[Federal Register Volume 73, Number 10 (Tuesday, January 15, 2008)]
[Rules and Regulations]
[Pages 2568-2710]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 07-6308]



[[Page 2567]]

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Part II





Department of Health and Human Services





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Centers for Medicare & Medicaid Services



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42 CFR Parts 409, 410, 411 et al.



Medicare Program; Revisions to Payment Policies Under the Physician Fee 
Schedule, and Other Part B Payment Policies for CY 2008; Revisions to 
the Payment Policies of Ambulance Services Under the Ambulance Fee 
Schedule for CY 2008; and the Amendment of the E-Prescribing Exemption 
for Computer-Generated Facsimile Transmissions; Corrections; Final Rule

  Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / 
Rules and Regulations  

[[Page 2568]]


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Department of Health and Human Services

Centers for Medicare & Medicaid Services

42 CFR Parts 409, 410, 411, 413, 414, 415, 418, 423, 424, 482, 484, 
and 485

[CMS-1385-CN2]
RIN 0938-A065


Medicare Program; Revisions to Payment Policies Under the 
Physician Fee Schedule, and Other Part B Payment Policies for CY 2008; 
Revisions to the Payment Policies of Ambulance Services Under the 
Ambulance Fee Schedule for CY 2008; and the Amendment of the E-
Prescribing Exemption for Computer-Generated Facsimile Transmissions; 
Corrections

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

ACTION: Correction Notice of Final Rule with Comment Period.

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

SUMMARY: This correction notice corrects several technical and 
typographical errors in the final rule with comment period that 
appeared in the November 27, 2007 Federal Register (72 FR 66222). The 
final rule with comment period addressed Medicare Part B payment 
policy, including the physician fee schedule (PFS) that is applicable 
for calendar year (CY) 2008; the competitive acquisition program (CAP); 
clinical lab fee schedule issues; performance standards for diagnostic 
testing facilities; conforming and clarifying changes for comprehensive 
outpatient rehabilitation facilities (CORFs); physician self-referral 
issues; and standards and requirements related to therapy services 
under Medicare Parts A and B. The final rule with comment period also 
updated the list of services subject to the physician self-referral 
prohibitions.

Effective Date: This correction notice is effective January 1, 2008.

FOR FURTHER INFORMATION CONTACT: Diane Milstead, (410) 786-3355.

SUPPLEMENTARY INFORMATION:

I. Background

    In FR Doc. 07-5506 of November 27, 2007 (72 FR 66222) (hereinafter 
referred to as the CY 2008 PFS final rule with comment period), there 
were a number of technical and typographical errors that are identified 
and corrected in the Correction of Errors section of this notice. The 
provisions of this notice are effective as if they had been included in 
the CY 2008 PFS final rule with comment period. Accordingly, the 
corrections are effective January 1, 2008.

II. Summary of Errors

A. Errors in the Preamble

    On page 66276, the third column, the third paragraph, lines are 10 
through 13, the sentence ``It is not unusual for us to provide for 
discretionary reopening or reconsideration of final agency action'' is 
deleted because the sentence was inadvertently repeated.
    On page 66392, Table 40, Impact of Final Rule with Comment Period 
and Estimated Physician Update on 2008 Payment for Selected Procedures, 
the columns for 2008 payment amount and the percent change for both 
facility and non-facility are corrected due to a methodological error.

B. Errors in the Addenda

    On pages 66410 through 66543, Addendum B, Relative Value Units and 
Related Information Used in Determining Medicare Payments for 2008, 
incorrect PE RVUs were listed for many CPT codes due to a 
methodological error. Therefore, for the convenience of health care 
providers and the public, we are republishing Addendum B in its 
entirety. In addition, the work RVUs are corrected for CPT code 67113 
and the status indicator, work RVUs, and malpractice RVUs are corrected 
for CPT code 93503 in this revised addendum.
    On pages 66543 through 66545, Addendum C, Codes with Interim RVUs, 
incorrect PE RVUs were listed for many CPT codes due to a 
methodological error. Therefore, for the convenience of health care 
providers and the public, we are republishing Addendum C in its 
entirety.
    On pages 66545 through 66546, Addendum D, 2008 Geographic 
Adjustment Factors (GAFs), we identified errors in the data used to 
calculate the GAFs, and therefore, we are republishing Addendum D in 
its entirety.
    On pages 66546 through 66547, Addendum E, 2008 * * * Geographic 
Practice Cost Indices by State and Medicare Locality, we identified 
errors in the data used to calculate the Geographic Practice Cost 
Indices (GPCIs), and therefore, we are republishing Addendum E in its 
entirety.
    On pages 66575 through 66578, Addendum I, List of CPT \1\/HCPCS 
Codes Used to Describe Certain Designated Health Service Categories \2\ 
Under Section 1877 of the Social Security Act, Correction to Addendum 
I, we incorrectly included CPT code 0147T and its short descriptor 
within the short descriptor for CPT code 0146T, and CPT code 71015 and 
its short descriptor within the short descriptor for CPT code 71010. 
Therefore, we are republishing the entries for CPT 0146T, 0147T, 71010, 
and 71015 on separate lines. We are removing CPT codes 75558, 75560, 
75562, and 75564 because these codes are considered non-covered 
services and were incorrectly included on the Code List. We are 
removing HCPCS code C2637 because it is paid for as part of an ASC 
service and should not have been included on the Code List. (We note 
that when provided in an inpatient or outpatient hospital setting, this 
source is considered to be a Designated Health Service.) In addition, 
the short descriptor for the HCPCS code G0103 was incorrect, and 
therefore, we are revising. Also, we omitted CPT code 76801 and we are 
adding it to Addendum I.

III. Correction of Errors

A. Corrections to the Preamble

    1. On page 66226, 3rd column, 4th paragraph, lines 5 through 7, the 
phrase ``we are applying a separate budget neutrality (BN) adjustor'' 
is corrected to read ``we applied a separate budget neutrality (BN) 
adjustor''.
    2. On page 66227, at the top of the 1st column, the formula 
``Payment = [(RVU work x budget neutrality adjustor x work GPCI) + (RVU 
PE x PE GPCI) + (MP RVU x MP GPCI)] x CF'' is corrected to read 
``Payment = [(RVU work x budget neutrality adjustor (round product to 
two decimal places) x GPCI work) + (RVU PE x GPCI PE) + (RVU 
malpractice x GPCI malpractice)] x CF''.
    3. On page 66241, in Table 4, Practice Expense Supply Item 
Additions for CY 2008, the 8th row, with the supply description ``fee, 
image analysis'' is corrected by deleting this row.
    4. On page 66242, in Table 5, Practice Expense Equipment Item 
Additions for CY 2008,
    a. In the 2nd row, in the 5th column, CPT codes ``7557'' and 
``7558'' are corrected to read ``75557'' and ``75558''.
    b. In the 5th row, the equipment description ``Camera, ocular 
photoscreening, w-laptop and software'' is corrected by deleting this 
row.
    5. On page 66253, in the 2nd column, following the 2nd full 
paragraph, 2nd bullet, line 1, the term ``angioscopy'' is corrected to 
read ``angiography''.
    6. On page 66254,
    a. First column, after the 1st full paragraph, the title of item 2, 
lines 3 and 4, the phrase ``(CPT codes 17311 Through 17315)'' is 
corrected to read ``(CPT codes 17311 and 17313)''.

[[Page 2569]]

    b. Second column, the 2nd full paragraph,
    (1) Line 6, the phrase ``17311 through 17315'' is corrected to read 
``17311 and 17313''.
    (2) Line 11, following the phrase ``created in 2007.'' insert the 
sentence ``(Note: CPT codes 17312, 17314, and 17315 are not subject to 
the multiple surgery payment reduction because they are add-on 
codes.)''
    7. On page 66262, 3rd column, 3rd full paragraph, lines 32 through 
35, the Web site reference to ``http://www.cmsm.hhs.gov/
CompetitiveAcquisforBios/15--------Approved--------
Vendor.asp#TopOfPage'' is corrected to read ``http://www.cms.hhs.gov/CompetitiveAcquisforBios/15____Approved____Vendor.asp#TopOfPage.''
    8. On page 66263, 1st column, 1st partial paragraph, lines 20 and 
21, the Web site reference to ``http://www.cms.hhs.gov/manuals/downloads/pim83co2pdf'' is corrected to read ``http://www.cms.hhs.gov/Manuals/01_Overview.asp.''
    9. On page 66268, 1st column, the last paragraph, line 1, the 
phrase ``section 1847B((b)(4)(E)'' is corrected to read ``section 
1847B(b)(4)(E)''.
    10. On page 66270, 2nd column, 1st full paragraph, line 1, the 
phrase ``commercially-available'' is corrected to read ``commercially 
available''.
    11. On page 66273, 3rd column, 1st full paragraph, lines 14 and 15, 
the Web site reference to ``http://www.grants.nih.gov/grants/guide/rfa-files/FRA-HS-06-001.html'' is corrected to read ``http://www.grants.nih.gov/grants/guide/rfa-files/RFA-HS-06-001.html.''
    12. On page 66276, 3rd column, 3rd full paragraph, lines 10 through 
13, the sentence ``It is not unusual for us to provide for 
discretionary reopening or reconsideration of final agency action'' is 
corrected by deleting the sentence.
    13. On page 66285, 3rd column, 1st partial paragraph, line 3, the 
term ``Administrator'' is corrected to ``Administrative''.
    14. On page 66287, 1st column, 5th full paragraph, line 6, the 
phrase ``by noting that term'' is corrected to read ``by noting that 
the term''.
    15. On page 66291, 1st column, 2nd paragraph, line 14, the phrase 
``procedure to another Medicare-enrolled'' is corrected to read 
``procedure from another Medicare-enrolled''.
    16. On page 66292, 3rd column, 2nd paragraph,
    a. Line 6, the phrase ``a fixed-base IDTF does not-'' is corrected 
to read ``a fixed-base IDTF is prohibited from--''.
    b. Line 7 (1st bullet), the term ``Share'' is corrected to read 
``Sharing.''
    c. Line 10 (2nd bullet), the phrase ``Lease or sublease'' is 
corrected to read ``Leasing or subleasing.''
    d. Line 14 (3rd bullet), the term ``Share'' is corrected to read 
``Sharing.''
    17. On page 66301, 3rd column, 1st partial paragraph, lines 3 and 
4, the phrase ``and should not be referring'' is corrected to read 
``and should not be understood to refer''.
    18. In Table 16, ``AMA RUC and HCPAC Recommendations and CMS' 
Decisions for New and Revised 2008 CPT Codes'', in the second column 
labeled ``Mod'', the ``26'' following CPT code 93503 is removed.
    19. On page 66372, 3rd column, 1st partial paragraph, line 1, the 
reference to ``Addendum x'' is corrected to read ``Addendum I.''
    20. On pages 66372 and 66373, Table 19, Additions to the Physician 
Self-Referral List of CPT/HCPCS Codes, the table is corrected by--
    a. Deleting the following entries:
    (1) Under the heading ``Radiology and Certain Other Imaging 
Services'',

------------------------------------------------------------------------
 
------------------------------------------------------------------------
              Radiology and Certain Other Imaging Services
------------------------------------------------------------------------
75558...............................  Cardiac mri flow/velocity.
75560...............................  Cardiac mri flow/vel/stress.
75562...............................  Card mri flow/vel w/dye.
75564...............................  Ht mri w/flow/vel/strs & dye.
------------------------------------------------------------------------

    (2). Under the heading ``Radiation Therapy Services and Supplies'',

------------------------------------------------------------------------
 
------------------------------------------------------------------------
                 Radiation Therapy Services and Supplies
------------------------------------------------------------------------
C2637...............................  Brachytx, Ytterbium-169
------------------------------------------------------------------------

    b. Correcting the following entries:

------------------------------------------------------------------------
 
------------------------------------------------------------------------
C1716...............................  Brachytx, non-str, Gold-198.
C1717...............................  Brachytx, non-str, HDR Ir-192.
C1719...............................  Brachytx, NS, Non-HDRIr-192.
C2616...............................  Brachytx, non-str, Yttrium-90.
C2634...............................  Brachytx, non-str, HA, I-125.
C2635...............................  Brachytx, non-str, HA, P-103.
C2636...............................  Brachy linear, non-str, P-103.
C2640...............................  Brachytx, stranded, P-103.
C2641...............................  Brachytx, non-stranded, P-103.
------------------------------------------------------------------------

    21. On page 66383, Table 35, Calculation for the 2008 Anesthesia 
Conversion Factor,
    a. Third row (2007 Combined Adjustment for PE and BN), 2nd column, 
the figure ``0.9089'' is corrected to read ``0.911''.
    b. Fourth row (CY 2007 Pre-TRHCA Anesthesia Conversion Factor), 2nd 
column, the figure ``$15.3328'' is corrected to read ``$15.3682''.
    c. Seventh row (CY 2008 Anesthesia CF after MEI and 2008 Adjustment 
Factor), 2nd column, the figure ``$14.5162'' is corrected to read 
``$14.5497''.
    d. Eighth row (2008 Combined Adjustment for PE and BN), 2nd column, 
the figure ``1.1250'' is corrected to read ``1.2277''.
    e. Ninth row (CY 2008 Anesthesia Conversion Factor), 2nd column, 
the figure ``16.3307'' is corrected to read ``$17.8627''.
    22. On page 66391, Table 39, Combined CY 2008 Total Allowed Charge 
Impact for the Remaining 5-Year Review of Work RVUs and Practice 
Expense Changes, OPPS Imagining Cap, and the CY 2008 Update, the 1st 
footnote ``*PE changes are CY 2008 second year transition changes. For 
fully implemented CY 2010 PE changes see Table 1.'' is corrected to 
read ``*PE changes are CY 2008 second year transition changes. For 
fully implemented CY 2010 PE changes see Table 38.''
    23. On page 66392, Table 40, Impact of Final Rule with Comment 
Period and Estimated Physician Update on 2008 Payment for Selected 
Procedures, the columns for 2008 payment amount and the percent change 
are corrected to read as follows:

Table 40.--Impact of Final Rule With Comment Period and Physician Update on 2008 Payment for Selected Procedures
----------------------------------------------------------------------------------------------------------------
                                                            Facility                       Non-facility
                                               -----------------------------------------------------------------
     CPT/HCPCS        MOD       Description                            Percent                          Percent
                                                   2007       2008      change      2007       2008      change
----------------------------------------------------------------------------------------------------------------
11721.............  .......  Debride nail, 6       $28.80     $24.53        -15     $39.03     $35.43         -9
                              or more.
17000.............  .......  Destruct premalg       44.72      41.56         -7      63.29      60.30         -5
                              lesion.
27130.............  .......  Total hip           1,360.52   1,195.11        -12         na         na         na
                              arthroplasty.
27244.............  .......  Treat thigh         1,100.92     963.45        -12         na         na         na
                              fracture.

[[Page 2570]]

 
27447.............  .......  Total knee          1,464.74   1,283.69        -12         na         na         na
                              arthroplasty.
33533.............  .......  CABG, arterial,     1,908.52   1,659.12        -13         na         na         na
                              single.
35301.............  .......  Rechanneling of     1,071.74     934.83        -13         na         na         na
                              artery.
43239.............  .......  Upper GI              155.00     140.36         -9     325.16     294.35         -9
                              endoscopy,
                              biopsy.
66821.............  .......  After cataract        253.53     223.15        -12     270.97     238.14        -12
                              laser surgery.
66984.............  .......  Cataract surg w/      641.98     560.08        -13         na         na         na
                              iol, 1 stage.
67210.............  .......  Treatment of          556.34     488.20        -12     580.59     507.96        -13
                              retinal lesion.
71010.............  .......  Chest x-ray......         na         na         na      26.15      22.83        -13
71010.............       26  Chest x-ray......       8.72       7.84        -10       8.72       7.84        -10
77056.............  .......  Mammogram, both           na         na         na      97.40      93.69         -4
                              breasts.
77056.............       26  Mammogram, both        41.31      37.48         -9      41.31      37.48         -9
                              breasts.
77057.............  .......  Mammogram,                na         na         na      81.86      73.93        -10
                              screening.
77057.............       26  Mammogram,             33.35      30.32         -9      33.35      30.32         -9
                              screening.
77427.............  .......  Radiation tx          176.22     158.42        -10     176.22     158.42        -10
                              management, x5.
78465.............       26  Heart image (3d),      73.14      66.43         -9      73.14      66.43         -9
                              multiple.
88305.............       26  Tissue exam by         37.90      32.36        -15      37.90      32.36        -15
                              pathologist.
90801.............  .......  Psy dx interview.     129.99     112.08        -14     145.15     131.50         -9
90862.............  .......  Medication             44.72      39.18        -12      50.40      46.67         -7
                              management.
90935.............  .......  Hemodialysis, one      67.46      58.26        -14         na         na         na
                              evaluation.
92012.............  .......  Eye exam               34.11      38.50         13      61.77      62.69          1
                              established pat.
92014.............  .......  Eye exam &             55.71      59.28          6      91.33      90.96          0
                              treatment.
92980.............  .......  Insert                795.85     721.22         -9         na         na         na
                              intracoronary
                              stent.
93000.............  .......  Electrocardiogram      24.63      20.78        -16      24.63      20.78        -16
                              , complete.
93010.............  .......  Electrocardiogram       8.34       7.50        -10       8.34       7.50        -10
                              report.
93015.............  .......  Cardiovascular        104.22      93.01        -11     104.22      93.01        -11
                              stress test.
93307.............       26  Echo exam of           46.99      42.24        -10      46.99      42.24        -10
                              heart.
93510.............       26  Left heart            242.92     215.65        -11     242.92     215.65        -11
                              catheterization.
98941.............  .......  Chiropractic           28.80      25.55        -11      33.35      29.64        -11
                              manipulation.
99203.............  .......  Office/outpatient      67.08      58.60        -13      91.71      81.42        -11
                              visit, new.
99213.............  .......  Office/outpatient      42.07      37.48        -11      59.50      53.49        -10
                              visit, est.
99214.............  .......  Office/outpatient      66.32      58.60        -12      90.20      80.40        -11
                              visit, est.
99222.............  .......  Initial hospital      119.00     104.59        -12         na         na         na
                              care.
99223.............  .......  Initial hospital      173.57     153.65        -11         na         na         na
                              care.
99231.............  .......  Subsequent             35.62      31.68        -11         na         na         na
                              hospital care.
99232.............  .......  Subsequent             63.67      56.55        -11         na         na         na
                              hospital care.
99233.............  .......  Subsequent             90.95      81.08        -11         na         na         na
                              hospital care.
99236.............  .......  Observ/hosp same      205.40     179.20        -13         na         na         na
                              date.
99239.............  .......  Hospital               94.74      83.13        -12         na         na         na
                              discharge day.
99243.............  .......  Office                 93.23      83.13        -11     122.41     109.36        -11
                              consultation.
99244.............  .......  Office                145.91     130.14        -11     179.26     160.12        -11
                              consultation.
99253.............  .......  Inpatient             108.77      97.09        -11         na         na         na
                              consultation.
99254.............  .......  Inpatient             156.52     140.02        -11         na         na         na
                              consultation.
99283.............  .......  Emergency dept         60.64      52.81        -13         na         na         na
                              visit.
99284.............  .......  Emergency dept        110.28      97.44        -12         na         na         na
                              visit.
99291.............  .......  Critical care,        208.82     182.61        -13     256.19     224.51        -12
                              first hour.
99292.............  .......  Critical care,        104.60      91.64        -12     114.45     100.16        -12
                              add'l 30 min.
99348.............  .......  Home visit, est           na         na         na      66.32      68.14          3
                              patient.
99350.............  .......  Home visit, est           na         na         na     150.83     139.34         -8
                              patient.
G0008.............  .......  Admin influenza           na         na         na      18.95      18.40         -3
                              virus vac.
G0317.............  .......  ESRD related svs      283.09     245.63        -13     283.09     245.63        -13
                              4+mo 20+yrs.
----------------------------------------------------------------------------------------------------------------

    23. On page 66393,
    a. First column, after the 2nd full paragraph, the following 
paragraph is inserted as a result of corrections to Addendum D noted 
below in this notice. The insertion reads as follows:
    ``In 2008, the counties with the three highest GAFs were in 
California. Thirty-one payment localities had increases in the GAF of 
less than one percent. Thirty-eight payment localities had decreases of 
less than 1 percent. Fifteen payment localities had decreases of over 1 
percent and eight payment localities had increases of over 1 percent.''
    b. First column, the 3rd full paragraph and 4th partial paragraph 
are deleted as a result of corrections to Addendum D noted below in 
this notice.
    c. Second column, the 1st partial paragraph is deleted as a result 
of corrections to Addendum D noted below in this notice.

B. Corrections to the Addenda

    The corrections to Addenda B, C, D, E, F, and I will not appear in 
the Code of Federal Regulations.
    1. On pages 66410 through 66543, Addendum B, Relative Value Units 
and Related Information Used in Determining Medicare Payments for 2008, 
the table is corrected to read as follows:

[[Page 2571]]









    --------------------
\1\ CPT codes and descriptions only are copyright 2007 American Medical 
Association. All Rights Reserved. Applicable FARS/DFARS Apply.

\2\ If values are reflected for codes not payable by Medicare, please 
note that these values have been established as a courtesy to the 
general public and are not used for Medicare payment.

                   Addendum B.--Relative Value Units and Related Information Used in Determining Medicare Payments for 2008; Corrected
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                               Fully
                                                                 Physician  Implemented    Year 2008      Fully       Year 2008      Mal-
 CPT\1\/ HCPCS       Mod         Status         Description        work         non-     transitional  implemented  transitional   practice     Global
                                                                  RVUs\2\   facility PE  non-facility  facility PE   facility PE    RVUs\2\
                                                                              RVUs\2\     PE RVUs\2\     RVUs\2\       RVUs\2\
--------------------------------------------------------------------------------------------------------------------------------------------------------
0016T.........  ............  C...........  Thermotx choroid          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             vasc lesion.
0017T.........  ............  C...........  Photocoagulat             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             macular drusen.
0019T.........  ............  C...........  Extracorp shock wv        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             tx,ms nos.
0026T.........  ............  C...........  Measure remnant           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             lipoproteins.
0027T.........  ............  C...........  Endoscopic                0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             epidural lysis.
0028T.........  ............  C...........  Dexa body                 0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             composition 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/           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             direct sample.
0041T.........  ............  C...........  Detect ur infect          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             agnt 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.
0046T.........  ............  C...........  Cath lavage,              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             mammary duct(s).
0047T.........  ............  C...........  Cath lavage,              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             mammary duct(s).
0048T.........  ............  C...........  Implant                   0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             ventricular
                                             device.
0049T.........  ............  C...........  External                  0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             circulation
                                             assist.
0050T.........  ............  C...........  Removal                   0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             circulation
                                             assist.
0051T.........  ............  C...........  Implant total             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             heart 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.
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                0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             impedance scan.
0061T.........  ............  C...........  Destruction of            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             tumor, 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.
0066T.........  ............  N...........  Ct                        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             colonography;scre
                                             en.
0066T.........  TC..........  N...........  Ct                        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             colonography;scre
                                             en.
0066T.........  26..........  N...........  Ct                        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             colonography;scre
                                             en.
0067T.........  ............  C...........  Ct colonography;dx        0.00         0.00         0.00            NA           NA         0.00         XXX
0067T.........  TC..........  C...........  Ct colonography;dx        0.00         0.00         0.00            NA           NA         0.00         XXX
0067T.........  26..........  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             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             heart 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            0.00        13.17        15.60            NA           NA         0.13         XXX
                                             imrt.
0075T.........  ............  C...........  Perq stent/chest          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             vert art.
0075T.........  TC..........  C...........  Perq stent/chest          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             vert art.
0075T.........  26..........  C...........  Perq stent/chest          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             vert art.
0076T.........  ............  C...........  S&i stent/chest           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             vert art.
0076T.........  TC..........  C...........  S&i stent/chest           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             vert art.
0076T.........  26..........  C...........  S&i stent/chest           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             vert art.
0077T.........  ............  C...........  Cereb therm               0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             perfusion probe.
0078T.........  ............  C...........  Endovasc aort repr        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             w/device.
0079T.........  ............  C...........  Endovasc visc             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             extnsn 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             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             extnsn s&i.
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                0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             hyaluronan.
0088T.........  ............  C...........  Rf tongue base vol        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             reduxn.
0089T.........  ............  C...........  Actigraphy                0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             testing, 3-day.
0090T.........  ............  C...........  Cervical artific          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             disc.
0092T.........  ............  C...........  Artific disc addl.        0.00         0.00         0.00          0.00         0.00         0.00         XXX
0093T.........  ............  C...........  Cervical artific          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             diskectomy.
0095T.........  ............  C...........  Artific diskectomy        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             addl.
0096T.........  ............  C...........  Rev cervical              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             artific disc.
0098T.........  ............  C...........  Rev artific disc          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             addl.
0099T.........  ............  C...........  Implant corneal           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             ring.
0100T.........  ............  C...........  Prosth retina             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             receive&gen.
0101T.........  ............  C...........  Extracorp shockwv         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             tx,hi enrg.
0102T.........  ............  C...........  Extracorp shockwv         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             tx,anesth.
0103T.........  ............  C...........  Holotranscobalamin        0.00         0.00         0.00          0.00         0.00         0.00         XXX
0104T.........  ............  C...........  At rest cardio gas        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             rebreathe.
0105T.........  ............  C...........  Exerc cardio gas          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             rebreathe.
0106T.........  ............  C...........  Touch quant               0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             sensory test.
0107T.........  ............  C...........  Vibrate quant             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             sensory test.
0108T.........  ............  C...........  Cool quant sensory        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             test.

[[Page 2572]]

 
0109T.........  ............  C...........  Heat quant sensory        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             test.
0110T.........  ............  C...........  Nos quant sensory         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             test.
0111T.........  ............  C...........  Rbc membranes             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             fatty acids.
0123T.........  ............  C...........  Scleral                   0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             fistulization.
0124T.........  ............  C...........  Conjunctival drug         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             placement.
0126T.........  ............  C...........  Chd risk imt study        0.00         0.00         0.00          0.00         0.00         0.00         XXX
0130T.........  ............  C...........  Chron care drug           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             investigatn.
0137T.........  ............  C...........  Prostate                  0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             saturation
                                             sampling.
0140T.........  ............  C...........  Exhaled breath            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             condensate ph.
0141T.........  ............  I...........  Perq islet                0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             transplant.
0142T.........  ............  I...........  Open islet                0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             transplant.
0143T.........  ............  I...........  Laparoscopic islet        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             transplnt.
0144T.........  ............  C...........  CT heart wo dye;          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             qual calc.
0144T.........  TC..........  C...........  CT heart wo dye;          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             qual calc.
0144T.........  26..........  C...........  CT heart wo dye;          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             qual calc.
0145T.........  ............  C...........  CT heart w/wo dye         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             funct.
0145T.........  TC..........  C...........  CT heart w/wo dye         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             funct.
0145T.........  26..........  C...........  CT heart w/wo dye         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             funct.
0146T.........  ............  C...........  CCTA w/wo dye.....        0.00         0.00         0.00            NA           NA         0.00         XXX
0146T.........  TC..........  C...........  CCTA w/wo dye.....        0.00         0.00         0.00            NA           NA         0.00         XXX
0146T.........  26..........  C...........  CCTA w/wo dye.....        0.00         0.00         0.00          0.00         0.00         0.00         XXX
0147T.........  ............  C...........  CCTA w/wo, quan           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             calcium.
0147T.........  TC..........  C...........  CCTA w/wo, quan           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             calcium.
0147T.........  26..........  C...........  CCTA w/wo, quan           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             calcium.
0148T.........  ............  C...........  CCTA w/wo, strxr..        0.00         0.00         0.00            NA           NA         0.00         XXX
0148T.........  TC..........  C...........  CCTA w/wo, strxr..        0.00         0.00         0.00            NA           NA         0.00         XXX
0148T.........  26..........  C...........  CCTA w/wo, strxr..        0.00         0.00         0.00          0.00         0.00         0.00         XXX
0149T.........  ............  C...........  CCTA w/wo, strxr          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             quan calc.
0149T.........  TC..........  C...........  CCTA w/wo, strxr          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             quan calc.
0149T.........  26..........  C...........  CCTA w/wo, strxr          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             quan calc.
0150T.........  ............  C...........  CCTA w/wo, disease        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             strxr.
0150T.........  TC..........  C...........  CCTA w/wo, disease        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             strxr.
0150T.........  26..........  C...........  CCTA w/wo, disease        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             strxr.
0151T.........  ............  C...........  CT heart funct add-       0.00         0.00         0.00            NA           NA         0.00         XXX
                                             on.
0151T.........  TC..........  C...........  CT heart funct add-       0.00         0.00         0.00            NA           NA         0.00         XXX
                                             on.
0151T.........  26..........  C...........  CT heart funct add-       0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             on.
0155T.........  ............  C...........  Lap impl gast             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             curve electrd.
0156T.........  ............  C...........  Lap remv gast             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             curve electrd.
0157T.........  ............  C...........  Open impl gast            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             curve electrd.
0158T.........  ............  C...........  Open remv gast            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             curve electrd.
0159T.........  ............  C...........  Cad breast mri....        0.00         0.00         0.00            NA           NA         0.00         ZZZ
0159T.........  TC..........  C...........  Cad breast mri....        0.00         0.00         0.00            NA           NA         0.00         ZZZ
0159T.........  26..........  C...........  Cad breast mri....        0.00         0.00         0.00          0.00         0.00         0.00         ZZZ
0160T.........  ............  C...........  Tcranial magn stim        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             tx plan.
0161T.........  ............  C...........  Tcranial magn stim        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             tx deliv.
0162T.........  ............  C...........  Anal program gast         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             neurostim.
0163T.........  ............  C...........  Lumb artif                0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             diskectomy addl.
0164T.........  ............  C...........  Remove lumb artif         0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             disc addl.
0165T.........  ............  C...........  Revise lumb artif         0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             disc addl.
0166T.........  ............  C...........  Tcath vsd close w/        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             o bypass.
0167T.........  ............  C...........  Tcath vsd close w         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             bypass.
0168T.........  ............  C...........  Rhinophototx light        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             app bilat.
0169T.........  ............  C...........  Place stereo cath         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             brain.
0170T.........  ............  C...........  Anorectal fistula         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             plug rpr.
0171T.........  ............  C...........  Lumbar spine              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             proces distract.
0172T.........  ............  C...........  Lumbar spine              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             process addl.
0173T.........  ............  C...........  Iop monit io              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             pressure.
0174T.........  ............  C...........  Cad cxr with              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             interp.
0175T.........  ............  C...........  Cad cxr remote....        0.00         0.00         0.00          0.00         0.00         0.00         XXX
0176T.........  ............  C...........  Aqu canal dilat w/        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             o retent.
0177T.........  ............  C...........  Aqu canal dilat w         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             retent.
0178T.........  ............  C...........  64 lead ecg w i&r.        0.00         0.00         0.00          0.00         0.00         0.00         XXX
0179T.........  ............  C...........  64 lead ecg w             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             tracing.
0180T.........  ............  C...........  64 lead ecg w i&r         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             only.
0181T.........  ............  C...........  Corneal hysteresis        0.00         0.00         0.00          0.00         0.00         0.00         XXX
0182T.........  ............  C...........  Hdr elect                 0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             brachytherapy.
0183T.........  ............  C...........  Wound ultrasound..        0.00         0.00         0.00          0.00         0.00         0.00         XXX
0184T.........  ............  C...........  Exc rectal tumor          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             endoscopic.
0185T.........  ............  C...........  Comptr probability        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             analysis.
0186T.........  ............  C...........  Suprachoroidal            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             drug delivery.
0187T.........  ............  C...........  Ophthalmic dx             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             image anterior.
10021.........  ............  A...........  Fna w/o image.....        1.27         2.18         2.17          0.37         0.46         0.10         XXX

[[Page 2573]]

 
10022.........  ............  A...........  Fna w/image.......        1.27         2.15         2.35          0.41         0.41         0.08         XXX
10040.........  ............  A...........  Acne surgery......        1.19         1.33         1.17          0.98         0.88         0.05         010
10060.........  ............  A...........  Drainage of skin          1.19         1.51         1.36          1.08         1.01         0.12         010
                                             abscess.
10061.........  ............  A...........  Drainage of skin          2.42         2.07         1.95          1.51         1.50         0.26         010
                                             abscess.
10080.........  ............  A...........  Drainage of               1.19         2.68         2.89          1.10         1.11         0.11         010
                                             pilonidal cyst.
10081.........  ............  A...........  Drainage of               2.47         3.49         3.78          1.45         1.47         0.24         010
                                             pilonidal cyst.
10120.........  ............  A...........  Remove foreign            1.23         1.95         2.06          0.94         0.96         0.12         010
                                             body.
10121.........  ............  A...........  Remove foreign            2.71         3.51         3.51          1.65         1.72         0.33         010
                                             body.
10140.........  ............  A...........  Drainage of               1.55         2.26         2.02          1.29         1.29         0.19         010
                                             hematoma/fluid.
10160.........  ............  A...........  Puncture drainage         1.22         1.85         1.72          1.08         1.08         0.14         010
                                             of lesion.
10180.........  ............  A...........  Complex drainage,         2.27         3.25         3.12          1.80         1.89         0.35         010
                                             wound.
11000.........  ............  A...........  Debride infected          0.60         0.72         0.65          0.16         0.19         0.07         000
                                             skin.
11001.........  ............  A...........  Debride infected          0.30         0.23         0.23          0.08         0.10         0.04         ZZZ
                                             skin add-on.
11004.........  ............  A...........  Debride genitalia        10.80           NA           NA          3.21         3.55         0.67         000
                                             & perineum.
11005.........  ............  A...........  Debride abdom wall       14.24           NA           NA          3.78         4.67         0.96         000
11006.........  ............  A...........  Debride genit/per/       13.10           NA           NA          3.96         4.40         1.28         000
                                             abdom wall.
11008.........  ............  A...........  Remove mesh from          5.00           NA           NA          1.29         1.66         0.61         ZZZ
                                             abd wall.
11010.........  ............  A...........  Debride skin, fx..        4.19         6.81         6.84          2.34         2.48         0.66         010
11011.........  ............  A...........  Debride skin/             4.94         7.04         7.60          2.01         2.18         0.74         000
                                             muscle, fx.
11012.........  ............  A...........  Debride skin/             6.87         9.01        10.56          3.11         3.47         1.16         000
                                             muscle/bone, fx.
11040.........  ............  A...........  Debride skin,             0.50         0.68         0.60          0.16         0.18         0.06         000
                                             partial.
11041.........  ............  A...........  Debride skin, full        0.60         0.72         0.69          0.19         0.26         0.10         000
11042.........  ............  A...........  Debride skin/             0.80         0.95         0.96          0.24         0.34         0.13         000
                                             tissue.
11043.........  ............  A...........  Debride tissue/           3.04         3.51         3.44          2.60         2.60         0.32         010
                                             muscle.
11044.........  ............  A...........  Debride tissue/           4.11         4.84         4.65          3.58         3.67         0.43         010
                                             muscle/bone.
11055.........  ............  R...........  Trim skin lesion..        0.43         0.81         0.68          0.11         0.14         0.05         000
11056.........  ............  R...........  Trim skin lesions,        0.61         0.88         0.76          0.16         0.19         0.07         000
                                             2 to 4.
11057.........  ............  R...........  Trim skin lesions,        0.79         0.99         0.86          0.20         0.25         0.10         000
                                             over 4.
11100.........  ............  A...........  Biopsy, skin              0.81         1.88         1.56          0.38         0.38         0.03         000
                                             lesion.
11101.........  ............  A...........  Biopsy, skin add-         0.41         0.41         0.37          0.20         0.19         0.02         ZZZ
                                             on.
11200.........  ............  A...........  Removal of skin           0.79         1.23         1.13          0.90         0.83         0.04         010
                                             tags.
11201.........  ............  A...........  Remove skin tags          0.29         0.16         0.16          0.11         0.12         0.02         ZZZ
                                             add-on.
11300.........  ............  A...........  Shave skin lesion.        0.51         1.19         1.09          0.21         0.21         0.03         000
11301.........  ............  A...........  Shave skin lesion.        0.85         1.51         1.31          0.38         0.38         0.04         000
11302.........  ............  A...........  Shave skin lesion.        1.05         1.76         1.53          0.48         0.47         0.05         000
11303.........  ............  A...........  Shave skin lesion.        1.24         2.03         1.81          0.55         0.54         0.07         000
11305.........  ............  A...........  Shave skin lesion.        0.67         1.07         0.96          0.20         0.24         0.07         000
11306.........  ............  A...........  Shave skin lesion.        0.99         1.43         1.26          0.38         0.40         0.07         000
11307.........  ............  A...........  Shave skin lesion.        1.14         1.70         1.49          0.47         0.48         0.07         000
11308.........  ............  A...........  Shave skin lesion.        1.41         1.71         1.58          0.49         0.54         0.13         000
11310.........  ............  A...........  Shave skin lesion.        0.73         1.38         1.25          0.31         0.32         0.04         000
11311.........  ............  A...........  Shave skin lesion.        1.05         1.64         1.43          0.48         0.48         0.05         000
11312.........  ............  A...........  Shave skin lesion.        1.20         1.92         1.67          0.56         0.55         0.06         000
11313.........  ............  A...........  Shave skin lesion.        1.62         2.19         2.00          0.73         0.72         0.10         000
11400.........  ............  A...........  Exc tr-ext b9+marg        0.87         1.88         1.94          0.93         0.91         0.06         010
                                             0.5 < cm.
11401.........  ............  A...........  Exc tr-ext b9+marg        1.25         2.19         2.12          1.15         1.09         0.10         010
                                             0.6-1 cm.
11402.........  ............  A...........  Exc tr-ext b9+marg        1.42         2.40         2.31          1.21         1.14         0.13         010
                                             1.1-2 cm.
11403.........  ............  A...........  Exc tr-ext b9+marg        1.81         2.56         2.48          1.57         1.44         0.17         010
                                             2.1-3 cm.
11404.........  ............  A...........  Exc tr-ext b9+marg        2.08         2.86         2.78          1.63         1.51         0.21         010
                                             3.1-4 cm.
11406.........  ............  A...........  Exc tr-ext b9+marg        3.47         3.54         3.30          2.10         1.87         0.32         010
                                             > 4.0 cm.
11420.........  ............  A...........  Exc h-f-nk-sp             1.00         1.83         1.80          0.93         0.93         0.09         010
                                             b9+marg 0.5 <.
11421.........  ............  A...........  Exc h-f-nk-sp             1.44         2.22         2.14          1.16         1.14         0.13         010
                                             b9+marg 0.6-1.
11422.........  ............  A...........  Exc h-f-nk-sp             1.65         2.44         2.35          1.53         1.43         0.16         010
                                             b9+marg 1.1-2.
11423.........  ............  A...........  Exc h-f-nk-sp             2.03         2.67         2.63          1.66         1.55         0.20         010
                                             b9+marg 2.1-3.
11424.........  ............  A...........  Exc h-f-nk-sp             2.45         2.97         2.89          1.77         1.69         0.25         010
                                             b9+marg 3.1-4.
11426.........  ............  A...........  Exc h-f-nk-sp             4.04         3.59         3.54          2.31         2.21         0.44         010
                                             b9+marg > 4 cm.
11440.........  ............  A...........  Exc face-mm               1.02         2.00         2.10          1.31         1.31         0.08         010
                                             b9+marg 0.5 < cm.
11441.........  ............  A...........  Exc face-mm               1.50         2.38         2.36          1.55         1.52         0.13         010
                                             b9+marg 0.6-1 cm.
11442.........  ............  A...........  Exc face-mm               1.74         2.65         2.59          1.66         1.61         0.16         010
                                             b9+marg 1.1-2 cm.
11443.........  ............  A...........  Exc face-mm               2.31         2.89         2.90          1.84         1.83         0.22         010
                                             b9+marg 2.1-3 cm.
11444.........  ............  A...........  Exc face-mm               3.16         3.32         3.40          2.10         2.14         0.30         010
                                             b9+marg 3.1-4 cm.
11446.........  ............  A...........  Exc face-mm               4.75         4.10         4.07          2.68         2.73         0.43         010
                                             b9+marg > 4 cm.
11450.........  ............  A...........  Removal, sweat            3.14         5.13         5.08          2.41         2.22         0.34         090
                                             gland lesion.
11451.........  ............  A...........  Removal, sweat            4.35         6.38         6.49          2.91         2.73         0.53         090
                                             gland lesion.
11462.........  ............  A...........  Removal, sweat            2.92         5.33         5.22          2.47         2.24         0.32         090
                                             gland lesion.
11463.........  ............  A...........  Removal, sweat            4.35         6.53         6.68          2.94         2.81         0.54         090
                                             gland lesion.
11470.........  ............  A...........  Removal, sweat            3.66         5.47         5.27          2.63         2.45         0.40         090
                                             gland lesion.
11471.........  ............  A...........  Removal, sweat            4.81         6.51         6.61          3.01         2.89         0.58         090
                                             gland lesion.
11600.........  ............  A...........  Exc tr-ext                1.58         2.74         2.69          1.14         1.05         0.10         010
                                             mlg+marg 0.5 < cm.
11601.........  ............  A...........  Exc tr-ext                2.02         3.44         3.07          1.51         1.36         0.12         010
                                             mlg+marg 0.6-1 cm.
11602.........  ............  A...........  Exc tr-ext                2.22         3.85         3.34          1.69         1.47         0.12         010
                                             mlg+marg 1.1-2 cm.
11603.........  ............  A...........  Exc tr-ext                2.77         4.05         3.56          1.87         1.60         0.16         010
                                             mlg+marg 2.1-3 cm.

[[Page 2574]]

 
11604.........  ............  A...........  Exc tr-ext                3.12         4.34         3.86          1.93         1.66         0.20         010
                                             mlg+marg 3.1-4 cm.
11606.........  ............  A...........  Exc tr-ext                4.97         5.50         4.78          2.46         2.10         0.36         010
                                             mlg+marg > 4 cm.
11620.........  ............  A...........  Exc h-f-nk-sp             1.59         2.85         2.72          1.19         1.07         0.09         010
                                             mlg+marg 0.5 <.
11621.........  ............  A...........  Exc h-f-nk-sp             2.03         3.51         3.10          1.54         1.39         0.12         010
                                             mlg+marg 0.6-1.
11622.........  ............  A...........  Exc h-f-nk-sp             2.36         3.90         3.43          1.75         1.57         0.14         010
                                             mlg+marg 1.1-2.
11623.........  ............  A...........  Exc h-f-nk-sp             3.06         4.12         3.73          1.95         1.77         0.20         010
                                             mlg+marg 2.1-3.
11624.........  ............  A...........  Exc h-f-nk-sp             3.57         4.43         4.09          2.08         1.93         0.27         010
                                             mlg+marg 3.1-4.
11626.........  ............  A...........  Exc h-f-nk-sp             4.56         4.96         4.80          2.33         2.36         0.45         010
                                             mlg+mar > 4 cm.
11640.........  ............  A...........  Exc face-mm               1.62         3.06         2.86          1.29         1.20         0.11         010
                                             malig+marg 0.5 <.
11641.........  ............  A...........  Exc face-mm               2.12         3.64         3.33          1.61         1.57         0.16         010
                                             malig+marg 0.6-1.
11642.........  ............  A...........  Exc face-mm               2.57         4.04         3.72          1.84         1.78         0.19         010
                                             malig+marg 1.1-2.
11643.........  ............  A...........  Exc face-mm               3.37         4.28         4.04          2.11         2.04         0.26         010
                                             malig+marg 2.1-3.
11644.........  ............  A...........  Exc face-mm               4.29         5.07         4.88          2.47         2.46         0.37         010
                                             malig+marg 3.1-4.
11646.........  ............  A...........  Exc face-mm               6.21         5.91         5.83          3.14         3.30         0.61         010
                                             mlg+marg > 4 cm.
11719.........  ............  R...........  Trim nail(s)......        0.17         0.38         0.31          0.04         0.06         0.02         000
11720.........  ............  A...........  Debride nail, 1-5.        0.32         0.47         0.40          0.08         0.10         0.04         000
11721.........  ............  A...........  Debride nail, 6 or        0.54         0.55         0.49          0.14         0.17         0.07         000
                                             more.
11730.........  ............  A...........  Removal of nail           1.10         1.33         1.18          0.28         0.36         0.14         000
                                             plate.
11732.........  ............  A...........  Remove nail plate,        0.57         0.55         0.49          0.15         0.18         0.07         ZZZ
                                             add-on.
11740.........  ............  A...........  Drain blood from          0.37         0.80         0.67          0.43         0.39         0.04         000
                                             under nail.
11750.........  ............  A...........  Removal of nail           2.40         2.96         2.56          1.88         1.82         0.22         010
                                             bed.
11752.........  ............  A...........  Remove nail bed/          3.48         4.06         3.53          2.78         2.88         0.35         010
                                             finger tip.
11755.........  ............  A...........  Biopsy, nail unit.        1.31         2.03         1.80          0.76         0.76         0.14         000
11760.........  ............  A...........  Repair of nail bed        1.60         3.40         3.01          1.43         1.61         0.21         010
11762.........  ............  A...........  Reconstruction of         2.91         3.70         3.29          1.68         2.01         0.36         010
                                             nail bed.
11765.........  ............  A...........  Excision of nail          0.71         2.67         2.23          1.01         0.88         0.08         010
                                             fold, toe.
11770.........  ............  A...........  Removal of                2.63         3.46         3.47          1.52         1.51         0.33         010
                                             pilonidal lesion.
11771.........  ............  A...........  Removal of                5.98         6.64         6.14          3.69         3.50         0.74         090
                                             pilonidal lesion.
11772.........  ............  A...........  Removal of                7.23         8.04         7.77          5.56         5.31         0.89         090
                                             pilonidal lesion.
11900.........  ............  A...........  Injection into            0.52         0.92         0.78          0.25         0.23         0.02         000
                                             skin lesions.
11901.........  ............  A...........  Added skin lesions        0.80         1.01         0.83          0.39         0.37         0.03         000
                                             injection.
11920.........  ............  R...........  Correct skin color        1.61         2.35         3.02          1.09         1.09         0.24         000
                                             defects.
11921.........  ............  R...........  Correct skin color        1.93         2.66         3.31          1.26         1.26         0.29         000
                                             defects.
11922.........  ............  R...........  Correct skin color        0.49         0.92         1.03          0.22         0.24         0.07         ZZZ
                                             defects.
11950.........  ............  R...........  Therapy for               0.84         0.88         1.01          0.36         0.37         0.06         000
                                             contour defects.
11951.........  ............  R...........  Therapy for               1.19         0.90         1.20          0.36         0.43         0.11         000
                                             contour defects.
11952.........  ............  R...........  Therapy for               1.69         1.63         1.74          0.77         0.72         0.16         000
                                             contour defects.
11954.........  ............  R...........  Therapy for               1.85         1.79         2.12          0.77         0.83         0.25         000
                                             contour defects.
11960.........  ............  A...........  Insert tissue            11.01           NA           NA         10.58        10.49         1.31         090
                                             expander(s).
11970.........  ............  A...........  Replace tissue            7.86           NA           NA          6.17         6.15         1.05         090
                                             expander.
11971.........  ............  A...........  Remove tissue             3.21         7.40         8.26          4.02         3.91         0.32         090
                                             expander(s).
11975.........  ............  N...........  Insert                    1.48         1.54         1.48          0.34         0.45         0.17         XXX
                                             contraceptive cap.
11976.........  ............  R...........  Removal of                1.78         1.73         1.72          0.48         0.58         0.21         000
                                             contraceptive cap.
11977.........  ............  N...........  Removal/reinsert          3.30         1.98         2.13          0.76         1.01         0.37         XXX
                                             contra cap.
11980.........  ............  A...........  Implant hormone           1.48         1.07         1.08          0.49         0.51         0.13         000
                                             pellet(s).
11981.........  ............  A...........  Insert drug               1.48         1.90         1.80          0.58         0.63         0.12         XXX
                                             implant device.
11982.........  ............  A...........  Remove drug               1.78         2.02         1.98          0.70         0.76         0.17         XXX
                                             implant device.
11983.........  ............  A...........  Remove/insert drug        3.30         2.64         2.46          1.32         1.39         0.23         XXX
                                             implant.
12001.........  ............  A...........  Repair superficial        1.72         1.73         1.86          0.73         0.75         0.15         010
                                             wound(s).
12002.........  ............  A...........  Repair superficial        1.88         1.80         1.92          0.84         0.87         0.17         010
                                             wound(s).
12004.........  ............  A...........  Repair superficial        2.26         2.08         2.20          0.92         0.97         0.21         010
                                             wound(s).
12005.........  ............  A...........  Repair superficial        2.88         2.52         2.67          1.06         1.13         0.27         010
                                             wound(s).
12006.........  ............  A...........  Repair superficial        3.68         3.06         3.23          1.30         1.40         0.35         010
                                             wound(s).
12007.........  ............  A...........  Repair superficial        4.13         3.36         3.59          1.46         1.64         0.45         010
                                             wound(s).
12011.........  ............  A...........  Repair superficial        1.78         1.91         2.02          0.76         0.77         0.16         010
                                             wound(s).
12013.........  ............  A...........  Repair superficial        2.01         2.07         2.17          0.89         0.91         0.18         010
                                             wound(s).
12014.........  ............  A...........  Repair superficial        2.48         2.29         2.43          0.98         1.02         0.23         010
                                             wound(s).
12015.........  ............  A...........  Repair superficial        3.21         2.79         2.96          1.12         1.18         0.29         010
                                             wound(s).
12016.........  ............  A...........  Repair superficial        3.94         3.17         3.36          1.28         1.40         0.37         010
                                             wound(s).
12017.........  ............  A...........  Repair superficial        4.72           NA           NA          1.52         1.71         0.47         010
                                             wound(s).
12018.........  ............  A...........  Repair superficial        5.54           NA           NA          1.92         2.09         0.64         010
                                             wound(s).
12020.........  ............  A...........  Closure of split          2.64         3.69         3.76          1.75         1.84         0.30         010
                                             wound.
12021.........  ............  A...........  Closure of split          1.86         1.85         1.84          1.33         1.37         0.24         010
                                             wound.
12031.........  ............  A...........  Layer closure of          2.17         3.90         3.09          1.77         1.37         0.17         010
                                             wound(s).
12032.........  ............  A...........  Layer closure of          2.49         5.22         4.53          2.28         2.04         0.16         010
                                             wound(s).
12034.........  ............  A...........  Layer closure of          2.94         4.61         3.90          2.00         1.72         0.25         010
                                             wound(s).
12035.........  ............  A...........  Layer closure of          3.44         5.30         5.25          2.11         2.13         0.39         010
                                             wound(s).
12036.........  ............  A...........  Layer closure of          4.06         5.41         5.48          2.23         2.39         0.55         010
                                             wound(s).
12037.........  ............  A...........  Layer closure of          4.68         5.99         6.04          2.63         2.80         0.66         010
                                             wound(s).
12041.........  ............  A...........  Layer closure of          2.39         3.87         3.21          1.78         1.45         0.19         010
                                             wound(s).
12042.........  ............  A...........  Layer closure of          2.76         4.50         3.88          2.13         1.79         0.17         010
                                             wound(s).
12044.........  ............  A...........  Layer closure of          3.16         5.41         4.31          1.95         1.77         0.27         010
                                             wound(s).

[[Page 2575]]

 
12045.........  ............  A...........  Layer closure of          3.65         5.03         5.15          2.06         2.17         0.41         010
                                             wound(s).
12046.........  ............  A...........  Layer closure of          4.26         5.66         6.08          2.29         2.52         0.54         010
                                             wound(s).
12047.........  ............  A...........  Layer closure of          4.66         6.50         6.42          2.66         2.87         0.58         010
                                             wound(s).
12051.........  ............  A...........  Layer closure of          2.49         4.11         3.69          1.92         1.69         0.20         010
                                             wound(s).
12052.........  ............  A...........  Layer closure of          2.81         4.87         4.04          2.56         2.00         0.17         010
                                             wound(s).
12053.........  ............  A...........  Layer closure of          3.14         5.39         4.32          2.13         1.83         0.23         010
                                             wound(s).
12054.........  ............  A...........  Layer closure of          3.47         5.43         4.50          2.06         1.84         0.30         010
                                             wound(s).
12055.........  ............  A...........  Layer closure of          4.44         6.01         5.25          2.09         2.11         0.45         010
                                             wound(s).
12056.........  ............  A...........  Layer closure of          5.25         6.57         6.66          2.58         2.82         0.59         010
                                             wound(s).
12057.........  ............  A...........  Layer closure of          5.97         7.76         6.95          2.93         3.34         0.56         010
                                             wound(s).
13100.........  ............  A...........  Repair of wound or        3.14         4.42         4.24          2.47         2.39         0.26         010
                                             lesion.
13101.........  ............  A...........  Repair of wound or        3.93         5.95         5.30          2.97         2.83         0.26         010
                                             lesion.
13102.........  ............  A...........  Repair wound/             1.24         1.35         1.26          0.53         0.55         0.13         ZZZ
                                             lesion add-on.
13120.........  ............  A...........  Repair of wound or        3.32         4.58         4.36          2.58         2.46         0.26         010
                                             lesion.
13121.........  ............  A...........  Repair of wound or        4.36         6.72         5.78          3.64         3.22         0.25         010
                                             lesion.
13122.........  ............  A...........  Repair wound/             1.44         1.37         1.44          0.58         0.60         0.15         ZZZ
                                             lesion add-on.
13131.........  ............  A...........  Repair of wound or        3.80         5.01         4.69          2.88         2.78         0.26         010
                                             lesion.
13132.........  ............  A...........  Repair of wound or        6.48         7.89         6.90          4.96         4.56         0.32         010
                                             lesion.
13133.........  ............  A...........  Repair wound/             2.19         1.88         1.77          0.98         1.00         0.18         ZZZ
                                             lesion add-on.
13150.........  ............  A...........  Repair of wound or        3.82         4.72         4.80          2.72         2.74         0.34         010
                                             lesion.
13151.........  ............  A...........  Repair of wound or        4.46         5.52         5.16          3.22         3.18         0.31         010
                                             lesion.
13152.........  ............  A...........  Repair of wound or        6.34         7.54         6.79          3.92         3.98         0.40         010
                                             lesion.
13153.........  ............  A...........  Repair wound/             2.38         2.05         1.99          1.03         1.08         0.24         ZZZ
                                             lesion add-on.
13160.........  ............  A...........  Late closure of          11.84           NA           NA          7.02         7.09         1.54         090
                                             wound.
14000.........  ............  A...........  Skin tissue               6.83         8.95         8.40          6.04         5.76         0.59         090
                                             rearrangement.
14001.........  ............  A...........  Skin tissue               9.60        11.02        10.22          7.49         7.28         0.82         090
                                             rearrangement.
14020.........  ............  A...........  Skin tissue               7.66        10.04         9.32          6.89         6.71         0.64         090
                                             rearrangement.
14021.........  ............  A...........  Skin tissue              11.18        12.47        11.23          8.66         8.47         0.81         090
                                             rearrangement.
14040.........  ............  A...........  Skin tissue               8.44        10.20         9.50          6.99         7.10         0.62         090
                                             rearrangement.
14041.........  ............  A...........  Skin tissue              12.67        13.58        12.09          9.35         9.01         0.73         090
                                             rearrangement.
14060.........  ............  A...........  Skin tissue               9.07         9.69         9.24          7.18         7.31         0.68         090
                                             rearrangement.
14061.........  ............  A...........  Skin tissue              13.67        14.84        13.22         10.18         9.84         0.76         090
                                             rearrangement.
14300.........  ............  A...........  Skin tissue              13.26        13.53        12.33          9.45         9.31         1.16         090
                                             rearrangement.
14350.........  ............  A...........  Skin tissue              10.82           NA           NA          6.90         7.02         1.34         090
                                             rearrangement.
15002.........  ............  A...........  Wnd prep, ch/inf,         3.65         4.22         4.22          1.69         1.69         0.49         000
                                             trk/arm/lg.
15003.........  ............  A...........  Wnd prep, ch/inf          0.80         0.90         0.90          0.26         0.26         0.11         ZZZ
                                             addl 100 cm.
15004.........  ............  A...........  Wnd prep ch/inf, f/       4.58         4.88         4.88          2.02         2.02         0.62         000
                                             n/hf/g.
15005.........  ............  A...........  Wnd prep, f/n/hf/         1.60         1.24         1.24          0.53         0.53         0.22         ZZZ
                                             g, addl cm.
15040.........  ............  A...........  Harvest cultured          2.00         3.94         4.25          1.05         1.09         0.24         000
                                             skin graft.
15050.........  ............  A...........  Skin pinch graft..        5.37         7.63         7.27          5.01         5.06         0.57         090
15100.........  ............  A...........  Skin splt grft,           9.74         9.77        11.18          6.68         7.25         1.28         090
                                             trnk/arm/leg.
15101.........  ............  A...........  Skin splt grft t/a/       1.72         2.47         3.10          0.85         1.01         0.24         ZZZ
                                             l, add-on.
15110.........  ............  A...........  Epidrm autogrft          10.88         8.75         9.71          6.36         6.68         1.31         090
                                             trnk/arm/leg.
15111.........  ............  A...........  Epidrm autogrft t/        1.85         0.87         1.08          0.62         0.70         0.26         ZZZ
                                             a/l add-on.
15115.........  ............  A...........  Epidrm a-grft face/      11.19         9.23         9.23          6.74         7.05         1.15         090
                                             nck/hf/g.
15116.........  ............  A...........  Epidrm a-grft f/n/        2.50         1.19         1.39          0.86         0.99         0.33         ZZZ
                                             hf/g addl.
15120.........  ............  A...........  Skn splt a-grft          10.96        11.35        11.04          7.45         7.62         1.16         090
                                             fac/nck/hf/g.
15121.........  ............  A...........  Skn splt a-grft f/        2.67         3.44         3.97          1.29         1.57         0.36         ZZZ
                                             n/hf/g add.
15130.........  ............  A...........  Derm autograft,           7.41         7.96         8.91          5.58         5.96         0.97         090
                                             trnk/arm/leg.
15131.........  ............  A...........  Derm autograft t/a/       1.50         0.66         0.86          0.48         0.56         0.21         ZZZ
                                             l add-on.
15135.........  ............  A...........  Derm autograft           10.91         9.49         9.68          7.05         7.59         1.23         090
                                             face/nck/hf/g.
15136.........  ............  A...........  Derm autograft, f/        1.50         0.66         0.77          0.51         0.59         0.20         ZZZ
                                             n/hf/g add.
15150.........  ............  A...........  Cult epiderm grft         9.30         7.05         7.75          5.76         6.10         1.14         090
                                             t/arm/leg.
15151.........  ............  A...........  Cult epiderm grft         2.00         0.88         1.09          0.67         0.76         0.28         ZZZ
                                             t/a/l addl.
15152.........  ............  A...........  Cult epiderm graft        2.50         1.05         1.30          0.84         0.95         0.35         ZZZ
                                             t/a/l +%.
15155.........  ............  A...........  Cult epiderm             10.05         7.66         7.74          6.31         6.64         1.05         090
                                             graft, f/n/hf/g.
15156.........  ............  A...........  Cult epidrm grft f/       2.75         1.15         1.35          0.94         1.09         0.36         ZZZ
                                             n/hfg add.
15157.........  ............  A...........  Cult epiderm grft         3.00         1.34         1.56          1.03         1.19         0.39         ZZZ
                                             f/n/hfg +%.
15170.........  ............  A...........  Acell graft trunk/        5.99         4.01         3.92          2.60         2.48         0.55         090
                                             arms/legs.
15171.........  ............  A...........  Acell graft t/arm/        1.55         0.60         0.64          0.46         0.54         0.19         ZZZ
                                             leg add-on.
15175.........  ............  A...........  Acellular graft, f/       7.99         4.47         4.95          3.15         3.57         0.82         090
                                             n/hf/g.
15176.........  ............  A...........  Acell graft, f/n/         2.45         1.04         1.07          0.79         0.89         0.29         ZZZ
                                             hf/g add-on.
15200.........  ............  A...........  Skin full graft,          8.97         9.91         9.66          6.35         6.28         0.98         090
                                             trunk.
15201.........  ............  A...........  Skin full graft           1.32         2.02         2.29          0.47         0.54         0.19         ZZZ
                                             trunk add-on.
15220.........  ............  A...........  Skin full graft           7.95        10.47         9.83          6.70         6.69         0.84         090
                                             sclp/arm/leg.
15221.........  ............  A...........  Skin full graft           1.19         2.00         2.16          0.50         0.53         0.16         ZZZ
                                             add-on.
15240.........  ............  A...........  Skin full grft           10.15        12.04        11.12          8.90         8.43         0.92         090
                                             face/genit/hf.
15241.........  ............  A...........  Skin full graft           1.86         2.54         2.49          0.81         0.86         0.23         ZZZ
                                             add-on.
15260.........  ............  A...........  Skin full graft          11.39        13.02        11.62          9.34         8.96         0.69         090
                                             een & lips.
15261.........  ............  A...........  Skin full graft           2.23         2.98         2.84          1.16         1.28         0.21         ZZZ
                                             add-on.
15300.........  ............  A...........  Apply                     4.65         3.44         3.32          2.15         2.19         0.49         090
                                             skinallogrft, t/
                                             arm/lg.
15301.........  ............  A...........  Apply sknallogrft         1.00         0.46         0.46          0.32         0.36         0.14         ZZZ
                                             t/a/l addl.

[[Page 2576]]

 
15320.........  ............  A...........  Apply skin                5.36         3.78         3.70          2.36         2.45         0.58         090
                                             allogrft f/n/hf/g.
15321.........  ............  A...........  Aply sknallogrft f/       1.50         0.69         0.69          0.51         0.55         0.21         ZZZ
                                             n/hfg add.
15330.........  ............  A...........  Aply acell alogrft        3.99         3.50         3.34          2.14         2.18         0.49         090
                                             t/arm/leg.
15331.........  ............  A...........  Aply acell grft t/        1.00         0.49         0.47          0.36         0.38         0.14         ZZZ
                                             a/l add-on.
15335.........  ............  A...........  Apply acell graft,        4.50         3.32         3.40          2.01         2.23         0.55         090
                                             f/n/hf/g.
15336.........  ............  A...........  Aply acell grft f/        1.43         0.74         0.71          0.51         0.54         0.20         ZZZ
                                             n/hf/g add.
15340.........  ............  A...........  Apply cult skin           3.76         3.69         3.84          2.64         2.70         0.41         010
                                             substitute.
15341.........  ............  A...........  Apply cult skin           0.50         0.64         0.62          0.13         0.17         0.06         ZZZ
                                             sub add-on.
15360.........  ............  A...........  Apply cult derm           3.93         4.85         4.66          3.54         3.31         0.43         090
                                             sub, t/a/l.
15361.........  ............  A...........  Aply cult derm sub        1.15         0.50         0.54          0.32         0.39         0.14         ZZZ
                                             t/a/l add.
15365.........  ............  A...........  Apply cult derm           4.21         4.22         4.38          3.10         3.15         0.46         090
                                             sub f/n/hf/g.
15366.........  ............  A...........  Apply cult derm f/        1.45         0.67         0.68          0.47         0.53         0.17         ZZZ
                                             hf/g add.
15400.........  ............  A...........  Apply skin                4.38         5.00         4.50          3.76         3.89         0.47         090
                                             xenograft, t/a/l.
15401.........  ............  A...........  Apply skn xenogrft        1.00         1.01         1.45          0.33         0.39         0.14         ZZZ
                                             t/a/l add.
15420.........  ............  A...........  Apply skin xgraft,        4.89         5.43         5.11          4.18         3.98         0.52         090
                                             f/n/hf/g.
15421.........  ............  A...........  Apply skn xgrft f/        1.50         1.16         1.24          0.48         0.55         0.21         ZZZ
                                             n/hf/g add.
15430.........  ............  A...........  Apply acellular           5.93         6.61         6.76          6.06         6.34         0.66         090
                                             xenograft.
15431.........  ............  C...........  Apply acellular           0.00         0.00         0.00          0.00         0.00         0.00         ZZZ
                                             xgraft add.
15570.........  ............  A...........  Form skin pedicle        10.00        10.09        10.70          6.27         6.52         1.34         090
                                             flap.
15572.........  ............  A...........  Form skin pedicle         9.94         9.79         9.64          6.66         6.56         1.20         090
                                             flap.
15574.........  ............  A...........  Form skin pedicle        10.52        10.55        10.62          7.04         7.42         1.20         090
                                             flap.
15576.........  ............  A...........  Form skin pedicle         9.24         9.67         9.72          6.52         6.70         0.87         090
                                             flap.
15600.........  ............  A...........  Skin graft........        1.95         5.32         6.46          2.75         2.91         0.27         090
15610.........  ............  A...........  Skin graft........        2.46         5.57         5.13          3.05         3.24         0.35         090
15620.........  ............  A...........  Skin graft........        3.62         6.47         7.13          3.90         3.89         0.35         090
15630.........  ............  A...........  Skin graft........        3.95         7.08         7.06          4.32         4.23         0.34         090
15650.........  ............  A...........  Transfer skin             4.64         7.28         7.21          4.39         4.30         0.42         090
                                             pedicle flap.
15731.........  ............  A...........  Forehead flap w/         14.12        11.90        11.90          9.34         9.34         1.28         090
                                             vasc pedicle.
15732.........  ............  A...........  Muscle-skin graft,       19.70        14.66        16.36         11.10        11.66         2.00         090
                                             head/neck.
15734.........  ............  A...........  Muscle-skin graft,       19.62        15.70        16.91         11.85        12.12         2.62         090
                                             trunk.
15736.........  ............  A...........  Muscle-skin graft,       16.92        13.40        15.82          9.60        10.41         2.46         090
                                             arm.
15738.........  ............  A...........  Muscle-skin graft,       18.92        13.78        15.88         10.20        10.96         2.66         090
                                             leg.
15740.........  ............  A...........  Island pedicle           11.57        13.58        11.86          9.43         8.84         0.63         090
                                             flap graft.
15750.........  ............  A...........  Neurovascular            12.73           NA           NA          8.86         8.95         1.42         090
                                             pedicle graft.
15756.........  ............  A...........  Free myo/skin flap       36.74           NA           NA         18.57        19.57         4.62         090
                                             microvasc.
15757.........  ............  A...........  Free skin flap,          36.95           NA           NA         17.87        19.74         3.90         090
                                             microvasc.
15758.........  ............  A...........  Free fascial flap,       36.70           NA           NA         17.58        19.58         4.24         090
                                             microvasc.
15760.........  ............  A...........  Composite skin            9.68        10.42        10.23          7.06         7.16         0.85         090
                                             graft.
15770.........  ............  A...........  Derma-fat-fascia          8.73           NA           NA          6.64         6.66         1.05         090
                                             graft.
15775.........  ............  R...........  Hair transplant           3.95         2.88         3.56          1.23         1.26         0.52         000
                                             punch grafts.
15776.........  ............  R...........  Hair transplant           5.53         4.85         5.11          2.14         2.47         0.72         000
                                             punch grafts.
15780.........  ............  A...........  Abrasion treatment        8.50        11.24        11.38          6.53         7.39         0.67         090
                                             of skin.
15781.........  ............  A...........  Abrasion treatment        4.91         8.68         7.80          5.64         5.51         0.34         090
                                             of skin.
15782.........  ............  A...........  Abrasion treatment        4.36         8.72         9.29          4.97         5.76         0.34         090
                                             of skin.
15783.........  ............  A...........  Abrasion treatment        4.33         7.92         7.40          4.97         4.58         0.28         090
                                             of skin.
15786.........  ............  A...........  Abrasion, lesion,         2.05         3.90         3.63          1.25         1.28         0.11         010
                                             single.
15787.........  ............  A...........  Abrasion, lesions,        0.33         0.83         0.96          0.08         0.12         0.04         ZZZ
                                             add-on.
15788.........  ............  R...........  Chemical peel,            2.09         9.47         8.09          4.13         3.60         0.11         090
                                             face, epiderm.
15789.........  ............  R...........  Chemical peel,            4.91         9.43         8.76          5.83         5.32         0.20         090
                                             face, dermal.
15792.........  ............  R...........  Chemical peel,            1.86         8.98         8.04          4.58         4.52         0.13         090
                                             nonfacial.
15793.........  ............  A...........  Chemical peel,            3.82         8.10         7.20          4.90         4.64         0.19         090
                                             nonfacial.
15819.........  ............  A...........  Plastic surgery,         10.45           NA           NA          6.68         6.93         0.97         090
                                             neck.
15820.........  ............  A...........  Revision of lower         6.09         6.39         6.68          5.20         5.38         0.40         090
                                             eyelid.
15821.........  ............  A...........  Revision of lower         6.66         6.57         6.96          5.28         5.50         0.45         090
                                             eyelid.
15822.........  ............  A...........  Revision of upper         4.51         5.23         5.53          4.09         4.29         0.37         090
                                             eyelid.
15823.........  ............  A...........  Revision of upper         8.12         7.39         7.62          6.11         6.27         0.50         090
                                             eyelid.
15824.........  ............  R...........  Removal of                0.00         0.00         0.00          0.00         0.00         0.00         000
                                             forehead 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.
15830.........  ............  R...........  Exc skin abd......       16.90           NA           NA          9.82         9.82         2.93         090
15832.........  ............  A...........  Excise excessive         12.65           NA           NA          8.28         8.31         1.66         090
                                             skin tissue.
15833.........  ............  A...........  Excise excessive         11.70           NA           NA          7.50         7.86         1.49         090
                                             skin tissue.
15834.........  ............  A...........  Excise excessive         11.97           NA           NA          8.16         7.93         1.61         090
                                             skin tissue.
15835.........  ............  A...........  Excise excessive         12.79           NA           NA          7.86         7.70         1.60         090
                                             skin tissue.
15836.........  ............  A...........  Excise excessive         10.41           NA           NA          6.83         6.81         1.34         090
                                             skin tissue.
15837.........  ............  A...........  Excise excessive          9.37         8.68         8.62          5.79         6.58         1.18         090
                                             skin tissue.
15838.........  ............  A...........  Excise excessive          8.07           NA           NA          5.45         5.76         0.58         090
                                             skin tissue.
15839.........  ............  A...........  Excise excessive         10.32         9.76         9.30          6.47         6.43         1.22         090
                                             skin tissue.
15840.........  ............  A...........  Graft for face           14.76           NA           NA          8.93         9.45         1.32         090
                                             nerve palsy.
15841.........  ............  A...........  Graft for face           25.69           NA           NA         13.54        14.27         2.55         090
                                             nerve palsy.

[[Page 2577]]

 
15842.........  ............  A...........  Flap for face            40.68           NA           NA         20.89        21.91         4.94         090
                                             nerve palsy.
15845.........  ............  A...........  Skin and muscle          14.04           NA           NA          8.36         8.84         0.81         090
                                             repair, face.
15847.........  ............  C...........  Exc skin abd add-         0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             on.
15850.........  ............  B...........  Removal of sutures        0.78         1.20         1.38          0.18         0.24         0.05         XXX
15851.........  ............  A...........  Removal of sutures        0.86         1.33         1.51          0.24         0.27         0.06         000
15852.........  ............  A...........  Dressing change           0.86           NA           NA          0.25         0.29         0.09         000
                                             not for burn.
15860.........  ............  A...........  Test for blood            1.95           NA           NA          0.64         0.71         0.27         000
                                             flow 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           8.15           NA           NA          5.35         5.45         1.04         090
                                             bone ulcer.
15922.........  ............  A...........  Removal of tail          10.23           NA           NA          7.17         7.19         1.42         090
                                             bone ulcer.
15931.........  ............  A...........  Remove sacrum             9.96           NA           NA          5.56         5.63         1.25         090
                                             pressure sore.
15933.........  ............  A...........  Remove sacrum            11.60           NA           NA          7.31         7.58         1.52         090
                                             pressure sore.
15934.........  ............  A...........  Remove sacrum            13.54           NA           NA          7.73         7.88         1.79         090
                                             pressure sore.
15935.........  ............  A...........  Remove sacrum            15.58           NA           NA          9.18         9.75         2.10         090
                                             pressure sore.
15936.........  ............  A...........  Remove sacrum            13.04           NA           NA          7.42         7.82         1.77         090
                                             pressure sore.
15937.........  ............  A...........  Remove sacrum            15.00           NA           NA          8.94         9.38         2.07         090
                                             pressure sore.
15940.........  ............  A...........  Remove hip               10.11           NA           NA          5.81         5.99         1.31         090
                                             pressure sore.
15941.........  ............  A...........  Remove hip               12.24           NA           NA          8.43         8.94         1.66         090
                                             pressure sore.
15944.........  ............  A...........  Remove hip               12.27           NA           NA          8.14         8.37         1.65         090
                                             pressure sore.
15945.........  ............  A...........  Remove hip               13.57           NA           NA          8.81         9.23         1.85         090
                                             pressure sore.
15946.........  ............  A...........  Remove hip               23.80           NA           NA         13.71        14.04         3.17         090
                                             pressure sore.
15950.........  ............  A...........  Remove thigh              7.91           NA           NA          5.40         5.41         1.04         090
                                             pressure sore.
15951.........  ............  A...........  Remove thigh             11.41           NA           NA          7.34         7.60         1.49         090
                                             pressure sore.
15952.........  ............  A...........  Remove thigh             12.14           NA           NA          7.46         7.61         1.60         090
                                             pressure sore.
15953.........  ............  A...........  Remove thigh             13.39           NA           NA          8.23         8.62         1.80         090
                                             pressure sore.
15956.........  ............  A...........  Remove thigh             16.59           NA           NA          9.55        10.16         2.22         090
                                             pressure sore.
15958.........  ............  A...........  Remove thigh             16.55           NA           NA         10.43        10.74         2.26         090
                                             pressure sore.
15999.........  ............  C...........  Removal of                0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             pressure sore.
16000.........  ............  A...........  Initial treatment         0.89         0.72         0.79          0.23         0.25         0.08         000
                                             of burn(s).
16020.........  ............  A...........  Dress/debrid p-           0.80         1.11         1.20          0.56         0.57         0.08         000
                                             thick burn, s.
16025.........  ............  A...........  Dress/debrid p-           1.85         1.57         1.67          0.86         0.91         0.19         000
                                             thick burn, m.
16030.........  ............  A...........  Dress/debrid p-           2.08         2.08         2.13          1.02         1.07         0.24         000
                                             thick burn, l.
16035.........  ............  A...........  Incision of burn          3.74           NA           NA          1.22         1.40         0.46         000
                                             scab, initi.
16036.........  ............  A...........  Escharotomy;              1.50           NA           NA          0.46         0.53         0.20         ZZZ
                                             add[AElig]l
                                             incision.
17000.........  ............  A...........  Destruct premalg          0.62         1.41         1.19          0.74         0.64         0.03         010
                                             lesion.
17003.........  ............  A...........  Destruct premalg          0.07         0.10         0.11          0.03         0.05         0.01         ZZZ
                                             les, 2-14.
17004.........  ............  A...........  Destroy premlg            1.82         2.44         2.37          1.38         1.48         0.11         010
                                             lesions 15+.
17106.........  ............  A...........  Destruction of            4.62         4.69         4.65          3.28         3.31         0.35         090
                                             skin lesions.
17107.........  ............  A...........  Destruction of            9.19         6.98         7.09          4.95         5.20         0.63         090
                                             skin lesions.
17108.........  ............  A...........  Destruction of           13.22         8.87         9.07          6.39         7.03         0.54         090
                                             skin lesions.
17110.........  ............  A...........  Destruct b9               0.67         1.79         1.70          0.88         0.79         0.05         010
                                             lesion, 1-14.
17111.........  ............  A...........  Destruct lesion,          0.94         2.25         1.96          1.11         0.96         0.05         010
                                             15 or more.
17250.........  ............  A...........  Chemical cautery,         0.50         1.32         1.27          0.38         0.36         0.06         000
                                             tissue.
17260.........  ............  A...........  Destruction of            0.93         1.41         1.34          0.71         0.69         0.04         010
                                             skin lesions.
17261.........  ............  A...........  Destruction of            1.19         2.49         2.05          1.07         0.95         0.05         010
                                             skin lesions.
17262.........  ............  A...........  Destruction of            1.60         2.84         2.36          1.27         1.15         0.06         010
                                             skin lesions.
17263.........  ............  A...........  Destruction of            1.81         3.07         2.56          1.37         1.23         0.07         010
                                             skin lesions.
17264.........  ............  A...........  Destruction of            1.96         3.27         2.75          1.44         1.28         0.08         010
                                             skin lesions.
17266.........  ............  A...........  Destruction of            2.36         3.50         3.00          1.59         1.40         0.09         010
                                             skin lesions.
17270.........  ............  A...........  Destruction of            1.34         2.44         2.07          1.10         0.98         0.05         010
                                             skin lesions.
17271.........  ............  A...........  Destruction of            1.51         2.66         2.22          1.22         1.10         0.06         010
                                             skin lesions.
17272.........  ............  A...........  Destruction of            1.79         2.97         2.49          1.37         1.24         0.07         010
                                             skin lesions.
17273.........  ............  A...........  Destruction of            2.07         3.21         2.71          1.49         1.35         0.08         010
                                             skin lesions.
17274.........  ............  A...........  Destruction of            2.61         3.61         3.09          1.74         1.59         0.10         010
                                             skin lesions.
17276.........  ............  A...........  Destruction of            3.22         3.89         3.42          1.97         1.82         0.16         010
                                             skin lesions.
17280.........  ............  A...........  Destruction of            1.19         2.36         1.99          1.03         0.92         0.05         010
                                             skin lesions.
17281.........  ............  A...........  Destruction of            1.74         2.74         2.32          1.33         1.21         0.07         010
                                             skin lesions.
17282.........  ............  A...........  Destruction of            2.06         3.14         2.65          1.49         1.36         0.08         010
                                             skin lesions.
17283.........  ............  A...........  Destruction of            2.66         3.56         3.05          1.77         1.63         0.11         010
                                             skin lesions.
17284.........  ............  A...........  Destruction of            3.23         3.97         3.45          2.03         1.89         0.13         010
                                             skin lesions.
17286.........  ............  A...........  Destruction of            4.45         4.45         4.06          2.49         2.47         0.23         010
                                             skin lesions.
17311.........  ............  A...........  Mohs, 1 stage, h/n/       6.20        10.71        10.71          3.05         3.05         0.24         000
                                             hf/g.
17312.........  ............  A...........  Mohs addl stage...        3.30         6.89         6.89          1.62         1.62         0.13         ZZZ
17313.........  ............  A...........  Mohs, 1 stage, t/a/       5.56         9.88         9.88          2.74         2.74         0.22         000
                                             l.
17314.........  ............  A...........  Mohs, addl stage,         3.06         6.37         6.37          1.50         1.50         0.12         ZZZ
                                             t/a/l.
17315.........  ............  A...........  Mohs surg, addl           0.87         1.14         1.14          0.43         0.43         0.03         ZZZ
                                             block.
17340.........  ............  A...........  Cryotherapy of            0.76         0.35         0.36          0.38         0.37         0.05         010
                                             skin.
17360.........  ............  A...........  Skin peel therapy.        1.44         1.86         1.65          1.01         0.94         0.06         010
17380.........  ............  R...........  Hair removal by           0.00         0.00         0.00          0.00         0.00         0.00         000
                                             electrolysis.

[[Page 2578]]

 
17999.........  ............  C...........  Skin tissue               0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
19000.........  ............  A...........  Drainage of breast        0.84         1.91         1.95          0.26         0.29         0.08         000
                                             lesion.
19001.........  ............  A...........  Drain breast              0.42         0.26         0.25          0.14         0.14         0.04         ZZZ
                                             lesion add-on.
19020.........  ............  A...........  Incision of breast        3.74         6.63         6.48          3.04         2.86         0.45         090
                                             lesion.
19030.........  ............  A...........  Injection for             1.53         2.67         2.77          0.54         0.52         0.09         000
                                             breast x-ray.
19100.........  ............  A...........  Bx breast percut w/       1.27         2.08         2.08          0.33         0.37         0.16         000
                                             o image.
19101.........  ............  A...........  Biopsy of breast,         3.20         4.37         4.44          1.78         1.85         0.39         010
                                             open.
19102.........  ............  A...........  Bx breast percut w/       2.00         3.47         3.65          0.68         0.67         0.14         000
                                             image.
19103.........  ............  A...........  Bx breast percut w/       3.69        10.10        10.80          1.19         1.21         0.30         000
                                             device.
19105.........  ............  A...........  Cryosurg ablate           3.69        46.51        46.51          1.00         1.00         0.30         000
                                             fa, each.
19110.........  ............  A...........  Nipple exploration        4.35         6.07         5.93          3.10         2.98         0.57         090
19112.........  ............  A...........  Excise breast duct        3.72         6.23         6.15          3.13         2.91         0.48         090
                                             fistula.
19120.........  ............  A...........  Removal of breast         5.84         5.09         4.81          3.37         3.21         0.73         090
                                             lesion.
19125.........  ............  A...........  Excision, breast          6.59         5.56         5.17          3.65         3.47         0.80         090
                                             lesion.
19126.........  ............  A...........  Excision, addl            2.93           NA           NA          0.75         0.87         0.38         ZZZ
                                             breast lesion.
19260.........  ............  A...........  Removal of chest         17.60           NA           NA         10.15        10.65         2.14         090
                                             wall lesion.
19271.........  ............  A...........  Revision of chest        21.86           NA           NA         15.83        16.90         2.63         090
                                             wall.
19272.........  ............  A...........  Extensive chest          24.82           NA           NA         16.97        17.95         3.00         090
                                             wall surgery.
19290.........  ............  A...........  Place needle wire,        1.27         2.89         2.87          0.45         0.43         0.07         000
                                             breast.
19291.........  ............  A...........  Place needle wire,        0.63         1.14         1.17          0.22         0.21         0.04         ZZZ
                                             breast.
19295.........  ............  A...........  Place breast clip,        0.00         2.28         2.49            NA           NA         0.01         ZZZ
                                             percut.
19296.........  ............  A...........  Place po breast           3.63        86.03       105.75          1.19         1.36         0.36         000
                                             cath for rad.
19297.........  ............  A...........  Place breast cath         1.72           NA           NA          0.44         0.54         0.17         ZZZ
                                             for rad.
19298.........  ............  A...........  Place breast rad          6.00        22.02        32.10          2.11         2.26         0.43         000
                                             tube/caths.
19300.........  ............  A...........  Removal of breast         5.20         8.06         7.60          3.86         3.63         0.69         090
                                             tissue.
19301.........  ............  A...........  Partical                 10.00           NA           NA          4.63         4.02         0.79         090
                                             mastectomy.
19302.........  ............  A...........  P-mastectomy w/ln        13.88           NA           NA          6.14         6.24         1.80         090
                                             removal.
19303.........  ............  A...........  Mast, simple,            15.67           NA           NA          7.00         6.01         1.18         090
                                             complete.
19304.........  ............  A...........  Mast, subq........        7.81           NA           NA          4.94         4.85         1.04         090
19305.........  ............  A...........  Mast, radical.....       17.23           NA           NA          8.12         8.04         1.93         090
19306.........  ............  A...........  Mast, rad, urban         17.85           NA           NA          8.72         8.48         2.08         090
                                             type.
19307.........  ............  A...........  Mast, mod rad.....       17.95           NA           NA          8.77         8.49         2.13         090
19316.........  ............  A...........  Suspension of            10.98           NA           NA          6.95         7.23         1.64         090
                                             breast.
19318.........  ............  A...........  Reduction of large       15.91           NA           NA          9.91        10.54         2.93         090
                                             breast.
19324.........  ............  A...........  Enlarge breast....        6.65           NA           NA          4.47         4.68         0.84         090
19325.........  ............  A...........  Enlarge breast            8.52           NA           NA          6.41         6.47         1.33         090
                                             with implant.
19328.........  ............  A...........  Removal of breast         6.35           NA           NA          4.99         5.01         0.91         090
                                             implant.
19330.........  ............  A...........  Removal of implant        8.39           NA           NA          5.95         6.00         1.26         090
                                             material.
19340.........  ............  A...........  Immediate breast          6.32           NA           NA          2.81         2.96         1.06         ZZZ
                                             prosthesis.
19342.........  ............  A...........  Delayed breast           12.40           NA           NA          8.93         8.93         1.84         090
                                             prosthesis.
19350.........  ............  A...........  Breast                    8.99         9.89        11.87          6.59         6.88         1.41         090
                                             reconstruction.
19355.........  ............  A...........  Correct inverted          8.37         7.41         8.83          4.68         4.69         0.92         090
                                             nipple(s).
19357.........  ............  A...........  Breast                   20.57           NA           NA         15.39        15.51         2.94         090
                                             reconstruction.
19361.........  ............  A...........  Breast reconstr w/       23.17           NA           NA         16.80        14.62         2.93         090
                                             lat flap.
19364.........  ............  A...........  Breast                   42.40           NA           NA         22.17        22.87         6.24         090
                                             reconstruction.
19366.........  ............  A...........  Breast                   21.70           NA           NA          9.91        10.75         3.25         090
                                             reconstruction.
19367.........  ............  A...........  Breast                   26.59           NA           NA         15.19        15.95         4.04         090
                                             reconstruction.
19368.........  ............  A...........  Breast                   33.61           NA           NA         18.04        18.48         5.54         090
                                             reconstruction.
19369.........  ............  A...........  Breast                   31.02           NA           NA         16.33        17.37         4.51         090
                                             reconstruction.
19370.........  ............  A...........  Surgery of breast         8.99           NA           NA          6.79         6.85         1.29         090
                                             capsule.
19371.........  ............  A...........  Removal of breast        10.42           NA           NA          7.69         7.76         1.62         090
                                             capsule.
19380.........  ............  A...........  Revise breast            10.21           NA           NA          7.61         7.66         1.44         090
                                             reconstruction.
19396.........  ............  A...........  Design custom             2.17         4.53         2.81          1.28         1.14         0.30         000
                                             breast implant.
19499.........  ............  C...........  Breast surgery            0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
20000.........  ............  A...........  Incision of               2.14         2.78         2.74          1.53         1.63         0.25         010
                                             abscess.
20005.........  ............  A...........  Incision of deep          3.55         3.67         3.58          2.01         2.13         0.46         010
                                             abscess.
20100.........  ............  A...........  Explore wound,           10.33           NA           NA          3.58         4.02         1.21         010
                                             neck.
20101.........  ............  A...........  Explore wound,            3.22         6.60         6.26          1.53         1.57         0.44         010
                                             chest.
20102.........  ............  A...........  Explore wound,            3.95         6.95         7.21          1.84         1.87         0.49         010
                                             abdomen.
20103.........  ............  A...........  Explore wound,            5.31         7.81         8.20          2.79         3.09         0.75         010
                                             extremity.
20150.........  ............  A...........  Excise epiphyseal        14.60           NA           NA          7.65         7.34         2.04         090
                                             bar.
20200.........  ............  A...........  Muscle biopsy.....        1.46         3.09         3.06          0.69         0.72         0.23         000
20205.........  ............  A...........  Deep muscle biopsy        2.35         3.83         3.86          1.10         1.14         0.33         000
20206.........  ............  A...........  Needle biopsy,            0.99         5.22         5.86          0.57         0.60         0.07         000
                                             muscle.
20220.........  ............  A...........  Bone biopsy,              1.27         2.71         3.63          0.68         0.73         0.08         000
                                             trocar/needle.
20225.........  ............  A...........  Bone biopsy,              1.87        12.00        18.23          1.02         1.08         0.22         000
                                             trocar/needle.
20240.........  ............  A...........  Bone biopsy,              3.25           NA           NA          2.02         2.29         0.44         010
                                             excisional.
20245.........  ............  A...........  Bone biopsy,              8.77           NA           NA          5.75         6.16         1.31         010
                                             excisional.
20250.........  ............  A...........  Open bone biopsy..        5.16           NA           NA          3.63         3.57         1.02         010
20251.........  ............  A...........  Open bone biopsy..        5.69           NA           NA          3.85         4.00         1.15         010
20500.........  ............  A...........  Injection of sinus        1.25         1.34         1.80          0.88         1.20         0.12         010
                                             tract.
20501.........  ............  A...........  Inject sinus tract        0.76         2.37         2.64          0.27         0.26         0.04         000
                                             for x-ray.

