  ..............  C               Nervous system              0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       surgery.
65091...............  ..............  A               Revise eye...........       6.46         NA       8.01       0.32         NA      14.79        090
65093...............  ..............  A               Revise eye with             6.87         NA       8.36       0.34         NA      15.57        090
                                                       implant.
65101...............  ..............  A               Removal of eye.......       7.03         NA       9.15       0.35         NA      16.53        090
65103...............  ..............  A               Remove eye/insert           7.58         NA       9.37       0.37         NA      17.31        090
                                                       implant.
65105...............  ..............  A               Remove eye/attach           8.50         NA      10.07       0.42         NA      18.99        090
                                                       implant.
65110...............  ..............  A               Removal of eye.......      13.96         NA      13.20       0.81         NA      27.96        090
65112...............  ..............  A               Remove eye/revise          16.39         NA      15.51       1.30         NA      33.20        090
                                                       socket.
65114...............  ..............  A               Remove eye/revise          17.54         NA      15.76       1.02         NA      34.31        090
                                                       socket.
65125...............  ..............  A               Revise ocular implant       3.13       8.39       3.52       0.19      11.71       6.83        090
65130...............  ..............  A               Insert ocular implant       7.15         NA       8.82       0.35         NA      16.32        090
65135...............  ..............  A               Insert ocular implant       7.33         NA       8.96       0.36         NA      16.65        090
65140...............  ..............  A               Attach ocular implant       8.03         NA       9.51       0.40         NA      17.93        090
65150...............  ..............  A               Revise ocular implant       6.26         NA       7.66       0.31         NA      14.23        090
65155...............  ..............  A               Reinsert ocular             8.67         NA      10.07       0.50         NA      19.24        090
                                                       implant.
65175...............  ..............  A               Removal of ocular           6.28         NA       8.16       0.31         NA      14.75        090
                                                       implant.
65205...............  ..............  A               Remove foreign body         0.71       0.63       0.28       0.03       1.37       1.02        000
                                                       from eye.
65210...............  ..............  A               Remove foreign body         0.84       0.80       0.37       0.04       1.68       1.25        000
                                                       from eye.
65220...............  ..............  A               Remove foreign body         0.71       0.63       0.27       0.05       1.39       1.03        000
                                                       from eye.
65222...............  ..............  A               Remove foreign body         0.93       0.87       0.37       0.04       1.85       1.34        000
                                                       from eye.
65235...............  ..............  A               Remove foreign body         7.58         NA       6.60       0.37         NA      14.55        090
                                                       from eye.
65260...............  ..............  A               Remove foreign body        10.96         NA       9.39       0.57         NA      20.92        090
                                                       from eye.
65265...............  ..............  A               Remove foreign body        12.60         NA      10.34       0.62         NA      23.56        090
                                                       from eye.
65270...............  ..............  A               Repair of eye wound..       1.90       4.94       1.36       0.09       6.93       3.35        010
65272...............  ..............  A               Repair of eye wound..       3.82       7.38       3.21       0.19      11.38       7.22        090
65273...............  ..............  A               Repair of eye wound..       4.36         NA       3.49       0.22         NA       8.07        090
65275...............  ..............  A               Repair of eye wound..       5.34       6.16       3.85       0.26      11.76       9.45        090
65280...............  ..............  A               Repair of eye wound..       7.67         NA       6.08       0.38         NA      14.13        090
65285...............  ..............  A               Repair of eye wound..      12.91         NA       8.99       0.64         NA      22.54        090
65286...............  ..............  A               Repair of eye wound..       5.51      10.63       4.51       0.27      16.41      10.30        090
65290...............  ..............  A               Repair of eye socket        5.41         NA       4.61       0.31         NA      10.33        090
                                                       wound.
65400...............  ..............  A               Removal of eye lesion       6.06       8.08       5.99       0.30      14.45      12.35        090
65410...............  ..............  A               Biopsy of cornea.....       1.47       2.03       0.95       0.07       3.57       2.49        000
65420...............  ..............  A               Removal of eye lesion       4.17       8.48       4.35       0.21      12.86       8.73        090
65426...............  ..............  A               Removal of eye lesion       5.25       9.74       4.82       0.25      15.24      10.32        090
65430...............  ..............  A               Corneal smear........       1.47       1.26       0.96       0.07       2.80       2.50        000
65435...............  ..............  A               Curette/treat cornea.       0.92       0.98       0.70       0.04       1.94       1.66        000
65436...............  ..............  A               Curette/treat cornea.       4.19       4.00       3.60       0.21       8.40       8.00        090
65450...............  ..............  A               Treatment of corneal        3.28       3.98       3.86       0.16       7.42       7.30        090
                                                       lesion.
65600...............  ..............  A               Revision of cornea...       3.40       4.85       3.28       0.17       8.42       6.85        090
65710...............  ..............  A               Corneal transplant...      12.35         NA      10.92       0.61         NA      23.89        090
65730...............  ..............  A               Corneal transplant...      14.26         NA      11.73       0.70         NA      26.69        090
65750...............  ..............  A               Corneal transplant...      15.01         NA      11.67       0.74         NA      27.42        090
65755...............  ..............  A               Corneal transplant...      14.90         NA      11.59       0.73         NA      27.22        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         17.57         NA      12.88       0.87         NA      31.31        090
                                                       implant.
65771...............  ..............  N               Radial keratotomy....       0.00       0.00       0.00       0.00       0.00       0.00        XXX
65772...............  ..............  A               Correction of               4.29       5.36       4.05       0.21       9.86       8.55        090
                                                       astigmatism.
65775...............  ..............  A               Correction of               5.79         NA       5.80       0.28         NA      11.88        090
                                                       astigmatism.
65780...............  ..............  A               Ocular reconst,            10.25         NA      10.04       0.44         NA      20.73        090
                                                       transplant.
65781...............  ..............  A               Ocular reconst,            17.68         NA      13.35       0.44         NA      31.46        090
                                                       transplant.
65782...............  ..............  A               Ocular reconst,            15.01         NA      11.71       0.44         NA      27.16        090
                                                       transplant.
65800...............  ..............  A               Drainage of eye......       1.91       1.73       1.16       0.09       3.73       3.16        000
65805...............  ..............  A               Drainage of eye......       1.91       2.09       1.17       0.09       4.10       3.17        000
65810...............  ..............  A               Drainage of eye......       4.87         NA       4.60       0.24         NA       9.71        090
65815...............  ..............  A               Drainage of eye......       5.05       9.56       4.71       0.25      14.86      10.01        090
65820...............  ..............  A               Relieve inner eye           8.14         NA       8.75       0.40         NA      17.29        090
                                                       pressure.
65850...............  ..............  A               Incision of eye......      10.52         NA       8.21       0.52         NA      19.25        090
65855...............  ..............  A               Laser surgery of eye.       3.85       4.18       3.03       0.19       8.21       7.07        010
65860...............  ..............  A               Incise inner eye            3.55       3.92       2.45       0.18       7.64       6.17        090
                                                       adhesions.
65865...............  ..............  A               Incise inner eye            5.60         NA       5.47       0.28         NA      11.35        090
                                                       adhesions.
65870...............  ..............  A               Incise inner eye            6.27         NA       6.24       0.31         NA      12.82        090
                                                       adhesions.
65875...............  ..............  A               Incise inner eye            6.54         NA       6.61       0.32         NA      13.48        090
                                                       adhesions.
65880...............  ..............  A               Incise inner eye            7.09         NA       6.85       0.35         NA      14.29        090
                                                       adhesions.
65900...............  ..............  A               Remove eye lesion....      10.93         NA       9.95       0.54         NA      21.42        090
65920...............  ..............  A               Remove implant of eye       8.41         NA       7.96       0.41         NA      16.78        090
65930...............  ..............  A               Remove blood clot           7.44         NA       6.64       0.37         NA      14.45        090
                                                       from eye.
66020...............  ..............  A               Injection treatment         1.59       2.99       1.41       0.08       4.66       3.08        010
                                                       of eye.
66030...............  ..............  A               Injection treatment         1.25       2.84       1.26       0.06       4.15       2.57        010
                                                       of eye.
66130...............  ..............  A               Remove eye lesion....       7.70       9.24       5.49       0.38      17.31      13.56        090

[[Page 45947]]

 
66150...............  ..............  A               Glaucoma surgery.....       8.31         NA       9.16       0.46         NA      17.93        090
66155...............  ..............  A               Glaucoma surgery.....       8.30         NA       9.11       0.41         NA      17.81        090
66160...............  ..............  A               Glaucoma surgery.....      10.17         NA       9.93       0.50         NA      20.60        090
66165...............  ..............  A               Glaucoma surgery.....       8.02         NA       9.01       0.40         NA      17.42        090
66170...............  ..............  A               Glaucoma surgery.....      12.16         NA      11.92       0.60         NA      24.68        090
66172...............  ..............  A               Incision of eye......      15.05         NA      14.84       0.74         NA      30.63        090
66180...............  ..............  A               Implant eye shunt....      14.56         NA      10.51       0.71         NA      25.78        090
66185...............  ..............  A               Revise eye shunt.....       8.15         NA       7.20       0.40         NA      15.75        090
66220...............  ..............  A               Repair eye lesion....       7.78         NA       6.93       0.40         NA      15.11        090
66225...............  ..............  A               Repair/graft eye           11.05         NA       8.54       0.55         NA      20.14        090
                                                       lesion.
66250...............  ..............  A               Follow-up surgery of        5.98      11.17       5.37       0.30      17.45      11.65        090
                                                       eye.
66500...............  ..............  A               Incision of iris.....       3.71         NA       4.49       0.18         NA       8.38        090
66505...............  ..............  A               Incision of iris.....       4.08         NA       4.84       0.20         NA       9.12        090
66600...............  ..............  A               Remove iris and             8.69         NA       8.01       0.43         NA      17.12        090
                                                       lesion.
66605...............  ..............  A               Removal of iris......      12.80         NA       9.77       0.77         NA      23.34        090
66625...............  ..............  A               Removal of iris......       5.13         NA       4.63       0.26         NA      10.02        090
66630...............  ..............  A               Removal of iris......       6.16         NA       5.59       0.31         NA      12.06        090
66635...............  ..............  A               Removal of iris......       6.25         NA       5.62       0.31         NA      12.18        090
66680...............  ..............  A               Repair iris & ciliary       5.44         NA       5.15       0.27         NA      10.86        090
                                                       body.
66682...............  ..............  A               Repair iris & ciliary       6.21         NA       6.42       0.31         NA      12.95        090
                                                       body.
66700...............  ..............  A               Destruction, ciliary        4.78       5.20       3.87       0.24      10.21       8.88        090
                                                       body.
66710...............  ..............  A               Ciliary transsleral         4.78       5.03       3.77       0.23      10.04       8.78        090
                                                       therapy.
66711...............  ..............  A               Ciliary endoscopic          6.61         NA       6.35       0.30         NA      13.26        090
                                                       ablation.
66720...............  ..............  A               Destruction, ciliary        4.78       5.65       4.63       0.26      10.69       9.67        090
                                                       body.
66740...............  ..............  A               Destruction, ciliary        4.78       4.96       3.89       0.23       9.97       8.90        090
                                                       body.
6761................  ..............  A               Revision of iris.....       4.07       5.44       4.23       0.20       9.70       8.49        090
66762...............  ..............  A               Revision of iris.....       4.58       5.49       4.20       0.23      10.30       9.01        090
66770...............  ..............  A               Removal of inner eye        5.18       5.91       4.70       0.26      11.35      10.14        090
                                                       lesion.
66820...............  ..............  A               Incision, secondary         3.89         NA       5.58       0.19         NA       9.66        090
                                                       cataract.
66821...............  ..............  A               After cataract laser        2.35       3.97       3.52       0.11       6.44       5.98        090
                                                       surgery.
66825...............  ..............  A               Reposition                  8.24         NA       8.76       0.40         NA      17.40        090
                                                       intraocular lens.
66830...............  ..............  A               Removal of lens             8.21         NA       6.80       0.36         NA      15.36        090
                                                       lesion.
66840...............  ..............  A               Removal of lens             7.92         NA       6.71       0.39         NA      15.01        090
                                                       material.
66850...............  ..............  A               Removal of lens             9.12         NA       7.47       0.45         NA      17.04        090
                                                       material.
66852...............  ..............  A               Removal of lens             9.98         NA       7.92       0.49         NA      18.39        090
                                                       material.
66920...............  ..............  A               Extraction of lens...       8.87         NA       7.13       0.44         NA      16.44        090
66930...............  ..............  A               Extraction of lens...      10.18         NA       7.96       0.49         NA      18.63        090
66940...............  ..............  A               Extraction of lens...       8.94         NA       7.43       0.43         NA      16.80        090
66982...............  ..............  A               Cataract surgery,          13.51         NA       9.65       0.63         NA      23.79        090
                                                       complex.
66983...............  ..............  A               Cataract surg w/iol,        9.00         NA       6.09       0.14         NA      15.23        090
                                                       1 stage.
66984...............  ..............  A               Cataract surg w/iol,       10.23         NA       7.27       0.39         NA      17.89        090
                                                       1 stage.
66985...............  ..............  A               Insert lens                 8.40         NA       7.30       0.36         NA      16.06        090
                                                       prosthesis.
66986...............  ..............  A               Exchange lens              12.28         NA       8.98       0.60         NA      21.86        090
                                                       prosthesis.
66990...............  ..............  A               Ophthalmic endoscope        1.51         NA       0.67       0.07         NA       2.26        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          5.70         NA       4.77       0.28         NA      10.75        090
                                                       eye fluid.
67010...............  ..............  A               Partial removal of          6.87         NA       5.30       0.34         NA      12.52        090
                                                       eye fluid.
67015...............  ..............  A               Release of eye fluid.       6.92         NA       6.29       0.34         NA      13.55        090
67025...............  ..............  A               Replace eye fluid....       6.84       8.89       6.09       0.34      16.08      13.27        090
67027...............  ..............  A               Implant eye drug           10.85         NA       7.82       0.54         NA      19.21        090
                                                       system.
67028...............  ..............  A               Injection eye drug...       2.53       2.60       1.43       0.12       5.25       4.08        000
67030...............  ..............  A               Incise inner eye            4.84         NA       5.70       0.24         NA      10.78        090
                                                       strands.
67031...............  ..............  A               Laser surgery, eye          3.67       4.46       3.56       0.18       8.31       7.41        090
                                                       strands.
67036...............  ..............  A               Removal of inner eye       11.89         NA       8.91       0.58         NA      21.38        090
                                                       fluid.
67038...............  ..............  A               Strip retinal              21.25         NA      15.11       1.04         NA      37.40        090
                                                       membrane.
67039...............  ..............  A               Laser treatment of         14.53         NA      11.87       0.71         NA      27.11        090
                                                       retina.
67040...............  ..............  A               Laser treatment of         17.23         NA      13.34       0.85         NA      31.43        090
                                                       retina.
67101...............  ..............  A               Repair detached             7.54       8.91       6.39       0.37      16.81      14.30        090
                                                       retina.
67105...............  ..............  A               Repair detached             7.41       7.88       6.02       0.37      15.67      13.80        090
                                                       retina.
67107...............  ..............  A               Repair detached            14.85         NA      11.06       0.73         NA      26.64        090
                                                       retina.
67108...............  ..............  A               Repair detached            20.83         NA      14.10       1.02         NA      35.95        090
                                                       retina.
67110...............  ..............  A               Repair detached             8.82       9.91       7.23       0.44      19.16      16.49        090
                                                       retina.
67112...............  ..............  A               Rerepair detached          16.86         NA      11.54       0.83         NA      29.24        090
                                                       retina.
67115...............  ..............  A               Release encircling          4.99         NA       4.97       0.25         NA      10.21        090
                                                       material.
67120...............  ..............  A               Remove eye implant          5.98       8.27       5.42       0.29      14.54      11.69        090
                                                       material.
67121...............  ..............  A               Remove eye implant         10.67         NA       8.34       0.53         NA      19.54        090
                                                       material.
67141...............  ..............  A               Treatment of retina..       5.20       5.70       4.76       0.26      11.16      10.22        090
67145...............  ..............  A               Treatment of retina..       5.37       5.58       4.83       0.27      11.22      10.47        090
67208...............  ..............  A               Treatment of retinal        6.70       5.98       5.40       0.33      13.01      12.43        090
                                                       lesion.
67210...............  ..............  A               Treatment of retinal        8.83       6.41       5.75       0.44      15.68      15.02        090
                                                       lesion.
67218...............  ..............  A               Treatment of retinal       18.54         NA      11.83       0.92         NA      31.29        090
                                                       lesion.
67220...............  ..............  A               Treatment of choroid       13.14      10.16       8.81       0.65      23.94      22.60        090
                                                       lesion.
67221...............  ..............  R               Ocular photodynamic         4.01       4.15       1.79       0.20       8.35       6.00        000
                                                       ther.
67225...............  ..............  A               Eye photodynamic ther       0.47       0.25       0.21       0.02       0.74       0.70        ZZZ
                                                       add-on.

[[Page 45948]]

 
67227...............  ..............  A               Treatment of retinal        6.58       6.42       5.40       0.33      13.33      12.32        090
                                                       lesion.
67228...............  ..............  A               Treatment of retinal       12.75      11.17       8.35       0.63      24.54      21.73        090
                                                       lesion.
67250...............  ..............  A               Reinforce eye wall...       8.67         NA       8.85       0.47         NA      17.98        090
67255...............  ..............  A               Reinforce/graft eye         8.91         NA       9.54       0.44         NA      18.89        090
                                                       wall.
67299...............  ..............  C               Eye surgery procedure       0.00       0.00       0.00       0.00       0.00       0.00        YYY
67311...............  ..............  A               Revise eye muscle....       6.65         NA       5.88       0.37         NA      12.91        090
67312...............  ..............  A               Revise two eye              8.55         NA       6.60       0.43         NA      15.58        090
                                                       muscles.
67314...............  ..............  A               Revise eye muscle....       7.53         NA       6.41       0.39         NA      14.32        090
67316...............  ..............  A               Revise two eye              9.67         NA       7.33       0.49         NA      17.49        090
                                                       muscles.
67318...............  ..............  A               Revise eye muscle(s).       7.86         NA       6.78       0.41         NA      15.05        090
67320...............  ..............  A               Revise eye muscle(s)        4.33         NA       1.90       0.22         NA       6.45        ZZZ
                                                       add-on.
67331...............  ..............  A               Eye surgery follow-up       4.06         NA       1.79       0.21         NA       6.05        ZZZ
                                                       add-on.
67332...............  ..............  A               Rerevise eye muscles        4.49         NA       1.97       0.23         NA       6.69        ZZZ
                                                       add-on.
67334...............  ..............  A               Revise eye muscle w/        3.98         NA       1.75       0.20         NA       5.93        ZZZ
                                                       suture.
67335...............  ..............  A               Eye suture during           2.49         NA       1.09       0.13         NA       3.72        ZZZ
                                                       surgery.
67340...............  ..............  A               Revise eye muscle add-      4.93         NA       2.15       0.25         NA       7.33        ZZZ
                                                       on.
67343...............  ..............  A               Release eye tissue...       7.35         NA       6.37       0.37         NA      14.09        090
67345...............  ..............  A               Destroy nerve of eye        2.97       2.52       1.97       0.17       5.65       5.10        010
                                                       muscle.
67350...............  ..............  A               Biopsy eye muscle....       2.88         NA       1.84       0.15         NA       4.86        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          9.77         NA      10.83       0.56         NA      21.16        090
                                                       socket.
67405...............  ..............  A               Explore/drain eye           7.94         NA       9.42       0.44         NA      17.80        090
                                                       socket.
67412...............  ..............  A               Explore/treat eye           9.51         NA      10.47       0.48         NA      20.46        090
                                                       socket.
67413...............  ..............  A               Explore/treat eye          10.01         NA      10.36       0.50         NA      20.87        090
                                                       socket.
67414...............  ..............  A               Explr/decompress eye       11.13         NA      11.56       0.65         NA      23.34        090
                                                       socket.
67415...............  ..............  A               Aspiration, orbital         1.76         NA       0.74       0.09         NA       2.60        000
                                                       contents.
67420...............  ..............  A               Explore/treat eye          20.07         NA      16.76       1.15         NA      37.98        090
                                                       socket.
67430...............  ..............  A               Explore/treat eye          13.40         NA      14.29       0.86         NA      28.55        090
                                                       socket.
67440...............  ..............  A               Explore/drain eye          13.10         NA      13.73       0.70         NA      27.52        090
                                                       socket.
67445...............  ..............  A               Explr/decompress eye       14.43         NA      13.40       0.90         NA      28.73        090
                                                       socket.
67450...............  ..............  A               Explore/biopsy eye         13.52         NA      14.17       0.68         NA      28.36        090
                                                       socket.
67500...............  ..............  A               Inject/treat eye            0.79       0.65       0.28       0.05       1.49       1.12        000
                                                       socket.
67505...............  ..............  A               Inject/treat eye            0.82       0.67       0.30       0.05       1.54       1.17        000
                                                       socket.
67515...............  ..............  A               Inject/treat eye            0.61       0.57       0.37       0.03       1.21       1.01        000
                                                       socket.
67550...............  ..............  A               Insert eye socket          10.19         NA      10.89       0.72         NA      21.80        090
                                                       implant.
67560...............  ..............  A               Revise eye socket          10.60         NA      10.97       0.60         NA      22.17        090
                                                       implant.
67570...............  ..............  A               Decompress optic           13.59         NA      13.08       0.68         NA      27.35        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       5.70       1.24       0.07       7.12       2.66        010
                                                       abscess.
67710...............  ..............  A               Incision of eyelid...       1.02       5.07       1.18       0.05       6.14       2.25        010
67715...............  ..............  A               Incision of eyelid          1.22       5.09       1.26       0.06       6.37       2.54        010
                                                       fold.
67800...............  ..............  A               Remove eyelid lesion.       1.38       1.58       1.02       0.07       3.03       2.47        010
67801...............  ..............  A               Remove eyelid lesions       1.88       1.91       1.23       0.09       3.89       3.21        010
67805...............  ..............  A               Remove eyelid lesions       2.22       2.46       1.61       0.11       4.79       3.95        010
67808...............  ..............  A               Remove eyelid               3.80         NA       3.69       0.19         NA       7.68        090
                                                       lesion(s).
67810...............  ..............  A               Biopsy of eyelid.....       1.48       3.44       0.67       0.06       4.98       2.22        000
67820...............  ..............  A               Revise eyelashes.....       0.89       0.59       0.56       0.04       1.52       1.49        000
67825...............  ..............  A               Revise eyelashes.....       1.38       1.67       1.38       0.07       3.13       2.84        010
67830...............  ..............  A               Revise eyelashes.....       1.70       5.26       1.47       0.08       7.04       3.25        010
67835...............  ..............  A               Revise eyelashes.....       5.56         NA       4.52       0.28         NA      10.36        090
67840...............  ..............  A               Remove eyelid lesion.       2.04       5.22       1.62       0.10       7.37       3.76        010
67850...............  ..............  A               Treat eyelid lesion..       1.69       3.41       1.45       0.07       5.17       3.21        010
67875...............  ..............  A               Closure of eyelid by        1.35       3.13       0.92       0.07       4.56       2.35        000
                                                       suture.
67880...............  ..............  A               Revision of eyelid...       3.80       6.35       3.71       0.19      10.34       7.70        090
67882...............  ..............  A               Revision of eyelid...       5.07       7.35       4.70       0.25      12.67      10.02        090
67900...............  ..............  A               Repair brow defect...       6.14       8.72       5.11       0.38      15.24      11.63        090
67901...............  ..............  A               Repair eyelid defect.       6.97         NA       5.26       0.51         NA      12.74        090
67902...............  ..............  A               Repair eyelid defect.       7.03         NA       5.32       0.45         NA      12.80        090
67903...............  ..............  A               Repair eyelid defect.       6.37       9.07       5.33       0.47      15.92      12.17        090
67904...............  ..............  A               Repair eyelid defect.       6.26       9.25       5.11       0.41      15.92      11.78        090
67906...............  ..............  A               Repair eyelid defect.       6.79         NA       4.92       0.46         NA      12.17        090
67908...............  ..............  A               Repair eyelid defect.       5.13       6.41       5.19       0.28      11.82      10.60        090
67909...............  ..............  A               Revise eyelid defect.       5.40       7.70       4.82       0.31      13.41      10.53        090
67911...............  ..............  A               Revise eyelid defect.       5.27         NA       4.66       0.31         NA      10.24        090
67912...............  ..............  A               Correction eyelid w/        5.68      17.75       5.37       0.28      23.71      11.33        090
                                                       implant.
67914...............  ..............  A               Repair eyelid defect.       3.68       6.06       2.99       0.19       9.92       6.85        090
67915...............  ..............  A               Repair eyelid defect.       3.19       5.70       2.74       0.16       9.05       6.09        090
67916...............  ..............  A               Repair eyelid defect.       5.31       7.74       4.65       0.28      13.33      10.24        090
67917...............  ..............  A               Repair eyelid defect.       6.02       8.14       4.95       0.36      14.52      11.33        090
67921...............  ..............  A               Repair eyelid defect.       3.40       5.91       2.83       0.17       9.48       6.40        090
67922...............  ..............  A               Repair eyelid defect.       3.07       5.63       2.70       0.15       8.84       5.91        090
67923...............  ..............  A               Repair eyelid defect.       5.88       7.82       4.86       0.30      14.00      11.04        090
67924...............  ..............  A               Repair eyelid defect.       5.79       8.56       4.58       0.30      14.65      10.67        090
67930...............  ..............  A               Repair eyelid wound..       3.61       5.47       2.12       0.19       9.26       5.91        010

[[Page 45949]]

 
67935...............  ..............  A               Repair eyelid wound..       6.22       8.21       4.28       0.39      14.82      10.89        090
67938...............  ..............  A               Remove eyelid foreign       1.33       5.11       1.24       0.06       6.50       2.63        010
                                                       body.
67950...............  ..............  A               Revision of eyelid...       5.82       8.28       5.07       0.36      14.46      11.25        090
67961...............  ..............  A               Revision of eyelid...       5.69       8.35       4.90       0.33      14.37      10.92        090
67966...............  ..............  A               Revision of eyelid...       6.57       8.78       5.41       0.37      15.72      12.35        090
67971...............  ..............  A               Reconstruction of           9.80         NA       7.11       0.53         NA      17.44        090
                                                       eyelid.
67973...............  ..............  A               Reconstruction of          12.88         NA       9.07       0.75         NA      22.69        090
                                                       eyelid.
67974...............  ..............  A               Reconstruction of          12.85         NA       9.00       0.75         NA      22.59        090
                                                       eyelid.
67975...............  ..............  A               Reconstruction of           9.14         NA       6.79       0.50         NA      16.43        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       1.38       1.18       0.06       2.81       2.62        010
                                                       lining.
68040...............  ..............  A               Treatment of eyelid         0.85       0.69       0.42       0.04       1.59       1.31        000
                                                       lesions.
68100...............  ..............  A               Biopsy of eyelid            1.35       3.09       0.93       0.07       4.51       2.36        000
                                                       lining.
68110...............  ..............  A               Remove eyelid lining        1.77       3.91       1.62       0.09       5.78       3.48        010
                                                       lesion.
68115...............  ..............  A               Remove eyelid lining        2.36       5.67       1.87       0.12       8.15       4.36        010
                                                       lesion.
68130...............  ..............  A               Remove eyelid lining        4.93       8.34       4.50       0.24      13.51       9.67        090
                                                       lesion.
68135...............  ..............  A               Remove eyelid lining        1.84       1.77       1.62       0.09       3.70       3.55        010
                                                       lesion.
68200...............  ..............  A               Treat eyelid by             0.49       0.52       0.32       0.02       1.03       0.83        000
                                                       injection.
68320...............  ..............  A               Revise/graft eyelid         5.37      10.81       5.41       0.27      16.45      11.05        090
                                                       lining.
68325...............  ..............  A               Revise/graft eyelid         7.36         NA       6.39       0.44         NA      14.19        090
                                                       lining.
68326...............  ..............  A               Revise/graft eyelid         7.15         NA       6.27       0.35         NA      13.77        090
                                                       lining.
68328...............  ..............  A               Revise/graft eyelid         8.19         NA       7.08       0.54         NA      15.81        090
                                                       lining.
68330...............  ..............  A               Revise eyelid lining.       4.83       9.00       4.62       0.24      14.07       9.69        090
68335...............  ..............  A               Revise/graft eyelid         7.19         NA       6.24       0.36         NA      13.80        090
                                                       lining.
68340...............  ..............  A               Separate eyelid             4.17       8.47       4.02       0.21      12.85       8.39        090
                                                       adhesions.
68360...............  ..............  A               Revise eyelid lining.       4.37       7.70       4.10       0.22      12.29       8.68        090
68362...............  ..............  A               Revise eyelid lining.       7.34         NA       6.27       0.36         NA      13.97        090
68371...............  ..............  A               Harvest eye tissue,         4.90         NA       4.61       0.44         NA       9.95        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       5.61       1.72       0.08       7.38       3.49        010
                                                       gland.
68420...............  ..............  A               Incise/drain tear sac       2.30       5.90       1.99       0.11       8.31       4.40        010
68440...............  ..............  A               Incise tear duct            0.94       1.93       1.24       0.05       2.92       2.23        010
                                                       opening.
68500...............  ..............  A               Removal of tear gland      11.02         NA       9.45       0.55         NA      21.02        090
68505...............  ..............  A               Partial removal, tear      10.94         NA      10.29       0.55         NA      21.78        090
                                                       gland.
68510...............  ..............  A               Biopsy of tear gland.       4.61       6.97       2.13       0.23      11.81       6.97        000
68520...............  ..............  A               Removal of tear sac..       7.52         NA       7.21       0.37         NA      15.09        090
68525...............  ..............  A               Biopsy of tear sac...       4.43         NA       1.97       0.22         NA       6.62        000
68530...............  ..............  A               Clearance of tear           3.66       7.71       2.55       0.18      11.55       6.39        010
                                                       duct.
68540...............  ..............  A               Remove tear gland          10.60         NA       9.14       0.52         NA      20.26        090
                                                       lesion.
68550...............  ..............  A               Remove tear gland          13.27         NA      11.03       0.80         NA      25.09        090
                                                       lesion.
68700...............  ..............  A               Repair tear ducts....       6.60         NA       5.84       0.32         NA      12.76        090
68705...............  ..............  A               Revise tear duct            2.06       3.97       1.75       0.10       6.13       3.92        010
                                                       opening.
68720...............  ..............  A               Create tear sac drain       8.97         NA       7.65       0.44         NA      17.05        090
68745...............  ..............  A               Create tear duct            8.64         NA       7.65       0.52         NA      16.80        090
                                                       drain.
68750...............  ..............  A               Create tear duct            8.67         NA       8.04       0.43         NA      17.14        090
                                                       drain.
68760...............  ..............  A               Close tear duct             1.73       3.37       1.60       0.09       5.19       3.42        010
                                                       opening.
68761...............  ..............  A               Close tear duct             1.36       2.19       1.31       0.06       3.62       2.73        010
                                                       opening.
68770...............  ..............  A               Close tear system           7.02         NA       3.78       0.35         NA      11.15        090
                                                       fistula.
68801...............  ..............  A               Dilate tear duct            0.94       1.90       1.46       0.05       2.89       2.45        010
                                                       opening.
68810...............  ..............  A               Probe nasolacrimal          1.90       3.55       2.62       0.10       5.56       4.62        010
                                                       duct.
68811...............  ..............  A               Probe nasolacrimal          2.35         NA       2.35       0.13         NA       4.84        010
                                                       duct.
68815...............  ..............  A               Probe nasolacrimal          3.21       7.87       2.75       0.17      11.25       6.12        010
                                                       duct.
68840...............  ..............  A               Explore/irrigate tear       1.25       1.55       1.11       0.06       2.86       2.42        010
                                                       ducts.
68850...............  ..............  A               Injection for tear          0.80       0.87       0.71       0.04       1.71       1.55        000
                                                       sac x-ray.
68899...............  ..............  C               Tear duct system            0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       surgery.
69000...............  ..............  A               Drain external ear          1.45       2.83       1.32       0.12       4.41       2.90        010
                                                       lesion.
69005...............  ..............  A               Drain external ear          2.11       2.90       1.79       0.17       5.18       4.07        010
                                                       lesion.
69020...............  ..............  A               Drain outer ear canal       1.48       3.93       2.00       0.12       5.54       3.60        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       1.76       0.41       0.03       2.61       1.25        000
                                                       ear.
69105...............  ..............  A               Biopsy of external          0.85       2.35       0.76       0.07       3.27       1.68        000
                                                       ear canal.
69110...............  ..............  A               Remove external ear,        3.44       7.01       4.35       0.30      10.75       8.09        090
                                                       partial.
69120...............  ..............  A               Removal of external         4.05         NA       5.99       0.38         NA      10.42        090
                                                       ear.
69140...............  ..............  A               Remove ear canal            7.98         NA      13.09       0.65         NA      21.72        090
                                                       lesion(s).
69145...............  ..............  A               Remove ear canal            2.63       5.85       3.28       0.21       8.68       6.11        090
                                                       lesion(s).
69150...............  ..............  A               Extensive ear canal        13.44         NA      13.05       1.22         NA      27.71        090
                                                       surgery.
69155...............  ..............  A               Extensive ear/neck         20.81         NA      19.00       1.92         NA      41.73        090
                                                       surgery.
69200...............  ..............  A               Clear outer ear canal       0.77       2.30       0.54       0.06       3.13       1.37        000
69205...............  ..............  A               Clear outer ear canal       1.20         NA       1.34       0.10         NA       2.64        010
69210...............  ..............  A               Remove impacted ear         0.61       0.62       0.22       0.05       1.28       0.88        000
                                                       wax.
69220...............  ..............  A               Clean out mastoid           0.83       2.34       0.72       0.07       3.24       1.62        000
                                                       cavity.
69222...............  ..............  A               Clean out mastoid           1.40       3.80       2.01       0.12       5.32       3.53        010
                                                       cavity.
69300...............  ..............  R               Revise external ear..       6.36       0.00       4.43       0.72       7.08      11.51        YYY
69310...............  ..............  A               Rebuild outer ear          10.79         NA      15.97       0.85         NA      27.61        090
                                                       canal.

[[Page 45950]]

 
69320...............  ..............  A               Rebuild outer ear          16.96         NA      21.39       1.37         NA      39.72        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       2.20       0.67       0.07       3.11       1.57        000
                                                       canal.
69401...............  ..............  A               Inflate middle ear          0.63       1.27       0.64       0.05       1.95       1.32        000
                                                       canal.
69405...............  ..............  A               Catheterize middle          2.64       3.49       2.26       0.21       6.33       5.10        010
                                                       ear canal.
69410...............  ..............  A               Inset middle ear            0.33       2.06       0.48       0.03       2.42       0.84        000
                                                       (baffle).
69420...............  ..............  A               Incision of eardrum..       1.33       3.12       1.57       0.11       4.56       3.01        010
69421...............  ..............  A               Incision of eardrum..       1.73         NA       2.10       0.15         NA       3.98        010
69424...............  ..............  A               Remove ventilating          0.85       2.16       0.67       0.07       3.09       1.60        000
                                                       tube.
69433...............  ..............  A               Create eardrum              1.52       3.07       1.62       0.13       4.72       3.27        010
                                                       opening.
69436...............  ..............  A               Create eardrum              1.96         NA       2.22       0.19         NA       4.37        010
                                                       opening.
69440...............  ..............  A               Exploration of middle       7.58         NA       8.74       0.61         NA      16.93        090
                                                       ear.
69450...............  ..............  A               Eardrum revision.....       5.57         NA       7.04       0.45         NA      13.06        090
69501...............  ..............  A               Mastoidectomy........       9.08         NA       8.89       0.73         NA      18.70        090
69502...............  ..............  A               Mastoidectomy........      12.38         NA      11.46       1.00         NA      24.85        090
69505...............  ..............  A               Remove mastoid             13.00         NA      16.86       1.05         NA      30.90        090
                                                       structures.
69511...............  ..............  A               Extensive mastoid          13.53         NA      17.13       1.09         NA      31.75        090
                                                       surgery.
69530...............  ..............  A               Extensive mastoid          19.20         NA      21.15       1.54         NA      41.89        090
                                                       surgery.
69535...............  ..............  A               Remove part of             36.16         NA      31.12       2.92         NA      70.20        090
                                                       temporal bone.
69540...............  ..............  A               Remove ear lesion....       1.20       3.69       1.93       0.10       4.99       3.23        010
69550...............  ..............  A               Remove ear lesion....      10.99         NA      14.61       0.89         NA      26.49        090
69552...............  ..............  A               Remove ear lesion....      19.47         NA      20.18       1.59         NA      41.23        090
69554...............  ..............  A               Remove ear lesion....      33.18         NA      29.40       2.91         NA      65.48        090
69601...............  ..............  A               Mastoid surgery            13.25         NA      12.52       1.07         NA      26.84        090
                                                       revision.
69602...............  ..............  A               Mastoid surgery            13.59         NA      13.10       1.10         NA      27.79        090
                                                       revision.
69603...............  ..............  A               Mastoid surgery            14.03         NA      17.92       1.14         NA      33.08        090
                                                       revision.
69604...............  ..............  A               Mastoid surgery            14.03         NA      13.49       1.14         NA      28.66        090
                                                       revision.
69605...............  ..............  A               Mastoid surgery            18.50         NA      20.72       1.50         NA      40.71        090
                                                       revision.
69610...............  ..............  A               Repair of eardrum....       4.43       5.43       3.19       0.36      10.22       7.98        010
69620...............  ..............  A               Repair of eardrum....       5.89      10.93       6.17       0.48      17.30      12.54        090
69631...............  ..............  A               Repair eardrum              9.87         NA      11.14       0.80         NA      21.81        090
                                                       structures.
69632...............  ..............  A               Rebuild eardrum            12.76         NA      13.35       1.03         NA      27.14        090
                                                       structures.
69633...............  ..............  A               Rebuild eardrum            12.10         NA      12.97       0.98         NA      26.05        090
                                                       structures.
69635...............  ..............  A               Repair eardrum             13.34         NA      16.44       1.08         NA      30.86        090
                                                       structures.
69636...............  ..............  A               Rebuild eardrum            15.23         NA      18.98       1.23         NA      35.44        090
                                                       structures.
69637...............  ..............  A               Rebuild eardrum            15.12         NA      18.91       1.22         NA      35.25        090
                                                       structures.
69641...............  ..............  A               Revise middle ear &        12.72         NA      12.67       1.03         NA      26.41        090
                                                       mastoid.
69642...............  ..............  A               Revise middle ear &        16.84         NA      16.10       1.36         NA      34.30        090
                                                       mastoid.
69643...............  ..............  A               Revise middle ear &        15.33         NA      14.66       1.24         NA      31.23        090
                                                       mastoid.
69644...............  ..............  A               Revise middle ear &        16.97         NA      20.00       1.37         NA      38.35        090
                                                       mastoid.
69645...............  ..............  A               Revise middle ear &        16.39         NA      19.64       1.33         NA      37.36        090
                                                       mastoid.
69646...............  ..............  A               Revise middle ear &        18.00         NA      20.38       1.46         NA      39.83        090
                                                       mastoid.
69650...............  ..............  A               Release middle ear          9.67         NA       9.84       0.78         NA      20.29        090
                                                       bone.
69660...............  ..............  A               Revise middle ear          11.90         NA      11.04       0.96         NA      23.91        090
                                                       bone.
69661...............  ..............  A               Revise middle ear          15.75         NA      14.47       1.27         NA      31.49        090
                                                       bone.
69662...............  ..............  A               Revise middle ear          15.45         NA      13.54       1.25         NA      30.24        090
                                                       bone.
69666...............  ..............  A               Repair middle ear           9.76         NA       9.90       0.79         NA      20.45        090
                                                       structures.
69667...............  ..............  A               Repair middle ear           9.77         NA       9.90       0.79         NA      20.46        090
                                                       structures.
69670...............  ..............  A               Remove mastoid air         11.51         NA      11.57       0.93         NA      24.01        090
                                                       cells.
69676...............  ..............  A               Remove middle ear           9.53         NA      10.65       0.81         NA      20.99        090
                                                       nerve.
69700...............  ..............  A               Close mastoid fistula       8.24         NA       9.06       0.67         NA      17.97        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      10.44         NA      10.65       0.83         NA      21.92        090
                                                       aid.
69714...............  ..............  A               Implant temple bone w/     14.01         NA      12.46       1.13         NA      27.60        090
                                                       stimul.
69715...............  ..............  A               Temple bne implnt w/       18.26         NA      14.75       1.48         NA      34.49        090
                                                       stimulat.
69717...............  ..............  A               Temple bone implant        14.99         NA      14.01       0.90         NA      29.90        090
                                                       revision.
69718...............  ..............  A               Revise temple bone         18.51         NA      14.97       3.21         NA      36.69        090
                                                       implant.
69720...............  ..............  A               Release facial nerve.      14.39         NA      14.34       1.16         NA      29.89        090
69725...............  ..............  A               Release facial nerve.      25.39         NA      19.77       2.44         NA      47.60        090
69740...............  ..............  A               Repair facial nerve..      15.97         NA      13.13       1.27         NA      30.37        090
69745...............  ..............  A               Repair facial nerve..      16.69         NA      14.67       1.14         NA      32.50        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.....       8.57         NA       9.41       0.69         NA      18.67        090
69802...............  ..............  A               Incise inner ear.....      13.11         NA      12.21       1.06         NA      26.37        090
69805...............  ..............  A               Explore inner ear....      13.83         NA      11.70       1.12         NA      26.64        090
69806...............  ..............  A               Explore inner ear....      12.35         NA      10.92       1.00         NA      24.27        090
69820...............  ..............  A               Establish inner ear        10.34         NA      11.04       0.90         NA      22.28        090
                                                       window.
69840...............  ..............  A               Revise inner ear           10.26         NA      12.73       0.79         NA      23.78        090
                                                       window.
69905...............  ..............  A               Remove inner ear.....      11.10         NA      11.23       0.90         NA      23.23        090
69910...............  ..............  A               Remove inner ear &         13.64         NA      11.72       1.07         NA      26.42        090
                                                       mastoid.
69915...............  ..............  A               Incise inner ear           21.24         NA      16.16       1.69         NA      39.09        090
                                                       nerve.
69930...............  ..............  A               Implant cochlear           16.81         NA      14.44       1.36         NA      32.61        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           25.65         NA      18.47       2.28         NA      46.40        090
                                                       nerve.

[[Page 45951]]

 
69955...............  ..............  A               Release facial nerve.      27.05         NA      20.91       2.48         NA      50.45        090
69960...............  ..............  A               Release inner ear          27.05         NA      19.59       2.17         NA      48.81        090
                                                       canal.
69970...............  ..............  A               Remove inner ear           30.05         NA      22.69       2.41         NA      55.15        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..       3.47         NA       1.74       0.89         NA       6.09        ZZZ
70010...............  ..............  A               Contrast x-ray of           1.19       4.33         NA       0.27       5.79         NA        XXX
                                                       brain.
70010...............  26............  A               Contrast x-ray of           1.19       0.41       0.41       0.05       1.65       1.65        XXX
                                                       brain.
70010...............  TC............  A               Contrast x-ray of           0.00       3.92         NA       0.22       4.14         NA        XXX
                                                       brain.
70015...............  ..............  A               Contrast x-ray of           1.19       2.34         NA       0.16       3.70         NA        XXX
                                                       brain.
70015...............  26............  A               Contrast x-ray of           1.19       0.41       0.41       0.08       1.68       1.68        XXX
                                                       brain.
70015...............  TC............  A               Contrast x-ray of           0.00       1.94         NA       0.08       2.02         NA        XXX
                                                       brain.
70030...............  ..............  A               X-ray eye for foreign       0.17       0.53         NA       0.03       0.73         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       0.47         NA       0.02       0.49         NA        XXX
                                                       body.
70100...............  ..............  A               X-ray exam of jaw....       0.18       0.62         NA       0.03       0.83         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       0.56         NA       0.02       0.58         NA        XXX
70110...............  ..............  A               X-ray exam of jaw....       0.25       0.74         NA       0.05       1.04         NA        XXX
70110...............  26............  A               X-ray exam of jaw....       0.25       0.09       0.09       0.01       0.35       0.35        XXX
70110...............  TC............  A               X-ray exam of jaw....       0.00       0.66         NA       0.04       0.70         NA        XXX
70120...............  ..............  A               X-ray exam of               0.18       0.72         NA       0.05       0.95         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       0.66         NA       0.04       0.70         NA        XXX
                                                       mastoids.
70130...............  ..............  A               X-ray exam of               0.34       1.03         NA       0.07       1.44         NA        XXX
                                                       mastoids.
70130...............  26............  A               X-ray exam of               0.34       0.12       0.12       0.02       0.48       0.48        XXX
                                                       mastoids.
70130...............  TC............  A               X-ray exam of               0.00       0.91         NA       0.05       0.96         NA        XXX
                                                       mastoids.
70134...............  ..............  A               X-ray exam of middle        0.34       0.93         NA       0.07       1.34         NA        XXX
                                                       ear.
70134...............  26............  A               X-ray exam of middle        0.34       0.12       0.12       0.02       0.48       0.48        XXX
                                                       ear.
70134...............  TC............  A               X-ray exam of middle        0.00       0.81         NA       0.05       0.86         NA        XXX
                                                       ear.
70140...............  ..............  A               X-ray exam of facial        0.19       0.66         NA       0.05       0.90         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       0.60         NA       0.04       0.64         NA        XXX
                                                       bones.
70150...............  ..............  A               X-ray exam of facial        0.26       0.87         NA       0.06       1.19         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       0.78         NA       0.05       0.83         NA        XXX
                                                       bones.
70160...............  ..............  A               X-ray exam of nasal         0.17       0.61         NA       0.03       0.81         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       0.55         NA       0.02       0.57         NA        XXX
                                                       bones.
70170...............  ..............  A               X-ray exam of tear          0.30         NA         NA       0.07         NA         NA        XXX
                                                       duct.
70170...............  26............  A               X-ray exam of tear          0.30       0.11       0.11       0.01       0.42       0.42        XXX
                                                       duct.
70170...............  TC............  A               X-ray exam of tear          0.00         NA         NA       0.06         NA         NA        XXX
                                                       duct.
70190...............  ..............  A               X-ray exam of eye           0.21       0.71         NA       0.05       0.97         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       0.64         NA       0.04       0.68         NA        XXX
                                                       sockets.
70200...............  ..............  A               X-ray exam of eye           0.28       0.89         NA       0.06       1.23         NA        XXX
                                                       sockets.
70200...............  26............  A               X-ray exam of eye           0.28       0.10       0.10       0.01       0.39       0.39        XXX
                                                       sockets.
70200...............  TC............  A               X-ray exam of eye           0.00       0.80         NA       0.05       0.85         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       0.85         NA       0.06       1.16         NA        XXX
70220...............  26............  A               X-ray exam of sinuses       0.25       0.09       0.09       0.01       0.35       0.35        XXX
70220...............  TC............  A               X-ray exam of sinuses       0.00       0.77         NA       0.05       0.82         NA        XXX
70240...............  ..............  A               X-ray exam, pituitary       0.19       0.53         NA       0.03       0.75         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       0.47         NA       0.02       0.49         NA        XXX
                                                       saddle.
70250...............  ..............  A               X-ray exam of skull..       0.24       0.71         NA       0.05       1.00         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       0.63         NA       0.04       0.67         NA        XXX
70260...............  ..............  A               X-ray exam of skull..       0.34       0.99         NA       0.08       1.41         NA        XXX
70260...............  26............  A               X-ray exam of skull..       0.34       0.12       0.12       0.02       0.48       0.48        XXX
70260...............  TC............  A               X-ray exam of skull..       0.00       0.87         NA       0.06       0.93         NA        XXX
70300...............  ..............  A               X-ray exam of teeth..       0.10       0.29         NA       0.03       0.42         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       0.24         NA       0.02       0.26         NA        XXX
70310...............  ..............  A               X-ray exam of teeth..       0.16       0.54         NA       0.03       0.73         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       0.46         NA       0.02       0.48         NA        XXX
70320...............  ..............  A               Full mouth x-ray of         0.22       0.88         NA       0.06       1.16         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       0.80         NA       0.05       0.85         NA        XXX
                                                       teeth.
70328...............  ..............  A               X-ray exam of jaw           0.18       0.58         NA       0.03       0.79         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       0.52         NA       0.02       0.54         NA        XXX
                                                       joint.

[[Page 45952]]

 
70330...............  ..............  A               X-ray exam of jaw           0.24       0.98         NA       0.06       1.28         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       0.89         NA       0.05       0.94         NA        XXX
                                                       joints.
70332...............  ..............  A               X-ray exam of jaw           0.54       2.14         NA       0.14       2.83         NA        XXX
                                                       joint.
70332...............  26............  A               X-ray exam of jaw           0.54       0.21       0.21       0.02       0.77       0.77        XXX
                                                       joint.
70332...............  TC............  A               X-ray exam of jaw           0.00       1.94         NA       0.12       2.06         NA        XXX
                                                       joint.
70336...............  ..............  A               Magnetic image, jaw         1.48      11.68         NA       0.66      13.82         NA        XXX
                                                       joint.
70336...............  26............  A               Magnetic image, jaw         1.48       0.51       0.51       0.07       2.07       2.07        XXX
                                                       joint.
70336...............  TC............  A               Magnetic image, jaw         0.00      11.16         NA       0.59      11.75         NA        XXX
                                                       joint.
70350...............  ..............  A               X-ray head for              0.17       0.42         NA       0.03       0.62         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       0.35         NA       0.02       0.37         NA        XXX
                                                       orthodontia.
70355...............  ..............  A               Panoramic x-ray of          0.20       0.56         NA       0.05       0.81         NA        XXX
                                                       jaws.
70355...............  26............  A               Panoramic x-ray of          0.20       0.07       0.07       0.01       0.28       0.28        XXX
                                                       jaws.
70355...............  TC............  A               Panoramic x-ray of          0.00       0.48         NA       0.04       0.52         NA        XXX
                                                       jaws.
70360...............  ..............  A               X-ray exam of neck...       0.17       0.50         NA       0.03       0.70         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       0.44         NA       0.02       0.46         NA        XXX
70370...............  ..............  A               Throat x-ray &              0.32       1.52         NA       0.08       1.92         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       1.42         NA       0.07       1.49         NA        XXX
                                                       fluoroscopy.
70371...............  ..............  A               Speech evaluation,          0.84       2.22         NA       0.16       3.22         NA        XXX
                                                       complex.
70371...............  26............  A               Speech evaluation,          0.84       0.29       0.29       0.04       1.17       1.17        XXX
                                                       complex.
70371...............  TC............  A               Speech evaluation,          0.00       1.93         NA       0.12       2.05         NA        XXX
                                                       complex.
70373...............  ..............  A               Contrast x-ray of           0.44       1.86         NA       0.13       2.43         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       1.71         NA       0.11       1.82         NA        XXX
                                                       larynx.
70380...............  ..............  A               X-ray exam of               0.17       0.77         NA       0.05       0.99         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       0.71         NA       0.04       0.75         NA        XXX
                                                       salivary gland.
70390...............  ..............  A               X-ray exam of               0.38       2.07         NA       0.13       2.58         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       1.94         NA       0.11       2.05         NA        XXX
                                                       salivary duct.
70450...............  ..............  A               Ct head/brain w/o dye       0.85       4.94         NA       0.29       6.09         NA        XXX
70450...............  26............  A               Ct head/brain w/o dye       0.85       0.29       0.29       0.04       1.18       1.18        XXX
70450...............  TC............  A               Ct head/brain w/o dye       0.00       4.65         NA       0.25       4.90         NA        XXX
70460...............  ..............  A               Ct head/brain w/dye..       1.13       6.12         NA       0.35       7.61         NA        XXX
70460...............  26............  A               Ct head/brain w/dye..       1.13       0.39       0.39       0.05       1.57       1.57        XXX
70460...............  TC............  A               Ct head/brain w/dye..       0.00       5.74         NA       0.30       6.04         NA        XXX
70470...............  ..............  A               Ct head/brain w/o & w/      1.27       7.58         NA       0.43       9.28         NA        XXX
                                                       dye.
70470...............  26............  A               Ct head/brain w/o & w/      1.27       0.44       0.44       0.06       1.77       1.77        XXX
                                                       dye.
70470...............  TC............  A               Ct head/brain w/o & w/      0.00       7.14         NA       0.37       7.51         NA        XXX
                                                       dye.
70480...............  ..............  A               Ct orbit/ear/fossa w/       1.28       5.94         NA       0.31       7.53         NA        XXX
                                                       o dye.
70480...............  26............  A               Ct orbit/ear/fossa w/       1.28       0.44       0.44       0.06       1.78       1.78        XXX
                                                       o dye.
70480...............  TC............  A               Ct orbit/ear/fossa w/       0.00       5.50         NA       0.25       5.75         NA        XXX
                                                       o dye.
70481...............  ..............  A               Ct orbit/ear/fossa w/       1.38       7.04         NA       0.36       8.78         NA        XXX
                                                       dye.
70481...............  26............  A               Ct orbit/ear/fossa w/       1.38       0.47       0.47       0.06       1.92       1.92        XXX
                                                       dye.
70481...............  TC............  A               Ct orbit/ear/fossa w/       0.00       6.57         NA       0.30       6.87         NA        XXX
                                                       dye.
70482...............  ..............  A               Ct orbit/ear/fossa w/       1.45       8.49         NA       0.43      10.38         NA        XXX
                                                       o&w/dye.
70482...............  26............  A               Ct orbit/ear/fossa w/       1.45       0.50       0.50       0.06       2.02       2.02        XXX
                                                       o&w/dye.
70482...............  TC............  A               Ct orbit/ear/fossa w/       0.00       7.99         NA       0.37       8.36         NA        XXX
                                                       o&w/dye.
70486...............  ..............  A               Ct maxillofacial w/o        1.14       5.48         NA       0.30       6.93         NA        XXX
                                                       dye.
70486...............  26............  A               Ct maxillofacial w/o        1.14       0.39       0.39       0.05       1.58       1.58        XXX
                                                       dye.
70486...............  TC............  A               Ct maxillofacial w/o        0.00       5.09         NA       0.25       5.34         NA        XXX
                                                       dye.
70487...............  ..............  A               Ct maxillofacial w/         1.30       6.63         NA       0.36       8.30         NA        XXX
                                                       dye.
70487...............  26............  A               Ct maxillofacial w/         1.30       0.45       0.45       0.06       1.81       1.81        XXX
                                                       dye.
70487...............  TC............  A               Ct maxillofacial w/         0.00       6.18         NA       0.30       6.48         NA        XXX
                                                       dye.
70488...............  ..............  A               Ct maxillofacial w/o        1.42       8.20         NA       0.43      10.06         NA        XXX
                                                       & w/dye.
70488...............  26............  A               Ct maxillofacial w/o        1.42       0.49       0.49       0.06       1.97       1.97        XXX
                                                       & w/dye.
70488...............  TC............  A               Ct maxillofacial w/o        0.00       7.72         NA       0.37       8.09         NA        XXX
                                                       & w/dye.
70490...............  ..............  A               Ct soft tissue neck w/      1.28       5.44         NA       0.31       7.03         NA        XXX
                                                       o dye.
70490...............  26............  A               Ct soft tissue neck w/      1.28       0.44       0.44       0.06       1.78       1.78        XXX
                                                       o dye.
70490...............  TC............  A               Ct soft tissue neck w/      0.00       4.99         NA       0.25       5.24         NA        XXX
                                                       o dye.
70491...............  ..............  A               Ct soft tissue neck w/      1.38       6.59         NA       0.36       8.33         NA        XXX
                                                       dye.
70491...............  26............  A               Ct soft tissue neck w/      1.38       0.47       0.47       0.06       1.92       1.92        XXX
                                                       dye.
70491...............  TC............  A               Ct soft tissue neck w/      0.00       6.12         NA       0.30       6.42         NA        XXX
                                                       dye.
70492...............  ..............  A               Ct sft tsue nck w/o &       1.45       8.14         NA       0.43      10.02         NA        XXX
                                                       w/dye.
70492...............  26............  A               Ct sft tsue nck w/o &       1.45       0.50       0.50       0.06       2.01       2.01        XXX
                                                       w/dye.
70492...............  TC............  A               Ct sft tsue nck w/o &       0.00       7.64         NA       0.37       8.01         NA        XXX
                                                       w/dye.
70496...............  ..............  A               Ct angiography, head.       1.75      12.21         NA       0.66      14.63         NA        XXX
70496...............  26............  A               Ct angiography, head.       1.75       0.60       0.60       0.08       2.43       2.43        XXX
70496...............  TC............  A               Ct angiography, head.       0.00      11.62         NA       0.58      12.20         NA        XXX
70498...............  ..............  A               Ct angiography, neck.       1.75      12.31         NA       0.66      14.73         NA        XXX
70498...............  26............  A               Ct angiography, neck.       1.75       0.60       0.60       0.08       2.43       2.43        XXX

[[Page 45953]]

 
70498...............  TC............  A               Ct angiography, neck.       0.00      11.71         NA       0.58      12.29         NA        XXX
70540...............  ..............  A               Mri orbit/face/neck w/      1.35      12.19         NA       0.45      13.99         NA        XXX
                                                       o dye.
70540...............  26............  A               Mri orbit/face/neck w/      1.35       0.46       0.46       0.06       1.88       1.88        XXX
                                                       o dye.
70540...............  TC............  A               Mri orbit/face/neck w/      0.00      11.73         NA       0.39      12.12         NA        XXX
                                                       o dye.
70542...............  ..............  A               Mri orbit/face/neck w/      1.62      14.04         NA       0.54      16.20         NA        XXX
                                                       dye.
70542...............  26............  A               Mri orbit/face/neck w/      1.62       0.56       0.56       0.07       2.25       2.25        XXX
                                                       dye.
70542...............  TC............  A               Mri orbit/face/neck w/      0.00      13.48         NA       0.47      13.95         NA        XXX
                                                       dye.
70543...............  ..............  A               Mri orbt/fac/nck w/o        2.15      23.46         NA       0.94      26.55         NA        XXX
                                                       & w/dye.
70543...............  26............  A               Mri orbt/fac/nck w/o        2.15       0.74       0.74       0.10       3.00       3.00        XXX
                                                       & w/dye.
70543...............  TC............  A               Mri orbt/fac/nck w/o        0.00      22.71         NA       0.84      23.55         NA        XXX
                                                       & w/dye.
70544...............  ..............  A               Mr angiography head w/      1.20      12.25         NA       0.64      14.09         NA        XXX
                                                       o dye.
70544...............  26............  A               Mr angiography head w/      1.20       0.42       0.42       0.05       1.67       1.67        XXX
                                                       o dye.
70544...............  TC............  A               Mr angiography head w/      0.00      11.83         NA       0.59      12.42         NA        XXX
                                                       o dye.
70545...............  ..............  A               Mr angiography head w/      1.20      12.22         NA       0.64      14.06         NA        XXX
                                                       dye.
70545...............  26............  A               Mr angiography head w/      1.20       0.41       0.41       0.05       1.66       1.66        XXX
                                                       dye.
70545...............  TC............  A               Mr angiography head w/      0.00      11.81         NA       0.59      12.40         NA        XXX
                                                       dye.
70546...............  ..............  A               Mr angiograph head w/       1.80      22.67         NA       0.67      25.14         NA        XXX
                                                       o&w/dye.
70546...............  26............  A               Mr angiograph head w/       1.80       0.62       0.62       0.08       2.50       2.50        XXX
                                                       o&w/dye.
70546...............  TC............  A               Mr angiograph head w/       0.00      22.05         NA       0.59      22.64         NA        XXX
                                                       o&w/dye.
70547...............  ..............  A               Mr angiography neck w/      1.20      12.23         NA       0.64      14.08         NA        XXX
                                                       o dye.
70547...............  26............  A               Mr angiography neck w/      1.20       0.41       0.41       0.05       1.66       1.66        XXX
                                                       o dye.
70547...............  TC............  A               Mr angiography neck w/      0.00      11.82         NA       0.59      12.41         NA        XXX
                                                       o dye.
70548...............  ..............  A               Mr angiography neck w/      1.20      12.55         NA       0.64      14.39         NA        XXX
                                                       dye.
70548...............  26............  A               Mr angiography neck w/      1.20       0.41       0.41       0.05       1.66       1.66        XXX
                                                       dye.
70548...............  TC............  A               Mr angiography neck w/      0.00      12.13         NA       0.59      12.72         NA        XXX
                                                       dye.
70549...............  ..............  A               Mr angiograph neck w/       1.80      22.83         NA       0.67      25.30         NA        XXX
                                                       o&w/dye.
70549...............  26............  A               Mr angiograph neck w/       1.80       0.62       0.62       0.08       2.50       2.50        XXX
                                                       o&w/dye.
70549...............  TC............  A               Mr angiograph neck w/       0.00      22.21         NA       0.59      22.80         NA        XXX
                                                       o&w/dye.
70551...............  ..............  A               Mri brain w/o dye....       1.48      12.02         NA       0.66      14.16         NA        XXX
70551...............  26............  A               Mri brain w/o dye....       1.48       0.51       0.51       0.07       2.07       2.07        XXX
70551...............  TC............  A               Mri brain w/o dye....       0.00      11.51         NA       0.59      12.10         NA        XXX
70552...............  ..............  A               Mri brain w/dye......       1.78      14.21         NA       0.78      16.77         NA        XXX
70552...............  26............  A               Mri brain w/dye......       1.78       0.62       0.62       0.08       2.48       2.48        XXX
70552...............  TC............  A               Mri brain w/dye......       0.00      13.59         NA       0.70      14.29         NA        XXX
70553...............  ..............  A               Mri brain w/o & w/dye       2.36      23.54         NA       1.41      27.31         NA        XXX
70553...............  26............  A               Mri brain w/o & w/dye       2.36       0.82       0.82       0.10       3.28       3.28        XXX
70553...............  TC............  A               Mri brain w/o & w/dye       0.00      22.72         NA       1.31      24.03         NA        XXX
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....       2.91       1.16       1.16       0.08       4.15       4.15        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......       3.21       1.28       1.28       0.10       4.58       4.58        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/dye       0.00       0.00       0.00       0.00       0.00       0.00        XXX
70559...............  26............  A               Mri brain w/o & w/dye       3.21       1.27       1.27       0.12       4.60       4.60        XXX
70559...............  TC............  C               Mri brain w/o & w/dye       0.00       0.00       0.00       0.00       0.00       0.00        XXX
71010...............  ..............  A               Chest x-ray..........       0.18       0.50         NA       0.03       0.71         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       0.44         NA       0.02       0.46         NA        XXX
71015...............  ..............  A               Chest x-ray..........       0.21       0.55         NA       0.03       0.79         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       0.48         NA       0.02       0.50         NA        XXX
71020...............  ..............  A               Chest x-ray..........       0.22       0.68         NA       0.05       0.95         NA        XXX
71020...............  26............  A               Chest x-ray..........       0.22       0.08       0.08       0.01       0.31       0.31        XXX
71020...............  TC............  A               Chest x-ray..........       0.00       0.60         NA       0.04       0.64         NA        XXX
71021...............  ..............  A               Chest x-ray..........       0.27       0.81         NA       0.06       1.14         NA        XXX
71021...............  26............  A               Chest x-ray..........       0.27       0.10       0.10       0.01       0.38       0.38        XXX
71021...............  TC............  A               Chest x-ray..........       0.00       0.72         NA       0.05       0.77         NA        XXX
71022...............  ..............  A               Chest x-ray..........       0.31       0.83         NA       0.06       1.20         NA        XXX
71022...............  26............  A               Chest x-ray..........       0.31       0.11       0.11       0.01       0.43       0.43        XXX
71022...............  TC............  A               Chest x-ray..........       0.00       0.73         NA       0.05       0.78         NA        XXX
71023...............  ..............  A               Chest x-ray and             0.38       1.08         NA       0.06       1.52         NA        XXX
                                                       fluoroscopy.
71023...............  26............  A               Chest x-ray and             0.38       0.14       0.14       0.01       0.53       0.53        XXX
                                                       fluoroscopy.
71023...............  TC............  A               Chest x-ray and             0.00       0.94         NA       0.05       0.99         NA        XXX
                                                       fluoroscopy.
71030...............  ..............  A               Chest x-ray..........       0.31       0.92         NA       0.06       1.29         NA        XXX
71030...............  26............  A               Chest x-ray..........       0.31       0.11       0.11       0.01       0.43       0.43        XXX
71030...............  TC............  A               Chest x-ray..........       0.00       0.82         NA       0.05       0.87         NA        XXX
71034...............  ..............  A               Chest x-ray and             0.46       1.72         NA       0.10       2.28         NA        XXX
                                                       fluoroscopy.
71034...............  26............  A               Chest x-ray and             0.46       0.17       0.17       0.02       0.65       0.65        XXX
                                                       fluoroscopy.
71034...............  TC............  A               Chest x-ray and             0.00       1.55         NA       0.08       1.63         NA        XXX
                                                       fluoroscopy.
71035...............  ..............  A               Chest x-ray..........       0.18       0.66         NA       0.03       0.87         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       0.59         NA       0.02       0.61         NA        XXX
71040...............  ..............  A               Contrast x-ray of           0.58       1.86         NA       0.11       2.55         NA        XXX
                                                       bronchi.

[[Page 45954]]

 
71040...............  26............  A               Contrast x-ray of           0.58       0.20       0.20       0.03       0.81       0.81        XXX
                                                       bronchi.
71040...............  TC............  A               Contrast x-ray of           0.00       1.66         NA       0.08       1.74         NA        XXX
                                                       bronchi.
71060...............  ..............  A               Contrast x-ray of           0.74       2.68         NA       0.16       3.58         NA        XXX
                                                       bronchi.
71060...............  26............  A               Contrast x-ray of           0.74       0.25       0.25       0.03       1.02       1.02        XXX
                                                       bronchi.
71060...............  TC............  A               Contrast x-ray of           0.00       2.42         NA       0.13       2.55         NA        XXX
                                                       bronchi.
71090...............  ..............  A               X-ray & pacemaker           0.54         NA         NA       0.13         NA         NA        XXX
                                                       insertion.
71090...............  26............  A               X-ray & pacemaker           0.54       0.22       0.22       0.02       0.78       0.78        XXX
                                                       insertion.
71090...............  TC............  A               X-ray & pacemaker           0.00         NA         NA       0.11         NA         NA        XXX
                                                       insertion.
71100...............  ..............  A               X-ray exam of ribs...       0.22       0.65         NA       0.05       0.92         NA        XXX
71100...............  26............  A               X-ray exam of ribs...       0.22       0.08       0.08       0.01       0.31       0.31        XXX
71100...............  TC............  A               X-ray exam of ribs...       0.00       0.58         NA       0.04       0.62         NA        XXX
71101...............  ..............  A               X-ray exam of ribs/         0.27       0.78         NA       0.05       1.10         NA        XXX
                                                       chest.
71101...............  26............  A               X-ray exam of ribs/         0.27       0.10       0.10       0.01       0.38       0.38        XXX
                                                       chest.
71101...............  TC............  A               X-ray exam of ribs/         0.00       0.68         NA       0.04       0.72         NA        XXX
                                                       chest.
71110...............  ..............  A               X-ray exam of ribs...       0.27       0.87         NA       0.06       1.20         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       0.77         NA       0.05       0.82         NA        XXX
71111...............  ..............  A               X-ray exam of ribs/         0.32       1.03         NA       0.07       1.43         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       0.93         NA       0.06       0.99         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       0.64         NA       0.04       0.68         NA        XXX
                                                       breastbone.
71130...............  ..............  A               X-ray exam of               0.22       0.79         NA       0.05       1.06         NA        XXX
                                                       breastbone.
71130...............  26............  A               X-ray exam of               0.22       0.08       0.08       0.01       0.31       0.31        XXX
                                                       breastbone.
71130...............  TC............  A               X-ray exam of               0.00       0.72         NA       0.04       0.76         NA        XXX
                                                       breastbone.
71250...............  ..............  A               Ct thorax w/o dye....       1.16       6.29         NA       0.36       7.81         NA        XXX
71250...............  26............  A               Ct thorax w/o dye....       1.16       0.40       0.40       0.05       1.61       1.61        XXX
71250...............  TC............  A               Ct thorax w/o dye....       0.00       5.89         NA       0.31       6.20         NA        XXX
71260...............  ..............  A               Ct thorax w/dye......       1.24       7.63         NA       0.42       9.30         NA        XXX
71260...............  26............  A               Ct thorax w/dye......       1.24       0.43       0.43       0.05       1.72       1.72        XXX
71260...............  TC............  A               Ct thorax w/dye......       0.00       7.20         NA       0.37       7.57         NA        XXX
71270...............  ..............  A               Ct thorax w/o & w/dye       1.38       9.45         NA       0.52      11.35         NA        XXX
71270...............  26............  A               Ct thorax w/o & w/dye       1.38       0.47       0.47       0.06       1.92       1.92        XXX
71270...............  TC............  A               Ct thorax w/o & w/dye       0.00       8.98         NA       0.46       9.44         NA        XXX
71275...............  ..............  A               Ct angiography, chest       1.92      12.83         NA       0.48      15.23         NA        XXX
71275...............  26............  A               Ct angiography, chest       1.92       0.66       0.66       0.09       2.68       2.68        XXX
71275...............  TC............  A               Ct angiography, chest       0.00      12.17         NA       0.39      12.56         NA        XXX
71550...............  ..............  A               Mri chest w/o dye....       1.46      12.57         NA       0.51      14.55         NA        XXX
71550...............  26............  A               Mri chest w/o dye....       1.46       0.50       0.50       0.06       2.03       2.03        XXX
71550...............  TC............  A               Mri chest w/o dye....       0.00      12.07         NA       0.45      12.52         NA        XXX
71551...............  ..............  A               Mri chest w/dye......       1.73      14.97         NA       0.60      17.30         NA        XXX
71551...............  26............  A               Mri chest w/dye......       1.73       0.60       0.60       0.08       2.41       2.41        XXX
71551...............  TC............  A               Mri chest w/dye......       0.00      14.37         NA       0.52      14.89         NA        XXX
71552...............  ..............  A               Mri chest w/o & w/dye       2.26      24.34         NA       0.78      27.38         NA        XXX
71552...............  26............  A               Mri chest w/o & w/dye       2.26       0.78       0.78       0.10       3.14       3.14        XXX
71552...............  TC............  A               Mri chest w/o & w/dye       0.00      23.56         NA       0.68      24.24         NA        XXX
71555...............  ..............  R               Mri angio chest w or        1.81      12.49         NA       0.67      14.97         NA        XXX
                                                       w/o dye.
71555...............  26............  R               Mri angio chest w or        1.81       0.63       0.63       0.08       2.52       2.52        XXX
                                                       w/o dye.
71555...............  TC............  R               Mri angio chest w or        0.00      11.86         NA       0.59      12.45         NA        XXX
                                                       w/o dye.
72010...............  ..............  A               X-ray exam of spine..       0.45       1.29         NA       0.08       1.82         NA        XXX
72010...............  26............  A               X-ray exam of spine..       0.45       0.16       0.16       0.02       0.63       0.63        XXX
72010...............  TC............  A               X-ray exam of spine..       0.00       1.13         NA       0.06       1.19         NA        XXX
72020...............  ..............  A               X-ray exam of spine..       0.15       0.48         NA       0.03       0.66         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       0.43         NA       0.02       0.45         NA        XXX
72040...............  ..............  A               X-ray exam of neck          0.22       0.71         NA       0.05       0.98         NA        XXX
                                                       spine.
72040...............  26............  A               X-ray exam of neck          0.22       0.08       0.08       0.01       0.31       0.31        XXX
                                                       spine.
72040...............  TC............  A               X-ray exam of neck          0.00       0.63         NA       0.04       0.67         NA        XXX
                                                       spine.
72050...............  ..............  A               X-ray exam of neck          0.31       1.04         NA       0.07       1.42         NA        XXX
                                                       spine.
72050...............  26............  A               X-ray exam of neck          0.31       0.11       0.11       0.01       0.43       0.43        XXX
                                                       spine.
72050...............  TC............  A               X-ray exam of neck          0.00       0.93         NA       0.06       0.99         NA        XXX
                                                       spine.
72052...............  ..............  A               X-ray exam of neck          0.36       1.32         NA       0.08       1.76         NA        XXX
                                                       spine.
72052...............  26............  A               X-ray exam of neck          0.36       0.13       0.13       0.02       0.51       0.51        XXX
                                                       spine.
72052...............  TC............  A               X-ray exam of neck          0.00       1.20         NA       0.06       1.26         NA        XXX
                                                       spine.
72069...............  ..............  A               X-ray exam of trunk         0.22       0.64         NA       0.03       0.89         NA        XXX
                                                       spine.
72069...............  26............  A               X-ray exam of trunk         0.22       0.08       0.08       0.01       0.31       0.31        XXX
                                                       spine.
72069...............  TC............  A               X-ray exam of trunk         0.00       0.56         NA       0.02       0.58         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       0.08       0.08       0.01       0.31       0.31        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       0.82         NA       0.06       1.10         NA        XXX
                                                       thoracic spine.
72072...............  26............  A               X-ray exam of               0.22       0.08       0.08       0.01       0.31       0.31        XXX
                                                       thoracic spine.
72072...............  TC............  A               X-ray exam of               0.00       0.75         NA       0.05       0.80         NA        XXX
                                                       thoracic spine.

[[Page 45955]]

 
72074...............  ..............  A               X-ray exam of               0.22       1.00         NA       0.07       1.29         NA        XXX
                                                       thoracic spine.
72074...............  26............  A               X-ray exam of               0.22       0.08       0.08       0.01       0.31       0.31        XXX
                                                       thoracic spine.
72074...............  TC............  A               X-ray exam of               0.00       0.93         NA       0.06       0.99         NA        XXX
                                                       thoracic spine.
72080...............  ..............  A               X-ray exam of trunk         0.22       0.74         NA       0.05       1.01         NA        XXX
                                                       spine.
72080...............  26............  A               X-ray exam of trunk         0.22       0.08       0.08       0.01       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       0.85         NA       0.05       1.18         NA        XXX
                                                       spine.
72090...............  26............  A               X-ray exam of trunk         0.28       0.10       0.10       0.01       0.39       0.39        XXX
                                                       spine.
72090...............  TC............  A               X-ray exam of trunk         0.00       0.76         NA       0.04       0.80         NA        XXX
                                                       spine.
72100...............  ..............  A               X-ray exam of lower         0.22       0.77         NA       0.05       1.04         NA        XXX
                                                       spine.
72100...............  26............  A               X-ray exam of lower         0.22       0.08       0.08       0.01       0.31       0.31        XXX
                                                       spine.
72100...............  TC............  A               X-ray exam of lower         0.00       0.70         NA       0.04       0.74         NA        XXX
                                                       spine.
72110...............  ..............  A               X-ray exam of lower         0.31       1.08         NA       0.07       1.46         NA        XXX
                                                       spine.
72110...............  26............  A               X-ray exam of lower         0.31       0.11       0.11       0.01       0.43       0.43        XXX
                                                       spine.
72110...............  TC............  A               X-ray exam of lower         0.00       0.97         NA       0.06       1.03         NA        XXX
                                                       spine.
72114...............  ..............  A               X-ray exam of lower         0.36       1.41         NA       0.08       1.85         NA        XXX
                                                       spine.
72114...............  26............  A               X-ray exam of lower         0.36       0.13       0.13       0.02       0.51       0.51        XXX
                                                       spine.
72114...............  TC............  A               X-ray exam of lower         0.00       1.29         NA       0.06       1.35         NA        XXX
                                                       spine.
72120...............  ..............  A               X-ray exam of lower         0.22       1.00         NA       0.07       1.29         NA        XXX
                                                       spine.
72120...............  26............  A               X-ray exam of lower         0.22       0.07       0.07       0.01       0.30       0.30        XXX
                                                       spine.
72120...............  TC............  A               X-ray exam of lower         0.00       0.93         NA       0.06       0.99         NA        XXX
                                                       spine.
72125...............  ..............  A               Ct neck spine w/o dye       1.16       6.29         NA       0.36       7.81         NA        XXX
72125...............  26............  A               Ct neck spine w/o dye       1.16       0.40       0.40       0.05       1.61       1.61        XXX
72125...............  TC............  A               Ct neck spine w/o dye       0.00       5.89         NA       0.31       6.20         NA        XXX
72126...............  ..............  A               Ct neck spine w/dye..       1.22       7.60         NA       0.42       9.25         NA        XXX
72126...............  26............  A               Ct neck spine w/dye..       1.22       0.42       0.42       0.05       1.69       1.69        XXX
72126...............  TC............  A               Ct neck spine w/dye..       0.00       7.18         NA       0.37       7.55         NA        XXX
72127...............  ..............  A               Ct neck spine w/o & w/      1.27       9.40         NA       0.52      11.19         NA        XXX
                                                       dye.
72127...............  26............  A               Ct neck spine w/o & w/      1.27       0.44       0.44       0.06       1.77       1.77        XXX
                                                       dye.
72127...............  TC............  A               Ct neck spine w/o & w/      0.00       8.96         NA       0.46       9.42         NA        XXX
                                                       dye.
72128...............  ..............  A               Ct chest spine w/o          1.16       6.29         NA       0.36       7.81         NA        XXX
                                                       dye.
72128...............  26............  A               Ct chest spine w/o          1.16       0.40       0.40       0.05       1.61       1.61        XXX
                                                       dye.
72128...............  TC............  A               Ct chest spine w/o          0.00       5.89         NA       0.31       6.20         NA        XXX
                                                       dye.
72129...............  ..............  A               Ct chest spine w/dye.       1.22       7.58         NA       0.42       9.22         NA        XXX
72129...............  26............  A               Ct chest spine w/dye.       1.22       0.42       0.42       0.05       1.69       1.69        XXX
72129...............  TC............  A               Ct chest spine w/dye.       0.00       7.15         NA       0.37       7.52         NA        XXX
72130...............  ..............  A               Ct chest spine w/o &        1.27       9.44         NA       0.52      11.23         NA        XXX
                                                       w/dye.
72130...............  26............  A               Ct chest spine w/o &        1.27       0.44       0.44       0.06       1.77       1.77        XXX
                                                       w/dye.
72130...............  TC............  A               Ct chest spine w/o &        0.00       9.00         NA       0.46       9.46         NA        XXX
                                                       w/dye.
72131...............  ..............  A               Ct lumbar spine w/o         1.16       6.30         NA       0.36       7.82         NA        XXX
                                                       dye.
72131...............  26............  A               Ct lumbar spine w/o         1.16       0.40       0.40       0.05       1.61       1.61        XXX
                                                       dye.
72131...............  TC............  A               Ct lumbar spine w/o         0.00       5.90         NA       0.31       6.21         NA        XXX
                                                       dye.
72132...............  ..............  A               Ct lumbar spine w/dye       1.22       7.57         NA       0.42       9.22         NA        XXX
72132...............  26............  A               Ct lumbar spine w/dye       1.22       0.42       0.42       0.05       1.69       1.69        XXX
72132...............  TC............  A               Ct lumbar spine w/dye       0.00       7.15         NA       0.37       7.52         NA        XXX
72133...............  ..............  A               Ct lumbar spine w/o &       1.27       9.42         NA       0.52      11.22         NA        XXX
                                                       w/dye.
72133...............  26............  A               Ct lumbar spine w/o &       1.27       0.44       0.44       0.06       1.77       1.77        XXX
                                                       w/dye.
72133...............  TC............  A               Ct lumbar spine w/o &       0.00       8.98         NA       0.46       9.44         NA        XXX
                                                       w/dye.
72141...............  ..............  A               Mri neck spine w/o          1.60      11.72         NA       0.66      13.99         NA        XXX
                                                       dye.
72141...............  26............  A               Mri neck spine w/o          1.60       0.56       0.56       0.07       2.23       2.23        XXX
                                                       dye.
72141...............  TC............  A               Mri neck spine w/o          0.00      11.17         NA       0.59      11.76         NA        XXX
                                                       dye.
72142...............  ..............  A               Mri neck spine w/dye.       1.92      14.23         NA       0.79      16.94         NA        XXX
72142...............  26............  A               Mri neck spine w/dye.       1.92       0.67       0.67       0.09       2.68       2.68        XXX
72142...............  TC............  A               Mri neck spine w/dye.       0.00      13.56         NA       0.70      14.26         NA        XXX
72146...............  ..............  A               Mri chest spine w/o         1.60      12.68         NA       0.71      14.99         NA        XXX
                                                       dye.
72146...............  26............  A               Mri chest spine w/o         1.60       0.56       0.56       0.07       2.23       2.23        XXX
                                                       dye.
72146...............  TC............  A               Mri chest spine w/o         0.00      12.12         NA       0.64      12.76         NA        XXX
                                                       dye.
72147...............  ..............  A               Mri chest spine w/dye       1.92      13.76         NA       0.79      16.48         NA        XXX
72147...............  26............  A               Mri chest spine w/dye       1.92       0.66       0.66       0.09       2.68       2.68        XXX
72147...............  TC............  A               Mri chest spine w/dye       0.00      13.10         NA       0.70      13.80         NA        XXX
72148...............  ..............  A               Mri lumbar spine w/o        1.48      12.61         NA       0.71      14.80         NA        XXX
                                                       dye.
72148...............  26............  A               Mri lumbar spine w/o        1.48       0.51       0.51       0.07       2.07       2.07        XXX
                                                       dye.
72148...............  TC............  A               Mri lumbar spine w/o        0.00      12.10         NA       0.64      12.74         NA        XXX
                                                       dye.
72149...............  ..............  A               Mri lumbar spine w/         1.78      14.26         NA       0.78      16.82         NA        XXX
                                                       dye.
72149...............  26............  A               Mri lumbar spine w/         1.78       0.63       0.63       0.08       2.49       2.49        XXX
                                                       dye.
72149...............  TC............  A               Mri lumbar spine w/         0.00      13.63         NA       0.70      14.33         NA        XXX
                                                       dye.
72156...............  ..............  A               Mri neck spine w/o &        2.58      23.52         NA       1.42      27.52         NA        XXX
                                                       w/dye.
72156...............  26............  A               Mri neck spine w/o &        2.58       0.89       0.89       0.11       3.57       3.57        XXX
                                                       w/dye.
72156...............  TC............  A               Mri neck spine w/o &        0.00      22.63         NA       1.31      23.94         NA        XXX
                                                       w/dye.
72157...............  ..............  A               Mri chest spine w/o &       2.58      23.15         NA       1.42      27.15         NA        XXX
                                                       w/dye.
72157...............  26............  A               Mri chest spine w/o &       2.58       0.88       0.88       0.11       3.57       3.57        XXX
                                                       w/dye.
72157...............  TC............  A               Mri chest spine w/o &       0.00      22.27         NA       1.31      23.58         NA        XXX
                                                       w/dye.
72158...............  ..............  A               Mri lumbar spine w/o        2.36      23.45         NA       1.41      27.22         NA        XXX
                                                       & w/dye.
72158...............  26............  A               Mri lumbar spine w/o        2.36       0.82       0.82       0.10       3.28       3.28        XXX
                                                       & w/dye.

[[Page 45956]]

 
72158...............  TC............  A               Mri lumbar spine w/o        0.00      22.63         NA       1.31      23.94         NA        XXX
                                                       & w/dye.
72159...............  ..............  N               Mr angio spine w/o&w/       1.80      13.69         NA       0.74      16.23         NA        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      13.00         NA       0.64      13.64         NA        XXX
                                                       dye.
72170...............  ..............  A               X-ray exam of pelvis.       0.17       0.57         NA       0.03       0.77         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       0.51         NA       0.02       0.53         NA        XXX
72190...............  ..............  A               X-ray exam of pelvis.       0.21       0.78         NA       0.05       1.04         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       0.71         NA       0.04       0.75         NA        XXX
72191...............  ..............  A               Ct angiograph pelv w/       1.81      12.28         NA       0.47      14.56         NA        XXX
                                                       o&w/dye.
72191...............  26............  A               Ct angiograph pelv w/       1.81       0.62       0.62       0.08       2.52       2.52        XXX
                                                       o&w/dye.
72191...............  TC............  A               Ct angiograph pelv w/       0.00      11.66         NA       0.39      12.05         NA        XXX
                                                       o&w/dye.
72192...............  ..............  A               Ct pelvis w/o dye....       1.09       6.18         NA       0.36       7.63         NA        XXX
72192...............  26............  A               Ct pelvis w/o dye....       1.09       0.38       0.38       0.05       1.52       1.52        XXX
72192...............  TC............  A               Ct pelvis w/o dye....       0.00       5.80         NA       0.31       6.11         NA        XXX
72193...............  ..............  A               Ct pelvis w/dye......       1.16       7.32         NA       0.41       8.89         NA        XXX
72193...............  26............  A               Ct pelvis w/dye......       1.16       0.40       0.40       0.05       1.61       1.61        XXX
72193...............  TC............  A               Ct pelvis w/dye......       0.00       6.92         NA       0.36       7.28         NA        XXX
72194...............  ..............  A               Ct pelvis w/o & w/dye       1.22       9.11         NA       0.48      10.81         NA        XXX
72194...............  26............  A               Ct pelvis w/o & w/dye       1.22       0.42       0.42       0.05       1.69       1.69        XXX
72194...............  TC............  A               Ct pelvis w/o & w/dye       0.00       8.69         NA       0.43       9.12         NA        XXX
72195...............  ..............  A               Mri pelvis w/o dye...       1.46      12.01         NA       0.51      13.98         NA        XXX
72195...............  26............  A               Mri pelvis w/o dye...       1.46       0.50       0.50       0.06       2.03       2.03        XXX
72195...............  TC............  A               Mri pelvis w/o dye...       0.00      11.50         NA       0.45      11.95         NA        XXX
72196...............  ..............  A               Mri pelvis w/dye.....       1.73      14.11         NA       0.60      16.44         NA        XXX
72196...............  26............  A               Mri pelvis w/dye.....       1.73       0.60       0.60       0.08       2.41       2.41        XXX
72196...............  TC............  A               Mri pelvis w/dye.....       0.00      13.51         NA       0.52      14.03         NA        XXX
72197...............  ..............  A               Mri pelvis w/o & w/         2.26      23.58         NA       1.02      26.87         NA        XXX
                                                       dye.
72197...............  26............  A               Mri pelvis w/o & w/         2.26       0.78       0.78       0.10       3.14       3.14        XXX
                                                       dye.
72197...............  TC............  A               Mri pelvis w/o & w/         0.00      22.81         NA       0.92      23.73         NA        XXX
                                                       dye.
72198...............  ..............  A               Mr angio pelvis w/o &       1.80      12.37         NA       0.67      14.85         NA        XXX
                                                       w/dye.
72198...............  26............  A               Mr angio pelvis w/o &       1.80       0.62       0.62       0.08       2.50       2.50        XXX
                                                       w/dye.
72198...............  TC............  A               Mr angio pelvis w/o &       0.00      11.75         NA       0.59      12.34         NA        XXX
                                                       w/dye.
72200...............  ..............  A               X-ray exam sacroiliac       0.17       0.61         NA       0.03       0.81         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       0.54         NA       0.02       0.56         NA        XXX
                                                       joints.
72202...............  ..............  A               X-ray exam sacroiliac       0.19       0.72         NA       0.05       0.96         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       0.66         NA       0.04       0.70         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       4.45         NA       0.29       5.66         NA        XXX
                                                       neck spine.
72240...............  26............  A               Contrast x-ray of           0.91       0.30       0.30       0.04       1.25       1.25        XXX
                                                       neck spine.
72240...............  TC............  A               Contrast x-ray of           0.00       4.15         NA       0.25       4.40         NA        XXX
                                                       neck spine.
72255...............  ..............  A               Contrast x-ray,             0.91       4.03         NA       0.26       5.20         NA        XXX
                                                       thorax spine.
72255...............  26............  A               Contrast x-ray,             0.91       0.28       0.28       0.04       1.23       1.23        XXX
                                                       thorax spine.
72255...............  TC............  A               Contrast x-ray,             0.00       3.74         NA       0.22       3.96         NA        XXX
                                                       thorax spine.
72265...............  ..............  A               Contrast x-ray, lower       0.83       3.91         NA       0.26       5.00         NA        XXX
                                                       spine.
72265...............  26............  A               Contrast x-ray, lower       0.83       0.26       0.26       0.04       1.13       1.13        XXX
                                                       spine.
72265...............  TC............  A               Contrast x-ray, lower       0.00       3.65         NA       0.22       3.87         NA        XXX
                                                       spine.
72270...............  ..............  A               Contrast x-ray, spine       1.33       5.96         NA       0.39       7.68         NA        XXX
72270...............  26............  A               Contrast x-ray, spine       1.33       0.44       0.44       0.06       1.83       1.83        XXX
72270...............  TC............  A               Contrast x-ray, spine       0.00       5.52         NA       0.33       5.85         NA        XXX
72275...............  ..............  A               Epidurography........       0.76       2.22         NA       0.26       3.25         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       2.03         NA       0.22       2.25         NA        XXX
72285...............  ..............  A               X-ray c/t spine disk.       1.16       7.10         NA       0.50       8.76         NA        XXX
72285...............  26............  A               X-ray c/t spine disk.       1.16       0.37       0.37       0.07       1.60       1.60        XXX
72285...............  TC............  A               X-ray c/t spine disk.       0.00       6.73         NA       0.43       7.16         NA        XXX
72295...............  ..............  A               X-ray of lower spine        0.83       6.61         NA       0.46       7.90         NA        XXX
                                                       disk.
72295...............  26............  A               X-ray of lower spine        0.83       0.28       0.28       0.06       1.17       1.17        XXX
                                                       disk.
72295...............  TC............  A               X-ray of lower spine        0.00       6.34         NA       0.40       6.74         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       0.59         NA       0.03       0.79         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       0.51         NA       0.03       0.69         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       0.45         NA       0.02       0.47         NA        XXX
                                                       shoulder.
73030...............  ..............  A               X-ray exam of               0.18       0.62         NA       0.05       0.85         NA        XXX
                                                       shoulder.