[[Page 2579]]

 
20520.........  ............  A...........  Removal of foreign        1.87         2.61         2.76          1.45         1.61         0.21         010
                                             body.
20525.........  ............  A...........  Removal of foreign        3.51         7.11         8.13          2.21         2.42         0.51         010
                                             body.
20526.........  ............  A...........  Ther injection,           0.94         0.81         0.89          0.41         0.46         0.13         000
                                             carp tunnel.
20550.........  ............  A...........  Inj tendon sheath/        0.75         0.63         0.67          0.28         0.26         0.09         000
                                             ligament.
20551.........  ............  A...........  Inj tendon origin/        0.75         0.64         0.66          0.29         0.31         0.08         000
                                             insertion.
20552.........  ............  A...........  Inj trigger point,        0.66         0.58         0.65          0.24         0.22         0.05         000
                                             1/2 muscl.
20553.........  ............  A...........  Inject trigger            0.75         0.64         0.73          0.26         0.24         0.04         000
                                             points, =/> 3.
20555.........  ............  A...........  Place ndl musc/tis        6.00           NA           NA          2.18         2.18         0.43         000
                                             for rt.
20600.........  ............  A...........  Drain/inject,             0.66         0.66         0.66          0.31         0.33         0.08         000
                                             joint/bursa.
20605.........  ............  A...........  Drain/inject,             0.68         0.74         0.75          0.32         0.34         0.08         000
                                             joint/bursa.
20610.........  ............  A...........  Drain/inject,             0.79         1.07         1.01          0.40         0.41         0.11         000
                                             joint/bursa.
20612.........  ............  A...........  Aspirate/inj              0.70         0.70         0.70          0.32         0.34         0.10         000
                                             ganglion cyst.
20615.........  ............  A...........  Treatment of bone         2.30         2.71         3.11          1.42         1.63         0.20         010
                                             cyst.
20650.........  ............  A...........  Insert and remove         2.25         2.46         2.41          1.45         1.50         0.31         010
                                             bone pin.
20660.........  ............  A...........  Apply, rem                4.00         1.50         2.28          1.50         1.55         0.59         000
                                             fixation device.
20661.........  ............  A...........  Application of            5.14           NA           NA          6.05         5.48         1.14         090
                                             head brace.
20662.........  ............  A...........  Application of            6.26           NA           NA          4.81         5.17         0.56         090
                                             pelvis brace.
20663.........  ............  A...........  Application of            5.62           NA           NA          4.86         4.84         0.94         090
                                             thigh brace.
20664.........  ............  A...........  Halo brace                9.86           NA           NA          7.81         7.43         1.75         090
                                             application.
20665.........  ............  A...........  Removal of                1.33         1.37         1.76          0.98         1.16         0.19         010
                                             fixation device.
20670.........  ............  A...........  Removal of support        1.76         6.63         9.08          1.67         1.89         0.28         010
                                             implant.
20680.........  ............  A...........  Removal of support        5.90         8.14         8.47          4.07         3.89         0.56         090
                                             implant.
20690.........  ............  A...........  Apply bone                8.65           NA           NA          4.91         3.71         0.59         090
                                             fixation device.
20692.........  ............  A...........  Apply bone               16.00           NA           NA          9.81         6.79         1.05         090
                                             fixation device.
20693.........  ............  A...........  Adjust bone               5.97           NA           NA          4.49         4.97         0.98         090
                                             fixation device.
20694.........  ............  A...........  Remove bone               4.20         5.31         6.23          3.53         3.78         0.71         090
                                             fixation device.
20802.........  ............  A...........  Replantation, arm,       42.30           NA           NA         13.23        17.10         3.82         090
                                             complete.
20805.........  ............  A...........  Replant forearm,         51.14           NA           NA         17.99        26.16         4.85         090
                                             complete.
20808.........  ............  A...........  Replantation hand,       62.77           NA           NA         30.34        36.29         6.88         090
                                             complete.
20816.........  ............  A...........  Replantation             31.74           NA           NA         16.37        27.09         4.53         090
                                             digit, complete.
20822.........  ............  A...........  Replantation             26.42           NA           NA         15.07        24.84         4.19         090
                                             digit, complete.
20824.........  ............  A...........  Replantation             31.74           NA           NA         16.21        26.39         4.62         090
                                             thumb, complete.
20827.........  ............  A...........  Replantation             27.24           NA           NA         14.75        25.62         3.67         090
                                             thumb, complete.
20838.........  ............  A...........  Replantation foot,       42.56           NA           NA         14.03        18.16         1.12         090
                                             complete.
20900.........  ............  A...........  Removal of bone           5.77         9.23         8.83          4.90         5.29         0.94         090
                                             for graft.
20902.........  ............  A...........  Removal of bone           7.98           NA           NA          5.98         6.43         1.30         090
                                             for graft.
20910.........  ............  A...........  Remove cartilage          5.41           NA           NA          4.57         4.88         0.71         090
                                             for graft.
20912.........  ............  A...........  Remove cartilage          6.42           NA           NA          4.95         5.37         0.69         090
                                             for graft.
20920.........  ............  A...........  Removal of fascia         5.42           NA           NA          4.34         4.28         0.66         090
                                             for graft.
20922.........  ............  A...........  Removal of fascia         6.84         7.56         7.55          5.00         4.93         0.70         090
                                             for graft.
20924.........  ............  A...........  Removal of tendon         6.59           NA           NA          4.97         5.43         1.04         090
                                             for graft.
20926.........  ............  A...........  Removal of tissue         5.70           NA           NA          4.50         4.62         0.87         090
                                             for graft.
20930.........  ............  B...........  Sp bone algrft            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             morsel add-on.
20931.........  ............  A...........  Sp bone algrft            1.81           NA           NA          0.68         0.80         0.43         ZZZ
                                             struct add-on.
20936.........  ............  B...........  Sp bone agrft             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             local add-on.
20937.........  ............  A...........  Sp bone agrft             2.79           NA           NA          1.08         1.26         0.54         ZZZ
                                             morsel add-on.
20938.........  ............  A...........  Sp bone agrft             3.02           NA           NA          1.15         1.35         0.64         ZZZ
                                             struct add-on.
20950.........  ............  A...........  Fluid pressure,           1.26         4.23         5.54          0.88         0.94         0.20         000
                                             muscle.
20955.........  ............  A...........  Fibula bone graft,       40.02           NA           NA         18.55        21.42         4.90         090
                                             microvasc.
20956.........  ............  A...........  Iliac bone graft,        40.93           NA           NA         20.34        22.55         7.03         090
                                             microvasc.
20957.........  ............  A...........  Mt bone graft,           42.33           NA           NA         15.89        17.42         7.07         090
                                             microvasc.
20962.........  ............  A...........  Other bone graft,        39.21           NA           NA         21.32        23.93         6.57         090
                                             microvasc.
20969.........  ............  A...........  Bone/skin graft,         45.11           NA           NA         21.12        23.88         4.80         090
                                             microvasc.
20970.........  ............  A...........  Bone/skin graft,         44.26           NA           NA         20.92        23.16         6.62         090
                                             iliac crest.
20972.........  ............  A...........  Bone/skin graft,         44.19           NA           NA         14.93        17.76         5.32         090
                                             metatarsal.
20973.........  ............  A...........  Bone/skin graft,         46.95           NA           NA         14.16        19.67         5.56         090
                                             great toe.
20974.........  ............  A...........  Electrical bone           0.62         0.98         0.83          0.48         0.51         0.11         000
                                             stimulation.
20975.........  ............  A...........  Electrical bone           2.60           NA           NA          1.46         1.58         0.51         000
                                             stimulation.
20979.........  ............  A...........  Us bone                   0.62         0.61         0.71          0.20         0.27         0.09         000
                                             stimulation.
20982.........  ............  A...........  Ablate, bone              7.27        80.09        94.85          2.69         2.83         0.69         000
                                             tumor(s) perq.
20985.........  ............  A...........  Cptr-asst dir ms          2.50         0.99         0.99          0.99         0.99         0.48         ZZZ
                                             px.
20986.........  ............  C...........  Cptr-asst dir ms          0.00         0.00         0.00          0.00         0.00         0.00         ZZZ
                                             px io img.
20987.........  ............  C...........  Cptr-asst dir ms          0.00         0.00         0.00          0.00         0.00         0.00         ZZZ
                                             px pre img.
20999.........  ............  C...........  Musculoskeletal           0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             surgery.
21010.........  ............  A...........  Incision of jaw          10.90           NA           NA          6.29         6.69         1.11         090
                                             joint.
21015.........  ............  A...........  Resection of              5.59           NA           NA          4.31         4.66         0.70         090
                                             facial tumor.
21025.........  ............  A...........  Excision of bone,        11.07        12.55        12.40          8.75         9.05         1.32         090
                                             lower jaw.
21026.........  ............  A...........  Excision of facial        5.54         8.83         8.35          5.94         6.13         0.60         090
                                             bone(s).
21029.........  ............  A...........  Contour of face           8.26         9.56         9.47          6.52         6.77         0.94         090
                                             bone lesion.
21030.........  ............  A...........  Excise max/zygoma         4.80         7.19         6.76          4.69         4.86         0.54         090
                                             b9 tumor.
21031.........  ............  A...........  Remove exostosis,         3.26         5.92         5.54          3.47         3.55         0.48         090
                                             mandible.
21032.........  ............  A...........  Remove exostosis,         3.28         6.04         5.70          3.37         3.44         0.47         090
                                             maxilla.

[[Page 2580]]

 
21034.........  ............  A...........  Excise max/zygoma        17.17        13.94        14.94         10.12        11.40         1.72         090
                                             mlg tumor.
21040.........  ............  A...........  Excise mandible           4.80         7.20         6.80          4.64         4.68         0.54         090
                                             lesion.
21044.........  ............  A...........  Removal of jaw           12.61           NA           NA          8.11         8.74         1.12         090
                                             bone lesion.
21045.........  ............  A...........  Extensive jaw            18.13           NA           NA         10.79        11.58         1.52         090
                                             surgery.
21046.........  ............  A...........  Remove mandible          13.97           NA           NA         11.50        11.70         1.86         090
                                             cyst complex.
21047.........  ............  A...........  Excise lwr jaw           19.83           NA           NA         10.22        11.83         2.13         090
                                             cyst w/repair.
21048.........  ............  A...........  Remove maxilla           14.47           NA           NA         11.39        11.77         1.77         090
                                             cyst complex.
21049.........  ............  A...........  Excis uppr jaw           19.08           NA           NA         10.29        11.66         1.59         090
                                             cyst w/repair.
21050.........  ............  A...........  Removal of jaw           11.54           NA           NA          8.21         8.83         1.47         090
                                             joint.
21060.........  ............  A...........  Remove jaw joint         10.91           NA           NA          7.20         7.90         1.38         090
                                             cartilage.
21070.........  ............  A...........  Remove coronoid           8.50           NA           NA          6.27         6.69         1.27         090
                                             process.
21073.........  ............  A...........  Mnpj of tmj w/            3.33         5.50         5.50          2.31         2.31         0.43         090
                                             anesth.
21076.........  ............  A...........  Prepare face/oral        13.40         8.02        10.19          4.69         7.35         2.00         010
                                             prosthesis.
21077.........  ............  A...........  Prepare face/oral        33.70        18.44        24.89         11.83        18.93         4.56         090
                                             prosthesis.
21079.........  ............  A...........  Prepare face/oral        22.31        13.97        17.74          8.10        12.63         3.16         090
                                             prosthesis.
21080.........  ............  A...........  Prepare face/oral        25.06        16.16        20.33          9.02        14.20         3.75         090
                                             prosthesis.
21081.........  ............  A...........  Prepare face/oral        22.85        15.02        18.67          8.41        12.95         3.21         090
                                             prosthesis.
21082.........  ............  A...........  Prepare face/oral        20.84        14.91        17.13          8.27        12.01         3.12         090
                                             prosthesis.
21083.........  ............  A...........  Prepare face/oral        19.27        14.91        16.86          7.78        11.11         2.89         090
                                             prosthesis.
21084.........  ............  A...........  Prepare face/oral        22.48        16.85        19.65          8.95        13.33         2.19         090
                                             prosthesis.
21085.........  ............  A...........  Prepare face/oral         8.99         6.93         7.61          3.52         5.15         1.27         010
                                             prosthesis.
21086.........  ............  A...........  Prepare face/oral        24.88        12.91        18.34          8.45        13.95         3.72         090
                                             prosthesis.
21087.........  ............  A...........  Prepare face/oral        24.88        13.05        18.17          8.55        13.88         3.45         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             4.56        14.87        13.20          5.53         5.14         0.34         090
                                             fixation.
21110.........  ............  A...........  Interdental               5.80        13.06        11.31          9.74         9.05         0.72         090
                                             fixation.
21116.........  ............  A...........  Injection, jaw            0.81         2.52         3.42          0.23         0.28         0.06         000
                                             joint x-ray.
21120.........  ............  A...........  Reconstruction of         4.99         9.65        10.12          6.65         7.07         0.60         090
                                             chin.
21121.........  ............  A...........  Reconstruction of         7.70        10.65        10.19          7.59         7.71         0.90         090
                                             chin.
21122.........  ............  A...........  Reconstruction of         8.59           NA           NA          8.46         8.54         1.07         090
                                             chin.
21123.........  ............  A...........  Reconstruction of        11.22           NA           NA          7.03         8.92         1.40         090
                                             chin.
21125.........  ............  A...........  Augmentation,            10.68        64.01        59.63          6.43         7.38         0.79         090
                                             lower jaw bone.
21127.........  ............  A...........  Augmentation,            12.24        85.03        63.93          7.50         8.48         1.52         090
                                             lower jaw bone.
21137.........  ............  A...........  Reduction of             10.12           NA           NA          7.44         7.59         1.32         090
                                             forehead.
21138.........  ............  A...........  Reduction of             12.73           NA           NA          7.79         8.66         1.75         090
                                             forehead.
21139.........  ............  A...........  Reduction of             14.90           NA           NA          6.99         9.03         1.18         090
                                             forehead.
21141.........  ............  A...........  Reconstruct              19.27           NA           NA         11.87        12.76         2.36         090
                                             midface, lefort.
21142.........  ............  A...........  Reconstruct              19.98           NA           NA         10.08        11.46         2.39         090
                                             midface, lefort.
21143.........  ............  A...........  Reconstruct              20.75           NA           NA         11.81        13.06         1.66         090
                                             midface, lefort.
21145.........  ............  A...........  Reconstruct              23.64           NA           NA         12.98        13.44         2.85         090
                                             midface, lefort.
21146.........  ............  A...........  Reconstruct              24.54           NA           NA          9.18        12.26         3.10         090
                                             midface, lefort.
21147.........  ............  A...........  Reconstruct              26.14           NA           NA         14.31        14.68         1.85         090
                                             midface, lefort.
21150.........  ............  A...........  Reconstruct              25.78           NA           NA         16.93        16.85         2.56         090
                                             midface, lefort.
21151.........  ............  A...........  Reconstruct              28.84           NA           NA         11.61        17.29         2.31         090
                                             midface, lefort.
21154.........  ............  A...........  Reconstruct              31.05           NA           NA         17.89        20.52         2.49         090
                                             midface, lefort.
21155.........  ............  A...........  Reconstruct              34.98           NA           NA         18.17        21.04         6.66         090
                                             midface, lefort.
21159.........  ............  A...........  Reconstruct              42.90           NA           NA         15.13        22.12         8.20         090
                                             midface, lefort.
21160.........  ............  A...........  Reconstruct              46.95           NA           NA         23.24        25.37         4.14         090
                                             midface, lefort.
21172.........  ............  A...........  Reconstruct orbit/       28.07           NA           NA         13.75        13.75         3.56         090
                                             forehead.
21175.........  ............  A...........  Reconstruct orbit/       33.43           NA           NA         13.53        15.67         4.84         090
                                             forehead.
21179.........  ............  A...........  Reconstruct entire       22.53           NA           NA         11.22        12.68         2.81         090
                                             forehead.
21180.........  ............  A...........  Reconstruct entire       25.46           NA           NA         13.00        14.19         3.49         090
                                             forehead.
21181.........  ............  A...........  Contour cranial          10.18           NA           NA          6.83         7.15         1.32         090
                                             bone lesion.
21182.........  ............  A...........  Reconstruct              32.45           NA           NA         15.27        17.20         2.81         090
                                             cranial bone.
21183.........  ............  A...........  Reconstruct              35.57           NA           NA         19.23        20.03         4.48         090
                                             cranial bone.
21184.........  ............  A...........  Reconstruct              38.49           NA           NA         15.63        18.79         5.72         090
                                             cranial bone.
21188.........  ............  A...........  Reconstruction of        22.97           NA           NA         15.65        17.27         1.70         090
                                             midface.
21193.........  ............  A...........  Reconst lwr jaw w/       18.65           NA           NA          9.82        11.24         2.24         090
                                             o graft.
21194.........  ............  A...........  Reconst lwr jaw w/       21.54           NA           NA         12.13        12.95         2.03         090
                                             graft.
21195.........  ............  A...........  Reconst lwr jaw w/       18.88           NA           NA         13.08        13.95         1.64         090
                                             o fixation.
21196.........  ............  A...........  Reconst lwr jaw w/       20.55           NA           NA         13.95        14.83         2.08         090
                                             fixation.
21198.........  ............  A...........  Reconstr lwr jaw         15.48           NA           NA         11.89        12.30         1.44         090
                                             segment.
21199.........  ............  A...........  Reconstr lwr jaw w/      16.62           NA           NA          7.57         8.35         1.39         090
                                             advance.
21206.........  ............  A...........  Reconstruct upper        15.36           NA           NA         10.89        11.77         1.33         090
                                             jaw bone.
21208.........  ............  A...........  Augmentation of          11.15        33.18        27.76          8.01         8.80         1.09         090
                                             facial bones.
21209.........  ............  A...........  Reduction of              7.58        12.20        11.50          7.40         7.73         0.90         090
                                             facial bones.
21210.........  ............  A...........  Face bone graft...       11.40        43.50        34.19          7.64         8.50         1.30         090
21215.........  ............  A...........  Lower jaw bone           11.94        86.14        64.02          7.97         8.67         1.53         090
                                             graft.
21230.........  ............  A...........  Rib cartilage            11.06           NA           NA          7.02         7.53         1.29         090
                                             graft.
21235.........  ............  A...........  Ear cartilage             7.31        10.12         9.98          6.19         6.30         0.61         090
                                             graft.
21240.........  ............  A...........  Reconstruction of        15.77           NA           NA          9.44        10.75         2.25         090
                                             jaw joint.

[[Page 2581]]

 
21242.........  ............  A...........  Reconstruction of        14.32           NA           NA          9.02        10.27         1.79         090
                                             jaw joint.
21243.........  ............  A...........  Reconstruction of        24.03           NA           NA         14.16        15.80         3.26         090
                                             jaw joint.
21244.........  ............  A...........  Reconstruction of        13.35           NA           NA         11.53        11.81         1.25         090
                                             lower jaw.
21245.........  ............  A...........  Reconstruction of        12.88        14.22        14.31          8.62         9.24         1.19         090
                                             jaw.
21246.........  ............  A...........  Reconstruction of        12.78           NA           NA          7.43         8.24         1.35         090
                                             jaw.
21247.........  ............  A...........  Reconstruct lower        24.05           NA           NA         12.70        15.03         2.84         090
                                             jaw bone.
21248.........  ............  A...........  Reconstruction of        12.54        12.61        12.38          7.52         8.46         1.55         090
                                             jaw.
21249.........  ............  A...........  Reconstruction of        18.57        15.74        16.24          9.62        11.16         2.49         090
                                             jaw.
21255.........  ............  A...........  Reconstruct lower        18.14           NA           NA         14.05        15.10         2.39         090
                                             jaw bone.
21256.........  ............  A...........  Reconstruction of        17.42           NA           NA          9.59        10.70         1.50         090
                                             orbit.
21260.........  ............  A...........  Revise eye sockets       17.74           NA           NA         12.96        12.87         0.97         090
21261.........  ............  A...........  Revise eye sockets       33.78           NA           NA         14.75        19.50         3.43         090
21263.........  ............  A...........  Revise eye sockets       30.72           NA           NA         14.05        16.57         2.63         090
21267.........  ............  A...........  Revise eye sockets       20.45           NA           NA         16.05        17.92         1.71         090
21268.........  ............  A...........  Revise eye sockets       26.78           NA           NA         13.14        16.68         3.66         090
21270.........  ............  A...........  Augmentation,            10.52        11.16        11.41          5.90         6.58         0.72         090
                                             cheek bone.
21275.........  ............  A...........  Revision,                11.65           NA           NA          7.16         7.66         1.29         090
                                             orbitofacial
                                             bones.
21280.........  ............  A...........  Revision of eyelid        6.92           NA           NA          5.66         5.79         0.42         090
21282.........  ............  A...........  Revision of eyelid        4.11           NA           NA          4.16         4.32         0.26         090
21295.........  ............  A...........  Revision of jaw           1.82           NA           NA          2.23         2.38         0.16         090
                                             muscle/bone.
21296.........  ............  A...........  Revision of jaw           4.67           NA           NA          5.43         5.17         0.34         090
                                             muscle/bone.
21299.........  ............  C...........  Cranio/                   0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             maxillofacial
                                             surgery.
21310.........  ............  A...........  Treatment of nose         0.58         2.00         2.14          0.11         0.13         0.05         000
                                             fracture.
21315.........  ............  A...........  Treatment of nose         1.78         4.72         4.48          1.78         1.83         0.14         010
                                             fracture.
21320.........  ............  A...........  Treatment of nose         1.86         4.30         4.11          1.36         1.49         0.18         010
                                             fracture.
21325.........  ............  A...........  Treatment of nose         4.07           NA           NA          6.98         7.80         0.31         090
                                             fracture.
21330.........  ............  A...........  Treatment of nose         5.68           NA           NA          7.63         8.67         0.56         090
                                             fracture.
21335.........  ............  A...........  Treatment of nose         8.91           NA           NA          8.48         9.05         0.74         090
                                             fracture.
21336.........  ............  A...........  Treat nasal septal        6.56           NA           NA          8.67         9.14         0.55         090
                                             fracture.
21337.........  ............  A...........  Treat nasal septal        3.26         6.15         6.14          3.56         3.57         0.28         090
                                             fracture.
21338.........  ............  A...........  Treat nasoethmoid         6.76           NA           NA          9.93        11.98         0.82         090
                                             fracture.
21339.........  ............  A...........  Treat nasoethmoid         8.39           NA           NA          9.84        11.87         0.96         090
                                             fracture.
21340.........  ............  A...........  Treatment of nose        11.33           NA           NA          7.25         7.83         1.15         090
                                             fracture.
21343.........  ............  A...........  Treatment of sinus       14.11           NA           NA         12.80        14.14         1.47         090
                                             fracture.
21344.........  ............  A...........  Treatment of sinus       21.36           NA           NA         13.06        14.79         2.44         090
                                             fracture.
21345.........  ............  A...........  Treat nose/jaw            8.87        10.50        10.17          6.56         6.87         0.92         090
                                             fracture.
21346.........  ............  A...........  Treat nose/jaw           11.29           NA           NA         10.83        11.52         1.21         090
                                             fracture.
21347.........  ............  A...........  Treat nose/jaw           13.37           NA           NA         11.74        13.97         1.47         090
                                             fracture.
21348.........  ............  A...........  Treat nose/jaw           17.36           NA           NA         11.00        11.06         2.49         090
                                             fracture.
21355.........  ............  A...........  Treat cheek bone          4.32         5.91         6.07          3.25         3.37         0.34         010
                                             fracture.
21356.........  ............  A...........  Treat cheek bone          4.70         6.98         7.05          4.06         4.30         0.46         010
                                             fracture.
21360.........  ............  A...........  Treat cheek bone          7.03           NA           NA          5.40         5.67         0.74         090
                                             fracture.
21365.........  ............  A...........  Treat cheek bone         16.52           NA           NA          9.10         9.97         1.70         090
                                             fracture.
21366.........  ............  A...........  Treat cheek bone         18.44           NA           NA         10.51        10.92         2.50         090
                                             fracture.
21385.........  ............  A...........  Treat eye socket          9.46           NA           NA          7.14         7.71         0.97         090
                                             fracture.
21386.........  ............  A...........  Treat eye socket          9.46           NA           NA          6.01         6.54         0.97         090
                                             fracture.
21387.........  ............  A...........  Treat eye socket         10.00           NA           NA          7.45         8.21         1.08         090
                                             fracture.
21390.........  ............  A...........  Treat eye socket         11.07           NA           NA          7.01         7.41         0.90         090
                                             fracture.
21395.........  ............  A...........  Treat eye socket         14.62           NA           NA          8.34         8.69         1.44         090
                                             fracture.
21400.........  ............  A...........  Treat eye socket          1.44         2.71         2.66          1.96         1.92         0.15         090
                                             fracture.
21401.........  ............  A...........  Treat eye socket          3.57         7.04         7.52          3.05         3.27         0.38         090
                                             fracture.
21406.........  ............  A...........  Treat eye socket          7.31           NA           NA          5.29         5.69         0.73         090
                                             fracture.
21407.........  ............  A...........  Treat eye socket          8.91           NA           NA          5.92         6.39         0.94         090
                                             fracture.
21408.........  ............  A...........  Treat eye socket         12.67           NA           NA          7.45         8.17         1.44         090
                                             fracture.
21421.........  ............  A...........  Treat mouth roof          5.80        12.47        10.90          9.22         8.76         0.73         090
                                             fracture.
21422.........  ............  A...........  Treat mouth roof          8.62           NA           NA          7.05         7.56         0.99         090
                                             fracture.
21423.........  ............  A...........  Treat mouth roof         10.71           NA           NA          7.40         8.37         1.27         090
                                             fracture.
21431.........  ............  A...........  Treat craniofacial        7.74           NA           NA         10.85        10.19         0.70         090
                                             fracture.
21432.........  ............  A...........  Treat craniofacial        8.76           NA           NA          6.81         7.44         0.81         090
                                             fracture.
21433.........  ............  A...........  Treat craniofacial       26.13           NA           NA         12.14        14.28         2.79         090
                                             fracture.
21435.........  ............  A...........  Treat craniofacial       20.02           NA           NA         11.08        11.90         1.99         090
                                             fracture.
21436.........  ............  A...........  Treat craniofacial       30.01           NA           NA         13.15        15.69         3.10         090
                                             fracture.
21440.........  ............  A...........  Treat dental ridge        3.28        10.07         8.59          7.46         6.81         0.38         090
                                             fracture.
21445.........  ............  A...........  Treat dental ridge        6.04        12.29        11.02          8.47         8.42         0.78         090
                                             fracture.
21450.........  ............  A...........  Treat lower jaw           3.55        10.51         8.95          7.72         7.30         0.33         090
                                             fracture.
21451.........  ............  A...........  Treat lower jaw           5.46        12.99        11.17          9.68         9.04         0.63         090
                                             fracture.
21452.........  ............  A...........  Treat lower jaw           2.29        12.04        12.54          6.06         5.34         0.27         090
                                             fracture.
21453.........  ............  A...........  Treat lower jaw           6.40        14.81        12.78         11.66        11.20         0.74         090
                                             fracture.
21454.........  ............  A...........  Treat lower jaw           7.17           NA           NA          5.72         6.00         0.82         090
                                             fracture.
21461.........  ............  A...........  Treat lower jaw           9.07        41.73        33.10         12.82        12.74         0.98         090
                                             fracture.
21462.........  ............  A...........  Treat lower jaw          10.77        43.02        35.32         13.41        13.07         1.27         090
                                             fracture.
21465.........  ............  A...........  Treat lower jaw          12.88           NA           NA          8.12         8.97         1.50         090
                                             fracture.

[[Page 2582]]

 
21470.........  ............  A...........  Treat lower jaw          17.24           NA           NA         10.18        11.10         1.97         090
                                             fracture.
21480.........  ............  A...........  Reset dislocated          0.61         1.52         1.65          0.18         0.18         0.06         000
                                             jaw.
21485.........  ............  A...........  Reset dislocated          4.58        12.10        10.16          9.11         8.39         0.51         090
                                             jaw.
21490.........  ............  A...........  Repair dislocated        12.71           NA           NA          8.13         8.91         1.97         090
                                             jaw.
21495.........  ............  A...........  Treat hyoid bone          6.55           NA           NA         10.48         9.45         0.46         090
                                             fracture.
21497.........  ............  A...........  Interdental wiring        4.45        12.23        10.34          9.35         8.50         0.50         090
21499.........  ............  C...........  Head surgery              0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
21501.........  ............  A...........  Drain neck/chest          3.87         6.56         6.49          3.52         3.67         0.43         090
                                             lesion.
21502.........  ............  A...........  Drain chest lesion        7.43           NA           NA          4.56         5.10         0.97         090
21510.........  ............  A...........  Drainage of bone          6.06           NA           NA          4.81         5.24         0.80         090
                                             lesion.
21550.........  ............  A...........  Biopsy of neck/           2.08         4.36         3.97          1.79         1.75         0.16         010
                                             chest.
21555.........  ............  A...........  Remove lesion,            4.40         5.79         5.65          3.43         3.31         0.56         090
                                             neck/chest.
21556.........  ............  A...........  Remove lesion,            5.63           NA           NA          4.14         4.12         0.65         090
                                             neck/chest.
21557.........  ............  A...........  Remove tumor, neck/       8.91           NA           NA          4.51         4.94         1.08         090
                                             chest.
21600.........  ............  A...........  Partial removal of        7.14           NA           NA          5.97         5.85         0.99         090
                                             rib.
21610.........  ............  A...........  Partial removal of       15.76           NA           NA          8.90         8.89         3.08         090
                                             rib.
21615.........  ............  A...........  Removal of rib....       10.31           NA           NA          5.17         5.93         1.45         090
21616.........  ............  A...........  Removal of rib and       12.54           NA           NA          6.52         7.27         1.87         090
                                             nerves.
21620.........  ............  A...........  Partial removal of        7.16           NA           NA          4.76         5.37         0.98         090
                                             sternum.
21627.........  ............  A...........  Sternal                   7.18           NA           NA          5.55         5.93         1.02         090
                                             debridement.
21630.........  ............  A...........  Extensive sternum        19.01           NA           NA         10.36        11.10         2.59         090
                                             surgery.
21632.........  ............  A...........  Extensive sternum        19.51           NA           NA          9.43        10.27         2.66         090
                                             surgery.
21685.........  ............  A...........  Hyoid myotomy &          14.89           NA           NA          8.77         9.37         1.06         090
                                             suspension.
21700.........  ............  A...........  Revision of neck          6.23           NA           NA          4.40         4.42         0.32         090
                                             muscle.
21705.........  ............  A...........  Revision of neck          9.83           NA           NA          4.36         4.97         1.43         090
                                             muscle/rib.
21720.........  ............  A...........  Revision of neck          5.72           NA           NA          4.11         3.29         0.91         090
                                             muscle.
21725.........  ............  A...........  Revision of neck          7.10           NA           NA          5.15         5.30         1.21         090
                                             muscle.
21740.........  ............  A...........  Reconstruction of        17.47           NA           NA          8.21         8.36         2.37         090
                                             sternum.
21742.........  ............  C...........  Repair stern/nuss         0.00         0.00         0.00          0.00         0.00         0.00         090
                                             w/o scope.
21743.........  ............  C...........  Repair sternum/           0.00         0.00         0.00          0.00         0.00         0.00         090
                                             nuss w/scope.
21750.........  ............  A...........  Repair of sternum        11.35           NA           NA          5.32         5.72         1.63         090
                                             separation.
21800.........  ............  A...........  Treatment of rib          0.98         1.36         1.35          1.43         1.38         0.09         090
                                             fracture.
21805.........  ............  A...........  Treatment of rib          2.80           NA           NA          3.27         3.24         0.38         090
                                             fracture.
21810.........  ............  A...........  Treatment of rib          6.92           NA           NA          5.38         5.17         0.94         090
                                             fracture(s).
21820.........  ............  A...........  Treat sternum             1.31         1.83         1.83          1.89         1.83         0.16         090
                                             fracture.
21825.........  ............  A...........  Treat sternum             7.65           NA           NA          5.38         5.89         1.11         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        2.08         4.44         3.86          1.88         1.68         0.14         010
                                             of back.
21925.........  ............  A...........  Biopsy soft tissue        4.54         5.35         5.26          3.36         3.30         0.60         090
                                             of back.
21930.........  ............  A...........  Remove lesion,            5.06         6.05         5.88          3.78         3.59         0.66         090
                                             back or flank.
21935.........  ............  A...........  Remove tumor, back       18.38           NA           NA          8.45         9.04         2.48         090
22010.........  ............  A...........  I&d, p-spine, c/t/       12.57           NA           NA          8.36         8.62         1.74         090
                                             cerv-thor.
22015.........  ............  A...........  I&d, p-spine, l/s/       12.46           NA           NA          8.34         8.59         1.72         090
                                             ls.
22100.........  ............  A...........  Remove part of           10.80           NA           NA          8.20         7.87         2.14         090
                                             neck vertebra.
22101.........  ............  A...........  Remove part,             10.88           NA           NA          8.12         7.94         1.91         090
                                             thorax vertebra.
22102.........  ............  A...........  Remove part,             10.88           NA           NA          7.93         8.02         1.88         090
                                             lumbar vertebra.
22103.........  ............  A...........  Remove extra spine        2.34           NA           NA          0.90         1.05         0.44         ZZZ
                                             segment.
22110.........  ............  A...........  Remove part of           13.80           NA           NA          9.12         9.15         2.77         090
                                             neck vertebra.
22112.........  ............  A...........  Remove part,             13.87           NA           NA          9.03         9.16         2.53         090
                                             thorax vertebra.
22114.........  ............  A...........  Remove part,             13.87           NA           NA          9.01         9.14         2.64         090
                                             lumbar vertebra.
22116.........  ............  A...........  Remove extra spine        2.32           NA           NA          0.89         1.03         0.50         ZZZ
                                             segment.
22206.........  ............  A...........  Cut spine 3 col,         37.00           NA           NA         17.73        17.73         6.23         090
                                             thor.
22207.........  ............  A...........  Cut spine 3 col,         36.50           NA           NA         17.61        17.61         6.07         090
                                             lumb.
22208.........  ............  A...........  Cut spine 3 col,          9.66         3.73         3.73          3.73         3.73         2.07         ZZZ
                                             addl seg.
22210.........  ............  A...........  Revision of neck         25.13           NA           NA         14.56        14.99         5.46         090
                                             spine.
22212.........  ............  A...........  Revision of thorax       20.74           NA           NA         12.45        12.87         3.91         090
                                             spine.
22214.........  ............  A...........  Revision of lumbar       20.77           NA           NA         12.54        13.18         3.92         090
                                             spine.
22216.........  ............  A...........  Revise, extra             6.03           NA           NA          2.32         2.73         1.29         ZZZ
                                             spine segment.
22220.........  ............  A...........  Revision of neck         22.69           NA           NA         13.36        13.50         5.08         090
                                             spine.
22222.........  ............  A...........  Revision of thorax       22.84           NA           NA         10.47        10.80         4.13         090
                                             spine.
22224.........  ............  A...........  Revision of lumbar       22.84           NA           NA         12.90        13.57         4.19         090
                                             spine.
22226.........  ............  A...........  Revise, extra             6.03           NA           NA          2.28         2.69         1.29         ZZZ
                                             spine segment.
22305.........  ............  A...........  Treat spine               2.08         2.15         2.23          1.80         1.86         0.39         090
                                             process fracture.
22310.........  ............  A...........  Treat spine               3.69         2.99         2.90          2.50         2.43         0.50         090
                                             fracture.
22315.........  ............  A...........  Treat spine               9.91         9.89         9.79          7.44         7.39         1.86         090
                                             fracture.
22318.........  ............  A...........  Treat odontoid fx        22.54           NA           NA         13.27        13.33         5.30         090
                                             w/o graft.
22319.........  ............  A...........  Treat odontoid fx        25.15           NA           NA         13.46        14.09         6.05         090
                                             w/graft.
22325.........  ............  A...........  Treat spine              19.62           NA           NA         12.15        12.12         3.88         090
                                             fracture.
22326.........  ............  A...........  Treat neck spine         20.64           NA           NA         12.03        12.37         4.43         090
                                             fracture.
22327.........  ............  A...........  Treat thorax spine       20.52           NA           NA         12.34        12.36         3.99         090
                                             fracture.
22328.........  ............  A...........  Treat each add            4.60           NA           NA          1.76         2.01         0.94         ZZZ
                                             spine fx.
22505.........  ............  A...........  Manipulation of           1.87           NA           NA          1.10         1.02         0.36         010
                                             spine.

[[Page 2583]]

 
22520.........  ............  A...........  Percut                    9.17        43.83        52.77          4.58         4.84         1.72         010
                                             vertebroplasty
                                             thor.
22521.........  ............  A...........  Percut                    8.60        45.01        50.51          4.36         4.65         1.60         010
                                             vertebroplasty
                                             lumb.
22522.........  ............  A...........  Percut                    4.30           NA           NA          1.51         1.59         0.82         ZZZ
                                             vertebroplasty
                                             add[AElig]l.
22523.........  ............  A...........  Percut                    9.21           NA           NA          4.67         5.29         1.72         010
                                             kyphoplasty, thor.
22524.........  ............  A...........  Percut                    8.81           NA           NA          4.53         5.11         1.60         010
                                             kyphoplasty,
                                             lumbar.
22525.........  ............  A...........  Percut                    4.47           NA           NA          1.69         1.98         0.82         ZZZ
                                             kyphoplasty, add-
                                             on.
22526.........  ............  A...........  Idet, single level        6.07        46.73        46.73          2.05         2.05         1.16         010
22527.........  ............  A...........  Idet, 1 or more           3.03        40.40        40.40          0.70         0.70         0.58         ZZZ
                                             levels.
22532.........  ............  A...........  Lat thorax spine         25.81           NA           NA         13.79        14.31         4.35         090
                                             fusion.
22533.........  ............  A...........  Lat lumbar spine         24.61           NA           NA         13.58        13.59         3.16         090
                                             fusion.
22534.........  ............  A...........  Lat thor/lumb,            5.99           NA           NA          2.28         2.66         1.25         ZZZ
                                             add[AElig]l seg.
22548.........  ............  A...........  Neck spine fusion.       26.86           NA           NA         14.94        15.38         5.61         090
22554.........  ............  A...........  Neck spine fusion.       17.54           NA           NA         10.65        11.50         4.46         090
22556.........  ............  A...........  Thorax spine             24.50           NA           NA         12.96        13.85         4.35         090
                                             fusion.
22558.........  ............  A...........  Lumbar spine             23.33           NA           NA         11.44        12.37         3.16         090
                                             fusion.
22585.........  ............  A...........  Additional spinal         5.52           NA           NA          2.06         2.43         1.25         ZZZ
                                             fusion.
22590.........  ............  A...........  Spine & skull            21.56           NA           NA         13.08        13.21         4.79         090
                                             spinal fusion.
22595.........  ............  A...........  Neck spinal fusion       20.44           NA           NA         12.65        12.75         4.41         090
22600.........  ............  A...........  Neck spine fusion.       17.20           NA           NA         11.20        11.20         3.73         090
22610.........  ............  A...........  Thorax spine             17.08           NA           NA         10.82        11.12         3.53         090
                                             fusion.
22612.........  ............  A...........  Lumbar spine             23.38           NA           NA         12.50        13.36         4.47         090
                                             fusion.
22614.........  ............  A...........  Spine fusion,             6.43           NA           NA          2.46         2.90         1.38         ZZZ
                                             extra segment.
22630.........  ............  A...........  Lumbar spine             21.89           NA           NA         12.54        13.08         4.73         090
                                             fusion.
22632.........  ............  A...........  Spine fusion,             5.22           NA           NA          1.99         2.33         1.16         ZZZ
                                             extra segment.
22800.........  ............  A...........  Fusion of spine...       19.30           NA           NA         11.16        11.97         3.76         090
22802.........  ............  A...........  Fusion of spine...       31.91           NA           NA         16.00        17.80         6.17         090
22804.........  ............  A...........  Fusion of spine...       37.30           NA           NA         18.13        20.42         7.00         090
22808.........  ............  A...........  Fusion of spine...       27.31           NA           NA         14.06        15.19         4.93         090
22810.........  ............  A...........  Fusion of spine...       31.30           NA           NA         14.92        16.64         5.15         090
22812.........  ............  A...........  Fusion of spine...       34.00           NA           NA         17.39        18.73         5.30         090
22818.........  ............  A...........  Kyphectomy, 1-2          34.18           NA           NA         16.63        17.75         6.47         090
                                             segments.
22819.........  ............  A...........  Kyphectomy, 3 or         39.18           NA           NA         18.88        19.47         7.67         090
                                             more.
22830.........  ............  A...........  Exploration of           11.13           NA           NA          7.06         7.51         2.30         090
                                             spinal fusion.
22840.........  ............  A...........  Insert spine             12.52           NA           NA          4.78         5.64         2.79         ZZZ
                                             fixation device.
22841.........  ............  B...........  Insert spine              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             fixation device.
22842.........  ............  A...........  Insert spine             12.56           NA           NA          4.80         5.65         2.75         ZZZ
                                             fixation device.
22843.........  ............  A...........  Insert spine             13.44           NA           NA          5.16         5.88         2.86         ZZZ
                                             fixation device.
22844.........  ............  A...........  Insert spine             16.42           NA           NA          6.41         7.58         3.19         ZZZ
                                             fixation device.
22845.........  ............  A...........  Insert spine             11.94           NA           NA          4.49         5.28         2.86         ZZZ
                                             fixation device.
22846.........  ............  A...........  Insert spine             12.40           NA           NA          4.66         5.50         2.96         ZZZ
                                             fixation device.
22847.........  ............  A...........  Insert spine             13.78           NA           NA          5.20         6.11         3.00         ZZZ
                                             fixation device.
22848.........  ............  A...........  Insert pelv               5.99           NA           NA          2.34         2.76         1.15         ZZZ
                                             fixation device.
22849.........  ............  A...........  Reinsert spinal          19.08           NA           NA         10.17        10.95         3.90         090
                                             fixation.
22850.........  ............  A...........  Remove spine              9.74           NA           NA          6.41         6.70         2.05         090
                                             fixation device.
22851.........  ............  A...........  Apply spine prosth        6.70           NA           NA          2.54         2.95         1.49         ZZZ
                                             device.
22852.........  ............  A...........  Remove spine              9.29           NA           NA          6.18         6.49         1.90         090
                                             fixation device.
22855.........  ............  A...........  Remove spine             15.77           NA           NA          9.18         9.43         3.52         090
                                             fixation device.
22857.........  ............  R...........  Lumbar artif             26.93           NA           NA         14.82        14.82         3.56         090
                                             diskectomy.
22862.........  ............  R...........  Revise lumbar            32.43           NA           NA         16.09        16.09         5.36         090
                                             artif disc.
22865.........  ............  R...........  Remove lumb artif        31.55           NA           NA         15.74        15.74         5.18         090
                                             disc.
22899.........  ............  C...........  Spine surgery             0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
22900.........  ............  A...........  Remove abdominal          6.14           NA           NA          3.54         3.38         0.76         090
                                             wall lesion.
22999.........  ............  C...........  Abdomen surgery           0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
23000.........  ............  A...........  Removal of calcium        4.40         7.89         8.21          3.74         4.08         0.68         090
                                             deposits.
23020.........  ............  A...........  Release shoulder          9.24           NA           NA          6.49         7.02         1.54         090
                                             joint.
23030.........  ............  A...........  Drain shoulder            3.44         6.29         6.84          2.40         2.65         0.57         010
                                             lesion.
23031.........  ............  A...........  Drain shoulder            2.76         6.52         7.19          2.22         2.47         0.46         010
                                             bursa.
23035.........  ............  A...........  Drain shoulder            9.04           NA           NA          6.46         7.36         1.47         090
                                             bone lesion.
23040.........  ............  A...........  Exploratory               9.63           NA           NA          6.75         7.31         1.60         090
                                             shoulder surgery.
23044.........  ............  A...........  Exploratory               7.48           NA           NA          5.52         5.98         1.24         090
                                             shoulder surgery.
23065.........  ............  A...........  Biopsy shoulder           2.28         2.96         2.72          1.74         1.68         0.20         010
                                             tissues.
23066.........  ............  A...........  Biopsy shoulder           4.21         7.76         7.72          3.61         3.80         0.63         090
                                             tissues.
23075.........  ............  A...........  Removal of                2.41         3.70         3.68          1.72         1.75         0.34         010
                                             shoulder lesion.
23076.........  ............  A...........  Removal of                7.77           NA           NA          5.32         5.44         1.13         090
                                             shoulder lesion.
23077.........  ............  A...........  Remove tumor of          18.08           NA           NA          9.61         9.92         2.34         090
                                             shoulder.
23100.........  ............  A...........  Biopsy of shoulder        6.09           NA           NA          5.00         5.33         1.04         090
                                             joint.
23101.........  ............  A...........  Shoulder joint            5.63           NA           NA          4.54         4.94         0.96         090
                                             surgery.
23105.........  ............  A...........  Remove shoulder           8.36           NA           NA          6.10         6.61         1.42         090
                                             joint lining.
23106.........  ............  A...........  Incision of               6.02           NA           NA          4.79         5.25         0.99         090
                                             collarbone joint.
23107.........  ............  A...........  Explore treat             8.75           NA           NA          6.26         6.83         1.49         090
                                             shoulder joint.
23120.........  ............  A...........  Partial removal,          7.23           NA           NA          5.47         5.97         1.23         090
                                             collar bone.
23125.........  ............  A...........  Removal of collar         9.52           NA           NA          6.39         6.98         1.62         090
                                             bone.

[[Page 2584]]

 
23130.........  ............  A...........  Remove shoulder           7.63           NA           NA          6.08         6.61         1.30         090
                                             bone, part.
23140.........  ............  A...........  Removal of bone           7.01           NA           NA          4.90         5.07         1.08         090
                                             lesion.
23145.........  ............  A...........  Removal of bone           9.28           NA           NA          6.49         6.97         1.49         090
                                             lesion.
23146.........  ............  A...........  Removal of bone           7.96           NA           NA          5.92         6.52         1.35         090
                                             lesion.
23150.........  ............  A...........  Removal of humerus        8.79           NA           NA          6.26         6.59         1.32         090
                                             lesion.
23155.........  ............  A...........  Removal of humerus       10.72           NA           NA          7.26         7.79         1.81         090
                                             lesion.
23156.........  ............  A...........  Removal of humerus        8.99           NA           NA          6.29         6.84         1.50         090
                                             lesion.
23170.........  ............  A...........  Remove collar bone        7.10           NA           NA          5.00         5.51         1.12         090
                                             lesion.
23172.........  ............  A...........  Remove shoulder           7.20           NA           NA          5.52         5.90         1.01         090
                                             blade lesion.
23174.........  ............  A...........  Remove humerus            9.90           NA           NA          7.18         7.77         1.65         090
                                             lesion.
23180.........  ............  A...........  Remove collar bone        8.85           NA           NA          6.42         7.71         1.47         090
                                             lesion.
23182.........  ............  A...........  Remove shoulder           8.47           NA           NA          6.43         7.49         1.37         090
                                             blade lesion.
23184.........  ............  A...........  Remove humerus            9.76           NA           NA          6.93         8.12         1.63         090
                                             lesion.
23190.........  ............  A...........  Partial removal of        7.36           NA           NA          5.31         5.74         1.17         090
                                             scapula.
23195.........  ............  A...........  Removal of head of       10.24           NA           NA          6.92         7.33         1.71         090
                                             humerus.
23200.........  ............  A...........  Removal of collar        12.69           NA           NA          7.12         7.92         1.94         090
                                             bone.
23210.........  ............  A...........  Removal of               13.16           NA           NA          7.81         8.41         2.03         090
                                             shoulder blade.
23220.........  ............  A...........  Partial removal of       15.36           NA           NA          9.15         9.99         2.49         090
                                             humerus.
23221.........  ............  A...........  Partial removal of       18.41           NA           NA         10.62        11.17         3.06         090
                                             humerus.
23222.........  ............  A...........  Partial removal of       25.44           NA           NA         13.35        14.57         3.95         090
                                             humerus.
23330.........  ............  A...........  Remove shoulder           1.87         3.36         3.52          1.51         1.70         0.24         010
                                             foreign body.
23331.........  ............  A...........  Remove shoulder           7.51           NA           NA          5.84         6.32         1.27         090
                                             foreign body.
23332.........  ............  A...........  Remove shoulder          12.23           NA           NA          7.97         8.65         2.03         090
                                             foreign body.
23350.........  ............  A...........  Injection for             1.00         2.73         3.10          0.35         0.34         0.06         000
                                             shoulder x-ray.
23395.........  ............  A...........  Muscle                   18.29           NA           NA         11.21        12.04         2.94         090
                                             transfer,shoulder/
                                             arm.
23397.........  ............  A...........  Muscle transfers..       16.62           NA           NA          9.56        10.47         2.74         090
23400.........  ............  A...........  Fixation of              13.73           NA           NA          8.55         9.31         2.30         090
                                             shoulder blade.
23405.........  ............  A...........  Incision of tendon        8.43           NA           NA          5.92         6.42         1.45         090
                                             & muscle.
23406.........  ............  A...........  Incise tendon(s) &       10.90           NA           NA          6.91         7.63         1.88         090
                                             muscle(s).
23410.........  ............  A...........  Repair rotator           12.63           NA           NA          7.78         8.60         2.17         090
                                             cuff, acute.
23412.........  ............  A...........  Repair rotator           13.55           NA           NA          8.16         9.03         2.32         090
                                             cuff, chronic.
23415.........  ............  A...........  Release of               10.09           NA           NA          6.59         7.29         1.74         090
                                             shoulder ligament.
23420.........  ............  A...........  Repair of shoulder       14.75           NA           NA          9.71        10.28         2.32         090
23430.........  ............  A...........  Repair biceps            10.05           NA           NA          6.78         7.44         1.74         090
                                             tendon.
23440.........  ............  A...........  Remove/transplant        10.53           NA           NA          6.78         7.52         1.83         090
                                             tendon.
23450.........  ............  A...........  Repair shoulder          13.58           NA           NA          8.18         9.02         2.33         090
                                             capsule.
23455.........  ............  A...........  Repair shoulder          14.55           NA           NA          8.56         9.50         2.50         090
                                             capsule.
23460.........  ............  A...........  Repair shoulder          15.68           NA           NA          9.37        10.37         2.67         090
                                             capsule.
23462.........  ............  A...........  Repair shoulder          15.60           NA           NA          9.09         9.92         2.60         090
                                             capsule.
23465.........  ............  A...........  Repair shoulder          16.16           NA           NA          9.50        10.34         2.77         090
                                             capsule.
23466.........  ............  A...........  Repair shoulder          15.55           NA           NA         10.00        10.69         2.47         090
                                             capsule.
23470.........  ............  A...........  Reconstruct              17.75           NA           NA         10.13        11.19         2.99         090
                                             shoulder joint.
23472.........  ............  A...........  Reconstruct              22.47           NA           NA         12.15        13.28         3.67         090
                                             shoulder joint.
23480.........  ............  A...........  Revision of collar       11.42           NA           NA          7.30         8.04         1.95         090
                                             bone.
23485.........  ............  A...........  Revision of collar       13.79           NA           NA          8.21         9.05         2.34         090
                                             bone.
23490.........  ............  A...........  Reinforce clavicle       12.04           NA           NA          6.75         7.73         1.47         090
23491.........  ............  A...........  Reinforce shoulder       14.40           NA           NA          8.72         9.72         2.47         090
                                             bones.
23500.........  ............  A...........  Treat clavicle            2.13         2.64         2.76          2.71         2.62         0.30         090
                                             fracture.
23505.........  ............  A...........  Treat clavicle            3.74         4.01         4.21          3.62         3.73         0.61         090
                                             fracture.
23515.........  ............  A...........  Treat clavicle            9.53           NA           NA          7.01         6.78         1.28         090
                                             fracture.
23520.........  ............  A...........  Treat clavicle            2.21         2.77         2.81          2.84         2.79         0.34         090
                                             dislocation.
23525.........  ............  A...........  Treat clavicle            3.67         4.17         4.35          3.64         3.79         0.46         090
                                             dislocation.
23530.........  ............  A...........  Treat clavicle            7.37           NA           NA          5.31         5.62         1.20         090
                                             dislocation.
23532.........  ............  A...........  Treat clavicle            8.08           NA           NA          6.02         6.50         1.38         090
                                             dislocation.
23540.........  ............  A...........  Treat clavicle            2.28         2.67         2.77          2.74         2.55         0.29         090
                                             dislocation.
23545.........  ............  A...........  Treat clavicle            3.32         3.74         3.97          3.26         3.31         0.35         090
                                             dislocation.
23550.........  ............  A...........  Treat clavicle            7.48           NA           NA          5.54         5.96         1.25         090
                                             dislocation.
23552.........  ............  A...........  Treat clavicle            8.70           NA           NA          6.26         6.79         1.46         090
                                             dislocation.
23570.........  ............  A...........  Treat shoulder            2.28         2.78         2.90          2.92         2.91         0.36         090
                                             blade fx.
23575.........  ............  A...........  Treat shoulder            4.12         4.59         4.74          4.08         4.20         0.59         090
                                             blade fx.
23585.........  ............  A...........  Treat scapula            14.07           NA           NA          8.51         8.08         1.54         090
                                             fracture.
23600.........  ............  A...........  Treat humerus             3.00         4.07         4.31          3.65         3.60         0.48         090
                                             fracture.
23605.........  ............  A...........  Treat humerus             4.94         5.38         5.77          4.60         4.85         0.84         090
                                             fracture.
23615.........  ............  A...........  Treat humerus            12.12           NA           NA          8.06         8.45         1.62         090
                                             fracture.
23616.........  ............  A...........  Treat humerus            18.19           NA           NA         10.46        12.30         3.70         090
                                             fracture.
23620.........  ............  A...........  Treat humerus             2.46         3.41         3.51          3.15         3.07         0.40         090
                                             fracture.
23625.........  ............  A...........  Treat humerus             3.99         4.45         4.69          3.92         4.10         0.67         090
                                             fracture.
23630.........  ............  A...........  Treat humerus            10.39           NA           NA          7.37         7.00         1.27         090
                                             fracture.
23650.........  ............  A...........  Treat shoulder            3.44         3.29         3.53          2.83         2.79         0.30         090
                                             dislocation.
23655.........  ............  A...........  Treat shoulder            4.64           NA           NA          4.15         4.16         0.69         090
                                             dislocation.
23660.........  ............  A...........  Treat shoulder            7.55           NA           NA          5.69         6.04         1.29         090
                                             dislocation.
23665.........  ............  A...........  Treat dislocation/        4.54         4.85         5.09          4.27         4.49         0.71         090
                                             fracture.

[[Page 2585]]

 
23670.........  ............  A...........  Treat dislocation/       12.12           NA           NA          7.93         7.38         1.36         090
                                             fracture.
23675.........  ............  A...........  Treat dislocation/        6.13         6.13         6.48          5.13         5.49         1.01         090
                                             fracture.
23680.........  ............  A...........  Treat dislocation/       12.99           NA           NA          8.24         8.17         1.76         090
                                             fracture.
23700.........  ............  A...........  Fixation of               2.54           NA           NA          1.90         2.04         0.44         010
                                             shoulder.
23800.........  ............  A...........  Fusion of shoulder       14.59           NA           NA          8.87         9.64         2.36         090
                                             joint.
23802.........  ............  A...........  Fusion of shoulder       18.17           NA           NA         11.22        10.70         2.71         090
                                             joint.
23900.........  ............  A...........  Amputation of arm        20.57           NA           NA         10.43        11.07         3.19         090
                                             & girdle.
23920.........  ............  A...........  Amputation at            16.03           NA           NA          9.22         9.58         2.47         090
                                             shoulder joint.
23921.........  ............  A...........  Amputation follow-        5.61           NA           NA          4.85         4.97         0.78         090
                                             up surgery.
23929.........  ............  C...........  Shoulder surgery          0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
23930.........  ............  A...........  Drainage of arm           2.96         4.98         5.65          1.98         2.15         0.43         010
                                             lesion.
23931.........  ............  A...........  Drainage of arm           1.81         4.36         5.14          1.75         1.96         0.28         010
                                             bursa.
23935.........  ............  A...........  Drain arm/elbow           6.27           NA           NA          5.10         5.51         1.05         090
                                             bone lesion.
24000.........  ............  A...........  Exploratory elbow         5.99           NA           NA          4.75         5.08         0.97         090
                                             surgery.
24006.........  ............  A...........  Release elbow             9.62           NA           NA          6.60         7.18         1.50         090
                                             joint.
24065.........  ............  A...........  Biopsy arm/elbow          2.10         4.15         3.68          1.92         1.83         0.17         010
                                             soft tissue.
24066.........  ............  A...........  Biopsy arm/elbow          5.26         8.27         8.61          3.92         4.03         0.80         090
                                             soft tissue.
24075.........  ............  A...........  Remove arm/elbow          3.96         7.19         7.27          3.27         3.33         0.56         090
                                             lesion.
24076.........  ............  A...........  Remove arm/elbow          6.36           NA           NA          4.59         4.72         0.95         090
                                             lesion.
24077.........  ............  A...........  Remove tumor of          11.95           NA           NA          6.86         7.30         1.73         090
                                             arm/elbow.
24100.........  ............  A...........  Biopsy elbow joint        4.98           NA           NA          4.09         4.31         0.85         090
                                             lining.
24101.........  ............  A...........  Explore/treat             6.19           NA           NA          5.05         5.49         1.03         090
                                             elbow joint.
24102.........  ............  A...........  Remove elbow joint        8.15           NA           NA          5.81         6.34         1.33         090
                                             lining.
24105.........  ............  A...........  Removal of elbow          3.67           NA           NA          4.03         4.21         0.61         090
                                             bursa.
24110.........  ............  A...........  Remove humerus            7.46           NA           NA          5.65         6.16         1.28         090
                                             lesion.
24115.........  ............  A...........  Remove/graft bone        10.00           NA           NA          4.32         5.77         1.68         090
                                             lesion.
24116.........  ............  A...........  Remove/graft bone        12.11           NA           NA          7.68         8.38         2.06         090
                                             lesion.
24120.........  ............  A...........  Remove elbow              6.71           NA           NA          5.18         5.55         1.10         090
                                             lesion.
24125.........  ............  A...........  Remove/graft bone         8.02           NA           NA          5.99         6.08         1.06         090
                                             lesion.
24126.........  ............  A...........  Remove/graft bone         8.50           NA           NA          6.01         6.52         1.16         090
                                             lesion.
24130.........  ............  A...........  Removal of head of        6.31           NA           NA          5.13         5.58         1.04         090
                                             radius.
24134.........  ............  A...........  Removal of arm           10.10           NA           NA          6.91         7.88         1.64         090
                                             bone lesion.
24136.........  ............  A...........  Remove radius bone        8.29           NA           NA          5.77         6.50         1.38         090
                                             lesion.
24138.........  ............  A...........  Remove elbow bone         8.33           NA           NA          6.49         7.14         1.34         090
                                             lesion.
24140.........  ............  A...........  Partial removal of        9.43           NA           NA          6.58         7.84         1.51         090
                                             arm bone.
24145.........  ............  A...........  Partial removal of        7.70           NA           NA          5.64         6.85         1.25         090
                                             radius.
24147.........  ............  A...........  Partial removal of        7.69           NA           NA          6.28         7.44         1.30         090
                                             elbow.
24149.........  ............  A...........  Radical resection        15.92           NA           NA         10.77        11.20         2.35         090
                                             of elbow.
24150.........  ............  A...........  Extensive humerus        13.70           NA           NA          8.50         9.25         2.33         090
                                             surgery.
24151.........  ............  A...........  Extensive humerus        16.08           NA           NA          9.70        10.61         2.60         090
                                             surgery.
24152.........  ............  A...........  Extensive radius         10.24           NA           NA          6.17         6.95         1.48         090
                                             surgery.
24153.........  ............  A...........  Extensive radius         11.73           NA           NA          4.87         5.22         0.74         090
                                             surgery.
24155.........  ............  A...........  Removal of elbow         11.97           NA           NA          7.42         7.91         1.93         090
                                             joint.
24160.........  ............  A...........  Remove elbow joint        7.89           NA           NA          5.83         6.36         1.30         090
                                             implant.
24164.........  ............  A...........  Remove radius head        6.34           NA           NA          4.90         5.34         1.03         090
                                             implant.
24200.........  ............  A...........  Removal of arm            1.78         2.74         3.08          1.36         1.49         0.20         010
                                             foreign body.
24201.........  ............  A...........  Removal of arm            4.61         7.80         8.81          3.66         3.95         0.72         090
                                             foreign body.
24220.........  ............  A...........  Injection for             1.31         2.66         3.15          0.46         0.45         0.08         000
                                             elbow x-ray.
24300.........  ............  A...........  Manipulate elbow w/       3.86           NA           NA          5.16         5.44         0.65         090
                                             anesth.
24301.........  ............  A...........  Muscle/tendon            10.26           NA           NA          6.83         7.51         1.66         090
                                             transfer.
24305.........  ............  A...........  Arm tendon                7.51           NA           NA          5.66         6.19         1.15         090
                                             lengthening.
24310.........  ............  A...........  Revision of arm           6.03           NA           NA          4.73         5.16         0.96         090
                                             tendon.
24320.........  ............  A...........  Repair of arm            10.74           NA           NA          7.03         7.28         1.74         090
                                             tendon.
24330.........  ............  A...........  Revision of arm           9.67           NA           NA          6.64         7.26         1.60         090
                                             muscles.
24331.........  ............  A...........  Revision of arm          10.83           NA           NA          6.95         7.82         1.78         090
                                             muscles.
24332.........  ............  A...........  Tenolysis, triceps        7.77           NA           NA          5.92         6.35         1.23         090
24340.........  ............  A...........  Repair of biceps          7.96           NA           NA          5.96         6.47         1.36         090
                                             tendon.
24341.........  ............  A...........  Repair arm tendon/        9.24           NA           NA          7.53         7.72         1.36         090
                                             muscle.
24342.........  ............  A...........  Repair of ruptured       10.74           NA           NA          7.07         7.79         1.86         090
                                             tendon.
24343.........  ............  A...........  Repr elbow lat            8.99           NA           NA          6.99         7.57         1.43         090
                                             ligmnt w/tiss.
24344.........  ............  A...........  Reconstruct elbow        14.97           NA           NA          9.96        10.74         2.37         090
                                             lat ligmnt.
24345.........  ............  A...........  Repr elbw med             8.99           NA           NA          6.94         7.48         1.44         090
                                             ligmnt w/tissu.
24346.........  ............  A...........  Reconstruct elbow        14.97           NA           NA         10.04        10.69         2.34         090
                                             med ligmnt.
24357.........  ............  A...........  Repair elbow, perc        5.32           NA           NA          4.72         5.15         0.87         090
24358.........  ............  A...........  Repair elbow w/           6.54           NA           NA          5.28         5.73         1.07         090
                                             deb, open.
24359.........  ............  A...........  Repair elbow deb/         8.86           NA           NA          6.20         6.20         1.41         090
                                             attch open.
24360.........  ............  A...........  Reconstruct elbow        12.53           NA           NA          7.84         8.66         2.06         090
                                             joint.
24361.........  ............  A...........  Reconstruct elbow        14.27           NA           NA          8.76         9.67         2.19         090
                                             joint.
24362.........  ............  A...........  Reconstruct elbow        15.18           NA           NA          5.74         7.89         2.61         090
                                             joint.
24363.........  ............  A...........  Replace elbow            22.47           NA           NA         12.18        12.95         3.02         090
                                             joint.
24365.........  ............  A...........  Reconstruct head          8.51           NA           NA          5.97         6.59         1.41         090
                                             of radius.
24366.........  ............  A...........  Reconstruct head          9.25           NA           NA          6.31         6.93         1.52         090
                                             of radius.

[[Page 2586]]

 
24400.........  ............  A...........  Revision of              11.19           NA           NA          7.50         8.18         1.93         090
                                             humerus.
24410.........  ............  A...........  Revision of              14.96           NA           NA          9.25         9.78         2.58         090
                                             humerus.
24420.........  ............  A...........  Revision of              13.58           NA           NA          8.51         9.53         2.18         090
                                             humerus.
24430.........  ............  A...........  Repair of humerus.       15.07           NA           NA          9.23         9.49         2.22         090
24435.........  ............  A...........  Repair humerus           14.74           NA           NA          9.82        10.35         2.28         090
                                             with graft.
24470.........  ............  A...........  Revision of elbow         8.81           NA           NA          5.66         6.69         1.48         090
                                             joint.
24495.........  ............  A...........  Decompression of          8.30           NA           NA          6.41         7.58         1.18         090
                                             forearm.
24498.........  ............  A...........  Reinforce humerus.       12.16           NA           NA          7.67         8.47         2.07         090
24500.........  ............  A...........  Treat humerus             3.29         4.45         4.65          3.81         3.75         0.50         090
                                             fracture.
24505.........  ............  A...........  Treat humerus             5.25         5.84         6.22          4.88         5.14         0.89         090
                                             fracture.
24515.........  ............  A...........  Treat humerus            11.97           NA           NA          8.04         8.72         2.03         090
                                             fracture.
24516.........  ............  A...........  Treat humerus            12.07           NA           NA          7.65         8.38         2.03         090
                                             fracture.
24530.........  ............  A...........  Treat humerus             3.57         4.73         4.97          4.00         4.02         0.57         090
                                             fracture.
24535.........  ............  A...........  Treat humerus             6.96         6.82         7.33          5.86         6.24         1.18         090
                                             fracture.
24538.........  ............  A...........  Treat humerus             9.63           NA           NA          7.19         7.95         1.64         090
                                             fracture.
24545.........  ............  A...........  Treat humerus            12.99           NA           NA          8.28         8.37         1.83         090
                                             fracture.
24546.........  ............  A...........  Treat humerus            14.73           NA           NA          9.11        10.22         2.74         090
                                             fracture.
24560.........  ............  A...........  Treat humerus             2.87         4.11         4.30          3.43         3.31         0.44         090
                                             fracture.
24565.........  ............  A...........  Treat humerus             5.64         5.94         6.28          5.05         5.29         0.93         090
                                             fracture.
24566.........  ............  A...........  Treat humerus             8.86           NA           NA          6.80         7.48         1.30         090
                                             fracture.
24575.........  ............  A...........  Treat humerus             9.53           NA           NA          6.97         7.69         1.87         090
                                             fracture.
24576.........  ............  A...........  Treat humerus             2.94         4.41         4.59          3.71         3.71         0.46         090
                                             fracture.
24577.........  ............  A...........  Treat humerus             5.87         6.04         6.49          5.08         5.47         0.95         090
                                             fracture.
24579.........  ............  A...........  Treat humerus            11.26           NA           NA          7.74         8.29         2.03         090
                                             fracture.
24582.........  ............  A...........  Treat humerus             9.89           NA           NA          8.18         8.65         1.48         090
                                             fracture.
24586.........  ............  A...........  Treat elbow              15.64           NA           NA          9.33        10.28         2.65         090
                                             fracture.
24587.........  ............  A...........  Treat elbow              15.65           NA           NA          9.32        10.17         2.53         090
                                             fracture.
24600.........  ............  A...........  Treat elbow               4.28         3.86         4.36          3.28         3.39         0.50         090
                                             dislocation.
24605.........  ............  A...........  Treat elbow               5.50           NA           NA          4.91         5.14         0.89         090
                                             dislocation.
24615.........  ............  A...........  Treat elbow               9.72           NA           NA          6.56         7.19         1.60         090
                                             dislocation.
24620.........  ............  A...........  Treat elbow               7.07           NA           NA          5.49         5.87         1.07         090
                                             fracture.
24635.........  ............  A...........  Treat elbow               8.64           NA           NA          6.55        10.31         2.29         090
                                             fracture.
24640.........  ............  A...........  Treat elbow               1.22         1.53         1.69          0.83         0.81         0.12         010
                                             dislocation.
24650.........  ............  A...........  Treat radius              2.22         3.43         3.60          2.99         2.87         0.35         090
                                             fracture.
24655.........  ............  A...........  Treat radius              4.48         5.18         5.57          4.40         4.60         0.70         090
                                             fracture.
24665.........  ............  A...........  Treat radius              8.22           NA           NA          6.51         7.01         1.41         090
                                             fracture.
24666.........  ............  A...........  Treat radius              9.74           NA           NA          6.96         7.51         1.62         090
                                             fracture.
24670.........  ............  A...........  Treat ulnar               2.60         3.73         3.92          3.15         3.11         0.41         090
                                             fracture.
24675.........  ............  A...........  Treat ulnar               4.79         5.38         5.69          4.57         4.77         0.81         090
                                             fracture.
24685.........  ............  A...........  Treat ulnar               8.21           NA           NA          6.52         7.02         1.52         090
                                             fracture.
24800.........  ............  A...........  Fusion of elbow          11.27           NA           NA          6.89         7.82         1.63         090
                                             joint.
24802.........  ............  A...........  Fusion/graft of          14.18           NA           NA          8.03         9.21         2.38         090
                                             elbow joint.
24900.........  ............  A...........  Amputation of            10.04           NA           NA          6.42         6.74         1.53         090
                                             upper arm.
24920.........  ............  A...........  Amputation of            10.02           NA           NA          6.04         6.49         1.61         090
                                             upper arm.
24925.........  ............  A...........  Amputation follow-        7.19           NA           NA          4.95         5.52         1.14         090
                                             up surgery.
24930.........  ............  A...........  Amputation follow-       10.72           NA           NA          6.20         6.72         1.68         090
                                             up surgery.
24931.........  ............  A...........  Amputate upper arm       13.32           NA           NA          5.08         5.40         1.90         090
                                             & implant.
24935.........  ............  A...........  Revision of              16.30           NA           NA         10.47         9.25         2.14         090
                                             amputation.
24940.........  ............  C...........  Revision of upper         0.00         0.00         0.00          0.00         0.00         0.00         090
                                             arm.
24999.........  ............  C...........  Upper arm/elbow           0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             surgery.
25000.........  ............  A...........  Incision of tendon        3.44           NA           NA          3.98         5.43         0.55         090
                                             sheath.
25001.........  ............  A...........  Incise flexor             3.68           NA           NA          3.95         4.09         0.55         090
                                             carpi radialis.
25020.........  ............  A...........  Decompress forearm        5.97           NA           NA          6.95         8.26         0.93         090
                                             1 space.
25023.........  ............  A...........  Decompress forearm       13.69           NA           NA         11.33        13.14         2.04         090
                                             1 space.
25024.........  ............  A...........  Decompress forearm       10.62           NA           NA          7.08         7.28         1.36         090
                                             2 spaces.
25025.........  ............  A...........  Decompress forearm       17.77           NA           NA          9.70         9.84         1.83         090
                                             2 spaces.
25028.........  ............  A...........  Drainage of               5.30           NA           NA          6.20         7.18         0.81         090
                                             forearm lesion.
25031.........  ............  A...........  Drainage of               4.18           NA           NA          3.49         5.71         0.63         090
                                             forearm bursa.
25035.........  ............  A...........  Treat forearm bone        7.54           NA           NA          5.63         9.61         1.24         090
                                             lesion.
25040.........  ............  A...........  Explore/treat             7.41           NA           NA          5.40         6.35         1.15         090
                                             wrist joint.
25065.........  ............  A...........  Biopsy forearm            2.01         4.33         3.78          1.98         1.94         0.15         010
                                             soft tissues.
25066.........  ............  A...........  Biopsy forearm            4.18           NA           NA          3.84         5.45         0.64         090
                                             soft tissues.
25075.........  ............  A...........  Removal forearm           3.78           NA           NA          3.31         4.60         0.55         090
                                             lesion subcu.
25076.........  ............  A...........  Removal forearm           4.97           NA           NA          4.11         6.83         0.74         090
                                             lesion deep.
25077.........  ............  A...........  Remove tumor,             9.90           NA           NA          6.18         9.14         1.42         090
                                             forearm/wrist.
25085.........  ............  A...........  Incision of wrist         5.55           NA           NA          4.62         5.87         0.85         090
                                             capsule.
25100.........  ............  A...........  Biopsy of wrist           3.94           NA           NA          3.77         4.53         0.59         090
                                             joint.
25101.........  ............  A...........  Explore/treat             4.74           NA           NA          4.35         5.12         0.75         090
                                             wrist joint.
25105.........  ............  A...........  Remove wrist joint        5.91           NA           NA          4.98         6.14         0.92         090
                                             lining.
25107.........  ............  A...........  Remove wrist joint        7.50           NA           NA          6.24         7.29         0.99         090
                                             cartilage.
25109.........  ............  A...........  Excise tendon             6.81           NA           NA          5.24         5.24         0.96         090
                                             forearm/wrist.
25110.........  ............  A...........  Remove wrist              3.96           NA           NA          3.62         5.34         0.62         090
                                             tendon lesion.

[[Page 2587]]

 
25111.........  ............  A...........  Remove wrist              3.44           NA           NA          3.62         4.16         0.53         090
                                             tendon lesion.
25112.........  ............  A...........  Reremove wrist            4.58           NA           NA          4.08         4.67         0.70         090
                                             tendon lesion.
25115.........  ............  A...........  Remove wrist/             9.89           NA           NA          7.34        10.69         1.31         090
                                             forearm lesion.
25116.........  ............  A...........  Remove wrist/             7.38           NA           NA          6.19         9.67         1.11         090
                                             forearm lesion.
25118.........  ............  A...........  Excise wrist              4.42           NA           NA          4.15         4.95         0.68         090
                                             tendon sheath.
25119.........  ............  A...........  Partial removal of        6.10           NA           NA          5.07         6.33         0.96         090
                                             ulna.
25120.........  ............  A...........  Removal of forearm        6.16           NA           NA          5.10         8.60         1.00         090
                                             lesion.
25125.........  ............  A...........  Remove/graft              7.55           NA           NA          5.68         9.27         1.06         090
                                             forearm lesion.
25126.........  ............  A...........  Remove/graft              7.62           NA           NA          5.86         9.44         1.27         090
                                             forearm lesion.
25130.........  ............  A...........  Removal of wrist          5.32           NA           NA          4.73         5.58         0.80         090
                                             lesion.
25135.........  ............  A...........  Remove & graft            6.96           NA           NA          5.62         6.57         1.02         090
                                             wrist lesion.
25136.........  ............  A...........  Remove & graft            6.03           NA           NA          5.10         5.85         1.03         090
                                             wrist lesion.
25145.........  ............  A...........  Remove forearm            6.43           NA           NA          5.21         8.64         1.01         090
                                             bone lesion.
25150.........  ............  A...........  Partial removal of        7.27           NA           NA          5.53         6.87         1.14         090
                                             ulna.
25151.........  ............  A...........  Partial removal of        7.57           NA           NA          5.65         9.19         1.18         090
                                             radius.
25170.........  ............  A...........  Extensive forearm        11.34           NA           NA          7.37        11.26         1.78         090
                                             surgery.
25210.........  ............  A...........  Removal of wrist          6.01           NA           NA          5.05         5.92         0.88         090
                                             bone.
25215.........  ............  A...........  Removal of wrist          8.02           NA           NA          6.03         7.40         1.19         090
                                             bones.
25230.........  ............  A...........  Partial removal of        5.28           NA           NA          4.50         5.32         0.79         090
                                             radius.
25240.........  ............  A...........  Partial removal of        5.22           NA           NA          4.47         5.71         0.81         090
                                             ulna.
25246.........  ............  A...........  Injection for             1.45         2.73         3.09          0.53         0.50         0.09         000
                                             wrist x-ray.
25248.........  ............  A...........  Remove forearm            5.20           NA           NA          4.05         6.29         0.72         090
                                             foreign body.
25250.........  ............  A...........  Removal of wrist          6.66           NA           NA          5.27         5.69         1.01         090
                                             prosthesis.
25251.........  ............  A...........  Removal of wrist          9.70           NA           NA          6.75         7.33         1.26         090
                                             prosthesis.
25259.........  ............  A...........  Manipulate wrist w/       3.86           NA           NA          5.16         5.44         0.62         090
                                             anesthes.
25260.........  ............  A...........  Repair forearm            7.89           NA           NA          6.38         9.85         1.19         090
                                             tendon/muscle.
25263.........  ............  A...........  Repair forearm            7.90           NA           NA          6.10         9.68         1.18         090
                                             tendon/muscle.
25265.........  ............  A...........  Repair forearm            9.96           NA           NA          7.11        10.71         1.47         090
                                             tendon/muscle.
25270.........  ............  A...........  Repair forearm            6.06           NA           NA          4.97         8.50         0.95         090
                                             tendon/muscle.
25272.........  ............  A...........  Repair forearm            7.10           NA           NA          5.49         9.14         1.11         090
                                             tendon/muscle.
25274.........  ............  A...........  Repair forearm            8.82           NA           NA          6.37        10.00         1.36         090
                                             tendon/muscle.
25275.........  ............  A...........  Repair forearm            8.82           NA           NA          6.48         7.03         1.31         090
                                             tendon sheath.
25280.........  ............  A...........  Revise wrist/             7.28           NA           NA          5.56         9.10         1.08         090
                                             forearm tendon.
25290.........  ............  A...........  Incise wrist/             5.34           NA           NA          4.50         9.75         0.82         090
                                             forearm tendon.
25295.........  ............  A...........  Release wrist/            6.61           NA           NA          5.29         8.73         1.00         090
                                             forearm tendon.
25300.........  ............  A...........  Fusion of tendons         8.88           NA           NA          6.66         7.56         1.26         090
                                             at wrist.
25301.........  ............  A...........  Fusion of tendons         8.47           NA           NA          6.19         7.13         1.29         090
                                             at wrist.
25310.........  ............  A...........  Transplant forearm        8.26           NA           NA          5.94         9.49         1.21         090
                                             tendon.
25312.........  ............  A...........  Transplant forearm        9.70           NA           NA          6.71        10.33         1.41         090
                                             tendon.
25315.........  ............  A...........  Revise palsy hand        10.56           NA           NA          7.11        10.76         1.58         090
                                             tendon(s).
25316.........  ............  A...........  Revise palsy hand        12.76           NA           NA          7.82        12.03         1.75         090
                                             tendon(s).
25320.........  ............  A...........  Repair/revise            12.38           NA           NA          9.87        10.63         1.61         090
                                             wrist joint.
25332.........  ............  A...........  Revise wrist joint       11.60           NA           NA          7.61         8.40         1.84         090
25335.........  ............  A...........  Realignment of           13.25           NA           NA          8.31         9.95         1.93         090
                                             hand.
25337.........  ............  A...........  Reconstruct ulna/        11.44           NA           NA          8.63         9.86         1.61         090
                                             radioulnar.
25350.........  ............  A...........  Revision of radius        8.97           NA           NA          6.35        10.17         1.46         090
25355.........  ............  A...........  Revision of radius       10.41           NA           NA          6.75        10.68         1.74         090
25360.........  ............  A...........  Revision of ulna..        8.62           NA           NA          6.24        10.06         1.41         090
25365.........  ............  A...........  Revise radius &          12.77           NA           NA          8.18        11.92         2.16         090
                                             ulna.
25370.........  ............  A...........  Revise radius or         13.93           NA           NA          9.01        12.55         2.29         090
                                             ulna.
25375.........  ............  A...........  Revise radius &          13.41           NA           NA          8.37        12.40         2.27         090
                                             ulna.
25390.........  ............  A...........  Shorten radius or        10.58           NA           NA          7.07        10.83         1.65         090
                                             ulna.
25391.........  ............  A...........  Lengthen radius or       14.14           NA           NA          8.67        12.62         2.22         090
                                             ulna.
25392.........  ............  A...........  Shorten radius &         14.44           NA           NA          8.91        12.44         2.11         090
                                             ulna.
25393.........  ............  A...........  Lengthen radius &        16.42           NA           NA          9.57        13.58         2.77         090
                                             ulna.
25394.........  ............  A...........  Repair carpal            10.71           NA           NA          6.95         7.51         1.59         090
                                             bone, shorten.
25400.........  ............  A...........  Repair radius or         11.16           NA           NA          7.27        11.23         1.83         090
                                             ulna.
25405.........  ............  A...........  Repair/graft             14.87           NA           NA          8.93        13.11         2.33         090
                                             radius or ulna.
25415.........  ............  A...........  Repair radius &          13.66           NA           NA          8.80        12.66         2.18         090
                                             ulna.
25420.........  ............  A...........  Repair/graft             16.89           NA           NA          9.93        14.11         2.62         090
                                             radius & ulna.
25425.........  ............  A...........  Repair/graft             13.58           NA           NA          8.49        14.94         2.09         090
                                             radius or ulna.
25426.........  ............  A...........  Repair/graft             16.31           NA           NA          9.20        12.88         2.55         090
                                             radius & ulna.
25430.........  ............  A...........  Vasc graft into           9.57           NA           NA          7.04         7.19         1.27         090
                                             carpal bone.
25431.........  ............  A...........  Repair nonunion          10.75           NA           NA          7.16         7.78         1.91         090
                                             carpal bone.
25440.........  ............  A...........  Repair/graft wrist       10.56           NA           NA          6.90         8.15         1.63         090
                                             bone.
25441.........  ............  A...........  Reconstruct wrist        13.15           NA           NA          8.11         9.06         2.08         090
                                             joint.
25442.........  ............  A...........  Reconstruct wrist        10.98           NA           NA          7.51         8.20         1.53         090
                                             joint.
25443.........  ............  A...........  Reconstruct wrist        10.52           NA           NA          7.22         8.00         1.37         090
                                             joint.
25444.........  ............  A...........  Reconstruct wrist        11.28           NA           NA          7.44         8.24         1.72         090
                                             joint.
25445.........  ............  A...........  Reconstruct wrist         9.76           NA           NA          6.70         7.35         1.55         090
                                             joint.
25446.........  ............  A...........  Wrist replacement.       17.16           NA           NA          9.99        10.96         2.48         090
25447.........  ............  A...........  Repair wrist             10.95           NA           NA          7.87         8.27         1.61         090
                                             joint(s).

[[Page 2588]]

 
25449.........  ............  A...........  Remove wrist joint       14.80           NA           NA          8.96         9.82         2.22         090
                                             implant.
25450.........  ............  A...........  Revision of wrist         7.94           NA           NA          3.84         7.02         1.36         090
                                             joint.
25455.........  ............  A...........  Revision of wrist         9.57           NA           NA          6.85         8.86         0.96         090
                                             joint.
25490.........  ............  A...........  Reinforce radius..        9.61           NA           NA          6.58        10.16         1.43         090
25491.........  ............  A...........  Reinforce ulna....       10.03           NA           NA          6.79        10.63         1.60         090
25492.........  ............  A...........  Reinforce radius         12.52           NA           NA          8.34        11.82         2.15         090
                                             and ulna.
25500.........  ............  A...........  Treat fracture of         2.51         3.31         3.44          2.86         2.79         0.35         090
                                             radius.
25505.........  ............  A...........  Treat fracture of         5.30         5.83         6.19          4.98         5.20         0.90         090
                                             radius.
25515.........  ............  A...........  Treat fracture of         8.64           NA           NA          6.47         6.97         1.59         090
                                             radius.
25520.........  ............  A...........  Treat fracture of         6.35         5.70         6.28          5.14         5.60         1.08         090
                                             radius.
25525.........  ............  A...........  Treat fracture of        10.37           NA           NA          7.42         8.71         2.13         090
                                             radius.
25526.........  ............  A...........  Treat fracture of        12.96           NA           NA          8.69        11.10         2.20         090
                                             radius.
25530.........  ............  A...........  Treat fracture of         2.15         3.48         3.62          2.98         2.92         0.34         090
                                             ulna.
25535.........  ............  A...........  Treat fracture of         5.22         5.57         5.79          4.84         5.07         0.89         090
                                             ulna.
25545.........  ............  A...........  Treat fracture of         7.78           NA           NA          6.23         6.95         1.53         090
                                             ulna.
25560.........  ............  A...........  Treat fracture            2.50         3.37         3.53          2.85         2.73         0.35         090
                                             radius & ulna.
25565.........  ............  A...........  Treat fracture            5.71         5.91         6.31          4.93         5.18         0.93         090
                                             radius & ulna.
25574.........  ............  A...........  Treat fracture            8.64           NA           NA          6.55         6.88         1.21         090
                                             radius & ulna.
25575.........  ............  A...........  Treat fracture           12.10           NA           NA          8.37         8.94         1.82         090
                                             radius/ulna.
25600.........  ............  A...........  Treat fracture            2.69         3.68         3.89          3.17         3.07         0.42         090
                                             radius/ulna.
25605.........  ............  A...........  Treat fracture            7.02         6.87         7.05          6.14         6.18         1.00         090
                                             radius/ulna.
25606.........  ............  A...........  Treat fx distal           8.10           NA           NA          6.70         7.83         1.26         090
                                             radial.
25607.........  ............  A...........  Treat fx rad extra-       9.35           NA           NA          7.20         7.20         1.36         090
                                             articul.
25608.........  ............  A...........  Treat fx rad intra-      10.86           NA           NA          7.80         7.80         1.84         090
                                             articul.
25609.........  ............  A...........  Treat fx radial 3+       14.12           NA           NA          9.66         9.66         2.38         090
                                             frag.
25622.........  ............  A...........  Treat wrist bone          2.68         3.91         4.09          3.36         3.23         0.41         090
                                             fracture.
25624.........  ............  A...........  Treat wrist bone          4.62         5.64         5.97          4.78         4.92         0.76         090
                                             fracture.
25628.........  ............  A...........  Treat wrist bone          9.51           NA           NA          6.85         7.34         1.37         090
                                             fracture.
25630.........  ............  A...........  Treat wrist bone          2.94         3.76         3.97          3.25         3.10         0.45         090
                                             fracture.
25635.........  ............  A...........  Treat wrist bone          4.47         5.12         5.53          4.34         4.12         0.74         090
                                             fracture.
25645.........  ............  A...........  Treat wrist bone          7.31           NA           NA          5.56         6.10         1.20         090
                                             fracture.
25650.........  ............  A...........  Treat wrist bone          3.12         3.85         4.08          3.45         3.31         0.45         090
                                             fracture.
25651.........  ............  A...........  Pin ulnar styloid         5.68           NA           NA          5.15         5.32         0.86         090
                                             fracture.
25652.........  ............  A...........  Treat fracture            7.92           NA           NA          6.16         6.58         1.21         090
                                             ulnar styloid.
25660.........  ............  A...........  Treat wrist               4.84           NA           NA          4.33         4.52         0.58         090
                                             dislocation.
25670.........  ............  A...........  Treat wrist               7.98           NA           NA          5.82         6.41         1.28         090
                                             dislocation.
25671.........  ............  A...........  Pin radioulnar            6.32           NA           NA          5.54         5.85         1.00         090
                                             dislocation.
25675.........  ............  A...........  Treat wrist               4.75         4.72         5.19          4.00         4.32         0.62         090
                                             dislocation.
25676.........  ............  A...........  Treat wrist               8.17           NA           NA          6.14         6.72         1.34         090
                                             dislocation.
25680.........  ............  A...........  Treat wrist               6.08           NA           NA          4.39         4.56         0.78         090
                                             fracture.
25685.........  ............  A...........  Treat wrist               9.97           NA           NA          6.63         7.21         1.60         090
                                             fracture.
25690.........  ............  A...........  Treat wrist               5.58           NA           NA          4.85         5.18         0.88         090
                                             dislocation.
25695.........  ............  A...........  Treat wrist               8.40           NA           NA          6.01         6.55         1.32         090
                                             dislocation.
25800.........  ............  A...........  Fusion of wrist           9.95           NA           NA          6.80         7.95         1.57         090
                                             joint.
25805.........  ............  A...........  Fusion/graft of          11.59           NA           NA          7.68         8.97         1.81         090
                                             wrist joint.
25810.........  ............  A...........  Fusion/graft of          11.75           NA           NA          8.04         8.98         1.68         090
                                             wrist joint.
25820.........  ............  A...........  Fusion of hand            7.52           NA           NA          6.41         7.13         1.22         090
                                             bones.
25825.........  ............  A...........  Fuse hand bones           9.54           NA           NA          7.66         8.45         1.41         090
                                             with graft.
25830.........  ............  A...........  Fusion, radioulnar       10.69           NA           NA         10.59        12.50         1.55         090
                                             jnt/ulna.
25900.........  ............  A...........  Amputation of             9.46           NA           NA          6.74         9.66         1.30         090
                                             forearm.
25905.........  ............  A...........  Amputation of             9.48           NA           NA          6.07         9.19         1.40         090
                                             forearm.
25907.........  ............  A...........  Amputation follow-        7.98           NA           NA          5.77         8.77         1.10         090
                                             up surgery.
25909.........  ............  A...........  Amputation follow-        9.20           NA           NA          6.33         9.31         1.44         090
                                             up surgery.
25915.........  ............  A...........  Amputation of            17.38           NA           NA          5.98        12.43         2.94         090
                                             forearm.
25920.........  ............  A...........  Amputate hand at          8.92           NA           NA          6.59         7.22         1.35         090
                                             wrist.
25922.........  ............  A...........  Amputate hand at          7.54           NA           NA          6.28         6.67         1.12         090
                                             wrist.
25924.........  ............  A...........  Amputation follow-        8.70           NA           NA          6.13         7.11         1.32         090
                                             up surgery.
25927.........  ............  A...........  Amputation of hand        8.98           NA           NA          8.66        10.17         1.27         090
25929.........  ............  A...........  Amputation follow-        7.71           NA           NA          5.67         5.77         1.14         090
                                             up surgery.
25931.........  ............  A...........  Amputation follow-        7.93           NA           NA          8.33         9.90         1.15         090
                                             up 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        1.56         4.06         4.81          1.52         1.57         0.18         010
                                             abscess.
26011.........  ............  A...........  Drainage of finger        2.21         6.25         7.54          1.96         2.14         0.33         010
                                             abscess.
26020.........  ............  A...........  Drain hand tendon         4.97           NA           NA          4.74         5.05         0.73         090
                                             sheath.
26025.........  ............  A...........  Drainage of palm          4.99           NA           NA          4.46         4.79         0.76         090
                                             bursa.
26030.........  ............  A...........  Drainage of palm          6.16           NA           NA          5.00         5.36         0.92         090
                                             bursa(s).
26034.........  ............  A...........  Treat hand bone           6.49           NA           NA          5.58         5.97         1.01         090
                                             lesion.
26035.........  ............  A...........  Decompress fingers/      11.14           NA           NA          8.13         8.00         1.47         090
                                             hand.
26037.........  ............  A...........  Decompress fingers/       7.48           NA           NA          5.50         5.91         1.13         090
                                             hand.
26040.........  ............  A...........  Release palm              3.38           NA           NA          3.60         3.83         0.53         090
                                             contracture.
26045.........  ............  A...........  Release palm              5.62           NA           NA          4.89         5.27         0.93         090
                                             contracture.
26055.........  ............  A...........  Incise finger             3.00         9.05        11.70          3.83         3.88         0.43         090
                                             tendon sheath.

[[Page 2589]]

 
26060.........  ............  A...........  Incision of finger        2.85           NA           NA          3.06         3.28         0.45         090
                                             tendon.
26070.........  ............  A...........  Explore/treat hand        3.73           NA           NA          3.06         3.21         0.48         090
                                             joint.
26075.........  ............  A...........  Explore/treat             3.83           NA           NA          3.37         3.58         0.53         090
                                             finger joint.
26080.........  ............  A...........  Explore/treat             4.36           NA           NA          4.32         4.59         0.66         090
                                             finger joint.
26100.........  ............  A...........  Biopsy hand joint         3.71           NA           NA          3.67         3.90         0.54         090
                                             lining.
26105.........  ............  A...........  Biopsy finger             3.75           NA           NA          3.68         3.96         0.59         090
                                             joint lining.
26110.........  ............  A...........  Biopsy finger             3.57           NA           NA          3.61         3.83         0.53         090
                                             joint lining.
26115.........  ............  A...........  Removal hand              3.92         9.84        11.47          4.23         4.50         0.59         090
                                             lesion subcut.
26116.........  ............  A...........  Removal hand              5.61           NA           NA          5.31         5.66         0.84         090
                                             lesion, deep.
26117.........  ............  A...........  Remove tumor, hand/       8.62           NA           NA          6.19         6.63         1.26         090
                                             finger.
26121.........  ............  A...........  Release palm              7.61           NA           NA          5.93         6.45         1.17         090
                                             contracture.
26123.........  ............  A...........  Release palm             10.63           NA           NA          8.22         8.54         1.43         090
                                             contracture.
26125.........  ............  A...........  Release palm              4.60           NA           NA          1.87         2.16         0.70         ZZZ
                                             contracture.
26130.........  ............  A...........  Remove wrist joint        5.48           NA           NA          4.89         5.12         0.94         090
                                             lining.
26135.........  ............  A...........  Revise finger             7.02           NA           NA          5.47         5.97         1.07         090
                                             joint, each.
26140.........  ............  A...........  Revise finger             6.23           NA           NA          5.17         5.61         0.92         090
                                             joint, each.
26145.........  ............  A...........  Tendon excision,          6.38           NA           NA          5.19         5.62         0.97         090
                                             palm/finger.
26160.........  ............  A...........  Remove tendon             3.46         9.04        10.71          3.94         4.03         0.49         090
                                             sheath lesion.
26170.........  ............  A...........  Removal of palm           4.82           NA           NA          4.37         4.66         0.69         090
                                             tendon, each.
26180.........  ............  A...........  Removal of finger         5.24           NA           NA          4.71         5.06         0.78         090
                                             tendon.
26185.........  ............  A...........  Remove finger bone        6.32           NA           NA          5.73         5.89         0.81         090
26200.........  ............  A...........  Remove hand bone          5.56           NA           NA          4.56         4.96         0.88         090
                                             lesion.
26205.........  ............  A...........  Remove/graft bone         7.82           NA           NA          5.85         6.37         1.20         090
                                             lesion.
26210.........  ............  A...........  Removal of finger         5.21           NA           NA          4.74         5.08         0.79         090
                                             lesion.
26215.........  ............  A...........  Remove/graft              7.16           NA           NA          5.54         5.93         0.98         090
                                             finger lesion.
26230.........  ............  A...........  Partial removal of        6.38           NA           NA          4.95         5.43         1.01         090
                                             hand bone.
26235.........  ............  A...........  Partial removal,          6.24           NA           NA          4.95         5.38         0.95         090
                                             finger bone.
26236.........  ............  A...........  Partial removal,          5.37           NA           NA          4.58         4.95         0.81         090
                                             finger bone.
26250.........  ............  A...........  Extensive hand            7.61           NA           NA          5.72         6.08         1.07         090
                                             surgery.
26255.........  ............  A...........  Extensive hand           12.80           NA           NA          8.29         8.83         1.69         090
                                             surgery.
26260.........  ............  A...........  Extensive finger          7.09           NA           NA          5.47         5.83         1.01         090
                                             surgery.
26261.........  ............  A...........  Extensive finger          9.28           NA           NA          6.73         6.45         1.14         090
                                             surgery.
26262.........  ............  A...........  Partial removal of        5.72           NA           NA          4.75         5.04         0.88         090
                                             finger.
26320.........  ............  A...........  Removal of implant        4.02           NA           NA          3.79         4.05         0.59         090
                                             from hand.
26340.........  ............  A...........  Manipulate finger         2.62           NA           NA          4.61         4.74         0.39         090
                                             w/anesth.
26350.........  ............  A...........  Repair finger/hand        6.07           NA           NA          9.54        12.08         0.93         090
                                             tendon.
26352.........  ............  A...........  Repair/graft hand         7.75           NA           NA         10.07        12.72         1.13         090
                                             tendon.
26356.........  ............  A...........  Repair finger/hand       10.22           NA           NA         13.72        16.05         1.21         090
                                             tendon.
26357.........  ............  A...........  Repair finger/hand        8.65           NA           NA         10.36        13.00         1.33         090
                                             tendon.
26358.........  ............  A...........  Repair/graft hand         9.22           NA           NA         10.96        13.81         1.38         090
                                             tendon.
26370.........  ............  A...........  Repair finger/hand        7.17           NA           NA          9.51        12.31         1.12         090
                                             tendon.
26372.........  ............  A...........  Repair/graft hand         8.89           NA           NA         10.54        13.54         1.40         090
                                             tendon.
26373.........  ............  A...........  Repair finger/hand        8.29           NA           NA         10.17        13.11         1.23         090
                                             tendon.
26390.........  ............  A...........  Revise hand/finger        9.31           NA           NA          9.21        11.25         1.40         090
                                             tendon.
26392.........  ............  A...........  Repair/graft hand        10.38           NA           NA         11.17        13.95         1.57         090
                                             tendon.
26410.........  ............  A...........  Repair hand tendon        4.68           NA           NA          7.64         9.79         0.73         090
26412.........  ............  A...........  Repair/graft hand         6.37           NA           NA          8.63        10.95         0.97         090
                                             tendon.
26415.........  ............  A...........  Excision, hand/           8.40           NA           NA          7.47         9.63         0.98         090
                                             finger tendon.
26416.........  ............  A...........  Graft hand or             9.44           NA           NA          9.05        11.83         0.79         090
                                             finger tendon.
26418.........  ............  A...........  Repair finger             4.33           NA           NA          8.15        10.24         0.67         090
                                             tendon.
26420.........  ............  A...........  Repair/graft              6.83           NA           NA          8.81        11.22         1.07         090
                                             finger tendon.
26426.........  ............  A...........  Repair finger/hand        6.21           NA           NA          5.12         9.14         0.95         090
                                             tendon.
26428.........  ............  A...........  Repair/graft              7.28           NA           NA          9.26        11.57         1.09         090
                                             finger tendon.
26432.........  ............  A...........  Repair finger             4.07           NA           NA          6.79         8.53         0.64         090
                                             tendon.
26433.........  ............  A...........  Repair finger             4.61           NA           NA          7.02         8.91         0.72         090
                                             tendon.
26434.........  ............  A...........  Repair/graft              6.15           NA           NA          7.94         9.74         0.93         090
                                             finger tendon.
26437.........  ............  A...........  Realignment of            5.88           NA           NA          7.82         9.69         0.89         090
                                             tendons.
26440.........  ............  A...........  Release palm/             5.07           NA           NA          8.49        10.97         0.75         090
                                             finger tendon.
26442.........  ............  A...........  Release palm &            9.50           NA           NA         11.83        13.89         1.20         090
                                             finger tendon.
26445.........  ............  A...........  Release hand/             4.36           NA           NA          8.24        10.69         0.65         090
                                             finger tendon.
26449.........  ............  A...........  Release forearm/          8.34           NA           NA          7.28        11.53         1.06         090
                                             hand tendon.
26450.........  ............  A...........  Incision of palm          3.71           NA           NA          5.19         6.26         0.59         090
                                             tendon.
26455.........  ............  A...........  Incision of finger        3.68           NA           NA          5.15         6.22         0.58         090
                                             tendon.
26460.........  ............  A...........  Incise hand/finger        3.50           NA           NA          5.12         6.13         0.55         090
                                             tendon.
26471.........  ............  A...........  Fusion of finger          5.79           NA           NA          7.80         9.52         0.88         090
                                             tendons.
26474.........  ............  A...........  Fusion of finger          5.38           NA           NA          7.61         9.50         0.76         090
                                             tendons.
26476.........  ............  A...........  Tendon lengthening        5.24           NA           NA          7.36         9.15         0.79         090
26477.........  ............  A...........  Tendon shortening.        5.21           NA           NA          7.58         9.32         0.81         090
26478.........  ............  A...........  Lengthening of            5.86           NA           NA          7.79         9.81         0.90         090
                                             hand tendon.
26479.........  ............  A...........  Shortening of hand        5.80           NA           NA          7.74         9.65         0.92         090
                                             tendon.
26480.........  ............  A...........  Transplant hand           6.76           NA           NA          9.67        12.36         1.02         090
                                             tendon.
26483.........  ............  A...........  Transplant/graft          8.36           NA           NA         10.23        12.87         1.26         090
                                             hand tendon.