[[Page 45957]]

 
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       0.56         NA       0.04       0.60         NA        XXX
                                                       shoulder.
73040...............  ..............  A               Contrast x-ray of           0.54       2.30         NA       0.14       2.99         NA        XXX
                                                       shoulder.
73040...............  26............  A               Contrast x-ray of           0.54       0.19       0.19       0.02       0.75       0.75        XXX
                                                       shoulder.
73040...............  TC............  A               Contrast x-ray of           0.00       2.11         NA       0.12       2.23         NA        XXX
                                                       shoulder.
73050...............  ..............  A               X-ray exam of               0.20       0.74         NA       0.05       0.99         NA        XXX
                                                       shoulders.
73050...............  26............  A               X-ray exam of               0.20       0.07       0.07       0.01       0.28       0.28        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       0.67         NA       0.05       0.89         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       0.61         NA       0.04       0.65         NA        XXX
73085...............  ..............  A               Contrast x-ray of           0.54       2.20         NA       0.14       2.88         NA        XXX
                                                       elbow.
73085...............  26............  A               Contrast x-ray of           0.54       0.19       0.19       0.02       0.75       0.75        XXX
                                                       elbow.
73085...............  TC............  A               Contrast x-ray of           0.00       2.01         NA       0.12       2.13         NA        XXX
                                                       elbow.
73090...............  ..............  A               X-ray exam of forearm       0.16       0.58         NA       0.03       0.77         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       0.53         NA       0.02       0.55         NA        XXX
73092...............  ..............  A               X-ray exam of arm,          0.16       0.56         NA       0.03       0.75         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       0.51         NA       0.02       0.53         NA        XXX
                                                       infant.
73100...............  ..............  A               X-ray exam of wrist..       0.16       0.55         NA       0.03       0.74         NA        XXX
73100...............  26............  A               X-ray exam of wrist..       0.16       0.05       0.05       0.01       0.22       0.22        XXX
73100...............  TC............  A               X-ray exam of wrist..       0.00       0.50         NA       0.02       0.52         NA        XXX
73110...............  ..............  A               X-ray exam of wrist..       0.17       0.65         NA       0.03       0.85         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       0.59         NA       0.02       0.61         NA        XXX
73115...............  ..............  A               Contrast x-ray of           0.54       1.95         NA       0.12       2.61         NA        XXX
                                                       wrist.
73115...............  26............  A               Contrast x-ray of           0.54       0.19       0.19       0.02       0.75       0.75        XXX
                                                       wrist.
73115...............  TC............  A               Contrast x-ray of           0.00       1.76         NA       0.10       1.86         NA        XXX
                                                       wrist.
73120...............  ..............  A               X-ray exam of hand...       0.16       0.56         NA       0.03       0.75         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       0.51         NA       0.02       0.53         NA        XXX
73130...............  ..............  A               X-ray exam of hand...       0.17       0.62         NA       0.03       0.82         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       0.56         NA       0.02       0.58         NA        XXX
73140...............  ..............  A               X-ray exam of               0.13       0.52         NA       0.03       0.68         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       0.47         NA       0.02       0.49         NA        XXX
                                                       finger(s).
73200...............  ..............  A               Ct upper extremity w/       1.09       5.54         NA       0.30       6.93         NA        XXX
                                                       o dye.
73200...............  26............  A               Ct upper extremity w/       1.09       0.38       0.38       0.05       1.52       1.52        XXX
                                                       o dye.
73200...............  TC............  A               Ct upper extremity w/       0.00       5.16         NA       0.25       5.41         NA        XXX
                                                       o dye.
73201...............  ..............  A               Ct upper extremity w/       1.16       6.72         NA       0.36       8.24         NA        XXX
                                                       dye.
73201...............  26............  A               Ct upper extremity w/       1.16       0.40       0.40       0.05       1.61       1.61        XXX
                                                       dye.
73201...............  TC............  A               Ct upper extremity w/       0.00       6.32         NA       0.31       6.63         NA        XXX
                                                       dye.
73202...............  ..............  A               Ct uppr extremity w/        1.22       8.51         NA       0.44      10.17         NA        XXX
                                                       o&w/dye.
73202...............  26............  A               Ct uppr extremity w/        1.22       0.42       0.42       0.05       1.69       1.69        XXX
                                                       o&w/dye.
73202...............  TC............  A               Ct uppr extremity w/        0.00       8.09         NA       0.39       8.48         NA        XXX
                                                       o&w/dye.
73206...............  ..............  A               Ct angio upr extrm w/       1.81      11.18         NA       0.47      13.47         NA        XXX
                                                       o&w/dye.
73206...............  26............  A               Ct angio upr extrm w/       1.81       0.62       0.62       0.08       2.51       2.51        XXX
                                                       o&w/dye.
73206...............  TC............  A               Ct angio upr extrm w/       0.00      10.56         NA       0.39      10.95         NA        XXX
                                                       o&w/dye.
73218...............  ..............  A               Mri upper extremity w/      1.35      11.98         NA       0.45      13.78         NA        XXX
                                                       o dye.
73218...............  26............  A               Mri upper extremity w/      1.35       0.46       0.46       0.06       1.88       1.88        XXX
                                                       o dye.
73218...............  TC............  A               Mri upper extremity w/      0.00      11.52         NA       0.39      11.91         NA        XXX
                                                       o dye.
73219...............  ..............  A               Mri upper extremity w/      1.62      14.47         NA       0.54      16.63         NA        XXX
                                                       dye.
73219...............  26............  A               Mri upper extremity w/      1.62       0.56       0.56       0.07       2.26       2.26        XXX
                                                       dye.
73219...............  TC............  A               Mri upper extremity w/      0.00      13.90         NA       0.47      14.37         NA        XXX
                                                       dye.
73220...............  ..............  A               Mri uppr extremity w/       2.15      23.76         NA       0.94      26.86         NA        XXX
                                                       o&w/dye.
73220...............  26............  A               Mri uppr extremity w/       2.15       0.75       0.75       0.10       3.00       3.00        XXX
                                                       o&w/dye.
73220...............  TC............  A               Mri uppr extremity w/       0.00      23.02         NA       0.84      23.86         NA        XXX
                                                       o&w/dye.
73221...............  ..............  A               Mri joint upr extrem        1.35      11.84         NA       0.45      13.64         NA        XXX
                                                       w/o dye.
73221...............  26............  A               Mri joint upr extrem        1.35       0.46       0.46       0.06       1.88       1.88        XXX
                                                       w/o dye.
73221...............  TC............  A               Mri joint upr extrem        0.00      11.38         NA       0.39      11.77         NA        XXX
                                                       w/o dye.
73222...............  ..............  A               Mri joint upr extrem        1.62      13.74         NA       0.54      15.91         NA        XXX
                                                       w/dye.
73222...............  26............  A               Mri joint upr extrem        1.62       0.56       0.56       0.07       2.25       2.25        XXX
                                                       w/dye.
73222...............  TC............  A               Mri joint upr extrem        0.00      13.18         NA       0.47      13.65         NA        XXX
                                                       w/dye.
73223...............  ..............  A               Mri joint upr extr w/       2.15      23.20         NA       0.94      26.30         NA        XXX
                                                       o&w/dye.
73223...............  26............  A               Mri joint upr extr w/       2.15       0.74       0.74       0.10       3.00       3.00        XXX
                                                       o&w/dye.
73223...............  TC............  A               Mri joint upr extr w/       0.00      22.46         NA       0.84      23.30         NA        XXX
                                                       o&w/dye.

[[Page 45958]]

 
73225...............  ..............  N               Mr angio upr extr w/        1.73      12.75         NA       0.69      15.17         NA        XXX
                                                       o&w/dye.
73225...............  26............  N               Mr angio upr extr w/        1.73       0.66       0.66       0.10       2.50       2.50        XXX
                                                       o&w/dye.
73225...............  TC............  N               Mr angio upr extr w/        0.00      12.09         NA       0.59      12.68         NA        XXX
                                                       o&w/dye.
73500...............  ..............  A               X-ray exam of hip....       0.17       0.52         NA       0.03       0.72         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       0.46         NA       0.02       0.48         NA        XXX
73510...............  ..............  A               X-ray exam of hip....       0.21       0.69         NA       0.05       0.95         NA        XXX
73510...............  26............  A               X-ray exam of hip....       0.21       0.07       0.07       0.01       0.29       0.29        XXX
73510...............  TC............  A               X-ray exam of hip....       0.00       0.61         NA       0.04       0.65         NA        XXX
73520...............  ..............  A               X-ray exam of hips...       0.26       0.78         NA       0.05       1.09         NA        XXX
73520...............  26............  A               X-ray exam of hips...       0.26       0.09       0.09       0.01       0.36       0.36        XXX
73520...............  TC............  A               X-ray exam of hips...       0.00       0.69         NA       0.04       0.73         NA        XXX
73525...............  ..............  A               Contrast x-ray of hip       0.54       2.24         NA       0.15       2.94         NA        XXX
73525...............  26............  A               Contrast x-ray of hip       0.54       0.19       0.19       0.03       0.76       0.76        XXX
73525...............  TC............  A               Contrast x-ray of hip       0.00       2.06         NA       0.12       2.18         NA        XXX
73530...............  ..............  A               X-ray exam of hip....       0.29         NA         NA       0.03         NA         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         NA         NA       0.02         NA         NA        XXX
73540...............  ..............  A               X-ray exam of pelvis        0.20       0.67         NA       0.05       0.92         NA        XXX
                                                       & hips.
73540...............  26............  A               X-ray exam of pelvis        0.20       0.07       0.07       0.01       0.28       0.28        XXX
                                                       & hips.
73540...............  TC............  A               X-ray exam of pelvis        0.00       0.60         NA       0.04       0.64         NA        XXX
                                                       & hips.
73542...............  ..............  A               X-ray exam,                 0.59       2.05         NA       0.15       2.79         NA        XXX
                                                       sacroiliac joint.
73542...............  26............  A               X-ray exam,                 0.59       0.16       0.16       0.03       0.78       0.78        XXX
                                                       sacroiliac joint.
73542...............  TC............  A               X-ray exam,                 0.00       1.89         NA       0.12       2.01         NA        XXX
                                                       sacroiliac joint.
73550...............  ..............  A               X-ray exam of thigh..       0.17       0.62         NA       0.05       0.84         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       0.56         NA       0.04       0.60         NA        XXX
73560...............  ..............  A               X-ray exam of knee, 1       0.17       0.59         NA       0.03       0.79         NA        XXX
                                                       or 2.
73560...............  26............  A               X-ray exam of knee, 1       0.17       0.06       0.06       0.01       0.24       0.24        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       0.66         NA       0.05       0.89         NA        XXX
73562...............  26............  A               X-ray exam of knee, 3       0.18       0.06       0.06       0.01       0.25       0.25        XXX
73562...............  TC............  A               X-ray exam of knee, 3       0.00       0.59         NA       0.04       0.63         NA        XXX
73564...............  ..............  A               X-ray exam, knee, 4         0.22       0.74         NA       0.05       1.01         NA        XXX
                                                       or more.
73564...............  26............  A               X-ray exam, knee, 4         0.22       0.08       0.08       0.01       0.31       0.31        XXX
                                                       or more.
73564...............  TC............  A               X-ray exam, knee, 4         0.00       0.67         NA       0.04       0.71         NA        XXX
                                                       or more.
73565...............  ..............  A               X-ray exam of knees..       0.17       0.57         NA       0.03       0.77         NA        XXX
73565...............  26............  A               X-ray exam of knees..       0.17       0.06       0.06       0.01       0.24       0.24        XXX
73565...............  TC............  A               X-ray exam of knees..       0.00       0.50         NA       0.02       0.52         NA        XXX
73580...............  ..............  A               Contrast x-ray of           0.54       2.71         NA       0.17       3.42         NA        XXX
                                                       knee joint.
73580...............  26............  A               Contrast x-ray of           0.54       0.18       0.18       0.03       0.75       0.75        XXX
                                                       knee joint.
73580...............  TC............  A               Contrast x-ray of           0.00       2.53         NA       0.14       2.67         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       0.56         NA       0.03       0.75         NA        XXX
                                                       infant.
73592...............  26............  A               X-ray exam of leg,          0.16       0.05       0.05       0.01       0.22       0.22        XXX
                                                       infant.
73592...............  TC............  A               X-ray exam of leg,          0.00       0.51         NA       0.02       0.53         NA        XXX
                                                       infant.
73600...............  ..............  A               X-ray exam of ankle..       0.16       0.55         NA       0.03       0.74         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       0.50         NA       0.02       0.52         NA        XXX
73610...............  ..............  A               X-ray exam of ankle..       0.17       0.62         NA       0.03       0.82         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       0.56         NA       0.02       0.58         NA        XXX
73615...............  ..............  A               Contrast x-ray of           0.54       2.19         NA       0.15       2.89         NA        XXX
                                                       ankle.
73615...............  26............  A               Contrast x-ray of           0.54       0.19       0.19       0.03       0.76       0.76        XXX
                                                       ankle.
73615...............  TC............  A               Contrast x-ray of           0.00       2.01         NA       0.12       2.13         NA        XXX
                                                       ankle.
73620...............  ..............  A               X-ray exam of foot...       0.16       0.53         NA       0.03       0.72         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       0.48         NA       0.02       0.50         NA        XXX
73630...............  ..............  A               X-ray exam of foot...       0.17       0.61         NA       0.03       0.81         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       0.54         NA       0.02       0.56         NA        XXX
73650...............  ..............  A               X-ray exam of heel...       0.16       0.53         NA       0.03       0.72         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       0.48         NA       0.02       0.50         NA        XXX
73660...............  ..............  A               X-ray exam of toe(s).       0.13       0.51         NA       0.03       0.67         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       0.47         NA       0.02       0.49         NA        XXX
73700...............  ..............  A               Ct lower extremity w/       1.09       5.54         NA       0.30       6.93         NA        XXX
                                                       o dye.
73700...............  26............  A               Ct lower extremity w/       1.09       0.38       0.38       0.05       1.52       1.52        XXX
                                                       o dye.
73700...............  TC............  A               Ct lower extremity w/       0.00       5.16         NA       0.25       5.41         NA        XXX
                                                       o dye.
73701...............  ..............  A               Ct lower extremity w/       1.16       6.68         NA       0.36       8.20         NA        XXX
                                                       dye.
73701...............  26............  A               Ct lower extremity w/       1.16       0.40       0.40       0.05       1.61       1.61        XXX
                                                       dye.

[[Page 45959]]

 
73701...............  TC............  A               Ct lower extremity w/       0.00       6.28         NA       0.31       6.59         NA        XXX
                                                       dye.
73702...............  ..............  A               Ct lwr extremity w/         1.22       8.40         NA       0.44      10.06         NA        XXX
                                                       o&w/dye.
73702...............  26............  A               Ct lwr extremity w/         1.22       0.42       0.42       0.05       1.69       1.69        XXX
                                                       o&w/dye.
73702...............  TC............  A               Ct lwr extremity w/         0.00       7.98         NA       0.39       8.37         NA        XXX
                                                       o&w/dye.
73706...............  ..............  A               Ct angio lwr extr w/        1.90      11.68         NA       0.47      14.06         NA        XXX
                                                       o&w/dye.
73706...............  26............  A               Ct angio lwr extr w/        1.90       0.65       0.65       0.08       2.64       2.64        XXX
                                                       o&w/dye.
73706...............  TC............  A               Ct angio lwr extr w/        0.00      11.03         NA       0.39      11.42         NA        XXX
                                                       o&w/dye.
73718...............  ..............  A               Mri lower extremity w/      1.35      11.94         NA       0.45      13.74         NA        XXX
                                                       o dye.
73718...............  26............  A               Mri lower extremity w/      1.35       0.46       0.46       0.06       1.88       1.88        XXX
                                                       o dye.
73718...............  TC............  A               Mri lower extremity w/      0.00      11.48         NA       0.39      11.87         NA        XXX
                                                       o dye.
73719...............  ..............  A               Mri lower extremity w/      1.62      13.98         NA       0.54      16.15         NA        XXX
                                                       dye.
73719...............  26............  A               Mri lower extremity w/      1.62       0.56       0.56       0.07       2.25       2.25        XXX
                                                       dye.
73719...............  TC............  A               Mri lower extremity w/      0.00      13.43         NA       0.47      13.90         NA        XXX
                                                       dye.
73720...............  ..............  A               Mri lwr extremity w/        2.15      23.69         NA       0.94      26.79         NA        XXX
                                                       o&w/dye.
73720...............  26............  A               Mri lwr extremity w/        2.15       0.74       0.74       0.10       2.99       2.99        XXX
                                                       o&w/dye.
73720...............  TC............  A               Mri lwr extremity w/        0.00      22.96         NA       0.84      23.80         NA        XXX
                                                       o&w/dye.
73721...............  ..............  A               Mri jnt of lwr extre        1.35      11.94         NA       0.45      13.75         NA        XXX
                                                       w/o dye.
73721...............  26............  A               Mri jnt of lwr extre        1.35       0.46       0.46       0.06       1.88       1.88        XXX
                                                       w/o dye.
73721...............  TC............  A               Mri jnt of lwr extre        0.00      11.48         NA       0.39      11.87         NA        XXX
                                                       w/o dye.
73722...............  ..............  A               Mri joint of lwr extr       1.62      13.75         NA       0.54      15.92         NA        XXX
                                                       w/dye.
73722...............  26............  A               Mri joint of lwr extr       1.62       0.56       0.56       0.07       2.25       2.25        XXX
                                                       w/dye.
73722...............  TC............  A               Mri joint of lwr extr       0.00      13.19         NA       0.47      13.66         NA        XXX
                                                       w/dye.
73723...............  ..............  A               Mri joint lwr extr w/       2.15      23.23         NA       0.94      26.32         NA        XXX
                                                       o&w/dye.
73723...............  26............  A               Mri joint lwr extr w/       2.15       0.74       0.74       0.10       3.00       3.00        XXX
                                                       o&w/dye.
73723...............  TC............  A               Mri joint lwr extr w/       0.00      22.48         NA       0.84      23.32         NA        XXX
                                                       o&w/dye.
73725...............  ..............  R               Mr ang lwr ext w or w/      1.82      12.54         NA       0.67      15.03         NA        XXX
                                                       o dye.
73725...............  26............  R               Mr ang lwr ext w or w/      1.82       0.63       0.63       0.08       2.53       2.53        XXX
                                                       o dye.
73725...............  TC............  R               Mr ang lwr ext w or w/      0.00      11.91         NA       0.59      12.50         NA        XXX
                                                       o dye.
74000...............  ..............  A               X-ray exam of abdomen       0.18       0.57         NA       0.03       0.78         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       0.50         NA       0.02       0.52         NA        XXX
74010...............  ..............  A               X-ray exam of abdomen       0.23       0.71         NA       0.05       0.99         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       0.63         NA       0.04       0.67         NA        XXX
74020...............  ..............  A               X-ray exam of abdomen       0.27       0.75         NA       0.05       1.07         NA        XXX
74020...............  26............  A               X-ray exam of abdomen       0.27       0.10       0.10       0.01       0.38       0.38        XXX
74020...............  TC............  A               X-ray exam of abdomen       0.00       0.65         NA       0.04       0.69         NA        XXX
74022...............  ..............  A               X-ray exam series,          0.32       0.89         NA       0.06       1.27         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       0.78         NA       0.05       0.83         NA        XXX
                                                       abdomen.
74150...............  ..............  A               Ct abdomen w/o dye...       1.19       6.02         NA       0.35       7.57         NA        XXX
74150...............  26............  A               Ct abdomen w/o dye...       1.19       0.41       0.41       0.05       1.65       1.65        XXX
74150...............  TC............  A               Ct abdomen w/o dye...       0.00       5.61         NA       0.30       5.91         NA        XXX
74160...............  ..............  A               Ct abdomen w/dye.....       1.27       7.66         NA       0.42       9.36         NA        XXX
74160...............  26............  A               Ct abdomen w/dye.....       1.27       0.44       0.44       0.06       1.77       1.77        XXX
74160...............  TC............  A               Ct abdomen w/dye.....       0.00       7.22         NA       0.36       7.58         NA        XXX
74170...............  ..............  A               Ct abdomen w/o & w/         1.40       9.77         NA       0.49      11.66         NA        XXX
                                                       dye.
74170...............  26............  A               Ct abdomen w/o & w/         1.40       0.48       0.48       0.06       1.95       1.95        XXX
                                                       dye.
74170...............  TC............  A               Ct abdomen w/o & w/         0.00       9.29         NA       0.43       9.72         NA        XXX
                                                       dye.
74175...............  ..............  A               Ct angio abdom w/o &        1.90      12.48         NA       0.47      14.86         NA        XXX
                                                       w/dye.
74175...............  26............  A               Ct angio abdom w/o &        1.90       0.65       0.65       0.08       2.64       2.64        XXX
                                                       w/dye.
74175...............  TC............  A               Ct angio abdom w/o &        0.00      11.83         NA       0.39      12.22         NA        XXX
                                                       w/dye.
74181...............  ..............  A               Mri abdomen w/o dye..       1.46      11.66         NA       0.51      13.63         NA        XXX
74181...............  26............  A               Mri abdomen w/o dye..       1.46       0.50       0.50       0.06       2.03       2.03        XXX
74181...............  TC............  A               Mri abdomen w/o dye..       0.00      11.15         NA       0.45      11.60         NA        XXX
74182...............  ..............  A               Mri abdomen w/dye....       1.73      14.55         NA       0.60      16.89         NA        XXX
74182...............  26............  A               Mri abdomen w/dye....       1.73       0.60       0.60       0.08       2.41       2.41        XXX
74182...............  TC............  A               Mri abdomen w/dye....       0.00      13.96         NA       0.52      14.48         NA        XXX
74183...............  ..............  A               Mri abdomen w/o & w/        2.26      23.60         NA       1.02      26.88         NA        XXX
                                                       dye.
74183...............  26............  A               Mri abdomen w/o & w/        2.26       0.78       0.78       0.10       3.14       3.14        XXX
                                                       dye.
74183...............  TC............  A               Mri abdomen w/o & w/        0.00      22.82         NA       0.92      23.74         NA        XXX
                                                       dye.
74185...............  ..............  R               Mri angio, abdom w          1.80      12.41         NA       0.67      14.88         NA        XXX
                                                       orw/o dye.
74185...............  26............  R               Mri angio, abdom w          1.80       0.62       0.62       0.08       2.50       2.50        XXX
                                                       orw/o dye.
74185...............  TC............  R               Mri angio, abdom w          0.00      11.79         NA       0.59      12.38         NA        XXX
                                                       orw/o dye.
74190...............  ..............  A               X-ray exam of               0.48         NA         NA       0.09         NA         NA        XXX
                                                       peritoneum.
74190...............  26............  A               X-ray exam of               0.48       0.17       0.17       0.02       0.67       0.67        XXX
                                                       peritoneum.
74190...............  TC............  A               X-ray exam of               0.00         NA         NA       0.07         NA         NA        XXX
                                                       peritoneum.
74210...............  ..............  A               Contrst x-ray exam of       0.36       1.45         NA       0.08       1.89         NA        XXX
                                                       throat.
74210...............  26............  A               Contrst x-ray exam of       0.36       0.13       0.13       0.02       0.51       0.51        XXX
                                                       throat.
74210...............  TC............  A               Contrst x-ray exam of       0.00       1.33         NA       0.06       1.39         NA        XXX
                                                       throat.
74220...............  ..............  A               Contrast x-ray,             0.46       1.57         NA       0.08       2.11         NA        XXX
                                                       esophagus.
74220...............  26............  A               Contrast x-ray,             0.46       0.16       0.16       0.02       0.64       0.64        XXX
                                                       esophagus.
74220...............  TC............  A               Contrast x-ray,             0.00       1.41         NA       0.06       1.47         NA        XXX
                                                       esophagus.
74230...............  ..............  A               Cine/vid x-ray,             0.53       1.63         NA       0.09       2.25         NA        XXX
                                                       throat/esoph.

[[Page 45960]]

 
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       1.45         NA       0.07       1.52         NA        XXX
                                                       throat/esoph.
74235...............  ..............  A               Remove esophagus            1.19         NA         NA       0.19         NA         NA        XXX
                                                       obstruction.
74235...............  26............  A               Remove esophagus            1.19       0.41       0.41       0.05       1.65       1.65        XXX
                                                       obstruction.
74235...............  TC............  A               Remove esophagus            0.00         NA         NA       0.14         NA         NA        XXX
                                                       obstruction.
74240...............  ..............  A               X-ray exam, upper gi        0.69       1.89         NA       0.11       2.69         NA        XXX
                                                       tract.
74240...............  26............  A               X-ray exam, upper gi        0.69       0.24       0.24       0.03       0.96       0.96        XXX
                                                       tract.
74240...............  TC............  A               X-ray exam, upper gi        0.00       1.65         NA       0.08       1.73         NA        XXX
                                                       tract.
74241...............  ..............  A               X-ray exam, upper gi        0.69       1.98         NA       0.11       2.78         NA        XXX
                                                       tract.
74241...............  26............  A               X-ray exam, upper gi        0.69       0.24       0.24       0.03       0.96       0.96        XXX
                                                       tract.
74241...............  TC............  A               X-ray exam, upper gi        0.00       1.74         NA       0.08       1.82         NA        XXX
                                                       tract.
74245...............  ..............  A               X-ray exam, upper gi        0.91       3.16         NA       0.17       4.24         NA        XXX
                                                       tract.
74245...............  26............  A               X-ray exam, upper gi        0.91       0.32       0.32       0.04       1.27       1.27        XXX
                                                       tract.
74245...............  TC............  A               X-ray exam, upper gi        0.00       2.85         NA       0.13       2.98         NA        XXX
                                                       tract.
74246...............  ..............  A               Contrst x-ray uppr gi       0.69       2.16         NA       0.13       2.98         NA        XXX
                                                       tract.
74246...............  26............  A               Contrst x-ray uppr gi       0.69       0.24       0.24       0.03       0.96       0.96        XXX
                                                       tract.
74246...............  TC............  A               Contrst x-ray uppr gi       0.00       1.92         NA       0.10       2.02         NA        XXX
                                                       tract.
74247...............  ..............  A               Contrst x-ray uppr gi       0.69       2.30         NA       0.14       3.13         NA        XXX
                                                       tract.
74247...............  26............  A               Contrst x-ray uppr gi       0.69       0.24       0.24       0.03       0.96       0.96        XXX
                                                       tract.
74247...............  TC............  A               Contrst x-ray uppr gi       0.00       2.06         NA       0.11       2.17         NA        XXX
                                                       tract.
74249...............  ..............  A               Contrst x-ray uppr gi       0.91       3.38         NA       0.18       4.47         NA        XXX
                                                       tract.
74249...............  26............  A               Contrst x-ray uppr gi       0.91       0.32       0.32       0.04       1.27       1.27        XXX
                                                       tract.
74249...............  TC............  A               Contrst x-ray uppr gi       0.00       3.06         NA       0.14       3.20         NA        XXX
                                                       tract.
74250...............  ..............  A               X-ray exam of small         0.47       1.83         NA       0.09       2.39         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       1.67         NA       0.07       1.74         NA        XXX
                                                       bowel.
74251...............  ..............  A               X-ray exam of small         0.69       4.38         NA       0.10       5.17         NA        XXX
                                                       bowel.
74251...............  26............  A               X-ray exam of small         0.69       0.24       0.24       0.03       0.96       0.96        XXX
                                                       bowel.
74251...............  TC............  A               X-ray exam of small         0.00       4.14         NA       0.07       4.21         NA        XXX
                                                       bowel.
74260...............  ..............  A               X-ray exam of small         0.50       3.97         NA       0.10       4.57         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       3.81         NA       0.08       3.89         NA        XXX
                                                       bowel.
74270...............  ..............  A               Contrast x-ray exam         0.69       2.44         NA       0.14       3.27         NA        XXX
                                                       of colon.
74270...............  26............  A               Contrast x-ray exam         0.69       0.24       0.24       0.03       0.96       0.96        XXX
                                                       of colon.
74270...............  TC............  A               Contrast x-ray exam         0.00       2.20         NA       0.11       2.31         NA        XXX
                                                       of colon.
74280...............  ..............  A               Contrast x-ray exam         0.99       3.35         NA       0.17       4.51         NA        XXX
                                                       of colon.
74280...............  26............  A               Contrast x-ray exam         0.99       0.34       0.34       0.04       1.37       1.37        XXX
                                                       of colon.
74280...............  TC............  A               Contrast x-ray exam         0.00       3.02         NA       0.13       3.15         NA        XXX
                                                       of colon.
74283...............  ..............  A               Contrast x-ray exam         2.02       3.31         NA       0.23       5.57         NA        XXX
                                                       of colon.
74283...............  26............  A               Contrast x-ray exam         2.02       0.69       0.69       0.09       2.81       2.81        XXX
                                                       of colon.
74283...............  TC............  A               Contrast x-ray exam         0.00       2.62         NA       0.14       2.76         NA        XXX
                                                       of colon.
74290...............  ..............  A               Contrast x-ray,             0.32       1.08         NA       0.06       1.47         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       0.98         NA       0.05       1.03         NA        XXX
                                                       gallbladder.
74291...............  ..............  A               Contrast x-rays,            0.20       0.83         NA       0.03       1.06         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       0.76         NA       0.02       0.78         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       0.13       0.13       0.02       0.51       0.51        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         NA         NA       0.07         NA         NA        XXX
                                                       pancreas.
74305...............  26............  A               X-ray bile ducts/           0.42       0.15       0.15       0.02       0.59       0.59        XXX
                                                       pancreas.
74305...............  TC............  A               X-ray bile ducts/           0.00         NA         NA       0.05         NA         NA        XXX
                                                       pancreas.
74320...............  ..............  A               Contrast x-ray of           0.54       3.15         NA       0.19       3.88         NA        XXX
                                                       bile ducts.
74320...............  26............  A               Contrast x-ray of           0.54       0.19       0.19       0.02       0.75       0.75        XXX
                                                       bile ducts.
74320...............  TC............  A               Contrast x-ray of           0.00       2.96         NA       0.17       3.13         NA        XXX
                                                       bile ducts.
74327...............  ..............  A               X-ray bile stone            0.70       2.28         NA       0.14       3.12         NA        XXX
                                                       removal.
74327...............  26............  A               X-ray bile stone            0.70       0.24       0.24       0.03       0.97       0.97        XXX
                                                       removal.
74327...............  TC............  A               X-ray bile stone            0.00       2.03         NA       0.11       2.14         NA        XXX
                                                       removal.
74328...............  ..............  A               X-ray bile duct             0.70         NA         NA       0.20         NA         NA        XXX
                                                       endoscopy.
74328...............  26............  A               X-ray bile duct             0.70       0.24       0.24       0.03       0.97       0.97        XXX
                                                       endoscopy.
74328...............  TC............  A               X-ray bile duct             0.00         NA         NA       0.17         NA         NA        XXX
                                                       endoscopy.
74329...............  ..............  A               X-ray for pancreas          0.70         NA         NA       0.20         NA         NA        XXX
                                                       endoscopy.
74329...............  26............  A               X-ray for pancreas          0.70       0.24       0.24       0.03       0.97       0.97        XXX
                                                       endoscopy.
74329...............  TC............  A               X-ray for pancreas          0.00         NA         NA       0.17         NA         NA        XXX
                                                       endoscopy.
74330...............  ..............  A               X-ray bile/panc             0.90         NA         NA       0.21         NA         NA        XXX
                                                       endoscopy.
74330...............  26............  A               X-ray bile/panc             0.90       0.31       0.31       0.04       1.25       1.25        XXX
                                                       endoscopy.
74330...............  TC............  A               X-ray bile/panc             0.00         NA         NA       0.17         NA         NA        XXX
                                                       endoscopy.
74340...............  ..............  A               X-ray guide for GI          0.54         NA         NA       0.16         NA         NA        XXX
                                                       tube.
74340...............  26............  A               X-ray guide for GI          0.54       0.19       0.19       0.02       0.75       0.75        XXX
                                                       tube.
74340...............  TC............  A               X-ray guide for GI          0.00         NA         NA       0.14         NA         NA        XXX
                                                       tube.

[[Page 45961]]

 
74350...............  ..............  A               X-ray guide, stomach        0.76       3.17         NA       0.20       4.13         NA        XXX
                                                       tube.
74350...............  26............  A               X-ray guide, stomach        0.76       0.26       0.26       0.03       1.05       1.05        XXX
                                                       tube.
74350...............  TC............  A               X-ray guide, stomach        0.00       2.90         NA       0.17       3.07         NA        XXX
                                                       tube.
74355...............  ..............  A               X-ray guide,                0.76         NA         NA       0.17         NA         NA        XXX
                                                       intestinal tube.
74355...............  26............  A               X-ray guide,                0.76       0.26       0.26       0.03       1.05       1.05        XXX
                                                       intestinal tube.
74355...............  TC............  A               X-ray guide,                0.00         NA         NA       0.14         NA         NA        XXX
                                                       intestinal tube.
74360...............  ..............  A               X-ray guide, GI             0.54         NA         NA       0.19         NA         NA        XXX
                                                       dilation.
74360...............  26............  A               X-ray guide, GI             0.54       0.20       0.20       0.02       0.76       0.76        XXX
                                                       dilation.
74360...............  TC............  A               X-ray guide, GI             0.00         NA         NA       0.17         NA         NA        XXX
                                                       dilation.
74363...............  ..............  A               X-ray, bile duct            0.88         NA         NA       0.37         NA         NA        XXX
                                                       dilation.
74363...............  26............  A               X-ray, bile duct            0.88       0.31       0.31       0.04       1.23       1.23        XXX
                                                       dilation.
74363...............  TC............  A               X-ray, bile duct            0.00         NA         NA       0.33         NA         NA        XXX
                                                       dilation.
74400...............  ..............  A               Contrst x-ray,              0.49       2.16         NA       0.13       2.79         NA        XXX
                                                       urinary tract.
74400...............  26............  A               Contrst x-ray,              0.49       0.17       0.17       0.02       0.68       0.68        XXX
                                                       urinary tract.
74400...............  TC............  A               Contrst x-ray,              0.00       2.00         NA       0.11       2.11         NA        XXX
                                                       urinary tract.
74410...............  ..............  A               Contrst x-ray,              0.49       2.39         NA       0.13       3.01         NA        XXX
                                                       urinary tract.
74410...............  26............  A               Contrst x-ray,              0.49       0.17       0.17       0.02       0.68       0.68        XXX
                                                       urinary tract.
74410...............  TC............  A               Contrst x-ray,              0.00       2.22         NA       0.11       2.33         NA        XXX
                                                       urinary tract.
74415...............  ..............  A               Contrst x-ray,              0.49       2.73         NA       0.14       3.36         NA        XXX
                                                       urinary tract.
74415...............  26............  A               Contrst x-ray,              0.49       0.17       0.17       0.02       0.68       0.68        XXX
                                                       urinary tract.
74415...............  TC............  A               Contrst x-ray,              0.00       2.56         NA       0.12       2.68         NA        XXX
                                                       urinary tract.
74420...............  ..............  A               Contrst x-ray,              0.36         NA         NA       0.16         NA         NA        XXX
                                                       urinary tract.
74420...............  26............  A               Contrst x-ray,              0.36       0.13       0.13       0.02       0.51       0.51        XXX
                                                       urinary tract.
74420...............  TC............  A               Contrst x-ray,              0.00         NA         NA       0.14         NA         NA        XXX
                                                       urinary tract.
74425...............  ..............  A               Contrst x-ray,              0.36         NA         NA       0.09         NA         NA        XXX
                                                       urinary tract.
74425...............  26............  A               Contrst x-ray,              0.36       0.13       0.13       0.02       0.51       0.51        XXX
                                                       urinary tract.
74425...............  TC............  A               Contrst x-ray,              0.00         NA         NA       0.07         NA         NA        XXX
                                                       urinary tract.
74430...............  ..............  A               Contrast x-ray,             0.32       1.46         NA       0.08       1.86         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       1.35         NA       0.06       1.41         NA        XXX
                                                       bladder.
74440...............  ..............  A               X-ray, male genital         0.38       1.37         NA       0.08       1.83         NA        XXX
                                                       tract.
74440...............  26............  A               X-ray, male genital         0.38       0.13       0.13       0.02       0.53       0.53        XXX
                                                       tract.
74440...............  TC............  A               X-ray, male genital         0.00       1.24         NA       0.06       1.30         NA        XXX
                                                       tract.
74445...............  ..............  A               X-ray exam of penis..       1.14         NA         NA       0.13         NA         NA        XXX
74445...............  26............  A               X-ray exam of penis..       1.14       0.41       0.41       0.07       1.62       1.62        XXX
74445...............  TC............  A               X-ray exam of penis..       0.00         NA         NA       0.06         NA         NA        XXX
74450...............  ..............  A               X-ray, urethra/             0.33         NA         NA       0.10         NA         NA        XXX
                                                       bladder.
74450...............  26............  A               X-ray, urethra/             0.33       0.12       0.12       0.02       0.47       0.47        XXX
                                                       bladder.
74450...............  TC............  A               X-ray, urethra/             0.00         NA         NA       0.08         NA         NA        XXX
                                                       bladder.
74455...............  ..............  A               X-ray, urethra/             0.33       1.87         NA       0.12       2.32         NA        XXX
                                                       bladder.
74455...............  26............  A               X-ray, urethra/             0.33       0.12       0.12       0.02       0.47       0.47        XXX
                                                       bladder.
74455...............  TC............  A               X-ray, urethra/             0.00       1.76         NA       0.10       1.86         NA        XXX
                                                       bladder.
74470...............  ..............  A               X-ray exam of kidney        0.54         NA         NA       0.09         NA         NA        XXX
                                                       lesion.
74470...............  26............  A               X-ray exam of kidney        0.54       0.19       0.19       0.02       0.75       0.75        XXX
                                                       lesion.
74470...............  TC............  A               X-ray exam of kidney        0.00         NA         NA       0.07         NA         NA        XXX
                                                       lesion.
74475...............  ..............  A               X-ray control, cath         0.54       3.97         NA       0.24       4.75         NA        XXX
                                                       insert.
74475...............  26............  A               X-ray control, cath         0.54       0.19       0.19       0.02       0.75       0.75        XXX
                                                       insert.
74475...............  TC............  A               X-ray control, cath         0.00       3.78         NA       0.22       4.00         NA        XXX
                                                       insert.
74480...............  ..............  A               X-ray control, cath         0.54       3.72         NA       0.24       4.51         NA        XXX
                                                       insert.
74480...............  26............  A               X-ray control, cath         0.54       0.19       0.19       0.02       0.75       0.75        XXX
                                                       insert.
74480...............  TC............  A               X-ray control, cath         0.00       3.53         NA       0.22       3.75         NA        XXX
                                                       insert.
74485...............  ..............  A               X-ray guide, GU             0.54       3.17         NA       0.20       3.91         NA        XXX
                                                       dilation.
74485...............  26............  A               X-ray guide, GU             0.54       0.19       0.19       0.03       0.76       0.76        XXX
                                                       dilation.
74485...............  TC............  A               X-ray guide, GU             0.00       2.98         NA       0.17       3.15         NA        XXX
                                                       dilation.
74710...............  ..............  A               X-ray measurement of        0.34       1.05         NA       0.08       1.47         NA        XXX
                                                       pelvis.
74710...............  26............  A               X-ray measurement of        0.34       0.12       0.12       0.02       0.48       0.48        XXX
                                                       pelvis.
74710...............  TC............  A               X-ray measurement of        0.00       0.93         NA       0.06       0.99         NA        XXX
                                                       pelvis.
74740...............  ..............  A               X-ray, female genital       0.38       1.55         NA       0.09       2.02         NA        XXX
                                                       tract.
74740...............  26............  A               X-ray, female genital       0.38       0.14       0.14       0.02       0.54       0.54        XXX
                                                       tract.
74740...............  TC............  A               X-ray, female genital       0.00       1.42         NA       0.07       1.49         NA        XXX
                                                       tract.
74742...............  ..............  A               X-ray, fallopian tube       0.61         NA         NA       0.20         NA         NA        XXX
74742...............  26............  A               X-ray, fallopian tube       0.61       0.21       0.21       0.03       0.85       0.85        XXX
74742...............  TC............  A               X-ray, fallopian tube       0.00         NA         NA       0.17         NA         NA        XXX
74775...............  ..............  A               X-ray exam of               0.62         NA         NA       0.11         NA         NA        XXX
                                                       perineum.
74775...............  26............  A               X-ray exam of               0.62       0.22       0.22       0.03       0.87       0.87        XXX
                                                       perineum.
74775...............  TC............  A               X-ray exam of               0.00         NA         NA       0.08         NA         NA        XXX
                                                       perineum.
75552...............  ..............  A               Heart mri for morph w/      1.60      13.56         NA       0.66      15.82         NA        XXX
                                                       o dye.
75552...............  26............  A               Heart mri for morph w/      1.60       0.56       0.56       0.07       2.23       2.23        XXX
                                                       o dye.
75552...............  TC............  A               Heart mri for morph w/      0.00      13.00         NA       0.59      13.59         NA        XXX
                                                       o dye.
75553...............  ..............  A               Heart mri for morph w/      2.00      13.77         NA       0.66      16.43         NA        XXX
                                                       dye.
75553...............  26............  A               Heart mri for morph w/      2.00       0.68       0.68       0.07       2.76       2.76        XXX
                                                       dye.
75553...............  TC............  A               Heart mri for morph w/      0.00      13.08         NA       0.59      13.67         NA        XXX
                                                       dye.
75554...............  ..............  A               Cardiac MRI/function.       1.83      17.01         NA       0.66      19.50         NA        XXX
75554...............  26............  A               Cardiac MRI/function.       1.83       0.68       0.68       0.07       2.58       2.58        XXX

[[Page 45962]]

 
75554...............  TC............  A               Cardiac MRI/function.       0.00      16.33         NA       0.59      16.92         NA        XXX
75555...............  ..............  A               Cardiac MRI/limited         1.74      15.87         NA       0.66      18.27         NA        XXX
                                                       study.
75555...............  26............  A               Cardiac MRI/limited         1.74       0.67       0.67       0.07       2.49       2.49        XXX
                                                       study.
75555...............  TC............  A               Cardiac MRI/limited         0.00      15.20         NA       0.59      15.79         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      11.90         NA       0.67      13.06         NA        XXX
                                                       of aorta.
75600...............  26............  A               Contrast x-ray exam         0.49       0.20       0.20       0.02       0.71       0.71        XXX
                                                       of aorta.
75600...............  TC............  A               Contrast x-ray exam         0.00      11.70         NA       0.65      12.35         NA        XXX
                                                       of aorta.
75605...............  ..............  A               Contrast x-ray exam         1.14      10.80         NA       0.70      12.65         NA        XXX
                                                       of aorta.
75605...............  26............  A               Contrast x-ray exam         1.14       0.42       0.42       0.05       1.61       1.61        XXX
                                                       of aorta.
75605...............  TC............  A               Contrast x-ray exam         0.00      10.38         NA       0.65      11.03         NA        XXX
                                                       of aorta.
75625...............  ..............  A               Contrast x-ray exam         1.14      10.87         NA       0.71      12.73         NA        XXX
                                                       of aorta.
75625...............  26............  A               Contrast x-ray exam         1.14       0.40       0.40       0.06       1.60       1.60        XXX
                                                       of aorta.
75625...............  TC............  A               Contrast x-ray exam         0.00      10.47         NA       0.65      11.12         NA        XXX
                                                       of aorta.
75630...............  ..............  A               X-ray aorta, leg            1.79      11.50         NA       0.80      14.09         NA        XXX
                                                       arteries.
75630...............  26............  A               X-ray aorta, leg            1.79       0.64       0.64       0.11       2.54       2.54        XXX
                                                       arteries.
75630...............  TC............  A               X-ray aorta, leg            0.00      10.86         NA       0.69      11.55         NA        XXX
                                                       arteries.
75635...............  ..............  A               Ct angio abdominal          2.40      15.78         NA       0.50      18.68         NA        XXX
                                                       arteries.
75635...............  26............  A               Ct angio abdominal          2.40       0.83       0.83       0.11       3.35       3.35        XXX
                                                       arteries.
75635...............  TC............  A               Ct angio abdominal          0.00      14.94         NA       0.39      15.33         NA        XXX
                                                       arteries.
75650...............  ..............  A               Artery x-rays, head &       1.49      10.92         NA       0.72      13.13         NA        XXX
                                                       neck.
75650...............  26............  A               Artery x-rays, head &       1.49       0.52       0.52       0.07       2.08       2.08        XXX
                                                       neck.
75650...............  TC............  A               Artery x-rays, head &       0.00      10.40         NA       0.65      11.05         NA        XXX
                                                       neck.
75658...............  ..............  A               Artery x-rays, arm...       1.31      10.93         NA       0.72      12.96         NA        XXX
75658...............  26............  A               Artery x-rays, arm...       1.31       0.49       0.49       0.07       1.87       1.87        XXX
75658...............  TC............  A               Artery x-rays, arm...       0.00      10.44         NA       0.65      11.09         NA        XXX
75660...............  ..............  A               Artery x-rays, head &       1.31      10.89         NA       0.71      12.91         NA        XXX
                                                       neck.
75660...............  26............  A               Artery x-rays, head &       1.31       0.46       0.46       0.06       1.84       1.84        XXX
                                                       neck.
75660...............  TC............  A               Artery x-rays, head &       0.00      10.42         NA       0.65      11.07         NA        XXX
                                                       neck.
75662...............  ..............  A               Artery x-rays, head &       1.66      11.28         NA       0.71      13.65         NA        XXX
                                                       neck.
75662...............  26............  A               Artery x-rays, head &       1.66       0.62       0.62       0.06       2.34       2.34        XXX
                                                       neck.
75662...............  TC............  A               Artery x-rays, head &       0.00      10.66         NA       0.65      11.31         NA        XXX
                                                       neck.
75665...............  ..............  A               Artery x-rays, head &       1.31      10.88         NA       0.74      12.93         NA        XXX
                                                       neck.
75665...............  26............  A               Artery x-rays, head &       1.31       0.46       0.46       0.09       1.86       1.86        XXX
                                                       neck.
75665...............  TC............  A               Artery x-rays, head &       0.00      10.42         NA       0.65      11.07         NA        XXX
                                                       neck.
75671...............  ..............  A               Artery x-rays, head &       1.66      11.32         NA       0.72      13.70         NA        XXX
                                                       neck.
75671...............  26............  A               Artery x-rays, head &       1.66       0.58       0.58       0.07       2.31       2.31        XXX
                                                       neck.
75671...............  TC............  A               Artery x-rays, head &       0.00      10.74         NA       0.65      11.39         NA        XXX
                                                       neck.
75676...............  ..............  A               Artery x-rays, neck..       1.31      11.00         NA       0.72      13.03         NA        XXX
75676...............  26............  A               Artery x-rays, neck..       1.31       0.46       0.46       0.07       1.84       1.84        XXX
75676...............  TC............  A               Artery x-rays, neck..       0.00      10.54         NA       0.65      11.19         NA        XXX
75680...............  ..............  A               Artery x-rays, neck..       1.66      11.21         NA       0.72      13.60         NA        XXX
75680...............  26............  A               Artery x-rays, neck..       1.66       0.58       0.58       0.07       2.31       2.31        XXX
75680...............  TC............  A               Artery x-rays, neck..       0.00      10.63         NA       0.65      11.28         NA        XXX
75685...............  ..............  A               Artery x-rays, spine.       1.31      10.92         NA       0.71      12.94         NA        XXX
75685...............  26............  A               Artery x-rays, spine.       1.31       0.45       0.45       0.06       1.83       1.83        XXX
75685...............  TC............  A               Artery x-rays, spine.       0.00      10.47         NA       0.65      11.12         NA        XXX
75705...............  ..............  A               Artery x-rays, spine.       2.18      11.26         NA       0.78      14.22         NA        XXX
75705...............  26............  A               Artery x-rays, spine.       2.18       0.77       0.77       0.13       3.08       3.08        XXX
75705...............  TC............  A               Artery x-rays, spine.       0.00      10.49         NA       0.65      11.14         NA        XXX
75710...............  ..............  A               Artery x-rays, arm/         1.14      10.90         NA       0.72      12.76         NA        XXX
                                                       leg.
75710...............  26............  A               Artery x-rays, arm/         1.14       0.41       0.41       0.07       1.62       1.62        XXX
                                                       leg.
75710...............  TC............  A               Artery x-rays, arm/         0.00      10.49         NA       0.65      11.14         NA        XXX
                                                       leg.
75716...............  ..............  A               Artery x-rays, arms/        1.31      11.30         NA       0.72      13.33         NA        XXX
                                                       legs.
75716...............  26............  A               Artery x-rays, arms/        1.31       0.46       0.46       0.07       1.84       1.84        XXX
                                                       legs.
75716...............  TC............  A               Artery x-rays, arms/        0.00      10.84         NA       0.65      11.49         NA        XXX
                                                       legs.
75722...............  ..............  A               Artery x-rays, kidney       1.14      10.99         NA       0.70      12.84         NA        XXX
75722...............  26............  A               Artery x-rays, kidney       1.14       0.42       0.42       0.05       1.61       1.61        XXX
75722...............  TC............  A               Artery x-rays, kidney       0.00      10.57         NA       0.65      11.22         NA        XXX
75724...............  ..............  A               Artery x-rays,              1.49      11.60         NA       0.70      13.79         NA        XXX
                                                       kidneys.
75724...............  26............  A               Artery x-rays,              1.49       0.59       0.59       0.05       2.13       2.13        XXX
                                                       kidneys.
75724...............  TC............  A               Artery x-rays,              0.00      11.01         NA       0.65      11.66         NA        XXX
                                                       kidneys.
75726...............  ..............  A               Artery x-rays,              1.14      10.86         NA       0.70      12.70         NA        XXX
                                                       abdomen.
75726...............  26............  A               Artery x-rays,              1.14       0.39       0.39       0.05       1.58       1.58        XXX
                                                       abdomen.
75726...............  TC............  A               Artery x-rays,              0.00      10.47         NA       0.65      11.12         NA        XXX
                                                       abdomen.
75731...............  ..............  A               Artery x-rays,              1.14      10.63         NA       0.71      12.49         NA        XXX
                                                       adrenal gland.
75731...............  26............  A               Artery x-rays,              1.14       0.39       0.39       0.06       1.60       1.60        XXX
                                                       adrenal gland.
75731...............  TC............  A               Artery x-rays,              0.00      10.24         NA       0.65      10.89         NA        XXX
                                                       adrenal gland.
75733...............  ..............  A               Artery x-rays,              1.31      11.21         NA       0.71      13.24         NA        XXX
                                                       adrenals.
75733...............  26............  A               Artery x-rays,              1.31       0.46       0.46       0.06       1.84       1.84        XXX
                                                       adrenals.
75733...............  TC............  A               Artery x-rays,              0.00      10.75         NA       0.65      11.40         NA        XXX
                                                       adrenals.
75736...............  ..............  A               Artery x-rays, pelvis       1.14      10.89         NA       0.71      12.74         NA        XXX
75736...............  26............  A               Artery x-rays, pelvis       1.14       0.40       0.40       0.06       1.60       1.60        XXX
75736...............  TC............  A               Artery x-rays, pelvis       0.00      10.49         NA       0.65      11.14         NA        XXX

[[Page 45963]]

 
75741...............  ..............  A               Artery x-rays, lung..       1.31      10.77         NA       0.71      12.79         NA        XXX
75741...............  26............  A               Artery x-rays, lung..       1.31       0.46       0.46       0.06       1.83       1.83        XXX
75741...............  TC............  A               Artery x-rays, lung..       0.00      10.32         NA       0.65      10.97         NA        XXX
75743...............  ..............  A               Artery x-rays, lungs.       1.66      10.97         NA       0.72      13.36         NA        XXX
75743...............  26............  A               Artery x-rays, lungs.       1.66       0.57       0.57       0.07       2.31       2.31        XXX
75743...............  TC............  A               Artery x-rays, lungs.       0.00      10.40         NA       0.65      11.05         NA        XXX
75746...............  ..............  A               Artery x-rays, lung..       1.14      10.87         NA       0.70      12.72         NA        XXX
75746...............  26............  A               Artery x-rays, lung..       1.14       0.40       0.40       0.05       1.59       1.59        XXX
75746...............  TC............  A               Artery x-rays, lung..       0.00      10.47         NA       0.65      11.12         NA        XXX
75756...............  ..............  A               Artery x-rays, chest.       1.14      11.30         NA       0.69      13.13         NA        XXX
75756...............  26............  A               Artery x-rays, chest.       1.14       0.47       0.47       0.04       1.65       1.65        XXX
75756...............  TC............  A               Artery x-rays, chest.       0.00      10.82         NA       0.65      11.47         NA        XXX
75774...............  ..............  A               Artery x-ray, each          0.36      10.44         NA       0.67      11.47         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      10.31         NA       0.65      10.96         NA        ZZZ
                                                       vessel.
75790...............  ..............  A               Visualize A-V shunt..       1.84       2.36         NA       0.17       4.38         NA        XXX
75790...............  26............  A               Visualize A-V shunt..       1.84       0.63       0.63       0.09       2.56       2.56        XXX
75790...............  TC............  A               Visualize A-V shunt..       0.00       1.73         NA       0.08       1.81         NA        XXX
75801...............  ..............  A               Lymph vessel x-ray,         0.81         NA         NA       0.37         NA         NA        XXX
                                                       arm/leg.
75801...............  26............  A               Lymph vessel x-ray,         0.81       0.28       0.28       0.08       1.17       1.17        XXX
                                                       arm/leg.
75801...............  TC............  A               Lymph vessel x-ray,         0.00         NA         NA       0.29         NA         NA        XXX
                                                       arm/leg.
75803...............  ..............  A               Lymph vessel x-             1.17         NA         NA       0.34         NA         NA        XXX
                                                       ray,arms/legs.
75803...............  26............  A               Lymph vessel x-             1.17       0.40       0.40       0.05       1.62       1.62        XXX
                                                       ray,arms/legs.
75803...............  TC............  A               Lymph vessel x-             0.00         NA         NA       0.29         NA         NA        XXX
                                                       ray,arms/legs.
75805...............  ..............  A               Lymph vessel x-ray,         0.81         NA         NA       0.38         NA         NA        XXX
                                                       trunk.
75805...............  26............  A               Lymph vessel x-ray,         0.81       0.28       0.28       0.05       1.14       1.14        XXX
                                                       trunk.
75805...............  TC............  A               Lymph vessel x-ray,         0.00         NA         NA       0.33         NA         NA        XXX
                                                       trunk.
75807...............  ..............  A               Lymph vessel x-ray,         1.17         NA         NA       0.38         NA         NA        XXX
                                                       trunk.
75807...............  26............  A               Lymph vessel x-ray,         1.17       0.40       0.40       0.05       1.63       1.63        XXX
                                                       trunk.
75807...............  TC............  A               Lymph vessel x-ray,         0.00         NA         NA       0.33         NA         NA        XXX
                                                       trunk.
75809...............  ..............  A               Nonvascular shunt, x-       0.47       1.26         NA       0.07       1.80         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       1.10         NA       0.05       1.15         NA        XXX
                                                       ray.
75810...............  ..............  A               Vein x-ray, spleen/         1.14         NA         NA       0.70         NA         NA        XXX
                                                       liver.
75810...............  26............  A               Vein x-ray, spleen/         1.14       0.39       0.39       0.05       1.58       1.58        XXX
                                                       liver.
75810...............  TC............  A               Vein x-ray, spleen/         0.00         NA         NA       0.65         NA         NA        XXX
                                                       liver.
75820...............  ..............  A               Vein x-ray, arm/leg..       0.70       1.67         NA       0.09       2.46         NA        XXX
75820...............  26............  A               Vein x-ray, arm/leg..       0.70       0.24       0.24       0.03       0.97       0.97        XXX
75820...............  TC............  A               Vein x-ray, arm/leg..       0.00       1.43         NA       0.06       1.49         NA        XXX
75822...............  ..............  A               Vein x-ray, arms/legs       1.06       2.25         NA       0.13       3.44         NA        XXX
75822...............  26............  A               Vein x-ray, arms/legs       1.06       0.37       0.37       0.05       1.48       1.48        XXX
75822...............  TC............  A               Vein x-ray, arms/legs       0.00       1.88         NA       0.08       1.96         NA        XXX
75825...............  ..............  A               Vein x-ray, trunk....       1.14      10.64         NA       0.72      12.50         NA        XXX
75825...............  26............  A               Vein x-ray, trunk....       1.14       0.39       0.39       0.07       1.60       1.60        XXX
75825...............  TC............  A               Vein x-ray, trunk....       0.00      10.25         NA       0.65      10.90         NA        XXX
75827...............  ..............  A               Vein x-ray, chest....       1.14      10.67         NA       0.70      12.51         NA        XXX
75827...............  26............  A               Vein x-ray, chest....       1.14       0.39       0.39       0.05       1.58       1.58        XXX
75827...............  TC............  A               Vein x-ray, chest....       0.00      10.28         NA       0.65      10.93         NA        XXX
75831...............  ..............  A               Vein x-ray, kidney...       1.14      10.64         NA       0.71      12.49         NA        XXX
75831...............  26............  A               Vein x-ray, kidney...       1.14       0.39       0.39       0.06       1.59       1.59        XXX
75831...............  TC............  A               Vein x-ray, kidney...       0.00      10.25         NA       0.65      10.90         NA        XXX
75833...............  ..............  A               Vein x-ray, kidneys..       1.49      10.96         NA       0.74      13.19         NA        XXX
75833...............  26............  A               Vein x-ray, kidneys..       1.49       0.52       0.52       0.09       2.10       2.10        XXX
75833...............  TC............  A               Vein x-ray, kidneys..       0.00      10.43         NA       0.65      11.08         NA        XXX
75840...............  ..............  A               Vein x-ray, adrenal         1.14      10.79         NA       0.72      12.66         NA        XXX
                                                       gland.
75840...............  26............  A               Vein x-ray, adrenal         1.14       0.39       0.39       0.07       1.61       1.61        XXX
                                                       gland.
75840...............  TC............  A               Vein x-ray, adrenal         0.00      10.40         NA       0.65      11.05         NA        XXX
                                                       gland.
75842...............  ..............  A               Vein x-ray, adrenal         1.49      10.98         NA       0.72      13.19         NA        XXX
                                                       glands.
75842...............  26............  A               Vein x-ray, adrenal         1.49       0.51       0.51       0.07       2.07       2.07        XXX
                                                       glands.
75842...............  TC............  A               Vein x-ray, adrenal         0.00      10.47         NA       0.65      11.12         NA        XXX
                                                       glands.
75860...............  ..............  A               Vein x-ray, neck.....       1.14      10.70         NA       0.69      12.53         NA        XXX
75860...............  26............  A               Vein x-ray, neck.....       1.14       0.41       0.41       0.04       1.59       1.59        XXX
75860...............  TC............  A               Vein x-ray, neck.....       0.00      10.29         NA       0.65      10.94         NA        XXX
75870...............  ..............  A               Vein x-ray, skull....       1.14      10.60         NA       0.70      12.45         NA        XXX
75870...............  26............  A               Vein x-ray, skull....       1.14       0.41       0.41       0.05       1.60       1.60        XXX
75870...............  TC............  A               Vein x-ray, skull....       0.00      10.20         NA       0.65      10.85         NA        XXX
75872...............  ..............  A               Vein x-ray, skull....       1.14      10.61         NA       0.79      12.54         NA        XXX
75872...............  26............  A               Vein x-ray, skull....       1.14       0.39       0.39       0.14       1.67       1.67        XXX
75872...............  TC............  A               Vein x-ray, skull....       0.00      10.22         NA       0.65      10.87         NA        XXX
75880...............  ..............  A               Vein x-ray, eye             0.70       1.65         NA       0.09       2.44         NA        XXX
                                                       socket.
75880...............  26............  A               Vein x-ray, eye             0.70       0.24       0.24       0.03       0.97       0.97        XXX
                                                       socket.
75880...............  TC............  A               Vein x-ray, eye             0.00       1.41         NA       0.06       1.47         NA        XXX
                                                       socket.
75885...............  ..............  A               Vein x-ray, liver....       1.44      11.06         NA       0.71      13.21         NA        XXX
75885...............  26............  A               Vein x-ray, liver....       1.44       0.50       0.50       0.06       2.00       2.00        XXX

[[Page 45964]]

 
75885...............  TC............  A               Vein x-ray, liver....       0.00      10.56         NA       0.65      11.21         NA        XXX
75887...............  ..............  A               Vein x-ray, liver....       1.44      11.75         NA       0.71      13.90         NA        XXX
75887...............  26............  A               Vein x-ray, liver....       1.44       0.50       0.50       0.06       2.00       2.00        XXX
75887...............  TC............  A               Vein x-ray, liver....       0.00      11.25         NA       0.65      11.90         NA        XXX
75889...............  ..............  A               Vein x-ray, liver....       1.14      10.77         NA       0.70      12.61         NA        XXX
75889...............  26............  A               Vein x-ray, liver....       1.14       0.39       0.39       0.05       1.58       1.58        XXX
75889...............  TC............  A               Vein x-ray, liver....       0.00      10.38         NA       0.65      11.03         NA        XXX
75891...............  ..............  A               Vein x-ray, liver....       1.14      10.56         NA       0.70      12.40         NA        XXX
75891...............  26............  A               Vein x-ray, liver....       1.14       0.39       0.39       0.05       1.58       1.58        XXX
75891...............  TC............  A               Vein x-ray, liver....       0.00      10.17         NA       0.65      10.82         NA        XXX
75893...............  ..............  A               Venous sampling by          0.54      11.08         NA       0.67      12.30         NA        XXX
                                                       catheter.
75893...............  26............  A               Venous sampling by          0.54       0.19       0.19       0.02       0.75       0.75        XXX
                                                       catheter.
75893...............  TC............  A               Venous sampling by          0.00      10.89         NA       0.65      11.54         NA        XXX
                                                       catheter.
75894...............  ..............  A               X-rays, transcath           1.31         NA         NA       1.35         NA         NA        XXX
                                                       therapy.
75894...............  26............  A               X-rays, transcath           1.31       0.45       0.45       0.08       1.85       1.85        XXX
                                                       therapy.
75894...............  TC............  A               X-rays, transcath           0.00         NA         NA       1.27         NA         NA        XXX
                                                       therapy.
75896...............  ..............  A               X-rays, transcath           1.31         NA         NA       1.15         NA         NA        XXX
                                                       therapy.
75896...............  26............  A               X-rays, transcath           1.31       0.47       0.47       0.05       1.84       1.84        XXX
                                                       therapy.
75896...............  TC............  A               X-rays, transcath           0.00         NA         NA       1.10         NA         NA        XXX
                                                       therapy.
75898...............  ..............  A               Follow-up angiography       1.65         NA         NA       0.13         NA         NA        XXX
75898...............  26............  A               Follow-up angiography       1.65       0.58       0.58       0.07       2.30       2.30        XXX
75898...............  TC............  A               Follow-up angiography       0.00         NA         NA       0.06         NA         NA        XXX
75900...............  ..............  A               Arterial catheter           0.49         NA         NA       1.14         NA         NA        XXX
                                                       exchange.
75900...............  26............  A               Arterial catheter           0.49       0.17       0.17       0.03       0.69       0.69        XXX
                                                       exchange.
75900...............  TC............  A               Arterial catheter           0.00         NA         NA       1.11         NA         NA        XXX
                                                       exchange.
75901...............  ..............  A               Remove cva device           0.49       2.30         NA       0.85       3.64         NA        XXX
                                                       obstruct.
75901...............  26............  A               Remove cva device           0.49       0.17       0.17       0.02       0.68       0.68        XXX
                                                       obstruct.
75901...............  TC............  A               Remove cva device           0.00       2.13         NA       0.83       2.96         NA        XXX
                                                       obstruct.
75902...............  ..............  A               Remove cva lumen            0.39       1.56         NA       0.85       2.80         NA        XXX
                                                       obstruct.
75902...............  26............  A               Remove cva lumen            0.39       0.14       0.14       0.02       0.55       0.55        XXX
                                                       obstruct.
75902...............  TC............  A               Remove cva lumen            0.00       1.43         NA       0.83       2.26         NA        XXX
                                                       obstruct.
75940...............  ..............  A               X-ray placement, vein       0.54         NA         NA       0.69         NA         NA        XXX
                                                       filter.
75940...............  26............  A               X-ray placement, vein       0.54       0.19       0.19       0.04       0.77       0.77        XXX
                                                       filter.
75940...............  TC............  A               X-ray placement, vein       0.00         NA         NA       0.65         NA         NA        XXX
                                                       filter.
75945...............  ..............  A               Intravascular us.....       0.40         NA         NA       0.28         NA         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         NA         NA       0.24         NA         NA        XXX
75946...............  ..............  A               Intravascular us add-       0.40         NA         NA       0.18         NA         NA        ZZZ
                                                       on.
75946...............  26............  A               Intravascular us add-       0.40       0.14       0.14       0.05       0.59       0.59        ZZZ
                                                       on.
75946...............  TC............  A               Intravascular us add-       0.00         NA         NA       0.13         NA         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       4.50       1.51       1.51       0.43       6.44       6.44        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       0.46       0.46       0.13       1.95       1.95        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       0.81       0.81       0.15       3.22       3.22        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               Transcath iv stent          0.82         NA         NA       0.82         NA         NA        XXX
                                                       rs&i.
75960...............  26............  A               Transcath iv stent          0.82       0.30       0.30       0.05       1.17       1.17        XXX
                                                       rs&i.
75960...............  TC............  A               Transcath iv stent          0.00         NA         NA       0.77         NA         NA        XXX
                                                       rs&i.
75961...............  ..............  A               Retrieval, broken           4.25      10.29         NA       0.73      15.27         NA        XXX
                                                       catheter.
75961...............  26............  A               Retrieval, broken           4.25       1.47       1.47       0.18       5.90       5.90        XXX
                                                       catheter.
75961...............  TC............  A               Retrieval, broken           0.00       8.82         NA       0.55       9.37         NA        XXX
                                                       catheter.
75962...............  ..............  A               Repair arterial             0.54      13.03         NA       0.86      14.43         NA        XXX
                                                       blockage.
75962...............  26............  A               Repair arterial             0.54       0.19       0.19       0.03       0.76       0.76        XXX
                                                       blockage.
75962...............  TC............  A               Repair arterial             0.00      12.84         NA       0.83      13.67         NA        XXX
                                                       blockage.
75964...............  ..............  A               Repair artery               0.36       7.07         NA       0.46       7.89         NA        ZZZ
                                                       blockage, each.
75964...............  26............  A               Repair artery               0.36       0.13       0.13       0.03       0.52       0.52        ZZZ
                                                       blockage, each.
75964...............  TC............  A               Repair artery               0.00       6.94         NA       0.43       7.37         NA        ZZZ
                                                       blockage, each.
75966...............  ..............  A               Repair arterial             1.31      13.24         NA       0.89      15.44         NA        XXX
                                                       blockage.
75966...............  26............  A               Repair arterial             1.31       0.48       0.48       0.06       1.86       1.86        XXX
                                                       blockage.
75966...............  TC............  A               Repair arterial             0.00      12.75         NA       0.83      13.58         NA        XXX
                                                       blockage.
75968...............  ..............  A               Repair artery               0.36       7.01         NA       0.45       7.82         NA        ZZZ
                                                       blockage, each.
75968...............  26............  A               Repair artery               0.36       0.14       0.14       0.02       0.52       0.52        ZZZ
                                                       blockage, each.
75968...............  TC............  A               Repair artery               0.00       6.87         NA       0.43       7.30         NA        ZZZ
                                                       blockage, each.
75970...............  ..............  A               Vascular biopsy......       0.83         NA         NA       0.64         NA         NA        XXX
75970...............  26............  A               Vascular biopsy......       0.83       0.30       0.30       0.04       1.17       1.17        XXX
75970...............  TC............  A               Vascular biopsy......       0.00         NA         NA       0.60         NA         NA        XXX
75978...............  ..............  A               Repair venous               0.54      13.02         NA       0.85      14.41         NA        XXX
                                                       blockage.
75978...............  26............  A               Repair venous               0.54       0.19       0.19       0.02       0.75       0.75        XXX
                                                       blockage.
75978...............  TC............  A               Repair venous               0.00      12.83         NA       0.83      13.66         NA        XXX
                                                       blockage.
75980...............  ..............  A               Contrast xray exam          1.44         NA         NA       0.35         NA         NA        XXX
                                                       bile duct.

[[Page 45965]]

 
75980...............  26............  A               Contrast xray exam          1.44       0.50       0.50       0.06       2.00       2.00        XXX
                                                       bile duct.
75980...............  TC............  A               Contrast xray exam          0.00         NA         NA       0.29         NA         NA        XXX
                                                       bile duct.
75982...............  ..............  A               Contrast xray exam          1.44         NA         NA       0.39         NA         NA        XXX
                                                       bile duct.
75982...............  26............  A               Contrast xray exam          1.44       0.50       0.50       0.06       2.00       2.00        XXX
                                                       bile duct.
75982...............  TC............  A               Contrast xray exam          0.00         NA         NA       0.33         NA         NA        XXX
                                                       bile duct.
75984...............  ..............  A               Xray control catheter       0.72       2.31         NA       0.14       3.18         NA        XXX
                                                       change.
75984...............  26............  A               Xray control catheter       0.72       0.25       0.25       0.03       1.00       1.00        XXX
                                                       change.
75984...............  TC............  A               Xray control catheter       0.00       2.07         NA       0.11       2.18         NA        XXX
                                                       change.
75989...............  ..............  A               Abscess drainage            1.19       3.31         NA       0.22       4.72         NA        XXX
                                                       under x-ray.
75989...............  26............  A               Abscess drainage            1.19       0.41       0.41       0.05       1.65       1.65        XXX
                                                       under x-ray.
75989...............  TC............  A               Abscess drainage            0.00       2.90         NA       0.17       3.07         NA        XXX
                                                       under x-ray.
75992...............  ..............  A               Atherectomy, x-ray          0.54         NA         NA       0.86         NA         NA        XXX
                                                       exam.
75992...............  26............  A               Atherectomy, x-ray          0.54       0.20       0.20       0.03       0.77       0.77        XXX
                                                       exam.
75992...............  TC............  A               Atherectomy, x-ray          0.00         NA         NA       0.83         NA         NA        XXX
                                                       exam.
75993...............  ..............  A               Atherectomy, x-ray          0.36         NA         NA       0.45         NA         NA        ZZZ
                                                       exam.
75993...............  26............  A               Atherectomy, x-ray          0.36       0.14       0.14       0.02       0.52       0.52        ZZZ
                                                       exam.
75993...............  TC............  A               Atherectomy, x-ray          0.00         NA         NA       0.43         NA         NA        ZZZ
                                                       exam.
75994...............  ..............  A               Atherectomy, x-ray          1.31         NA         NA       0.90         NA         NA        XXX
                                                       exam.
75994...............  26............  A               Atherectomy, x-ray          1.31       0.48       0.48       0.07       1.86       1.86        XXX
                                                       exam.
75994...............  TC............  A               Atherectomy, x-ray          0.00         NA         NA       0.83         NA         NA        XXX
                                                       exam.
75995...............  ..............  A               Atherectomy, x-ray          1.31         NA         NA       0.88         NA         NA        XXX
                                                       exam.
75995...............  26............  A               Atherectomy, x-ray          1.31       0.50       0.50       0.05       1.86       1.86        XXX
                                                       exam.
75995...............  TC............  A               Atherectomy, x-ray          0.00         NA         NA       0.83         NA         NA        XXX
                                                       exam.
75996...............  ..............  A               Atherectomy, x-ray          0.36         NA         NA       0.45         NA         NA        ZZZ
                                                       exam.
75996...............  26............  A               Atherectomy, x-ray          0.36       0.12       0.12       0.02       0.50       0.50        ZZZ
                                                       exam.
75996...............  TC............  A               Atherectomy, x-ray          0.00         NA         NA       0.43         NA         NA        ZZZ
                                                       exam.
75998...............  ..............  A               Fluoroguide for vein        0.38       1.88         NA       0.11       2.37         NA        ZZZ
                                                       device.
75998...............  26............  A               Fluoroguide for vein        0.38       0.14       0.14       0.01       0.53       0.53        ZZZ
                                                       device.
75998...............  TC............  A               Fluoroguide for vein        0.00       1.75         NA       0.10       1.85         NA        ZZZ
                                                       device.
76000...............  ..............  A               Fluoroscope                 0.17       1.78         NA       0.08       2.03         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       1.72         NA       0.07       1.79         NA        XXX
                                                       examination.
76001...............  ..............  A               Fluoroscope exam,           0.67         NA         NA       0.19         NA         NA        XXX
                                                       extensive.
76001...............  26............  A               Fluoroscope exam,           0.67       0.23       0.23       0.05       0.95       0.95        XXX
                                                       extensive.
76001...............  TC............  A               Fluoroscope exam,           0.00         NA         NA       0.14         NA         NA        XXX
                                                       extensive.
76003...............  ..............  A               Needle localization         0.54       1.47         NA       0.09       2.10         NA        XXX
                                                       by x-ray.
76003...............  26............  A               Needle localization         0.54       0.18       0.18       0.02       0.74       0.74        XXX
                                                       by x-ray.
76003...............  TC............  A               Needle localization         0.00       1.30         NA       0.07       1.37         NA        XXX
                                                       by x-ray.
76005...............  ..............  A               Fluoroguide for spine       0.60       1.34         NA       0.10       2.04         NA        XXX
                                                       inject.
76005...............  26............  A               Fluoroguide for spine       0.60       0.15       0.15       0.03       0.78       0.78        XXX
                                                       inject.
76005...............  TC............  A               Fluoroguide for spine       0.00       1.19         NA       0.07       1.26         NA        XXX
                                                       inject.
76006...............  ..............  A               X-ray stress view....       0.41       0.32       0.17       0.06       0.79       0.64        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       0.49       0.49       0.10       1.90       1.90        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       0.50       0.50       0.07       1.96       1.96        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       0.55         NA       0.03       0.77         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       0.49         NA       0.02       0.51         NA        XXX
76040...............  ..............  A               X-rays, bone                0.27       0.82         NA       0.06       1.15         NA        XXX
                                                       evaluation.
76040...............  26............  A               X-rays, bone                0.27       0.09       0.09       0.01       0.37       0.37        XXX
                                                       evaluation.
76040...............  TC............  A               X-rays, bone                0.00       0.73         NA       0.05       0.78         NA        XXX
                                                       evaluation.
76061...............  ..............  A               X-rays, bone survey..       0.45       1.31         NA       0.08       1.84         NA        XXX
76061...............  26............  A               X-rays, bone survey..       0.45       0.16       0.16       0.02       0.63       0.63        XXX
76061...............  TC............  A               X-rays, bone survey..       0.00       1.15         NA       0.06       1.21         NA        XXX
76062...............  ..............  A               X-rays, bone survey..       0.54       1.93         NA       0.10       2.57         NA        XXX
76062...............  26............  A               X-rays, bone survey..       0.54       0.19       0.19       0.02       0.75       0.75        XXX
76062...............  TC............  A               X-rays, bone survey..       0.00       1.74         NA       0.08       1.82         NA        XXX
76065...............  ..............  A               X-rays, bone                0.70       1.27         NA       0.08       2.05         NA        XXX
                                                       evaluation.
76065...............  26............  A               X-rays, bone                0.70       0.24       0.24       0.03       0.97       0.97        XXX
                                                       evaluation.
76065...............  TC............  A               X-rays, bone                0.00       1.03         NA       0.05       1.08         NA        XXX
                                                       evaluation.
76066...............  ..............  A               Joint survey, single        0.31       1.06         NA       0.08       1.45         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       0.96         NA       0.06       1.02         NA        XXX
                                                       view.
76070...............  ..............  A               Ct bone density,            0.25       3.37         NA       0.17       3.79         NA        XXX
                                                       axial.
76070...............  26............  A               Ct bone density,            0.25       0.09       0.09       0.01       0.35       0.35        XXX
                                                       axial.
76070...............  TC............  A               Ct bone density,            0.00       3.29         NA       0.16       3.45         NA        XXX
                                                       axial.
76071...............  ..............  A               Ct bone density,            0.22       2.43         NA       0.06       2.71         NA        XXX
                                                       peripheral.
76071...............  26............  A               Ct bone density,            0.22       0.07       0.07       0.01       0.30       0.30        XXX
                                                       peripheral.

[[Page 45966]]

 
76071...............  TC............  A               Ct bone density,            0.00       2.36         NA       0.05       2.41         NA        XXX
                                                       peripheral.
76075...............  ..............  A               Dxa bone density,           0.30       2.58         NA       0.18       3.06         NA        XXX
                                                       axial.
76075...............  26............  A               Dxa bone density,           0.30       0.11       0.11       0.01       0.42       0.42        XXX
                                                       axial.
76075...............  TC............  A               Dxa bone density,           0.00       2.47         NA       0.17       2.64         NA        XXX
                                                       axial.
76076...............  ..............  A               Dxa bone density/           0.22       0.75         NA       0.06       1.03         NA        XXX
                                                       peripheral.
76076...............  26............  A               Dxa bone density/           0.22       0.08       0.08       0.01       0.31       0.31        XXX
                                                       peripheral.
76076...............  TC............  A               Dxa bone density/           0.00       0.67         NA       0.05       0.72         NA        XXX
                                                       peripheral.
76077...............  ..............  A               Dxa bone density/v-         0.17       0.71         NA       0.06       0.94         NA        XXX
                                                       fracture.
76077...............  26............  A               Dxa bone density/v-         0.17       0.06       0.06       0.01       0.24       0.24        XXX
                                                       fracture.
76077...............  TC............  A               Dxa bone density/v-         0.00       0.65         NA       0.05       0.70         NA        XXX
                                                       fracture.
76078...............  ..............  A               Radiographic                0.20       0.70         NA       0.06       0.96         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       0.63         NA       0.05       0.68         NA        XXX
                                                       absorptiometry.
76080...............  ..............  A               X-ray exam of fistula       0.54       1.23         NA       0.08       1.86         NA        XXX
76080...............  26............  A               X-ray exam of fistula       0.54       0.19       0.19       0.02       0.75       0.75        XXX
76080...............  TC............  A               X-ray exam of fistula       0.00       1.05         NA       0.06       1.11         NA        XXX
76082...............  ..............  A               Computer mammogram          0.06       0.39         NA       0.02       0.47         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       0.37         NA       0.01       0.38         NA        ZZZ
                                                       add-on.
76083...............  ..............  A               Computer mammogram          0.06       0.39         NA       0.02       0.47         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       0.37         NA       0.01       0.38         NA        ZZZ
                                                       add-on.
76086...............  ..............  A               X-ray of mammary duct       0.36       2.40         NA       0.16       2.92         NA        XXX
76086...............  26............  A               X-ray of mammary duct       0.36       0.13       0.13       0.02       0.51       0.51        XXX
76086...............  TC............  A               X-ray of mammary duct       0.00       2.28         NA       0.14       2.42         NA        XXX
76088...............  ..............  A               X-ray of mammary            0.45       3.32         NA       0.21       3.99         NA        XXX
                                                       ducts.
76088...............  26............  A               X-ray of mammary            0.45       0.16       0.16       0.02       0.63       0.63        XXX
                                                       ducts.
76088...............  TC............  A               X-ray of mammary            0.00       3.17         NA       0.19       3.36         NA        XXX
                                                       ducts.
76090...............  ..............  A               Mammogram, one breast       0.70       1.44         NA       0.09       2.23         NA        XXX
76090...............  26............  A               Mammogram, one breast       0.70       0.24       0.24       0.03       0.97       0.97        XXX
76090...............  TC............  A               Mammogram, one breast       0.00       1.20         NA       0.06       1.26         NA        XXX
76091...............  ..............  A               Mammogram, both             0.87       1.82         NA       0.11       2.80         NA        XXX
                                                       breasts.
76091...............  26............  A               Mammogram, both             0.87       0.30       0.30       0.04       1.21       1.21        XXX
                                                       breasts.
76091...............  TC............  A               Mammogram, both             0.00       1.52         NA       0.07       1.59         NA        XXX
                                                       breasts.
76092...............  ..............  A               Mammogram, screening.       0.70       1.51         NA       0.10       2.31         NA        XXX
76092...............  26............  A               Mammogram, screening.       0.70       0.24       0.24       0.03       0.97       0.97        XXX
76092...............  TC............  A               Mammogram, screening.       0.00       1.27         NA       0.07       1.34         NA        XXX
76093...............  ..............  A               Magnetic image,             1.63      18.79         NA       0.99      21.41         NA        XXX
                                                       breast.
76093...............  26............  A               Magnetic image,             1.63       0.56       0.56       0.07       2.26       2.26        XXX
                                                       breast.
76093...............  TC............  A               Magnetic image,             0.00      18.23         NA       0.92      19.15         NA        XXX
                                                       breast.
76094...............  ..............  A               Magnetic image, both        1.63      23.36         NA       1.31      26.31         NA        XXX
                                                       breasts.
76094...............  26............  A               Magnetic image, both        1.63       0.56       0.56       0.07       2.26       2.26        XXX
                                                       breasts.
76094...............  TC............  A               Magnetic image, both        0.00      22.81         NA       1.24      24.05         NA        XXX
                                                       breasts.
76095...............  ..............  A               Stereotactic breast         1.59       6.38         NA       0.46       8.43         NA        XXX
                                                       biopsy.
76095...............  26............  A               Stereotactic breast         1.59       0.54       0.54       0.09       2.22       2.22        XXX
                                                       biopsy.
76095...............  TC............  A               Stereotactic breast         0.00       5.84         NA       0.37       6.21         NA        XXX
                                                       biopsy.
76096...............  ..............  A               X-ray of needle wire,       0.56       1.37         NA       0.09       2.02         NA        XXX
                                                       breast.
76096...............  26............  A               X-ray of needle wire,       0.56       0.19       0.19       0.02       0.77       0.77        XXX
                                                       breast.
76096...............  TC............  A               X-ray of needle wire,       0.00       1.17         NA       0.07       1.24         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       0.40         NA       0.02       0.42         NA        XXX
                                                       specimen.
76100...............  ..............  A               X-ray exam of body          0.58       2.02         NA       0.10       2.70         NA        XXX
                                                       section.
76100...............  26............  A               X-ray exam of body          0.58       0.20       0.20       0.03       0.81       0.81        XXX
                                                       section.
76100...............  TC............  A               X-ray exam of body          0.00       1.82         NA       0.07       1.89         NA        XXX
                                                       section.
76101...............  ..............  A               Complex body section        0.58       2.53         NA       0.11       3.22         NA        XXX
                                                       x-ray.
76101...............  26............  A               Complex body section        0.58       0.20       0.20       0.03       0.81       0.81        XXX
                                                       x-ray.
76101...............  TC............  A               Complex body section        0.00       2.32         NA       0.08       2.40         NA        XXX
                                                       x-ray.
76102...............  ..............  A               Complex body section        0.58       3.39         NA       0.14       4.11         NA        XXX
                                                       x-rays.
76102...............  26............  A               Complex body section        0.58       0.20       0.20       0.03       0.81       0.81        XXX
                                                       x-rays.
76102...............  TC............  A               Complex body section        0.00       3.19         NA       0.11       3.30         NA        XXX
                                                       x-rays.
76120...............  ..............  A               Cine/video x-rays....       0.38       1.78         NA       0.08       2.24         NA        XXX
76120...............  26............  A               Cine/video x-rays....       0.38       0.14       0.14       0.02       0.54       0.54        XXX
76120...............  TC............  A               Cine/video x-rays....       0.00       1.65         NA       0.06       1.71         NA        XXX
76125...............  ..............  A               Cine/video x-rays add-      0.27         NA         NA       0.06         NA         NA        ZZZ
                                                       on.
76125...............  26............  A               Cine/video x-rays add-      0.27       0.10       0.10       0.01       0.38       0.38        ZZZ
                                                       on.
76125...............  TC............  A               Cine/video x-rays add-      0.00         NA         NA       0.05         NA         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       0.45         NA       0.02       0.47         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      12.79         NA       0.47      14.47         NA        XXX
                                                       localization.
76355...............  26............  A               Ct scan for                 1.21       0.42       0.42       0.05       1.68       1.68        XXX
                                                       localization.
76355...............  TC............  A               Ct scan for                 0.00      12.37         NA       0.42      12.79         NA        XXX
                                                       localization.
76360...............  ..............  A               Ct scan for needle          1.16       7.23         NA       0.47       8.86         NA        XXX
                                                       biopsy.