[[Page 2590]]

 
26485.........  ............  A...........  Transplant palm           7.77           NA           NA         10.09        12.73         1.15         090
                                             tendon.
26489.........  ............  A...........  Transplant/graft          9.74           NA           NA         10.83        11.45         1.26         090
                                             palm tendon.
26490.........  ............  A...........  Revise thumb              8.48           NA           NA          8.88        10.86         1.21         090
                                             tendon.
26492.........  ............  A...........  Tendon transfer           9.70           NA           NA          9.83        11.72         1.40         090
                                             with graft.
26494.........  ............  A...........  Hand tendon/muscle        8.54           NA           NA          9.24        11.11         1.28         090
                                             transfer.
26496.........  ............  A...........  Revise thumb              9.66           NA           NA          9.58        11.41         1.45         090
                                             tendon.
26497.........  ............  A...........  Finger tendon             9.64           NA           NA          9.54        11.56         1.41         090
                                             transfer.
26498.........  ............  A...........  Finger tendon            14.07           NA           NA         11.66        13.92         2.11         090
                                             transfer.
26499.........  ............  A...........  Revision of finger        9.05           NA           NA          8.86        10.95         1.35         090
26500.........  ............  A...........  Hand tendon               6.02           NA           NA          7.75         9.60         0.90         090
                                             reconstruction.
26502.........  ............  A...........  Hand tendon               7.20           NA           NA          8.33        10.18         1.13         090
                                             reconstruction.
26508.........  ............  A...........  Release thumb             6.07           NA           NA          7.80         9.74         0.98         090
                                             contracture.
26510.........  ............  A...........  Thumb tendon              5.49           NA           NA          7.64         9.49         0.79         090
                                             transfer.
26516.........  ............  A...........  Fusion of knuckle         7.21           NA           NA          8.31        10.28         1.10         090
                                             joint.
26517.........  ............  A...........  Fusion of knuckle         8.96           NA           NA          9.00        11.26         1.41         090
                                             joints.
26518.........  ............  A...........  Fusion of knuckle         9.15           NA           NA          8.97        11.18         1.35         090
                                             joints.
26520.........  ............  A...........  Release knuckle           5.36           NA           NA          8.87        11.39         0.80         090
                                             contracture.
26525.........  ............  A...........  Release finger            5.39           NA           NA          8.89        11.44         0.81         090
                                             contracture.
26530.........  ............  A...........  Revise knuckle            6.76           NA           NA          5.41         5.78         1.04         090
                                             joint.
26531.........  ............  A...........  Revise knuckle            7.99           NA           NA          6.17         6.65         1.17         090
                                             with implant.
26535.........  ............  A...........  Revise finger             5.30           NA           NA          4.09         3.92         0.71         090
                                             joint.
26536.........  ............  A...........  Revise/implant            6.44           NA           NA          9.25         9.45         0.96         090
                                             finger joint.
26540.........  ............  A...........  Repair hand joint.        6.49           NA           NA          8.06         9.97         0.99         090
26541.........  ............  A...........  Repair hand joint         8.69           NA           NA          9.12        11.26         1.28         090
                                             with graft.
26542.........  ............  A...........  Repair hand joint         6.84           NA           NA          8.20        10.12         1.02         090
                                             with graft.
26545.........  ............  A...........  Reconstruct finger        6.99           NA           NA          8.46        10.30         1.05         090
                                             joint.
26546.........  ............  A...........  Repair nonunion          10.53           NA           NA         11.43        13.24         1.44         090
                                             hand.
26548.........  ............  A...........  Reconstruct finger        8.10           NA           NA          8.81        10.83         1.20         090
                                             joint.
26550.........  ............  A...........  Construct thumb          21.54           NA           NA         14.55        16.07         2.46         090
                                             replacement.
26551.........  ............  A...........  Great toe-hand           48.23           NA           NA         17.17        24.82         7.98         090
                                             transfer.
26553.........  ............  A...........  Single transfer,         47.92           NA           NA         27.38        25.04         2.42         090
                                             toe-hand.
26554.........  ............  A...........  Double transfer,         56.73           NA           NA         35.82        36.69         9.44         090
                                             toe-hand.
26555.........  ............  A...........  Positional change        16.94           NA           NA         14.01        16.10         2.49         090
                                             of finger.
26556.........  ............  A...........  Toe joint transfer       49.43           NA           NA         18.05        25.70         2.58         090
26560.........  ............  A...........  Repair of web             5.43           NA           NA          6.65         8.23         0.85         090
                                             finger.
26561.........  ............  A...........  Repair of web            10.98           NA           NA          9.51        10.93         1.45         090
                                             finger.
26562.........  ............  A...........  Repair of web            16.40           NA           NA          8.77        12.96         2.24         090
                                             finger.
26565.........  ............  A...........  Correct metacarpal        6.80           NA           NA          8.16        10.08         1.00         090
                                             flaw.
26567.........  ............  A...........  Correct finger            6.88           NA           NA          8.12        10.04         1.04         090
                                             deformity.
26568.........  ............  A...........  Lengthen                  9.15           NA           NA         10.70        13.07         1.49         090
                                             metacarpal/finger.
26580.........  ............  A...........  Repair hand              19.50           NA           NA          9.74        11.70         2.29         090
                                             deformity.
26587.........  ............  A...........  Reconstruct extra        14.36           NA           NA          8.02         8.62         1.53         090
                                             finger.
26590.........  ............  A...........  Repair finger            18.51           NA           NA         12.43        13.19         2.78         090
                                             deformity.
26591.........  ............  A...........  Repair muscles of         3.30           NA           NA          6.22         7.92         0.48         090
                                             hand.
26593.........  ............  A...........  Release muscles of        5.38           NA           NA          7.80         9.47         0.78         090
                                             hand.
26596.........  ............  A...........  Excision                  9.02           NA           NA          7.49         8.16         1.43         090
                                             constricting
                                             tissue.
26600.........  ............  A...........  Treat metacarpal          2.48         3.84         3.73          3.49         3.07         0.30         090
                                             fracture.
26605.........  ............  A...........  Treat metacarpal          2.92         4.09         4.32          3.51         3.58         0.49         090
                                             fracture.
26607.........  ............  A...........  Treat metacarpal          5.40           NA           NA          4.89         5.58         0.87         090
                                             fracture.
26608.........  ............  A...........  Treat metacarpal          5.43           NA           NA          5.23         5.74         0.88         090
                                             fracture.
26615.........  ............  A...........  Treat metacarpal          6.91           NA           NA          6.02         5.66         0.86         090
                                             fracture.
26641.........  ............  A...........  Treat thumb               4.01         4.04         4.30          3.40         3.47         0.39         090
                                             dislocation.
26645.........  ............  A...........  Treat thumb               4.47         4.61         4.89          3.92         4.06         0.67         090
                                             fracture.
26650.........  ............  A...........  Treat thumb               5.19           NA           NA          4.89         5.79         0.94         090
                                             fracture.
26665.........  ............  A...........  Treat thumb               7.78           NA           NA          6.32         6.47         0.90         090
                                             fracture.
26670.........  ............  A...........  Treat hand                3.74         3.62         3.94          3.03         2.99         0.39         090
                                             dislocation.
26675.........  ............  A...........  Treat hand                4.71         5.26         5.37          4.52         4.49         0.77         090
                                             dislocation.
26676.........  ............  A...........  Pin hand                  5.60           NA           NA          5.57         6.13         0.91         090
                                             dislocation.
26685.........  ............  A...........  Treat hand                6.91           NA           NA          5.97         6.06         1.09         090
                                             dislocation.
26686.........  ............  A...........  Treat hand                8.06           NA           NA          6.08         6.49         1.24         090
                                             dislocation.
26700.........  ............  A...........  Treat knuckle             3.74         3.30         3.53          2.93         2.90         0.35         090
                                             dislocation.
26705.........  ............  A...........  Treat knuckle             4.26         4.75         5.04          4.04         4.17         0.66         090
                                             dislocation.
26706.........  ............  A...........  Pin knuckle               5.19           NA           NA          4.70         4.90         0.81         090
                                             dislocation.
26715.........  ............  A...........  Treat knuckle             6.87           NA           NA          6.00         5.76         0.91         090
                                             dislocation.
26720.........  ............  A...........  Treat finger              1.70         2.58         2.68          2.30         2.18         0.24         090
                                             fracture, each.
26725.........  ............  A...........  Treat finger              3.39         4.09         4.43          3.41         3.46         0.53         090
                                             fracture, each.
26727.........  ............  A...........  Treat finger              5.30           NA           NA          5.18         5.71         0.84         090
                                             fracture, each.
26735.........  ............  A...........  Treat finger              7.26           NA           NA          6.13         5.84         0.95         090
                                             fracture, each.
26740.........  ............  A...........  Treat finger              1.99         3.01         3.07          2.72         2.71         0.31         090
                                             fracture, each.
26742.........  ............  A...........  Treat finger              3.90         4.27         4.63          3.57         3.72         0.58         090
                                             fracture, each.
26746.........  ............  A...........  Treat finger              9.59           NA           NA          7.20         6.38         0.91         090
                                             fracture, each.
26750.........  ............  A...........  Treat finger              1.74         2.25         2.37          2.26         2.14         0.22         090
                                             fracture, each.

[[Page 2591]]

 
26755.........  ............  A...........  Treat finger              3.15         3.75         4.08          2.94         2.97         0.42         090
                                             fracture, each.
26756.........  ............  A...........  Pin finger                4.46           NA           NA          4.86         5.29         0.71         090
                                             fracture, each.
26765.........  ............  A...........  Treat finger              5.70           NA           NA          5.47         4.93         0.66         090
                                             fracture, each.
26770.........  ............  A...........  Treat finger              3.07         2.92         3.18          2.55         2.48         0.27         090
                                             dislocation.
26775.........  ............  A...........  Treat finger              3.78         4.62         4.91          3.88         3.85         0.54         090
                                             dislocation.
26776.........  ............  A...........  Pin finger                4.87           NA           NA          4.99         5.50         0.77         090
                                             dislocation.
26785.........  ............  A...........  Treat finger              6.44           NA           NA          5.78         5.15         0.68         090
                                             dislocation.
26820.........  ............  A...........  Thumb fusion with         8.33           NA           NA          8.97        11.11         1.30         090
                                             graft.
26841.........  ............  A...........  Fusion of thumb...        7.21           NA           NA          8.77        11.00         1.18         090
26842.........  ............  A...........  Thumb fusion with         8.37           NA           NA          9.02        11.20         1.32         090
                                             graft.
26843.........  ............  A...........  Fusion of hand            7.67           NA           NA          8.57        10.46         1.15         090
                                             joint.
26844.........  ............  A...........  Fusion/graft of           8.86           NA           NA          9.16        11.27         1.33         090
                                             hand joint.
26850.........  ............  A...........  Fusion of knuckle.        7.03           NA           NA          8.27        10.24         1.06         090
26852.........  ............  A...........  Fusion of knuckle         8.59           NA           NA          9.14        11.02         1.22         090
                                             with graft.
26860.........  ............  A...........  Fusion of finger          4.76           NA           NA          7.54         9.37         0.73         090
                                             joint.
26861.........  ............  A...........  Fusion of finger          1.74           NA           NA          0.70         0.82         0.27         ZZZ
                                             jnt, add-on.
26862.........  ............  A...........  Fusion/graft of           7.44           NA           NA          8.67        10.51         1.10         090
                                             finger joint.
26863.........  ............  A...........  Fuse/graft added          3.89           NA           NA          1.58         1.85         0.56         ZZZ
                                             joint.
26910.........  ............  A...........  Amputate                  7.67           NA           NA          8.28         9.75         1.16         090
                                             metacarpal bone.
26951.........  ............  A...........  Amputation of             5.85           NA           NA          8.40         9.28         0.71         090
                                             finger/thumb.
26952.........  ............  A...........  Amputation of             6.37           NA           NA          7.91         9.79         0.95         090
                                             finger/thumb.
26989.........  ............  C...........  Hand/finger               0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             surgery.
26990.........  ............  A...........  Drainage of pelvis        7.84           NA           NA          6.21         6.71         1.22         090
                                             lesion.
26991.........  ............  A...........  Drainage of pelvis        6.97         8.62         9.89          4.88         5.16         1.11         090
                                             bursa.
26992.........  ............  A...........  Drainage of bone         13.37           NA           NA          8.42         9.40         2.17         090
                                             lesion.
27000.........  ............  A...........  Incision of hip           5.66           NA           NA          4.51         4.90         0.98         090
                                             tendon.
27001.........  ............  A...........  Incision of hip           7.05           NA           NA          5.23         5.66         1.24         090
                                             tendon.
27003.........  ............  A...........  Incision of hip           7.70           NA           NA          5.73         6.11         1.12         090
                                             tendon.
27005.........  ............  A...........  Incision of hip           9.96           NA           NA          6.49         7.15         1.73         090
                                             tendon.
27006.........  ............  A...........  Incision of hip           9.99           NA           NA          6.76         7.37         1.70         090
                                             tendons.
27025.........  ............  A...........  Incision of hip/         12.66           NA           NA          8.21         8.38         1.85         090
                                             thigh fascia.
27030.........  ............  A...........  Drainage of hip          13.54           NA           NA          8.04         8.84         2.27         090
                                             joint.
27033.........  ............  A...........  Exploration of hip       13.99           NA           NA          8.40         9.16         2.33         090
                                             joint.
27035.........  ............  A...........  Denervation of hip       17.23           NA           NA          8.53         9.88         2.16         090
                                             joint.
27036.........  ............  A...........  Excision of hip          14.18           NA           NA          8.92         9.47         2.27         090
                                             joint/muscle.
27040.........  ............  A...........  Biopsy of soft            2.89         5.19         5.22          1.87         1.94         0.27         010
                                             tissues.
27041.........  ............  A...........  Biopsy of soft           10.07           NA           NA          5.74         6.19         1.35         090
                                             tissues.
27047.........  ............  A...........  Remove hip/pelvis         7.51         7.03         7.07          4.50         4.63         1.03         090
                                             lesion.
27048.........  ............  A...........  Remove hip/pelvis         6.44           NA           NA          4.61         4.70         0.92         090
                                             lesion.
27049.........  ............  A...........  Remove tumor, hip/       15.20           NA           NA          8.17         8.29         2.07         090
                                             pelvis.
27050.........  ............  A...........  Biopsy of                 4.65           NA           NA          3.01         3.72         0.60         090
                                             sacroiliac joint.
27052.........  ............  A...........  Biopsy of hip             7.27           NA           NA          5.65         5.77         1.08         090
                                             joint.
27054.........  ............  A...........  Removal of hip            9.09           NA           NA          6.49         6.92         1.47         090
                                             joint lining.
27060.........  ............  A...........  Removal of ischial        5.78           NA           NA          4.37         4.37         0.80         090
                                             bursa.
27062.........  ............  A...........  Remove femur              5.66           NA           NA          4.60         4.90         0.93         090
                                             lesion/bursa.
27065.........  ............  A...........  Removal of hip            6.44           NA           NA          4.99         5.22         1.01         090
                                             bone lesion.
27066.........  ............  A...........  Removal of hip           11.06           NA           NA          7.44         7.94         1.80         090
                                             bone lesion.
27067.........  ............  A...........  Remove/graft hip         14.57           NA           NA          8.85         9.76         1.85         090
                                             bone lesion.
27070.........  ............  A...........  Partial removal of       11.44           NA           NA          8.03         8.59         1.75         090
                                             hip bone.
27071.........  ............  A...........  Partial removal of       12.25           NA           NA          8.48         9.31         1.93         090
                                             hip bone.
27075.........  ............  A...........  Extensive hip            36.77           NA           NA         16.15        17.68         5.66         090
                                             surgery.
27076.........  ............  A...........  Extensive hip            24.25           NA           NA         12.83        13.68         3.71         090
                                             surgery.
27077.........  ............  A...........  Extensive hip            42.54           NA           NA         19.95        21.31         6.14         090
                                             surgery.
27078.........  ............  A...........  Extensive hip            14.54           NA           NA          8.82         9.38         2.23         090
                                             surgery.
27079.........  ............  A...........  Extensive hip            14.91           NA           NA          8.01         8.78         1.95         090
                                             surgery.
27080.........  ............  A...........  Removal of tail           6.80           NA           NA          4.59         4.71         0.93         090
                                             bone.
27086.........  ............  A...........  Remove hip foreign        1.89         3.66         4.11          1.48         1.65         0.25         010
                                             body.
27087.........  ............  A...........  Remove hip foreign        8.72           NA           NA          5.66         6.16         1.35         090
                                             body.
27090.........  ............  A...........  Removal of hip           11.57           NA           NA          7.41         8.10         1.95         090
                                             prosthesis.
27091.........  ............  A...........  Removal of hip           24.15           NA           NA         12.91        13.46         3.85         090
                                             prosthesis.
27093.........  ............  A...........  Injection for hip         1.30         3.15         3.81          0.47         0.48         0.13         000
                                             x-ray.
27095.........  ............  A...........  Injection for hip         1.50         3.71         4.72          0.51         0.51         0.14         000
                                             x-ray.
27096.........  ............  A...........  Inject sacroiliac         1.40         2.52         3.44          0.33         0.33         0.08         000
                                             joint.
27097.........  ............  A...........  Revision of hip           9.16           NA           NA          6.34         6.38         1.57         090
                                             tendon.
27098.........  ............  A...........  Transfer tendon to        9.20           NA           NA          4.91         5.97         0.95         090
                                             pelvis.
27100.........  ............  A...........  Transfer of              11.21           NA           NA          7.40         8.04         1.86         090
                                             abdominal muscle.
27105.........  ............  A...........  Transfer of spinal       11.90           NA           NA          7.36         8.26         1.73         090
                                             muscle.
27110.........  ............  A...........  Transfer of              13.63           NA           NA          8.28         8.70         2.19         090
                                             iliopsoas muscle.
27111.........  ............  A...........  Transfer of              12.46           NA           NA          8.07         8.61         1.95         090
                                             iliopsoas muscle.
27120.........  ............  A...........  Reconstruction of        19.10           NA           NA         10.82        11.33         3.09         090
                                             hip socket.
27122.........  ............  A...........  Reconstruction of        15.95           NA           NA          9.44        10.24         2.62         090
                                             hip socket.
27125.........  ............  A...........  Partial hip              16.46           NA           NA          9.60        10.11         2.55         090
                                             replacement.

[[Page 2592]]

 
27130.........  ............  A...........  Total hip                21.61           NA           NA         11.77        12.54         3.51         090
                                             arthroplasty.
27132.........  ............  A...........  Total hip                25.49           NA           NA         13.43        14.54         4.05         090
                                             arthroplasty.
27134.........  ............  A...........  Revise hip joint         30.13           NA           NA         14.69        16.25         4.95         090
                                             replacement.
27137.........  ............  A...........  Revise hip joint         22.55           NA           NA         11.73        12.84         3.68         090
                                             replacement.
27138.........  ............  A...........  Revise hip joint         23.55           NA           NA         12.12        13.26         3.85         090
                                             replacement.
27140.........  ............  A...........  Transplant femur         12.66           NA           NA          7.88         8.65         2.12         090
                                             ridge.
27146.........  ............  A...........  Incision of hip          18.72           NA           NA         10.69        11.42         2.97         090
                                             bone.
27147.........  ............  A...........  Revision of hip          21.87           NA           NA         12.02        12.64         3.58         090
                                             bone.
27151.........  ............  A...........  Incision of hip          23.92           NA           NA         12.89        10.42         3.92         090
                                             bones.
27156.........  ............  A...........  Revision of hip          26.03           NA           NA         13.72        14.90         4.22         090
                                             bones.
27158.........  ............  A...........  Revision of pelvis       20.89           NA           NA         11.52        11.25         3.17         090
27161.........  ............  A...........  Incision of neck         17.74           NA           NA         10.36        11.24         2.95         090
                                             of femur.
27165.........  ............  A...........  Incision/fixation        20.06           NA           NA         11.58        12.25         3.11         090
                                             of femur.
27170.........  ............  A...........  Repair/graft femur       17.46           NA           NA          9.76        10.53         2.82         090
                                             head/neck.
27175.........  ............  A...........  Treat slipped             9.29           NA           NA          5.17         5.92         1.46         090
                                             epiphysis.
27176.........  ............  A...........  Treat slipped            12.78           NA           NA          8.18         8.60         2.23         090
                                             epiphysis.
27177.........  ............  A...........  Treat slipped            15.94           NA           NA          9.64        10.27         2.62         090
                                             epiphysis.
27178.........  ............  A...........  Treat slipped            12.78           NA           NA          7.98         8.20         2.09         090
                                             epiphysis.
27179.........  ............  A...........  Revise head/neck         13.83           NA           NA          8.57         9.29         2.26         090
                                             of femur.
27181.........  ............  A...........  Treat slipped            15.98           NA           NA          9.74         9.98         1.57         090
                                             epiphysis.
27185.........  ............  A...........  Revision of femur         9.67           NA           NA          6.65         7.08         2.40         090
                                             epiphysis.
27187.........  ............  A...........  Reinforce hip            14.09           NA           NA          8.69         9.51         2.38         090
                                             bones.
27193.........  ............  A...........  Treat pelvic ring         5.98         4.63         4.86          4.76         4.92         0.96         090
                                             fracture.
27194.........  ............  A...........  Treat pelvic ring        10.08           NA           NA          6.61         7.13         1.65         090
                                             fracture.
27200.........  ............  A...........  Treat tail bone           1.87         2.08         2.15          2.22         2.19         0.28         090
                                             fracture.
27202.........  ............  A...........  Treat tail bone           7.25           NA           NA          4.91        10.89         1.06         090
                                             fracture.
27215.........  ............  A...........  Treat pelvic             10.45           NA           NA          6.55         6.82         1.98         090
                                             fracture(s).
27216.........  ............  A...........  Treat pelvic ring        15.73           NA           NA          9.14         9.37         2.64         090
                                             fracture.
27217.........  ............  A...........  Treat pelvic ring        14.65           NA           NA          8.63         9.39         2.42         090
                                             fracture.
27218.........  ............  A...........  Treat pelvic ring        20.93           NA           NA         11.33        11.37         3.49         090
                                             fracture.
27220.........  ............  A...........  Treat hip socket          6.72         5.25         5.49          5.15         5.39         1.07         090
                                             fracture.
27222.........  ............  A...........  Treat hip socket         13.97           NA           NA          8.52         9.25         2.20         090
                                             fracture.
27226.........  ............  A...........  Treat hip wall           15.45           NA           NA          8.93         8.37         2.49         090
                                             fracture.
27227.........  ............  A...........  Treat hip                25.21           NA           NA         13.38        14.39         4.06         090
                                             fracture(s).
27228.........  ............  A...........  Treat hip                29.13           NA           NA         14.85        16.24         4.67         090
                                             fracture(s).
27230.........  ............  A...........  Treat thigh               5.69         4.93         5.23          4.87         4.98         0.95         090
                                             fracture.
27232.........  ............  A...........  Treat thigh              11.66           NA           NA          6.10         6.64         1.86         090
                                             fracture.
27235.........  ............  A...........  Treat thigh              12.88           NA           NA          7.98         8.72         2.12         090
                                             fracture.
27236.........  ............  A...........  Treat thigh              17.43           NA           NA         10.14        10.60         2.72         090
                                             fracture.
27238.........  ............  A...........  Treat thigh               5.64           NA           NA          4.65         4.90         0.89         090
                                             fracture.
27240.........  ............  A...........  Treat thigh              13.66           NA           NA          8.21         8.84         2.17         090
                                             fracture.
27244.........  ............  A...........  Treat thigh              17.08           NA           NA          9.62        10.46         2.78         090
                                             fracture.
27245.........  ............  A...........  Treat thigh              21.09           NA           NA         11.34        12.55         3.53         090
                                             fracture.
27246.........  ............  A...........  Treat thigh               4.75         3.91         4.18          3.95         4.18         0.81         090
                                             fracture.
27248.........  ............  A...........  Treat thigh              10.64           NA           NA          6.38         7.30         1.82         090
                                             fracture.
27250.........  ............  A...........  Treat hip                 7.21           NA           NA          4.30         4.46         0.62         090
                                             dislocation.
27252.........  ............  A...........  Treat hip                10.92           NA           NA          6.49         6.96         1.66         090
                                             dislocation.
27253.........  ............  A...........  Treat hip                13.46           NA           NA          8.17         8.98         2.25         090
                                             dislocation.
27254.........  ............  A...........  Treat hip                18.80           NA           NA         10.54        11.28         3.18         090
                                             dislocation.
27256.........  ............  A...........  Treat hip                 4.25         2.52         3.02          1.41         1.75         0.46         010
                                             dislocation.
27257.........  ............  A...........  Treat hip                 5.35           NA           NA          2.54         2.68         0.69         010
                                             dislocation.
27258.........  ............  A...........  Treat hip                16.04           NA           NA          9.48        10.18         2.65         090
                                             dislocation.
27259.........  ............  A...........  Treat hip                23.03           NA           NA         12.78        13.45         3.75         090
                                             dislocation.
27265.........  ............  A...........  Treat hip                 5.12           NA           NA          3.95         4.37         0.63         090
                                             dislocation.
27266.........  ............  A...........  Treat hip                 7.67           NA           NA          5.51         5.93         1.29         090
                                             dislocation.
27267.........  ............  A...........  Cltx thigh fx.....        5.38           NA           NA          4.40         4.40         0.89         090
27268.........  ............  A...........  Cltx thigh fx w/          7.00           NA           NA          5.02         5.02         1.16         090
                                             mnpj.
27269.........  ............  A...........  Optx thigh fx.....       18.75           NA           NA          9.89         9.89         2.93         090
27275.........  ............  A...........  Manipulation of           2.29           NA           NA          1.85         1.98         0.39         010
                                             hip joint.
27280.........  ............  A...........  Fusion of                14.49           NA           NA          8.88         9.58         2.54         090
                                             sacroiliac joint.
27282.........  ............  A...........  Fusion of pubic          11.71           NA           NA          7.78         7.89         1.87         090
                                             bones.
27284.........  ............  A...........  Fusion of hip            24.91           NA           NA         12.01        13.39         3.93         090
                                             joint.
27286.........  ............  A...........  Fusion of hip            24.97           NA           NA         12.61        14.21         3.13         090
                                             joint.
27290.........  ............  A...........  Amputation of leg        24.38           NA           NA         12.11        13.09         3.44         090
                                             at hip.
27295.........  ............  A...........  Amputation of leg        19.54           NA           NA          9.59        10.45         2.96         090
                                             at 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          6.67         8.20         9.14          4.65         4.89         1.04         090
                                             lesion.
27303.........  ............  A...........  Drainage of bone          8.52           NA           NA          5.99         6.49         1.43         090
                                             lesion.
27305.........  ............  A...........  Incise thigh              6.09           NA           NA          4.68         4.93         1.01         090
                                             tendon & fascia.
27306.........  ............  A...........  Incision of thigh         4.66           NA           NA          4.08         4.40         0.85         090
                                             tendon.
27307.........  ............  A...........  Incision of thigh         5.97           NA           NA          4.74         5.06         1.04         090
                                             tendons.
27310.........  ............  A...........  Exploration of            9.88           NA           NA          6.78         7.18         1.61         090
                                             knee joint.

[[Page 2593]]

 
27323.........  ............  A...........  Biopsy, thigh soft        2.30         4.20         3.86          1.93         1.91         0.24         010
                                             tissues.
27324.........  ............  A...........  Biopsy, thigh soft        4.95           NA           NA          3.82         4.00         0.75         090
                                             tissues.
27325.........  ............  A...........  Neurectomy,               7.09           NA           NA          4.99         4.97         1.09         090
                                             hamstring.
27326.........  ............  A...........  Neurectomy,               6.36           NA           NA          5.12         5.18         1.06         090
                                             popliteal.
27327.........  ............  A...........  Removal of thigh          4.52         6.04         6.02          3.58         3.65         0.64         090
                                             lesion.
27328.........  ............  A...........  Removal of thigh          5.62           NA           NA          4.07         4.22         0.84         090
                                             lesion.
27329.........  ............  A...........  Remove tumor,            15.68           NA           NA          8.47         8.75         2.15         090
                                             thigh/knee.
27330.........  ............  A...........  Biopsy, knee joint        5.02           NA           NA          4.26         4.42         0.86         090
                                             lining.
27331.........  ............  A...........  Explore/treat knee        5.93           NA           NA          4.80         5.16         1.02         090
                                             joint.
27332.........  ............  A...........  Removal of knee           8.34           NA           NA          6.12         6.62         1.43         090
                                             cartilage.
27333.........  ............  A...........  Removal of knee           7.43           NA           NA          5.69         6.18         1.26         090
                                             cartilage.
27334.........  ............  A...........  Remove knee joint         9.07           NA           NA          6.43         6.92         1.51         090
                                             lining.
27335.........  ............  A...........  Remove knee joint        10.43           NA           NA          7.02         7.62         1.75         090
                                             lining.
27340.........  ............  A...........  Removal of kneecap        4.23           NA           NA          4.04         4.30         0.72         090
                                             bursa.
27345.........  ............  A...........  Removal of knee           5.98           NA           NA          4.89         5.26         1.00         090
                                             cyst.
27347.........  ............  A...........  Remove knee cyst..        6.58           NA           NA          5.26         5.34         0.98         090
27350.........  ............  A...........  Removal of kneecap        8.54           NA           NA          6.25         6.75         1.41         090
27355.........  ............  A...........  Remove femur              7.89           NA           NA          5.81         6.29         1.32         090
                                             lesion.
27356.........  ............  A...........  Remove femur              9.97           NA           NA          6.84         7.34         1.65         090
                                             lesion/graft.
27357.........  ............  A...........  Remove femur             11.02           NA           NA          7.48         8.09         1.96         090
                                             lesion/graft.
27358.........  ............  A...........  Remove femur              4.73           NA           NA          1.81         2.17         0.82         ZZZ
                                             lesion/fixation.
27360.........  ............  A...........  Partial removal,         11.34           NA           NA          8.05         8.81         1.84         090
                                             leg bone(s).
27365.........  ............  A...........  Extensive leg            17.93           NA           NA         10.42        11.05         2.80         090
                                             surgery.
27370.........  ............  A...........  Injection for knee        0.96         3.00         3.36          0.36         0.34         0.08         000
                                             x-ray.
27372.........  ............  A...........  Removal of foreign        5.12         8.31         9.18          4.04         4.36         0.84         090
                                             body.
27380.........  ............  A...........  Repair of kneecap         7.34           NA           NA          6.06         6.67         1.24         090
                                             tendon.
27381.........  ............  A...........  Repair/graft             10.64           NA           NA          7.56         8.33         1.80         090
                                             kneecap tendon.
27385.........  ............  A...........  Repair of thigh           8.00           NA           NA          6.31         6.97         1.36         090
                                             muscle.
27386.........  ............  A...........  Repair/graft of          10.99           NA           NA          7.93         8.72         1.86         090
                                             thigh muscle.
27390.........  ............  A...........  Incision of thigh         5.44           NA           NA          4.47         4.79         0.92         090
                                             tendon.
27391.........  ............  A...........  Incision of thigh         7.38           NA           NA          5.55         6.06         1.23         090
                                             tendons.
27392.........  ............  A...........  Incision of thigh         9.51           NA           NA          6.67         7.13         1.57         090
                                             tendons.
27393.........  ............  A...........  Lengthening of            6.50           NA           NA          4.96         5.40         1.10         090
                                             thigh tendon.
27394.........  ............  A...........  Lengthening of            8.68           NA           NA          6.15         6.69         1.47         090
                                             thigh tendons.
27395.........  ............  A...........  Lengthening of           12.10           NA           NA          7.93         8.63         2.05         090
                                             thigh tendons.
27396.........  ............  A...........  Transplant of             8.04           NA           NA          5.83         6.42         1.34         090
                                             thigh tendon.
27397.........  ............  A...........  Transplants of           12.46           NA           NA          8.35         8.70         1.83         090
                                             thigh tendons.
27400.........  ............  A...........  Revise thigh              9.21           NA           NA          6.51         6.88         1.31         090
                                             muscles/tendons.
27403.........  ............  A...........  Repair of knee            8.51           NA           NA          6.03         6.61         1.44         090
                                             cartilage.
27405.........  ............  A...........  Repair of knee            8.96           NA           NA          6.39         6.94         1.51         090
                                             ligament.
27407.........  ............  A...........  Repair of knee           10.71           NA           NA          6.83         7.58         1.79         090
                                             ligament.
27409.........  ............  A...........  Repair of knee           13.57           NA           NA          8.26         9.11         2.25         090
                                             ligaments.
27412.........  ............  A...........  Autochondrocyte          24.53           NA           NA         13.66        14.23         4.36         090
                                             implant knee.
27415.........  ............  A...........  Osteochondral knee       19.79           NA           NA         11.79        12.17         4.36         090
                                             allograft.
27416.........  ............  A...........  Osteochondral knee       14.00           NA           NA          8.39         8.39         2.32         090
                                             autograft.
27418.........  ............  A...........  Repair degenerated       11.46           NA           NA          7.57         8.24         1.89         090
                                             kneecap.
27420.........  ............  A...........  Revision of              10.14           NA           NA          6.91         7.51         1.72         090
                                             unstable kneecap.
27422.........  ............  A...........  Revision of              10.09           NA           NA          6.88         7.50         1.71         090
                                             unstable kneecap.
27424.........  ............  A...........  Revision/removal         10.12           NA           NA          6.90         7.50         1.71         090
                                             of kneecap.
27425.........  ............  A...........  Lat retinacular           5.28           NA           NA          4.70         5.12         0.90         090
                                             release open.
27427.........  ............  A...........  Reconstruction,           9.67           NA           NA          6.70         7.25         1.63         090
                                             knee.
27428.........  ............  A...........  Reconstruction,          15.33           NA           NA         10.05        10.65         2.43         090
                                             knee.
27429.........  ............  A...........  Reconstruction,          17.24           NA           NA         11.26        11.84         2.71         090
                                             knee.
27430.........  ............  A...........  Revision of thigh        10.04           NA           NA          6.84         7.42         1.70         090
                                             muscles.
27435.........  ............  A...........  Incision of knee         10.68           NA           NA          7.59         8.04         1.70         090
                                             joint.
27437.........  ............  A...........  Revise kneecap....        8.82           NA           NA          6.19         6.72         1.49         090
27438.........  ............  A...........  Revise kneecap           11.77           NA           NA          7.50         8.02         1.96         090
                                             with implant.
27440.........  ............  A...........  Revision of knee         10.97           NA           NA          7.00         6.50         1.82         090
                                             joint.
27441.........  ............  A...........  Revision of knee         11.42           NA           NA          7.36         7.04         1.89         090
                                             joint.
27442.........  ............  A...........  Revision of knee         12.25           NA           NA          7.64         8.28         2.10         090
                                             joint.
27443.........  ............  A...........  Revision of knee         11.29           NA           NA          7.35         8.04         1.91         090
                                             joint.
27445.........  ............  A...........  Revision of knee         18.52           NA           NA         10.42        11.39         3.09         090
                                             joint.
27446.........  ............  A...........  Revision of knee         16.26           NA           NA          9.29        10.28         2.81         090
                                             joint.
27447.........  ............  A...........  Total knee               23.04           NA           NA         12.58        13.59         3.80         090
                                             arthroplasty.
27448.........  ............  A...........  Incision of thigh.       11.48           NA           NA          7.32         7.96         1.95         090
27450.........  ............  A...........  Incision of thigh.       14.47           NA           NA          8.84         9.71         2.43         090
27454.........  ............  A...........  Realignment of           18.97           NA           NA         10.73        11.62         3.13         090
                                             thigh bone.
27455.........  ............  A...........  Realignment of           13.24           NA           NA          8.31         9.10         2.25         090
                                             knee.
27457.........  ............  A...........  Realignment of           13.92           NA           NA          8.23         9.08         2.35         090
                                             knee.
27465.........  ............  A...........  Shortening of            18.44           NA           NA         10.29        10.26         2.48         090
                                             thigh bone.
27466.........  ............  A...........  Lengthening of           17.13           NA           NA         10.06        10.95         2.78         090
                                             thigh bone.
27468.........  ............  A...........  Shorten/lengthen         19.82           NA           NA         11.17        11.77         3.31         090
                                             thighs.

[[Page 2594]]

 
27470.........  ............  A...........  Repair of thigh...       16.97           NA           NA         10.16        10.98         2.80         090
27472.........  ............  A...........  Repair/graft of          18.57           NA           NA         10.64        11.67         3.08         090
                                             thigh.
27475.........  ............  A...........  Surgery to stop           8.82           NA           NA          6.20         6.71         1.36         090
                                             leg growth.
27477.........  ............  A...........  Surgery to stop          10.03           NA           NA          6.60         7.17         1.74         090
                                             leg growth.
27479.........  ............  A...........  Surgery to stop          13.04           NA           NA          8.85         9.25         2.79         090
                                             leg growth.
27485.........  ............  A...........  Surgery to stop           9.02           NA           NA          6.22         6.81         1.53         090
                                             leg growth.
27486.........  ............  A...........  Revise/replace           20.92           NA           NA         11.63        12.57         3.37         090
                                             knee joint.
27487.........  ............  A...........  Revise/replace           26.91           NA           NA         13.98        15.27         4.40         090
                                             knee joint.
27488.........  ............  A...........  Removal of knee          17.40           NA           NA         10.25        10.98         2.75         090
                                             prosthesis.
27495.........  ............  A...........  Reinforce thigh...       16.40           NA           NA          9.60        10.51         2.72         090
27496.........  ............  A...........  Decompression of          6.66           NA           NA          4.98         5.29         0.99         090
                                             thigh/knee.
27497.........  ............  A...........  Decompression of          7.70           NA           NA          4.99         5.21         1.15         090
                                             thigh/knee.
27498.........  ............  A...........  Decompression of          8.54           NA           NA          5.19         5.57         1.24         090
                                             thigh/knee.
27499.........  ............  A...........  Decompression of          9.31           NA           NA          5.98         6.40         1.47         090
                                             thigh/knee.
27500.........  ............  A...........  Treatment of thigh        6.21         5.36         5.75          4.58         4.79         1.02         090
                                             fracture.
27501.........  ............  A...........  Treatment of thigh        6.34         5.01         5.40          4.92         5.15         1.03         090
                                             fracture.
27502.........  ............  A...........  Treatment of thigh       11.24           NA           NA          6.86         7.49         1.79         090
                                             fracture.
27503.........  ............  A...........  Treatment of thigh       11.13           NA           NA          7.22         7.75         1.85         090
                                             fracture.
27506.........  ............  A...........  Treatment of thigh       19.42           NA           NA         11.37        12.08         3.04         090
                                             fracture.
27507.........  ............  A...........  Treatment of thigh       14.39           NA           NA          8.13         8.99         2.43         090
                                             fracture.
27508.........  ............  A...........  Treatment of thigh        6.08         5.69         6.08          5.05         5.27         0.97         090
                                             fracture.
27509.........  ............  A...........  Treatment of thigh        8.02           NA           NA          6.54         7.25         1.34         090
                                             fracture.
27510.........  ............  A...........  Treatment of thigh        9.68           NA           NA          6.27         6.80         1.53         090
                                             fracture.
27511.........  ............  A...........  Treatment of thigh       14.97           NA           NA          8.11         9.66         2.38         090
                                             fracture.
27513.........  ............  A...........  Treatment of thigh       19.11           NA           NA          9.75        11.82         3.13         090
                                             fracture.
27514.........  ............  A...........  Treatment of thigh       14.46           NA           NA          7.89        10.62         3.01         090
                                             fracture.
27516.........  ............  A...........  Treat thigh fx            5.45         5.72         6.04          5.07         5.30         0.81         090
                                             growth plate.
27517.........  ............  A...........  Treat thigh fx            8.98           NA           NA          6.42         6.94         1.22         090
                                             growth plate.
27519.........  ............  A...........  Treat thigh fx           13.11           NA           NA          7.39         9.49         2.56         090
                                             growth plate.
27520.........  ............  A...........  Treat kneecap             2.93         4.10         4.32          3.53         3.48         0.47         090
                                             fracture.
27524.........  ............  A...........  Treat kneecap            10.25           NA           NA          6.94         7.59         1.75         090
                                             fracture.
27530.........  ............  A...........  Treat knee                3.97         4.82         5.07          4.26         4.34         0.65         090
                                             fracture.
27532.........  ............  A...........  Treat knee                7.43         6.40         6.88          5.63         6.04         1.26         090
                                             fracture.
27535.........  ............  A...........  Treat knee               13.27           NA           NA          7.45         8.78         2.01         090
                                             fracture.
27536.........  ............  A...........  Treat knee               17.19           NA           NA         10.20        10.91         2.74         090
                                             fracture.
27538.........  ............  A...........  Treat knee                4.95         5.51         5.83          4.89         5.05         0.84         090
                                             fracture(s).
27540.........  ............  A...........  Treat knee               11.16           NA           NA          7.39         8.45         2.28         090
                                             fracture.
27550.........  ............  A...........  Treat knee                5.84         5.21         5.62          4.51         4.72         0.76         090
                                             dislocation.
27552.........  ............  A...........  Treat knee                8.04           NA           NA          6.09         6.52         1.36         090
                                             dislocation.
27556.........  ............  A...........  Treat knee               12.86           NA           NA          7.26         9.46         2.51         090
                                             dislocation.
27557.........  ............  A...........  Treat knee               15.76           NA           NA          8.45        10.79         2.98         090
                                             dislocation.
27558.........  ............  A...........  Treat knee               18.25           NA           NA          9.29        11.17         3.09         090
                                             dislocation.
27560.........  ............  A...........  Treat kneecap             3.88         4.25         4.54          3.72         3.45         0.40         090
                                             dislocation.
27562.........  ............  A...........  Treat kneecap             5.86           NA           NA          4.61         4.69         0.94         090
                                             dislocation.
27566.........  ............  A...........  Treat kneecap            12.59           NA           NA          7.89         8.61         2.13         090
                                             dislocation.
27570.........  ............  A...........  Fixation of knee          1.76           NA           NA          1.62         1.70         0.30         010
                                             joint.
27580.........  ............  A...........  Fusion of knee....       20.90           NA           NA         12.19        13.50         3.38         090
27590.........  ............  A...........  Amputate leg at          13.35           NA           NA          6.02         6.35         1.75         090
                                             thigh.
27591.........  ............  A...........  Amputate leg at          13.82           NA           NA          7.35         8.00         2.03         090
                                             thigh.
27592.........  ............  A...........  Amputate leg at          10.86           NA           NA          5.45         5.81         1.45         090
                                             thigh.
27594.........  ............  A...........  Amputation follow-        7.17           NA           NA          4.73         4.95         1.02         090
                                             up surgery.
27596.........  ............  A...........  Amputation follow-       11.15           NA           NA          5.98         6.40         1.57         090
                                             up surgery.
27598.........  ............  A...........  Amputate lower leg       11.08           NA           NA          6.20         6.61         1.65         090
                                             at knee.
27599.........  ............  C...........  Leg surgery               0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
27600.........  ............  A...........  Decompression of          5.94           NA           NA          3.80         4.16         0.86         090
                                             lower leg.
27601.........  ............  A...........  Decompression of          5.94           NA           NA          4.18         4.51         0.80         090
                                             lower leg.
27602.........  ............  A...........  Decompression of          7.71           NA           NA          4.29         4.71         1.10         090
                                             lower leg.
27603.........  ............  A...........  Drain lower leg           5.12         7.05         7.27          3.90         4.03         0.74         090
                                             lesion.
27604.........  ............  A...........  Drain lower leg           4.51         6.49         6.29          3.43         3.69         0.69         090
                                             bursa.
27605.........  ............  A...........  Incision of               2.89         5.16         6.42          1.74         2.03         0.41         010
                                             achilles tendon.
27606.........  ............  A...........  Incision of               4.15           NA           NA          2.63         2.99         0.69         010
                                             achilles tendon.
27607.........  ............  A...........  Treat lower leg           8.51           NA           NA          5.70         5.94         1.31         090
                                             bone lesion.
27610.........  ............  A...........  Explore/treat             9.01           NA           NA          6.11         6.56         1.40         090
                                             ankle joint.
27612.........  ............  A...........  Exploration of            8.01           NA           NA          5.18         5.64         1.13         090
                                             ankle joint.
27613.........  ............  A...........  Biopsy lower leg          2.19         3.91         3.57          1.78         1.79         0.20         010
                                             soft tissue.
27614.........  ............  A...........  Biopsy lower leg          5.71         7.76         7.45          3.94         4.19         0.78         090
                                             soft tissue.
27615.........  ............  A...........  Remove tumor,            12.93           NA           NA          7.28         8.34         1.84         090
                                             lower leg.
27618.........  ............  A...........  Remove lower leg          5.14         6.44         6.23          3.80         3.90         0.72         090
                                             lesion.
27619.........  ............  A...........  Remove lower leg          8.47        10.00         9.76          5.28         5.62         1.25         090
                                             lesion.
27620.........  ............  A...........  Explore/treat             6.04           NA           NA          4.57         5.02         0.97         090
                                             ankle joint.
27625.........  ............  A...........  Remove ankle joint        8.37           NA           NA          5.50         5.98         1.28         090
                                             lining.
27626.........  ............  A...........  Remove ankle joint        8.98           NA           NA          5.78         6.35         1.48         090
                                             lining.

[[Page 2595]]

 
27630.........  ............  A...........  Removal of tendon         4.85         7.99         7.77          3.81         4.09         0.74         090
                                             lesion.
27635.........  ............  A...........  Remove lower leg          7.91           NA           NA          5.63         6.19         1.31         090
                                             bone lesion.
27637.........  ............  A...........  Remove/graft leg         10.17           NA           NA          6.91         7.60         1.66         090
                                             bone lesion.
27638.........  ............  A...........  Remove/graft leg         10.87           NA           NA          7.05         7.67         1.85         090
                                             bone lesion.
27640.........  ............  A...........  Partial removal of       12.10           NA           NA          7.47         8.89         1.89         090
                                             tibia.
27641.........  ............  A...........  Partial removal of        9.73           NA           NA          6.09         7.22         1.46         090
                                             fibula.
27645.........  ............  A...........  Extensive lower          14.78           NA           NA          8.74        10.40         2.42         090
                                             leg surgery.
27646.........  ............  A...........  Extensive lower          13.21           NA           NA          7.64         9.34         2.06         090
                                             leg surgery.
27647.........  ............  A...........  Extensive ankle/         12.85           NA           NA          6.54         7.08         1.76         090
                                             heel surgery.
27648.........  ............  A...........  Injection for             0.96         2.88         3.20          0.34         0.34         0.08         000
                                             ankle x-ray.
27650.........  ............  A...........  Repair achilles           9.94           NA           NA          6.16         6.84         1.59         090
                                             tendon.
27652.........  ............  A...........  Repair/graft             10.64           NA           NA          6.44         7.24         1.72         090
                                             achilles tendon.
27654.........  ............  A...........  Repair of achilles       10.32           NA           NA          5.99         6.57         1.58         090
                                             tendon.
27656.........  ............  A...........  Repair leg fascia         4.62         7.96         8.25          3.58         3.68         0.69         090
                                             defect.
27658.........  ............  A...........  Repair of leg             5.03           NA           NA          3.89         4.22         0.79         090
                                             tendon, each.
27659.........  ............  A...........  Repair of leg             6.99           NA           NA          4.68         5.16         1.09         090
                                             tendon, each.
27664.........  ............  A...........  Repair of leg             4.64           NA           NA          3.88         4.22         0.76         090
                                             tendon, each.
27665.........  ............  A...........  Repair of leg             5.46           NA           NA          4.33         4.65         0.89         090
                                             tendon, each.
27675.........  ............  A...........  Repair lower leg          7.24           NA           NA          4.67         5.21         1.11         090
                                             tendons.
27676.........  ............  A...........  Repair lower leg          8.61           NA           NA          5.73         6.24         1.37         090
                                             tendons.
27680.........  ............  A...........  Release of lower          5.79           NA           NA          4.16         4.64         0.93         090
                                             leg tendon.
27681.........  ............  A...........  Release of lower          6.94           NA           NA          5.09         5.51         1.15         090
                                             leg tendons.
27685.........  ............  A...........  Revision of lower         6.57         8.78         8.04          4.57         5.02         0.97         090
                                             leg tendon.
27686.........  ............  A...........  Revise lower leg          7.64           NA           NA          5.29         5.89         1.24         090
                                             tendons.
27687.........  ............  A...........  Revision of calf          6.30           NA           NA          4.47         4.90         1.00         090
                                             tendon.
27690.........  ............  A...........  Revise lower leg          8.96           NA           NA          5.37         5.86         1.33         090
                                             tendon.
27691.........  ............  A...........  Revise lower leg         10.28           NA           NA          6.66         7.21         1.64         090
                                             tendon.
27692.........  ............  A...........  Revise additional         1.87           NA           NA          0.71         0.82         0.32         ZZZ
                                             leg tendon.
27695.........  ............  A...........  Repair of ankle           6.58           NA           NA          4.88         5.38         1.05         090
                                             ligament.
27696.........  ............  A...........  Repair of ankle           8.46           NA           NA          5.26         5.85         1.28         090
                                             ligaments.
27698.........  ............  A...........  Repair of ankle           9.49           NA           NA          5.87         6.41         1.47         090
                                             ligament.
27700.........  ............  A...........  Revision of ankle         9.54           NA           NA          5.21         5.45         1.30         090
                                             joint.
27702.........  ............  A...........  Reconstruct ankle        14.28           NA           NA          8.65         9.56         2.38         090
                                             joint.
27703.........  ............  A...........  Reconstruction,          16.79           NA           NA          9.78        10.51         2.77         090
                                             ankle joint.
27704.........  ............  A...........  Removal of ankle          7.69           NA           NA          5.62         5.61         1.27         090
                                             implant.
27705.........  ............  A...........  Incision of tibia.       10.74           NA           NA          6.96         7.57         1.81         090
27707.........  ............  A...........  Incision of fibula        4.67           NA           NA          4.49         4.71         0.76         090
27709.........  ............  A...........  Incision of tibia        17.32           NA           NA          9.96         9.05         1.74         090
                                             & fibula.
27712.........  ............  A...........  Realignment of           15.67           NA           NA          9.45        10.10         2.48         090
                                             lower leg.
27715.........  ............  A...........  Revision of lower        15.36           NA           NA          9.04         9.91         2.50         090
                                             leg.
27720.........  ............  A...........  Repair of tibia...       12.22           NA           NA          7.93         8.67         2.05         090
27722.........  ............  A...........  Repair/graft of          12.31           NA           NA          7.89         8.51         2.06         090
                                             tibia.
27724.........  ............  A...........  Repair/graft of          19.18           NA           NA         10.29        11.33         3.17         090
                                             tibia.
27725.........  ............  A...........  Repair of lower          17.15           NA           NA         10.59        11.25         2.72         090
                                             leg.
27726.........  ............  A...........  Repair fibula            14.20           NA           NA          7.68         7.68         1.43         090
                                             nonunion.
27727.........  ............  A...........  Repair of lower          14.69           NA           NA          9.07         9.71         2.44         090
                                             leg.
27730.........  ............  A...........  Repair of tibia           7.59           NA           NA          5.31         5.87         1.73         090
                                             epiphysis.
27732.........  ............  A...........  Repair of fibula          5.37           NA           NA          4.17         4.55         0.77         090
                                             epiphysis.
27734.........  ............  A...........  Repair lower leg          8.72           NA           NA          6.17         6.23         1.35         090
                                             epiphyses.
27740.........  ............  A...........  Repair of leg             9.49           NA           NA          6.61         7.30         1.62         090
                                             epiphyses.
27742.........  ............  A...........  Repair of leg            10.49           NA           NA          4.60         5.08         1.80         090
                                             epiphyses.
27745.........  ............  A...........  Reinforce tibia...       10.37           NA           NA          7.00         7.58         1.76         090
27750.........  ............  A...........  Treatment of tibia        3.26         4.32         4.54          3.74         3.79         0.55         090
                                             fracture.
27752.........  ............  A...........  Treatment of tibia        6.15         5.95         6.30          5.11         5.39         1.01         090
                                             fracture.
27756.........  ............  A...........  Treatment of tibia        7.33           NA           NA          5.76         6.11         1.17         090
                                             fracture.
27758.........  ............  A...........  Treatment of tibia       12.40           NA           NA          8.03         8.61         2.04         090
                                             fracture.
27759.........  ............  A...........  Treatment of tibia       14.31           NA           NA          8.67         9.50         2.39         090
                                             fracture.
27760.........  ............  A...........  Cltx medial ankle         3.09         4.28         4.48          3.68         3.63         0.48         090
                                             fx.
27762.........  ............  A...........  Cltx med ankle fx         5.33         5.48         5.91          4.65         4.97         0.85         090
                                             w/mnpj.
27766.........  ............  A...........  Optx medial ankle         7.73           NA           NA          6.13         6.68         1.44         090
                                             fx.
27767.........  ............  A...........  Cltx post ankle fx        2.50         3.62         3.62          3.65         3.65         0.30         090
27768.........  ............  A...........  Cltx post ankle fx        5.00           NA           NA          4.30         4.30         0.79         090
                                             w/mnpj.
27769.........  ............  A...........  Optx post ankle fx       10.00           NA           NA          6.08         6.08         1.45         090
27780.........  ............  A...........  Treatment of              2.72         3.87         4.02          3.31         3.26         0.41         090
                                             fibula fracture.
27781.........  ............  A...........  Treatment of              4.47         4.88         5.19          4.26         4.45         0.73         090
                                             fibula fracture.
27784.........  ............  A...........  Treatment of              9.51           NA           NA          6.85         6.66         1.23         090
                                             fibula fracture.
27786.........  ............  A...........  Treatment of ankle        2.91         4.05         4.26          3.43         3.38         0.46         090
                                             fracture.
27788.........  ............  A...........  Treatment of ankle        4.52         4.97         5.31          4.23         4.44         0.74         090
                                             fracture.
27792.........  ............  A...........  Treatment of ankle        9.55           NA           NA          6.81         6.89         1.32         090
                                             fracture.
27808.........  ............  A...........  Treatment of ankle        2.91         4.40         4.60          3.71         3.70         0.46         090
                                             fracture.
27810.........  ............  A...........  Treatment of ankle        5.20         5.41         5.83          4.55         4.85         0.82         090
                                             fracture.
27814.........  ............  A...........  Treatment of ankle       10.46           NA           NA          7.24         7.90         1.86         090
                                             fracture.

[[Page 2596]]

 
27816.........  ............  A...........  Treatment of ankle        2.96         3.99         4.19          3.33         3.37         0.43         090
                                             fracture.
27818.........  ............  A...........  Treatment of ankle        5.57         5.41         5.89          4.44         4.81         0.82         090
                                             fracture.
27822.........  ............  A...........  Treatment of ankle       11.03           NA           NA          8.21         9.43         1.92         090
                                             fracture.
27823.........  ............  A...........  Treatment of ankle       12.98           NA           NA          8.94        10.21         2.26         090
                                             fracture.
27824.........  ............  A...........  Treat lower leg           3.20         3.65         3.86          3.47         3.52         0.45         090
                                             fracture.
27825.........  ............  A...........  Treat lower leg           6.60         5.78         6.19          4.76         5.07         1.02         090
                                             fracture.
27826.........  ............  A...........  Treat lower leg          10.92           NA           NA          8.21         8.52         1.47         090
                                             fracture.
27827.........  ............  A...........  Treat lower leg          14.56           NA           NA         10.19        11.48         2.44         090
                                             fracture.
27828.........  ............  A...........  Treat lower leg          18.20           NA           NA         11.58        12.76         2.82         090
                                             fracture.
27829.........  ............  A...........  Treat lower leg           8.64           NA           NA          6.97         6.88         0.95         090
                                             joint.
27830.........  ............  A...........  Treat lower leg           3.85         4.09         4.24          3.56         3.71         0.54         090
                                             dislocation.
27831.........  ............  A...........  Treat lower leg           4.62           NA           NA          4.06         4.26         0.73         090
                                             dislocation.
27832.........  ............  A...........  Treat lower leg          10.01           NA           NA          6.83         6.50         1.03         090
                                             dislocation.
27840.........  ............  A...........  Treat ankle               4.65           NA           NA          3.65         3.71         0.46         090
                                             dislocation.
27842.........  ............  A...........  Treat ankle               6.34           NA           NA          4.85         4.98         1.00         090
                                             dislocation.
27846.........  ............  A...........  Treat ankle              10.16           NA           NA          6.77         7.35         1.71         090
                                             dislocation.
27848.........  ............  A...........  Treat ankle              11.56           NA           NA          7.32         8.52         1.95         090
                                             dislocation.
27860.........  ............  A...........  Fixation of ankle         2.36           NA           NA          1.69         1.84         0.39         010
                                             joint.
27870.........  ............  A...........  Fusion of ankle          15.21           NA           NA          9.08         9.81         2.37         090
                                             joint, open.
27871.........  ............  A...........  Fusion of                 9.42           NA           NA          6.54         7.06         1.59         090
                                             tibiofibular
                                             joint.
27880.........  ............  A...........  Amputation of            15.24           NA           NA          6.65         6.89         1.76         090
                                             lower leg.
27881.........  ............  A...........  Amputation of            13.32           NA           NA          7.38         8.12         1.99         090
                                             lower leg.
27882.........  ............  A...........  Amputation of             9.67           NA           NA          4.91         5.70         1.29         090
                                             lower leg.
27884.........  ............  A...........  Amputation follow-        8.64           NA           NA          5.11         5.43         1.22         090
                                             up surgery.
27886.........  ............  A...........  Amputation follow-        9.88           NA           NA          5.65         6.08         1.40         090
                                             up surgery.
27888.........  ............  A...........  Amputation of foot       10.23           NA           NA          6.01         6.76         1.51         090
                                             at ankle.
27889.........  ............  A...........  Amputation of foot       10.72           NA           NA          5.44         5.96         1.46         090
                                             at ankle.
27892.........  ............  A...........  Decompression of          7.82           NA           NA          5.10         5.35         1.10         090
                                             leg.
27893.........  ............  A...........  Decompression of          7.78           NA           NA          5.13         5.30         1.10         090
                                             leg.
27894.........  ............  A...........  Decompression of         12.42           NA           NA          7.34         7.56         1.65         090
                                             leg.
27899.........  ............  C...........  Leg/ankle surgery         0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
28001.........  ............  A...........  Drainage of bursa         2.75         4.00         3.49          1.61         1.78         0.33         010
                                             of foot.
28002.........  ............  A...........  Treatment of foot         5.78         6.68         5.83          3.57         3.67         0.61         010
                                             infection.
28003.........  ............  A...........  Treatment of foot         8.95         7.78         7.01          4.56         4.89         1.12         090
                                             infection.
28005.........  ............  A...........  Treat foot bone           9.30           NA           NA          5.53         5.79         1.16         090
                                             lesion.
28008.........  ............  A...........  Incision of foot          4.50         6.17         5.36          3.00         3.10         0.57         090
                                             fascia.
28010.........  ............  A...........  Incision of toe           2.89         2.86         2.62          2.35         2.36         0.36         090
                                             tendon.
28011.........  ............  A...........  Incision of toe           4.19         3.80         3.55          3.03         3.17         0.59         090
                                             tendons.
28020.........  ............  A...........  Exploration of            5.06         7.37         6.69          3.58         3.86         0.72         090
                                             foot joint.
28022.........  ............  A...........  Exploration of            4.72         6.93         6.06          3.33         3.59         0.62         090
                                             foot joint.
28024.........  ............  A...........  Exploration of toe        4.43         6.56         5.89          3.12         3.52         0.58         090
                                             joint.
28035.........  ............  A...........  Decompression of          5.14         7.28         6.57          3.55         3.82         0.70         090
                                             tibia nerve.
28043.........  ............  A...........  Excision of foot          3.58         4.78         4.30          2.73         2.95         0.46         090
                                             lesion.
28045.........  ............  A...........  Excision of foot          4.77         7.03         6.20          3.24         3.42         0.63         090
                                             lesion.
28046.........  ............  A...........  Resection of             10.55        10.37         9.57          5.76         6.12         1.36         090
                                             tumor, foot.
28050.........  ............  A...........  Biopsy of foot            4.30         6.95         5.92          3.30         3.44         0.60         090
                                             joint lining.
28052.........  ............  A...........  Biopsy of foot            3.98         6.30         5.61          2.87         3.15         0.53         090
                                             joint lining.
28054.........  ............  A...........  Biopsy of toe             3.49         6.25         5.49          2.80         3.01         0.46         090
                                             joint lining.
28055.........  ............  A...........  Neurectomy, foot..        6.20           NA           NA          3.44         3.55         0.74         090
28060.........  ............  A...........  Partial removal,          5.29         7.08         6.28          3.54         3.71         0.70         090
                                             foot fascia.
28062.........  ............  A...........  Removal of foot           6.58         7.83         7.17          3.82         3.92         0.83         090
                                             fascia.
28070.........  ............  A...........  Removal of foot           5.15         7.37         6.29          3.54         3.68         0.73         090
                                             joint lining.
28072.........  ............  A...........  Removal of foot           4.63         7.57         6.55          3.60         3.95         0.68         090
                                             joint lining.
28080.........  ............  A...........  Removal of foot           4.65         7.67         6.39          4.19         3.94         0.47         090
                                             lesion.
28086.........  ............  A...........  Excise foot tendon        4.83         7.87         7.93          3.81         4.25         0.76         090
                                             sheath.
28088.........  ............  A...........  Excise foot tendon        3.90         7.00         6.38          3.19         3.54         0.61         090
                                             sheath.
28090.........  ............  A...........  Removal of foot           4.46         6.77         5.96          3.18         3.32         0.59         090
                                             lesion.
28092.........  ............  A...........  Removal of toe            3.69         6.47         5.84          2.99         3.26         0.49         090
                                             lesions.
28100.........  ............  A...........  Removal of ankle/         5.72         8.10         8.03          4.00         4.34         0.82         090
                                             heel lesion.
28102.........  ............  A...........  Remove/graft foot         7.80           NA           NA          4.84         5.40         1.14         090
                                             lesion.
28103.........  ............  A...........  Remove/graft foot         6.56           NA           NA          4.03         4.32         0.91         090
                                             lesion.
28104.........  ............  A...........  Removal of foot           5.17         7.23         6.36          3.47         3.69         0.70         090
                                             lesion.
28106.........  ............  A...........  Remove/graft foot         7.23           NA           NA          4.23         4.33         0.97         090
                                             lesion.
28107.........  ............  A...........  Remove/graft foot         5.62         7.70         7.11          3.66         3.93         0.74         090
                                             lesion.
28108.........  ............  A...........  Removal of toe            4.21         6.35         5.47          2.99         3.12         0.53         090
                                             lesions.
28110.........  ............  A...........  Part removal of           4.13         6.93         6.07          3.06         3.14         0.54         090
                                             metatarsal.
28111.........  ............  A...........  Part removal of           5.06         7.10         6.69          3.20         3.43         0.67         090
                                             metatarsal.
28112.........  ............  A...........  Part removal of           4.54         7.19         6.50          3.24         3.41         0.61         090
                                             metatarsal.
28113.........  ............  A...........  Part removal of           5.88         8.37         7.21          4.61         4.46         0.63         090
                                             metatarsal.
28114.........  ............  A...........  Removal of               11.61        13.40        12.51          8.30         8.34         1.42         090
                                             metatarsal heads.
28116.........  ............  A...........  Revision of foot..        8.94         9.45         8.12          5.34         5.26         1.03         090
28118.........  ............  A...........  Removal of heel           6.02         7.93         7.09          4.02         4.18         0.84         090
                                             bone.

[[Page 2597]]

 
28119.........  ............  A...........  Removal of heel           5.45         7.22         6.32          3.58         3.65         0.70         090
                                             spur.
28120.........  ............  A...........  Part removal of           5.64         8.09         7.69          3.97         4.19         0.77         090
                                             ankle/heel.
28122.........  ............  A...........  Partial removal of        7.56         8.47         7.65          4.78         5.02         0.98         090
                                             foot bone.
28124.........  ............  A...........  Partial removal of        4.88         6.78         5.88          3.46         3.56         0.60         090
                                             toe.
28126.........  ............  A...........  Partial removal of        3.56         5.96         5.09          2.66         2.83         0.45         090
                                             toe.
28130.........  ............  A...........  Removal of ankle          9.30           NA           NA          6.16         6.44         1.26         090
                                             bone.
28140.........  ............  A...........  Removal of                7.03         7.82         7.52          4.12         4.44         0.92         090
                                             metatarsal.
28150.........  ............  A...........  Removal of toe....        4.14         6.36         5.60          2.98         3.13         0.53         090
28153.........  ............  A...........  Partial removal of        3.71         6.21         5.26          2.89         2.79         0.47         090
                                             toe.
28160.........  ............  A...........  Partial removal of        3.79         6.31         5.44          2.93         3.13         0.49         090
                                             toe.
28171.........  ............  A...........  Extensive foot            9.85           NA           NA          5.26         5.34         1.33         090
                                             surgery.
28173.........  ............  A...........  Extensive foot            9.05         8.74         8.16          4.61         4.91         1.12         090
                                             surgery.
28175.........  ............  A...........  Extensive foot            6.17         7.14         6.43          3.63         3.67         0.73         090
                                             surgery.
28190.........  ............  A...........  Removal of foot           1.98         4.01         3.70          1.34         1.41         0.22         010
                                             foreign body.
28192.........  ............  A...........  Removal of foot           4.69         6.72         6.10          3.19         3.42         0.61         090
                                             foreign body.
28193.........  ............  A...........  Removal of foot           5.79         7.34         6.47          3.63         3.78         0.73         090
                                             foreign body.
28200.........  ............  A...........  Repair of foot            4.65         6.88         5.99          3.23         3.39         0.61         090
                                             tendon.
28202.........  ............  A...........  Repair/graft of           6.96         7.77         7.49          3.94         4.21         0.91         090
                                             foot tendon.
28208.........  ............  A...........  Repair of foot            4.42         6.70         5.75          3.19         3.24         0.58         090
                                             tendon.
28210.........  ............  A...........  Repair/graft of           6.41         7.63         6.92          3.93         3.98         0.81         090
                                             foot tendon.
28220.........  ............  A...........  Release of foot           4.58         6.42         5.54          3.08         3.25         0.57         090
                                             tendon.
28222.........  ............  A...........  Release of foot           5.67         6.93         6.09          3.35         3.73         0.69         090
                                             tendons.
28225.........  ............  A...........  Release of foot           3.70         6.02         5.15          2.72         2.81         0.46         090
                                             tendon.
28226.........  ............  A...........  Release of foot           4.58         6.89         5.84          3.25         3.50         0.58         090
                                             tendons.
28230.........  ............  A...........  Incision of foot          4.28         6.27         5.47          2.88         3.27         0.55         090
                                             tendon(s).
28232.........  ............  A...........  Incision of toe           3.43         5.94         5.23          2.68         2.99         0.44         090
                                             tendon.
28234.........  ............  A...........  Incision of foot          3.43         6.30         5.48          3.06         3.21         0.44         090
                                             tendon.
28238.........  ............  A...........  Revision of foot          7.85         8.39         7.82          4.37         4.65         1.06         090
                                             tendon.
28240.........  ............  A...........  Release of big toe        4.40         6.36         5.49          2.95         3.22         0.58         090
28250.........  ............  A...........  Revision of foot          5.97         7.56         6.59          3.82         3.98         0.82         090
                                             fascia.
28260.........  ............  A...........  Release of midfoot        8.08         8.45         7.39          4.61         4.80         1.14         090
                                             joint.
28261.........  ............  A...........  Revision of foot         12.91        10.68         9.64          6.33         6.82         1.57         090
                                             tendon.
28262.........  ............  A...........  Revision of foot         17.01        15.54        14.55          9.74        10.33         2.60         090
                                             and ankle.
28264.........  ............  A...........  Release of midfoot       10.53        10.32         9.03          5.95         6.62         1.54         090
                                             joint.
28270.........  ............  A...........  Release of foot           4.82         6.92         5.90          3.44         3.59         0.62         090
                                             contracture.
28272.........  ............  A...........  Release of toe            3.84         5.84         5.01          2.65         2.75         0.46         090
                                             joint, each.
28280.........  ............  A...........  Fusion of toes....        5.24         7.29         6.77          3.54         4.01         0.73         090
28285.........  ............  A...........  Repair of                 4.65         6.71         5.79          3.35         3.39         0.59         090
                                             hammertoe.
28286.........  ............  A...........  Repair of                 4.61         6.53         5.66          3.06         3.16         0.57         090
                                             hammertoe.
28288.........  ............  A...........  Partial removal of        5.81         8.60         7.27          4.69         4.79         0.65         090
                                             foot bone.
28289.........  ............  A...........  Repair hallux             8.11         9.43         8.71          5.34         5.55         1.02         090
                                             rigidus.
28290.........  ............  A...........  Correction of             5.72         8.19         7.22          3.96         4.34         0.82         090
                                             bunion.
28292.........  ............  A...........  Correction of             8.72        10.35         8.91          6.16         5.85         0.91         090
                                             bunion.
28293.........  ............  A...........  Correction of            11.10        14.48        12.61          6.92         6.51         1.13         090
                                             bunion.
28294.........  ............  A...........  Correction of             8.63         9.46         8.45          4.77         4.74         1.09         090
                                             bunion.
28296.........  ............  A...........  Correction of             9.31         9.58         8.87          4.79         5.10         1.19         090
                                             bunion.
28297.........  ............  A...........  Correction of             9.31        10.47         9.71          5.33         5.80         1.32         090
                                             bunion.
28298.........  ............  A...........  Correction of             8.01         9.30         8.26          4.59         4.79         1.05         090
                                             bunion.
28299.........  ............  A...........  Correction of            11.39        10.55         9.66          5.73         5.90         1.37         090
                                             bunion.
28300.........  ............  A...........  Incision of heel          9.61           NA           NA          6.04         6.54         1.54         090
                                             bone.
28302.........  ............  A...........  Incision of ankle         9.62           NA           NA          6.21         6.55         1.42         090
                                             bone.
28304.........  ............  A...........  Incision of               9.29         9.56         8.75          5.08         5.41         1.27         090
                                             midfoot bones.
28305.........  ............  A...........  Incise/graft             10.63           NA           NA          5.79         6.26         1.27         090
                                             midfoot bones.
28306.........  ............  A...........  Incision of               5.91         8.42         7.63          3.89         4.03         0.84         090
                                             metatarsal.
28307.........  ............  A...........  Incision of               6.39         9.28        10.15          4.33         4.81         0.90         090
                                             metatarsal.
28308.........  ............  A...........  Incision of               5.36         7.92         6.83          3.83         3.75         0.70         090
                                             metatarsal.
28309.........  ............  A...........  Incision of              13.96           NA           NA          7.69         7.82         2.05         090
                                             metatarsals.
28310.........  ............  A...........  Revision of big           5.48         7.55         6.65          3.42         3.49         0.70         090
                                             toe.
28312.........  ............  A...........  Revision of toe...        4.60         7.38         6.41          3.23         3.43         0.63         090
28313.........  ............  A...........  Repair deformity          5.06         7.27         6.28          3.61         4.22         0.73         090
                                             of toe.
28315.........  ............  A...........  Removal of                4.91         6.68         5.79          3.22         3.28         0.63         090
                                             sesamoid bone.
28320.........  ............  A...........  Repair of foot            9.25           NA           NA          5.69         6.20         1.43         090
                                             bones.
28322.........  ............  A...........  Repair of                 8.41         9.75         9.46          5.32         5.83         1.27         090
                                             metatarsals.
28340.........  ............  A...........  Resect enlarged           7.04         8.10         7.27          4.08         4.16         0.84         090
                                             toe tissue.
28341.........  ............  A...........  Resect enlarged           8.60         8.60         7.77          4.42         4.62         1.01         090
                                             toe.
28344.........  ............  A...........  Repair extra              4.31         6.42         6.08          2.93         3.28         0.51         090
                                             toe(s).
28345.........  ............  A...........  Repair webbed             5.98         7.62         6.91          3.79         4.23         0.80         090
                                             toe(s).
28360.........  ............  A...........  Reconstruct cleft        14.67           NA           NA          6.35         8.42         2.29         090
                                             foot.
28400.........  ............  A...........  Treatment of heel         2.22         3.37         3.50          2.92         2.99         0.35         090
                                             fracture.
28405.........  ............  A...........  Treatment of heel         4.63         4.43         4.63          3.68         4.15         0.73         090
                                             fracture.
28406.........  ............  A...........  Treatment of heel         6.44           NA           NA          5.56         6.18         1.11         090
                                             fracture.
28415.........  ............  A...........  Treat heel               15.96           NA           NA         10.25        11.77         2.67         090
                                             fracture.

[[Page 2598]]

 
28420.........  ............  A...........  Treat/graft heel         17.29           NA           NA         10.28        11.60         2.81         090
                                             fracture.
28430.........  ............  A...........  Treatment of ankle        2.14         3.12         3.26          2.57         2.57         0.31         090
                                             fracture.
28435.........  ............  A...........  Treatment of ankle        3.45         3.99         3.93          3.26         3.50         0.55         090
                                             fracture.
28436.........  ............  A...........  Treatment of ankle        4.78           NA           NA          4.75         5.33         0.81         090
                                             fracture.
28445.........  ............  A...........  Treat ankle              15.53           NA           NA          9.49        10.26         2.59         090
                                             fracture.
28446.........  ............  A...........  Osteochondral            17.50           NA           NA         10.36        10.36         2.45         090
                                             talus autogrft.
28450.........  ............  A...........  Treat midfoot             1.95         2.92         3.02          2.42         2.45         0.28         090
                                             fracture, each.
28455.........  ............  A...........  Treat midfoot             3.15         3.74         3.58          3.10         3.26         0.44         090
                                             fracture, each.
28456.........  ............  A...........  Treat midfoot             2.75           NA           NA          3.73         3.94         0.44         090
                                             fracture.
28465.........  ............  A...........  Treat midfoot             8.64           NA           NA          6.07         6.19         1.10         090
                                             fracture, each.
28470.........  ............  A...........  Treat metatarsal          1.99         2.80         2.96          2.36         2.40         0.30         090
                                             fracture.
28475.........  ............  A...........  Treat metatarsal          2.97         3.13         3.23          2.52         2.86         0.44         090
                                             fracture.
28476.........  ............  A...........  Treat metatarsal          3.46           NA           NA          4.33         4.65         0.54         090
                                             fracture.
28485.........  ............  A...........  Treat metatarsal          7.28           NA           NA          5.56         5.51         0.83         090
                                             fracture.
28490.........  ............  A...........  Treat big toe             1.12         2.09         2.05          1.67         1.65         0.14         090
                                             fracture.
28495.........  ............  A...........  Treat big toe             1.62         2.46         2.32          1.87         1.97         0.20         090
                                             fracture.
28496.........  ............  A...........  Treat big toe             2.39         7.42         7.83          2.99         3.09         0.36         090
                                             fracture.
28505.........  ............  A...........  Treat big toe             7.28         8.46         8.28          4.82         4.36         0.56         090
                                             fracture.
28510.........  ............  A...........  Treatment of toe          1.12         1.69         1.61          1.61         1.57         0.14         090
                                             fracture.
28515.........  ............  A...........  Treatment of toe          1.50         2.22         2.06          1.82         1.86         0.18         090
                                             fracture.
28525.........  ............  A...........  Treat toe fracture        5.46         8.12         7.82          4.32         3.88         0.49         090
28530.........  ............  A...........  Treat sesamoid            1.08         1.62         1.53          1.34         1.39         0.14         090
                                             bone fracture.
28531.........  ............  A...........  Treat sesamoid            2.51         6.55         6.91          2.43         2.25         0.34         090
                                             bone fracture.
28540.........  ............  A...........  Treat foot                2.10         2.75         2.58          2.31         2.36         0.26         090
                                             dislocation.
28545.........  ............  A...........  Treat foot                2.51         3.43         2.89          2.81         2.58         0.37         090
                                             dislocation.
28546.........  ............  A...........  Treat foot                3.28         8.06         7.49          3.64         4.01         0.52         090
                                             dislocation.
28555.........  ............  A...........  Repair foot               9.49        10.81        10.36          6.29         5.99         1.04         090
                                             dislocation.
28570.........  ............  A...........  Treat foot                1.70         2.49         2.46          1.91         2.12         0.23         090
                                             dislocation.
28575.........  ............  A...........  Treat foot                3.38         4.42         4.07          3.72         3.72         0.56         090
                                             dislocation.
28576.........  ............  A...........  Treat foot                4.48           NA           NA          4.06         4.12         0.69         090
                                             dislocation.
28585.........  ............  A...........  Repair foot              10.92        11.57         9.45          6.97         6.41         1.25         090
                                             dislocation.
28600.........  ............  A...........  Treat foot                1.94         3.03         2.92          2.37         2.53         0.27         090
                                             dislocation.
28605.........  ............  A...........  Treat foot                2.78         3.89         3.51          3.27         3.20         0.40         090
                                             dislocation.
28606.........  ............  A...........  Treat foot                4.97           NA           NA          4.12         4.40         0.82         090
                                             dislocation.
28615.........  ............  A...........  Repair foot              10.46           NA           NA          8.14         8.09         1.30         090
                                             dislocation.
28630.........  ............  A...........  Treat toe                 1.72         1.85         1.71          0.91         0.95         0.20         010
                                             dislocation.
28635.........  ............  A...........  Treat toe                 1.93         2.27         2.15          1.33         1.43         0.26         010
                                             dislocation.
28636.........  ............  A...........  Treat toe                 2.77         4.39         4.13          2.05         2.34         0.43         010
                                             dislocation.
28645.........  ............  A...........  Repair toe                7.28         8.34         6.65          4.62         3.95         0.57         090
                                             dislocation.
28660.........  ............  A...........  Treat toe                 1.25         1.30         1.28          0.78         0.79         0.13         010
                                             dislocation.
28665.........  ............  A...........  Treat toe                 1.94         1.82         1.63          1.33         1.38         0.26         010
                                             dislocation.
28666.........  ............  A...........  Treat toe                 2.66           NA           NA          1.83         2.21         0.43         010
                                             dislocation.
28675.........  ............  A...........  Repair of toe             5.46         8.24         7.69          4.45         3.90         0.45         090
                                             dislocation.
28705.........  ............  A...........  Fusion of foot           20.12           NA           NA         10.66        11.55         3.09         090
                                             bones.
28715.........  ............  A...........  Fusion of foot           14.40           NA           NA          8.49         9.12         2.17         090
                                             bones.
28725.........  ............  A...........  Fusion of foot           11.97           NA           NA          6.82         7.53         1.87         090
                                             bones.
28730.........  ............  A...........  Fusion of foot           12.21           NA           NA          7.76         8.12         1.71         090
                                             bones.
28735.........  ............  A...........  Fusion of foot           12.03           NA           NA          6.97         7.40         1.69         090
                                             bones.
28737.........  ............  A...........  Revision of foot         10.83           NA           NA          6.07         6.44         1.47         090
                                             bones.
28740.........  ............  A...........  Fusion of foot            9.09        10.87        10.87          5.99         6.23         1.22         090
                                             bones.
28750.........  ............  A...........  Fusion of big toe         8.37        10.77        11.34          5.88         6.27         1.13         090
                                             joint.
28755.........  ............  A...........  Fusion of big toe         4.79         7.26         6.68          3.35         3.55         0.65         090
                                             joint.
28760.........  ............  A...........  Fusion of big toe         8.94         9.87         8.92          5.27         5.39         1.05         090
                                             joint.
28800.........  ............  A...........  Amputation of             8.65           NA           NA          5.01         5.40         1.15         090
                                             midfoot.
28805.........  ............  A...........  Amputation thru          12.55           NA           NA          5.90         5.77         1.18         090
                                             metatarsal.
28810.........  ............  A...........  Amputation toe &          6.52           NA           NA          4.06         4.27         0.86         090
                                             metatarsal.
28820.........  ............  A...........  Amputation of toe.        4.89         7.65         7.60          3.55         3.67         0.61         090
28825.........  ............  A...........  Partial amputation        3.71         7.13         7.06          3.13         3.30         0.50         090
                                             of toe.
28890.........  ............  A...........  High energy eswt,         3.36         4.57         5.14          2.20         2.14         0.41         090
                                             plantar f.
28899.........  ............  C...........  Foot/toes surgery         0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
29000.........  ............  A...........  Application of            2.25         4.01         3.49          1.64         1.69         0.41         000
                                             body cast.
29010.........  ............  A...........  Application of            2.06         4.38         3.83          1.62         1.70         0.45         000
                                             body cast.
29015.........  ............  A...........  Application of            2.41         3.61         3.29          1.56         1.58         0.28         000
                                             body cast.
29020.........  ............  A...........  Application of            2.11         3.81         3.50          1.41         1.41         0.28         000
                                             body cast.
29025.........  ............  A...........  Application of            2.40         4.04         3.59          1.76         1.81         0.44         000
                                             body cast.
29035.........  ............  A...........  Application of            1.77         3.70         3.66          1.48         1.53         0.28         000
                                             body cast.
29040.........  ............  A...........  Application of            2.22         3.28         2.87          1.34         1.42         0.36         000
                                             body cast.
29044.........  ............  A...........  Application of            2.12         3.58         3.77          1.47         1.69         0.35         000
                                             body cast.
29046.........  ............  A...........  Application of            2.41         4.49         3.86          1.91         2.00         0.42         000
                                             body cast.
29049.........  ............  A...........  Application of            0.89         1.12         1.21          0.59         0.56         0.13         000
                                             figure eight.
29055.........  ............  A...........  Application of            1.78         2.82         2.90          1.23         1.35         0.30         000
                                             shoulder cast.
29058.........  ............  A...........  Application of            1.31         1.26         1.41          0.67         0.70         0.17         000
                                             shoulder cast.

[[Page 2599]]

 
29065.........  ............  A...........  Application of            0.87         1.28         1.30          0.70         0.73         0.15         000
                                             long arm cast.
29075.........  ............  A...........  Application of            0.77         1.24         1.25          0.66         0.67         0.13         000
                                             forearm cast.
29085.........  ............  A...........  Apply hand/wrist          0.87         1.26         1.27          0.68         0.66         0.14         000
                                             cast.
29086.........  ............  A...........  Apply finger cast.        0.62         1.08         1.02          0.55         0.52         0.07         000
29105.........  ............  A...........  Apply long arm            0.87         1.09         1.16          0.53         0.52         0.12         000
                                             splint.
29125.........  ............  A...........  Apply forearm             0.59         0.97         0.99          0.42         0.41         0.07         000
                                             splint.
29126.........  ............  A...........  Apply forearm             0.77         1.01         1.11          0.48         0.47         0.07         000
                                             splint.
29130.........  ............  A...........  Application of            0.50         0.43         0.45          0.18         0.18         0.06         000
                                             finger splint.
29131.........  ............  A...........  Application of            0.55         0.59         0.66          0.24         0.24         0.03         000
                                             finger splint.
29200.........  ............  A...........  Strapping of chest        0.65         0.61         0.66          0.35         0.34         0.04         000
29220.........  ............  A...........  Strapping of low          0.64         0.65         0.69          0.38         0.38         0.04         000
                                             back.
29240.........  ............  A...........  Strapping of              0.71         0.68         0.76          0.40         0.38         0.06         000
                                             shoulder.
29260.........  ............  A...........  Strapping of elbow        0.55         0.67         0.71          0.37         0.35         0.05         000
                                             or wrist.
29280.........  ............  A...........  Strapping of hand         0.51         0.67         0.73          0.37         0.35         0.03         000
                                             or finger.
29305.........  ............  A...........  Application of hip        2.03         3.29         3.31          1.56         1.66         0.35         000
                                             cast.
29325.........  ............  A...........  Application of hip        2.32         3.33         3.43          1.58         1.77         0.40         000
                                             casts.
29345.........  ............  A...........  Application of            1.40         1.66         1.72          0.94         1.00         0.24         000
                                             long leg cast.
29355.........  ............  A...........  Application of            1.53         1.62         1.66          0.94         1.03         0.26         000
                                             long leg cast.
29358.........  ............  A...........  Apply long leg            1.43         2.01         2.04          0.91         1.00         0.25         000
                                             cast brace.
29365.........  ............  A...........  Application of            1.18         1.58         1.62          0.86         0.90         0.20         000
                                             long leg cast.
29405.........  ............  A...........  Apply short leg           0.86         1.20         1.21          0.65         0.68         0.14         000
                                             cast.
29425.........  ............  A...........  Apply short leg           1.01         1.22         1.23          0.66         0.70         0.15         000
                                             cast.
29435.........  ............  A...........  Apply short leg           1.18         1.53         1.54          0.81         0.87         0.20         000
                                             cast.
29440.........  ............  A...........  Addition of walker        0.57         0.64         0.67          0.26         0.26         0.08         000
                                             to cast.
29445.........  ............  A...........  Apply rigid leg           1.78         1.56         1.68          0.89         0.92         0.27         000
                                             cast.
29450.........  ............  A...........  Application of leg        2.08         1.59         1.53          0.90         0.99         0.27         000
                                             cast.
29505.........  ............  A...........  Application, long         0.69         1.07         1.13          0.45         0.45         0.08         000
                                             leg splint.
29515.........  ............  A...........  Application lower         0.73         0.96         0.91          0.46         0.46         0.09         000
                                             leg splint.
29520.........  ............  A...........  Strapping of hip..        0.54         0.66         0.75          0.37         0.42         0.03         000
29530.........  ............  A...........  Strapping of knee.        0.57         0.66         0.72          0.37         0.35         0.05         000
29540.........  ............  A...........  Strapping of ankle        0.51         0.55         0.48          0.31         0.31         0.06         000
                                             and/or ft.
29550.........  ............  A...........  Strapping of toes.        0.47         0.56         0.49          0.30         0.29         0.06         000
29580.........  ............  A...........  Application of            0.55         0.71         0.68          0.33         0.34         0.07         000
                                             paste boot.
29590.........  ............  A...........  Application of            0.76         0.59         0.55          0.26         0.27         0.09         000
                                             foot splint.
29700.........  ............  A...........  Removal/revision          0.57         0.95         0.92          0.25         0.26         0.08         000
                                             of cast.
29705.........  ............  A...........  Removal/revision          0.76         0.76         0.79          0.36         0.37         0.13         000
                                             of cast.
29710.........  ............  A...........  Removal/revision          1.34         1.32         1.43          0.55         0.63         0.20         000
                                             of cast.
29715.........  ............  A...........  Removal/revision          0.94         1.20         1.19          0.43         0.42         0.09         000
                                             of cast.
29720.........  ............  A...........  Repair of body            0.68         1.17         1.16          0.35         0.37         0.12         000
                                             cast.
29730.........  ............  A...........  Windowing of cast.        0.75         0.74         0.77          0.34         0.34         0.12         000
29740.........  ............  A...........  Wedging of cast...        1.12         1.03         1.09          0.47         0.48         0.18         000
29750.........  ............  A...........  Wedging of                1.26         1.07         1.06          0.52         0.55         0.21         000
                                             clubfoot cast.
29799.........  ............  C...........  Casting/strapping         0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
29800.........  ............  A...........  Jaw arthroscopy/          6.73           NA           NA          4.63         5.80         0.99         090
                                             surgery.
29804.........  ............  A...........  Jaw arthroscopy/          8.71           NA           NA          5.70         6.66         1.38         090
                                             surgery.
29805.........  ............  A...........  Shoulder                  5.94           NA           NA          4.71         5.19         1.02         090
                                             arthroscopy, dx.
29806.........  ............  A...........  Shoulder                 14.95           NA           NA          9.36        10.26         2.50         090
                                             arthroscopy/
                                             surgery.
29807.........  ............  A...........  Shoulder                 14.48           NA           NA          9.20        10.10         2.42         090
                                             arthroscopy/
                                             surgery.
29819.........  ............  A...........  Shoulder                  7.68           NA           NA          5.63         6.21         1.32         090
                                             arthroscopy/
                                             surgery.
29820.........  ............  A...........  Shoulder                  7.12           NA           NA          5.18         5.70         1.22         090
                                             arthroscopy/
                                             surgery.
29821.........  ............  A...........  Shoulder                  7.78           NA           NA          5.66         6.23         1.33         090
                                             arthroscopy/
                                             surgery.
29822.........  ............  A...........  Shoulder                  7.49           NA           NA          5.58         6.14         1.28         090
                                             arthroscopy/
                                             surgery.
29823.........  ............  A...........  Shoulder                  8.24           NA           NA          6.05         6.64         1.41         090
                                             arthroscopy/
                                             surgery.
29824.........  ............  A...........  Shoulder                  8.82           NA           NA          6.54         7.03         1.42         090
                                             arthroscopy/
                                             surgery.
29825.........  ............  A...........  Shoulder                  7.68           NA           NA          5.64         6.20         1.32         090
                                             arthroscopy/
                                             surgery.
29826.........  ............  A...........  Shoulder                  9.05           NA           NA          6.18         6.86         1.55         090
                                             arthroscopy/
                                             surgery.
29827.........  ............  A...........  Arthroscop rotator       15.44           NA           NA          9.32        10.43         2.67         090
                                             cuff repr.
29828.........  ............  A...........  Arthroscopy biceps       13.00           NA           NA          8.18         8.18         2.17         090
                                             tenodesis.
29830.........  ............  A...........  Elbow arthroscopy.        5.80           NA           NA          4.49         4.92         0.99         090
29834.........  ............  A...........  Elbow arthroscopy/        6.33           NA           NA          4.86         5.35         1.08         090
                                             surgery.
29835.........  ............  A...........  Elbow arthroscopy/        6.53           NA           NA          4.97         5.43         1.13         090
                                             surgery.
29836.........  ............  A...........  Elbow arthroscopy/        7.61           NA           NA          5.54         6.17         1.22         090
                                             surgery.
29837.........  ............  A...........  Elbow arthroscopy/        6.92           NA           NA          5.07         5.60         1.19         090
                                             surgery.
29838.........  ............  A...........  Elbow arthroscopy/        7.77           NA           NA          5.66         6.28         1.30         090
                                             surgery.
29840.........  ............  A...........  Wrist arthroscopy.        5.59           NA           NA          4.63         4.98         0.84         090
29843.........  ............  A...........  Wrist arthroscopy/        6.06           NA           NA          4.81         5.22         0.92         090
                                             surgery.
29844.........  ............  A...........  Wrist arthroscopy/        6.42           NA           NA          4.88         5.35         1.04         090
                                             surgery.
29845.........  ............  A...........  Wrist arthroscopy/        7.58           NA           NA          5.60         6.04         0.99         090
                                             surgery.
29846.........  ............  A...........  Wrist arthroscopy/        6.80           NA           NA          5.11         5.59         1.07         090
                                             surgery.
29847.........  ............  A...........  Wrist arthroscopy/        7.13           NA           NA          5.28         5.74         1.08         090
                                             surgery.
29848.........  ............  A...........  Wrist endoscopy/          6.24           NA           NA          5.28         5.44         0.86         090
                                             surgery.
29850.........  ............  A...........  Knee arthroscopy/         8.18           NA           NA          4.72         4.88         1.25         090
                                             surgery.

[[Page 2600]]

 
29851.........  ............  A...........  Knee arthroscopy/        13.08           NA           NA          8.22         9.01         2.35         090
                                             surgery.
29855.........  ............  A...........  Tibial arthroscopy/      10.60           NA           NA          7.28         8.03         1.85         090
                                             surgery.
29856.........  ............  A...........  Tibial arthroscopy/      14.12           NA           NA          8.70         9.69         2.40         090
                                             surgery.
29860.........  ............  A...........  Hip arthroscopy,          8.85           NA           NA          6.25         6.60         1.36         090
                                             dx.
29861.........  ............  A...........  Hip arthroscopy/          9.95           NA           NA          6.40         6.87         1.59         090
                                             surgery.
29862.........  ............  A...........  Hip arthroscopy/         10.97           NA           NA          7.57         8.07         1.62         090
                                             surgery.
29863.........  ............  A...........  Hip arthroscopy/         10.97           NA           NA          7.49         8.00         1.42         090
                                             surgery.
29866.........  ............  A...........  Autgrft implnt,          14.48           NA           NA          9.47        10.41         2.40         090
                                             knee w/scope.
29867.........  ............  A...........  Allgrft implnt,          18.18           NA           NA         11.04        12.13         2.79         090
                                             knee w/scope.
29868.........  ............  A...........  Meniscal trnspl,         24.89           NA           NA         13.80        15.30         4.36         090
                                             knee w/scpe.
29870.........  ............  A...........  Knee arthroscopy,         5.11           NA           NA          4.18         4.53         0.85         090
                                             dx.
29871.........  ............  A...........  Knee arthroscopy/         6.60           NA           NA          5.06         5.47         1.14         090
                                             drainage.
29873.........  ............  A...........  Knee arthroscopy/         6.09           NA           NA          5.60         6.09         1.04         090
                                             surgery.
29874.........  ............  A...........  Knee arthroscopy/         7.10           NA           NA          5.09         5.58         1.11         090
                                             surgery.
29875.........  ............  A...........  Knee arthroscopy/         6.36           NA           NA          4.89         5.37         1.09         090
                                             surgery.
29876.........  ............  A...........  Knee arthroscopy/         8.72           NA           NA          6.19         6.61         1.37         090
                                             surgery.
29877.........  ............  A...........  Knee arthroscopy/         8.15           NA           NA          5.98         6.36         1.28         090
                                             surgery.
29879.........  ............  A...........  Knee arthroscopy/         8.84           NA           NA          6.23         6.68         1.39         090
                                             surgery.
29880.........  ............  A...........  Knee arthroscopy/         9.30           NA           NA          6.43         6.90         1.47         090
                                             surgery.
29881.........  ............  A...........  Knee arthroscopy/         8.56           NA           NA          6.14         6.55         1.34         090
                                             surgery.
29882.........  ............  A...........  Knee arthroscopy/         9.45           NA           NA          6.46         6.85         1.50         090
                                             surgery.
29883.........  ............  A...........  Knee arthroscopy/        11.61           NA           NA          7.59         8.33         1.93         090
                                             surgery.
29884.........  ............  A...........  Knee arthroscopy/         8.13           NA           NA          5.96         6.33         1.27         090
                                             surgery.
29885.........  ............  A...........  Knee arthroscopy/        10.03           NA           NA          7.03         7.50         1.58         090
                                             surgery.
29886.........  ............  A...........  Knee arthroscopy/         8.34           NA           NA          6.04         6.45         1.30         090
                                             surgery.
29887.........  ............  A...........  Knee arthroscopy/         9.98           NA           NA          6.97         7.45         1.57         090
                                             surgery.
29888.........  ............  A...........  Knee arthroscopy/        14.14           NA           NA          8.27         9.24         2.42         090
                                             surgery.
29889.........  ............  A...........  Knee arthroscopy/        17.15           NA           NA         10.62        11.53         2.79         090
                                             surgery.
29891.........  ............  A...........  Ankle arthroscopy/        9.47           NA           NA          6.65         7.08         1.39         090
                                             surgery.
29892.........  ............  A...........  Ankle arthroscopy/       10.07           NA           NA          6.39         7.07         1.41         090
                                             surgery.
29893.........  ............  A...........  Scope, plantar            6.08         8.84         7.56          4.67         4.33         0.63         090
                                             fasciotomy.
29894.........  ............  A...........  Ankle arthroscopy/        7.26           NA           NA          4.72         5.10         1.15         090
                                             surgery.
29895.........  ............  A...........  Ankle arthroscopy/        7.04           NA           NA          4.52         5.00         1.11         090
                                             surgery.
29897.........  ............  A...........  Ankle arthroscopy/        7.23           NA           NA          4.82         5.35         1.17         090
                                             surgery.
29898.........  ............  A...........  Ankle arthroscopy/        8.38           NA           NA          5.24         5.72         1.28         090
                                             surgery.
29899.........  ............  A...........  Ankle arthroscopy/       15.21           NA           NA          9.21         9.88         2.41         090
                                             surgery.
29900.........  ............  A...........  Mcp joint                 5.74           NA           NA          4.67         5.27         0.94         090
                                             arthroscopy, dx.
29901.........  ............  A...........  Mcp joint                 6.45           NA           NA          5.10         5.68         1.06         090
                                             arthroscopy, surg.
29902.........  ............  A...........  Mcp joint                 7.02           NA           NA          4.71         5.63         1.12         090
                                             arthroscopy, surg.
29904.........  ............  A...........  Subtalar arthro w/        8.50           NA           NA          5.89         5.89         1.25         090
                                             fb rmvl.
29905.........  ............  A...........  Subtalar arthro w/        9.00           NA           NA          6.52         6.52         1.32         090
                                             exc.
29906.........  ............  A...........  Subtalar arthro w/        9.47           NA           NA          6.88         6.88         1.39         090
                                             deb.
29907.........  ............  A...........  Subtalar arthro w/       12.00           NA           NA          7.87         7.87         1.90         090
                                             fusion.
29999.........  ............  C...........  Arthroscopy of            0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             joint.
30000.........  ............  A...........  Drainage of nose          1.45         4.02         4.04          1.34         1.37         0.12         010
                                             lesion.
30020.........  ............  A...........  Drainage of nose          1.45         4.17         3.72          1.39         1.43         0.12         010
                                             lesion.
30100.........  ............  A...........  Intranasal biopsy.        0.94         2.58         2.28          0.75         0.78         0.07         000
30110.........  ............  A...........  Removal of nose           1.65         3.90         3.57          1.45         1.51         0.14         010
                                             polyp(s).
30115.........  ............  A...........  Removal of nose           4.38           NA           NA          5.99         5.88         0.41         090
                                             polyp(s).
30117.........  ............  A...........  Removal of                3.20        18.17        15.66          4.92         4.77         0.26         090
                                             intranasal lesion.
30118.........  ............  A...........  Removal of                9.81           NA           NA          8.56         8.88         0.78         090
                                             intranasal lesion.
30120.........  ............  A...........  Revision of nose..        5.31         7.08         6.79          5.09         5.55         0.52         090
30124.........  ............  A...........  Removal of nose           3.14           NA           NA          3.68         3.65         0.25         090
                                             lesion.
30125.........  ............  A...........  Removal of nose           7.21           NA           NA          7.41         7.87         0.63         090
                                             lesion.
30130.........  ............  A...........  Excise inferior           3.41           NA           NA          5.64         5.62         0.31         090
                                             turbinate.
30140.........  ............  A...........  Resect inferior           3.48           NA           NA          7.11         6.65         0.35         090
                                             turbinate.
30150.........  ............  A...........  Partial removal of        9.44           NA           NA          9.04        10.03         0.93         090
                                             nose.
30160.........  ............  A...........  Removal of nose...        9.88           NA           NA          8.88         9.55         0.88         090
30200.........  ............  A...........  Injection                 0.78         2.02         1.82          0.67         0.71         0.06         000
                                             treatment of nose.
30210.........  ............  A...........  Nasal sinus               1.10         2.51         2.31          1.27         1.29         0.09         010
                                             therapy.
30220.........  ............  A...........  Insert nasal              1.56         5.82         5.03          1.43         1.48         0.12         010
                                             septal button.
30300.........  ............  A...........  Remove nasal              1.06         4.30         4.46          1.87         1.89         0.08         010
                                             foreign body.
30310.........  ............  A...........  Remove nasal              1.98           NA           NA          2.91         3.01         0.16         010
                                             foreign body.
30320.........  ............  A...........  Remove nasal              4.56           NA           NA          6.36         6.70         0.39         090
                                             foreign body.
30400.........  ............  R...........  Reconstruction of        10.58           NA           NA         13.92        14.71         1.04         090
                                             nose.
30410.........  ............  R...........  Reconstruction of        13.72           NA           NA         15.34        16.86         1.42         090
                                             nose.
30420.........  ............  R...........  Reconstruction of        16.62           NA           NA         15.84        16.88         1.46         090
                                             nose.
30430.........  ............  R...........  Revision of nose..        7.96           NA           NA         13.25        14.64         0.77         090
30435.........  ............  R...........  Revision of nose..       12.45           NA           NA         15.43        17.40         1.22         090
30450.........  ............  R...........  Revision of nose..       19.38           NA           NA         16.90        19.40         1.97         090
30460.........  ............  A...........  Revision of nose..       10.24           NA           NA          7.49         8.72         1.03         090
30462.........  ............  A...........  Revision of nose..       20.12           NA           NA         14.66        17.46         2.54         090

[[Page 2601]]

 
30465.........  ............  A...........  Repair nasal             12.20           NA           NA         11.08        11.53         1.06         090
                                             stenosis.
30520.........  ............  A...........  Repair of nasal           6.85           NA           NA          8.05         7.36         0.46         090
                                             septum.
30540.........  ............  A...........  Repair nasal              7.81           NA           NA          8.55         8.92         0.67         090
                                             defect.
30545.........  ............  A...........  Repair nasal             11.50           NA           NA         11.09        11.50         1.71         090
                                             defect.
30560.........  ............  A...........  Release of nasal          1.28         5.28         5.03          2.03         2.08         0.10         010
                                             adhesions.
30580.........  ............  A...........  Repair upper jaw          6.76         8.14         7.96          4.69         5.24         0.89         090
                                             fistula.
30600.........  ............  A...........  Repair mouth/nose         6.07         7.68         7.60          4.18         4.60         0.70         090
                                             fistula.
30620.........  ............  A...........  Intranasal                6.04           NA           NA          8.67         8.76         0.57         090
                                             reconstruction.
30630.........  ............  A...........  Repair nasal              7.18           NA           NA          7.73         7.84         0.61         090
                                             septum defect.
30801.........  ............  A...........  Ablate inf                1.11         4.30         4.22          2.12         2.02         0.09         010
                                             turbinate, superf.
30802.........  ............  A...........  Cauterization,            2.05         4.98         4.79          2.51         2.44         0.16         010
                                             inner nose.
30901.........  ............  A...........  Control of                1.21         1.27         1.32          0.31         0.31         0.11         000
                                             nosebleed.
30903.........  ............  A...........  Control of                1.54         3.28         3.00          0.43         0.46         0.13         000
                                             nosebleed.
30905.........  ............  A...........  Control of                1.97         3.94         3.73          0.51         0.63         0.17         000
                                             nosebleed.
30906.........  ............  A...........  Repeat control of         2.45         4.29         4.09          0.76         0.98         0.20         000
                                             nosebleed.
30915.........  ............  A...........  Ligation, nasal           7.36           NA           NA          6.46         6.58         0.58         090
                                             sinus artery.
30920.........  ............  A...........  Ligation, upper          11.03           NA           NA          8.97         8.97         0.80         090
                                             jaw artery.
30930.........  ............  A...........  Ther fx, nasal inf        1.28           NA           NA          1.64         1.63         0.12         010
                                             turbinate.
30999.........  ............  C...........  Nasal surgery             0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
31000.........  ............  A...........  Irrigation,               1.17         3.22         3.03          1.34         1.37         0.09         010
                                             maxillary sinus.
31002.........  ............  A...........  Irrigation,               1.93           NA           NA          2.69         2.97         0.15         010
                                             sphenoid sinus.
31020.........  ............  A...........  Exploration,              2.99         8.61         8.57          5.55         5.37         0.29         090
                                             maxillary sinus.
31030.........  ............  A...........  Exploration,              5.95        10.41        10.96          6.45         6.56         0.60         090
                                             maxillary sinus.
31032.........  ............  A...........  Explore sinus,            6.61           NA           NA          7.00         7.12         0.59         090
                                             remove polyps.
31040.........  ............  A...........  Exploration behind        9.66           NA           NA          7.38         8.60         0.87         090
                                             upper jaw.
31050.........  ............  A...........  Exploration,              5.31           NA           NA          6.51         6.43         0.49         090
                                             sphenoid sinus.
31051.........  ............  A...........  Sphenoid sinus            7.16           NA           NA          8.37         8.31         0.62         090
                                             surgery.
31070.........  ............  A...........  Exploration of            4.32           NA           NA          6.19         6.06         0.38         090
                                             frontal sinus.
31075.........  ............  A...........  Exploration of            9.40           NA           NA          9.33         9.53         0.75         090
                                             frontal sinus.
31080.........  ............  A...........  Removal of frontal       12.54           NA           NA         10.63        12.08         1.23         090
                                             sinus.
31081.........  ............  A...........  Removal of frontal       13.99           NA           NA         15.38        14.69         2.47         090
                                             sinus.
31084.........  ............  A...........  Removal of frontal       14.75           NA           NA         12.88        13.20         1.19         090
                                             sinus.
31085.........  ............  A...........  Removal of frontal       15.44           NA           NA         14.44        14.20         1.73         090
                                             sinus.
31086.........  ............  A...........  Removal of frontal       14.16           NA           NA         12.79        13.04         1.07         090
                                             sinus.
31087.........  ............  A...........  Removal of frontal       14.39           NA           NA         11.65        12.10         1.44         090
                                             sinus.
31090.........  ............  A...........  Exploration of           10.88           NA           NA         13.41        12.99         0.94         090
                                             sinuses.
31200.........  ............  A...........  Removal of ethmoid        5.03           NA           NA          7.44         8.33         0.29         090
                                             sinus.
31201.........  ............  A...........  Removal of ethmoid        8.49           NA           NA          9.00         9.09         0.82         090
                                             sinus.
31205.........  ............  A...........  Removal of ethmoid       10.47           NA           NA          9.52        10.70         0.67         090
                                             sinus.
31225.........  ............  A...........  Removal of upper         26.44           NA           NA         17.90        17.87         1.59         090
                                             jaw.
31230.........  ............  A...........  Removal of upper         30.56           NA           NA         19.50        19.44         1.78         090
                                             jaw.
31231.........  ............  A...........  Nasal endoscopy,          1.10         3.60         3.49          0.77         0.82         0.09         000
                                             dx.
31233.........  ............  A...........  Nasal/sinus               2.18         4.27         4.28          1.12         1.30         0.20         000
                                             endoscopy, dx.
31235.........  ............  A...........  Nasal/sinus               2.64         4.65         4.78          1.26         1.49         0.26         000
                                             endoscopy, dx.
31237.........  ............  A...........  Nasal/sinus               2.98         4.90         5.05          1.39         1.64         0.28         000
                                             endoscopy, surg.
31238.........  ............  A...........  Nasal/sinus               3.26         4.83         5.03          1.48         1.79         0.27         000
                                             endoscopy, surg.
31239.........  ............  A...........  Nasal/sinus               9.23           NA           NA          6.43         7.21         0.62         010
                                             endoscopy, surg.
31240.........  ............  A...........  Nasal/sinus               2.61           NA           NA          1.27         1.50         0.24         000
                                             endoscopy, surg.
31254.........  ............  A...........  Revision of               4.64           NA           NA          1.94         2.39         0.45         000
                                             ethmoid sinus.
31255.........  ............  A...........  Removal of ethmoid        6.95           NA           NA          2.69         3.40         0.73         000
                                             sinus.
31256.........  ............  A...........  Exploration               3.29           NA           NA          1.49         1.80         0.33         000
                                             maxillary sinus.
31267.........  ............  A...........  Endoscopy,                5.45           NA           NA          2.20         2.75         0.55         000
                                             maxillary sinus.
31276.........  ............  A...........  Sinus endoscopy,          8.84           NA           NA          3.31         4.21         0.92         000
                                             surgical.
31287.........  ............  A...........  Nasal/sinus               3.91           NA           NA          1.69         2.07         0.39         000
                                             endoscopy, surg.
31288.........  ............  A...........  Nasal/sinus               4.57           NA           NA          1.91         2.36         0.46         000
                                             endoscopy, surg.
31290.........  ............  A...........  Nasal/sinus              18.50           NA           NA          9.05        10.55         1.40         010
                                             endoscopy, surg.
31291.........  ............  A...........  Nasal/sinus              19.45           NA           NA          9.54        11.01         1.69         010
                                             endoscopy, surg.
31292.........  ............  A...........  Nasal/sinus              15.79           NA           NA          8.06         9.34         1.21         010
                                             endoscopy, surg.
31293.........  ............  A...........  Nasal/sinus              17.36           NA           NA          8.69        10.04         1.28         010
                                             endoscopy, surg.
31294.........  ............  A...........  Nasal/sinus              20.20           NA           NA          9.67        11.28         1.53         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        15.71           NA           NA         14.59        14.79         1.17         090
                                             lesion.
31320.........  ............  A...........  Diagnostic                5.62           NA           NA         10.15        10.23         0.46         090
                                             incision, larynx.
31360.........  ............  A...........  Removal of larynx.       29.57           NA           NA         20.08        18.41         1.38         090
31365.........  ............  A...........  Removal of larynx.       38.47           NA           NA         23.00        21.69         1.98         090
31367.........  ............  A...........  Partial removal of       30.23           NA           NA         22.52        22.21         1.79         090
                                             larynx.
31368.........  ............  A...........  Partial removal of       33.85           NA           NA         24.61        25.06         2.21         090
                                             larynx.
31370.........  ............  A...........  Partial removal of       27.23           NA           NA         22.16        22.22         1.75         090
                                             larynx.
31375.........  ............  A...........  Partial removal of       25.73           NA           NA         21.16        20.78         1.63         090
                                             larynx.
31380.........  ............  A...........  Partial removal of       25.23           NA           NA         20.81        20.71         1.71         090
                                             larynx.
31382.........  ............  A...........  Partial removal of       28.23           NA           NA         22.71        22.17         1.68         090
                                             larynx.
31390.........  ............  A...........  Removal of larynx        42.17           NA           NA         25.99        25.19         2.24         090
                                             & pharynx.

[[Page 2602]]

 
31395.........  ............  A...........  Reconstruct larynx       43.46           NA           NA         28.53        28.42         2.49         090
                                             & pharynx.
31400.........  ............  A...........  Revision of larynx       11.48           NA           NA         12.50        13.14         0.83         090
31420.........  ............  A...........  Removal of               11.32           NA           NA          8.59         9.07         0.83         090
                                             epiglottis.
31500.........  ............  A...........  Insert emergency          2.33           NA           NA          0.42         0.48         0.17         000
                                             airway.
31502.........  ............  A...........  Change of windpipe        0.65           NA           NA          0.21         0.25         0.05         000
                                             airway.
31505.........  ............  A...........  Diagnostic                0.61         1.43         1.44          0.59         0.60         0.05         000
                                             laryngoscopy.
31510.........  ............  A...........  Laryngoscopy with         1.92         3.23         3.26          1.00         1.13         0.16         000
                                             biopsy.
31511.........  ............  A...........  Remove foreign            2.16         2.94         3.03          1.03         1.04         0.19         000
                                             body, larynx.
31512.........  ............  A...........  Removal of larynx         2.07         2.97         3.09          1.06         1.21         0.18         000
                                             lesion.
31513.........  ............  A...........  Injection into            2.10           NA           NA          1.09         1.27         0.17         000
                                             vocal cord.
31515.........  ............  A...........  Laryngoscopy for          1.80         3.20         3.37          0.88         0.97         0.14         000
                                             aspiration.
31520.........  ............  A...........  Dx laryngoscopy,          2.56           NA           NA          1.21         1.38         0.20         000
                                             newborn.
31525.........  ............  A...........  Dx laryngoscopy           2.63         3.45         3.55          1.23         1.44         0.21         000
                                             excl nb.
31526.........  ............  A...........  Dx laryngoscopy w/        2.57           NA           NA          1.25         1.48         0.21         000
                                             oper scope.
31527.........  ............  A...........  Laryngoscopy for          3.27           NA           NA          1.40         1.64         0.26         000
                                             treatment.
31528.........  ............  A...........  Laryngoscopy and          2.37           NA           NA          1.09         1.27         0.19         000
                                             dilation.
31529.........  ............  A...........  Laryngoscopy and          2.68           NA           NA          1.25         1.48         0.22         000
                                             dilation.
31530.........  ............  A...........  Laryngoscopy w/fb         3.38           NA           NA          1.45         1.70         0.29         000
                                             removal.
31531.........  ............  A...........  Laryngoscopy w/fb         3.58           NA           NA          1.59         1.93         0.29         000
                                             & op scope.
31535.........  ............  A...........  Laryngoscopy w/           3.16           NA           NA          1.44         1.72         0.26         000
                                             biopsy.
31536.........  ............  A...........  Laryngoscopy w/bx         3.55           NA           NA          1.57         1.91         0.29         000
                                             & op scope.
31540.........  ............  A...........  Laryngoscopy w/exc        4.12           NA           NA          1.76         2.15         0.33         000
                                             of tumor.
31541.........  ............  A...........  Larynscop w/tumr          4.52           NA           NA          1.89         2.34         0.37         000
                                             exc + scope.
31545.........  ............  A...........  Remove vc lesion w/       6.30           NA           NA          2.52         2.99         0.37         000
                                             scope.
31546.........  ............  A...........  Remove vc lesion          9.73           NA           NA          3.43         4.20         0.78         000
                                             scope/graft.
31560.........  ............  A...........  Laryngoscop w/            5.45           NA           NA          2.16         2.65         0.43         000
                                             arytenoidectom.
31561.........  ............  A...........  Larynscop, remve          5.99           NA           NA          2.32         2.85         0.49         000
                                             cart + scop.
31570.........  ............  A...........  Laryngoscope w/vc         3.86         4.26         4.97          1.65         2.02         0.31         000
                                             inj.
31571.........  ............  A...........  Laryngoscop w/vc          4.26           NA           NA          1.81         2.21         0.35         000
                                             inj + scope.
31575.........  ............  A...........  Diagnostic                1.10         1.70         1.80          0.76         0.83         0.09         000
                                             laryngoscopy.
31576.........  ............  A...........  Laryngoscopy with         1.97         3.52         3.59          1.04         1.17         0.14         000
                                             biopsy.
31577.........  ............  A...........  Remove foreign            2.47         3.38         3.57          1.17         1.35         0.21         000
                                             body, larynx.
31578.........  ............  A...........  Removal of larynx         2.84         4.00         4.14          1.34         1.43         0.23         000
                                             lesion.
31579.........  ............  A...........  Diagnostic                2.26         2.87         3.32          1.15         1.31         0.18         000
                                             laryngoscopy.
31580.........  ............  A...........  Revision of larynx       14.46           NA           NA         13.83        14.88         1.00         090
31582.........  ............  A...........  Revision of larynx       22.87           NA           NA         22.57        24.19         1.76         090
31584.........  ............  A...........  Treat larynx             20.35           NA           NA         15.28        16.72         1.72         090
                                             fracture.
31587.........  ............  A...........  Revision of larynx       15.12           NA           NA          8.64         8.96         0.97         090
31588.........  ............  A...........  Revision of larynx       14.62           NA           NA         12.52        13.07         1.06         090
31590.........  ............  A...........  Reinnervate larynx        7.63           NA           NA         12.80        14.17         0.84         090
31595.........  ............  A...........  Larynx nerve              8.75           NA           NA          9.65        10.10         0.68         090
                                             surgery.
31599.........  ............  C...........  Larynx surgery            0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
31600.........  ............  A...........  Incision of               7.17           NA           NA          2.28         2.74         0.80         000
                                             windpipe.
31601.........  ............  A...........  Incision of               4.44           NA           NA          1.74         2.07         0.40         000
                                             windpipe.
31603.........  ............  A...........  Incision of               4.14           NA           NA          1.19         1.45         0.44         000
                                             windpipe.
31605.........  ............  A...........  Incision of               3.57           NA           NA          0.82         1.00         0.40         000
                                             windpipe.
31610.........  ............  A...........  Incision of               9.29           NA           NA          7.73         8.00         0.79         090
                                             windpipe.
31611.........  ............  A...........  Surgery/speech            5.92           NA           NA          7.08         7.07         0.46         090
                                             prosthesis.
31612.........  ............  A...........  Puncture/clear            0.91         1.09         1.09          0.26         0.30         0.08         000
                                             windpipe.
31613.........  ............  A...........  Repair windpipe           4.63           NA           NA          6.14         6.07         0.42         090
                                             opening.
31614.........  ............  A...........  Repair windpipe           8.47           NA           NA          9.59         9.15         0.58         090
                                             opening.
31615.........  ............  A...........  Visualization of          2.09         2.38         2.49          1.05         1.12         0.16         000
                                             windpipe.
31620.........  ............  A...........  Endobronchial us          1.40         6.02         5.83          0.33         0.44         0.11         ZZZ
                                             add-on.
31622.........  ............  A...........  Dx bronchoscope/          2.78         5.24         5.45          0.90         0.98         0.18         000
                                             wash.
31623.........  ............  A...........  Dx bronchoscope/          2.88         5.98         6.20          0.89         0.97         0.13         000
                                             brush.
31624.........  ............  A...........  Dx bronchoscope/          2.88         5.34         5.56          0.89         0.97         0.13         000
                                             lavage.
31625.........  ............  A...........  Bronchoscopy w/           3.36         5.48         5.65          1.01         1.11         0.18         000
                                             biopsy(s).
31628.........  ............  A...........  Bronchoscopy/lung         3.80         6.96         6.99          1.10         1.20         0.18         000
                                             bx, each.
31629.........  ............  A...........  Bronchoscopy/             4.09        12.01        13.14          1.17         1.28         0.16         000
                                             needle bx, each.
31630.........  ............  A...........  Bronchoscopy              3.81           NA           NA          1.27         1.49         0.32         000
                                             dilate/fx repr.
31631.........  ............  A...........  Bronchoscopy,             4.36           NA           NA          1.42         1.59         0.34         000
                                             dilate w/stent.
31632.........  ............  A...........  Bronchoscopy/lung         1.03         0.86         0.83          0.24         0.27         0.18         ZZZ
                                             bx, add[AElig]l.
31633.........  ............  A...........  Bronchoscopy/             1.32         0.99         0.95          0.31         0.35         0.16         ZZZ
                                             needle bx
                                             add[AElig]l.
31635.........  ............  A...........  Bronchoscopy w/fb         3.67         5.20         5.66          1.13         1.28         0.24         000
                                             removal.
31636.........  ............  A...........  Bronchoscopy,             4.30           NA           NA          1.34         1.55         0.31         000
                                             bronch stents.
31637.........  ............  A...........  Bronchoscopy,             1.58           NA           NA          0.41         0.48         0.13         ZZZ
                                             stent add-on.
31638.........  ............  A...........  Bronchoscopy,             4.88           NA           NA          1.54         1.76         0.22         000
                                             revise stent.
31640.........  ............  A...........  Bronchoscopy w/           4.93           NA           NA          1.53         1.80         0.46         000
                                             tumor excise.
31641.........  ............  A...........  Bronchoscopy,             5.02           NA           NA          1.49         1.69         0.35         000
                                             treat blockage.
31643.........  ............  A...........  Diag bronchoscope/        3.49           NA           NA          1.04         1.13         0.20         000
                                             catheter.
31645.........  ............  A...........  Bronchoscopy,             3.16         4.72         4.93          0.96         1.04         0.16         000
                                             clear airways.
31646.........  ............  A...........  Bronchoscopy,             2.72         4.42         4.64          0.85         0.92         0.14         000
                                             reclear airway.

[[Page 2603]]

 
31656.........  ............  A...........  Bronchoscopy, inj         2.17         5.69         6.49          0.68         0.76         0.15         000
                                             for x-ray.
31715.........  ............  A...........  Injection for             1.11           NA           NA          0.25         0.30         0.07         000
                                             bronchus x-ray.
31717.........  ............  A...........  Bronchial brush           2.12         5.84         7.05          0.72         0.75         0.14         000
                                             biopsy.
31720.........  ............  A...........  Clearance of              1.06           NA           NA          0.27         0.30         0.07         000
                                             airways.
31725.........  ............  A...........  Clearance of              1.96           NA           NA          0.41         0.49         0.14         000
                                             airways.
31730.........  ............  A...........  Intro, windpipe           2.85        25.74        13.97          0.74         0.87         0.21         000
                                             wire/tube.
31750.........  ............  A...........  Repair of windpipe       15.19           NA           NA         17.46        17.51         1.05         090
31755.........  ............  A...........  Repair of windpipe       17.19           NA           NA         24.00        24.27         1.29         090
31760.........  ............  A...........  Repair of windpipe       23.36           NA           NA          9.78        10.25         2.95         090
31766.........  ............  A...........  Reconstruction of        31.58           NA           NA         11.70        12.68         4.53         090
                                             windpipe.
31770.........  ............  A...........  Repair/graft of          23.48           NA           NA          8.54         9.39         2.84         090
                                             bronchus.
31775.........  ............  A...........  Reconstruct              24.51           NA           NA          9.52        10.66         3.02         090
                                             bronchus.
31780.........  ............  A...........  Reconstruct              19.70           NA           NA          8.80         9.93         1.65         090
                                             windpipe.
31781.........  ............  A...........  Reconstruct              24.77           NA           NA          9.67        10.90         2.25         090
                                             windpipe.
31785.........  ............  A...........  Remove windpipe          18.29           NA           NA          7.68         8.93         1.59         090
                                             lesion.
31786.........  ............  A...........  Remove windpipe          25.34           NA           NA          9.62        11.36         3.30         090
                                             lesion.
31800.........  ............  A...........  Repair of windpipe        8.10           NA           NA          8.68         8.97         0.79         090
                                             injury.
31805.........  ............  A...........  Repair of windpipe       13.34           NA           NA          6.22         6.72         1.83         090
                                             injury.
31820.........  ............  A...........  Closure of                4.58         5.86         5.76          3.26         3.46         0.38         090
                                             windpipe lesion.
31825.........  ............  A...........  Repair of windpipe        6.98         7.45         7.56          4.48         4.93         0.53         090
                                             defect.
31830.........  ............  A...........  Revise windpipe           4.54         5.93         5.85          3.56         3.77         0.44         090
                                             scar.
31899.........  ............  C...........  Airways surgical          0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
32035.........  ............  A...........  Exploration of           11.20           NA           NA          6.09         5.97         1.26         090
                                             chest.
32036.........  ............  A...........  Exploration of           12.21           NA           NA          6.30         6.37         1.43         090
                                             chest.
32095.........  ............  A...........  Biopsy through           10.06           NA           NA          5.10         5.24         1.22         090
                                             chest wall.
32100.........  ............  A...........  Exploration/biopsy       16.08           NA           NA          7.01         7.42         2.24         090
                                             of chest.
32110.........  ............  A...........  Explore/repair           25.15           NA           NA          9.88        10.31         3.22         090
                                             chest.
32120.........  ............  A...........  Re-exploration of        14.27           NA           NA          6.78         6.93         1.63         090
                                             chest.
32124.........  ............  A...........  Explore chest free       15.33           NA           NA          6.96         7.09         1.90         090
                                             adhesions.
32140.........  ............  A...........  Removal of lung          16.54           NA           NA          7.40         7.54         1.97         090
                                             lesion(s).
32141.........  ............  A...........  Remove/treat lung        27.10           NA           NA         10.19         8.87         2.01         090
                                             lesions.
32150.........  ............  A...........  Removal of lung          16.70           NA           NA          7.51         7.56         2.01         090
                                             lesion(s).
32151.........  ............  A...........  Remove lung              16.82           NA           NA          7.92         7.96         2.04         090
                                             foreign body.
32160.........  ............  A...........  Open chest heart         13.02           NA           NA          5.84         5.56         1.31         090
                                             massage.
32200.........  ............  A...........  Drain, open, lung        18.48           NA           NA          8.77         8.69         2.14         090
                                             lesion.
32201.........  ............  A...........  Drain, percut,            3.99        19.87        20.29          1.43         1.36         0.24         000
                                             lung lesion.
32215.........  ............  A...........  Treat chest lining       12.93           NA           NA          6.24         6.57         1.69         090
32220.........  ............  A...........  Release of lung...       26.41           NA           NA         11.91        12.44         3.57         090
32225.........  ............  A...........  Partial release of       16.63           NA           NA          7.46         7.56         2.07         090
                                             lung.
32310.........  ............  A...........  Removal of chest         15.16           NA           NA          6.93         7.16         2.00         090
                                             lining.
32320.........  ............  A...........  Free/remove chest        27.04           NA           NA         11.46        11.81         3.52         090
                                             lining.
32400.........  ............  A...........  Needle biopsy             1.76         2.15         2.14          0.57         0.56         0.10         000
                                             chest lining.
32402.........  ............  A...........  Open biopsy chest         8.89           NA           NA          4.69         4.90         1.07         090
                                             lining.
32405.........  ............  A...........  Biopsy, lung or           1.93         0.69         0.68          0.69         0.66         0.11         000
                                             mediastinum.
32420.........  ............  A...........  Puncture/clear            2.18           NA           NA          0.71         0.70         0.12         000
                                             lung.
32421.........  ............  A...........  Thoracentesis for         1.54         2.41         2.73          0.47         0.47         0.08         000
                                             aspiration.
32422.........  ............  A...........  Thoracentesis w/          2.19         2.88         3.05          1.03         1.05         0.12         000
                                             tube insert.
32440.........  ............  A...........  Removal of lung...       27.17           NA           NA         10.92        11.91         3.69         090
32442.........  ............  A...........  Sleeve                   56.37           NA           NA         18.74        16.75         3.85         090
                                             pneumonectomy.
32445.........  ............  A...........  Removal of lung...       63.60           NA           NA         22.80        18.43         3.72         090
32480.........  ............  A...........  Partial removal of       25.71           NA           NA         10.19        11.13         3.50         090
                                             lung.
32482.........  ............  A...........  Bilobectomy.......       27.28           NA           NA         11.10        12.01         3.67         090
32484.........  ............  A...........  Segmentectomy.....       25.30           NA           NA          9.57        10.48         3.04         090
32486.........  ............  A...........  Sleeve lobectomy..       42.80           NA           NA         14.62        13.94         3.52         090
32488.........  ............  A...........  Completion               42.83           NA           NA         15.58        14.68         3.81         090
                                             pneumonectomy.
32491.........  ............  R...........  Lung volume              25.09           NA           NA         10.43        11.53         2.99         090
                                             reduction.
32500.........  ............  A...........  Partial removal of       24.48           NA           NA         10.27        11.32         3.26         090
                                             lung.
32501.........  ............  A...........  Repair bronchus           4.68           NA           NA          1.34         1.44         0.65         ZZZ
                                             add-on.
32503.........  ............  A...........  Resect apical lung       31.61           NA           NA         12.09        13.58         4.38         090
                                             tumor.
32504.........  ............  A...........  Resect apical lung       36.41           NA           NA         13.48        15.08         5.09         090
                                             tum/chest.
32540.........  ............  A...........  Removal of lung          30.22           NA           NA         11.49        10.56         2.08         090
                                             lesion.
32550.........  ............  A...........  Insert pleural            4.17        14.97        17.47          1.51         1.58         0.42         000
                                             cath.
32551.........  ............  A...........  Insertion of chest        3.29           NA           NA          0.97         1.16         0.43         000
                                             tube.
32560.........  ............  A...........  Treat lung lining         2.19         5.06         5.76          0.58         0.64         0.23         000
                                             chemically.
32601.........  ............  A...........  Thoracoscopy,             5.45           NA           NA          2.07         2.21         0.80         000
                                             diagnostic.
32602.........  ............  A...........  Thoracoscopy,             5.95           NA           NA          2.22         2.37         0.87         000
                                             diagnostic.
32603.........  ............  A...........  Thoracoscopy,             7.80           NA           NA          2.74         2.89         1.14         000
                                             diagnostic.
32604.........  ............  A...........  Thoracoscopy,             8.77           NA           NA          3.05         3.25         1.25         000
                                             diagnostic.
32605.........  ............  A...........  Thoracoscopy,             6.92           NA           NA          2.58         2.74         1.00         000
                                             diagnostic.
32606.........  ............  A...........  Thoracoscopy,             8.39           NA           NA          2.97         3.15         1.22         000
                                             diagnostic.
32650.........  ............  A...........  Thoracoscopy,            10.77           NA           NA          5.24         6.00         1.58         090
                                             surgical.
32651.........  ............  A...........  Thoracoscopy,            18.70           NA           NA          7.70         7.47         1.87         090
                                             surgical.

[[Page 2604]]

 
32652.........  ............  A...........  Thoracoscopy,            29.00           NA           NA         11.14        10.64         2.73         090
                                             surgical.
32653.........  ............  A...........  Thoracoscopy,            18.09           NA           NA          7.46         7.22         1.89         090
                                             surgical.
32654.........  ............  A...........  Thoracoscopy,            20.44           NA           NA          7.96         7.75         1.63         090
                                             surgical.
32655.........  ............  A...........  Thoracoscopy,            16.09           NA           NA          6.88         7.06         1.90         090
                                             surgical.
32656.........  ............  A...........  Thoracoscopy,            13.18           NA           NA          5.96         6.95         1.90         090
                                             surgical.
32657.........  ............  A...........  Thoracoscopy,            12.85           NA           NA          5.97         6.83         2.00         090
                                             surgical.
32658.........  ............  A...........  Thoracoscopy,            11.65           NA           NA          5.50         6.43         1.70         090
                                             surgical.
32659.........  ............  A...........  Thoracoscopy,            11.86           NA           NA          5.80         6.63         1.62         090
                                             surgical.
32660.........  ............  A...........  Thoracoscopy,            17.69           NA           NA          7.59         8.54         2.09         090
                                             surgical.
32661.........  ............  A...........  Thoracoscopy,            13.27           NA           NA          6.05         6.92         1.93         090
                                             surgical.
32662.........  ............  A...........  Thoracoscopy,            14.91           NA           NA          6.64         7.74         2.18         090
                                             surgical.
32663.........  ............  A...........  Thoracoscopy,            24.56           NA           NA          9.40        10.08         2.73         090
                                             surgical.
32664.........  ............  A...........  Thoracoscopy,            14.22           NA           NA          5.62         6.62         2.33         090
                                             surgical.
32665.........  ............  A...........  Thoracoscopy,            21.45           NA           NA          8.57         8.35         2.16         090
                                             surgical.
32800.........  ............  A...........  Repair lung hernia       15.59           NA           NA          6.93         7.17         1.99         090
32810.........  ............  A...........  Close chest after        14.83           NA           NA          6.98         7.25         1.94         090
                                             drainage.
32815.........  ............  A...........  Close bronchial          49.79           NA           NA         18.60        14.79         3.28         090
                                             fistula.
32820.........  ............  A...........  Reconstruct              22.33           NA           NA         10.57        11.37         2.53         090
                                             injured chest.
32850.........  ............  X...........  Donor                     0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             pneumonectomy.
32851.........  ............  A...........  Lung transplant,         40.94           NA           NA         20.19        23.94         5.58         090
                                             single.
32852.........  ............  A...........  Lung transplant          44.65           NA           NA         22.58        27.88         6.02         090
                                             with bypass.
32853.........  ............  A...........  Lung transplant,         50.11           NA           NA         22.80        27.29         7.07         090
                                             double.
32854.........  ............  A...........  Lung transplant          53.88           NA           NA         25.79        30.27         7.22         090
                                             with bypass.
32855.........  ............  C...........  Prepare donor             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             lung, single.
32856.........  ............  C...........  Prepare donor             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             lung, double.
32900.........  ............  A...........  Removal of rib(s).       23.69           NA           NA          9.57         9.73         2.94         090
32905.........  ............  A...........  Revise & repair          23.17           NA           NA          9.53         9.84         3.16         090
                                             chest wall.
32906.........  ............  A...........  Revise & repair          29.18           NA           NA         11.04        11.55         3.98         090
                                             chest wall.
32940.........  ............  A...........  Revision of lung..       21.22           NA           NA          8.49         8.99         2.89         090
32960.........  ............  A...........  Therapeutic               1.84         1.61         1.68          0.68         0.62         0.16         000
                                             pneumothorax.
32997.........  ............  A...........  Total lung lavage.        7.31           NA           NA          1.84         1.88         0.55         000
32998.........  ............  A...........  Perq rf ablate tx,        5.68        70.26        70.26          1.99         1.99         0.36         000
                                             pul tumor.
32999.........  ............  C...........  Chest surgery             0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
33010.........  ............  A...........  Drainage of heart         2.24           NA           NA          1.04         0.91         0.14         000
                                             sac.
33011.........  ............  A...........  Repeat drainage of        2.24           NA           NA          1.13         0.97         0.15         000
                                             heart sac.
33015.........  ............  A...........  Incision of heart         8.44           NA           NA          5.16         5.05         0.65         090
                                             sac.
33020.........  ............  A...........  Incision of heart        14.87           NA           NA          6.37         6.58         1.80         090
                                             sac.
33025.........  ............  A...........  Incision of heart        13.65           NA           NA          5.85         6.10         1.81         090
                                             sac.
33030.........  ............  A...........  Partial removal of       22.27           NA           NA          9.12         9.33         2.84         090
                                             heart sac.
33031.........  ............  A...........  Partial removal of       25.30           NA           NA          9.58         9.81         3.14         090
                                             heart sac.
33050.........  ............  A...........  Removal of heart         16.85           NA           NA          7.37         7.61         2.15         090
                                             sac lesion.
33120.........  ............  A...........  Removal of heart         27.33           NA           NA         10.57        11.08         3.70         090
                                             lesion.
33130.........  ............  A...........  Removal of heart         24.05           NA           NA          9.37         9.75         3.01         090
                                             lesion.
33140.........  ............  A...........  Heart                    28.26           NA           NA         10.31        10.60         2.86         090
                                             revascularize
                                             (tmr).
33141.........  ............  A...........  Heart tmr w/other         2.54           NA           NA          0.78         1.18         0.69         ZZZ
                                             procedure.
33202.........  ............  A...........  Insert epicard           13.15           NA           NA          6.08         6.08         1.71         090
                                             eltrd, open.
33203.........  ............  A...........  Insert epicard           13.92           NA           NA          6.13         6.13         1.39         090
                                             eltrd, endo.
33206.........  ............  A...........  Insertion of heart        7.31           NA           NA          5.13         4.79         0.52         090
                                             pacemaker.
33207.........  ............  A...........  Insertion of heart        8.00           NA           NA          5.23         4.94         0.59         090
                                             pacemaker.
33208.........  ............  A...........  Insertion of heart        8.72           NA           NA          5.66         5.21         0.56         090
                                             pacemaker.
33210.........  ............  A...........  Insertion of heart        3.30           NA           NA          1.66         1.46         0.18         000
                                             electrode.
33211.........  ............  A...........  Insertion of heart        3.39           NA           NA          1.59         1.45         0.21         000
                                             electrode.
33212.........  ............  A...........  Insertion of pulse        5.51           NA           NA          3.71         3.53         0.43         090
                                             generator.
33213.........  ............  A...........  Insertion of pulse        6.36           NA           NA          4.21         3.97         0.45         090
                                             generator.
33214.........  ............  A...........  Upgrade of                7.78           NA           NA          5.36         5.13         0.58         090
                                             pacemaker system.
33215.........  ............  A...........  Reposition pacing-        4.89           NA           NA          3.49         3.33         0.37         090
                                             defib lead.
33216.........  ............  A...........  Insert lead pace-         5.81           NA           NA          4.54         4.37         0.36         090
                                             defib, one.
33217.........  ............  A...........  Insert lead pace-         5.78           NA           NA          4.43         4.33         0.39         090
                                             defib, dual.
33218.........  ............  A...........  Repair lead pace-         5.97           NA           NA          4.82         4.56         0.37         090
                                             defib, one.
33220.........  ............  A...........  Repair lead pace-         6.05           NA           NA          4.78         4.53         0.37         090
                                             defib, dual.
33222.........  ............  A...........  Revise pocket,            5.01           NA           NA          4.30         4.30         0.42         090
                                             pacemaker.
33223.........  ............  A...........  Revise pocket,            6.49           NA           NA          4.88         4.74         0.45         090
                                             pacing-defib.
33224.........  ............  A...........  Insert pacing lead        9.04           NA           NA          4.91         4.45         0.54         000
                                             & connect.
33225.........  ............  A...........  L ventric pacing          8.33           NA           NA          4.35         3.80         0.45         ZZZ
                                             lead add-on.
33226.........  ............  A...........  Reposition l              8.68           NA           NA          4.74         4.28         0.59         000
                                             ventric lead.
33233.........  ............  A...........  Removal of                3.33           NA           NA          3.27         3.27         0.22         090
                                             pacemaker system.
33234.........  ............  A...........  Removal of                7.85           NA           NA          5.49         5.20         0.56         090
                                             pacemaker system.
33235.........  ............  A...........  Removal pacemaker         9.93           NA           NA          7.24         7.03         0.73         090
                                             electrode.
33236.........  ............  A...........  Remove electrode/        12.64           NA           NA          6.38         6.91         1.69         090
                                             thoracotomy.
33237.........  ............  A...........  Remove electrode/        13.75           NA           NA          8.02         7.90         1.59         090
                                             thoracotomy.
33238.........  ............  A...........  Remove electrode/        15.28           NA           NA          8.05         8.13         2.03         090
                                             thoracotomy.
33240.........  ............  A...........  Insert pulse              7.61           NA           NA          5.25         4.92         0.41         090
                                             generator.

[[Page 2605]]

 
33241.........  ............  A...........  Remove pulse              3.26           NA           NA          3.00         2.98         0.18         090
                                             generator.
33243.........  ............  A...........  Remove eltrd/            23.42           NA           NA         10.94        11.20         2.10         090
                                             thoracotomy.
33244.........  ............  A...........  Remove eltrd,            13.84           NA           NA          9.44         9.17         0.99         090
                                             transven.
33249.........  ............  A...........  Eltrd/insert pace-       15.02           NA           NA         10.16         9.26         0.77         090
                                             defib.
33250.........  ............  A...........  Ablate heart             25.78           NA           NA         10.89        10.96         3.19         090
                                             dysrhythm focus.
33251.........  ............  A...........  Ablate heart             28.80           NA           NA         10.97        11.32         3.60         090
                                             dysrhythm focus.
33254.........  ............  A...........  Ablate atria, lmtd       23.58           NA           NA          9.77         9.77         3.35         090
33255.........  ............  A...........  Ablate atria w/o         28.91           NA           NA         11.37        11.37         3.94         090
                                             bypass, ext.
33256.........  ............  A...........  Ablate atria w/          34.77           NA           NA         13.12        13.12         4.95         090
                                             bypass, exten.
33257.........  ............  A...........  Ablate atria,             9.63           NA           NA          5.47         5.47         0.89         ZZZ
                                             lmtd, add-on.
33258.........  ............  A...........  Ablate atria,            11.00           NA           NA          5.99         5.99         1.09         ZZZ
                                             x10sv, add-on.
33259.........  ............  A...........  Ablate atria w/          14.14           NA           NA          7.80         7.80         1.78         ZZZ
                                             bypass add-on.
33261.........  ............  A...........  Ablate heart             28.80           NA           NA         11.69        11.73         3.46         090
                                             dysrhythm focus.
33265.........  ............  A...........  Ablate atria,            23.58           NA           NA          9.77         9.77         3.35         090
                                             lmtd, endo.
33266.........  ............  A...........  Ablate atria,            32.91           NA           NA         12.57        12.57         4.80         090
                                             x10sv, endo.
33282.........  ............  A...........  Implant pat-active        4.70           NA           NA          4.24         4.13         0.23         090
                                             ht record.
33284.........  ............  A...........  Remove pat-active         3.04           NA           NA          3.38         3.45         0.14         090
                                             ht record.
33300.........  ............  A...........  Repair of heart          44.89           NA           NA         15.06        12.15         2.66         090
                                             wound.
33305.........  ............  A...........  Repair of heart          76.85           NA           NA         25.14        17.88         3.13         090
                                             wound.
33310.........  ............  A...........  Exploratory heart        20.22           NA           NA          8.36         8.97         2.59         090
                                             surgery.
33315.........  ............  A...........  Exploratory heart        26.05           NA           NA         10.36        10.62         3.28         090
                                             surgery.
33320.........  ............  A...........  Repair major blood       18.46           NA           NA          8.01         8.11         2.08         090
                                             vessel(s).
33321.........  ............  A...........  Repair major             20.71           NA           NA          8.38         9.08         2.91         090
                                             vessel.
33322.........  ............  A...........  Repair major blood       24.30           NA           NA          9.55         9.96         2.86         090
                                             vessel(s).
33330.........  ............  A...........  Insert major             25.17           NA           NA          9.50         9.89         2.82         090
                                             vessel graft.
33332.........  ............  A...........  Insert major             24.46           NA           NA          9.46         9.99         3.03         090
                                             vessel graft.
33335.........  ............  A...........  Insert major             33.79           NA           NA         12.49        12.92         4.28         090
                                             vessel graft.
33400.........  ............  A...........  Repair of aortic         41.37           NA           NA         14.58        15.13         4.11         090
                                             valve.
33401.........  ............  A...........  Valvuloplasty,           24.41           NA           NA         10.28        11.89         3.57         090
                                             open.
33403.........  ............  A...........  Valvuloplasty, w/        25.39           NA           NA         12.53        13.42         3.55         090
                                             cp bypass.
33404.........  ............  A...........  Prepare heart-           31.25           NA           NA         12.02        13.28         4.33         090
                                             aorta conduit.
33405.........  ............  A...........  Replacement of           41.19           NA           NA         15.12        16.71         5.33         090
                                             aortic valve.
33406.........  ............  A...........  Replacement of           52.55           NA           NA         18.39        18.76         5.45         090
                                             aortic valve.
33410.........  ............  A...........  Replacement of           46.28           NA           NA         16.53        16.56         4.69         090
                                             aortic valve.
33411.........  ............  A...........  Replacement of           61.94           NA           NA         21.11        19.93         5.48         090
                                             aortic valve.
33412.........  ............  A...........  Replacement of           43.77           NA           NA         16.22        18.32         6.39         090
                                             aortic valve.
33413.........  ............  A...........  Replacement of           59.74           NA           NA         23.55        22.19         6.53         090
                                             aortic valve.
33414.........  ............  A...........  Repair of aortic         39.29           NA           NA         14.29        14.21         4.57         090
                                             valve.
33415.........  ............  A...........  Revision,                37.19           NA           NA         13.15        12.59         4.14         090
                                             subvalvular
                                             tissue.
33416.........  ............  A...........  Revise ventricle         36.43           NA           NA         13.24        13.38         4.57         090
                                             muscle.
33417.........  ............  A...........  Repair of aortic         29.17           NA           NA         11.71        12.66         4.10         090
                                             valve.
33420.........  ............  A...........  Revision of mitral       25.67           NA           NA          9.50         9.53         1.82         090
                                             valve.
33422.........  ............  A...........  Revision of mitral       29.61           NA           NA         11.36        12.51         3.94         090
                                             valve.
33425.........  ............  A...........  Repair of mitral         49.83           NA           NA         17.61        15.34         4.07         090
                                             valve.
33426.........  ............  A...........  Repair of mitral         43.15           NA           NA         15.76        16.45         5.03         090
                                             valve.
33427.........  ............  A...........  Repair of mitral         44.70           NA           NA         15.70        17.54         6.09         090
                                             valve.
33430.........  ............  A...........  Replacement of           50.75           NA           NA         18.57        17.93         5.10         090
                                             mitral valve.
33460.........  ............  A...........  Revision of              44.62           NA           NA         14.72        13.01         3.45         090
                                             tricuspid valve.
33463.........  ............  A...........  Valvuloplasty,           56.95           NA           NA         19.73        16.33         3.87         090
                                             tricuspid.
33464.........  ............  A...........  Valvuloplasty,           44.49           NA           NA         15.85        14.69         4.15         090
                                             tricuspid.
33465.........  ............  A...........  Replace tricuspid        50.59           NA           NA         17.65        15.31         4.39         090
                                             valve.
33468.........  ............  A...........  Revision of              32.82           NA           NA         15.25        14.45         4.07         090
                                             tricuspid valve.
33470.........  ............  A...........  Revision of              21.32           NA           NA          7.93         9.31         1.03         090
                                             pulmonary valve.
33471.........  ............  A...........  Valvotomy,               22.83           NA           NA         11.60        10.68         3.39         090
                                             pulmonary valve.
33472.........  ............  A...........  Revision of              22.90           NA           NA          8.79        10.33         3.55         090
                                             pulmonary valve.
33474.........  ............  A...........  Revision of              39.27           NA           NA         12.95        11.92         3.22         090
                                             pulmonary valve.
33475.........  ............  A...........  Replacement,             42.27           NA           NA         15.07        15.22         4.93         090
                                             pulmonary valve.
33476.........  ............  A...........  Revision of heart        26.41           NA           NA         10.37        11.17         2.42         090
                                             chamber.
33478.........  ............  A...........  Revision of heart        27.38           NA           NA         11.02        12.04         3.89         090
                                             chamber.
33496.........  ............  A...........  Repair, prosth           29.71           NA           NA         11.10        11.93         4.13         090
                                             valve clot.
33500.........  ............  A...........  Repair heart             27.82           NA           NA         11.04        11.25         3.87         090
                                             vessel fistula.
33501.........  ............  A...........  Repair heart             19.43           NA           NA          8.00         8.14         1.91         090
                                             vessel fistula.
33502.........  ............  A...........  Coronary artery          21.69           NA           NA          9.34        10.21         3.00         090
                                             correction.
33503.........  ............  A...........  Coronary artery          22.29           NA           NA         12.33        11.03         1.78         090
                                             graft.
33504.........  ............  A...........  Coronary artery          25.30           NA           NA         10.59        11.20         3.36         090
                                             graft.
33505.........  ............  A...........  Repair artery w/         38.35           NA           NA         15.14        14.03         2.19         090
                                             tunnel.
33506.........  ............  A...........  Repair artery,           37.80           NA           NA         12.71        13.64         4.66         090
                                             translocation.
33507.........  ............  A...........  Repair art,              31.35           NA           NA         11.10        12.37         4.06         090
                                             intramural.
33508.........  ............  A...........  Endoscopic vein           0.31           NA           NA          0.09         0.10         0.04         ZZZ
                                             harvest.
33510.........  ............  A...........  CABG, vein, single       34.87           NA           NA         12.92        14.63         4.41         090
33511.........  ............  A...........  CABG, vein, two...       38.34           NA           NA         14.16        15.62         4.56         090
33512.........  ............  A...........  CABG, vein, three.       43.87           NA           NA         15.95        16.78         4.67         090

[[Page 2606]]

 
33513.........  ............  A...........  CABG, vein, four..       45.26           NA           NA         16.38        17.09         4.88         090
33514.........  ............  A...........  CABG, vein, five..       47.97           NA           NA         17.36        17.71         4.77         090
33516.........  ............  A...........  Cabg, vein, six or       49.65           NA           NA         17.97        18.39         5.13         090
                                             more.
33517.........  ............  A...........  CABG, artery-vein,        3.61           NA           NA          1.08         0.96         0.39         ZZZ
                                             single.
33518.........  ............  A...........  CABG, artery-vein,        7.93           NA           NA          2.37         1.97         0.73         ZZZ
                                             two.
33519.........  ............  A...........  CABG, artery-vein,       10.49           NA           NA          3.14         2.73         1.04         ZZZ
                                             three.
33521.........  ............  A...........  CABG, artery-vein,       12.59           NA           NA          3.78         3.42         1.37         ZZZ
                                             four.
33522.........  ............  A...........  CABG, artery-vein,       14.14           NA           NA          4.24         4.02         1.78         ZZZ
                                             five.
33523.........  ............  A...........  Cabg, art-vein,          16.08           NA           NA          4.78         4.66         2.13         ZZZ
                                             six or more.
33530.........  ............  A...........  Coronary artery,         10.13           NA           NA          2.95         2.43         0.88         ZZZ
                                             bypass/reop.
33533.........  ............  A...........  CABG, arterial,          33.64           NA           NA         12.57        14.52         4.56         090
                                             single.
33534.........  ............  A...........  CABG, arterial,          39.77           NA           NA         14.75        16.24         4.70         090
                                             two.
33535.........  ............  A...........  CABG, arterial,          44.64           NA           NA         16.31        17.22         5.03         090
                                             three.
33536.........  ............  A...........  Cabg, arterial,          48.32           NA           NA         17.34        17.82         5.44         090
                                             four or more.
33542.........  ............  A...........  Removal of heart         48.08           NA           NA         16.90        14.95         4.38         090
                                             lesion.
33545.........  ............  A...........  Repair of heart          56.93           NA           NA         20.16        17.90         5.21         090
                                             damage.
33548.........  ............  A...........  Restore/remodel,         53.96           NA           NA         19.35        19.33         5.53         090
                                             ventricle.
33572.........  ............  A...........  Open coronary             4.44           NA           NA          1.31         1.38         0.65         ZZZ
                                             endarterectomy.
33600.........  ............  A...........  Closure of valve..       30.15           NA           NA         12.15        12.34         4.42         090
33602.........  ............  A...........  Closure of valve..       29.18           NA           NA         11.17        11.81         3.82         090
33606.........  ............  A...........  Anastomosis/artery-      31.37           NA           NA         11.92        12.80         4.41         090
                                             aorta.
33608.........  ............  A...........  Repair anomaly w/        31.72           NA           NA         12.86        13.49         4.74         090
                                             conduit.
33610.........  ............  A...........  Repair by                31.24           NA           NA         13.56        13.58         4.56         090
                                             enlargement.
33611.........  ............  A...........  Repair double            35.49           NA           NA         12.37        13.26         4.37         090
                                             ventricle.
33612.........  ............  A...........  Repair double            36.49           NA           NA         14.32        14.74         5.30         090
                                             ventricle.
33615.........  ............  A...........  Repair, modified         35.76           NA           NA         13.80        13.48         4.32         090
                                             fontan.
33617.........  ............  A...........  Repair single            38.96           NA           NA         13.96        14.98         5.66         090
                                             ventricle.
33619.........  ............  A...........  Repair single            48.60           NA           NA         17.99        19.40         6.46         090
                                             ventricle.
33641.........  ............  A...........  Repair heart             29.50           NA           NA         10.89        10.24         3.23         090
                                             septum defect.
33645.........  ............  A...........  Revision of heart        27.98           NA           NA         10.68        11.23         3.79         090
                                             veins.
33647.........  ............  A...........  Repair heart             29.37           NA           NA         12.72        13.25         3.32         090
                                             septum defects.
33660.........  ............  A...........  Repair of heart          31.75           NA           NA         11.83        12.66         4.49         090
                                             defects.
33665.........  ............  A...........  Repair of heart          34.77           NA           NA         12.17        13.01         4.00         090
                                             defects.
33670.........  ............  A...........  Repair of heart          36.58           NA           NA         15.64        14.41         4.65         090
                                             chambers.
33675.........  ............  A...........  Close mult vsd....       35.87           NA           NA         15.76        15.76         4.95         090
33676.........  ............  A...........  Close mult vsd w/        36.87           NA           NA         16.06        16.06         5.44         090
                                             resection.
33677.........  ............  A...........  Cl mult vsd w/rem        38.37           NA           NA         16.63        16.63         5.68         090
                                             pul band.
33681.........  ............  A...........  Repair heart             32.16           NA           NA         12.89        13.79         4.45         090
                                             septum defect.
33684.........  ............  A...........  Repair heart             34.29           NA           NA         13.29        13.46         3.39         090
                                             septum defect.
33688.........  ............  A...........  Repair heart             34.67           NA           NA         11.63        11.05         4.73         090
                                             septum defect.
33690.........  ............  A...........  Reinforce                20.20           NA           NA          8.64         9.40         1.97         090
                                             pulmonary artery.
33692.........  ............  A...........  Repair of heart          31.38           NA           NA         19.59        16.76         4.58         090
                                             defects.
33694.........  ............  A...........  Repair of heart          35.49           NA           NA         10.05        12.14         5.28         090
                                             defects.
33697.........  ............  A...........  Repair of heart          37.49           NA           NA         16.95        15.91         4.09         090
                                             defects.
33702.........  ............  A...........  Repair of heart          27.11           NA           NA         10.53        11.55         3.68         090
                                             defects.
33710.........  ............  A...........  Repair of heart          30.28           NA           NA         11.26        12.62         4.43         090
                                             defects.
33720.........  ............  A...........  Repair of heart          27.13           NA           NA         10.69        11.49         3.84         090
                                             defect.
33722.........  ............  A...........  Repair of heart          29.05           NA           NA         10.61        12.24         1.30         090
                                             defect.
33724.........  ............  A...........  Repair venous            27.55           NA           NA         10.38        10.38         4.00         090
                                             anomaly.
33726.........  ............  A...........  Repair pul venous        37.04           NA           NA         13.23        13.23         5.03         090
                                             stenosis.
33730.........  ............  A...........  Repair heart-vein        36.01           NA           NA         12.87        13.50         5.03         090
                                             defect(s).
33732.........  ............  A...........  Repair heart-vein        28.80           NA           NA         12.66        13.03         3.68         090
                                             defect.
33735.........  ............  A...........  Revision of heart        22.04           NA           NA         11.04        10.00         1.92         090
                                             chamber.
33736.........  ............  A...........  Revision of heart        24.16           NA           NA         12.07        11.96         3.09         090
                                             chamber.
33737.........  ............  A...........  Revision of heart        22.34           NA           NA          9.13        10.03         3.25         090
                                             chamber.
33750.........  ............  A...........  Major vessel shunt       22.06           NA           NA          9.43         9.82         1.16         090
33755.........  ............  A...........  Major vessel shunt       22.44           NA           NA          7.80         8.30         3.26         090
33762.........  ............  A...........  Major vessel shunt       22.44           NA           NA          8.69         9.43         3.14         090
33764.........  ............  A...........  Major vessel shunt       22.44           NA           NA          8.95         9.59         3.01         090
                                             & graft.
33766.........  ............  A...........  Major vessel shunt       23.41           NA           NA          8.48        10.08         3.70         090
33767.........  ............  A...........  Major vessel shunt       25.14           NA           NA          8.51        10.12         3.82         090
33768.........  ............  A...........  Cavopulmonary             8.00           NA           NA          1.84         2.25         1.19         ZZZ
                                             shunting.
33770.........  ............  A...........  Repair great             39.02           NA           NA         11.92        13.30         5.74         090
                                             vessels defect.
33771.........  ............  A...........  Repair great             40.58           NA           NA         13.09        12.74         5.68         090
                                             vessels defect.
33774.........  ............  A...........  Repair great             31.54           NA           NA         12.21        13.44         4.81         090
                                             vessels defect.
33775.........  ............  A...........  Repair great             32.83           NA           NA         10.11        12.55         4.99         090
                                             vessels defect.
33776.........  ............  A...........  Repair great             34.53           NA           NA         10.25        13.03         5.09         090
                                             vessels defect.
33777.........  ............  A...........  Repair great             33.95           NA           NA          9.93        12.78         5.49         090
                                             vessels defect.
33778.........  ............  A...........  Repair great             42.62           NA           NA         14.93        15.92         6.20         090
                                             vessels defect.
33779.........  ............  A...........  Repair great             43.15           NA           NA         12.46        13.92         2.92         090
                                             vessels defect.
33780.........  ............  A...........  Repair great             43.85           NA           NA         13.15        16.12         3.68         090
                                             vessels defect.
33781.........  ............  A...........  Repair great             43.16           NA           NA         11.13        12.23         5.97         090
                                             vessels defect.

[[Page 2607]]

 
33786.........  ............  A...........  Repair arterial          41.74           NA           NA         14.10        15.41         5.71         090
                                             trunk.
33788.........  ............  A...........  Revision of              27.26           NA           NA          8.25        10.10         4.03         090
                                             pulmonary artery.
33800.........  ............  A...........  Aortic suspension.       17.23           NA           NA          6.82         7.47         2.46         090
33802.........  ............  A...........  Repair vessel            18.24           NA           NA          7.95         8.59         2.27         090
                                             defect.
33803.........  ............  A...........  Repair vessel            20.18           NA           NA          6.39         8.08         3.20         090
                                             defect.
33813.........  ............  A...........  Repair septal            21.23           NA           NA          8.82         9.87         3.13         090
                                             defect.
33814.........  ............  A...........  Repair septal            26.41           NA           NA         10.41        11.53         3.85         090
                                             defect.
33820.........  ............  A...........  Revise major             16.61           NA           NA          6.96         7.66         2.35         090
                                             vessel.
33822.........  ............  A...........  Revise major             17.63           NA           NA          5.94         7.45         2.68         090
                                             vessel.
33824.........  ............  A...........  Revise major             20.10           NA           NA          8.46         9.22         2.89         090
                                             vessel.
33840.........  ............  A...........  Remove aorta             21.21           NA           NA          9.34         9.82         2.16         090
                                             constriction.
33845.........  ............  A...........  Remove aorta             22.77           NA           NA          9.39        10.37         3.22         090
                                             constriction.
33851.........  ............  A...........  Remove aorta             21.85           NA           NA          8.88         9.78         3.18         090
                                             constriction.
33852.........  ............  A...........  Repair septal            24.28           NA           NA         14.77        13.07         2.16         090
                                             defect.
33853.........  ............  A...........  Repair septal            32.35           NA           NA         12.26        13.54         4.48         090
                                             defect.
33860.........  ............  A...........  Ascending aortic         59.33           NA           NA         20.22        18.34         5.76         090
                                             graft.
33861.........  ............  A...........  Ascending aortic         43.94           NA           NA         15.71        16.71         6.37         090
                                             graft.
33863.........  ............  A...........  Ascending aortic         58.71           NA           NA         19.61        19.15         6.59         090
                                             graft.
33864.........  ............  A...........  Ascending aortic         60.00           NA           NA         20.11        20.11         6.73         090
                                             graft.
33870.........  ............  A...........  Transverse aortic        45.93           NA           NA         16.29        17.34         6.62         090
                                             arch graft.
33875.........  ............  A...........  Thoracic aortic          35.68           NA           NA         12.92        13.51         4.89         090
                                             graft.
33877.........  ............  A...........  Thoracoabdominal         68.85           NA           NA         21.03        18.68         5.94         090
                                             graft.
33880.........  ............  A...........  Endovasc taa repr        34.48           NA           NA         10.93        12.20         2.75         090
                                             incl subcl.
33881.........  ............  A...........  Endovasc taa repr        29.48           NA           NA          9.67        10.82         2.33         090
                                             w/o subcl.
33883.........  ............  A...........  Insert endovasc          20.99           NA           NA          7.24         8.21         2.11         090
                                             prosth, taa.
33884.........  ............  A...........  Endovasc prosth,          8.20           NA           NA          2.08         2.33         0.86         ZZZ
                                             taa, add-on.
33886.........  ............  A...........  Endovasc prosth,         17.99           NA           NA          6.34         7.29         1.80         090
                                             delayed.
33889.........  ............  A...........  Artery transpose/        15.92           NA           NA          3.98         4.58         2.18         000
                                             endovas taa.
33891.........  ............  A...........  Car-car bp grft/         20.00           NA           NA          5.82         6.39         2.73         000
                                             endovas taa.
33910.........  ............  A...........  Remove lung artery       29.59           NA           NA         11.35        11.39         3.70         090
                                             emboli.
33915.........  ............  A...........  Remove lung artery       24.83           NA           NA          9.12         9.38         1.44         090
                                             emboli.
33916.........  ............  A...........  Surgery of great         28.30           NA           NA         10.83        11.09         3.67         090
                                             vessel.
33917.........  ............  A...........  Repair pulmonary         25.14           NA           NA         10.04        11.12         3.70         090
                                             artery.
33920.........  ............  A...........  Repair pulmonary         32.58           NA           NA          9.47        11.65         4.38         090
                                             atresia.
33922.........  ............  A...........  Transect pulmonary       24.09           NA           NA         10.25        10.58         3.10         090
                                             artery.
33924.........  ............  A...........  Remove pulmonary          5.49           NA           NA          1.59         1.72         0.82         ZZZ
                                             shunt.
33925.........  ............  A...........  Rpr pul art              31.25           NA           NA         16.44        15.56         4.61         090
                                             unifocal w/o cpb.
33926.........  ............  A...........  Repr pul art,            44.68           NA           NA         14.81        16.25         6.22         090
                                             unifocal w/cpb.
33930.........  ............  X...........  Removal of donor          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             heart/lung.
33933.........  ............  C...........  Prepare donor             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             heart/lung.
33935.........  ............  R...........  Transplantation,         61.68           NA           NA         22.96        25.87         9.06         090
                                             heart/lung.
33940.........  ............  X...........  Removal of donor          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             heart.
33944.........  ............  C...........  Prepare donor             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             heart.
33945.........  ............  R...........  Transplantation of       89.08           NA           NA         30.40        25.90         6.26         090
                                             heart.
33960.........  ............  A...........  External                 19.33           NA           NA          5.26         5.08         2.67         000
                                             circulation
                                             assist.
33961.........  ............  A...........  External                 10.91           NA           NA          2.99         3.30         0.88         ZZZ
                                             circulation
                                             assist.
33967.........  ............  A...........  Insert ia percut          4.84           NA           NA          2.41         2.13         0.35         000
                                             device.
33968.........  ............  A...........  Remove aortic             0.64           NA           NA          0.26         0.24         0.07         000
                                             assist device.
33970.........  ............  A...........  Aortic circulation        6.74           NA           NA          2.54         2.41         0.82         000
                                             assist.
33971.........  ............  A...........  Aortic circulation       11.91           NA           NA          6.01         6.01         1.25         090
                                             assist.
33973.........  ............  A...........  Insert balloon            9.75           NA           NA          3.94         3.63         1.26         000
                                             device.
33974.........  ............  A...........  Remove intra-            14.93           NA           NA          7.74         7.81         1.74         090
                                             aortic balloon.
33975.........  ............  A...........  Implant                  20.97           NA           NA          6.30         6.29         3.07         XXX
                                             ventricular
                                             device.
33976.........  ............  A...........  Implant                  22.97           NA           NA          7.67         7.61         3.26         XXX
                                             ventricular
                                             device.
33977.........  ............  A...........  Remove ventricular       20.07           NA           NA          9.42        10.25         2.81         090
                                             device.
33978.........  ............  A...........  Remove ventricular       22.51           NA           NA         10.43        11.09         3.31         090
                                             device.
33979.........  ............  A...........  Insert                   45.93           NA           NA         13.29        14.11         6.97         XXX
                                             intracorporeal
                                             device.
33980.........  ............  A...........  Remove                   64.86           NA           NA         23.09        24.17         8.59         090
                                             intracorporeal
                                             device.
33999.........  ............  C...........  Cardiac surgery           0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
34001.........  ............  A...........  Removal of artery        17.78           NA           NA          6.37         6.54         1.85         090
                                             clot.
34051.........  ............  A...........  Removal of artery        16.91           NA           NA          7.44         7.61         2.21         090
                                             clot.
34101.........  ............  A...........  Removal of artery        10.85           NA           NA          4.30         4.83         1.41         090
                                             clot.
34111.........  ............  A...........  Removal of arm           10.85           NA           NA          4.28         4.82         1.40         090
                                             artery clot.
34151.........  ............  A...........  Removal of artery        26.41           NA           NA          8.66         9.53         3.56         090
                                             clot.
34201.........  ............  A...........  Removal of artery        19.38           NA           NA          6.55         5.98         1.45         090
                                             clot.
34203.........  ............  A...........  Removal of leg           17.73           NA           NA          6.38         7.22         2.36         090
                                             artery clot.
34401.........  ............  A...........  Removal of vein          26.41           NA           NA          9.27         9.97         3.10         090
                                             clot.
34421.........  ............  A...........  Removal of vein          13.29           NA           NA          5.20         5.75         1.55         090
                                             clot.
34451.........  ............  A...........  Removal of vein          28.41           NA           NA          9.39        10.42         3.84         090
                                             clot.
34471.........  ............  A...........  Removal of vein          21.00           NA           NA          7.87         6.59         1.18         090
                                             clot.
34490.........  ............  A...........  Removal of vein          10.83           NA           NA          4.35         4.89         1.41         090
                                             clot.
34501.........  ............  A...........  Repair valve,            16.74           NA           NA          6.43         7.46         2.35         090
                                             femoral vein.

[[Page 2608]]

 
34502.........  ............  A...........  Reconstruct vena         27.86           NA           NA         10.49        11.39         3.63         090
                                             cava.
34510.........  ............  A...........  Transposition of         19.80           NA           NA          7.53         8.47         2.33         090
                                             vein valve.
34520.........  ............  A...........  Cross-over vein          19.05           NA           NA          7.02         7.74         2.29         090
                                             graft.
34530.........  ............  A...........  Leg vein fusion...       17.77           NA           NA          6.77         7.69         1.74         090
34800.........  ............  A...........  Endovas aaa repr w/      21.46           NA           NA          7.25         8.21         2.46         090
                                             sm tube.
34802.........  ............  A...........  Endovas aaa repr w/      23.71           NA           NA          8.18         8.99         2.33         090
                                             2-p part.
34803.........  ............  A...........  Endovas aaa repr w/      24.74           NA           NA          8.02         9.12         2.01         090
                                             3-p part.
34804.........  ............  A...........  Endovas aaa repr w/      23.71           NA           NA          8.07         8.94         2.30         090
                                             1-p part.
34805.........  ............  A...........  Endovas aaa repr w/      22.59           NA           NA          7.27         8.46         2.01         090
                                             long tube.
34806.........  ............  A...........  Aneurysm press            2.06         0.51         0.51          0.51         0.51         0.30         ZZZ
                                             sensor add-on.
34808.........  ............  A...........  Endovas iliac a           4.12           NA           NA          1.05         1.21         0.59         ZZZ
                                             device addon.
34812.........  ............  A...........  Xpose for                 6.74           NA           NA          1.67         1.95         1.18         000
                                             endoprosth,
                                             femorl.
34813.........  ............  A...........  Femoral endovas           4.79           NA           NA          1.16         1.36         0.67         ZZZ
                                             graft add-on.
34820.........  ............  A...........  Xpose for                 9.74           NA           NA          2.45         2.84         1.50         000
                                             endoprosth, iliac.
34825.........  ............  A...........  Endovasc extend          12.72           NA           NA          5.15         5.65         1.28         090
                                             prosth, init.
34826.........  ............  A...........  Endovasc exten            4.12           NA           NA          1.14         1.25         0.44         ZZZ
                                             prosth,
                                             add[AElig]l.
34830.........  ............  A...........  Open aortic tube         35.10           NA           NA         10.34        12.02         4.55         090
                                             prosth repr.
34831.........  ............  A...........  Open aortoiliac          37.85           NA           NA         11.28        11.51         4.89         090
                                             prosth repr.
34832.........  ............  A...........  Open aortofemor          37.85           NA           NA         11.81        13.22         4.85         090
                                             prosth repr.
34833.........  ............  A...........  Xpose for                11.98           NA           NA          3.29         3.86         1.70         000
                                             endoprosth, iliac.
34834.........  ............  A...........  Xpose, endoprosth,        5.34           NA           NA          1.57         1.88         0.76         000
                                             brachial.
34900.........  ............  A...........  Endovasc iliac           16.77           NA           NA          6.06         6.82         2.00         090
                                             repr w/graft.
35001.........  ............  A...........  Repair defect of         20.70           NA           NA          7.71         8.63         2.81         090
                                             artery.
35002.........  ............  A...........  Repair artery            22.12           NA           NA          7.52         8.61         3.00         090
                                             rupture, neck.
35005.........  ............  A...........  Repair defect of         19.18           NA           NA          8.53         8.69         1.77         090
                                             artery.
35011.........  ............  A...........  Repair defect of         18.50           NA           NA          6.30         7.14         2.55         090
                                             artery.
35013.........  ............  A...........  Repair artery            23.10           NA           NA          7.77         8.72         3.10         090
                                             rupture, arm.
35021.........  ............  A...........  Repair defect of         22.09           NA           NA          8.47         8.94         2.87         090
                                             artery.
35022.........  ............  A...........  Repair artery            25.62           NA           NA         10.59        10.22         3.17         090
                                             rupture, chest.
35045.........  ............  A...........  Repair defect of         17.94           NA           NA          6.28         6.89         2.45         090
                                             arm artery.
35081.........  ............  A...........  Repair defect of         33.37           NA           NA         10.71        11.09         4.01         090
                                             artery.
35082.........  ............  A...........  Repair artery            41.93           NA           NA         12.78        14.04         5.44         090
                                             rupture, aorta.
35091.........  ............  A...........  Repair defect of         35.35           NA           NA         10.00        11.79         5.14         090
                                             artery.
35092.........  ............  A...........  Repair artery            50.81           NA           NA         14.51        16.08         6.40         090
                                             rupture, aorta.
35102.........  ............  A...........  Repair defect of         36.37           NA           NA         11.30        11.83         4.48         090
                                             artery.
35103.........  ............  A...........  Repair artery            43.49           NA           NA         12.64        14.25         5.76         090
                                             rupture, groin.
35111.........  ............  A...........  Repair defect of         26.17           NA           NA          8.51         9.49         3.47         090
                                             artery.
35112.........  ............  A...........  Repair artery            32.44           NA           NA         10.08        11.02         4.08         090
                                             rupture,spleen.
35121.........  ............  A...........  Repair defect of         31.41           NA           NA          9.98        11.17         4.30         090
                                             artery.
35122.........  ............  A...........  Repair artery            37.76           NA           NA         11.52        12.66         4.75         090
                                             rupture, belly.
35131.........  ............  A...........  Repair defect of         26.29           NA           NA          8.64         9.69         3.80         090
                                             artery.
35132.........  ............  A...........  Repair artery            32.44           NA           NA         10.29        11.34         4.30         090
                                             rupture, groin.
35141.........  ............  A...........  Repair defect of         20.83           NA           NA          6.94         7.93         2.90         090
                                             artery.
35142.........  ............  A...........  Repair artery            25.03           NA           NA          8.25         9.31         3.36         090
                                             rupture, thigh.
35151.........  ............  A...........  Repair defect of         23.61           NA           NA          7.65         8.82         3.24         090
                                             artery.
35152.........  ............  A...........  Repair artery            27.53           NA           NA          9.12        10.25         3.61         090
                                             rupture, knee.
35180.........  ............  A...........  Repair blood             15.01           NA           NA          6.26         6.60         1.00         090
                                             vessel lesion.
35182.........  ............  A...........  Repair blood             31.58           NA           NA         10.84        11.82         4.36         090
                                             vessel lesion.
35184.........  ............  A...........  Repair blood             18.72           NA           NA          6.51         7.40         2.53         090
                                             vessel lesion.
35188.........  ............  A...........  Repair blood             15.05           NA           NA          6.29         6.96         2.16         090
                                             vessel lesion.
35189.........  ............  A...........  Repair blood             29.85           NA           NA         10.68        11.32         4.01         090
                                             vessel lesion.
35190.........  ............  A...........  Repair blood             13.33           NA           NA          5.24         5.86         1.80         090
                                             vessel lesion.
35201.........  ............  A...........  Repair blood             16.84           NA           NA          6.32         7.16         2.34         090
                                             vessel lesion.
35206.........  ............  A...........  Repair blood             13.76           NA           NA          5.30         5.93         1.87         090
                                             vessel lesion.
35207.........  ............  A...........  Repair blood             10.85           NA           NA          6.64         7.00         1.48         090
                                             vessel lesion.
35211.........  ............  A...........  Repair blood             24.50           NA           NA          9.72        10.17         3.20         090
                                             vessel lesion.
35216.........  ............  A...........  Repair blood             36.47           NA           NA         13.58        11.28         2.65         090
                                             vessel lesion.
35221.........  ............  A...........  Repair blood             26.54           NA           NA          8.34         9.14         3.37         090
                                             vessel lesion.
35226.........  ............  A...........  Repair blood             15.22           NA           NA          5.80         6.62         2.02         090
                                             vessel lesion.
35231.........  ............  A...........  Repair blood             21.08           NA           NA          7.73         8.75         2.89         090
                                             vessel lesion.
35236.........  ............  A...........  Repair blood             17.94           NA           NA          6.30         7.09         2.43         090
                                             vessel lesion.
35241.........  ............  A...........  Repair blood             25.50           NA           NA         10.03        10.58         3.53         090
                                             vessel lesion.
35246.........  ............  A...........  Repair blood             28.15           NA           NA         10.11        10.77         3.86         090
                                             vessel lesion.
35251.........  ............  A...........  Repair blood             31.83           NA           NA          9.46        10.63         4.13         090
                                             vessel lesion.
35256.........  ............  A...........  Repair blood             18.98           NA           NA          6.38         7.36         2.63         090
                                             vessel lesion.
35261.........  ............  A...........  Repair blood             18.88           NA           NA          6.98         7.50         2.61         090
                                             vessel lesion.
35266.........  ............  A...........  Repair blood             15.75           NA           NA          5.47         6.24         2.10         090
                                             vessel lesion.
35271.........  ............  A...........  Repair blood             24.50           NA           NA          9.69        10.10         3.16         090
                                             vessel lesion.
35276.........  ............  A...........  Repair blood             25.72           NA           NA          9.79        10.50         3.49         090
                                             vessel lesion.
35281.........  ............  A...........  Repair blood             29.93           NA           NA          9.29        10.50         3.97         090
                                             vessel lesion.
35286.........  ............  A...........  Repair blood             17.06           NA           NA          6.31         7.18         2.35         090
                                             vessel lesion.
35301.........  ............  A...........  Rechanneling of          19.53           NA           NA          6.69         7.56         2.68         090
                                             artery.

[[Page 2609]]

 
35302.........  ............  A...........  Rechanneling of          21.27           NA           NA          6.91         6.91         2.98         090
                                             artery.
35303.........  ............  A...........  Rechanneling of          23.52           NA           NA          7.46         7.46         3.26         090
                                             artery.
35304.........  ............  A...........  Rechanneling of          24.52           NA           NA          7.71         7.71         3.41         090
                                             artery.
35305.........  ............  A...........  Rechanneling of          23.52           NA           NA          7.46         7.46         3.26         090
                                             artery.
35306.........  ............  A...........  Rechanneling of           9.25           NA           NA          2.28         2.28         1.34         ZZZ
                                             artery.
35311.........  ............  A...........  Rechanneling of          28.52           NA           NA          9.64        10.69         3.42         090
                                             artery.
35321.........  ............  A...........  Rechanneling of          16.51           NA           NA          5.78         6.58         2.25         090
                                             artery.
35331.........  ............  A...........  Rechanneling of          27.61           NA           NA          8.82        10.03         3.83         090
                                             artery.
35341.........  ............  A...........  Rechanneling of          26.10           NA           NA          8.25         9.56         3.78         090
                                             artery.
35351.........  ............  A...........  Rechanneling of          24.53           NA           NA          7.65         8.62         3.35         090
                                             artery.
35355.........  ............  A...........  Rechanneling of          19.78           NA           NA          6.36         7.22         2.67         090
                                             artery.
35361.........  ............  A...........  Rechanneling of          30.11           NA           NA          9.60        10.65         4.15         090
                                             artery.
35363.........  ............  A...........  Rechanneling of          32.22           NA           NA         10.44        11.52         4.33         090
                                             artery.
35371.........  ............  A...........  Rechanneling of          15.23           NA           NA          5.33         6.14         2.14         090
                                             artery.
35372.........  ............  A...........  Rechanneling of          18.50           NA           NA          6.13         7.09         2.63         090
                                             artery.
35390.........  ............  A...........  Reoperation,              3.19           NA           NA          0.82         0.94         0.46         ZZZ
                                             carotid add-on.
35400.........  ............  A...........  Angioscopy........        3.00           NA           NA          0.72         0.91         0.43         ZZZ
35450.........  ............  A...........  Repair arterial          10.05           NA           NA          2.97         3.27         1.25         000
                                             blockage.
35452.........  ............  A...........  Repair arterial           6.90           NA           NA          2.06         2.33         0.94         000
                                             blockage.
35454.........  ............  A...........  Repair arterial           6.03           NA           NA          1.76         2.04         0.87         000
                                             blockage.
35456.........  ............  A...........  Repair arterial           7.34           NA           NA          2.12         2.44         1.04         000
                                             blockage.
35458.........  ............  A...........  Repair arterial           9.48           NA           NA          2.80         3.14         1.26         000
                                             blockage.
35459.........  ............  A...........  Repair arterial           8.62           NA           NA          2.65         2.91         1.21         000
                                             blockage.
35460.........  ............  A...........  Repair venous             6.03           NA           NA          1.75         2.01         0.83         000
                                             blockage.
35470.........  ............  A...........  Repair arterial           8.62        61.19        75.06          3.44         3.40         0.69         000
                                             blockage.
35471.........  ............  A...........  Repair arterial          10.05        66.05        83.19          4.69         4.32         0.67         000
                                             blockage.
35472.........  ............  A...........  Repair arterial           6.90        47.53        55.97          2.81         2.78         0.58         000
                                             blockage.
35473.........  ............  A...........  Repair arterial           6.03        46.56        53.22          2.50         2.46         0.51         000
                                             blockage.
35474.........  ............  A...........  Repair arterial           7.35        60.44        74.11          2.98         2.94         0.57         000
                                             blockage.
35475.........  ............  R...........  Repair arterial           9.48        48.69        52.41          3.39         3.47         0.62         000
                                             blockage.
35476.........  ............  A...........  Repair venous             6.03        37.15        40.96          2.23         2.29         0.34         000
                                             blockage.
35480.........  ............  A...........  Atherectomy, open.       11.06           NA           NA          4.05         4.04         1.28         000
35481.........  ............  A...........  Atherectomy, open.        7.60           NA           NA          2.57         2.72         1.13         000
35482.........  ............  A...........  Atherectomy, open.        6.64           NA           NA          2.01         2.29         0.89         000
35483.........  ............  A...........  Atherectomy, open.        8.09           NA           NA          2.57         2.79         1.15         000
35484.........  ............  A...........  Atherectomy, open.       10.42           NA           NA          2.90         3.34         1.27         000
35485.........  ............  A...........  Atherectomy, open.        9.48           NA           NA          2.87         3.20         1.35         000
35490.........  ............  A...........  Atherectomy,             11.06           NA           NA          5.18         4.94         0.71         000
                                             percutaneous.
35491.........  ............  A...........  Atherectomy,              7.60           NA           NA          3.86         3.57         0.74         000
                                             percutaneous.
35492.........  ............  A...........  Atherectomy,              6.64           NA           NA          3.49         3.34         0.43         000
                                             percutaneous.
35493.........  ............  A...........  Atherectomy,              8.09           NA           NA          3.97         3.88         0.56         000
                                             percutaneous.
35494.........  ............  A...........  Atherectomy,             10.42           NA           NA          5.15         4.81         0.59         000
                                             percutaneous.
35495.........  ............  A...........  Atherectomy,              9.48           NA           NA          4.45         4.42         0.69         000
                                             percutaneous.
35500.........  ............  A...........  Harvest vein for          6.44           NA           NA          1.60         1.81         0.93         ZZZ
                                             bypass.
35501.........  ............  A...........  Artery bypass            28.99           NA           NA         11.07         9.77         4.10         090
                                             graft.
35506.........  ............  A...........  Artery bypass            25.23           NA           NA          8.32         8.89         2.87         090
                                             graft.
35508.........  ............  A...........  Artery bypass            25.99           NA           NA          8.77         9.11         2.78         090
                                             graft.
35509.........  ............  A...........  Artery bypass            27.99           NA           NA         10.79         9.78         3.92         090
                                             graft.
35510.........  ............  A...........  Artery bypass            24.29           NA           NA          7.70         8.94         2.12         090
                                             graft.
35511.........  ............  A...........  Artery bypass            22.12           NA           NA          7.66         8.51         2.91         090
                                             graft.
35512.........  ............  A...........  Artery bypass            23.79           NA           NA          7.48         8.74         2.12         090
                                             graft.
35515.........  ............  A...........  Artery bypass            25.99           NA           NA          9.09         9.19         2.78         090
                                             graft.
35516.........  ............  A...........  Artery bypass            24.11           NA           NA          7.46         7.13         2.34         090
                                             graft.
35518.........  ............  A...........  Artery bypass            22.57           NA           NA          7.33         8.15         3.03         090
                                             graft.
35521.........  ............  A...........  Artery bypass            24.00           NA           NA          7.95         8.89         3.13         090
                                             graft.
35522.........  ............  A...........  Artery bypass            23.05           NA           NA          7.40         8.58         2.12         090
                                             graft.
35523.........  ............  A...........  Artery bypass            24.00           NA           NA          9.22         9.22         2.14         090
                                             graft.
35525.........  ............  A...........  Artery bypass            21.59           NA           NA          7.04         8.21         2.12         090
                                             graft.
35526.........  ............  A...........  Artery bypass            31.47           NA           NA         14.04        13.28         3.63         090
                                             graft.
35531.........  ............  A...........  Artery bypass            38.98           NA           NA         11.48        12.98         5.18         090
                                             graft.
35533.........  ............  A...........  Artery bypass            29.79           NA           NA          9.50        10.61         3.85         090
                                             graft.
35536.........  ............  A...........  Artery bypass            33.60           NA           NA          9.51        11.23         4.62         090
                                             graft.
35537.........  ............  A...........  Artery bypass            41.75           NA           NA         13.10        13.10         5.72         090
                                             graft.
35538.........  ............  A...........  Artery bypass            46.82           NA           NA         14.45        14.45         6.39         090
                                             graft.
35539.........  ............  A...........  Artery bypass            43.98           NA           NA         13.47        13.47         6.02         090
                                             graft.
35540.........  ............  A...........  Artery bypass            49.20           NA           NA         14.82        14.82         6.76         090
                                             graft.
35548.........  ............  A...........  Artery bypass            22.57           NA           NA          7.74         8.58         2.98         090
                                             graft.
35549.........  ............  A...........  Artery bypass            24.34           NA           NA          8.74         9.56         3.30         090
                                             graft.
35551.........  ............  A...........  Artery bypass            27.72           NA           NA          9.38        10.44         3.75         090
                                             graft.
35556.........  ............  A...........  Artery bypass            26.62           NA           NA          8.64         9.18         3.10         090
                                             graft.
35558.........  ............  A...........  Artery bypass            23.00           NA           NA          7.87         8.71         3.00         090
                                             graft.
35560.........  ............  A...........  Artery bypass            33.90           NA           NA         10.63        11.97         4.75         090
                                             graft.