[[Page 45967]]

 
76360...............  26............  A               Ct scan for needle          1.16       0.40       0.40       0.05       1.61       1.61        XXX
                                                       biopsy.
76360...............  TC............  A               Ct scan for needle          0.00       6.83         NA       0.42       7.25         NA        XXX
                                                       biopsy.
76362...............  ..............  A               Ct guide for tissue         4.00         NA         NA       1.65         NA         NA        XXX
                                                       ablation.
76362...............  26............  A               Ct guide for tissue         4.00       1.37       1.37       0.18       5.55       5.55        XXX
                                                       ablation.
76362...............  TC............  A               Ct guide for tissue         0.00         NA         NA       1.46         NA         NA        XXX
                                                       ablation.
76370...............  ..............  A               Ct scan for therapy         0.85       3.57         NA       0.20       4.63         NA        XXX
                                                       guide.
76370...............  26............  A               Ct scan for therapy         0.85       0.29       0.29       0.04       1.18       1.18        XXX
                                                       guide.
76370...............  TC............  A               Ct scan for therapy         0.00       3.28         NA       0.16       3.44         NA        XXX
                                                       guide.
76375...............  ..............  A               3d/holograph reconstr       0.16       2.92         NA       0.19       3.27         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       2.87         NA       0.18       3.05         NA        XXX
                                                       add-on.
76380...............  ..............  A               CAT scan follow-up          0.98       4.06         NA       0.22       5.27         NA        XXX
                                                       study.
76380...............  26............  A               CAT scan follow-up          0.98       0.34       0.34       0.04       1.36       1.36        XXX
                                                       study.
76380...............  TC............  A               CAT scan follow-up          0.00       3.73         NA       0.18       3.91         NA        XXX
                                                       study.
76390...............  ..............  N               Mr spectroscopy......       1.40      10.86         NA       0.66      12.92         NA        XXX
76390...............  26............  N               Mr spectroscopy......       1.40       0.49       0.49       0.07       1.96       1.96        XXX
76390...............  TC............  N               Mr spectroscopy......       0.00      10.37         NA       0.59      10.96         NA        XXX
76393...............  ..............  A               Mr guidance for             1.50      11.11         NA       0.64      13.25         NA        XXX
                                                       needle place.
76393...............  26............  A               Mr guidance for             1.50       0.52       0.52       0.09       2.11       2.11        XXX
                                                       needle place.
76393...............  TC............  A               Mr guidance for             0.00      10.59         NA       0.55      11.14         NA        XXX
                                                       needle place.
76394...............  ..............  A               Mri for tissue              4.25         NA         NA       1.81         NA         NA        XXX
                                                       ablation.
76394...............  26............  A               Mri for tissue              4.25       1.45       1.45       0.24       5.94       5.94        XXX
                                                       ablation.
76394...............  TC............  A               Mri for tissue              0.00         NA         NA       1.57         NA         NA        XXX
                                                       ablation.
76400...............  ..............  A               Magnetic image, bone        1.60      12.18         NA       0.66      14.45         NA        XXX
                                                       marrow.
76400...............  26............  A               Magnetic image, bone        1.60       0.55       0.55       0.07       2.22       2.22        XXX
                                                       marrow.
76400...............  TC............  A               Magnetic image, bone        0.00      11.63         NA       0.59      12.22         NA        XXX
                                                       marrow.
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       1.95         NA       0.14       2.72         NA        XXX
76506...............  26............  A               Echo exam of head....       0.63       0.24       0.24       0.06       0.93       0.93        XXX
76506...............  TC............  A               Echo exam of head....       0.00       1.71         NA       0.08       1.79         NA        XXX
76510...............  ..............  A               Ophth us, b & quant a       1.55       2.73         NA       0.10       4.38         NA        XXX
76510...............  26............  A               Ophth us, b & quant a       1.55       0.67       0.67       0.03       2.25       2.25        XXX
76510...............  TC............  A               Ophth us, b & quant a       0.00       2.06         NA       0.07       2.13         NA        XXX
76511...............  ..............  A               Ophth us, quant a           0.94       2.24         NA       0.10       3.28         NA        XXX
                                                       only.
76511...............  26............  A               Ophth us, quant a           0.94       0.40       0.40       0.03       1.37       1.37        XXX
                                                       only.
76511...............  TC............  A               Ophth us, quant a           0.00       1.85         NA       0.07       1.92         NA        XXX
                                                       only.
76512...............  ..............  A               Ophth us, b w/non-          0.94       2.05         NA       0.12       3.11         NA        XXX
                                                       quant a.
76512...............  26............  A               Ophth us, b w/non-          0.94       0.41       0.41       0.02       1.37       1.37        XXX
                                                       quant a.
76512...............  TC............  A               Ophth us, b w/non-          0.00       1.64         NA       0.10       1.74         NA        XXX
                                                       quant a.
76513...............  ..............  A               Echo exam of eye,           0.66       1.73         NA       0.12       2.51         NA        XXX
                                                       water bath.
76513...............  26............  A               Echo exam of eye,           0.66       0.28       0.28       0.02       0.96       0.96        XXX
                                                       water bath.
76513...............  TC............  A               Echo exam of eye,           0.00       1.45         NA       0.10       1.55         NA        XXX
                                                       water bath.
76514...............  ..............  A               Echo exam of eye,           0.17       0.13         NA       0.02       0.32         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       0.05         NA       0.01       0.06         NA        XXX
                                                       thickness.
76516...............  ..............  A               Echo exam of eye.....       0.54       1.39         NA       0.08       2.01         NA        XXX
76516...............  26............  A               Echo exam of eye.....       0.54       0.24       0.24       0.01       0.79       0.79        XXX
76516...............  TC............  A               Echo exam of eye.....       0.00       1.16         NA       0.07       1.23         NA        XXX
76519...............  ..............  A               Echo exam of eye.....       0.54       1.48         NA       0.08       2.10         NA        XXX
76519...............  26............  A               Echo exam of eye.....       0.54       0.24       0.24       0.01       0.79       0.79        XXX
76519...............  TC............  A               Echo exam of eye.....       0.00       1.25         NA       0.07       1.32         NA        XXX
76529...............  ..............  A               Echo exam of eye.....       0.57       1.33         NA       0.10       2.00         NA        XXX
76529...............  26............  A               Echo exam of eye.....       0.57       0.24       0.24       0.02       0.83       0.83        XXX
76529...............  TC............  A               Echo exam of eye.....       0.00       1.09         NA       0.08       1.17         NA        XXX
76536...............  ..............  A               Us exam of head and         0.56       1.90         NA       0.10       2.56         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       1.71         NA       0.08       1.79         NA        XXX
                                                       neck.
76604...............  ..............  A               Us exam, chest, b-          0.55       1.66         NA       0.09       2.30         NA        XXX
                                                       scan.
76604...............  26............  A               Us exam, chest, b-          0.55       0.19       0.19       0.02       0.76       0.76        XXX
                                                       scan.
76604...............  TC............  A               Us exam, chest, b-          0.00       1.47         NA       0.07       1.54         NA        XXX
                                                       scan.
76645...............  ..............  A               Us exam, breast(s)...       0.54       1.47         NA       0.08       2.09         NA        XXX
76645...............  26............  A               Us exam, breast(s)...       0.54       0.19       0.19       0.02       0.75       0.75        XXX
76645...............  TC............  A               Us exam, breast(s)...       0.00       1.29         NA       0.06       1.35         NA        XXX

[[Page 45968]]

 
76700...............  ..............  A               Us exam, abdom,             0.81       2.52         NA       0.15       3.48         NA        XXX
                                                       complete.
76700...............  26............  A               Us exam, abdom,             0.81       0.28       0.28       0.04       1.13       1.13        XXX
                                                       complete.
76700...............  TC............  A               Us exam, abdom,             0.00       2.24         NA       0.11       2.35         NA        XXX
                                                       complete.
76705...............  ..............  A               Echo exam of abdomen.       0.59       1.91         NA       0.11       2.61         NA        XXX
76705...............  26............  A               Echo exam of abdomen.       0.59       0.20       0.20       0.03       0.82       0.82        XXX
76705...............  TC............  A               Echo exam of abdomen.       0.00       1.71         NA       0.08       1.79         NA        XXX
76770...............  ..............  A               Us exam abdo back           0.74       2.52         NA       0.14       3.40         NA        XXX
                                                       wall, comp.
76770...............  26............  A               Us exam abdo back           0.74       0.25       0.25       0.03       1.02       1.02        XXX
                                                       wall, comp.
76770...............  TC............  A               Us exam abdo back           0.00       2.27         NA       0.11       2.38         NA        XXX
                                                       wall, comp.
76775...............  ..............  A               Us exam abdo back           0.58       1.89         NA       0.11       2.58         NA        XXX
                                                       wall, lim.
76775...............  26............  A               Us exam abdo back           0.58       0.20       0.20       0.03       0.81       0.81        XXX
                                                       wall, lim.
76775...............  TC............  A               Us exam abdo back           0.00       1.69         NA       0.08       1.77         NA        XXX
                                                       wall, lim.
76778...............  ..............  A               Us exam kidney              0.74       2.52         NA       0.14       3.40         NA        XXX
                                                       transplant.
76778...............  26............  A               Us exam kidney              0.74       0.25       0.25       0.03       1.02       1.02        XXX
                                                       transplant.
76778...............  TC............  A               Us exam kidney              0.00       2.27         NA       0.11       2.38         NA        XXX
                                                       transplant.
76800...............  ..............  A               Us exam, spinal canal       1.13       1.98         NA       0.13       3.24         NA        XXX
76800...............  26............  A               Us exam, spinal canal       1.13       0.34       0.34       0.05       1.52       1.52        XXX
76800...............  TC............  A               Us exam, spinal canal       0.00       1.64         NA       0.08       1.72         NA        XXX
76801...............  ..............  A               Ob us < 14 wks,             0.99       2.44         NA       0.16       3.59         NA        XXX
                                                       single fetus.
76801...............  26............  A               Ob us < 14 wks,             0.99       0.35       0.35       0.04       1.38       1.38        XXX
                                                       single fetus.
76801...............  TC............  A               Ob us < 14 wks,             0.00       2.09         NA       0.12       2.21         NA        XXX
                                                       single fetus.
76802...............  ..............  A               Ob us < 14 wks, add'l       0.83       1.26         NA       0.16       2.25         NA        ZZZ
                                                       fetus.
76802...............  26............  A               Ob us < 14 wks, add'l       0.83       0.30       0.30       0.04       1.17       1.17        ZZZ
                                                       fetus.
76802...............  TC............  A               Ob us < 14 wks, add'l       0.00       0.96         NA       0.12       1.08         NA        ZZZ
                                                       fetus.
76805...............  ..............  A               Ob us >/= 14 wks,           0.99       2.57         NA       0.16       3.72         NA        XXX
                                                       sngl fetus.
76805...............  26............  A               Ob us >/= 14 wks,           0.99       0.35       0.35       0.04       1.38       1.38        XXX
                                                       sngl fetus.
76805...............  TC............  A               Ob us >/= 14 wks,           0.00       2.22         NA       0.12       2.34         NA        XXX
                                                       sngl fetus.
76810...............  ..............  A               Ob us >/= 14 wks,           0.98       1.46         NA       0.26       2.70         NA        ZZZ
                                                       addl fetus.
76810...............  26............  A               Ob us >/= 14 wks,           0.98       0.35       0.35       0.04       1.37       1.37        ZZZ
                                                       addl fetus.
76810...............  TC............  A               Ob us >/= 14 wks,           0.00       1.11         NA       0.22       1.33         NA        ZZZ
                                                       addl fetus.
76811...............  ..............  A               Ob us, detailed, sngl       1.90       3.92         NA       0.52       6.34         NA        XXX
                                                       fetus.
76811...............  26............  A               Ob us, detailed, sngl       1.90       0.71       0.71       0.09       2.71       2.71        XXX
                                                       fetus.
76811...............  TC............  A               Ob us, detailed, sngl       0.00       3.21         NA       0.43       3.64         NA        XXX
                                                       fetus.
76812...............  ..............  A               Ob us, detailed, addl       1.78       2.26         NA       0.49       4.54         NA        ZZZ
                                                       fetus.
76812...............  26............  A               Ob us, detailed, addl       1.78       0.66       0.66       0.08       2.53       2.53        ZZZ
                                                       fetus.
76812...............  TC............  A               Ob us, detailed, addl       0.00       1.60         NA       0.41       2.01         NA        ZZZ
                                                       fetus.
76815...............  ..............  A               Ob us, limited,             0.65       1.67         NA       0.11       2.43         NA        XXX
                                                       fetus(s).
76815...............  26............  A               Ob us, limited,             0.65       0.23       0.23       0.03       0.91       0.91        XXX
                                                       fetus(s).
76815...............  TC............  A               Ob us, limited,             0.00       1.44         NA       0.08       1.52         NA        XXX
                                                       fetus(s).
76816...............  ..............  A               Ob us, follow-up, per       0.85       1.64         NA       0.10       2.59         NA        XXX
                                                       fetus.
76816...............  26............  A               Ob us, follow-up, per       0.85       0.32       0.32       0.04       1.21       1.21        XXX
                                                       fetus.
76816...............  TC............  A               Ob us, follow-up, per       0.00       1.32         NA       0.06       1.38         NA        XXX
                                                       fetus.
76817...............  ..............  A               Transvaginal us,            0.75       1.83         NA       0.09       2.67         NA        XXX
                                                       obstetric.
76817...............  26............  A               Transvaginal us,            0.75       0.27       0.27       0.03       1.05       1.05        XXX
                                                       obstetric.
76817...............  TC............  A               Transvaginal us,            0.00       1.56         NA       0.06       1.62         NA        XXX
                                                       obstetric.
76818...............  ..............  A               Fetal biophys profile       1.05       2.03         NA       0.15       3.24         NA        XXX
                                                       w/nst.
76818...............  26............  A               Fetal biophys profile       1.05       0.39       0.39       0.05       1.49       1.49        XXX
                                                       w/nst.
76818...............  TC............  A               Fetal biophys profile       0.00       1.64         NA       0.10       1.74         NA        XXX
                                                       w/nst.
76819...............  ..............  A               Fetal biophys profil        0.77       1.82         NA       0.13       2.73         NA        XXX
                                                       w/o nst.
76819...............  26............  A               Fetal biophys profil        0.77       0.28       0.28       0.03       1.08       1.08        XXX
                                                       w/o nst.
76819...............  TC............  A               Fetal biophys profil        0.00       1.54         NA       0.10       1.64         NA        XXX
                                                       w/o nst.
76820...............  ..............  A               Umbilical artery echo       0.50       1.50         NA       0.15       2.15         NA        XXX
76820...............  26............  A               Umbilical artery echo       0.50       0.19       0.19       0.03       0.72       0.72        XXX
76820...............  TC............  A               Umbilical artery echo       0.00       1.32         NA       0.12       1.44         NA        XXX
76821...............  ..............  A               Middle cerebral             0.70       1.88         NA       0.15       2.73         NA        XXX
                                                       artery echo.
76821...............  26............  A               Middle cerebral             0.70       0.26       0.26       0.03       0.99       0.99        XXX
                                                       artery echo.
76821...............  TC............  A               Middle cerebral             0.00       1.61         NA       0.12       1.73         NA        XXX
                                                       artery echo.
76825...............  ..............  A               Echo exam of fetal          1.67       3.06         NA       0.18       4.91         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       2.46         NA       0.11       2.57         NA        XXX
                                                       heart.
76826...............  ..............  A               Echo exam of fetal          0.83       1.47         NA       0.08       2.38         NA        XXX
                                                       heart.
76826...............  26............  A               Echo exam of fetal          0.83       0.29       0.29       0.03       1.15       1.15        XXX
                                                       heart.
76826...............  TC............  A               Echo exam of fetal          0.00       1.17         NA       0.05       1.22         NA        XXX
                                                       heart.
76827...............  ..............  A               Echo exam of fetal          0.58       1.73         NA       0.14       2.45         NA        XXX
                                                       heart.
76827...............  26............  A               Echo exam of fetal          0.58       0.21       0.21       0.02       0.81       0.81        XXX
                                                       heart.
76827...............  TC............  A               Echo exam of fetal          0.00       1.52         NA       0.12       1.64         NA        XXX
                                                       heart.
76828...............  ..............  A               Echo exam of fetal          0.56       1.16         NA       0.11       1.84         NA        XXX
                                                       heart.
76828...............  26............  A               Echo exam of fetal          0.56       0.22       0.22       0.03       0.81       0.81        XXX
                                                       heart.
76828...............  TC............  A               Echo exam of fetal          0.00       0.95         NA       0.08       1.03         NA        XXX
                                                       heart.
76830...............  ..............  A               Transvaginal us, non-       0.69       2.01         NA       0.13       2.83         NA        XXX
                                                       ob.
76830...............  26............  A               Transvaginal us, non-       0.69       0.24       0.24       0.03       0.96       0.96        XXX
                                                       ob.
76830...............  TC............  A               Transvaginal us, non-       0.00       1.77         NA       0.10       1.87         NA        XXX
                                                       ob.
76831...............  ..............  A               Echo exam, uterus....       0.72       1.98         NA       0.13       2.84         NA        XXX
76831...............  26............  A               Echo exam, uterus....       0.72       0.26       0.26       0.03       1.01       1.01        XXX

[[Page 45969]]

 
76831...............  TC............  A               Echo exam, uterus....       0.00       1.73         NA       0.10       1.83         NA        XXX
76856...............  ..............  A               Us exam, pelvic,            0.69       2.10         NA       0.13       2.92         NA        XXX
                                                       complete.
76856...............  26............  A               Us exam, pelvic,            0.69       0.24       0.24       0.03       0.96       0.96        XXX
                                                       complete.
76856...............  TC............  A               Us exam, pelvic,            0.00       1.86         NA       0.10       1.96         NA        XXX
                                                       complete.
76857...............  ..............  A               Us exam, pelvic,            0.38       2.08         NA       0.08       2.54         NA        XXX
                                                       limited.
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       1.95         NA       0.06       2.01         NA        XXX
                                                       limited.
76870...............  ..............  A               Us exam, scrotum.....       0.64       2.12         NA       0.13       2.89         NA        XXX
76870...............  26............  A               Us exam, scrotum.....       0.64       0.22       0.22       0.03       0.89       0.89        XXX
76870...............  TC............  A               Us exam, scrotum.....       0.00       1.90         NA       0.10       2.00         NA        XXX
76872...............  ..............  A               Us, transrectal......       0.69       2.59         NA       0.14       3.42         NA        XXX
76872...............  26............  A               Us, transrectal......       0.69       0.25       0.25       0.04       0.98       0.98        XXX
76872...............  TC............  A               Us, transrectal......       0.00       2.35         NA       0.10       2.45         NA        XXX
76873...............  ..............  A               Echograp trans r,           1.55       3.05         NA       0.25       4.85         NA        XXX
                                                       pros study.
76873...............  26............  A               Echograp trans r,           1.55       0.55       0.55       0.09       2.19       2.19        XXX
                                                       pros study.
76873...............  TC............  A               Echograp trans r,           0.00       2.50         NA       0.16       2.66         NA        XXX
                                                       pros study.
76880...............  ..............  A               Us exam, extremity...       0.59       2.06         NA       0.11       2.77         NA        XXX
76880...............  26............  A               Us exam, extremity...       0.59       0.20       0.20       0.03       0.82       0.82        XXX
76880...............  TC............  A               Us exam, extremity...       0.00       1.86         NA       0.08       1.94         NA        XXX
76885...............  ..............  A               Us exam infant hips,        0.74       2.21         NA       0.13       3.09         NA        XXX
                                                       dynamic.
76885...............  26............  A               Us exam infant hips,        0.74       0.25       0.25       0.03       1.02       1.02        XXX
                                                       dynamic.
76885...............  TC............  A               Us exam infant hips,        0.00       1.96         NA       0.10       2.06         NA        XXX
                                                       dynamic.
76886...............  ..............  A               Us exam infant hips,        0.62       1.82         NA       0.11       2.55         NA        XXX
                                                       static.
76886...............  26............  A               Us exam infant hips,        0.62       0.21       0.21       0.03       0.86       0.86        XXX
                                                       static.
76886...............  TC............  A               Us exam infant hips,        0.00       1.61         NA       0.08       1.69         NA        XXX
                                                       static.
76930...............  ..............  A               Echo guide,                 0.67       1.69         NA       0.12       2.48         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       1.43         NA       0.10       1.53         NA        XXX
                                                       cardiocentesis.
76932...............  ..............  A               Echo guide for heart        0.67         NA         NA       0.12         NA         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         NA         NA       0.10         NA         NA        XXX
                                                       biopsy.
76936...............  ..............  A               Echo guide for artery       1.99       6.80         NA       0.47       9.26         NA        XXX
                                                       repair.
76936...............  26............  A               Echo guide for artery       1.99       0.68       0.68       0.13       2.81       2.81        XXX
                                                       repair.
76936...............  TC............  A               Echo guide for artery       0.00       6.11         NA       0.34       6.45         NA        XXX
                                                       repair.
76937...............  ..............  A               Us guide, vascular          0.30       0.58         NA       0.13       1.01         NA        ZZZ
                                                       access.
76937...............  26............  A               Us guide, vascular          0.30       0.11       0.11       0.03       0.44       0.44        ZZZ
                                                       access.
76937...............  TC............  A               Us guide, vascular          0.00       0.47         NA       0.10       0.57         NA        ZZZ
                                                       access.
76940...............  ..............  A               Us guide, tissue            2.00         NA         NA       0.60         NA         NA        XXX
                                                       ablation.
76940...............  26............  A               Us guide, tissue            2.00       0.67       0.67       0.31       2.98       2.98        XXX
                                                       ablation.
76940...............  TC............  A               Us guide, tissue            0.00         NA         NA       0.29         NA         NA        XXX
                                                       ablation.
76941...............  ..............  A               Echo guide for              1.34         NA         NA       0.15         NA         NA        XXX
                                                       transfusion.
76941...............  26............  A               Echo guide for              1.34       0.48       0.48       0.07       1.90       1.90        XXX
                                                       transfusion.
76941...............  TC............  A               Echo guide for              0.00         NA         NA       0.08         NA         NA        XXX
                                                       transfusion.
76942...............  ..............  A               Echo guide for biopsy       0.67       3.73         NA       0.13       4.53         NA        XXX
76942...............  26............  A               Echo guide for biopsy       0.67       0.24       0.24       0.03       0.94       0.94        XXX
76942...............  TC............  A               Echo guide for biopsy       0.00       3.49         NA       0.10       3.59         NA        XXX
76945...............  ..............  A               Echo guide, villus          0.67         NA         NA       0.11         NA         NA        XXX
                                                       sampling.
76945...............  26............  A               Echo guide, villus          0.67       0.23       0.23       0.03       0.93       0.93        XXX
                                                       sampling.
76945...............  TC............  A               Echo guide, villus          0.00         NA         NA       0.08         NA         NA        XXX
                                                       sampling.
76946...............  ..............  A               Echo guide for              0.38       1.36         NA       0.12       1.86         NA        XXX
                                                       amniocentesis.
76946...............  26............  A               Echo guide for              0.38       0.14       0.14       0.02       0.54       0.54        XXX
                                                       amniocentesis.
76946...............  TC............  A               Echo guide for              0.00       1.21         NA       0.10       1.31         NA        XXX
                                                       amniocentesis.
76948...............  ..............  A               Echo guide, ova             0.38       1.39         NA       0.12       1.89         NA        XXX
                                                       aspiration.
76948...............  26............  A               Echo guide, ova             0.38       0.14       0.14       0.02       0.54       0.54        XXX
                                                       aspiration.
76948...............  TC............  A               Echo guide, ova             0.00       1.25         NA       0.10       1.35         NA        XXX
                                                       aspiration.
76950...............  ..............  A               Echo guidance               0.58       1.55         NA       0.10       2.23         NA        XXX
                                                       radiotherapy.
76950...............  26............  A               Echo guidance               0.58       0.20       0.20       0.03       0.81       0.81        XXX
                                                       radiotherapy.
76950...............  TC............  A               Echo guidance               0.00       1.35         NA       0.07       1.42         NA        XXX
                                                       radiotherapy.
76965...............  ..............  A               Echo guidance               1.34       4.86         NA       0.37       6.57         NA        XXX
                                                       radiotherapy.
76965...............  26............  A               Echo guidance               1.34       0.49       0.49       0.08       1.91       1.91        XXX
                                                       radiotherapy.
76965...............  TC............  A               Echo guidance               0.00       4.38         NA       0.29       4.67         NA        XXX
                                                       radiotherapy.
76970...............  ..............  A               Ultrasound exam             0.40       1.43         NA       0.08       1.91         NA        XXX
                                                       follow-up.
76970...............  26............  A               Ultrasound exam             0.40       0.14       0.14       0.02       0.56       0.56        XXX
                                                       follow-up.
76970...............  TC............  A               Ultrasound exam             0.00       1.29         NA       0.06       1.35         NA        XXX
                                                       follow-up.
76975...............  ..............  A               GI endoscopic               0.81       3.41         NA       0.14       4.37         NA        XXX
                                                       ultrasound.
76975...............  26............  A               GI endoscopic               0.81       0.30       0.30       0.04       1.15       1.15        XXX
                                                       ultrasound.
76975...............  TC............  A               GI endoscopic               0.00       3.12         NA       0.10       3.22         NA        XXX
                                                       ultrasound.
76977...............  ..............  A               Us bone density             0.05       0.65         NA       0.06       0.76         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       0.63         NA       0.05       0.68         NA        XXX
                                                       measure.
76986...............  ..............  A               Ultrasound guide            1.20         NA         NA       0.27         NA         NA        XXX
                                                       intraoper.
76986...............  26............  A               Ultrasound guide            1.20       0.41       0.41       0.13       1.75       1.75        XXX
                                                       intraoper.
76986...............  TC............  A               Ultrasound guide            0.00         NA         NA       0.14         NA         NA        XXX
                                                       intraoper.
76999...............  ..............  C               Echo examination            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.

[[Page 45970]]

 
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       0.53       0.52       0.07       1.99       1.98        XXX
                                                       planning.
77262...............  ..............  A               Radiation therapy           2.11       0.77       0.76       0.11       2.99       2.99        XXX
                                                       planning.
77263...............  ..............  A               Radiation therapy           3.15       1.12       1.12       0.16       4.43       4.43        XXX
                                                       planning.
77280...............  ..............  A               Set radiation therapy       0.70       3.85         NA       0.22       4.77         NA        XXX
                                                       field.
77280...............  26............  A               Set radiation therapy       0.70       0.23       0.23       0.04       0.97       0.97        XXX
                                                       field.
77280...............  TC............  A               Set radiation therapy       0.00       3.62         NA       0.18       3.80         NA        XXX
                                                       field.
77285...............  ..............  A               Set radiation therapy       1.05       6.38         NA       0.35       7.78         NA        XXX
                                                       field.
77285...............  26............  A               Set radiation therapy       1.05       0.35       0.35       0.05       1.45       1.45        XXX
                                                       field.
77285...............  TC............  A               Set radiation therapy       0.00       6.03         NA       0.30       6.33         NA        XXX
                                                       field.
77290...............  ..............  A               Set radiation therapy       1.56       8.57         NA       0.43      10.56         NA        XXX
                                                       field.
77290...............  26............  A               Set radiation therapy       1.56       0.52       0.52       0.08       2.16       2.16        XXX
                                                       field.
77290...............  TC............  A               Set radiation therapy       0.00       8.05         NA       0.35       8.40         NA        XXX
                                                       field.
77295...............  ..............  A               Set radiation therapy       4.57      24.31         NA       1.72      30.60         NA        XXX
                                                       field.
77295...............  26............  A               Set radiation therapy       4.57       1.51       1.51       0.23       6.30       6.30        XXX
                                                       field.
77295...............  TC............  A               Set radiation therapy       0.00      22.80         NA       1.48      24.28         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       1.49         NA       0.10       2.21         NA        XXX
                                                       dose plan.
77300...............  26............  A               Radiation therapy           0.62       0.21       0.21       0.03       0.86       0.86        XXX
                                                       dose plan.
77300...............  TC............  A               Radiation therapy           0.00       1.28         NA       0.07       1.35         NA        XXX
                                                       dose plan.
77301...............  ..............  A               Radiotherapy dose           8.01      38.62         NA       1.89      48.51         NA        XXX
                                                       plan, imrt.
77301...............  26............  A               Radiotherapy dose           8.01       2.66       2.66       0.40      11.06      11.06        XXX
                                                       plan, imrt.
77301...............  TC............  A               Radiotherapy dose           0.00      35.96         NA       1.48      37.44         NA        XXX
                                                       plan, imrt.
77305...............  ..............  A               Teletx isodose plan         0.70       1.83         NA       0.15       2.68         NA        XXX
                                                       simple.
77305...............  26............  A               Teletx isodose plan         0.70       0.24       0.24       0.04       0.98       0.98        XXX
                                                       simple.
77305...............  TC............  A               Teletx isodose plan         0.00       1.59         NA       0.11       1.70         NA        XXX
                                                       simple.
77310...............  ..............  A               Teletx isodose plan         1.05       2.36         NA       0.18       3.59         NA        XXX
                                                       intermed.
77310...............  26............  A               Teletx isodose plan         1.05       0.35       0.35       0.05       1.45       1.45        XXX
                                                       intermed.
77310...............  TC............  A               Teletx isodose plan         0.00       2.01         NA       0.13       2.14         NA        XXX
                                                       intermed.
77315...............  ..............  A               Teletx isodose plan         1.56       2.97         NA       0.22       4.75         NA        XXX
                                                       complex.
77315...............  26............  A               Teletx isodose plan         1.56       0.52       0.52       0.08       2.16       2.16        XXX
                                                       complex.
77315...............  TC............  A               Teletx isodose plan         0.00       2.45         NA       0.14       2.59         NA        XXX
                                                       complex.
7321................  ..............  A               Special teletx port         0.95       3.68         NA       0.26       4.89         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       3.37         NA       0.21       3.58         NA        XXX
                                                       plan.
77326...............  ..............  A               Brachytx isodose calc       0.93       2.90         NA       0.18       4.01         NA        XXX
                                                       simp.
77326...............  26............  A               Brachytx isodose calc       0.93       0.31       0.31       0.05       1.29       1.29        XXX
                                                       simp.
77326...............  TC............  A               Brachytx isodose calc       0.00       2.59         NA       0.13       2.72         NA        XXX
                                                       simp.
77327...............  ..............  A               Brachytx isodose calc       1.39       4.19         NA       0.25       5.83         NA        XXX
                                                       interm.
77327...............  26............  A               Brachytx isodose calc       1.39       0.46       0.46       0.07       1.92       1.92        XXX
                                                       interm.
77327...............  TC............  A               Brachytx isodose calc       0.00       3.73         NA       0.18       3.91         NA        XXX
                                                       interm.
77328...............  ..............  A               Brachytx isodose plan       2.09       5.81         NA       0.36       8.27         NA        XXX
                                                       compl.
77328...............  26............  A               Brachytx isodose plan       2.09       0.69       0.69       0.11       2.90       2.90        XXX
                                                       compl.
77328...............  TC............  A               Brachytx isodose plan       0.00       5.12         NA       0.25       5.37         NA        XXX
                                                       compl.
77331...............  ..............  A               Special radiation           0.87       0.81         NA       0.06       1.74         NA        XXX
                                                       dosimetry.
77331...............  26............  A               Special radiation           0.87       0.29       0.29       0.04       1.20       1.20        XXX
                                                       dosimetry.
77331...............  TC............  A               Special radiation           0.00       0.52         NA       0.02       0.54         NA        XXX
                                                       dosimetry.
77332...............  ..............  A               Radiation treatment         0.54       1.59         NA       0.10       2.23         NA        XXX
                                                       aid(s).
77332...............  26............  A               Radiation treatment         0.54       0.18       0.18       0.03       0.75       0.75        XXX
                                                       aid(s).
77332...............  TC............  A               Radiation treatment         0.00       1.41         NA       0.07       1.48         NA        XXX
                                                       aid(s).
77333...............  ..............  A               Radiation treatment         0.84       1.79         NA       0.15       2.78         NA        XXX
                                                       aid(s).
77333...............  26............  A               Radiation treatment         0.84       0.28       0.28       0.04       1.16       1.16        XXX
                                                       aid(s).
77333...............  TC............  A               Radiation treatment         0.00       1.51         NA       0.11       1.62         NA        XXX
                                                       aid(s).
77334...............  ..............  A               Radiation treatment         1.24       3.55         NA       0.23       5.02         NA        XXX
                                                       aid(s).
77334...............  26............  A               Radiation treatment         1.24       0.41       0.41       0.06       1.71       1.71        XXX
                                                       aid(s).
77334...............  TC............  A               Radiation treatment         0.00       3.14         NA       0.17       3.31         NA        XXX
                                                       aid(s).
77336...............  ..............  A               Radiation physics           0.00       2.57         NA       0.16       2.73         NA        XXX
                                                       consult.
77370...............  ..............  A               Radiation physics           0.00       3.45         NA       0.18       3.63         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       1.53         NA       0.11       1.64         NA        XXX
                                                       delivery.
77402...............  ..............  A               Radiation treatment         0.00       2.26         NA       0.11       2.37         NA        XXX
                                                       delivery.
77403...............  ..............  A               Radiation treatment         0.00       2.14         NA       0.11       2.25         NA        XXX
                                                       delivery.
77404...............  ..............  A               Radiation treatment         0.00       2.26         NA       0.11       2.37         NA        XXX
                                                       delivery.
77406...............  ..............  A               Radiation treatment         0.00       2.24         NA       0.11       2.35         NA        XXX
                                                       delivery.
77407...............  ..............  A               Radiation treatment         0.00       2.84         NA       0.12       2.96         NA        XXX
                                                       delivery.
77408...............  ..............  A               Radiation treatment         0.00       2.69         NA       0.12       2.81         NA        XXX
                                                       delivery.
77409...............  ..............  A               Radiation treatment         0.00       2.81         NA       0.12       2.93         NA        XXX
                                                       delivery.
77411...............  ..............  A               Radiation treatment         0.00       2.79         NA       0.12       2.91         NA        XXX
                                                       delivery.
77412...............  ..............  A               Radiation treatment         0.00       3.24         NA       0.13       3.37         NA        XXX
                                                       delivery.

[[Page 45971]]

 
77413...............  ..............  A               Radiation treatment         0.00       3.22         NA       0.13       3.35         NA        XXX
                                                       delivery.
77414...............  ..............  A               Radiation treatment         0.00       3.39         NA       0.13       3.52         NA        XXX
                                                       delivery.
77416...............  ..............  A               Radiation treatment         0.00       3.36         NA       0.13       3.49         NA        XXX
                                                       delivery.
77417...............  ..............  A               Radiology port              0.00       0.56         NA       0.04       0.60         NA        XXX
                                                       film(s).
77418...............  ..............  A               Radiation tx                0.00      16.71         NA       0.13      16.84         NA        XXX
                                                       delivery, imrt.
77427...............  ..............  A               Radiation tx                3.32       1.16       1.09       0.17       4.65       4.58        XXX
                                                       management, x5.
77431...............  ..............  A               Radiation therapy           1.81       0.79       0.68       0.09       2.70       2.58        XXX
                                                       management.
77432...............  ..............  A               Stereotactic                7.94       2.92       2.92       0.41      11.27      11.27        XXX
                                                       radiation trmt.
77470...............  ..............  A               Special radiation           2.09       9.53         NA       0.70      12.32         NA        XXX
                                                       treatment.
77470...............  26............  A               Special radiation           2.09       0.69       0.69       0.11       2.90       2.90        XXX
                                                       treatment.
77470...............  TC............  A               Special radiation           0.00       8.84         NA       0.59       9.43         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       5.57         NA       0.24       7.38         NA        XXX
                                                       treatment.
77600...............  26............  R               Hyperthermia                1.56       0.52       0.52       0.08       2.16       2.16        XXX
                                                       treatment.
77600...............  TC............  R               Hyperthermia                0.00       5.06         NA       0.16       5.22         NA        XXX
                                                       treatment.
77605...............  ..............  R               Hyperthermia                2.09       8.40         NA       0.38      10.87         NA        XXX
                                                       treatment.
77605...............  26............  R               Hyperthermia                2.09       0.68       0.68       0.16       2.94       2.94        XXX
                                                       treatment.
77605...............  TC............  R               Hyperthermia                0.00       7.71         NA       0.22       7.93         NA        XXX
                                                       treatment.
77610...............  ..............  R               Hyperthermia                1.56       7.34         NA       0.24       9.14         NA        XXX
                                                       treatment.
77610...............  26............  R               Hyperthermia                1.56       0.53       0.53       0.08       2.17       2.17        XXX
                                                       treatment.
77610...............  TC............  R               Hyperthermia                0.00       6.81         NA       0.16       6.97         NA        XXX
                                                       treatment.
77615...............  ..............  R               Hyperthermia                2.09      11.06         NA       0.33      13.49         NA        XXX
                                                       treatment.
77615...............  26............  R               Hyperthermia                2.09       0.69       0.69       0.11       2.89       2.89        XXX
                                                       treatment.
77615...............  TC............  R               Hyperthermia                0.00      10.37         NA       0.22      10.59         NA        XXX
                                                       treatment.
77620...............  ..............  R               Hyperthermia                1.56       4.94         NA       0.36       6.87         NA        XXX
                                                       treatment.
77620...............  26............  R               Hyperthermia                1.56       0.54       0.54       0.20       2.30       2.30        XXX
                                                       treatment.
77620...............  TC............  R               Hyperthermia                0.00       4.40         NA       0.16       4.56         NA        XXX
                                                       treatment.
77750...............  ..............  A               Infuse radioactive          4.91       3.28         NA       0.32       8.51         NA        090
                                                       materials.
77750...............  26............  A               Infuse radioactive          4.91       1.63       1.63       0.25       6.79       6.79        090
                                                       materials.
77750...............  TC............  A               Infuse radioactive          0.00       1.65         NA       0.07       1.72         NA        090
                                                       materials.
77761...............  ..............  A               Apply intrcav radiat        3.81       4.43         NA       0.33       8.57         NA        090
                                                       simple.
77761...............  26............  A               Apply intrcav radiat        3.81       1.10       1.10       0.19       5.10       5.10        090
                                                       simple.
77761...............  TC............  A               Apply intrcav radiat        0.00       3.32         NA       0.14       3.46         NA        090
                                                       simple.
77762...............  ..............  A               Apply intrcav radiat        5.72       6.33         NA       0.48      12.53         NA        090
                                                       interm.
77762...............  26............  A               Apply intrcav radiat        5.72       1.86       1.86       0.29       7.88       7.88        090
                                                       interm.
77762...............  TC............  A               Apply intrcav radiat        0.00       4.47         NA       0.19       4.66         NA        090
                                                       interm.
77763...............  ..............  A               Apply intrcav radiat        8.58       8.26         NA       0.66      17.50         NA        090
                                                       compl.
77763...............  26............  A               Apply intrcav radiat        8.58       2.80       2.80       0.43      11.81      11.81        090
                                                       compl.
77763...............  TC............  A               Apply intrcav radiat        0.00       5.46         NA       0.23       5.69         NA        090
                                                       compl.
77776...............  ..............  A               Apply interstit             4.66       4.34         NA       0.57       9.57         NA        090
                                                       radiat simpl.
77776...............  26............  A               Apply interstit             4.66       0.94       0.94       0.44       6.04       6.04        090
                                                       radiat simpl.
77776...............  TC............  A               Apply interstit             0.00       3.40         NA       0.13       3.53         NA        090
                                                       radiat simpl.
77777...............  ..............  A               Apply interstit             7.48       6.94         NA       0.61      15.04         NA        090
                                                       radiat inter.
77777...............  26............  A               Apply interstit             7.48       2.48       2.48       0.39      10.36      10.36        090
                                                       radiat inter.
77777...............  TC............  A               Apply interstit             0.00       4.45         NA       0.22       4.67         NA        090
                                                       radiat inter.
77778...............  ..............  A               Apply interstit            11.19       9.63         NA       0.84      21.67         NA        090
                                                       radiat compl.
77778...............  26............  A               Apply interstit            11.19       3.71       3.71       0.57      15.47      15.47        090
                                                       radiat compl.
77778...............  TC............  A               Apply interstit             0.00       5.92         NA       0.27       6.19         NA        090
                                                       radiat compl.
77781...............  ..............  A               High intensity              1.66      16.99         NA       1.14      19.79         NA        090
                                                       brachytherapy.
77781...............  26............  A               High intensity              1.66       0.54       0.54       0.08       2.29       2.29        090
                                                       brachytherapy.
77781...............  TC............  A               High intensity              0.00      16.45         NA       1.06      17.51         NA        090
                                                       brachytherapy.
77782...............  ..............  A               High intensity              2.49      19.56         NA       1.19      23.24         NA        090
                                                       brachytherapy.
77782...............  26............  A               High intensity              2.49       0.82       0.82       0.13       3.45       3.45        090
                                                       brachytherapy.
77782...............  TC............  A               High intensity              0.00      18.73         NA       1.06      19.79         NA        090
                                                       brachytherapy.
77783...............  ..............  A               High intensity              3.73      23.47         NA       1.25      28.45         NA        090
                                                       brachytherapy.
77783...............  26............  A               High intensity              3.73       1.23       1.23       0.19       5.14       5.14        090
                                                       brachytherapy.
77783...............  TC............  A               High intensity              0.00      22.24         NA       1.06      23.30         NA        090
                                                       brachytherapy.
77784...............  ..............  A               High intensity              5.61      29.75         NA       1.35      36.71         NA        090
                                                       brachytherapy.
77784...............  26............  A               High intensity              5.61       1.85       1.85       0.29       7.75       7.75        090
                                                       brachytherapy.
77784...............  TC............  A               High intensity              0.00      27.90         NA       1.06      28.96         NA        090
                                                       brachytherapy.
77789...............  ..............  A               Apply surface               1.12       1.18         NA       0.08       2.38         NA        000
                                                       radiation.
77789...............  26............  A               Apply surface               1.12       0.38       0.38       0.06       1.56       1.56        000
                                                       radiation.
77789...............  TC............  A               Apply surface               0.00       0.80         NA       0.02       0.82         NA        000
                                                       radiation.
77790...............  ..............  A               Radiation handling...       1.05       1.02         NA       0.07       2.14         NA        XXX
77790...............  26............  A               Radiation handling...       1.05       0.35       0.35       0.05       1.45       1.45        XXX
77790...............  TC............  A               Radiation handling...       0.00       0.67         NA       0.02       0.69         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.

[[Page 45972]]

 
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       1.18         NA       0.07       1.44         NA        XXX
                                                       uptake.
78000...............  26............  A               Thyroid, single             0.19       0.06       0.06       0.01       0.26       0.26        XXX
                                                       uptake.
78000...............  TC............  A               Thyroid, single             0.00       1.12         NA       0.06       1.18         NA        XXX
                                                       uptake.
78001...............  ..............  A               Thyroid, multiple           0.26       1.60         NA       0.08       1.94         NA        XXX
                                                       uptakes.
78001...............  26............  A               Thyroid, multiple           0.26       0.09       0.09       0.01       0.36       0.36        XXX
                                                       uptakes.
001.................  TC............  A               Thyroid, multiple           0.00       1.51         NA       0.07       1.58         NA        XXX
                                                       uptakes.
78003...............  ..............  A               Thyroid suppress/           0.33       1.31         NA       0.07       1.71         NA        XXX
                                                       stimul.
78003...............  26............  A               Thyroid suppress/           0.33       0.12       0.12       0.01       0.46       0.46        XXX
                                                       stimul.
78003...............  TC............  A               Thyroid suppress/           0.00       1.19         NA       0.06       1.25         NA        XXX
                                                       stimul.
78006...............  ..............  A               Thyroid imaging with        0.49       3.24         NA       0.15       3.88         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       3.07         NA       0.13       3.20         NA        XXX
                                                       uptake.
78007...............  ..............  A               Thyroid image, mult         0.50       2.88         NA       0.16       3.54         NA        XXX
                                                       uptakes.
78007...............  26............  A               Thyroid image, mult         0.50       0.18       0.18       0.02       0.70       0.70        XXX
                                                       uptakes.
78007...............  TC............  A               Thyroid image, mult         0.00       2.70         NA       0.14       2.84         NA        XXX
                                                       uptakes.
78010...............  ..............  A               Thyroid imaging......       0.39       2.41         NA       0.13       2.93         NA        XXX
78010...............  26............  A               Thyroid imaging......       0.39       0.14       0.14       0.02       0.55       0.55        XXX
78010...............  TC............  A               Thyroid imaging......       0.00       2.27         NA       0.11       2.38         NA        XXX
78011...............  ..............  A               Thyroid imaging with        0.45       2.97         NA       0.15       3.57         NA        XXX
                                                       flow.
78011...............  26............  A               Thyroid imaging with        0.45       0.16       0.16       0.02       0.63       0.63        XXX
                                                       flow.
78011...............  TC............  A               Thyroid imaging with        0.00       2.81         NA       0.13       2.94         NA        XXX
                                                       flow.
78015...............  ..............  A               Thyroid met imaging..       0.67       3.19         NA       0.17       4.04         NA        XXX
78015...............  26............  A               Thyroid met imaging..       0.67       0.24       0.24       0.03       0.94       0.94        XXX
78015...............  TC............  A               Thyroid met imaging..       0.00       2.95         NA       0.14       3.09         NA        XXX
78016...............  ..............  A               Thyroid met imaging/        0.82       4.61         NA       0.21       5.64         NA        XXX
                                                       studies.
78016...............  26............  A               Thyroid met imaging/        0.82       0.30       0.30       0.03       1.15       1.15        XXX
                                                       studies.
78016...............  TC............  A               Thyroid met imaging/        0.00       4.32         NA       0.18       4.50         NA        XXX
                                                       studies.
78018...............  ..............  A               Thyroid met imaging,        0.86       5.95         NA       0.33       7.14         NA        XXX
                                                       body.
78018...............  26............  A               Thyroid met imaging,        0.86       0.31       0.31       0.04       1.21       1.21        XXX
                                                       body.
78018...............  TC............  A               Thyroid met imaging,        0.00       5.64         NA       0.29       5.93         NA        XXX
                                                       body.
78020...............  ..............  A               Thyroid met uptake...       0.60       1.61         NA       0.16       2.37         NA        ZZZ
78020...............  26............  A               Thyroid met uptake...       0.60       0.22       0.22       0.02       0.84       0.84        ZZZ
78020...............  TC............  A               Thyroid met uptake...       0.00       1.39         NA       0.14       1.53         NA        ZZZ
78070...............  ..............  A               Parathyroid nuclear         0.82       4.32         NA       0.15       5.30         NA        XXX
                                                       imaging.
78070...............  26............  A               Parathyroid nuclear         0.82       0.29       0.29       0.04       1.15       1.15        XXX
                                                       imaging.
78070...............  TC............  A               Parathyroid nuclear         0.00       4.03         NA       0.11       4.14         NA        XXX
                                                       imaging.
78075...............  ..............  A               Adrenal nuclear             0.74       6.80         NA       0.32       7.87         NA        XXX
                                                       imaging.
78075...............  26............  A               Adrenal nuclear             0.74       0.27       0.27       0.03       1.04       1.04        XXX
                                                       imaging.
78075...............  TC............  A               Adrenal nuclear             0.00       6.53         NA       0.29       6.82         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       2.64         NA       0.14       3.33         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       2.43         NA       0.12       2.55         NA        XXX
                                                       ltd.
78103...............  ..............  A               Bone marrow imaging,        0.75       3.81         NA       0.20       4.76         NA        XXX
                                                       mult.
78103...............  26............  A               Bone marrow imaging,        0.75       0.27       0.27       0.03       1.05       1.05        XXX
                                                       mult.
78103...............  TC............  A               Bone marrow imaging,        0.00       3.54         NA       0.17       3.71         NA        XXX
                                                       mult.
78104...............  ..............  A               Bone marrow imaging,        0.80       4.58         NA       0.25       5.63         NA        XXX
                                                       body.
78104...............  26............  A               Bone marrow imaging,        0.80       0.28       0.28       0.03       1.11       1.11        XXX
                                                       body.
78104...............  TC............  A               Bone marrow imaging,        0.00       4.29         NA       0.22       4.51         NA        XXX
                                                       body.
78110...............  ..............  A               Plasma volume, single       0.19       1.22         NA       0.07       1.48         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       1.15         NA       0.06       1.21         NA        XXX
78111...............  ..............  A               Plasma volume,              0.22       2.38         NA       0.15       2.75         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       2.30         NA       0.14       2.44         NA        XXX
                                                       multiple.
78120...............  ..............  A               Red cell mass, single       0.23       1.74         NA       0.12       2.09         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       1.65         NA       0.11       1.76         NA        XXX
78121...............  ..............  A               Red cell mass,              0.32       2.69         NA       0.15       3.16         NA        XXX
                                                       multiple.
78121...............  26............  A               Red cell mass,              0.32       0.12       0.12       0.01       0.45       0.45        XXX
                                                       multiple.
78121...............  TC............  A               Red cell mass,              0.00       2.58         NA       0.14       2.72         NA        XXX
                                                       multiple.
78122...............  ..............  A               Blood volume.........       0.45       4.15         NA       0.26       4.86         NA        XXX
78122...............  26............  A               Blood volume.........       0.45       0.17       0.17       0.02       0.64       0.64        XXX
78122...............  TC............  A               Blood volume.........       0.00       3.98         NA       0.24       4.22         NA        XXX
78130...............  ..............  A               Red cell survival           0.61       2.95         NA       0.17       3.73         NA        XXX
                                                       study.
78130...............  26............  A               Red cell survival           0.61       0.22       0.22       0.03       0.86       0.86        XXX
                                                       study.
78130...............  TC............  A               Red cell survival           0.00       2.73         NA       0.14       2.87         NA        XXX
                                                       study.
78135...............  ..............  A               Red cell survival           0.64       5.59         NA       0.28       6.51         NA        XXX
                                                       kinetics.
78135...............  26............  A               Red cell survival           0.64       0.23       0.23       0.03       0.90       0.90        XXX
                                                       kinetics.
78135...............  TC............  A               Red cell survival           0.00       5.36         NA       0.25       5.61         NA        XXX
                                                       kinetics.
78140...............  ..............  A               Red cell                    0.61       3.79         NA       0.24       4.64         NA        XXX
                                                       sequestration.

[[Page 45973]]

 
78140...............  26............  A               Red cell                    0.61       0.21       0.21       0.03       0.85       0.85        XXX
                                                       sequestration.
78140...............  TC............  A               Red cell                    0.00       3.58         NA       0.21       3.79         NA        XXX
                                                       sequestration.
78160...............  ..............  A               Plasma iron turnover.       0.33       3.04         NA       0.23       3.60         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       2.92         NA       0.19       3.11         NA        XXX
78162...............  ..............  A               Radioiron absorption        0.45       2.73         NA       0.19       3.37         NA        XXX
                                                       exam.
78162...............  26............  A               Radioiron absorption        0.45       0.19       0.19       0.02       0.66       0.66        XXX
                                                       exam.
78162...............  TC............  A               Radioiron absorption        0.00       2.54         NA       0.17       2.71         NA        XXX
                                                       exam.
78170...............  ..............  A               Red cell iron               0.41       4.36         NA       0.30       5.07         NA        XXX
                                                       utilization.
78170...............  26............  A               Red cell iron               0.41       0.15       0.15       0.02       0.58       0.58        XXX
                                                       utilization.
78170...............  TC............  A               Red cell iron               0.00       4.22         NA       0.28       4.50         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       2.96         NA       0.15       3.51         NA        XXX
78185...............  26............  A               Spleen imaging.......       0.40       0.15       0.15       0.02       0.57       0.57        XXX
78185...............  TC............  A               Spleen imaging.......       0.00       2.81         NA       0.13       2.94         NA        XXX
78190...............  ..............  A               Platelet survival,          1.09       6.43         NA       0.38       7.90         NA        XXX
                                                       kinetics.
78190...............  26............  A               Platelet survival,          1.09       0.41       0.41       0.08       1.58       1.58        XXX
                                                       kinetics.
78190...............  TC............  A               Platelet survival,          0.00       6.02         NA       0.30       6.32         NA        XXX
                                                       kinetics.
78191...............  ..............  A               Platelet survival....       0.61       6.53         NA       0.40       7.54         NA        XXX
78191...............  26............  A               Platelet survival....       0.61       0.21       0.21       0.03       0.85       0.85        XXX
78191...............  TC............  A               Platelet survival....       0.00       6.32         NA       0.37       6.69         NA        XXX
78195...............  ..............  A               Lymph system imaging.       1.20       5.19         NA       0.28       6.68         NA        XXX
78195...............  26............  A               Lymph system imaging.       1.20       0.43       0.43       0.06       1.69       1.69        XXX
78195...............  TC............  A               Lymph system imaging.       0.00       4.76         NA       0.22       4.98         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       2.96         NA       0.15       3.55         NA        XXX
78201...............  26............  A               Liver imaging........       0.44       0.16       0.16       0.02       0.62       0.62        XXX
78201...............  TC............  A               Liver imaging........       0.00       2.80         NA       0.13       2.93         NA        XXX
78202...............  ..............  A               Liver imaging with          0.51       3.44         NA       0.16       4.11         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       3.26         NA       0.14       3.40         NA        XXX
                                                       flow.
78205...............  ..............  A               Liver imaging (3D)...       0.71       5.87         NA       0.34       6.92         NA        XXX
78205...............  26............  A               Liver imaging (3D)...       0.71       0.25       0.25       0.03       0.99       0.99        XXX
78205...............  TC............  A               Liver imaging (3D)...       0.00       5.61         NA       0.31       5.92         NA        XXX
78206...............  ..............  A               Liver image (3d) with       0.96       8.15         NA       0.15       9.26         NA        XXX
                                                       flow.
78206...............  26............  A               Liver image (3d) with       0.96       0.34       0.34       0.04       1.35       1.35        XXX
                                                       flow.
78206...............  TC............  A               Liver image (3d) with       0.00       7.80         NA       0.11       7.91         NA        XXX
                                                       flow.
78215...............  ..............  A               Liver and spleen            0.49       3.48         NA       0.16       4.13         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       3.31         NA       0.14       3.45         NA        XXX
                                                       imaging.
78216...............  ..............  A               Liver & spleen image/       0.57       3.49         NA       0.20       4.26         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       3.29         NA       0.18       3.47         NA        XXX
                                                       flow.
78220...............  ..............  A               Liver function study.       0.49       3.67         NA       0.21       4.37         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       3.50         NA       0.19       3.69         NA        XXX
78223...............  ..............  A               Hepatobiliary imaging       0.84       4.79         NA       0.23       5.86         NA        XXX
78223...............  26............  A               Hepatobiliary imaging       0.84       0.29       0.29       0.04       1.17       1.17        XXX
78223...............  TC............  A               Hepatobiliary imaging       0.00       4.49         NA       0.19       4.68         NA        XXX
78230...............  ..............  A               Salivary gland              0.45       2.74         NA       0.15       3.34         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       2.58         NA       0.13       2.71         NA        XXX
                                                       imaging.
78231...............  ..............  A               Serial salivary             0.52       3.14         NA       0.19       3.85         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       2.96         NA       0.17       3.13         NA        XXX
                                                       imaging.
78232...............  ..............  A               Salivary gland              0.47       3.47         NA       0.20       4.14         NA        XXX
                                                       function exam.
78232...............  26............  A               Salivary gland              0.47       0.17       0.17       0.02       0.66       0.66        XXX
                                                       function exam.
78232...............  TC............  A               Salivary gland              0.00       3.30         NA       0.18       3.48         NA        XXX
                                                       function exam.
78258...............  ..............  A               Esophageal motility         0.74       3.70         NA       0.17       4.61         NA        XXX
                                                       study.
78258...............  26............  A               Esophageal motility         0.74       0.26       0.26       0.03       1.03       1.03        XXX
                                                       study.
78258...............  TC............  A               Esophageal motility         0.00       3.44         NA       0.14       3.58         NA        XXX
                                                       study.
78261...............  ..............  A               Gastric mucosa              0.69       4.56         NA       0.25       5.51         NA        XXX
                                                       imaging.
78261...............  26............  A               Gastric mucosa              0.69       0.25       0.25       0.03       0.97       0.97        XXX
                                                       imaging.
78261...............  TC............  A               Gastric mucosa              0.00       4.31         NA       0.22       4.53         NA        XXX
                                                       imaging.
78262...............  ..............  A               Gastroesophageal            0.68       4.57         NA       0.25       5.50         NA        XXX
                                                       reflux exam.
78262...............  26............  A               Gastroesophageal            0.68       0.24       0.24       0.03       0.95       0.95        XXX
                                                       reflux exam.
78262...............  TC............  A               Gastroesophageal            0.00       4.33         NA       0.22       4.55         NA        XXX
                                                       reflux exam.
78264...............  ..............  A               Gastric emptying            0.78       4.86         NA       0.25       5.89         NA        XXX
                                                       study.
78264...............  26............  A               Gastric emptying            0.78       0.27       0.27       0.03       1.08       1.08        XXX
                                                       study.
78264...............  TC............  A               Gastric emptying            0.00       4.59         NA       0.22       4.81         NA        XXX
                                                       study.

[[Page 45974]]

 
78270...............  ..............  A               Vit B-12 absorption         0.20       1.55         NA       0.11       1.86         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       1.48         NA       0.10       1.58         NA        XXX
                                                       exam.
78271...............  ..............  A               Vit b-12 absrp exam,        0.20       1.64         NA       0.11       1.95         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       1.56         NA       0.10       1.66         NA        XXX
                                                       int fac.
78272...............  ..............  A               Vit B-12 absorp,            0.27       2.15         NA       0.14       2.56         NA        XXX
                                                       combined.
78272...............  26............  A               Vit B-12 absorp,            0.27       0.10       0.10       0.01       0.38       0.38        XXX
                                                       combined.
78272...............  TC............  A               Vit B-12 absorp,            0.00       2.06         NA       0.13       2.19         NA        XXX
                                                       combined.
78278...............  ..............  A               Acute GI blood loss         0.99       6.10         NA       0.29       7.38         NA        XXX
                                                       imaging.
78278...............  26............  A               Acute GI blood loss         0.99       0.35       0.35       0.04       1.38       1.38        XXX
                                                       imaging.
78278...............  TC............  A               Acute GI blood loss         0.00       5.75         NA       0.25       6.00         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       0.14       0.14       0.02       0.54       0.54        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       4.32         NA       0.19       5.19         NA        XXX
78290...............  26............  A               Meckel's divert exam.       0.68       0.24       0.24       0.03       0.95       0.95        XXX
78290...............  TC............  A               Meckel's divert exam.       0.00       4.08         NA       0.16       4.24         NA        XXX
78291...............  ..............  A               Leveen/shunt patency        0.88       4.00         NA       0.20       5.08         NA        XXX
                                                       exam.
78291...............  26............  A               Leveen/shunt patency        0.88       0.31       0.31       0.04       1.23       1.23        XXX
                                                       exam.
78291...............  TC............  A               Leveen/shunt patency        0.00       3.68         NA       0.16       3.84         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       2.97         NA       0.17       3.76         NA        XXX
                                                       area.
78300...............  26............  A               Bone imaging, limited       0.62       0.22       0.22       0.03       0.87       0.87        XXX
                                                       area.
78300...............  TC............  A               Bone imaging, limited       0.00       2.75         NA       0.14       2.89         NA        XXX
                                                       area.
78305...............  ..............  A               Bone imaging,               0.83       4.16         NA       0.23       5.22         NA        XXX
                                                       multiple areas.
78305...............  26............  A               Bone imaging,               0.83       0.29       0.29       0.04       1.16       1.16        XXX
                                                       multiple areas.
78305...............  TC............  A               Bone imaging,               0.00       3.87         NA       0.19       4.06         NA        XXX
                                                       multiple areas.
78306...............  ..............  A               Bone imaging, whole         0.86       4.77         NA       0.26       5.89         NA        XXX
                                                       body.
78306...............  26............  A               Bone imaging, whole         0.86       0.30       0.30       0.04       1.20       1.20        XXX
                                                       body.
78306...............  TC............  A               Bone imaging, whole         0.00       4.47         NA       0.22       4.69         NA        XXX
                                                       body.
78315...............  ..............  A               Bone imaging, 3 phase       1.02       5.69         NA       0.29       7.00         NA        XXX
78315...............  26............  A               Bone imaging, 3 phase       1.02       0.36       0.36       0.04       1.42       1.42        XXX
78315...............  TC............  A               Bone imaging, 3 phase       0.00       5.33         NA       0.25       5.58         NA        XXX
78320...............  ..............  A               Bone imaging (3D)....       1.04       5.89         NA       0.35       7.28         NA        XXX
78320...............  26............  A               Bone imaging (3D)....       1.04       0.38       0.38       0.04       1.46       1.46        XXX
78320...............  TC............  A               Bone imaging (3D)....       0.00       5.51         NA       0.31       5.82         NA        XXX
78350...............  ..............  A               Bone mineral, single        0.22       1.00         NA       0.06       1.28         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       0.93         NA       0.05       0.98         NA        XXX
                                                       photon.
78351...............  ..............  N               Bone mineral, dual          0.30       1.86       0.12       0.01       2.17       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       0.17       0.17       0.02       0.64       0.64        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       3.31         NA       0.16       4.25         NA        XXX
78428...............  26............  A               Cardiac shunt imaging       0.78       0.30       0.30       0.03       1.11       1.11        XXX
78428...............  TC............  A               Cardiac shunt imaging       0.00       3.00         NA       0.13       3.13         NA        XXX
78445...............  ..............  A               Vascular flow imaging       0.49       2.74         NA       0.13       3.36         NA        XXX
78445...............  26............  A               Vascular flow imaging       0.49       0.18       0.18       0.02       0.69       0.69        XXX
78445...............  TC............  A               Vascular flow imaging       0.00       2.57         NA       0.11       2.68         NA        XXX
78455...............  ..............  A               Venous thrombosis           0.73       4.31         NA       0.24       5.28         NA        XXX
                                                       study.
78455...............  26............  A               Venous thrombosis           0.73       0.26       0.26       0.03       1.02       1.02        XXX
                                                       study.
78455...............  TC............  A               Venous thrombosis           0.00       4.05         NA       0.21       4.26         NA        XXX
                                                       study.
78456...............  ..............  A               Acute venous thrombus       1.00       5.25         NA       0.33       6.58         NA        XXX
                                                       image.
78456...............  26............  A               Acute venous thrombus       1.00       0.36       0.36       0.04       1.40       1.40        XXX
                                                       image.
78456...............  TC............  A               Acute venous thrombus       0.00       4.89         NA       0.29       5.18         NA        XXX
                                                       image.
78457...............  ..............  A               Venous thrombosis           0.77       3.11         NA       0.17       4.06         NA        XXX
                                                       imaging.
78457...............  26............  A               Venous thrombosis           0.77       0.27       0.27       0.03       1.07       1.07        XXX
                                                       imaging.
78457...............  TC............  A               Venous thrombosis           0.00       2.85         NA       0.14       2.99         NA        XXX
                                                       imaging.
78458...............  ..............  A               Ven thrombosis              0.90       4.31         NA       0.25       5.46         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       3.98         NA       0.21       4.19         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............  A               Heart muscle imaging        1.50       0.59       0.59       0.05       2.15       2.15        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       3.23         NA       0.17       4.27         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       2.93         NA       0.13       3.06         NA        XXX
                                                       single.
78461...............  ..............  A               Heart muscle blood,         1.23       5.17         NA       0.30       6.70         NA        XXX
                                                       multiple.

[[Page 45975]]

 
78461...............  26............  A               Heart muscle blood,         1.23       0.45       0.45       0.05       1.73       1.73        XXX
                                                       multiple.
78461...............  TC............  A               Heart muscle blood,         0.00       4.72         NA       0.25       4.97         NA        XXX
                                                       multiple.
78464...............  ..............  A               Heart image (3d),           1.09       7.18         NA       0.41       8.68         NA        XXX
                                                       single.
78464...............  26............  A               Heart image (3d),           1.09       0.40       0.40       0.04       1.53       1.53        XXX
                                                       single.
78464...............  TC............  A               Heart image (3d),           0.00       6.78         NA       0.37       7.15         NA        XXX
                                                       single.
78465...............  ..............  A               Heart image (3d),           1.46      12.23         NA       0.67      14.37         NA        XXX
                                                       multiple.
78465...............  26............  A               Heart image (3d),           1.46       0.54       0.54       0.05       2.06       2.06        XXX
                                                       multiple.
78465...............  TC............  A               Heart image (3d),           0.00      11.69         NA       0.62      12.31         NA        XXX
                                                       multiple.
78466...............  ..............  A               Heart infarct image..       0.69       3.35         NA       0.17       4.22         NA        XXX
78466...............  26............  A               Heart infarct image..       0.69       0.25       0.25       0.03       0.97       0.97        XXX
78466...............  TC............  A               Heart infarct image..       0.00       3.10         NA       0.14       3.24         NA        XXX
78468...............  ..............  A               Heart infarct image         0.80       4.53         NA       0.22       5.55         NA        XXX
                                                       (ef).
78468...............  26............  A               Heart infarct image         0.80       0.29       0.29       0.03       1.12       1.12        XXX
                                                       (ef).
78468...............  TC............  A               Heart infarct image         0.00       4.25         NA       0.19       4.44         NA        XXX
                                                       (ef).
78469...............  ..............  A               Heart infarct image         0.92       5.38         NA       0.31       6.61         NA        XXX
                                                       (3D).
78469...............  26............  A               Heart infarct image         0.92       0.32       0.32       0.03       1.27       1.27        XXX
                                                       (3D).
78469...............  TC............  A               Heart infarct image         0.00       5.06         NA       0.28       5.34         NA        XXX
                                                       (3D).
78472...............  ..............  A               Gated heart, planar,        0.98       5.73         NA       0.34       7.06         NA        XXX
                                                       single.
78472...............  26............  A               Gated heart, planar,        0.98       0.36       0.36       0.04       1.38       1.38        XXX
                                                       single.
78472...............  TC............  A               Gated heart, planar,        0.00       5.38         NA       0.30       5.68         NA        XXX
                                                       single.
78473...............  ..............  A               Gated heart, multiple       1.47       7.69         NA       0.48       9.64         NA        XXX
78473...............  26............  A               Gated heart, multiple       1.47       0.53       0.53       0.06       2.07       2.07        XXX
78473...............  TC............  A               Gated heart, multiple       0.00       7.15         NA       0.42       7.57         NA        XXX
78478...............  ..............  A               Heart wall motion add-      0.62       1.58         NA       0.12       2.32         NA        XXX
                                                       on.
78478...............  26............  A               Heart wall motion add-      0.62       0.24       0.24       0.02       0.88       0.88        XXX
                                                       on.
78478...............  TC............  A               Heart wall motion add-      0.00       1.34         NA       0.10       1.44         NA        XXX
                                                       on.
78480...............  ..............  A               Heart function add-on       0.62       1.57         NA       0.12       2.31         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       1.34         NA       0.10       1.44         NA        XXX
78481...............  ..............  A               Heart first pass,           0.98       4.47         NA       0.31       5.76         NA        XXX
                                                       single.
78481...............  26............  A               Heart first pass,           0.98       0.38       0.38       0.03       1.39       1.39        XXX
                                                       single.
78481...............  TC............  A               Heart first pass,           0.00       4.10         NA       0.28       4.38         NA        XXX
                                                       single.
78483...............  ..............  A               Heart first pass,           1.47       6.69         NA       0.46       8.62         NA        XXX
                                                       multiple.
78483...............  26............  A               Heart first pass,           1.47       0.56       0.56       0.05       2.08       2.08        XXX
                                                       multiple.
78483...............  TC............  A               Heart first pass,           0.00       6.13         NA       0.41       6.54         NA        XXX
                                                       multiple.
78491...............  ..............  C               Heart image (pet),          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       single.
78491...............  26............  A               Heart image (pet),          1.50       0.00       0.00       0.06       1.56       1.56        XXX
                                                       single.
78491...............  TC............  C               Heart image (pet),          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       single.
78492...............  ..............  C               Heart image (pet),          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       multiple.
78492...............  26............  A               Heart image (pet),          1.87       0.00       0.00       0.07       1.94       1.94        XXX
                                                       multiple.
78492...............  TC............  C               Heart image (pet),          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       multiple.
78494...............  ..............  A               Heart image, spect...       1.19       7.24         NA       0.35       8.78         NA        XXX
78494...............  26............  A               Heart image, spect...       1.19       0.44       0.44       0.05       1.68       1.68        XXX
78494...............  TC............  A               Heart image, spect...       0.00       6.80         NA       0.30       7.10         NA        XXX
78496...............  ..............  A               Heart first pass add-       0.50       5.71         NA       0.32       6.53         NA        ZZZ
                                                       on.
78496...............  26............  A               Heart first pass add-       0.50       0.19       0.19       0.02       0.71       0.71        ZZZ
                                                       on.
78496...............  TC............  A               Heart first pass add-       0.00       5.52         NA       0.30       5.82         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       4.07         NA       0.21       5.02         NA        XXX
                                                       imaging.
78580...............  26............  A               Lung perfusion              0.74       0.26       0.26       0.03       1.03       1.03        XXX
                                                       imaging.
78580...............  TC............  A               Lung perfusion              0.00       3.81         NA       0.18       3.99         NA        XXX
                                                       imaging.
78584...............  ..............  A               Lung V/Q image single       0.99       3.50         NA       0.21       4.70         NA        XXX
                                                       breath.
78584...............  26............  A               Lung V/Q image single       0.99       0.35       0.35       0.04       1.38       1.38        XXX
                                                       breath.
78584...............  TC............  A               Lung V/Q image single       0.00       3.15         NA       0.17       3.32         NA        XXX
                                                       breath.
78585...............  ..............  A               Lung V/Q imaging.....       1.09       6.36         NA       0.35       7.80         NA        XXX
78585...............  26............  A               Lung V/Q imaging.....       1.09       0.38       0.38       0.05       1.52       1.52        XXX
78585...............  TC............  A               Lung V/Q imaging.....       0.00       5.98         NA       0.30       6.28         NA        XXX
78586...............  ..............  A               Aerosol lung image,         0.40       3.04         NA       0.16       3.60         NA        XXX
                                                       single.
78586...............  26............  A               Aerosol lung image,         0.40       0.14       0.14       0.02       0.56       0.56        XXX
                                                       single.
78586...............  TC............  A               Aerosol lung image,         0.00       2.90         NA       0.14       3.04         NA        XXX
                                                       single.
78587...............  ..............  A               Aerosol lung image,         0.49       3.41         NA       0.16       4.06         NA        XXX
                                                       multiple.
78587...............  26............  A               Aerosol lung image,         0.49       0.18       0.18       0.02       0.69       0.69        XXX
                                                       multiple.
78587...............  TC............  A               Aerosol lung image,         0.00       3.23         NA       0.14       3.37         NA        XXX
                                                       multiple.
78588...............  ..............  A               Perfusion lung image.       1.09       4.60         NA       0.23       5.93         NA        XXX
78588...............  26............  A               Perfusion lung image.       1.09       0.38       0.38       0.05       1.52       1.52        XXX
78588...............  TC............  A               Perfusion lung image.       0.00       4.23         NA       0.18       4.41         NA        XXX
78591...............  ..............  A               Vent image, 1 breath,       0.40       3.12         NA       0.16       3.68         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       2.98         NA       0.14       3.12         NA        XXX
                                                       1 proj.
78593...............  ..............  A               Vent image, 1 proj,         0.49       3.76         NA       0.20       4.45         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       3.59         NA       0.18       3.77         NA        XXX
                                                       gas.

[[Page 45976]]

 
78594...............  ..............  A               Vent image, mult            0.53       5.09         NA       0.27       5.89         NA        XXX
                                                       proj, gas.
78594...............  26............  A               Vent image, mult            0.53       0.19       0.19       0.02       0.74       0.74        XXX
                                                       proj, gas.
78594...............  TC............  A               Vent image, mult            0.00       4.90         NA       0.25       5.15         NA        XXX
                                                       proj, gas.
78596...............  ..............  A               Lung differential           1.27       7.35         NA       0.42       9.05         NA        XXX
                                                       function.
78596...............  26............  A               Lung differential           1.27       0.44       0.44       0.05       1.76       1.76        XXX
                                                       function.
78596...............  TC............  A               Lung differential           0.00       6.92         NA       0.37       7.29         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       3.50         NA       0.16       4.11         NA        XXX
                                                       static.
78600...............  26............  A               Brain imaging, ltd          0.44       0.16       0.16       0.02       0.62       0.62        XXX
                                                       static.
78600...............  TC............  A               Brain imaging, ltd          0.00       3.35         NA       0.14       3.49         NA        XXX
                                                       static.
78601...............  ..............  A               Brain imaging, ltd w/       0.51       3.91         NA       0.20       4.62         NA        XXX
                                                       flow.
78601...............  26............  A               Brain imaging, ltd w/       0.51       0.18       0.18       0.02       0.71       0.71        XXX
                                                       flow.
78601...............  TC............  A               Brain imaging, ltd w/       0.00       3.73         NA       0.18       3.91         NA        XXX
                                                       flow.
78605...............  ..............  A               Brain imaging,              0.53       3.77         NA       0.20       4.50         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       3.58         NA       0.18       3.76         NA        XXX
                                                       complete.
78606...............  ..............  A               Brain imaging, compl        0.64       4.79         NA       0.24       5.67         NA        XXX
                                                       w/flow.
78606...............  26............  A               Brain imaging, compl        0.64       0.22       0.22       0.03       0.89       0.89        XXX
                                                       w/flow.
78606...............  TC............  A               Brain imaging, compl        0.00       4.57         NA       0.21       4.78         NA        XXX
                                                       w/flow.
78607...............  ..............  A               Brain imaging (3D)...       1.23       8.26         NA       0.40       9.90         NA        XXX
78607...............  26............  A               Brain imaging (3D)...       1.23       0.45       0.45       0.05       1.73       1.73        XXX
78607...............  TC............  A               Brain imaging (3D)...       0.00       7.82         NA       0.35       8.17         NA        XXX
78608...............  ..............  C               Brain imaging (PET)..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
78608...............  26............  A               Brain imaging (PET)..       1.50       0.00       0.00       0.06       1.56       1.56        XXX
78608...............  TC............  C               Brain imaging (PET)..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
78609...............  ..............  C               Brain imaging (PET)..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
78609...............  26............  A               Brain imaging (PET)..       1.50       0.00       0.00       0.06       1.56       1.56        XXX
78609...............  TC............  C               Brain imaging (PET)..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
78610...............  ..............  A               Brain flow imaging          0.30       2.15         NA       0.11       2.56         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       2.03         NA       0.10       2.13         NA        XXX
                                                       only.
78615...............  ..............  A               Cerebral vascular           0.42       4.07         NA       0.23       4.72         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       3.91         NA       0.21       4.12         NA        XXX
                                                       flow image.
78630...............  ..............  A               Cerebrospinal fluid         0.68       5.67         NA       0.30       6.65         NA        XXX
                                                       scan.
78630...............  26............  A               Cerebrospinal fluid         0.68       0.24       0.24       0.03       0.95       0.95        XXX
                                                       scan.
78630...............  TC............  A               Cerebrospinal fluid         0.00       5.43         NA       0.27       5.70         NA        XXX
                                                       scan.
78635...............  ..............  A               CSF ventriculography.       0.61       3.91         NA       0.16       4.68         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       3.66         NA       0.14       3.80         NA        XXX
78645...............  ..............  A               CSF shunt evaluation.       0.57       4.91         NA       0.20       5.68         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       4.71         NA       0.18       4.89         NA        XXX
78647...............  ..............  A               Cerebrospinal fluid         0.90       8.47         NA       0.35       9.73         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       8.15         NA       0.31       8.46         NA        XXX
                                                       scan.
78650...............  ..............  A               CSF leakage imaging..       0.61       5.35         NA       0.27       6.23         NA        XXX
78650...............  26............  A               CSF leakage imaging..       0.61       0.22       0.22       0.03       0.86       0.86        XXX
78650...............  TC............  A               CSF leakage imaging..       0.00       5.13         NA       0.24       5.37         NA        XXX
78660...............  ..............  A               Nuclear exam of tear        0.53       2.68         NA       0.14       3.35         NA        XXX
                                                       flow.
78660...............  26............  A               Nuclear exam of tear        0.53       0.19       0.19       0.02       0.74       0.74        XXX
                                                       flow.
78660...............  TC............  A               Nuclear exam of tear        0.00       2.49         NA       0.12       2.61         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       3.42         NA       0.18       4.05         NA        XXX
                                                       static.
78700...............  26............  A               Kidney imaging,             0.45       0.16       0.16       0.02       0.63       0.63        XXX
                                                       static.
78700...............  TC............  A               Kidney imaging,             0.00       3.26         NA       0.16       3.42         NA        XXX
                                                       static.
78701...............  ..............  A               Kidney imaging with         0.49       3.93         NA       0.20       4.62         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       3.76         NA       0.18       3.94         NA        XXX
                                                       flow.
78704...............  ..............  A               Imaging renogram.....       0.74       4.35         NA       0.24       5.34         NA        XXX
78704...............  26............  A               Imaging renogram.....       0.74       0.26       0.26       0.03       1.03       1.03        XXX
78704...............  TC............  A               Imaging renogram.....       0.00       4.09         NA       0.21       4.30         NA        XXX
78707...............  ..............  A               Kidney flow/function        0.96       4.89         NA       0.27       6.12         NA        XXX
                                                       image.
78707...............  26............  A               Kidney flow/function        0.96       0.34       0.34       0.04       1.34       1.34        XXX
                                                       image.
78707...............  TC............  A               Kidney flow/function        0.00       4.56         NA       0.23       4.79         NA        XXX
                                                       image.
78708...............  ..............  A               Kidney flow/function        1.21       4.63         NA       0.28       6.12         NA        XXX
                                                       image.
78708...............  26............  A               Kidney flow/function        1.21       0.43       0.43       0.05       1.69       1.69        XXX
                                                       image.
78708...............  TC............  A               Kidney flow/function        0.00       4.20         NA       0.23       4.43         NA        XXX
                                                       image.
78709...............  ..............  A               Kidney flow/function        1.41       5.73         NA       0.29       7.43         NA        XXX
                                                       image.
78709...............  26............  A               Kidney flow/function        1.41       0.49       0.49       0.06       1.97       1.97        XXX
                                                       image.

[[Page 45977]]

 
78709...............  TC............  A               Kidney flow/function        0.00       5.24         NA       0.23       5.47         NA        XXX
                                                       image.
78710...............  ..............  A               Kidney imaging (3D)..       0.66       5.79         NA       0.34       6.79         NA        XXX
78710...............  26............  A               Kidney imaging (3D)..       0.66       0.23       0.23       0.03       0.92       0.92        XXX
78710...............  TC............  A               Kidney imaging (3D)..       0.00       5.55         NA       0.31       5.86         NA        XXX
78715...............  ..............  A               Renal vascular flow         0.30       2.36         NA       0.11       2.78         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       2.25         NA       0.10       2.35         NA        XXX
                                                       exam.
78725...............  ..............  A               Kidney function study       0.38       1.93         NA       0.13       2.44         NA        XXX
78725...............  26............  A               Kidney function study       0.38       0.14       0.14       0.02       0.54       0.54        XXX
78725...............  TC............  A               Kidney function study       0.00       1.79         NA       0.11       1.90         NA        XXX
78730...............  ..............  A               Urinary bladder             0.36       2.27         NA       0.10       2.73         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       2.13         NA       0.08       2.21         NA        XXX
                                                       retention.
78740...............  ..............  A               Ureteral reflux study       0.57       2.79         NA       0.15       3.51         NA        XXX
78740...............  26............  A               Ureteral reflux study       0.57       0.20       0.20       0.03       0.80       0.80        XXX
78740...............  TC............  A               Ureteral reflux study       0.00       2.59         NA       0.12       2.71         NA        XXX
78760...............  ..............  A               Testicular imaging...       0.66       3.08         NA       0.17       3.91         NA        XXX
78760...............  26............  A               Testicular imaging...       0.66       0.23       0.23       0.03       0.92       0.92        XXX
78760...............  TC............  A               Testicular imaging...       0.00       2.85         NA       0.14       2.99         NA        XXX
78761...............  ..............  A               Testicular imaging/         0.71       3.69         NA       0.20       4.60         NA        XXX
                                                       flow.
78761...............  26............  A               Testicular imaging/         0.71       0.25       0.25       0.03       0.99       0.99        XXX
                                                       flow.
78761...............  TC............  A               Testicular imaging/         0.00       3.44         NA       0.17       3.61         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       3.68         NA       0.22       4.56         NA        XXX
                                                       limited area.
78800...............  26............  A               Tumor imaging,              0.66       0.23       0.23       0.04       0.93       0.93        XXX
                                                       limited area.
78800...............  TC............  A               Tumor imaging,              0.00       3.45         NA       0.18       3.63         NA        XXX
                                                       limited area.
78801...............  ..............  A               Tumor imaging, mult         0.79       4.81         NA       0.27       5.87         NA        XXX
                                                       areas.
78801...............  26............  A               Tumor imaging, mult         0.79       0.28       0.28       0.05       1.12       1.12        XXX
                                                       areas.
78801...............  TC............  A               Tumor imaging, mult         0.00       4.53         NA       0.22       4.75         NA        XXX
                                                       areas.
78802...............  ..............  A               Tumor imaging, whole        0.86       6.11         NA       0.34       7.31         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       5.81         NA       0.30       6.11         NA        XXX
                                                       body.
78803...............  ..............  A               Tumor imaging (3D)...       1.09       8.16         NA       0.40       9.65         NA        XXX
78803...............  26............  A               Tumor imaging (3D)...       1.09       0.40       0.40       0.05       1.54       1.54        XXX
78803...............  TC............  A               Tumor imaging (3D)...       0.00       7.77         NA       0.35       8.12         NA        XXX
78804...............  ..............  A               Tumor imaging, whole        1.07      11.45         NA       0.34      12.87         NA        XXX
                                                       body.
78804...............  26............  A               Tumor imaging, whole        1.07       0.39       0.39       0.04       1.50       1.50        XXX
                                                       body.
78804...............  TC............  A               Tumor imaging, whole        0.00      11.06         NA       0.30      11.36         NA        XXX
                                                       body.
78805...............  ..............  A               Abscess imaging, ltd        0.73       3.72         NA       0.21       4.66         NA        XXX
                                                       area.
78805...............  26............  A               Abscess imaging, ltd        0.73       0.26       0.26       0.03       1.02       1.02        XXX
                                                       area.
78805...............  TC............  A               Abscess imaging, ltd        0.00       3.46         NA       0.18       3.64         NA        XXX
                                                       area.
78806...............  ..............  A               Abscess imaging,            0.86       6.80         NA       0.39       8.05         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       6.49         NA       0.35       6.84         NA        XXX
                                                       whole body.
78807...............  ..............  A               Nuclear localization/       1.09       7.96         NA       0.39       9.44         NA        XXX
                                                       abscess.
78807...............  26............  A               Nuclear localization/       1.09       0.41       0.41       0.04       1.54       1.54        XXX
                                                       abscess.
78807...............  TC............  A               Nuclear localization/       0.00       7.56         NA       0.35       7.91         NA        XXX
                                                       abscess.
78811...............  ..............  C               Tumor imaging (pet),        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       limited.
78811...............  26............  A               Tumor imaging (pet),        1.54       0.00       0.00       0.11       1.65       1.65        XXX
                                                       limited.
78811...............  TC............  C               Tumor imaging (pet),        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       limited.
78812...............  ..............  C               Tumor image (pet)/          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       skul-thigh.
78812...............  26............  A               Tumor image (pet)/          1.93       0.00       0.00       0.11       2.04       2.04        XXX
                                                       skul-thigh.
78812...............  TC............  C               Tumor image (pet)/          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       skul-thigh.
78813...............  ..............  C               Tumor image (pet)           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       full body.
78813...............  26............  A               Tumor image (pet)           2.00       0.00       0.00       0.11       2.11       2.11        XXX
                                                       full body.
78813...............  TC............  C               Tumor image (pet)           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       full body.
78814...............  ..............  C               Tumor image pet/ct,         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       limited.
78814...............  26............  A               Tumor image pet/ct,         2.20       0.00       0.00       0.11       2.31       2.31        XXX
                                                       limited.
78814...............  TC............  C               Tumor image pet/ct,         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       limited.
78815...............  ..............  C               Tumorimage pet/ct           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       skul-thigh.
78815...............  26............  A               Tumorimage pet/ct           2.44       0.00       0.00       0.11       2.55       2.55        XXX
                                                       skul-thigh.
78815...............  TC............  C               Tumorimage pet/ct           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       skul-thigh.
78816...............  ..............  C               Tumor image pet/ct          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       full body.
78816...............  26............  A               Tumor image pet/ct          2.50       0.00       0.00       0.11       2.61       2.61        XXX
                                                       full body.
78816...............  TC............  C               Tumor image pet/ct          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       full body.
78890...............  ..............  B               Nuclear medicine data       0.05       1.08         NA       0.07       1.20         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       1.06         NA       0.06       1.12         NA        XXX
                                                       proc.
78891...............  ..............  B               Nuclear med data proc       0.10       2.15         NA       0.14       2.39         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       2.11         NA       0.13       2.24         NA        XXX
78999...............  ..............  C               Nuclear diagnostic          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       exam.

[[Page 45978]]

 
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.
79005...............  ..............  A               Nuclear rx, oral            1.80       2.82         NA       0.22       4.85         NA        XXX
                                                       admin.
79005...............  26............  A               Nuclear rx, oral            1.80       0.62       0.62       0.08       2.51       2.51        XXX
                                                       admin.
79005...............  TC............  A               Nuclear rx, oral            0.00       2.20         NA       0.14       2.34         NA        XXX
                                                       admin.
79101...............  ..............  A               Nuclear rx, iv admin.       1.96       2.98         NA       0.22       5.16         NA        XXX
79101...............  26............  A               Nuclear rx, iv admin.       1.96       0.70       0.70       0.08       2.75       2.75        XXX
79101...............  TC............  A               Nuclear rx, iv admin.       0.00       2.28         NA       0.14       2.42         NA        XXX
79200...............  ..............  A               Nuclear rx, intracav        1.99       3.18         NA       0.23       5.41         NA        XXX
                                                       admin.
79200...............  26............  A               Nuclear rx, intracav        1.99       0.71       0.71       0.09       2.79       2.79        XXX
                                                       admin.
79200...............  TC............  A               Nuclear rx, intracav        0.00       2.47         NA       0.14       2.61         NA        XXX
                                                       admin.
79300...............  ..............  C               Nuclr rx, interstit         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       colloid.
79300...............  26............  A               Nuclr rx, interstit         1.60       0.59       0.59       0.13       2.32       2.32        XXX
                                                       colloid.
79300...............  TC............  C               Nuclr rx, interstit         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       colloid.
79403...............  ..............  A               Hematopoietic nuclear       2.25       5.17         NA       0.24       7.66         NA        XXX
                                                       tx.
79403...............  26............  A               Hematopoietic nuclear       2.25       0.92       0.92       0.10       3.28       3.28        XXX
                                                       tx.
79403...............  TC............  A               Hematopoietic nuclear       0.00       4.25         NA       0.14       4.39         NA        XXX
                                                       tx.
79440...............  ..............  A               Nuclear rx, intra-          1.99       2.95         NA       0.22       5.16         NA        XXX
                                                       articular.
79440...............  26............  A               Nuclear rx, intra-          1.99       0.75       0.75       0.08       2.82       2.82        XXX
                                                       articular.
79440...............  TC............  A               Nuclear rx, intra-          0.00       2.20         NA       0.14       2.34         NA        XXX
                                                       articular.
79445...............  ..............  A               Nuclear rx, intra-          2.40         NA         NA       0.28         NA         NA        XXX
                                                       arterial.
79445...............  26............  A               Nuclear rx, intra-          2.40       0.86       0.86       0.12       3.39       3.39        XXX
                                                       arterial.
79445...............  TC............  A               Nuclear rx, intra-          0.00         NA         NA       0.16         NA         NA        XXX
                                                       arterial.
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       0.20       0.16       0.01       0.58       0.54        XXX
                                                       consultation.
80502...............  ..............  A               Lab pathology               1.33       0.53       0.53       0.04       1.90       1.90        XXX
                                                       consultation.
83020...............  26............  A               Hemoglobin                  0.37       0.15       0.15       0.01       0.53       0.53        XXX
                                                       electrophoresis.
83912...............  26............  A               Genetic examination..       0.37       0.12       0.12       0.01       0.50       0.50        XXX
84165...............  26............  A               Protein e-phoresis,         0.37       0.14       0.14       0.01       0.52       0.52        XXX
                                                       serum.
84166...............  26............  A               Protein e-phoresis/         0.37       0.14       0.14       0.01       0.52       0.52        XXX
                                                       urine/csf.
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       0.16       0.16       0.02       0.55       0.55        XXX
                                                       test.
85060...............  ..............  A               Blood smear                 0.45       0.18       0.18       0.02       0.65       0.65        XXX
                                                       interpretation.
85097...............  ..............  A               Bone marrow                 0.94       1.82       0.40       0.04       2.80       1.38        XXX
                                                       interpretation.
85390...............  26............  A               Fibrinolysins screen.       0.37       0.13       0.13       0.01       0.51       0.51        XXX
85396...............  ..............  A               Clotting assay, whole       0.37         NA       0.16       0.04         NA       0.57        XXX
                                                       blood.
85576...............  26............  A               Blood platelet              0.37       0.16       0.16       0.01       0.54       0.54        XXX
                                                       aggregation.
86077...............  ..............  A               Physician blood bank        0.94       0.38       0.38       0.03       1.35       1.35        XXX
                                                       service.
86078...............  ..............  A               Physician blood bank        0.94       0.45       0.39       0.03       1.42       1.36        XXX
                                                       service.
86079...............  ..............  A               Physician blood bank        0.94       0.44       0.40       0.03       1.41       1.37        XXX
                                                       service.
86255...............  26............  A               Fluorescent antibody,       0.37       0.15       0.15       0.01       0.53       0.53        XXX
                                                       screen.
86256...............  26............  A               Fluorescent antibody,       0.37       0.15       0.15       0.01       0.53       0.53        XXX
                                                       titer.
86320...............  26............  A               Serum                       0.37       0.15       0.15       0.01       0.53       0.53        XXX
                                                       immunoelectrophoresi
                                                       s.
86325...............  26............  A               Other                       0.37       0.13       0.13       0.01       0.51       0.51        XXX
                                                       immunoelectrophoresi
                                                       s.
86327...............  26............  A               Immunoelectrophoresis       0.42       0.18       0.18       0.02       0.62       0.62        XXX
                                                       assay.
86334...............  26............  A               Immunofix e-phoresis,       0.37       0.15       0.15       0.01       0.53       0.53        XXX
                                                       serum.
86335...............  26............  A               Immunfix e-phorsis/         0.37       0.14       0.14       0.01       0.52       0.52        XXX
                                                       urine/csf.
86485...............  ..............  C               Skin test, candida...       0.00       0.00       0.00       0.00       0.00       0.00        XXX
86490...............  ..............  A               Coccidioidomycosis          0.00       0.28         NA       0.02       0.30         NA        XXX
                                                       skin test.
86510...............  ..............  A               Histoplasmosis skin         0.00       0.30         NA       0.02       0.32         NA        XXX
                                                       test.
86580...............  ..............  A               TB intradermal test..       0.00       0.22         NA       0.02       0.24         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       0.87         NA       0.04       1.47         NA        XXX
88104...............  26............  A               Cytopathology, fluids       0.56       0.23       0.23       0.02       0.81       0.81        XXX
88104...............  TC............  A               Cytopathology, fluids       0.00       0.64         NA       0.02       0.66         NA        XXX
88106...............  ..............  A               Cytopathology, fluids       0.56       1.35         NA       0.04       1.95         NA        XXX
88106...............  26............  A               Cytopathology, fluids       0.56       0.23       0.23       0.02       0.81       0.81        XXX
88106...............  TC............  A               Cytopathology, fluids       0.00       1.11         NA       0.02       1.13         NA        XXX
88107...............  ..............  A               Cytopathology, fluids       0.76       1.54         NA       0.05       2.35         NA        XXX
88107...............  26............  A               Cytopathology, fluids       0.76       0.32       0.32       0.03       1.11       1.11        XXX
88107...............  TC............  A               Cytopathology, fluids       0.00       1.21         NA       0.02       1.23         NA        XXX
88108...............  ..............  A               Cytopath, concentrate       0.56       1.22         NA       0.04       1.82         NA        XXX
                                                       tech.
88108...............  26............  A               Cytopath, concentrate       0.56       0.23       0.23       0.02       0.81       0.81        XXX
                                                       tech.
88108...............  TC............  A               Cytopath, concentrate       0.00       0.99         NA       0.02       1.01         NA        XXX
                                                       tech.
88112...............  ..............  A               Cytopath, cell              1.18       1.91         NA       0.04       3.14         NA        XXX
                                                       enhance tech.
88112...............  26............  A               Cytopath, cell              1.18       0.50       0.50       0.02       1.70       1.70        XXX
                                                       enhance tech.
88112...............  TC............  A               Cytopath, cell              0.00       1.42         NA       0.02       1.44         NA        XXX
                                                       enhance tech.
88125...............  ..............  A               Forensic                    0.26       0.25         NA       0.02       0.53         NA        XXX
                                                       cytopathology.
88125...............  26............  A               Forensic                    0.26       0.11       0.11       0.01       0.38       0.38        XXX
                                                       cytopathology.

[[Page 45979]]

 
88125...............  TC............  A               Forensic                    0.00       0.14         NA       0.01       0.15         NA        XXX
                                                       cytopathology.
88141...............  ..............  A               Cytopath, c/v,              0.42       0.23       0.15       0.02       0.67       0.59        XXX
                                                       interpret.
88160...............  ..............  A               Cytopath smear, other       0.50       0.83         NA       0.04       1.38         NA        XXX
                                                       source.
88160...............  26............  A               Cytopath smear, other       0.50       0.21       0.21       0.02       0.73       0.73        XXX
                                                       source.
88160...............  TC............  A               Cytopath smear, other       0.00       0.63         NA       0.02       0.65         NA        XXX
                                                       source.
88161...............  ..............  A               Cytopath smear, other       0.50       0.93         NA       0.04       1.47         NA        XXX
                                                       source.
88161...............  26............  A               Cytopath smear, other       0.50       0.21       0.21       0.02       0.73       0.73        XXX
                                                       source.
88161...............  TC............  A               Cytopath smear, other       0.00       0.73         NA       0.02       0.75         NA        XXX
                                                       source.
88162...............  ..............  A               Cytopath smear, other       0.76       1.03         NA       0.05       1.84         NA        XXX
                                                       source.
88162...............  26............  A               Cytopath smear, other       0.76       0.32       0.32       0.03       1.11       1.11        XXX
                                                       source.
88162...............  TC............  A               Cytopath smear, other       0.00       0.71         NA       0.02       0.73         NA        XXX
                                                       source.
88172...............  ..............  A               Cytopathology eval of       0.60       0.73         NA       0.04       1.37         NA        XXX
                                                       fna.
88172...............  26............  A               Cytopathology eval of       0.60       0.25       0.25       0.02       0.87       0.87        XXX
                                                       fna.
88172...............  TC............  A               Cytopathology eval of       0.00       0.47         NA       0.02       0.49         NA        XXX
                                                       fna.
88173...............  ..............  A               Cytopath eval, fna,         1.39       2.11         NA       0.07       3.57         NA        XXX
                                                       report.
88173...............  26............  A               Cytopath eval, fna,         1.39       0.58       0.58       0.05       2.02       2.02        XXX
                                                       report.
88173...............  TC............  A               Cytopath eval, fna,         0.00       1.53         NA       0.02       1.55         NA        XXX
                                                       report.
88182...............  ..............  A               Cell marker study....       0.77       2.00         NA       0.07       2.84         NA        XXX
88182...............  26............  A               Cell marker study....       0.77       0.32       0.32       0.03       1.12       1.12        XXX
88182...............  TC............  A               Cell marker study....       0.00       1.67         NA       0.04       1.71         NA        XXX
88184...............  ..............  A               Flowcytometry/ tc, 1        0.00       1.62         NA       0.02       1.64         NA        XXX
                                                       marker.
88185...............  ..............  A               Flowcytometry/tc, add-      0.00       0.86         NA       0.02       0.88         NA        ZZZ
                                                       on.
88187...............  ..............  A               Flowcytometry/read, 2-      1.36       0.42       0.42       0.01       1.79       1.79        XXX
                                                       8.
88188...............  ..............  A               Flowcytometry/read, 9-      1.69       0.53       0.53       0.01       2.23       2.23        XXX
                                                       15.
88189...............  ..............  A               Flowcytometry/read,         2.23       0.69       0.69       0.01       2.94       2.94        XXX
                                                       16 & >.
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       0.21       0.18       0.02       0.75       0.72        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       0.45         NA       0.02       0.55         NA        XXX
88300...............  26............  A               Surgical path, gross.       0.08       0.03       0.03       0.01       0.12       0.12        XXX
88300...............  TC............  A               Surgical path, gross.       0.00       0.42         NA       0.01       0.43         NA        XXX
88302...............  ..............  A               Tissue exam by              0.13       1.03         NA       0.03       1.19         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       0.98         NA       0.02       1.00         NA        XXX
                                                       pathologist.
88304...............  ..............  A               Tissue exam by              0.22       1.43         NA       0.03       1.68         NA        XXX
                                                       pathologist.
88304...............  26............  A               Tissue exam by              0.22       0.09       0.09       0.01       0.32       0.32        XXX
                                                       pathologist.
88304...............  TC............  A               Tissue exam by              0.00       1.34         NA       0.02       1.36         NA        XXX
                                                       pathologist.
88305...............  ..............  A               Tissue exam by              0.75       2.09         NA       0.07       2.91         NA        XXX
                                                       pathologist.
88305...............  26............  A               Tissue exam by              0.75       0.33       0.33       0.03       1.11       1.11        XXX
                                                       pathologist.
88305...............  TC............  A               Tissue exam by              0.00       1.76         NA       0.04       1.80         NA        XXX
                                                       pathologist.
88307...............  ..............  A               Tissue exam by              1.59       3.27         NA       0.12       4.98         NA        XXX
                                                       pathologist.
88307...............  26............  A               Tissue exam by              1.59       0.66       0.66       0.06       2.32       2.32        XXX
                                                       pathologist.
88307...............  TC............  A               Tissue exam by              0.00       2.60         NA       0.06       2.66         NA        XXX
                                                       pathologist.
88309...............  ..............  A               Tissue exam by              2.28       4.52         NA       0.14       6.95         NA        XXX
                                                       pathologist.
88309...............  26............  A               Tissue exam by              2.28       0.95       0.95       0.08       3.31       3.31        XXX
                                                       pathologist.
88309...............  TC............  A               Tissue exam by              0.00       3.57         NA       0.06       3.63         NA        XXX
                                                       pathologist.
88311...............  ..............  A               Decalcify tissue.....       0.24       0.23         NA       0.02       0.49         NA        XXX
88311...............  26............  A               Decalcify tissue.....       0.24       0.10       0.10       0.01       0.35       0.35        XXX
88311...............  TC............  A               Decalcify tissue.....       0.00       0.13         NA       0.01       0.14         NA        XXX
88312...............  ..............  A               Special stains.......       0.54       1.66         NA       0.03       2.23         NA        XXX
88312...............  26............  A               Special stains.......       0.54       0.23       0.23       0.02       0.79       0.79        XXX
88312...............  TC............  A               Special stains.......       0.00       1.44         NA       0.01       1.45         NA        XXX
88313...............  ..............  A               Special stains.......       0.24       1.35         NA       0.02       1.61         NA        XXX
88313...............  26............  A               Special stains.......       0.24       0.10       0.10       0.01       0.35       0.35        XXX
88313...............  TC............  A               Special stains.......       0.00       1.25         NA       0.01       1.26         NA        XXX
88314...............  ..............  A               Histochemical stain..       0.45       2.06         NA       0.04       2.55         NA        XXX
88314...............  26............  A               Histochemical stain..       0.45       0.19       0.19       0.02       0.66       0.66        XXX
88314...............  TC............  A               Histochemical stain..       0.00       1.88         NA       0.02       1.90         NA        XXX
88318...............  ..............  A               Chemical                    0.42       1.77         NA       0.03       2.22         NA        XXX
                                                       histochemistry.
88318...............  26............  A               Chemical                    0.42       0.18       0.18       0.02       0.62       0.62        XXX
                                                       histochemistry.
88318...............  TC............  A               Chemical                    0.00       1.60         NA       0.01       1.61         NA        XXX
                                                       histochemistry.
88319...............  ..............  A               Enzyme histochemistry       0.53       3.39         NA       0.04       3.96         NA        XXX
88319...............  26............  A               Enzyme histochemistry       0.53       0.22       0.22       0.02       0.77       0.77        XXX
88319...............  TC............  A               Enzyme histochemistry       0.00       3.17         NA       0.02       3.19         NA        XXX
88321...............  ..............  A               Microslide                  1.30       0.80       0.55       0.05       2.15       1.90        XXX
                                                       consultation.
88323...............  ..............  A               Microslide                  1.35       1.84         NA       0.07       3.26         NA        XXX
                                                       consultation.
88323...............  26............  A               Microslide                  1.35       0.56       0.56       0.05       1.96       1.96        XXX
                                                       consultation.
88323...............  TC............  A               Microslide                  0.00       1.28         NA       0.02       1.30         NA        XXX
                                                       consultation.
88325...............  ..............  A               Comprehensive review        2.22       2.87       0.93       0.07       5.16       3.22        XXX
                                                       of data.
88329...............  ..............  A               Path consult introp..       0.67       0.64       0.28       0.02       1.34       0.97        XXX
88331...............  ..............  A               Path consult intraop,       1.19       1.12         NA       0.08       2.40         NA        XXX
                                                       1 bloc.
88331...............  26............  A               Path consult intraop,       1.19       0.50       0.50       0.04       1.73       1.73        XXX
                                                       1 bloc.

[[Page 45980]]

 
88331...............  TC............  A               Path consult intraop,       0.00       0.63         NA       0.04       0.67         NA        XXX
                                                       1 bloc.
88332...............  ..............  A               Path consult intraop,       0.59       0.46         NA       0.04       1.09         NA        XXX
                                                       add'l.
88332...............  26............  A               Path consult intraop,       0.59       0.24       0.24       0.02       0.85       0.85        XXX
                                                       add'l.
88332...............  TC............  A               Path consult intraop,       0.00       0.21         NA       0.02       0.23         NA        XXX
                                                       add'l.
88342...............  ..............  A               Immunohistochemistry.       0.85       1.52         NA       0.05       2.42         NA        XXX
88342...............  26............  A               Immunohistochemistry.       0.85       0.35       0.35       0.03       1.23       1.23        XXX
88342...............  TC............  A               Immunohistochemistry.       0.00       1.16         NA       0.02       1.18         NA        XXX
88346...............  ..............  A               Immunofluorescent           0.86       1.65         NA       0.05       2.56         NA        XXX
                                                       study.
88346...............  26............  A               Immunofluorescent           0.86       0.36       0.36       0.03       1.25       1.25        XXX
                                                       study.
88346...............  TC............  A               Immunofluorescent           0.00       1.29         NA       0.02       1.31         NA        XXX
                                                       study.
88347...............  ..............  A               Immunofluorescent           0.86       1.31         NA       0.05       2.22         NA        XXX
                                                       study.
88347...............  26............  A               Immunofluorescent           0.86       0.34       0.34       0.03       1.23       1.23        XXX
                                                       study.
88347...............  TC............  A               Immunofluorescent           0.00       0.97         NA       0.02       0.99         NA        XXX
                                                       study.
88348...............  ..............  A               Electron microscopy..       1.51      10.48         NA       0.13      12.12         NA        XXX
88348...............  26............  A               Electron microscopy..       1.51       0.62       0.62       0.06       2.20       2.20        XXX
88348...............  TC............  A               Electron microscopy..       0.00       9.85         NA       0.07       9.92         NA        XXX
88349...............  ..............  A               Scanning electron           0.76       4.10         NA       0.09       4.95         NA        XXX
                                                       microscopy.
88349...............  26............  A               Scanning electron           0.76       0.32       0.32       0.03       1.11       1.11        XXX
                                                       microscopy.
88349...............  TC............  A               Scanning electron           0.00       3.78         NA       0.06       3.84         NA        XXX
                                                       microscopy.
88355...............  ..............  A               Analysis, skeletal          1.85       8.06         NA       0.13      10.04         NA        XXX
                                                       muscle.
88355...............  26............  A               Analysis, skeletal          1.85       0.77       0.77       0.07       2.70       2.70        XXX
                                                       muscle.
88355...............  TC............  A               Analysis, skeletal          0.00       7.29         NA       0.06       7.35         NA        XXX
                                                       muscle.
88356...............  ..............  A               Analysis, nerve......       3.03       4.70         NA       0.19       7.91         NA        XXX
88356...............  26............  A               Analysis, nerve......       3.03       1.23       1.23       0.12       4.37       4.37        XXX
88356...............  TC............  A               Analysis, nerve......       0.00       3.47         NA       0.07       3.54         NA        XXX
88358...............  ..............  A               Analysis, tumor......       0.95       0.92         NA       0.17       2.04         NA        XXX
88358...............  26............  A               Analysis, tumor......       0.95       0.39       0.39       0.10       1.44       1.44        XXX
88358...............  TC............  A               Analysis, tumor......       0.00       0.53         NA       0.07       0.60         NA        XXX
88360...............  ..............  A               Tumor immunohistochem/      1.10       1.81         NA       0.08       2.99         NA        XXX
                                                       manual.
88360...............  26............  A               Tumor immunohistochem/      1.10       0.46       0.46       0.06       1.62       1.62        XXX
                                                       manual.
88360...............  TC............  A               Tumor immunohistochem/      0.00       1.35         NA       0.02       1.37         NA        XXX
                                                       manual.
88361...............  ..............  A               Tumor immunohistochem/      1.18       3.07         NA       0.17       4.42         NA        XXX
                                                       comput.
88361...............  26............  A               Tumor immunohistochem/      1.18       0.48       0.48       0.10       1.76       1.76        XXX
                                                       comput.
88361...............  TC............  A               Tumor immunohistochem/      0.00       2.59         NA       0.07       2.66         NA        XXX
                                                       comput.
88362...............  ..............  A               Nerve teasing               2.17       4.63         NA       0.15       6.95         NA        XXX
                                                       preparations.
88362...............  26............  A               Nerve teasing               2.17       0.89       0.89       0.09       3.16       3.16        XXX
                                                       preparations.
88362...............  TC............  A               Nerve teasing               0.00       3.73         NA       0.06       3.79         NA        XXX
                                                       preparations.
88365...............  ..............  A               Insitu hybridization        1.20       2.32         NA       0.05       3.58         NA        XXX
                                                       (fish).
88365...............  26............  A               Insitu hybridization        1.20       0.50       0.50       0.03       1.73       1.73        XXX
                                                       (fish).
88365...............  TC............  A               Insitu hybridization        0.00       1.83         NA       0.02       1.85         NA        XXX
                                                       (fish).
88367...............  ..............  A               Insitu hybridization,       1.30       4.76         NA       0.12       6.18         NA        XXX
                                                       auto.
88367...............  26............  A               Insitu hybridization,       1.30       0.53       0.53       0.06       1.89       1.89        XXX
                                                       auto.
88367...............  TC............  A               Insitu hybridization,       0.00       4.23         NA       0.06       4.29         NA        XXX
                                                       auto.
88368...............  ..............  A               Insitu hybridization,       1.40       3.95         NA       0.12       5.47         NA        XXX
                                                       manual.
88368...............  26............  A               Insitu hybridization,       1.40       0.58       0.58       0.06       2.05       2.05        XXX
                                                       manual.
88368...............  TC............  A               Insitu hybridization,       0.00       3.37         NA       0.06       3.43         NA        XXX
                                                       manual.
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       0.16       0.16       0.01       0.54       0.54        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       0.16       0.16       0.01       0.54       0.54        XXX
                                                       crystals.
89100...............  ..............  A               Sample intestinal           0.60       3.64       0.32       0.03       4.27       0.95        XXX
                                                       contents.
89105...............  ..............  A               Sample intestinal           0.50       3.28       0.28       0.02       3.80       0.80        XXX
                                                       contents.
89130...............  ..............  A               Sample stomach              0.45       3.07       0.19       0.02       3.54       0.66        XXX
                                                       contents.
89132...............  ..............  A               Sample stomach              0.19       2.84       0.16       0.01       3.04       0.36        XXX
                                                       contents.
89135...............  ..............  A               Sample stomach              0.79       3.96       0.32       0.04       4.79       1.15        XXX
                                                       contents.
89136...............  ..............  A               Sample stomach              0.21       2.93       0.15       0.01       3.15       0.37        XXX
                                                       contents.
89140...............  ..............  A               Sample stomach              0.94       3.28       0.36       0.04       4.26       1.35        XXX
                                                       contents.
89141...............  ..............  A               Sample stomach              0.85       3.72       0.40       0.03       4.60       1.29        XXX
                                                       contents.
89220...............  ..............  A               Sputum specimen             0.00       0.39         NA       0.02       0.41         NA        XXX
                                                       collection.
89230...............  ..............  A               Collect sweat for           0.00       0.11         NA       0.02       0.13         NA        XXX
                                                       test.
89240...............  ..............  C               Pathology lab               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
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

[[Page 45981]]

 
90376...............  ..............  E               Rabies ig, heat             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       treated.
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
90465...............  ..............  A               Immune admin 1 inj, <       0.17       0.31       0.27       0.01       0.49       0.45        XXX
                                                       8 yrs.
90466...............  ..............  A               Immune admin addl           0.15       0.13       0.12       0.01       0.29       0.28        ZZZ
                                                       inj, < 8 y.
90467...............  ..............  R               Immune admin o or n,        0.17       0.31       0.00       0.01       0.49       0.18        XXX
                                                       < 8 yrs.
90468...............  ..............  R               Immune admin o/n,           0.15       0.13       0.00       0.01       0.29       0.16        ZZZ
                                                       addl < 8 y.
90471...............  ..............  A               Immunization admin...       0.17       0.31         NA       0.01       0.49         NA        XXX
90472...............  ..............  A               Immunization admin,         0.15       0.13         NA       0.01       0.29         NA        ZZZ
                                                       each add.
90473...............  ..............  R               Immune admin oral/          0.17       0.31       0.00       0.01       0.49       0.18        XXX
                                                       nasal.
90474...............  ..............  R               Immune admin oral/          0.15       0.13       0.00       0.01       0.29       0.16        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.
90665...............  ..............  E               Lyme disease vaccine,       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       im.
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, < 7           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       yrs, im.
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...       0.00       0.00       0.00       0.00       0.00       0.00        XXX
90716...............  ..............  E               Chicken pox vaccine,        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       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...       0.00       0.00       0.00       0.00       0.00       0.00        XXX
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         XX
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.
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...............  ..............  I               IV infusion therapy,        0.17       0.00       0.00       0.07       0.24       0.24        XXX
                                                       1 hour.
90781...............  ..............  I               IV infusion,                0.17       0.00       0.00       0.04       0.21       0.21        ZZZ
                                                       additional hour.
90782...............  ..............  I               Injection, sc/im.....       0.17       0.00       0.00       0.01       0.18       0.18        XXX
90783...............  ..............  A               Injection, ia........       0.17       0.31         NA       0.02       0.50         NA        XXX
90784...............  ..............  I               Injection, iv........       0.17       0.00       0.00       0.04       0.21       0.21        XXX
90788...............  ..............  A               Injection of                0.17       0.26         NA       0.01       0.44         NA        XXX
                                                       antibiotic.
90799...............  ..............  C               Ther/prophylactic/dx        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       inject.

[[Page 45982]]

 
90801...............  ..............  A               Psy dx interview.....       2.81       1.19       0.91       0.06       4.05       3.77        XXX
90802...............  ..............  A               Intac psy dx                3.02       1.23       0.96       0.07       4.32       4.05        XXX
                                                       interview.
90804...............  ..............  A               Psytx, office, 20-30        1.21       0.49       0.37       0.03       1.74       1.61        XXX
                                                       min.
90805...............  ..............  A               Psytx, off, 20-30 min       1.37       0.51       0.41       0.03       1.91       1.81        XXX
                                                       w/e&m.
90806...............  ..............  A               Psytx, off, 45-50 min       1.86       0.68       0.58       0.04       2.59       2.49        XXX
90807...............  ..............  A               Psytx, off, 45-50 min       2.02       0.70       0.61       0.05       2.78       2.69        XXX
                                                       w/e&m.
90808...............  ..............  A               Psytx, office, 75-80        2.80       1.00       0.87       0.06       3.85       3.73        XXX
                                                       min.
90809...............  ..............  A               Psytx, off, 75-80, w/       2.96       0.99       0.90       0.07       4.02       3.92        XXX
                                                       e&m.
90810...............  ..............  A               Intac psytx, off, 20-       1.32       0.51       0.41       0.04       1.87       1.77        XXX
                                                       30 min.
90811...............  ..............  A               Intac psytx, 20-30, w/      1.48       0.58       0.45       0.04       2.10       1.97        XXX
                                                       e&m.
90812...............  ..............  A               Intac psytx, off, 45-       1.97       0.77       0.62       0.04       2.79       2.64        XXX
                                                       50 min.
90813...............  ..............  A               Intac psytx, 45-50          2.13       0.77       0.65       0.05       2.96       2.84        XXX
                                                       min w/e&m.
90814...............  ..............  A               Intac psytx, off, 75-       2.91       1.07       0.94       0.06       4.04       3.91        XXX
                                                       80 min.
90815...............  ..............  A               Intac psytx, 75-80 w/       3.07       1.05       0.92       0.07       4.19       4.06        XXX
                                                       e&m.
90816...............  ..............  A               Psytx, hosp, 20-30          1.25         NA       0.45       0.03         NA       1.73        XXX
                                                       min.
90817...............  ..............  A               Psytx, hosp, 20-30          1.41         NA       0.45       0.03         NA       1.90        XXX
                                                       min w/e&m.
90818...............  ..............  A               Psytx, hosp, 45-50          1.89         NA       0.67       0.04         NA       2.60        XXX
                                                       min.
90819...............  ..............  A               Psytx, hosp, 45-50          2.05         NA       0.64       0.05         NA       2.75        XXX
                                                       min w/e&m.
90821...............  ..............  A               Psytx, hosp, 75-80          2.84         NA       0.97       0.06         NA       3.87        XXX
                                                       min.
90822...............  ..............  A               Psytx, hosp, 75-80          3.00         NA       0.93       0.08         NA       4.01        XXX
                                                       min w/e&m.
90823...............  ..............  A               Intac psytx, hosp, 20-      1.36         NA       0.47       0.03         NA       1.86        XXX
                                                       30 min.
90824...............  ..............  A               Intac psytx, hsp 20-        1.52         NA       0.48       0.04         NA       2.05        XXX
                                                       30 w/e&m.
90826...............  ..............  A               Intac psytx, hosp, 45-      2.01         NA       0.70       0.05         NA       2.76        XXX
                                                       50 min.
90827...............  ..............  A               Intac psytx, hsp 45-        2.16         NA       0.67       0.05         NA       2.89        XXX
                                                       50 w/e&m.
90828...............  ..............  A               Intac psytx, hosp, 75-      2.95         NA       1.02       0.06         NA       4.03        XXX
                                                       80 min.
90829...............  ..............  A               Intac psytx, hsp 75-        3.11         NA       0.96       0.07         NA       4.14        XXX
                                                       80 w/e&m.
90845...............  ..............  A               Psychoanalysis.......       1.79       0.57       0.54       0.04       2.40       2.37        XXX
90846...............  ..............  R               Family psytx w/o            1.83       0.64       0.63       0.04       2.51       2.50        XXX
                                                       patient.
90847...............  ..............  R               Family psytx w/             2.21       0.81       0.74       0.05       3.08       3.01        XXX
                                                       patient.
90849...............  ..............  R               Multiple family group       0.59       0.27       0.24       0.02       0.88       0.85        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       0.29       0.25       0.01       0.93       0.89        XXX
90862...............  ..............  A               Medication management       0.95       0.42       0.32       0.02       1.39       1.29        XXX
90865...............  ..............  A               Narcosynthesis.......       2.85       1.35       0.89       0.12       4.31       3.86        XXX
90870...............  ..............  A               Electroconvulsive           1.88       1.82       0.58       0.04       3.74       2.50        000
                                                       therapy.
90871...............  ..............  N               Electroconvulsive           2.73         NA       0.99       0.07         NA       3.78        000
                                                       therapy.
90875...............  ..............  N               Psychophysiological         1.20       0.85       0.46       0.04       2.09       1.70        XXX
                                                       therapy.
90876...............  ..............  N               Psychophysiological         1.90       1.11       0.72       0.05       3.06       2.68        XXX
                                                       therapy.
90880...............  ..............  A               Hypnotherapy.........       2.19       0.98       0.67       0.05       3.22       2.92        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       0.64       0.14       0.02       1.07       0.57        000
                                                       any meth.
90911...............  ..............  A               Biofeedback peri/uro/       0.89       1.58       0.33       0.06       2.53       1.28        000
                                                       rectal.
90918...............  ..............  I               ESRD related               11.18       5.96       5.96       0.36      17.50      17.50        XXX
                                                       services, month.
90919...............  ..............  I               ESRD related                8.55       3.90       3.90       0.29      12.74      12.74        XXX
                                                       services, month.
90920...............  ..............  I               ESRD related                7.27       3.65       3.65       0.23      11.16      11.16        XXX
                                                       services, month.
90921...............  ..............  I               ESRD related                4.47       2.37       2.37       0.14       6.98       6.98        XXX
                                                       services, month.
90922...............  ..............  I               ESRD related                0.37       0.21       0.21       0.01       0.59       0.59        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       0.65       0.04         NA       1.91        000
                                                       evaluation.
90937...............  ..............  A               Hemodialysis,               2.11         NA       0.95       0.07         NA       3.13        000
                                                       repeated eval.
90945...............  ..............  A               Dialysis, one               1.28         NA       0.67       0.04         NA       1.99        000
                                                       evaluation.
90947...............  ..............  A               Dialysis, repeated          2.16         NA       0.97       0.07         NA       3.20        000
                                                       eval.
90997...............  ..............  A               Hemoperfusion........       1.84         NA       0.65       0.06         NA       2.55        000
90999...............  ..............  C               Dialysis procedure...       0.00       0.00       0.00       0.00       0.00       0.00        XXX
91000...............  ..............  A               Esophageal intubation       0.73       0.84         NA       0.04       1.62         NA        000
91000...............  26............  A               Esophageal intubation       0.73       0.25       0.25       0.03       1.01       1.01        000
91000...............  TC............  A               Esophageal intubation       0.00       0.59         NA       0.01       0.60         NA        000
91010...............  ..............  A               Esophagus motility          1.25       4.76         NA       0.12       6.14         NA        000
                                                       study.
91010...............  26............  A               Esophagus motility          1.25       0.47       0.47       0.06       1.78       1.78        000
                                                       study.
91010...............  TC............  A               Esophagus motility          0.00       4.30         NA       0.06       4.36         NA        000
                                                       study.
91011...............  ..............  A               Esophagus motility          1.50       5.79         NA       0.13       7.42         NA        000
                                                       study.
91011...............  26............  A               Esophagus motility          1.50       0.57       0.57       0.07       2.15       2.15        000
                                                       study.
91011...............  TC............  A               Esophagus motility          0.00       5.22         NA       0.06       5.28         NA        000
                                                       study.
91012...............  ..............  A               Esophagus motility          1.46       5.76         NA       0.13       7.35         NA        000
                                                       study.
91012...............  26............  A               Esophagus motility          1.46       0.55       0.55       0.06       2.07       2.07        000
                                                       study.
91012...............  TC............  A               Esophagus motility          0.00       5.21         NA       0.07       5.28         NA        000
                                                       study.
91020...............  ..............  A               Gastric motility.....       1.44       4.49         NA       0.13       6.07         NA        000
91020...............  26............  A               Gastric motility.....       1.44       0.51       0.51       0.07       2.02       2.02        000

[[Page 45983]]

 
91020...............  TC............  A               Gastric motility.....       0.00       3.99         NA       0.06       4.05         NA        000
91030...............  ..............  A               Acid perfusion of           0.91       2.67         NA       0.06       3.64         NA        000
                                                       esophagus.
91030...............  26............  A               Acid perfusion of           0.91       0.35       0.35       0.04       1.30       1.30        000
                                                       esophagus.
91030...............  TC............  A               Acid perfusion of           0.00       2.32         NA       0.02       2.34         NA        000
                                                       esophagus.
91034...............  ..............  A               Gastroesophageal            0.97       5.70         NA       0.12       6.79         NA        XXX
                                                       reflux test.
91034...............  26............  A               Gastroesophageal            0.97       0.36       0.36       0.06       1.40       1.40        XXX
                                                       reflux test.
91034...............  TC............  A               Gastroesophageal            0.00       5.33         NA       0.06       5.39         NA        XXX
                                                       reflux test.
91035...............  ..............  A               G-esoph reflx tst w/        1.59      11.65         NA       0.12      13.36         NA        XXX
                                                       electrod.
91035...............  26............  A               G-esoph reflx tst w/        1.59       0.60       0.60       0.06       2.25       2.25        XXX
                                                       electrod.
91035...............  TC............  A               G-esoph reflx tst w/        0.00      11.05         NA       0.06      11.11         NA        XXX
                                                       electrod.
91037...............  ..............  A               Esoph imped function        0.97       3.22         NA       0.12       4.32         NA        XXX
                                                       test.
91037...............  26............  A               Esoph imped function        0.97       0.36       0.36       0.06       1.40       1.40        XXX
                                                       test.
91037...............  TC............  A               Esoph imped function        0.00       2.86         NA       0.06       2.92         NA        XXX
                                                       test.
91038...............  ..............  A               Esoph imped funct           1.10       2.47         NA       0.12       3.69         NA        XXX
                                                       test > 1h.
91038...............  26............  A               Esoph imped funct           1.10       0.42       0.42       0.06       1.58       1.58        XXX
                                                       test > 1h.
91038...............  TC............  A               Esoph imped funct           0.00       2.05         NA       0.06       2.11         NA        XXX
                                                       test > 1h.
91040...............  ..............  A               Esoph balloon               0.97      11.26         NA       0.12      12.35         NA        XXX
                                                       distension tst.
91040...............  26............  A               Esoph balloon               0.97       0.36       0.36       0.06       1.40       1.40        XXX
                                                       distension tst.
91040...............  TC............  A               Esoph balloon               0.00      10.89         NA       0.06      10.95         NA        XXX
                                                       distension tst.
91052...............  ..............  A               Gastric analysis test       0.79       2.64         NA       0.05       3.48         NA        000
91052...............  26............  A               Gastric analysis test       0.79       0.30       0.30       0.03       1.12       1.12        000
91052...............  TC............  A               Gastric analysis test       0.00       2.34         NA       0.02       2.36         NA        000
91055...............  ..............  A               Gastric intubation          0.94       2.91         NA       0.07       3.92         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       2.64         NA       0.02       2.66         NA        000
                                                       for smear.
91060...............  ..............  A               Gastric saline load         0.45       1.89         NA       0.05       2.39         NA        000
                                                       test.
91060...............  26............  A               Gastric saline load         0.45       0.14       0.14       0.03       0.62       0.62        000
                                                       test.
91060...............  TC............  A               Gastric saline load         0.00       1.75         NA       0.02       1.77         NA        000
                                                       test.
91065...............  ..............  A               Breath hydrogen test.       0.20       1.62         NA       0.03       1.85         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       1.55         NA       0.02       1.57         NA        000
91100...............  ..............  A               Pass intestine              1.08       2.70       0.28       0.07       3.85       1.43        000
                                                       bleeding tube.
91105...............  ..............  A               Gastric intubation          0.37       1.99       0.09       0.03       2.39       0.49        000
                                                       treatment.
91110...............  ..............  A               Gi tract capsule            3.65      24.17         NA       0.16      27.98         NA        XXX
                                                       endoscopy.
91110...............  26............  A               Gi tract capsule            3.65       1.38       1.38       0.09       5.12       5.12        XXX
                                                       endoscopy.
91110...............  TC............  A               Gi tract capsule            0.00      22.79         NA       0.07      22.86         NA        XXX
                                                       endoscopy.
91120...............  ..............  A               Rectal sensation test       0.97      11.11         NA       0.11      12.19         NA        XXX
91120...............  26............  A               Rectal sensation test       0.97       0.36       0.36       0.07       1.41       1.41        XXX
91120...............  TC............  A               Rectal sensation test       0.00      10.74         NA       0.04      10.78         NA        XXX
91122...............  ..............  A               Anal pressure record.       1.77       5.15         NA       0.21       7.13         NA        000
91122...............  26............  A               Anal pressure record.       1.77       0.62       0.62       0.13       2.52       2.52        000
91122...............  TC............  A               Anal pressure record.       0.00       4.53         NA       0.08       4.61         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       0.20       0.20       0.02       0.74       0.74        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       0.25       0.25       0.03       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       0.97       0.33       0.02       1.87       1.23        XXX
92004...............  ..............  A               Eye exam, new patient       1.67       1.68       0.66       0.04       3.40       2.38        XXX
92012...............  ..............  A               Eye exam established        0.67       1.01       0.28       0.02       1.70       0.97        XXX
                                                       pat.
92014...............  ..............  A               Eye exam & treatment.       1.10       1.39       0.46       0.03       2.52       1.59        XXX
92015...............  ..............  N               Refraction...........       0.38       1.21       0.15       0.01       1.61       0.54        XXX
92018...............  ..............  A               New eye exam &              2.51         NA       1.05       0.07         NA       3.62        XXX
                                                       treatment.
92019...............  ..............  A               Eye exam & treatment.       1.31         NA       0.55       0.03         NA       1.89        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       0.03       1.45         NA        XXX
                                                       evaluation.
92060...............  26............  A               Special eye                 0.69       0.28       0.28       0.02       0.99       0.99        XXX
                                                       evaluation.
92060...............  TC............  A               Special eye                 0.00       0.44         NA       0.01       0.45         NA        XXX
                                                       evaluation.
92065...............  ..............  A               Orthoptic/pleoptic          0.37       0.57         NA       0.02       0.96         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       0.43         NA       0.01       0.44         NA        XXX
                                                       training.
92070...............  ..............  A               Fitting of contact          0.70       1.04       0.31       0.02       1.76       1.03        XXX
                                                       lens.
92081...............  ..............  A               Visual field                0.36       0.93         NA       0.02       1.31         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       0.78         NA       0.01       0.79         NA        XXX
                                                       examination(s).
92082...............  ..............  A               Visual field                0.44       1.22         NA       0.02       1.68         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       1.03         NA       0.01       1.04         NA        XXX
                                                       examination(s).
92083...............  ..............  A               Visual field                0.50       1.41         NA       0.02       1.93         NA        XXX
                                                       examination(s).

[[Page 45984]]

 
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       1.19         NA       0.01       1.20         NA        XXX
                                                       examination(s).
92100...............  ..............  A               Serial tonometry            0.92       1.34       0.35       0.02       2.28       1.30        XXX
                                                       exam(s).
92120...............  ..............  A               Tonography & eye            0.81       1.06       0.31       0.02       1.89       1.14        XXX
                                                       evaluation.
92130...............  ..............  A               Water provocation           0.81       1.26       0.36       0.02       2.09       1.19        XXX
                                                       tonography.
92135...............  ..............  A               Opthalmic dx imaging.       0.35       0.77         NA       0.02       1.14         NA        XXX
92135...............  26............  A               Opthalmic dx imaging.       0.35       0.15       0.15       0.01       0.51       0.51        XXX
92135...............  TC............  A               Opthalmic dx imaging.       0.00       0.63         NA       0.01       0.64         NA        XXX
92136...............  ..............  A               Ophthalmic biometry..       0.54       1.58         NA       0.08       2.20         NA        XXX
92136...............  26............  A               Ophthalmic biometry..       0.54       0.24       0.24       0.01       0.79       0.79        XXX
92136...............  TC............  A               Ophthalmic biometry..       0.00       1.35         NA       0.07       1.42         NA        XXX
92140...............  ..............  A               Glaucoma provocative        0.50       0.98       0.21       0.01       1.49       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       0.14       0.01       0.55       0.48        XXX
                                                       subsequent.
92230...............  ..............  A               Eye exam with photos.       0.60       1.39       0.20       0.02       2.01       0.82        XXX
92235...............  ..............  A               Eye exam with photos.       0.81       2.50         NA       0.08       3.39         NA        XXX
92235...............  26............  A               Eye exam with photos.       0.81       0.36       0.36       0.02       1.19       1.19        XXX
92235...............  TC............  A               Eye exam with photos.       0.00       2.14         NA       0.06       2.20         NA        XXX
92240...............  ..............  A               Icg angiography......       1.10       5.75         NA       0.09       6.94         NA        XXX
92240...............  26............  A               Icg angiography......       1.10       0.49       0.49       0.03       1.62       1.62        XXX
92240...............  TC............  A               Icg angiography......       0.00       5.27         NA       0.06       5.33         NA        XXX
92250...............  ..............  A               Eye exam with photos.       0.44       1.47         NA       0.02       1.93         NA        XXX
92250...............  26............  A               Eye exam with photos.       0.44       0.19       0.19       0.01       0.64       0.64        XXX
92250...............  TC............  A               Eye exam with photos.       0.00       1.29         NA       0.01       1.30         NA        XXX
92260...............  ..............  A               Ophthalmoscopy/             0.20       0.25       0.09       0.01       0.46       0.30        XXX
                                                       dynamometry.
92265...............  ..............  A               Eye muscle evaluation       0.81       1.39         NA       0.06       2.26         NA        XXX
92265...............  26............  A               Eye muscle evaluation       0.81       0.28       0.28       0.04       1.13       1.13        XXX
92265...............  TC............  A               Eye muscle evaluation       0.00       1.11         NA       0.02       1.13         NA        XXX
92270...............  ..............  A               Electro-oculography..       0.81       1.49         NA       0.05       2.35         NA        XXX
92270...............  26............  A               Electro-oculography..       0.81       0.32       0.32       0.03       1.16       1.16        XXX
92270...............  TC............  A               Electro-oculography..       0.00       1.17         NA       0.02       1.19         NA        XXX
92275...............  ..............  A               Electroretinography..       1.01       1.92         NA       0.05       2.98         NA        XXX
92275...............  26............  A               Electroretinography..       1.01       0.42       0.42       0.03       1.46       1.46        XXX
92275...............  TC............  A               Electroretinography..       0.00       1.50         NA       0.02       1.52         NA        XXX
92283...............  ..............  A               Color vision                0.17       0.84         NA       0.02       1.03         NA        XXX
                                                       examination.
92283...............  26............  A               Color vision                0.17       0.07       0.07       0.01       0.25       0.25        XXX
                                                       examination.
92283...............  TC............  A               Color vision                0.00       0.77         NA       0.01       0.78         NA        XXX
                                                       examination.
92284...............  ..............  A               Dark adaptation eye         0.24       1.74         NA       0.02       2.00         NA        XXX
                                                       exam.
92284...............  26............  A               Dark adaptation eye         0.24       0.08       0.08       0.01       0.33       0.33        XXX
                                                       exam.
92284...............  TC............  A               Dark adaptation eye         0.00       1.66         NA       0.01       1.67         NA        XXX
                                                       exam.
92285...............  ..............  A               Eye photography......       0.20       0.94         NA       0.02       1.16         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       0.86         NA       0.01       0.87         NA        XXX
92286...............  ..............  A               Internal eye                0.66       2.88         NA       0.04       3.58         NA        XXX
                                                       photography.
92286...............  26............  A               Internal eye                0.66       0.29       0.29       0.02       0.97       0.97        XXX
                                                       photography.
92286...............  TC............  A               Internal eye                0.00       2.59         NA       0.02       2.61         NA        XXX
                                                       photography.
92287...............  ..............  A               Internal eye                0.81       2.28       0.30       0.02       3.12       1.13        XXX
                                                       photography.
92310...............  ..............  N               Contact lens fitting.       1.17       1.13       0.45       0.04       2.34       1.66        XXX
92311...............  ..............  A               Contact lens fitting.       1.08       1.14       0.35       0.03       2.25       1.47        XXX
92312...............  ..............  A               Contact lens fitting.       1.26       1.17       0.49       0.03       2.47       1.78        XXX
92313...............  ..............  A               Contact lens fitting.       0.92       1.13       0.28       0.02       2.07       1.22        XXX
92314...............  ..............  N               Prescription of             0.69       0.98       0.27       0.01       1.68       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       1.05       0.28       0.02       1.75       0.98        XXX
                                                       contact lens.
92317...............  ..............  A               Prescription of             0.45       1.05       0.15       0.01       1.52       0.61        XXX
                                                       contact lens.
92325...............  ..............  A               Modification of             0.00       0.49         NA       0.01       0.50         NA        XXX
                                                       contact lens.
92326...............  ..............  A               Replacement of              0.00       1.41         NA       0.06       1.47         NA        XXX
                                                       contact lens.
92330...............  ..............  A               Fitting of artificial       1.08       0.99       0.32       0.03       2.10       1.43        XXX
                                                       eye.
92335...............  ..............  A               Fitting of artificial       0.45       0.88       0.16       0.01       1.34       0.62        XXX
                                                       eye.
92340...............  ..............  N               Fitting of spectacles       0.37       0.66         NA       0.01       1.04         NA        XXX
92341...............  ..............  N               Fitting of spectacles       0.47       0.70         NA       0.01       1.18         NA        XXX
92342...............  ..............  N               Fitting of spectacles       0.53       0.72         NA       0.01       1.27         NA        XXX
92352...............  ..............  B               Special spectacles          0.37       0.67         NA       0.01       1.05         NA        XXX
                                                       fitting.
92353...............  ..............  B               Special spectacles          0.50       0.72         NA       0.02       1.24         NA        XXX
                                                       fitting.
92354...............  ..............  B               Special spectacles          0.00       7.13         NA       0.10       7.23         NA        XXX
                                                       fitting.
92355...............  ..............  B               Special spectacles          0.00       3.53         NA       0.01       3.54         NA        XXX
                                                       fitting.
92358...............  ..............  B               Eye prosthesis              0.00       0.81         NA       0.05       0.86         NA        XXX
                                                       service.
92370...............  ..............  N               Repair & adjust             0.32       0.53         NA       0.02       0.87         NA        XXX
                                                       spectacles.
92371...............  ..............  B               Repair & adjust             0.00       0.53         NA       0.02       0.55         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       0.00       0.00       0.02       0.02       0.02        XXX
                                                       aids.
92393...............  ..............  I               Supply of artificial        0.00       0.00       0.00       0.57       0.57       0.57        XXX
                                                       eye.
92395...............  ..............  I               Supply of spectacles.       0.00       0.00       0.00       0.10       0.10       0.10        XXX

[[Page 45985]]

 
92396...............  ..............  I               Supply of contact           0.00       0.00       0.00       0.07       0.07       0.07        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       1.08       0.05         NA       2.65        000
                                                       examination.
92504...............  ..............  A               Ear microscopy              0.18       0.50       0.09       0.01       0.69       0.28        XXX
                                                       examination.
92506...............  ..............  A               Speech/hearing              0.86       2.68       0.38       0.03       3.57       1.27        XXX
                                                       evaluation.
92507...............  ..............  A               Speech/hearing              0.52       1.10       0.22       0.02       1.65       0.76        XXX
                                                       therapy.
92508...............  ..............  A               Speech/hearing              0.26       0.51       0.12       0.01       0.78       0.39        XXX
                                                       therapy.
92510...............  ..............  I               Rehab for ear implant       1.50       0.00       0.00       0.07       1.57       1.57        XXX
92511...............  ..............  A               Nasopharyngoscopy....       0.84       3.23       0.76       0.03       4.10       1.64        000
92512...............  ..............  A               Nasal function              0.55       1.13       0.18       0.02       1.70       0.75        XXX
                                                       studies.
92516...............  ..............  A               Facial nerve function       0.43       1.18       0.21       0.01       1.62       0.65        XXX
                                                       test.
92520...............  ..............  A               Laryngeal function          0.76       0.51       0.38       0.03       1.31       1.17        XXX
                                                       studies.
92526...............  ..............  A               Oral function therapy       0.55       1.75       0.20       0.02       2.32       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       1.02         NA       0.04       1.47         NA        XXX
                                                       test.
92541...............  26............  A               Spontaneous nystagmus       0.40       0.18       0.18       0.02       0.60       0.60        XXX
                                                       test.
92541...............  TC............  A               Spontaneous nystagmus       0.00       0.84         NA       0.02       0.86         NA        XXX
                                                       test.
92542...............  ..............  A               Positional nystagmus        0.33       1.13         NA       0.03       1.50         NA        XXX
                                                       test.
92542...............  26............  A               Positional nystagmus        0.33       0.15       0.15       0.01       0.49       0.49        XXX
                                                       test.
92542...............  TC............  A               Positional nystagmus        0.00       0.98         NA       0.02       1.00         NA        XXX
                                                       test.
92543...............  ..............  A               Caloric vestibular          0.10       0.57         NA       0.02       0.69         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       0.52         NA       0.01       0.53         NA        XXX
                                                       test.
92544...............  ..............  A               Optokinetic nystagmus       0.26       0.90         NA       0.03       1.19         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       0.78         NA       0.02       0.80         NA        XXX
                                                       test.
92545...............  ..............  A               Oscillating tracking        0.23       0.81         NA       0.03       1.07         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       0.71         NA       0.02       0.73         NA        XXX
                                                       test.
92546...............  ..............  A               Sinusoidal rotational       0.29       1.93         NA       0.03       2.25         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       1.81         NA       0.02       1.83         NA        XXX
                                                       test.
92547...............  ..............  A               Supplemental                0.00       0.08         NA       0.06       0.14         NA        ZZZ
                                                       electrical test.
92548...............  ..............  A               Posturography........       0.50       2.14         NA       0.15       2.79         NA        XXX
92548...............  26............  A               Posturography........       0.50       0.25       0.25       0.02       0.77       0.77        XXX
92548...............  TC............  A               Posturography........       0.00       1.89         NA       0.13       2.02         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       0.63         NA       0.06       0.69         NA        XXX
                                                       bone.
92555...............  ..............  A               Speech threshold            0.00       0.35         NA       0.04       0.39         NA        XXX
                                                       audiometry.
92556...............  ..............  A               Speech audiometry,          0.00       0.54         NA       0.06       0.60         NA        XXX
                                                       complete.
92557...............  ..............  A               Comprehensive hearing       0.00       1.12         NA       0.12       1.24         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       0.68         NA       0.06       0.74         NA        XXX
                                                       diagnosis.
92562...............  ..............  A               Loudness balance test       0.00       0.42         NA       0.04       0.46         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       0.45         NA       0.05       0.50         NA        XXX
92565...............  ..............  A               Stenger test, pure          0.00       0.36         NA       0.04       0.40         NA        XXX
                                                       tone.
92567...............  ..............  A               Tympanometry.........       0.00       0.48         NA       0.06       0.54         NA        XXX
92568...............  ..............  A               Acoustic reflex             0.00       0.32         NA       0.04       0.36         NA        XXX
                                                       testing.
92569...............  ..............  A               Acoustic reflex decay       0.00       0.34         NA       0.04       0.38         NA        XXX
                                                       test.
92571...............  ..............  A               Filtered speech             0.00       0.36         NA       0.04       0.40         NA        XXX
                                                       hearing test.
92572...............  ..............  A               Staggered spondaic          0.00       0.17         NA       0.01       0.18         NA        XXX
                                                       word test.
92573...............  ..............  A               Lombard test.........       0.00       0.33         NA       0.04       0.37         NA        XXX
92575...............  ..............  A               Sensorineural acuity        0.00       0.41         NA       0.02       0.43         NA        XXX
                                                       test.
92576...............  ..............  A               Synthetic sentence          0.00       0.42         NA       0.05       0.47         NA        XXX
                                                       test.
92577...............  ..............  A               Stenger test, speech.       0.00       0.60         NA       0.07       0.67         NA        XXX
92579...............  ..............  A               Visual audiometry           0.00       0.68         NA       0.06       0.74         NA        XXX
                                                       (vra).
92582...............  ..............  A               Conditioning play           0.00       0.72         NA       0.06       0.78         NA        XXX
                                                       audiometry.
92583...............  ..............  A               Select picture              0.00       0.79         NA       0.08       0.87         NA        XXX
                                                       audiometry.
92584...............  ..............  A               Electrocochleography.       0.00       2.15         NA       0.21       2.36         NA        XXX
92585...............  ..............  A               Auditor evoke potent,       0.50       1.97         NA       0.17       2.64         NA        XXX
                                                       compre.
92585...............  26............  A               Auditor evoke potent,       0.50       0.21       0.21       0.03       0.74       0.74        XXX
                                                       compre.
92585...............  TC............  A               Auditor evoke potent,       0.00       1.77         NA       0.14       1.91         NA        XXX
                                                       compre.
92586...............  ..............  A               Auditor evoke potent,       0.00       1.67         NA       0.14       1.81         NA        XXX
                                                       limit.
92587...............  ..............  A               Evoked auditory test.       0.13       1.15         NA       0.12       1.40         NA        XXX
92587...............  26............  A               Evoked auditory test.       0.13       0.06       0.06       0.01       0.20       0.20        XXX
92587...............  TC............  A               Evoked auditory test.       0.00       1.09         NA       0.11       1.20         NA        XXX

[[Page 45986]]

 
92588...............  ..............  A               Evoked auditory test.       0.36       1.43         NA       0.14       1.93         NA        XXX
92588...............  26............  A               Evoked auditory test.       0.36       0.15       0.15       0.01       0.52       0.52        XXX
92588...............  TC............  A               Evoked auditory test.       0.00       1.28         NA       0.13       1.41         NA        XXX
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       0.58         NA       0.06       0.64         NA        XXX
                                                       evaluation.
92597...............  ..............  A               Oral speech device          0.86       1.68       0.43       0.03       2.57       1.32        XXX
                                                       eval.
92601...............  ..............  A               Cochlear implt f/up         0.00       3.54         NA       0.07       3.61         NA        XXX
                                                       exam < 7.
92602...............  ..............  A               Reprogram cochlear          0.00       2.41         NA       0.07       2.48         NA        XXX
                                                       implt < 7.
92603...............  ..............  A               Cochlear implt f/up         0.00       2.19         NA       0.07       2.26         NA        XXX
                                                       exam 7 >.
92604...............  ..............  A               Reprogram cochlear          0.00       1.39         NA       0.07       1.46         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       3.11         NA       0.05       3.16         NA        XXX
                                                       rx, 1hr.
92608...............  ..............  A               Ex for speech device        0.00       0.56         NA       0.05       0.61         NA        XXX
                                                       rx addl.
92609...............  ..............  A               Use of speech device        0.00       1.61         NA       0.04       1.65         NA        XXX
                                                       service.
92610...............  ..............  A               Evaluate swallowing         0.00       2.97         NA       0.08       3.05         NA        XXX
                                                       function.
92611...............  ..............  A               Motion fluoroscopy/         0.00       3.09         NA       0.08       3.17         NA        XXX
                                                       swallow.
92612...............  ..............  A               Endoscopy swallow tst       1.27       2.74       0.63       0.04       4.06       1.95        XXX
                                                       (fees).
92613...............  ..............  A               Endoscopy swallow tst       0.71       0.38       0.38       0.05       1.14       1.14        XXX
                                                       (fees).
92614...............  ..............  A               Laryngoscopic sensory       1.27       2.47       0.63       0.04       3.78       1.95        XXX
                                                       test.
92615...............  ..............  A               Eval laryngoscopy           0.63       0.34       0.34       0.05       1.02       1.02        XXX
                                                       sense tst.
92616...............  ..............  A               Fees w/laryngeal            1.88       3.31       0.95       0.06       5.26       2.90        XXX
                                                       sense test.
92617...............  ..............  A               Interprt fees/              0.79       0.42       0.42       0.05       1.26       1.26        XXX
                                                       laryngeal test.
92620...............  ..............  A               Auditory function, 60       0.00       1.18         NA       0.06       1.24         NA        XXX
                                                       min.
92621...............  ..............  A               Auditory function, +        0.00       0.26         NA       0.06       0.32         NA        ZZZ
                                                       15 min.
92625...............  ..............  A               Tinnitus assessment..       0.00       1.16         NA       0.06       1.22         NA        XXX
92700...............  ..............  C               Ent procedure/service       0.00       0.00       0.00       0.00       0.00       0.00        XXX
92950...............  ..............  A               Heart/lung                  3.80       3.97       0.95       0.28       8.04       5.03        000
                                                       resuscitation cpr.
92953...............  ..............  A               Temporary external          0.23         NA       0.07       0.02         NA       0.32        000
                                                       pacing.
92960...............  ..............  A               Cardioversion               2.25       6.22       1.26       0.07       8.55       3.58        000
                                                       electric, ext.
92961...............  ..............  A               Cardioversion,              4.60         NA       2.19       0.29         NA       7.08        000
                                                       electric, int.
92970...............  ..............  A               Cardioassist,               3.52         NA       1.06       0.16         NA       4.74        000
                                                       internal.
92971...............  ..............  A               Cardioassist,               1.77         NA       0.91       0.06         NA       2.74        000
                                                       external.
92973...............  ..............  A               Percut coronary             3.29         NA       1.35       0.23         NA       4.86        ZZZ
                                                       thrombectomy.
92974...............  ..............  A               Cath place, cardio          3.01         NA       1.24       0.21         NA       4.45        ZZZ
                                                       brachytx.
92975...............  ..............  A               Dissolve clot, heart        7.25         NA       2.94       0.50         NA      10.69        000
                                                       vessel.
92977...............  ..............  A               Dissolve clot, heart        0.00       6.62         NA       0.46       7.08         NA        XXX
                                                       vessel.
92978...............  ..............  A               Intravasc us, heart         1.80         NA         NA       0.30         NA         NA        ZZZ
                                                       add-on.
92978...............  26............  A               Intravasc us, heart         1.80       0.74       0.74       0.06       2.61       2.61        ZZZ
                                                       add-on.
92978...............  TC............  A               Intravasc us, heart         0.00         NA         NA       0.24         NA         NA        ZZZ
                                                       add-on.
92979...............  ..............  A               Intravasc us, heart         1.44         NA         NA       0.19         NA         NA        ZZZ
                                                       add-on.
92979...............  26............  A               Intravasc us, heart         1.44       0.59       0.59       0.06       2.09       2.09        ZZZ
                                                       add-on.
92979...............  TC............  A               Intravasc us, heart         0.00         NA         NA       0.13         NA         NA        ZZZ
                                                       add-on.
92980...............  ..............  A               Insert intracoronary       14.85         NA       6.36       1.03         NA      22.24        000
                                                       stent.
92981...............  ..............  A               Insert intracoronary        4.17         NA       1.71       0.29         NA       6.17        ZZZ
                                                       stent.
92982...............  ..............  A               Coronary artery            10.98         NA       4.77       0.76         NA      16.52        000
                                                       dilation.
92984...............  ..............  A               Coronary artery             2.98         NA       1.21       0.21         NA       4.40        ZZZ
                                                       dilation.
92986...............  ..............  A               Revision of aortic         21.81         NA      12.62       1.51         NA      35.94        090
                                                       valve.
92987...............  ..............  A               Revision of mitral         22.72         NA      13.01       1.59         NA      37.32        090
                                                       valve.
92990...............  ..............  A               Revision of pulmonary      17.34         NA      10.33       1.20         NA      28.87        090
                                                       valve.
92992...............  ..............  C               Revision of heart           0.00       0.00       0.00       0.00       0.00       0.00        090
                                                       chamber.
92993...............  ..............  C               Revision of heart           0.00       0.00       0.00       0.00       0.00       0.00        090
                                                       chamber.
92995...............  ..............  A               Coronary atherectomy.      12.09         NA       5.22       0.84         NA      18.16        000
92996...............  ..............  A               Coronary atherectomy        3.27         NA       1.33       0.10         NA       4.70        ZZZ
                                                       add-on.
92997...............  ..............  A               Pul art balloon repr,      12.00         NA       5.04       0.40         NA      17.44        000
                                                       percut.
92998...............  ..............  A               Pul art balloon repr,       6.00         NA       2.24       0.28         NA       8.53        ZZZ
                                                       percut.
93000...............  ..............  A               Electrocardiogram,          0.17       0.47         NA       0.03       0.67         NA        XXX
                                                       complete.
93005...............  ..............  A               Electrocardiogram,          0.00       0.41         NA       0.02       0.43         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       4.81         NA       0.18       4.99         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       2.11         NA       0.14       3.00         NA        XXX
                                                       test.
93016...............  ..............  A               Cardiovascular stress       0.45       0.18       0.18       0.02       0.65       0.65        XXX
                                                       test.
93017...............  ..............  A               Cardiovascular stress       0.00       1.82         NA       0.11       1.93         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       1.93         NA       0.12       3.22         NA        XXX
                                                       test.
93024...............  26............  A               Cardiac drug stress         1.17       0.47       0.47       0.04       1.68       1.68        XXX
                                                       test.
93024...............  TC............  A               Cardiac drug stress         0.00       1.46         NA       0.08       1.54         NA        XXX
                                                       test.
93025...............  ..............  A               Microvolt t-wave            0.75       7.06         NA       0.14       7.95         NA        XXX
                                                       assess.

[[Page 45987]]

 
93025...............  26............  A               Microvolt t-wave            0.75       0.30       0.30       0.03       1.08       1.08        XXX
                                                       assess.
93025...............  TC............  A               Microvolt t-wave            0.00       6.76         NA       0.11       6.87         NA        XXX
                                                       assess.
93040...............  ..............  A               Rhythm ECG with             0.16       0.21         NA       0.02       0.39         NA        XXX
                                                       report.
93041...............  ..............  A               Rhythm ECG, tracing..       0.00       0.16         NA       0.01       0.17         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       3.30         NA       0.24       4.07         NA        XXX
                                                       24 hrs.
93225...............  ..............  A               ECG monitor/record,         0.00       1.20         NA       0.08       1.28         NA        XXX
                                                       24 hrs.
93226...............  ..............  A               ECG monitor/report,         0.00       1.90         NA       0.14       2.04         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       3.42         NA       0.26       4.20         NA        XXX
                                                       24 hrs.
93231...............  ..............  A               Ecg monitor/record,         0.00       1.38         NA       0.11       1.49         NA        XXX
                                                       24 hrs.
93232...............  ..............  A               ECG monitor/report,         0.00       1.85         NA       0.13       1.98         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       0.16       3.40         NA        XXX
                                                       24 hrs.
93236...............  ..............  A               ECG monitor/report,         0.00       2.63         NA       0.14       2.77         NA        XXX
                                                       24 hrs.
93237...............  ..............  A               ECG monitor/review,         0.45       0.17       0.17       0.02       0.64       0.64        XXX
                                                       24 hrs.
93268...............  ..............  A               ECG record/review....       0.52       5.84         NA       0.28       6.65         NA        XXX
93270...............  ..............  A               ECG recording........       0.00       1.04         NA       0.08       1.12         NA        XXX
93271...............  ..............  A               Ecg/monitoring and          0.00       4.60         NA       0.18       4.78         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       1.10         NA       0.12       1.47         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       1.00         NA       0.11       1.11         NA        XXX
93303...............  ..............  A               Echo transthoracic...       1.30       4.74         NA       0.27       6.32         NA        XXX
93303...............  26............  A               Echo transthoracic...       1.30       0.50       0.50       0.04       1.84       1.84        XXX
93303...............  TC............  A               Echo transthoracic...       0.00       4.25         NA       0.23       4.48         NA        XXX
93304...............  ..............  A               Echo transthoracic...       0.75       2.71         NA       0.15       3.61         NA        XXX
93304...............  26............  A               Echo transthoracic...       0.75       0.29       0.29       0.02       1.06       1.06        XXX
93304...............  TC............  A               Echo transthoracic...       0.00       2.42         NA       0.13       2.55         NA        XXX
93307...............  ..............  A               Echo exam of heart...       0.92       4.30         NA       0.26       5.48         NA        XXX
93307...............  26............  A               Echo exam of heart...       0.92       0.36       0.36       0.03       1.32       1.32        XXX
93307...............  TC............  A               Echo exam of heart...       0.00       3.94         NA       0.23       4.17         NA        XXX
93308...............  ..............  A               Echo exam of heart...       0.53       2.39         NA       0.15       3.08         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       2.19         NA       0.13       2.32         NA        XXX
93312...............  ..............  A               Echo transesophageal.       2.20       5.88         NA       0.37       8.45         NA        XXX
93312...............  26............  A               Echo transesophageal.       2.20       0.82       0.82       0.08       3.10       3.10        XXX
93312...............  TC............  A               Echo transesophageal.       0.00       5.06         NA       0.29       5.35         NA        XXX
93313...............  ..............  A               Echo transesophageal.       0.95       0.00       0.21       0.06       1.01       1.22        XXX
93314...............  ..............  A               Echo transesophageal.       1.25       5.32         NA       0.33       6.91         NA        XXX
93314...............  26............  A               Echo transesophageal.       1.25       0.49       0.49       0.04       1.78       1.78        XXX
93314...............  TC............  A               Echo transesophageal.       0.00       4.84         NA       0.29       5.13         NA        XXX
93315...............  ..............  C               Echo transesophageal.       0.00       0.00       0.00       0.00       0.00       0.00        XXX
93315...............  26............  A               Echo transesophageal.       2.79       1.04       1.04       0.09       3.92       3.92        XXX
93315...............  TC............  C               Echo transesophageal.       0.00       0.00       0.00       0.00       0.00       0.00        XXX
93316...............  ..............  A               Echo transesophageal.       0.95         NA       0.24       0.05         NA       1.24        XXX
93317...............  ..............  C               Echo transesophageal.       0.00       0.00       0.00       0.00       0.00       0.00        XXX
93317...............  26............  A               Echo transesophageal.       1.83       0.69       0.69       0.08       2.60       2.60        XXX
93317...............  TC............  C               Echo transesophageal.       0.00       0.00       0.00       0.00       0.00       0.00        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       0.14       2.82       2.82        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       1.92         NA       0.13       2.43         NA        ZZZ
                                                       heart.
93320...............  26............  A               Doppler echo exam,          0.38       0.16       0.16       0.01       0.55       0.55        ZZZ
                                                       heart.
93320...............  TC............  A               Doppler echo exam,          0.00       1.76         NA       0.12       1.88         NA        ZZZ
                                                       heart.
93321...............  ..............  A               Doppler echo exam,          0.15       1.07         NA       0.09       1.31         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       1.01         NA       0.08       1.09         NA        ZZZ
                                                       heart.
93325...............  ..............  A               Doppler color flow          0.07       2.41         NA       0.22       2.70         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       2.38         NA       0.21       2.59         NA        ZZZ
                                                       add-on.
93350...............  ..............  A               Echo transthoracic...       1.48       3.36         NA       0.18       5.02         NA        XXX
93350...............  26............  A               Echo transthoracic...       1.48       0.59       0.59       0.05       2.12       2.12        XXX
93350...............  TC............  A               Echo transthoracic...       0.00       2.77         NA       0.13       2.90         NA        XXX
93501...............  ..............  A               Right heart                 3.03      21.04         NA       1.26      25.33         NA        000
                                                       catheterization.
93501...............  26............  A               Right heart                 3.03       1.19       1.19       0.21       4.43       4.43        000
                                                       catheterization.
93501...............  TC............  A               Right heart                 0.00      19.84         NA       1.05      20.89         NA        000
                                                       catheterization.
93503...............  ..............  A               Insert/place heart          2.92         NA       0.67       0.20         NA       3.79        000
                                                       catheter.
93505...............  ..............  A               Biopsy of heart             4.38      10.54         NA       0.46      15.38         NA        000
                                                       lining.
93505...............  26............  A               Biopsy of heart             4.38       1.75       1.75       0.30       6.42       6.42        000
                                                       lining.
93505...............  TC............  A               Biopsy of heart             0.00       8.79         NA       0.16       8.95         NA        000
                                                       lining.
93508...............  ..............  A               Cath placement,             4.10      15.76         NA       0.93      20.78         NA        000
                                                       angiography.
93508...............  26............  A               Cath placement,             4.10       2.23       2.23       0.28       6.61       6.61        000
                                                       angiography.
93508...............  TC............  A               Cath placement,             0.00      13.52         NA       0.65      14.17         NA        000
                                                       angiography.

[[Page 45988]]

 
93510...............  ..............  A               Left heart                  4.33      35.48         NA       2.61      42.42         NA        000
                                                       catheterization.
93510...............  26............  A               Left heart                  4.33       2.34       2.34       0.30       6.97       6.97        000
                                                       catheterization.
93510...............  TC............  A               Left heart                  0.00      33.14         NA       2.31      35.45         NA        000
                                                       catheterization.
93511...............  ..............  A               Left heart                  5.03         NA         NA       2.59         NA         NA        000
                                                       catheterization.
93511...............  26............  A               Left heart                  5.03       2.62       2.62       0.35       8.00       8.00        000
                                                       catheterization.
93511...............  TC............  A               Left heart                  0.00         NA         NA       2.24         NA         NA        000
                                                       catheterization.
93514...............  ..............  A               Left heart                  7.05         NA         NA       2.74         NA         NA        000
                                                       catheterization.
93514...............  26............  A               Left heart                  7.05       3.31       3.31       0.49      10.85      10.85        000
                                                       catheterization.
93514...............  TC............  A               Left heart                  0.00         NA         NA       2.24         NA         NA        000
                                                       catheterization.
93524...............  ..............  A               Left heart                  6.95         NA         NA       3.43         NA         NA        000
                                                       catheterization.
93524...............  26............  A               Left heart                  6.95       3.38       3.38       0.48      10.81      10.81        000
                                                       catheterization.
93524...............  TC............  A               Left heart                  0.00         NA         NA       2.95         NA         NA        000
                                                       catheterization.
93526...............  ..............  A               Rt & Lt heart               5.99      49.26         NA       3.46      58.71         NA        000
                                                       catheters.
93526...............  26............  A               Rt & Lt heart               5.99       3.00       3.00       0.42       9.42       9.42        000
                                                       catheters.
93526...............  TC............  A               Rt & Lt heart               0.00      46.25         NA       3.04      49.29         NA        000
                                                       catheters.
93527...............  ..............  A               Rt & Lt heart               7.28         NA         NA       3.46         NA         NA        000
                                                       catheters.
93527...............  26............  A               Rt & Lt heart               7.28       3.52       3.52       0.51      11.32      11.32        000
                                                       catheters.
93527...............  TC............  A               Rt & Lt heart               0.00         NA         NA       2.95         NA         NA        000
                                                       catheters.
93528...............  ..............  A               Rt & Lt heart               9.01         NA         NA       3.57         NA         NA        000
                                                       catheters.
93528...............  26............  A               Rt & Lt heart               9.01       4.30       4.30       0.62      13.93      13.93        000
                                                       catheters.
93528...............  TC............  A               Rt & Lt heart               0.00         NA         NA       2.95         NA         NA        000
                                                       catheters.
93529...............  ..............  A               Rt, lt heart                4.80         NA         NA       3.28         NA         NA        000
                                                       catheterization.
93529...............  26............  A               Rt, lt heart                4.80       2.42       2.42       0.33       7.55       7.55        000
                                                       catheterization.
93529...............  TC............  A               Rt, lt heart                0.00         NA         NA       2.95         NA         NA        000
                                                       catheterization.
93530...............  ..............  A               Rt heart cath,              4.23         NA         NA       1.34         NA         NA        000
                                                       congenital.
93530...............  26............  A               Rt heart cath,              4.23       2.02       2.02       0.29       6.54       6.54        000
                                                       congenital.
93530...............  TC............  A               Rt heart cath,              0.00         NA         NA       1.05         NA         NA        000
                                                       congenital.
93531...............  ..............  A               R & l heart cath,           8.36         NA         NA       3.62         NA         NA        000
                                                       congenital.
93531...............  26............  A               R & l heart cath,           8.36       3.74       3.74       0.58      12.68      12.68        000
                                                       congenital.
93531...............  TC............  A               R & l heart cath,           0.00         NA         NA       3.04         NA         NA        000
                                                       congenital.
93532...............  ..............  A               R & l heart cath,          10.01         NA         NA       3.64         NA         NA        000
                                                       congenital.
93532...............  26............  A               R & l heart cath,          10.01       4.44       4.44       0.69      15.14      15.14        000
                                                       congenital.
93532...............  TC............  A               R & l heart cath,           0.00         NA         NA       2.95         NA         NA        000
                                                       congenital.
93533...............  ..............  A               R & l heart cath,           6.70         NA         NA       3.42         NA         NA        000
                                                       congenital.
93533...............  26............  A               R & l heart cath,           6.70       2.87       2.87       0.47      10.04      10.04        000
                                                       congenital.
93533...............  TC............  A               R & l heart cath,           0.00         NA         NA       2.95         NA         NA        000
                                                       congenital.
93539...............  ..............  A               Injection, cardiac          0.40         NA       0.17       0.01         NA       0.58        000
                                                       cath.
93540...............  ..............  A               Injection, cardiac          0.43         NA       0.18       0.01         NA       0.62        000
                                                       cath.
93541...............  ..............  A               Injection for lung          0.29         NA       0.12       0.01         NA       0.42        000
                                                       angiogram.
93542...............  ..............  A               Injection for heart x-      0.29         NA       0.12       0.01         NA       0.42        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.
93545...............  ..............  A               Inject for coronary x-      0.40         NA       0.17       0.01         NA       0.58        000
                                                       rays.
93555...............  ..............  A               Imaging, cardiac cath       0.81       5.12         NA       0.37       6.30         NA        XXX
93555...............  26............  A               Imaging, cardiac cath       0.81       0.33       0.33       0.03       1.17       1.17        XXX
93555...............  TC............  A               Imaging, cardiac cath       0.00       4.79         NA       0.34       5.13         NA        XXX
93556...............  ..............  A               Imaging, cardiac cath       0.83       7.95         NA       0.54       9.32         NA        XXX
93556...............  26............  A               Imaging, cardiac cath       0.83       0.34       0.34       0.03       1.20       1.20        XXX
93556...............  TC............  A               Imaging, cardiac cath       0.00       7.61         NA       0.51       8.12         NA        XXX
93561...............  ..............  A               Cardiac output              0.50         NA         NA       0.08         NA         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         NA         NA       0.06         NA         NA        000
                                                       measurement.
93562...............  ..............  A               Cardiac output              0.16         NA         NA       0.05         NA         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         NA         NA       0.04         NA         NA        000
                                                       measurement.
93571...............  ..............  A               Heart flow reserve          1.80         NA         NA       0.30         NA         NA        ZZZ
                                                       measure.
93571...............  26............  A               Heart flow reserve          1.80       0.70       0.70       0.06       2.57       2.57        ZZZ
                                                       measure.
93571...............  TC............  A               Heart flow reserve          0.00         NA         NA       0.24         NA         NA        ZZZ
                                                       measure.
93572...............  ..............  A               Heart flow reserve          1.44         NA         NA       0.17         NA         NA        ZZZ
                                                       measure.
93572...............  26............  A               Heart flow reserve          1.44       0.50       0.50       0.04       1.98       1.98        ZZZ
                                                       measure.
93572...............  TC............  A               Heart flow reserve          0.00         NA         NA       0.13         NA         NA        ZZZ
                                                       measure.
93580...............  ..............  A               Transcath closure of       18.01         NA       7.75       1.25         NA      27.00        000
                                                       asd.
93581...............  ..............  A               Transcath closure of       24.44         NA       9.69       1.71         NA      35.84        000
                                                       vsd.
93600...............  ..............  A               Bundle of His               2.12         NA         NA       0.29         NA         NA        000
                                                       recording.
93600...............  26............  A               Bundle of His               2.12       0.87       0.87       0.16       3.15       3.15        000
                                                       recording.
93600...............  TC............  A               Bundle of His               0.00         NA         NA       0.13         NA         NA        000
                                                       recording.
93602...............  ..............  A               Intra-atrial                2.12         NA         NA       0.24         NA         NA        000
                                                       recording.
93602...............  26............  A               Intra-atrial                2.12       0.86       0.86       0.17       3.15       3.15        000
                                                       recording.
93602...............  TC............  A               Intra-atrial                0.00         NA         NA       0.07         NA         NA        000
                                                       recording.
93603...............  ..............  A               Right ventricular           2.12         NA         NA       0.29         NA         NA        000
                                                       recording.
93603...............  26............  A               Right ventricular           2.12       0.84       0.84       0.18       3.15       3.15        000
                                                       recording.
93603...............  TC............  A               Right ventricular           0.00         NA         NA       0.11         NA         NA        000
                                                       recording.
93609...............  ..............  A               Map tachycardia, add-       5.00         NA         NA       0.52         NA         NA        ZZZ
                                                       on.
93609...............  26............  A               Map tachycardia, add-       5.00       2.03       2.03       0.35       7.38       7.38        ZZZ
                                                       on.

[[Page 45989]]

 
93609...............  TC............  A               Map tachycardia, add-       0.00         NA         NA       0.17         NA         NA        ZZZ
                                                       on.
93610...............  ..............  A               Intra-atrial pacing..       3.03         NA         NA       0.34         NA         NA        000
93610...............  26............  A               Intra-atrial pacing..       3.03       1.21       1.21       0.24       4.47       4.47        000
93610...............  TC............  A               Intra-atrial pacing..       0.00         NA         NA       0.10         NA         NA        000
93612...............  ..............  A               Intraventricular            3.03         NA         NA       0.36         NA         NA        000
                                                       pacing.
93612...............  26............  A               Intraventricular            3.03       1.20       1.20       0.25       4.48       4.48        000
                                                       pacing.
93612...............  TC............  A               Intraventricular            0.00         NA         NA       0.11         NA         NA        000
                                                       pacing.
93613...............  ..............  A               Electrophys map 3d,         7.00         NA       2.90       0.49         NA      10.39        ZZZ
                                                       add-on.
93615...............  ..............  A               Esophageal recording.       0.99         NA         NA       0.05         NA         NA        000
93615...............  26............  A               Esophageal recording.       0.99       0.27       0.27       0.03       1.30       1.30        000
93615...............  TC............  A               Esophageal recording.       0.00         NA         NA       0.02         NA         NA        000
93616...............  ..............  A               Esophageal recording.       1.49         NA         NA       0.11         NA         NA        000
93616...............  26............  A               Esophageal recording.       1.49       0.44       0.44       0.09       2.02       2.02        000
93616...............  TC............  A               Esophageal recording.       0.00         NA         NA       0.02         NA         NA        000
93618...............  ..............  A               Heart rhythm pacing..       4.26         NA         NA       0.54         NA         NA        000
93618...............  26............  A               Heart rhythm pacing..       4.26       1.75       1.75       0.30       6.30       6.30        000
93618...............  TC............  A               Heart rhythm pacing..       0.00         NA         NA       0.24         NA         NA        000
93619...............  ..............  A               Electrophysiology           7.32         NA         NA       0.98         NA         NA        000
                                                       evaluation.
93619...............  26............  A               Electrophysiology           7.32       3.37       3.37       0.51      11.21      11.21        000
                                                       evaluation.
93619...............  TC............  A               Electrophysiology           0.00         NA         NA       0.47         NA         NA        000
                                                       evaluation.
93620...............  ..............  C               Electrophysiology           0.00       0.00       0.00       0.00       0.00       0.00        000
                                                       evaluation.
93620...............  26............  A               Electrophysiology          11.59       5.11       5.11       0.80      17.50      17.50        000
                                                       evaluation.
93620...............  TC............  C               Electrophysiology           0.00       0.00       0.00       0.00       0.00       0.00        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       0.86       0.86       0.15       3.11       3.11        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           3.11       1.26       1.26       0.22       4.59       4.59        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         2.86       1.16       1.16       0.20       4.21       4.21        ZZZ
                                                       heart.
93623...............  TC............  C               Stimulation, pacing         0.00       0.00       0.00       0.00       0.00       0.00        ZZZ
                                                       heart.
93624...............  ..............  A               Electrophysiologic          4.81         NA         NA       0.46         NA         NA        000
                                                       study.
93624...............  26............  A               Electrophysiologic          4.81       2.33       2.33       0.33       7.47       7.47        000
                                                       study.
93624...............  TC............  A               Electrophysiologic          0.00         NA         NA       0.13         NA         NA        000
                                                       study.
93631...............  ..............  A               Heart pacing, mapping       7.61         NA         NA       1.60         NA         NA        000
93631...............  26............  A               Heart pacing, mapping       7.61       2.83       2.83       0.97      11.41      11.41        000
93631...............  TC............  A               Heart pacing, mapping       0.00         NA         NA       0.62         NA         NA        000
93640...............  ..............  A               Evaluation heart            3.52         NA         NA       0.66         NA         NA        000
                                                       device.
93640...............  26............  A               Evaluation heart            3.52       1.42       1.42       0.24       5.18       5.18        000
                                                       device.
93640...............  TC............  A               Evaluation heart            0.00         NA         NA       0.42         NA         NA        000
                                                       device.
93641...............  ..............  A               Electrophysiology           5.93         NA         NA       0.83         NA         NA        000
                                                       evaluation.
93641...............  26............  A               Electrophysiology           5.93       2.41       2.41       0.41       8.75       8.75        000
                                                       evaluation.
93641...............  TC............  A               Electrophysiology           0.00         NA         NA       0.42         NA         NA        000
                                                       evaluation.
93642...............  ..............  A               Electrophysiology           4.89       8.17         NA       0.57      13.63         NA        000
                                                       evaluation.
93642...............  26............  A               Electrophysiology           4.89       2.35       2.35       0.15       7.39       7.39        000
                                                       evaluation.
93642...............  TC............  A               Electrophysiology           0.00       5.81         NA       0.42       6.23         NA        000
                                                       evaluation.
93650...............  ..............  A               Ablate heart               10.51         NA       4.68       0.73         NA      15.92        000
                                                       dysrhythm focus.
93651...............  ..............  A               Ablate heart               16.26         NA       6.61       1.13         NA      24.00        000
                                                       dysrhythm focus.
93652...............  ..............  A               Ablate heart               17.69         NA       7.17       1.23         NA      26.08        000
                                                       dysrhythm focus.
93660...............  ..............  A               Tilt table evaluation       1.89       2.58         NA       0.08       4.55         NA        000
93660...............  26............  A               Tilt table evaluation       1.89       0.77       0.77       0.06       2.73       2.73        000
93660...............  TC............  A               Tilt table evaluation       0.00       1.81         NA       0.02       1.83         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            2.81       1.16       1.16       0.09       4.06       4.06        ZZZ
                                                       (ice).
93662...............  TC............  C               Intracardiac ecg            0.00       0.00       0.00       0.00       0.00       0.00        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       0.94         NA       0.02       1.13         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       0.87         NA       0.01       0.88         NA        XXX
                                                       thoracic.
93720...............  ..............  A               Total body                  0.17       0.92         NA       0.07       1.16         NA        XXX
                                                       plethysmography.
93721...............  ..............  A               Plethysmography             0.00       0.87         NA       0.06       0.93         NA        XXX
                                                       tracing.
93722...............  ..............  A               Plethysmography             0.17       0.05       0.05       0.01       0.23       0.23        XXX
                                                       report.
93724...............  ..............  A               Analyze pacemaker           4.89       5.22         NA       0.39      10.50         NA        000
                                                       system.
93724...............  26............  A               Analyze pacemaker           4.89       2.00       2.00       0.15       7.04       7.04        000
                                                       system.
93724...............  TC............  A               Analyze pacemaker           0.00       3.22         NA       0.24       3.46         NA        000
                                                       system.
93727...............  ..............  A               Analyze ilr system...       0.52       0.37       0.20       0.02       0.91       0.74        XXX
93731...............  ..............  A               Analyze pacemaker           0.45       0.74         NA       0.05       1.24         NA        XXX
                                                       system.
93731...............  26............  A               Analyze pacemaker           0.45       0.18       0.18       0.01       0.64       0.64        XXX
                                                       system.
93731...............  TC............  A               Analyze pacemaker           0.00       0.56         NA       0.04       0.60         NA        XXX
                                                       system.
93732...............  ..............  A               Analyze pacemaker           0.92       0.98         NA       0.07       1.97         NA        XXX
                                                       system.
93732...............  26............  A               Analyze pacemaker           0.92       0.37       0.37       0.03       1.32       1.32        XXX
                                                       system.
93732...............  TC............  A               Analyze pacemaker           0.00       0.62         NA       0.04       0.66         NA        XXX
                                                       system.
93733...............  ..............  A               Telephone analy,            0.17       0.69         NA       0.07       0.93         NA        XXX
                                                       pacemaker.