[[Page 2610]]

 
35563.........  ............  A...........  Artery bypass            25.99           NA           NA          8.88         9.70         3.52         090
                                             graft.
35565.........  ............  A...........  Artery bypass            25.00           NA           NA          8.17         9.15         3.30         090
                                             graft.
35566.........  ............  A...........  Artery bypass            32.22           NA           NA          9.85        10.62         3.83         090
                                             graft.
35571.........  ............  A...........  Artery bypass            25.39           NA           NA          8.09         9.47         3.43         090
                                             graft.
35572.........  ............  A...........  Harvest                   6.81           NA           NA          1.92         2.08         0.99         ZZZ
                                             femoropopliteal
                                             vein.
35583.........  ............  A...........  Vein bypass graft.       27.62           NA           NA          8.64         9.40         3.17         090
35585.........  ............  A...........  Vein bypass graft.       32.22           NA           NA         10.11        11.17         4.02         090
35587.........  ............  A...........  Vein bypass graft.       26.08           NA           NA          8.51         9.98         3.52         090
35600.........  ............  A...........  Harvest art for           4.94           NA           NA          1.52         1.57         0.73         ZZZ
                                             cabg add-on.
35601.........  ............  A...........  Artery bypass            26.99           NA           NA         10.43         9.53         3.72         090
                                             graft.
35606.........  ............  A...........  Artery bypass            22.36           NA           NA          7.30         8.16         2.70         090
                                             graft.
35612.........  ............  A...........  Artery bypass            16.71           NA           NA          6.31         7.10         2.09         090
                                             graft.
35616.........  ............  A...........  Artery bypass            21.74           NA           NA          7.13         7.62         2.20         090
                                             graft.
35621.........  ............  A...........  Artery bypass            20.95           NA           NA          6.78         7.73         2.92         090
                                             graft.
35623.........  ............  A...........  Bypass graft, not        25.79           NA           NA          8.44         9.47         3.46         090
                                             vein.
35626.........  ............  A...........  Artery bypass            29.06           NA           NA         10.28        11.13         4.08         090
                                             graft.
35631.........  ............  A...........  Artery bypass            35.90           NA           NA         10.56        12.20         4.96         090
                                             graft.
35636.........  ............  A...........  Artery bypass            31.62           NA           NA          9.72        11.01         4.10         090
                                             graft.
35637.........  ............  A...........  Artery bypass            32.92           NA           NA         10.65        10.65         4.44         090
                                             graft.
35638.........  ............  A...........  Artery bypass            33.47           NA           NA         10.79        10.79         4.52         090
                                             graft.
35642.........  ............  A...........  Artery bypass            18.85           NA           NA          6.22         7.45         2.28         090
                                             graft.
35645.........  ............  A...........  Artery bypass            18.34           NA           NA          7.98         8.13         2.50         090
                                             graft.
35646.........  ............  A...........  Artery bypass            32.84           NA           NA         10.45        11.78         4.44         090
                                             graft.
35647.........  ............  A...........  Artery bypass            29.62           NA           NA          9.66        10.72         3.99         090
                                             graft.
35650.........  ............  A...........  Artery bypass            20.08           NA           NA          6.93         7.65         2.72         090
                                             graft.
35651.........  ............  A...........  Artery bypass            25.97           NA           NA          8.71         9.72         3.36         090
                                             graft.
35654.........  ............  A...........  Artery bypass            26.17           NA           NA          8.36         9.51         3.53         090
                                             graft.
35656.........  ............  A...........  Artery bypass            20.39           NA           NA          6.84         7.72         2.80         090
                                             graft.
35661.........  ............  A...........  Artery bypass            20.22           NA           NA          7.04         7.99         2.72         090
                                             graft.
35663.........  ............  A...........  Artery bypass            23.80           NA           NA          7.90         8.94         3.11         090
                                             graft.
35665.........  ............  A...........  Artery bypass            22.22           NA           NA          7.36         8.41         3.01         090
                                             graft.
35666.........  ............  A...........  Artery bypass            23.53           NA           NA          8.51         9.58         3.16         090
                                             graft.
35671.........  ............  A...........  Artery bypass            20.64           NA           NA          7.63         8.50         2.78         090
                                             graft.
35681.........  ............  A...........  Composite bypass          1.60           NA           NA          0.40         0.47         0.23         ZZZ
                                             graft.
35682.........  ............  A...........  Composite bypass          7.19           NA           NA          1.70         2.04         1.03         ZZZ
                                             graft.
35683.........  ............  A...........  Composite bypass          8.49           NA           NA          1.96         2.39         1.20         ZZZ
                                             graft.
35685.........  ............  A...........  Bypass graft              4.04           NA           NA          0.96         1.15         0.58         ZZZ
                                             patency/patch.
35686.........  ............  A...........  Bypass graft/av           3.34           NA           NA          0.85         0.99         0.47         ZZZ
                                             fist patency.
35691.........  ............  A...........  Arterial                 18.32           NA           NA          5.95         7.18         2.59         090
                                             transposition.
35693.........  ............  A...........  Arterial                 15.64           NA           NA          6.12         6.92         2.22         090
                                             transposition.
35694.........  ............  A...........  Arterial                 19.19           NA           NA          6.32         7.46         2.70         090
                                             transposition.
35695.........  ............  A...........  Arterial                 19.97           NA           NA          6.71         7.63         2.74         090
                                             transposition.
35697.........  ............  A...........  Reimplant artery          3.00           NA           NA          0.74         0.88         0.41         ZZZ
                                             each.
35700.........  ............  A...........  Reoperation,              3.08           NA           NA          0.77         0.89         0.44         ZZZ
                                             bypass graft.
35701.........  ............  A...........  Exploration,              9.11           NA           NA          4.32         4.73         1.12         090
                                             carotid artery.
35721.........  ............  A...........  Exploration,              7.66           NA           NA          3.83         4.13         1.03         090
                                             femoral artery.
35741.........  ............  A...........  Exploration               8.61           NA           NA          3.87         4.26         1.12         090
                                             popliteal artery.
35761.........  ............  A...........  Exploration of            5.84           NA           NA          3.44         3.72         0.75         090
                                             artery/vein.
35800.........  ............  A...........  Explore neck              7.99           NA           NA          3.95         4.30         0.95         090
                                             vessels.
35820.........  ............  A...........  Explore chest            36.81           NA           NA         12.91        10.06         1.95         090
                                             vessels.
35840.........  ............  A...........  Explore abdominal        10.87           NA           NA          4.81         5.05         1.34         090
                                             vessels.
35860.........  ............  A...........  Explore limb              6.72           NA           NA          3.38         3.71         0.78         090
                                             vessels.
35870.........  ............  A...........  Repair vessel            24.39           NA           NA          7.92         8.85         3.01         090
                                             graft defect.
35875.........  ............  A...........  Removal of clot in       10.64           NA           NA          4.29         4.74         1.41         090
                                             graft.
35876.........  ............  A...........  Removal of clot in       17.74           NA           NA          5.95         6.73         2.40         090
                                             graft.
35879.........  ............  A...........  Revise graft w/          17.28           NA           NA          5.98         6.83         2.28         090
                                             vein.
35881.........  ............  A...........  Revise graft w/          19.22           NA           NA          6.46         7.57         2.56         090
                                             vein.
35883.........  ............  A...........  Revise graft w/          23.07           NA           NA          8.50         8.50         3.19         090
                                             nonauto graft.
35884.........  ............  A...........  Revise graft w/          24.57           NA           NA          8.94         8.94         3.41         090
                                             vein.
35901.........  ............  A...........  Excision, graft,          8.26           NA           NA          4.24         4.77         1.15         090
                                             neck.
35903.........  ............  A...........  Excision, graft,          9.44           NA           NA          4.60         5.38         1.30         090
                                             extremity.
35905.........  ............  A...........  Excision, graft,         33.39           NA           NA         10.66        11.92         4.44         090
                                             thorax.
35907.........  ............  A...........  Excision, graft,         37.14           NA           NA         10.89        12.53         4.92         090
                                             abdomen.
36000.........  ............  A...........  Place needle in           0.18         0.46         0.51          0.06         0.06         0.01         XXX
                                             vein.
36002.........  ............  A...........  Pseudoaneurysm            1.96         2.24         2.55          0.86         0.91         0.17         000
                                             injection trt.
36005.........  ............  A...........  Injection ext             0.95         8.47         8.06          0.39         0.35         0.05         000
                                             venography.
36010.........  ............  A...........  Place catheter in         2.43        11.10        15.21          0.78         0.79         0.20         XXX
                                             vein.
36011.........  ............  A...........  Place catheter in         3.14        19.63        23.73          1.01         1.03         0.27         XXX
                                             vein.
36012.........  ............  A...........  Place catheter in         3.51        20.26        19.61          1.28         1.23         0.23         XXX
                                             vein.
36013.........  ............  A...........  Place catheter in         2.52        18.79        20.08          0.93         0.81         0.25         XXX
                                             artery.
36014.........  ............  A...........  Place catheter in         3.02        18.96        19.55          1.11         1.07         0.19         XXX
                                             artery.
36015.........  ............  A...........  Place catheter in         3.51        18.56        21.12          1.05         1.12         0.21         XXX
                                             artery.

[[Page 2611]]

 
36100.........  ............  A...........  Establish access          3.02        11.25        11.66          1.21         1.16         0.26         XXX
                                             to artery.
36120.........  ............  A...........  Establish access          2.01         9.21         9.96          0.59         0.62         0.14         XXX
                                             to artery.
36140.........  ............  A...........  Establish access          2.01        10.49        11.63          0.71         0.67         0.16         XXX
                                             to artery.
36145.........  ............  A...........  Artery to vein            2.01        10.29        11.43          0.66         0.66         0.11         XXX
                                             shunt.
36160.........  ............  A...........  Establish access          2.52        11.55        12.52          1.05         0.95         0.26         XXX
                                             to aorta.
36200.........  ............  A...........  Place catheter in         3.02        13.67        15.10          1.02         1.01         0.24         XXX
                                             aorta.
36215.........  ............  A...........  Place catheter in         4.67        25.97        26.51          1.89         1.75         0.27         XXX
                                             artery.
36216.........  ............  A...........  Place catheter in         5.27        28.06        28.58          2.09         1.94         0.31         XXX
                                             artery.
36217.........  ............  A...........  Place catheter in         6.29        45.91        50.69          2.43         2.30         0.44         XXX
                                             artery.
36218.........  ............  A...........  Place catheter in         1.01         3.77         4.43          0.39         0.36         0.07         ZZZ
                                             artery.
36245.........  ............  A...........  Place catheter in         4.67        28.80        30.46          2.12         1.90         0.31         XXX
                                             artery.
36246.........  ............  A...........  Place catheter in         5.27        27.45        28.72          1.99         1.91         0.38         XXX
                                             artery.
36247.........  ............  A...........  Place catheter in         6.29        45.20        47.37          2.36         2.25         0.47         XXX
                                             artery.
36248.........  ............  A...........  Place catheter in         1.01         3.18         3.61          0.38         0.36         0.07         ZZZ
                                             artery.
36260.........  ............  A...........  Insertion of              9.82           NA           NA          4.65         4.76         1.29         090
                                             infusion pump.
36261.........  ............  A...........  Revision of               5.55           NA           NA          3.06         3.36         0.70         090
                                             infusion pump.
36262.........  ............  A...........  Removal of                4.05           NA           NA          2.71         2.73         0.54         090
                                             infusion 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           0.38         0.28         0.28          0.09         0.09         0.03         XXX
                                             fem/jugular.
36405.........  ............  A...........  Bl draw < 3 yrs           0.31         0.27         0.27          0.08         0.08         0.03         XXX
                                             scalp vein.
36406.........  ............  A...........  Bl draw < 3 yrs           0.18         0.25         0.26          0.04         0.05         0.01         XXX
                                             other vein.
36410.........  ............  A...........  Non-routine bl            0.18         0.32         0.30          0.05         0.05         0.01         XXX
                                             draw > 3 yrs.
36415.........  ............  X...........  Routine                   0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             venipuncture.
36416.........  ............  B...........  Capillary blood           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             draw.
36420.........  ............  A...........  Vein access               1.01           NA           NA          0.21         0.24         0.07         XXX
                                             cutdown < 1 yr.
36425.........  ............  A...........  Vein access               0.76           NA           NA          0.21         0.21         0.06         XXX
                                             cutdown > 1 yr.
36430.........  ............  A...........  Blood transfusion         0.00         0.94         0.97            NA           NA         0.06         XXX
                                             service.
36440.........  ............  A...........  Bl push transfuse,        1.03           NA           NA          0.25         0.27         0.10         XXX
                                             2 yr or <.
36450.........  ............  A...........  Bl exchange/              2.23           NA           NA          0.77         0.74         0.21         XXX
                                             transfuse, nb.
36455.........  ............  A...........  Bl exchange/              2.43           NA           NA          0.67         0.84         0.15         XXX
                                             transfuse non-nb.
36460.........  ............  A...........  Transfusion               6.58           NA           NA          1.81         2.03         0.79         XXX
                                             service, fetal.
36468.........  ............  R...........  Injection(s),             0.00         0.00         0.00          0.00         0.00         0.00         000
                                             spider veins.
36469.........  ............  R...........  Injection(s),             0.00         0.00         0.00          0.00         0.00         0.00         000
                                             spider veins.
36470.........  ............  A...........  Injection therapy         1.09         2.41         2.55          0.64         0.69         0.12         010
                                             of vein.
36471.........  ............  A...........  Injection therapy         1.60         2.56         2.82          0.79         0.88         0.19         010
                                             of veins.
36475.........  ............  A...........  Endovenous rf, 1st        6.72        35.78        43.60          1.88         2.21         0.37         000
                                             vein.
36476.........  ............  A...........  Endovenous rf,            3.38         6.14         7.01          0.83         0.98         0.18         ZZZ
                                             vein add-on.
36478.........  ............  A...........  Endovenous laser,         6.72        26.98        36.90          2.04         2.29         0.37         000
                                             1st vein.
36479.........  ............  A...........  Endovenous laser          3.38         6.36         7.18          0.95         1.04         0.18         ZZZ
                                             vein addon.
36481.........  ............  A...........  Insertion of              6.98           NA           NA          2.36         2.48         0.55         000
                                             catheter, vein.
36500.........  ............  A...........  Insertion of              3.51           NA           NA          1.25         1.31         0.20         000
                                             catheter, vein.
36510.........  ............  A...........  Insertion of              1.09         1.08         2.48          0.30         0.45         0.10         000
                                             catheter, vein.
36511.........  ............  A...........  Apheresis wbc.....        1.74           NA           NA          0.58         0.65         0.08         000
36512.........  ............  A...........  Apheresis rbc.....        1.74           NA           NA          0.60         0.67         0.08         000
36513.........  ............  A...........  Apheresis                 1.74           NA           NA          0.55         0.64         0.17         000
                                             platelets.
36514.........  ............  A...........  Apheresis plasma..        1.74        10.51        13.74          0.53         0.62         0.08         000
36515.........  ............  A...........  Apheresis, adsorp/        1.74        45.51        55.93          0.48         0.57         0.08         000
                                             reinfuse.
36516.........  ............  A...........  Apheresis,                1.22        49.59        66.85          0.39         0.43         0.08         000
                                             selective.
36522.........  ............  A...........  Photopheresis.....        1.67        37.44        34.92          0.94         0.95         0.13         000
36555.........  ............  A...........  Insert non-tunnel         2.68         3.81         4.78          0.59         0.69         0.11         000
                                             cv cath.
36556.........  ............  A...........  Insert non-tunnel         2.50         2.86         4.24          0.55         0.65         0.19         000
                                             cv cath.
36557.........  ............  A...........  Insert tunneled cv        5.11        15.11        18.13          2.29         2.47         0.57         010
                                             cath.
36558.........  ............  A...........  Insert tunneled cv        4.81        14.85        17.95          2.36         2.46         0.57         010
                                             cath.
36560.........  ............  A...........  Insert tunneled cv        6.26        21.33        25.51          2.72         2.88         0.57         010
                                             cath.
36561.........  ............  A...........  Insert tunneled cv        6.01        22.27        25.94          2.64         2.80         0.57         010
                                             cath.
36563.........  ............  A...........  Insert tunneled cv        6.21        23.11        24.94          2.60         2.79         0.84         010
                                             cath.
36565.........  ............  A...........  Insert tunneled cv        6.01        17.53        21.12          2.47         2.71         0.57         010
                                             cath.
36566.........  ............  A...........  Insert tunneled cv        6.51       111.95        68.73          2.60         2.86         0.57         010
                                             cath.
36568.........  ............  A...........  Insert picc cath..        1.92         5.88         6.70          0.59         0.59         0.11         000
36569.........  ............  A...........  Insert picc cath..        1.82         4.47         5.91          0.67         0.62         0.19         000
36570.........  ............  A...........  Insert picvad cath        5.33        21.25        27.22          2.10         2.41         0.57         010
36571.........  ............  A...........  Insert picvad cath        5.31        24.53        28.90          2.45         2.58         0.57         010
36575.........  ............  A...........  Repair tunneled cv        0.67         3.31         3.68          0.23         0.25         0.20         000
                                             cath.
36576.........  ............  A...........  Repair tunneled cv        3.21         5.91         6.43          1.57         1.71         0.19         010
                                             cath.
36578.........  ............  A...........  Replace tunneled          3.51         9.18        10.16          2.00         2.15         0.19         010
                                             cv cath.
36580.........  ............  A...........  Replace cvad cath.        1.31         3.96         5.45          0.43         0.42         0.19         000
36581.........  ............  A...........  Replace tunneled          3.45        15.51        17.51          1.74         1.83         0.19         010
                                             cv cath.
36582.........  ............  A...........  Replace tunneled          5.21        21.55        23.79          2.46         2.66         0.19         010
                                             cv cath.
36583.........  ............  A...........  Replace tunneled          5.26        21.60        23.82          2.49         2.68         0.19         010
                                             cv cath.
36584.........  ............  A...........  Replace picc cath.        1.20         3.97         5.47          0.61         0.58         0.19         000
36585.........  ............  A...........  Replace picvad            4.81        22.57        25.20          2.43         2.58         0.19         010
                                             cath.
36589.........  ............  A...........  Removal tunneled          2.27         1.86         2.05          1.23         1.31         0.24         010
                                             cv cath.

[[Page 2612]]

 
36590.........  ............  A...........  Removal tunneled          3.32         3.62         3.50          1.60         1.66         0.44         010
                                             cv cath.
36591.........  ............  T...........  Draw blood off            0.00         0.54         0.54            NA           NA         0.01         XXX
                                             venous device.
36592.........  ............  T...........  Collect blood from        0.00         0.67         0.67            NA           NA         0.01         XXX
                                             picc.
36593.........  ............  A...........  Declot vascular           0.00         0.82         0.60            NA           NA         0.37         XXX
                                             device.
36595.........  ............  A...........  Mech remov                3.59        10.84        14.05          1.38         1.41         0.21         000
                                             tunneled cv cath.
36596.........  ............  A...........  Mech remov                0.75         2.58         3.13          0.43         0.47         0.05         000
                                             tunneled cv cath.
36597.........  ............  A...........  Reposition venous         1.21         2.04         2.22          0.46         0.45         0.07         000
                                             catheter.
36598.........  ............  T...........  Inj w/fluor, eval         0.74         2.22         2.43          0.27         1.46         0.05         000
                                             cv device.
36600.........  ............  A...........  Withdrawal of             0.32         0.50         0.49          0.07         0.08         0.02         XXX
                                             arterial blood.
36620.........  ............  A...........  Insertion                 1.15           NA           NA          0.15         0.19         0.07         000
                                             catheter, artery.
36625.........  ............  A...........  Insertion                 2.11           NA           NA          0.50         0.52         0.26         000
                                             catheter, artery.
36640.........  ............  A...........  Insertion                 2.10           NA           NA          0.91         0.97         0.21         000
                                             catheter, artery.
36660.........  ............  A...........  Insertion                 1.40           NA           NA          0.41         0.42         0.14         000
                                             catheter, artery.
36680.........  ............  A...........  Insert needle,            1.20           NA           NA          0.28         0.39         0.11         000
                                             bone cavity.
36800.........  ............  A...........  Insertion of              2.43           NA           NA          1.53         1.67         0.25         000
                                             cannula.
36810.........  ............  A...........  Insertion of              3.96           NA           NA          1.32         1.50         0.45         000
                                             cannula.
36815.........  ............  A...........  Insertion of              2.62           NA           NA          1.04         1.10         0.35         000
                                             cannula.
36818.........  ............  A...........  Av fuse, uppr arm,       11.81           NA           NA          4.49         5.26         1.90         090
                                             cephalic.
36819.........  ............  A...........  Av fuse, uppr arm,       14.39           NA           NA          5.12         5.75         1.96         090
                                             basilic.
36820.........  ............  A...........  Av fusion/forearm        14.39           NA           NA          5.24         5.82         1.95         090
                                             vein.
36821.........  ............  A...........  Av fusion direct          9.15           NA           NA          3.94         4.30         1.23         090
                                             any site.
36822.........  ............  A...........  Insertion of              5.51           NA           NA          3.75         4.06         0.79         090
                                             cannula(s).
36823.........  ............  A...........  Insertion of             22.82           NA           NA          8.64         9.01         2.89         090
                                             cannula(s).
36825.........  ............  A...........  Artery-vein              10.00           NA           NA          4.23         4.64         1.35         090
                                             autograft.
36830.........  ............  A...........  Artery-vein              12.00           NA           NA          4.13         4.68         1.66         090
                                             nonautograft.
36831.........  ............  A...........  Open thrombect av         8.01           NA           NA          3.19         3.57         1.09         090
                                             fistula.
36832.........  ............  A...........  Av fistula               10.50           NA           NA          3.75         4.23         1.44         090
                                             revision, open.
36833.........  ............  A...........  Av fistula               11.95           NA           NA          4.12         4.66         1.65         090
                                             revision.
36834.........  ............  A...........  Repair A-V               11.11           NA           NA          4.22         4.50         1.37         090
                                             aneurysm.
36835.........  ............  A...........  Artery to vein            7.43           NA           NA          3.74         4.03         0.98         090
                                             shunt.
36838.........  ............  A...........  Dist revas               21.59           NA           NA          7.05         8.22         3.02         090
                                             ligation, hemo.
36860.........  ............  A...........  External cannula          2.01         3.36         2.57          0.63         0.65         0.11         000
                                             declotting.
36861.........  ............  A...........  Cannula declotting        2.52           NA           NA          1.22         1.35         0.27         000
36870.........  ............  A...........  Percut thrombect          5.17        40.83        46.94          2.76         2.96         0.29         090
                                             av fistula.
37140.........  ............  A...........  Revision of              25.12           NA           NA          8.93         9.71         2.02         090
                                             circulation.
37145.........  ............  A...........  Revision of              26.13           NA           NA         10.46        10.66         3.26         090
                                             circulation.
37160.........  ............  A...........  Revision of              23.13           NA           NA          7.93         8.60         2.82         090
                                             circulation.
37180.........  ............  A...........  Revision of              26.13           NA           NA          9.28         9.79         3.35         090
                                             circulation.
37181.........  ............  A...........  Splice spleen/           28.26           NA           NA          8.84         9.92         3.41         090
                                             kidney veins.
37182.........  ............  A...........  Insert hepatic           16.97           NA           NA          6.33         6.20         1.00         000
                                             shunt (tips).
37183.........  ............  A...........  Remove hepatic            7.99           NA           NA          3.09         3.05         0.47         000
                                             shunt (tips).
37184.........  ............  A...........  Prim art mech             8.66        49.97        60.86          3.24         3.29         0.55         000
                                             thrombectomy.
37185.........  ............  A...........  Prim art m-               3.28        16.39        19.65          1.12         1.12         0.21         ZZZ
                                             thrombect add-on.
37186.........  ............  A...........  Sec art m-                4.92        34.94        42.18          1.79         1.72         0.32         ZZZ
                                             thrombect add-on.
37187.........  ............  A...........  Venous mech               8.03        48.27        59.25          2.99         3.07         0.51         000
                                             thrombectomy.
37188.........  ............  A...........  Venous m-                 5.71        42.27        52.14          2.18         2.27         0.37         000
                                             thrombectomy add-
                                             on.
37195.........  ............  C...........  Thrombolytic              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             therapy, stroke.
37200.........  ............  A...........  Transcatheter             4.55           NA           NA          1.65         1.58         0.27         000
                                             biopsy.
37201.........  ............  A...........  Transcatheter             4.99           NA           NA          2.33         2.44         0.33         000
                                             therapy infuse.
37202.........  ............  A...........  Transcatheter             5.67           NA           NA          3.34         3.19         0.43         000
                                             therapy infuse.
37203.........  ............  A...........  Transcatheter             5.02        30.14        31.52          2.07         2.06         0.29         000
                                             retrieval.
37204.........  ............  A...........  Transcatheter            18.11           NA           NA          6.24         6.07         1.48         000
                                             occlusion.
37205.........  ............  A...........  Transcath iv              8.27       108.78        56.26          3.25         3.50         0.60         000
                                             stent, percut.
37206.........  ............  A...........  Transcath iv stent/       4.12        66.53        33.98          1.58         1.50         0.31         ZZZ
                                             perc addl.
37207.........  ............  A...........  Transcath iv              8.27           NA           NA          2.38         2.77         1.17         000
                                             stent, open.
37208.........  ............  A...........  Transcath iv stent/       4.12           NA           NA          1.01         1.19         0.59         ZZZ
                                             open addl.
37209.........  ............  A...........  Change iv cath at         2.27           NA           NA          0.77         0.75         0.15         000
                                             thromb tx.
37210.........  ............  A...........  Embolization             10.60        83.31        83.31          3.68         3.68         0.60         000
                                             uterine fibroid.
37215.........  ............  R...........  Transcath stent,         19.58           NA           NA          9.94         9.52         1.09         090
                                             cca w/eps.
37216.........  ............  N...........  Transcath stent,         18.85           NA           NA          5.76         7.29         1.04         090
                                             cca w/o eps.
37250.........  ............  A...........  Iv us first vessel        2.10           NA           NA          0.77         0.76         0.21         ZZZ
                                             add-on.
37251.........  ............  A...........  Iv us each add            1.60           NA           NA          0.50         0.52         0.19         ZZZ
                                             vessel add-on.
37500.........  ............  A...........  Endoscopy ligate         11.54           NA           NA          5.35         6.10         1.54         090
                                             perf veins.
37501.........  ............  C...........  Vascular endoscopy        0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
37565.........  ............  A...........  Ligation of neck         11.97           NA           NA          5.14         5.38         1.33         090
                                             vein.
37600.........  ............  A...........  Ligation of neck         12.34           NA           NA          4.92         5.78         1.41         090
                                             artery.
37605.........  ............  A...........  Ligation of neck         14.20           NA           NA          5.45         6.18         1.99         090
                                             artery.
37606.........  ............  A...........  Ligation of neck          8.72           NA           NA          4.86         4.71         1.23         090
                                             artery.
37607.........  ............  A...........  Ligation of a-v           6.19           NA           NA          3.03         3.29         0.85         090
                                             fistula.
37609.........  ............  A...........  Temporal artery           3.02         4.20         4.35          1.82         1.89         0.36         010
                                             procedure.
37615.........  ............  A...........  Ligation of neck          7.72           NA           NA          4.09         4.10         0.68         090
                                             artery.
37616.........  ............  A...........  Ligation of chest        18.89           NA           NA          7.93         8.01         2.33         090
                                             artery.

[[Page 2613]]

 
37617.........  ............  A...........  Ligation of              23.71           NA           NA          7.89         8.53         2.98         090
                                             abdomen artery.
37618.........  ............  A...........  Ligation of               5.95           NA           NA          3.37         3.49         0.67         090
                                             extremity artery.
37620.........  ............  A...........  Revision of major        11.49           NA           NA          5.45         5.58         0.91         090
                                             vein.
37650.........  ............  A...........  Revision of major         8.41           NA           NA          4.23         4.46         1.01         090
                                             vein.
37660.........  ............  A...........  Revision of major        22.20           NA           NA          7.59         8.33         2.49         090
                                             vein.
37700.........  ............  A...........  Revise leg vein...        3.76           NA           NA          2.39         2.59         0.53         090
37718.........  ............  A...........  Ligate/strip short        7.05           NA           NA          3.48         3.77         0.14         090
                                             leg vein.
37722.........  ............  A...........  Ligate/strip long         8.08           NA           NA          3.69         4.05         0.86         090
                                             leg vein.
37735.........  ............  A...........  Removal of leg           10.81           NA           NA          4.69         5.10         1.48         090
                                             veins/lesion.
37760.........  ............  A...........  Ligation, leg            10.69           NA           NA          4.48         4.91         1.44         090
                                             veins, open.
37765.........  ............  A...........  Phleb veins extrem        7.63           NA           NA          3.57         4.09         0.48         090
                                             10-20.
37766.........  ............  A...........  Phleb veins extrem        9.58           NA           NA          4.13         4.73         0.48         090
                                             20+.
37780.........  ............  A...........  Revision of leg           3.87           NA           NA          2.39         2.62         0.53         090
                                             vein.
37785.........  ............  A...........  Ligate/divide/            3.87         4.92         5.06          2.58         2.65         0.54         090
                                             excise vein.
37788.........  ............  A...........  Revascularization,       23.21           NA           NA         12.05        10.57         2.26         090
                                             penis.
37790.........  ............  A...........  Penile venous             8.37           NA           NA          5.15         4.76         0.59         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,       19.47           NA           NA          6.85         6.51         1.92         090
                                             total.
38101.........  ............  A...........  Removal of spleen,       19.47           NA           NA          6.92         6.72         2.05         090
                                             partial.
38102.........  ............  A...........  Removal of spleen,        4.79           NA           NA          1.23         1.43         0.63         ZZZ
                                             total.
38115.........  ............  A...........  Repair of ruptured       21.80           NA           NA          7.44         7.04         2.09         090
                                             spleen.
38120.........  ............  A...........  Laparoscopy,             16.97           NA           NA          6.93         7.16         2.25         090
                                             splenectomy.
38129.........  ............  C...........  Laparoscope proc,         0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             spleen.
38200.........  ............  A...........  Injection for             2.64           NA           NA          1.09         0.99         0.14         000
                                             spleen x-ray.
38204.........  ............  B...........  Bl donor search           2.00         0.46         0.46          0.46         0.46         0.06         XXX
                                             management.
38205.........  ............  R...........  Harvest allogenic         1.50           NA           NA          0.53         0.60         0.07         000
                                             stem cells.
38206.........  ............  R...........  Harvest auto stem         1.50           NA           NA          0.55         0.61         0.07         000
                                             cells.
38207.........  ............  I...........  Cryopreserve stem         0.89         0.40         0.40          0.40         0.40         0.01         XXX
                                             cells.
38208.........  ............  I...........  Thaw preserved            0.56         0.25         0.25          0.25         0.25         0.02         XXX
                                             stem cells.
38209.........  ............  I...........  Wash harvest stem         0.24         0.11         0.11          0.11         0.11         0.01         XXX
                                             cells.
38210.........  ............  I...........  T-cell depletion          1.57         0.71         0.71          0.71         0.71         0.03         XXX
                                             of harvest.
38211.........  ............  I...........  Tumor cell deplete        1.42         0.64         0.64          0.64         0.64         0.02         XXX
                                             of harvst.
38212.........  ............  I...........  Rbc depletion of          0.94         0.42         0.42          0.42         0.42         0.02         XXX
                                             harvest.
38213.........  ............  I...........  Platelet deplete          0.24         0.11         0.11          0.11         0.11         0.01         XXX
                                             of harvest.
38214.........  ............  I...........  Volume deplete of         0.81         0.36         0.36          0.36         0.36         0.01         XXX
                                             harvest.
38215.........  ............  I...........  Harvest stem cell         0.94         0.42         0.42          0.42         0.42         0.02         XXX
                                             concentrte.
38220.........  ............  A...........  Bone marrow               1.08         2.68         3.20          0.45         0.48         0.05         XXX
                                             aspiration.
38221.........  ............  A...........  Bone marrow biopsy        1.37         2.79         3.36          0.57         0.61         0.07         XXX
38230.........  ............  R...........  Bone marrow               4.80           NA           NA          3.13         3.18         0.48         010
                                             collection.
38240.........  ............  R...........  Bone marrow/stem          2.24           NA           NA          0.94         0.98         0.11         XXX
                                             transplant.
38241.........  ............  R...........  Bone marrow/stem          2.24           NA           NA          0.94         0.99         0.11         XXX
                                             transplant.
38242.........  ............  A...........  Lymphocyte infuse         1.71           NA           NA          0.67         0.73         0.08         000
                                             transplant.
38300.........  ............  A...........  Drainage, lymph           2.28         4.22         4.26          2.04         2.05         0.25         010
                                             node lesion.
38305.........  ............  A...........  Drainage, lymph           6.55           NA           NA          4.20         4.32         0.88         090
                                             node lesion.
38308.........  ............  A...........  Incision of lymph         6.73           NA           NA          3.54         3.64         0.85         090
                                             channels.
38380.........  ............  A...........  Thoracic duct             8.34           NA           NA          5.06         5.37         0.74         090
                                             procedure.
38381.........  ............  A...........  Thoracic duct            13.32           NA           NA          6.08         6.48         1.85         090
                                             procedure.
38382.........  ............  A...........  Thoracic duct            10.51           NA           NA          5.43         5.60         1.37         090
                                             procedure.
38500.........  ............  A...........  Biopsy/removal,           3.76         3.75         3.72          2.03         2.06         0.49         010
                                             lymph nodes.
38505.........  ............  A...........  Needle biopsy,            1.14         2.11         2.08          0.74         0.76         0.09         000
                                             lymph nodes.
38510.........  ............  A...........  Biopsy/removal,           6.69         5.38         5.47          3.09         3.29         0.72         010
                                             lymph nodes.
38520.........  ............  A...........  Biopsy/removal,           6.95           NA           NA          3.75         3.90         0.84         090
                                             lymph nodes.
38525.........  ............  A...........  Biopsy/removal,           6.35           NA           NA          3.47         3.38         0.80         090
                                             lymph nodes.
38530.........  ............  A...........  Biopsy/removal,           8.26           NA           NA          4.12         4.26         1.12         090
                                             lymph nodes.
38542.........  ............  A...........  Explore deep              6.08           NA           NA          3.97         4.22         0.60         090
                                             node(s), neck.
38550.........  ............  A...........  Removal, neck/            6.99           NA           NA          4.28         4.10         0.88         090
                                             armpit lesion.
38555.........  ............  A...........  Removal, neck/           15.42           NA           NA          7.45         7.99         1.76         090
                                             armpit lesion.
38562.........  ............  A...........  Removal, pelvic          10.92           NA           NA          5.77         5.77         1.20         090
                                             lymph nodes.
38564.........  ............  A...........  Removal, abdomen         11.29           NA           NA          5.21         5.23         1.32         090
                                             lymph nodes.
38570.........  ............  A...........  Laparoscopy, lymph        9.28           NA           NA          4.04         4.00         1.13         010
                                             node biop.
38571.........  ............  A...........  Laparoscopy,             14.70           NA           NA          6.80         6.22         1.15         010
                                             lymphadenectomy.
38572.........  ............  A...........  Laparoscopy,             16.86           NA           NA          5.94         6.51         1.91         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         12.68           NA           NA          6.51         6.38         0.72         090
                                             nodes, neck.
38720.........  ............  A...........  Removal of lymph         21.72           NA           NA         10.18         9.77         1.20         090
                                             nodes, neck.
38724.........  ............  A...........  Removal of lymph         23.72           NA           NA         10.93        10.38         1.28         090
                                             nodes, neck.
38740.........  ............  A...........  Remove armpit            10.57           NA           NA          5.00         4.97         1.32         090
                                             lymph nodes.
38745.........  ............  A...........  Remove armpit            13.71           NA           NA          6.05         6.06         1.74         090
                                             lymph nodes.
38746.........  ............  A...........  Remove thoracic           4.88           NA           NA          1.42         1.51         0.72         ZZZ
                                             lymph nodes.
38747.........  ............  A...........  Remove abdominal          4.88           NA           NA          1.27         1.47         0.64         ZZZ
                                             lymph nodes.
38760.........  ............  A...........  Remove groin lymph       13.49           NA           NA          5.92         6.02         1.72         090
                                             nodes.
38765.........  ............  A...........  Remove groin lymph       21.78           NA           NA          8.35         8.58         2.48         090
                                             nodes.

[[Page 2614]]

 
38770.........  ............  A...........  Remove pelvis            13.98           NA           NA          6.72         6.23         1.40         090
                                             lymph nodes.
38780.........  ............  A...........  Remove abdomen           17.56           NA           NA          7.99         8.09         1.89         090
                                             lymph nodes.
38790.........  ............  A...........  Inject for                1.29           NA           NA          0.75         0.75         0.13         000
                                             lymphatic x-ray.
38792.........  ............  A...........  Identify sentinel         0.52           NA           NA          0.49         0.46         0.06         000
                                             node.
38794.........  ............  A...........  Access thoracic           4.51           NA           NA          3.18         3.31         0.32         090
                                             lymph duct.
38999.........  ............  C...........  Blood/lymph system        0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
39000.........  ............  A...........  Exploration of            7.49           NA           NA          4.27         4.46         0.89         090
                                             chest.
39010.........  ............  A...........  Exploration of           13.11           NA           NA          6.34         6.94         1.76         090
                                             chest.
39200.........  ............  A...........  Removal chest            15.04           NA           NA          6.20         6.87         2.03         090
                                             lesion.
39220.........  ............  A...........  Removal chest            19.47           NA           NA          8.00         8.68         2.46         090
                                             lesion.
39400.........  ............  A...........  Visualization of          8.00           NA           NA          4.15         4.50         0.82         010
                                             chest.
39499.........  ............  C...........  Chest procedure...        0.00         0.00         0.00          0.00         0.00         0.00         YYY
39501.........  ............  A...........  Repair diaphragm         13.89           NA           NA          5.82         6.14         1.78         090
                                             laceration.
39502.........  ............  A...........  Repair                   17.09           NA           NA          6.59         6.87         2.17         090
                                             paraesophageal
                                             hernia.
39503.........  ............  A...........  Repair of               108.67           NA           NA         27.41        30.40        10.98         090
                                             diaphragm hernia.
39520.........  ............  A...........  Repair of                16.63           NA           NA          6.80         7.42         2.24         090
                                             diaphragm hernia.
39530.........  ............  A...........  Repair of                16.22           NA           NA          6.23         6.68         2.11         090
                                             diaphragm hernia.
39531.........  ............  A...........  Repair of                17.23           NA           NA          6.58         6.98         2.22         090
                                             diaphragm hernia.
39540.........  ............  A...........  Repair of                14.51           NA           NA          5.70         5.96         1.80         090
                                             diaphragm hernia.
39541.........  ............  A...........  Repair of                15.67           NA           NA          6.07         6.33         1.93         090
                                             diaphragm hernia.
39545.........  ............  A...........  Revision of              14.58           NA           NA          6.93         7.24         1.84         090
                                             diaphragm.
39560.........  ............  A...........  Resect diaphragm,        12.97           NA           NA          5.52         5.90         1.59         090
                                             simple.
39561.........  ............  A...........  Resect diaphragm,        19.75           NA           NA          9.32         9.33         2.45         090
                                             complex.
39599.........  ............  C...........  Diaphragm surgery         0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
40490.........  ............  A...........  Biopsy of lip.....        1.22         2.08         1.85          0.58         0.59         0.05         000
40500.........  ............  A...........  Partial excision          4.35         7.91         7.40          4.36         4.35         0.38         090
                                             of lip.
40510.........  ............  A...........  Partial excision          4.74         6.74         6.68          3.62         3.82         0.49         090
                                             of lip.
40520.........  ............  A...........  Partial excision          4.71         7.00         7.27          3.82         3.97         0.52         090
                                             of lip.
40525.........  ............  A...........  Reconstruct lip           7.61           NA           NA          5.33         5.82         0.85         090
                                             with flap.
40527.........  ............  A...........  Reconstruct lip           9.20           NA           NA          6.14         6.75         0.97         090
                                             with flap.
40530.........  ............  A...........  Partial removal of        5.45         7.59         7.70          4.27         4.42         0.55         090
                                             lip.
40650.........  ............  A...........  Repair lip........        3.69         5.99         6.39          3.17         3.23         0.38         090
40652.........  ............  A...........  Repair lip........        4.32         7.26         7.50          4.12         4.19         0.52         090
40654.........  ............  A...........  Repair lip........        5.37         8.09         8.35          4.68         4.81         0.60         090
40700.........  ............  A...........  Repair cleft lip/        13.97           NA           NA          8.66         8.87         0.95         090
                                             nasal.
40701.........  ............  A...........  Repair cleft lip/        17.03           NA           NA          7.82         9.58         1.65         090
                                             nasal.
40702.........  ............  A...........  Repair cleft lip/        14.09           NA           NA          5.82         7.03         1.23         090
                                             nasal.
40720.........  ............  A...........  Repair cleft lip/        14.54           NA           NA          9.53         9.71         1.80         090
                                             nasal.
40761.........  ............  A...........  Repair cleft lip/        15.69           NA           NA          9.29         9.79         1.94         090
                                             nasal.
40799.........  ............  C...........  Lip surgery               0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
40800.........  ............  A...........  Drainage of mouth         1.19         3.84         3.40          1.88         1.83         0.13         010
                                             lesion.
40801.........  ............  A...........  Drainage of mouth         2.57         4.88         4.45          2.58         2.66         0.31         010
                                             lesion.
40804.........  ............  A...........  Removal, foreign          1.26         3.79         3.59          1.83         1.85         0.11         010
                                             body, mouth.
40805.........  ............  A...........  Removal, foreign          2.73         5.14         4.81          2.66         2.74         0.32         010
                                             body, mouth.
40806.........  ............  A...........  Incision of lip           0.31         2.43         2.13          0.51         0.50         0.04         000
                                             fold.
40808.........  ............  A...........  Biopsy of mouth           0.98         3.61         3.13          1.62         1.55         0.10         010
                                             lesion.
40810.........  ............  A...........  Excision of mouth         1.33         3.69         3.29          1.72         1.69         0.13         010
                                             lesion.
40812.........  ............  A...........  Excise/repair             2.33         4.54         4.13          2.28         2.34         0.28         010
                                             mouth lesion.
40814.........  ............  A...........  Excise/repair             3.45         5.69         5.32          3.70         3.79         0.41         090
                                             mouth lesion.
40816.........  ............  A...........  Excision of mouth         3.70         5.91         5.54          3.77         3.89         0.40         090
                                             lesion.
40818.........  ............  A...........  Excise oral mucosa        2.72         5.83         5.50          3.75         3.86         0.21         090
                                             for graft.
40819.........  ............  A...........  Excise lip or             2.45         4.93         4.51          3.11         3.10         0.29         090
                                             cheek fold.
40820.........  ............  A...........  Treatment of mouth        1.30         5.30         4.62          2.94         2.69         0.11         010
                                             lesion.
40830.........  ............  A...........  Repair mouth              1.78         4.04         3.88          2.00         2.05         0.19         010
                                             laceration.
40831.........  ............  A...........  Repair mouth              2.50         5.24         4.95          2.70         2.88         0.30         010
                                             laceration.
40840.........  ............  R...........  Reconstruction of         9.03        10.03         9.91          5.59         6.28         1.08         090
                                             mouth.
40842.........  ............  R...........  Reconstruction of         9.03        10.22        10.14          5.72         6.25         1.08         090
                                             mouth.
40843.........  ............  R...........  Reconstruction of        12.62        11.34        11.65          5.75         6.78         1.39         090
                                             mouth.
40844.........  ............  R...........  Reconstruction of        16.57        15.23        15.50          9.12        10.34         2.00         090
                                             mouth.
40845.........  ............  R...........  Reconstruction of        19.13        16.04        16.55         10.22        11.72         2.01         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         1.32         2.56         2.44          1.33         1.37         0.12         010
                                             lesion.
41005.........  ............  A...........  Drainage of mouth         1.28         4.33         3.83          1.77         1.75         0.12         010
                                             lesion.
41006.........  ............  A...........  Drainage of mouth         3.28         5.44         5.11          2.82         3.00         0.35         090
                                             lesion.
41007.........  ............  A...........  Drainage of mouth         3.14         5.35         5.24          2.72         2.87         0.31         090
                                             lesion.
41008.........  ............  A...........  Drainage of mouth         3.40         5.52         5.10          2.85         3.02         0.42         090
                                             lesion.
41009.........  ............  A...........  Drainage of mouth         3.63         5.83         5.40          3.15         3.36         0.47         090
                                             lesion.
41010.........  ............  A...........  Incision of tongue        1.08         3.90         3.66          1.56         1.58         0.07         010
                                             fold.
41015.........  ............  A...........  Drainage of mouth         4.00         6.29         5.85          3.98         4.06         0.46         090
                                             lesion.
41016.........  ............  A...........  Drainage of mouth         4.11         6.23         5.92          4.07         4.15         0.53         090
                                             lesion.
41017.........  ............  A...........  Drainage of mouth         4.11         6.37         6.01          4.12         4.21         0.53         090
                                             lesion.
41018.........  ............  A...........  Drainage of mouth         5.14         6.76         6.45          4.48         4.53         0.68         090
                                             lesion.

[[Page 2615]]

 
41019.........  ............  A...........  Place needles h&n         8.84           NA           NA          3.28         3.28         0.59         000
                                             for rt.
41100.........  ............  A...........  Biopsy of tongue..        1.39         2.68         2.55          1.17         1.29         0.15         010
41105.........  ............  A...........  Biopsy of tongue..        1.44         2.68         2.49          1.20         1.26         0.13         010
41108.........  ............  A...........  Biopsy of floor of        1.07         2.52         2.30          1.08         1.11         0.10         010
                                             mouth.
41110.........  ............  A...........  Excision of tongue        1.53         3.66         3.32          1.65         1.64         0.13         010
                                             lesion.
41112.........  ............  A...........  Excision of tongue        2.77         5.26         4.87          3.24         3.23         0.28         090
                                             lesion.
41113.........  ............  A...........  Excision of tongue        3.23         5.52         5.13          3.39         3.43         0.34         090
                                             lesion.
41114.........  ............  A...........  Excision of tongue        8.71           NA           NA          6.30         6.75         0.83         090
                                             lesion.
41115.........  ............  A...........  Excision of tongue        1.76         4.19         3.74          1.72         1.79         0.18         010
                                             fold.
41116.........  ............  A...........  Excision of mouth         2.47         5.56         4.96          2.80         2.80         0.23         090
                                             lesion.
41120.........  ............  A...........  Partial removal of       10.91           NA           NA         14.34        14.83         0.79         090
                                             tongue.
41130.........  ............  A...........  Partial removal of       15.51           NA           NA         15.89        16.05         0.93         090
                                             tongue.
41135.........  ............  A...........  Tongue and neck          29.83           NA           NA         21.87        22.55         1.89         090
                                             surgery.
41140.........  ............  A...........  Removal of tongue.       28.81           NA           NA         23.59        25.14         2.27         090
41145.........  ............  A...........  Tongue removal,          37.59           NA           NA         28.83        29.70         2.55         090
                                             neck surgery.
41150.........  ............  A...........  Tongue, mouth, jaw       29.52           NA           NA         23.05        23.89         1.95         090
                                             surgery.
41153.........  ............  A...........  Tongue, mouth,           33.28           NA           NA         23.95        24.49         2.01         090
                                             neck surgery.
41155.........  ............  A...........  Tongue, jaw, &           43.96           NA           NA         27.62        27.22         2.34         090
                                             neck surgery.
41250.........  ............  A...........  Repair tongue             1.93         3.86         3.30          1.61         1.39         0.18         010
                                             laceration.
41251.........  ............  A...........  Repair tongue             2.29         3.49         3.38          1.78         1.66         0.22         010
                                             laceration.
41252.........  ............  A...........  Repair tongue             2.99         4.60         4.24          2.12         2.19         0.29         010
                                             laceration.
41500.........  ............  A...........  Fixation of tongue        3.74           NA           NA          7.53         7.49         0.30         090
41510.........  ............  A...........  Tongue to lip             3.45           NA           NA          6.48         7.21         0.20         090
                                             surgery.
41520.........  ............  A...........  Reconstruction,           2.77         5.81         5.22          3.26         3.44         0.27         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           1.21         4.80         3.70          2.12         1.70         0.12         010
                                             lesion.
41805.........  ............  A...........  Removal foreign           1.28         4.64         3.66          2.70         2.46         0.13         010
                                             body, gum.
41806.........  ............  A...........  Removal foreign           2.73         5.83         4.71          3.34         3.19         0.37         010
                                             body,jawbone.
41820.........  ............  R...........  Excision, gum,            0.00         0.00         0.00          0.00         0.00         0.00         000
                                             each quadrant.
41821.........  ............  R...........  Excision of gum           0.00         0.00         0.00          0.00         0.00         0.00         000
                                             flap.
41822.........  ............  R...........  Excision of gum           2.35         4.80         4.35          1.85         1.86         0.31         010
                                             lesion.
41823.........  ............  R...........  Excision of gum           3.63         6.46         6.01          3.73         3.87         0.47         090
                                             lesion.
41825.........  ............  A...........  Excision of gum           1.35         3.69         3.38          1.47         1.86         0.15         010
                                             lesion.
41826.........  ............  A...........  Excision of gum           2.35         5.09         3.76          2.58         2.34         0.30         010
                                             lesion.
41827.........  ............  A...........  Excision of gum           3.72         6.65         6.08          3.38         3.52         0.35         090
                                             lesion.
41828.........  ............  R...........  Excision of gum           3.11         4.09         3.95          1.64         2.30         0.44         010
                                             lesion.
41830.........  ............  R...........  Removal of gum            3.38         5.99         5.47          3.12         3.37         0.44         010
                                             tissue.
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........        2.90         6.05         5.53          3.31         3.38         0.30         090
41874.........  ............  R...........  Repair tooth              3.13         5.67         5.25          2.72         2.95         0.45         090
                                             socket.
41899.........  ............  C...........  Dental surgery            0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
42000.........  ............  A...........  Drainage mouth            1.25         2.48         2.52          1.21         1.23         0.12         010
                                             roof lesion.
42100.........  ............  A...........  Biopsy roof of            1.33         2.27         2.18          1.26         1.31         0.13         010
                                             mouth.
42104.........  ............  A...........  Excision lesion,          1.66         3.58         3.06          1.67         1.61         0.16         010
                                             mouth roof.
42106.........  ............  A...........  Excision lesion,          2.12         4.45         3.84          2.07         2.26         0.25         010
                                             mouth roof.
42107.........  ............  A...........  Excision lesion,          4.48         6.54         6.13          3.69         3.82         0.44         090
                                             mouth roof.
42120.........  ............  A...........  Remove palate/           11.70           NA           NA         12.29        12.03         0.52         090
                                             lesion.
42140.........  ............  A...........  Excision of uvula.        1.65         4.58         4.15          2.12         2.11         0.13         090
42145.........  ............  A...........  Repair palate,            9.63           NA           NA          7.49         7.49         0.65         090
                                             pharynx/uvula.
42160.........  ............  A...........  Treatment mouth           1.82         3.78         4.01          1.69         1.99         0.17         010
                                             roof lesion.
42180.........  ............  A...........  Repair palate.....        2.52         3.38         3.22          1.86         1.98         0.21         010
42182.........  ............  A...........  Repair palate.....        3.84         3.99         3.93          2.40         2.71         0.40         010
42200.........  ............  A...........  Reconstruct cleft        12.41           NA           NA          8.63         9.42         1.27         090
                                             palate.
42205.........  ............  A...........  Reconstruct cleft        13.57           NA           NA          7.37         8.72         1.58         090
                                             palate.
42210.........  ............  A...........  Reconstruct cleft        14.91           NA           NA         10.25        10.86         2.17         090
                                             palate.
42215.........  ............  A...........  Reconstruct cleft         8.88           NA           NA          7.42         8.25         1.31         090
                                             palate.
42220.........  ............  A...........  Reconstruct cleft         7.07           NA           NA          7.22         7.00         0.73         090
                                             palate.
42225.........  ............  A...........  Reconstruct cleft         9.66           NA           NA         12.25        14.66         0.86         090
                                             palate.
42226.........  ............  A...........  Lengthening of           10.24           NA           NA         11.91        13.31         1.01         090
                                             palate.
42227.........  ............  A...........  Lengthening of            9.81           NA           NA         11.22        13.39         0.98         090
                                             palate.
42235.........  ............  A...........  Repair palate.....        7.92           NA           NA         10.35        11.11         0.72         090
42260.........  ............  A...........  Repair nose to lip       10.10         9.74         9.97          6.03         6.55         1.26         090
                                             fistula.
42280.........  ............  A...........  Preparation,              1.56         2.23         2.10          0.83         0.99         0.19         010
                                             palate mold.
42281.........  ............  A...........  Insertion, palate         1.95         3.03         2.83          1.69         1.78         0.17         010
                                             prosthesis.
42299.........  ............  C...........  Palate/uvula              0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             surgery.
42300.........  ............  A...........  Drainage of               1.95         3.14         2.98          1.74         1.78         0.16         010
                                             salivary gland.
42305.........  ............  A...........  Drainage of               6.23           NA           NA          3.99         4.36         0.51         090
                                             salivary gland.
42310.........  ............  A...........  Drainage of               1.58         2.29         2.28          1.39         1.46         0.13         010
                                             salivary gland.
42320.........  ............  A...........  Drainage of               2.37         3.74         3.51          1.88         1.99         0.21         010
                                             salivary gland.
42330.........  ............  A...........  Removal of                2.23         3.41         3.28          1.73         1.79         0.19         010
                                             salivary stone.
42335.........  ............  A...........  Removal of                3.35         5.77         5.34          2.85         3.00         0.29         090
                                             salivary stone.

[[Page 2616]]

 
42340.........  ............  A...........  Removal of                4.64         6.71         6.38          3.48         3.71         0.42         090
                                             salivary stone.
42400.........  ............  A...........  Biopsy of salivary        0.78         2.00         1.82          0.65         0.68         0.06         000
                                             gland.
42405.........  ............  A...........  Biopsy of salivary        3.31         3.97         3.98          2.15         2.30         0.28         010
                                             gland.
42408.........  ............  A...........  Excision of               4.58         6.42         6.17          3.27         3.44         0.45         090
                                             salivary cyst.
42409.........  ............  A...........  Drainage of               2.85         5.32         4.92          2.53         2.65         0.27         090
                                             salivary cyst.
42410.........  ............  A...........  Excise parotid            9.46           NA           NA          5.37         5.80         0.91         090
                                             gland/lesion.
42415.........  ............  A...........  Excise parotid           17.99           NA           NA          8.63         9.75         1.43         090
                                             gland/lesion.
42420.........  ............  A...........  Excise parotid           20.87           NA           NA          9.58        10.98         1.65         090
                                             gland/lesion.
42425.........  ............  A...........  Excise parotid           13.31           NA           NA          6.84         7.72         1.05         090
                                             gland/lesion.
42426.........  ............  A...........  Excise parotid           22.54           NA           NA         10.01        11.52         1.81         090
                                             gland/lesion.
42440.........  ............  A...........  Excise                    7.05           NA           NA          3.86         4.33         0.59         090
                                             submaxillary
                                             gland.
42450.........  ............  A...........  Excise sublingual         4.66         6.38         6.14          4.03         4.14         0.42         090
                                             gland.
42500.........  ............  A...........  Repair salivary           4.34         6.12         5.90          3.86         4.02         0.41         090
                                             duct.
42505.........  ............  A...........  Repair salivary           6.23         7.28         7.20          4.71         5.04         0.55         090
                                             duct.
42507.........  ............  A...........  Parotid duct              6.16           NA           NA          6.34         6.44         0.49         090
                                             diversion.
42508.........  ............  A...........  Parotid duct              9.22           NA           NA          8.08         8.21         1.04         090
                                             diversion.
42509.........  ............  A...........  Parotid duct             11.65           NA           NA          8.92         9.56         0.93         090
                                             diversion.
42510.........  ............  A...........  Parotid duct              8.26           NA           NA          6.90         7.35         0.66         090
                                             diversion.
42550.........  ............  A...........  Injection for             1.25         2.28         2.75          0.44         0.43         0.07         000
                                             salivary x-ray.
42600.........  ............  A...........  Closure of                4.86         6.57         6.58          3.43         3.77         0.43         090
                                             salivary fistula.
42650.........  ............  A...........  Dilation of               0.77         1.29         1.19          0.66         0.68         0.07         000
                                             salivary duct.
42660.........  ............  A...........  Dilation of               1.13         1.46         1.40          0.75         0.80         0.09         000
                                             salivary duct.
42665.........  ............  A...........  Ligation of               2.57         5.00         4.59          2.40         2.50         0.23         090
                                             salivary duct.
42699.........  ............  C...........  Salivary surgery          0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
42700.........  ............  A...........  Drainage of tonsil        1.64         2.97         2.81          1.65         1.67         0.13         010
                                             abscess.
42720.........  ............  A...........  Drainage of throat        6.31         4.70         4.76          3.17         3.48         0.44         010
                                             abscess.
42725.........  ............  A...........  Drainage of throat       12.28           NA           NA          7.09         7.65         0.91         090
                                             abscess.
42800.........  ............  A...........  Biopsy of throat..        1.41         2.47         2.33          1.30         1.35         0.11         010
42802.........  ............  A...........  Biopsy of throat..        1.56         4.14         4.45          1.67         1.87         0.12         010
42804.........  ............  A...........  Biopsy of upper           1.26         3.59         3.66          1.50         1.62         0.10         010
                                             nose/throat.
42806.........  ............  A...........  Biopsy of upper           1.60         3.83         3.95          1.61         1.77         0.13         010
                                             nose/throat.
42808.........  ............  A...........  Excise pharynx            2.32         3.22         3.16          1.60         1.77         0.19         010
                                             lesion.
42809.........  ............  A...........  Remove pharynx            1.83         2.23         2.28          1.32         1.32         0.16         010
                                             foreign body.
42810.........  ............  A...........  Excision of neck          3.30         6.23         5.97          3.73         3.64         0.29         090
                                             cyst.
42815.........  ............  A...........  Excision of neck          7.23           NA           NA          6.26         6.34         0.61         090
                                             cyst.
42820.........  ............  A...........  Remove tonsils and        4.17           NA           NA          2.85         3.07         0.31         090
                                             adenoids.
42821.........  ............  A...........  Remove tonsils and        4.31           NA           NA          2.99         3.25         0.35         090
                                             adenoids.
42825.........  ............  A...........  Removal of tonsils        3.45           NA           NA          2.90         3.04         0.25         090
42826.........  ............  A...........  Removal of tonsils        3.40           NA           NA          2.69         2.86         0.27         090
42830.........  ............  A...........  Removal of                2.60           NA           NA          2.43         2.50         0.20         090
                                             adenoids.
42831.........  ............  A...........  Removal of                2.75           NA           NA          2.66         2.75         0.22         090
                                             adenoids.
42835.........  ............  A...........  Removal of                2.33           NA           NA          1.78         2.12         0.21         090
                                             adenoids.
42836.........  ............  A...........  Removal of                3.21           NA           NA          2.65         2.81         0.26         090
                                             adenoids.
42842.........  ............  A...........  Extensive surgery        12.02           NA           NA         12.05        11.52         0.71         090
                                             of throat.
42844.........  ............  A...........  Extensive surgery        17.57           NA           NA         15.48        15.86         1.16         090
                                             of throat.
42845.........  ............  A...........  Extensive surgery        32.35           NA           NA         21.17        22.18         1.99         090
                                             of throat.
42860.........  ............  A...........  Excision of tonsil        2.25           NA           NA          2.30         2.35         0.18         090
                                             tags.
42870.........  ............  A...........  Excision of               5.44           NA           NA          8.71         8.64         0.44         090
                                             lingual tonsil.
42890.........  ............  A...........  Partial removal of       18.92           NA           NA         15.26        14.71         1.05         090
                                             pharynx.
42892.........  ............  A...........  Revision of              25.77           NA           NA         19.22        18.20         1.28         090
                                             pharyngeal walls.
42894.........  ............  A...........  Revision of              33.61           NA           NA         23.55        22.79         1.87         090
                                             pharyngeal walls.
42900.........  ............  A...........  Repair throat             5.26           NA           NA          2.96         3.31         0.50         010
                                             wound.
42950.........  ............  A...........  Reconstruction of         8.16           NA           NA         11.08        11.47         0.72         090
                                             throat.
42953.........  ............  A...........  Repair throat,            9.33           NA           NA         13.79        15.56         0.88         090
                                             esophagus.
42955.........  ............  A...........  Surgical opening          7.92           NA           NA         10.11        10.39         0.80         090
                                             of throat.
42960.........  ............  A...........  Control throat            2.35           NA           NA          1.72         1.84         0.19         010
                                             bleeding.
42961.........  ............  A...........  Control throat            5.69           NA           NA          4.49         4.72         0.45         090
                                             bleeding.
42962.........  ............  A...........  Control throat            7.31           NA           NA          5.19         5.55         0.58         090
                                             bleeding.
42970.........  ............  A...........  Control nose/             5.76           NA           NA          3.59         3.88         0.39         090
                                             throat bleeding.
42971.........  ............  A...........  Control nose/             6.54           NA           NA          4.51         4.81         0.51         090
                                             throat bleeding.
42972.........  ............  A...........  Control nose/             7.53           NA           NA          4.99         5.35         0.62         090
                                             throat bleeding.
42999.........  ............  C...........  Throat surgery            0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
43020.........  ............  A...........  Incision of               8.14           NA           NA          4.58         5.00         0.87         090
                                             esophagus.
43030.........  ............  A...........  Throat muscle             7.91           NA           NA          4.52         5.01         0.70         090
                                             surgery.
43045.........  ............  A...........  Incision of              21.70           NA           NA          9.31        10.01         2.59         090
                                             esophagus.
43100.........  ............  A...........  Excision of               9.55           NA           NA          5.21         5.72         0.93         090
                                             esophagus lesion.
43101.........  ............  A...........  Excision of              16.99           NA           NA          7.17         7.53         2.32         090
                                             esophagus lesion.
43107.........  ............  A...........  Removal of               43.97           NA           NA         16.27        17.27         5.24         090
                                             esophagus.
43108.........  ............  A...........  Removal of               82.66           NA           NA         24.49        19.35         4.08         090
                                             esophagus.
43112.........  ............  A...........  Removal of               47.27           NA           NA         17.02        18.20         5.81         090
                                             esophagus.
43113.........  ............  A...........  Removal of               79.85           NA           NA         25.37        20.24         4.43         090
                                             esophagus.
43116.........  ............  A...........  Partial removal of       92.78           NA           NA         30.34        23.52         3.06         090
                                             esophagus.

[[Page 2617]]

 
43117.........  ............  A...........  Partial removal of       43.52           NA           NA         15.16        16.22         5.19         090
                                             esophagus.
43118.........  ............  A...........  Partial removal of       66.86           NA           NA         21.53        17.66         4.11         090
                                             esophagus.
43121.........  ............  A...........  Partial removal of       51.22           NA           NA         18.29        15.98         3.91         090
                                             esophagus.
43122.........  ............  A...........  Partial removal of       43.97           NA           NA         15.62        16.51         5.42         090
                                             esophagus.
43123.........  ............  A...........  Partial removal of       82.91           NA           NA         25.78        19.95         4.16         090
                                             esophagus.
43124.........  ............  A...........  Removal of               68.83           NA           NA         24.37        18.73         3.74         090
                                             esophagus.
43130.........  ............  A...........  Removal of               12.41           NA           NA          6.38         6.97         1.16         090
                                             esophagus pouch.
43135.........  ............  A...........  Removal of               26.09           NA           NA          9.93         9.01         2.34         090
                                             esophagus pouch.
43200.........  ............  A...........  Esophagus                 1.59         3.73         3.93          0.98         1.02         0.13         000
                                             endoscopy.
43201.........  ............  A...........  Esoph scope w/            2.09         5.63         5.13          1.19         1.15         0.15         000
                                             submucous inj.
43202.........  ............  A...........  Esophagus                 1.89         5.17         5.36          0.98         0.96         0.15         000
                                             endoscopy, biopsy.
43204.........  ............  A...........  Esoph scope w/            3.76           NA           NA          2.01         1.76         0.30         000
                                             sclerosis inj.
43205.........  ............  A...........  Esophagus                 3.78           NA           NA          2.06         1.79         0.28         000
                                             endoscopy/
                                             ligation.
43215.........  ............  A...........  Esophagus                 2.60           NA           NA          1.29         1.24         0.22         000
                                             endoscopy.
43216.........  ............  A...........  Esophagus                 2.40         3.08         2.07          1.26         1.16         0.20         000
                                             endoscopy/lesion.
43217.........  ............  A...........  Esophagus                 2.90         6.58         6.77          1.38         1.28         0.26         000
                                             endoscopy.
43219.........  ............  A...........  Esophagus                 2.80           NA           NA          1.55         1.45         0.24         000
                                             endoscopy.
43220.........  ............  A...........  Esoph endoscopy,          2.10           NA           NA          1.13         1.05         0.17         000
                                             dilation.
43226.........  ............  A...........  Esoph endoscopy,          2.34           NA           NA          1.29         1.16         0.19         000
                                             dilation.
43227.........  ............  A...........  Esoph endoscopy,          3.59           NA           NA          1.77         1.61         0.28         000
                                             repair.
43228.........  ............  A...........  Esoph endoscopy,          3.76           NA           NA          1.89         1.72         0.34         000
                                             ablation.
43231.........  ............  A...........  Esoph endoscopy w/        3.19           NA           NA          1.76         1.53         0.23         000
                                             us exam.
43232.........  ............  A...........  Esoph endoscopy w/        4.47           NA           NA          2.39         2.10         0.34         000
                                             us fn bx.
43234.........  ............  A...........  Upper GI                  2.01         4.98         5.16          1.02         0.94         0.17         000
                                             endoscopy, exam.
43235.........  ............  A...........  Uppr gi endoscopy,        2.39         5.29         5.23          1.35         1.18         0.19         000
                                             diagnosis.
43236.........  ............  A...........  Uppr gi scope w/          2.92         6.72         6.56          1.65         1.43         0.21         000
                                             submuc inj.
43237.........  ............  A...........  Endoscopic us             3.98           NA           NA          2.16         1.88         0.43         000
                                             exam, esoph.
43238.........  ............  A...........  Uppr gi endoscopy         5.02           NA           NA          2.57         2.27         0.43         000
                                             w/us fn bx.
43239.........  ............  A...........  Upper GI                  2.87         6.06         5.89          1.56         1.37         0.22         000
                                             endoscopy, biopsy.
43240.........  ............  A...........  Esoph endoscope w/        6.85           NA           NA          3.29         2.95         0.56         000
                                             drain cyst.
43241.........  ............  A...........  Upper GI endoscopy        2.59           NA           NA          1.40         1.25         0.21         000
                                             with tube.
43242.........  ............  A...........  Uppr gi endoscopy         7.30           NA           NA          3.68         3.21         0.53         000
                                             w/us fn bx.
43243.........  ............  A...........  Upper gi endoscopy        4.56           NA           NA          2.36         2.08         0.33         000
                                             & inject.
43244.........  ............  A...........  Upper GI endoscopy/       5.04           NA           NA          2.65         2.31         0.37         000
                                             ligation.
43245.........  ............  A...........  Uppr gi scope             3.18           NA           NA          1.63         1.46         0.26         000
                                             dilate strictr.
43246.........  ............  A...........  Place gastrostomy         4.32           NA           NA          2.11         1.90         0.34         000
                                             tube.
43247.........  ............  A...........  Operative upper GI        3.38           NA           NA          1.79         1.58         0.27         000
                                             endoscopy.
43248.........  ............  A...........  Uppr gi endoscopy/        3.15           NA           NA          1.77         1.54         0.23         000
                                             guide wire.
43249.........  ............  A...........  Esoph endoscopy,          2.90           NA           NA          1.62         1.41         0.22         000
                                             dilation.
43250.........  ............  A...........  Upper GI endoscopy/       3.20           NA           NA          1.61         1.46         0.26         000
                                             tumor.
43251.........  ............  A...........  Operative upper GI        3.69           NA           NA          1.92         1.70         0.29         000
                                             endoscopy.
43255.........  ............  A...........  Operative upper GI        4.81           NA           NA          2.53         2.21         0.35         000
                                             endoscopy.
43256.........  ............  A...........  Uppr gi endoscopy         4.34           NA           NA          2.25         1.98         0.32         000
                                             w/stent.
43257.........  ............  A...........  Uppr gi scope w/          5.50           NA           NA          2.14         2.17         0.36         000
                                             thrml txmnt.
43258.........  ............  A...........  Operative upper GI        4.54           NA           NA          2.37         2.08         0.33         000
                                             endoscopy.
43259.........  ............  A...........  Endoscopic                5.19           NA           NA          2.69         2.34         0.35         000
                                             ultrasound exam.
43260.........  ............  A...........  Endo                      5.95           NA           NA          3.06         2.67         0.43         000
                                             cholangiopancreat
                                             ograph.
43261.........  ............  A...........  Endo                      6.26           NA           NA          3.20         2.80         0.46         000
                                             cholangiopancreat
                                             ograph.
43262.........  ............  A...........  Endo                      7.38           NA           NA          3.73         3.26         0.54         000
                                             cholangiopancreat
                                             ograph.
43263.........  ............  A...........  Endo                      7.28           NA           NA          3.64         3.20         0.54         000
                                             cholangiopancreat
                                             ograph.
43264.........  ............  A...........  Endo                      8.89           NA           NA          4.44         3.88         0.65         000
                                             cholangiopancreat
                                             ograph.
43265.........  ............  A...........  Endo                     10.00           NA           NA          4.99         4.34         0.73         000
                                             cholangiopancreat
                                             ograph.
43267.........  ............  A...........  Endo                      7.38           NA           NA          3.39         3.09         0.54         000
                                             cholangiopancreat
                                             ograph.
43268.........  ............  A...........  Endo                      7.38           NA           NA          3.89         3.39         0.54         000
                                             cholangiopancreat
                                             ograph.
43269.........  ............  A...........  Endo                      8.20           NA           NA          4.10         3.59         0.60         000
                                             cholangiopancreat
                                             ograph.
43271.........  ............  A...........  Endo                      7.38           NA           NA          3.71         3.25         0.54         000
                                             cholangiopancreat
                                             ograph.
43272.........  ............  A...........  Endo                      7.38           NA           NA          3.78         3.28         0.54         000
                                             cholangiopancreat
                                             ograph.
43280.........  ............  A...........  Laparoscopy,             18.00           NA           NA          6.66         6.96         2.28         090
                                             fundoplasty.
43289.........  ............  C...........  Laparoscope proc,         0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             esoph.
43300.........  ............  A...........  Repair of                 9.21           NA           NA          5.41         5.90         1.12         090
                                             esophagus.
43305.........  ............  A...........  Repair esophagus         17.98           NA           NA          8.34         9.52         1.54         090
                                             and fistula.
43310.........  ............  A...........  Repair of                26.18           NA           NA          9.82        10.44         3.61         090
                                             esophagus.
43312.........  ............  A...........  Repair esophagus         29.23           NA           NA         10.28        11.09         4.01         090
                                             and fistula.
43313.........  ............  A...........  Esophagoplasty           48.17           NA           NA         17.48        18.15         5.47         090
                                             congenital.
43314.........  ............  A...........  Tracheo-                 53.15           NA           NA         15.11        17.15         6.65         090
                                             esophagoplasty
                                             cong.
43320.........  ............  A...........  Fuse esophagus &         23.18           NA           NA          8.61         8.91         2.74         090
                                             stomach.
43324.........  ............  A...........  Revise esophagus &       22.86           NA           NA          8.35         8.56         2.76         090
                                             stomach.
43325.........  ............  A...........  Revise esophagus &       22.47           NA           NA          8.39         8.59         2.60         090
                                             stomach.
43326.........  ............  A...........  Revise esophagus &       22.15           NA           NA          9.21         9.25         2.85         090
                                             stomach.
43330.........  ............  A...........  Repair of                22.06           NA           NA          8.10         8.32         2.63         090
                                             esophagus.
43331.........  ............  A...........  Repair of                22.93           NA           NA          9.83         9.81         2.94         090
                                             esophagus.
43340.........  ............  A...........  Fuse esophagus &         22.86           NA           NA          9.28         9.13         2.46         090
                                             intestine.

[[Page 2618]]

 
43341.........  ............  A...........  Fuse esophagus &         24.10           NA           NA          9.66         9.84         2.92         090
                                             intestine.
43350.........  ............  A...........  Surgical opening,        19.31           NA           NA          8.76         8.60         1.42         090
                                             esophagus.
43351.........  ............  A...........  Surgical opening,        21.87           NA           NA         10.87        10.33         2.47         090
                                             esophagus.
43352.........  ............  A...........  Surgical opening,        17.68           NA           NA          7.95         8.17         2.06         090
                                             esophagus.
43360.........  ............  A...........  Gastrointestinal         39.90           NA           NA         14.90        14.99         4.97         090
                                             repair.
43361.........  ............  A...........  Gastrointestinal         45.50           NA           NA         18.15        17.52         4.50         090
                                             repair.
43400.........  ............  A...........  Ligate esophagus         25.47           NA           NA         13.60        11.52         1.96         090
                                             veins.
43401.........  ............  A...........  Esophagus surgery        26.36           NA           NA          9.55         9.52         3.05         090
                                             for veins.
43405.........  ............  A...........  Ligate/staple            24.55           NA           NA         10.68        10.13         2.84         090
                                             esophagus.
43410.........  ............  A...........  Repair esophagus         16.28           NA           NA          7.67         7.65         1.72         090
                                             wound.
43415.........  ............  A...........  Repair esophagus         28.70           NA           NA         11.84        11.79         3.53         090
                                             wound.
43420.........  ............  A...........  Repair esophagus         16.65           NA           NA          7.48         7.44         1.43         090
                                             opening.
43425.........  ............  A...........  Repair esophagus         24.91           NA           NA         10.46        10.22         3.03         090
                                             opening.
43450.........  ............  A...........  Dilate esophagus..        1.38         2.68         2.66          0.93         0.81         0.11         000
43453.........  ............  A...........  Dilate esophagus..        1.51         6.31         6.19          1.01         0.87         0.11         000
43456.........  ............  A...........  Dilate esophagus..        2.57        13.02        13.39          1.45         1.27         0.20         000
43458.........  ............  A...........  Dilate esophagus..        3.06         6.93         6.79          1.59         1.44         0.24         000
43460.........  ............  A...........  Pressure treatment        3.79           NA           NA          1.76         1.62         0.31         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         12.71           NA           NA          5.29         5.13         1.45         090
                                             of stomach.
43501.........  ............  A...........  Surgical repair of       22.47           NA           NA          8.10         8.20         2.65         090
                                             stomach.
43502.........  ............  A...........  Surgical repair of       25.56           NA           NA          8.97         9.22         3.10         090
                                             stomach.
43510.........  ............  A...........  Surgical opening         15.01           NA           NA          9.14         7.86         1.48         090
                                             of stomach.
43520.........  ............  A...........  Incision of              11.21           NA           NA          4.82         5.04         1.36         090
                                             pyloric muscle.
43600.........  ............  A...........  Biopsy of stomach.        1.91           NA           NA          0.77         0.71         0.14         000
43605.........  ............  A...........  Biopsy of stomach.       13.64           NA           NA          5.36         5.32         1.58         090
43610.........  ............  A...........  Excision of              16.26           NA           NA          6.03         6.09         1.94         090
                                             stomach lesion.
43611.........  ............  A...........  Excision of              20.25           NA           NA          7.49         7.53         2.36         090
                                             stomach lesion.
43620.........  ............  A...........  Removal of stomach       33.91           NA           NA         11.10        11.45         3.96         090
43621.........  ............  A...........  Removal of stomach       39.40           NA           NA         12.41        12.19         4.04         090
43622.........  ............  A...........  Removal of stomach       39.90           NA           NA         12.51        12.55         4.30         090
43631.........  ............  A...........  Removal of               24.38           NA           NA          8.59         8.88         2.99         090
                                             stomach, partial.
43632.........  ............  A...........  Removal of               35.01           NA           NA         11.28        10.22         2.99         090
                                             stomach, partial.
43633.........  ............  A...........  Removal of               33.01           NA           NA         10.76        10.04         3.06         090
                                             stomach, partial.
43634.........  ............  A...........  Removal of               36.51           NA           NA         11.79        10.94         3.33         090
                                             stomach, partial.
43635.........  ............  A...........  Removal of                2.06           NA           NA          0.52         0.61         0.27         ZZZ
                                             stomach, partial.
43640.........  ............  A...........  Vagotomy & pylorus       19.43           NA           NA          7.34         7.30         2.26         090
                                             repair.
43641.........  ............  A...........  Vagotomy & pylorus       19.68           NA           NA          7.63         7.50         2.25         090
                                             repair.
43644.........  ............  A...........  Lap gastric bypass/      29.24           NA           NA         10.11        10.66         3.16         090
                                             roux-en-y.
43645.........  ............  A...........  Lap gastr bypass         31.37           NA           NA         10.49        11.25         3.54         090
                                             incl smll i.
43647.........  ............  C...........  Lap impl                  0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             electrode, antrum.
43648.........  ............  C...........  Lap revise/remv           0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             eltrd antrum.
43651.........  ............  A...........  Laparoscopy, vagus       10.13           NA           NA          4.62         4.69         1.33         090
                                             nerve.
43652.........  ............  A...........  Laparoscopy, vagus       12.13           NA           NA          5.23         5.49         1.55         090
                                             nerve.
43653.........  ............  A...........  Laparoscopy,              8.38           NA           NA          4.47         4.32         1.01         090
                                             gastrostomy.
43659.........  ............  C...........  Laparoscope proc,         0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             stom.
43752.........  ............  A...........  Nasal/orogastric w/       0.81           NA           NA          0.27         0.26         0.02         000
                                             stent.
43760.........  ............  A...........  Change gastrostomy        0.90         5.99         4.04          0.33         0.39         0.09         000
                                             tube.
43761.........  ............  A...........  Reposition                2.01         1.04         1.10          0.70         0.68         0.13         000
                                             gastrostomy tube.
43770.........  ............  A...........  Lap place gastr          17.85           NA           NA          7.40         7.56         2.19         090
                                             adj device.
43771.........  ............  A...........  Lap revise gastr         20.64           NA           NA          8.13         8.36         2.55         090
                                             adj device.
43772.........  ............  A...........  Lap rmvl gastr adj       15.62           NA           NA          6.00         6.21         1.93         090
                                             device.
43773.........  ............  A...........  Lap replace gastr        20.64           NA           NA          8.11         8.35         2.56         090
                                             adj device.
43774.........  ............  A...........  Lap rmvl gastr adj       15.66           NA           NA          6.18         6.37         1.85         090
                                             all parts.
43800.........  ............  A...........  Reconstruction of        15.35           NA           NA          5.82         5.86         1.82         090
                                             pylorus.
43810.........  ............  A...........  Fusion of stomach        16.80           NA           NA          6.14         6.16         1.94         090
                                             and bowel.
43820.........  ............  A...........  Fusion of stomach        22.40           NA           NA          8.08         7.24         2.04         090
                                             and bowel.
43825.........  ............  A...........  Fusion of stomach        21.63           NA           NA          7.90         7.96         2.54         090
                                             and bowel.
43830.........  ............  A...........  Place gastrostomy        10.75           NA           NA          5.17         5.01         1.25         090
                                             tube.
43831.........  ............  A...........  Place gastrostomy         8.38           NA           NA          4.93         4.72         1.03         090
                                             tube.
43832.........  ............  A...........  Place gastrostomy        17.26           NA           NA          7.07         6.96         1.98         090
                                             tube.
43840.........  ............  A...........  Repair of stomach        22.70           NA           NA          8.15         7.46         2.06         090
                                             lesion.
43842.........  ............  N...........  V-band                   20.90           NA           NA          6.75         7.27         2.45         090
                                             gastroplasty.
43843.........  ............  A...........  Gastroplasty w/o v-      21.08           NA           NA          7.85         7.80         2.46         090
                                             band.
43845.........  ............  A...........  Gastroplasty             33.12           NA           NA         12.89        11.83         4.06         090
                                             duodenal switch.
43846.........  ............  A...........  Gastric bypass for       27.23           NA           NA          9.98        10.01         3.19         090
                                             obesity.
43847.........  ............  A...........  Gastric bypass           30.10           NA           NA         10.52        10.71         3.56         090
                                             incl small i.
43848.........  ............  A...........  Revision                 32.57           NA           NA         11.31        11.56         3.88         090
                                             gastroplasty.
43850.........  ............  A...........  Revise stomach-          27.45           NA           NA          9.50         9.66         3.28         090
                                             bowel fusion.
43855.........  ............  A...........  Revise stomach-          28.56           NA           NA          9.71        10.02         3.47         090
                                             bowel fusion.
43860.........  ............  A...........  Revise stomach-          27.76           NA           NA          9.48         9.73         3.31         090
                                             bowel fusion.

[[Page 2619]]

 
43865.........  ............  A...........  Revise stomach-          28.92           NA           NA          9.74        10.12         3.51         090
                                             bowel fusion.
43870.........  ............  A...........  Repair stomach           11.36           NA           NA          4.95         4.73         1.27         090
                                             opening.
43880.........  ............  A...........  Repair stomach-          27.05           NA           NA          9.28         9.59         3.27         090
                                             bowel fistula.
43881.........  ............  C...........  Impl/redo electrd,        0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             antrum.
43882.........  ............  C...........  Revise/remove             0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             electrd antrum.
43886.........  ............  A...........  Revise gastric            4.54           NA           NA          3.45         3.29         0.25         090
                                             port, open.
43887.........  ............  A...........  Remove gastric            4.24           NA           NA          3.06         2.91         0.51         090
                                             port, open.
43888.........  ............  A...........  Change gastric            6.34           NA           NA          4.01         3.89         0.70         090
                                             port, open.
43999.........  ............  C...........  Stomach surgery           0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
44005.........  ............  A...........  Freeing of bowel         18.38           NA           NA          6.59         6.65         2.15         090
                                             adhesion.
44010.........  ............  A...........  Incision of small        14.18           NA           NA          5.53         5.49         1.64         090
                                             bowel.
44015.........  ............  A...........  Insert needle cath        2.62           NA           NA          0.68         0.78         0.35         ZZZ
                                             bowel.
44020.........  ............  A...........  Explore small            16.14           NA           NA          6.01         5.97         1.86         090
                                             intestine.
44021.........  ............  A...........  Decompress small         16.23           NA           NA          6.15         6.06         1.87         090
                                             bowel.
44025.........  ............  A...........  Incision of large        16.43           NA           NA          6.06         6.04         1.90         090
                                             bowel.
44050.........  ............  A...........  Reduce bowel             15.44           NA           NA          5.83         5.89         1.86         090
                                             obstruction.
44055.........  ............  A...........  Correct                  25.53           NA           NA          8.49         8.61         2.91         090
                                             malrotation of
                                             bowel.
44100.........  ............  A...........  Biopsy of bowel...        2.01           NA           NA          0.91         0.81         0.17         000
44110.........  ............  A...........  Excise intestine         13.96           NA           NA          5.51         5.37         1.55         090
                                             lesion(s).
44111.........  ............  A...........  Excision of bowel        16.44           NA           NA          6.10         6.10         1.87         090
                                             lesion(s).
44120.........  ............  A...........  Removal of small         20.74           NA           NA          7.15         7.11         2.25         090
                                             intestine.
44121.........  ............  A...........  Removal of small          4.44           NA           NA          1.12         1.32         0.58         ZZZ
                                             intestine.
44125.........  ............  A...........  Removal of small         19.93           NA           NA          7.03         7.14         2.27         090
                                             intestine.
44126.........  ............  A...........  Enterectomy w/o          42.02           NA           NA         13.61        13.86         4.69         090
                                             taper, cong.
44127.........  ............  A...........  Enterectomy w/           49.09           NA           NA         15.65        15.69         5.77         090
                                             taper, cong.
44128.........  ............  A...........  Enterectomy cong,         4.44           NA           NA          1.22         1.37         0.61         ZZZ
                                             add-on.
44130.........  ............  A...........  Bowel to bowel           21.98           NA           NA          7.98         7.10         1.88         090
                                             fusion.
44132.........  ............  R...........  Enterectomy,              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             cadaver donor.
44133.........  ............  R...........  Enterectomy, live         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             donor.
44135.........  ............  R...........  Intestine                 0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             transplnt,
                                             cadaver.
44136.........  ............  R...........  Intestine                 0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             transplant, live.
44137.........  ............  C...........  Remove intestinal         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             allograft.
44139.........  ............  A...........  Mobilization of           2.23           NA           NA          0.56         0.66         0.28         ZZZ
                                             colon.
44140.........  ............  A...........  Partial removal of       22.46           NA           NA          8.07         8.36         2.71         090
                                             colon.
44141.........  ............  A...........  Partial removal of       29.75           NA           NA         11.85        10.95         2.53         090
                                             colon.
44143.........  ............  A...........  Partial removal of       27.63           NA           NA         10.29        10.49         3.05         090
                                             colon.
44144.........  ............  A...........  Partial removal of       29.75           NA           NA         10.63        10.12         2.86         090
                                             colon.
44145.........  ............  A...........  Partial removal of       28.45           NA           NA          9.49        10.15         3.29         090
                                             colon.
44146.........  ............  A...........  Partial removal of       35.14           NA           NA         13.37        13.12         3.41         090
                                             colon.
44147.........  ............  A...........  Partial removal of       33.56           NA           NA         10.79         9.74         2.56         090
                                             colon.
44150.........  ............  A...........  Removal of colon..       29.99           NA           NA         12.62        12.32         3.04         090
44151.........  ............  A...........  Removal of colon/        34.73           NA           NA         13.93        13.67         3.49         090
                                             ileostomy.
44155.........  ............  A...........  Removal of colon/        34.23           NA           NA         13.46        13.38         3.28         090
                                             ileostomy.
44156.........  ............  A...........  Removal of colon/        37.23           NA           NA         14.49        14.76         3.95         090
                                             ileostomy.
44157.........  ............  A...........  Colectomy w/             35.49           NA           NA         17.10        17.10         3.93         090
                                             ileoanal anast.
44158.........  ............  A...........  Colectomy w/neo-         36.49           NA           NA         17.44        17.44         4.06         090
                                             rectum pouch.
44160.........  ............  A...........  Removal of colon..       20.78           NA           NA          7.52         7.63         2.37         090
44180.........  ............  A...........  Lap, enterolysis..       15.19           NA           NA          5.81         6.02         1.86         090
44186.........  ............  A...........  Lap, jejunostomy..       10.30           NA           NA          4.59         4.69         1.27         090
44187.........  ............  A...........  Lap, ileo/jejuno-        17.27           NA           NA          8.13         8.20         1.96         090
                                             stomy.
44188.........  ............  A...........  Lap, colostomy....       19.20           NA           NA          8.68         8.76         2.24         090
44202.........  ............  A...........  Lap, enterectomy..       23.26           NA           NA          8.32         8.62         2.85         090
44203.........  ............  A...........  Lap resect s/             4.44           NA           NA          1.12         1.31         0.57         ZZZ
                                             intestine, addl.
44204.........  ............  A...........  Laparo partial           26.29           NA           NA          8.89         9.42         3.11         090
                                             colectomy.
44205.........  ............  A...........  Lap colectomy part       22.86           NA           NA          7.81         8.33         2.75         090
                                             w/ileum.
44206.........  ............  A...........  Lap part colectomy       29.63           NA           NA         10.48        10.87         3.46         090
                                             w/stoma.
44207.........  ............  A...........  L colectomy/             31.79           NA           NA         10.11        10.80         3.67         090
                                             coloproctostomy.
44208.........  ............  A...........  L colectomy/             33.86           NA           NA         12.02        12.58         3.88         090
                                             coloproctostomy.
44210.........  ............  A...........  Laparo total             29.88           NA           NA         11.19        11.53         3.42         090
                                             proctocolectomy.
44211.........  ............  A...........  Lap colectomy w/         36.87           NA           NA         13.60        14.14         4.17         090
                                             proctectomy.
44212.........  ............  A...........  Laparo total             34.37           NA           NA         13.05        13.37         3.78         090
                                             proctocolectomy.
44213.........  ............  A...........  Lap, mobil splenic        3.50           NA           NA          0.86         1.04         0.44         ZZZ
                                             fl add-on.
44227.........  ............  A...........  Lap, close               28.49           NA           NA          9.49        10.06         3.38         090
                                             enterostomy.
44238.........  ............  C...........  Laparoscope proc,         0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             intestine.
44300.........  ............  A...........  Open bowel to skin       13.65           NA           NA          5.56         5.52         1.60         090
44310.........  ............  A...........  Ileostomy/               17.49           NA           NA          6.40         6.55         1.99         090
                                             jejunostomy.
44312.........  ............  A...........  Revision of               9.33           NA           NA          4.66         4.32         0.92         090
                                             ileostomy.
44314.........  ............  A...........  Revision of              16.61           NA           NA          6.78         6.67         1.75         090
                                             ileostomy.
44316.........  ............  A...........  Devise bowel pouch       23.46           NA           NA          8.88         8.71         2.38         090
44320.........  ............  A...........  Colostomy.........       19.75           NA           NA          7.60         7.63         2.26         090
44322.........  ............  A...........  Colostomy with           13.15           NA           NA          9.11         8.84         1.54         090
                                             biopsies.
44340.........  ............  A...........  Revision of               9.12           NA           NA          4.94         4.60         0.99         090
                                             colostomy.

[[Page 2620]]

 
44345.........  ............  A...........  Revision of              17.06           NA           NA          6.92         6.90         1.97         090
                                             colostomy.
44346.........  ............  A...........  Revision of              19.47           NA           NA          7.53         7.46         2.13         090
                                             colostomy.
44360.........  ............  A...........  Small bowel               2.59           NA           NA          1.50         1.30         0.19         000
                                             endoscopy.
44361.........  ............  A...........  Small bowel               2.87           NA           NA          1.63         1.41         0.21         000
                                             endoscopy/biopsy.
44363.........  ............  A...........  Small bowel               3.49           NA           NA          1.85         1.61         0.27         000
                                             endoscopy.
44364.........  ............  A...........  Small bowel               3.73           NA           NA          1.98         1.73         0.27         000
                                             endoscopy.
44365.........  ............  A...........  Small bowel               3.31           NA           NA          1.74         1.55         0.24         000
                                             endoscopy.
44366.........  ............  A...........  Small bowel               4.40           NA           NA          2.37         2.05         0.32         000
                                             endoscopy.
44369.........  ............  A...........  Small bowel               4.51           NA           NA          2.36         2.05         0.33         000
                                             endoscopy.
44370.........  ............  A...........  Small bowel               4.79           NA           NA          2.56         2.27         0.37         000
                                             endoscopy/stent.
44372.........  ............  A...........  Small bowel               4.40           NA           NA          2.12         1.93         0.35         000
                                             endoscopy.
44373.........  ............  A...........  Small bowel               3.49           NA           NA          1.77         1.59         0.27         000
                                             endoscopy.
44376.........  ............  A...........  Small bowel               5.25           NA           NA          2.47         2.25         0.42         000
                                             endoscopy.
44377.........  ............  A...........  Small bowel               5.52           NA           NA          2.76         2.45         0.40         000
                                             endoscopy/biopsy.
44378.........  ............  A...........  Small bowel               7.12           NA           NA          3.58         3.14         0.52         000
                                             endoscopy.
44379.........  ............  A...........  S bowel endoscope         7.46           NA           NA          3.93         3.42         0.62         000
                                             w/stent.
44380.........  ............  A...........  Small bowel               1.05           NA           NA          0.74         0.65         0.08         000
                                             endoscopy.
44382.........  ............  A...........  Small bowel               1.27           NA           NA          0.84         0.73         0.12         000
                                             endoscopy.
44383.........  ............  A...........  Ileoscopy w/stent.        2.94           NA           NA          1.61         1.44         0.21         000
44385.........  ............  A...........  Endoscopy of bowel        1.82         4.90         4.13          0.89         0.82         0.15         000
                                             pouch.
44386.........  ............  A...........  Endoscopy, bowel          2.12         6.65         6.65          1.02         0.95         0.20         000
                                             pouch/biop.
44388.........  ............  A...........  Colonoscopy.......        2.82         6.12         5.60          1.35         1.25         0.26         000
44389.........  ............  A...........  Colonoscopy with          3.13         7.11         6.87          1.58         1.42         0.27         000
                                             biopsy.
44390.........  ............  A...........  Colonoscopy for           3.82         8.34         7.73          1.92         1.70         0.32         000
                                             foreign body.
44391.........  ............  A...........  Colonoscopy for           4.31         8.94         8.84          2.22         1.95         0.34         000
                                             bleeding.
44392.........  ............  A...........  Colonoscopy &             3.81         7.37         6.98          1.72         1.60         0.34         000
                                             polypectomy.
44393.........  ............  A...........  Colonoscopy,              4.83         8.04         7.47          2.13         2.00         0.42         000
                                             lesion removal.
44394.........  ............  A...........  Colonoscopy w/            4.42         8.51         8.16          2.07         1.89         0.38         000
                                             snare.
44397.........  ............  A...........  Colonoscopy w/            4.70           NA           NA          2.16         1.98         0.39         000
                                             stent.
44500.........  ............  A...........  Intro,                    0.49           NA           NA          0.17         0.17         0.03         000
                                             gastrointestinal
                                             tube.
44602.........  ............  A...........  Suture, small            24.64           NA           NA          7.62         7.01         2.12         090
                                             intestine.
44603.........  ............  A...........  Suture, small            28.03           NA           NA          8.97         8.12         2.42         090
                                             intestine.
44604.........  ............  A...........  Suture, large            18.06           NA           NA          6.07         6.26         2.12         090
                                             intestine.
44605.........  ............  A...........  Repair of bowel          22.00           NA           NA          7.83         8.11         2.52         090
                                             lesion.
44615.........  ............  A...........  Intestinal               18.08           NA           NA          6.54         6.61         2.07         090
                                             stricturoplasty.
44620.........  ............  A...........  Repair bowel             14.35           NA           NA          5.51         5.42         1.51         090
                                             opening.
44625.........  ............  A...........  Repair bowel             17.20           NA           NA          6.15         6.23         1.86         090
                                             opening.
44626.........  ............  A...........  Repair bowel             27.82           NA           NA          8.89         9.35         3.27         090
                                             opening.
44640.........  ............  A...........  Repair bowel-skin        24.12           NA           NA          8.02         8.30         2.78         090
                                             fistula.
44650.........  ............  A...........  Repair bowel             25.04           NA           NA          8.31         8.60         2.93         090
                                             fistula.
44660.........  ............  A...........  Repair bowel-            23.83           NA           NA          9.76         9.05         2.14         090
                                             bladder fistula.
44661.........  ............  A...........  Repair bowel-            27.27           NA           NA          9.40         9.48         2.81         090
                                             bladder fistula.
44680.........  ............  A...........  Surgical revision,       17.88           NA           NA          6.69         6.57         2.00         090
                                             intestine.
44700.........  ............  A...........  Suspend bowel w/         17.40           NA           NA          6.16         6.41         1.84         090
                                             prosthesis.
44701.........  ............  A...........  Intraop colon             3.10           NA           NA          0.76         0.91         0.37         ZZZ
                                             lavage add-on.
44715.........  ............  C...........  Prepare donor             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             intestine.
44720.........  ............  A...........  Prep donor                5.00           NA           NA          1.27         1.49         0.37         XXX
                                             intestine/venous.
44721.........  ............  A...........  Prep donor                7.00           NA           NA          1.78         2.09         0.97         XXX
                                             intestine/artery.
44799.........  ............  C...........  Unlisted procedure        0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             intestine.
44800.........  ............  A...........  Excision of bowel        11.94           NA           NA          5.49         5.44         1.47         090
                                             pouch.
44820.........  ............  A...........  Excision of              13.63           NA           NA          5.56         5.53         1.59         090
                                             mesentery lesion.
44850.........  ............  A...........  Repair of                12.03           NA           NA          5.01         5.01         1.39         090
                                             mesentery.
44899.........  ............  C...........  Bowel surgery             0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
44900.........  ............  A...........  Drain app abscess,       12.44           NA           NA          5.03         4.86         1.33         090
                                             open.
44901.........  ............  A...........  Drain app abscess,        3.37        19.81        23.86          1.20         1.15         0.22         000
                                             percut.
44950.........  ............  A...........  Appendectomy......       10.52           NA           NA          4.05         4.18         1.31         090
44955.........  ............  A...........  Appendectomy add-         1.53           NA           NA          0.40         0.47         0.20         ZZZ
                                             on.
44960.........  ............  A...........  Appendectomy......       14.39           NA           NA          5.40         5.37         1.63         090
44970.........  ............  A...........  Laparoscopy,              9.35           NA           NA          4.19         4.14         1.14         090
                                             appendectomy.
44979.........  ............  C...........  Laparoscope proc,         0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             app.
45000.........  ............  A...........  Drainage of pelvic        6.20           NA           NA          3.57         3.27         0.52         090
                                             abscess.
45005.........  ............  A...........  Drainage of rectal        2.00         3.99         4.02          1.59         1.58         0.25         010
                                             abscess.
45020.........  ............  A...........  Drainage of rectal        8.43           NA           NA          4.55         3.91         0.55         090
                                             abscess.
45100.........  ............  A...........  Biopsy of rectum..        3.96           NA           NA          2.81         2.59         0.44         090
45108.........  ............  A...........  Removal of                5.04           NA           NA          3.10         2.94         0.59         090
                                             anorectal lesion.
45110.........  ............  A...........  Removal of rectum.       30.57           NA           NA         11.86        12.13         3.36         090
45111.........  ............  A...........  Partial removal of       17.89           NA           NA          7.00         7.08         2.07         090
                                             rectum.
45112.........  ............  A...........  Removal of rectum.       33.05           NA           NA         10.31        11.04         3.43         090
45113.........  ............  A...........  Partial                  33.09           NA           NA         11.59        12.09         3.49         090
                                             proctectomy.
45114.........  ............  A...........  Partial removal of       30.63           NA           NA         10.30        10.59         3.36         090
                                             rectum.
45116.........  ............  A...........  Partial removal of       27.56           NA           NA          9.65         9.84         2.88         090
                                             rectum.
45119.........  ............  A...........  Remove rectum w/         33.35           NA           NA         11.54        12.00         3.36         090
                                             reservoir.

[[Page 2621]]

 
45120.........  ............  A...........  Removal of rectum.       26.25           NA           NA          9.27         9.70         2.90         090
45121.........  ............  A...........  Removal of rectum        28.93           NA           NA         10.04        10.57         3.25         090
                                             and colon.
45123.........  ............  A...........  Partial                  18.70           NA           NA          6.94         6.90         1.86         090
                                             proctectomy.
45126.........  ............  A...........  Pelvic                   48.89           NA           NA         17.89        18.55         4.33         090
                                             exenteration.
45130.........  ............  A...........  Excision of rectal       18.37           NA           NA          6.67         6.72         1.80         090
                                             prolapse.
45135.........  ............  A...........  Excision of rectal       22.15           NA           NA          8.61         8.51         2.36         090
                                             prolapse.
45136.........  ............  A...........  Excise ileoanal          30.63           NA           NA         11.96        12.24         2.82         090
                                             reservior.
45150.........  ............  A...........  Excision of rectal        5.77           NA           NA          3.34         3.15         0.61         090
                                             stricture.
45160.........  ............  A...........  Excision of rectal       16.17           NA           NA          6.44         6.54         1.68         090
                                             lesion.
45170.........  ............  A...........  Excision of rectal       12.48           NA           NA          5.36         5.30         1.35         090
                                             lesion.
45190.........  ............  A...........  Destruction,             10.29           NA           NA          5.52         5.07         1.13         090
                                             rectal tumor.
45300.........  ............  A...........  Proctosigmoidoscop        0.80         1.96         1.74          0.45         0.37         0.04         000
                                             y dx.
45303.........  ............  A...........  Proctosigmoidoscop        1.50        19.93        19.31          0.66         0.49         0.05         000
                                             y dilate.
45305.........  ............  A...........  Proctosigmoidoscop        1.25         3.19         2.91          0.59         0.55         0.11         000
                                             y w/bx.
45307.........  ............  A...........  Proctosigmoidoscop        1.70         3.25         3.14          0.70         0.59         0.11         000
                                             y fb.
45308.........  ............  A...........  Proctosigmoidoscop        1.40         3.41         2.70          0.63         0.53         0.09         000
                                             y removal.
45309.........  ............  A...........  Proctosigmoidoscop        1.50         3.53         3.17          0.67         0.75         0.22         000
                                             y removal.
45315.........  ............  A...........  Proctosigmoidoscop        1.80         3.82         3.34          0.88         0.75         0.15         000
                                             y removal.
45317.........  ............  A...........  Proctosigmoidoscop        2.00         3.37         2.90          0.77         0.71         0.15         000
                                             y bleed.
45320.........  ............  A...........  Proctosigmoidoscop        1.78         3.40         3.16          0.80         0.75         0.16         000
                                             y ablate.
45321.........  ............  A...........  Proctosigmoidoscop        1.75           NA           NA          0.86         0.71         0.13         000
                                             y volvul.
45327.........  ............  A...........  Proctosigmoidoscop        2.00           NA           NA          0.91         0.80         0.16         000
                                             y w/stent.
45330.........  ............  A...........  Diagnostic                0.96         2.52         2.40          0.62         0.56         0.08         000
                                             sigmoidoscopy.
45331.........  ............  A...........  Sigmoidoscopy and         1.15         3.28         3.18          0.79         0.69         0.09         000
                                             biopsy.
45332.........  ............  A...........  Sigmoidoscopy w/fb        1.79         5.54         5.27          0.99         0.90         0.16         000
                                             removal.
45333.........  ............  A...........  Sigmoidoscopy &           1.79         5.67         5.27          0.99         0.89         0.15         000
                                             polypectomy.
45334.........  ............  A...........  Sigmoidoscopy for         2.73           NA           NA          1.54         1.34         0.20         000
                                             bleeding.
45335.........  ............  A...........  Sigmoidoscopy w/          1.46         5.34         4.28          0.90         0.79         0.11         000
                                             submuc inj.
45337.........  ............  A...........  Sigmoidoscopy &           2.36           NA           NA          1.25         1.12         0.21         000
                                             decompress.
45338.........  ............  A...........  Sigmoidoscopy w/          2.34         5.91         5.57          1.28         1.14         0.19         000
                                             tumr remove.
45339.........  ............  A...........  Sigmoidoscopy w/          3.14         5.73         4.60          1.66         1.47         0.26         000
                                             ablate tumr.
45340.........  ............  A...........  Sig w/balloon             1.89        10.27         8.22          1.03         0.93         0.15         000
                                             dilation.
45341.........  ............  A...........  Sigmoidoscopy w/          2.60           NA           NA          1.47         1.27         0.19         000
                                             ultrasound.
45342.........  ............  A...........  Sigmoidoscopy w/us        4.05           NA           NA          2.17         1.85         0.30         000
                                             guide bx.
45345.........  ............  A...........  Sigmoidoscopy w/          2.92           NA           NA          1.50         1.33         0.23         000
                                             stent.
45355.........  ............  A...........  Surgical                  3.51           NA           NA          1.58         1.48         0.36         000
                                             colonoscopy.
45378.........  ............  A...........  Diagnostic                3.69         6.39         6.27          1.82         1.65         0.30         000
                                             colonoscopy.
45378.........  53..........  A...........  Diagnostic                0.96         2.52         2.40          0.62         0.56         0.08         000
                                             colonoscopy.
45379.........  ............  A...........  Colonoscopy w/fb          4.68         8.08         7.87          2.17         1.99         0.39         000
                                             removal.
45380.........  ............  A...........  Colonoscopy and           4.43         7.76         7.48          2.24         1.99         0.35         000
                                             biopsy.
45381.........  ............  A...........  Colonoscopy,              4.19         7.73         7.42          2.16         1.90         0.30         000
                                             submucous inj.
45382.........  ............  A...........  Colonoscopy/              5.68        10.36        10.15          2.89         2.54         0.41         000
                                             control bleeding.
45383.........  ............  A...........  Lesion removal            5.86         8.56         8.24          2.63         2.43         0.48         000
                                             colonoscopy.
45384.........  ............  A...........  Lesion remove             4.69         7.20         7.00          2.18         2.01         0.38         000
                                             colonoscopy.
45385.........  ............  A...........  Lesion removal            5.30         8.38         8.09          2.59         2.31         0.42         000
                                             colonoscopy.
45386.........  ............  A...........  Colonoscopy dilate        4.57        12.37        12.39          2.18         1.98         0.39         000
                                             stricture.
45387.........  ............  A...........  Colonoscopy w/            5.90           NA           NA          2.80         2.57         0.48         000
                                             stent.
45391.........  ............  A...........  Colonoscopy w/            5.09           NA           NA          2.60         2.29         0.42         000
                                             endoscope us.
45392.........  ............  A...........  Colonoscopy w/            6.54           NA           NA          3.21         2.85         0.42         000
                                             endoscopic fnb.
45395.........  ............  A...........  Lap, removal of          32.79           NA           NA         12.96        13.32         3.63         090
                                             rectum.
45397.........  ............  A...........  Lap, remove rectum       36.29           NA           NA         13.40        13.83         3.67         090
                                             w/pouch.
45400.........  ............  A...........  Laparoscopic proc.       19.31           NA           NA          7.08         7.46         2.03         090
45402.........  ............  A...........  Lap proctopexy w/        26.38           NA           NA          8.74         9.37         2.82         090
                                             sig resect.
45499.........  ............  C...........  Laparoscope proc,         0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             rectum.
45500.........  ............  A...........  Repair of rectum..        7.64           NA           NA          4.46         4.00         0.75         090
45505.........  ............  A...........  Repair of rectum..        8.20           NA           NA          5.04         4.45         0.86         090
45520.........  ............  A...........  Treatment of              0.55         2.86         2.25          0.38         0.38         0.05         000
                                             rectal prolapse.
45540.........  ............  A...........  Correct rectal           18.02           NA           NA          5.84         6.32         1.85         090
                                             prolapse.
45541.........  ............  A...........  Correct rectal           14.72           NA           NA          6.59         6.27         1.55         090
                                             prolapse.
45550.........  ............  A...........  Repair rectum/           24.67           NA           NA          8.96         9.09         2.62         090
                                             remove sigmoid.
45560.........  ............  A...........  Repair of                11.42           NA           NA          5.52         5.29         1.13         090
                                             rectocele.
45562.........  ............  A...........  Exploration/repair       17.82           NA           NA          8.11         7.55         1.84         090
                                             of rectum.
45563.........  ............  A...........  Exploration/repair       26.22           NA           NA         10.76        10.64         3.11         090
                                             of rectum.
45800.........  ............  A...........  Repair rect/             20.18           NA           NA          9.15         8.29         1.86         090
                                             bladder fistula.
45805.........  ............  A...........  Repair fistula w/        23.19           NA           NA          9.93         9.72         2.03         090
                                             colostomy.
45820.........  ............  A...........  Repair                   20.24           NA           NA          9.10         8.36         1.58         090
                                             rectourethral
                                             fistula.
45825.........  ............  A...........  Repair fistula w/        24.01           NA           NA          9.47         9.64         2.32         090
                                             colostomy.
45900.........  ............  A...........  Reduction of              2.96           NA           NA          1.66         1.58         0.30         010
                                             rectal prolapse.
45905.........  ............  A...........  Dilation of anal          2.32           NA           NA          1.60         1.51         0.27         010
                                             sphincter.
45910.........  ............  A...........  Dilation of rectal        2.82           NA           NA          1.85         1.75         0.30         010
                                             narrowing.
45915.........  ............  A...........  Remove rectal             3.16         4.21         4.26          2.02         2.06         0.30         010
                                             obstruction.
45990.........  ............  A...........  Surg dx exam,             1.80           NA           NA          0.72         0.76         0.17         000
                                             anorectal.

[[Page 2622]]

 
45999.........  ............  C...........  Rectum surgery            0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
46020.........  ............  A...........  Placement of seton        2.94         3.26         2.80          2.35         2.10         0.31         010
46030.........  ............  A...........  Removal of rectal         1.24         1.89         1.62          0.81         0.76         0.14         010
                                             marker.
46040.........  ............  A...........  Incision of rectal        5.26         6.54         6.02          3.99         3.78         0.62         090
                                             abscess.
46045.........  ............  A...........  Incision of rectal        5.79           NA           NA          3.94         3.42         0.54         090
                                             abscess.
46050.........  ............  A...........  Incision of anal          1.21         3.20         2.87          0.98         0.91         0.14         010
                                             abscess.
46060.........  ............  A...........  Incision of rectal        6.24           NA           NA          4.42         3.83         0.67         090
                                             abscess.
46070.........  ............  A...........  Incision of anal          2.74           NA           NA          2.35         2.09         0.36         090
                                             septum.
46080.........  ............  A...........  Incision of anal          2.50         3.07         2.72          1.12         1.13         0.30         010
                                             sphincter.
46083.........  ............  A...........  Incise external           1.42         2.37         2.44          0.96         0.94         0.15         010
                                             hemorrhoid.
46200.........  ............  A...........  Removal of anal           3.48         6.29         5.07          3.73         3.30         0.39         090
                                             fissure.
46210.........  ............  A...........  Removal of anal           2.73         5.83         5.47          3.30         2.96         0.31         090
                                             crypt.
46211.........  ............  A...........  Removal of anal           4.31         7.85         6.63          4.67         4.09         0.48         090
                                             crypts.
46220.........  ............  A...........  Removal of anal           1.58         3.02         2.66          1.10         1.02         0.17         010
                                             tag.
46221.........  ............  A...........  Ligation of               2.31         3.73         3.19          2.00         1.87         0.23         010
                                             hemorrhoid(s).
46230.........  ............  A...........  Removal of anal           2.59         3.51         3.29          1.33         1.31         0.30         010
                                             tags.
46250.........  ............  A...........  Hemorrhoidectomy..        4.17         5.96         5.63          2.83         2.72         0.48         090
46255.........  ............  A...........  Hemorrhoidectomy..        4.88         6.34         6.09          3.07         2.95         0.58         090
46257.........  ............  A...........  Remove hemorrhoids        5.68           NA           NA          3.85         3.36         0.64         090
                                             & fissure.
46258.........  ............  A...........  Remove hemorrhoids        6.28           NA           NA          3.96         3.61         0.68         090
                                             & fistula.
46260.........  ............  A...........  Hemorrhoidectomy..        6.65           NA           NA          4.07         3.63         0.76         090
46261.........  ............  A...........  Remove hemorrhoids        7.63           NA           NA          4.30         3.95         0.79         090
                                             & fissure.
46262.........  ............  A...........  Remove hemorrhoids        7.80           NA           NA          4.66         4.20         0.83         090
                                             & fistula.
46270.........  ............  A...........  Removal of anal           4.81         6.39         5.69          3.92         3.37         0.46         090
                                             fistula.
46275.........  ............  A...........  Removal of anal           5.31         6.63         5.63          3.97         3.47         0.52         090
                                             fistula.
46280.........  ............  A...........  Removal of anal           6.28           NA           NA          4.27         3.76         0.66         090
                                             fistula.
46285.........  ............  A...........  Removal of anal           5.31         6.53         5.15          3.96         3.35         0.44         090
                                             fistula.
46288.........  ............  A...........  Repair anal               7.68           NA           NA          4.68         4.17         0.79         090
                                             fistula.
46320.........  ............  A...........  Removal of                1.62         2.41         2.27          0.88         0.86         0.18         010
                                             hemorrhoid clot.
46500.........  ............  A...........  Injection into            1.64         3.61         2.86          1.25         1.20         0.16         010
                                             hemorrhoid(s).
46505.........  ............  A...........  Chemodenervation          3.13         3.28         3.16          2.28         2.12         0.14         010
                                             anal musc.
46600.........  ............  A...........  Diagnostic                0.55         1.37         1.47          0.38         0.36         0.05         000
                                             anoscopy.
46604.........  ............  A...........  Anoscopy and              1.03        12.52        10.83          0.51         0.56         0.12         000
                                             dilation.
46606.........  ............  A...........  Anoscopy and              1.20         3.88         3.83          0.58         0.50         0.09         000
                                             biopsy.
46608.........  ............  A...........  Anoscopy, remove          1.30         3.76         4.08          0.58         0.61         0.16         000
                                             for body.
46610.........  ............  A...........  Anoscopy, remove          1.28         3.80         3.91          0.59         0.60         0.15         000
                                             lesion.
46611.........  ............  A...........  Anoscopy..........        1.30         2.53         2.93          0.57         0.67         0.19         000
46612.........  ............  A...........  Anoscopy, remove          1.50         4.70         4.94          0.72         0.85         0.28         000
                                             lesions.
46614.........  ............  A...........  Anoscopy, control         1.00         1.93         2.13          0.52         0.68         0.20         000
                                             bleeding.
46615.........  ............  A...........  Anoscopy..........        1.50         1.74         2.11          0.64         0.85         0.33         000
46700.........  ............  A...........  Repair of anal            9.68           NA           NA          5.16         4.68         0.94         090
                                             stricture.
46705.........  ............  A...........  Repair of anal            7.32           NA           NA          4.07         3.87         0.91         090
                                             stricture.
46706.........  ............  A...........  Repr of anal              2.41           NA           NA          1.49         1.37         0.28         010
                                             fistula w/glue.
46710.........  ............  A...........  Repr per/vag pouch       17.01           NA           NA          7.55         7.65         1.38         090
                                             sngl proc.
46712.........  ............  A...........  Repr per/vag pouch       36.32           NA           NA         14.02        14.53         3.67         090
                                             dbl proc.
46715.........  ............  A...........  Rep perf anoper           7.54           NA           NA          3.76         3.66         0.92         090
                                             fistu.
46716.........  ............  A...........  Rep perf anoper/         17.14           NA           NA          9.60         8.79         1.58         090
                                             vestib fistu.
46730.........  ............  A...........  Construction of          30.17           NA           NA         12.50        12.26         2.47         090
                                             absent anus.
46735.........  ............  A...........  Construction of          35.66           NA           NA         15.02        14.28         3.21         090
                                             absent anus.
46740.........  ............  A...........  Construction of          33.42           NA           NA         15.30        14.26         2.42         090
                                             absent anus.
46742.........  ............  A...........  Repair of                39.66           NA           NA         13.76        15.58         3.20         090
                                             imperforated anus.
46744.........  ............  A...........  Repair of cloacal        58.46           NA           NA         18.15        19.64         6.40         090
                                             anomaly.
46746.........  ............  A...........  Repair of cloacal        64.93           NA           NA         19.69        22.42         7.70         090
                                             anomaly.
46748.........  ............  A...........  Repair of cloacal        70.91           NA           NA         21.06        22.35         3.37         090
                                             anomaly.
46750.........  ............  A...........  Repair of anal           12.02           NA           NA          5.77         5.41         1.10         090
                                             sphincter.
46751.........  ............  A...........  Repair of anal            9.19           NA           NA          5.02         5.22         0.94         090
                                             sphincter.
46753.........  ............  A...........  Reconstruction of         8.81           NA           NA          4.59         4.22         0.94         090
                                             anus.
46754.........  ............  A...........  Removal of suture         2.88         3.64         3.61          2.21         1.94         0.19         010
                                             from anus.
46760.........  ............  A...........  Repair of anal           17.21           NA           NA          8.06         7.57         1.59         090
                                             sphincter.
46761.........  ............  A...........  Repair of anal           15.16           NA           NA          6.47         6.24         1.43         090
                                             sphincter.
46762.........  ............  A...........  Implant artificial       14.66           NA           NA          7.08         6.30         1.24         090
                                             sphincter.
46900.........  ............  A...........  Destruction, anal         1.91         3.66         3.12          1.31         1.29         0.17         010
                                             lesion(s).
46910.........  ............  A...........  Destruction, anal         1.88         3.88         3.39          1.20         1.13         0.19         010
                                             lesion(s).
46916.........  ............  A...........  Cryosurgery, anal         1.88         3.77         3.46          1.58         1.48         0.11         010
                                             lesion(s).
46917.........  ............  A...........  Laser surgery,            1.88         8.79         8.96          1.22         1.17         0.21         010
                                             anal lesions.
46922.........  ............  A...........  Excision of anal          1.88         4.14         3.71          1.20         1.13         0.22         010
                                             lesion(s).
46924.........  ............  A...........  Destruction, anal         2.78         9.58         9.14          1.52         1.43         0.26         010
                                             lesion(s).
46934.........  ............  A...........  Destruction of            3.79         5.57         5.32          2.88         2.91         0.32         090
                                             hemorrhoids.
46935.........  ............  A...........  Destruction of            2.44         3.86         3.66          1.11         1.16         0.23         010
                                             hemorrhoids.
46936.........  ............  A...........  Destruction of            3.70         6.24         5.56          2.66         2.57         0.34         090
                                             hemorrhoids.
46937.........  ............  A...........  Cryotherapy of            2.70         3.41         3.09          1.43         1.32         0.14         010
                                             rectal lesion.
46938.........  ............  A...........  Cryotherapy of            4.70         5.63         4.81          3.55         3.30         0.58         090
                                             rectal lesion.

[[Page 2623]]

 
46940.........  ............  A...........  Treatment of anal         2.33         2.85         2.42          1.04         1.07         0.23         010
                                             fissure.
46942.........  ............  A...........  Treatment of anal         2.05         2.80         2.32          0.96         0.99         0.19         010
                                             fissure.
46945.........  ............  A...........  Ligation of               2.13         4.80         4.03          2.98         2.73         0.19         090
                                             hemorrhoids.
46946.........  ............  A...........  Ligation of               2.60         4.64         4.18          2.65         2.52         0.27         090
                                             hemorrhoids.
46947.........  ............  A...........  Hemorrhoidopexy by        5.49           NA           NA          3.11         2.91         0.75         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         7.67         5.37          0.70         0.66         0.12         000
                                             liver.
47001.........  ............  A...........  Needle biopsy,            1.90           NA           NA          0.48         0.57         0.25         ZZZ
                                             liver add-on.
47010.........  ............  A...........  Open drainage,           19.27           NA           NA          8.32         8.36         1.81         090
                                             liver lesion.
47011.........  ............  A...........  Percut drain,             3.69           NA           NA          1.32         1.26         0.22         000
                                             liver lesion.
47015.........  ............  A...........  Inject/aspirate          18.37           NA           NA          8.17         7.83         1.84         090
                                             liver cyst.
47100.........  ............  A...........  Wedge biopsy of          12.78           NA           NA          6.32         6.18         1.53         090
                                             liver.
47120.........  ............  A...........  Partial removal of       38.82           NA           NA         14.08        14.61         4.66         090
                                             liver.
47122.........  ............  A...........  Extensive removal        59.35           NA           NA         18.76        20.11         7.21         090
                                             of liver.
47125.........  ............  A...........  Partial removal of       52.91           NA           NA         17.18        18.35         6.47         090
                                             liver.
47130.........  ............  A...........  Partial removal of       57.06           NA           NA         18.12        19.55         6.96         090
                                             liver.
47133.........  ............  X...........  Removal of donor          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             liver.
47135.........  ............  R...........  Transplantation of       83.29           NA           NA         27.76        29.64         9.96         090
                                             liver.
47136.........  ............  R...........  Transplantation of       70.39           NA           NA         24.56        25.80         8.44         090
                                             liver.
47140.........  ............  A...........  Partial removal,         59.22           NA           NA         21.63        21.95         5.19         090
                                             donor liver.
47141.........  ............  A...........  Partial removal,         71.27           NA           NA         25.36        26.14         5.19         090
                                             donor liver.
47142.........  ............  A...........  Partial removal,         79.21           NA           NA         27.37        28.43         5.19         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,         0.00         0.00         0.00          0.00         0.00         0.00         090
                                             3-segment.
47145.........  ............  C...........  Prep donor liver,         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             lobe split.
47146.........  ............  A...........  Prep donor liver/         6.00           NA           NA          1.52         1.79         0.83         XXX
                                             venous.
47147.........  ............  A...........  Prep donor liver/         7.00           NA           NA          1.77         2.08         0.97         XXX
                                             arterial.
47300.........  ............  A...........  Surgery for liver        18.01           NA           NA          7.75         7.49         1.99         090
                                             lesion.
47350.........  ............  A...........  Repair liver wound       22.36           NA           NA          8.78         8.82         2.59         090
47360.........  ............  A...........  Repair liver wound       31.18           NA           NA         11.25        11.41         3.38         090
47361.........  ............  A...........  Repair liver wound       52.47           NA           NA         17.40        17.96         5.87         090
47362.........  ............  A...........  Repair liver wound       23.41           NA           NA          9.31         9.01         2.51         090
47370.........  ............  A...........  Laparo ablate            20.67           NA           NA          7.70         7.91         2.56         090
                                             liver tumor rf.
47371.........  ............  A...........  Laparo ablate            20.67           NA           NA          7.90         8.02         2.61         090
                                             liver cryosurg.
47379.........  ............  C...........  Laparoscope               0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure, liver.
47380.........  ............  A...........  Open ablate liver        24.43           NA           NA          8.61         8.98         2.87         090
                                             tumor rf.
47381.........  ............  A...........  Open ablate liver        24.72           NA           NA          9.32         9.46         2.85         090
                                             tumor cryo.
47382.........  ............  A...........  Percut ablate            15.19           NA           NA          6.21         6.14         0.96         010
                                             liver rf.
47399.........  ............  C...........  Liver surgery             0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
47400.........  ............  A...........  Incision of liver        36.23           NA           NA         13.02        13.23         3.08         090
                                             duct.
47420.........  ............  A...........  Incision of bile         21.92           NA           NA          8.55         8.66         2.63         090
                                             duct.
47425.........  ............  A...........  Incision of bile         22.20           NA           NA          8.65         8.73         2.62         090
                                             duct.
47460.........  ............  A...........  Incise bile duct         20.41           NA           NA          9.14         8.75         2.21         090
                                             sphincter.
47480.........  ............  A...........  Incision of              13.12           NA           NA          6.64         6.28         1.42         090
                                             gallbladder.
47490.........  ............  A...........  Incision of               8.05           NA           NA          5.30         5.43         0.43         090
                                             gallbladder.
47500.........  ............  A...........  Injection for             1.96           NA           NA          0.71         0.67         0.12         000
                                             liver x-rays.
47505.........  ............  A...........  Injection for             0.76           NA           NA          0.27         0.26         0.04         000
                                             liver x-rays.
47510.........  ............  A...........  Insert catheter,          7.94           NA           NA          4.63         4.82         0.46         090
                                             bile duct.
47511.........  ............  A...........  Insert bile duct         10.74           NA           NA          5.05         5.06         0.62         090
                                             drain.
47525.........  ............  A...........  Change bile duct          5.55        14.87        14.98          2.69         2.75         0.33         010
                                             catheter.
47530.........  ............  A...........  Revise/reinsert           5.96        30.60        32.20          3.45         3.58         0.37         090
                                             bile tube.
47550.........  ............  A...........  Bile duct                 3.02           NA           NA          0.78         0.90         0.40         ZZZ
                                             endoscopy add-on.
47552.........  ............  A...........  Biliary endoscopy         6.03           NA           NA          2.48         2.43         0.42         000
                                             thru skin.
47553.........  ............  A...........  Biliary endoscopy         6.34           NA           NA          2.25         2.16         0.37         000
                                             thru skin.
47554.........  ............  A...........  Biliary endoscopy         9.05           NA           NA          3.30         3.32         0.96         000
                                             thru skin.
47555.........  ............  A...........  Biliary endoscopy         7.55           NA           NA          2.75         2.61         0.45         000
                                             thru skin.
47556.........  ............  A...........  Biliary endoscopy         8.55           NA           NA          3.09         2.94         0.50         000
                                             thru skin.
47560.........  ............  A...........  Laparoscopy w/            4.88           NA           NA          1.24         1.45         0.65         000
                                             cholangio.
47561.........  ............  A...........  Laparo w/cholangio/       5.17           NA           NA          1.58         1.75         0.66         000
                                             biopsy.
47562.........  ............  A...........  Laparoscopic             11.63           NA           NA          5.27         5.13         1.46         090
                                             cholecystectomy.
47563.........  ............  A...........  Laparo                   12.03           NA           NA          5.07         5.18         1.58         090
                                             cholecystectomy/
                                             graph.
47564.........  ............  A...........  Laparo                   14.21           NA           NA          5.42         5.68         1.89         090
                                             cholecystectomy/
                                             explr.
47570.........  ............  A...........  Laparo                   12.56           NA           NA          4.97         5.17         1.65         090
                                             cholecystoenteros
                                             tomy.
47579.........  ............  C...........  Laparoscope proc,         0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             biliary.
47600.........  ............  A...........  Removal of               17.35           NA           NA          7.22         6.68         1.80         090
                                             gallbladder.
47605.........  ............  A...........  Removal of               15.90           NA           NA          6.39         6.44         1.95         090
                                             gallbladder.
47610.........  ............  A...........  Removal of               20.84           NA           NA          7.66         7.79         2.49         090
                                             gallbladder.
47612.........  ............  A...........  Removal of               21.13           NA           NA          7.68         7.78         2.48         090
                                             gallbladder.
47620.........  ............  A...........  Removal of               22.99           NA           NA          8.16         8.34         2.74         090
                                             gallbladder.
47630.........  ............  A...........  Remove bile duct          9.57           NA           NA          4.73         4.81         0.65         090
                                             stone.
47700.........  ............  A...........  Exploration of           16.39           NA           NA          7.31         7.36         2.07         090
                                             bile ducts.
47701.........  ............  A...........  Bile duct revision       28.62           NA           NA         10.65        11.06         3.68         090

[[Page 2624]]

 
47711.........  ............  A...........  Excision of bile         25.77           NA           NA          9.65         9.78         3.05         090
                                             duct tumor.
47712.........  ............  A...........  Excision of bile         33.59           NA           NA         11.66        12.04         3.93         090
                                             duct tumor.
47715.........  ............  A...........  Excision of bile         21.42           NA           NA          8.61         8.52         2.49         090
                                             duct cyst.
47720.........  ............  A...........  Fuse gallbladder &       18.21           NA           NA          7.71         7.59         2.11         090
                                             bowel.
47721.........  ............  A...........  Fuse upper gi            21.86           NA           NA          8.55         8.55         2.53         090
                                             structures.
47740.........  ............  A...........  Fuse gallbladder &       21.10           NA           NA          8.34         8.35         2.42         090
                                             bowel.
47741.........  ............  A...........  Fuse gallbladder &       24.08           NA           NA          9.26         9.27         2.83         090
                                             bowel.
47760.........  ............  A...........  Fuse bile ducts          38.14           NA           NA         13.05        11.94         3.42         090
                                             and bowel.
47765.........  ............  A...........  Fuse liver ducts &       52.01           NA           NA         16.96        13.87         3.30         090
                                             bowel.
47780.........  ............  A...........  Fuse bile ducts          42.14           NA           NA         14.13        12.66         3.50         090
                                             and bowel.
47785.........  ............  A...........  Fuse bile ducts          56.01           NA           NA         17.86        15.38         4.10         090
                                             and bowel.
47800.........  ............  A...........  Reconstruction of        26.04           NA           NA          9.78         9.91         3.08         090
                                             bile ducts.
47801.........  ............  A...........  Placement, bile          17.47           NA           NA          8.44         8.29         1.16         090
                                             duct support.
47802.........  ............  A...........  Fuse liver duct &        24.80           NA           NA          9.69         9.68         2.86         090
                                             intestine.
47900.........  ............  A...........  Suture bile duct         22.31           NA           NA          8.86         8.86         2.65         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              31.82           NA           NA         10.87        11.18         3.48         090
                                             abdomen.
48001.........  ............  A...........  Placement of             39.56           NA           NA         12.77        13.32         4.69         090
                                             drain, pancreas.
48020.........  ............  A...........  Removal of               18.96           NA           NA          7.60         7.45         2.13         090
                                             pancreatic stone.
48100.........  ............  A...........  Biopsy of                14.38           NA           NA          5.96         5.77         1.62         090
                                             pancreas, open.
48102.........  ............  A...........  Needle biopsy,            4.68         9.62         8.78          1.91         1.93         0.28         010
                                             pancreas.
48105.........  ............  A...........  Resect/debride           49.05           NA           NA         15.78        16.17         5.56         090
                                             pancreas.
48120.........  ............  A...........  Removal of               18.33           NA           NA          6.86         6.85         2.10         090
                                             pancreas lesion.
48140.........  ............  A...........  Partial removal of       26.19           NA           NA          9.38         9.46         3.03         090
                                             pancreas.
48145.........  ............  A...........  Partial removal of       27.26           NA           NA          9.56         9.69         3.18         090
                                             pancreas.
48146.........  ............  A...........  Pancreatectomy....       30.42           NA           NA         11.94        11.96         3.50         090
48148.........  ............  A...........  Removal of               20.26           NA           NA          8.21         7.90         2.30         090
                                             pancreatic duct.
48150.........  ............  A...........  Partial removal of       52.63           NA           NA         18.03        18.77         6.32         090
                                             pancreas.
48152.........  ............  A...........  Pancreatectomy....       48.47           NA           NA         16.84        17.52         5.80         090
48153.........  ............  A...........  Pancreatectomy....       52.61           NA           NA         17.92        18.73         6.31         090
48154.........  ............  A...........  Pancreatectomy....       48.70           NA           NA         17.07        17.64         5.84         090
48155.........  ............  A...........  Removal of               29.27           NA           NA         11.97        11.81         3.27         090
                                             pancreas.
48160.........  ............  N...........  Pancreas removal/         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             transplant.
48400.........  ............  A...........  Injection, intraop        1.95           NA           NA          0.66         0.65         0.15         ZZZ
                                             add-on.
48500.........  ............  A...........  Surgery of               18.03           NA           NA          7.67         7.50         2.03         090
                                             pancreatic cyst.
48510.........  ............  A...........  Drain pancreatic         17.06           NA           NA          7.61         7.52         1.83         090
                                             pseudocyst.
48511.........  ............  A...........  Drain pancreatic          3.99        20.20        20.55          1.43         1.37         0.24         000
                                             pseudocyst.
48520.........  ............  A...........  Fuse pancreas cyst       18.07           NA           NA          6.83         6.76         2.06         090
                                             and bowel.
48540.........  ............  A...........  Fuse pancreas cyst       21.86           NA           NA          7.80         7.95         2.61         090
                                             and bowel.
48545.........  ............  A...........  Pancreatorrhaphy..       22.10           NA           NA          8.42         8.20         2.38         090
48547.........  ............  A...........  Duodenal exclusion       30.25           NA           NA         10.29        10.38         3.42         090
48548.........  ............  A...........  Fuse pancreas and        27.96           NA           NA          9.89        10.02         3.28         090
                                             bowel.
48550.........  ............  X...........  Donor                     0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             pancreatectomy.
48551.........  ............  C...........  Prep donor                0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             pancreas.
48552.........  ............  A...........  Prep donor                4.30           NA           NA          1.14         1.30         0.31         XXX
                                             pancreas/venous.
48554.........  ............  R...........  Transpl allograft        37.03           NA           NA         20.53        19.40         4.19         090
                                             pancreas.
48556.........  ............  A...........  Removal, allograft       19.24           NA           NA          9.23         8.65         2.08         090
                                             pancreas.
48999.........  ............  C...........  Pancreas surgery          0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
49000.........  ............  A...........  Exploration of           12.44           NA           NA          5.21         5.29         1.52         090
                                             abdomen.
49002.........  ............  A...........  Reopening of             17.55           NA           NA          6.39         5.70         1.37         090
                                             abdomen.
49010.........  ............  A...........  Exploration behind       15.98           NA           NA          6.20         6.05         1.51         090
                                             abdomen.
49020.........  ............  A...........  Drain abdominal          26.46           NA           NA          9.89        10.04         2.85         090
                                             abscess.
49021.........  ............  A...........  Drain abdominal           3.37        19.65        20.36          1.21         1.16         0.20         000
                                             abscess.
49040.........  ............  A...........  Drain, open, abdom       16.41           NA           NA          6.52         6.47         1.70         090
                                             abscess.
49041.........  ............  A...........  Drain, percut,            3.99        19.93        19.73          1.43         1.37         0.24         000
                                             abdom abscess.
49060.........  ............  A...........  Drain, open,             18.42           NA           NA          7.25         7.34         1.75         090
                                             retrop abscess.
49061.........  ............  A...........  Drain, percut,            3.69        19.76        19.70          1.33         1.27         0.22         000
                                             retroper absc.
49062.........  ............  A...........  Drain to                 12.12           NA           NA          5.12         5.27         1.39         090
                                             peritoneal cavity.
49080.........  ............  A...........  Puncture,                 1.35         2.73         3.36          0.48         0.47         0.08         000
                                             peritoneal cavity.
49081.........  ............  A...........  Removal of                1.26         2.94         2.76          0.47         0.45         0.09         000
                                             abdominal fluid.
49180.........  ............  A...........  Biopsy, abdominal         1.73         2.48         2.79          0.62         0.59         0.10         000
                                             mass.
49203.........  ............  A...........  Exc abd tum 5 cm         20.00           NA           NA          7.66         7.66         2.27         090
                                             or less.
49204.........  ............  A...........  Exc abd tum over 5       26.00           NA           NA          9.27         9.27         2.94         090
                                             cm.
49205.........  ............  A...........  Exc abd tum over         30.00           NA           NA         10.35        10.35         3.40         090
                                             10 cm.
49215.........  ............  A...........  Excise sacral            37.66           NA           NA         12.69        13.37         4.38         090
                                             spine tumor.
49220.........  ............  A...........  Multiple surgery,        15.70           NA           NA          6.46         6.54         1.89         090
                                             abdomen.
49250.........  ............  A...........  Excision of               8.93           NA           NA          4.34         4.30         1.08         090
                                             umbilicus.
49255.........  ............  A...........  Removal of omentum       12.41           NA           NA          5.63         5.62         1.43         090
49320.........  ............  A...........  Diag laparo               5.09           NA           NA          2.44         2.54         0.65         010
                                             separate proc.
49321.........  ............  A...........  Laparoscopy,              5.39           NA           NA          2.56         2.60         0.70         010
                                             biopsy.
49322.........  ............  A...........  Laparoscopy,              5.96           NA           NA          2.63         2.81         0.71         010
                                             aspiration.
49323.........  ............  A...........  Laparo drain             10.13           NA           NA          4.69         4.59         1.20         090
                                             lymphocele.

[[Page 2625]]

 
49324.........  ............  A...........  Lap insertion perm        6.27           NA           NA          2.79         2.79         0.73         010
                                             ip cath.
49325.........  ............  A...........  Lap revision perm         6.77           NA           NA          2.91         2.91         0.86         010
                                             ip cath.
49326.........  ............  A...........  Lap w/omentopexy          3.50           NA           NA          0.92         0.92         0.44         ZZZ
                                             add-on.
49329.........  ............  C...........  Laparo proc, abdm/        0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             per/oment.
49400.........  ............  A...........  Air injection into        1.88         2.47         2.77          0.62         0.62         0.15         000
                                             abdomen.
49402.........  ............  A...........  Remove foreign           14.01           NA           NA          5.52         5.51         1.62         090
                                             body, adbomen.
49419.........  ............  A...........  Insrt abdom cath          7.03           NA           NA          3.43         3.50         0.81         090
                                             for chemotx.
49420.........  ............  A...........  Insert abdom              2.22           NA           NA          1.18         1.13         0.21         000
                                             drain, temp.
49421.........  ............  A...........  Insert abdom              5.87           NA           NA          3.12         3.14         0.74         090
                                             drain, perm.
49422.........  ............  A...........  Remove perm               6.26           NA           NA          2.61         2.75         0.83         010
                                             cannula/catheter.
49423.........  ............  A...........  Exchange drainage         1.46        13.10        13.59          0.56         0.54         0.09         000
                                             catheter.
49424.........  ............  A...........  Assess cyst,              0.76         3.08         3.40          0.30         0.30         0.04         000
                                             contrast inject.
49425.........  ............  A...........  Insert abdomen-          12.13           NA           NA          5.29         5.44         1.54         090
                                             venous drain.
49426.........  ............  A...........  Revise abdomen-          10.33           NA           NA          4.56         4.66         1.28         090
                                             venous shunt.
49427.........  ............  A...........  Injection,                0.89           NA           NA          0.32         0.31         0.07         000
                                             abdominal shunt.
49428.........  ............  A...........  Ligation of shunt.        6.79           NA           NA          3.00         3.46         0.80         010
49429.........  ............  A...........  Removal of shunt..        7.41           NA           NA          2.99         3.21         1.02         010
49435.........  ............  A...........  Insert subq exten         2.25           NA           NA          0.62         0.62         0.28         ZZZ
                                             to ip cath.
49436.........  ............  A...........  Embedded ip cath          2.69           NA           NA          1.66         1.66         0.28         010
                                             exit-site.
49440.........  ............  A...........  Place gastrostomy         4.18        25.06        25.06          1.81         1.81         0.49         010
                                             tube perc.
49441.........  ............  A...........  Place duod/jej            4.77        30.13        30.13          2.01         2.01         0.29         010
                                             tube perc.
49442.........  ............  A...........  Place cecostomy           4.00        24.46        24.46          1.63         1.63         0.24         010
                                             tube perc.
49446.........  ............  A...........  Change g-tube to g-       3.31        25.78        25.78          1.15         1.15         0.18         000
                                             j perc.
49450.........  ............  A...........  Replace g/c tube          1.36        18.97        18.97          0.44         0.44         0.08         000
                                             perc.
49451.........  ............  A...........  Replace duod/jej          1.84        19.71        19.71          0.64         0.64         0.11         000
                                             tube perc.
49452.........  ............  A...........  Replace g-j tube          2.86        23.51        23.51          1.00         1.00         0.18         000
                                             perc.
49460.........  ............  A...........  Fix g/colon tube w/       0.96        20.59        20.59          0.31         0.31         0.05         000
                                             device.
49465.........  ............  A...........  Fluoro exam of g/         0.62         3.89         3.89          0.22         0.22         0.03         000
                                             colon tube.
49491.........  ............  A...........  Rpr hern preemie         12.42           NA           NA          4.62         4.83         1.40         090
                                             reduc.
49492.........  ............  A...........  Rpr ing hern             15.32           NA           NA          6.23         6.17         1.81         090
                                             premie, blocked.
49495.........  ............  A...........  Rpr ing hernia            6.15           NA           NA          3.06         3.01         0.74         090
                                             baby, reduc.
49496.........  ............  A...........  Rpr ing hernia            9.32           NA           NA          4.45         4.36         1.07         090
                                             baby, blocked.
49500.........  ............  A...........  Rpr ing hernia,           5.76           NA           NA          3.65         3.38         0.71         090
                                             init, reduce.
49501.........  ............  A...........  Rpr ing hernia,           9.28           NA           NA          4.27         4.23         1.12         090
                                             init blocked.
49505.........  ............  A...........  Prp i/hern init           7.88           NA           NA          3.88         3.81         1.03         090
                                             reduc >5 yr.
49507.........  ............  A...........  Prp i/hern init           9.97           NA           NA          4.45         4.45         1.27         090
                                             block >5 yr.
49520.........  ............  A...........  Rerepair ing              9.91           NA           NA          4.38         4.40         1.28         090
                                             hernia, reduce.
49521.........  ............  A...........  Rerepair ing             12.36           NA           NA          4.98         5.11         1.59         090
                                             hernia, blocked.
49525.........  ............  A...........  Repair ing hernia,        8.85           NA           NA          4.12         4.10         1.13         090
                                             sliding.
49540.........  ............  A...........  Repair lumbar            10.66           NA           NA          4.58         4.66         1.37         090
                                             hernia.
49550.........  ............  A...........  Rpr rem hernia,           8.91           NA           NA          4.11         4.12         1.14         090
                                             init, reduce.
49553.........  ............  A...........  Rpr fem hernia,           9.84           NA           NA          4.42         4.41         1.24         090
                                             init blocked.
49555.........  ............  A...........  Rerepair fem              9.31           NA           NA          4.20         4.23         1.20         090
                                             hernia, reduce.
49557.........  ............  A...........  Rerepair fem             11.54           NA           NA          4.83         4.91         1.47         090
                                             hernia, blocked.
49560.........  ............  A...........  Rpr ventral hern         11.84           NA           NA          4.88         5.01         1.52         090
                                             init, reduc.
49561.........  ............  A...........  Rpr ventral hern         15.30           NA           NA          5.80         5.93         1.89         090
                                             init, block.
49565.........  ............  A...........  Rerepair ventrl          12.29           NA           NA          5.08         5.15         1.52         090
                                             hern, reduce.
49566.........  ............  A...........  Rerepair ventrl          15.45           NA           NA          5.85         5.99         1.91         090
                                             hern, block.
49568.........  ............  A...........  Hernia repair w/          4.88           NA           NA          1.24         1.45         0.64         ZZZ
                                             mesh.
49570.........  ............  A...........  Rpr epigastric            5.97           NA           NA          3.38         3.27         0.75         090
                                             hern, reduce.
49572.........  ............  A...........  Rpr epigastric            7.79           NA           NA          3.83         3.64         0.88         090
                                             hern, blocked.
49580.........  ............  A...........  Rpr umbil hern,           4.39           NA           NA          2.95         2.77         0.54         090
                                             reduc < 5 yr.
49582.........  ............  A...........  Rpr umbil hern,           7.05           NA           NA          3.69         3.58         0.88         090
                                             block < 5 yr.
49585.........  ............  A...........  Rpr umbil hern,           6.51           NA           NA          3.51         3.40         0.82         090
                                             reduc > 5 yr.
49587.........  ............  A...........  Rpr umbil hern,           7.96           NA           NA          3.86         3.80         0.99         090
                                             block > 5 yr.
49590.........  ............  A...........  Repair spigelian          8.82           NA           NA          4.09         4.08         1.13         090
                                             hernia.
49600.........  ............  A...........  Repair umbilical         11.47           NA           NA          5.38         5.35         1.32         090
                                             lesion.
49605.........  ............  A...........  Repair umbilical         86.85           NA           NA         27.59        28.05         9.39         090
                                             lesion.
49606.........  ............  A...........  Repair umbilical         18.92           NA           NA          6.78         7.23         2.46         090
                                             lesion.
49610.........  ............  A...........  Repair umbilical         10.83           NA           NA          5.29         5.24         1.07         090
                                             lesion.
49611.........  ............  A...........  Repair umbilical          9.26           NA           NA          4.21         5.59         0.78         090
                                             lesion.
49650.........  ............  A...........  Laparo hernia             6.30           NA           NA          3.35         3.27         0.93         090
                                             repair initial.
49651.........  ............  A...........  Laparo hernia             8.29           NA           NA          4.23         4.13         1.14         090
                                             repair recur.
49659.........  ............  C...........  Laparo proc,              0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             hernia repair.
49900.........  ............  A...........  Repair of                12.26           NA           NA          6.29         6.26         1.62         090
                                             abdominal wall.
49904.........  ............  A...........  Omental flap,            22.16           NA           NA         11.89        13.55         2.70         090
                                             extra-abdom.
49905.........  ............  A...........  Omental flap,             6.54           NA           NA          1.69         1.99         0.75         ZZZ
                                             intra-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           12.13           NA           NA          6.73         5.98         0.93         090
                                             kidney.
50020.........  ............  A...........  Renal abscess,           17.88           NA           NA          8.49         8.12         1.34         090
                                             open drain.
50021.........  ............  A...........  Renal abscess,            3.37        21.11        21.39          1.22         1.16         0.20         000
                                             percut drain.

[[Page 2626]]

 
50040.........  ............  A...........  Drainage of kidney       16.48           NA           NA          8.83         7.82         1.03         090
50045.........  ............  A...........  Exploration of           16.67           NA           NA          8.15         7.37         1.24         090
                                             kidney.
50060.........  ............  A...........  Removal of kidney        20.80           NA           NA         10.83         9.33         1.36         090
                                             stone.
50065.........  ............  A...........  Incision of kidney       22.17           NA           NA         11.53         8.80         1.59         090
50070.........  ............  A...........  Incision of kidney       21.70           NA           NA         11.34         9.77         1.44         090
50075.........  ............  A...........  Removal of kidney        26.91           NA           NA         13.51        11.70         1.81         090
                                             stone.
50080.........  ............  A...........  Removal of kidney        15.61           NA           NA          8.56         7.42         1.04         090
                                             stone.
50081.........  ............  A...........  Removal of kidney        23.32           NA           NA         12.18        10.47         1.54         090
                                             stone.
50100.........  ............  A...........  Revise kidney            17.30           NA           NA          6.52         7.15         2.07         090
                                             blood vessels.
50120.........  ............  A...........  Exploration of           17.06           NA           NA          9.12         7.94         1.21         090
                                             kidney.
50125.........  ............  A...........  Explore and drain        17.67           NA           NA          9.72         8.34         1.43         090
                                             kidney.
50130.........  ............  A...........  Removal of kidney        18.67           NA           NA         10.06         8.61         1.22         090
                                             stone.
50135.........  ............  A...........  Exploration of           20.44           NA           NA         10.70         9.24         1.33         090
                                             kidney.
50200.........  ............  A...........  Biopsy of kidney..        2.63           NA           NA          1.19         1.24         0.16         000
50205.........  ............  A...........  Biopsy of kidney..       12.19           NA           NA          5.51         5.26         1.30         090
50220.........  ............  A...........  Remove kidney,           18.53           NA           NA          9.52         8.38         1.35         090
                                             open.
50225.........  ............  A...........  Removal kidney           21.73           NA           NA         11.02         9.58         1.50         090
                                             open, complex.
50230.........  ............  A...........  Removal kidney           23.68           NA           NA         11.65        10.11         1.55         090
                                             open, radical.
50234.........  ............  A...........  Removal of kidney        23.90           NA           NA         12.04        10.44         1.59         090
                                             & ureter.
50236.........  ............  A...........  Removal of kidney        26.74           NA           NA         13.92        12.08         1.77         090
                                             & ureter.
50240.........  ............  A...........  Partial removal of       24.01           NA           NA         12.61        10.81         1.55         090
                                             kidney.
50250.........  ............  A...........  Cryoablate renal         22.06           NA           NA         11.49        10.33         1.39         090
                                             mass open.
50280.........  ............  A...........  Removal of kidney        16.94           NA           NA          9.07         7.88         1.19         090
                                             lesion.
50290.........  ............  A...........  Removal of kidney        16.00           NA           NA          7.74         7.10         1.41         090
                                             lesion.
50300.........  ............  X...........  Remove cadaver            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             donor kidney.
50320.........  ............  A...........  Remove kidney,           22.28           NA           NA         12.31        11.48         2.36         090
                                             living 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/         4.00           NA           NA          1.10         1.22         0.29         XXX
                                             venous.
50328.........  ............  A...........  Prep renal graft/         3.50           NA           NA          0.98         1.08         0.26         XXX
                                             arterial.
50329.........  ............  A...........  Prep renal graft/         3.34           NA           NA          1.05         1.09         0.25         XXX
                                             ureteral.
50340.........  ............  A...........  Removal of kidney.       13.86           NA           NA          7.81         7.15         1.65         090
50360.........  ............  A...........  Transplantation of       40.45           NA           NA         18.68        17.08         3.82         090
                                             kidney.
50365.........  ............  A...........  Transplantation of       45.68           NA           NA         19.42        18.81         4.43         090
                                             kidney.
50370.........  ............  A...........  Remove                   18.68           NA           NA          9.19         8.17         1.68         090
                                             transplanted
                                             kidney.
50380.........  ............  A...........  Reimplantation of        29.66           NA           NA         16.21        14.12         2.51         090
                                             kidney.
50382.........  ............  A...........  Change ureter             5.50        26.38        31.26          2.05         1.96         0.34         000
                                             stent, percut.
50384.........  ............  A...........  Remove ureter             5.00        20.68        27.96          1.86         1.78         0.31         000
                                             stent, percut.
50385.........  ............  A...........  Change stent via          4.44        30.64        30.64          2.05         2.05         0.27         000
                                             transureth.
50386.........  ............  A...........  Remove stent via          3.30        19.38        19.38          1.61         1.61         0.20         000
                                             transureth.
50387.........  ............  A...........  Change ext/int            2.00        12.61        15.42          0.73         0.70         0.12         000
                                             ureter stent.
50389.........  ............  A...........  Remove renal tube         1.10         6.68         9.72          0.40         0.39         0.07         000
                                             w/fluoro.
50390.........  ............  A...........  Drainage of kidney        1.96           NA           NA          0.71         0.67         0.12         000
                                             lesion.
50391.........  ............  A...........  Instll rx agnt            1.96         1.38         1.48          0.72         0.67         0.14         000
                                             into rnal tub.
50392.........  ............  A...........  Insert kidney             3.37           NA           NA          1.52         1.52         0.20         000
                                             drain.
50393.........  ............  A...........  Insert ureteral           4.15           NA           NA          1.80         1.80         0.25         000
                                             tube.
50394.........  ............  A...........  Injection for             0.76         1.87         2.28          0.58         0.62         0.05         000
                                             kidney x-ray.
50395.........  ............  A...........  Create passage to         3.37           NA           NA          1.57         1.53         0.21         000
                                             kidney.
50396.........  ............  A...........  Measure kidney            2.09           NA           NA          1.08         1.08         0.13         000
                                             pressure.
50398.........  ............  A...........  Change kidney tube        1.46        11.85        14.08          0.57         0.54         0.09         000
50400.........  ............  A...........  Revision of kidney/      21.12           NA           NA         10.95         9.41         1.38         090
                                             ureter.
50405.........  ............  A...........  Revision of kidney/      25.68           NA           NA         12.91        10.97         1.79         090
                                             ureter.
50500.........  ............  A...........  Repair of kidney         21.07           NA           NA          8.70         8.54         2.02         090
                                             wound.
50520.........  ............  A...........  Close kidney-skin        18.73           NA           NA          9.25         8.34         1.49         090
                                             fistula.
50525.........  ............  A...........  Repair renal-            24.21           NA           NA         11.80        10.40         1.84         090
                                             abdomen fistula.
50526.........  ............  A...........  Repair renal-            26.13           NA           NA          8.16         9.01         1.97         090
                                             abdomen fistula.
50540.........  ............  A...........  Revision of              20.95           NA           NA         10.62         9.47         1.36         090
                                             horseshoe kidney.
50541.........  ............  A...........  Laparo ablate            16.76           NA           NA          8.70         7.59         1.13         090
                                             renal cyst.
50542.........  ............  A...........  Laparo ablate            21.18           NA           NA         11.18         9.66         1.39         090
                                             renal mass.
50543.........  ............  A...........  Laparo partial           27.18           NA           NA         14.10        12.15         1.81         090
                                             nephrectomy.
50544.........  ............  A...........  Laparoscopy,             23.27           NA           NA         11.44         9.98         1.58         090
                                             pyeloplasty.
50545.........  ............  A...........  Laparo radical           24.93           NA           NA         12.15        10.67         1.71         090
                                             nephrectomy.
50546.........  ............  A...........  Laparoscopic             21.69           NA           NA         11.29         9.83         1.57         090
                                             nephrectomy.
50547.........  ............  A...........  Laparo removal           26.24           NA           NA         12.48        11.79         2.77         090
                                             donor kidney.
50548.........  ............  A...........  Laparo remove w/         25.26           NA           NA         12.12        10.65         1.73         090
                                             ureter.
50549.........  ............  C...........  Laparoscope proc,         0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             renal.
50551.........  ............  A...........  Kidney endoscopy..        5.59         4.60         4.37          2.65         2.31         0.40         000
50553.........  ............  A...........  Kidney endoscopy..        5.98         4.50         4.43          2.63         2.40         0.39         000
50555.........  ............  A...........  Kidney endoscopy &        6.52         5.10         4.95          3.02         2.68         0.45         000
                                             biopsy.
50557.........  ............  A...........  Kidney endoscopy &        6.61         5.27         4.92          3.07         2.68         0.47         000
                                             treatment.
50561.........  ............  A...........  Kidney endoscopy &        7.58         5.81         5.45          3.41         3.03         0.54         000
                                             treatment.
50562.........  ............  A...........  Renal scope w/           10.90           NA           NA          5.36         4.84         0.73         090
                                             tumor resect.

[[Page 2627]]

 
50570.........  ............  A...........  Kidney endoscopy..        9.53           NA           NA          4.15         3.68         0.68         000
50572.........  ............  A...........  Kidney endoscopy..       10.33           NA           NA          4.32         3.91         0.85         000
50574.........  ............  A...........  Kidney endoscopy &       11.00           NA           NA          4.79         4.27         0.77         000
                                             biopsy.
50575.........  ............  A...........  Kidney endoscopy..       13.96           NA           NA          5.96         5.29         0.99         000
50576.........  ............  A...........  Kidney endoscopy &       10.97           NA           NA          4.78         4.22         0.78         000
                                             treatment.
50580.........  ............  A...........  Kidney endoscopy &       11.84           NA           NA          5.10         4.53         0.83         000
                                             treatment.
50590.........  ............  A...........  Fragmenting of            9.64        17.10        14.75          6.13         5.12         0.65         090
                                             kidney stone.
50592.........  ............  A...........  Perc rf ablate            6.77        75.49       112.31          3.00         2.99         0.43         010
                                             renal tumor.
50593.........  ............  A...........  Perc cryo ablate          9.08       114.62       114.62          3.45         3.45         0.58         010
                                             renal tum.
50600.........  ............  A...........  Exploration of           17.04           NA           NA          8.51         7.59         1.13         090
                                             ureter.
50605.........  ............  A...........  Insert ureteral          16.66           NA           NA          7.89         7.31         1.45         090
                                             support.
50610.........  ............  A...........  Removal of ureter        17.12           NA           NA          8.98         7.97         1.43         090
                                             stone.
50620.........  ............  A...........  Removal of ureter        16.30           NA           NA          8.88         7.61         1.07         090
                                             stone.
50630.........  ............  A...........  Removal of ureter        16.08           NA           NA          8.20         7.24         1.09         090
                                             stone.
50650.........  ............  A...........  Removal of ureter.       18.67           NA           NA          9.96         8.59         1.23         090
50660.........  ............  A...........  Removal of ureter.       20.87           NA           NA         10.73         9.34         1.38         090
50684.........  ............  A...........  Injection for             0.76         3.97         4.47          0.63         0.55         0.05         000
                                             ureter x-ray.
50686.........  ............  A...........  Measure ureter            1.51         2.30         2.87          0.81         0.82         0.11         000
                                             pressure.
50688.........  ............  A...........  Change of ureter          1.18           NA           NA          0.95         1.01         0.07         010
                                             tube/stent.
50690.........  ............  A...........  Injection for             1.16         1.45         1.64          0.75         0.73         0.07         000
                                             ureter x-ray.
50700.........  ............  A...........  Revision of ureter       16.54           NA           NA          8.76         7.94         1.27         090
50715.........  ............  A...........  Release of ureter.       20.49           NA           NA          8.54         8.64         2.14         090
50722.........  ............  A...........  Release of ureter.       17.80           NA           NA          7.27         7.54         1.91         090
50725.........  ............  A...........  Release/revise           20.05           NA           NA          8.82         8.43         1.52         090
                                             ureter.
50727.........  ............  A...........  Revise ureter.....        8.17           NA           NA          5.73         5.00         0.61         090
50728.........  ............  A...........  Revise ureter.....       12.00           NA           NA          6.75         6.15         1.00         090
50740.........  ............  A...........  Fusion of ureter &       19.92           NA           NA          8.98         8.35         1.97         090
                                             kidney.
50750.........  ............  A...........  Fusion of ureter &       21.07           NA           NA         11.08         9.53         1.38         090
                                             kidney.
50760.........  ............  A...........  Fusion of ureters.       19.92           NA           NA          9.90         8.78         1.55         090
50770.........  ............  A...........  Splicing of              21.07           NA           NA         10.88         9.43         1.45         090
                                             ureters.
50780.........  ............  A...........  Reimplant ureter         19.80           NA           NA         10.11         8.85         1.51         090
                                             in bladder.
50782.........  ............  A...........  Reimplant ureter         19.51           NA           NA          9.89         9.33         1.61         090
                                             in bladder.
50783.........  ............  A...........  Reimplant ureter         20.52           NA           NA         10.12         9.17         1.99         090
                                             in bladder.
50785.........  ............  A...........  Reimplant ureter         22.08           NA           NA         11.20         9.74         1.45         090
                                             in bladder.
50800.........  ............  A...........  Implant ureter in        16.23           NA           NA          9.17         7.82         1.19         090
                                             bowel.
50810.........  ............  A...........  Fusion of ureter &       22.38           NA           NA         10.58         9.83         2.32         090
                                             bowel.
50815.........  ............  A...........  Urine shunt to           22.06           NA           NA         11.47         9.95         1.54         090
                                             intestine.
50820.........  ............  A...........  Construct bowel          23.89           NA           NA         11.86        10.25         1.90         090
                                             bladder.
50825.........  ............  A...........  Construct bowel          30.48           NA           NA         14.91        13.02         2.08         090
                                             bladder.
50830.........  ............  A...........  Revise urine flow.       33.57           NA           NA         15.62        13.90         2.38         090
50840.........  ............  A...........  Replace ureter by        22.19           NA           NA         11.93        10.18         1.47         090
                                             bowel.
50845.........  ............  A...........  Appendico-               22.21           NA           NA         12.07        10.48         1.57         090
                                             vesicostomy.
50860.........  ............  A...........  Transplant ureter        16.93           NA           NA          9.22         7.92         1.29         090
                                             to skin.
50900.........  ............  A...........  Repair of ureter..       14.89           NA           NA          7.99         7.06         1.14         090
50920.........  ............  A...........  Closure ureter/          15.66           NA           NA          8.52         7.54         1.01         090
                                             skin fistula.
50930.........  ............  A...........  Closure ureter/          20.04           NA           NA          9.49         8.73         1.28         090
                                             bowel fistula.
50940.........  ............  A...........  Release of ureter.       15.78           NA           NA          7.79         7.09         1.26         090
50945.........  ............  A...........  Laparoscopy              17.87           NA           NA          9.29         8.16         1.36         090
                                             ureterolithotomy.
50947.........  ............  A...........  Laparo new ureter/       25.63           NA           NA         12.29        10.99         2.17         090
                                             bladder.
50948.........  ............  A...........  Laparo new ureter/       23.69           NA           NA         11.19         9.94         1.71         090
                                             bladder.
50949.........  ............  C...........  Laparoscope proc,         0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             ureter.
50951.........  ............  A...........  Endoscopy of              5.83         4.82         4.56          2.76         2.41         0.41         000
                                             ureter.
50953.........  ............  A...........  Endoscopy of              6.23         4.93         4.67          3.22         2.79         0.43         000
                                             ureter.
50955.........  ............  A...........  Ureter endoscopy &        6.74         5.15         5.78          3.45         3.07         0.48         000
                                             biopsy.
50957.........  ............  A...........  Ureter endoscopy &        6.78         5.38         4.97          3.14         2.76         0.48         000
                                             treatment.
50961.........  ............  A...........  Ureter endoscopy &        6.04         4.75         4.55          2.79         2.49         0.41         000
                                             treatment.
50970.........  ............  A...........  Ureter endoscopy..        7.13           NA           NA          3.24         2.85         0.52         000
50972.........  ............  A...........  Ureter endoscopy &        6.88           NA           NA          3.05         2.76         0.49         000
                                             catheter.
50974.........  ............  A...........  Ureter endoscopy &        9.16           NA           NA          3.77         3.44         0.64         000
                                             biopsy.
50976.........  ............  A...........  Ureter endoscopy &        9.03           NA           NA          3.85         3.46         0.66         000
                                             treatment.
50980.........  ............  A...........  Ureter endoscopy &        6.84           NA           NA          3.12         2.75         0.48         000
                                             treatment.
51020.........  ............  A...........  Incise & treat            7.56           NA           NA          5.39         4.62         0.47         090
                                             bladder.
51030.........  ............  A...........  Incise & treat            7.68           NA           NA          4.90         4.43         0.58         090
                                             bladder.
51040.........  ............  A...........  Incise & drain            4.43           NA           NA          3.69         3.23         0.31         090
                                             bladder.
51045.........  ............  A...........  Incise bladder/           7.68           NA           NA          5.15         4.54         0.52         090
                                             drain ureter.
51050.........  ............  A...........  Removal of bladder        7.87           NA           NA          5.33         4.48         0.49         090
                                             stone.
51060.........  ............  A...........  Removal of ureter         9.82           NA           NA          6.42         5.46         0.62         090
                                             stone.
51065.........  ............  A...........  Remove ureter             9.82           NA           NA          6.25         5.30         0.63         090
                                             calculus.
51080.........  ............  A...........  Drainage of               6.61           NA           NA          4.61         4.07         0.43         090
                                             bladder abscess.
51100.........  ............  A...........  Drain bladder by          0.78         0.92         0.92          0.27         0.27         0.05         000
                                             needle.
51101.........  ............  A...........  Drain bladder by          1.02         2.41         2.41          0.34         0.34         0.10         000
                                             trocar/cath.
51102.........  ............  A...........  Drain bl w/cath           4.27         4.75         4.75          2.37         2.37         0.28         010
                                             insertion.

[[Page 2628]]

 
51500.........  ............  A...........  Removal of bladder       10.92           NA           NA          5.76         5.38         1.03         090
                                             cyst.
51520.........  ............  A...........  Removal of bladder       10.08           NA           NA          6.31         5.49         0.69         090
                                             lesion.
51525.........  ............  A...........  Removal of bladder       15.29           NA           NA          8.47         7.30         0.99         090
                                             lesion.
51530.........  ............  A...........  Removal of bladder       13.58           NA           NA          7.38         6.57         1.05         090
                                             lesion.
51535.........  ............  A...........  Repair of ureter         13.77           NA           NA          7.38         6.74         1.23         090
                                             lesion.
51550.........  ............  A...........  Partial removal of       17.10           NA           NA          8.71         7.72         1.31         090
                                             bladder.
51555.........  ............  A...........  Partial removal of       23.03           NA           NA         11.36        10.01         1.70         090
                                             bladder.
51565.........  ............  A...........  Revise bladder &         23.50           NA           NA         12.12        10.54         1.63         090
                                             ureter(s).
51570.........  ............  A...........  Removal of bladder       27.31           NA           NA         13.49        11.62         1.72         090
51575.........  ............  A...........  Removal of bladder       34.00           NA           NA         16.45        14.24         2.17         090
                                             & nodes.
51580.........  ............  A...........  Remove bladder/          35.14           NA           NA         17.59        15.04         2.25         090
                                             revise tract.
51585.........  ............  A...........  Removal of bladder       39.41           NA           NA         19.26        16.48         2.49         090
                                             & nodes.
51590.........  ............  A...........  Remove bladder/          36.15           NA           NA         17.25        14.93         2.28         090
                                             revise tract.
51595.........  ............  A...........  Remove bladder/          41.12           NA           NA         19.58        16.85         2.60         090
                                             revise tract.
51596.........  ............  A...........  Remove bladder/          44.01           NA           NA         21.20        18.21         2.78         090
                                             create pouch.
51597.........  ............  A...........  Removal of pelvic        42.61           NA           NA         20.19        17.51         2.82         090
                                             structures.
51600.........  ............  A...........  Injection for             0.88         4.23         4.64          0.33         0.31         0.06         000
                                             bladder x-ray.
51605.........  ............  A...........  Preparation for           0.64           NA           NA          0.43         0.39         0.04         000
                                             bladder xray.
51610.........  ............  A...........  Injection for             1.05         1.91         2.10          0.71         0.65         0.07         000
                                             bladder x-ray.
51700.........  ............  A...........  Irrigation of             0.88         1.50         1.55          0.34         0.31         0.06         000
                                             bladder.
51701.........  ............  A...........  Insert bladder            0.50         1.04         1.31          0.24         0.22         0.04         000
                                             catheter.
51702.........  ............  A...........  Insert temp               0.50         1.53         1.81          0.33         0.29         0.04         000
                                             bladder cath.
51703.........  ............  A...........  Insert bladder            1.47         2.26         2.50          0.80         0.68         0.10         000
                                             cath, complex.
51705.........  ............  A...........  Change of bladder         1.03         2.02         2.15          0.85         0.73         0.07         010
                                             tube.
51710.........  ............  A...........  Change of bladder         1.50         2.73         3.03          1.18         0.97         0.11         010
                                             tube.
51715.........  ............  A...........  Endoscopic                3.73         4.41         4.16          1.73         1.54         0.29         000
                                             injection/implant.
51720.........  ............  A...........  Treatment of              1.50         1.62         1.68          0.74         0.71         0.14         000
                                             bladder lesion.
51725.........  ............  A...........  Simple                    1.51         4.23         4.91            NA           NA         0.16         000
                                             cystometrogram.
51725.........  TC..........  A...........  Simple                    0.00         3.68         4.39            NA           NA         0.04         000
                                             cystometrogram.
51725.........  26..........  A...........  Simple                    1.51         0.55         0.52          0.55         0.52         0.12         000
                                             cystometrogram.
51726.........  ............  A...........  Complex                   1.71         7.11         7.31            NA           NA         0.18         000
                                             cystometrogram.
51726.........  TC..........  A...........  Complex                   0.00         6.47         6.71            NA           NA         0.05         000
                                             cystometrogram.
51726.........  26..........  A...........  Complex                   1.71         0.64         0.60          0.64         0.60         0.13         000
                                             cystometrogram.
51736.........  ............  A...........  Urine flow                0.61         0.94         0.76            NA           NA         0.06         000
                                             measurement.
51736.........  TC..........  A...........  Urine flow                0.00         0.70         0.54            NA           NA         0.01         000
                                             measurement.
51736.........  26..........  A...........  Urine flow                0.61         0.24         0.22          0.24         0.22         0.05         000
                                             measurement.
51741.........  ............  A...........  Electro-                  1.14         1.27         1.03            NA           NA         0.11         000
                                             uroflowmetry,
                                             first.
51741.........  TC..........  A...........  Electro-                  0.00         0.83         0.62            NA           NA         0.02         000
                                             uroflowmetry,
                                             first.
51741.........  26..........  A...........  Electro-                  1.14         0.44         0.41          0.44         0.41         0.09         000
                                             uroflowmetry,
                                             first.
51772.........  ............  A...........  Urethra pressure          1.61         5.06         5.32            NA           NA         0.20         000
                                             profile.
51772.........  TC..........  A...........  Urethra pressure          0.00         4.51         4.77            NA           NA         0.05         000
                                             profile.
51772.........  26..........  A...........  Urethra pressure          1.61         0.55         0.55          0.55         0.55         0.15         000
                                             profile.
51784.........  ............  A...........  Anal/urinary              1.53         4.12         4.05            NA           NA         0.16         000
                                             muscle study.
51784.........  TC..........  A...........  Anal/urinary              0.00         3.56         3.52            NA           NA         0.04         000
                                             muscle study.
51784.........  26..........  A...........  Anal/urinary              1.53         0.56         0.53          0.56         0.53         0.12         000
                                             muscle study.
51785.........  ............  A...........  Anal/urinary              1.53         4.55         4.50            NA           NA         0.15         000
                                             muscle study.
51785.........  TC..........  A...........  Anal/urinary              0.00         3.99         3.97            NA           NA         0.04         000
                                             muscle study.
51785.........  26..........  A...........  Anal/urinary              1.53         0.56         0.53          0.56         0.53         0.11         000
                                             muscle study.
51792.........  ............  A...........  Urinary reflex            1.10         5.05         5.52            NA           NA         0.20         000
                                             study.
51792.........  TC..........  A...........  Urinary reflex            0.00         4.66         5.12            NA           NA         0.13         000
                                             study.
51792.........  26..........  A...........  Urinary reflex            1.10         0.39         0.40          0.39         0.40         0.07         000
                                             study.
51795.........  ............  A...........  Urine voiding             1.53         6.72         7.00            NA           NA         0.22         000
                                             pressure study.
51795.........  TC..........  A...........  Urine voiding             0.00         6.15         6.47            NA           NA         0.10         000
                                             pressure study.
51795.........  26..........  A...........  Urine voiding             1.53         0.57         0.53          0.57         0.53         0.12         000
                                             pressure study.
51797.........  ............  A...........  Intraabdominal            0.80         2.44         4.11            NA           NA         0.17         ZZZ
                                             pressure test.
51797.........  TC..........  A...........  Intraabdominal            0.00         2.14         3.70            NA           NA         0.05         ZZZ
                                             pressure test.
51797.........  26..........  A...........  Intraabdominal            0.80         0.30         0.41          0.30         0.41         0.12         ZZZ
                                             pressure test.
51798.........  ............  A...........  Us urine capacity         0.00         0.59         0.47            NA           NA         0.08         XXX
                                             measure.
51800.........  ............  A...........  Revision of              18.74           NA           NA          9.72         8.64         1.32         090
                                             bladder/urethra.
51820.........  ............  A...........  Revision of              19.41           NA           NA          9.75         9.02         1.75         090
                                             urinary tract.
51840.........  ............  A...........  Attach bladder/          11.28           NA           NA          5.76         5.66         1.06         090
                                             urethra.
51841.........  ............  A...........  Attach bladder/          13.60           NA           NA          6.86         6.62         1.24         090
                                             urethra.
51845.........  ............  A...........  Repair bladder           10.07           NA           NA          5.89         5.31         0.79         090
                                             neck.
51860.........  ............  A...........  Repair of bladder        12.49           NA           NA          6.73         6.25         1.16         090
                                             wound.
51865.........  ............  A...........  Repair of bladder        15.69           NA           NA          8.33         7.50         1.23         090
                                             wound.
51880.........  ............  A...........  Repair of bladder         7.81           NA           NA          4.73         4.34         0.72         090
                                             opening.
51900.........  ............  A...........  Repair bladder/          14.48           NA           NA          7.98         7.02         1.21         090
                                             vagina lesion.
51920.........  ............  A...........  Close bladder-           13.26           NA           NA          8.04         6.84         1.18         090
                                             uterus fistula.
51925.........  ............  A...........  Hysterectomy/            17.35           NA           NA         12.42        10.51         2.04         090
                                             bladder repair.
51940.........  ............  A...........  Correction of            30.48           NA           NA         11.73        11.91         2.15         090
                                             bladder defect.
51960.........  ............  A...........  Revision of              25.20           NA           NA         12.89        11.27         1.63         090
                                             bladder & bowel.
51980.........  ............  A...........  Construct bladder        12.44           NA           NA          7.07         6.22         0.86         090
                                             opening.

[[Page 2629]]

 
51990.........  ............  A...........  Laparo urethral          13.26           NA           NA          5.93         6.04         1.39         090
                                             suspension.
51992.........  ............  A...........  Laparo sling             14.77           NA           NA          6.51         6.36         1.41         090
                                             operation.
51999.........  ............  C...........  Laparoscope proc,         0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             bla.
52000.........  ............  A...........  Cystoscopy........        2.23         3.66         3.48          1.31         1.03         0.14         000
52001.........  ............  A...........  Cystoscopy,               5.44         5.05         5.06          2.57         2.22         0.39         000
                                             removal of clots.
52005.........  ............  A...........  Cystoscopy &              2.37         5.73         5.65          1.37         1.13         0.17         000
                                             ureter catheter.
52007.........  ............  A...........  Cystoscopy and            3.02        10.71        13.58          1.62         1.38         0.22         000
                                             biopsy.
52010.........  ............  A...........  Cystoscopy & duct         3.02         8.08         9.42          1.62         1.38         0.21         000
                                             catheter.
52204.........  ............  A...........  Cystoscopy w/             2.59         8.31        11.41          1.38         1.14         0.17         000
                                             biopsy(s).
52214.........  ............  A...........  Cystoscopy and            3.70        19.89        29.01          1.83         1.58         0.26         000
                                             treatment.
52224.........  ............  A...........  Cystoscopy and            3.14        19.07        27.77          1.60         1.38         0.22         000
                                             treatment.
52234.........  ............  A...........  Cystoscopy and            4.62           NA           NA          2.27         1.96         0.33         000
                                             treatment.
52235.........  ............  A...........  Cystoscopy and            5.44           NA           NA          2.64         2.29         0.39         000
                                             treatment.
52240.........  ............  A...........  Cystoscopy and            9.71           NA           NA          4.34         3.82         0.69         000
                                             treatment.
52250.........  ............  A...........  Cystoscopy and            4.49           NA           NA          2.30         1.97         0.32         000
                                             radiotracer.
52260.........  ............  A...........  Cystoscopy and            3.91           NA           NA          1.93         1.67         0.28         000
                                             treatment.
52265.........  ............  A...........  Cystoscopy and            2.94         7.49        10.42          1.47         1.29         0.22         000
                                             treatment.
52270.........  ............  A...........  Cystoscopy &              3.36         7.02         9.03          1.74         1.49         0.24         000
                                             revise urethra.
52275.........  ............  A...........  Cystoscopy &              4.69         9.30        12.43          2.27         1.96         0.33         000
                                             revise urethra.
52276.........  ............  A...........  Cystoscopy and            4.99           NA           NA          2.44         2.11         0.35         000
                                             treatment.
52277.........  ............  A...........  Cystoscopy and            6.16           NA           NA          2.90         2.56         0.44         000
                                             treatment.
52281.........  ............  A...........  Cystoscopy and            2.80         5.29         6.19          1.54         1.31         0.20         000
                                             treatment.
52282.........  ............  A...........  Cystoscopy,               6.39           NA           NA          2.96         2.60         0.45         000
                                             implant stent.
52283.........  ............  A...........  Cystoscopy and            3.73         4.06         4.00          1.86         1.62         0.26         000
                                             treatment.
52285.........  ............  A...........  Cystoscopy and            3.60         4.33         4.17          1.83         1.58         0.26         000
                                             treatment.
52290.........  ............  A...........  Cystoscopy and            4.58           NA           NA          2.26         1.95         0.32         000
                                             treatment.
52300.........  ............  A...........  Cystoscopy and            5.30           NA           NA          2.56         2.23         0.38         000
                                             treatment.
52301.........  ............  A...........  Cystoscopy and            5.50           NA           NA          2.68         2.33         0.46         000
                                             treatment.
52305.........  ............  A...........  Cystoscopy and            5.30           NA           NA          2.49         2.17         0.38         000
                                             treatment.
52310.........  ............  A...........  Cystoscopy and            2.81         4.00         4.35          1.43         1.23         0.20         000
                                             treatment.
52315.........  ............  A...........  Cystoscopy and            5.20         6.63         7.65          2.47         2.15         0.37         000
                                             treatment.
52317.........  ............  A...........  Remove bladder            6.71        17.07        23.01          2.99         2.64         0.48         000
                                             stone.
52318.........  ............  A...........  Remove bladder            9.18           NA           NA          4.04         3.57         0.65         000
                                             stone.
52320.........  ............  A...........  Cystoscopy and            4.69           NA           NA          2.21         1.92         0.33         000
                                             treatment.
52325.........  ............  A...........  Cystoscopy, stone         6.15           NA           NA          2.78         2.45         0.44         000
                                             removal.
52327.........  ............  A...........  Cystoscopy, inject        5.18         2.04        16.94          2.04         1.93         0.37         000
                                             material.
52330.........  ............  A...........  Cystoscopy and            5.03        20.41        29.63          2.35         2.05         0.36         000
                                             treatment.
52332.........  ............  A...........  Cystoscopy and            2.83        12.42         9.08          1.55         1.30         0.21         000
                                             treatment.
52334.........  ............  A...........  Create passage to         4.82           NA           NA          2.33         2.03         0.35         000
                                             kidney.
52341.........  ............  A...........  Cysto w/ureter            6.11           NA           NA          3.04         2.63         0.43         000
                                             stricture tx.
52342.........  ............  A...........  Cysto w/up                6.61           NA           NA          3.25         2.80         0.46         000
                                             stricture tx.
52343.........  ............  A...........  Cysto w/renal             7.31           NA           NA          3.49         3.04         0.51         000
                                             stricture tx.
52344.........  ............  A...........  Cysto/uretero,            7.81           NA           NA          3.90         3.35         0.55         000
                                             stricture tx.
52345.........  ............  A...........  Cysto/uretero w/up        8.31           NA           NA          4.11         3.53         0.58         000
                                             stricture.
52346.........  ............  A...........  Cystouretero w/           9.34           NA           NA          4.51         3.90         0.65         000
                                             renal strict.
52351.........  ............  A...........  Cystouretero & or         5.85           NA           NA          2.95         2.55         0.41         000
                                             pyeloscope.
52352.........  ............  A...........  Cystouretero w/           6.87           NA           NA          3.46         2.98         0.49         000
                                             stone remove.
52353.........  ............  A...........  Cystouretero w/           7.96           NA           NA          3.90         3.38         0.57         000
                                             lithotripsy.
52354.........  ............  A...........  Cystouretero w/           7.33           NA           NA          3.64         3.16         0.52         000
                                             biopsy.
52355.........  ............  A...........  Cystouretero w/           8.81           NA           NA          4.24         3.69         0.63         000
                                             excise tumor.
52400.........  ............  A...........  Cystouretero w/          10.06           NA           NA          5.39         4.56         0.68         090
                                             congen repr.
52402.........  ............  A...........  Cystourethro cut          5.27           NA           NA          2.15         1.92         0.40         000
                                             ejacul duct.
52450.........  ............  A...........  Incision of               7.63           NA           NA          5.48         4.58         0.54         090
                                             prostate.
52500.........  ............  A...........  Revision of               9.39           NA           NA          6.18         5.05         0.60         090
                                             bladder neck.
52601.........  ............  A...........  Prostatectomy            15.13           NA           NA          8.43         6.76         0.87         090
                                             (TURP).
52606.........  ............  A...........  Control postop            8.84           NA           NA          5.48         4.52         0.57         090
                                             bleeding.
52612.........  ............  A...........  Prostatectomy,            9.07           NA           NA          5.88         4.81         0.56         090
                                             first stage.
52614.........  ............  A...........  Prostatectomy,            7.81           NA           NA          5.37         4.36         0.48         090
                                             second stage.
52620.........  ............  A...........  Remove residual           7.19           NA           NA          4.61         3.80         0.47         090
                                             prostate.
52630.........  ............  A...........  Remove prostate           7.65           NA           NA          4.80         3.99         0.51         090
                                             regrowth.
52640.........  ............  A...........  Relieve bladder           6.89           NA           NA          4.41         3.69         0.47         090
                                             contracture.
52647.........  ............  A...........  Laser surgery of         11.15        41.95        57.97          6.89         5.71         0.73         090
                                             prostate.
52648.........  ............  A...........  Laser surgery of         12.00        42.49        58.24          7.22         6.00         0.79         090
                                             prostate.
52649.........  ............  A...........  2Prostate laser          17.16           NA           NA          9.32         9.32         1.11         090
                                             enucleation.
52700.........  ............  A...........  Drainage of               7.39           NA           NA          4.90         4.04         0.48         090
                                             prostate abscess.
53000.........  ............  A...........  Incision of               2.30           NA           NA          1.78         1.66         0.16         010
                                             urethra.
53010.........  ............  A...........  Incision of               4.35           NA           NA          3.83         3.37         0.24         090
                                             urethra.
53020.........  ............  A...........  Incision of               1.77           NA           NA          0.95         0.81         0.13         000
                                             urethra.
53025.........  ............  A...........  Incision of               1.13           NA           NA          0.82         0.66         0.08         000
                                             urethra.
53040.........  ............  A...........  Drainage of               6.49           NA           NA          4.40         3.92         0.45         090
                                             urethra abscess.
53060.........  ............  A...........  Drainage of               2.65         2.09         2.09          1.54         1.45         0.28         010
                                             urethra abscess.
53080.........  ............  A...........  Drainage of               6.82           NA           NA          4.97         5.46         0.52         090
                                             urinary leakage.

[[Page 2630]]

 
53085.........  ............  A...........  Drainage of              11.05           NA           NA          4.41         5.91         0.92         090
                                             urinary leakage.
53200.........  ............  A...........  Biopsy of urethra.        2.59         1.70         1.51          1.29         1.14         0.20         000
53210.........  ............  A...........  Removal of urethra       13.59           NA           NA          7.76         6.80         0.89         090
53215.........  ............  A...........  Removal of urethra       16.72           NA           NA          9.12         7.88         1.10         090
53220.........  ............  A...........  Treatment of              7.53           NA           NA          4.98         4.35         0.49         090
                                             urethra lesion.
53230.........  ............  A...........  Removal of urethra       10.31           NA           NA          6.37         5.54         0.73         090
                                             lesion.
53235.........  ............  A...........  Removal of urethra       10.86           NA           NA          6.92         5.91         0.72         090
                                             lesion.
53240.........  ............  A...........  Surgery for               6.98           NA           NA          4.87         4.20         0.52         090
                                             urethra pouch.
53250.........  ............  A...........  Removal of urethra        6.42           NA           NA          4.38         3.84         0.49         090
                                             gland.
53260.........  ............  A...........  Treatment of              3.00         2.45         2.35          1.84         1.63         0.25         010
                                             urethra lesion.
53265.........  ............  A...........  Treatment of              3.14         2.94         2.82          1.98         1.70         0.24         010
                                             urethra lesion.
53270.........  ............  A...........  Removal of urethra        3.11         2.46         2.33          1.84         1.69         0.30         010
                                             gland.
53275.........  ............  A...........  Repair of urethra         4.54           NA           NA          2.77         2.51         0.32         010
                                             defect.
53400.........  ............  A...........  Revise urethra,          13.98           NA           NA          8.17         7.10         0.98         090
                                             stage 1.
53405.........  ............  A...........  Revise urethra,          15.51           NA           NA          8.69         7.50         1.10         090
                                             stage 2.
53410.........  ............  A...........  Reconstruction of        17.53           NA           NA          9.68         8.36         1.16         090
                                             urethra.
53415.........  ............  A...........  Reconstruction of        20.55           NA           NA         10.70         9.01         1.37         090
                                             urethra.
53420.........  ............  A...........  Reconstruct              15.04           NA           NA          7.12         6.70         0.96         090
                                             urethra, stage 1.
53425.........  ............  A...........  Reconstruct              16.94           NA           NA          9.00         7.94         1.13         090
                                             urethra, stage 2.
53430.........  ............  A...........  Reconstruction of        17.30           NA           NA          8.81         7.90         1.15         090
                                             urethra.
53431.........  ............  A...........  Reconstruct              21.03           NA           NA         10.98         9.52         1.41         090
                                             urethra/bladder.
53440.........  ............  A...........  Male sling               15.34           NA           NA          9.19         7.58         0.96         090
                                             procedure.
53442.........  ............  A...........  Remove/revise male       13.29           NA           NA          8.36         6.90         0.82         090
                                             sling.
53444.........  ............  A...........  Insert tandem cuff       14.06           NA           NA          8.02         6.95         0.94         090
53445.........  ............  A...........  Insert uro/ves nck       15.21           NA           NA          8.75         7.92         0.99         090
                                             sphincter.
53446.........  ............  A...........  Remove uro               10.89           NA           NA          7.00         6.11         0.72         090
                                             sphincter.
53447.........  ............  A...........  Remove/replace ur        14.15           NA           NA          8.38         7.40         0.95         090
                                             sphincter.
53448.........  ............  A...........  Remov/replc ur           23.26           NA           NA         12.33        10.69         1.50         090
                                             sphinctr comp.
53449.........  ............  A...........  Repair uro               10.43           NA           NA          6.61         5.66         0.68         090
                                             sphincter.
53450.........  ............  A...........  Revision of               6.67           NA           NA          4.75         4.02         0.43         090
                                             urethra.
53460.........  ............  A...........  Revision of               7.65           NA           NA          5.05         4.37         0.50         090
                                             urethra.
53500.........  ............  A...........  Urethrlys,               12.87           NA           NA          7.41         6.81         0.90         090
                                             transvag w/ scope.
53502.........  ............  A...........  Repair of urethra         8.16           NA           NA          5.10         4.54         0.62         090
                                             injury.
53505.........  ............  A...........  Repair of urethra         8.16           NA           NA          5.38         4.62         0.54         090
                                             injury.
53510.........  ............  A...........  Repair of urethra        10.83           NA           NA          6.83         6.00         0.74         090
                                             injury.
53515.........  ............  A...........  Repair of urethra        14.09           NA           NA          7.96         6.95         1.05         090
                                             injury.
53520.........  ............  A...........  Repair of urethra         9.35           NA           NA          6.20         5.34         0.61         090
                                             defect.
53600.........  ............  A...........  Dilate urethra            1.21         1.15         1.14          0.57         0.50         0.09         000
                                             stricture.
53601.........  ............  A...........  Dilate urethra            0.98         1.36         1.32          0.52         0.44         0.07         000
                                             stricture.
53605.........  ............  A...........  Dilate urethra            1.28           NA           NA          0.51         0.46         0.09         000
                                             stricture.
53620.........  ............  A...........  Dilate urethra            1.62         1.70         1.85          0.83         0.71         0.11         000
                                             stricture.
53621.........  ............  A...........  Dilate urethra            1.35         1.81         1.94          0.67         0.58         0.10         000
                                             stricture.
53660.........  ............  A...........  Dilation of               0.71         1.32         1.31          0.45         0.38         0.05         000
                                             urethra.
53661.........  ............  A...........  Dilation of               0.72         1.29         1.30          0.41         0.35         0.05         000
                                             urethra.
53665.........  ............  A...........  Dilation of               0.76           NA           NA          0.27         0.26         0.06         000
                                             urethra.
53850.........  ............  A...........  Prostatic                 9.98        49.25        71.68          5.86         4.90         0.67         090
                                             microwave
                                             thermotx.
53852.........  ............  A...........  Prostatic rf             10.68        46.37        67.60          6.66         5.51         0.70         090
                                             thermotx.
53853.........  ............  A...........  Prostatic water           5.54        29.10        42.24          4.35         3.60         0.37         090
                                             thermother.
53899.........  ............  C...........  Urology surgery           0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
54000.........  ............  A...........  Slitting of               1.56         2.70         2.80          1.48         1.20         0.11         010
                                             prepuce.
54001.........  ............  A...........  Slitting of               2.21         3.06         3.12          1.67         1.39         0.15         010
                                             prepuce.
54015.........  ............  A...........  Drain penis lesion        5.33           NA           NA          3.21         2.88         0.38         010
54050.........  ............  A...........  Destruction, penis        1.26         2.10         1.88          1.39         1.21         0.08         010
                                             lesion(s).
54055.........  ............  A...........  Destruction, penis        1.23         1.97         1.77          1.23         1.02         0.08         010
                                             lesion(s).
54056.........  ............  A...........  Cryosurgery, penis        1.26         2.37         2.03          1.53         1.33         0.06         010
                                             lesion(s).
54057.........  ............  A...........  Laser surg, penis         1.26         2.63         2.42          1.37         1.10         0.09         010
                                             lesion(s).
54060.........  ............  A...........  Excision of penis         1.95         3.09         3.10          1.64         1.35         0.13         010
                                             lesion(s).
54065.........  ............  A...........  Destruction, penis        2.44         3.30         2.97          2.00         1.61         0.13         010
                                             lesion(s).
54100.........  ............  A...........  Biopsy of penis...        1.90         3.35         3.08          1.36         1.09         0.10         000
54105.........  ............  A...........  Biopsy of penis...        3.51         3.98         4.13          2.43         2.18         0.25         010
54110.........  ............  A...........  Treatment of penis       10.79           NA           NA          6.72         5.74         0.72         090
                                             lesion.
54111.........  ............  A...........  Treat penis              14.29           NA           NA          8.03         6.90         0.96         090
                                             lesion, graft.
54112.........  ............  A...........  Treat penis              16.83           NA           NA          9.31         8.05         1.11         090
                                             lesion, graft.
54115.........  ............  A...........  Treatment of penis        6.82         5.76         5.07          4.94         4.20         0.43         090
                                             lesion.
54120.........  ............  A...........  Partial removal of       10.88           NA           NA          6.72         5.70         0.68         090
                                             penis.
54125.........  ............  A...........  Removal of penis..       14.43           NA           NA          8.07         6.95         0.95         090
54130.........  ............  A...........  Remove penis &           21.66           NA           NA         11.58         9.87         1.52         090
                                             nodes.
54135.........  ............  A...........  Remove penis &           27.99           NA           NA         14.11        12.14         1.88         090
                                             nodes.
54150.........  ............  A...........  Circumcision w/           1.90         2.40         3.13          0.73         0.73         0.16         000
                                             regionl block.
54160.........  ............  A...........  Circumcision,             2.50         3.80         3.97          1.48         1.28         0.19         010
                                             neonate.
54161.........  ............  A...........  Circum 28 days or         3.29           NA           NA          2.20         1.88         0.23         010
                                             older.
54162.........  ............  A...........  Lysis penil               3.27         4.01         4.33          2.26         1.85         0.21         010
                                             circumic lesion.