[[Page 45990]]

 
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       0.62         NA       0.06       0.68         NA        XXX
                                                       pacemaker.
93734...............  ..............  A               Analyze pacemaker           0.38       0.59         NA       0.03       1.00         NA        XXX
                                                       system.
93734...............  26............  A               Analyze pacemaker           0.38       0.16       0.16       0.01       0.55       0.55        XXX
                                                       system.
93734...............  TC............  A               Analyze pacemaker           0.00       0.43         NA       0.02       0.45         NA        XXX
                                                       system.
93735...............  ..............  A               Analyze pacemaker           0.74       0.82         NA       0.06       1.62         NA        XXX
                                                       system.
93735...............  26............  A               Analyze pacemaker           0.74       0.29       0.29       0.02       1.05       1.05        XXX
                                                       system.
93735...............  TC............  A               Analyze pacemaker           0.00       0.53         NA       0.04       0.57         NA        XXX
                                                       system.
93736...............  ..............  A               Telephonic analy,           0.15       0.60         NA       0.07       0.82         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       0.54         NA       0.06       0.60         NA        XXX
                                                       pacemaker.
93740...............  ..............  B               Temperature gradient        0.16       0.16         NA       0.02       0.34         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       0.12         NA       0.01       0.13         NA        XXX
                                                       studies.
93741...............  ..............  A               Analyze ht pace             0.80       1.04         NA       0.07       1.91         NA        XXX
                                                       device sngl.
93741...............  26............  A               Analyze ht pace             0.80       0.32       0.32       0.03       1.15       1.15        XXX
                                                       device sngl.
93741...............  TC............  A               Analyze ht pace             0.00       0.72         NA       0.04       0.76         NA        XXX
                                                       device sngl.
93742...............  ..............  A               Analyze ht pace             0.91       1.11         NA       0.07       2.09         NA        XXX
                                                       device sngl.
93742...............  26............  A               Analyze ht pace             0.91       0.38       0.38       0.03       1.32       1.32        XXX
                                                       device sngl.
93742...............  TC............  A               Analyze ht pace             0.00       0.73         NA       0.04       0.77         NA        XXX
                                                       device sngl.
93743...............  ..............  A               Analyze ht pace             1.03       1.20         NA       0.07       2.30         NA        XXX
                                                       device dual.
93743...............  26............  A               Analyze ht pace             1.03       0.42       0.42       0.03       1.48       1.48        XXX
                                                       device dual.
93743...............  TC............  A               Analyze ht pace             0.00       0.78         NA       0.04       0.82         NA        XXX
                                                       device dual.
93744...............  ..............  A               Analyze ht pace             1.18       1.23         NA       0.08       2.50         NA        XXX
                                                       device dual.
93744...............  26............  A               Analyze ht pace             1.18       0.48       0.48       0.04       1.70       1.70        XXX
                                                       device dual.
93744...............  TC............  A               Analyze ht pace             0.00       0.75         NA       0.04       0.79         NA        XXX
                                                       device dual.
93745...............  ..............  C               Set-up cardiovert-          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       defibrill.
93745...............  26............  C               Set-up cardiovert-          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       defibrill.
93745...............  TC............  C               Set-up cardiovert-          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       defibrill.
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       0.07         NA       0.02       0.25         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       0.02         NA       0.01       0.03         NA        XXX
                                                       pressure.
93784...............  ..............  A               Ambulatory BP               0.38       1.66         NA       0.03       2.07         NA        XXX
                                                       monitoring.
93786...............  ..............  A               Ambulatory BP               0.00       0.99         NA       0.01       1.00         NA        XXX
                                                       recording.
93788...............  ..............  A               Ambulatory BP               0.00       0.55         NA       0.01       0.56         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       0.34       0.07       0.01       0.53       0.26        000
93798...............  ..............  A               Cardiac rehab/monitor       0.28       0.50       0.11       0.01       0.79       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       2.40         NA       0.12       2.75         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       2.32         NA       0.11       2.43         NA        XXX
93880...............  ..............  A               Extracranial study...       0.60       5.78         NA       0.39       6.78         NA        XXX
93880...............  26............  A               Extracranial study...       0.60       0.21       0.21       0.04       0.85       0.85        XXX
93880...............  TC............  A               Extracranial study...       0.00       5.58         NA       0.35       5.93         NA        XXX
93882...............  ..............  A               Extracranial study...       0.40       3.57         NA       0.26       4.23         NA        XXX
93882...............  26............  A               Extracranial study...       0.40       0.14       0.14       0.04       0.58       0.58        XXX
93882...............  TC............  A               Extracranial study...       0.00       3.43         NA       0.22       3.65         NA        XXX
93886...............  ..............  A               Intracranial study...       0.94       6.78         NA       0.45       8.17         NA        XXX
93886...............  26............  A               Intracranial study...       0.94       0.36       0.36       0.06       1.37       1.37        XXX
93886...............  TC............  A               Intracranial study...       0.00       6.42         NA       0.39       6.81         NA        XXX
93888...............  ..............  A               Intracranial study...       0.62       4.33         NA       0.32       5.27         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       4.11         NA       0.27       4.38         NA        XXX
93890...............  ..............  A               Tcd, vasoreactivity         1.00       5.09         NA       0.45       6.54         NA        XXX
                                                       study.
93890...............  26............  A               Tcd, vasoreactivity         1.00       0.39       0.39       0.06       1.45       1.45        XXX
                                                       study.
93890...............  TC............  A               Tcd, vasoreactivity         0.00       4.70         NA       0.39       5.09         NA        XXX
                                                       study.
93892...............  ..............  A               Tcd, emboli detect w/       1.15       5.40         NA       0.45       7.00         NA        XXX
                                                       o inj.
93892...............  26............  A               Tcd, emboli detect w/       1.15       0.45       0.45       0.06       1.66       1.66        XXX
                                                       o inj.
93892...............  TC............  A               Tcd, emboli detect w/       0.00       4.95         NA       0.39       5.34         NA        XXX
                                                       o inj.
93893...............  ..............  A               Tcd, emboli detect w/       1.15       5.23         NA       0.45       6.83         NA        XXX
                                                       inj.
93893...............  26............  A               Tcd, emboli detect w/       1.15       0.45       0.45       0.06       1.66       1.66        XXX
                                                       inj.
93893...............  TC............  A               Tcd, emboli detect w/       0.00       4.78         NA       0.39       5.17         NA        XXX
                                                       inj.
93922...............  ..............  A               Extremity study......       0.25       2.74         NA       0.15       3.14         NA        XXX
93922...............  26............  A               Extremity study......       0.25       0.08       0.08       0.02       0.35       0.35        XXX
93922...............  TC............  A               Extremity study......       0.00       2.65         NA       0.13       2.78         NA        XXX
93923...............  ..............  A               Extremity study......       0.45       4.15         NA       0.26       4.86         NA        XXX
93923...............  26............  A               Extremity study......       0.45       0.15       0.15       0.04       0.64       0.64        XXX
93923...............  TC............  A               Extremity study......       0.00       4.00         NA       0.22       4.22         NA        XXX
93924...............  ..............  A               Extremity study......       0.50       5.02         NA       0.30       5.82         NA        XXX

[[Page 45991]]

 
93924...............  26............  A               Extremity study......       0.50       0.17       0.17       0.05       0.72       0.72        XXX
93924...............  TC............  A               Extremity study......       0.00       4.85         NA       0.25       5.10         NA        XXX
93925...............  ..............  A               Lower extremity study       0.58       7.09         NA       0.39       8.06         NA        XXX
93925...............  26............  A               Lower extremity study       0.58       0.20       0.20       0.04       0.82       0.82        XXX
93925...............  TC............  A               Lower extremity study       0.00       6.89         NA       0.35       7.24         NA        XXX
93926...............  ..............  A               Lower extremity study       0.39       4.21         NA       0.27       4.87         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       4.08         NA       0.23       4.31         NA        XXX
93930...............  ..............  A               Upper extremity study       0.46       5.52         NA       0.41       6.39         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       5.35         NA       0.37       5.72         NA        XXX
93931...............  ..............  A               Upper extremity study       0.31       3.65         NA       0.27       4.24         NA        XXX
93931...............  26............  A               Upper extremity study       0.31       0.10       0.10       0.03       0.44       0.44        XXX
93931...............  TC............  A               Upper extremity study       0.00       3.55         NA       0.24       3.79         NA        XXX
93965...............  ..............  A               Extremity study......       0.35       2.85         NA       0.14       3.34         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       2.73         NA       0.12       2.85         NA        XXX
93970...............  ..............  A               Extremity study......       0.68       5.46         NA       0.46       6.60         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       5.22         NA       0.40       5.62         NA        XXX
93971...............  ..............  A               Extremity study......       0.45       3.69         NA       0.30       4.44         NA        XXX
93971...............  26............  A               Extremity study......       0.45       0.16       0.16       0.03       0.64       0.64        XXX
93971...............  TC............  A               Extremity study......       0.00       3.53         NA       0.27       3.80         NA        XXX
93975...............  ..............  A               Vascular study.......       1.80       8.00         NA       0.56      10.36         NA        XXX
93975...............  26............  A               Vascular study.......       1.80       0.62       0.62       0.13       2.55       2.55        XXX
93975...............  TC............  A               Vascular study.......       0.00       7.38         NA       0.43       7.81         NA        XXX
93976...............  ..............  A               Vascular study.......       1.21       4.46         NA       0.35       6.02         NA        XXX
93976...............  26............  A               Vascular study.......       1.21       0.42       0.42       0.05       1.68       1.68        XXX
93976...............  TC............  A               Vascular study.......       0.00       4.04         NA       0.30       4.34         NA        XXX
93978...............  ..............  A               Vascular study.......       0.65       4.79         NA       0.43       5.88         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       4.57         NA       0.37       4.94         NA        XXX
93979...............  ..............  A               Vascular study.......       0.44       3.39         NA       0.27       4.10         NA        XXX
93979...............  26............  A               Vascular study.......       0.44       0.15       0.15       0.03       0.62       0.62        XXX
93979...............  TC............  A               Vascular study.......       0.00       3.24         NA       0.24       3.48         NA        XXX
93980...............  ..............  A               Penile vascular study       1.25       3.13         NA       0.42       4.80         NA        XXX
93980...............  26............  A               Penile vascular study       1.25       0.44       0.44       0.08       1.78       1.78        XXX
93980...............  TC............  A               Penile vascular study       0.00       2.69         NA       0.34       3.03         NA        XXX
93981...............  ..............  A               Penile vascular study       0.44       2.85         NA       0.33       3.62         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       2.71         NA       0.31       3.02         NA        XXX
93990...............  ..............  A               Doppler flow testing.       0.25       4.13         NA       0.26       4.64         NA        XXX
93990...............  26............  A               Doppler flow testing.       0.25       0.09       0.09       0.03       0.37       0.37        XXX
93990...............  TC............  A               Doppler flow testing.       0.00       4.03         NA       0.23       4.26         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       1.08         NA       0.07       1.46         NA        XXX
                                                       wheezing.
94060...............  26............  A               Evaluation of               0.31       0.09       0.09       0.01       0.41       0.41        XXX
                                                       wheezing.
94060...............  TC............  A               Evaluation of               0.00       0.99         NA       0.06       1.05         NA        XXX
                                                       wheezing.
94070...............  ..............  A               Evaluation of               0.60       0.83         NA       0.13       1.57         NA        XXX
                                                       wheezing.
94070...............  26............  A               Evaluation of               0.60       0.18       0.18       0.03       0.81       0.81        XXX
                                                       wheezing.
94070...............  TC............  A               Evaluation of               0.00       0.66         NA       0.10       0.76         NA        XXX
                                                       wheezing.
94150...............  ..............  B               Vital capacity test..       0.07       0.47         NA       0.02       0.56         NA        XXX
94150...............  26............  B               Vital capacity test..       0.07       0.03       0.03       0.01       0.11       0.11        XXX
94150...............  TC............  B               Vital capacity test..       0.00       0.44         NA       0.01       0.45         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       0.66         NA       0.06       0.98         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       0.58         NA       0.05       0.63         NA        XXX
                                                       capacity.
94250...............  ..............  A               Expired gas                 0.11       0.61         NA       0.02       0.74         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       0.58         NA       0.01       0.59         NA        XXX
                                                       collection.
94260...............  ..............  A               Thoracic gas volume..       0.13       0.58         NA       0.05       0.76         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       0.54         NA       0.04       0.58         NA        XXX
94350...............  ..............  A               Lung nitrogen washout       0.26       0.72         NA       0.05       1.03         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       0.64         NA       0.04       0.68         NA        XXX
                                                       curve.

[[Page 45992]]

 
94360...............  ..............  A               Measure airflow             0.26       0.71         NA       0.07       1.04         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       0.63         NA       0.06       0.69         NA        XXX
                                                       resistance.
94370...............  ..............  A               Breath airway closing       0.26       0.69         NA       0.03       0.98         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       0.61         NA       0.02       0.63         NA        XXX
                                                       volume.
94375...............  ..............  A               Respiratory flow            0.31       0.60         NA       0.03       0.94         NA        XXX
                                                       volume loop.
94375...............  26............  A               Respiratory flow            0.31       0.09       0.09       0.01       0.41       0.41        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       0.86         NA       0.09       1.35         NA        XXX
                                                       response curve.
94400...............  26............  A               CO2 breathing               0.40       0.12       0.12       0.03       0.55       0.55        XXX
                                                       response curve.
94400...............  TC............  A               CO2 breathing               0.00       0.74         NA       0.06       0.80         NA        XXX
                                                       response curve.
94450...............  ..............  A               Hypoxia response            0.40       0.86         NA       0.04       1.30         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       0.74         NA       0.02       0.76         NA        XXX
                                                       curve.
94452...............  ..............  A               Hast w/report........       0.31       1.00         NA       0.04       1.35         NA        XXX
94452...............  26............  A               Hast w/report........       0.31       0.09       0.09       0.02       0.42       0.42        XXX
94452...............  TC............  A               Hast w/report........       0.00       0.92         NA       0.02       0.94         NA        XXX
94453...............  ..............  A               Hast w/oxygen titrate       0.40       1.47         NA       0.04       1.91         NA        XXX
94453...............  26............  A               Hast w/oxygen titrate       0.40       0.12       0.12       0.02       0.54       0.54        XXX
94453...............  TC............  A               Hast w/oxygen titrate       0.00       1.36         NA       0.02       1.38         NA        XXX
94620...............  ..............  A               Pulmonary stress test/      0.64       2.17         NA       0.13       2.94         NA        XXX
                                                       simple.
94620...............  26............  A               Pulmonary stress test/      0.64       0.20       0.20       0.03       0.87       0.87        XXX
                                                       simple.
94620...............  TC............  A               Pulmonary stress test/      0.00       1.98         NA       0.10       2.08         NA        XXX
                                                       simple.
94621...............  ..............  A               Pulm stress test/           1.42       2.21         NA       0.16       3.79         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       1.78         NA       0.10       1.88         NA        XXX
                                                       complex.
94640...............  ..............  A               Airway inhalation           0.00       0.30         NA       0.02       0.32         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       1.16       0.31       0.06       2.44       1.59        XXX
                                                       mgmt.
94657...............  ..............  A               Continued ventilator        0.83       0.98       0.24       0.04       1.85       1.11        XXX
                                                       mgmt.
94660...............  ..............  A               Pos airway pressure,        0.76       0.62       0.23       0.04       1.42       1.03        XXX
                                                       CPAP.
94662...............  ..............  A               Neg press                   0.76         NA       0.23       0.03         NA       1.02        XXX
                                                       ventilation, cnp.
94664...............  ..............  A               Evaluate pt use of          0.00       0.31         NA       0.04       0.35         NA        XXX
                                                       inhaler.
94667...............  ..............  A               Chest wall                  0.00       0.51         NA       0.05       0.56         NA        XXX
                                                       manipulation.
94668...............  ..............  A               Chest wall                  0.00       0.44         NA       0.02       0.46         NA        XXX
                                                       manipulation.
94680...............  ..............  A               Exhaled air analysis,       0.26       1.70         NA       0.07       2.03         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       1.62         NA       0.06       1.68         NA        XXX
                                                       o2.
94681...............  ..............  A               Exhaled air analysis,       0.20       2.27         NA       0.13       2.60         NA        XXX
                                                       o2/co2.
94681...............  26............  A               Exhaled air analysis,       0.20       0.06       0.06       0.01       0.27       0.27        XXX
                                                       o2/co2.
94681...............  TC............  A               Exhaled air analysis,       0.00       2.21         NA       0.12       2.33         NA        XXX
                                                       o2/co2.
94690...............  ..............  A               Exhaled air analysis.       0.07       1.76         NA       0.05       1.88         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       1.74         NA       0.04       1.78         NA        XXX
94720...............  ..............  A               Monoxide diffusing          0.26       0.98         NA       0.07       1.31         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       0.90         NA       0.06       0.96         NA        XXX
                                                       capacity.
94725...............  ..............  A               Membrane diffusion          0.26       2.55         NA       0.13       2.94         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       2.47         NA       0.12       2.59         NA        XXX
                                                       capacity.
94750...............  ..............  A               Pulmonary compliance        0.23       1.37         NA       0.05       1.65         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       1.30         NA       0.04       1.34         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       0.52         NA       0.10       0.62         NA        XXX
                                                       level.
94770...............  ..............  A               Exhaled carbon              0.15       0.76         NA       0.08       0.99         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       0.72         NA       0.07       0.79         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.
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       0.11         NA       0.01       0.12         NA        XXX
                                                       tests.
95010...............  ..............  A               Percut allergy              0.15       0.33       0.07       0.01       0.49       0.23        XXX
                                                       titrate test.
95015...............  ..............  A               Id allergy titrate-         0.15       0.16       0.06       0.01       0.32       0.22        XXX
                                                       drug/bug.
95024...............  ..............  A               Id allergy test, drug/      0.00       0.16         NA       0.01       0.17         NA        XXX
                                                       bug.
95027...............  ..............  A               Id allergy titrate-         0.00       0.16         NA       0.01       0.17         NA        XXX
                                                       airborne.
95028...............  ..............  A               Id allergy test-            0.00       0.23         NA       0.01       0.24         NA        XXX
                                                       delayed type.
95044...............  ..............  A               Allergy patch tests..       0.00       0.19         NA       0.01       0.20         NA        XXX
95052...............  ..............  A               Photo patch test.....       0.00       0.23         NA       0.01       0.24         NA        XXX

[[Page 45993]]

 
95056...............  ..............  A               Photosensitivity            0.00       0.34         NA       0.01       0.35         NA        XXX
                                                       tests.
95060...............  ..............  A               Eye allergy tests....       0.00       0.42         NA       0.02       0.44         NA        XXX
95065...............  ..............  A               Nose allergy test....       0.00       0.31         NA       0.01       0.32         NA        XXX
95070...............  ..............  A               Bronchial allergy           0.00       1.91         NA       0.02       1.93         NA        XXX
                                                       tests.
95071...............  ..............  A               Bronchial allergy           0.00       2.50         NA       0.02       2.52         NA        XXX
                                                       tests.
95075...............  ..............  A               Ingestion challenge         0.95       0.83       0.40       0.03       1.81       1.38        XXX
                                                       test.
95078...............  ..............  A               Provocative testing..       0.00       0.27         NA       0.02       0.29         NA        XXX
95115...............  ..............  A               Immunotherapy, one          0.00       0.35         NA       0.02       0.37         NA        000
                                                       injection.
95117...............  ..............  A               Immunotherapy               0.00       0.45         NA       0.02       0.47         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       0.21       0.02       0.01       0.28       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       0.48       0.03       0.01       0.55       0.10        000
                                                       services.
95147...............  ..............  A               Antigen therapy             0.06       0.46       0.02       0.01       0.53       0.09        000
                                                       services.
95148...............  ..............  A               Antigen therapy             0.06       0.65       0.03       0.01       0.72       0.10        000
                                                       services.
95149...............  ..............  A               Antigen therapy             0.06       0.89       0.03       0.01       0.96       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       0.15       0.03       0.01       0.22       0.10        000
                                                       services.
95180...............  ..............  A               Rapid desensitization       2.01       2.07       0.97       0.04       4.13       3.03        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       3.91         NA       0.01       3.92         NA        XXX
                                                       cont.
95805...............  ..............  A               Multiple sleep              1.88      15.27         NA       0.43      17.58         NA        XXX
                                                       latency test.
95805...............  26............  A               Multiple sleep              1.88       0.64       0.64       0.09       2.62       2.62        XXX
                                                       latency test.
95805...............  TC............  A               Multiple sleep              0.00      14.62         NA       0.34      14.96         NA        XXX
                                                       latency test.
95806...............  ..............  A               Sleep study,                1.66       3.31         NA       0.39       5.36         NA        XXX
                                                       unattended.
95806...............  26............  A               Sleep study,                1.66       0.53       0.53       0.08       2.27       2.27        XXX
                                                       unattended.
95806...............  TC............  A               Sleep study,                0.00       2.78         NA       0.31       3.09         NA        XXX
                                                       unattended.
95807...............  ..............  A               Sleep study, attended       1.66      11.70         NA       0.50      13.86         NA        XXX
95807...............  26............  A               Sleep study, attended       1.66       0.52       0.52       0.08       2.26       2.26        XXX
95807...............  TC............  A               Sleep study, attended       0.00      11.18         NA       0.42      11.60         NA        XXX
95808...............  ..............  A               Polysomnography, 1-3.       2.66      12.98         NA       0.55      16.18         NA        XXX
95808...............  26............  A               Polysomnography, 1-3.       2.66       0.90       0.90       0.13       3.68       3.68        XXX
95808...............  TC............  A               Polysomnography, 1-3.       0.00      12.08         NA       0.42      12.50         NA        XXX
95810...............  ..............  A               Polysomnography, 4 or       3.53      17.14         NA       0.59      21.26         NA        XXX
                                                       more.
95810...............  26............  A               Polysomnography, 4 or       3.53       1.15       1.15       0.17       4.85       4.85        XXX
                                                       more.
95810...............  TC............  A               Polysomnography, 4 or       0.00      15.99         NA       0.42      16.41         NA        XXX
                                                       more.
95811...............  ..............  A               Polysomnography w/          3.80      18.83         NA       0.61      23.24         NA        XXX
                                                       cpap.
95811...............  26............  A               Polysomnography w/          3.80       1.24       1.24       0.18       5.22       5.22        XXX
                                                       cpap.
95811...............  TC............  A               Polysomnography w/          0.00      17.59         NA       0.43      18.02         NA        XXX
                                                       cpap.
95812...............  ..............  A               Eeg, 41-60 minutes...       1.08       3.85         NA       0.17       5.10         NA        XXX
95812...............  26............  A               Eeg, 41-60 minutes...       1.08       0.44       0.44       0.06       1.58       1.58        XXX
95812...............  TC............  A               Eeg, 41-60 minutes...       0.00       3.40         NA       0.11       3.51         NA        XXX
95813...............  ..............  A               Eeg, over 1 hour.....       1.73       4.77         NA       0.20       6.71         NA        XXX
95813...............  26............  A               Eeg, over 1 hour.....       1.73       0.68       0.68       0.09       2.50       2.50        XXX
95813...............  TC............  A               Eeg, over 1 hour.....       0.00       4.09         NA       0.11       4.20         NA        XXX
95816...............  ..............  A               Eeg, awake and drowsy       1.08       3.52         NA       0.16       4.77         NA        XXX
95816...............  26............  A               Eeg, awake and drowsy       1.08       0.45       0.45       0.06       1.59       1.59        XXX
95816...............  TC............  A               Eeg, awake and drowsy       0.00       3.08         NA       0.10       3.18         NA        XXX
95819...............  ..............  A               Eeg, awake and asleep       1.08       3.00         NA       0.16       4.24         NA        XXX
95819...............  26............  A               Eeg, awake and asleep       1.08       0.45       0.45       0.06       1.59       1.59        XXX
95819...............  TC............  A               Eeg, awake and asleep       0.00       2.55         NA       0.10       2.65         NA        XXX
95822...............  ..............  A               Eeg, coma or sleep          1.08       4.29         NA       0.19       5.56         NA        XXX
                                                       only.
95822...............  26............  A               Eeg, coma or sleep          1.08       0.45       0.45       0.06       1.59       1.59        XXX
                                                       only.
95822...............  TC............  A               Eeg, coma or sleep          0.00       3.84         NA       0.13       3.97         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       0.30       0.30       0.04       1.08       1.08        XXX
                                                       only.
95824...............  TC............  C               Eeg, cerebral death         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       only.
95827...............  ..............  A               Eeg, all night              1.08       5.15         NA       0.19       6.42         NA        XXX
                                                       recording.
95827...............  26............  A               Eeg, all night              1.08       0.40       0.40       0.05       1.53       1.53        XXX
                                                       recording.
95827...............  TC............  A               Eeg, all night              0.00       4.75         NA       0.14       4.89         NA        XXX
                                                       recording.
95829...............  ..............  A               Surgery                     6.21      28.77         NA       0.50      35.49         NA        XXX
                                                       electrocorticogram.
95829...............  26............  A               Surgery                     6.21       2.25       2.25       0.48       8.94       8.94        XXX
                                                       electrocorticogram.
95829...............  TC............  A               Surgery                     0.00      26.53         NA       0.02      26.55         NA        XXX
                                                       electrocorticogram.
95830...............  ..............  A               Insert electrodes for       1.70       3.14       0.71       0.11       4.95       2.52        XXX
                                                       EEG.
95831...............  ..............  A               Limb muscle testing,        0.28       0.44         NA       0.01       0.73         NA        XXX
                                                       manual.
95832...............  ..............  A               Hand muscle testing,        0.29       0.33         NA       0.02       0.64         NA        XXX
                                                       manual.
95833...............  ..............  A               Body muscle testing,        0.47       0.56         NA       0.02       1.05         NA        XXX
                                                       manual.
95834...............  ..............  A               Body muscle testing,        0.60       0.62         NA       0.03       1.25         NA        XXX
                                                       manual.

[[Page 45994]]

 
95851...............  ..............  A               Range of motion             0.16       0.35         NA       0.01       0.52         NA        XXX
                                                       measurements.
95852...............  ..............  A               Range of motion             0.11       0.25         NA       0.01       0.37         NA        XXX
                                                       measurements.
95857...............  ..............  A               Tensilon test........       0.53       0.59       0.22       0.02       1.14       0.77        XXX
95858...............  ..............  A               Tensilon test &             1.56         NA         NA       0.12         NA         NA        XXX
                                                       myogram.
95858...............  26............  A               Tensilon test &             1.56       0.65       0.65       0.08       2.30       2.30        XXX
                                                       myogram.
95858...............  TC............  A               Tensilon test &             0.00         NA         NA       0.04         NA         NA        XXX
                                                       myogram.
95860...............  ..............  A               Muscle test, one limb       0.96       1.35         NA       0.07       2.38         NA        XXX
95860...............  26............  A               Muscle test, one limb       0.96       0.41       0.41       0.05       1.42       1.42        XXX
95860...............  TC............  A               Muscle test, one limb       0.00       0.94         NA       0.02       0.96         NA        XXX
95861...............  ..............  A               Muscle test, 2 limbs.       1.54       1.47         NA       0.13       3.15         NA        XXX
95861...............  26............  A               Muscle test, 2 limbs.       1.54       0.66       0.66       0.07       2.27       2.27        XXX
95861...............  TC............  A               Muscle test, 2 limbs.       0.00       0.81         NA       0.06       0.87         NA        XXX
95863...............  ..............  A               Muscle test, 3 limbs.       1.87       1.78         NA       0.15       3.80         NA        XXX
95863...............  26............  A               Muscle test, 3 limbs.       1.87       0.78       0.78       0.09       2.74       2.74        XXX
95863...............  TC............  A               Muscle test, 3 limbs.       0.00       0.99         NA       0.06       1.05         NA        XXX
95864...............  ..............  A               Muscle test, 4 limbs.       1.99       2.53         NA       0.21       4.73         NA        XXX
95864...............  26............  A               Muscle test, 4 limbs.       1.99       0.85       0.85       0.09       2.93       2.93        XXX
95864...............  TC............  A               Muscle test, 4 limbs.       0.00       1.68         NA       0.12       1.80         NA        XXX
95867...............  ..............  A               Muscle test cran nerv       0.79       0.96         NA       0.07       1.82         NA        XXX
                                                       unilat.
95867...............  26............  A               Muscle test cran nerv       0.79       0.34       0.34       0.03       1.16       1.16        XXX
                                                       unilat.
95867...............  TC............  A               Muscle test cran nerv       0.00       0.62         NA       0.04       0.66         NA        XXX
                                                       unilat.
95868...............  ..............  A               Muscle test cran            1.18       1.26         NA       0.10       2.54         NA        XXX
                                                       nerve bilat.
95868...............  26............  A               Muscle test cran            1.18       0.49       0.49       0.05       1.73       1.73        XXX
                                                       nerve bilat.
95868...............  TC............  A               Muscle test cran            0.00       0.77         NA       0.05       0.82         NA        XXX
                                                       nerve bilat.
95869...............  ..............  A               Muscle test, thor           0.37       0.52         NA       0.04       0.93         NA        XXX
                                                       paraspinal.
95869...............  26............  A               Muscle test, thor           0.37       0.16       0.16       0.02       0.55       0.55        XXX
                                                       paraspinal.
95869...............  TC............  A               Muscle test, thor           0.00       0.37         NA       0.02       0.39         NA        XXX
                                                       paraspinal.
95870...............  ..............  A               Muscle test,                0.37       0.51         NA       0.04       0.92         NA        XXX
                                                       nonparaspinal.
95870...............  26............  A               Muscle test,                0.37       0.16       0.16       0.02       0.55       0.55        XXX
                                                       nonparaspinal.
95870...............  TC............  A               Muscle test,                0.00       0.35         NA       0.02       0.37         NA        XXX
                                                       nonparaspinal.
95872...............  ..............  A               Muscle test, one            1.50       1.28         NA       0.13       2.91         NA        XXX
                                                       fiber.
95872...............  26............  A               Muscle test, one            1.50       0.61       0.61       0.08       2.20       2.20        XXX
                                                       fiber.
95872...............  TC............  A               Muscle test, one            0.00       0.66         NA       0.05       0.71         NA        XXX
                                                       fiber.
95875...............  ..............  A               Limb exercise test...       1.10       1.40         NA       0.11       2.61         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       0.94         NA       0.06       1.00         NA        XXX
95900...............  ..............  A               Motor nerve                 0.42       1.18         NA       0.04       1.64         NA        XXX
                                                       conduction test.
95900...............  26............  A               Motor nerve                 0.42       0.18       0.18       0.02       0.62       0.62        XXX
                                                       conduction test.
95900...............  TC............  A               Motor nerve                 0.00       1.00         NA       0.02       1.02         NA        XXX
                                                       conduction test.
95903...............  ..............  A               Motor nerve                 0.60       1.14         NA       0.05       1.79         NA        XXX
                                                       conduction test.
95903...............  26............  A               Motor nerve                 0.60       0.25       0.25       0.03       0.88       0.88        XXX
                                                       conduction test.
95903...............  TC............  A               Motor nerve                 0.00       0.89         NA       0.02       0.91         NA        XXX
                                                       conduction test.
95904...............  ..............  A               Sense nerve                 0.34       1.03         NA       0.04       1.41         NA        XXX
                                                       conduction test.
95904...............  26............  A               Sense nerve                 0.34       0.15       0.15       0.02       0.51       0.51        XXX
                                                       conduction test.
95904...............  TC............  A               Sense nerve                 0.00       0.88         NA       0.02       0.90         NA        XXX
                                                       conduction test.
95920...............  ..............  A               Intraop nerve test          2.11       2.06         NA       0.23       4.40         NA        ZZZ
                                                       add-on.
95920...............  26............  A               Intraop nerve test          2.11       0.90       0.90       0.16       3.18       3.18        ZZZ
                                                       add-on.
95920...............  TC............  A               Intraop nerve test          0.00       1.15         NA       0.07       1.22         NA        ZZZ
                                                       add-on.
95921...............  ..............  A               Autonomic nerv              0.90       0.79         NA       0.06       1.75         NA        XXX
                                                       function test.
95921...............  26............  A               Autonomic nerv              0.90       0.32       0.32       0.04       1.26       1.26        XXX
                                                       function test.
95921...............  TC............  A               Autonomic nerv              0.00       0.47         NA       0.02       0.49         NA        XXX
                                                       function test.
95922...............  ..............  A               Autonomic nerv              0.96       0.89         NA       0.07       1.92         NA        XXX
                                                       function test.
95922...............  26............  A               Autonomic nerv              0.96       0.40       0.40       0.05       1.41       1.41        XXX
                                                       function test.
95922...............  TC............  A               Autonomic nerv              0.00       0.50         NA       0.02       0.52         NA        XXX
                                                       function test.
95923...............  ..............  A               Autonomic nerv              0.90       1.87         NA       0.07       2.84         NA        XXX
                                                       function test.
95923...............  26............  A               Autonomic nerv              0.90       0.37       0.37       0.05       1.32       1.32        XXX
                                                       function test.
95923...............  TC............  A               Autonomic nerv              0.00       1.50         NA       0.02       1.52         NA        XXX
                                                       function test.
95925...............  ..............  A               *Somatosensory              0.54       1.57         NA       0.10       2.21         NA        XXX
                                                       testing.
95925...............  26............  A               Somatosensory testing       0.54       0.22       0.22       0.04       0.80       0.80        XXX
95925...............  TC............  A               Somatosensory testing       0.00       1.35         NA       0.06       1.41         NA        XXX
95926...............  ..............  A               *Somatosensory              0.54       1.52         NA       0.09       2.15         NA        XXX
                                                       testing.
95926...............  26............  A               Somatosensory testing       0.54       0.23       0.23       0.03       0.80       0.80        XXX
95926...............  TC............  A               Somatosensory testing       0.00       1.30         NA       0.06       1.36         NA        XXX
95927...............  ..............  A               Somatosensory testing       0.54       1.63         NA       0.10       2.27         NA        XXX
95927...............  26............  A               Somatosensory testing       0.54       0.24       0.24       0.04       0.82       0.82        XXX
95927...............  TC............  A               Somatosensory testing       0.00       1.39         NA       0.06       1.45         NA        XXX
95928...............  ..............  A               C motor evoked, uppr        1.50       3.03         NA       0.09       4.63         NA        XXX
                                                       limbs.
95928...............  26............  A               C motor evoked, uppr        1.50       0.63       0.63       0.06       2.19       2.19        XXX
                                                       limbs.
95928...............  TC............  A               C motor evoked, uppr        0.00       2.40         NA       0.03       2.43         NA        XXX
                                                       limbs.
95929...............  ..............  A               Cmotor evoked, lwr          1.50       3.23         NA       0.09       4.82         NA        XXX
                                                       limbs.
95929...............  26............  A               C motor evoked, lwr         1.50       0.63       0.63       0.06       2.19       2.19        XXX
                                                       limbs.
95929...............  TC............  A               C motor evoked, lwr         0.00       2.60         NA       0.03       2.63         NA        XXX
                                                       limbs.
95930...............  ..............  A               Visual evoked               0.35       2.20         NA       0.03       2.59         NA        XXX
                                                       potential test.
95930...............  26............  A               Visual evoked               0.35       0.15       0.15       0.02       0.52       0.52        XXX
                                                       potential test.

[[Page 45995]]

 
95930...............  TC............  A               Visual evoked               0.00       2.06         NA       0.01       2.07         NA        XXX
                                                       potential test.
95933...............  ..............  A               Blink reflex test....       0.59       1.02         NA       0.10       1.71         NA        XXX
95933...............  26............  A               Blink reflex test....       0.59       0.23       0.23       0.04       0.86       0.86        XXX
95933...............  TC............  A               Blink reflex test....       0.00       0.78         NA       0.06       0.84         NA        XXX
95934...............  ..............  A               H-reflex test........       0.51       0.55         NA       0.04       1.10         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       0.34         NA       0.02       0.36         NA        XXX
95936...............  ..............  A               H-reflex test........       0.55       0.48         NA       0.05       1.08         NA        XXX
95936...............  26............  A               H-reflex test........       0.55       0.23       0.23       0.03       0.81       0.81        XXX
95936...............  TC............  A               H-reflex test........       0.00       0.25         NA       0.02       0.27         NA        XXX
95937...............  ..............  A               Neuromuscular               0.65       0.65         NA       0.10       1.41         NA        XXX
                                                       junction test.
95937...............  26............  A               Neuromuscular               0.65       0.26       0.26       0.08       0.99       0.99        XXX
                                                       junction test.
95937...............  TC............  A               Neuromuscular               0.00       0.39         NA       0.02       0.41         NA        XXX
                                                       junction test.
95950...............  ..............  A               Ambulatory eeg              1.51       3.77         NA       0.51       5.79         NA        XXX
                                                       monitoring.
95950...............  26............  A               Ambulatory eeg              1.51       0.62       0.62       0.08       2.22       2.22        XXX
                                                       monitoring.
95950...............  TC............  A               Ambulatory eeg              0.00       3.15         NA       0.43       3.58         NA        XXX
                                                       monitoring.
95951...............  TC............  C               EEG monitoring/             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       videorecord.
95951...............  26............  A               EEG monitoring/             6.00       2.48       2.48       0.32       8.81       8.81        XXX
                                                       videorecord.
95951...............  TC............  C               EEG monitoring/             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       videorecord.
95953...............  ..............  A               EEG monitoring/             3.09       7.05         NA       0.60      10.73         NA        XXX
                                                       computer.
95953...............  26............  A               EEG monitoring/             3.09       1.25       1.25       0.17       4.51       4.51        XXX
                                                       computer.
95953...............  TC............  A               EEG monitoring/             0.00       5.79         NA       0.43       6.22         NA        XXX
                                                       computer.
95954...............  ..............  A               EEG monitoring/giving       2.45       4.19         NA       0.19       6.83         NA        XXX
                                                       drugs.
95954...............  26............  A               EEG monitoring/giving       2.45       1.01       1.01       0.13       3.60       3.60        XXX
                                                       drugs.
95954...............  TC............  A               EEG monitoring/giving       0.00       3.17         NA       0.06       3.23         NA        XXX
                                                       drugs.
95955...............  ..............  A               EEG during surgery...       1.01       2.70         NA       0.22       3.93         NA        XXX
95955...............  26............  A               EEG during surgery...       1.01       0.35       0.35       0.05       1.41       1.41        XXX
95955...............  TC............  A               EEG during surgery...       0.00       2.34         NA       0.17       2.51         NA        XXX
95956...............  TC............  A               Eeg monitoring, cable/      3.09      14.65         NA       0.59      18.33         NA        XXX
                                                       radio.
95956...............  26............  A               Eeg monitoring, cable/      3.09       1.27       1.27       0.16       4.51       4.51        XXX
                                                       radio.
95956...............  TC............  A               Eeg monitoring, cable/      0.00      13.38         NA       0.43      13.81         NA        XXX
                                                       radio.
95957...............  ..............  A               EEG digital analysis.       1.98       3.19         NA       0.23       5.41         NA        XXX
95957...............  26............  A               EEG digital analysis.       1.98       0.83       0.83       0.11       2.92       2.92        XXX
95957...............  TC............  A               EEG digital analysis.       0.00       2.36         NA       0.12       2.48         NA        XXX
95958...............  ..............  A               EEG monitoring/             4.25       3.95         NA       0.34       8.54         NA        XXX
                                                       function test.
95958...............  26............  A               EEG monitoring/             4.25       1.71       1.71       0.21       6.17       6.17        XXX
                                                       function test.
95958...............  TC............  A               EEG monitoring/             0.00       2.24         NA       0.13       2.37         NA        XXX
                                                       function test.
95961...............  ..............  A               Electrode                   2.98       2.76         NA       0.55       6.28         NA        XXX
                                                       stimulation, brain.
95961...............  26............  A               Electrode                   2.98       1.29       1.29       0.48       4.74       4.74        XXX
                                                       stimulation, brain.
95961...............  TC............  A               Electrode                   0.00       1.47         NA       0.07       1.54         NA        XXX
                                                       stimulation, brain.
95962...............  ..............  A               Electrode stim, brain       3.22       2.58         NA       0.39       6.18         NA        ZZZ
                                                       add-on.
95962...............  26............  A               Electrode stim, brain       3.22       1.36       1.36       0.32       4.89       4.89        ZZZ
                                                       add-on.
95962...............  TC............  A               Electrode stim, brain       0.00       1.22         NA       0.07       1.29         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.....       8.01       3.36       3.36       0.46      11.83      11.83        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..       4.00       1.67       1.67       0.19       5.85       5.85        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           3.50       1.23       1.23       0.16       4.89       4.89        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       0.84       0.14       0.03       1.32       0.62        XXX
                                                       prog.
95971...............  ..............  A               Analyze neurostim,          0.78       0.67       0.22       0.07       1.53       1.07        XXX
                                                       simple.
95972...............  ..............  A               Analyze neurostim,          1.50       1.21       0.48       0.14       2.85       2.13        XXX
                                                       complex.
95973...............  ..............  A               Analyze neurostim,          0.92       0.62       0.33       0.07       1.61       1.32        ZZZ
                                                       complex.
95974...............  ..............  A               Cranial neurostim,          3.01       1.68       1.27       0.16       4.85       4.43        XXX
                                                       complex.
95975...............  ..............  A               Cranial neurostim,          1.70       0.88       0.71       0.12       2.70       2.53        ZZZ
                                                       complex.
95978...............  ..............  A               Analyze neurostim           3.51       1.96       1.32       0.18       5.65       5.00        XXX
                                                       brain/1h.
95979...............  ..............  A               Analyz neurostim            1.64       0.86       0.67       0.08       2.58       2.39        ZZZ
                                                       brain add-on.
95990...............  ..............  A               Spin/brain pump refil       0.00       1.53         NA       0.06       1.59         NA        XXX
                                                       & main.
95991...............  ..............  A               Spin/brain pump refil       0.77       1.38         NA       0.06       2.21         NA        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       0.52       0.11         NA       2.43        XXX
                                                       video/3d.
96001...............  ..............  A               Motion test w/ft            2.15         NA       0.64       0.10         NA       2.90        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       0.13       0.02         NA       0.52        XXX
96004...............  ..............  A               Phys review of motion       2.14       0.96       0.89       0.11       3.21       3.15        XXX
                                                       tests.
96100...............  ..............  A               Psychological testing       0.00       1.74         NA       0.18       1.92         NA        XXX
96105...............  ..............  A               Assessment of aphasia       0.00       1.64         NA       0.18       1.82         NA        XXX
96110...............  ..............  A               Developmental test,         0.00       0.17         NA       0.18       0.35         NA        XXX
                                                       lim.
96111...............  ..............  A               Developmental test,         2.61       1.01       0.99       0.18       3.79       3.78        XXX
                                                       extend.
96115...............  ..............  A               Neurobehavior status        0.00       1.82         NA       0.18       2.00         NA        XXX
                                                       exam.
96117...............  ..............  A               Neuropsych test             0.00       1.78         NA       0.18       1.96         NA        XXX
                                                       battery.

[[Page 45996]]

 
96150...............  ..............  A               Assess hlth/behave,         0.50       0.17       0.17       0.01       0.68       0.68        XXX
                                                       init.
96151...............  ..............  A               Assess hlth/behave,         0.48       0.17       0.16       0.01       0.66       0.65        XXX
                                                       subseq.
96152...............  ..............  A               Intervene hlth/             0.46       0.16       0.15       0.01       0.63       0.62        XXX
                                                       behave, indiv.
96153...............  ..............  A               Intervene hlth/             0.10       0.04       0.03       0.01       0.15       0.14        XXX
                                                       behave, group.
96154...............  ..............  A               Interv hlth/behav,          0.45       0.16       0.15       0.01       0.62       0.61        XXX
                                                       fam w/pt.
96155...............  ..............  N               Interv hlth/behav fam       0.44       0.17       0.16       0.02       0.63       0.62        XXX
                                                       no pt.
96400...............  ..............  I               Chemotherapy, sc/im..       0.17       0.00       0.00       0.01       0.18       0.18        XXX
96405...............  ..............  A               Intralesional chemo         0.52       2.58       0.24       0.03       3.13       0.79        000
                                                       admin.
96406...............  ..............  A               Intralesional chemo         0.80       3.20       0.29       0.03       4.03       1.12        000
                                                       admin.
96408...............  ..............  I               Chemotherapy, push          0.17       0.00       0.00       0.06       0.23       0.23        XXX
                                                       technique.
96410...............  ..............  I               Chemotherapy,infusion       0.17       0.00       0.00       0.08       0.25       0.25        XXX
                                                       method.
96412...............  ..............  I               Chemo, infuse method        0.17       0.00       0.00       0.07       0.24       0.24        ZZZ
                                                       add-on.
96414...............  ..............  I               Chemo, infuse method        0.17       0.00       0.00       0.08       0.25       0.25        XXX
                                                       add-on.
96420...............  ..............  A               Chemotherapy, push          0.17       2.67         NA       0.08       2.92         NA        XXX
                                                       technique.
96422...............  ..............  A               Chemotherapy,infusion       0.17       4.87         NA       0.08       5.12         NA        XXX
                                                       method.
96423...............  ..............  A               Chemo, infuse method        0.17       1.89         NA       0.02       2.08         NA        ZZZ
                                                       add-on.
96425...............  ..............  A               Chemotherapy,infusion       0.17       4.50         NA       0.08       4.75         NA        XXX
                                                       method.
96440...............  ..............  A               Chemotherapy,               2.37       7.56       1.20       0.17      10.10       3.74        000
                                                       intracavitary.
96445...............  ..............  A               Chemotherapy,               2.20       7.64       1.15       0.14       9.99       3.50        000
                                                       intracavitary.
96450...............  ..............  A               Chemotherapy, into          1.89       6.62       1.07       0.08       8.59       3.04        000
                                                       CNS.
96520...............  ..............  A               Port pump refill &          0.21       3.79         NA       0.06       4.06         NA        XXX
                                                       main.
96530...............  ..............  A               Syst pump refill &          0.21       2.66         NA       0.06       2.93         NA        XXX
                                                       main.
96542...............  ..............  A               Chemotherapy                1.42       4.09       0.64       0.06       5.57       2.12        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       1.45         NA       0.04       1.49         NA        XXX
96570...............  ..............  A               Photodynamic tx, 30         1.10       0.00       0.37       0.11       1.21       1.58        ZZZ
                                                       min.
96571...............  ..............  A               Photodynamic tx, addl       0.55       0.00       0.20       0.03       0.58       0.78        ZZZ
                                                       15 min.
96900...............  ..............  A               Ultraviolet light           0.00       0.45         NA       0.02       0.47         NA        XXX
                                                       therapy.
96902...............  ..............  B               Trichogram...........       0.41       0.18       0.16       0.01       0.60       0.58        XXX
96910...............  ..............  A               Photochemotherapy           0.00       1.13         NA       0.04       1.17         NA        XXX
                                                       with UV-B.
96912...............  ..............  A               Photochemotherapy           0.00       1.45         NA       0.05       1.50         NA        XXX
                                                       with UV-A.
96913...............  ..............  A               Photochemotherapy, UV-      0.00       1.97         NA       0.10       2.07         NA        XXX
                                                       A or B.
96920...............  ..............  A               Laser tx, skin < 250        1.15       2.91       0.61       0.02       4.08       1.78        000
                                                       sq cm.
96921...............  ..............  A               Laser tx, skin 250-         1.17       3.00       0.63       0.03       4.21       1.83        000
                                                       500 sq cm.
96922...............  ..............  A               Laser tx, skin > 500        2.10       3.96       0.60       0.04       6.10       2.75        000
                                                       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       0.75         NA       0.05       2.00         NA        XXX
97002...............  ..............  A               Pt re-evaluation.....       0.60       0.44         NA       0.02       1.06         NA        XXX
97003...............  ..............  A               Ot evaluation........       1.20       0.86         NA       0.06       2.12         NA        XXX
97004...............  ..............  A               Ot re-evaluation.....       0.60       0.64         NA       0.02       1.26         NA        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       0.06         NA       0.01       0.13         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         NA       0.01       0.38         NA        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       0.23         NA       0.01       0.41         NA        XXX
97024...............  ..............  A               Diathermy treatment..       0.06       0.07         NA       0.01       0.14         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       0.17         NA       0.01       0.43         NA        XXX
                                                       stimulation.
97033...............  ..............  A               Electric current            0.26       0.30         NA       0.01       0.57         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       0.10         NA       0.01       0.32         NA        XXX
97036...............  ..............  A               Hydrotherapy.........       0.28       0.34         NA       0.01       0.63         NA        XXX
97039...............  ..............  C               Physical therapy            0.20       0.10         NA       0.01       0.31         NA        XXX
                                                       treatment.
97110...............  ..............  A               Therapeutic exercises       0.45       0.28         NA       0.02       0.75         NA        XXX
97112...............  ..............  A               Neuromuscular               0.45       0.32         NA       0.01       0.78         NA        XXX
                                                       reeducation.
97113...............  ..............  A               Aquatic therapy/            0.44       0.42         NA       0.01       0.87         NA        XXX
                                                       exercises.
97116...............  ..............  A               Gait training therapy       0.40       0.25         NA       0.01       0.66         NA        XXX
97124...............  ..............  A               Massage therapy......       0.35       0.24         NA       0.01       0.60         NA        XXX
97139...............  ..............  C               Physical medicine           0.21       0.21         NA       0.01       0.43         NA        XXX
                                                       procedure.
97140...............  ..............  A               Manual therapy.......       0.43       0.26         NA       0.01       0.70         NA        XXX
97150...............  ..............  A               Group therapeutic           0.27       0.19         NA       0.01       0.47         NA        XXX
                                                       procedures.
97504...............  ..............  A               Orthotic training....       0.45       0.35         NA       0.03       0.83         NA        XXX
97520...............  ..............  A               Prosthetic training..       0.45       0.28         NA       0.01       0.74         NA        XXX
97530...............  ..............  A               Therapeutic                 0.44       0.33         NA       0.01       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       0.25         NA       0.01       0.70         NA        XXX
97535...............  ..............  A               Self care mngment           0.45       0.34         NA       0.01       0.80         NA        XXX
                                                       training.
97537...............  ..............  A               Community/work              0.45       0.27         NA       0.01       0.73         NA        XXX
                                                       reintegration.

[[Page 45997]]

 
97542...............  ..............  A               Wheelchair mngment          0.45       0.29         NA       0.01       0.75         NA        XXX
                                                       training.
97545...............  ..............  R               Work hardening.......       0.00       0.00       0.00       0.00       0.00       0.00        XXX
97546...............  ..............  R               Work hardening add-on       0.00       0.00       0.00       0.00       0.00       0.00        ZZZ
97597...............  ..............  A               Active wound care/20        0.58       0.74         NA       0.05       1.37         NA        XXX
                                                       cm or <.
97598...............  ..............  A               Active wound care >         0.80       0.88         NA       0.05       1.73         NA        XXX
                                                       20 cm.
97602...............  ..............  B               Wound(s) care non-          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       selective.
97605...............  ..............  B               Neg press wound tx, <       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       50 cm.
97606...............  ..............  B               Neg press wound tx, >       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       50 cm.
97703...............  ..............  A               Prosthetic checkout..       0.25       0.47         NA       0.02       0.74         NA        XXX
97750...............  ..............  A               Physical performance        0.45       0.33         NA       0.02       0.80         NA        XXX
                                                       test.
97755...............  ..............  A               Assistive technology        0.62       0.29         NA       0.02       0.93         NA        XXX
                                                       assess.
97799...............  ..............  C               Physical medicine           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
97802...............  ..............  A               Medical nutrition,          0.00       0.43         NA       0.01       0.44         NA        XXX
                                                       indiv, in.
97803...............  ..............  A               Med nutrition, indiv,       0.00       0.42         NA       0.01       0.43         NA        XXX
                                                       subseq.
97804...............  ..............  A               Medical nutrition,          0.00       0.16         NA       0.01       0.17         NA        XXX
                                                       group.
97810...............  ..............  N               Acupunct w/o stimul         0.60       0.09       0.06       0.03       0.72       0.69        XXX
                                                       15 min.
97811...............  ..............  N               Acupunct w/o stimul         0.50       0.06       0.05       0.03       0.59       0.58        ZZZ
                                                       addl 15m.
97813...............  ..............  N               Acupunct w/stimul 15        0.65       0.09       0.06       0.03       0.77       0.74        XXX
                                                       min.
97814...............  ..............  N               Acupunct w/stimul           0.55       0.07       0.05       0.03       0.65       0.63        ZZZ
                                                       addl 15m.
98925...............  ..............  A               Osteopathic                 0.45       0.31       0.14       0.02       0.78       0.61        000
                                                       manipulation.
98926...............  ..............  A               Osteopathic                 0.65       0.40       0.24       0.03       1.08       0.92        000
                                                       manipulation.
98927...............  ..............  A               Osteopathic                 0.87       0.49       0.28       0.03       1.40       1.18        000
                                                       manipulation.
98928...............  ..............  A               Osteopathic                 1.03       0.58       0.33       0.04       1.65       1.41        000
                                                       manipulation.
98929...............  ..............  A               Osteopathic                 1.19       0.66       0.36       0.05       1.90       1.60        000
                                                       manipulation.
98940...............  ..............  A               Chiropractic                0.45       0.22       0.12       0.01       0.68       0.58        000
                                                       manipulation.
98941...............  ..............  A               Chiropractic                0.65       0.29       0.17       0.01       0.95       0.83        000
                                                       manipulation.
98942...............  ..............  A               Chiropractic                0.87       0.35       0.23       0.02       1.24       1.12        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.
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       1.84       0.38       0.05       2.69       1.23        XXX
                                                       inhalant.
99142...............  ..............  B               Sedation, oral/rectal/      0.60       0.94       0.30       0.04       1.59       0.94        XXX
                                                       nasal.
99170...............  ..............  A               Anogenitalexam, child       1.75       1.71       0.55       0.08       3.55       2.38        000
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       1.16         NA       0.10       1.26         NA        XXX
99183...............  ..............  A               Hyperbaric oxygen           2.34       3.09       0.70       0.16       5.60       3.21        XXX
                                                       therapy.
99185...............  ..............  A               Regional hypothermia.       0.00       0.82         NA       0.04       0.86         NA        XXX
99186...............  ..............  A               Total body                  0.00       1.62         NA       0.45       2.07         NA        XXX
                                                       hypothermia.
99195...............  ..............  A               Phlebotomy...........       0.00       0.88         NA       0.02       0.90         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       0.51       0.15       0.03       0.99       0.63        XXX
                                                       visit, new.
99202...............  ..............  A               Office/outpatient           0.88       0.81       0.31       0.05       1.74       1.24        XXX
                                                       visit, new.
99203...............  ..............  A               Office/outpatient           1.34       1.14       0.47       0.09       2.57       1.91        XXX
                                                       visit, new.
99204...............  ..............  A               Office/outpatient           2.00       1.51       0.70       0.12       3.63       2.82        XXX
                                                       visit, new.
99205...............  ..............  A               Office/outpatient           2.68       1.78       0.93       0.15       4.61       3.76        XXX
                                                       visit, new.
99211...............  ..............  A               Office/outpatient           0.17       0.38       0.06       0.01       0.56       0.24        XXX
                                                       visit, est.
99212...............  ..............  A               Office/outpatient           0.45       0.55       0.16       0.03       1.03       0.64        XXX
                                                       visit, est.
99213...............  ..............  A               Office/outpatient           0.67       0.70       0.24       0.03       1.40       0.94        XXX
                                                       visit, est.
99214...............  ..............  A               Office/outpatient           1.10       1.04       0.40       0.05       2.20       1.55        XXX
                                                       visit, est.
99215...............  ..............  A               Office/outpatient           1.77       1.33       0.64       0.08       3.18       2.49        XXX
                                                       visit, est.
99217...............  ..............  A               Observation care            1.28         NA       0.54       0.06         NA       1.88        XXX
                                                       discharge.
99218...............  ..............  A               Observation care.....       1.28         NA       0.43       0.06         NA       1.78        XXX

[[Page 45998]]

 
99219...............  ..............  A               Observation care.....       2.14         NA       0.71       0.10         NA       2.95        XXX
99220...............  ..............  A               Observation care.....       3.00         NA       1.02       0.14         NA       4.16        XXX
99221...............  ..............  A               Initial hospital care       1.28         NA       0.44       0.07         NA       1.80        XXX
99222...............  ..............  A               Initial hospital care       2.14         NA       0.73       0.10         NA       2.97        XXX
99223...............  ..............  A               Initial hospital care       3.00         NA       1.02       0.13         NA       4.15        XXX
99231...............  ..............  A               Subsequent hospital         0.64         NA       0.23       0.03         NA       0.90        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       2.57         NA       0.88       0.13         NA       3.58        XXX
99235...............  ..............  A               Observ/hosp same date       3.42         NA       1.14       0.16         NA       4.71        XXX
99236...............  ..............  A               Observ/hosp same date       4.27         NA       1.43       0.19         NA       5.89        XXX
99238...............  ..............  A               Hospital discharge          1.28         NA       0.54       0.05         NA       1.87        XXX
                                                       day.
99239...............  ..............  A               Hospital discharge          1.75         NA       0.73       0.07         NA       2.55        XXX
                                                       day.
99241...............  ..............  A               Office consultation..       0.64       0.65         NA       0.05       1.34         NA        XXX
99242...............  ..............  A               Office consultation..       1.29       1.07         NA       0.10       2.46         NA        XXX
99243...............  ..............  A               Office consultation..       1.72       1.42         NA       0.13       3.27         NA        XXX
99244...............  ..............  A               Office consultation..       2.59       1.85         NA       0.16       4.60         NA        XXX
99245...............  ..............  A               Office consultation..       3.43       2.29         NA       0.21       5.93         NA        XXX
99251...............  ..............  A               Initial inpatient           0.66         NA       0.24       0.05         NA       0.95        XXX
                                                       consult.
99252...............  ..............  A               Initial inpatient           1.32         NA       0.50       0.09         NA       1.92        XXX
                                                       consult.
99253...............  ..............  A               Initial inpatient           1.82         NA       0.69       0.11         NA       2.62        XXX
                                                       consult.
99254...............  ..............  A               Initial inpatient           2.65         NA       0.98       0.13         NA       3.76        XXX
                                                       consult.
99255...............  ..............  A               Initial inpatient           3.65         NA       1.35       0.18         NA       5.17        XXX
                                                       consult.
99261...............  ..............  A               Follow-up inpatient         0.42         NA       0.15       0.02         NA       0.59        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       0.06         NA       1.78        XXX
                                                       consult.
99271...............  ..............  A               Confirmatory                0.45       0.55       0.16       0.03       1.03       0.64        XXX
                                                       consultation.
99272...............  ..............  A               Confirmatory                0.84       0.84       0.31       0.06       1.74       1.21        XXX
                                                       consultation.
99273...............  ..............  A               Confirmatory                1.19       1.11       0.45       0.10       2.40       1.74        XXX
                                                       consultation.
99274...............  ..............  A               Confirmatory                1.73       1.37       0.64       0.12       3.22       2.49        XXX
                                                       consultation.
99275...............  ..............  A               Confirmatory                2.31       1.65       0.83       0.15       4.12       3.30        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       0.14       0.04         NA       0.73        XXX
99283...............  ..............  A               Emergency dept visit.       1.24         NA       0.30       0.09         NA       1.64        XXX
99284...............  ..............  A               Emergency dept visit.       1.95         NA       0.46       0.14         NA       2.55        XXX
99285...............  ..............  A               Emergency dept visit.       3.07         NA       0.70       0.23         NA       4.00        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               4.80         NA       1.42       0.24         NA       6.45        XXX
                                                       transport.
99290...............  ..............  A               Ped crit care               2.40         NA       0.81       0.12         NA       3.34        ZZZ
                                                       transport addl.
99291...............  ..............  A               Critical care, first        4.00       2.52       1.26       0.21       6.73       5.47        XXX
                                                       hour.
99292...............  ..............  A               Critical care, addl         2.00       0.89       0.63       0.11       3.01       2.75        ZZZ
                                                       30 min.
99293...............  ..............  A               Ped critical care,         16.01         NA       4.66       1.12         NA      21.80        XXX
                                                       initial.
99294...............  ..............  A               Ped critical care,          8.01         NA       2.35       0.45         NA      10.81        XXX
                                                       subseq.
99295...............  ..............  A               Neonate crit care,         18.50         NA       5.27       1.16         NA      24.93        XXX
                                                       initial.
99296...............  ..............  A               Neonate critical care       8.01         NA       2.47       0.32         NA      10.80        XXX
                                                       subseq.
99298...............  ..............  A               Ic for lbw infant <         2.76         NA       0.92       0.17         NA       3.85        XXX
                                                       1500 gm.
99299...............  ..............  A               Ic, lbw infant 1500-        2.51         NA       0.84       0.16         NA       3.51        XXX
                                                       2500 gm.
99301...............  ..............  A               Nursing facility care       1.20       0.50       0.50       0.05       1.75       1.75        XXX
99302...............  ..............  A               Nursing facility care       1.61       0.63       0.63       0.07       2.32       2.32        XXX
99303...............  ..............  A               Nursing facility care       2.01       0.75       0.75       0.08       2.84       2.84        XXX
99311...............  ..............  A               Nursing fac care,           0.60       0.27       0.27       0.03       0.90       0.90        XXX
                                                       subseq.
99312...............  ..............  A               Nursing fac care,           1.00       0.45       0.45       0.04       1.49       1.49        XXX
                                                       subseq.
99313...............  ..............  A               Nursing fac care,           1.42       0.62       0.62       0.06       2.10       2.10        XXX
                                                       subseq.
99315...............  ..............  A               Nursing fac discharge       1.13       0.45       0.45       0.05       1.63       1.63        XXX
                                                       day.
99316...............  ..............  A               Nursing fac discharge       1.50       0.58       0.58       0.06       2.14       2.14        XXX
                                                       day.
99321...............  ..............  A               Rest home visit, new        0.71       0.34       0.32       0.03       1.08       1.06        XXX
                                                       patient.
99322...............  ..............  A               Rest home visit, new        1.01       0.45       0.44       0.05       1.52       1.50        XXX
                                                       patient.
99323...............  ..............  A               Rest home visit, new        1.28       0.54       0.52       0.05       1.87       1.85        XXX
                                                       patient.
99331...............  ..............  A               Rest home visit, est        0.60       0.31       0.29       0.03       0.94       0.92        XXX
                                                       pat.
99332...............  ..............  A               Rest home visit, est        0.80       0.37       0.35       0.03       1.20       1.18        XXX
                                                       pat.
99333...............  ..............  A               Rest home visit, est        1.00       0.45       0.43       0.04       1.49       1.47        XXX
                                                       pat.
99341...............  ..............  A               Home visit, new             1.01       0.48       0.45       0.05       1.54       1.52        XXX
                                                       patient.
99342...............  ..............  A               Home visit, new             1.52       0.67       0.65       0.07       2.27       2.24        XXX
                                                       patient.
99343...............  ..............  A               Home visit, new             2.27       0.92       0.90       0.10       3.30       3.27        XXX
                                                       patient.
99344...............  ..............  A               Home visit, new             3.04       1.15       1.13       0.13       4.32       4.29        XXX
                                                       patient.
99345...............  ..............  A               Home visit, new             3.79       1.40       1.37       0.16       5.34       5.32        XXX
                                                       patient.
99347...............  ..............  A               Home visit, est             0.76       0.40       0.37       0.04       1.20       1.17        XXX
                                                       patient.
99348...............  ..............  A               Home visit, est             1.26       0.57       0.54       0.06       1.89       1.87        XXX
                                                       patient.
99349...............  ..............  A               Home visit, est             2.02       0.81       0.79       0.09       2.93       2.90        XXX
                                                       patient.
99350...............  ..............  A               Home visit, est             3.04       1.15       1.12       0.13       4.32       4.29        XXX
                                                       patient.
99354...............  ..............  A               Prolonged service,          1.77       0.77       0.65       0.08       2.63       2.50        ZZZ
                                                       office.
99355...............  ..............  A               Prolonged service,          1.77       0.75       0.61       0.07       2.59       2.45        ZZZ
                                                       office.
99356...............  ..............  A               Prolonged service,          1.71         NA       0.61       0.07         NA       2.39        ZZZ
                                                       inpatient.
99357...............  ..............  A               Prolonged service,          1.71         NA       0.62       0.08         NA       2.42        ZZZ
                                                       inpatient.

[[Page 45999]]

 
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.
99361...............  ..............  B               Physician/team              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       conference.
99362...............  ..............  B               Physician/team              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       conference.
99371...............  ..............  B               Physician phone             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       consultation.
99372...............  ..............  B               Physician phone             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       consultation.
99373...............  ..............  B               Physician phone             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       consultation.
99374...............  ..............  B               Home health care            1.10       0.70       0.42       0.05       1.85       1.57        XXX
                                                       supervision.
99375...............  ..............  I               Home health care            1.73       0.00       0.00       0.07       1.80       1.80        XXX
                                                       supervision.
99377...............  ..............  B               Hospice care                1.10       0.70       0.42       0.05       1.85       1.57        XXX
                                                       supervision.
99378...............  ..............  I               Hospice care                1.73       0.00       0.00       0.07       1.80       1.80        XXX
                                                       supervision.
99379...............  ..............  B               Nursing fac care            1.10       0.70       0.42       0.04       1.84       1.56        XXX
                                                       supervision.
99380...............  ..............  B               Nursing fac care            1.73       0.99       0.66       0.06       2.79       2.45        XXX
                                                       supervision.
99381...............  ..............  N               Prev visit, new,            1.19       1.42       0.45       0.05       2.67       1.69        XXX
                                                       infant.
99382...............  ..............  N               Prev visit, new, age        1.36       1.47       0.52       0.05       2.88       1.93        XXX
                                                       1-4.
99383...............  ..............  N               Prev visit, new, age        1.36       1.42       0.52       0.05       2.83       1.93        XXX
                                                       5-11.
99384...............  ..............  N               Prev visit, new, age        1.53       1.49       0.59       0.06       3.08       2.18        XXX
                                                       12-17.
99385...............  ..............  N               Prev visit, new, age        1.53       1.49       0.59       0.06       3.08       2.18        XXX
                                                       18-39.
99386...............  ..............  N               Prev visit, new, age        1.88       1.66       0.72       0.07       3.62       2.67        XXX
                                                       40-64.
99387...............  ..............  N               Prev visit, new, 65 &       2.06       1.80       0.78       0.07       3.94       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       1.07       0.45       0.05       2.31       1.69        XXX
                                                       5-11.
99394...............  ..............  N               Prev visit, est, age        1.36       1.13       0.52       0.05       2.55       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       1.24       0.59       0.06       2.83       2.18        XXX
                                                       40-64.
99397...............  ..............  N               Prev visit, est, 65 &       1.71       1.37       0.65       0.06       3.14       2.43        XXX
                                                       over.
99401...............  ..............  N               Preventive                  0.48       0.58       0.19       0.01       1.07       0.68        XXX
                                                       counseling, indiv.
99402...............  ..............  N               Preventive                  0.98       0.81       0.37       0.02       1.81       1.37        XXX
                                                       counseling, indiv.
99403...............  ..............  N               Preventive                  1.46       1.02       0.56       0.04       2.52       2.06        XXX
                                                       counseling, indiv.
99404...............  ..............  N               Preventive                  1.95       1.24       0.74       0.05       3.24       2.75        XXX
                                                       counseling, indiv.
99411...............  ..............  N               Preventive                  0.15       0.20       0.06       0.01       0.36       0.22        XXX
                                                       counseling, group.
99412...............  ..............  N               Preventive                  0.25       0.26       0.10       0.01       0.52       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       0.00       0.37       0.05       1.22       1.59        XXX
                                                       newborn.
99432...............  ..............  A               Newborn care, not in        1.26       1.01         NA       0.07       2.34         NA        XXX
                                                       hosp.
99433...............  ..............  A               Normal newborn care/        0.62         NA       0.19       0.02         NA       0.83        XXX
                                                       hospital.
99435...............  ..............  A               Newborn discharge day       1.50         NA       0.59       0.06         NA       2.15        XXX
                                                       hosp.
99436...............  ..............  A               Attendance, birth....       1.50         NA       0.46       0.06         NA       2.02        XXX
99440...............  ..............  A               Newborn resuscitation       2.94         NA       0.91       0.12         NA       3.96        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.
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.
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.
D0416...............  ..............  R               Viral culture........       0.00       0.00       0.00       0.00       0.00       0.00        XXX
D0421...............  ..............  R               Gen tst suscept oral        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       disease.
D0431...............  ..............  R               Diag tst detect mucos       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       abnorm.
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.

[[Page 46000]]

 
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.
D0475...............  ..............  R               Decalcification             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       procedure.
D0476...............  ..............  R               Spec stains for             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       microorganis.
D0477...............  ..............  R               Spec stains not for         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       microorg.
D0478...............  ..............  R               Immunohistochemical         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       stains.
D0479...............  ..............  R               Tissue in-situ              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       hybridization.
D0480...............  ..............  R               Cytopath smear prep &       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       report.
D0481...............  ..............  R               Electron microscopy         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       diagnost.
D0482...............  ..............  R               Direct                      0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       immunofluorescence.
D0483...............  ..............  R               Indirect                    0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       immunofluorescence.
D0484...............  ..............  R               Consult slides prep         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       elsewher.
D0485...............  ..............  R               Consult inc prep of         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       slides.
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.
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 delivery          0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       antimicro.
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               Extraction coronal          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       remnants.
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.
D7283...............  ..............  R               Place device impacted       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       tooth.
D7288...............  ..............  R               Brush biopsy.........       0.00       0.00       0.00       0.00       0.00       0.00        XXX
D7291...............  ..............  R               Transseptal                 0.00       0.00       0.00       0.00       0.00       0.00        YYY
                                                       fiberotomy.
D7321...............  ..............  R               Alveoloplasty not w/        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       extracts.
D7511...............  ..............  R               Incision/drain              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       abscess intra.
D7521...............  ..............  R               Incision/drain              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       abscess extra.
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.
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.
G0030...............  ..............  I               PET imaging prev PET        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       single.
G0030...............  26............  I               PET imaging prev PET        1.50       0.61       0.61       0.06       2.17       2.17        XXX
                                                       single.
G0030...............  TC............  I               PET imaging prev PET        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       single.
G0031...............  ..............  I               PET imaging prev PET        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       multple.
G0031...............  26............  I               PET imaging prev PET        1.87       0.76       0.76       0.07       2.70       2.70        XXX
                                                       multple.

[[Page 46001]]

 
G0031...............  TC............  I               PET imaging prev PET        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       multple.
G0032...............  ..............  I               PET follow SPECT            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       78464 singl.
G0032...............  26............  I               PET follow SPECT            1.50       0.57       0.57       0.06       2.13       2.13        XXX
                                                       78464 singl.
G0032...............  TC............  I               PET follow SPECT            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       78464 singl.
G0033...............  ..............  I               PET follow SPECT            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       78464 mult.
G0033...............  26............  I               PET follow SPECT            1.87       0.78       0.78       0.07       2.72       2.72        XXX
                                                       78464 mult.
G0033...............  TC............  I               PET follow SPECT            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       78464 mult.
G0034...............  ..............  I               PET follow SPECT            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       76865 singl.
G0034...............  26............  I               PET follow SPECT            1.50       0.60       0.60       0.05       2.15       2.15        XXX
                                                       76865 singl.
G0034...............  TC............  I               PET follow SPECT            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       76865 singl.
G0035...............  ..............  I               PET follow SPECT            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       78465 mult.
G0035...............  26............  I               PET follow SPECT            1.87       0.76       0.76       0.06       2.70       2.70        XXX
                                                       78465 mult.
G0035...............  TC............  I               PET follow SPECT            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       78465 mult.
G0036...............  ..............  I               PET follow cornry           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       angio sing.
G0036...............  26............  I               PET follow cornry           1.50       0.59       0.59       0.05       2.14       2.14        XXX
                                                       angio sing.
G0036...............  TC............  I               PET follow cornry           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       angio sing.
G0037...............  ..............  I               PET follow cornry           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       angio mult.
G0037...............  26............  I               PET follow cornry           1.87       0.74       0.74       0.06       2.67       2.67        XXX
                                                       angio mult.
G0037...............  TC............  I               PET follow cornry           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       angio mult.
G0038...............  ..............  I               PET follow myocard          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       perf sing.
G0038...............  26............  I               PET follow myocard          1.50       0.51       0.51       0.07       2.09       2.09        XXX
                                                       perf sing.
G0038...............  TC............  I               PET follow myocard          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       perf sing.
G0039...............  ..............  I               PET follow myocard          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       perf mult.
G0039...............  26............  I               PET follow myocard          1.87       0.74       0.74       0.07       2.69       2.69        XXX
                                                       perf mult.
G0039...............  TC............  I               PET follow myocard          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       perf mult.
G0040...............  ..............  I               PET follow stress           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       echo singl.
G0040...............  26............  I               PET follow stress           1.50       0.61       0.61       0.06       2.18       2.18        XXX
                                                       echo singl.
G0040...............  TC............  I               PET follow stress           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       echo singl.
G0041...............  ..............  I               PET follow stress           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       echo mult.
G0041...............  26............  I               PET follow stress           1.87       0.76       0.76       0.06       2.70       2.70        XXX
                                                       echo mult.
G0041...............  TC............  I               PET follow stress           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       echo mult.
G0042...............  ..............  I               PET follow                  0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ventriculogm sing.
G0042...............  26............  I               PET follow                  1.50       0.63       0.63       0.05       2.18       2.18        XXX
                                                       ventriculogm sing.
G0042...............  TC............  I               PET follow                  0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ventriculogm sing.
G0043...............  ..............  I               PET follow                  0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ventriculogm mult.
G0043...............  26............  I               PET follow                  1.87       0.79       0.79       0.07       2.73       2.73        XXX
                                                       ventriculogm mult.
G0043...............  TC............  I               PET follow                  0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ventriculogm mult.
G0044...............  ..............  I               PET following rest          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ECG singl.
G0044...............  26............  I               PET following rest          1.50       0.62       0.62       0.05       2.17       2.17        XXX
                                                       ECG singl.
G0044...............  TC............  I               PET following rest          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ECG singl.
G0045...............  ..............  I               PET following rest          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ECG mult.
G0045...............  26............  I               PET following rest          1.87       0.75       0.75       0.06       2.69       2.69        XXX
                                                       ECG mult.
G0045...............  TC............  I               PET following rest          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ECG mult.
G0046...............  ..............  I               PET follow stress ECG       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       singl.
G0046...............  26............  I               PET follow stress ECG       1.50       0.62       0.62       0.05       2.17       2.17        XXX
                                                       singl.
G0046...............  TC............  I               PET follow stress ECG       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       singl.
G0047...............  ..............  I               PET follow stress ECG       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       mult.
G0047...............  26............  I               PET follow stress ECG       1.87       0.76       0.76       0.06       2.70       2.70        XXX
                                                       mult.
G0047...............  TC............  I               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       0.51       0.17       0.02       0.98       0.64        XXX
                                                       breast exam.
G0102...............  ..............  A               Prostate ca                 0.17       0.38       0.06       0.01       0.56       0.24        XXX
                                                       screening; dre.
G0104...............  ..............  A               CA screen;flexi             0.96       2.33       0.55       0.08       3.37       1.59        000
                                                       sigmoidscope.
G0105...............  ..............  A               Colorectal scrn; hi         3.70       6.60       1.58       0.30      10.59       5.57        000
                                                       risk ind.
G0105...............  53............  A               Colorectal scrn; hi         0.96       2.33       0.55       0.08       3.37       1.59        000
                                                       risk ind.
G0106...............  ..............  A               Colon CA                    0.99       3.35         NA       0.17       4.51         NA        XXX
                                                       screen;barium enema.
G0106...............  26............  A               Colon CA                    0.99       0.34       0.34       0.04       1.37       1.37        XXX
                                                       screen;barium enema.
G0106...............  TC............  A               Colon CA                    0.00       3.02         NA       0.13       3.15         NA        XXX
                                                       screen;barium enema.
G0108...............  ..............  A               Diab manage trn per         0.00       0.83         NA       0.01       0.84         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       0.68         NA       0.04       1.62         NA        XXX
                                                       ind.
G0111...............  ..............  R               Nett pulm-rehab educ;       0.27       0.30         NA       0.01       0.58         NA        XXX
                                                       group.
G0112...............  ..............  R               Nett;nutrition guid,        1.72       1.26       0.65       0.04       3.02       2.41        XXX
                                                       initial.
G0113...............  ..............  R               Nett;nutrition              1.29       0.81       0.40       0.05       2.15       1.74        XXX
                                                       guid,subseqnt.
G0114...............  ..............  R               Nett; psychosocial          1.20       0.46         NA       0.05       1.71         NA        XXX
                                                       consult.
G0115...............  ..............  R               Nett; psychological         1.20       0.78         NA       0.03       2.01         NA        XXX
                                                       testing.
G0116...............  ..............  R               Nett; psychosocial          1.11       0.94       0.32       0.05       2.10       1.49        XXX
                                                       counsel.
G0117...............  ..............  T               Glaucoma scrn hgh           0.45       0.73       0.19       0.01       1.19       0.65        XXX
                                                       risk direc.
G0118...............  ..............  T               Glaucoma scrn hgh           0.17       0.55       0.06       0.01       0.73       0.24        XXX
                                                       risk direc.
G0120...............  ..............  A               Colon ca scrn; barium       0.99       3.35         NA       0.17       4.51         NA        XXX
                                                       enema.
G0120...............  26............  A               Colon ca scrn; barium       0.99       0.34       0.34       0.04       1.37       1.37        XXX
                                                       enema.
G0120...............  TC............  A               Colon ca scrn; barium       0.00       3.02         NA       0.13       3.15         NA        XXX
                                                       enema.
G0121...............  ..............  A               Colon ca scrn not hi        3.70       6.60       1.58       0.30      10.59       5.57        000
                                                       rsk ind.
G0121...............  53............  A               Colon ca scrn not hi        0.96       2.33       0.55       0.08       3.37       1.59        000
                                                       rsk ind.
G0122...............  ..............  N               Colon ca scrn; barium       0.99       3.51         NA       0.18       4.68         NA        XXX
                                                       enema.

[[Page 46002]]

 
G0122...............  26............  N               Colon ca scrn; barium       0.99       0.38       0.38       0.05       1.42       1.42        XXX
                                                       enema.
G0122...............  TC............  N               Colon ca scrn; barium       0.00       3.13         NA       0.13       3.26         NA        XXX
                                                       enema.
G0124...............  ..............  A               Screen c/v thin layer       0.42       0.23       0.15       0.02       0.67       0.59        XXX
                                                       by MD.
G0125...............  ..............  I               PET image pulmonary         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       nodule.
G0125...............  26............  I               PET image pulmonary         1.50       0.54       0.54       0.06       2.11       2.11        XXX
                                                       nodule.
G0125...............  TC............  I               PET image pulmonary         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       nodule.
G0127...............  ..............  R               Trim nail(s).........       0.17       0.27       0.07       0.01       0.45       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       0.08       0.08       0.01       0.31       0.31        XXX
                                                       study.
G0130...............  TC............  A               Single energy x-ray         0.00       0.80         NA       0.05       0.85         NA        XXX
                                                       study.
G0141...............  ..............  A               Scr c/v cyto,autosys        0.42       0.23       0.15       0.02       0.67       0.59        XXX
                                                       and md.
G0166...............  ..............  A               Extrnl counterpulse,        0.07       3.93       0.03       0.01       4.01       0.11        XXX
                                                       per tx.
G0168...............  ..............  A               Wound closure by            0.45       1.80       0.21       0.03       2.28       0.69        000
                                                       adhesive.
G0179...............  ..............  A               MD recertification          0.45       0.94       0.87       0.02       1.41       1.35        XXX
                                                       HHA PT.
G0180...............  ..............  A               MD certification HHA        0.67       1.15       1.08       0.03       1.85       1.78        XXX
                                                       patient.
G0181...............  ..............  A               Home health care            1.73       1.38       1.31       0.07       3.18       3.12        XXX
                                                       supervision.
G0182...............  ..............  A               Hospice care                1.73       1.54       1.47       0.07       3.34       3.27        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       2.78         NA       0.10       3.58         NA        XXX
                                                       igital.
G0202...............  26............  A               Screeningmammographyd       0.70       0.23       0.23       0.03       0.96       0.96        XXX
                                                       igital.
G0202...............  TC............  A               Screeningmammographyd       0.00       2.55         NA       0.07       2.62         NA        XXX
                                                       igital.
G0204...............  ..............  A               Diagnosticmammography       0.87       2.79         NA       0.11       3.77         NA        XXX
                                                       digital.
G0204...............  26............  A               Diagnosticmammography       0.87       0.28       0.28       0.04       1.19       1.19        XXX
                                                       digital.
G0204...............  TC............  A               Diagnosticmammography       0.00       2.51         NA       0.07       2.58         NA        XXX
                                                       digital.
G0206...............  ..............  A               Diagnosticmammography       0.70       2.25         NA       0.09       3.05         NA        XXX
                                                       digital.
G0206...............  26............  A               Diagnosticmammography       0.70       0.23       0.23       0.03       0.96       0.96        XXX
                                                       digital.
G0206...............  TC............  A               Diagnosticmammography       0.00       2.02         NA       0.06       2.08         NA        XXX
                                                       digital.
G0210...............  ..............  I               PET img wholebody           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       dxlung.
G0210...............  26............  I               PET img wholebody           1.50       0.54       0.54       0.06       2.10       2.10        XXX
                                                       dxlung.
G0210...............  TC............  I               PET img wholebody           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       dxlung.
G0211...............  ..............  I               PET img wholbody init       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       lung.
G0211...............  26............  I               PET img wholbody init       1.50       0.53       0.53       0.06       2.10       2.10        XXX
                                                       lung.
G0211...............  TC............  I               PET img wholbody init       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       lung.
G0212...............  ..............  I               PET img wholebod            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       restag lung.
G0212...............  26............  I               PET img wholebod            1.50       0.54       0.54       0.06       2.10       2.10        XXX
                                                       restag lung.
G0212...............  TC............  I               PET img wholebod            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       restag lung.
G0213...............  ..............  I               PET img wholbody dx..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
G0213...............  26............  I               PET img wholbody dx..       1.50       0.53       0.53       0.06       2.10       2.10        XXX
G0213...............  TC............  I               PET img wholbody dx..       0.00       0.00       0.00       0.00       0.00       0.00        XXX
G0214...............  ..............  I               PET img wholebod init       0.00       0.00       0.00       0.00       0.00       0.00        XXX
G0214...............  26............  I               PET img wholebod init       1.50       0.53       0.53       0.06       2.10       2.10        XXX
G0214...............  TC............  I               PET img wholebod init       0.00       0.00       0.00       0.00       0.00       0.00        XXX
G0215...............  ..............  I               PETimg wholebod             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       restag.
G0215...............  26............  I               PETimg wholebod             1.50       0.54       0.54       0.06       2.10       2.10        XXX
                                                       restag.
G0215...............  TC............  I               PETimg wholebod             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       restag.
G0216...............  ..............  I               PET img wholebod dx         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       melanoma.
G0216...............  26............  I               PET img wholebod dx         1.50       0.54       0.54       0.06       2.10       2.10        XXX
                                                       melanoma.
G0216...............  TC............  I               PET img wholebod dx         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       melanoma.
G0217...............  ..............  I               PET img wholebod init       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       melan.
G0217...............  26............  I               PET img wholebod init       1.50       0.54       0.54       0.06       2.10       2.10        XXX
                                                       melan.
G0217...............  TC............  I               PET img wholebod init       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       melan.
G0218...............  ..............  I               PET img wholebod            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       restag mela.
G0218...............  26............  I               PET img wholebod            1.50       0.54       0.54       0.06       2.11       2.11        XXX
                                                       restag mela.
G0218...............  TC............  I               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...............  ..............  I               PET img wholebod dx         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       lymphoma.
G0220...............  26............  I               PET img wholebod dx         1.50       0.54       0.54       0.06       2.10       2.10        XXX
                                                       lymphoma.
G0220...............  TC............  I               PET img wholebod dx         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       lymphoma.
G0221...............  ..............  I               PET imag wholbod init       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       lympho.
G0221...............  26............  I               PET imag wholbod init       1.50       0.54       0.54       0.06       2.10       2.10        XXX
                                                       lympho.
G0221...............  TC............  I               PET imag wholbod init       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       lympho.
G0222...............  ..............  I               PET imag wholbod            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       resta lymph.
G0222...............  26............  I               PET imag wholbod            1.50       0.54       0.54       0.06       2.11       2.11        XXX
                                                       resta lymph.
G0222...............  TC............  I               PET imag wholbod            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       resta lymph.
G0223...............  ..............  I               PET imag wholbod reg        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       dx head.
G0223...............  26............  I               PET imag wholbod reg        1.50       0.54       0.54       0.06       2.10       2.10        XXX
                                                       dx head.
G0223...............  TC............  I               PET imag wholbod reg        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       dx head.
G0224...............  ..............  I               PET imag wholbod reg        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ini hea.
G0224...............  26............  I               PET imag wholbod reg        1.50       0.54       0.54       0.06       2.10       2.10        XXX
                                                       ini hea.
G0224...............  TC............  I               PET imag wholbod reg        0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       ini hea.
G0225...............  ..............  I               PET whol restag             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       headneckonly.

[[Page 46003]]

 
G0225...............  26............  I               PET whol restag             1.50       0.54       0.54       0.06       2.11       2.11        XXX
                                                       headneckonly.
G0225...............  TC............  I               PET whol restag             0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       headneckonly.
G0226...............  ..............  I               PET img wholbody dx         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       esophagl.
G0226...............  26............  I               PET img wholbody dx         1.50       0.55       0.55       0.06       2.12       2.12        XXX
                                                       esophagl.
G0226...............  TC............  I               PET img wholbody dx         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       esophagl.
G0227...............  ..............  I               PET img wholbod ini         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       esophage.
G0227...............  26............  I               PET img wholbod ini         1.50       0.55       0.55       0.06       2.11       2.11        XXX
                                                       esophage.
G0227...............  TC............  I               PET img wholbod ini         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       esophage.
G0228...............  ..............  I               PET img wholbod restg       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       esopha.
G0228...............  26............  I               PET img wholbod restg       1.50       0.54       0.54       0.06       2.10       2.10        XXX
                                                       esopha.
G0228...............  TC............  I               PET img wholbod restg       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       esopha.
G0229...............  ..............  I               PET img metaboloc           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       brain pres.
G0229...............  26............  I               PET img metaboloc           1.50       0.54       0.54       0.06       2.10       2.10        XXX
                                                       brain pres.
G0229...............  TC............  I               PET img metaboloc           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       brain pres.
G0230...............  ..............  I               PET myocard viability       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       post.
G0230...............  26............  I               PET myocard viability       1.50       0.55       0.55       0.06       2.12       2.12        XXX
                                                       post.
G0230...............  TC............  I               PET myocard viability       0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       post.
G0231...............  ..............  I               PET WhBD colorec;           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       gamma cam.
G0231...............  26............  I               PET WhBD colorec;           1.50       0.54       0.54       0.06       2.10       2.10        XXX
                                                       gamma cam.
G0231...............  TC............  I               PET WhBD colorec;           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       gamma cam.
G0232...............  ..............  I               PET whbd lymphoma;          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       gamma cam.
G0232...............  26............  I               PET whbd lymphoma;          1.50       0.55       0.55       0.06       2.11       2.11        XXX
                                                       gamma cam.
G0232...............  TC............  I               PET whbd lymphoma;          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       gamma cam.
G0233...............  ..............  I               PET whbd melanoma;          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       gamma cam.
G0233...............  26............  I               PET whbd melanoma;          1.50       0.55       0.55       0.06       2.11       2.11        XXX
                                                       gamma cam.
G0233...............  TC............  I               PET whbd melanoma;          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       gamma cam.
G0234...............  ..............  I               PET WhBD pulm nod;          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       gamma cam.
G0234...............  26............  I               PET WhBD pulm nod;          1.50       0.54       0.54       0.06       2.11       2.11        XXX
                                                       gamma cam.
G0234...............  TC............  I               PET WhBD pulm nod;          0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       gamma cam.
G0235...............  ..............  N               PET not otherwise           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       specified.
G0235...............  26............  N               PET not otherwise           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       specified.
G0235...............  TC............  N               PET not otherwise           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       specified.
G0237...............  ..............  A               Therapeutic procd           0.00       0.40         NA       0.02       0.42         NA        XXX
                                                       strg endur.
G0238...............  ..............  A               Oth resp proc, indiv.       0.00       0.49         NA       0.00       0.49         NA        XXX
G0239...............  ..............  A               Oth resp proc, group.       0.00       0.33         NA       0.00       0.33         NA        XXX
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       0.81       0.31       0.04       1.73       1.23        XXX
                                                       lops.
G0246...............  ..............  R               Followup eval of foot       0.45       0.55       0.16       0.02       1.02       0.63        XXX
                                                       pt lop.
G0247...............  ..............  R               Routine footcare pt w       0.50       0.55       0.21       0.02       1.07       0.73        ZZZ
                                                       lops.
G0248...............  ..............  R               Demonstrate use home        0.00       6.05         NA       0.01       6.06         NA        XXX
                                                       inr mon.
G0249...............  ..............  R               Provide test                0.00       3.64         NA       0.01       3.65         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       0.59       0.59       0.04       2.13       2.13        XXX
                                                       dx.
G0252...............  TC............  N               PET imaging initial         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       dx.
G0253...............  ..............  I               PET image brst              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       dection recur.
G0253...............  26............  I               PET image brst              1.87       0.66       0.66       0.08       2.62       2.62        XXX
                                                       dection recur.
G0253...............  TC............  I               PET image brst              0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       dection recur.
G0254...............  ..............  I               PET image brst eval         0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       to tx.
G0254...............  26............  I               PET image brst eval         1.87       0.68       0.68       0.08       2.64       2.64        XXX
                                                       to tx.
G0254...............  TC............  I               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.
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.
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.
G0268...............  ..............  A               Removal of impacted         0.61       0.62       0.23       0.02       1.25       0.86        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       0.42         NA       0.01       0.43         NA        XXX
                                                       change dx.
G0271...............  ..............  A               Group MNT 2 or more         0.00       0.16         NA       0.01       0.17         NA        XXX
                                                       30 mins.
G0275...............  ..............  A               Renal angio, cardiac        0.25         NA       0.11       0.01         NA       0.37        ZZZ
                                                       cath.
G0278...............  ..............  A               Iliac art                   0.25         NA       0.11       0.01         NA       0.37        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       0.12         NA       0.01       0.31         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       0.12         NA       0.01       0.31         NA        XXX
                                                       wound.
G0288...............  ..............  A               Recon, CTA for surg         0.00      10.63         NA       0.18      10.81         NA        XXX
                                                       plan.
G0289...............  ..............  A               Arthro, loose body +        1.48         NA       0.78       0.26         NA       2.52        ZZZ
                                                       chondro.

[[Page 46004]]

 
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.
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.
G0308...............  ..............  A               ESRD related svc 4+mo      12.77       8.56       8.56       0.42      21.74      21.74        XXX
                                                       < 2yrs.
G0309...............  ..............  A               ESRD related svc 2-        10.63       7.11       7.11       0.36      18.11      18.11        XXX
                                                       3mo <2yrs.
G0310...............  ..............  A               ESRD related svc 1          8.51       5.69       5.69       0.28      14.48      14.48        XXX
                                                       vst <2yrs.
G0311...............  ..............  A               ESRD related svs 4+mo       9.75       4.73       4.73       0.34      14.82      14.82        XXX
                                                       2-11yr.
G0312...............  ..............  A               ESRD relate svs 2-3         8.13       3.93       3.93       0.29      12.34      12.34        XXX
                                                       mo 2-11y.
G0313...............  ..............  A               ESRD related svs 1          6.50       3.15       3.15       0.22       9.87       9.87        XXX
                                                       mon 2-11y.
G0314...............  ..............  A               ESRD related svs 4+         8.30       4.43       4.43       0.27      13.00      13.00        XXX
                                                       mo 12-19.
G0315...............  ..............  A               ESRD related svs 2-         6.91       3.68       3.68       0.23      10.82      10.82        XXX
                                                       3mo/12-19.
G0316...............  ..............  A               ESRD related svs 1vis/      5.53       2.95       2.95       0.17       8.65       8.65        XXX
                                                       12-19y.
G0317...............  ..............  A               ESRD related svs 4+mo       5.10       2.87       2.87       0.17       8.14       8.14        XXX
                                                       20+yrs.
G0318...............  ..............  A               ESRD related svs 2-3        4.25       2.38       2.38       0.14       6.77       6.77        XXX
                                                       mo 20+y.
G0319...............  ..............  A               ESRD related svs            3.40       1.90       1.90       0.11       5.41       5.41        XXX
                                                       1visit 20+y.
G0320...............  ..............  A               ESD related svs home       10.63       7.11       7.11       0.36      18.11      18.11        XXX
                                                       undr 2.
G0321...............  ..............  A               ESRDrelatedsvs home         8.13       3.93       3.93       0.29      12.34      12.34        XXX
                                                       mo 2-11y.
G0322...............  ..............  A               ESRD related svs hom        6.91       3.68       3.68       0.23      10.82      10.82        XXX
                                                       mo12-19.
G0323...............  ..............  A               ESRD related svs home       4.25       2.38       2.38       0.14       6.77       6.77        XXX
                                                       mo 20+.
G0324...............  ..............  A               ESRD related serv/          0.35       0.24       0.24       0.01       0.60       0.60        XXX
                                                       dy,2y.
G0325...............  ..............  A               ESRD relate serv/dy 2-      0.23       0.12       0.12       0.01       0.36       0.36        XXX
                                                       11yr.
G0326...............  ..............  A               ESRD relate serv/dy         0.27       0.13       0.13       0.01       0.41       0.41        XXX
                                                       12-19y.
G0327...............  ..............  A               ESRD relate serv/dy         0.14       0.08       0.08       0.01       0.23       0.23        XXX
                                                       20+yrs.
G0329...............  ..............  A               Electromagntic tx for       0.06       0.14         NA       0.01       0.21         NA        XXX
                                                       ulcers.
G0336...............  ..............  I               PET imaging brain           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       alzheimers.
G0336...............  26............  I               PET imaging brain           1.50       0.52       0.52       0.05       2.07       2.07        XXX
                                                       alzheimers.
G0336...............  TC............  I               PET imaging brain           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       alzheimers.
G0337...............  ..............  X               Hospice evaluation          1.34       0.51       0.51       0.09       1.94       1.94        XXX
                                                       preelecti.
G0341...............  ..............  A               Percutaneous islet          6.99         NA       2.68       0.48         NA      10.15        000
                                                       celltrans.
G0342...............  ..............  A               Laparoscopy islet          11.94         NA       5.24       1.46         NA      18.64        090
                                                       cell trans.
G0343...............  ..............  A               Laparotomy islet cell      19.89         NA       8.62       2.06         NA      30.57        090
                                                       transp.
G0344...............  ..............  A               Initial preventive          1.34       1.14       0.47       0.10       2.58       1.92        XXX
                                                       exam.
G0345...............  ..............  A               IV infuse hydration,        0.17       1.43         NA       0.07       1.67         NA        XXX
                                                       initial.
G0346...............  ..............  A               Each additional             0.09       0.40         NA       0.04       0.53         NA        ZZZ
                                                       infuse hour.
G0347...............  ..............  A               IV infusion therapy/        0.21       1.76         NA       0.07       2.04         NA        XXX
                                                       diagnost.
G0348...............  ..............  A               Each additional hr up       0.18       0.46         NA       0.04       0.68         NA        ZZZ
                                                       to 8hr.
G0349...............  ..............  A               Additional sequential       0.19       0.90         NA       0.04       1.13         NA        ZZZ
                                                       infuse.
G0350...............  ..............  A               Concurrent infusion..       0.17       0.44         NA       0.04       0.65         NA        ZZZ
G0351...............  ..............  A               Therapeutic/                0.17       0.31         NA       0.01       0.49         NA        XXX
                                                       diagnostic injec.
G0353...............  ..............  A               IV push,single              0.18       1.30         NA       0.04       1.52         NA        XXX
                                                       orinitial dru.
G0354...............  ..............  A               Each addition               0.10       0.57         NA       0.04       0.71         NA        ZZZ
                                                       sequential IV.
G0355...............  ..............  A               Chemo adminisrate           0.21       1.15         NA       0.01       1.37         NA        XXX
                                                       subcut/IM.
G0356...............  ..............  A               Hormonal anti-              0.19       0.75         NA       0.01       0.95         NA        XXX
                                                       neoplastic.
G0357...............  ..............  A               IV push single/             0.24       2.94         NA       0.06       3.24         NA        XXX
                                                       initial subst.
G0358...............  ..............  A               IV push each                0.20       1.62         NA       0.06       1.88         NA        ZZZ
                                                       additional drug.
G0359...............  ..............  A               Chemotherapy IV one         0.28       4.22         NA       0.08       4.58         NA        XXX
                                                       hr initi.
G0360...............  ..............  A               Each additional hr 1-       0.19       0.78         NA       0.07       1.04         NA        ZZZ
                                                       8 hrs.
G0361...............  ..............  A               Prolong chemo               0.21       4.63         NA       0.08       4.92         NA        XXX
                                                       infuse>8hrs pu.
G0362...............  ..............  A               Each add sequential         0.21       1.95         NA       0.07       2.23         NA        ZZZ
                                                       infusion.
G0363...............  ..............  T               Irrigate implanted          0.04       0.70         NA       0.01       0.75         NA        XXX
                                                       venous de.
G0364...............  ..............  A               Bone marrow aspirate        0.16       0.14       0.06       0.04       0.34       0.26        ZZZ
                                                       &biopsy.
G0365...............  ..............  A               Vessel mapping hemo         0.25       4.13         NA       0.25       4.63         NA        XXX
                                                       access.
G0365...............  26............  A               Vessel mapping hemo         0.25       0.09       0.09       0.02       0.36       0.36        XXX
                                                       access.
G0365...............  TC............  A               Vessel mapping hemo         0.00       4.03         NA       0.23       4.26         NA        XXX
                                                       access.
G0366...............  ..............  A               EKG for initial             0.17       0.47       0.00       0.03       0.67       0.20        XXX
                                                       prevent exam.
G0367...............  ..............  A               EKG tracing for             0.00       0.41         NA       0.02       0.43         NA        XXX
                                                       initial prev.
G0368...............  ..............  A               EKG interpret &             0.17       0.06       0.06       0.01       0.24       0.24        XXX
                                                       report preve.
G0375...............  ..............  A               Smoke/Tobacco               0.24       0.00       0.00       0.01       0.25       0.25        XXX
                                                       counseling3-10.
G0376...............  ..............  A               Smoke/Tobacco               0.48       0.00       0.00       0.01       0.49       0.49        XXX
                                                       counseling >10.
G9013...............  ..............  N               ESRD demo bundle            0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       level I.
G9014...............  ..............  N               ESRD demo bundle-           0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       level II.
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       0.38       0.12       0.01       0.76       0.50        XXX
                                                       monitoring.
P3001...............  ..............  A               Screening pap smear         0.42       0.23       0.15       0.02       0.67       0.59        XXX
                                                       by phys.
Q0035...............  ..............  A               Cardiokymography.....       0.17       0.41         NA       0.03       0.61         NA        XXX
Q0035...............  26............  A               Cardiokymography.....       0.17       0.06       0.06       0.01       0.24       0.24        XXX
Q0035...............  TC............  A               Cardiokymography.....       0.00       0.35         NA       0.02       0.37         NA        XXX
Q0091...............  ..............  A               Obtaining screen pap        0.37       0.68         NA       0.02       1.07         NA        XXX
                                                       smear.
Q0092...............  ..............  A               Set up port xray            0.00       0.33         NA       0.01       0.34         NA        XXX
                                                       equipment.
Q3001...............  ..............  C               Brachytherapy               0.00       0.00       0.00       0.00       0.00       0.00        XXX
                                                       Radioelements.
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.

[[Page 46005]]

 
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\ CPT codes and descriptions only are copyright 2005 American Medical Associaiton. All rights reserved. Applicable FARS/DFARS apply.
\2\ Copyright 2005 American Dental Association. All rights reserved.
\3\ +Indicates RVUs are not used for Medicare payment.








  Federal Register / Vol. 70, No. 151 / Monday, August 8, 2005 / 
Proposed Rules  

[[Page 46006]]



    Addendum C.--Codes for Which we Received Practice Expense Review
 Committee (PERC) Recommendations on Practice Expense Direct Cost Inputs
------------------------------------------------------------------------
           CPT  Code                        Short descriptors
------------------------------------------------------------------------
00104.........................  Anesth, electroshock
00124.........................  Anesth, ear exam
11100.........................  Biopsy, skin lesion
11101.........................  Biopsy, skin add-on
11950.........................  Therapy for contour defects
11951.........................  Therapy for contour defects
11952.........................  Therapy for contour defects
11954.........................  Therapy for contour defects
11975.........................  Insert contraceptive cap
11976.........................  Removal of contraceptive cap
11977.........................  Removal/reinsert contra cap
12031.........................  Layer closure of wound(s)
12034.........................  Layer closure of wound(s)
12041.........................  Layer closure of wound(s)
12042.........................  Layer closure of wound(s)
12044.........................  Layer closure of wound(s)
12051.........................  Layer closure of wound(s)
12052.........................  Layer closure of wound(s)
12053.........................  Layer closure of wound(s)
12054.........................  Layer closure of wound(s)
12055.........................  Layer closure of wound(s)
12056.........................  Layer closure of wound(s)
12057.........................  Layer closure of wound(s)
13152.........................  Repair of wound or lesion
15775.........................  Hair transplant punch grafts
15776.........................  Hair transplant punch grafts
15851.........................  Removal of sutures
15852.........................  Dressing change not for burn
17250.........................  Chemical cautery, tissue
17304.........................  1 stage mohs, up to 5 spec
17305.........................  2 stage mohs, up to 5 spec
17306.........................  3 stage mohs, up to 5 spec
17307.........................  Mohs addl stage up to 5 spec
17310.........................  Mohs any stage > 5 spec each
17360.........................  Skin peel therapy
19000.........................  Drainage of breast lesion
19396.........................  Design custom breast implant
20500.........................  Injection of sinus tract
21300.........................  Treatment of skull fracture
21310.........................  Treatment of nose fracture
21480.........................  Reset dislocated jaw
31700.........................  Insertion of airway catheter
31730.........................  Intro, windpipe wire/tube
32960.........................  Therapeutic pneumothorax
33960.........................  External circulation assist
33961.........................  External circulation assist
36522.........................  Photopheresis
36860.........................  External cannula declotting
38230.........................  Bone marrow collection
38794.........................  Access thoracic lymph duct
40490.........................  Biopsy of lip
41250.........................  Repair tongue laceration
41251.........................  Repair tongue laceration
41252.........................  Repair tongue laceration
41800.........................  Drainage of gum lesion
41805.........................  Removal foreign body, gum
41806.........................  Removal foreign body,jawbone
41822.........................  Excision of gum lesion
41825.........................  Excision of gum lesion
41826.........................  Excision of gum lesion
41828.........................  Excision of gum lesion
41830.........................  Removal of gum tissue
42100.........................  Biopsy roof of mouth
42104.........................  Excision lesion, mouth roof
42106.........................  Excision lesion, mouth roof
42107.........................  Excision lesion, mouth roof
42160.........................  Treatment mouth roof lesion
42280.........................  Preparation, palate mold
43750.........................  Place gastrostomy tube
43760.........................  Change gastrostomy tube
47000.........................  Needle biopsy of liver
48102.........................  Needle biopsy, pancreas
49080.........................  Puncture, peritoneal cavity
49081.........................  Removal of abdominal fluid
49428.........................  Ligation of shunt
51000.........................  Drainage of bladder
51005.........................  Drainage of bladder
54450.........................  Preputial stretching
56420.........................  Drainage of gland abscess
57150.........................  Treat vagina infection
57170.........................  Fitting of diaphragm/cap
57180.........................  Treat vaginal bleeding
58300.........................  Insert intrauterine device
58323.........................  Sperm washing
59160.........................  D & c after delivery
59300.........................  Episiotomy or vaginal repair
60000.........................  Drain thyroid/tongue cyst
60001.........................  Aspirate/inject thyriod cyst
61888.........................  Revise/remove neuroreceiver
62194.........................  Replace/irrigate catheter
67221.........................  Ocular photodynamic ther
67225.........................  Eye photodynamic ther add-on
68400.........................  Incise/drain tear gland
68420.........................  Incise/drain tear sac
68510.........................  Biopsy of tear gland
68530.........................  Clearance of tear duct
69100.........................  Biopsy of external ear
69300.........................  Revise external ear
76120.........................  Cine/video x-rays
76940.........................  Us guide, tissue ablation
76942.........................  Echo guide for biopsy
76975.........................  GI endoscopic ultrasound
78160.........................  Plasma iron turnover
78162.........................  Radioiron absorption exam
78170.........................  Red cell iron utilization
78172.........................  Total body iron estimation
78282.........................  GI protein loss exam
78350.........................  Bone mineral, single photon
78351.........................  Bone mineral, dual photon
78455.........................  Venous thrombosis study
79200.........................  Nuclear rx, intracav admin
79300.........................  Nuclr rx, interstit colloid
79440.........................  Nuclear rx, intra-articular
86585.........................  TB tine test
88355.........................  Analysis, skeletal muscle
88356.........................  Analysis, nerve
89100.........................  Sample intestinal contents
89105.........................  Sample intestinal contents
89130.........................  Sample stomach contents
89132.........................  Sample stomach contents
89135.........................  Sample stomach contents
89136.........................  Sample stomach contents
89140.........................  Sample stomach contents
89141.........................  Sample stomach contents
90465.........................  Immune admin 1 inj, < 8 yrs
90466.........................  Immune admin addl inj, < 8 y
90467.........................  Immune admin o or n, < 8 yrs
90468.........................  Immune admin o/n, addl < 8 y
90880.........................  Hypnotherapy
90997.........................  Hemoperfusion
92015.........................  Refraction
92230.........................  Eye exam with photos
92260.........................  Ophthalmoscopy/dynamometry
92265.........................  Eye muscle evaluation
92284.........................  Dark adaptation eye exam
92287.........................  Internal eye photography
92310.........................  Contact lens fitting
92311.........................  Contact lens fitting
92312.........................  Contact lens fitting
92313.........................  Contact lens fitting
92314.........................  Prescription of contact lens
92315.........................  Prescription of contact lens
92316.........................  Prescription of contact lens
92317.........................  Prescription of contact lens
92340.........................  Fitting of spectacles
92341.........................  Fitting of spectacles
92342.........................  Fitting of spectacles
92370.........................  Repair & adjust spectacles
92510.........................  Rehab for ear implant
92551.........................  Pure tone hearing test, air
93012.........................  Transmission of ecg
93271.........................  Ecg/monitoring and analysis
93561.........................  Cardiac output measurement
93562.........................  Cardiac output measurement
94014.........................  Patient recorded spirometry
94015.........................  Patient recorded spirometry
94016.........................  Review patient spirometry
94200.........................  Lung function test (MBC/MVV)
94250.........................  Expired gas collection
94350.........................  Lung nitrogen washout curve
94370.........................  Breath airway closing volume
94400.........................  CO2 breathing response curve
94620.........................  Pulmonary stress test/simple
94660.........................  Pos airway pressure, CPAP
94667.........................  Chest wall manipulation
94668.........................  Chest wall manipulation
94680.........................  Exhaled air analysis, o2
94681.........................  Exhaled air analysis, o2/co2
94690.........................  Exhaled air analysis
94725.........................  Membrane diffusion capacity
94750.........................  Pulmonary compliance study
95060.........................  Eye allergy tests
95065.........................  Nose allergy test
95071.........................  Bronchial allergy tests
95075.........................  Ingestion challenge test
95078.........................  Provocative testing
95805.........................  Multiple sleep latency test
95812.........................  Eeg, 41-60 minutes
95813.........................  Eeg, over 1 hour
95816.........................  Eeg, awake and drowsy
95819.........................  Eeg, awake and asleep
95822.........................  Eeg, coma or sleep only
95950.........................  Ambulatory eeg monitoring
95954.........................  EEG monitoring/giving drugs
95956.........................  Eeg monitoring, cable/radio
96900.........................  Ultraviolet light therapy
96105.........................  Assessment of aphasia
99185.........................  Regional hypothermia
99186.........................  Total body hypothermia
------------------------------------------------------------------------


[[Page 46007]]


           Addendum D--2006 Geographic Practice Cost Indicies (GPCI) by Medicare Carrier and Locality
----------------------------------------------------------------------------------------------------------------
                                                                                         Work      PE       MP
         Carrier                    Locality                   Locality name             GPCI     GPCI     GPCI
----------------------------------------------------------------------------------------------------------------
00510....................  00.......................  Alabama........................    1.000    0.846    0.752
00831....................  01.......................  Alaska.........................    1.017    1.103    1.029
00832....................  00.......................  Arizona........................    1.000    0.992    1.069
00520....................  13.......................  Arkansas.......................    1.000    0.831    0.438
31140....................  03.......................  Marin/Napa/Solano, CA..........    1.035    1.340    0.651
31140....................  05.......................  San Francisco, CA..............    1.060    1.543    0.651
31140....................  06.......................  San Mateo, CA..................    1.073    1.536    0.639
31140....................  07.......................  Oakland/Berkley, CA............    1.054    1.371    0.651
31140....................  09.......................  Santa Clara, CA................    1.083    1.540    0.604
31140....................  TBD**....................  Santa Cruz, CA.................    1.014    1.218    0.717
31140....................  99.......................  Rest of California*............    1.010    1.042    0.717
31146....................  17.......................  Ventura, CA....................    1.028    1.179    0.744
31146....................  18.......................  Los Angeles, CA................    1.041    1.156    0.954
31146....................  26.......................  Anaheim/Santa Ana, CA..........    1.034    1.236    0.954
31140....................  TBD**....................  Sonoma, CA.....................    1.017    1.230    0.717
31146....................  99.......................  Rest of California*............    1.010    1.042    0.717
00824....................  01.......................  Colorado.......................    1.000    1.014    0.803
00591....................  00.......................  Connecticut....................    1.038    1.170    0.900
00903....................  01.......................  DC + MD/VA Suburbs.............    1.048    1.250    0.926
00902....................  01.......................  Delaware.......................    1.012    1.018    0.892
00590....................  03.......................  Fort Lauderdale, FL............    1.000    0.988    1.703
00590....................  04.......................  Miami, FL......................    1.000    1.046    2.269
00590....................  99.......................  Rest of Florida................    1.000    0.934    1.272
00511....................  01.......................  Atlanta, GA....................    1.010    1.089    0.966
00511....................  99.......................  Rest of Georgia................    1.000    0.872    0.966
00833....................  01.......................  Hawaii/Guam....................    1.005    1.111    0.800
05130....................  00.......................  Idaho..........................    1.000    0.868    0.459
00952....................  12.......................  East St. Louis, IL.............    1.000    0.939    1.750
00952....................  15.......................  Suburban Chicago, IL...........    1.018    1.115    1.652
00952....................  16.......................  Chicago, IL....................    1.025    1.126    1.867
00952....................  99.......................  Rest of Illinois...............    1.000    0.872    1.193
00630....................  00.......................  Indiana........................    1.000    0.906    0.436
00826....................  00.......................  Iowa...........................    1.000    0.868    0.589
00650....................  00.......................  Kansas*........................    1.000    0.878    0.721
00740....................  04.......................  Kansas*........................    1.000    0.878    0.721
00660....................  00.......................  Kentucky.......................    1.000    0.854    0.873
00528....................  01.......................  New Orleans, LA................    1.000    0.946    1.197
00528....................  99.......................  Rest of Louisiana..............    1.000    0.847    1.058
31142....................  03.......................  Southern Maine.................    1.000    1.013    0.637
31142....................  99.......................  Rest of Maine..................    1.000    0.886    0.637
00901....................  01.......................  Baltimore/Surr. Cntys, MD......    1.012    1.078    0.947
00901....................  99.......................  Rest of Maryland...............    1.000    0.980    0.760
31143....................  01.......................  Metropolitan Boston............    1.030    1.329    0.823
31143....................  99.......................  Rest of Massachusetts..........    1.007    1.103    0.823
00953....................  01.......................  Detroit, MI....................    1.037    1.054    2.744
00953....................  99.......................  Rest of Michigan...............    1.000    0.921    1.518
00954....................  00.......................  Minnesota......................    1.000    1.005    0.410
00512....................  00.......................  Mississippi....................    1.000    0.839    0.722
00740....................  02.......................  Metropolitan Kansas City, MO...    1.000    0.975    0.946
00523....................  01.......................  Metropolitan St. Louis, MO.....    1.000    0.955    0.941
00523....................  99.......................  Rest of Missouri*..............    1.000    0.802    0.892
00740....................  99.......................  Rest of Missouri*..............    1.000    0.802    0.892
00751....................  01.......................  Montana........................    1.000    0.844    0.904
00655....................  00.......................  Nebraska.......................    1.000    0.875    0.454
00834....................  00.......................  Nevada.........................    1.003    1.043    1.068
31144....................  40.......................  New Hampshire..................    1.000    1.027    0.942
00805....................  01.......................  Northern NJ....................    1.058    1.220    0.973
00805....................  99.......................  Rest of New Jersey.............    1.043    1.119    0.973
00521....................  05.......................  New Mexico.....................    1.000    0.887    0.895
00801....................  99.......................  Rest of New York...............    1.000    0.917    0.677
00803....................  01.......................  Manhattan, NY..................    1.065    1.298    1.504
00803....................  02.......................  NYC Suburbs/Long I., NY........    1.052    1.280    1.785
00803....................  03.......................  Poughkpsie/N NYC Suburbs, NY...    1.014    1.074    1.167
14330....................  04.......................  Queens, NY.....................    1.032    1.228    1.710
05535....................  00.......................  North Carolina.................    1.000    0.920    0.640
00820....................  01.......................  North Dakota...................    1.000    0.860    0.602
00883....................  00.......................  Ohio...........................    1.000    0.933    0.976
00522....................  00.......................  Oklahoma.......................    1.000    0.854    0.382
00835....................  01.......................  Portland, OR...................    1.002    1.057    0.441
00835....................  99.......................  Rest of Oregon.................    1.000    0.925    0.441
00865....................  01.......................  Metropolitan Philadelphia, PA..    1.016    1.104    1.386

[[Page 46008]]

 
00865....................  99.......................  Rest of Pennsylvania...........    1.000    0.902    0.806
00973....................  20.......................  Puerto Rico....................    1.000    0.698    0.261
00870....................  01.......................  Rhode Island...................    1.045    0.989    0.909
00880....................  01.......................  South Carolina.................    1.000    0.893    0.394
00820....................  02.......................  South Dakota...................    1.000    0.876    0.365
05440....................  35.......................  Tennessee......................    1.000    0.879    0.631
00900....................  09.......................  Brazoria, TX...................    1.020    0.961    1.298
00900....................  11.......................  Dallas, TX.....................    1.009    1.062    1.061
00900....................  15.......................  Galveston, TX..................    1.000    0.952    1.298
00900....................  18.......................  Houston, TX....................    1.016    1.014    1.297
00900....................  20.......................  Beaumont, TX...................    1.000    0.860    1.298
00900....................  28.......................  Fort Worth, TX.................    1.000    0.989    1.061
00900....................  31.......................  Austin, TX.....................    1.000    1.046    0.986
00900....................  99.......................  Rest of Texas..................    1.000    0.865    1.138
00910....................  09.......................  Utah...........................    1.000    0.937    0.662
31145....................  50.......................  Vermont........................    1.000    0.968    0.514
00973....................  50.......................  Virgin Islands.................    1.000    1.014    1.003
00904....................  00.......................  Virginia.......................    1.000    0.940    0.579
00836....................  02.......................  Seattle (King Cnty), WA........    1.014    1.131    0.819
00836....................  99.......................  Rest of Washington.............    1.000    0.978    0.819
00884....................  16.......................  West Virginia..................    1.000    0.819    1.547
00951....................  00.......................  Wisconsin......................    1.000    0.918    0.790
00825....................  21.......................  Wyoming........................    1.000    0.853   0.935
----------------------------------------------------------------------------------------------------------------
For 2005 and 2006, if the work GPCI falls below a 1.0 work index, then the work GPCI equals 1.0.
For 2005, if the Work, PE and MP GPCI for Alaska falls below 1.67, then the Work, PE and MP GPCIs equal 1.67.
* states are served by more than one carrier
** locality numbers not assigned to proposed localities


     Addendum E.--Proposed 2006 Geographic Adjustment Factors (GAFs)
------------------------------------------------------------------------
                                                                   2006
      Carrier            Locality            Locality name         GAF
------------------------------------------------------------------------
31140.............  06...............  San Mateo, CA...........    1.259
31140.............  05...............  San Francisco, CA.......    1.256
31140.............  09...............  Santa Clara, CA.........    1.256
00803.............  01...............  Manhattan, NY...........    1.184
00803.............  02...............  NYC Suburbs/Long I., NY.    1.180
31140.............  07...............  Oakland/Berkley, CA.....    1.177
31140.............  03...............  Marin/Napa/Solano, CA...    1.154
31143.............  01...............  Metropolitan Boston.....    1.153
14330.............  04...............  Queens, NY..............    1.144
00903.............  01...............  DC + MD/VA Suburbs......    1.132
00805.............  01...............  Northern NJ.............    1.126
31146.............  26...............  Anaheim/Santa Ana, CA...    1.119
31140.............  TBD* *...........  Santa Cruz, CA..........    1.119
00953.............  01...............  Detroit, MI.............    1.111
00952.............  16...............  Chicago, IL.............    1.102
31140.............  TBD* *...........  Sonoma, CA..............    1.098
00591.............  00...............  Connecticut.............    1.091
31146.............  18...............  Los Angeles, CA.........    1.088
00952.............  15...............  Suburban Chicago, IL....    1.085
31146.............  17...............  Ventura, CA.............    1.083
00805.............  99...............  Rest of New Jersey......    1.074
00865.............  01...............  Metropolitan                1.069
                                        Philadelphia, PA.
00590.............  04...............  Miami, FL...............    1.069
00836.............  02...............  Seattle (King Cnty), WA.    1.058
00831.............  01...............  Alaska..................    1.055
00803.............  03...............  Poughkpsie/N NYC            1.046
                                        Suburbs, NY.
00833.............  01...............  Hawaii/Guam.............    1.044
00511.............  01...............  Atlanta, GA.............    1.043
31143.............  99...............  Rest of Massachusetts...    1.042
00901.............  01...............  Baltimore/Surr. Cntys,      1.039
                                        MD.
00900.............  11...............  Dallas, TX..............    1.034
00900.............  18...............  Houston, TX.............    1.026
00834.............  00...............  Nevada..................    1.023
00590.............  03...............  Fort Lauderdale, FL.....    1.022
00900.............  31...............  Austin, TX..............    1.020
31146.............  99...............  Rest of California *....    1.014
31140.............  99...............  Rest of California *....    1.014
31144.............  40...............  New Hampshire...........    1.010

[[Page 46009]]

 
00902.............  01...............  Delaware................    1.010
00973.............  50...............  Virgin Islands..........    1.007
00900.............  09...............  Brazoria, TX............    1.005
00835.............  01...............  Portland, OR............    1.005
00952.............  12...............  East St. Louis, IL......    1.003
00832.............  00...............  Arizona.................    0.999
00824.............  01...............  Colorado................    0.999
00900.............  28...............  Fort Worth, TX..........    0.998
31142.............  03...............  Southern Maine..........    0.992
00900.............  15...............  Galveston, TX...........    0.991
00740.............  02...............  Metropolitan Kansas         0.987
                                        City, MO.
00953.............  99...............  Rest of Michigan........    0.986
00836.............  99...............  Rest of Washington......    0.984
00528.............  01...............  New Orleans, LA.........    0.984
00901.............  99...............  Rest of Maryland........    0.982
00590.............  99...............  Rest of Florida.........    0.982
00954.............  00...............  Minnesota...............    0.980
00523.............  01...............  Metropolitan St. Louis,     0.978
                                        MO.
00883.............  00...............  Ohio....................    0.970
31145.............  50...............  Vermont.................    0.968
00910.............  09...............  Utah....................    0.960
00904.............  00...............  Virginia................    0.958
00951.............  00...............  Wisconsin...............    0.956
00952.............  99...............  Rest of Illinois........    0.952
00801.............  99...............  Rest of New York........    0.952
05535.............  00...............  North Carolina..........    0.951
00900.............  20...............  Beaumont, TX............    0.951
00865.............  99...............  Rest of Pennsylvania....    0.950
00900.............  99...............  Rest of Texas...........    0.947
00521.............  05...............  New Mexico..............    0.947
00835.............  99...............  Rest of Oregon..........    0.946
00511.............  99...............  Rest of Georgia.........    0.943
00884.............  16...............  West Virginia...........    0.942
00630.............  00...............  Indiana.................    0.937
31142.............  99...............  Rest of Maine...........    0.936
00740.............  04...............  Kansas *................    0.936
00650.............  00...............  Kansas *................    0.936
00528.............  99...............  Rest of Louisiana.......    0.936
00825.............  21...............  Wyoming.................    0.934
05440.............  35...............  Tennessee...............    0.933
00660.............  00...............  Kentucky................    0.932
00880.............  01...............  South Carolina..........    0.930
00870.............  01...............  Rhode Island............    0.930
00751.............  01...............  Montana.................    0.928
00826.............  00...............  Iowa....................    0.927
00655.............  00...............  Nebraska................    0.925
00820.............  01...............  North Dakota............    0.924
00510.............  00...............  Alabama.................    0.923
05130.............  00...............  Idaho...................    0.922
00820.............  02...............  South Dakota............    0.922
00512.............  00...............  Mississippi.............    0.919
00522.............  00...............  Oklahoma................    0.913
00740.............  99...............  Rest of Missouri *......    0.910
00523.............  99...............  Rest of Missouri *......    0.910
00520.............  13...............  Arkansas................    0.905
00973.............  20...............  Puerto Rico.............   0.840
------------------------------------------------------------------------
For 2005 and 2006, if the work GPCI falls below a 1.0 work index, the
  work GPCI equals 1.0.
* states are served by more than one carrier
** locality numbers not assigned to proposed localities


Addendum F.--ESRD Facilities--Metropolitan Statistical Areas (MSA)/Core-Based Statistical Areas (CBSA) Crosswalk
----------------------------------------------------------------------------------------------------------------
       SSA state/county code                      County and state name               ESRD MSA No.    CBSA No.
----------------------------------------------------------------------------------------------------------------
01000..............................  Autauga County, Alabama........................          5240         33860
01010..............................  Baldwin County, Alabama........................          5160            01
01020..............................  Barbour County, Alabama........................            01            01
01030..............................  Bibb County, Alabama...........................            01         13820

[[Page 46010]]

 
01040..............................  Blount County, Alabama.........................          1000         13820
01050..............................  Bullock County, Alabama........................            01            01
01060..............................  Butler County, Alabama.........................            01            01
01070..............................  Calhoun County, Alabama........................          0450         11500
01080..............................  Chambers County, Alabama.......................            01            01
01090..............................  Cherokee County, Alabama.......................            01            01
01100..............................  Chilton County, Alabama........................            01         13820
01110..............................  Choctaw County, Alabama........................            01            01
01120..............................  Clarke County, Alabama.........................            01            01
01130..............................  Clay County, Alabama...........................            01            01
01140..............................  Cleburne County, Alabama.......................            01            01
01150..............................  Coffee County, Alabama.........................            01            01
01160..............................  Colbert County, Alabama........................          2650         22520
01170..............................  Conecuh County, Alabama........................            01            01
01180..............................  Coosa County, Alabama..........................            01            01
01190..............................  Covington County, Alabama......................            01            01
01200..............................  Crenshaw County, Alabama.......................            01            01
01210..............................  Cullman County, Alabama........................            01            01
01220..............................  Dale County, Alabama...........................          2180            01
01230..............................  Dallas County, Alabama.........................            01            01
01240..............................  De Kalb County, Alabama........................            01            01
01250..............................  Elmore County, Alabama.........................          5240         33860
01260..............................  Escambia County, Alabama.......................            01            01
01270..............................  Etowah County, Alabama.........................          2880         23460
01280..............................  Fayette County, Alabama........................            01            01
01290..............................  Franklin County, Alabama.......................            01            01
01300..............................  Geneva County, Alabama.........................            01         20020
01310..............................  Greene County, Alabama.........................            01         46220
01320..............................  Hale County, Alabama...........................            01         46220
01330..............................  Henry County, Alabama..........................            01         20020
01340..............................  Houston County, Alabama........................          2180         20020
01350..............................  Jackson County, Alabama........................            01            01
01360..............................  Jefferson County, Alabama......................          1000         13820
01370..............................  Lamar County, Alabama..........................            01            01
01380..............................  Lauderdale County, Alabama.....................          2650         22520
01390..............................  Lawrence County, Alabama.......................            01         19460
01400..............................  Lee County, Alabama............................            01         12220
01410..............................  Limestone County, Alabama......................            01         26620
01420..............................  Lowndes County, Alabama........................            01         33860
01430..............................  Macon County, Alabama..........................            01            01
01440..............................  Madison County, Alabama........................          3440         26620
01450..............................  Marengo County, Alabama........................            01            01
01460..............................  Marion County, Alabama.........................            01            01
01470..............................  Marshall County, Alabama.......................            01            01
01480..............................  Mobile County, Alabama.........................          5160         33660
01490..............................  Monroe County, Alabama.........................            01            01
01500..............................  Montgomery County, Alabama.....................          5240         33860
01510..............................  Morgan County, Alabama.........................            01         19460
01520..............................  Perry County, Alabama..........................            01            01
01530..............................  Pickens County, Alabama........................            01            01
01540..............................  Pike County, Alabama...........................            01            01
01550..............................  Randolph County, Alabama.......................            01            01
01560..............................  Russell County, Alabama........................          1800         17980
01570..............................  St Clair County, Alabama.......................          1000         13820
01580..............................  Shelby County, Alabama.........................          1000         13820
01590..............................  Sumter County, Alabama.........................            01            01
01600..............................  Talladega County, Alabama......................            01            01
01610..............................  Tallapoosa County, Alabama.....................            01            01
01620..............................  Tuscaloosa County, Alabama.....................          8600         46220
01630..............................  Walker County, Alabama.........................          1000         13820
01640..............................  Washington County, Alabama.....................            01            01
01650..............................  Wilcox County, Alabama.........................            01            01
01660..............................  Winston County, Alabama........................            01            01
02013..............................  Aleutians County East, Alaska..................            02            02
02016..............................  Aleutians County West, Alaska..................            02            02
02020..............................  Anchorage County, Alaska.......................          0380         11260
02030..............................  Angoon County, Alaska..........................            02            02
02040..............................  Barrow-North Slope County, Alaska..............            02            02
02050..............................  Bethel County, Alaska..........................            02            02
02060..............................  Bristol Bay Borough County, Alaska.............            02            02

[[Page 46011]]

 
02068..............................  Denali County, Alaska..........................            02            02
02070..............................  Bristol Bay County, Alaska.....................            02            02
02080..............................  Cordova-Mc Carthy County, Alaska...............            02            02
02090..............................  Fairbanks County, Alaska.......................            02         21820
02100..............................  Haines County, Alaska..........................            02            02
02110..............................  Juneau County, Alaska..........................            02            02
02120..............................  Kenai-Cook Inlet County, Alaska................            02            02
02122..............................  Kenai Peninsula Borough, Alaska................            02            02
02130..............................  Ketchikan County, Alaska.......................            02            02
02140..............................  Kobuk County, Alaska...........................            02            02
02150..............................  Kodiak County, Alaska..........................            02            02
02160..............................  Kuskokwin County, Alaska.......................            02            02
02164..............................  Lake and Peninsula Borough, Alaska.............            02            02
02170..............................  Matanuska County, Alaska.......................            02         11260
02180..............................  Nome County, Alaska............................            02            02
02185..............................  North Slope Borough, Alaska....................            02            02
02188..............................  Northwest Arctic Borough, Alaska...............            02            02
02190..............................  Outer Ketchikan County, Alaska.................            02            02
02200..............................  Prince Of Wales County, Alaska.................            02            02
02201..............................  Prince of Wales-Outer Ketchikan Census Area,               02            02
                                      Alaska.
02210..............................  Seward County, Alaska..........................            02            02
02220..............................  Sitka County, Alaska...........................            02            02
02230..............................  Skagway-Yakutat County, Alaska.................            02            02
02231..............................  Skagway-Yakutat-Angoon Census Area, Alaska.....            02            02
02232..............................  Skagway-Hoonah-Angoon Census Area, Alaska......            02            02
02240..............................  Southeast Fairbanks County, Alaska.............            02            02
02250..............................  Upper Yukon County, Alaska.....................            02            02
02260..............................  Valdz-Chitna-Whitier County, Alaska............            02            02
02261..............................  Valdex-Cordove Census Area, Alaska.............            02            02
02270..............................  Wade Hampton County, Alaska....................            02            02
02280..............................  Wrangell-Petersburg County, Alaska.............            02            02
02282..............................  Yakutat Borough, Alaska........................            02            02
02290..............................  Yukon-Koyukuk County, Alaska...................            02            02
03000..............................  Apache County, Arizona.........................            03            03
03010..............................  Cochise County, Arizona........................            03            03
03020..............................  Coconino County, Arizona.......................            03         22380
03030..............................  Gila County, Arizona...........................            03            03
03040..............................  Graham County, Arizona.........................            03            03
03050..............................  Greenlee County, Arizona.......................            03            03
03055..............................  La Paz County, Arizona.........................            03            03
03060..............................  Maricopa County, Arizona.......................          6200         38060
03070..............................  Mohave County, Arizona.........................            03            03
03080..............................  Navajo County, Arizona.........................            03            03
03090..............................  Pima County, Arizona...........................          8520         46060
03100..............................  Pinal County, Arizona..........................            03         38060
03110..............................  Santa Cruz County, Arizona.....................            03            03
03120..............................  Yavapai County, Arizona........................            03         39140
03130..............................  Yuma County, Arizona...........................            03         49740
04000..............................  Arkansas County, Arkansas......................            04            04
04010..............................  Ashley County, Arkansas........................            04            04
04020..............................  Baxter County, Arkansas........................            04            04
04030..............................  Benton County, Arkansas........................            04         22220
04040..............................  Boone County, Arkansas.........................            04            04
04050..............................  Bradley County, Arkansas.......................            04            04
04060..............................  Calhoun County, Arkansas.......................            04            04
04070..............................  Carroll County, Arkansas.......................            04            04
04080..............................  Chicot County, Arkansas........................            04            04
04090..............................  Clark County, Arkansas.........................            04            04
04100..............................  Clay County, Arkansas..........................            04            04
04110..............................  Cleburne County, Arkansas......................            04            04
04120..............................  Cleveland County, Arkansas.....................            04         38220
04130..............................  Columbia County, Arkansas......................            04            04
04140..............................  Conway County, Arkansas........................            04            04
04150..............................  Craighead County, Arkansas.....................            04         27860
04160..............................  Crawford County, Arkansas......................          2720         22900
04170..............................  Crittenden County, Arkansas....................          4920         32820
04180..............................  Cross County, Arkansas.........................            04            04
04190..............................  Dallas County, Arkansas........................            04            04
04200..............................  Desha County, Arkansas.........................            04            04
04210..............................  Drew County, Arkansas..........................            04            04

[[Page 46012]]

 
04220..............................  Faulkner County, Arkansas......................          4400         30780
04230..............................  Franklin County, Arkansas......................            04         22900
04240..............................  Fulton County, Arkansas........................            04            04
04250..............................  Garland County, Arkansas.......................            04         26300
04260..............................  Grant County, Arkansas.........................            04         30780
04270..............................  Greene County, Arkansas........................            04            04
04280..............................  Hempstead County, Arkansas.....................            04            04
04290..............................  Hot Spring County, Arkansas....................            04            04
04300..............................  Howard County, Arkansas........................            04            04
04310..............................  Independence County, Arkansas..................            04            04
04320..............................  Izard County, Arkansas.........................            04            04
04330..............................  Jackson County, Arkansas.......................            04            04
04340..............................  Jefferson County, Arkansas.....................          6240         38220
04350..............................  Johnson County, Arkansas.......................            04            04
04360..............................  Lafayette County, Arkansas.....................            04            04
04370..............................  Lawrence County, Arkansas......................            04            04
04380..............................  Lee County, Arkansas...........................            04            04
04390..............................  Lincoln County, Arkansas.......................            04         38220
04400..............................  Little River County, Arkansas..................            04            04
04410..............................  Logan County, Arkansas.........................            04            04
04420..............................  Lonoke County, Arkansas........................          4400         30780
04430..............................  Madison County, Arkansas.......................            04         22220
04440..............................  Marion County, Arkansas........................            04            04
04450..............................  Miller County, Arkansas........................          8360         45500
04460..............................  Mississippi County, Arkansas...................            04            04
04470..............................  Monroe County, Arkansas........................            04            04
04480..............................  Montgomery County, Arkansas....................            04            04
04490..............................  Nevada County, Arkansas........................            04            04
04500..............................  Newton County, Arkansas........................            04            04
04510..............................  Ouachita County, Arkansas......................            04            04
04520..............................  Perry County, Arkansas.........................            04         30780
04530..............................  Phillips County, Arkansas......................            04            04
04540..............................  Pike County, Arkansas..........................            04            04
04550..............................  Poinsett County, Arkansas......................            04         27860
04560..............................  Polk County, Arkansas..........................            04            04
04570..............................  Pope County, Arkansas..........................            04            04
04580..............................  Prairie County, Arkansas.......................            04            04
04590..............................  Pulaski County, Arkansas.......................          4400         30780
04600..............................  Randolph County, Arkansas......................            04            04
04610..............................  St Francis County, Arkansas....................            04            04
04620..............................  Saline County, Arkansas........................          4400         30780
04630..............................  Scott County, Arkansas.........................            04            04
04640..............................  Searcy County, Arkansas........................            04            04
04650..............................  Sebastian County, Arkansas.....................          2720         22900
04660..............................  Sevier County, Arkansas........................            04            04
04670..............................  Sharp County, Arkansas.........................            04            04
04680..............................  Stone County, Arkansas.........................            04            04
04690..............................  Union County, Arkansas.........................            04            04
04700..............................  Van Buren County, Arkansas.....................            04            04
04710..............................  Washington County, Arkansas....................          2580         22220
04720..............................  White County, Arkansas.........................            04            04
04730..............................  Woodruff County, Arkansas......................            04            04
04740..............................  Yell County, Arkansas..........................            04            04
05000..............................  Alameda County, California.....................          5775         36084
05010..............................  Alpine County, California......................            05            05
05020..............................  Amador County, California......................            05            05
05030..............................  Butte County, California.......................          1620         17020
05040..............................  Calaveras County, California...................            05            05
05050..............................  Colusa County, California......................            05            05
05060..............................  Contra Costa County, California................          5775         36084
05070..............................  Del Norte County, California...................            05            05
05080..............................  Eldorado County, California....................          6920         40900
05090..............................  Fresno County, California......................          2840         23420
05100..............................  Glenn County, California.......................            05            05
05110..............................  Humboldt County, California....................            05            05
05120..............................  Imperial County, California....................            05         20940
05130..............................  Inyo County, California........................            05            05
05140..............................  Kern County, California........................          0680         12540
05150..............................  Kings County, California.......................            05         25260
05160..............................  Lake County, California........................            05            05

[[Page 46013]]

 
05170..............................  Lassen County, California......................            05            05
05200..............................  Los Angeles County, California.................          4480         31084
05210..............................  Los Angeles County, California.................          4480         31084
05300..............................  Madera County, California......................            05         31460
05310..............................  Marin County, California.......................          7360         41884
05320..............................  Mariposa County, California....................            05            05
05330..............................  Mendocino County, California...................            05            05
05340..............................  Merced County, California......................          4940         32900
05350..............................  Modoc County, California.......................            05            05
05360..............................  Mono County, California........................            05            05
05370..............................  Monterey County, California....................          7120         41500
05380..............................  Napa County, California........................          8720         34900
05390..............................  Nevada County, California......................            05            05
05400..............................  Orange County, California......................          0360         42044
05410..............................  Placer County, California......................          6920         40900
05420..............................  Plumas County, California......................            05            05
05430..............................  Riverside County, California...................          6780         40140
05440..............................  Sacramento County, California..................          6920         40900
05450..............................  San Benito County, California..................            05         41940
05460..............................  San Bernardino County, California..............          6780         40140
05470..............................  San Diego County, California...................          7320         41740
05480..............................  San Francisco County, California...............          7360         41884
05490..............................  San Joaquin County, California.................          8120         44700
05500..............................  San Luis Obispo County, California.............            05         42020
05510..............................  San Mateo County, California...................          7360         41884
05520..............................  Santa Barbara County, California...............          7480         42060
05530..............................  Santa Clara County, California.................          7400         41940
05540..............................  Santa Cruz County, California..................          7485         42100
05550..............................  Shasta County, California......................          6690         39820
05560..............................  Sierra County, California......................            05            05
05570..............................  Siskiyou County, California....................            05            05
05580..............................  Solano County, California......................          8720         46700
05590..............................  Sonoma County, California......................          7500         42220
05600..............................  Stanislaus County, California..................          5170         33700
05610..............................  Sutter County, California......................          9340         49700
05620..............................  Tehama County, California......................            05            05
05630..............................  Trinity County, California.....................            05            05
05640..............................  Tulare County, California......................          8780         47300
05650..............................  Tuolumne County, California....................            05            05
05660..............................  Ventura County, California.....................          6000         37100
05670..............................  Yolo County, California........................          6920         40900
05680..............................  Yuba County, California........................          9340         49700
06000..............................  Adams County, Colorado.........................          2080         19740
06010..............................  Alamosa County, Colorado.......................            06            06
06020..............................  Arapahoe County, Colorado......................          2080         19740
06030..............................  Archuleta County, Colorado.....................            06            06
06040..............................  Baca County, Colorado..........................            06            06
06050..............................  Bent County, Colorado..........................            06            06
06060..............................  Boulder County, Colorado.......................          1125         14500
06070..............................  Chaffee County, Colorado.......................            06            06
06080..............................  Cheyenne County, Colorado......................            06            06
06090..............................  Clear Creek County, Colorado...................            06         19740
06100..............................  Conejos County, Colorado.......................            06            06
06110..............................  Costilla County, Colorado......................            06            06
06120..............................  Crowley County, Colorado.......................            06            06
06130..............................  Custer County, Colorado........................            06            06
06140..............................  Delta County, Colorado.........................            06            06
06150..............................  Denver County, Colorado........................          2080         19740
06160..............................  Dolores County, Colorado.......................            06            06
06170..............................  Douglas County, Colorado.......................          2080         19740
06180..............................  Eagle County, Colorado.........................            06            06
06190..............................  Elbert County, Colorado........................            06         19740
06200..............................  El Paso County, Colorado.......................          1720         17820
06210..............................  Fremont County, Colorado.......................            06            06
06220..............................  Garfield County, Colorado......................            06            06
06230..............................  Gilpin County, Colorado........................            06         19740
06240..............................  Grand County, Colorado.........................            06            06
06250..............................  Gunnison County, Colorado......................            06            06
06260..............................  Hinsdale County, Colorado......................            06            06
06270..............................  Huerfano County, Colorado......................            06            06

[[Page 46014]]

 
06280..............................  Jackson County, Colorado.......................            06            06
06290..............................  Jefferson County, Colorado.....................          2080         19740
06300..............................  Kiowa County, Colorado.........................            06            06
06310..............................  Kit Carson County, Colorado....................            06            06
06320..............................  Lake County, Colorado..........................            06            06
06330..............................  La Plata County, Colorado......................            06            06
06340..............................  Larimer County, Colorado.......................          2670         22660
06350..............................  Las Animas County, Colorado....................            06            06
06360..............................  Lincoln County, Colorado.......................            06            06
06370..............................  Logan County, Colorado.........................            06            06
06380..............................  Mesa County, Colorado..........................            06         24300
06390..............................  Mineral County, Colorado.......................            06            06
06400..............................  Moffat County, Colorado........................            06            06
06410..............................  Montezuma County, Colorado.....................            06            06
06420..............................  Montrose County, Colorado......................            06            06
06430..............................  Morgan County, Colorado........................            06            06
06440..............................  Otero County, Colorado.........................            06            06
06450..............................  Ouray County, Colorado.........................            06            06
06460..............................  Park County, Colorado..........................            06         19740
06470..............................  Phillips County, Colorado......................            06            06
06480..............................  Pitkin County, Colorado........................            06            06
06490..............................  Prowers County, Colorado.......................            06            06
06500..............................  Pueblo County, Colorado........................          6560         39380
06510..............................  Rio Blanco County, Colorado....................            06            06
06520..............................  Rio Grande County, Colorado....................            06            06
06530..............................  Routt County, Colorado.........................            06            06
06540..............................  Saguache County, Colorado......................            06            06
06550..............................  San Juan County, Colorado......................            06            06
06560..............................  San Miguel County, Colorado....................            06            06
06570..............................  Sedgwick County, Colorado......................            06            06
06580..............................  Summit County, Colorado........................            06            06
06590..............................  Teller County, Colorado........................            06         17820
06600..............................  Washington County, Colorado....................            06            06
06610..............................  Weld County, Colorado..........................          3060         24540
06620..............................  Yuma County, Colorado..........................            06            06
06630..............................  Broomfield County, Colorado....................            06         19740
07000..............................  Fairfield County, Connecticut..................          1163         14860
07010..............................  Hartford County, Connecticut...................          3283         25540
07020..............................  Litchfield County, Connecticut.................          3283         25540
07030..............................  Middlesex County, Connecticut..................          3283         25540
07040..............................  New Haven County, Connecticut..................          5483         35300
07050..............................  New London County, Connecticut.................          5523         35980
07060..............................  Tolland County, Connecticut....................          3283         25540
07070..............................  Windham County, Connecticut....................            07            07
08000..............................  Kent County, Delaware..........................            07         20100
08010..............................  New Castle County, Delaware....................          9160         48864
08020..............................  Sussex County, Delaware........................            08            08
09000..............................  Washington DC County, Dist Of Col..............          8840         47894
10000..............................  Alachua County, Florida........................          2900         23540
10010..............................  Baker County, Florida..........................            10         27260
10020..............................  Bay County, Florida............................          6015         37460
10030..............................  Bradford County, Florida.......................            10            10
10040..............................  Brevard County, Florida........................          4900         37340
10050..............................  Broward County, Florida........................          2680         22744
10060..............................  Calhoun County, Florida........................            10            10
10070..............................  Charlotte County, Florida......................            10         39460
10080..............................  Citrus County, Florida.........................            10            10
10090..............................  Clay County, Florida...........................          3600         27260
10100..............................  Collier County, Florida........................          5345         34940
10110..............................  Columbia County, Florida.......................            10            10
10120..............................  Dade County, Florida...........................          5000         33124
10130..............................  De Soto County, Florida........................            10            10
10140..............................  Dixie County, Florida..........................            10            10
10150..............................  Duval County, Florida..........................          3600         27260
10160..............................  Escambia County, Florida.......................          6080         37860
10170..............................  Flagler County, Florida........................            10            10
10180..............................  Franklin County, Florida.......................            10            10
10190..............................  Gadsden County, Florida........................          8240         45220
10200..............................  Gilchrist County, Florida......................            10         23540
10210..............................  Glades County, Florida.........................            10            10

[[Page 46015]]

 
10220..............................  Gulf County, Florida...........................            10            10
10230..............................  Hamilton County, Florida.......................            10            10
10240..............................  Hardee County, Florida.........................            10            10
10250..............................  Hendry County, Florida.........................            10            10
10260..............................  Hernando County, Florida.......................          8280         45300
10270..............................  Highlands County, Florida......................            10            10
10280..............................  Hillsborough County, Florida...................          8280         45300
10290..............................  Holmes County, Florida.........................            10            10
10300..............................  Indian River County, Florida...................            10         46940
10310..............................  Jackson County, Florida........................            10            10
10320..............................  Jefferson County, Florida......................            10         45220
10330..............................  Lafayette County, Florida......................            10            10
10340..............................  Lake County, Florida...........................            10         36740
10350..............................  Lee County, Florida............................          2700         15980
10360..............................  Leon County, Florida...........................          8240         45220
10370..............................  Levy County, Florida...........................            10            10
10380..............................  Liberty County, Florida........................            10            10
10390..............................  Madison County, Florida........................            10            10
10400..............................  Manatee County, Florida........................          1140         42260
10410..............................  Marion County, Florida.........................          5790         36100
10420..............................  Martin County, Florida.........................          2710         38940
10430..............................  Monroe County, Florida.........................            10            10
10440..............................  Nassau County, Florida.........................          3600         27260
10450..............................  Okaloosa County, Florida.......................          2750         23020
10460..............................  Okeechobee County, Florida.....................            10            10
10470..............................  Orange County, Florida.........................          5960         36740
10480..............................  Osceola County, Florida........................          5960         36740
10490..............................  Palm Beach County, Florida.....................          8960         48424
10500..............................  Pasco County, Florida..........................          8280         45300
10510..............................  Pinellas County, Florida.......................          8280         45300
10520..............................  Polk County, Florida...........................          3980         29460
10530..............................  Putnam County, Florida.........................            10            10
10540..............................  St. Johns County, Florida......................          3600         27260
10550..............................  St Lucie County, Florida.......................          2710         38940
10560..............................  Santa Rosa County, Florida.....................          6080         37860
10570..............................  Sarasota County, Florida.......................          7510         42260
10580..............................  Seminole County, Florida.......................          5960         36740
10590..............................  Sumter County, Florida.........................            10            10
10600..............................  Suwannee County, Florida.......................            10            10
10610..............................  Taylor County, Florida.........................            10            10
10620..............................  Union County, Florida..........................            10            10
10630..............................  Volusia County, Florida........................          2020         19660
10640..............................  Wakulla County, Florida........................            10         45220
10650..............................  Walton County, Florida.........................            10            10
10660..............................  Washington County, Florida.....................            10            10
11000..............................  Appling County, Georgia........................            11            11
11010..............................  Atkinson County, Georgia.......................            11            11
11011..............................  Bacon County, Georgia..........................            11            11
11020..............................  Baker County, Georgia..........................            11         10500
11030..............................  Baldwin County, Georgia........................            11            11
11040..............................  Banks County, Georgia..........................            11            11
11050..............................  Barrow County, Georgia.........................          0520         12060
11060..............................  Bartow County, Georgia.........................            11         12060
11070..............................  Ben Hill County, Georgia.......................            11            11
11080..............................  Berrien County, Georgia........................            11            11
11090..............................  Bibb County, Georgia...........................          4680         31420
11100..............................  Bleckley County, Georgia.......................            11            11
11110..............................  Brantley County, Georgia.......................            11         15260
11120..............................  Brooks County, Georgia.........................            11         46660
11130..............................  Bryan County, Georgia..........................            11         42340
11140..............................  Bulloch County, Georgia........................            11            11
11150..............................  Burke County, Georgia..........................            11         12260
11160..............................  Butts County, Georgia..........................          0520         12060
11161..............................  Calhoun County, Georgia........................            11            11
11170..............................  Camden County, Georgia.........................            11            11
11180..............................  Candler County, Georgia........................            11            11
11190..............................  Carroll County, Georgia........................            11         12060
11200..............................  Catoosa County, Georgia........................          1560         16860
11210..............................  Charlton County, Georgia.......................            11            11
11220..............................  Chatham County, Georgia........................          7520         42340

[[Page 46016]]

 
11230..............................  Chattahoochee County, Georgia..................          1800         17980
11240..............................  Chattooga County, Georgia......................            11            11
11250..............................  Cherokee County, Georgia.......................          0520         12060
11260..............................  Clarke County, Georgia.........................          0500         12020
11270..............................  Clay County, Georgia...........................            11            11
11280..............................  Clayton County, Georgia........................          0520         12060
11281..............................  Clinch County, Georgia.........................            11            11
11290..............................  Cobb County, Georgia...........................          0520         12060
11291..............................  Coffee County, Georgia.........................            11            11
11300..............................  Colquitt County, Georgia.......................            11            11
11310..............................  Columbia County, Georgia.......................          0600         12260
11311..............................  Cook County, Georgia...........................            11            11
11320..............................  Coweta County, Georgia.........................          0520         12060
11330..............................  Crawford County, Georgia.......................            11         31420
11340..............................  Crisp County, Georgia..........................            11            11
11341..............................  Dade County, Georgia...........................          1560         16860
11350..............................  Dawson County, Georgia.........................            11         12060
11360..............................  Decatur County, Georgia........................            11            11
11370..............................  De Kalb County, Georgia........................          0520         12060
11380..............................  Dodge County, Georgia..........................            11            11
11381..............................  Dooly County, Georgia..........................            11            11
11390..............................  Dougherty County, Georgia......................          0120         10500
11400..............................  Douglas County, Georgia........................          0520         12060
11410..............................  Early County, Georgia..........................            11            11
11420..............................  Echols County, Georgia.........................            11         46660
11421..............................  Effingham County, Georgia......................          7520         42340
11430..............................  Elbert County, Georgia.........................            11            11
11440..............................  Emanuel County, Georgia........................            11            11
11441..............................  Evans County, Georgia..........................            11            11
11450..............................  Fannin County, Georgia.........................            11            11
11451..............................  Fayette County, Georgia........................          0520         12060
11460..............................  Floyd County, Georgia..........................            11         40660
11461..............................  Forsyth County, Georgia........................          0520         12060
11462..............................  Franklin County, Georgia.......................            11            11
11470..............................  Fulton County, Georgia.........................          0520         12060
11471..............................  Gilmer County, Georgia.........................            11            11
11480..............................  Glascock County, Georgia.......................            11            11
11490..............................  Glynn County, Georgia..........................            11         15260
11500..............................  Gordon County, Georgia.........................            11            11
11510..............................  Grady County, Georgia..........................            11            11
11520..............................  Greene County, Georgia.........................            11            11
11530..............................  Gwinnett County, Georgia.......................          0520         12060
11540..............................  Habersham County, Georgia......................            11            11
11550..............................  Hall County, Georgia...........................            11         23580
11560..............................  Hancock County, Georgia........................            11            11
11570..............................  Haralson County, Georgia.......................            11         12060
11580..............................  Harris County, Georgia.........................            11         17980
11581..............................  Hart County, Georgia...........................            11            11
11590..............................  Heard County, Georgia..........................            11         12060
11591..............................  Henry County, Georgia..........................          0520         12060
11600..............................  Houston County, Georgia........................          4680         47580
11601..............................  Irwin County, Georgia..........................            11            11
11610..............................  Jackson County, Georgia........................          0500            11
11611..............................  Jasper County, Georgia.........................            11         12060
11612..............................  Jeff Davis County, Georgia.....................            11            11
11620..............................  Jefferson County, Georgia......................            11            11
11630..............................  Jenkins County, Georgia........................            11            11
11640..............................  Johnson County, Georgia........................            11            11
11650..............................  Jones County, Georgia..........................          4680         31420
11651..............................  Lamar County, Georgia..........................            11         12060
11652..............................  Lanier County, Georgia.........................            11         46660
11660..............................  Laurens County, Georgia........................            11            11
11670..............................  Lee County, Georgia............................          0120         10500
11680..............................  Liberty County, Georgia........................            11         25980
11690..............................  Lincoln County, Georgia........................            11            11
11691..............................  Long County, Georgia...........................            11         25980
11700..............................  Lowndes County, Georgia........................            11         46660
11701..............................  Lumpkin County, Georgia........................            11            11
11702..............................  Mc Duffie County, Georgia......................          0600         12260
11703..............................  Mc Intosh County, Georgia......................            11         15260

[[Page 46017]]

 
11710..............................  Macon County, Georgia..........................            11            11
11720..............................  Madison County, Georgia........................          0500         12020
11730..............................  Marion County, Georgia.........................            11         17980
11740..............................  Meriwether County, Georgia.....................            11         12060
11741..............................  Miller County, Georgia.........................            11            11
11750..............................  Mitchell County, Georgia.......................            11            11
11760..............................  Monroe County, Georgia.........................            11         31420
11770..............................  Montgomery County, Georgia.....................            11            11
11771..............................  Morgan County, Georgia.........................            11            11
11772..............................  Murray County, Georgia.........................            11         19140
11780..............................  Muscogee County, Georgia.......................          1800         17980
11790..............................  Newton County, Georgia.........................          0520         12060
11800..............................  Oconee County, Georgia.........................          0500         12020
11801..............................  Oglethorpe County, Georgia.....................            11         12020
11810..............................  Paulding County, Georgia.......................          0520         12060
11811..............................  Peach County, Georgia..........................          4680            11
11812..............................  Pickens County, Georgia........................            11         12060
11820..............................  Pierce County, Georgia.........................            11            11
11821..............................  Pike County, Georgia...........................            11         12060
11830..............................  Polk County, Georgia...........................            11            11
11831..............................  Pulaski County, Georgia........................            11            11
11832..............................  Putnam County, Georgia.........................            11            11
11833..............................  Quitman County, Georgia........................            11            11
11834..............................  Rabun County, Georgia..........................            11            11
11835..............................  Randolph County, Georgia.......................            11            11
11840..............................  Richmond County, Georgia.......................          0600         12260
11841..............................  Rockdale County, Georgia.......................          0520         12060
11842..............................  Schley County, Georgia.........................            11            11
11850..............................  Screven County, Georgia........................            11            11
11851..............................  Seminole County, Georgia.......................            11            11
11860..............................  Spalding County, Georgia.......................          0520         12060
11861..............................  Stephens County, Georgia.......................            11            11
11862..............................  Stewart County, Georgia........................            11            11
11870..............................  Sumter County, Georgia.........................            11            11
11880..............................  Talbot County, Georgia.........................            11            11
11881..............................  Taliaferro County, Georgia.....................            11            11
11882..............................  Tattnall County, Georgia.......................            11            11
11883..............................  Taylor County, Georgia.........................            11            11
11884..............................  Telfair County, Georgia........................            11            11
11885..............................  Terrell County, Georgia........................            11         10500
11890..............................  Thomas County, Georgia.........................            11            11
11900..............................  Tift County, Georgia...........................            11            11
11901..............................  Toombs County, Georgia.........................            11            11
11902..............................  Towns County, Georgia..........................            11            11
11903..............................  Treutlen County, Georgia.......................            11            11
11910..............................  Troup County, Georgia..........................            11            11
11911..............................  Turner County, Georgia.........................            11            11
11912..............................  Twiggs County, Georgia.........................            11         31420
11913..............................  Union County, Georgia..........................            11            11
11920..............................  Upson County, Georgia..........................            11            11
11921..............................  Walker County, Georgia.........................          1560         16860
11930..............................  Walton County, Georgia.........................          0520         12060
11940..............................  Ware County, Georgia...........................            11            11
11941..............................  Warren County, Georgia.........................            11            11
11950..............................  Washington County, Georgia.....................            11            11
11960..............................  Wayne County, Georgia..........................            11            11
11961..............................  Webster County, Georgia........................            11            11
11962..............................  Wheeler County, Georgia........................            11            11
11963..............................  White County, Georgia..........................            11            11
11970..............................  Whitfield County, Georgia......................            11         19140
11971..............................  Wilcox County, Georgia.........................            11            11
11972..............................  Wilkes County, Georgia.........................            11            11
11973..............................  Wilkinson County, Georgia......................            11            11
11980..............................  Worth County, Georgia..........................            11         10500
12005..............................  Kalawao County, Hawaii.........................            12            12
12010..............................  Hawaii County, Hawaii..........................            12            12
12020..............................  Honolulu County, Hawaii........................          3320         26180
12040..............................  Kauai County, Hawaii...........................            12            12
12050..............................  Maui County, Hawaii............................            12            12
13000..............................  Ada County, Idaho..............................          1080         14260

[[Page 46018]]

 
13010..............................  Adams County, Idaho............................            13            13
13020..............................  Bannock County, Idaho..........................            13         38540
13030..............................  Bear Lake County, Idaho........................            13            13
13040..............................  Benewah County, Idaho..........................            13            13
13050..............................  Bingham County, Idaho..........................            13            13
13060..............................  Blaine County, Idaho...........................            13            13
13070..............................  Boise County, Idaho............................            13         14260
13080..............................  Bonner County, Idaho...........................            13            13
13090..............................  Bonneville County, Idaho.......................            13         26820
13100..............................  Boundary County, Idaho.........................            13            13
13110..............................  Butte County, Idaho............................            13            13
13120..............................  Camas County, Idaho............................            13            13
13130..............................  Canyon County, Idaho...........................            13         14260
13140..............................  Caribou County, Idaho..........................            13            13
13150..............................  Cassia County, Idaho...........................            13            13
13160..............................  Clark County, Idaho............................            13            13
13170..............................  Clearwater County, Idaho.......................            13            13
13180..............................  Custer County, Idaho...........................            13            13
13190..............................  Elmore County, Idaho...........................            13            13
13200..............................  Franklin County, Idaho.........................            13         30860
13210..............................  Fremont County, Idaho..........................            13            13
13220..............................  Gem County, Idaho..............................            13         14260
13230..............................  Gooding County, Idaho..........................            13            13
13240..............................  Idaho County, Idaho............................            13            13
13250..............................  Jefferson County, Idaho........................            13         26820
13260..............................  Jerome County, Idaho...........................            13            13
13270..............................  Kootenai County, Idaho.........................            13         17660
13280..............................  Latah County, Idaho............................            13            13
13290..............................  Lemhi County, Idaho............................            13            13
13300..............................  Lewis County, Idaho............................            13            13
13310..............................  Lincoln County, Idaho..........................            13            13
13320..............................  Madison County, Idaho..........................            13            13
13330..............................  Minidoka County, Idaho.........................            13            13
13340..............................  Nez Perce County, Idaho........................            13         30300
13350..............................  Oneida County, Idaho...........................            13            13
13360..............................  Owyhee County, Idaho...........................            13         14260
13370..............................  Payette County, Idaho..........................            13            13
13380..............................  Power County, Idaho............................            13         38540
13390..............................  Shoshone County, Idaho.........................            13            13
13400..............................  Teton County, Idaho............................            13            13
13410..............................  Twin Falls County, Idaho.......................            13            13
13420..............................  Valley County, Idaho...........................            13            13
13430..............................  Washington County, Idaho.......................            13            13
14000..............................  Adams County, Illinois.........................            14            14
14010..............................  Alexander County, Illinois.....................            14            14
14020..............................  Bond County, Illinois..........................            14         41180
14030..............................  Boone County, Illinois.........................          6880         40420
14040..............................  Brown County, Illinois.........................            14            14
14050..............................  Bureau County, Illinois........................            14            14
14060..............................  Calhoun County, Illinois.......................            14         41180
14070..............................  Carroll County, Illinois.......................            14            14
14080..............................  Cass County, Illinois..........................            14            14
14090..............................  Champaign County, Illinois.....................          1400         16580
14100..............................  Christian County, Illinois.....................            14            14
14110..............................  Clark County, Illinois.........................            14            14
14120..............................  Clay County, Illinois..........................            14            14
14130..............................  Clinton County, Illinois.......................          7040         41180
14140..............................  Coles County, Illinois.........................            14            14
14141..............................  Cook County, Illinois..........................          1600         16974
14150..............................  Crawford County, Illinois......................            14            14
14160..............................  Cumberland County, Illinois....................            14            14
14170..............................  De Kalb County, Illinois.......................            14         16974
14180..............................  De Witt County, Illinois.......................            14            14
14190..............................  Douglas County, Illinois.......................            14            14
14250..............................  Du Page County, Illinois.......................          1600         16974
14310..............................  Edgar County, Illinois.........................            14            14
14320..............................  Edwards County, Illinois.......................            14            14
14330..............................  Effingham County, Illinois.....................            14            14
14340..............................  Fayette County, Illinois.......................            14            14
14350..............................  Ford County, Illinois..........................            14         16580

[[Page 46019]]

 
14360..............................  Franklin County, Illinois......................            14            14
14370..............................  Fulton County, Illinois........................            14            14
14380..............................  Gallatin County, Illinois......................            14            14
14390..............................  Greene County, Illinois........................            14            14
14400..............................  Grundy County, Illinois........................          3690         16974
14410..............................  Hamilton County, Illinois......................            14            14
14420..............................  Hancock County, Illinois.......................            14            14
14421..............................  Hardin County, Illinois........................            14            14
14440..............................  Henderson County, Illinois.....................            14            14
14450..............................  Henry County, Illinois.........................          1960         19340
14460..............................  Iroquois County, Illinois......................            14            14
14470..............................  Jackson County, Illinois.......................            14            14
14480..............................  Jasper County, Illinois........................            14            14
14490..............................  Jefferson County, Illinois.....................            14            14
14500..............................  Jersey County, Illinois........................          7040         41180
14510..............................  Jo Daviess County, Illinois....................            14            14
14520..............................  Johnson County, Illinois.......................            14            14
14530..............................  Kane County, Illinois..........................          0620         16974
14540..............................  Kankakee County, Illinois......................          3740         28100
14550..............................  Kendall County, Illinois.......................          0620         16974
14560..............................  Knox County, Illinois..........................            14            14
14570..............................  Lake County, Illinois..........................          3965         29404
14580..............................  La Salle County, Illinois......................            14            14
14590..............................  Lawrence County, Illinois......................            14            14
14600..............................  Lee County, Illinois...........................            14            14
14610..............................  Livingston County, Illinois....................            14            14
14620..............................  Logan County, Illinois.........................            14            14
14630..............................  Mc Donough County, Illinois....................            14            14
14640..............................  Mc Henry County, Illinois......................          1600         16974
14650..............................  Mclean County, Illinois........................          1040         14060
14660..............................  Macon County, Illinois.........................          2040         19500
14670..............................  Macoupin County, Illinois......................            14         41180
14680..............................  Madison County, Illinois.......................          7040         41180
14690..............................  Marion County, Illinois........................            14            14
14700..............................  Marshall County, Illinois......................            14         37900
14710..............................  Mason County, Illinois.........................            14            14
14720..............................  Massac County, Illinois........................            14            14
14730..............................  Menard County, Illinois........................          7880         44100
14740..............................  Mercer County, Illinois........................            14         19340
14750..............................  Monroe County, Illinois........................          7040         41180
14760..............................  Montgomery County, Illinois....................            14            14
14770..............................  Morgan County, Illinois........................            14            14
14780..............................  Moultrie County, Illinois......................            14            14
14790..............................  Ogle County, Illinois..........................            14            14
14800..............................  Peoria County, Illinois........................          6120         37900
14810..............................  Perry County, Illinois.........................            14            14
14820..............................  Piatt County, Illinois.........................            14         16580
14830..............................  Pike County, Illinois..........................            14            14
14831..............................  Pope County, Illinois..........................            14            14
14850..............................  Pulaski County, Illinois.......................            14            14
14860..............................  Putnam County, Illinois........................            14            14
14870..............................  Randolph County, Illinois......................            14            14
14880..............................  Richland County, Illinois......................            14            14
14890..............................  Rock Island County, Illinois...................          1960         19340
14900..............................  St Clair County, Illinois......................          7040         41180
14910..............................  Saline County, Illinois........................            14            14
14920..............................  Sangamon County, Illinois......................          7880         44100
14921..............................  Schuyler County, Illinois......................            14            14
14940..............................  Scott County, Illinois.........................            14            14
14950..............................  Shelby County, Illinois........................            14            14
14960..............................  Stark County, Illinois.........................            14         37900
14970..............................  Stephenson County, Illinois....................            14            14
14980..............................  Tazewell County, Illinois......................          6120         37900
14981..............................  Union County, Illinois.........................            14            14
14982..............................  Vermilion County, Illinois.....................            14         19180
14983..............................  Wabash County, Illinois........................            14            14
14984..............................  Warren County, Illinois........................            14            14
14985..............................  Washington County, Illinois....................            14            14
14986..............................  Wayne County, Illinois.........................            14            14
14987..............................  White County, Illinois.........................            14            14

[[Page 46020]]

 
14988..............................  Whiteside County, Illinois.....................            14            14
14989..............................  Will County, Illinois..........................          3690         16974
14990..............................  Williamson County, Illinois....................            14            14
14991..............................  Winnebago County, Illinois.....................          6880         40420
14992..............................  Woodford County, Illinois......................          6120         37900
15000..............................  Adams County, Indiana..........................            15            15
15010..............................  Allen County, Indiana..........................          2760         23060
15020..............................  Bartholomew County, Indiana....................            15         18020
15030..............................  Benton County, Indiana.........................            15         29140
15040..............................  Blackford County, Indiana......................            15            15
15050..............................  Boone County, Indiana..........................          3480         26900
15060..............................  Brown County, Indiana..........................            15         26900
15070..............................  Carroll County, Indiana........................            15         29140
15080..............................  Cass County, Indiana...........................            15            15
15090..............................  Clark County, Indiana..........................          4520         31140
15100..............................  Clay County, Indiana...........................          8320         45460
15110..............................  Clinton County, Indiana........................            15            15
15120..............................  Crawford County, Indiana.......................            15            15
15130..............................  Daviess County, Indiana........................            15            15
15140..............................  Dearborn County, Indiana.......................          1640         17140
15150..............................  Decatur County, Indiana........................            15            15
15160..............................  De Kalb County, Indiana........................          2760            15
15170..............................  Delaware County, Indiana.......................          5280         34620
15180..............................  Dubois County, Indiana.........................            15            15
15190..............................  Elkhart County, Indiana........................          2330         21140
15200..............................  Fayette County, Indiana........................            15            15
15210..............................  Floyd County, Indiana..........................          4520         31140
15220..............................  Fountain County, Indiana.......................            15            15
15230..............................  Franklin County, Indiana.......................            15         17140
15240..............................  Fulton County, Indiana.........................            15            15
15250..............................  Gibson County, Indiana.........................            15         21780
15260..............................  Grant County, Indiana..........................            15            15
15270..............................  Greene County, Indiana.........................            15         14020
15280..............................  Hamilton County, Indiana.......................          3480         26900
15290..............................  Hancock County, Indiana........................          3480         26900
15300..............................  Harrison County, Indiana.......................          4520         31140
15310..............................  Hendricks County, Indiana......................          3480         26900
15320..............................  Henry County, Indiana..........................            15            15
15330..............................  Howard County, Indiana.........................          3850         29020
15340..............................  Huntington County, Indiana.....................            15            15
15350..............................  Jackson County, Indiana........................            15            15
15360..............................  Jasper County, Indiana.........................            15         23844
15370..............................  Jay County, Indiana............................            15            15
15380..............................  Jefferson County, Indiana......................            15            15
15390..............................  Jennings County, Indiana.......................            15            15
15400..............................  Johnson County, Indiana........................          3480         26900
15410..............................  Knox County, Indiana...........................            15            15
15420..............................  Kosciusko County, Indiana......................            15            15
15430..............................  Lagrange County, Indiana.......................            15            15
15440..............................  Lake County, Indiana...........................          2960         23844
15450..............................  La Porte County, Indiana.......................            15         33140
15460..............................  Lawrence County, Indiana.......................            15            15
15470..............................  Madison County, Indiana........................          0400         11300
15480..............................  Marion County, Indiana.........................          3480         26900
15490..............................  Marshall County, Indiana.......................            15            15
15500..............................  Martin County, Indiana.........................            15            15
15510..............................  Miami County, Indiana..........................            15            15
15520..............................  Monroe County, Indiana.........................          1020         14020
15530..............................  Montgomery County, Indiana.....................            15            15
15540..............................  Morgan County, Indiana.........................          3480         26900
15550..............................  Newton County, Indiana.........................            15         23844
15560..............................  Noble County, Indiana..........................            15            15
15570..............................  Ohio County, Indiana...........................            15         17140
15580..............................  Orange County, Indiana.........................            15            15
15590..............................  Owen County, Indiana...........................            15         14020
15600..............................  Parke County, Indiana..........................            15            15
15610..............................  Perry County, Indiana..........................            15            15
15620..............................  Pike County, Indiana...........................            15            15
15630..............................  Porter County, Indiana.........................          2960         23844
15640..............................  Posey County, Indiana..........................          2440         21780

[[Page 46021]]

 
15650..............................  Pulaski County, Indiana........................            15            15
15660..............................  Putnam County, Indiana.........................            15         26900
15670..............................  Randolph County, Indiana.......................            15            15
15680..............................  Ripley County, Indiana.........................            15            15
15690..............................  Rush County, Indiana...........................            15            15
15700..............................  St Joseph County, Indiana......................          7800         43780
15710..............................  Scott County, Indiana..........................            15            15
15720..............................  Shelby County, Indiana.........................          3480         26900
15730..............................  Spencer County, Indiana........................            15            15
15740..............................  Starke County, Indiana.........................            15            15
15750..............................  Steuben County, Indiana........................            15            15
15760..............................  Sullivan County, Indiana.......................            15         45460
15770..............................  Switzerland County, Indiana....................            15            15
15780..............................  Tippecanoe County, Indiana.....................          3920         29140
15790..............................  Tipton County, Indiana.........................          3850         29020
15800..............................  Union County, Indiana..........................            15            15
15810..............................  Vanderburgh County, Indiana....................          2440         21780
15820..............................  Vermillion County, Indiana.....................            15         45460
15830..............................  Vigo County, Indiana...........................          8320         45460
15840..............................  Wabash County, Indiana.........................            15            15
15850..............................  Warren County, Indiana.........................            15            15
15860..............................  Warrick County, Indiana........................          2440         21780
15870..............................  Washington County, Indiana.....................            15         31140
15880..............................  Wayne County, Indiana..........................            15            15
15890..............................  Wells County, Indiana..........................            15         23060
15900..............................  White County, Indiana..........................            15            15
15910..............................  Whitley County, Indiana........................          2760         23060
16000..............................  Adair County, Iowa.............................            16            16
16010..............................  Adams County, Iowa.............................            16            16
16020..............................  Allamakee County, Iowa.........................            16            16
16030..............................  Appanoose County, Iowa.........................            16            16
16040..............................  Audubon County, Iowa...........................            16            16
16050..............................  Benton County, Iowa............................            16         16300
16060..............................  Black Hawk County, Iowa........................          8920         47940
16070..............................  Boone County, Iowa.............................            16            16
16080..............................  Bremer County, Iowa............................          8920         47940
16090..............................  Buchanan County, Iowa..........................            16            16
16100..............................  Buena Vista County, Iowa.......................            16            16
16110..............................  Butler County, Iowa............................            16            16
16120..............................  Calhoun County, Iowa...........................            16            16
16130..............................  Carroll County, Iowa...........................            16            16
16140..............................  Cass County, Iowa..............................            16            16
16150..............................  Cedar County, Iowa.............................            16            16
16160..............................  Cerro Gordo County, Iowa.......................            16            16
16170..............................  Cherokee County, Iowa..........................            16            16
16180..............................  Chickasaw County, Iowa.........................            16            16
16190..............................  Clarke County, Iowa............................            16            16
16200..............................  Clay County, Iowa..............................            16            16
16210..............................  Clayton County, Iowa...........................            16            16
16220..............................  Clinton County, Iowa...........................            16            16
16230..............................  Crawford County, Iowa..........................            16            16
16240..............................  Dallas County, Iowa............................          2120         19780
16250..............................  Davis County, Iowa.............................            16            16
16260..............................  Decatur County, Iowa...........................            16            16
16270..............................  Delaware County, Iowa..........................            16            16
16280..............................  Des Moines County, Iowa........................            16            16
16290..............................  Dickinson County, Iowa.........................            16            16
16300..............................  Dubuque County, Iowa...........................          2200         20220
16310..............................  Emmet County, Iowa.............................            16            16
16320..............................  Fayette County, Iowa...........................            16            16
16330..............................  Floyd County, Iowa.............................            16            16
16340..............................  Franklin County, Iowa..........................            16            16
16350..............................  Fremont County, Iowa...........................            16            16
16360..............................  Greene County, Iowa............................            16            16
16370..............................  Grundy County, Iowa............................            16         47940
16380..............................  Guthrie County, Iowa...........................            16         19780
16390..............................  Hamilton County, Iowa..........................            16            16
16400..............................  Hancock County, Iowa...........................            16            16
16410..............................  Hardin County, Iowa............................            16            16
16420..............................  Harrison County, Iowa..........................            16         36540

[[Page 46022]]

 
16430..............................  Henry County, Iowa.............................            16            16
16440..............................  Howard County, Iowa............................            16            16
16450..............................  Humboldt County, Iowa..........................            16            16
16460..............................  Ida County, Iowa...............................            16            16
16470..............................  Iowa County, Iowa..............................            16            16
16480..............................  Jackson County, Iowa...........................            16            16
16490..............................  Jasper County, Iowa............................            16            16
16500..............................  Jefferson County, Iowa.........................            16            16
16510..............................  Johnson County, Iowa...........................          3500         26980
16520..............................  Jones County, Iowa.............................            16         16300
16530..............................  Keokuk County, Iowa............................            16            16
16540..............................  Kossuth County, Iowa...........................            16            16
16550..............................  Lee County, Iowa...............................            16            16
16560..............................  Linn County, Iowa..............................          1360         16300
16570..............................  Louisa County, Iowa............................            16            16
16580..............................  Lucas County, Iowa.............................            16            16
16590..............................  Lyon County, Iowa..............................            16            16
16600..............................  Madison County, Iowa...........................            16         19780
16610..............................  Mahaska County, Iowa...........................            16            16
16620..............................  Marion County, Iowa............................            16            16
16630..............................  Marshall County, Iowa..........................            16            16
16640..............................  Mills County, Iowa.............................            16         36540
16650..............................  Mitchell County, Iowa..........................            16            16
16660..............................  Monona County, Iowa............................            16            16
16670..............................  Monroe County, Iowa............................            16            16
16680..............................  Montgomery County, Iowa........................            16            16
16690..............................  Muscatine County, Iowa.........................            16            16
16700..............................  O Brien County, Iowa...........................            16            16
16710..............................  Osceola County, Iowa...........................            16            16
16720..............................  Page County, Iowa..............................            16            16
16730..............................  Palo Alto County, Iowa.........................            16            16
16740..............................  Plymouth County, Iowa..........................            16            16
16750..............................  Pocahontas County, Iowa........................            16            16
16760..............................  Polk County, Iowa..............................          2120         19780
16770..............................  Pottawattamie County, Iowa.....................          5920         36540
16780..............................  Poweshiek County, Iowa.........................            16            16
16790..............................  Ringgold County, Iowa..........................            16            16
16800..............................  Sac County, Iowa...............................            16            16
16810..............................  Scott County, Iowa.............................          1960         19340
16820..............................  Shelby County, Iowa............................            16            16
16830..............................  Sioux County, Iowa.............................            16            16
16840..............................  Story County, Iowa.............................            16         11180
16850..............................  Tama County, Iowa..............................            16            16
16860..............................  Taylor County, Iowa............................            16            16
16870..............................  Union County, Iowa.............................            16            16
16880..............................  Van Buren County, Iowa.........................            16            16
16890..............................  Wapello County, Iowa...........................            16            16
16900..............................  Warren County, Iowa............................          2120         19780
16910..............................  Washington County, Iowa........................            16         26980
16920..............................  Wayne County, Iowa.............................            16            16
16930..............................  Webster County, Iowa...........................            16            16
16940..............................  Winnebago County, Iowa.........................            16            16
16950..............................  Winneshiek County, Iowa........................            16            16
16960..............................  Woodbury County, Iowa..........................          7720         43580
16970..............................  Worth County, Iowa.............................            16            16
16980..............................  Wright County, Iowa............................            16            16
17000..............................  Allen County, Kansas...........................            17            17
17010..............................  Anderson County, Kansas........................            17            17
17020..............................  Atchison County, Kansas........................            17            17
17030..............................  Barber County, Kansas..........................            17            17
17040..............................  Barton County, Kansas..........................            17            17
17050..............................  Bourbon County, Kansas.........................            17            17
17060..............................  Brown County, Kansas...........................            17            17
17070..............................  Butler County, Kansas..........................          9040         48620
17080..............................  Chase County, Kansas...........................            17            17
17090..............................  Chautauqua County, Kansas......................            17            17
17100..............................  Cherokee County, Kansas........................            17            17
17110..............................  Cheyenne County, Kansas........................            17            17
17120..............................  Clark County, Kansas...........................            17            17
17130..............................  Clay County, Kansas............................            17            17