[[Page 2631]]

 
54163.........  ............  A...........  Repair of                 3.27           NA           NA          2.85         2.43         0.21         010
                                             circumcision.
54164.........  ............  A...........  Frenulotomy of            2.77           NA           NA          2.66         2.25         0.18         010
                                             penis.
54200.........  ............  A...........  Treatment of penis        1.08         2.02         1.91          1.30         1.14         0.08         010
                                             lesion.
54205.........  ............  A...........  Treatment of penis        8.84           NA           NA          6.06         5.37         0.56         090
                                             lesion.
54220.........  ............  A...........  Treatment of penis        2.42         3.32         3.58          1.35         1.15         0.17         000
                                             lesion.
54230.........  ............  A...........  Prepare penis             1.34         1.40         1.24          0.91         0.77         0.09         000
                                             study.
54231.........  ............  A...........  Dynamic                   2.04         1.97         1.67          1.24         1.06         0.16         000
                                             cavernosometry.
54235.........  ............  A...........  Penile injection..        1.19         1.39         1.17          0.89         0.73         0.08         000
54240.........  ............  A...........  Penis study.......        1.31         1.51         1.26            NA           NA         0.17         000
54240.........  TC..........  A...........  Penis study.......        0.00         1.03         0.81            NA           NA         0.06         000
54240.........  26..........  A...........  Penis study.......        1.31         0.48         0.45          0.48         0.45         0.11         000
54250.........  ............  A...........  Penis study.......        2.22         1.22         1.06            NA           NA         0.18         000
54250.........  TC..........  A...........  Penis study.......        0.00         0.37         0.28            NA           NA         0.02         000
54250.........  26..........  A...........  Penis study.......        2.22         0.85         0.78          0.85         0.78         0.16         000
54300.........  ............  A...........  Revision of penis.       11.07           NA           NA          6.70         6.14         0.76         090
54304.........  ............  A...........  Revision of penis.       13.15           NA           NA          7.80         7.06         0.88         090
54308.........  ............  A...........  Reconstruction of        12.49           NA           NA          4.76         5.36         0.84         090
                                             urethra.
54312.........  ............  A...........  Reconstruction of        14.36           NA           NA          8.87         7.93         1.24         090
                                             urethra.
54316.........  ............  A...........  Reconstruction of        17.90           NA           NA          9.94         8.94         1.21         090
                                             urethra.
54318.........  ............  A...........  Reconstruction of        12.28           NA           NA          4.83         5.31         1.39         090
                                             urethra.
54322.........  ............  A...........  Reconstruction of        13.85           NA           NA          7.94         7.20         0.92         090
                                             urethra.
54324.........  ............  A...........  Reconstruction of        17.40           NA           NA          9.75         8.85         1.14         090
                                             urethra.
54326.........  ............  A...........  Reconstruction of        16.87           NA           NA          9.16         8.47         1.11         090
                                             urethra.
54328.........  ............  A...........  Revise penis/            16.74           NA           NA          9.48         8.36         0.98         090
                                             urethra.
54332.........  ............  A...........  Revise penis/            18.22           NA           NA         10.07         8.90         1.21         090
                                             urethra.
54336.........  ............  A...........  Revise penis/            21.44           NA           NA          7.31         8.80         2.21         090
                                             urethra.
54340.........  ............  A...........  Secondary urethral        9.58           NA           NA          6.36         5.70         0.63         090
                                             surgery.
54344.........  ............  A...........  Secondary urethral       16.91           NA           NA          9.54         8.64         1.54         090
                                             surgery.
54348.........  ............  A...........  Secondary urethral       18.17           NA           NA         10.13         9.23         1.23         090
                                             surgery.
54352.........  ............  A...........  Reconstruct              25.95           NA           NA         14.00        12.59         2.25         090
                                             urethra/penis.
54360.........  ............  A...........  Penis plastic            12.65           NA           NA          7.45         6.74         0.84         090
                                             surgery.
54380.........  ............  A...........  Repair penis......       14.03           NA           NA          8.04         7.32         0.93         090
54385.........  ............  A...........  Repair penis......       16.38           NA           NA         11.31         9.78         0.86         090
54390.........  ............  A...........  Repair penis and         22.59           NA           NA          7.42         8.42         1.54         090
                                             bladder.
54400.........  ............  A...........  Insert semi-rigid         9.09           NA           NA          5.75         5.05         0.64         090
                                             prosthesis.
54401.........  ............  A...........  Insert self-contd        10.26           NA           NA          8.15         6.94         0.73         090
                                             prosthesis.
54405.........  ............  A...........  Insert multi-comp        14.39           NA           NA          8.12         7.02         0.95         090
                                             penis pros.
54406.........  ............  A...........  Remove muti-comp         12.76           NA           NA          7.60         6.51         0.86         090
                                             penis pros.
54408.........  ............  A...........  Repair multi-comp        13.73           NA           NA          8.25         6.99         0.90         090
                                             penis pros.
54410.........  ............  A...........  Remove/replace           16.48           NA           NA          9.35         7.98         1.10         090
                                             penis prosth.
54411.........  ............  A...........  Remov/replc penis        18.14           NA           NA         10.41         8.72         1.13         090
                                             pros, comp.
54415.........  ............  A...........  Remove self-contd         8.75           NA           NA          6.00         5.10         0.58         090
                                             penis pros.
54416.........  ............  A...........  Remv/repl penis          11.87           NA           NA          7.90         6.64         0.77         090
                                             contain pros.
54417.........  ............  A...........  Remv/replc penis         15.94           NA           NA          9.10         7.63         1.00         090
                                             pros, compl.
54420.........  ............  A...........  Revision of penis.       12.26           NA           NA          7.39         6.48         0.81         090
54430.........  ............  A...........  Revision of penis.       10.93           NA           NA          6.97         6.03         0.72         090
54435.........  ............  A...........  Revision of penis.        6.71           NA           NA          4.99         4.30         0.43         090
54440.........  ............  C...........  Repair of penis...        0.00         0.00         0.00          0.00         0.00         0.00         090
54450.........  ............  A...........  Preputial                 1.12         0.85         0.90          0.48         0.46         0.08         000
                                             stretching.
54500.........  ............  A...........  Biopsy of testis..        1.31           NA           NA          0.76         0.66         0.10         000
54505.........  ............  A...........  Biopsy of testis..        3.47           NA           NA          2.44         2.18         0.27         010
54512.........  ............  A...........  Excise lesion             9.23           NA           NA          5.67         4.90         0.67         090
                                             testis.
54520.........  ............  A...........  Removal of testis.        5.25           NA           NA          3.72         3.25         0.50         090
54522.........  ............  A...........  Orchiectomy,             10.15           NA           NA          5.59         5.22         0.89         090
                                             partial.
54530.........  ............  A...........  Removal of testis.        9.31           NA           NA          6.06         5.15         0.66         090
54535.........  ............  A...........  Extensive testis         13.06           NA           NA          6.91         6.22         0.95         090
                                             surgery.
54550.........  ............  A...........  Exploration for           8.31           NA           NA          5.21         4.51         0.59         090
                                             testis.
54560.........  ............  A...........  Exploration for          11.97           NA           NA          6.87         6.01         0.90         090
                                             testis.
54600.........  ............  A...........  Reduce testis             7.54           NA           NA          5.11         4.33         0.51         090
                                             torsion.
54620.........  ............  A...........  Suspension of             5.16           NA           NA          3.22         2.83         0.37         010
                                             testis.
54640.........  ............  A...........  Suspension of             7.57           NA           NA          5.35         4.54         0.62         090
                                             testis.
54650.........  ............  A...........  Orchiopexy (Fowler-      12.24           NA           NA          5.66         5.53         1.16         090
                                             Stephens).
54660.........  ............  A...........  Revision of testis        5.64           NA           NA          4.35         3.67         0.44         090
54670.........  ............  A...........  Repair testis             6.57           NA           NA          4.79         4.16         0.47         090
                                             injury.
54680.........  ............  A...........  Relocation of            13.91           NA           NA          7.70         6.92         1.16         090
                                             testis(es).
54690.........  ............  A...........  Laparoscopy,             11.60           NA           NA          5.59         5.26         1.02         090
                                             orchiectomy.
54692.........  ............  A...........  Laparoscopy,             13.64           NA           NA          7.56         6.49         1.30         090
                                             orchiopexy.
54699.........  ............  C...........  Laparoscope proc,         0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             testis.
54700.........  ............  A...........  Drainage of               3.44           NA           NA          2.37         2.16         0.28         010
                                             scrotum.
54800.........  ............  A...........  Biopsy of                 2.33           NA           NA          1.22         1.06         0.23         000
                                             epididymis.
54830.........  ............  A...........  Remove epididymis         5.91           NA           NA          4.43         3.72         0.41         090
                                             lesion.
54840.........  ............  A...........  Remove epididymis         5.22           NA           NA          3.80         3.29         0.37         090
                                             lesion.

[[Page 2632]]

 
54860.........  ............  A...........  Removal of                6.85           NA           NA          4.87         4.09         0.45         090
                                             epididymis.
54861.........  ............  A...........  Removal of                9.57           NA           NA          6.25         5.28         0.63         090
                                             epididymis.
54865.........  ............  A...........  Explore epididymis        5.67           NA           NA          4.26         3.60         0.40         090
54900.........  ............  A...........  Fusion of                14.05           NA           NA          5.24         5.52         0.93         090
                                             spermatic ducts.
54901.........  ............  A...........  Fusion of                18.92           NA           NA         10.51         9.01         1.83         090
                                             spermatic ducts.
55000.........  ............  A...........  Drainage of               1.43         1.85         1.96          0.91         0.78         0.11         000
                                             hydrocele.
55040.........  ............  A...........  Removal of                5.39           NA           NA          3.96         3.42         0.43         090
                                             hydrocele.
55041.........  ............  A...........  Removal of                8.41           NA           NA          5.68         4.82         0.60         090
                                             hydroceles.
55060.........  ............  A...........  Repair of                 6.05           NA           NA          4.45         3.76         0.46         090
                                             hydrocele.
55100.........  ............  A...........  Drainage of               2.40         3.49         3.58          2.11         1.83         0.17         010
                                             scrotum abscess.
55110.........  ............  A...........  Explore scrotum...        6.23           NA           NA          4.48         3.80         0.43         090
55120.........  ............  A...........  Removal of scrotum        5.62           NA           NA          4.21         3.58         0.39         090
                                             lesion.
55150.........  ............  A...........  Removal of scrotum        8.01           NA           NA          5.45         4.64         0.56         090
55175.........  ............  A...........  Revision of               5.77           NA           NA          4.34         3.67         0.37         090
                                             scrotum.
55180.........  ............  A...........  Revision of              11.63           NA           NA          7.27         6.32         0.90         090
                                             scrotum.
55200.........  ............  A...........  Incision of sperm         4.50         8.01        10.17          3.30         2.84         0.33         090
                                             duct.
55250.........  ............  A...........  Removal of sperm          3.32         7.83         9.65          3.06         2.64         0.25         090
                                             duct(s).
55300.........  ............  A...........  Prepare, sperm            3.50           NA           NA          1.75         1.53         0.25         000
                                             duct x-ray.
55400.........  ............  A...........  Repair of sperm           8.53           NA           NA          5.41         4.73         0.64         090
                                             duct.
55450.........  ............  A...........  Ligation of sperm         4.38         5.46         6.23          2.57         2.22         0.29         010
                                             duct.
55500.........  ............  A...........  Removal of                6.12           NA           NA          4.20         3.64         0.55         090
                                             hydrocele.
55520.........  ............  A...........  Removal of sperm          6.56           NA           NA          3.82         3.53         0.75         090
                                             cord lesion.
55530.........  ............  A...........  Revise spermatic          5.69           NA           NA          4.09         3.55         0.45         090
                                             cord veins.
55535.........  ............  A...........  Revise spermatic          7.09           NA           NA          4.83         4.11         0.47         090
                                             cord veins.
55540.........  ............  A...........  Revise hernia &           8.20           NA           NA          4.25         4.02         0.94         090
                                             sperm veins.
55550.........  ............  A...........  Laparo ligate             7.10           NA           NA          4.55         3.92         0.57         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         6.91           NA           NA          4.90         4.11         0.62         090
                                             pouch.
55605.........  ............  A...........  Incise sperm duct         8.63           NA           NA          4.63         4.45         0.64         090
                                             pouch.
55650.........  ............  A...........  Remove sperm duct        12.52           NA           NA          7.40         6.33         0.92         090
                                             pouch.
55680.........  ............  A...........  Remove sperm pouch        5.59           NA           NA          3.93         3.45         0.47         090
                                             lesion.
55700.........  ............  A...........  Biopsy of prostate        2.58         3.71         3.95          1.32         0.98         0.11         000
55705.........  ............  A...........  Biopsy of prostate        4.58           NA           NA          2.85         2.57         0.32         010
55720.........  ............  A...........  Drainage of               7.67           NA           NA          4.89         4.35         0.95         090
                                             prostate abscess.
55725.........  ............  A...........  Drainage of               9.90           NA           NA          6.28         5.38         0.70         090
                                             prostate abscess.
55801.........  ............  A...........  Removal of               19.62           NA           NA         10.34         8.97         1.34         090
                                             prostate.
55810.........  ............  A...........  Extensive prostate       24.14           NA           NA         12.34        10.64         1.60         090
                                             surgery.
55812.........  ............  A...........  Extensive prostate       29.69           NA           NA         14.21        12.59         2.05         090
                                             surgery.
55815.........  ............  A...........  Extensive prostate       32.75           NA           NA         16.20        14.03         2.17         090
                                             surgery.
55821.........  ............  A...........  Removal of               15.63           NA           NA          8.67         7.43         1.01         090
                                             prostate.
55831.........  ............  A...........  Removal of               17.06           NA           NA          9.24         7.94         1.10         090
                                             prostate.
55840.........  ............  A...........  Extensive prostate       24.45           NA           NA         12.69        10.98         1.61         090
                                             surgery.
55842.........  ............  A...........  Extensive prostate       26.31           NA           NA         13.48        11.65         1.73         090
                                             surgery.
55845.........  ............  A...........  Extensive prostate       30.52           NA           NA         14.86        12.89         2.03         090
                                             surgery.
55860.........  ............  A...........  Surgical exposure,       15.71           NA           NA          8.54         7.47         1.02         090
                                             prostate.
55862.........  ............  A...........  Extensive prostate       19.89           NA           NA         10.70         9.27         1.49         090
                                             surgery.
55865.........  ............  A...........  Extensive prostate       24.39           NA           NA         12.41        10.83         1.63         090
                                             surgery.
55866.........  ............  A...........  Laparo radical           32.25           NA           NA         15.96        13.83         2.17         090
                                             prostatectomy.
55870.........  ............  A...........  Electroejaculation        2.58         2.49         2.01          1.45         1.27         0.16         000
55873.........  ............  A...........  Cryoablate               20.25           NA           NA         11.29        10.11         1.38         090
                                             prostate.
55875.........  ............  A...........  Transperi needle         13.31           NA           NA          7.84         6.84         0.89         090
                                             place, pros.
55876.........  ............  A...........  Place rt device/          1.73         2.07         2.07          1.05         1.05         0.28         000
                                             marker, pros.
55899.........  ............  C...........  Genital surgery           0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
55920.........  ............  A...........  Place needles             8.31           NA           NA          3.14         3.14         0.58         000
                                             pelvic for rt.
55970.........  ............  N...........  Sex                       0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             transformation, M
                                             to F.
55980.........  ............  N...........  Sex                       0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             transformation, F
                                             to M.
56405.........  ............  A...........  I & D of vulva/           1.46         1.18         1.25          1.16         1.15         0.17         010
                                             perineum.
56420.........  ............  A...........  Drainage of gland         1.41         1.52         1.90          0.78         0.91         0.16         010
                                             abscess.
56440.........  ............  A...........  Surgery for vulva         2.86           NA           NA          1.56         1.63         0.34         010
                                             lesion.
56441.........  ............  A...........  Lysis of labial           1.99         1.71         1.76          1.56         1.48         0.20         010
                                             lesion(s).
56442.........  ............  A...........  Hymenotomy........        0.68           NA           NA          0.52         0.51         0.08         000
56501.........  ............  A...........  Destroy, vulva            1.55         1.63         1.71          1.21         1.23         0.18         010
                                             lesions, sim.
56515.........  ............  A...........  Destroy vulva             3.03         2.40         2.47          1.74         1.78         0.33         010
                                             lesion/s compl.
56605.........  ............  A...........  Biopsy of vulva/          1.10         0.93         1.00          0.34         0.40         0.13         000
                                             perineum.
56606.........  ............  A...........  Biopsy of vulva/          0.55         0.36         0.43          0.15         0.19         0.07         ZZZ
                                             perineum.
56620.........  ............  A...........  Partial removal of        8.44           NA           NA          4.40         4.59         0.90         090
                                             vulva.
56625.........  ............  A...........  Complete removal          9.55           NA           NA          4.81         5.06         1.02         090
                                             of vulva.
56630.........  ............  A...........  Extensive vulva          14.67           NA           NA          6.28         6.56         1.49         090
                                             surgery.
56631.........  ............  A...........  Extensive vulva          18.81           NA           NA          7.79         8.30         1.96         090
                                             surgery.
56632.........  ............  A...........  Extensive vulva          21.61           NA           NA          9.30         9.41         2.39         090
                                             surgery.
56633.........  ............  A...........  Extensive vulva          19.47           NA           NA          7.80         8.20         1.98         090
                                             surgery.
56634.........  ............  A...........  Extensive vulva          20.48           NA           NA          8.19         8.81         2.17         090
                                             surgery.

[[Page 2633]]

 
56637.........  ............  A...........  Extensive vulva          24.57           NA           NA          9.31        10.19         2.61         090
                                             surgery.
56640.........  ............  A...........  Extensive vulva          24.65           NA           NA          8.84         9.73         2.89         090
                                             surgery.
56700.........  ............  A...........  Partial removal of        2.79           NA           NA          1.77         1.80         0.30         010
                                             hymen.
56740.........  ............  A...........  Remove vagina             4.83           NA           NA          2.33         2.45         0.56         010
                                             gland lesion.
56800.........  ............  A...........  Repair of vagina..        3.90           NA           NA          1.96         2.08         0.44         010
56805.........  ............  A...........  Repair clitoris...       19.75           NA           NA          7.69         8.55         2.15         090
56810.........  ............  A...........  Repair of perineum        4.26           NA           NA          2.04         2.17         0.49         010
56820.........  ............  A...........  Exam of vulva w/          1.50         1.19         1.25          0.53         0.59         0.18         000
                                             scope.
56821.........  ............  A...........  Exam/biopsy of            2.05         1.53         1.65          0.68         0.80         0.25         000
                                             vulva w/scope.
57000.........  ............  A...........  Exploration of            2.99           NA           NA          1.75         1.73         0.31         010
                                             vagina.
57010.........  ............  A...........  Drainage of pelvic        6.74           NA           NA          3.80         3.80         0.71         090
                                             abscess.
57020.........  ............  A...........  Drainage of pelvic        1.50         0.77         0.86          0.45         0.52         0.18         000
                                             fluid.
57022.........  ............  A...........  I & d vaginal             2.70           NA           NA          1.43         1.46         0.26         010
                                             hematoma, pp.
57023.........  ............  A...........  I & d vag                 5.13           NA           NA          2.37         2.47         0.58         010
                                             hematoma, non-ob.
57061.........  ............  A...........  Destroy vag               1.27         1.52         1.59          1.12         1.12         0.15         010
                                             lesions, simple.
57065.........  ............  A...........  Destroy vag               2.63         2.03         2.16          1.49         1.58         0.31         010
                                             lesions, complex.
57100.........  ............  A...........  Biopsy of vagina..        1.20         0.95         1.02          0.37         0.42         0.14         000
57105.........  ............  A...........  Biopsy of vagina..        1.71         1.59         1.69          1.33         1.37         0.20         010
57106.........  ............  A...........  Remove vagina             7.35           NA           NA          4.27         4.23         0.73         090
                                             wall, partial.
57107.........  ............  A...........  Remove vagina            24.43           NA           NA          9.06         9.76         2.72         090
                                             tissue, part.
57109.........  ............  A...........  Vaginectomy              28.25           NA           NA         10.26        10.75         3.22         090
                                             partial w/nodes.
57110.........  ............  A...........  Remove vagina            15.38           NA           NA          6.19         6.73         1.74         090
                                             wall, complete.
57111.........  ............  A...........  Remove vagina            28.25           NA           NA         10.43        11.53         3.18         090
                                             tissue, compl.
57112.........  ............  A...........  Vaginectomy w/           30.37           NA           NA         10.62        11.36         3.08         090
                                             nodes, compl.
57120.........  ............  A...........  Closure of vagina.        8.18           NA           NA          4.20         4.40         0.89         090
57130.........  ............  A...........  Remove vagina             2.44         1.96         2.06          1.47         1.50         0.29         010
                                             lesion.
57135.........  ............  A...........  Remove vagina             2.68         2.03         2.15          1.53         1.59         0.31         010
                                             lesion.
57150.........  ............  A...........  Treat vagina              0.55         0.58         0.84          0.15         0.18         0.07         000
                                             infection.
57155.........  ............  A...........  Insert uteri              6.79           NA           NA          3.49         4.03         0.43         090
                                             tandems/ovoids.
57160.........  ............  A...........  Insert pessary/           0.89         1.04         1.03          0.25         0.30         0.10         000
                                             other device.
57170.........  ............  A...........  Fitting of                0.91         0.57         1.02          0.25         0.29         0.11         000
                                             diaphragm/cap.
57180.........  ............  A...........  Treat vaginal             1.60         1.86         2.01          0.93         1.09         0.19         010
                                             bleeding.
57200.........  ............  A...........  Repair of vagina..        4.34           NA           NA          2.99         2.94         0.46         090
57210.........  ............  A...........  Repair vagina/            5.63           NA           NA          3.27         3.35         0.62         090
                                             perineum.
57220.........  ............  A...........  Revision of               4.77           NA           NA          3.01         3.06         0.51         090
                                             urethra.
57230.........  ............  A...........  Repair of urethral        6.22           NA           NA          3.64         3.52         0.54         090
                                             lesion.
57240.........  ............  A...........  Repair bladder &         11.42           NA           NA          5.49         4.65         0.62         090
                                             vagina.
57250.........  ............  A...........  Repair rectum &          11.42           NA           NA          5.04         4.31         0.65         090
                                             vagina.
57260.........  ............  A...........  Repair of vagina..       14.36           NA           NA          5.86         5.34         0.97         090
57265.........  ............  A...........  Extensive repair         15.86           NA           NA          6.33         6.18         1.32         090
                                             of vagina.
57267.........  ............  A...........  Insert mesh/pelvic        4.88           NA           NA          1.50         1.74         0.64         ZZZ
                                             flr addon.
57268.........  ............  A...........  Repair of bowel           7.47           NA           NA          4.34         4.26         0.79         090
                                             bulge.
57270.........  ............  A...........  Repair of bowel          13.57           NA           NA          5.84         6.04         1.42         090
                                             pouch.
57280.........  ............  A...........  Suspension of            16.62           NA           NA          6.97         7.17         1.68         090
                                             vagina.
57282.........  ............  A...........  Colpopexy,                7.84           NA           NA          4.50         4.50         1.02         090
                                             extraperitoneal.
57283.........  ............  A...........  Colpopexy,               11.58           NA           NA          5.12         5.52         1.02         090
                                             intraperitoneal.
57284.........  ............  A...........  Repair paravag           14.25           NA           NA          5.99         6.57         1.41         090
                                             defect, open.
57285.........  ............  A...........  Repair paravag           11.52           NA           NA          5.16         5.16         0.63         090
                                             defect, vag.
57287.........  ............  A...........  Revise/remove            11.49           NA           NA          6.35         5.92         0.90         090
                                             sling repair.
57288.........  ............  A...........  Repair bladder           14.01           NA           NA          7.02         6.46         1.12         090
                                             defect.
57289.........  ............  A...........  Repair bladder &         12.69           NA           NA          6.71         6.37         1.21         090
                                             vagina.
57291.........  ............  A...........  Construction of           8.54           NA           NA          4.90         4.91         0.93         090
                                             vagina.
57292.........  ............  A...........  Construct vagina         13.91           NA           NA          5.91         6.42         1.58         090
                                             with graft.
57295.........  ............  A...........  Revise vag graft          7.74           NA           NA          4.09         4.26         0.91         090
                                             via vagina.
57296.........  ............  A...........  Revise vag graft,        16.46           NA           NA          6.67         6.67         1.68         090
                                             open abd.
57300.........  ............  A...........  Repair rectum-            8.58           NA           NA          4.44         4.36         0.87         090
                                             vagina fistula.
57305.........  ............  A...........  Repair rectum-           15.24           NA           NA          6.20         6.23         1.73         090
                                             vagina fistula.
57307.........  ............  A...........  Fistula repair &         17.02           NA           NA          6.91         6.95         2.02         090
                                             colostomy.
57308.........  ............  A...........  Fistula repair,          10.48           NA           NA          4.96         5.03         1.14         090
                                             transperine.
57310.........  ............  A...........  Repair                    7.55           NA           NA          5.02         4.43         0.54         090
                                             urethrovaginal
                                             lesion.
57311.........  ............  A...........  Repair                    8.81           NA           NA          5.51         4.81         0.65         090
                                             urethrovaginal
                                             lesion.
57320.........  ............  A...........  Repair bladder-           8.78           NA           NA          5.28         4.82         0.69         090
                                             vagina lesion.
57330.........  ............  A...........  Repair bladder-          13.11           NA           NA          7.20         6.46         1.06         090
                                             vagina lesion.
57335.........  ............  A...........  Repair vagina.....       19.87           NA           NA          7.83         8.43         1.92         090
57400.........  ............  A...........  Dilation of vagina        2.27           NA           NA          1.00         1.05         0.26         000
57410.........  ............  A...........  Pelvic examination        1.75           NA           NA          0.91         0.90         0.18         000
57415.........  ............  A...........  Remove vaginal            2.44           NA           NA          1.49         1.46         0.24         010
                                             foreign body.
57420.........  ............  A...........  Exam of vagina w/         1.60         1.23         1.29          0.56         0.61         0.19         000
                                             scope.
57421.........  ............  A...........  Exam/biopsy of vag        2.20         1.59         1.72          0.72         0.84         0.27         000
                                             w/scope.
57423.........  ............  A...........  Repair paravag           16.00           NA           NA          6.52         6.52         1.65         090
                                             defect, lap.
57425.........  ............  A...........  Laparoscopy, surg,       16.93           NA           NA          6.91         6.77         1.76         090
                                             colpopexy.
57452.........  ............  A...........  Exam of cervix w/         1.50         1.18         1.23          0.74         0.75         0.18         000
                                             scope.

[[Page 2634]]

 
57454.........  ............  A...........  Bx/curett of              2.33         1.39         1.52          0.95         1.05         0.28         000
                                             cervix w/scope.
57455.........  ............  A...........  Biopsy of cervix w/       1.99         1.50         1.61          0.66         0.76         0.24         000
                                             scope.
57456.........  ............  A...........  Endocerv curettage        1.85         1.46         1.55          0.62         0.72         0.22         000
                                             w/scope.
57460.........  ............  A...........  Bx of cervix w/           2.83         4.28         5.06          1.09         1.23         0.34         000
                                             scope, leep.
57461.........  ............  A...........  Conz of cervix w/         3.43         4.57         5.34          1.05         1.26         0.41         000
                                             scope, leep.
57500.........  ............  A...........  Biopsy of cervix..        1.20         2.02         2.28          0.64         0.64         0.12         000
57505.........  ............  A...........  Endocervical              1.16         1.33         1.39          1.07         1.08         0.14         010
                                             curettage.
57510.........  ............  A...........  Cauterization of          1.90         1.30         1.43          0.90         0.97         0.23         010
                                             cervix.
57511.........  ............  A...........  Cryocautery of            1.92         1.60         1.71          1.27         1.32         0.23         010
                                             cervix.
57513.........  ............  A...........  Laser surgery of          1.92         1.57         1.64          1.28         1.34         0.23         010
                                             cervix.
57520.........  ............  A...........  Conization of             4.06         3.38         3.66          2.51         2.69         0.49         090
                                             cervix.
57522.........  ............  A...........  Conization of             3.62         2.77         2.96          2.25         2.35         0.41         090
                                             cervix.
57530.........  ............  A...........  Removal of cervix.        5.19           NA           NA          3.10         3.24         0.58         090
57531.........  ............  A...........  Removal of cervix,       29.77           NA           NA         10.86        12.02         3.35         090
                                             radical.
57540.........  ............  A...........  Removal of               13.19           NA           NA          5.44         5.84         1.49         090
                                             residual cervix.
57545.........  ............  A...........  Remove cervix/           14.00           NA           NA          5.72         6.20         1.52         090
                                             repair pelvis.
57550.........  ............  A...........  Removal of                6.24           NA           NA          3.61         3.72         0.67         090
                                             residual cervix.
57555.........  ............  A...........  Remove cervix/            9.84           NA           NA          4.75         4.92         1.09         090
                                             repair vagina.
57556.........  ............  A...........  Remove cervix,            9.26           NA           NA          4.61         4.73         0.92         090
                                             repair bowel.
57558.........  ............  A...........  D&c of cervical           1.69         1.35         1.41          1.05         1.09         0.20         010
                                             stump.
57700.........  ............  A...........  Revision of cervix        4.22           NA           NA          3.28         3.19         0.41         090
57720.........  ............  A...........  Revision of cervix        4.53           NA           NA          2.94         3.02         0.49         090
57800.........  ............  A...........  Dilation of               0.77         0.72         0.74          0.41         0.44         0.09         000
                                             cervical canal.
58100.........  ............  A...........  Biopsy of uterus          1.53         1.14         1.23          0.58         0.65         0.18         000
                                             lining.
58110.........  ............  A...........  Bx done w/                0.77         0.40         0.47          0.21         0.26         0.09         ZZZ
                                             colposcopy add-on.
58120.........  ............  A...........  Dilation and              3.54         2.70         2.50          1.66         1.77         0.39         010
                                             curettage.
58140.........  ............  A...........  Myomectomy abdom         15.69           NA           NA          6.18         6.64         1.82         090
                                             method.
58145.........  ............  A...........  Myomectomy vag            8.81           NA           NA          4.23         4.51         0.97         090
                                             method.
58146.........  ............  A...........  Myomectomy abdom         20.24           NA           NA          7.34         8.18         2.33         090
                                             complex.
58150.........  ............  A...........  Total hysterectomy       17.21           NA           NA          6.56         7.02         1.85         090
58152.........  ............  A...........  Total hysterectomy       21.73           NA           NA          8.03         8.95         2.48         090
58180.........  ............  A...........  Partial                  16.50           NA           NA          6.33         6.89         1.64         090
                                             hysterectomy.
58200.........  ............  A...........  Extensive                23.00           NA           NA          8.15         9.07         2.55         090
                                             hysterectomy.
58210.........  ............  A...........  Extensive                30.76           NA           NA         10.72        11.96         3.38         090
                                             hysterectomy.
58240.........  ............  A...........  Removal of pelvis        49.02           NA           NA         17.64        17.63         4.23         090
                                             contents.
58260.........  ............  A...........  Vaginal                  14.02           NA           NA          5.79         6.24         1.57         090
                                             hysterectomy.
58262.........  ............  A...........  Vag hyst including       15.81           NA           NA          6.23         6.81         1.80         090
                                             t/o.
58263.........  ............  A...........  Vag hyst w/t/o &         17.10           NA           NA          6.64         7.26         1.95         090
                                             vag repair.
58267.........  ............  A...........  Vag hyst w/urinary       18.23           NA           NA          6.97         7.67         2.07         090
                                             repair.
58270.........  ............  A...........  Vag hyst w/              15.20           NA           NA          5.93         6.50         1.74         090
                                             enterocele repair.
58275.........  ............  A...........  Hysterectomy/            16.90           NA           NA          6.61         7.19         1.92         090
                                             revise vagina.
58280.........  ............  A...........  Hysterectomy/            18.20           NA           NA          6.96         7.60         2.07         090
                                             revise vagina.
58285.........  ............  A...........  Extensive                23.30           NA           NA          7.94         8.94         2.71         090
                                             hysterectomy.
58290.........  ............  A...........  Vag hyst complex..       20.17           NA           NA          7.35         8.24         2.30         090
58291.........  ............  A...........  Vag hyst incl t/o,       21.96           NA           NA          7.82         8.85         2.53         090
                                             complex.
58292.........  ............  A...........  Vag hyst t/o &           23.25           NA           NA          8.21         9.29         2.68         090
                                             repair, compl.
58293.........  ............  A...........  Vag hyst w/uro           24.23           NA           NA          8.52         9.59         2.79         090
                                             repair, compl.
58294.........  ............  A...........  Vag hyst w/              21.45           NA           NA          7.51         8.53         2.40         090
                                             enterocele, compl.
58300.........  ............  N...........  Insert                    1.01         0.63         1.03          0.23         0.31         0.12         XXX
                                             intrauterine
                                             device.
58301.........  ............  A...........  Remove                    1.27         1.05         1.18          0.34         0.41         0.15         000
                                             intrauterine
                                             device.
58321.........  ............  A...........  Artificial                0.92         0.94         1.04          0.23         0.30         0.10         000
                                             insemination.
58322.........  ............  A...........  Artificial                1.10         1.03         1.12          0.31         0.36         0.13         000
                                             insemination.
58323.........  ............  A...........  Sperm washing.....        0.23         0.16         0.34          0.07         0.08         0.03         000
58340.........  ............  A...........  Catheter for              0.88         2.15         2.66          0.56         0.61         0.09         000
                                             hysterography.
58345.........  ............  A...........  Reopen fallopian          4.67           NA           NA          2.11         2.27         0.41         010
                                             tube.
58346.........  ............  A...........  Insert heyman             7.48           NA           NA          3.74         3.83         0.56         090
                                             uteri capsule.
58350.........  ............  A...........  Reopen fallopian          1.03         1.35         1.42          0.88         0.90         0.12         010
                                             tube.
58353.........  ............  A...........  Endometr ablate,          3.57        22.84        29.26          1.71         1.88         0.43         010
                                             thermal.
58356.........  ............  A...........  Endometrial               6.36        43.38        52.43          1.85         2.27         0.82         010
                                             cryoablation.
58400.........  ............  A...........  Suspension of             7.06           NA           NA          3.86         3.90         0.75         090
                                             uterus.
58410.........  ............  A...........  Suspension of            13.70           NA           NA          5.55         5.99         1.45         090
                                             uterus.
58520.........  ............  A...........  Repair of ruptured       13.38           NA           NA          5.49         5.76         1.47         090
                                             uterus.
58540.........  ............  A...........  Revision of uterus       15.61           NA           NA          6.15         6.55         1.79         090
58541.........  ............  A...........  Lsh, uterus 250 g        14.57           NA           NA          6.13         6.13         1.68         090
                                             or less.
58542.........  ............  A...........  Lsh w/t/o ut 250 g       16.43           NA           NA          6.64         6.64         1.69         090
                                             or less.
58543.........  ............  A...........  Lsh uterus above         16.74           NA           NA          6.71         6.71         1.73         090
                                             250 g.
58544.........  ............  A...........  Lsh w/t/o uterus         18.24           NA           NA          7.11         7.11         1.89         090
                                             above 250 g.
58545.........  ............  A...........  Laparoscopic             15.45           NA           NA          5.87         6.52         1.78         090
                                             myomectomy.
58546.........  ............  A...........  Laparo-myomectomy,       19.84           NA           NA          7.05         7.99         2.31         090
                                             complex.
58548.........  ............  A...........  Lap radical hyst..       31.45           NA           NA         12.47        12.47         3.52         090
58550.........  ............  A...........  Laparo-asst vag          14.97           NA           NA          6.13         6.71         1.73         090
                                             hysterectomy.
58552.........  ............  A...........  Laparo-vag hyst          16.78           NA           NA          6.56         7.29         1.73         090
                                             incl t/o.

[[Page 2635]]

 
58553.........  ............  A...........  Laparo-vag hyst,         19.96           NA           NA          7.09         8.00         2.31         090
                                             complex.
58554.........  ............  A...........  Laparo-vag hyst w/       22.98           NA           NA          8.24         9.32         2.28         090
                                             t/o, compl.
58555.........  ............  A...........  Hysteroscopy, dx,         3.33         2.76         2.48          1.23         1.39         0.40         000
                                             sep proc.
58558.........  ............  A...........  Hysteroscopy,             4.74         3.62         2.90          1.65         1.91         0.57         000
                                             biopsy.
58559.........  ............  A...........  Hysteroscopy,             6.16           NA           NA          2.04         2.39         0.74         000
                                             lysis.
58560.........  ............  A...........  Hysteroscopy,             6.99           NA           NA          2.32         2.70         0.84         000
                                             resect septum.
58561.........  ............  A...........  Hysteroscopy,             9.99           NA           NA          3.11         3.70         1.21         000
                                             remove myoma.
58562.........  ............  A...........  Hysteroscopy,             5.20         3.53         2.94          1.75         2.05         0.63         000
                                             remove fb.
58563.........  ............  A...........  Hysteroscopy,             6.16        37.26        46.74          2.04         2.40         0.74         000
                                             ablation.
58565.........  ............  A...........  Hysteroscopy,             7.06        41.99        45.79          3.37         3.64         1.19         090
                                             sterilization.
58570.........  ............  A...........  Tlh, uterus 250 g        15.75           NA           NA          6.46         6.46         1.82         090
                                             or less.
58571.........  ............  A...........  Tlh w/t/o 250 g or       17.56           NA           NA          6.95         6.95         1.81         090
                                             less.
58572.........  ............  A...........  Tlh, uterus over         19.96           NA           NA          7.60         7.60         2.31         090
                                             250 g.
58573.........  ............  A...........  Tlh w/t/o uterus         22.98           NA           NA          8.42         8.42         2.28         090
                                             over 250 g.
58578.........  ............  C...........  Laparo proc,              0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             uterus.
58579.........  ............  C...........  Hysteroscope              0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
58600.........  ............  A...........  Division of               5.86           NA           NA          2.92         3.13         0.66         090
                                             fallopian tube.
58605.........  ............  A...........  Division of               5.25           NA           NA          2.71         2.91         0.59         090
                                             fallopian tube.
58611.........  ............  A...........  Ligate oviduct(s)         1.45           NA           NA          0.40         0.48         0.18         ZZZ
                                             add-on.
58615.........  ............  A...........  Occlude fallopian         3.91           NA           NA          2.04         2.37         0.47         010
                                             tube(s).
58660.........  ............  A...........  Laparoscopy, lysis       11.54           NA           NA          4.49         4.88         1.40         090
58661.........  ............  A...........  Laparoscopy,             11.30           NA           NA          3.99         4.55         1.34         010
                                             remove adnexa.
58662.........  ............  A...........  Laparoscopy,             12.08           NA           NA          4.76         5.27         1.43         090
                                             excise lesions.
58670.........  ............  A...........  Laparoscopy, tubal        5.86           NA           NA          2.95         3.11         0.67         090
                                             cautery.
58671.........  ............  A...........  Laparoscopy, tubal        5.86           NA           NA          2.94         3.11         0.68         090
                                             block.
58672.........  ............  A...........  Laparoscopy,             12.88           NA           NA          4.78         5.48         1.60         090
                                             fimbrioplasty.
58673.........  ............  A...........  Laparoscopy,             13.99           NA           NA          5.13         5.85         1.70         090
                                             salpingostomy.
58679.........  ............  C...........  Laparo proc,              0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             oviduct-ovary.
58700.........  ............  A...........  Removal of               12.84           NA           NA          5.49         5.74         1.51         090
                                             fallopian tube.
58720.........  ............  A...........  Removal of ovary/        12.08           NA           NA          5.09         5.43         1.39         090
                                             tube(s).
58740.........  ............  A...........  Revise fallopian         14.79           NA           NA          6.05         6.59         1.72         090
                                             tube(s).
58750.........  ............  A...........  Repair oviduct....       15.56           NA           NA          6.05         6.71         1.85         090
58752.........  ............  A...........  Revise ovarian           15.56           NA           NA          5.99         6.47         1.81         090
                                             tube(s).
58760.........  ............  A...........  Remove tubal             13.85           NA           NA          5.59         6.15         1.80         090
                                             obstruction.
58770.........  ............  A...........  Create new tubal         14.69           NA           NA          5.75         6.33         1.74         090
                                             opening.
58800.........  ............  A...........  Drainage of               4.54         3.21         3.43          2.69         2.80         0.43         090
                                             ovarian cyst(s).
58805.........  ............  A...........  Drainage of               6.34           NA           NA          3.51         3.50         0.69         090
                                             ovarian cyst(s).
58820.........  ............  A...........  Drain ovary               4.62           NA           NA          2.90         3.10         0.52         090
                                             abscess, open.
58822.........  ............  A...........  Drain ovary              11.71           NA           NA          5.16         5.19         1.16         090
                                             abscess, percut.
58823.........  ............  A...........  Drain pelvic              3.37        20.00        20.67          1.16         1.14         0.24         000
                                             abscess, percut.
58825.........  ............  A...........  Transposition,           11.70           NA           NA          4.84         5.32         1.32         090
                                             ovary(s).
58900.........  ............  A...........  Biopsy of ovary(s)        6.51           NA           NA          3.55         3.56         0.69         090
58920.........  ............  A...........  Partial removal of       11.87           NA           NA          5.05         5.31         1.43         090
                                             ovary(s).
58925.........  ............  A...........  Removal of ovarian       12.33           NA           NA          5.25         5.47         1.41         090
                                             cyst(s).
58940.........  ............  A...........  Removal of                8.12           NA           NA          4.04         4.07         0.91         090
                                             ovary(s).
58943.........  ............  A...........  Removal of               19.42           NA           NA          7.18         7.91         2.23         090
                                             ovary(s).
58950.........  ............  A...........  Resect ovarian           18.24           NA           NA          7.25         7.82         2.05         090
                                             malignancy.
58951.........  ............  A...........  Resect ovarian           24.15           NA           NA          8.60         9.52         2.64         090
                                             malignancy.
58952.........  ............  A...........  Resect ovarian           27.15           NA           NA          9.82        10.79         3.03         090
                                             malignancy.
58953.........  ............  A...........  Tah, rad dissect         33.97           NA           NA         11.63        13.09         3.84         090
                                             for debulk.
58954.........  ............  A...........  Tah rad debulk/          36.97           NA           NA         12.52        14.12         4.18         090
                                             lymph remove.
58956.........  ............  A...........  Bso, omentectomy w/      22.65           NA           NA          8.59         9.45         4.01         090
                                             tah.
58957.........  ............  A...........  Resect recurrent         26.06           NA           NA          9.57         9.57         2.95         090
                                             gyn mal.
58958.........  ............  A...........  Resect recur gyn         29.06           NA           NA         10.36        10.36         3.29         090
                                             mal w/lym.
58960.........  ............  A...........  Exploration of           15.68           NA           NA          6.25         6.80         1.80         090
                                             abdomen.
58970.........  ............  A...........  Retrieval of              3.52         1.85         2.08          1.28         1.38         0.43         000
                                             oocyte.
58974.........  ............  C...........  Transfer of embryo        0.00         0.00         0.00          0.00         0.00         0.00         000
58976.........  ............  A...........  Transfer of embryo        3.82         1.94         2.31          1.20         1.51         0.47         000
58999.........  ............  C...........  Genital surgery           0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
59000.........  ............  A...........  Amniocentesis,            1.30         1.75         1.91          0.55         0.61         0.31         000
                                             diagnostic.
59001.........  ............  A...........  Amniocentesis,            3.00           NA           NA          1.07         1.24         0.71         000
                                             therapeutic.
59012.........  ............  A...........  Fetal cord                3.44           NA           NA          1.13         1.34         0.82         000
                                             puncture,prenatal.
59015.........  ............  A...........  Chorion biopsy....        2.20         1.42         1.48          0.79         0.92         0.52         000
59020.........  ............  A...........  Fetal contract            0.66         1.07         0.92            NA           NA         0.26         000
                                             stress test.
59020.........  TC..........  A...........  Fetal contract            0.00         0.89         0.70            NA           NA         0.10         000
                                             stress test.
59020.........  26..........  A...........  Fetal contract            0.66         0.18         0.22          0.18         0.22         0.16         000
                                             stress test.
59025.........  ............  A...........  Fetal non-stress          0.53         0.63         0.54            NA           NA         0.15         000
                                             test.
59025.........  TC..........  A...........  Fetal non-stress          0.00         0.48         0.36            NA           NA         0.02         000
                                             test.
59025.........  26..........  A...........  Fetal non-stress          0.53         0.15         0.18          0.15         0.18         0.13         000
                                             test.
59030.........  ............  A...........  Fetal scalp blood         1.99           NA           NA          0.46         0.61         0.47         000
                                             sample.
59050.........  ............  A...........  Fetal monitor w/          0.89           NA           NA          0.27         0.31         0.21         XXX
                                             report.
59051.........  ............  A...........  Fetal monitor/            0.74           NA           NA          0.20         0.25         0.17         XXX
                                             interpret only.

[[Page 2636]]

 
59070.........  ............  A...........  Transabdom                5.24         4.39         4.77          1.77         2.04         0.28         000
                                             amnioinfus w/us.
59072.........  ............  A...........  Umbilical cord            8.99           NA           NA          2.39         2.76         0.16         000
                                             occlud w/us.
59074.........  ............  A...........  Fetal fluid               5.24         3.61         4.09          1.53         1.92         0.28         000
                                             drainage w/us.
59076.........  ............  A...........  Fetal shunt               8.99           NA           NA          2.39         2.76         0.16         000
                                             placement, w/us.
59100.........  ............  A...........  Remove uterus            13.26           NA           NA          5.55         6.00         2.95         090
                                             lesion.
59120.........  ............  A...........  Treat ectopic            12.56           NA           NA          5.40         5.82         2.73         090
                                             pregnancy.
59121.........  ............  A...........  Treat ectopic            12.64           NA           NA          5.35         5.84         2.79         090
                                             pregnancy.
59130.........  ............  A...........  Treat ectopic            14.98           NA           NA          6.74         5.76         3.39         090
                                             pregnancy.
59135.........  ............  A...........  Treat ectopic            14.82           NA           NA          5.09         6.16         3.31         090
                                             pregnancy.
59136.........  ............  A...........  Treat ectopic            14.15           NA           NA          4.93         5.77         3.14         090
                                             pregnancy.
59140.........  ............  A...........  Treat ectopic             5.86           NA           NA          3.30         2.76         1.29         090
                                             pregnancy.
59150.........  ............  A...........  Treat ectopic            12.19           NA           NA          5.23         5.61         2.79         090
                                             pregnancy.
59151.........  ............  A...........  Treat ectopic            12.01           NA           NA          4.87         5.46         2.74         090
                                             pregnancy.
59160.........  ............  A...........  D & c after               2.73         1.99         2.64          1.17         1.65         0.64         010
                                             delivery.
59200.........  ............  A...........  Insert cervical           0.79         0.94         1.06          0.22         0.26         0.19         000
                                             dilator.
59300.........  ............  A...........  Episiotomy or             2.41         2.19         2.18          1.00         0.98         0.57         000
                                             vaginal repair.
59320.........  ............  A...........  Revision of cervix        2.48           NA           NA          1.00         1.12         0.59         000
59325.........  ............  A...........  Revision of cervix        4.06           NA           NA          1.44         1.67         0.88         000
59350.........  ............  A...........  Repair of uterus..        4.94           NA           NA          1.21         1.54         1.17         000
59400.........  ............  A...........  Obstetrical care..       26.80           NA           NA         14.09        14.71         5.50         MMM
59409.........  ............  A...........  Obstetrical care..       13.48           NA           NA          3.70         4.51         3.22         MMM
59410.........  ............  A...........  Obstetrical care..       15.29           NA           NA          4.92         5.61         3.52         MMM
59412.........  ............  A...........  Antepartum                1.71           NA           NA          0.64         0.72         0.40         MMM
                                             manipulation.
59414.........  ............  A...........  Deliver placenta..        1.61           NA           NA          0.44         0.54         0.38         MMM
59425.........  ............  A...........  Antepartum care           6.22         4.24         4.22          1.68         1.77         1.14         MMM
                                             only.
59426.........  ............  A...........  Antepartum care          11.04         7.79         7.67          2.99         3.11         1.98         MMM
                                             only.
59430.........  ............  A...........  Care after                2.13         1.08         1.15          0.71         0.82         0.50         MMM
                                             delivery.
59510.........  ............  A...........  Cesarean delivery.       30.34           NA           NA         15.98        16.63         6.25         MMM
59514.........  ............  A...........  Cesarean delivery        15.95           NA           NA          4.43         5.32         3.80         MMM
                                             only.
59515.........  ............  A...........  Cesarean delivery.       18.26           NA           NA          6.13         6.98         4.13         MMM
59525.........  ............  A...........  Remove uterus             8.53           NA           NA          2.25         2.78         1.95         ZZZ
                                             after cesarean.
59610.........  ............  A...........  Vbac delivery.....       28.21           NA           NA         14.94        15.41         5.87         MMM
59612.........  ............  A...........  Vbac delivery only       15.04           NA           NA          4.19         5.13         3.59         MMM
59614.........  ............  A...........  Vbac care after          16.59           NA           NA          5.11         6.02         3.89         MMM
                                             delivery.
59618.........  ............  A...........  Attempted vbac           31.78           NA           NA         16.37        17.30         6.61         MMM
                                             delivery.
59620.........  ............  A...........  Attempted vbac           17.50           NA           NA          4.66         5.71         4.17         MMM
                                             delivery only.
59622.........  ............  A...........  Attempted vbac           19.70           NA           NA          6.71         7.67         4.50         MMM
                                             after care.
59812.........  ............  A...........  Treatment of              4.39         3.10         2.82          2.36         2.45         0.95         090
                                             miscarriage.
59820.........  ............  A...........  Care of                   4.68         4.07         4.25          3.46         3.51         0.95         090
                                             miscarriage.
59821.........  ............  A...........  Treatment of              4.97         3.91         4.09          3.24         3.32         1.06         090
                                             miscarriage.
59830.........  ............  A...........  Treat uterus              6.51           NA           NA          3.44         3.71         1.44         090
                                             infection.
59840.........  ............  R...........  Abortion..........        3.01         2.00         2.06          1.77         1.95         0.71         010
59841.........  ............  R...........  Abortion..........        5.57         3.12         3.30          2.55         2.76         1.24         010
59850.........  ............  R...........  Abortion..........        5.90           NA           NA          2.46         2.86         1.28         090
59851.........  ............  R...........  Abortion..........        5.92           NA           NA          3.29         3.51         1.28         090
59852.........  ............  R...........  Abortion..........        8.23           NA           NA          3.82         4.43         1.81         090
59855.........  ............  R...........  Abortion..........        6.38           NA           NA          3.08         3.31         1.45         090
59856.........  ............  R...........  Abortion..........        7.74           NA           NA          3.32         3.69         1.79         090
59857.........  ............  R...........  Abortion..........        9.30           NA           NA          3.64         4.18         2.02         090
59866.........  ............  R...........  Abortion (mpr)....        3.99           NA           NA          1.36         1.63         0.87         000
59870.........  ............  A...........  Evacuate mole of          6.40           NA           NA          4.38         4.43         1.42         090
                                             uterus.
59871.........  ............  A...........  Remove cerclage           2.13           NA           NA          0.91         1.02         0.50         000
                                             suture.
59897.........  ............  C...........  Fetal invas px w/         0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             us.
59898.........  ............  C...........  Laparo proc, ob           0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             care/deliver.
59899.........  ............  C...........  Maternity care            0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
60000.........  ............  A...........  Drain thyroid/            1.78         2.09         2.01          1.70         1.70         0.15         010
                                             tongue cyst.
60100.........  ............  A...........  Biopsy of thyroid.        1.56         1.32         1.36          0.52         0.52         0.10         000
60200.........  ............  A...........  Remove thyroid            9.91           NA           NA          5.50         5.74         1.01         090
                                             lesion.
60210.........  ............  A...........  Partial thyroid          11.15           NA           NA          5.23         5.43         1.23         090
                                             excision.
60212.........  ............  A...........  Partial thyroid          16.32           NA           NA          6.95         7.31         1.95         090
                                             excision.
60220.........  ............  A...........  Partial removal of       12.29           NA           NA          5.67         5.91         1.32         090
                                             thyroid.
60225.........  ............  A...........  Partial removal of       14.67           NA           NA          6.92         7.16         1.64         090
                                             thyroid.
60240.........  ............  A...........  Removal of thyroid       16.18           NA           NA          6.40         6.99         1.86         090
60252.........  ............  A...........  Removal of thyroid       21.88           NA           NA          8.83         9.46         2.30         090
60254.........  ............  A...........  Extensive thyroid        28.29           NA           NA         11.22        12.69         2.61         090
                                             surgery.
60260.........  ............  A...........  Repeat thyroid           18.18           NA           NA          7.41         8.03         1.94         090
                                             surgery.
60270.........  ............  A...........  Removal of thyroid       23.07           NA           NA          9.33         9.89         2.33         090
60271.........  ............  A...........  Removal of thyroid       17.54           NA           NA          7.15         7.87         1.75         090
60280.........  ............  A...........  Remove thyroid            6.05           NA           NA          4.48         4.57         0.54         090
                                             duct lesion.
60281.........  ............  A...........  Remove thyroid            8.71           NA           NA          5.32         5.58         0.73         090
                                             duct lesion.
60300.........  ............  A...........  Aspir/inj thyroid         0.97         1.94         1.67          0.30         0.32         0.07         000
                                             cyst.
60500.........  ............  A...........  Explore                  16.69           NA           NA          6.86         7.13         2.01         090
                                             parathyroid
                                             glands.

[[Page 2637]]

 
60502.........  ............  A...........  Re-explore               21.01           NA           NA          8.61         8.99         2.54         090
                                             parathyroids.
60505.........  ............  A...........  Explore                  22.91           NA           NA          9.39        10.16         2.65         090
                                             parathyroid
                                             glands.
60512.........  ............  A...........  Autotransplant            4.44           NA           NA          1.21         1.41         0.53         ZZZ
                                             parathyroid.
60520.........  ............  A...........  Removal of thymus        17.07           NA           NA          7.01         7.65         2.20         090
                                             gland.
60521.........  ............  A...........  Removal of thymus        19.11           NA           NA          8.13         8.84         2.82         090
                                             gland.
60522.........  ............  A...........  Removal of thymus        23.37           NA           NA          9.61        10.44         3.27         090
                                             gland.
60540.........  ............  A...........  Explore adrenal          17.91           NA           NA          8.25         7.92         1.75         090
                                             gland.
60545.........  ............  A...........  Explore adrenal          20.82           NA           NA          8.95         8.74         2.08         090
                                             gland.
60600.........  ............  A...........  Remove carotid           24.99           NA           NA          8.83         9.90         2.20         090
                                             body lesion.
60605.........  ............  A...........  Remove carotid           31.86           NA           NA         12.14        12.20         2.50         090
                                             body lesion.
60650.........  ............  A...........  Laparoscopy              20.63           NA           NA          8.09         8.04         2.29         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            1.58           NA           NA          1.24         1.09         0.13         000
                                             cavity fluid.
61001.........  ............  A...........  Remove cranial            1.49           NA           NA          1.08         1.07         0.16         000
                                             cavity fluid.
61020.........  ............  A...........  Remove brain              1.51           NA           NA          1.63         1.48         0.34         000
                                             cavity fluid.
61026.........  ............  A...........  Injection into            1.69           NA           NA          1.30         1.34         0.33         000
                                             brain canal.
61050.........  ............  A...........  Remove brain canal        1.51           NA           NA          1.15         1.21         0.11         000
                                             fluid.
61055.........  ............  A...........  Injection into            2.10           NA           NA          1.33         1.37         0.17         000
                                             brain canal.
61070.........  ............  A...........  Brain canal shunt         0.89           NA           NA          1.16         1.08         0.17         000
                                             procedure.
61105.........  ............  A...........  Twist drill hole..        5.40           NA           NA          4.91         4.42         1.32         090
61107.........  ............  A...........  Drill skull for           4.99           NA           NA          1.83         2.18         1.29         000
                                             implantation.
61108.........  ............  A...........  Drill skull for          11.51           NA           NA          8.35         7.75         2.64         090
                                             drainage.
61120.........  ............  A...........  Burr hole for             9.52           NA           NA          6.78         6.39         2.10         090
                                             puncture.
61140.........  ............  A...........  Pierce skull for         17.10           NA           NA         10.42        10.15         4.12         090
                                             biopsy.
61150.........  ............  A...........  Pierce skull for         18.80           NA           NA         10.68        10.53         4.32         090
                                             drainage.
61151.........  ............  A...........  Pierce skull for         13.41           NA           NA          8.44         8.13         3.01         090
                                             drainage.
61154.........  ............  A...........  Pierce skull &           16.92           NA           NA         10.83        10.16         4.21         090
                                             remove clot.
61156.........  ............  A...........  Pierce skull for         17.37           NA           NA          9.72         9.78         4.23         090
                                             drainage.
61210.........  ............  A...........  Pierce skull,             5.83           NA           NA          2.15         2.53         1.50         000
                                             implant device.
61215.........  ............  A...........  Insert brain-fluid        5.77           NA           NA          5.45         4.72         1.26         090
                                             device.
61250.........  ............  A...........  Pierce skull &           11.41           NA           NA          7.38         7.12         2.77         090
                                             explore.
61253.........  ............  A...........  Pierce skull &           13.41           NA           NA          7.49         7.61         2.62         090
                                             explore.
61304.........  ............  A...........  Open skull for           23.31           NA           NA         12.54        12.69         5.63         090
                                             exploration.
61305.........  ............  A...........  Open skull for           28.51           NA           NA         14.97        15.14         6.09         090
                                             exploration.
61312.........  ............  A...........  Open skull for           30.07           NA           NA         15.24        15.14         6.36         090
                                             drainage.
61313.........  ............  A...........  Open skull for           27.94           NA           NA         15.37        15.09         6.45         090
                                             drainage.
61314.........  ............  A...........  Open skull for           25.77           NA           NA         14.15        13.60         6.28         090
                                             drainage.
61315.........  ............  A...........  Open skull for           29.52           NA           NA         15.51        15.77         7.16         090
                                             drainage.
61316.........  ............  A...........  Implt cran bone           1.39           NA           NA          0.51         0.56         0.35         ZZZ
                                             flap to abdo.
61320.........  ............  A...........  Open skull for           27.32           NA           NA         14.25        14.50         6.62         090
                                             drainage.
61321.........  ............  A...........  Open skull for           30.40           NA           NA         16.07        16.10         7.14         090
                                             drainage.
61322.........  ............  A...........  Decompressive            34.08           NA           NA         17.48        16.58         7.63         090
                                             craniotomy.
61323.........  ............  A...........  Decompressive            34.93           NA           NA         17.31        16.70         8.03         090
                                             lobectomy.
61330.........  ............  A...........  Decompress eye           25.17           NA           NA         11.53        12.63         2.32         090
                                             socket.
61332.........  ............  A...........  Explore/biopsy eye       28.50           NA           NA         12.96        14.28         4.83         090
                                             socket.
61333.........  ............  A...........  Explore orbit/           29.17           NA           NA         12.88        14.24         3.92         090
                                             remove lesion.
61334.........  ............  A...........  Explore orbit/           19.50           NA           NA          9.02         9.83         1.75         090
                                             remove object.
61340.........  ............  A...........  Subtemporal              20.01           NA           NA         11.68        11.40         4.84         090
                                             decompression.
61343.........  ............  A...........  Incise skull             31.73           NA           NA         15.94        16.37         7.64         090
                                             (press relief).
61345.........  ............  A...........  Relieve cranial          29.10           NA           NA         14.86        15.13         7.04         090
                                             pressure.
61440.........  ............  A...........  Incise skull for         28.53           NA           NA         15.23        14.72         6.90         090
                                             surgery.
61450.........  ............  A...........  Incise skull for         27.59           NA           NA         14.06        14.18         5.79         090
                                             surgery.
61458.........  ............  A...........  Incise skull for         28.71           NA           NA         14.89        15.20         7.03         090
                                             brain wound.
61460.........  ............  A...........  Incise skull for         30.11           NA           NA         14.58        15.50         6.04         090
                                             surgery.
61470.........  ............  A...........  Incise skull for         27.52           NA           NA         14.06        13.96         5.90         090
                                             surgery.
61480.........  ............  A...........  Incise skull for         27.95           NA           NA          8.14        11.71         6.73         090
                                             surgery.
61490.........  ............  A...........  Incise skull for         27.12           NA           NA         14.23        14.28         6.92         090
                                             surgery.
61500.........  ............  A...........  Removal of skull         19.05           NA           NA         10.69        10.75         4.11         090
                                             lesion.
61501.........  ............  A...........  Remove infected          16.22           NA           NA          9.45         9.33         3.22         090
                                             skull bone.
61510.........  ............  A...........  Removal of brain         30.63           NA           NA         16.95        16.83         7.35         090
                                             lesion.
61512.........  ............  A...........  Remove brain             36.99           NA           NA         18.47        19.08         9.08         090
                                             lining lesion.
61514.........  ............  A...........  Removal of brain         27.10           NA           NA         14.42        14.43         6.54         090
                                             abscess.
61516.........  ............  A...........  Removal of brain         26.45           NA           NA         14.06        14.16         6.35         090
                                             lesion.
61517.........  ............  A...........  Implt brain               1.38           NA           NA          0.51         0.58         0.35         ZZZ
                                             chemotx add-on.
61518.........  ............  A...........  Removal of brain         39.69           NA           NA         20.31        20.71         9.65         090
                                             lesion.
61519.........  ............  A...........  Remove brain             43.28           NA           NA         20.65        21.66        10.63         090
                                             lining lesion.
61520.........  ............  A...........  Removal of brain         56.89           NA           NA         25.96        28.15        11.21         090
                                             lesion.
61521.........  ............  A...........  Removal of brain         46.84           NA           NA         22.16        23.19        11.39         090
                                             lesion.
61522.........  ............  A...........  Removal of brain         31.41           NA           NA         15.77        16.10         7.62         090
                                             abscess.
61524.........  ............  A...........  Removal of brain         29.76           NA           NA         15.70        15.69         7.16         090
                                             lesion.
61526.........  ............  A...........  Removal of brain         53.90           NA           NA         22.53        26.02         7.07         090
                                             lesion.

[[Page 2638]]

 
61530.........  ............  A...........  Removal of brain         45.43           NA           NA         19.49        22.28         6.15         090
                                             lesion.
61531.........  ............  A...........  Implant brain            16.28           NA           NA         10.46         9.80         3.79         090
                                             electrodes.
61533.........  ............  A...........  Implant brain            21.36           NA           NA         11.79        11.66         5.12         090
                                             electrodes.
61534.........  ............  A...........  Removal of brain         22.88           NA           NA         13.13        12.61         5.44         090
                                             lesion.
61535.........  ............  A...........  Remove brain             13.05           NA           NA          8.84         8.13         3.02         090
                                             electrodes.
61536.........  ............  A...........  Removal of brain         37.59           NA           NA         18.53        19.17         9.21         090
                                             lesion.
61537.........  ............  A...........  Removal of brain         36.35           NA           NA         17.04        15.89         6.94         090
                                             tissue.
61538.........  ............  A...........  Removal of brain         39.35           NA           NA         18.37        16.84         6.94         090
                                             tissue.
61539.........  ............  A...........  Removal of brain         34.15           NA           NA         16.83        17.30         8.32         090
                                             tissue.
61540.........  ............  A...........  Removal of brain         31.30           NA           NA         16.30        16.78         8.32         090
                                             tissue.
61541.........  ............  A...........  Incision of brain        30.81           NA           NA         16.09        16.15         6.60         090
                                             tissue.
61542.........  ............  A...........  Removal of brain         33.03           NA           NA         16.78        17.31         8.03         090
                                             tissue.
61543.........  ............  A...........  Removal of brain         31.18           NA           NA         13.86        15.13         7.56         090
                                             tissue.
61544.........  ............  A...........  Remove & treat           27.26           NA           NA         14.28        14.06         5.97         090
                                             brain lesion.
61545.........  ............  A...........  Excision of brain        46.23           NA           NA         22.83        23.53        10.63         090
                                             tumor.
61546.........  ............  A...........  Removal of               33.31           NA           NA         16.74        17.12         7.67         090
                                             pituitary gland.
61548.........  ............  A...........  Removal of               23.27           NA           NA         11.62        12.20         3.43         090
                                             pituitary gland.
61550.........  ............  A...........  Release of skull         15.44           NA           NA          5.65         6.29         0.98         090
                                             seams.
61552.........  ............  A...........  Release of skull         20.27           NA           NA         12.15        10.64         1.06         090
                                             seams.
61556.........  ............  A...........  Incise skull/            24.00           NA           NA         13.29        12.33         4.65         090
                                             sutures.
61557.........  ............  A...........  Incise skull/            23.16           NA           NA         13.64        13.63         5.80         090
                                             sutures.
61558.........  ............  A...........  Excision of skull/       26.35           NA           NA         14.70        14.45         1.36         090
                                             sutures.
61559.........  ............  A...........  Excision of skull/       33.82           NA           NA         18.38        18.85         8.51         090
                                             sutures.
61563.........  ............  A...........  Excision of skull        28.35           NA           NA         13.09        14.17         5.17         090
                                             tumor.
61564.........  ............  A...........  Excision of skull        34.59           NA           NA         17.91        18.10         8.78         090
                                             tumor.
61566.........  ............  A...........  Removal of brain         32.32           NA           NA         16.65        17.21         6.94         090
                                             tissue.
61567.........  ............  A...........  Incision of brain        36.84           NA           NA         19.07        19.88         6.54         090
                                             tissue.
61570.........  ............  A...........  Remove foreign           26.38           NA           NA         14.02        13.97         5.88         090
                                             body, brain.
61571.........  ............  A...........  Incise skull for         28.29           NA           NA         14.64        14.89         6.79         090
                                             brain wound.
61575.........  ............  A...........  Skull base/              36.43           NA           NA         16.10        17.87         5.34         090
                                             brainstem surgery.
61576.........  ............  A...........  Skull base/              55.11           NA           NA         28.09        31.42         5.58         090
                                             brainstem surgery.
61580.........  ............  A...........  Craniofacial             34.34           NA           NA         22.85        24.22         3.37         090
                                             approach, skull.
61581.........  ............  A...........  Craniofacial             38.88           NA           NA         27.83        25.65         3.92         090
                                             approach, skull.
61582.........  ............  A...........  Craniofacial             34.93           NA           NA         30.48        28.90         7.21         090
                                             approach, skull.
61583.........  ............  A...........  Craniofacial             38.41           NA           NA         25.90        25.51         9.21         090
                                             approach, skull.
61584.........  ............  A...........  Orbitocranial            37.61           NA           NA         26.04        25.29         8.18         090
                                             approach/skull.
61585.........  ............  A...........  Orbitocranial            42.46           NA           NA         25.13        25.82         7.03         090
                                             approach/skull.
61586.........  ............  A...........  Resect                   27.28           NA           NA         22.64        22.62         4.37         090
                                             nasopharynx,
                                             skull.
61590.........  ............  A...........  Infratemporal            46.87           NA           NA         24.81        26.73         5.31         090
                                             approach/skull.
61591.........  ............  A...........  Infratemporal            46.87           NA           NA         24.60        27.07         5.66         090
                                             approach/skull.
61592.........  ............  A...........  Orbitocranial            42.98           NA           NA         26.80        26.66        10.07         090
                                             approach/skull.
61595.........  ............  A...........  Transtemporal            33.57           NA           NA         21.14        21.75         3.98         090
                                             approach/skull.
61596.........  ............  A...........  Transcochlear            39.31           NA           NA         20.95        22.70         3.40         090
                                             approach/skull.
61597.........  ............  A...........  Transcondylar            40.73           NA           NA         23.27        23.14         8.84         090
                                             approach/skull.
61598.........  ............  A...........  Transpetrosal            36.41           NA           NA         22.16        22.70         5.70         090
                                             approach/skull.
61600.........  ............  A...........  Resect/excise            29.84           NA           NA         19.76        19.77         3.79         090
                                             cranial lesion.
61601.........  ............  A...........  Resect/excise            31.04           NA           NA         22.38        21.44         6.63         090
                                             cranial lesion.
61605.........  ............  A...........  Resect/excise            32.40           NA           NA         19.47        20.72         2.86         090
                                             cranial lesion.
61606.........  ............  A...........  Resect/excise            41.94           NA           NA         23.77        24.47         8.97         090
                                             cranial lesion.
61607.........  ............  A...........  Resect/excise            40.82           NA           NA         21.00        22.40         6.90         090
                                             cranial lesion.
61608.........  ............  A...........  Resect/excise            45.45           NA           NA         26.32        26.46        10.75         090
                                             cranial lesion.
61609.........  ............  A...........  Transect artery,          9.88           NA           NA          3.25         4.05         2.56         ZZZ
                                             sinus.
61610.........  ............  A...........  Transect artery,         29.63           NA           NA         11.06        12.11         7.68         ZZZ
                                             sinus.
61611.........  ............  A...........  Transect artery,          7.41           NA           NA          1.71         2.76         1.89         ZZZ
                                             sinus.
61612.........  ............  A...........  Transect artery,         27.84           NA           NA          6.41         9.86         4.31         ZZZ
                                             sinus.
61613.........  ............  A...........  Remove aneurysm,         44.94           NA           NA         27.35        26.82         8.45         090
                                             sinus.
61615.........  ............  A...........  Resect/excise            35.63           NA           NA         21.30        22.02         4.73         090
                                             lesion, skull.
61616.........  ............  A...........  Resect/excise            46.60           NA           NA         27.24        27.96         8.26         090
                                             lesion, skull.
61618.........  ............  A...........  Repair dura.......       18.58           NA           NA         10.44        10.44         3.72         090
61619.........  ............  A...........  Repair dura.......       22.01           NA           NA         11.67        11.96         3.95         090
61623.........  ............  A...........  Endovasc tempory          9.95           NA           NA          3.72         3.90         1.05         000
                                             vessel occl.
61624.........  ............  A...........  Transcath                20.12           NA           NA          7.29         7.09         1.96         000
                                             occlusion, cns.
61626.........  ............  A...........  Transcath                16.60           NA           NA          5.97         5.75         1.24         000
                                             occlusion, non-
                                             cns.
61630.........  ............  N...........  Intracranial             22.07           NA           NA          6.44         9.47         2.02         090
                                             angioplasty.
61635.........  ............  N...........  Intracran                24.28           NA           NA          6.95        10.25         2.21         090
                                             angioplsty w/
                                             stent.
61640.........  ............  N...........  Dilate ic                12.32           NA           NA          2.83         2.83         0.71         000
                                             vasospasm, init.
61641.........  ............  N...........  Dilate ic                 4.33           NA           NA          1.00         1.00         0.25         ZZZ
                                             vasospasm add-on.
61642.........  ............  N...........  Dilate ic                 8.66           NA           NA          1.99         1.99         0.50         ZZZ
                                             vasospasm add-on.
61680.........  ............  A...........  Intracranial             32.40           NA           NA         16.75        17.09         7.95         090
                                             vessel surgery.
61682.........  ............  A...........  Intracranial             63.31           NA           NA         27.54        29.89        15.90         090
                                             vessel surgery.
61684.........  ............  A...........  Intracranial             41.49           NA           NA         20.38        21.19        10.31         090
                                             vessel surgery.
61686.........  ............  A...........  Intracranial             67.32           NA           NA         30.47        32.61        16.71         090
                                             vessel surgery.

[[Page 2639]]

 
61690.........  ............  A...........  Intracranial             31.18           NA           NA         16.52        16.63         6.94         090
                                             vessel surgery.
61692.........  ............  A...........  Intracranial             54.43           NA           NA         24.35        25.92        13.43         090
                                             vessel surgery.
61697.........  ............  A...........  Brain aneurysm           63.22           NA           NA         28.64        28.33        12.85         090
                                             repr, complx.
61698.........  ............  A...........  Brain aneurysm           69.45           NA           NA         30.59        28.65        12.54         090
                                             repr, complx.
61700.........  ............  A...........  Brain aneurysm           50.44           NA           NA         24.03        25.92        13.02         090
                                             repr, simple.
61702.........  ............  A...........  Inner skull vessel       59.86           NA           NA         27.50        26.78        10.79         090
                                             surgery.
61703.........  ............  A...........  Clamp neck artery.       18.70           NA           NA         10.06        10.27         4.06         090
61705.........  ............  A...........  Revise circulation       37.97           NA           NA         18.32        18.79         8.87         090
                                             to head.
61708.........  ............  A...........  Revise circulation       37.07           NA           NA         14.87        15.02         2.51         090
                                             to head.
61710.........  ............  A...........  Revise circulation       31.19           NA           NA         13.79        13.72         4.52         090
                                             to head.
61711.........  ............  A...........  Fusion of skull          38.10           NA           NA         18.61        19.21         9.42         090
                                             arteries.
61720.........  ............  A...........  Incise skull/brain       17.52           NA           NA          7.89         8.93         2.79         090
                                             surgery.
61735.........  ............  A...........  Incise skull/brain       22.22           NA           NA          9.17        10.67         2.73         090
                                             surgery.
61750.........  ............  A...........  Incise skull/brain       19.73           NA           NA         10.95        10.79         4.72         090
                                             biopsy.
61751.........  ............  A...........  Brain biopsy w/ct/       18.64           NA           NA         11.37        11.10         4.56         090
                                             mr guide.
61760.........  ............  A...........  Implant brain            22.24           NA           NA         12.06        10.39         5.42         090
                                             electrodes.
61770.........  ............  A...........  Incise skull for         23.09           NA           NA          9.89        11.08         3.55         090
                                             treatment.
61790.........  ............  A...........  Treat trigeminal         11.50           NA           NA          7.70         6.81         2.82         090
                                             nerve.
61791.........  ............  A...........  Treat trigeminal         15.31           NA           NA          8.21         8.57         3.40         090
                                             tract.
61793.........  ............  A...........  Focus radiation          17.75           NA           NA          9.55         9.84         4.46         090
                                             beam.
61795.........  ............  A...........  Brain surgery             4.03           NA           NA          1.43         1.73         0.79         ZZZ
                                             using computer.
61850.........  ............  A...........  Implant                  13.26           NA           NA          7.89         7.78         3.22         090
                                             neuroelectrodes.
61860.........  ............  A...........  Implant                  22.16           NA           NA         11.60        11.83         4.95         090
                                             neuroelectrodes.
61863.........  ............  A...........  Implant                  20.56           NA           NA         12.42        12.10         5.43         090
                                             neuroelectrode.
61864.........  ............  A...........  Implant                   4.49           NA           NA          1.68         1.98         5.43         ZZZ
                                             neuroelectrde,
                                             addl.
61867.........  ............  A...........  Implant                  32.88           NA           NA         16.37        17.20         5.43         090
                                             neuroelectrode.
61868.........  ............  A...........  Implant                   7.91           NA           NA          2.94         3.48         5.43         ZZZ
                                             neuroelectrde,
                                             add[AElig]l.
61870.........  ............  A...........  Implant                  16.24           NA           NA          9.69         9.70         3.87         090
                                             neuroelectrodes.
61875.........  ............  A...........  Implant                  16.36           NA           NA          5.33         6.95         2.95         090
                                             neuroelectrodes.
61880.........  ............  A...........  Revise/remove             6.87           NA           NA          5.18         4.87         1.66         090
                                             neuroelectrode.
61885.........  ............  A...........  Insrt/redo                7.37           NA           NA          7.06         6.19         1.59         090
                                             neurostim 1 array.
61886.........  ............  A...........  Implant neurostim         9.73           NA           NA          8.52         7.44         1.97         090
                                             arrays.
61888.........  ............  A...........  Revise/remove             5.20           NA           NA          3.47         3.57         1.33         010
                                             neuroreceiver.
62000.........  ............  A...........  Treat skull              13.83           NA           NA          7.61         6.57         1.06         090
                                             fracture.
62005.........  ............  A...........  Treat skull              17.53           NA           NA          9.59         9.20         3.87         090
                                             fracture.
62010.........  ............  A...........  Treatment of head        21.30           NA           NA         11.81        11.76         5.14         090
                                             injury.
62100.........  ............  A...........  Repair brain fluid       23.40           NA           NA         12.09        12.44         4.84         090
                                             leakage.
62115.........  ............  A...........  Reduction of skull       22.71           NA           NA         13.89        12.77         5.51         090
                                             defect.
62116.........  ............  A...........  Reduction of skull       24.90           NA           NA         13.35        13.36         6.11         090
                                             defect.
62117.........  ............  A...........  Reduction of skull       28.26           NA           NA         12.74        14.06         4.53         090
                                             defect.
62120.........  ............  A...........  Repair skull             24.39           NA           NA         17.33        17.91         3.00         090
                                             cavity lesion.
62121.........  ............  A...........  Incise skull             22.93           NA           NA         14.24        14.85         4.17         090
                                             repair.
62140.........  ............  A...........  Repair of skull          14.45           NA           NA          8.64         8.48         3.47         090
                                             defect.
62141.........  ............  A...........  Repair of skull          15.97           NA           NA          9.34         9.19         3.76         090
                                             defect.
62142.........  ............  A...........  Remove skull plate/      11.73           NA           NA          7.79         7.39         2.73         090
                                             flap.
62143.........  ............  A...........  Replace skull            14.05           NA           NA          8.73         8.39         3.37         090
                                             plate/flap.
62145.........  ............  A...........  Repair of skull &        19.99           NA           NA         10.26        10.58         4.50         090
                                             brain.
62146.........  ............  A...........  Repair of skull          17.18           NA           NA          9.52         9.58         3.62         090
                                             with graft.
62147.........  ............  A...........  Repair of skull          20.57           NA           NA         11.00        11.15         4.32         090
                                             with graft.
62148.........  ............  A...........  Retr bone flap to         2.00           NA           NA          0.74         0.80         0.48         ZZZ
                                             fix skull.
62160.........  ............  A...........  Neuroendoscopy add-       3.00           NA           NA          1.11         1.32         0.77         ZZZ
                                             on.
62161.........  ............  A...........  Dissect brain w/         21.10           NA           NA         12.15        12.13         5.19         090
                                             scope.
62162.........  ............  A...........  Remove colloid           26.67           NA           NA         14.65        14.75         5.91         090
                                             cyst w/scope.
62163.........  ............  A...........  Neuroendoscopy w/        16.40           NA           NA          9.25         9.59         4.01         090
                                             fb removal.
62164.........  ............  A...........  Remove brain tumor       29.27           NA           NA         15.93        15.44         5.38         090
                                             w/scope.
62165.........  ............  A...........  Remove pituit            23.10           NA           NA         11.78        12.58         3.01         090
                                             tumor w/scope.
62180.........  ............  A...........  Establish brain          22.45           NA           NA         12.37        12.33         4.98         090
                                             cavity shunt.
62190.........  ............  A...........  Establish brain          12.07           NA           NA          7.37         7.23         2.80         090
                                             cavity shunt.
62192.........  ............  A...........  Establish brain          13.25           NA           NA          8.02         7.82         3.02         090
                                             cavity shunt.
62194.........  ............  A...........  Replace/irrigate          5.68           NA           NA          3.14         2.79         0.92         010
                                             catheter.
62200.........  ............  A...........  Establish brain          19.19           NA           NA         10.70        10.77         4.65         090
                                             cavity shunt.
62201.........  ............  A...........  Brain cavity shunt       15.89           NA           NA         10.35         9.90         3.68         090
                                             w/scope.
62220.........  ............  A...........  Establish brain          14.00           NA           NA          8.62         8.30         3.35         090
                                             cavity shunt.
62223.........  ............  A...........  Establish brain          13.90           NA           NA          9.36         8.80         3.14         090
                                             cavity shunt.
62225.........  ............  A...........  Replace/irrigate          6.11           NA           NA          5.48         4.79         1.39         090
                                             catheter.
62230.........  ............  A...........  Replace/revise           11.35           NA           NA          7.21         6.85         2.71         090
                                             brain shunt.
62252.........  ............  A...........  Csf shunt                 0.74         1.77         1.62            NA           NA         0.21         XXX
                                             reprogram.
62252.........  TC..........  A...........  Csf shunt                 0.00         1.50         1.30            NA           NA         0.02         XXX
                                             reprogram.
62252.........  26..........  A...........  Csf shunt                 0.74         0.27         0.32          0.27         0.32         0.19         XXX
                                             reprogram.
62256.........  ............  A...........  Remove brain              7.30           NA           NA          5.90         5.30         1.72         090
                                             cavity shunt.
62258.........  ............  A...........  Replace brain            15.54           NA           NA          9.30         9.01         3.74         090
                                             cavity shunt.
62263.........  ............  A...........  Epidural lysis            6.41         9.46        11.08          2.98         3.09         0.41         010
                                             mult sessions.

[[Page 2640]]

 
62264.........  ............  A...........  Epidural lysis on         4.42         5.63         6.68          1.24         1.33         0.27         010
                                             single day.
62268.........  ............  A...........  Drain spinal cord         4.73         6.70         9.12          1.81         1.98         0.43         000
                                             cyst.
62269.........  ............  A...........  Needle biopsy,            5.01         6.25        10.47          1.48         1.73         0.37         000
                                             spinal cord.
62270.........  ............  A...........  Spinal fluid tap,         1.37         2.40         2.69          0.58         0.57         0.08         000
                                             diagnostic.
62272.........  ............  A...........  Drain cerebro             1.35         3.13         3.37          0.62         0.66         0.18         000
                                             spinal fluid.
62273.........  ............  A...........  Inject epidural           2.15         1.67         2.19          0.57         0.64         0.13         000
                                             patch.
62280.........  ............  A...........  Treat spinal cord         2.63         4.63         5.78          1.15         1.08         0.30         010
                                             lesion.
62281.........  ............  A...........  Treat spinal cord         2.66         4.08         4.87          1.03         0.96         0.19         010
                                             lesion.
62282.........  ............  A...........  Treat spinal canal        2.33         4.08         6.22          1.11         1.02         0.17         010
                                             lesion.
62284.........  ............  A...........  Injection for             1.54         3.79         4.38          0.71         0.70         0.13         000
                                             myelogram.
62287.........  ............  A...........  Percutaneous              8.88           NA           NA          4.30         4.93         0.58         090
                                             diskectomy.
62290.........  ............  A...........  Inject for spine          3.00         4.50         5.82          1.15         1.26         0.23         000
                                             disk x-ray.
62291.........  ............  A...........  Inject for spine          2.91         4.24         5.09          1.08         1.15         0.26         000
                                             disk x-ray.
62292.........  ............  A...........  Injection into            9.14           NA           NA          2.87         3.67         0.82         090
                                             disk lesion.
62294.........  ............  A...........  Injection into           12.77           NA           NA          6.49         6.04         1.24         090
                                             spinal artery.
62310.........  ............  A...........  Inject spine c/t..        1.91         3.00         3.90          0.56         0.60         0.12         000
62311.........  ............  A...........  Inject spine l/s          1.54         2.66         3.79          0.52         0.56         0.09         000
                                             (cd).
62318.........  ............  A...........  Inject spine w/           2.04         3.09         4.41          0.43         0.54         0.12         000
                                             cath, c/t.
62319.........  ............  A...........  Inject spine w/           1.87         2.80         3.89          0.44         0.52         0.11         000
                                             cath l/s (cd).
62350.........  ............  A...........  Implant spinal            8.04           NA           NA          3.99         3.96         1.02         090
                                             canal cath.
62351.........  ............  A...........  Implant spinal           11.54           NA           NA          7.65         7.39         2.25         090
                                             canal cath.
62355.........  ............  A...........  Remove spinal             6.60           NA           NA          3.52         3.34         0.71         090
                                             canal catheter.
62360.........  ............  A...........  Insert spine              3.68           NA           NA          3.17         2.93         0.34         090
                                             infusion device.
62361.........  ............  A...........  Implant spine             6.59           NA           NA          4.07         3.99         0.80         090
                                             infusion pump.
62362.........  ............  A...........  Implant spine             8.58           NA           NA          4.65         4.51         1.18         090
                                             infusion pump.
62365.........  ............  A...........  Remove spine              6.57           NA           NA          3.71         3.65         0.86         090
                                             infusion device.
62367.........  ............  A...........  Analyze spine             0.48         0.42         0.52          0.11         0.11         0.03         XXX
                                             infusion pump.
62368.........  ............  A...........  Analyze spine             0.75         0.58         0.63          0.17         0.17         0.06         XXX
                                             infusion pump.
63001.........  ............  A...........  Removal of spinal        17.51           NA           NA          9.77         9.64         3.77         090
                                             lamina.
63003.........  ............  A...........  Removal of spinal        17.64           NA           NA          9.73         9.80         3.73         090
                                             lamina.
63005.........  ............  A...........  Removal of spinal        16.28           NA           NA          9.74         9.86         3.35         090
                                             lamina.
63011.........  ............  A...........  Removal of spinal        15.78           NA           NA          9.01         8.64         3.38         090
                                             lamina.
63012.........  ............  A...........  Removal of spinal        16.72           NA           NA          9.76         9.95         3.49         090
                                             lamina.
63015.........  ............  A...........  Removal of spinal        20.70           NA           NA         11.85        11.86         4.76         090
                                             lamina.
63016.........  ............  A...........  Removal of spinal        21.90           NA           NA         11.65        11.72         4.59         090
                                             lamina.
63017.........  ............  A...........  Removal of spinal        17.18           NA           NA         10.35        10.37         3.64         090
                                             lamina.
63020.........  ............  A...........  Neck spine disk          16.05           NA           NA          9.88         9.78         3.72         090
                                             surgery.
63030.........  ............  A...........  Low back disk            13.03           NA           NA          8.60         8.51         3.01         090
                                             surgery.
63035.........  ............  A...........  Spinal disk               3.15           NA           NA          1.19         1.39         0.79         ZZZ
                                             surgery add-on.
63040.........  ............  A...........  Laminotomy, single       20.18           NA           NA         11.03        11.27         4.68         090
                                             cervical.
63042.........  ............  A...........  Laminotomy, single       18.61           NA           NA         10.59        10.97         4.26         090
                                             lumbar.
63043.........  ............  C...........  Laminotomy,               0.00         0.00         0.00          0.00         0.00         0.00         ZZZ
                                             add[AElig]l
                                             cervical.
63044.........  ............  C...........  Laminotomy,               0.00         0.00         0.00          0.00         0.00         0.00         ZZZ
                                             add[AElig]l
                                             lumbar.
63045.........  ............  A...........  Removal of spinal        17.82           NA           NA         10.34        10.35         3.99         090
                                             lamina.
63046.........  ............  A...........  Removal of spinal        17.12           NA           NA          9.79         9.99         3.56         090
                                             lamina.
63047.........  ............  A...........  Removal of spinal        15.22           NA           NA          9.34         9.62         3.24         090
                                             lamina.
63048.........  ............  A...........  Remove spinal             3.47           NA           NA          1.32         1.49         0.72         ZZZ
                                             lamina add-on.
63050.........  ............  A...........  Cervical                 21.88           NA           NA         11.82        11.83         4.67         090
                                             laminoplasty.
63051.........  ............  A...........  C-laminoplasty w/        25.38           NA           NA         13.08        13.28         4.67         090
                                             graft/plate.
63055.........  ............  A...........  Decompress spinal        23.42           NA           NA         12.45        12.80         5.29         090
                                             cord.
63056.........  ............  A...........  Decompress spinal        21.73           NA           NA         11.38        11.98         4.76         090
                                             cord.
63057.........  ............  A...........  Decompress spine          5.25           NA           NA          1.98         2.31         1.22         ZZZ
                                             cord add-on.
63064.........  ............  A...........  Decompress spinal        26.09           NA           NA         13.22        13.82         5.71         090
                                             cord.
63066.........  ............  A...........  Decompress spine          3.26           NA           NA          1.21         1.43         0.69         ZZZ
                                             cord add-on.
63075.........  ............  A...........  Neck spine disk          19.47           NA           NA         11.01        11.55         4.63         090
                                             surgery.
63076.........  ............  A...........  Neck spine disk           4.04           NA           NA          1.52         1.79         0.96         ZZZ
                                             surgery.
63077.........  ............  A...........  Spine disk               22.75           NA           NA         11.08        11.94         3.99         090
                                             surgery, thorax.
63078.........  ............  A...........  Spine disk                3.28           NA           NA          1.21         1.43         0.66         ZZZ
                                             surgery, thorax.
63081.........  ............  A...........  Removal of               25.97           NA           NA         13.49        13.91         5.56         090
                                             vertebral body.
63082.........  ............  A...........  Remove vertebral          4.36           NA           NA          1.64         1.94         1.02         ZZZ
                                             body add-on.
63085.........  ............  A...........  Removal of               29.34           NA           NA         13.54        14.51         4.49         090
                                             vertebral body.
63086.........  ............  A...........  Remove vertebral          3.19           NA           NA          1.17         1.38         0.59         ZZZ
                                             body add-on.
63087.........  ............  A...........  Removal of               37.38           NA           NA         16.65        18.06         6.22         090
                                             vertebral body.
63088.........  ............  A...........  Remove vertebral          4.32           NA           NA          1.59         1.88         0.82         ZZZ
                                             body add-on.
63090.........  ............  A...........  Removal of               30.78           NA           NA         14.39        15.22         4.22         090
                                             vertebral body.
63091.........  ............  A...........  Remove vertebral          3.03           NA           NA          1.14         1.30         0.48         ZZZ
                                             body add-on.
63101.........  ............  A...........  Removal of               33.92           NA           NA         17.04        18.16         5.71         090
                                             vertebral body.
63102.........  ............  A...........  Removal of               33.92           NA           NA         16.83        18.06         5.71         090
                                             vertebral body.
63103.........  ............  A...........  Remove vertebral          4.82           NA           NA          1.74         2.12         0.69         ZZZ
                                             body add-on.
63170.........  ............  A...........  Incise spinal cord       22.08           NA           NA         10.44        11.15         4.87         090
                                             tract(s).
63172.........  ............  A...........  Drainage of spinal       19.66           NA           NA         11.07        10.86         4.49         090
                                             cyst.
63173.........  ............  A...........  Drainage of spinal       24.18           NA           NA         13.57        13.19         5.70         090
                                             cyst.