[[Page 46023]]

 
17140..............................  Cloud County, Kansas...........................            17            17
17150..............................  Coffey County, Kansas..........................            17            17
17160..............................  Comanche County, Kansas........................            17            17
17170..............................  Cowley County, Kansas..........................            17            17
17180..............................  Crawford County, Kansas........................            17            17
17190..............................  Decatur County, Kansas.........................            17            17
17200..............................  Dickinson County, Kansas.......................            17            17
17210..............................  Doniphan County, Kansas........................            17         41140
17220..............................  Douglas County, Kansas.........................          4150         29940
17230..............................  Edwards County, Kansas.........................            17            17
17240..............................  Elk County, Kansas.............................            17            17
17250..............................  Ellis County, Kansas...........................            17            17
17260..............................  Ellsworth County, Kansas.......................            17            17
17270..............................  Finney County, Kansas..........................            17            17
17280..............................  Ford County, Kansas............................            17            17
17290..............................  Franklin County, Kansas........................            17         28140
17300..............................  Geary County, Kansas...........................            17            17
17310..............................  Gove County, Kansas............................            17            17
17320..............................  Graham County, Kansas..........................            17            17
17330..............................  Grant County, Kansas...........................            17            17
17340..............................  Gray County, Kansas............................            17            17
17350..............................  Greeley County, Kansas.........................            17            17
17360..............................  Greenwood County, Kansas.......................            17            17
17370..............................  Hamilton County, Kansas........................            17            17
17380..............................  Harper County, Kansas..........................            17            17
17390..............................  Harvey County, Kansas..........................            17         48620
17391..............................  Haskell County, Kansas.........................            17            17
17410..............................  Hodgeman County, Kansas........................            17            17
17420..............................  Jackson County, Kansas.........................            17         45820
17430..............................  Jefferson County, Kansas.......................            17         45820
17440..............................  Jewell County, Kansas..........................            17            17
17450..............................  Johnson County, Kansas.........................          3760         28140
17451..............................  Kearny County, Kansas..........................            17            17
17470..............................  Kingman County, Kansas.........................            17            17
17480..............................  Kiowa County, Kansas...........................            17            17
17490..............................  Labette County, Kansas.........................            17            17
17500..............................  Lane County, Kansas............................            17            17
17510..............................  Leavenworth County, Kansas.....................          3760         28140
17520..............................  Lincoln County, Kansas.........................            17            17
17530..............................  Linn County, Kansas............................            17         28140
17540..............................  Logan County, Kansas...........................            17            17
17550..............................  Lyon County, Kansas............................            17            17
17560..............................  Mc Pherson County, Kansas......................            17            17
17570..............................  Marion County, Kansas..........................            17            17
17580..............................  Marshall County, Kansas........................            17            17
17590..............................  Meade County, Kansas...........................            17            17
17600..............................  Miami County, Kansas...........................          3760         28140
17610..............................  Mitchell County, Kansas........................            17            17
17620..............................  Montgomery County, Kansas......................            17            17
17630..............................  Morris County, Kansas..........................            17            17
17640..............................  Morton County, Kansas..........................            17            17
17650..............................  Nemaha County, Kansas..........................            17            17
17660..............................  Neosho County, Kansas..........................            17            17
17670..............................  Ness County, Kansas............................            17            17
17680..............................  Norton County, Kansas..........................            17            17
17690..............................  Osage County, Kansas...........................            17         45820
17700..............................  Osborne County, Kansas.........................            17            17
17710..............................  Ottawa County, Kansas..........................            17            17
17720..............................  Pawnee County, Kansas..........................            17            17
17730..............................  Phillips County, Kansas........................            17            17
17740..............................  Pottawatomie County, Kansas....................            17            17
17750..............................  Pratt County, Kansas...........................            17            17
17760..............................  Rawlins County, Kansas.........................            17            17
17770..............................  Reno County, Kansas............................            17            17
17780..............................  Republic County, Kansas........................            17            17
17790..............................  Rice County, Kansas............................            17            17
17800..............................  Riley County, Kansas...........................            17            17
17810..............................  Rooks County, Kansas...........................            17            17
17820..............................  Rush County, Kansas............................            17            17
17830..............................  Russell County, Kansas.........................            17            17

[[Page 46024]]

 
17840..............................  Saline County, Kansas..........................            17            17
17841..............................  Scott County, Kansas...........................            17            17
17860..............................  Sedgwick County, Kansas........................          9040         48620
17870..............................  Seward County, Kansas..........................            17            17
17880..............................  Shawnee County, Kansas.........................          8440         45820
17890..............................  Sheridan County, Kansas........................            17            17
17900..............................  Sherman County, Kansas.........................            17            17
17910..............................  Smith County, Kansas...........................            17            17
17920..............................  Stafford County, Kansas........................            17            17
17921..............................  Stanton County, Kansas.........................            17            17
17940..............................  Stevens County, Kansas.........................            17            17
17950..............................  Sumner County, Kansas..........................            17         48620
17960..............................  Thomas County, Kansas..........................            17            17
17970..............................  Trego County, Kansas...........................            17            17
17980..............................  Wabaunsee County, Kansas.......................            17            17
17981..............................  Wallace County, Kansas.........................            17            17
17982..............................  Washington County, Kansas......................            17            17
17983..............................  Wichita County, Kansas.........................            17            17
17984..............................  Wilson County, Kansas..........................            17            17
17985..............................  Woodson County, Kansas.........................            17            17
17986..............................  Wyandotte County, Kansas.......................          3760         28140
18000..............................  Adair County, Kentucky.........................            18            18
18010..............................  Allen County, Kentucky.........................            18            18
18020..............................  Anderson County, Kentucky......................            18            18
18030..............................  Ballard County, Kentucky.......................            18            18
18040..............................  Barren County, Kentucky........................            18            18
18050..............................  Bath County, Kentucky..........................            18            18
18060..............................  Bell County, Kentucky..........................            18            18
18070..............................  Boone County, Kentucky.........................          1640         17140
18080..............................  Bourbon County, Kentucky.......................          4280         30460
18090..............................  Boyd County, Kentucky..........................          3400         26580
18100..............................  Boyle County, Kentucky.........................            18            18
18110..............................  Bracken County, Kentucky.......................            18         17140
18120..............................  Breathitt County, Kentucky.....................            18            18
18130..............................  Breckinridge County, Kentucky..................            18            18
18140..............................  Bullitt County, Kentucky.......................          4520         31140
18150..............................  Butler County, Kentucky........................            18            18
18160..............................  Caldwell County, Kentucky......................            18            18
18170..............................  Calloway County, Kentucky......................            18            18
18180..............................  Campbell County, Kentucky......................          1640         17140
18190..............................  Carlisle County, Kentucky......................            18            18
18191..............................  Carroll County, Kentucky.......................            18            18
18210..............................  Carter County, Kentucky........................          3400            18
18220..............................  Casey County, Kentucky.........................            18            18
18230..............................  Christian County, Kentucky.....................          1660         17300
18240..............................  Clark County, Kentucky.........................          4280         30460
18250..............................  Clay County, Kentucky..........................            18            18
18260..............................  Clinton County, Kentucky.......................            18            18
18270..............................  Crittenden County, Kentucky....................            18            18
18271..............................  Cumberland County, Kentucky....................            18            18
18290..............................  Daviess County, Kentucky.......................          5990         36980
18291..............................  Edmonson County, Kentucky......................            18         14540
18310..............................  Elliott County, Kentucky.......................            18            18
18320..............................  Estill County, Kentucky........................            18            18
18330..............................  Fayette County, Kentucky.......................          4280         30460
18340..............................  Fleming County, Kentucky.......................            18            18
18350..............................  Floyd County, Kentucky.........................            18            18
18360..............................  Franklin County, Kentucky......................            18            18
18361..............................  Fulton County, Kentucky........................            18            18
18362..............................  Gallatin County, Kentucky......................            18         17140
18390..............................  Garrard County, Kentucky.......................            18            18
18400..............................  Grant County, Kentucky.........................            18         17140
18410..............................  Graves County, Kentucky........................            18            18
18420..............................  Grayson County, Kentucky.......................            18            18
18421..............................  Green County, Kentucky.........................            18            18
18440..............................  Greenup County, Kentucky.......................          3400         26580
18450..............................  Hancock County, Kentucky.......................            18         36980
18460..............................  Hardin County, Kentucky........................            18         21060
18470..............................  Harlan County, Kentucky........................            18            18
18480..............................  Harrison County, Kentucky......................            18            18

[[Page 46025]]

 
18490..............................  Hart County, Kentucky..........................            18            18
18500..............................  Henderson County, Kentucky.....................          2440         21780
18510..............................  Henry County, Kentucky.........................            18         31140
18511..............................  Hickman County, Kentucky.......................            18            18
18530..............................  Hopkins County, Kentucky.......................            18            18
18540..............................  Jackson County, Kentucky.......................            18            18
18550..............................  Jefferson County, Kentucky.....................          4520         31140
18560..............................  Jessamine County, Kentucky.....................          4280         30460
18570..............................  Johnson County, Kentucky.......................            18            18
18580..............................  Kenton County, Kentucky........................          1640         17140
18590..............................  Knott County, Kentucky.........................            18            18
18600..............................  Knox County, Kentucky..........................            18            18
18610..............................  Larue County, Kentucky.........................            18         21060
18620..............................  Laurel County, Kentucky........................            18            18
18630..............................  Lawrence County, Kentucky......................            18            18
18640..............................  Lee County, Kentucky...........................            18            18
18650..............................  Leslie County, Kentucky........................            18            18
18660..............................  Letcher County, Kentucky.......................            18            18
18670..............................  Lewis County, Kentucky.........................            18            18
18680..............................  Lincoln County, Kentucky.......................            18            18
18690..............................  Livingston County, Kentucky....................            18            18
18700..............................  Logan County, Kentucky.........................            18            18
18710..............................  Lyon County, Kentucky..........................            18            18
18720..............................  Mc Cracken County, Kentucky....................            18            18
18730..............................  Mc Creary County, Kentucky.....................            18            18
18740..............................  Mc Lean County, Kentucky.......................            18            18
18750..............................  Madison County, Kentucky.......................            18            18
18760..............................  Magoffin County, Kentucky......................            18            18
18770..............................  Marion County, Kentucky........................            18            18
18780..............................  Marshall County, Kentucky......................            18            18
18790..............................  Martin County, Kentucky........................            18            18
18800..............................  Mason County, Kentucky.........................            18            18
18801..............................  Meade County, Kentucky.........................            18         31140
18802..............................  Menifee County, Kentucky.......................            18            18
18830..............................  Mercer County, Kentucky........................            18            18
18831..............................  Metcalfe County, Kentucky......................            18            18
18850..............................  Monroe County, Kentucky........................            18            18
18860..............................  Montgomery County, Kentucky....................            18            18
18861..............................  Morgan County, Kentucky........................            18            18
18880..............................  Muhlenberg County, Kentucky....................            18            18
18890..............................  Nelson County, Kentucky........................            18         31140
18900..............................  Nicholas County, Kentucky......................            18            18
18910..............................  Ohio County, Kentucky..........................            18            18
18920..............................  Oldham County, Kentucky........................          4520         31140
18930..............................  Owen County, Kentucky..........................            18            18
18931..............................  Owsley County, Kentucky........................            18            18
18932..............................  Pendleton County, Kentucky.....................            18         17140
18960..............................  Perry County, Kentucky.........................            18            18
18970..............................  Pike County, Kentucky..........................            18            18
18971..............................  Powell County, Kentucky........................            18            18
18972..............................  Pulaski County, Kentucky.......................            18            18
18973..............................  Robertson County, Kentucky.....................            18            18
18974..............................  Rockcastle County, Kentucky....................            18            18
18975..............................  Rowan County, Kentucky.........................            18            18
18976..............................  Russell County, Kentucky.......................            18            18
18977..............................  Scott County, Kentucky.........................          4280         30460
18978..............................  Shelby County, Kentucky........................          4520         31140
18979..............................  Simpson County, Kentucky.......................            18            18
18980..............................  Spencer County, Kentucky.......................            18         31140
18981..............................  Taylor County, Kentucky........................            18            18
18982..............................  Todd County, Kentucky..........................            18            18
18983..............................  Trigg County, Kentucky.........................            18         17300
18984..............................  Trimble County, Kentucky.......................            18         31140
18985..............................  Union County, Kentucky.........................            18            18
18986..............................  Warren County, Kentucky........................            18         14540
18987..............................  Washington County, Kentucky....................            18            18
18988..............................  Wayne County, Kentucky.........................            18            18
18989..............................  Webster County, Kentucky.......................            18         21780
18990..............................  Whitley County, Kentucky.......................            18            18
18991..............................  Wolfe County, Kentucky.........................            18            18

[[Page 46026]]

 
18992..............................  Woodford County, Kentucky......................          4280         30460
19000..............................  Acadia County, Louisiana.......................            19            19
19010..............................  Allen County, Louisiana........................            19            19
19020..............................  Ascension County, Louisiana....................          0760         12940
19030..............................  Assumption County, Louisiana...................            19            19
19040..............................  Avoyelles County, Louisiana....................            19            19
19050..............................  Beauregard County, Louisiana...................            19            19
19060..............................  Bienville County, Louisiana....................            19            19
19070..............................  Bossier County, Louisiana......................          7680         43340
19080..............................  Caddo County, Louisiana........................          7680         43340
19090..............................  Calcasieu County, Louisiana....................          3960         29340
19100..............................  Caldwell County, Louisiana.....................            19            19
19110..............................  Cameron County, Louisiana......................            19         29340
19120..............................  Catahoula County, Louisiana....................            19            19
19130..............................  Claiborne County, Louisiana....................            19            19
19140..............................  Concordia County, Louisiana....................            19            19
19150..............................  De Soto County, Louisiana......................            19         43340
19160..............................  East Baton Rouge County, Louisiana.............          0760         12940
19170..............................  East Carroll County, Louisiana.................            19            19
19180..............................  East Feliciana County, Louisiana...............            19         12940
19190..............................  Evangeline County, Louisiana...................            19            19
19200..............................  Franklin County, Louisiana.....................            19            19
19210..............................  Grant County, Louisiana........................            19         10780
19220..............................  Iberia County, Louisiana.......................            19            19
19230..............................  Iberville County, Louisiana....................            19         12940
19240..............................  Jackson County, Louisiana......................            19            19
19250..............................  Jefferson County, Louisiana....................          5560         35380
19260..............................  Jefferson Davis County, Louisiana..............            19            19
19270..............................  Lafayette County, Louisiana....................          3880         29180
19280..............................  Lafourche County, Louisiana....................          3350         26380
19290..............................  La Salle County, Louisiana.....................            19            19
19300..............................  Lincoln County, Louisiana......................            19            19
19310..............................  Livingston County, Louisiana...................          0760         12940
19320..............................  Madison County, Louisiana......................            19            19
19330..............................  Morehouse County, Louisiana....................            19            19
19340..............................  Natchitoches County, Louisiana.................            19            19
19350..............................  Orleans County, Louisiana......................          5560         35380
19360..............................  Ouachita County, Louisiana.....................          5200         33740
19370..............................  Plaquemines County, Louisiana..................            19         35380
19380..............................  Pointe Coupee County, Louisiana................            19         12940
19390..............................  Rapides County, Louisiana......................          0220         10780
19400..............................  Red River County, Louisiana....................            19            19
19410..............................  Richland County, Louisiana.....................            19            19
19420..............................  Sabine County, Louisiana.......................            19            19
19430..............................  St Bernard County, Louisiana...................          5560         35380
19440..............................  St Charles County, Louisiana...................          5560         35380
19450..............................  St Helena County, Louisiana....................            19         12940
19460..............................  St James County, Louisiana.....................            19            19
19470..............................  St John Baptist County, Louisiana..............          5560         35380
19480..............................  St Landry County, Louisiana....................           .19            19
19490..............................  St Martin County, Louisiana....................          3880         29180
19500..............................  St Mary County, Louisiana......................            19            19
19510..............................  St Tammany County, Louisiana...................          5560         35380
19520..............................  Tangipahoa County, Louisiana...................            19            19
19530..............................  Tensas County, Louisiana.......................            19            19
19540..............................  Terrebonne County, Louisiana...................          3350         26380
19550..............................  Union County, Louisiana........................            19         33740
19560..............................  Vermilion County, Louisiana....................            19            19
19570..............................  Vernon County, Louisiana.......................            19            19
19580..............................  Washington County, Louisiana...................            19            19
19590..............................  Webster County, Louisiana......................            19            19
19600..............................  West Baton Rouge County, Louisiana.............          0760         12940
19610..............................  West Carroll County, Louisiana.................            19            19
19620..............................  West Feliciana County, Louisiana...............            19         12940
19630..............................  Winn County, Louisiana.........................            19            19
20000..............................  Androscoggin County, Maine.....................          4243         30340
20010..............................  Aroostook County, Maine........................            20            20
20020..............................  Cumberland County, Maine.......................          6403         38860
20030..............................  Franklin County, Maine.........................            20            20
20040..............................  Hancock County, Maine..........................            20            20

[[Page 46027]]

 
20050..............................  Kennebec County, Maine.........................            20            20
20060..............................  Knox County, Maine.............................            20            20
20070..............................  Lincoln County, Maine..........................            20            20
20080..............................  Oxford County, Maine...........................            20            20
20090..............................  Penobscot County, Maine........................          0733         12620
20100..............................  Piscataquis County, Maine......................            20            20
20110..............................  Sagadahoc County, Maine........................          6403         38860
20120..............................  Somerset County, Maine.........................            20            20
20130..............................  Waldo County, Maine............................            20            20
20140..............................  Washington County, Maine.......................            20            20
20150..............................  York County, Maine.............................          6403         38860
21000..............................  Allegany County, Maryland......................          1900         19060
21010..............................  Anne Arundel County, Maryland..................          0720         12580
21020..............................  Baltimore County, Maryland.....................          0720         12580
21030..............................  Baltimore City County, Maryland................          0720         12580
21040..............................  Calvert County, Maryland.......................          8840         47894
21050..............................  Caroline County, Maryland......................            21            21
21060..............................  Carroll County, Maryland.......................          0720         12580
21070..............................  Cecil County, Maryland.........................          9160         48864
21080..............................  Charles County, Maryland.......................          8840         47894
21090..............................  Dorchester County, Maryland....................            21            21
21100..............................  Frederick County, Maryland.....................          8840         13644
21110..............................  Garrett County, Maryland.......................            21            21
21120..............................  Harford County, Maryland.......................          0720         12580
21130..............................  Howard County, Maryland........................          0720         12580
21140..............................  Kent County, Maryland..........................            21            21
21150..............................  Montgomery County, Maryland....................          8840         13644
21160..............................  Prince Georges County, Maryland................          8840         47894
21170..............................  Queen Annes County, Maryland...................          0720         12580
21180..............................  St Marys County, Maryland......................            21            21
21190..............................  Somerset County, Maryland......................            21         41540
21200..............................  Talbot County, Maryland........................            21            21
21210..............................  Washington County, Maryland....................          3180         25180
21220..............................  Wicomico County, Maryland......................            21         41540
21230..............................  Worcester County, Maryland.....................            21            21
22000..............................  Barnstable County, Massachusetts...............          0743         12700
22010..............................  Berkshire County, Massachusetts................          6323         38340
22020..............................  Bristol County, Massachusetts..................          5403         39300
22030..............................  Dukes County, Massachusetts....................            22            22
22040..............................  Essex County, Massachusetts....................          1123         21604
22060..............................  Franklin County, Massachusetts.................            22         44140
22070..............................  Hampden County, Massachusetts..................          8003         44140
22080..............................  Hampshire County, Massachusetts................          8003         44140
22090..............................  Middlesex County, Massachusetts................          1123         15764
22120..............................  Nantucket County, Massachusetts................            22            22
22130..............................  Norfolk County, Massachusetts..................          1123         14484
22150..............................  Plymouth County, Massachusetts.................          1123         14484
22160..............................  Suffolk County, Massachusetts..................          1123         14484
22170..............................  Worcester County, Massachusetts................          9243         49340
23000..............................  Alcona County, Michigan........................            23            23
23010..............................  Alger County, Michigan.........................            23            23
23020..............................  Allegan County, Michigan.......................            23            23
23030..............................  Alpena County, Michigan........................            23            23
23040..............................  Antrim County, Michigan........................            23            23
23050..............................  Arenac County, Michigan........................            23            23
23060..............................  Baraga County, Michigan........................            23            23
23070..............................  Barry County, Michigan.........................            23         24340
23080..............................  Bay County, Michigan...........................          6960         13020
23090..............................  Benzie County, Michigan........................            23            23
23100..............................  Berrien County, Michigan.......................          0870         35660
23110..............................  Branch County, Michigan........................            23            23
23120..............................  Calhoun County, Michigan.......................          0780         12980
23130..............................  Cass County, Michigan..........................            23         43780
23140..............................  Charlevoix County, Michigan....................            23            23
23150..............................  Cheboygan County, Michigan.....................            23            23
23160..............................  Chippewa County, Michigan......................            23            23
23170..............................  Clare County, Michigan.........................            23            23
23180..............................  Clinton County, Michigan.......................          4040         29620
23190..............................  Crawford County, Michigan......................            23            23
23200..............................  Delta County, Michigan.........................            23            23

[[Page 46028]]

 
23210..............................  Dickinson County, Michigan.....................            23            23
23220..............................  Eaton County, Michigan.........................          4040         29620
23230..............................  Emmet County, Michigan.........................            23            23
23240..............................  Genesee County, Michigan.......................          2640         22420
23250..............................  Gladwin County, Michigan.......................            23            23
23260..............................  Gogebic County, Michigan.......................            23            23
23270..............................  Grand Traverse County, Michigan................            23            23
23280..............................  Gratiot County, Michigan.......................            23            23
23290..............................  Hillsdale County, Michigan.....................            23            23
23300..............................  Houghton County, Michigan......................            23            23
23310..............................  Huron County, Michigan.........................            23            23
23320..............................  Ingham County, Michigan........................          4040         29620
23330..............................  Ionia County, Michigan.........................            23         24340
23340..............................  Iosco County, Michigan.........................            23            23
23350..............................  Iron County, Michigan..........................            23            23
23360..............................  Isabella County, Michigan......................            23            23
23370..............................  Jackson County, Michigan.......................          3520         27100
23380..............................  Kalamazoo County, Michigan.....................          3720         28020
23390..............................  Kalkaska County, Michigan......................            23            23
23400..............................  Kent County, Michigan..........................          3000         24340
23410..............................  Keweenaw County, Michigan......................            23            23
23420..............................  Lake County, Michigan..........................            23            23
23430..............................  Lapeer County, Michigan........................          2160         47644
23440..............................  Leelanau County, Michigan......................            23            23
23450..............................  Lenawee County, Michigan.......................            23            23
23460..............................  Livingston County, Michigan....................          2160         47644
23470..............................  Luce County, Michigan..........................            23            23
23480..............................  Mackinac County, Michigan......................            23            23
23490..............................  Macomb County, Michigan........................          2160         47644
23500..............................  Manistee County, Michigan......................            23            23
23510..............................  Marquette County, Michigan.....................            23            23
23520..............................  Mason County, Michigan.........................            23            23
23530..............................  Mecosta County, Michigan.......................            23            23
23540..............................  Menominee County, Michigan.....................            23            23
23550..............................  Midland County, Michigan.......................          6960            23
23560..............................  Missaukee County, Michigan.....................            23            23
23570..............................  Monroe County, Michigan........................          2160         33780
23580..............................  Montcalm County, Michigan......................            23            23
23590..............................  Montmorency County, Michigan...................            23            23
23600..............................  Muskegon County, Michigan......................          5320         34740
23610..............................  Newaygo County, Michigan.......................            23         24340
23620..............................  Oakland County, Michigan.......................          2160         47644
23630..............................  Oceana County, Michigan........................            23            23
23640..............................  Ogemaw County, Michigan........................            23            23
23650..............................  Ontonagon County, Michigan.....................            23            23
23660..............................  Osceola County, Michigan.......................            23            23
23670..............................  Oscoda County, Michigan........................            23            23
23680..............................  Otsego County, Michigan........................            23            23
23690..............................  Ottawa County, Michigan........................          3000         26100
23700..............................  Presque Isle County, Michigan..................            23            23
23710..............................  Roscommon County, Michigan.....................            23            23
23720..............................  Saginaw County, Michigan.......................          6960         40980
23730..............................  St Clair County, Michigan......................          2160         47644
23740..............................  St Joseph County, Michigan.....................            23            23
23750..............................  Sanilac County, Michigan.......................            23            23
23760..............................  Schoolcraft County, Michigan...................            23            23
23770..............................  Shiawassee County, Michigan....................            23            23
23780..............................  Tuscola County, Michigan.......................            23            23
23790..............................  Van Buren County, Michigan.....................            23         28020
23800..............................  Washtenaw County, Michigan.....................          0440         11460
23810..............................  Wayne County, Michigan.........................          2160         19804
23830..............................  Wexford County, Michigan.......................            23            23
24000..............................  Aitkin County, Minnesota.......................            24            24
24010..............................  Anoka County, Minnesota........................          5120         33460
24020..............................  Becker County, Minnesota.......................            24            24
24030..............................  Beltrami County, Minnesota.....................            24            24
24040..............................  Benton County, Minnesota.......................          6980         41060
24050..............................  Big Stone County, Minnesota....................            24            24
24060..............................  Blue Earth County, Minnesota...................            24            24
24070..............................  Brown County, Minnesota........................            24            24

[[Page 46029]]

 
24080..............................  Carlton County, Minnesota......................            24         20260
24090..............................  Carver County, Minnesota.......................          5120         33460
24100..............................  Cass County, Minnesota.........................            24            24
24110..............................  Chippewa County, Minnesota.....................            24            24
24120..............................  Chisago County, Minnesota......................          5120         33460
24130..............................  Clay County, Minnesota.........................          2520         22020
24140..............................  Clearwater County, Minnesota...................            24            24
24150..............................  Cook County, Minnesota.........................            24            24
24160..............................  Cottonwood County, Minnesota...................            24            24
24170..............................  Crow Wing County, Minnesota....................            24            24
24180..............................  Dakota County, Minnesota.......................          5120         33460
24190..............................  Dodge County, Minnesota........................            24         40340
24200..............................  Douglas County, Minnesota......................            24            24
24210..............................  Faribault County, Minnesota....................            24            24
24220..............................  Fillmore County, Minnesota.....................            24            24
24230..............................  Freeborn County, Minnesota.....................            24            24
24240..............................  Goodhue County, Minnesota......................            24            24
24250..............................  Grant County, Minnesota........................            24            24
24260..............................  Hennepin County, Minnesota.....................          5120         33460
24270..............................  Houston County, Minnesota......................            24         29100
24280..............................  Hubbard County, Minnesota......................            24            24
24290..............................  Isanti County, Minnesota.......................          5120         33460
24300..............................  Itasca County, Minnesota.......................            24            24
24310..............................  Jackson County, Minnesota......................            24            24
24320..............................  Kanabec County, Minnesota......................            24            24
24330..............................  Kandiyohi County, Minnesota....................            24            24
24340..............................  Kittson County, Minnesota......................            24            24
24350..............................  Koochiching County, Minnesota..................            24            24
24360..............................  Lac Qui Parle County, Minnesota................            24            24
24370..............................  Lake County, Minnesota.........................            24            24
24380..............................  Lake Of Woods County, Minnesota................            24            24
24390..............................  Le Sueur County, Minnesota.....................            24            24
24400..............................  Lincoln County, Minnesota......................            24            24
24410..............................  Lyon County, Minnesota.........................            24            24
24420..............................  Mc Leod County, Minnesota......................            24            24
24430..............................  Mahnomen County, Minnesota.....................            24            24
24440..............................  Marshall County, Minnesota.....................            24            24
24450..............................  Martin County, Minnesota.......................            24            24
24460..............................  Meeker County, Minnesota.......................            24            24
24470..............................  Mille Lacs County, Minnesota...................            24            24
24480..............................  Morrison County, Minnesota.....................            24            24
24490..............................  Mower County, Minnesota........................            24            24
24500..............................  Murray County, Minnesota.......................            24            24
24510..............................  Nicollet County, Minnesota.....................            24            24
24520..............................  Nobles County, Minnesota.......................            24            24
24530..............................  Norman County, Minnesota.......................            24            24
24540..............................  Olmsted County, Minnesota......................          6820         40340
24550..............................  Otter Tail County, Minnesota...................            24            24
24560..............................  Pennington County, Minnesota...................            24            24
24570..............................  Pine County, Minnesota.........................            24            24
24580..............................  Pipestone County, Minnesota....................            24            24
24590..............................  Polk County, Minnesota.........................            24         24220
24600..............................  Pope County, Minnesota.........................            24            24
24610..............................  Ramsey County, Minnesota.......................          5120         33460
24620..............................  Red Lake County, Minnesota.....................            24            24
24630..............................  Redwood County, Minnesota......................            24            24
24640..............................  Renville County, Minnesota.....................            24            24
24650..............................  Rice County, Minnesota.........................            24            24
24660..............................  Rock County, Minnesota.........................            24            24
24670..............................  Roseau County, Minnesota.......................            24            24
24680..............................  St Louis County, Minnesota.....................          2240         20260
24690..............................  Scott County, Minnesota........................          5120         33460
24700..............................  Sherburne County, Minnesota....................          6980         33460
24710..............................  Sibley County, Minnesota.......................            24            24
24720..............................  Stearns County, Minnesota......................          6980         41060
24730..............................  Steele County, Minnesota.......................            24            24
24740..............................  Stevens County, Minnesota......................            24            24
24750..............................  Swift County, Minnesota........................            24            24
24760..............................  Todd County, Minnesota.........................            24            24
24770..............................  Traverse County, Minnesota.....................            24            24

[[Page 46030]]

 
24780..............................  Wabasha County, Minnesota......................            24         40340
24790..............................  Wadena County, Minnesota.......................            24            24
24800..............................  Waseca County, Minnesota.......................            24            24
24810..............................  Washington County, Minnesota...................          5120         33460
24820..............................  Watonwan County, Minnesota.....................            24            24
24830..............................  Wilkin County, Minnesota.......................            24            24
24840..............................  Winona County, Minnesota.......................            24            24
24850..............................  Wright County, Minnesota.......................          5120         33460
24860..............................  Yellow Medicine County, Minnesota..............            24            24
25000..............................  Adams County, Mississippi......................            25            25
25010..............................  Alcorn County, Mississippi.....................            25            25
25020..............................  Amite County, Mississippi......................            25            25
25030..............................  Attala County, Mississippi.....................            25            25
25040..............................  Benton County, Mississippi.....................            25            25
25050..............................  Bolivar County, Mississippi....................            25            25
25060..............................  Calhoun County, Mississippi....................            25            25
25070..............................  Carroll County, Mississippi....................            25            25
25080..............................  Chickasaw County, Mississippi..................            25            25
25090..............................  Choctaw County, Mississippi....................            25            25
25100..............................  Claiborne County, Mississippi..................            25            25
25110..............................  Clarke County, Mississippi.....................            25            25
25120..............................  Clay County, Mississippi.......................            25            25
25130..............................  Coahoma County, Mississippi....................            25            25
25140..............................  Copiah County, Mississippi.....................            25         27140
25150..............................  Covington County, Mississippi..................            25            25
25160..............................  Desoto County, Mississippi.....................          4920         32820
25170..............................  Forrest County, Mississippi....................            25         25620
25180..............................  Franklin County, Mississippi...................            25            25
25190..............................  George County, Mississippi.....................            25         37700
25200..............................  Greene County, Mississippi.....................            25            25
25210..............................  Grenada County, Mississippi....................            25            25
25220..............................  Hancock County, Mississippi....................          0920         25060
25230..............................  Harrison County, Mississippi...................          0920         25060
25240..............................  Hinds County, Mississippi......................          3560         27140
25250..............................  Holmes County, Mississippi.....................            25            25
25260..............................  Humphreys County, Mississippi..................            25            25
25270..............................  Issaquena County, Mississippi..................            25            25
25280..............................  Itawamba County, Mississippi...................            25            25
25290..............................  Jackson County, Mississippi....................          6025         37700
25300..............................  Jasper County, Mississippi.....................            25            25
25310..............................  Jefferson County, Mississippi..................            25            25
25320..............................  Jefferson Davis County, Mississippi............            25            25
25330..............................  Jones County, Mississippi......................            25            25
25340..............................  Kemper County, Mississippi.....................            25            25
25350..............................  Lafayette County, Mississippi..................            25            25
25360..............................  Lamar County, Mississippi......................            25         25620
25370..............................  Lauderdale County, Mississippi.................            25            25
25380..............................  Lawrence County, Mississippi...................            25            25
25390..............................  Leake County, Mississippi......................            25            25
25400..............................  Lee County, Mississippi........................            25            25
25410..............................  Leflore County, Mississippi....................            25            25
25420..............................  Lincoln County, Mississippi....................            25            25
25430..............................  Lowndes County, Mississippi....................            25            25
25440..............................  Madison County, Mississippi....................          3560         27140
25450..............................  Marion County, Mississippi.....................            25            25
25460..............................  Marshall County, Mississippi...................            25         32820
25470..............................  Monroe County, Mississippi.....................            25            25
25480..............................  Montgomery County, Mississippi.................            25            25
25490..............................  Neshoba County, Mississippi....................            25            25
25500..............................  Newton County, Mississippi.....................            25            25
25510..............................  Noxubee County, Mississippi....................            25            25
25520..............................  Oktibbeha County, Mississippi..................            25            25
25530..............................  Panola County, Mississippi.....................            25            25
25540..............................  Pearl River County, Mississippi................            25            25
25550..............................  Perry County, Mississippi......................            25         25620
25560..............................  Pike County, Mississippi.......................            25            25
25570..............................  Pontotoc County, Mississippi...................            25            25
25580..............................  Prentiss County, Mississippi...................            25            25
25590..............................  Quitman County, Mississippi....................            25            25
25600..............................  Rankin County, Mississippi.....................          3560         27140

[[Page 46031]]

 
25610..............................  Scott County, Mississippi......................            25            25
25620..............................  Sharkey County, Mississippi....................            25            25
25630..............................  Simpson County, Mississippi....................            25         27140
25640..............................  Smith County, Mississippi......................            25            25
25650..............................  Stone County, Mississippi......................            25         25060
25660..............................  Sunflower County, Mississippi..................            25            25
25670..............................  Tallahatchie County, Mississippi...............            25            25
25680..............................  Tate County, Mississippi.......................            25         32820
25690..............................  Tippah County, Mississippi.....................            25            25
25700..............................  Tishomingo County, Mississippi.................            25            25
25710..............................  Tunica County, Mississippi.....................            25         32820
25720..............................  Union County, Mississippi......................            25            25
25730..............................  Walthall County, Mississippi...................            25            25
25740..............................  Warren County, Mississippi.....................            25            25
25750..............................  Washington County, Mississippi.................            25            25
25760..............................  Wayne County, Mississippi......................            25            25
25770..............................  Webster County, Mississippi....................            25            25
25780..............................  Wilkinson County, Mississippi..................            25            25
25790..............................  Winston County, Mississippi....................            25            25
25800..............................  Yalobusha County, Mississippi..................            25            25
25810..............................  Yazoo County, Mississippi......................            25            25
26000..............................  Adair County, Missouri.........................            26            26
26010..............................  Andrew County, Missouri........................            26         41140
26020..............................  Atchison County, Missouri......................            26            26
26030..............................  Audrain County, Missouri.......................            26            26
26040..............................  Barry County, Missouri.........................            26            26
26050..............................  Barton County, Missouri........................            26            26
26060..............................  Bates County, Missouri.........................            26         28140
26070..............................  Benton County, Missouri........................            26            26
26080..............................  Bollinger County, Missouri.....................            26            26
26090..............................  Boone County, Missouri.........................          1740         17860
26100..............................  Buchanan County, Missouri......................          7000         41140
26110..............................  Butler County, Missouri........................            26            26
26120..............................  Caldwell County, Missouri......................            26         28140
26130..............................  Callaway County, Missouri......................            26         27620
26140..............................  Camden County, Missouri........................            26            26
26150..............................  Cape Girardeau County, Missouri................            26            26
26160..............................  Carroll County, Missouri.......................            26            26
26170..............................  Carter County, Missouri........................            26            26
26180..............................  Cass County, Missouri..........................          3760         28140
26190..............................  Cedar County, Missouri.........................            26            26
26200..............................  Chariton County, Missouri......................            26            26
26210..............................  Christian County, Missouri.....................          7920         44180
26220..............................  Clark County, Missouri.........................            26            26
26230..............................  Clay County, Missouri..........................          3760         28140
26240..............................  Clinton County, Missouri.......................            26         28140
26250..............................  Cole County, Missouri..........................            26         27620
26260..............................  Cooper County, Missouri........................            26            26
26270..............................  Crawford County, Missouri......................            26         41180
26280..............................  Dade County, Missouri..........................            26            26
26290..............................  Dallas County, Missouri........................            26         44180
26300..............................  Daviess County, Missouri.......................            26            26
26310..............................  De Kalb County, Missouri.......................            26         41140
26320..............................  Dent County, Missouri..........................            26            26
26330..............................  Douglas County, Missouri.......................            26            26
26340..............................  Dunklin County, Missouri.......................            26            26
26350..............................  Franklin County, Missouri......................          7040         41180
26360..............................  Gasconade County, Missouri.....................            26            26
26370..............................  Gentry County, Missouri........................            26            26
26380..............................  Greene County, Missouri........................          7920         44180
26390..............................  Grundy County, Missouri........................            26            26
26400..............................  Harrison County, Missouri......................            26            26
26410..............................  Henry County, Missouri.........................            26            26
26411..............................  Hickory County, Missouri.......................            26            26
26412..............................  Holt County, Missouri..........................            26            26
26440..............................  Howard County, Missouri........................            26         17860
26450..............................  Howell County, Missouri........................            26            26
26460..............................  Iron County, Missouri..........................            26            26
26470..............................  Jackson County, Missouri.......................          3760         28140
26480..............................  Jasper County, Missouri........................          3710         27900

[[Page 46032]]

 
26490..............................  Jefferson County, Missouri.....................          7040         41180
26500..............................  Johnson County, Missouri.......................            26            26
26510..............................  Knox County, Missouri..........................            26            26
26520..............................  Laclede County, Missouri.......................            26            26
26530..............................  Lafayette County, Missouri.....................          3760         28140
26540..............................  Lawrence County, Missouri......................            26            26
26541..............................  Lewis County, Missouri.........................            26            26
26560..............................  Lincoln County, Missouri.......................            26         41180
26570..............................  Linn County, Missouri..........................            26            26
26580..............................  Livingston County, Missouri....................            26            26
26590..............................  Mc Donald County, Missouri.....................            26         22220
26600..............................  Macon County, Missouri.........................            26            26
26601..............................  Madison County, Missouri.......................            26            26
26620..............................  Maries County, Missouri........................            26            26
26630..............................  Marion County, Missouri........................            26            26
26631..............................  Mercer County, Missouri........................            26            26
26650..............................  Miller County, Missouri........................            26            26
26660..............................  Mississippi County, Missouri...................            26            26
26670..............................  Moniteau County, Missouri......................            26         27620
26680..............................  Monroe County, Missouri........................            26            26
26690..............................  Montgomery County, Missouri....................            26            26
26700..............................  Morgan County, Missouri........................            26            26
26710..............................  New Madrid County, Missouri....................            26            26
26720..............................  Newton County, Missouri........................          3710         27900
26730..............................  Nodaway County, Missouri.......................            26            26
26740..............................  Oregon County, Missouri........................            26            26
26750..............................  Osage County, Missouri.........................            26         27620
26751..............................  Ozark County, Missouri.........................            26            26
26770..............................  Pemiscot County, Missouri......................            26            26
26780..............................  Perry County, Missouri.........................            26            26
26790..............................  Pettis County, Missouri........................            26            26
26800..............................  Phelps County, Missouri........................            26            26
26810..............................  Pike County, Missouri..........................            26            26
26820..............................  Platte County, Missouri........................          3760         28140
26821..............................  Polk County, Missouri..........................            26         44180
26840..............................  Pulaski County, Missouri.......................            26            26
26850..............................  Putnam County, Missouri........................            26            26
26860..............................  Ralls County, Missouri.........................            26            26
26870..............................  Randolph County, Missouri......................            26            26
26880..............................  Ray County, Missouri...........................          3760         28140
26881..............................  Reynolds County, Missouri......................            26            26
26900..............................  Ripley County, Missouri........................            26            26
26910..............................  St Charles County, Missouri....................          7040         41180
26911..............................  St Clair County, Missouri......................            26            26
26930..............................  St Francois County, Missouri...................            26            26
26940..............................  St Louis County, Missouri......................          7040         41180
26950..............................  St Louis City County, Missouri.................          7040         41180
26960..............................  Ste Genevieve County, Missouri.................            26            26
26970..............................  Saline County, Missouri........................            26            26
26980..............................  Schuyler County, Missouri......................            26            26
26981..............................  Scotland County, Missouri......................            26            26
26982..............................  Scott County, Missouri.........................            26            26
26983..............................  Shannon County, Missouri.......................            26            26
26984..............................  Shelby County, Missouri........................            26            26
26985..............................  Stoddard County, Missouri......................            26            26
26986..............................  Stone County, Missouri.........................            26            26
26987..............................  Sullivan County, Missouri......................            26            26
26988..............................  Taney County, Missouri.........................            26            26
26989..............................  Texas County, Missouri.........................            26            26
26990..............................  Vernon County, Missouri........................            26            26
26991..............................  Warren County, Missouri........................            26         41180
26992..............................  Washington County, Missouri....................            26         41180
26993..............................  Wayne County, Missouri.........................            26            26
26994..............................  Webster County, Missouri.......................            26         44180
26995..............................  Worth County, Missouri.........................            26            26
26996..............................  Wright County, Missouri........................            26            26
27000..............................  Beaverhead County, Montana.....................            27            27
27010..............................  Big Horn County, Montana.......................            27            27
27020..............................  Blaine County, Montana.........................            27            27
27030..............................  Broadwater County, Montana.....................            27            27

[[Page 46033]]

 
27040..............................  Carbon County, Montana.........................            27         13740
27050..............................  Carter County, Montana.........................            27            27
27060..............................  Cascade County, Montana........................          3040         24500
27070..............................  Chouteau County, Montana.......................            27            27
27080..............................  Custer County, Montana.........................            27            27
27090..............................  Daniels County, Montana........................            27            27
27100..............................  Dawson County, Montana.........................            27            27
27110..............................  Deer Lodge County, Montana.....................            27            27
27113..............................  Yellowstone National Park, Montana.............          0880            27
27120..............................  Fallon County, Montana.........................            27            27
27130..............................  Fergus County, Montana.........................            27            27
27140..............................  Flathead County, Montana.......................            27            27
27150..............................  Gallatin County, Montana.......................            27            27
27160..............................  Garfield County, Montana.......................            27            27
27170..............................  Glacier County, Montana........................            27            27
27180..............................  Golden Valley County, Montana..................            27            27
27190..............................  Granite County, Montana........................            27            27
27200..............................  Hill County, Montana...........................            27            27
27210..............................  Jefferson County, Montana......................            27            27
27220..............................  Judith Basin County, Montana...................            27            27
27230..............................  Lake County, Montana...........................            27            27
27240..............................  Lewis And Clark County, Montana................            27            27
27250..............................  Liberty County, Montana........................            27            27
27260..............................  Lincoln County, Montana........................            27            27
27270..............................  Mc Cone County, Montana........................            27            27
27280..............................  Madison County, Montana........................            27            27
27290..............................  Meagher County, Montana........................            27            27
27300..............................  Mineral County, Montana........................            27            27
27310..............................  Missoula County, Montana.......................            27         33540
27320..............................  Musselshell County, Montana....................            27            27
27330..............................  Park County, Montana...........................            27            27
27340..............................  Petroleum County, Montana......................            27            27
27350..............................  Phillips County, Montana.......................            27            27
27360..............................  Pondera County, Montana........................            27            27
27370..............................  Powder River County, Montana...................            27            27
27380..............................  Powell County, Montana.........................            27            27
27390..............................  Prairie County, Montana........................            27            27
27400..............................  Ravalli County, Montana........................            27            27
27410..............................  Richland County, Montana.......................            27            27
27420..............................  Roosevelt County, Montana......................            27            27
27430..............................  Rosebud County, Montana........................            27            27
27440..............................  Sanders County, Montana........................            27            27
27450..............................  Sheridan County, Montana.......................            27            27
27460..............................  Silver Bow County, Montana.....................            27            27
27470..............................  Stillwater County, Montana.....................            27            27
27480..............................  Sweet Grass County, Montana....................            27            27
27490..............................  Teton County, Montana..........................            27            27
27500..............................  Toole County, Montana..........................            27            27
27510..............................  Treasure County, Montana.......................            27            27
27520..............................  Valley County, Montana.........................            27            27
27530..............................  Wheatland County, Montana......................            27            27
27540..............................  Wibaux County, Montana.........................            27            27
27550..............................  Yellowstone County, Montana....................          0880         13740
28000..............................  Adams County, Nebraska.........................            28            28
28010..............................  Antelope County, Nebraska......................            28            28
28020..............................  Arthur County, Nebraska........................            28            28
28030..............................  Banner County, Nebraska........................            28            28
28040..............................  Blaine County, Nebraska........................            28            28
28050..............................  Boone County, Nebraska.........................            28            28
28060..............................  Box Butte County, Nebraska.....................            28            28
28070..............................  Boyd County, Nebraska..........................            28            28
28080..............................  Brown County, Nebraska.........................            28            28
28090..............................  Buffalo County, Nebraska.......................            28            28
28100..............................  Burt County, Nebraska..........................            28            28
28110..............................  Butler County, Nebraska........................            28            28
28120..............................  Cass County, Nebraska..........................            28         36540
28130..............................  Cedar County, Nebraska.........................            28            28
28140..............................  Chase County, Nebraska.........................            28            28
28150..............................  Cherry County, Nebraska........................            28            28
28160..............................  Cheyenne County, Nebraska......................            28            28

[[Page 46034]]

 
28170..............................  Clay County, Nebraska..........................            28            28
28180..............................  Colfax County, Nebraska........................            28            28
28190..............................  Cuming County, Nebraska........................            28            28
28200..............................  Custer County, Nebraska........................            28            28
28210..............................  Dakota County, Nebraska........................          7720         43580
28220..............................  Dawes County, Nebraska.........................            28            28
28230..............................  Dawson County, Nebraska........................            28            28
28240..............................  Deuel County, Nebraska.........................            28            28
28250..............................  Dixon County, Nebraska.........................            28         43580
28260..............................  Dodge County, Nebraska.........................            28            28
28270..............................  Douglas County, Nebraska.......................          5920         36540
28280..............................  Dundy County, Nebraska.........................            28            28
28290..............................  Fillmore County, Nebraska......................            28            28
28300..............................  Franklin County, Nebraska......................            28            28
28310..............................  Frontier County, Nebraska......................            28            28
28320..............................  Furnas County, Nebraska........................            28            28
28330..............................  Gage County, Nebraska..........................            28            28
28340..............................  Garden County, Nebraska........................            28            28
28350..............................  Garfield County, Nebraska......................            28            28
28360..............................  Gosper County, Nebraska........................            28            28
28370..............................  Grant County, Nebraska.........................            28            28
28380..............................  Greeley County, Nebraska.......................            28            28
28390..............................  Hall County, Nebraska..........................            28            28
28400..............................  Hamilton County, Nebraska......................            28            28
28410..............................  Harlan County, Nebraska........................            28            28
28420..............................  Hayes County, Nebraska.........................            28            28
28430..............................  Hitchcock County, Nebraska.....................            28            28
28440..............................  Holt County, Nebraska..........................            28            28
28450..............................  Hooker County, Nebraska........................            28            28
28460..............................  Howard County, Nebraska........................            28            28
28470..............................  Jefferson County, Nebraska.....................            28            28
28480..............................  Johnson County, Nebraska.......................            28            28
28490..............................  Kearney County, Nebraska.......................            28            28
28500..............................  Keith County, Nebraska.........................            28            28
28510..............................  Keya Paha County, Nebraska.....................            28            28
28520..............................  Kimball County, Nebraska.......................            28            28
28530..............................  Knox County, Nebraska..........................            28            28
28540..............................  Lancaster County, Nebraska.....................          4360         30700
28550..............................  Lincoln County, Nebraska.......................            28            28
28560..............................  Logan County, Nebraska.........................            28            28
28570..............................  Loup County, Nebraska..........................            28            28
28580..............................  Mc Pherson County, Nebraska....................            28            28
28590..............................  Madison County, Nebraska.......................            28            28
28600..............................  Merrick County, Nebraska.......................            28            28
28610..............................  Morrill County, Nebraska.......................            28            28
28620..............................  Nance County, Nebraska.........................            28            28
28630..............................  Nemaha County, Nebraska........................            28            28
28640..............................  Nuckolls County, Nebraska......................            28            28
28650..............................  Otoe County, Nebraska..........................            28            28
28660..............................  Pawnee County, Nebraska........................            28            28
28670..............................  Perkins County, Nebraska.......................            28            28
28680..............................  Phelps County, Nebraska........................            28            28
28690..............................  Pierce County, Nebraska........................            28            28
28700..............................  Platte County, Nebraska........................            28            28
28710..............................  Polk County, Nebraska..........................            28            28
28720..............................  Redwillow County, Nebraska.....................            28            28
28730..............................  Richardson County, Nebraska....................            28            28
28740..............................  Rock County, Nebraska..........................            28            28
28750..............................  Saline County, Nebraska........................            28            28
28760..............................  Sarpy County, Nebraska.........................          5920         36540
28770..............................  Saunders County, Nebraska......................            28         36540
28780..............................  Scotts Bluff County, Nebraska..................            28            28
28790..............................  Seward County, Nebraska........................            28         30700
28800..............................  Sheridan County, Nebraska......................            28            28
28810..............................  Sherman County, Nebraska.......................            28            28
28820..............................  Sioux County, Nebraska.........................            28            28
28830..............................  Stanton County, Nebraska.......................            28            28
28840..............................  Thayer County, Nebraska........................            28            28
28850..............................  Thomas County, Nebraska........................            28            28
28860..............................  Thurston County, Nebraska......................            28            28

[[Page 46035]]

 
28870..............................  Valley County, Nebraska........................            28            28
28880..............................  Washington County, Nebraska....................          5920         36540
28890..............................  Wayne County, Nebraska.........................            28            28
28900..............................  Webster County, Nebraska.......................            28            28
28910..............................  Wheeler County, Nebraska.......................            28            28
28920..............................  York County, Nebraska..........................            28            28
29000..............................  Churchill County, Nevada.......................            29            29
29010..............................  Clark County, Nevada...........................          4120         29820
29020..............................  Douglas County, Nevada.........................            29            29
29030..............................  Elko County, Nevada............................            29            29
29040..............................  Esmeralda County, Nevada.......................            29            29
29050..............................  Eureka County, Nevada..........................            29            29
29060..............................  Humboldt County, Nevada........................            29            29
29070..............................  Lander County, Nevada..........................            29            29
29080..............................  Lincoln County, Nevada.........................            29            29
29090..............................  Lyon County, Nevada............................            29            29
29100..............................  Mineral County, Nevada.........................            29            29
29110..............................  Nye County, Nevada.............................            29            29
29120..............................  Carson City County, Nevada.....................            29         16180
29130..............................  Pershing County, Nevada........................            29            29
29140..............................  Storey County, Nevada..........................            29         39900
29150..............................  Washoe County, Nevada..........................          6720         39900
29160..............................  White Pine County, Nevada......................            29            29
30000..............................  Belknap County, New Hampshire..................            30            30
30010..............................  Carroll County, New Hampshire..................            30            30
30020..............................  Cheshire County, New Hampshire.................            30            30
30030..............................  Coos County, New Hampshire.....................            30            30
30040..............................  Grafton County, New Hampshire..................            30            30
30050..............................  Hillsboro County, New Hampshire................          4763         31700
30060..............................  Merrimack County, New Hampshire................          4763         31700
30070..............................  Rockingham County, New Hampshire...............          6453         40484
30080..............................  Strafford County, New Hampshire................          6453         40484
30090..............................  Sullivan County, New Hampshire.................            30            30
31000..............................  Atlantic County, New Jersey....................          0560         12100
31100..............................  Bergen County, New Jersey......................          0875         35644
31150..............................  Burlington County, New Jersey..................          6160         15804
31160..............................  Camden County, New Jersey......................          6160         15804
31180..............................  Cape May County, New Jersey....................          0560         36140
31190..............................  Cumberland County, New Jersey..................          8760         47220
31200..............................  Essex County, New Jersey.......................          5640         35084
31220..............................  Gloucester County, New Jersey..................          6160         15804
31230..............................  Hudson County, New Jersey......................          3640         35644
31250..............................  Hunterdon County, New Jersey...................          5015         35084
31260..............................  Mercer County, New Jersey......................          8480         45940
31270..............................  Middlesex County, New Jersey...................          5015         20764
31290..............................  Monmouth County, New Jersey....................          5190         20764
31300..............................  Morris County, New Jersey......................          5640         35084
31310..............................  Ocean County, New Jersey.......................          5190         20764
31320..............................  Passaic County, New Jersey.....................          0875         35644
31340..............................  Salem County, New Jersey.......................          9160         48864
31350..............................  Somerset County, New Jersey....................          5015         20764
31360..............................  Sussex County, New Jersey......................          5640         35084
31370..............................  Union County, New Jersey.......................          5640         35084
31390..............................  Warren County, New Jersey......................          0240         10900
32000..............................  Bernalillo County, New Mexico..................          0200         10740
32010..............................  Catron County, New Mexico......................            32            32
32020..............................  Chaves County, New Mexico......................            32            32
32025..............................  Cibola County, New Mexico......................            32            32
32030..............................  Colfax County, New Mexico......................            32            32
32040..............................  Curry County, New Mexico.......................            32            32
32050..............................  De Baca County, New Mexico.....................            32            32
32060..............................  Dona Ana County, New Mexico....................          4100         29740
32070..............................  Eddy County, New Mexico........................            32            32
32080..............................  Grant County, New Mexico.......................            32            32
32090..............................  Guadalupe County, New Mexico...................            32            32
32100..............................  Harding County, New Mexico.....................            32            32
32110..............................  Hidalgo County, New Mexico.....................            32            32
32120..............................  Lea County, New Mexico.........................            32            32
32130..............................  Lincoln County, New Mexico.....................            32            32
32131..............................  Los Alamos County, New Mexico..................          7490            32

[[Page 46036]]

 
32140..............................  Luna County, New Mexico........................            32            32
32150..............................  Mc Kinley County, New Mexico...................            32            32
32160..............................  Mora County, New Mexico........................            32            32
32170..............................  Otero County, New Mexico.......................            32            32
32180..............................  Quay County, New Mexico........................            32            32
32190..............................  Rio Arriba County, New Mexico..................            32            32
32200..............................  Roosevelt County, New Mexico...................            32            32
32210..............................  Sandoval County, New Mexico....................            32         10740
32220..............................  San Juan County, New Mexico....................            32         22140
32230..............................  San Miguel County, New Mexico..................            32            32
32240..............................  Santa Fe County, New Mexico....................          7490         42140
32250..............................  Sierra County, New Mexico......................            32            32
32260..............................  Socorro County, New Mexico.....................            32            32
32270..............................  Taos County, New Mexico........................            32            32
32280..............................  Torrance County, New Mexico....................            32         10740
32290..............................  Union County, New Mexico.......................            32            32
32300..............................  Valencia County, New Mexico....................            32         10740
33000..............................  Albany County, New York........................          0160         10580
33010..............................  Allegany County, New York......................            33            33
33020..............................  Bronx County, New York.........................          5600         35644
33030..............................  Broome County, New York........................          0960         13780
33040..............................  Cattaraugus County, New York...................            33            33
33050..............................  Cayuga County, New York........................            33            33
33060..............................  Chautauqua County, New York....................            33            33
33070..............................  Chemung County, New York.......................          2335         21300
33080..............................  Chenango County, New York......................            33            33
33090..............................  Clinton County, New York.......................            33            33
33200..............................  Columbia County, New York......................            33            33
33210..............................  Cortland County, New York......................            33            33
33220..............................  Delaware County, New York......................            33            33
33230..............................  Dutchess County, New York......................          6460         39100
33240..............................  Erie County, New York..........................          1280         15380
33260..............................  Essex County, New York.........................            33            33
33270..............................  Franklin County, New York......................            33            33
33280..............................  Fulton County, New York........................            33            33
33290..............................  Genesee County, New York.......................            33            33
33300..............................  Greene County, New York........................          0160            33
33310..............................  Hamilton County, New York......................            33            33
33320..............................  Herkimer County, New York......................          8680         46540
33330..............................  Jefferson County, New York.....................            33            33
33331..............................  Kings County, New York.........................          5600         35644
33340..............................  Lewis County, New York.........................            33            33
33350..............................  Livingston County, New York....................          6840         40380
33360..............................  Madison County, New York.......................          8160         45060
33370..............................  Monroe County, New York........................          6840         40380
33380..............................  Montgomery County, New York....................          0160            33
33400..............................  Nassau County, New York........................          5380         35004
33420..............................  New York County, New York......................          5600         35644
33500..............................  Niagara County, New York.......................          5700         15380
33510..............................  Oneida County, New York........................          8680         46540
33520..............................  Onondaga County, New York......................          8160         45060
33530..............................  Ontario County, New York.......................          6840         40380
33540..............................  Orange County, New York........................          5950         39100
33550..............................  Orleans County, New York.......................          6840         40380
33560..............................  Oswego County, New York........................          8160         45060
33570..............................  Otsego County, New York........................            33            33
33580..............................  Putnam County, New York........................          5600         35644
33590..............................  Queens County, New York........................          5600         35644
33600..............................  Rensselaer County, New York....................          0160         10580
33610..............................  Richmond County, New York......................          5600         35644
33620..............................  Rockland County, New York......................          5600         35644
33630..............................  St Lawrence County, New York...................            33            33
33640..............................  Saratoga County, New York......................          0160         10580
33650..............................  Schenectady County, New York...................          0160         10580
33660..............................  Schoharie County, New York.....................            33         10580
33670..............................  Schuyler County, New York......................            33            33
33680..............................  Seneca County, New York........................            33            33
33690..............................  Steuben County, New York.......................            33            33
33700..............................  Suffolk County, New York.......................          5380         35004
33710..............................  Sullivan County, New York......................            33            33

[[Page 46037]]

 
33720..............................  Tioga County, New York.........................          0960         13780
33730..............................  Tompkins County, New York......................            33         27060
33740..............................  Ulster County, New York........................            33         28740
33750..............................  Warren County, New York........................          2975         24020
33760..............................  Washington County, New York....................          2975         24020
33770..............................  Wayne County, New York.........................          6840         40380
33800..............................  Westchester County, New York...................          5600         35644
33900..............................  Wyoming County, New York.......................            33            33
33910..............................  Yates County, New York.........................            33            33
34000..............................  Alamance County, N Carolina....................          1300         15500
34010..............................  Alexander County, N Carolina...................          3290         25860
34020..............................  Alleghany County, N Carolina...................            34            34
34030..............................  Anson County, N Carolina.......................            34         16740
34040..............................  Ashe County, N Carolina........................            34            34
34050..............................  Avery County, N Carolina.......................            34            34
34060..............................  Beaufort County, N Carolina....................            34            34
34070..............................  Bertie County, N Carolina......................            34            34
34080..............................  Bladen County, N Carolina......................            34            34
34090..............................  Brunswick County, N Carolina...................            34         48900
34100..............................  Buncombe County, N Carolina....................          0480         11700
34110..............................  Burke County, N Carolina.......................          3290         25860
34120..............................  Cabarrus County, N Carolina....................          1520         16740
34130..............................  Caldwell County, N Carolina....................            34         25860
34140..............................  Camden County, N Carolina......................            34            34
34150..............................  Carteret County, N Carolina....................            34            34
34160..............................  Caswell County, N Carolina.....................            34            34
34170..............................  Catawba County, N Carolina.....................          3290         25860
34180..............................  Chatham County, N Carolina.....................            34         20500
34190..............................  Cherokee County, N Carolina....................            34            34
34200..............................  Chowan County, N Carolina......................            34            34
34210..............................  Clay County, N Carolina........................            34            34
34220..............................  Cleveland County, N Carolina...................            34            34
34230..............................  Columbus County, N Carolina....................            34            34
34240..............................  Craven County, N Carolina......................            34            34
34250..............................  Cumberland County, N Carolina..................          2560         22180
34251..............................  Currituck County, N Carolina...................            34         47260
34270..............................  Dare County, N Carolina........................            34            34
34280..............................  Davidson County, N Carolina....................          3120            34
34290..............................  Davie County, N Carolina.......................          3120         49180
34300..............................  Duplin County, N Carolina......................            34            34
34310..............................  Durham County, N Carolina......................          6640         20500
34320..............................  Edgecombe County, N Carolina...................            34         40580
34330..............................  Forsyth County, N Carolina.....................          3120         49180
34340..............................  Franklin County, N Carolina....................          6640         39580
34350..............................  Gaston County, N Carolina......................          1520         16740
34360..............................  Gates County, N Carolina.......................            34            34
34370..............................  Graham County, N Carolina......................            34            34
34380..............................  Granville County, N Carolina...................            34            34
34390..............................  Greene County, N Carolina......................            34         24780
34400..............................  Guilford County, N Carolina....................          3120         24660
34410..............................  Halifax County, N Carolina.....................            34            34
34420..............................  Harnett County, N Carolina.....................            34            34
34430..............................  Haywood County, N Carolina.....................            34         11700
34440..............................  Henderson County, N Carolina...................            34         11700
34450..............................  Hertford County, N Carolina....................            34            34
34460..............................  Hoke County, N Carolina........................            34         22180
34470..............................  Hyde County, N Carolina........................            34            34
34480..............................  Iredell County, N Carolina.....................            34            34
34490..............................  Jackson County, N Carolina.....................            34            34
34500..............................  Johnston County, N Carolina....................            34         39580
34510..............................  Jones County, N Carolina.......................            34            34
34520..............................  Lee County, N Carolina.........................            34            34
34530..............................  Lenoir County, N Carolina......................            34            34
34540..............................  Lincoln County, N Carolina.....................          1520            34
34550..............................  Mc Dowell County, N Carolina...................            34            34
34560..............................  Macon County, N Carolina.......................            34            34
34570..............................  Madison County, N Carolina.....................            34         11700
34580..............................  Martin County, N Carolina......................            34            34
34590..............................  Mecklenburg County, N Carolina.................          1520         16740
34600..............................  Mitchell County, N Carolina....................            34            34

[[Page 46038]]

 
34610..............................  Montgomery County, N Carolina..................            34            34
34620..............................  Moore County, N Carolina.......................            34            34
34630..............................  Nash County, N Carolina........................            34         40580
34640..............................  New Hanover County, N Carolina.................          9200         48900
34650..............................  Northampton County, N Carolina.................            34            34
34660..............................  Onslow County, N Carolina......................          3605         27340
34670..............................  Orange County, N Carolina......................          6640         20500
34680..............................  Pamlico County, N Carolina.....................            34            34
34690..............................  Pasquotank County, N Carolina..................            34            34
34700..............................  Pender County, N Carolina......................            34         48900
34710..............................  Perquimans County, N Carolina..................            34            34
34720..............................  Person County, N Carolina......................            34         20500
34730..............................  Pitt County, N Carolina........................            34         24780
34740..............................  Polk County, N Carolina........................            34            34
34750..............................  Randolph County, N Carolina....................          3120         24660
34760..............................  Richmond County, N Carolina....................            34            34
34770..............................  Robeson County, N Carolina.....................            34            34
34780..............................  Rockingham County, N Carolina..................            34         24660
34790..............................  Rowan County, N Carolina.......................          1520            34
34800..............................  Rutherford County, N Carolina..................            34            34
34810..............................  Sampson County, N Carolina.....................            34            34
34820..............................  Scotland County, N Carolina....................            34            34
34830..............................  Stanly County, N Carolina......................            34         16740
34840..............................  Stokes County, N Carolina......................          3120         49180
34850..............................  Surry County, N Carolina.......................            34            34
34860..............................  Swain County, N Carolina.......................            34            34
34870..............................  Transylvania County, N Carolina................            34            34
34880..............................  Tyrrell County, N Carolina.....................            34            34
34890..............................  Union County, N Carolina.......................          1520         16740
34900..............................  Vance County, N Carolina.......................            34            34
34910..............................  Wake County, N Carolina........................          6640         39580
34920..............................  Warren County, N Carolina......................            34            34
34930..............................  Washington County, N Carolina..................            34            34
34940..............................  Watauga County, N Carolina.....................            34            34
34950..............................  Wayne County, N Carolina.......................            34         24140
34960..............................  Wilkes County, N Carolina......................            34            34
34970..............................  Wilson County, N Carolina......................            34            34
34980..............................  Yadkin County, N Carolina......................          3120         49180
34981..............................  Yancey County, N Carolina......................            34            34
35000..............................  Adams County, N Dakota.........................            35            35
35010..............................  Barnes County, N Dakota........................            35            35
35020..............................  Benson County, N Dakota........................            35            35
35030..............................  Billings County, N Dakota......................            35            35
35040..............................  Bottineau County, N Dakota.....................            35            35
35050..............................  Bowman County, N Dakota........................            35            35
35060..............................  Burke County, N Dakota.........................            35            35
35070..............................  Burleigh County, N Dakota......................          1010         13900
35080..............................  Cass County, N Dakota..........................          2520         22020
35090..............................  Cavalier County, N Dakota......................            35            35
35100..............................  Dickey County, N Dakota........................            35            35
35110..............................  Divide County, N Dakota........................            35            35
35120..............................  Dunn County, N Dakota..........................            35            35
35130..............................  Eddy County, N Dakota..........................            35            35
35140..............................  Emmons County, N Dakota........................            35            35
35150..............................  Foster County, N Dakota........................            35            35
35160..............................  Golden Valley County, N Dakota.................            35            35
35170..............................  Grand Forks County, N Dakota...................          2985         24220
35180..............................  Grant County, N Dakota.........................            35            35
35190..............................  Griggs County, N Dakota........................            35            35
35200..............................  Hettinger County, N Dakota.....................            35            35
35210..............................  Kidder County, N Dakota........................            35            35
35220..............................  La Moure County, N Dakota......................            35            35
35230..............................  Logan County, N Dakota.........................            35            35
35240..............................  Mc Henry County, N Dakota......................            35            35
35250..............................  Mc Intosh County, N Dakota.....................            35            35
35260..............................  Mc Kenzie County, N Dakota.....................            35            35
35270..............................  Mc Lean County, N Dakota.......................            35            35
35280..............................  Mercer County, N Dakota........................            35            35
35290..............................  Morton County, N Dakota........................          1010         13900
35300..............................  Mountrail County, N Dakota.....................            35            35

[[Page 46039]]

 
35310..............................  Nelson County, N Dakota........................            35            35
35320..............................  Oliver County, N Dakota........................            35            35
35330..............................  Pembina County, N Dakota.......................            35            35
35340..............................  Pierce County, N Dakota........................            35            35
35350..............................  Ramsey County, N Dakota........................            35            35
35360..............................  Ransom County, N Dakota........................            35            35
35370..............................  Renville County, N Dakota......................            35            35
35380..............................  Richland County, N Dakota......................            35            35
35390..............................  Rolette County, N Dakota.......................            35            35
35400..............................  Sargent County, N Dakota.......................            35            35
35410..............................  Sheridan County, N Dakota......................            35            35
35420..............................  Sioux County, N Dakota.........................            35            35
35430..............................  Slope County, N Dakota.........................            35            35
35440..............................  Stark County, N Dakota.........................            35            35
35450..............................  Steele County, N Dakota........................            35            35
35460..............................  Stutsman County, N Dakota......................            35            35
35470..............................  Towner County, N Dakota........................            35            35
35480..............................  Traill County, N Dakota........................            35            35
35490..............................  Walsh County, N Dakota.........................            35            35
35500..............................  Ward County, N Dakota..........................            35            35
35510..............................  Wells County, N Dakota.........................            35            35
35520..............................  Williams County, N Dakota......................            35            35
36000..............................  Adams County, Ohio.............................            36            36
36010..............................  Allen County, Ohio.............................          4320         30620
36020..............................  Ashland County, Ohio...........................            36            36
36030..............................  Ashtabula County, Ohio.........................            36            36
36040..............................  Athens County, Ohio............................            36            36
36050..............................  Auglaize County, Ohio..........................          4320            36
36060..............................  Belmont County, Ohio...........................          9000         48540
36070..............................  Brown County, Ohio.............................            36         17140
36080..............................  Butler County, Ohio............................          3200         17140
36090..............................  Carroll County, Ohio...........................          1320         15940
36100..............................  Champaign County, Ohio.........................            36            36
36110..............................  Clark County, Ohio.............................          2000         44220
36120..............................  Clermont County, Ohio..........................          1640         17140
36130..............................  Clinton County, Ohio...........................            36            36
36140..............................  Columbiana County, Ohio........................            36            36
36150..............................  Coshocton County, Ohio.........................            36            36
36160..............................  Crawford County, Ohio..........................            36            36
36170..............................  Cuyahoga County, Ohio..........................          1680         17460
36190..............................  Darke County, Ohio.............................            36            36
36200..............................  Defiance County, Ohio..........................            36            36
36210..............................  Delaware County, Ohio..........................          1840         18140
36220..............................  Erie County, Ohio..............................            36         41780
36230..............................  Fairfield County, Ohio.........................          1840         18140
36240..............................  Fayette County, Ohio...........................            36            36
36250..............................  Franklin County, Ohio..........................          1840         18140
36260..............................  Fulton County, Ohio............................          8400         45780
36270..............................  Gallia County, Ohio............................            36            36
36280..............................  Geauga County, Ohio............................          1680         17460
36290..............................  Greene County, Ohio............................          2000         19380
36300..............................  Guernsey County, Ohio..........................            36            36
36310..............................  Hamilton County, Ohio..........................          1640         17140
36330..............................  Hancock County, Ohio...........................            36            36
36340..............................  Hardin County, Ohio............................            36            36
36350..............................  Harrison County, Ohio..........................            36            36
36360..............................  Henry County, Ohio.............................            36            36
36370..............................  Highland County, Ohio..........................            36            36
36380..............................  Hocking County, Ohio...........................            36            36
36390..............................  Holmes County, Ohio............................            36            36
36400..............................  Huron County, Ohio.............................            36            36
36410..............................  Jackson County, Ohio...........................            36            36
36420..............................  Jefferson County, Ohio.........................          8080         48260
36430..............................  Knox County, Ohio..............................            36            36
36440..............................  Lake County, Ohio..............................          1680         17460
36450..............................  Lawrence County, Ohio..........................          3400         26580
36460..............................  Licking County, Ohio...........................          1840         18140
36470..............................  Logan County, Ohio.............................            36            36
36480..............................  Lorain County, Ohio............................          4440         17460
36490..............................  Lucas County, Ohio.............................          8400         45780

[[Page 46040]]

 
36500..............................  Madison County, Ohio...........................          1840         18140
36510..............................  Mahoning County, Ohio..........................          9320         49660
36520..............................  Marion County, Ohio............................            36            36
36530..............................  Medina County, Ohio............................          1680         17460
36540..............................  Meigs County, Ohio.............................            36            36
36550..............................  Mercer County, Ohio............................            36            36
36560..............................  Miami County, Ohio.............................          2000         19380
36570..............................  Monroe County, Ohio............................            36            36
36580..............................  Montgomery County, Ohio........................          2000         19380
36590..............................  Morgan County, Ohio............................            36            36
36600..............................  Morrow County, Ohio............................            36         18140
36610..............................  Muskingum County, Ohio.........................            36            36
36620..............................  Noble County, Ohio.............................            36            36
36630..............................  Ottawa County, Ohio............................            36         45780
36640..............................  Paulding County, Ohio..........................            36            36
36650..............................  Perry County, Ohio.............................            36            36
36660..............................  Pickaway County, Ohio..........................          1840         18140
36670..............................  Pike County, Ohio..............................            36            36
36680..............................  Portage County, Ohio...........................          0080         10420
36690..............................  Preble County, Ohio............................            36         19380
36700..............................  Putnam County, Ohio............................            36            36
36710..............................  Richland County, Ohio..........................          4800         31900
36720..............................  Ross County, Ohio..............................            36            36
36730..............................  Sandusky County, Ohio..........................            36            36
36740..............................  Scioto County, Ohio............................            36            36
36750..............................  Seneca County, Ohio............................            36            36
36760..............................  Shelby County, Ohio............................            36            36
36770..............................  Stark County, Ohio.............................          1320         15940
36780..............................  Summit County, Ohio............................          0080         10420
36790..............................  Trumbull County, Ohio..........................          9320         49660
36800..............................  Tuscarawas County, Ohio........................            36            36
36810..............................  Union County, Ohio.............................          1840         18140
36820..............................  Van Wert County, Ohio..........................            36            36
36830..............................  Vinton County, Ohio............................            36            36
36840..............................  Warren County, Ohio............................          1640         17140
36850..............................  Washington County, Ohio........................          6020         37620
36860..............................  Wayne County, Ohio.............................            36            36
36870..............................  Williams County, Ohio..........................            36            36
36880..............................  Wood County, Ohio..............................          8400         45780
36890..............................  Wyandot County, Ohio...........................            36            36
37000..............................  Adair County, Oklahoma.........................            37            37
37010..............................  Alfalfa County, Oklahoma.......................            37            37
37020..............................  Atoka County, Oklahoma.........................            37            37
37030..............................  Beaver County, Oklahoma........................            37            37
37040..............................  Beckham County, Oklahoma.......................            37            37
37050..............................  Blaine County, Oklahoma........................            37            37
37060..............................  Bryan County, Oklahoma.........................            37            37
37070..............................  Caddo County, Oklahoma.........................            37            37
37080..............................  Canadian County, Oklahoma......................          5880         36420
37090..............................  Carter County, Oklahoma........................            37            37
37100..............................  Cherokee County, Oklahoma......................            37            37
37110..............................  Choctaw County, Oklahoma.......................            37            37
37120..............................  Cimarron County, Oklahoma......................            37            37
37130..............................  Cleveland County, Oklahoma.....................          5880         36420
37140..............................  Coal County, Oklahoma..........................            37            37
37150..............................  Comanche County, Oklahoma......................          4200         30020
37160..............................  Cotton County, Oklahoma........................            37            37
37170..............................  Craig County, Oklahoma.........................            37            37
37180..............................  Creek County, Oklahoma.........................          8560         46140
37190..............................  Custer County, Oklahoma........................            37            37
37200..............................  Delaware County, Oklahoma......................            37            37
37210..............................  Dewey County, Oklahoma.........................            37            37
37220..............................  Ellis County, Oklahoma.........................            37            37
37230..............................  Garfield County, Oklahoma......................          2340            37
37240..............................  Garvin County, Oklahoma........................            37            37
37250..............................  Grady County, Oklahoma.........................            37         36420
37260..............................  Grant County, Oklahoma.........................            37            37
37270..............................  Greer County, Oklahoma.........................            37            37
37280..............................  Harmon County, Oklahoma........................            37            37
37290..............................  Harper County, Oklahoma........................            37            37

[[Page 46041]]

 
37300..............................  Haskell County, Oklahoma.......................            37            37
37310..............................  Hughes County, Oklahoma........................            37            37
37320..............................  Jackson County, Oklahoma.......................            37            37
37330..............................  Jefferson County, Oklahoma.....................            37            37
37340..............................  Johnston County, Oklahoma......................            37            37
37350..............................  Kay County, Oklahoma...........................            37            37
37360..............................  Kingfisher County, Oklahoma....................            37            37
37370..............................  Kiowa County, Oklahoma.........................            37            37
37380..............................  Latimer County, Oklahoma.......................            37            37
37390..............................  Le Flore County, Oklahoma......................            37         22900
37400..............................  Lincoln County, Oklahoma.......................            37         36420
37410..............................  Logan County, Oklahoma.........................          5880         36420
37420..............................  Love County, Oklahoma..........................            37            37
37430..............................  Mc Clain County, Oklahoma......................          5880         36420
37440..............................  Mc Curtain County, Oklahoma....................            37            37
37450..............................  Mc Intosh County, Oklahoma.....................            37            37
37460..............................  Major County, Oklahoma.........................            37            37
37470..............................  Marshall County, Oklahoma......................            37            37
37480..............................  Mayes County, Oklahoma.........................            37            37
37490..............................  Murray County, Oklahoma........................            37            37
37500..............................  Muskogee County, Oklahoma......................            37            37
37510..............................  Noble County, Oklahoma.........................            37            37
37520..............................  Nowata County, Oklahoma........................            37            37
37530..............................  Okfuskee County, Oklahoma......................            37            37
37540..............................  Oklahoma County, Oklahoma......................          5880         36420
37550..............................  Okmulgee County, Oklahoma......................            37         46140
37560..............................  Osage County, Oklahoma.........................          8560         46140
37570..............................  Ottawa County, Oklahoma........................            37            37
37580..............................  Pawnee County, Oklahoma........................            37         46140
37590..............................  Payne County, Oklahoma.........................            37            37
37600..............................  Pittsburg County, Oklahoma.....................            37            37
37610..............................  Pontotoc County, Oklahoma......................            37            37
37620..............................  Pottawatomie County, Oklahoma..................          5880            37
37630..............................  Pushmataha County, Oklahoma....................            37            37
37640..............................  Roger Mills County, Oklahoma...................            37            37
37650..............................  Rogers County, Oklahoma........................          8560         46140
37660..............................  Seminole County, Oklahoma......................            37            37
37670..............................  Sequoyah County, Oklahoma......................          2720         22900
37680..............................  Stephens County, Oklahoma......................            37            37
37690..............................  Texas County, Oklahoma.........................            37            37
37700..............................  Tillman County, Oklahoma.......................            37            37
37710..............................  Tulsa County, Oklahoma.........................          8560         46140
37720..............................  Wagoner County, Oklahoma.......................          8560         46140
37730..............................  Washington County, Oklahoma....................            37            37
37740..............................  Washita County, Oklahoma.......................            37            37
37750..............................  Woods County, Oklahoma.........................            37            37
37760..............................  Woodward County, Oklahoma......................            37            37
38000..............................  Baker County, Oregon...........................            38            38
38010..............................  Benton County, Oregon..........................            38         18700
38020..............................  Clackamas County, Oregon.......................          6440         38900
38030..............................  Clatsop County, Oregon.........................            38            38
38040..............................  Columbia County, Oregon........................            38         38900
38050..............................  Coos County, Oregon............................            38            38
38060..............................  Crook County, Oregon...........................            38            38
38070..............................  Curry County, Oregon...........................            38            38
38080..............................  Deschutes County, Oregon.......................            38         13460
38090..............................  Douglas County, Oregon.........................            38            38
38100..............................  Gilliam County, Oregon.........................            38            38
38110..............................  Grant County, Oregon...........................            38            38
38120..............................  Harney County, Oregon..........................            38            38
38130..............................  Hood River County, Oregon......................            38            38
38140..............................  Jackson County, Oregon.........................          4890         32780
38150..............................  Jefferson County, Oregon.......................            38            38
38160..............................  Josephine County, Oregon.......................            38            38
38170..............................  Klamath County, Oregon.........................            38            38
38180..............................  Lake County, Oregon............................            38            38
38190..............................  Lane County, Oregon............................          2400         21660
38200..............................  Lincoln County, Oregon.........................            38            38
38210..............................  Linn County, Oregon............................            38            38
38220..............................  Malheur County, Oregon.........................            38            38

[[Page 46042]]

 
38230..............................  Marion County, Oregon..........................          7080         41420
38240..............................  Morrow County, Oregon..........................            38            38
38250..............................  Multnomah County, Oregon.......................          6440         38900
38260..............................  Polk County, Oregon............................          7080         41420
38270..............................  Sherman County, Oregon.........................            38            38
38280..............................  Tillamook County, Oregon.......................            38            38
38290..............................  Umatilla County, Oregon........................            38            38
38300..............................  Union County, Oregon...........................            38            38
38310..............................  Wallowa County, Oregon.........................            38            38
38320..............................  Wasco County, Oregon...........................            38            38
38330..............................  Washington County, Oregon......................          6440         38900
38340..............................  Wheeler County, Oregon.........................            38            38
38350..............................  Yamhill County, Oregon.........................          6440         38900
39000..............................  Adams County, Pennsylvania.....................          9280            39
39010..............................  Allegheny County, Pennsylvania.................          6280         38300
39070..............................  Armstrong County, Pennsylvania.................            39         38300
39080..............................  Beaver County, Pennsylvania....................          0845         38300
39100..............................  Bedford County, Pennsylvania...................            39            39
39110..............................  Berks County, Pennsylvania.....................          6680         39740
39120..............................  Blair County, Pennsylvania.....................          0280         11020
39130..............................  Bradford County, Pennsylvania..................            39            39
39140..............................  Bucks County, Pennsylvania.....................          6160         37964
39150..............................  Butler County, Pennsylvania....................            39         38300
39160..............................  Cambria County, Pennsylvania...................          3680         27780
39180..............................  Cameron County, Pennsylvania...................            39            39
39190..............................  Carbon County, Pennsylvania....................          0240         10900
39200..............................  Centre County, Pennsylvania....................          8050         44300
39210..............................  Chester County, Pennsylvania...................          6160         37964
39220..............................  Clarion County, Pennsylvania...................            39            39
39230..............................  Clearfield County, Pennsylvania................            39            39
39240..............................  Clinton County, Pennsylvania...................            39            39
39250..............................  Columbia County, Pennsylvania..................          7560            39
39260..............................  Crawford County, Pennsylvania..................            39            39
39270..............................  Cumberland County, Pennsylvania................          3240         25420
39280..............................  Dauphin County, Pennsylvania...................          3240         25420
39290..............................  Delaware County, Pennsylvania..................          6160         37964
39310..............................  Elk County, Pennsylvania.......................            39            39
39320..............................  Erie County, Pennsylvania......................          2360         21500
39330..............................  Fayette County, Pennsylvania...................          6280         38300
39340..............................  Forest County, Pennsylvania....................            39            39
39350..............................  Franklin County, Pennsylvania..................            39            39
39360..............................  Fulton County, Pennsylvania....................            39            39
39370..............................  Greene County, Pennsylvania....................            39            39
39380..............................  Huntingdon County, Pennsylvania................            39            39
39390..............................  Indiana County, Pennsylvania...................            39            39
39400..............................  Jefferson County, Pennsylvania.................            39            39
39410..............................  Juniata County, Pennsylvania...................            39            39
39420..............................  Lackawanna County, Pennsylvania................          7560         42540
39440..............................  Lancaster County, Pennsylvania.................          4000         29540
39450..............................  Lawrence County, Pennsylvania..................            39            39
39460..............................  Lebanon County, Pennsylvania...................          3240         30140
39470..............................  Lehigh County, Pennsylvania....................          0240         10900
39480..............................  Luzerne County, Pennsylvania...................          7560         42540
39510..............................  Lycoming County, Pennsylvania..................          9140         48700
39520..............................  Mc Kean County, Pennsylvania...................            39            39
39530..............................  Mercer County, Pennsylvania....................          7610         49660
39540..............................  Mifflin County, Pennsylvania...................            39            39
39550..............................  Monroe County, Pennsylvania....................          7560            39
39560..............................  Montgomery County, Pennsylvania................          6160         37964
39580..............................  Montour County, Pennsylvania...................            39            39
39590..............................  Northampton County, Pennsylvania...............          0240         10900
39600..............................  Northumberland County, Pennsylvania............            39            39
39610..............................  Perry County, Pennsylvania.....................          3240         25420
39620..............................  Philadelphia County, Pennsylvania..............          6160         37964
39630..............................  Pike County, Pennsylvania......................          5660         35084
39640..............................  Potter County, Pennsylvania....................            39            39
39650..............................  Schuylkill County, Pennsylvania................            39            39
39670..............................  Snyder County, Pennsylvania....................            39            39
39680..............................  Somerset County, Pennsylvania..................          3680            39
39690..............................  Sullivan County, Pennsylvania..................            39            39

[[Page 46043]]

 
39700..............................  Susquehanna County, Pennsylvania...............            39            39
39710..............................  Tioga County, Pennsylvania.....................            39            39
39720..............................  Union County, Pennsylvania.....................            39            39
39730..............................  Venango County, Pennsylvania...................            39            39
39740..............................  Warren County, Pennsylvania....................            39            39
39750..............................  Washington County, Pennsylvania................          6280         38300
39760..............................  Wayne County, Pennsylvania.....................            39            39
39770..............................  Westmoreland County, Pennsylvania..............          6280         38300
39790..............................  Wyoming County, Pennsylvania...................          7560         42540
39800..............................  York County, Pennsylvania......................          9280         49620
40010..............................  Adjuntas County, Puerto Rico...................            40            40
40020..............................  Aguada County, Puerto Rico.....................          0060         10380
40030..............................  Aguadilla County, Puerto Rico..................          0060         10380
40040..............................  Aguas Buenas County, Puerto Rico...............          7440         41980
40050..............................  Aibonito County, Puerto Rico...................            40         41980
40060..............................  Anasco County, Puerto Rico.....................          4840         10380
40070..............................  Arecibo County, Puerto Rico....................          0470         41980
40080..............................  Arroyo County, Puerto Rico.....................            40         25020
40090..............................  Barceloneta County, Puerto Rico................          7440         41980
40100..............................  Barranquitas County, Puerto Rico...............            40         41980
40110..............................  Bayamon County, Puerto Rico....................          7440         41980
40120..............................  Cabo Rojo County, Puerto Rico..................          4840         41900
40130..............................  Caguas County, Puerto Rico.....................          1310         41980
40140..............................  Camuy County, Puerto Rico......................          0470         41980
40145..............................  Canovanas County, Puerto Rico..................          7440         41980
40150..............................  Carolina County, Puerto Rico...................          7440         41980
40160..............................  Catano County, Puerto Rico.....................          7440         41980
40170..............................  Cayey County, Puerto Rico......................          1310         41980
40180..............................  Ceiba County, Puerto Rico......................            40         21940
40190..............................  Ciales County, Puerto Rico.....................            40         41980
40200..............................  Cidra County, Puerto Rico......................          1310         41980
40210..............................  Coamo County, Puerto Rico......................            40            40
40220..............................  Comerio County, Puerto Rico....................            40         41980
40230..............................  Corozal County, Puerto Rico....................            40         41980
40240..............................  Culebra County, Puerto Rico....................            40            40
40250..............................  Dorado County, Puerto Rico.....................            40         41980
40260..............................  Fajardo County, Puerto Rico....................            40         21940
40265..............................  Florida County, Puerto Rico....................            40         41980
40270..............................  Guanica County, Puerto Rico....................            40         49500
40280..............................  Guayama County, Puerto Rico....................            40         25020
40290..............................  Guayanilla County, Puerto Rico.................          6360         49500
40300..............................  Guaynabo County, Puerto Rico...................            40         41980
40310..............................  Gurabo County, Puerto Rico.....................          1310         41980
40320..............................  Hatillo County, Puerto Rico....................          0470         41980
40330..............................  Hormigueros County, Puerto Rico................          4840         32420
40340..............................  Humacao County, Puerto Rico....................            40         41980
40350..............................  Isabela County, Puerto Rico....................            40         10380
40360..............................  Jayuya County, Puerto Rico.....................            40            40
40370..............................  Juana Diaz County, Puerto Rico.................          6360         38660
40380..............................  Juncos County, Puerto Rico.....................            40         41980
40390..............................  Lajas County, Puerto Rico......................            40         41900
40400..............................  Lares County, Puerto Rico......................            40         10380
40410..............................  Las Marias County, Puerto Rico.................            40            40
40420..............................  Las Piedras County, Puerto Rico................            40         41980
40430..............................  Loiza County, Puerto Rico......................          7440         41980
40440..............................  Luquillo County, Puerto Rico...................            40         21940
40450..............................  Manati County, Puerto Rico.....................            40         41980
40460..............................  Maricao County, Puerto Rico....................            40            40
40470..............................  Maunabo County, Puerto Rico....................            40         41980
40480..............................  Mayaguez County, Puerto Rico...................          4840         32420
40490..............................  Moca County, Puerto Rico.......................          0060         10380
40500..............................  Morovis County, Puerto Rico....................            40         41980
40510..............................  Naguabo County, Puerto Rico....................            40         41980
40520..............................  Naranjito County, Puerto Rico..................            40         41980
40530..............................  Orocovis County, Puerto Rico...................            40         41980
40540..............................  Patillas County, Puerto Rico...................            40         25020
40550..............................  Penuelas County, Puerto Rico...................          6360         49500
40560..............................  Ponce County, Puerto Rico......................          6360         38660
40570..............................  Quebradillas County, Puerto Rico...............            40         41980
40580..............................  Rincon County, Puerto Rico.....................            40         10380

[[Page 46044]]

 
40590..............................  Rio Grande County, Puerto Rico.................            40         41980
40610..............................  Sabana Grande County, Puerto Rico..............          4840         41900
40620..............................  Salinas County, Puerto Rico....................            40            40
40630..............................  San German County, Puerto Rico.................          4840         41900
40640..............................  San Juan County, Puerto Rico...................            40         41980
40650..............................  San Lorenzo County, Puerto Rico................          1310         41980
40660..............................  San Sebastian County, Puerto Rico..............            40         10380
40670..............................  Santa Isabel County, Puerto Rico...............            40            40
40680..............................  Toa Alta County, Puerto Rico...................            40         41980
40690..............................  Toa Baja County, Puerto Rico...................            40         41980
40700..............................  Trujillo Alto County, Puerto Rico..............            40         41980
40710..............................  Utuado County, Puerto Rico.....................            40            40
40720..............................  Vega Alta County, Puerto Rico..................            40         41980
40730..............................  Vega Baja County, Puerto Rico..................            40         41980
40740..............................  Vieques County, Puerto Rico....................            40            40
40750..............................  Villalba County, Puerto Rico...................          6360         38660
40760..............................  Yabucoa County, Puerto Rico....................            40         41980
40770..............................  Yauco County, Puerto Rico......................          6360         49500
41000..............................  Bristol County, Rhode Island...................          6483         39300
41010..............................  Kent County, Rhode Island......................          6483         39300
41020..............................  Newport County, Rhode Island...................          6483         39300
41030..............................  Providence County, Rhode Island................          6483         39300
41050..............................  Washington County, Rhode Island................          6483         39300
42000..............................  Abbeville County, S Carolina...................            42            42
42010..............................  Aiken County, S Carolina.......................          0600         12260
42020..............................  Allendale County, S Carolina...................            42            42
42030..............................  Anderson County, S Carolina....................          3160         11340
42040..............................  Bamberg County, S Carolina.....................            42            42
42050..............................  Barnwell County, S Carolina....................            42            42
42060..............................  Beaufort County, S Carolina....................            42            42
42070..............................  Berkeley County, S Carolina....................          1440         16700
42080..............................  Calhoun County, S Carolina.....................            42         17900
42090..............................  Charleston County, S Carolina..................          1440         16700
42100..............................  Cherokee County, S Carolina....................            42            42
42110..............................  Chester County, S Carolina.....................            42            42
42120..............................  Chesterfield County, S Carolina................            42            42
42130..............................  Clarendon County, S Carolina...................            42            42
42140..............................  Colleton County, S Carolina....................            42            42
42150..............................  Darlington County, S Carolina..................            42         22500
42160..............................  Dillon County, S Carolina......................            42            42
42170..............................  Dorchester County, S Carolina..................          1440         16700
42180..............................  Edgefield County, S Carolina...................            42         12260
42190..............................  Fairfield County, S Carolina...................            42         17900
42200..............................  Florence County, S Carolina....................          2655         22500
42210..............................  Georgetown County, S Carolina..................            42            42
42220..............................  Greenville County, S Carolina..................          3160         24860
42230..............................  Greenwood County, S Carolina...................            42            42
42240..............................  Hampton County, S Carolina.....................            42            42
42250..............................  Horry County, S Carolina.......................            42         34820
42260..............................  Jasper County, S Carolina......................            42            42
42270..............................  Kershaw County, S Carolina.....................            42         17900
42280..............................  Lancaster County, S Carolina...................            42            42
42290..............................  Laurens County, S Carolina.....................            42         24860
42300..............................  Lee County, S Carolina.........................            42            42
42310..............................  Lexington County, S Carolina...................          1760         17900
42320..............................  Mc Cormick County, S Carolina..................            42            42
42330..............................  Marion County, S Carolina......................            42            42
42340..............................  Marlboro County, S Carolina....................            42            42
42350..............................  Newberry County, S Carolina....................            42            42
42360..............................  Oconee County, S Carolina......................            42            42
42370..............................  Orangeburg County, S Carolina..................            42            42
42380..............................  Pickens County, S Carolina.....................          3160         24860
42390..............................  Richland County, S Carolina....................          1760         17900
42400..............................  Saluda County, S Carolina......................            42         17900
42410..............................  Spartanburg County, S Carolina.................          3160         43900
42420..............................  Sumter County, S Carolina......................            42         44940
42430..............................  Union County, S Carolina.......................            42            42
42440..............................  Williamsburg County, S Carolina................            42            42
42450..............................  York County, S Carolina........................          1520         16740
43010..............................  Aurora County, S Dakota........................            43            43

[[Page 46045]]

 
43020..............................  Beadle County, S Dakota........................            43            43
43030..............................  Bennett County, S Dakota.......................            43            43
43040..............................  Bon Homme County, S Dakota.....................            43            43
43050..............................  Brookings County, S Dakota.....................            43            43
43060..............................  Brown County, S Dakota.........................            43            43
43070..............................  Brule County, S Dakota.........................            43            43
43080..............................  Buffalo County, S Dakota.......................            43            43
43090..............................  Butte County, S Dakota.........................            43            43
43100..............................  Campbell County, S Dakota......................            43            43
43110..............................  Charles Mix County, S Dakota...................            43            43
43120..............................  Clark County, S Dakota.........................            43            43
43130..............................  Clay County, S Dakota..........................            43            43
43140..............................  Codington County, S Dakota.....................            43            43
43150..............................  Corson County, S Dakota........................            43            43
43160..............................  Custer County, S Dakota........................            43            43
43170..............................  Davison County, S Dakota.......................            43            43
43180..............................  Day County, S Dakota...........................            43            43
43190..............................  Deuel County, S Dakota.........................            43            43
43200..............................  Dewey County, S Dakota.........................            43            43
43210..............................  Douglas County, S Dakota.......................            43            43
43220..............................  Edmunds County, S Dakota.......................            43            43
43230..............................  Fall River County, S Dakota....................            43            43
43240..............................  Faulk County, S Dakota.........................            43            43
43250..............................  Grant County, S Dakota.........................            43            43
43260..............................  Gregory County, S Dakota.......................            43            43
43270..............................  Haakon County, S Dakota........................            43            43
43280..............................  Hamlin County, S Dakota........................            43            43
43290..............................  Hand County, S Dakota..........................            43            43
43300..............................  Hanson County, S Dakota........................            43            43
43310..............................  Harding County, S Dakota.......................            43            43
43320..............................  Hughes County, S Dakota........................            43            43
43330..............................  Hutchinson County, S Dakota....................            43            43
43340..............................  Hyde County, S Dakota..........................            43            43
43350..............................  Jackson County, S Dakota.......................            43            43
43360..............................  Jerauld County, S Dakota.......................            43            43
43370..............................  Jones County, S Dakota.........................            43            43
43380..............................  Kingsbury County, S Dakota.....................            43            43
43390..............................  Lake County, S Dakota..........................            43            43
43400..............................  Lawrence County, S Dakota......................            43            43
43410..............................  Lincoln County, S Dakota.......................            43         43620
43420..............................  Lyman County, S Dakota.........................            43            43
43430..............................  Mc Cook County, S Dakota.......................            43         43620
43440..............................  Mc Pherson County, S Dakota....................            43            43
43450..............................  Marshall County, S Dakota......................            43            43
43460..............................  Meade County, S Dakota.........................            43         39660
43470..............................  Mellette County, S Dakota......................            43            43
43480..............................  Miner County, S Dakota.........................            43            43
43490..............................  Minnehaha County, S Dakota.....................          7760         43620
43500..............................  Moody County, S Dakota.........................            43            43
43510..............................  Pennington County, S Dakota....................          6660         39660
43520..............................  Perkins County, S Dakota.......................            43            43
43530..............................  Potter County, S Dakota........................            43            43
43540..............................  Roberts County, S Dakota.......................            43            43
43550..............................  Sanborn County, S Dakota.......................            43            43
43560..............................  Shannon County, S Dakota.......................            43            43
43570..............................  Spink County, S Dakota.........................            43            43
43580..............................  Stanley County, S Dakota.......................            43            43
43590..............................  Sully County, S Dakota.........................            43            43
43600..............................  Todd County, S Dakota..........................            43            43
43610..............................  Tripp County, S Dakota.........................            43            43
43620..............................  Turner County, S Dakota........................            43         43620
43630..............................  Union County, S Dakota.........................            43         43580
43640..............................  Walworth County, S Dakota......................            43            43
43650..............................  Washabaugh County, S Dakota....................            43            43
43670..............................  Yankton County, S Dakota.......................            43            43
43680..............................  Ziebach County, S Dakota.......................            43            43
44000..............................  Anderson County, Tennessee.....................          3840         28940
44010..............................  Bedford County, Tennessee......................            44            44
44020..............................  Benton County, Tennessee.......................            44            44
44030..............................  Bledsoe County, Tennessee......................            44            44

[[Page 46046]]

 
44040..............................  Blount County, Tennessee.......................          3840         28940
44050..............................  Bradley County, Tennessee......................            44         17420
44060..............................  Campbell County, Tennessee.....................            44            44
44070..............................  Cannon County, Tennessee.......................            44         34980
44080..............................  Carroll County, Tennessee......................            44            44
44090..............................  Carter County, Tennessee.......................          3660         27740
44100..............................  Cheatham County, Tennessee.....................          5360         34980
44110..............................  Chester County, Tennessee......................            44         27180
44120..............................  Claiborne County, Tennessee....................            44            44
44130..............................  Clay County, Tennessee.........................            44            44
44140..............................  Cocke County, Tennessee........................            44            44
44150..............................  Coffee County, Tennessee.......................            44            44
44160..............................  Crockett County, Tennessee.....................            44            44
44170..............................  Cumberland County, Tennessee...................            44            44
44180..............................  Davidson County, Tennessee.....................          5360         34980
44190..............................  Decatur County, Tennessee......................            44            44
44200..............................  De Kalb County, Tennessee......................            44            44
44210..............................  Dickson County, Tennessee......................          5360         34980
44220..............................  Dyer County, Tennessee.........................            44            44
44230..............................  Fayette County, Tennessee......................            44         32820
44240..............................  Fentress County, Tennessee.....................            44            44
44250..............................  Franklin County, Tennessee.....................            44            44
44260..............................  Gibson County, Tennessee.......................            44            44
44270..............................  Giles County, Tennessee........................            44            44
44280..............................  Grainger County, Tennessee.....................          3840         34100
44290..............................  Greene County, Tennessee.......................            44            44
44300..............................  Grundy County, Tennessee.......................            44            44
44310..............................  Hamblen County, Tennessee......................            44         34100
44320..............................  Hamilton County, Tennessee.....................          1560         16860
44330..............................  Hancock County, Tennessee......................            44            44
44340..............................  Hardeman County, Tennessee.....................            44            44
44350..............................  Hardin County, Tennessee.......................            44            44
44360..............................  Hawkins County, Tennessee......................          3660         28700
44370..............................  Haywood County, Tennessee......................            44            44
44380..............................  Henderson County, Tennessee....................            44            44
44390..............................  Henry County, Tennessee........................            44            44
44400..............................  Hickman County, Tennessee......................            44         34980
44410..............................  Houston County, Tennessee......................            44            44
44420..............................  Humphreys County, Tennessee....................            44            44
44430..............................  Jackson County, Tennessee......................            44            44
44440..............................  Jefferson County, Tennessee....................          3840         34100
44450..............................  Johnson County, Tennessee......................            44            44
44460..............................  Knox County, Tennessee.........................          3840         28940
44470..............................  Lake County, Tennessee.........................            44            44
44480..............................  Lauderdale County, Tennessee...................            44            44
44490..............................  Lawrence County, Tennessee.....................            44            44
44500..............................  Lewis County, Tennessee........................            44            44
44510..............................  Lincoln County, Tennessee......................            44            44
44520..............................  Loudon County, Tennessee.......................            44         28940
44530..............................  Mc Minn County, Tennessee......................            44            44
44540..............................  Mc Nairy County, Tennessee.....................            44            44
44550..............................  Macon County, Tennessee........................            44         34980
44560..............................  Madison County, Tennessee......................          3580         27180
44570..............................  Marion County, Tennessee.......................          1560         16860
44580..............................  Marshall County, Tennessee.....................            44            44
44590..............................  Maury County, Tennessee........................            44            44
44600..............................  Meigs County, Tennessee........................            44            44
44610..............................  Monroe County, Tennessee.......................            44            44
44620..............................  Montgomery County, Tennessee...................          1660         17300
44630..............................  Moore County, Tennessee........................            44            44
44640..............................  Morgan County, Tennessee.......................            44            44
44650..............................  Obion County, Tennessee........................            44            44
44660..............................  Overton County, Tennessee......................            44            44
44670..............................  Perry County, Tennessee........................            44            44
44680..............................  Pickett County, Tennessee......................            44            44
44690..............................  Polk County, Tennessee.........................            44         17420
44700..............................  Putnam County, Tennessee.......................            44            44
44710..............................  Rhea County, Tennessee.........................            44            44
44720..............................  Roane County, Tennessee........................            44            44
44730..............................  Robertson County, Tennessee....................          5360         34980

[[Page 46047]]

 
44740..............................  Rutherford County, Tennessee...................          5360         34980
44750..............................  Scott County, Tennessee........................            44            44
44760..............................  Sequatchie County, Tennessee...................          1560         16860
44770..............................  Sevier County, Tennessee.......................          3840            44
44780..............................  Shelby County, Tennessee.......................          4920         32820
44790..............................  Smith County, Tennessee........................            44         34980
44800..............................  Stewart County, Tennessee......................            44         17300
44810..............................  Sullivan County, Tennessee.....................          3660         28700
44820..............................  Sumner County, Tennessee.......................          5360         34980
44830..............................  Tipton County, Tennessee.......................          4920         32820
44840..............................  Trousdale County, Tennessee....................            44         34980
44850..............................  Unicoi County, Tennessee.......................          3660         27740
44860..............................  Union County, Tennessee........................          3840         28940
44870..............................  Van Buren County, Tennessee....................            44            44
44880..............................  Warren County, Tennessee.......................            44            44
44890..............................  Washington County, Tennessee...................          3660         27740
44900..............................  Wayne County, Tennessee........................            44            44
44910..............................  Weakley County, Tennessee......................            44            44
44920..............................  White County, Tennessee........................            44            44
44930..............................  Williamson County, Tennessee...................          5360         34980
44940..............................  Wilson County, Tennessee.......................          5360         34980
45000..............................  Anderson County, Texas.........................            45            45
45010..............................  Andrews County, Texas..........................            45            45
45020..............................  Angelina County, Texas.........................            45            45
45030..............................  Aransas County, Texas..........................            45         18580
45040..............................  Archer County, Texas...........................          9080         48660
45050..............................  Armstrong County, Texas........................            45         11100
45060..............................  Atascosa County, Texas.........................            45         41700
45070..............................  Austin County, Texas...........................            45         26420
45080..............................  Bailey County, Texas...........................            45            45
45090..............................  Bandera County, Texas..........................            45         41700
45100..............................  Bastrop County, Texas..........................          0640         12420
45110..............................  Baylor County, Texas...........................            45            45
45113..............................  Bee County, Texas..............................            45            45
45120..............................  Bell County, Texas.............................          3810         28660
45130..............................  Bexar County, Texas............................          7240         41700
45140..............................  Blanco County, Texas...........................            45            45
45150..............................  Borden County, Texas...........................            45            45
45160..............................  Bosque County, Texas...........................            45            45
45170..............................  Bowie County, Texas............................          8360         45500
45180..............................  Brazoria County, Texas.........................          1145         26420
45190..............................  Brazos County, Texas...........................          1260         17780
45200..............................  Brewster County, Texas.........................            45            45
45201..............................  Briscoe County, Texas..........................            45            45
45210..............................  Brooks County, Texas...........................            45            45
45220..............................  Brown County, Texas............................            45            45
45221..............................  Burleson County, Texas.........................            45         17780
45222..............................  Burnet County, Texas...........................            45            45
45223..............................  Caldwell County, Texas.........................            45         12420
45224..............................  Calhoun County, Texas..........................            45         47020
45230..............................  Callahan County, Texas.........................            45         10180
45240..............................  Cameron County, Texas..........................          1240         15180
45250..............................  Camp County, Texas.............................            45            45
45251..............................  Carson County, Texas...........................            45         11100
45260..............................  Cass County, Texas.............................            45            45
45270..............................  Castro County, Texas...........................            45            45
45280..............................  Chambers County, Texas.........................            45         26420
45281..............................  Cherokee County, Texas.........................            45            45
45290..............................  Childress County, Texas........................            45            45
45291..............................  Clay County, Texas.............................            45         48660
45292..............................  Cochran County, Texas..........................            45            45
45300..............................  Coke County, Texas.............................            45            45
45301..............................  Coleman County, Texas..........................            45            45
45310..............................  Collin County, Texas...........................          1920         19124
45311..............................  Collingsworth County, Texas....................            45            45
45312..............................  Colorado County, Texas.........................            45            45
45320..............................  Comal County, Texas............................          7240         41700
45321..............................  Comanche County, Texas.........................            45            45
45330..............................  Concho County, Texas...........................            45            45
45340..............................  Cooke County, Texas............................            45            45

[[Page 46048]]

 
45341..............................  Coryell County, Texas..........................          3810         28660
45350..............................  Cottle County, Texas...........................            45            45
45360..............................  Crane County, Texas............................            45            45
45361..............................  Crockett County, Texas.........................            45            45
45362..............................  Crosby County, Texas...........................            45         31180
45370..............................  Culberson County, Texas........................            45            45
45380..............................  Dallam County, Texas...........................            45            45
45390..............................  Dallas County, Texas...........................          1920         19124
45391..............................  Dawson County, Texas...........................            45            45
45392..............................  Deaf Smith County, Texas.......................            45            45
45400..............................  Delta County, Texas............................            45         19124
45410..............................  Denton County, Texas...........................          1920         19124
45420..............................  De Witt County, Texas..........................            45            45
45421..............................  Dickens County, Texas..........................            45            45
45430..............................  Dimmit County, Texas...........................            45            45
45431..............................  Donley County, Texas...........................            45            45
45440..............................  Duval County, Texas............................            45            45
45450..............................  Eastland County, Texas.........................            45            45
45451..............................  Ector County, Texas............................          5800         36220
45460..............................  Edwards County, Texas..........................            45            45
45470..............................  Ellis County, Texas............................          1920         19124
45480..............................  El Paso County, Texas..........................          2320         21340
45490..............................  Erath County, Texas............................            45            45
45500..............................  Falls County, Texas............................            45            45
45510..............................  Fannin County, Texas...........................            45            45
45511..............................  Fayette County, Texas..........................            45            45
45520..............................  Fisher County, Texas...........................            45            45
45521..............................  Floyd County, Texas............................            45            45
45522..............................  Foard County, Texas............................            45            45
45530..............................  Fort Bend County, Texas........................          3360         26420
45531..............................  Franklin County, Texas.........................            45            45
45540..............................  Freestone County, Texas........................            45            45
45541..............................  Frio County, Texas.............................            45            45
45542..............................  Gaines County, Texas...........................            45            45
45550..............................  Galveston County, Texas........................          2920         26420
45551..............................  Garza County, Texas............................            45            45
45552..............................  Gillespie County, Texas........................            45            45
45560..............................  Glasscock County, Texas........................            45            45
45561..............................  Goliad County, Texas...........................            45         47020
45562..............................  Gonzales County, Texas.........................            45            45
45563..............................  Gray County, Texas.............................            45            45
45564..............................  Grayson County, Texas..........................          7640         43300
45570..............................  Gregg County, Texas............................          4420         30980
45580..............................  Grimes County, Texas...........................            45            45
45581..............................  Guadaloupe County, Texas.......................          7240         41700
45582..............................  Hale County, Texas.............................            45            45
45583..............................  Hall County, Texas.............................            45            45
45590..............................  Hamilton County, Texas.........................            45            45
45591..............................  Hansford County, Texas.........................            45            45
45592..............................  Hardeman County, Texas.........................            45            45
45600..............................  Hardin County, Texas...........................          0840         13140
45610..............................  Harris County, Texas...........................          3360         26420
45620..............................  Harrison County, Texas.........................          4420            45
45621..............................  Hartley County, Texas..........................            45            45
45630..............................  Haskell County, Texas..........................            45            45
45631..............................  Hays County, Texas.............................          0640         12420
45632..............................  Hemphill County, Texas.........................            45            45
45640..............................  Henderson County, Texas........................            45            45
45650..............................  Hidalgo County, Texas..........................          4880         32580
45651..............................  Hill County, Texas.............................            45            45
45652..............................  Hockley County, Texas..........................            45            45
45653..............................  Hood County, Texas.............................            45            45
45654..............................  Hopkins County, Texas..........................            45            45
45660..............................  Houston County, Texas..........................            45            45
45661..............................  Howard County, Texas...........................            45            45
45662..............................  Hudspeth County, Texas.........................            45            45
45670..............................  Hunt County, Texas.............................            45         19124
45671..............................  Hutchinson County, Texas.......................            45            45
45672..............................  Irion County, Texas............................            45         41660
45680..............................  Jack County, Texas.............................            45            45

[[Page 46049]]

 
45681..............................  Jackson County, Texas..........................            45            45
45690..............................  Jasper County, Texas...........................            45            45
45691..............................  Jeff Davis County, Texas.......................            45            45
45700..............................  Jefferson County, Texas........................          0840         13140
45710..............................  Jim Hogg County, Texas.........................            45            45
45711..............................  Jim Wells County, Texas........................            45            45
45720..............................  Johnson County, Texas..........................          2800         23104
45721..............................  Jones County, Texas............................            45         10180
45722..............................  Karnes County, Texas...........................            45            45
45730..............................  Kaufman County, Texas..........................          1920         19124
45731..............................  Kendall County, Texas..........................            45         41700
45732..............................  Kenedy County, Texas...........................            45            45
45733..............................  Kent County, Texas.............................            45            45
45734..............................  Kerr County, Texas.............................            45            45
45740..............................  Kimble County, Texas...........................            45            45
45741..............................  King County, Texas.............................            45            45
45742..............................  Kinney County, Texas...........................            45            45
45743..............................  Kleberg County, Texas..........................            45            45
45744..............................  Knox County, Texas.............................            45            45
45750..............................  Lamar County, Texas............................            45            45
45751..............................  Lamb County, Texas.............................            45            45
45752..............................  Lampasas County, Texas.........................            45         28660
45753..............................  La Salle County, Texas.........................            45            45
45754..............................  Lavaca County, Texas...........................            45            45
45755..............................  Lee County, Texas..............................            45            45
45756..............................  Leon County, Texas.............................            45            45
45757..............................  Liberty County, Texas..........................          3360         26420
45758..............................  Limestone County, Texas........................            45            45
45759..............................  Lipscomb County, Texas.........................            45            45
45760..............................  Live Oak County, Texas.........................            45            45
45761..............................  Llano County, Texas............................            45            45
45762..............................  Loving County, Texas...........................            45            45
45770..............................  Lubbock County, Texas..........................          4600         31180
45771..............................  Lynn County, Texas.............................            45            45
45772..............................  Mc Culloch County, Texas.......................            45            45
45780..............................  Mc Lennan County, Texas........................          8800         47380
45781..............................  Mc Mullen County, Texas........................            45            45
45782..............................  Madison County, Texas..........................            45            45
45783..............................  Marion County, Texas...........................            45            45
45784..............................  Martin County, Texas...........................            45            45
45785..............................  Mason County, Texas............................            45            45
45790..............................  Matagorda County, Texas........................            45            45
45791..............................  Maverick County, Texas.........................            45            45
45792..............................  Medina County, Texas...........................            45         41700
45793..............................  Menard County, Texas...........................            45            45
45794..............................  Midland County, Texas..........................          5040         33260
45795..............................  Milam County, Texas............................            45            45
45796..............................  Mills County, Texas............................            45            45
45797..............................  Mitchell County, Texas.........................            45            45
45800..............................  Montague County, Texas.........................            45            45
45801..............................  Montgomery County, Texas.......................          3360         26420
45802..............................  Moore County, Texas............................            45            45
45803..............................  Morris County, Texas...........................            45            45
45804..............................  Motley County, Texas...........................            45            45
45810..............................  Nacogdoches County, Texas......................            45            45
45820..............................  Navarro County, Texas..........................            45            45
45821..............................  Newton County, Texas...........................            45            45
45822..............................  Nolan County, Texas............................            45            45
45830..............................  Nueces County, Texas...........................          1880         18580
45831..............................  Ochiltree County, Texas........................            45            45
45832..............................  Oldham County, Texas...........................            45            45
45840..............................  Orange County, Texas...........................          0840         13140
45841..............................  Palo Pinto County, Texas.......................            45            45
45842..............................  Panola County, Texas...........................            45            45
45843..............................  Parker County, Texas...........................          2800         23104
45844..............................  Parmer County, Texas...........................            45            45
45845..............................  Pecos County, Texas............................            45            45
45850..............................  Polk County, Texas.............................            45            45
45860..............................  Potter County, Texas...........................          0320         11100
45861..............................  Presidio County, Texas.........................            45            45

[[Page 46050]]

 
45870..............................  Rains County, Texas............................            45            45
45871..............................  Randall County, Texas..........................          0320         11100
45872..............................  Reagan County, Texas...........................            45            45
45873..............................  Real County, Texas.............................            45            45
45874..............................  Red River County, Texas........................            45            45
45875..............................  Reeves County, Texas...........................            45            45
45876..............................  Refugio County, Texas..........................            45            45
45877..............................  Roberts County, Texas..........................            45            45
45878..............................  Robertson County, Texas........................            45         17780
45879..............................  Rockwall County, Texas.........................          1920         19124
45880..............................  Runnels County, Texas..........................            45            45
45881..............................  Rusk County, Texas.............................            45         30980
45882..............................  Sabine County, Texas...........................            45            45
45883..............................  San Augustine County, Texas....................            45            45
45884..............................  San Jacinto County, Texas......................            45         26420
45885..............................  San Patricio County, Texas.....................          1880         18580
45886..............................  San Saba County, Texas.........................            45            45
45887..............................  Schleicher County, Texas.......................            45            45
45888..............................  Scurry County, Texas...........................            45            45
45889..............................  Shackelford County, Texas......................            45            45
45890..............................  Shelby County, Texas...........................            45            45
45891..............................  Sherman County, Texas..........................            45            45
45892..............................  Smith County, Texas............................          8640         46340
45893..............................  Somervell County, Texas........................            45            45
45900..............................  Starr County, Texas............................            45            45
45901..............................  Stephens County, Texas.........................            45            45
45902..............................  Sterling County, Texas.........................            45            45
45903..............................  Stonewall County, Texas........................            45            45
45904..............................  Sutton County, Texas...........................            45            45
45905..............................  Swisher County, Texas..........................            45            45
45910..............................  Tarrant County, Texas..........................          2800         23104
45911..............................  Taylor County, Texas...........................          0040         10180
45912..............................  Terrell County, Texas..........................            45            45
45913..............................  Terry County, Texas............................            45            45
45920..............................  Throckmorton County, Texas.....................            45            45
45921..............................  Titus County, Texas............................            45            45
45930..............................  Tom Green County, Texas........................          7200         41660
45940..............................  Travis County, Texas...........................          0640         12420
45941..............................  Trinity County, Texas..........................            45            45
45942..............................  Tyler County, Texas............................            45            45
45943..............................  Upshur County, Texas...........................            45         30980
45944..............................  Upton County, Texas............................            45            45
45945..............................  Uvalde County, Texas...........................            45            45
45946..............................  Val Verde County, Texas........................            45            45
45947..............................  Van Zandt County, Texas........................            45            45
45948..............................  Victoria County, Texas.........................          8750         47020
45949..............................  Walker County, Texas...........................            45            45
45950..............................  Waller County, Texas...........................          3360         26420
45951..............................  Ward County, Texas.............................            45            45
45952..............................  Washington County, Texas.......................            45            45
45953..............................  Webb County, Texas.............................          4080         29700
45954..............................  Wharton County, Texas..........................            45            45
45955..............................  Wheeler County, Texas..........................            45            45
45960..............................  Wichita County, Texas..........................          9080         48660
45961..............................  Wilbarger County, Texas........................            45            45
45962..............................  Willacy County, Texas..........................            45            45
45970..............................  Williamson County, Texas.......................          0640         12420
45971..............................  Wilson County, Texas...........................            45         41700
45972..............................  Winkler County, Texas..........................            45            45
45973..............................  Wise County, Texas.............................            45         23104
45974..............................  Wood County, Texas.............................            45            45
45980..............................  Yoakum County, Texas...........................            45            45
45981..............................  Young County, Texas............................            45            45
45982..............................  Zapata County, Texas...........................            45            45
45983..............................  Zavala County, Texas...........................            45            45
46000..............................  Beaver County, Utah............................            46            46
46010..............................  Box Elder County, Utah.........................            46            46
46020..............................  Cache County, Utah.............................            46         30860
46030..............................  Carbon County, Utah............................            46            46
46040..............................  Daggett County, Utah...........................            46            46

[[Page 46051]]

 
46050..............................  Davis County, Utah.............................          7160         36260
46060..............................  Duchesne County, Utah..........................            46            46
46070..............................  Emery County, Utah.............................            46            46
46080..............................  Garfield County, Utah..........................            46            46
46090..............................  Grand County, Utah.............................            46            46
46100..............................  Iron County, Utah..............................            46            46
46110..............................  Juab County, Utah..............................            46         39340
46120..............................  Kane County, Utah..............................            45            46
46130..............................  Millard County, Utah...........................            46            46
46140..............................  Morgan County, Utah............................            46         36260
46150..............................  Piute County, Utah.............................            46            46
46160..............................  Rich County, Utah..............................            46            46
46170..............................  Salt Lake County, Utah.........................          7160         41620
46180..............................  San Juan County, Utah..........................            46            46
46190..............................  Sanpete County, Utah...........................            46            46
46200..............................  Sevier County, Utah............................            46            46
46210..............................  Summit County, Utah............................            46         41620
46220..............................  Tooele County, Utah............................            46         41620
46230..............................  Uintah County, Utah............................            46            46
46240..............................  Utah County, Utah..............................          6520         39340
46250..............................  Wasatch County, Utah...........................            46            46
46260..............................  Washington County, Utah........................            46         41100
46270..............................  Wayne County, Utah.............................            46            46
46280..............................  Weber County, Utah.............................          7160         36260
47000..............................  Addison County, Vermont........................            47            47
47010..............................  Bennington County, Vermont.....................            47            47
47020..............................  Caledonia County, Vermont......................            47            47
47030..............................  Chittenden County, Vermont.....................          1303         15540
47040..............................  Essex County, Vermont..........................            47            47
47050..............................  Franklin County, Vermont.......................            47         15540
47060..............................  Grand Isle County, Vermont.....................          1303         15540
47070..............................  Lamoille County, Vermont.......................            47            47
47080..............................  Orange County, Vermont.........................            47            47
47090..............................  Orleans County, Vermont........................            47            47
47100..............................  Rutland County, Vermont........................            47            47
47110..............................  Washington County, Vermont.....................            47            47
47120..............................  Windham County, Vermont........................            47            47
47130..............................  Windsor County, Vermont........................            47            47
49000..............................  Accomack County, Virginia......................            49            49
49010..............................  Albemarle County, Virginia.....................          1540         16820
49011..............................  Alexandria City County, Virginia...............          8840         47894
49020..............................  Alleghany County, Virginia.....................            49            49
49030..............................  Amelia County, Virginia........................            49         40060
49040..............................  Amherst County, Virginia.......................          4640         31340
49050..............................  Appomattox County, Virginia....................            49         31340
49060..............................  Arlington County, Virginia.....................          8840         47894
49070..............................  Augusta County, Virginia.......................            49            49
49080..............................  Bath County, Virginia..........................            49            49
49088..............................  Bedford City County, Virginia..................            49         31340
49090..............................  Bedford County, Virginia.......................            49         31340
49100..............................  Bland County, Virginia.........................            49            49
49110..............................  Botetourt County, Virginia.....................          6800         40220
49111..............................  Bristol City County, Virginia..................          3660         28700
49120..............................  Brunswick County, Virginia.....................            49            49
49130..............................  Buchanan County, Virginia......................            49            49
49140..............................  Buckingham County, Virginia....................            49            49
49141..............................  Buena Vista City County, Virginia..............            49            49
49150..............................  Campbell County, Virginia......................          4640         31340
49160..............................  Caroline County, Virginia......................            49         40060
49170..............................  Carroll County, Virginia.......................            49            49
49180..............................  Charles City County, Virginia..................          6760         40060
49190..............................  Charlotte County, Virginia.....................            49            49
49191..............................  Charlottesville City County, Virginia..........          1540         16820
49194..............................  Chesapeake County, Virginia....................          5720         47260
49200..............................  Chesterfield County, Virginia..................          6760         40060
49210..............................  Clarke County, Virginia........................            49         47894
49211..............................  Clifton Forge City County, Virginia............            49            49
49212..............................  Colonial Heights County, Virginia..............          6760         40060
49213..............................  Covington City County, Virginia................            49            49
49220..............................  Craig County, Virginia.........................            49         40220

[[Page 46052]]

 
49230..............................  Culpeper County, Virginia......................            49            49
49240..............................  Cumberland County, Virginia....................            49         40060
49241..............................  Danville City County, Virginia.................          1950         19260
49250..............................  Dickenson County, Virginia.....................            49            49
49260..............................  Dinniddie County, Virginia.....................          6760         40060
49270..............................  Emporia County, Virginia.......................            49            49
49280..............................  Essex County, Virginia.........................            49            49
49288..............................  Fairfax City County, Virginia..................          8840         47894
49290..............................  Fairfax County, Virginia.......................          8840         47894
49291..............................  Falls Church City County, Virginia.............          8840         47894
49300..............................  Fauquier County, Virginia......................            49         47894
49310..............................  Floyd County, Virginia.........................            49            49
49320..............................  Fluvanna County, Virginia......................          1540         16820
49328..............................  Franklin City County, Virginia.................            49            49
49330..............................  Franklin County, Virginia......................            49         40220
49340..............................  Frederick County, Virginia.....................            49         49020
49342..............................  Fredericksburg City County, Virginia...........            49         47894
49343..............................  Galax City County, Virginia....................            49            49
49350..............................  Giles County, Virginia.........................            49         13980
49360..............................  Gloucester County, Virginia....................          5720         47260
49370..............................  Goochland County, Virginia.....................          6760         40060
49380..............................  Grayson County, Virginia.......................            49            49
49390..............................  Greene County, Virginia........................          1540         16820
49400..............................  Greensville County, Virginia...................            49            49
49410..............................  Halifax County, Virginia.......................            49            49
49411..............................  Hampton City County, Virginia..................          5720         47260
49420..............................  Hanover County, Virginia.......................          6760         40060
49421..............................  Harrisonburg City County, Virginia.............            49         25500
49430..............................  Henrico County, Virginia.......................          6760         40060
49440..............................  Henry County, Virginia.........................            49            49
49450..............................  Highland County, Virginia......................            49            49
49451..............................  Hopewell City County, Virginia.................          6760         40060
49460..............................  Isle Of Wight County, Virginia.................            49         47260
49470..............................  James City Co County, Virginia.................          5720         47260
49480..............................  King And Queen County, Virginia................            49         40060
49490..............................  King George County, Virginia...................            49            49
49500..............................  King William County, Virginia..................            49         40060
49510..............................  Lancaster County, Virginia.....................            49            49
49520..............................  Lee County, Virginia...........................            49            49
49522..............................  Lexington County, Virginia.....................            49            49
49530..............................  Loudoun County, Virginia.......................          8840         47894
49540..............................  Louisa County, Virginia........................            49         40060
49550..............................  Lunenburg County, Virginia.....................            49            49
49551..............................  Lynchburg City County, Virginia................          4640         31340
49560..............................  Madison County, Virginia.......................            49            49
49561..............................  Martinsville City County, Virginia.............            49            49
49563..............................  Manassas City County, Virginia.................          8840         47894
49565..............................  Manassas Park City County, Virginia............          8840         47894
49570..............................  Mathews County, Virginia.......................            49         47260
49580..............................  Mecklenburg County, Virginia...................            49            49
49590..............................  Middlesex County, Virginia.....................            49            49
49600..............................  Montgomery County, Virginia....................            49         13980
49610..............................  Nansemond County, Virginia.....................            49            49
49620..............................  Nelson County, Virginia........................            49         16820
49621..............................  New Kent County, Virginia......................          6760         40060
49622..............................  Newport News City County, Virginia.............          5720         47260
49641..............................  Norfolk City County, Virginia..................          5720         47260
49650..............................  Northampton County, Virginia...................            49            49
49660..............................  Northumberland County, Virginia................            49            49
49661..............................  Norton City County, Virginia...................            49            49
49670..............................  Nottoway County, Virginia......................            49            49
49680..............................  Orange County, Virginia........................            49            49
49690..............................  Page County, Virginia..........................            49            49
49700..............................  Patrick County, Virginia.......................            49            49
49701..............................  Petersburg City County, Virginia...............          6760         40060
49710..............................  Pittsylvania County, Virginia..................          1950         19260
49711..............................  Portsmouth City County, Virginia...............          5720         47260
49712..............................  Poquoson City County, Virginia.................          5720         47260
49720..............................  Powhatan County, Virginia......................          6760         40060
49730..............................  Prince Edward County, Virginia.................            49            49

[[Page 46053]]

 
49740..............................  Prince George County, Virginia.................          6760         40060
49750..............................  Prince William County, Virginia................          8840         47894
49770..............................  Pulaski County, Virginia.......................            49         13980
49771..............................  Radford City County, Virginia..................            49         13980
49780..............................  Rappahannock County, Virginia..................            49            49
49790..............................  Richmond County, Virginia......................            49            49
49791..............................  Richmond City County, Virginia.................          6760         40060
49800..............................  Roanoke County, Virginia.......................          6800         40220
49801..............................  Roanoke City County, Virginia..................          6800         40220
49810..............................  Rockbridge County, Virginia....................            49            49
49820..............................  Rockingham County, Virginia....................            49         25500
49830..............................  Russell County, Virginia.......................            49            49
49838..............................  Salem County, Virginia.........................          6800         40220
49840..............................  Scott County, Virginia.........................          3660         28700
49850..............................  Shenandoah County, Virginia....................            49            49
49860..............................  Smyth County, Virginia.........................            49            49
49867..............................  South Boston City County, Virginia.............            49            49
49870..............................  Southampton County, Virginia...................            49            49
49880..............................  Spotsylvania County, Virginia..................            49         47894
49890..............................  Stafford County, Virginia......................          8840         47894
49891..............................  Staunton City County, Virginia.................            49            49
49892..............................  Suffolk City County, Virginia..................          5720         47260
49900..............................  Surry County, Virginia.........................            49         47260
49910..............................  Sussex County, Virginia........................            49         40060
49920..............................  Tazewell County, Virginia......................            49            49
49921..............................  Virginia Beach City County, Virginia...........          5720         47260
49930..............................  Warren County, Virginia........................            49         47894
49950..............................  Washington County, Virginia....................          3660         28700
49951..............................  Waynesboro City County, Virginia...............            49            49
49960..............................  Westmoreland County, Virginia..................            49            49
49961..............................  Williamsburg City County, Virginia.............          5720         47260
49962..............................  Winchester City County, Virginia...............            49         49020
49970..............................  Wise County, Virginia..........................            49            49
49980..............................  Wythe County, Virginia.........................            49            49
49981..............................  York County, Virginia..........................          5720         47260
50000..............................  Adams County, Washington.......................            50            50
50010..............................  Asotin County, Washington......................            50         30300
50020..............................  Benton County, Washington......................          6740         28420
50030..............................  Chelan County, Washington......................            50         48300
50040..............................  Clallam County, Washington.....................            50            50
50050..............................  Clark County, Washington.......................          8725         38900
50060..............................  Columbia County, Washington....................            50            50
50070..............................  Cowlitz County, Washington.....................            50         31020
50080..............................  Douglas County, Washington.....................            50         48300
50090..............................  Ferry County, Washington.......................            50            50
50100..............................  Franklin County, Washington....................          6740         28420
50110..............................  Garfield County, Washington....................            50            50
50120..............................  Grant County, Washington.......................            50            50
50130..............................  Grays Harbor County, Washington................            50            50
50140..............................  Island County, Washington......................            50            50
50150..............................  Jefferson County, Washington...................            50            50
50160..............................  King County, Washington........................          7600         42644
50170..............................  Kitsap County, Washington......................          1150         14740
50180..............................  Kittitas County, Washington....................            50            50
50190..............................  Klickitat County, Washington...................            50            50
50200..............................  Lewis County, Washington.......................            50            50
50210..............................  Lincoln County, Washington.....................            50            50
50220..............................  Mason County, Washington.......................            50            50
50230..............................  Okanogan County, Washington....................            50            50
50240..............................  Pacific County, Washington.....................            50            50
50250..............................  Pend Oreille County, Washington................            50            50
50260..............................  Pierce County, Washington......................          8200         45104
50270..............................  San Juan County, Washington....................            50            50
50280..............................  Skagit County, Washington......................            50         34580
50290..............................  Skamania County, Washington....................            50         38900
50300..............................  Snohomish County, Washington...................          7600         42644
50310..............................  Spokane County, Washington.....................          7840         44060
50320..............................  Stevens County, Washington.....................            50            50
50330..............................  Thurston County, Washington....................          5910         36500
50340..............................  Wahkiakum County, Washington...................            50            50

[[Page 46054]]

 
50350..............................  Walla Walla County, Washington.................            50            50
50360..............................  Whatcom County, Washington.....................          0860         13380
50370..............................  Whitman County, Washington.....................            50            50
50380..............................  Yakima County, Washington......................          9260         49420
51000..............................  Barbour County, W Virginia.....................            51            51
51010..............................  Berkeley County, W Virginia....................            51         25180
51020..............................  Boone County, W Virginia.......................            51         16620
51030..............................  Braxton County, W Virginia.....................            51            51
51040..............................  Brooke County, W Virginia......................          8080         48260
51050..............................  Cabell County, W Virginia......................          3400         26580
51060..............................  Calhoun County, W Virginia.....................            51            51
51070..............................  Clay County, W Virginia........................            51         16620
51080..............................  Doddridge County, W Virginia...................            51            51
51090..............................  Fayette County, W Virginia.....................            51            51
51100..............................  Gilmer County, W Virginia......................            51            51
51110..............................  Grant County, W Virginia.......................            51            51
51120..............................  Greenbrier County, W Virginia..................            51            51
51130..............................  Hampshire County, W Virginia...................            51         49020
51140..............................  Hancock County, W Virginia.....................          8080         48260
51150..............................  Hardy County, W Virginia.......................            51            51
51160..............................  Harrison County, W Virginia....................            51            51
51170..............................  Jackson County, W Virginia.....................            51            51
51180..............................  Jefferson County, W Virginia...................            51         47894
51190..............................  Kanawha County, W Virginia.....................          1480         16620
51200..............................  Lewis County, W Virginia.......................            51            51
51210..............................  Lincoln County, W Virginia.....................            51         16620
51220..............................  Logan County, W Virginia.......................            51            51
51230..............................  Mc Dowell County, W Virginia...................            51            51
51240..............................  Marion County, W Virginia......................            51            51
51250..............................  Marshall County, W Virginia....................          9000         48540
51260..............................  Mason County, W Virginia.......................            51            51
51270..............................  Mercer County, W Virginia......................            51            51
51280..............................  Mineral County, W Virginia.....................          1900         19060
51290..............................  Mingo County, W Virginia.......................            51            51
51300..............................  Monongalia County, W Virginia..................            51         34060
51310..............................  Monroe County, W Virginia......................            51            51
51320..............................  Morgan County, W Virginia......................            51         25180
51330..............................  Nicholas County, W Virginia....................            51            51
51340..............................  Ohio County, W Virginia........................          9000         48540
51350..............................  Pendleton County, W Virginia...................            51            51
51360..............................  Pleasants County, W Virginia...................            51         37620
51370..............................  Pocahontas County, W Virginia..................            51            51
51380..............................  Preston County, W Virginia.....................            51         34060
51390..............................  Putnam County, W Virginia......................          1480         16620
51400..............................  Raleigh County, W Virginia.....................            51            51
51410..............................  Randolph County, W Virginia....................            51            51
51420..............................  Ritchie County, W Virginia.....................            51            51
51430..............................  Roane County, W Virginia.......................            51            51
51440..............................  Summers County, W Virginia.....................            51            51
51450..............................  Taylor County, W Virginia......................            51            51
51460..............................  Tucker County, W Virginia......................            51            51
51470..............................  Tyler County, W Virginia.......................            51            51
51480..............................  Upshur County, W Virginia......................            51            51
51490..............................  Wayne County, W Virginia.......................          3400         26580
51500..............................  Webster County, W Virginia.....................            51            51
51510..............................  Wetzel County, W Virginia......................            51            51
51520..............................  Wirt County, W Virginia........................            51         37620
51530..............................  Wood County, W Virginia........................          6020         37620
51540..............................  Wyoming County, W Virginia.....................            51            51
52000..............................  Adams County, Wisconsin........................            52            52
52010..............................  Ashland County, Wisconsin......................            52            52
52020..............................  Barron County, Wisconsin.......................            52            52
52030..............................  Bayfield County, Wisconsin.....................            52            52
52040..............................  Brown County, Wisconsin........................          3080         24580
52050..............................  Buffalo County, Wisconsin......................            52            52
52060..............................  Burnett County, Wisconsin......................            52            52
52070..............................  Calumet County, Wisconsin......................          0460         11540
52080..............................  Chippewa County, Wisconsin.....................          2290         20740
52090..............................  Clark County, Wisconsin........................            52            52
52100..............................  Columbia County, Wisconsin.....................            52         31540

[[Page 46055]]

 
52110..............................  Crawford County, Wisconsin.....................            52            52
52120..............................  Dane County, Wisconsin.........................          4720         31540
52130..............................  Dodge County, Wisconsin........................            52            52
52140..............................  Door County, Wisconsin.........................            52            52
52150..............................  Douglas County, Wisconsin......................          2240         20260
52160..............................  Dunn County, Wisconsin.........................            52            52
52170..............................  Eau Claire County, Wisconsin...................          2290         20740
52180..............................  Florence County, Wisconsin.....................            52            52
52190..............................  Fond Du Lac County, Wisconsin..................            52         22540
52200..............................  Forest County, Wisconsin.......................            52            52
52210..............................  Grant County, Wisconsin........................            52            52
52220..............................  Green County, Wisconsin........................            52            52
52230..............................  Green Lake County, Wisconsin...................            52            52
52240..............................  Iowa County, Wisconsin.........................            52         31540
52250..............................  Iron County, Wisconsin.........................            52            52
52260..............................  Jackson County, Wisconsin......................            52            52
52270..............................  Jefferson County, Wisconsin....................            52            52
52280..............................  Juneau County, Wisconsin.......................            52            52
52290..............................  Kenosha County, Wisconsin......................          3800         29404
52300..............................  Kewaunee County, Wisconsin.....................            52         24580
52310..............................  La Crosse County, Wisconsin....................          3870         29100
52320..............................  Lafayette County, Wisconsin....................          3880            52
52330..............................  Langlade County, Wisconsin.....................            52            52
52340..............................  Lincoln County, Wisconsin......................            52            52
52350..............................  Manitowoc County, Wisconsin....................            52            52
52360..............................  Marathon County, Wisconsin.....................          8940         48140
52370..............................  Marinette County, Wisconsin....................            52            52
52380..............................  Marquette County, Wisconsin....................            52            52
52381..............................  Menominee County, Wisconsin....................            52            52
52390..............................  Milwaukee County, Wisconsin....................          5080         33340
52400..............................  Monroe County, Wisconsin.......................            52            52
52410..............................  Oconto County, Wisconsin.......................            52         24580
52420..............................  Oneida County, Wisconsin.......................            52            52
52430..............................  Outagamie County, Wisconsin....................          0460         11540
52440..............................  Ozaukee County, Wisconsin......................          5080         33340
52450..............................  Pepin County, Wisconsin........................            52            52
52460..............................  Pierce County, Wisconsin.......................            52         33460
52470..............................  Polk County, Wisconsin.........................            52            52
52480..............................  Portage County, Wisconsin......................            52            52
52490..............................  Price County, Wisconsin........................            52            52
52500..............................  Racine County, Wisconsin.......................          6600         39540
52510..............................  Richland County, Wisconsin.....................            52            52
52520..............................  Rock County, Wisconsin.........................          3620         27500
52530..............................  Rusk County, Wisconsin.........................            52            52
52540..............................  St Croix County, Wisconsin.....................          5120         33460
52550..............................  Sauk County, Wisconsin.........................            52            52
52560..............................  Sawyer County, Wisconsin.......................            52            52
52570..............................  Shawano County, Wisconsin......................            52            52
52580..............................  Sheboygan County, Wisconsin....................          7620         43100
52590..............................  Taylor County, Wisconsin.......................            52            52
52600..............................  Trempealeau County, Wisconsin..................            52            52
52610..............................  Vernon County, Wisconsin.......................            52            52
52620..............................  Vilas County, Wisconsin........................            52            52
52630..............................  Walworth County, Wisconsin.....................            52            52
52640..............................  Washburn County, Wisconsin.....................            52            52
52650..............................  Washington County, Wisconsin...................          5080         33340
52660..............................  Waukesha County, Wisconsin.....................          5080         33340
52670..............................  Waupaca County, Wisconsin......................            52            52
52680..............................  Waushara County, Wisconsin.....................            52            52
52690..............................  Winnebago County, Wisconsin....................          0460         36780
52700..............................  Wood County, Wisconsin.........................            52            52
53000..............................  Albany County, Wyoming.........................            53            53
53010..............................  Big Horn County, Wyoming.......................            53            53
53020..............................  Campbell County, Wyoming.......................            53            53
53030..............................  Carbon County, Wyoming.........................            53            53
53040..............................  Converse County, Wyoming.......................            53            53
53050..............................  Crook County, Wyoming..........................            53            53
53060..............................  Fremont County, Wyoming........................            53            53
53070..............................  Goshen County, Wyoming.........................            53            53
53080..............................  Hot Springs County, Wyoming....................            53            53

[[Page 46056]]

 
53090..............................  Johnson County, Wyoming........................            53            53
53100..............................  Laramie County, Wyoming........................          1580         16940
53110..............................  Lincoln County, Wyoming........................            53            53
53120..............................  Natrona County, Wyoming........................          1350         16220
53130..............................  Niobrara County, Wyoming.......................            53            53
53140..............................  Park County, Wyoming...........................            53            53
53150..............................  Platte County, Wyoming.........................            53            53
53160..............................  Sheridan County, Wyoming.......................            53            53
53170..............................  Sublette County, Wyoming.......................            53            53
53180..............................  Sweetwater County, Wyoming.....................            53            53
53190..............................  Teton County, Wyoming..........................            53            53
53200..............................  Uinta County, Wyoming..........................            53            53
53210..............................  Washakie County, Wyoming.......................            53            53
53220..............................  Weston County, Wyoming.........................            53            53
----------------------------------------------------------------------------------------------------------------

    --------------------
CPT codes and descriptions only are copyright 2005 American Medical 
Association. All Rights Reserved. Applicable FARS/DFARS Apply.

 Addendum G.--List of CPT/HCPCS Codes Used to Describe Nuclear Medicine Designated Health Services Under Section
                                         1877 of the Social Security Act
                                           [Effective January 1, 2006]
----------------------------------------------------------------------------------------------------------------
        CPT/HCPCS  Codes                 MOD                          Description                   Status  code
----------------------------------------------------------------------------------------------------------------
78000...........................  .................  Thyroid, single uptake......................  A
78000...........................  TC...............  Thyroid, single uptake......................  A
78000...........................  26...............  Thyroid, single uptake......................  A
78001...........................  .................  Thyroid, multiple uptakes...................  A
78001...........................  TC...............  Thyroid, multiple uptakes...................  A
78001...........................  26...............  Thyroid, multiple uptakes...................  A
78003...........................  .................  Thyroid suppress/stimul.....................  A
78003...........................  TC...............  Thyroid suppress/stimul.....................  A
78003...........................  26...............  Thyroid suppress/stimul.....................  A
78006...........................  .................  Thyroid imaging with uptake.................  A
78006...........................  TC...............  Thyroid imaging with uptake.................  A
78006...........................  26...............  Thyroid imaging with uptake.................  A
78007...........................  .................  Thyroid image, mult uptakes.................  A
78007...........................  TC...............  Thyroid image, mult uptakes.................  A
78007...........................  26...............  Thyroid image, mult uptakes.................  A
78010...........................  .................  Thyroid imaging.............................  A
78010...........................  TC...............  Thyroid imaging.............................  A
78010...........................  26...............  Thyroid imaging.............................  A
78011...........................  .................  Thyroid imaging with flow...................  A
78011...........................  TC...............  Thyroid imaging with flow...................  A
78011...........................  26...............  Thyroid imaging with flow...................  A
78015...........................  .................  Thyroid met imaging.........................  A
78015...........................  TC...............  Thyroid met imaging.........................  A
78015...........................  26...............  Thyroid met imaging.........................  A
78016...........................  .................  Thyroid met imaging/studies.................  A
78016...........................  TC...............  Thyroid met imaging/studies.................  A
78016...........................  26...............  Thyroid met imaging/studies.................  A
78018...........................  .................  Thyroid met imaging, body...................  A
78018...........................  TC...............  Thyroid met imaging, body...................  A
78018...........................  26...............  Thyroid met imaging, body...................  A
78020...........................  .................  Thyroid met uptake..........................  A
78020...........................  TC...............  Thyroid met uptake..........................  A
78020...........................  26...............  Thyroid met uptake..........................  A
78070...........................  .................  Parathyroid nuclear imaging.................  A
78070...........................  TC...............  Parathyroid nuclear imaging.................  A
78070...........................  26...............  Parathyroid nuclear imaging.................  A
78075...........................  .................  Adrenal nuclear imaging.....................  A
78075...........................  TC...............  Adrenal nuclear imaging.....................  A
78075...........................  26...............  Adrenal nuclear imaging.....................  A
78099...........................  .................  Endocrine nuclear procedure.................  C
78099...........................  TC...............  Endocrine nuclear procedure.................  C
78099...........................  26...............  Endocrine nuclear procedure.................  C

[[Page 46057]]

 
78102...........................  .................  Bone marrow imaging, ltd....................  A
78102...........................  TC...............  Bone marrow imaging, ltd....................  A
78102...........................  26...............  Bone marrow imaging, ltd....................  A
78103...........................  .................  Bone marrow imaging, mult...................  A
78103...........................  TC...............  Bone marrow imaging, mult...................  A
78103...........................  26...............  Bone marrow imaging, mult...................  A
78104...........................  .................  Bone marrow imaging, body...................  A
78104...........................  TC...............  Bone marrow imaging, body...................  A
78104...........................  26...............  Bone marrow imaging, body...................  A
78110...........................  .................  Plasma volume, single.......................  A
78110...........................  TC...............  Plasma volume, single.......................  A
78110...........................  26...............  Plasma volume, single.......................  A
78111...........................  .................  Plasma volume, multiple.....................  A
78111...........................  TC...............  Plasma volume, multiple.....................  A
78111...........................  26...............  Plasma volume, multiple.....................  A
78120...........................  .................  Red cell mass, single.......................  A
78120...........................  TC...............  Red cell mass, single.......................  A
78120...........................  26...............  Red cell mass, single.......................  A
78121...........................  .................  Red cell mass, multiple.....................  A
78121...........................  TC...............  Red cell mass, multiple.....................  A
78121...........................  26...............  Red cell mass, multiple.....................  A
78122...........................  .................  Blood volume................................  A
78122...........................  TC...............  Blood volume................................  A
78122...........................  26...............  Blood volume................................  A
78130...........................  .................  Red cell survival study.....................  A
78130...........................  TC...............  Red cell survival study.....................  A
78130...........................  26...............  Red cell survival study.....................  A
78135...........................  .................  Red cell survival kinetics..................  A
78135...........................  TC...............  Red cell survival kinetics..................  A
78135...........................  26...............  Red cell survival kinetics..................  A
78140...........................  .................  Red cell sequestration......................  A
78140...........................  TC...............  Red cell sequestration......................  A
78140...........................  26...............  Red cell sequestration......................  A
78160...........................  .................  Plasma iron turnover........................  A
78160...........................  TC...............  Plasma iron turnover........................  A
78160...........................  26...............  Plasma iron turnover........................  A
78162...........................  .................  Radioiron absorption exam...................  A
78162...........................  TC...............  Radioiron absorption exam...................  A
78162...........................  26...............  Radioiron absorption exam...................  A
78170...........................  .................  Red cell iron utilization...................  A
78170...........................  TC...............  Red cell iron utilization...................  A
78170...........................  26...............  Red cell iron utilization...................  A
78172...........................  .................  Total body iron estimation..................  C
78172...........................  TC...............  Total body iron estimation..................  C
78172...........................  26...............  Total body iron estimation..................  A
78185...........................  .................  Spleen imaging..............................  A
78185...........................  TC...............  Spleen imaging..............................  A
78185...........................  26...............  Spleen imaging..............................  A
78190...........................  .................  Platelet survival, kinetics.................  A
78190...........................  TC...............  Platelet survival, kinetics.................  A
78190...........................  26...............  Platelet survival, kinetics.................  A
78191...........................  .................  Platelet survival...........................  A
78191...........................  TC...............  Platelet survival...........................  A
78191...........................  26...............  Platelet survival...........................  A
78195...........................  .................  Lymph system imaging........................  A
78195...........................  TC...............  Lymph system imaging........................  A
78195...........................  26...............  Lymph system imaging........................  A
78199...........................  .................  Blood/lymph nuclear exam....................  C
78199...........................  TC...............  Blood/lymph nuclear exam....................  C
78199...........................  26...............  Blood/lymph nuclear exam....................  C
78201...........................  .................  Liver imaging...............................  A
78201...........................  TC...............  Liver imaging...............................  A
78201...........................  26...............  Liver imaging...............................  A
78202...........................  .................  Liver imaging with flow.....................  A

[[Page 46058]]

 
78202...........................  TC...............  Liver imaging with flow.....................  A
78202...........................  26...............  Liver imaging with flow.....................  A
78205...........................  .................  Liver imaging (3D)..........................  A
78205...........................  TC...............  Liver imaging (3D)..........................  A
78205...........................  26...............  Liver imaging (3D)..........................  A
78206...........................  .................  Liver image (3d) with flow..................  A
78206...........................  TC...............  Liver image (3d) with flow..................  A
78206...........................  26...............  Liver image (3d) with flow..................  A
78215...........................  .................  Liver and spleen imaging....................  A
78215...........................  TC...............  Liver and spleen imaging....................  A
78215...........................  26...............  Liver and spleen imaging....................  A
78216...........................  .................  Liver & spleen image/flow...................  A
78216...........................  TC...............  Liver & spleen image/flow...................  A
78216...........................  26...............  Liver & spleen image/flow...................  A
78220...........................  .................  Liver function study........................  A
78220...........................  TC...............  Liver function study........................  A
78220...........................  26...............  Liver function study........................  A
78223...........................  .................  Hepatobiliary imaging.......................  A
78223...........................  TC...............  Hepatobiliary imaging.......................  A
78223...........................  26...............  Hepatobiliary imaging.......................  A
78230...........................  .................  Salivary gland imaging......................  A
78230...........................  TC...............  Salivary gland imaging......................  A
78230...........................  26...............  Salivary gland imaging......................  A
78231...........................  .................  Serial salivary imaging.....................  A
78231...........................  TC...............  Serial salivary imaging.....................  A
78231...........................  26...............  Serial salivary imaging.....................  A
78232...........................  .................  Salivary gland function exam................  A
78232...........................  TC...............  Salivary gland function exam................  A
78232...........................  26...............  Salivary gland function exam................  A
78258...........................  .................  Esophageal motility study...................  A
78258...........................  TC...............  Esophageal motility study...................  A
78258...........................  26...............  Esophageal motility study...................  A
78261...........................  .................  Gastric mucosa imaging......................  A
78261...........................  TC...............  Gastric mucosa imaging......................  A
78261...........................  26...............  Gastric mucosa imaging......................  A
78262...........................  .................  Gastroesophageal reflux exam................  A
78262...........................  TC...............  Gastroesophageal reflux exam................  A
78262...........................  26...............  Gastroesophageal reflux exam................  A
78264...........................  .................  Gastric emptying study......................  A
78264...........................  TC...............  Gastric emptying study......................  A
78264...........................  26...............  Gastric emptying study......................  A
78270...........................  .................  Vit B-12 absorption exam....................  A
78270...........................  TC...............  Vit B-12 absorption exam....................  A
78270...........................  26...............  Vit B-12 absorption exam....................  A
78271...........................  .................  Vit b-12 absrp exam, int fac................  A
78271...........................  TC...............  Vit b-12 absrp exam, int fac................  A
78271...........................  26...............  Vit b-12 absrp exam, int fac................  A
78272...........................  .................  Vit B-12 absorp, combined...................  A
78272...........................  TC...............  Vit B-12 absorp, combined...................  A
78272...........................  26...............  Vit B-12 absorp, combined...................  A
78278...........................  .................  Acute GI blood loss imaging.................  A
78278...........................  TC...............  Acute GI blood loss imaging.................  A
78278...........................  26...............  Acute GI blood loss imaging.................  A
78282...........................  .................  GI protein loss exam........................  C
78282...........................  TC...............  GI protein loss exam........................  C
78282...........................  26...............  GI protein loss exam........................  A
78290...........................  .................  Meckel's divert exam........................  A
78290...........................  TC...............  Meckel's divert exam........................  A
78290...........................  26...............  Meckel's divert exam........................  A
78291...........................  .................  Leveen/shunt patency exam...................  A
78291...........................  TC...............  Leveen/shunt patency exam...................  A
78291...........................  26...............  Leveen/shunt patency exam...................  A
78299...........................  .................  GI nuclear procedure........................  C
78299...........................  TC...............  GI nuclear procedure........................  C

[[Page 46059]]

 
78299...........................  26...............  GI nuclear procedure........................  C
78300...........................  .................  Bone imaging, limited area..................  A
78300...........................  TC...............  Bone imaging, limited area..................  A
78300...........................  26...............  Bone imaging, limited area..................  A
78305...........................  .................  Bone imaging, multiple areas................  A
78305...........................  TC...............  Bone imaging, multiple areas................  A
78305...........................  26...............  Bone imaging, multiple areas................  A
78306...........................  .................  Bone imaging, whole body....................  A
78306...........................  TC...............  Bone imaging, whole body....................  A
78306...........................  26...............  Bone imaging, whole body....................  A
78315...........................  .................  Bone imaging, 3 phase.......................  A
78315...........................  TC...............  Bone imaging, 3 phase.......................  A
78315...........................  26...............  Bone imaging, 3 phase.......................  A
78320...........................  .................  Bone imaging (3D)...........................  A
78320...........................  TC...............  Bone imaging (3D)...........................  A
78320...........................  26...............  Bone imaging (3D)...........................  A
78350...........................  .................  Bone mineral, single photon.................  A
78350...........................  TC...............  Bone mineral, single photon.................  A
78350...........................  26...............  Bone mineral, single photon.................  A
78351...........................  .................  Bone mineral, dual photon...................  N
78399...........................  .................  Musculoskeletal nuclear exam................  C
78399...........................  TC...............  Musculoskeletal nuclear exam................  C
78399...........................  26...............  Musculoskeletal nuclear exam................  C
78414...........................  .................  Non-imaging heart function..................  C
78414...........................  TC...............  Non-imaging heart function..................  C
78414...........................  26...............  Non-imaging heart function..................  A
78428...........................  .................  Cardiac shunt imaging.......................  A
78428...........................  TC...............  Cardiac shunt imaging.......................  A
78428...........................  26...............  Cardiac shunt imaging.......................  A
78445...........................  .................  Vascular flow imaging.......................  A
78445...........................  TC...............  Vascular flow imaging.......................  A
78445...........................  26...............  Vascular flow imaging.......................  A
78455...........................  .................  Venous thrombosis study.....................  A
78455...........................  TC...............  Venous thrombosis study.....................  A
78455...........................  26...............  Venous thrombosis study.....................  A
78456...........................  .................  Acute venous thrombus image.................  A
78456...........................  TC...............  Acute venous thrombus image.................  A
78456...........................  26...............  Acute venous thrombus image.................  A
78457...........................  .................  Venous thrombosis imaging...................  A
78457...........................  TC...............  Venous thrombosis imaging...................  A
78457...........................  26...............  Venous thrombosis imaging...................  A
78458...........................  .................  Ven thrombosis images, bilat................  A
78458...........................  TC...............  Ven thrombosis images, bilat................  A
78458...........................  26...............  Ven thrombosis images, bilat................  A
78459...........................  .................  Heart muscle imaging (PET)..................  C
78459...........................  TC...............  Heart muscle imaging (PET)..................  C
78459...........................  26...............  Heart muscle imaging (PET)..................  A
78460...........................  .................  Heart muscle blood, single..................  A
78460...........................  TC...............  Heart muscle blood, single..................  A
78460...........................  26...............  Heart muscle blood, single..................  A
78461...........................  .................  Heart muscle blood, multiple................  A
78461...........................  TC...............  Heart muscle blood, multiple................  A
78461...........................  26...............  Heart muscle blood, multiple................  A
78464...........................  .................  Heart image (3d), single....................  A
78464...........................  TC...............  Heart image (3d), single....................  A
78464...........................  26...............  Heart image (3d), single....................  A
78465...........................  .................  Heart image (3d), multiple..................  A
78465...........................  TC...............  Heart image (3d), multiple..................  A
78465...........................  26...............  Heart image (3d), multiple..................  A
78466...........................  .................  Heart infarct image.........................  A
78466...........................  TC...............  Heart infarct image.........................  A
78466...........................  26...............  Heart infarct image.........................  A
78468...........................  .................  Heart infarct image (ef)....................  A
78468...........................  TC...............  Heart infarct image (ef)....................  A

[[Page 46060]]

 
78468...........................  26...............  Heart infarct image (ef)....................  A
78469...........................  .................  Heart infarct image (3D)....................  A
78469...........................  TC...............  Heart infarct image (3D)....................  A
78469...........................  26...............  Heart infarct image (3D)....................  A
78472...........................  .................  Gated heart, planar, single.................  A
78472...........................  TC...............  Gated heart, planar, single.................  A
78472...........................  26...............  Gated heart, planar, single.................  A
78473...........................  .................  Gated heart, multiple.......................  A
78473...........................  TC...............  Gated heart, multiple.......................  A
78473...........................  26...............  Gated heart, multiple.......................  A
78478...........................  .................  Heart wall motion add-on....................  A
78478...........................  TC...............  Heart wall motion add-on....................  A
78478...........................  26...............  Heart wall motion add-on....................  A
78480...........................  .................  Heart function add-on.......................  A
78480...........................  TC...............  Heart function add-on.......................  A
78480...........................  26...............  Heart function add-on.......................  A
78481...........................  .................  Heart first pass, single....................  A
78481...........................  TC...............  Heart first pass, single....................  A
78481...........................  26...............  Heart first pass, single....................  A
78483...........................  .................  Heart first pass, multiple..................  A
78483...........................  TC...............  Heart first pass, multiple..................  A
78483...........................  26...............  Heart first pass, multiple..................  A
78491...........................  .................  Heart image (pet), single...................  C
78491...........................  TC...............  Heart image (pet), single...................  C
78491...........................  26...............  Heart image (pet), single...................  A
78492...........................  .................  Heart image (pet), multiple.................  C
78492...........................  TC...............  Heart image (pet), multiple.................  C
78492...........................  26...............  Heart image (pet), multiple.................  A
78494...........................  .................  Heart image, spect..........................  A
78494...........................  TC...............  Heart image, spect..........................  A
78494...........................  26...............  Heart image, spect..........................  A
78496...........................  .................  Heart first pass add-on.....................  A
78496...........................  TC...............  Heart first pass add-on.....................  A
78496...........................  26...............  Heart first pass add-on.....................  A
78499...........................  .................  Cardiovascular nuclear exam.................  C
78499...........................  TC...............  Cardiovascular nuclear exam.................  C
78499...........................  26...............  Cardiovascular nuclear exam.................  C
78580...........................  .................  Lung perfusion imaging......................  A
78580...........................  TC...............  Lung perfusion imaging......................  A
78580...........................  26...............  Lung perfusion imaging......................  A
78584...........................  .................  Lung V/Q image single breath................  A
78584...........................  TC...............  Lung V/Q image single breath................  A
78584...........................  26...............  Lung V/Q image single breath................  A
78585...........................  .................  Lung V/Q imaging............................  A
78585...........................  TC...............  Lung V/Q imaging............................  A
78585...........................  26...............  Lung V/Q imaging............................  A
78586...........................  .................  Aerosol lung image, single..................  A
78586...........................  TC...............  Aerosol lung image, single..................  A
78586...........................  26...............  Aerosol lung image, single..................  A
78587...........................  .................  Aerosol lung image, multiple................  A
78587...........................  TC...............  Aerosol lung image, multiple................  A
78587...........................  26...............  Aerosol lung image, multiple................  A
78588...........................  .................  Perfusion lung image........................  A
78588...........................  TC...............  Perfusion lung image........................  A
78588...........................  26...............  Perfusion lung image........................  A
78591...........................  .................  Vent image, 1 breath, 1 proj................  A
78591...........................  TC...............  Vent image, 1 breath, 1 proj................  A
78591...........................  26...............  Vent image, 1 breath, 1 proj................  A
78593...........................  .................  Vent image, 1 proj, gas.....................  A
78593...........................  TC...............  Vent image, 1 proj, gas.....................  A
78593...........................  26...............  Vent image, 1 proj, gas.....................  A
78594...........................  .................  Vent image, mult proj, gas..................  A
78594...........................  TC...............  Vent image, mult proj, gas..................  A
78594...........................  26...............  Vent image, mult proj, gas..................  A

[[Page 46061]]

 
78596...........................  .................  Lung differential function..................  A
78596...........................  TC...............  Lung differential function..................  A
78596...........................  26...............  Lung differential function..................  A
78599...........................  .................  Respiratory nuclear exam....................  C
78599...........................  TC...............  Respiratory nuclear exam....................  C
78599...........................  26...............  Respiratory nuclear exam....................  C
78600...........................  .................  Brain imaging, ltd static...................  A
78600...........................  TC...............  Brain imaging, ltd static...................  A
78600...........................  26...............  Brain imaging, ltd static...................  A
78601...........................  .................  Brain imaging, ltd w/flow...................  A
78601...........................  TC...............  Brain imaging, ltd w/flow...................  A
78601...........................  26...............  Brain imaging, ltd w/flow...................  A
78605...........................  .................  Brain imaging, complete.....................  A
78605...........................  TC...............  Brain imaging, complete.....................  A
78605...........................  26...............  Brain imaging, complete.....................  A
78606...........................  .................  Brain imaging, compl w/flow.................  A
78606...........................  TC...............  Brain imaging, compl w/flow.................  A
78606...........................  26...............  Brain imaging, compl w/flow.................  A
78607...........................  .................  Brain imaging (3D)..........................  A
78607...........................  TC...............  Brain imaging (3D)..........................  A
78607...........................  26...............  Brain imaging (3D)..........................  A
78608...........................  .................  Brain imaging (PET).........................  C
78608...........................  TC...............  Brain imaging (PET).........................  C
78608...........................  26...............  Brain imaging (PET).........................  A
78609...........................  .................  Brain imaging (PET).........................  C
78609...........................  TC...............  Brain imaging (PET).........................  C
78609...........................  26...............  Brain imaging (PET).........................  A
78610...........................  .................  Brain flow imaging only.....................  A
78610...........................  TC...............  Brain flow imaging only.....................  A
78610...........................  26...............  Brain flow imaging only.....................  A
78615...........................  .................  Cerebral vascular flow image................  A
78615...........................  TC...............  Cerebral vascular flow image................  A
78615...........................  26...............  Cerebral vascular flow image................  A
78630...........................  .................  Cerebrospinal fluid scan....................  A
78630...........................  TC...............  Cerebrospinal fluid scan....................  A
78630...........................  26...............  Cerebrospinal fluid scan....................  A
78635...........................  .................  CSF ventriculography........................  A
78635...........................  TC...............  CSF ventriculography........................  A
78635...........................  26...............  CSF ventriculography........................  A
78645...........................  .................  CSF shunt evaluation........................  A
78645...........................  TC...............  CSF shunt evaluation........................  A
78645...........................  26...............  CSF shunt evaluation........................  A
78647...........................  .................  Cerebrospinal fluid scan....................  A
78647...........................  TC...............  Cerebrospinal fluid scan....................  A
78647...........................  26...............  Cerebrospinal fluid scan....................  A
78650...........................  .................  CSF leakage imaging.........................  A
78650...........................  TC...............  CSF leakage imaging.........................  A
78650...........................  26...............  CSF leakage imaging.........................  A
78660...........................  .................  Nuclear exam of tear flow...................  A
78660...........................  TC...............  Nuclear exam of tear flow...................  A
78660...........................  26...............  Nuclear exam of tear flow...................  A
78699...........................  .................  Nervous system nuclear exam.................  C
78699...........................  TC...............  Nervous system nuclear exam.................  C
78699...........................  26...............  Nervous system nuclear exam.................  C
78700...........................  .................  Kidney imaging, static......................  A
78700...........................  TC...............  Kidney imaging, static......................  A
78700...........................  26...............  Kidney imaging, static......................  A
78701...........................  .................  Kidney imaging with flow....................  A
78701...........................  TC...............  Kidney imaging with flow....................  A
78701...........................  26...............  Kidney imaging with flow....................  A
78704...........................  .................  Imaging renogram............................  A
78704...........................  TC...............  Imaging renogram............................  A
78704...........................  26...............  Imaging renogram............................  A
78707...........................  .................  Kidney flow/function image..................  A

[[Page 46062]]

 
78707...........................  TC...............  Kidney flow/function image..................  A
78707...........................  26...............  Kidney flow/function image..................  A
78708...........................  .................  Kidney flow/function image..................  A
78708...........................  TC...............  Kidney flow/function image..................  A
78708...........................  26...............  Kidney flow/function image..................  A
78709...........................  .................  Kidney flow/function image..................  A
78709...........................  TC...............  Kidney flow/function image..................  A
78709...........................  26...............  Kidney flow/function image..................  A
78710...........................  .................  Kidney imaging (3D).........................  A
78710...........................  TC...............  Kidney imaging (3D).........................  A
78710...........................  26...............  Kidney imaging (3D).........................  A
78715...........................  .................  Renal vascular flow exam....................  A
78715...........................  TC...............  Renal vascular flow exam....................  A
78715...........................  26...............  Renal vascular flow exam....................  A
78725...........................  .................  Kidney function study.......................  A
78725...........................  TC...............  Kidney function study.......................  A
78725...........................  26...............  Kidney function study.......................  A
78730...........................  .................  Urinary bladder retention...................  A
78730...........................  TC...............  Urinary bladder retention...................  A
78730...........................  26...............  Urinary bladder retention...................  A
78740...........................  .................  Ureteral reflux study.......................  A
78740...........................  TC...............  Ureteral reflux study.......................  A
78740...........................  26...............  Ureteral reflux study.......................  A
78760...........................  .................  Testicular imaging..........................  A
78760...........................  TC...............  Testicular imaging..........................  A
78760...........................  26...............  Testicular imaging..........................  A
78761...........................  .................  Testicular imaging/flow.....................  A
78761...........................  TC...............  Testicular imaging/flow.....................  A
78761...........................  26...............  Testicular imaging/flow.....................  A
78799...........................  .................  Genitourinary nuclear exam..................  C
78799...........................  TC...............  Genitourinary nuclear exam..................  C
78799...........................  26...............  Genitourinary nuclear exam..................  C
78800...........................  .................  Tumor imaging, limited area.................  A
78800...........................  TC...............  Tumor imaging, limited area.................  A
78800...........................  26...............  Tumor imaging, limited area.................  A
78801...........................  .................  Tumor imaging, mult areas...................  A
78801...........................  TC...............  Tumor imaging, mult areas...................  A
78801...........................  26...............  Tumor imaging, mult areas...................  A
78802...........................  .................  Tumor imaging, whole body...................  A
78802...........................  TC...............  Tumor imaging, whole body...................  A
78802...........................  26...............  Tumor imaging, whole body...................  A
78803...........................  .................  Tumor imaging (3D)..........................  A
78803...........................  TC...............  Tumor imaging (3D)..........................  A
78803...........................  26...............  Tumor imaging (3D)..........................  A
78804...........................  .................  Tumor imaging, whole body...................  A
78804...........................  TC...............  Tumor imaging, whole body...................  A
78804...........................  26...............  Tumor imaging, whole body...................  A
78805...........................  .................  Abscess imaging, ltd area...................  A
78805...........................  TC...............  Abscess imaging, ltd area...................  A
78805...........................  26...............  Abscess imaging, ltd area...................  A
78806...........................  .................  Abscess imaging, whole body.................  A
78806...........................  TC...............  Abscess imaging, whole body.................  A
78806...........................  26...............  Abscess imaging, whole body.................  A
78807...........................  .................  Nuclear localization/abscess................  A
78807...........................  TC...............  Nuclear localization/abscess................  A
78807...........................  26...............  Nuclear localization/abscess................  A
78811...........................  .................  Tumor imaging (pet), limited................  C
78811...........................  TC...............  Tumor imaging (pet), limited................  C
78811...........................  26...............  Tumor imaging (pet), limited................  A
78812...........................  .................  Tumor image (pet)/skul-thigh................  C
78812...........................  TC...............  Tumor image (pet)/skul-thigh................  C
78812...........................  26...............  Tumor image (pet)/skul-thigh................  A
78813...........................  .................  Tumor image (pet) full body.................  C
78813...........................  TC...............  Tumor image (pet) full body.................  C

[[Page 46063]]

 
78813...........................  26...............  Tumor image (pet) full body.................  A
78814...........................  .................  Tumor image pet/ct, limited.................  C
78814...........................  TC...............  Tumor image pet/ct, limited.................  C
78814...........................  26...............  Tumor image pet/ct, limited.................  A
78815...........................  .................  Tumorimage pet/ct skul-thigh................  C
78815...........................  TC...............  Tumorimage pet/ct skul-thigh................  C
78815...........................  26...............  Tumorimage pet/ct skul-thigh................  A
78816...........................  .................  Tumor image pet/ct full body................  C
78816...........................  TC...............  Tumor image pet/ct full body................  C
78816...........................  26...............  Tumor image pet/ct full body................  A
78890...........................  .................  Nuclear medicine data proc..................  B
78890...........................  TC...............  Nuclear medicine data proc..................  B
78890...........................  26...............  Nuclear medicine data proc..................  B
78891...........................  .................  Nuclear med data proc.......................  B
78891...........................  TC...............  Nuclear med data proc.......................  B
78891...........................  26...............  Nuclear med data proc.......................  B
78999...........................  .................  Nuclear diagnostic exam.....................  C
78999...........................  TC...............  Nuclear diagnostic exam.....................  C
78999...........................  26...............  Nuclear diagnostic exam.....................  C
79005...........................  .................  Nuclear rx, oral admin......................  A
79005...........................  TC...............  Nuclear rx, oral admin......................  A
79005...........................  26...............  Nuclear rx, oral admin......................  A
79101...........................  .................  Nuclear rx, iv admin........................  A
79101...........................  TC...............  Nuclear rx, iv admin........................  A
79101...........................  26...............  Nuclear rx, iv admin........................  A
79200...........................  .................  Nuclear rx, intracav admin..................  A
79200...........................  TC...............  Nuclear rx, intracav admin..................  A
79200...........................  26...............  Nuclear rx, intracav admin..................  A
79300...........................  .................  Nuclr rx, interstit colloid.................  C
79300...........................  TC...............  Nuclr rx, interstit colloid.................  C
79300...........................  26...............  Nuclr rx, interstit colloid.................  A
79403...........................  .................  Hematopoietic nuclear tx....................  A
79403...........................  TC...............  Hematopoietic nuclear tx....................  A
79403...........................  26...............  Hematopoietic nuclear tx....................  A
79440...........................  .................  Nuclear rx, intra-articular.................  A
79440...........................  TC...............  Nuclear rx, intra-articular.................  A
79440...........................  26...............  Nuclear rx, intra-articular.................  A
79445...........................  .................  Nuclear rx, intra-arterial..................  A
79445...........................  TC...............  Nuclear rx, intra-arterial..................  A
79445...........................  26...............  Nuclear rx, intra-arterial..................  A
79999...........................  .................  Nuclear medicine therapy....................  C
79999...........................  TC...............  Nuclear medicine therapy....................  C
79999...........................  26...............  Nuclear medicine therapy....................  C
A4641...........................  .................  Diagnostic imaging agent....................
A4642...........................  .................  Satumomab pendetide per dose................
A9500...........................  .................  Technetium TC 99m sestamibi.................
A9502...........................  .................  Technetium TC99M tetrofosmin................
A9503...........................  .................  Technetium TC 99m medronate.................
A9504...........................  .................  Technetium tc 99m apcitide..................
A9505...........................  .................  Thallous chloride TL 201/mci................
A9507...........................  .................  Indium/111 capromab pendetid................
A9508...........................  .................  Iobenguane sulfate I-131....................
A9510...........................  .................  Technetium TC99m Disofenin..................
A9511...........................  .................  Technetium TC 99m depreotide................
A9512...........................  .................  Technetiumtc99mpertechnetate................
A9513...........................  .................  Technetium tc-99m mebrofenin................
A9514...........................  .................  Technetiumtc99mpyrophosphate................
A9515...........................  .................  Technetium tc-99m pentetate.................
A9516...........................  .................  I-123 sodium iodide capsule.................
A9517...........................  .................  Th I131 so iodide cap millic................
A9519...........................  .................  Technetiumtc-99mmacroag albu................
A9520...........................  .................  Technetiumtc-99m sulfur clld................
A9521...........................  .................  Technetiumtc-99m exametazine................
A9522...........................  .................  Indium111ibritumomabtiuxetan................

[[Page 46064]]

 
A9523...........................  .................  Yttrium90ibritumomabtiuxetan................
A9524...........................  .................  Iodinated I-131 serumalbumin................
A9526...........................  .................  Ammonia N-13, per dose......................
A9527...........................  .................  I-131 tositumomab therapeut.................
A9528...........................  .................  Dx I131 so iodide cap millic................
A9529...........................  .................  Dx I131 so iodide sol millic................
A9530...........................  .................  Th I131 so iodide sol millic................
A9531...........................  .................  Dx I131 so iodide microcurie................
A9532...........................  .................  I-125 serum albumin micro...................
A9533...........................  .................  I-131 tositumomab diagnostic................
A9534...........................  .................  I-131 tositumomab therapeut.................
A9600...........................  .................  Strontium-89 chloride.......................
A9603...........................  .................  I-131sodiumiodidecap per mci................
A9605...........................  .................  Samarium sm153 lexidronamm..................
A9699...........................  .................  Noc therapeutic radiopharm..................
C1079...........................  .................  CO 57/58 per 0.5 uCi........................
C1080...........................  .................  I-131 tositumomab, dx.......................
C1081...........................  .................  I-131 tositumomab, tx.......................
C1082...........................  .................  In-111 ibritumomab tiuxetan.................
C1083...........................  .................  Yttrium 90 ibritumomab tiuxe................
C1091...........................  .................  IN111 oxyquinoline,per0.5mCi................
C1092...........................  .................  IN 111 pentetate per 0.5 mCi................
C1093...........................  .................  TC99M fanolesomab...........................
C1122...........................  .................  Tc 99M ARCITUMOMAB PER VIAL.................
C1200...........................  .................  TC 99M Sodium Glucoheptonat.................
C1201...........................  .................  TC 99M SUCCIMER, PER Vial...................
C1775...........................  .................  FDG, per dose (4-40 mCi/ml).................
C9102...........................  .................  51 Na Chromate, 50mCi.......................
C9103...........................  .................  Na Iothalamate I-125, 10 uCi................
C9400...........................  .................  Thallous chloride, brand....................
C9401...........................  .................  Strontium-89 chloride,brand.................
C9402...........................  .................  Th I131 so iodide cap, brand................
C9403...........................  .................  Dx I131 so iodide cap, brand................
C9404...........................  .................  Dx I131 so iodide sol, brand................
C9405...........................  .................  Th I131 so iodide sol, brand................
Q3000...........................  .................  Rubidium RB-82..............................
Q3002...........................  .................  Gallium ga 67...............................
Q3003...........................  .................  Technetium tc99m bicisate...................
Q3004...........................  .................  Xenon xe 133................................
Q3005...........................  .................  Technetium tc99m mertiatide.................
Q3006...........................  .................  Technetium tc99m glucepatate................
Q3007...........................  .................  Sodium phosphate p32........................
Q3008...........................  .................  Indium 111-in pentetreotide.................
Q3009...........................  .................  Technetium tc99m oxidronate.................
Q3010...........................  .................  Technetium tc99mlabeledrbcs.................
Q3011...........................  .................  Chromic phosphate p32 ......................
----------------------------------------------------------------------------------------------------------------
CPT codes and descriptions only are copyright 2005 American Medical Association. All Rights Reserved. Applicable
  FARS/DFARS apply.




  Federal Register / Vol. 70, No. 151 / Monday, August 8, 2005 / 
Proposed Rules  

[FR Doc. 05-15370 Filed 8-1-05; 4:16 pm]
BILLING CODE 4120-01-P