[[Page 2641]]

 
63180.........  ............  A...........  Revise spinal cord       20.40           NA           NA         10.95        10.97         3.96         090
                                             ligaments.
63182.........  ............  A...........  Revise spinal cord       22.69           NA           NA          7.18         9.07         5.32         090
                                             ligaments.
63185.........  ............  A...........  Incise spinal            16.36           NA           NA          9.80         8.95         2.80         090
                                             column/nerves.
63190.........  ............  A...........  Incise spinal            18.76           NA           NA          9.60         9.87         3.25         090
                                             column/nerves.
63191.........  ............  A...........  Incise spinal            18.79           NA           NA          4.10         7.29         6.36         090
                                             column/nerves.
63194.........  ............  A...........  Incise spinal            21.97           NA           NA         11.20        11.46         3.27         090
                                             column & cord.
63195.........  ............  A...........  Incise spinal            21.54           NA           NA         12.10        11.57         4.88         090
                                             column & cord.
63196.........  ............  A...........  Incise spinal            25.14           NA           NA         13.79        13.59         5.78         090
                                             column & cord.
63197.........  ............  A...........  Incise spinal            23.95           NA           NA          7.47         9.84         5.38         090
                                             column & cord.
63198.........  ............  A...........  Incise spinal            29.75           NA           NA          8.93         8.68         6.45         090
                                             column & cord.
63199.........  ............  A...........  Incise spinal            31.32           NA           NA          9.29        12.16         1.40         090
                                             column & cord.
63200.........  ............  A...........  Release of spinal        21.31           NA           NA         12.10        11.70         4.97         090
                                             cord.
63250.........  ............  A...........  Revise spinal cord       43.73           NA           NA         20.91        20.42         9.04         090
                                             vessels.
63251.........  ............  A...........  Revise spinal cord       44.49           NA           NA         21.53        22.07        10.44         090
                                             vessels.
63252.........  ............  A...........  Revise spinal cord       44.48           NA           NA         20.87        21.56        10.67         090
                                             vessels.
63265.........  ............  A...........  Excise intraspinal       23.69           NA           NA         12.99        12.88         5.45         090
                                             lesion.
63266.........  ............  A...........  Excise intraspinal       24.55           NA           NA         13.18        13.18         5.56         090
                                             lesion.
63267.........  ............  A...........  Excise intraspinal       19.32           NA           NA         11.13        11.10         4.38         090
                                             lesion.
63268.........  ............  A...........  Excise intraspinal       19.89           NA           NA         11.25        10.81         3.70         090
                                             lesion.
63270.........  ............  A...........  Excise intraspinal       29.67           NA           NA         15.36        15.41         6.84         090
                                             lesion.
63271.........  ............  A...........  Excise intraspinal       29.79           NA           NA         15.32        15.45         6.92         090
                                             lesion.
63272.........  ............  A...........  Excise intraspinal       27.37           NA           NA         14.29        14.49         6.20         090
                                             lesion.
63273.........  ............  A...........  Excise intraspinal       26.34           NA           NA         14.08        14.21         5.76         090
                                             lesion.
63275.........  ............  A...........  Biopsy/excise            25.73           NA           NA         13.74        13.76         5.82         090
                                             spinal tumor.
63276.........  ............  A...........  Biopsy/excise            25.56           NA           NA         13.52        13.60         5.85         090
                                             spinal tumor.
63277.........  ............  A...........  Biopsy/excise            22.26           NA           NA         12.13        12.32         5.03         090
                                             spinal tumor.
63278.........  ............  A...........  Biopsy/excise            21.99           NA           NA         11.92        12.16         4.56         090
                                             spinal tumor.
63280.........  ............  A...........  Biopsy/excise            30.14           NA           NA         15.88        16.10         7.29         090
                                             spinal tumor.
63281.........  ............  A...........  Biopsy/excise            29.84           NA           NA         15.87        16.02         7.19         090
                                             spinal tumor.
63282.........  ............  A...........  Biopsy/excise            28.00           NA           NA         15.01        15.17         6.78         090
                                             spinal tumor.
63283.........  ............  A...........  Biopsy/excise            26.61           NA           NA         14.68        14.67         6.28         090
                                             spinal tumor.
63285.........  ............  A...........  Biopsy/excise            37.90           NA           NA         18.10        19.02         9.21         090
                                             spinal tumor.
63286.........  ............  A...........  Biopsy/excise            37.47           NA           NA         18.71        19.31         9.24         090
                                             spinal tumor.
63287.........  ............  A...........  Biopsy/excise            39.93           NA           NA         19.62        20.02         9.42         090
                                             spinal tumor.
63290.........  ............  A...........  Biopsy/excise            40.67           NA           NA         19.29        19.94         9.05         090
                                             spinal tumor.
63295.........  ............  A...........  Repair of                 5.25           NA           NA          1.95         2.05         1.03         ZZZ
                                             laminectomy
                                             defect.
63300.........  ............  A...........  Removal of               26.67           NA           NA         13.80        14.05         5.99         090
                                             vertebral body.
63301.........  ............  A...........  Removal of               31.42           NA           NA         14.21        14.88         5.41         090
                                             vertebral body.
63302.........  ............  A...........  Removal of               31.00           NA           NA         13.78        14.82         5.55         090
                                             vertebral body.
63303.........  ............  A...........  Removal of               33.42           NA           NA         15.00        15.96         4.69         090
                                             vertebral body.
63304.........  ............  A...........  Removal of               33.70           NA           NA         17.58        17.43         6.43         090
                                             vertebral body.
63305.........  ............  A...........  Removal of               36.09           NA           NA         16.99        17.52         5.73         090
                                             vertebral body.
63306.........  ............  A...........  Removal of               35.40           NA           NA         16.65        17.22         8.35         090
                                             vertebral body.
63307.........  ............  A...........  Removal of               34.81           NA           NA         14.83        15.82         4.47         090
                                             vertebral body.
63308.........  ............  A...........  Remove vertebral          5.24           NA           NA          1.95         2.28         1.29         ZZZ
                                             body add-on.
63600.........  ............  A...........  Remove spinal cord       15.02           NA           NA          4.03         4.72         1.52         090
                                             lesion.
63610.........  ............  A...........  Stimulation of            8.72        13.95        36.83          1.49         1.87         0.86         000
                                             spinal cord.
63615.........  ............  A...........  Remove lesion of         17.22           NA           NA          8.53         8.90         2.85         090
                                             spinal cord.
63650.........  ............  A...........  Implant                   7.57           NA           NA          2.92         3.05         0.53         090
                                             neuroelectrodes.
63655.........  ............  A...........  Implant                  11.43           NA           NA          7.63         7.26         2.44         090
                                             neuroelectrodes.
63660.........  ............  A...........  Revise/remove             6.87           NA           NA          3.42         3.52         0.78         090
                                             neuroelectrode.
63685.........  ............  A...........  Insrt/redo spine n        7.87           NA           NA          3.65         3.90         1.05         090
                                             generator.
63688.........  ............  A...........  Revise/remove             6.10           NA           NA          3.53         3.54         0.89         090
                                             neuroreceiver.
63700.........  ............  A...........  Repair of spinal         17.32           NA           NA          9.95        10.13         3.53         090
                                             herniation.
63702.........  ............  A...........  Repair of spinal         19.26           NA           NA          9.98        10.51         4.13         090
                                             herniation.
63704.........  ............  A...........  Repair of spinal         22.23           NA           NA         11.66        12.29         4.58         090
                                             herniation.
63706.........  ............  A...........  Repair of spinal         25.15           NA           NA         14.30        13.94         6.25         090
                                             herniation.
63707.........  ............  A...........  Repair spinal            12.52           NA           NA          7.83         7.77         2.52         090
                                             fluid leakage.
63709.........  ............  A...........  Repair spinal            15.52           NA           NA          8.97         9.19         3.10         090
                                             fluid leakage.
63710.........  ............  A...........  Graft repair of          15.27           NA           NA          9.19         9.12         3.41         090
                                             spine defect.
63740.........  ............  A...........  Install spinal           12.50           NA           NA          8.28         7.81         2.94         090
                                             shunt.
63741.........  ............  A...........  Install spinal            9.02           NA           NA          4.93         4.84         1.66         090
                                             shunt.
63744.........  ............  A...........  Revision of spinal        8.86           NA           NA          5.76         5.51         1.90         090
                                             shunt.
63746.........  ............  A...........  Removal of spinal         7.25           NA           NA          5.69         4.73         1.53         090
                                             shunt.
64400.........  ............  A...........  N block inj,              1.11         1.42         1.66          0.45         0.44         0.07         000
                                             trigeminal.
64402.........  ............  A...........  N block inj,              1.25         1.41         1.51          0.50         0.55         0.09         000
                                             facial.
64405.........  ............  A...........  N block inj,              1.32         1.16         1.31          0.49         0.48         0.08         000
                                             occipital.
64408.........  ............  A...........  N block inj, vagus        1.41         1.45         1.51          0.71         0.78         0.10         000
64410.........  ............  A...........  N block inj,              1.43         1.92         2.21          0.56         0.51         0.09         000
                                             phrenic.
64412.........  ............  A...........  N block inj,              1.18         2.13         2.39          0.59         0.51         0.08         000
                                             spinal accessor.
64413.........  ............  A...........  N block inj,              1.40         1.31         1.58          0.48         0.49         0.08         000
                                             cervical plexus.
64415.........  ............  A...........  N block inj,              1.48         1.41         2.11          0.30         0.38         0.09         000
                                             brachial plexus.

[[Page 2642]]

 
64416.........  ............  A...........  N block cont              3.85           NA           NA          0.46         0.63         0.31         010
                                             infuse, b plex.
64417.........  ............  A...........  N block inj,              1.44         1.43         2.23          0.32         0.40         0.11         000
                                             axillary.
64418.........  ............  A...........  N block inj,              1.32         1.89         2.26          0.52         0.48         0.07         000
                                             suprascapular.
64420.........  ............  A...........  N block inj,              1.18         2.40         3.14          0.45         0.43         0.08         000
                                             intercost, sng.
64421.........  ............  A...........  N block inj,              1.68         3.55         4.82          0.53         0.52         0.11         000
                                             intercost, mlt.
64425.........  ............  A...........  N block inj, ilio-        1.75         1.29         1.47          0.53         0.53         0.13         000
                                             ing/hypogi.
64430.........  ............  A...........  N block inj,              1.46         2.39         2.45          0.77         0.66         0.10         000
                                             pudendal.
64435.........  ............  A...........  N block inj,              1.45         2.00         2.26          0.56         0.62         0.16         000
                                             paracervical.
64445.........  ............  A...........  N block inj,              1.48         1.63         2.15          0.50         0.50         0.10         000
                                             sciatic, sng.
64446.........  ............  A...........  N blk inj,                3.61           NA           NA          0.48         0.74         0.20         010
                                             sciatic, cont inf.
64447.........  ............  A...........  N block inj fem,          1.50           NA           NA          0.17         0.30         0.09         000
                                             single.
64448.........  ............  A...........  N block inj fem,          3.36           NA           NA          0.39         0.60         0.18         010
                                             cont inf.
64449.........  ............  A...........  N block inj,              3.24           NA           NA          0.42         0.69         0.15         010
                                             lumbar plexus.
64450.........  ............  A...........  N block, other            1.27         1.28         1.26          0.49         0.48         0.13         000
                                             peripheral.
64470.........  ............  A...........  Inj paravertebral         1.85         3.83         5.53          0.70         0.70         0.11         000
                                             c/t.
64472.........  ............  A...........  Inj paravertebral         1.29         1.22         1.78          0.33         0.33         0.08         ZZZ
                                             c/t add-on.
64475.........  ............  A...........  Inj paravertebral         1.41         3.64         5.26          0.58         0.60         0.10         000
                                             l/s.
64476.........  ............  A...........  Inj paravertebral         0.98         1.10         1.61          0.22         0.23         0.07         ZZZ
                                             l/s add-on.
64479.........  ............  A...........  Inj foramen               2.20         3.75         5.62          0.81         0.85         0.12         000
                                             epidural c/t.
64480.........  ............  A...........  Inj foramen               1.54         1.55         2.20          0.39         0.43         0.10         ZZZ
                                             epidural add-on.
64483.........  ............  A...........  Inj foramen               1.90         3.82         5.86          0.75         0.79         0.11         000
                                             epidural l/s.
64484.........  ............  A...........  Inj foramen               1.33         1.63         2.45          0.32         0.35         0.08         ZZZ
                                             epidural add-on.
64505.........  ............  A...........  N block,                  1.36         1.13         1.18          0.74         0.70         0.10         000
                                             spenopalatine
                                             gangl.
64508.........  ............  A...........  N block, carotid          1.12         2.04         2.68          0.56         0.65         0.07         000
                                             sinus s/p.
64510.........  ............  A...........  N block, stellate         1.22         1.90         2.68          0.43         0.47         0.07         000
                                             ganglion.
64517.........  ............  A...........  N block inj,              2.20         1.72         2.22          0.68         0.78         0.11         000
                                             hypogas plxs.
64520.........  ............  A...........  N block, lumbar/          1.35         2.57         3.86          0.51         0.53         0.08         000
                                             thoracic.
64530.........  ............  A...........  N block inj,              1.58         2.79         3.62          0.65         0.65         0.10         000
                                             celiac pelus.
64550.........  ............  A...........  Apply                     0.18         0.20         0.24          0.05         0.05         0.01         000
                                             neurostimulator.
64553.........  ............  A...........  Implant                   2.33         2.65         2.74          1.45         1.65         0.18         010
                                             neuroelectrodes.
64555.........  ............  A...........  Implant                   2.29         2.78         2.94          1.49         1.34         0.19         010
                                             neuroelectrodes.
64560.........  ............  A...........  Implant                   2.38         2.41         2.52          1.26         1.27         0.22         010
                                             neuroelectrodes.
64561.........  ............  A...........  Implant                   7.07        19.61        24.84          3.76         3.27         0.51         010
                                             neuroelectrodes.
64565.........  ............  A...........  Implant                   1.78         2.47         2.88          1.29         1.28         0.13         010
                                             neuroelectrodes.
64573.........  ............  A...........  Implant                   8.15           NA           NA          5.16         5.21         1.60         090
                                             neuroelectrodes.
64575.........  ............  A...........  Implant                   4.37           NA           NA          2.06         2.37         0.61         090
                                             neuroelectrodes.
64577.........  ............  A...........  Implant                   4.64           NA           NA          4.79         4.03         1.04         090
                                             neuroelectrodes.
64580.........  ............  A...........  Implant                   4.14           NA           NA          2.71         3.13         0.36         090
                                             neuroelectrodes.
64581.........  ............  A...........  Implant                  14.15           NA           NA          6.60         5.99         1.05         090
                                             neuroelectrodes.
64585.........  ............  A...........  Revise/remove             2.08         5.92         8.60          2.29         2.21         0.20         010
                                             neuroelectrode.
64590.........  ............  A...........  Insrt/redo pn/            2.42         6.41         6.77          2.46         2.37         0.19         010
                                             gastr stimul.
64595.........  ............  A...........  Revise/rmv pn/            1.75         6.45         8.42          2.18         2.05         0.19         010
                                             gastr stimul.
64600.........  ............  A...........  Injection                 3.46         5.43         7.39          1.63         1.64         0.34         010
                                             treatment of
                                             nerve.
64605.........  ............  A...........  Injection                 5.62         7.22         8.39          2.27         2.23         0.79         010
                                             treatment of
                                             nerve.
64610.........  ............  A...........  Injection                 7.17         9.18         9.02          3.43         3.57         1.58         010
                                             treatment of
                                             nerve.
64612.........  ............  A...........  Destroy nerve,            1.98         1.58         2.03          1.34         1.33         0.11         010
                                             face muscle.
64613.........  ............  A...........  Destroy nerve,            1.98         1.37         2.15          1.14         1.18         0.11         010
                                             neck muscle.
64614.........  ............  A...........  Destroy nerve,            2.20         1.62         2.42          1.31         1.31         0.10         010
                                             extrem musc.
64620.........  ............  A...........  Injection                 2.86         3.30         4.18          1.11         1.22         0.20         010
                                             treatment of
                                             nerve.
64622.........  ............  A...........  Destr paravertebrl        3.02         4.06         5.91          1.26         1.31         0.18         010
                                             nerve l/s.
64623.........  ............  A...........  Destr                     0.99         1.68         2.32          0.22         0.22         0.06         ZZZ
                                             paravertebral n
                                             add-on.
64626.........  ............  A...........  Destr paravertebrl        3.82         4.74         6.26          1.87         1.92         0.20         010
                                             nerve c/t.
64627.........  ............  A...........  Destr                     1.16         2.37         3.45          0.25         0.26         0.07         ZZZ
                                             paravertebral n
                                             add-on.
64630.........  ............  A...........  Injection                 3.02         2.76         2.75          1.84         1.62         0.22         010
                                             treatment of
                                             nerve.
64640.........  ............  A...........  Injection                 2.78         2.42         3.30          1.42         1.63         0.29         010
                                             treatment of
                                             nerve.
64650.........  ............  A...........  Chemodenerv               0.70         0.72         0.79          0.16         0.23         0.06         000
                                             eccrine glands.
64653.........  ............  A...........  Chemodenerv               0.88         0.75         0.83          0.19         0.29         0.08         000
                                             eccrine glands.
64680.........  ............  A...........  Injection                 2.64         4.25         5.48          1.20         1.31         0.18         010
                                             treatment of
                                             nerve.
64681.........  ............  A...........  Injection                 3.78         4.82         7.06          1.27         1.67         0.28         010
                                             treatment of
                                             nerve.
64702.........  ............  A...........  Revise finger/toe         6.10           NA           NA          5.19         4.53         0.61         090
                                             nerve.
64704.........  ............  A...........  Revise hand/foot          4.61           NA           NA          3.28         3.30         0.61         090
                                             nerve.
64708.........  ............  A...........  Revise arm/leg            6.22           NA           NA          4.20         4.53         0.96         090
                                             nerve.
64712.........  ............  A...........  Revision of               7.98           NA           NA          4.38         4.67         0.95         090
                                             sciatic nerve.
64713.........  ............  A...........  Revision of arm          11.29           NA           NA          6.05         5.96         1.83         090
                                             nerve(s).
64714.........  ............  A...........  Revise low back          10.44           NA           NA          4.37         4.29         1.19         090
                                             nerve(s).
64716.........  ............  A...........  Revision of               6.86           NA           NA          5.46         5.72         0.63         090
                                             cranial nerve.
64718.........  ............  A...........  Revise ulnar nerve        7.06           NA           NA          6.20         6.10         1.05         090
                                             at elbow.
64719.........  ............  A...........  Revise ulnar nerve        4.89           NA           NA          4.14         4.33         0.77         090
                                             at wrist.
64721.........  ............  A...........  Carpal tunnel             4.84         4.71         5.04          4.65         5.01         0.73         090
                                             surgery.
64722.........  ............  A...........  Relieve pressure          4.74           NA           NA          3.00         3.02         0.48         090
                                             on nerve(s).
64726.........  ............  A...........  Release foot/toe          4.21           NA           NA          2.80         2.80         0.54         090
                                             nerve.
64727.........  ............  A...........  Internal nerve            3.10           NA           NA          1.19         1.34         0.48         ZZZ
                                             revision.

[[Page 2643]]

 
64732.........  ............  A...........  Incision of brow          4.81           NA           NA          3.66         3.58         0.98         090
                                             nerve.
64734.........  ............  A...........  Incision of cheek         5.45           NA           NA          4.44         4.24         0.89         090
                                             nerve.
64736.........  ............  A...........  Incision of chin          5.13           NA           NA          3.72         3.87         0.52         090
                                             nerve.
64738.........  ............  A...........  Incision of jaw           6.26           NA           NA          4.65         4.63         1.08         090
                                             nerve.
64740.........  ............  A...........  Incision of tongue        6.12           NA           NA          4.98         5.05         0.69         090
                                             nerve.
64742.........  ............  A...........  Incision of facial        6.75           NA           NA          4.28         4.49         0.73         090
                                             nerve.
64744.........  ............  A...........  Incise nerve, back        5.64           NA           NA          4.04         3.91         1.16         090
                                             of head.
64746.........  ............  A...........  Incise diaphragm          6.46           NA           NA          3.86         4.18         0.82         090
                                             nerve.
64752.........  ............  A...........  Incision of vagus         7.59           NA           NA          3.79         4.04         0.93         090
                                             nerve.
64755.........  ............  A...........  Incision of              14.97           NA           NA          5.50         5.57         1.84         090
                                             stomach nerves.
64760.........  ............  A...........  Incision of vagus         7.49           NA           NA          3.78         3.62         0.81         090
                                             nerve.
64761.........  ............  A...........  Incision of pelvis        6.94           NA           NA          4.33         3.92         0.53         090
                                             nerve.
64763.........  ............  A...........  Incise hip/thigh          7.46           NA           NA          3.91         4.55         0.94         090
                                             nerve.
64766.........  ............  A...........  Incise hip/thigh          9.34           NA           NA          4.74         4.99         1.06         090
                                             nerve.
64771.........  ............  A...........  Sever cranial             8.02           NA           NA          5.64         5.60         1.23         090
                                             nerve.
64772.........  ............  A...........  Incision of spinal        7.74           NA           NA          5.12         5.02         1.40         090
                                             nerve.
64774.........  ............  A...........  Remove skin nerve         5.70           NA           NA          4.03         3.93         0.74         090
                                             lesion.
64776.........  ............  A...........  Remove digit nerve        5.52           NA           NA          3.73         3.70         0.76         090
                                             lesion.
64778.........  ............  A...........  Digit nerve               3.11           NA           NA          1.21         1.35         0.46         ZZZ
                                             surgery add-on.
64782.........  ............  A...........  Remove limb nerve         6.76           NA           NA          4.22         4.00         0.86         090
                                             lesion.
64783.........  ............  A...........  Limb nerve surgery        3.71           NA           NA          1.37         1.60         0.51         ZZZ
                                             add-on.
64784.........  ............  A...........  Remove nerve             10.49           NA           NA          6.41         6.50         1.38         090
                                             lesion.
64786.........  ............  A...........  Remove sciatic           16.12           NA           NA          8.44         9.14         2.61         090
                                             nerve lesion.
64787.........  ............  A...........  Implant nerve end.        4.29           NA           NA          1.64         1.88         0.58         ZZZ
64788.........  ............  A...........  Remove skin nerve         5.14           NA           NA          4.06         3.76         0.73         090
                                             lesion.
64790.........  ............  A...........  Removal of nerve         11.97           NA           NA          6.98         7.09         2.11         090
                                             lesion.
64792.........  ............  A...........  Removal of nerve         15.71           NA           NA          8.30         8.57         2.49         090
                                             lesion.
64795.........  ............  A...........  Biopsy of nerve...        3.01           NA           NA          1.43         1.49         0.52         000
64802.........  ............  A...........  Remove sympathetic       10.24           NA           NA          3.51         4.32         1.29         090
                                             nerves.
64804.........  ............  A...........  Remove sympathetic       15.78           NA           NA          5.97         6.57         2.15         090
                                             nerves.
64809.........  ............  A...........  Remove sympathetic       14.61           NA           NA          7.04         6.40         1.50         090
                                             nerves.
64818.........  ............  A...........  Remove sympathetic       11.24           NA           NA          4.32         4.80         1.33         090
                                             nerves.
64820.........  ............  A...........  Remove sympathetic       10.64           NA           NA          6.94         7.03         1.49         090
                                             nerves.
64821.........  ............  A...........  Remove sympathetic        9.19           NA           NA          6.54         6.94         1.24         090
                                             nerves.
64822.........  ............  A...........  Remove sympathetic        9.19           NA           NA          6.43         6.83         1.30         090
                                             nerves.
64823.........  ............  A...........  Remove sympathetic       10.80           NA           NA          6.47         7.30         1.57         090
                                             nerves.
64831.........  ............  A...........  Repair of digit          10.23           NA           NA          6.62         6.85         1.41         090
                                             nerve.
64832.........  ............  A...........  Repair nerve add-         5.65           NA           NA          2.32         2.62         0.85         ZZZ
                                             on.
64834.........  ............  A...........  Repair of hand or        10.71           NA           NA          6.45         6.77         1.54         090
                                             foot nerve.
64835.........  ............  A...........  Repair of hand or        11.60           NA           NA          6.91         7.30         1.74         090
                                             foot nerve.
64836.........  ............  A...........  Repair of hand or        11.60           NA           NA          7.07         7.37         1.68         090
                                             foot nerve.
64837.........  ............  A...........  Repair nerve add-         6.25           NA           NA          2.57         2.90         0.97         ZZZ
                                             on.
64840.........  ............  A...........  Repair of leg            13.87           NA           NA          7.52         7.89         1.37         090
                                             nerve.
64856.........  ............  A...........  Repair/transpose         14.94           NA           NA          8.48         8.84         2.13         090
                                             nerve.
64857.........  ............  A...........  Repair arm/leg           15.69           NA           NA          8.76         9.20         2.22         090
                                             nerve.
64858.........  ............  A...........  Repair sciatic           17.69           NA           NA          9.57        10.17         3.34         090
                                             nerve.
64859.........  ............  A...........  Nerve surgery.....        4.25           NA           NA          1.75         1.97         0.67         ZZZ
64861.........  ............  A...........  Repair of arm            20.74           NA           NA         10.01        10.89         4.09         090
                                             nerves.
64862.........  ............  A...........  Repair of low back       20.94           NA           NA         10.14        11.03         4.32         090
                                             nerves.
64864.........  ............  A...........  Repair of facial         13.31           NA           NA          7.47         8.12         1.26         090
                                             nerve.
64865.........  ............  A...........  Repair of facial         15.96           NA           NA         11.53        12.53         1.50         090
                                             nerve.
64866.........  ............  A...........  Fusion of facial/        16.70           NA           NA         11.11        12.14         2.05         090
                                             other nerve.
64868.........  ............  A...........  Fusion of facial/        14.80           NA           NA          9.79        10.61         1.43         090
                                             other nerve.
64870.........  ............  A...........  Fusion of facial/        16.95           NA           NA          8.06         8.40         1.30         090
                                             other nerve.
64872.........  ............  A...........  Subsequent repair         1.99           NA           NA          0.78         0.93         0.29         ZZZ
                                             of nerve.
64874.........  ............  A...........  Repair & revise           2.98           NA           NA          1.26         1.39         0.42         ZZZ
                                             nerve add-on.
64876.........  ............  A...........  Repair nerve/             3.37           NA           NA          1.43         1.59         0.47         ZZZ
                                             shorten bone.
64885.........  ............  A...........  Nerve graft, head        17.50           NA           NA          8.95        10.28         1.63         090
                                             or neck.
64886.........  ............  A...........  Nerve graft, head        20.72           NA           NA         10.38        11.96         2.09         090
                                             or neck.
64890.........  ............  A...........  Nerve graft, hand        16.11           NA           NA          8.98         9.49         2.30         090
                                             or foot.
64891.........  ............  A...........  Nerve graft, hand        17.22           NA           NA          9.67         8.62         1.63         090
                                             or foot.
64892.........  ............  A...........  Nerve graft, arm         15.61           NA           NA          9.13         9.00         2.48         090
                                             or leg.
64893.........  ............  A...........  Nerve graft, arm         16.74           NA           NA          9.63         9.75         2.62         090
                                             or leg.
64895.........  ............  A...........  Nerve graft, hand        20.26           NA           NA         11.04        10.35         2.58         090
                                             or foot.
64896.........  ............  A...........  Nerve graft, hand        21.81           NA           NA         11.67        11.33         3.17         090
                                             or foot.
64897.........  ............  A...........  Nerve graft, arm         19.25           NA           NA         10.50        10.60         2.55         090
                                             or leg.
64898.........  ............  A...........  Nerve graft, arm         20.82           NA           NA         11.46        11.63         2.78         090
                                             or leg.
64901.........  ............  A...........  Nerve graft add-on       10.20           NA           NA          3.63         4.45         1.37         ZZZ
64902.........  ............  A...........  Nerve graft add-on       11.81           NA           NA          4.66         5.31         1.55         ZZZ
64905.........  ............  A...........  Nerve pedicle            14.98           NA           NA          7.00         7.75         2.01         090
                                             transfer.
64907.........  ............  A...........  Nerve pedicle            19.90           NA           NA          6.35         9.44         3.17         090
                                             transfer.
64910.........  ............  A...........  Nerve repair w/          11.21           NA           NA          4.66         4.66         1.74         090
                                             allograft.

[[Page 2644]]

 
64911.........  ............  A...........  Neurorraphy w/vein       14.21           NA           NA          5.32         5.32         1.91         090
                                             autograft.
64999.........  ............  C...........  Nervous system            0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             surgery.
65091.........  ............  A...........  Revise eye........        7.13           NA           NA          6.73         7.54         0.32         090
65093.........  ............  A...........  Revise eye with           6.93           NA           NA          6.79         7.76         0.34         090
                                             implant.
65101.........  ............  A...........  Removal of eye....        8.10           NA           NA          7.96         8.75         0.35         090
65103.........  ............  A...........  Remove eye/insert         8.64           NA           NA          8.12         8.93         0.37         090
                                             implant.
65105.........  ............  A...........  Remove eye/attach         9.70           NA           NA          8.77         9.62         0.42         090
                                             implant.
65110.........  ............  A...........  Removal of eye....       15.42           NA           NA         11.42        12.55         0.81         090
65112.........  ............  A...........  Remove eye/revise        18.18           NA           NA         13.30        14.72         1.30         090
                                             socket.
65114.........  ............  A...........  Remove eye/revise        19.32           NA           NA         13.57        14.96         1.02         090
                                             socket.
65125.........  ............  A...........  Revise ocular             3.18         6.71         7.76          3.17         3.38         0.19         090
                                             implant.
65130.........  ............  A...........  Insert ocular             8.22           NA           NA          7.68         8.42         0.35         090
                                             implant.
65135.........  ............  A...........  Insert ocular             8.40           NA           NA          7.74         8.53         0.36         090
                                             implant.
65140.........  ............  A...........  Attach ocular             9.23           NA           NA          8.38         9.13         0.40         090
                                             implant.
65150.........  ............  A...........  Revise ocular             6.32           NA           NA          6.29         7.13         0.31         090
                                             implant.
65155.........  ............  A...........  Reinsert ocular           9.87           NA           NA          8.77         9.63         0.50         090
                                             implant.
65175.........  ............  A...........  Removal of ocular         7.22           NA           NA          7.04         7.76         0.31         090
                                             implant.
65205.........  ............  A...........  Remove foreign            0.71         0.57         0.60          0.32         0.30         0.03         000
                                             body from eye.
65210.........  ............  A...........  Remove foreign            0.84         0.71         0.76          0.39         0.38         0.04         000
                                             body from eye.
65220.........  ............  A...........  Remove foreign            0.71         0.59         0.62          0.28         0.28         0.05         000
                                             body from eye.
65222.........  ............  A...........  Remove foreign            0.93         0.78         0.83          0.41         0.40         0.04         000
                                             body from eye.
65235.........  ............  A...........  Remove foreign            8.78           NA           NA          6.78         6.76         0.37         090
                                             body from eye.
65260.........  ............  A...........  Remove foreign           12.29           NA           NA          8.74         9.20         0.57         090
                                             body from eye.
65265.........  ............  A...........  Remove foreign           14.06           NA           NA          9.59        10.11         0.62         090
                                             body from eye.
65270.........  ............  A...........  Repair of eye             1.92         3.82         4.52          1.20         1.29         0.09         010
                                             wound.
65272.........  ............  A...........  Repair of eye             4.49         6.30         7.00          3.15         3.22         0.19         090
                                             wound.
65273.........  ............  A...........  Repair of eye             5.03           NA           NA          3.36         3.47         0.22         090
                                             wound.
65275.........  ............  A...........  Repair of eye             6.14         6.30         6.31          3.90         3.92         0.26         090
                                             wound.
65280.........  ............  A...........  Repair of eye             8.87           NA           NA          5.83         6.03         0.38         090
                                             wound.
65285.........  ............  A...........  Repair of eye            14.43           NA           NA          8.39         8.80         0.64         090
                                             wound.
65286.........  ............  A...........  Repair of eye             6.45         8.70         9.92          4.38         4.50         0.27         090
                                             wound.
65290.........  ............  A...........  Repair of eye             6.35           NA           NA          4.43         4.59         0.31         090
                                             socket wound.
65400.........  ............  A...........  Removal of eye            7.27         7.44         7.88          5.84         5.98         0.30         090
                                             lesion.
65410.........  ............  A...........  Biopsy of cornea..        1.47         1.66         1.89          0.86         0.91         0.07         000
65420.........  ............  A...........  Removal of eye            4.24         6.85         7.86          3.96         4.20         0.21         090
                                             lesion.
65426.........  ............  A...........  Removal of eye            5.93         8.09         9.13          4.50         4.71         0.25         090
                                             lesion.
65430.........  ............  A...........  Corneal smear.....        1.47         1.09         1.19          0.86         0.92         0.07         000
65435.........  ............  A...........  Curette/treat             0.92         0.86         0.93          0.64         0.68         0.04         000
                                             cornea.
65436.........  ............  A...........  Curette/treat             4.72         3.76         3.92          3.43         3.55         0.21         090
                                             cornea.
65450.........  ............  A...........  Treatment of              3.35         3.67         3.87          3.60         3.77         0.16         090
                                             corneal lesion.
65600.........  ............  A...........  Revision of cornea        4.07         4.43         4.72          3.38         3.37         0.17         090
65710.........  ............  A...........  Corneal transplant       14.09           NA           NA         10.14        10.67         0.61         090
65730.........  ............  A...........  Corneal transplant       15.99           NA           NA         10.96        11.49         0.70         090
65750.........  ............  A...........  Corneal transplant       16.60           NA           NA         10.61        11.29         0.74         090
65755.........  ............  A...........  Corneal transplant       16.49           NA           NA         10.58        11.24         0.73         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       19.41           NA           NA         11.65        12.43         0.87         090
                                             implant.
65771.........  ............  N...........  Radial keratotomy.        0.00         0.00         0.00          0.00         0.00         0.00         XXX
65772.........  ............  A...........  Correction of             4.96         4.84         5.19          3.91         4.02         0.21         090
                                             astigmatism.
65775.........  ............  A...........  Correction of             6.73           NA           NA          5.30         5.63         0.28         090
                                             astigmatism.
65780.........  ............  A...........  Ocular reconst,          10.43           NA           NA          8.93         9.61         0.44         090
                                             transplant.
65781.........  ............  A...........  Ocular reconst,          17.84           NA           NA         11.57        12.63         0.44         090
                                             transplant.
65782.........  ............  A...........  Ocular reconst,          15.16           NA           NA         10.19        11.09         0.44         090
                                             transplant.
65800.........  ............  A...........  Drainage of eye...        1.91         1.39         1.60          1.02         1.10         0.09         000
65805.........  ............  A...........  Drainage of eye...        1.91         1.70         1.94          1.02         1.11         0.09         000
65810.........  ............  A...........  Drainage of eye...        5.67           NA           NA          4.66         4.68         0.24         090
65815.........  ............  A...........  Drainage of eye...        5.85         7.91         8.96          4.57         4.69         0.25         090
65820.........  ............  A...........  Relieve inner eye         8.72           NA           NA          7.50         8.28         0.40         090
                                             pressure.
65850.........  ............  A...........  Incision of eye...       11.24           NA           NA          7.32         7.88         0.52         090
65855.........  ............  A...........  Laser surgery of          3.90         3.49         3.90          2.62         2.86         0.19         010
                                             eye.
65860.........  ............  A...........  Incise inner eye          3.56         3.26         3.65          2.07         2.29         0.18         090
                                             adhesions.
65865.........  ............  A...........  Incise inner eye          5.66           NA           NA          4.69         5.16         0.28         090
                                             adhesions.
65870.........  ............  A...........  Incise inner eye          7.21           NA           NA          5.70         6.06         0.31         090
                                             adhesions.
65875.........  ............  A...........  Incise inner eye          7.61           NA           NA          6.13         6.46         0.32         090
                                             adhesions.
65880.........  ............  A...........  Incise inner eye          8.16           NA           NA          6.30         6.67         0.35         090
                                             adhesions.
65900.........  ............  A...........  Remove eye lesion.       12.26           NA           NA          8.89         9.58         0.54         090
65920.........  ............  A...........  Remove implant of         9.74           NA           NA          7.46         7.82         0.41         090
                                             eye.
65930.........  ............  A...........  Remove blood clot         8.24           NA           NA          5.77         6.30         0.37         090
                                             from eye.
66020.........  ............  A...........  Injection                 1.61         2.42         2.77          1.27         1.36         0.08         010
                                             treatment of eye.
66030.........  ............  A...........  Injection                 1.27         2.29         2.63          1.15         1.21         0.06         010
                                             treatment of eye.

[[Page 2645]]

 
66130.........  ............  A...........  Remove eye lesion.        7.74         7.51         8.57          4.86         5.24         0.38         090
66150.........  ............  A...........  Glaucoma surgery..       10.18           NA           NA          8.81         9.11         0.46         090
66155.........  ............  A...........  Glaucoma surgery..       10.17           NA           NA          8.81         9.08         0.41         090
66160.........  ............  A...........  Glaucoma surgery..       12.04           NA           NA          9.47         9.83         0.50         090
66165.........  ............  A...........  Glaucoma surgery..        9.89           NA           NA          8.77         9.01         0.40         090
66170.........  ............  A...........  Glaucoma surgery..       14.57           NA           NA         11.54        11.89         0.60         090
66172.........  ............  A...........  Incision of eye...       18.26           NA           NA         14.63        14.92         0.74         090
66180.........  ............  A...........  Implant eye shunt.       16.02           NA           NA          9.69        10.23         0.71         090
66185.........  ............  A...........  Revise eye shunt..        9.35           NA           NA          7.04         7.21         0.40         090
66220.........  ............  A...........  Repair eye lesion.        8.98           NA           NA          7.17         7.13         0.40         090
66225.........  ............  A...........  Repair/graft eye         12.38           NA           NA          8.11         8.43         0.55         090
                                             lesion.
66250.........  ............  A...........  Follow-up surgery         6.92         9.24        10.47          5.25         5.37         0.30         090
                                             of eye.
66500.........  ............  A...........  Incision of iris..        3.75           NA           NA          3.95         4.29         0.18         090
66505.........  ............  A...........  Incision of iris..        4.13           NA           NA          4.30         4.65         0.20         090
66600.........  ............  A...........  Remove iris and           9.89           NA           NA          8.25         8.24         0.43         090
                                             lesion.
66605.........  ............  A...........  Removal of iris...       13.99           NA           NA          9.45         9.74         0.77         090
66625.........  ............  A...........  Removal of iris...        5.19           NA           NA          4.21         4.47         0.26         090
66630.........  ............  A...........  Removal of iris...        7.10           NA           NA          5.34         5.53         0.31         090
66635.........  ............  A...........  Removal of iris...        7.19           NA           NA          5.37         5.56         0.31         090
66680.........  ............  A...........  Repair iris &             6.24           NA           NA          5.06         5.17         0.27         090
                                             ciliary body.
66682.........  ............  A...........  Repair iris &             7.15           NA           NA          6.71         6.66         0.31         090
                                             ciliary body.
66700.........  ............  A...........  Destruction,              5.06         4.78         5.01          3.59         3.76         0.24         090
                                             ciliary body.
66710.........  ............  A...........  Ciliary                   5.06         4.60         4.88          3.60         3.72         0.23         090
                                             transsleral
                                             therapy.
66711.........  ............  A...........  Ciliary endoscopic        7.70           NA           NA          6.29         6.38         0.30         090
                                             ablation.
66720.........  ............  A...........  Destruction,              4.86         5.37         5.58          4.32         4.52         0.26         090
                                             ciliary body.
66740.........  ............  A...........  Destruction,              5.06         4.53         4.81          3.60         3.79         0.23         090
                                             ciliary body.
66761.........  ............  A...........  Revision of iris..        4.87         5.02         5.31          4.19         4.25         0.20         090
66762.........  ............  A...........  Revision of iris..        5.25         5.10         5.38          4.06         4.18         0.23         090
66770.........  ............  A...........  Removal of inner          5.98         5.53         5.81          4.59         4.69         0.26         090
                                             eye lesion.
66820.........  ............  A...........  Incision,                 3.93           NA           NA          4.62         5.22         0.19         090
                                             secondary
                                             cataract.
66821.........  ............  A...........  After cataract            3.32         3.82         3.96          3.42         3.52         0.11         090
                                             laser surgery.
66825.........  ............  A...........  Reposition                8.82           NA           NA          7.77         8.42         0.40         090
                                             intraocular lens.
66830.........  ............  A...........  Removal of lens           9.27           NA           NA          6.37         6.66         0.36         090
                                             lesion.
66840.........  ............  A...........  Removal of lens           8.98           NA           NA          6.29         6.58         0.39         090
                                             material.
66850.........  ............  A...........  Removal of lens          10.32           NA           NA          7.06         7.35         0.45         090
                                             material.
66852.........  ............  A...........  Removal of lens          11.18           NA           NA          7.38         7.74         0.49         090
                                             material.
66920.........  ............  A...........  Extraction of lens        9.93           NA           NA          6.64         6.97         0.44         090
66930.........  ............  A...........  Extraction of lens       11.38           NA           NA          7.45         7.80         0.49         090
66940.........  ............  A...........  Extraction of lens       10.14           NA           NA          7.00         7.30         0.43         090
66982.........  ............  A...........  Cataract surgery,        14.83           NA           NA          8.95         9.41         0.63         090
                                             complex.
66983.........  ............  A...........  Cataract surg w/         10.20           NA           NA          6.51         6.31         0.14         090
                                             iol, 1 stage.
66984.........  ............  A...........  Cataract surg w/         10.36           NA           NA          6.44         6.93         0.39         090
                                             iol, 1 stage.
66985.........  ............  A...........  Insert lens               9.73           NA           NA          7.12         7.29         0.36         090
                                             prosthesis.
66986.........  ............  A...........  Exchange lens            12.26           NA           NA          8.05         8.62         0.60         090
                                             prosthesis.
66990.........  ............  A...........  Ophthalmic                1.51           NA           NA          0.54         0.61         0.07         ZZZ
                                             endoscope add-on.
66999.........  ............  C...........  Eye surgery               0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
67005.........  ............  A...........  Partial removal of        5.77           NA           NA          4.57         4.72         0.28         090
                                             eye fluid.
67010.........  ............  A...........  Partial removal of        6.94           NA           NA          4.99         5.21         0.34         090
                                             eye fluid.
67015.........  ............  A...........  Release of eye            7.00           NA           NA          5.70         6.08         0.34         090
                                             fluid.
67025.........  ............  A...........  Replace eye fluid.        7.91         7.86         8.54          5.91         6.07         0.34         090
67027.........  ............  A...........  Implant eye drug         11.43           NA           NA          7.37         7.68         0.54         090
                                             system.
67028.........  ............  A...........  Injection eye drug        2.52         2.15         2.43          1.24         1.35         0.12         000
67030.........  ............  A...........  Incise inner eye          5.91           NA           NA          5.60         5.73         0.24         090
                                             strands.
67031.........  ............  A...........  Laser surgery, eye        4.34         4.09         4.35          3.43         3.53         0.18         090
                                             strands.
67036.........  ............  A...........  Removal of inner         13.09           NA           NA          8.06         8.59         0.58         090
                                             eye fluid.
67039.........  ............  A...........  Laser treatment of       16.39           NA           NA         10.69        11.44         0.71         090
                                             retina.
67040.........  ............  A...........  Laser treatment of       19.23           NA           NA         12.00        12.84         0.85         090
                                             retina.
67041.........  ............  A...........  Vit for macular          19.00           NA           NA         10.37        10.37         0.86         090
                                             pucker.
67042.........  ............  A...........  Vit for macular          22.13           NA           NA         11.49        11.49         1.00         090
                                             hole.
67043.........  ............  A...........  Vit for membrane         22.94           NA           NA         12.35        12.35         1.04         090
                                             dissect.
67101.........  ............  A...........  Repair detached           8.60         8.49         8.81          6.17         6.35         0.37         090
                                             retina.
67105.........  ............  A...........  Repair detached           8.35         7.41         7.75          5.78         5.97         0.37         090
                                             retina.
67107.........  ............  A...........  Repair detached          16.35           NA           NA         10.35        10.83         0.73         090
                                             retina.
67108.........  ............  A...........  Repair detached          22.49           NA           NA         12.93        13.68         1.02         090
                                             retina.
67110.........  ............  A...........  Repair detached          10.02         8.92         9.58          6.96         7.18         0.44         090
                                             retina.
67112.........  ............  A...........  Rerepair detached        18.45           NA           NA         10.86        11.33         0.83         090
                                             retina.
67113.........  ............  A...........  Repair retinal           25.00           NA           NA         13.75        13.75         1.13         090
                                             detach, cplx.
67115.........  ............  A...........  Release encircling        5.93           NA           NA          4.92         5.00         0.25         090
                                             material.
67120.........  ............  A...........  Remove eye implant        6.92         7.35         7.97          5.28         5.41         0.29         090
                                             material.
67121.........  ............  A...........  Remove eye implant       12.00           NA           NA          7.95         8.24         0.53         090
                                             material.
67141.........  ............  A...........  Treatment of              6.00         5.41         5.63          4.65         4.76         0.26         090
                                             retina.
67145.........  ............  A...........  Treatment of              6.17         5.34         5.53          4.71         4.82         0.27         090
                                             retina.

[[Page 2646]]

 
67208.........  ............  A...........  Treatment of              7.50         5.64         5.89          5.20         5.36         0.33         090
                                             retinal lesion.
67210.........  ............  A...........  Treatment of              9.35         5.91         6.24          5.44         5.66         0.44         090
                                             retinal lesion.
67218.........  ............  A...........  Treatment of             20.22           NA           NA         10.61        11.39         0.92         090
                                             retinal lesion.
67220.........  ............  A...........  Treatment of             14.19         9.22         9.82          8.16         8.59         0.65         090
                                             choroid lesion.
67221.........  ............  R...........  Ocular                    3.45         2.92         3.62          1.38         1.59         0.20         000
                                             photodynamic ther.
67225.........  ............  A...........  Eye photodynamic          0.47         0.22         0.24          0.17         0.19         0.02         ZZZ
                                             ther add-on.
67227.........  ............  A...........  Treatment of              7.38         6.00         6.29          5.16         5.34         0.33         090
                                             retinal lesion.
67228.........  ............  A...........  Treatment of             13.67        13.60        12.54         10.19         9.37         0.63         090
                                             retinal lesion.
67229.........  ............  A...........  Tr retinal les           16.00           NA           NA          9.52         9.52         0.71         090
                                             preterm inf.
67250.........  ............  A...........  Reinforce eye wall        9.46           NA           NA          7.66         8.42         0.47         090
67255.........  ............  A...........  Reinforce/graft           9.97           NA           NA          8.43         9.16         0.44         090
                                             eye wall.
67299.........  ............  C...........  Eye surgery               0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
67311.........  ............  A...........  Revise eye muscle.        7.59           NA           NA          5.50         5.76         0.37         090
67312.........  ............  A...........  Revise two eye            9.48           NA           NA          6.19         6.47         0.43         090
                                             muscles.
67314.........  ............  A...........  Revise eye muscle.        8.59           NA           NA          6.15         6.35         0.39         090
67316.........  ............  A...........  Revise two eye           10.73           NA           NA          6.92         7.21         0.49         090
                                             muscles.
67318.........  ............  A...........  Revise eye                8.92           NA           NA          6.51         6.72         0.41         090
                                             muscle(s).
67320.........  ............  A...........  Revise eye                5.40           NA           NA          1.92         1.94         0.22         ZZZ
                                             muscle(s) add-on.
67331.........  ............  A...........  Eye surgery follow-       5.13           NA           NA          1.81         1.82         0.21         ZZZ
                                             up add-on.
67332.........  ............  A...........  Rerevise eye              5.56           NA           NA          1.97         2.00         0.23         ZZZ
                                             muscles add-on.
67334.........  ............  A...........  Revise eye muscle         5.05           NA           NA          1.80         1.80         0.20         ZZZ
                                             w/suture.
67335.........  ............  A...........  Eye suture during         2.49           NA           NA          0.88         1.00         0.13         ZZZ
                                             surgery.
67340.........  ............  A...........  Revise eye muscle         6.00           NA           NA          2.14         2.17         0.25         ZZZ
                                             add-on.
67343.........  ............  A...........  Release eye tissue        8.29           NA           NA          6.06         6.29         0.37         090
67345.........  ............  A...........  Destroy nerve of          2.98         2.17         2.38          1.69         1.85         0.17         010
                                             eye muscle.
67346.........  ............  A...........  Biopsy, eye muscle        2.87           NA           NA          1.62         1.75         0.15         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       10.97           NA           NA          9.42        10.34         0.56         090
                                             socket.
67405.........  ............  A...........  Explore/drain eye         9.00           NA           NA          8.34         9.06         0.44         090
                                             socket.
67412.........  ............  A...........  Explore/treat eye        10.17           NA           NA          8.53         9.73         0.48         090
                                             socket.
67413.........  ............  A...........  Explore/treat eye        10.09           NA           NA          8.70         9.74         0.50         090
                                             socket.
67414.........  ............  A...........  Explr/decompress         17.78           NA           NA         11.64        11.84         0.65         090
                                             eye socket.
67415.........  ............  A...........  Aspiration,               1.76           NA           NA          0.62         0.69         0.09         000
                                             orbital contents.
67420.........  ............  A...........  Explore/treat eye        21.62           NA           NA         14.24        15.82         1.15         090
                                             socket.
67430.........  ............  A...........  Explore/treat eye        14.99           NA           NA         11.87        13.38         0.86         090
                                             socket.
67440.........  ............  A...........  Explore/drain eye        14.56           NA           NA         11.88        13.07         0.70         090
                                             socket.
67445.........  ............  A...........  Explr/decompress         18.96           NA           NA         12.14        13.03         0.90         090
                                             eye socket.
67450.........  ............  A...........  Explore/biopsy eye       15.11           NA           NA         12.30        13.50         0.68         090
                                             socket.
67500.........  ............  A...........  Inject/treat eye          1.44         0.57         0.62          0.44         0.37         0.05         000
                                             socket.
67505.........  ............  A...........  Inject/treat eye          1.27         0.65         0.67          0.50         0.41         0.05         000
                                             socket.
67515.........  ............  A...........  Inject/treat eye          1.40         0.77         0.68          0.61         0.50         0.03         000
                                             socket.
67550.........  ............  A...........  Insert eye socket        11.52           NA           NA          9.83        10.57         0.72         090
                                             implant.
67560.........  ............  A...........  Revise eye socket        11.93           NA           NA          9.78        10.58         0.60         090
                                             implant.
67570.........  ............  A...........  Decompress optic         14.21           NA           NA         11.01        12.30         0.68         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        1.37         4.31         5.17          1.17         1.22         0.07         010
                                             abscess.
67710.........  ............  A...........  Incision of eyelid        1.04         3.70         4.54          1.08         1.14         0.05         010
67715.........  ............  A...........  Incision of eyelid        1.24         3.83         4.61          1.15         1.22         0.06         010
                                             fold.
67800.........  ............  A...........  Remove eyelid             1.39         1.39         1.50          0.90         0.97         0.07         010
                                             lesion.
67801.........  ............  A...........  Remove eyelid             1.89         1.67         1.82          1.08         1.17         0.09         010
                                             lesions.
67805.........  ............  A...........  Remove eyelid             2.24         2.18         2.35          1.41         1.53         0.11         010
                                             lesions.
67808.........  ............  A...........  Remove eyelid             4.47           NA           NA          3.61         3.69         0.19         090
                                             lesion(s).
67810.........  ............  A...........  Biopsy of eyelid..        1.48         3.94         3.64          0.68         0.68         0.06         000
67820.........  ............  A...........  Revise eyelashes..        0.71         0.43         0.52          0.50         0.53         0.04         000
67825.........  ............  A...........  Revise eyelashes..        1.40         1.40         1.57          1.26         1.33         0.07         010
67830.........  ............  A...........  Revise eyelashes..        1.72         3.99         4.76          1.32         1.41         0.08         010
67835.........  ............  A...........  Revise eyelashes..        5.61           NA           NA          4.12         4.37         0.28         090
67840.........  ............  A...........  Remove eyelid             2.06         3.90         4.69          1.45         1.55         0.10         010
                                             lesion.
67850.........  ............  A...........  Treat eyelid              1.71         3.29         3.33          1.45         1.46         0.07         010
                                             lesion.
67875.........  ............  A...........  Closure of eyelid         1.35         2.38         2.84          0.83         0.89         0.07         000
                                             by suture.
67880.........  ............  A...........  Revision of eyelid        4.47         5.44         6.03          3.57         3.69         0.19         090
67882.........  ............  A...........  Revision of eyelid        5.87         6.36         6.99          4.46         4.63         0.25         090
67900.........  ............  A...........  Repair brow defect        6.69         7.37         8.22          4.61         4.93         0.38         090
67901.........  ............  A...........  Repair eyelid             7.47         8.99         7.20          5.29         5.35         0.54         090
                                             defect.
67902.........  ............  A...........  Repair eyelid             9.68           NA           NA          6.34         5.90         0.60         090
                                             defect.
67903.........  ............  A...........  Repair eyelid             6.42         6.63         8.10          4.34         4.93         0.47         090
                                             defect.
67904.........  ............  A...........  Repair eyelid             7.83         8.17         8.90          5.37         5.30         0.41         090
                                             defect.
67906.........  ............  A...........  Repair eyelid             6.84           NA           NA          4.47         4.75         0.46         090
                                             defect.
67908.........  ............  A...........  Repair eyelid             5.19         5.55         6.09          4.12         4.74         0.28         090
                                             defect.
67909.........  ............  A...........  Revise eyelid             5.46         6.18         7.11          4.17         4.56         0.31         090
                                             defect.
67911.........  ............  A...........  Revise eyelid             7.38           NA           NA          5.05         4.91         0.31         090
                                             defect.
67912.........  ............  A...........  Correction eyelid         6.23        13.14        16.04          4.74         5.14         0.28         090
                                             w/implant.

[[Page 2647]]

 
67914.........  ............  A...........  Repair eyelid             3.70         4.75         5.55          2.68         2.86         0.19         090
                                             defect.
67915.........  ............  A...........  Repair eyelid             3.21         4.32         5.15          2.43         2.62         0.16         090
                                             defect.
67916.........  ............  A...........  Repair eyelid             5.37         6.37         7.21          4.15         4.45         0.28         090
                                             defect.
67917.........  ............  A...........  Repair eyelid             6.08         6.72         7.59          4.41         4.74         0.36         090
                                             defect.
67921.........  ............  A...........  Repair eyelid             3.42         4.62         5.41          2.56         2.73         0.17         090
                                             defect.
67922.........  ............  A...........  Repair eyelid             3.09         4.16         5.04          2.33         2.54         0.15         090
                                             defect.
67923.........  ............  A...........  Repair eyelid             5.94         6.44         7.28          4.33         4.65         0.30         090
                                             defect.
67924.........  ............  A...........  Repair eyelid             5.84         6.91         7.92          4.06         4.37         0.30         090
                                             defect.
67930.........  ............  A...........  Repair eyelid             3.62         4.37         5.04          1.78         1.98         0.19         010
                                             wound.
67935.........  ............  A...........  Repair eyelid             6.27         6.76         7.64          3.58         4.00         0.39         090
                                             wound.
67938.........  ............  A...........  Remove eyelid             1.35         3.83         4.61          1.22         1.24         0.06         010
                                             foreign body.
67950.........  ............  A...........  Revision of eyelid        5.88         6.66         7.65          4.37         4.80         0.36         090
67961.........  ............  A...........  Revision of eyelid        5.75         6.81         7.75          4.30         4.67         0.33         090
67966.........  ............  A...........  Revision of eyelid        8.83         8.05         8.59          5.74         5.66         0.37         090
67971.........  ............  A...........  Reconstruction of         9.87           NA           NA          6.18         6.73         0.53         090
                                             eyelid.
67973.........  ............  A...........  Reconstruction of        12.96           NA           NA          7.71         8.52         0.75         090
                                             eyelid.
67974.........  ............  A...........  Reconstruction of        12.93           NA           NA          7.69         8.46         0.75         090
                                             eyelid.
67975.........  ............  A...........  Reconstruction of         9.21           NA           NA          5.94         6.45         0.50         090
                                             eyelid.
67999.........  ............  C...........  Revision of eyelid        0.00         0.00         0.00          0.00         0.00         0.00         YYY
68020.........  ............  A...........  Incise/drain              1.39         1.24         1.32          1.05         1.13         0.06         010
                                             eyelid lining.
68040.........  ............  A...........  Treatment of              0.85         0.60         0.66          0.35         0.39         0.04         000
                                             eyelid lesions.
68100.........  ............  A...........  Biopsy of eyelid          1.35         2.36         2.81          0.86         0.90         0.07         000
                                             lining.
68110.........  ............  A...........  Remove eyelid             1.79         3.07         3.59          1.48         1.56         0.09         010
                                             lining lesion.
68115.........  ............  A...........  Remove eyelid             2.38         4.33         5.15          1.69         1.80         0.12         010
                                             lining lesion.
68130.........  ............  A...........  Remove eyelid             4.99         6.64         7.68          4.02         4.31         0.24         090
                                             lining lesion.
68135.........  ............  A...........  Remove eyelid             1.86         1.58         1.70          1.47         1.56         0.09         010
                                             lining lesion.
68200.........  ............  A...........  Treat eyelid by           0.49         0.45         0.49          0.29         0.31         0.02         000
                                             injection.
68320.........  ............  A...........  Revise/graft              6.44         9.16        10.22          5.31         5.42         0.27         090
                                             eyelid lining.
68325.........  ............  A...........  Revise/graft              8.43           NA           NA          6.10         6.32         0.44         090
                                             eyelid lining.
68326.........  ............  A...........  Revise/graft              8.22           NA           NA          5.92         6.17         0.35         090
                                             eyelid lining.
68328.........  ............  A...........  Revise/graft              9.25           NA           NA          6.38         6.84         0.54         090
                                             eyelid lining.
68330.........  ............  A...........  Revise eyelid             5.63         7.41         8.42          4.44         4.58         0.24         090
                                             lining.
68335.........  ............  A...........  Revise/graft              8.26           NA           NA          5.92         6.15         0.36         090
                                             eyelid lining.
68340.........  ............  A...........  Separate eyelid           4.84         6.87         7.88          3.87         3.98         0.21         090
                                             adhesions.
68360.........  ............  A...........  Revise eyelid             5.04         6.43         7.24          3.96         4.07         0.22         090
                                             lining.
68362.........  ............  A...........  Revise eyelid             8.41           NA           NA          5.97         6.19         0.36         090
                                             lining.
68371.........  ............  A...........  Harvest eye               4.97           NA           NA          4.06         4.39         0.44         010
                                             tissue, alograft.
68399.........  ............  C...........  Eyelid lining             0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             surgery.
68400.........  ............  A...........  Incise/drain tear         1.71         4.42         5.16          1.21         1.52         0.08         010
                                             gland.
68420.........  ............  A...........  Incise/drain tear         2.32         4.59         5.39          1.42         1.76         0.11         010
                                             sac.
68440.........  ............  A...........  Incise tear duct          0.96         1.25         1.67          1.19         1.23         0.05         010
                                             opening.
68500.........  ............  A...........  Removal of tear          12.49           NA           NA          9.53         9.63         0.55         090
                                             gland.
68505.........  ............  A...........  Partial removal,         12.41           NA           NA          8.91         9.79         0.55         090
                                             tear gland.
68510.........  ............  A...........  Biopsy of tear            4.60         5.21         6.27          2.02         2.06         0.23         000
                                             gland.
68520.........  ............  A...........  Removal of tear           8.58           NA           NA          6.49         6.96         0.37         090
                                             sac.
68525.........  ............  A...........  Biopsy of tear sac        4.42           NA           NA          1.57         1.80         0.22         000
68530.........  ............  A...........  Clearance of tear         3.67         5.60         6.89          2.07         2.36         0.18         010
                                             duct.
68540.........  ............  A...........  Remove tear gland        11.93           NA           NA          8.49         8.94         0.52         090
                                             lesion.
68550.........  ............  A...........  Remove tear gland        14.86           NA           NA          9.68        10.52         0.80         090
                                             lesion.
68700.........  ............  A...........  Repair tear ducts.        7.67           NA           NA          5.56         5.77         0.32         090
68705.........  ............  A...........  Revise tear duct          2.08         3.03         3.60          1.58         1.69         0.10         010
                                             opening.
68720.........  ............  A...........  Create tear sac           9.78           NA           NA          6.88         7.37         0.44         090
                                             drain.
68745.........  ............  A...........  Create tear duct          9.70           NA           NA          6.98         7.42         0.52         090
                                             drain.
68750.........  ............  A...........  Create tear duct          9.87           NA           NA          7.43         7.85         0.43         090
                                             drain.
68760.........  ............  A...........  Close tear duct           1.75         2.59         3.06          1.45         1.54         0.09         010
                                             opening.
68761.........  ............  A...........  Close tear duct           1.38         1.83         2.05          1.25         1.28         0.06         010
                                             opening.
68770.........  ............  A...........  Close tear system         8.09           NA           NA          5.75         4.47         0.35         090
                                             fistula.
68801.........  ............  A...........  Dilate tear duct          0.96         1.77         1.86          1.41         1.45         0.05         010
                                             opening.
68810.........  ............  A...........  Probe nasolacrimal        2.63         3.39         3.53          2.68         2.68         0.10         010
                                             duct.
68811.........  ............  A...........  Probe nasolacrimal        2.39           NA           NA          2.12         2.27         0.13         010
                                             duct.
68815.........  ............  A...........  Probe nasolacrimal        3.24         6.42         7.33          2.43         2.62         0.17         010
                                             duct.
68816.........  ............  A...........  Probe nl duct w/          3.00        12.75        12.75          2.51         2.51         0.16         010
                                             balloon.
68840.........  ............  A...........  Explore/irrigate          1.27         1.51         1.55          1.28         1.20         0.06         010
                                             tear ducts.
68850.........  ............  A...........  Injection for tear        0.80         0.72         0.80          0.60         0.64         0.04         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        1.47         2.89         2.88          1.34         1.35         0.12         010
                                             lesion.
69005.........  ............  A...........  Drain external ear        2.13         2.99         2.96          1.61         1.73         0.17         010
                                             lesion.
69020.........  ............  A...........  Drain outer ear           1.50         4.09         4.04          1.90         1.98         0.12         010
                                             canal 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         1.85         1.78          0.39         0.39         0.03         000
                                             ear.
69105.........  ............  A...........  Biopsy of external        0.85         2.64         2.49          0.71         0.74         0.07         000
                                             ear canal.
69110.........  ............  A...........  Remove external           3.47         7.84         7.29          4.45         4.46         0.30         090
                                             ear, partial.

[[Page 2648]]

 
69120.........  ............  A...........  Removal of                4.08           NA           NA          5.36         5.77         0.38         090
                                             external ear.
69140.........  ............  A...........  Remove ear canal          8.03           NA           NA         13.23        13.26         0.65         090
                                             lesion(s).
69145.........  ............  A...........  Remove ear canal          2.65         7.03         6.41          3.37         3.34         0.21         090
                                             lesion(s).
69150.........  ............  A...........  Extensive ear            13.49           NA           NA         11.46        12.44         1.22         090
                                             canal surgery.
69155.........  ............  A...........  Extensive ear/neck       23.06           NA           NA         17.00        18.28         1.93         090
                                             surgery.
69200.........  ............  A...........  Clear outer ear           0.77         2.15         2.27          0.61         0.58         0.06         000
                                             canal.
69205.........  ............  A...........  Clear outer ear           1.20           NA           NA          1.24         1.30         0.10         010
                                             canal.
69210.........  ............  A...........  Remove impacted           0.61         0.58         0.60          0.17         0.20         0.05         000
                                             ear wax.
69220.........  ............  A...........  Clean out mastoid         0.83         2.56         2.46          0.68         0.70         0.07         000
                                             cavity.
69222.........  ............  A...........  Clean out mastoid         1.42         3.97         3.91          1.90         1.98         0.12         010
                                             cavity.
69300.........  ............  R...........  Revise external           6.69        10.72         7.47          5.19         4.70         0.72         YYY
                                             ear.
69310.........  ............  A...........  Rebuild outer ear        10.85           NA           NA         15.50        15.90         0.85         090
                                             canal.
69320.........  ............  A...........  Rebuild outer ear        17.03           NA           NA         20.07        20.96         1.37         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         2.82         2.49          0.68         0.67         0.07         000
                                             canal.
69401.........  ............  A...........  Inflate middle ear        0.63         1.53         1.38          0.59         0.62         0.05         000
                                             canal.
69405.........  ............  A...........  Catheterize middle        2.65         3.66         3.58          1.96         2.14         0.21         010
                                             ear canal.
69420.........  ............  A...........  Incision of               1.35         3.32         3.24          1.56         1.57         0.11         010
                                             eardrum.
69421.........  ............  A...........  Incision of               1.75           NA           NA          1.85         2.01         0.15         010
                                             eardrum.
69424.........  ............  A...........  Remove ventilating        0.85         2.34         2.26          0.68         0.68         0.07         000
                                             tube.
69433.........  ............  A...........  Create eardrum            1.54         3.32         3.21          1.60         1.62         0.13         010
                                             opening.
69436.........  ............  A...........  Create eardrum            1.98           NA           NA          1.90         2.10         0.19         010
                                             opening.
69440.........  ............  A...........  Exploration of            7.62           NA           NA          9.12         8.95         0.61         090
                                             middle ear.
69450.........  ............  A...........  Eardrum revision..        5.61           NA           NA          7.62         7.33         0.45         090
69501.........  ............  A...........  Mastoidectomy.....        9.12           NA           NA          8.66         8.84         0.73         090
69502.........  ............  A...........  Mastoidectomy.....       12.44           NA           NA         11.05        11.32         1.00         090
69505.........  ............  A...........  Remove mastoid           13.05           NA           NA         16.15        16.68         1.05         090
                                             structures.
69511.........  ............  A...........  Extensive mastoid        13.58           NA           NA         16.34        16.91         1.09         090
                                             surgery.
69530.........  ............  A...........  Extensive mastoid        20.24           NA           NA         19.67        20.66         1.54         090
                                             surgery.
69535.........  ............  A...........  Remove part of           37.27           NA           NA         26.78        29.38         2.93         090
                                             temporal bone.
69540.........  ............  A...........  Remove ear lesion.        1.22         3.90         3.82          1.85         1.92         0.10         010
69550.........  ............  A...........  Remove ear lesion.       11.04           NA           NA         14.28        14.58         0.89         090
69552.........  ............  A...........  Remove ear lesion.       19.69           NA           NA         18.20        19.44         1.59         090
69554.........  ............  A...........  Remove ear lesion.       35.71           NA           NA         24.01        27.18         2.92         090
69601.........  ............  A...........  Mastoid surgery          13.31           NA           NA         11.93        12.31         1.07         090
                                             revision.
69602.........  ............  A...........  Mastoid surgery          13.64           NA           NA         12.81        13.03         1.10         090
                                             revision.
69603.........  ............  A...........  Mastoid surgery          14.08           NA           NA         16.45        17.41         1.14         090
                                             revision.
69604.........  ............  A...........  Mastoid surgery          14.08           NA           NA         12.79        13.24         1.14         090
                                             revision.
69605.........  ............  A...........  Mastoid surgery          18.55           NA           NA         19.30        20.13         1.50         090
                                             revision.
69610.........  ............  A...........  Repair of eardrum.        4.44         4.91         5.24          2.59         2.93         0.36         010
69620.........  ............  A...........  Repair of eardrum.        5.94        10.92        11.02          5.84         6.07         0.48         090
69631.........  ............  A...........  Repair eardrum            9.93           NA           NA         11.53        11.37         0.80         090
                                             structures.
69632.........  ............  A...........  Rebuild eardrum          12.82           NA           NA         13.32        13.40         1.03         090
                                             structures.
69633.........  ............  A...........  Rebuild eardrum          12.17           NA           NA         13.09        13.08         0.98         090
                                             structures.
69635.........  ............  A...........  Repair eardrum           13.39           NA           NA         16.30        16.53         1.08         090
                                             structures.
69636.........  ............  A...........  Rebuild eardrum          15.29           NA           NA         18.21        18.76         1.23         090
                                             structures.
69637.........  ............  A...........  Rebuild eardrum          15.18           NA           NA         18.12        18.68         1.22         090
                                             structures.
69641.........  ............  A...........  Revise middle ear        12.77           NA           NA         12.48        12.64         1.03         090
                                             & mastoid.
69642.........  ............  A...........  Revise middle ear        16.91           NA           NA         15.54        15.92         1.36         090
                                             & mastoid.
69643.........  ............  A...........  Revise middle ear        15.45           NA           NA         14.17        14.50         1.24         090
                                             & mastoid.
69644.........  ............  A...........  Revise middle ear        17.09           NA           NA         18.75        19.58         1.37         090
                                             & mastoid.
69645.........  ............  A...........  Revise middle ear        16.57           NA           NA         18.61        19.32         1.33         090
                                             & mastoid.
69646.........  ............  A...........  Revise middle ear        18.23           NA           NA         19.12        19.95         1.46         090
                                             & mastoid.
69650.........  ............  A...........  Release middle ear        9.71           NA           NA          9.54         9.73         0.78         090
                                             bone.
69660.........  ............  A...........  Revise middle ear        11.94           NA           NA         10.51        10.85         0.96         090
                                             bone.
69661.........  ............  A...........  Revise middle ear        15.80           NA           NA         13.47        14.09         1.27         090
                                             bone.
69662.........  ............  A...........  Revise middle ear        15.49           NA           NA         12.51        13.13         1.25         090
                                             bone.
69666.........  ............  A...........  Repair middle ear         9.80           NA           NA          9.81         9.89         0.79         090
                                             structures.
69667.........  ............  A...........  Repair middle ear         9.81           NA           NA          9.84         9.92         0.79         090
                                             structures.
69670.........  ............  A...........  Remove mastoid air       11.62           NA           NA         11.25        11.48         0.93         090
                                             cells.
69676.........  ............  A...........  Remove middle ear         9.58           NA           NA         10.62        10.69         0.81         090
                                             nerve.
69700.........  ............  A...........  Close mastoid             8.28           NA           NA          8.68         8.97         0.67         090
                                             fistula.
69710.........  ............  N...........  Implant/replace           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             hearing aid.
69711.........  ............  A...........  Remove/repair            10.50           NA           NA         10.42        10.61         0.83         090
                                             hearing aid.
69714.........  ............  A...........  Implant temple           14.31           NA           NA         11.80        12.23         1.13         090
                                             bone w/stimul.
69715.........  ............  A...........  Temple bne implnt        18.80           NA           NA         13.34        14.19         1.48         090
                                             w/stimulat.
69717.........  ............  A...........  Temple bone              15.29           NA           NA         11.97        13.22         0.90         090
                                             implant revision.
69718.........  ............  A...........  Revise temple bone       19.05           NA           NA         13.42        14.36         3.22         090
                                             implant.
69720.........  ............  A...........  Release facial           14.57           NA           NA         14.03        14.28         1.16         090
                                             nerve.
69725.........  ............  A...........  Release facial           27.44           NA           NA         18.04        19.09         2.45         090
                                             nerve.
69740.........  ............  A...........  Repair facial            16.18           NA           NA         11.59        12.51         1.27         090
                                             nerve.
69745.........  ............  A...........  Repair facial            16.91           NA           NA          9.94        12.46         1.14         090
                                             nerve.

[[Page 2649]]

 
69799.........  ............  C...........  Middle ear surgery        0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             procedure.
69801.........  ............  A...........  Incise inner ear..        8.61           NA           NA          9.63         9.55         0.69         090
69802.........  ............  A...........  Incise inner ear..       13.39           NA           NA         11.87        12.10         1.06         090
69805.........  ............  A...........  Explore inner ear.       14.55           NA           NA         10.90        11.39         1.12         090
69806.........  ............  A...........  Explore inner ear.       12.52           NA           NA         10.40        10.72         1.00         090
69820.........  ............  A...........  Establish inner          10.40           NA           NA         10.26        10.74         0.90         090
                                             ear window.
69840.........  ............  A...........  Revise inner ear         10.32           NA           NA         11.38        12.28         0.79         090
                                             window.
69905.........  ............  A...........  Remove inner ear..       11.15           NA           NA         11.04        11.20         0.90         090
69910.........  ............  A...........  Remove inner ear &       13.80           NA           NA         10.89        11.41         1.07         090
                                             mastoid.
69915.........  ............  A...........  Incise inner ear         22.65           NA           NA         14.83        15.65         1.70         090
                                             nerve.
69930.........  ............  A...........  Implant cochlear         17.60           NA           NA         13.12        13.94         1.36         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         27.44           NA           NA         16.86        17.89         2.29         090
                                             nerve.
69955.........  ............  A...........  Release facial           29.22           NA           NA         19.41        20.40         2.49         090
                                             nerve.
69960.........  ............  A...........  Release inner ear        29.22           NA           NA         17.92        18.99         2.18         090
                                             canal.
69970.........  ............  A...........  Remove inner ear         32.21           NA           NA         19.54        21.41         2.42         090
                                             lesion.
69979.........  ............  C...........  Temporal bone             0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             surgery.
69990.........  ............  R...........  Microsurgery add-         3.46           NA           NA          1.27         1.53         0.89         ZZZ
                                             on.
70010.........  ............  A...........  Contrast x-ray of         1.19         2.82         3.77            NA           NA         0.27         XXX
                                             brain.
70010.........  TC..........  A...........  Contrast x-ray of         0.00         2.40         3.37            NA           NA         0.22         XXX
                                             brain.
70010.........  26..........  A...........  Contrast x-ray of         1.19         0.42         0.40          0.42         0.40         0.05         XXX
                                             brain.
70015.........  ............  A...........  Contrast x-ray of         1.19         2.92         2.33            NA           NA         0.16         XXX
                                             brain.
70015.........  TC..........  A...........  Contrast x-ray of         0.00         2.49         1.92            NA           NA         0.08         XXX
                                             brain.
70015.........  26..........  A...........  Contrast x-ray of         1.19         0.43         0.41          0.43         0.41         0.08         XXX
                                             brain.
70030.........  ............  A...........  X-ray eye for             0.17         0.61         0.54            NA           NA         0.03         XXX
                                             foreign body.
70030.........  TC..........  A...........  X-ray eye for             0.00         0.55         0.48            NA           NA         0.02         XXX
                                             foreign body.
70030.........  26..........  A...........  X-ray eye for             0.17         0.06         0.06          0.06         0.06         0.01         XXX
                                             foreign body.
70100.........  ............  A...........  X-ray exam of jaw.        0.18         0.63         0.61            NA           NA         0.03         XXX
70100.........  TC..........  A...........  X-ray exam of jaw.        0.00         0.58         0.55            NA           NA         0.02         XXX
70100.........  26..........  A...........  X-ray exam of jaw.        0.18         0.05         0.06          0.05         0.06         0.01         XXX
70110.........  ............  A...........  X-ray exam of jaw.        0.25         0.81         0.75            NA           NA         0.05         XXX
70110.........  TC..........  A...........  X-ray exam of jaw.        0.00         0.72         0.67            NA           NA         0.04         XXX
70110.........  26..........  A...........  X-ray exam of jaw.        0.25         0.09         0.08          0.09         0.08         0.01         XXX
70120.........  ............  A...........  X-ray exam of             0.18         0.69         0.69            NA           NA         0.05         XXX
                                             mastoids.
70120.........  TC..........  A...........  X-ray exam of             0.00         0.64         0.63            NA           NA         0.04         XXX
                                             mastoids.
70120.........  26..........  A...........  X-ray exam of             0.18         0.05         0.06          0.05         0.06         0.01         XXX
                                             mastoids.
70130.........  ............  A...........  X-ray exam of             0.34         1.15         1.02            NA           NA         0.07         XXX
                                             mastoids.
70130.........  TC..........  A...........  X-ray exam of             0.00         1.04         0.91            NA           NA         0.05         XXX
                                             mastoids.
70130.........  26..........  A...........  X-ray exam of             0.34         0.11         0.11          0.11         0.11         0.02         XXX
                                             mastoids.
70134.........  ............  A...........  X-ray exam of             0.34         0.92         0.87            NA           NA         0.07         XXX
                                             middle ear.
70134.........  TC..........  A...........  X-ray exam of             0.00         0.80         0.76            NA           NA         0.05         XXX
                                             middle ear.
70134.........  26..........  A...........  X-ray exam of             0.34         0.12         0.11          0.12         0.11         0.02         XXX
                                             middle ear.
70140.........  ............  A...........  X-ray exam of             0.19         0.54         0.62            NA           NA         0.05         XXX
                                             facial bones.
70140.........  TC..........  A...........  X-ray exam of             0.00         0.49         0.56            NA           NA         0.04         XXX
                                             facial bones.
70140.........  26..........  A...........  X-ray exam of             0.19         0.05         0.06          0.05         0.06         0.01         XXX
                                             facial bones.
70150.........  ............  A...........  X-ray exam of             0.26         0.85         0.85            NA           NA         0.06         XXX
                                             facial bones.
70150.........  TC..........  A...........  X-ray exam of             0.00         0.77         0.77            NA           NA         0.05         XXX
                                             facial bones.
70150.........  26..........  A...........  X-ray exam of             0.26         0.08         0.08          0.08         0.08         0.01         XXX
                                             facial bones.
70160.........  ............  A...........  X-ray exam of             0.17         0.71         0.64            NA           NA         0.03         XXX
                                             nasal bones.
70160.........  TC..........  A...........  X-ray exam of             0.00         0.65         0.58            NA           NA         0.02         XXX
                                             nasal bones.
70160.........  26..........  A...........  X-ray exam of             0.17         0.06         0.06          0.06         0.06         0.01         XXX
                                             nasal bones.
70170.........  ............  C...........  X-ray exam of tear        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             duct.
70170.........  TC..........  C...........  X-ray exam of tear        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             duct.
70170.........  26..........  A...........  X-ray exam of tear        0.30         0.10         0.10          0.10         0.10         0.01         XXX
                                             duct.
70190.........  ............  A...........  X-ray exam of eye         0.21         0.72         0.71            NA           NA         0.05         XXX
                                             sockets.
70190.........  TC..........  A...........  X-ray exam of eye         0.00         0.65         0.64            NA           NA         0.04         XXX
                                             sockets.
70190.........  26..........  A...........  X-ray exam of eye         0.21         0.07         0.07          0.07         0.07         0.01         XXX
                                             sockets.
70200.........  ............  A...........  X-ray exam of eye         0.28         0.87         0.87            NA           NA         0.06         XXX
                                             sockets.
70200.........  TC..........  A...........  X-ray exam of eye         0.00         0.78         0.78            NA           NA         0.05         XXX
                                             sockets.
70200.........  26..........  A...........  X-ray exam of eye         0.28         0.09         0.09          0.09         0.09         0.01         XXX
                                             sockets.
70210.........  ............  A...........  X-ray exam of             0.17         0.58         0.62            NA           NA         0.05         XXX
                                             sinuses.
70210.........  TC..........  A...........  X-ray exam of             0.00         0.53         0.57            NA           NA         0.04         XXX
                                             sinuses.
70210.........  26..........  A...........  X-ray exam of             0.17         0.05         0.05          0.05         0.05         0.01         XXX
                                             sinuses.
70220.........  ............  A...........  X-ray exam of             0.25         0.73         0.80            NA           NA         0.06         XXX
                                             sinuses.
70220.........  TC..........  A...........  X-ray exam of             0.00         0.65         0.72            NA           NA         0.05         XXX
                                             sinuses.
70220.........  26..........  A...........  X-ray exam of             0.25         0.08         0.08          0.08         0.08         0.01         XXX
                                             sinuses.
70240.........  ............  A...........  X-ray exam,               0.19         0.61         0.54            NA           NA         0.03         XXX
                                             pituitary saddle.
70240.........  TC..........  A...........  X-ray exam,               0.00         0.55         0.48            NA           NA         0.02         XXX
                                             pituitary saddle.
70240.........  26..........  A...........  X-ray exam,               0.19         0.06         0.06          0.06         0.06         0.01         XXX
                                             pituitary saddle.
70250.........  ............  A...........  X-ray exam of             0.24         0.70         0.69            NA           NA         0.05         XXX
                                             skull.
70250.........  TC..........  A...........  X-ray exam of             0.00         0.63         0.62            NA           NA         0.04         XXX
                                             skull.
70250.........  26..........  A...........  X-ray exam of             0.24         0.07         0.07          0.07         0.07         0.01         XXX
                                             skull.

[[Page 2650]]

 
70260.........  ............  A...........  X-ray exam of             0.34         0.88         0.94            NA           NA         0.08         XXX
                                             skull.
70260.........  TC..........  A...........  X-ray exam of             0.00         0.78         0.83            NA           NA         0.06         XXX
                                             skull.
70260.........  26..........  A...........  X-ray exam of             0.34         0.10         0.11          0.10         0.11         0.02         XXX
                                             skull.
70300.........  ............  A...........  X-ray exam of             0.10         0.24         0.27            NA           NA         0.03         XXX
                                             teeth.
70300.........  TC..........  A...........  X-ray exam of             0.00         0.21         0.23            NA           NA         0.02         XXX
                                             teeth.
70300.........  26..........  A...........  X-ray exam of             0.10         0.03         0.04          0.03         0.04         0.01         XXX
                                             teeth.
70310.........  ............  A...........  X-ray exam of             0.16         0.82         0.65            NA           NA         0.03         XXX
                                             teeth.
70310.........  TC..........  A...........  X-ray exam of             0.00         0.77         0.59            NA           NA         0.02         XXX
                                             teeth.
70310.........  26..........  A...........  X-ray exam of             0.16         0.05         0.06          0.05         0.06         0.01         XXX
                                             teeth.
70320.........  ............  A...........  Full mouth x-ray          0.22         1.07         0.97            NA           NA         0.06         XXX
                                             of teeth.
70320.........  TC..........  A...........  Full mouth x-ray          0.00         1.00         0.89            NA           NA         0.05         XXX
                                             of teeth.
70320.........  26..........  A...........  Full mouth x-ray          0.22         0.07         0.08          0.07         0.08         0.01         XXX
                                             of teeth.
70328.........  ............  A...........  X-ray exam of jaw         0.18         0.63         0.59            NA           NA         0.03         XXX
                                             joint.
70328.........  TC..........  A...........  X-ray exam of jaw         0.00         0.57         0.53            NA           NA         0.02         XXX
                                             joint.
70328.........  26..........  A...........  X-ray exam of jaw         0.18         0.06         0.06          0.06         0.06         0.01         XXX
                                             joint.
70330.........  ............  A...........  X-ray exam of jaw         0.24         1.01         0.96            NA           NA         0.06         XXX
                                             joints.
70330.........  TC..........  A...........  X-ray exam of jaw         0.00         0.93         0.88            NA           NA         0.05         XXX
                                             joints.
70330.........  26..........  A...........  X-ray exam of jaw         0.24         0.08         0.08          0.08         0.08         0.01         XXX
                                             joints.
70332.........  ............  A...........  X-ray exam of jaw         0.54         1.45         1.88            NA           NA         0.14         XXX
                                             joint.
70332.........  TC..........  A...........  X-ray exam of jaw         0.00         1.29         1.70            NA           NA         0.12         XXX
                                             joint.
70332.........  26..........  A...........  X-ray exam of jaw         0.54         0.16         0.18          0.16         0.18         0.02         XXX
                                             joint.
70336.........  ............  A...........  Magnetic image,           1.48        12.17        11.94            NA           NA         0.66         XXX
                                             jaw joint.
70336.........  TC..........  A...........  Magnetic image,           0.00        11.67        11.44            NA           NA         0.59         XXX
                                             jaw joint.
70336.........  26..........  A...........  Magnetic image,           1.48         0.50         0.50          0.50         0.50         0.07         XXX
                                             jaw joint.
70350.........  ............  A...........  X-ray head for            0.17         0.32         0.39            NA           NA         0.03         XXX
                                             orthodontia.
70350.........  TC..........  A...........  X-ray head for            0.00         0.27         0.33            NA           NA         0.02         XXX
                                             orthodontia.
70350.........  26..........  A...........  X-ray head for            0.17         0.05         0.06          0.05         0.06         0.01         XXX
                                             orthodontia.
70355.........  ............  A...........  Panoramic x-ray of        0.20         0.30         0.47            NA           NA         0.05         XXX
                                             jaws.
70355.........  TC..........  A...........  Panoramic x-ray of        0.00         0.23         0.40            NA           NA         0.04         XXX
                                             jaws.
70355.........  26..........  A...........  Panoramic x-ray of        0.20         0.07         0.07          0.07         0.07         0.01         XXX
                                             jaws.
70360.........  ............  A...........  X-ray exam of neck        0.17         0.56         0.52            NA           NA         0.03         XXX
70360.........  TC..........  A...........  X-ray exam of neck        0.00         0.51         0.46            NA           NA         0.02         XXX
70360.........  26..........  A...........  X-ray exam of neck        0.17         0.05         0.06          0.05         0.06         0.01         XXX
70370.........  ............  A...........  Throat x-ray &            0.32         1.65         1.53            NA           NA         0.08         XXX
                                             fluoroscopy.
70370.........  TC..........  A...........  Throat x-ray &            0.00         1.55         1.43            NA           NA         0.07         XXX
                                             fluoroscopy.
70370.........  26..........  A...........  Throat x-ray &            0.32         0.10         0.10          0.10         0.10         0.01         XXX
                                             fluoroscopy.
70371.........  ............  A...........  Speech evaluation,        0.84         1.48         1.93            NA           NA         0.16         XXX
                                             complex.
70371.........  TC..........  A...........  Speech evaluation,        0.00         1.22         1.66            NA           NA         0.12         XXX
                                             complex.
70371.........  26..........  A...........  Speech evaluation,        0.84         0.26         0.27          0.26         0.27         0.04         XXX
                                             complex.
70373.........  ............  A...........  Contrast x-ray of         0.44         1.58         1.76            NA           NA         0.13         XXX
                                             larynx.
70373.........  TC..........  A...........  Contrast x-ray of         0.00         1.47         1.63            NA           NA         0.11         XXX
                                             larynx.
70373.........  26..........  A...........  Contrast x-ray of         0.44         0.11         0.13          0.11         0.13         0.02         XXX
                                             larynx.
70380.........  ............  A...........  X-ray exam of             0.17         0.82         0.78            NA           NA         0.05         XXX
                                             salivary gland.
70380.........  TC..........  A...........  X-ray exam of             0.00         0.76         0.72            NA           NA         0.04         XXX
                                             salivary gland.
70380.........  26..........  A...........  X-ray exam of             0.17         0.06         0.06          0.06         0.06         0.01         XXX
                                             salivary gland.
70390.........  ............  A...........  X-ray exam of             0.38         2.34         2.13            NA           NA         0.13         XXX
                                             salivary duct.
70390.........  TC..........  A...........  X-ray exam of             0.00         2.21         2.00            NA           NA         0.11         XXX
                                             salivary duct.
70390.........  26..........  A...........  X-ray exam of             0.38         0.13         0.13          0.13         0.13         0.02         XXX
                                             salivary duct.
70450.........  ............  A...........  Ct head/brain w/o         0.85         4.92         4.96            NA           NA         0.29         XXX
                                             dye.
70450.........  TC..........  A...........  Ct head/brain w/o         0.00         4.62         4.67            NA           NA         0.25         XXX
                                             dye.
70450.........  26..........  A...........  Ct head/brain w/o         0.85         0.30         0.29          0.30         0.29         0.04         XXX
                                             dye.
70460.........  ............  A...........  Ct head/brain w/          1.13         6.51         6.28            NA           NA         0.35         XXX
                                             dye.
70460.........  TC..........  A...........  Ct head/brain w/          0.00         6.11         5.89            NA           NA         0.30         XXX
                                             dye.
70460.........  26..........  A...........  Ct head/brain w/          1.13         0.40         0.39          0.40         0.39         0.05         XXX
                                             dye.
70470.........  ............  A...........  Ct head/brain w/o         1.27         7.94         7.71            NA           NA         0.43         XXX
                                             & w/dye.
70470.........  TC..........  A...........  Ct head/brain w/o         0.00         7.49         7.28            NA           NA         0.37         XXX
                                             & w/dye.
70470.........  26..........  A...........  Ct head/brain w/o         1.27         0.45         0.43          0.45         0.43         0.06         XXX
                                             & w/dye.
70480.........  ............  A...........  Ct orbit/ear/fossa        1.28         8.49         6.81            NA           NA         0.31         XXX
                                             w/o dye.
70480.........  TC..........  A...........  Ct orbit/ear/fossa        0.00         8.04         6.38            NA           NA         0.25         XXX
                                             w/o dye.
70480.........  26..........  A...........  Ct orbit/ear/fossa        1.28         0.45         0.43          0.45         0.43         0.06         XXX
                                             w/o dye.
70481.........  ............  A...........  Ct orbit/ear/fossa        1.38         9.98         8.05            NA           NA         0.36         XXX
                                             w/dye.
70481.........  TC..........  A...........  Ct orbit/ear/fossa        0.00         9.49         7.58            NA           NA         0.30         XXX
                                             w/dye.
70481.........  26..........  A...........  Ct orbit/ear/fossa        1.38         0.49         0.47          0.49         0.47         0.06         XXX
                                             w/dye.
70482.........  ............  A...........  Ct orbit/ear/fossa        1.45        11.41         9.48            NA           NA         0.43         XXX
                                             w/o&w/dye.
70482.........  TC..........  A...........  Ct orbit/ear/fossa        0.00        10.90         8.99            NA           NA         0.37         XXX
                                             w/o&w/dye.
70482.........  26..........  A...........  Ct orbit/ear/fossa        1.45         0.51         0.49          0.51         0.49         0.06         XXX
                                             w/o&w/dye.
70486.........  ............  A...........  Ct maxillofacial w/       1.14         6.80         5.94            NA           NA         0.30         XXX
                                             o dye.
70486.........  TC..........  A...........  Ct maxillofacial w/       0.00         6.40         5.56            NA           NA         0.25         XXX
                                             o dye.
70486.........  26..........  A...........  Ct maxillofacial w/       1.14         0.40         0.38          0.40         0.38         0.05         XXX
                                             o dye.
70487.........  ............  A...........  Ct maxillofacial w/       1.30         8.35         7.23            NA           NA         0.36         XXX
                                             dye.
70487.........  TC..........  A...........  Ct maxillofacial w/       0.00         7.89         6.78            NA           NA         0.30         XXX
                                             dye.
70487.........  26..........  A...........  Ct maxillofacial w/       1.30         0.46         0.45          0.46         0.45         0.06         XXX
                                             dye.

[[Page 2651]]

 
70488.........  ............  A...........  Ct maxillofacial w/       1.42        10.40         8.97            NA           NA         0.43         XXX
                                             o & w/dye.
70488.........  TC..........  A...........  Ct maxillofacial w/       0.00         9.91         8.49            NA           NA         0.37         XXX
                                             o & w/dye.
70488.........  26..........  A...........  Ct maxillofacial w/       1.42         0.49         0.48          0.49         0.48         0.06         XXX
                                             o & w/dye.
70490.........  ............  A...........  Ct soft tissue            1.28         6.49         5.82            NA           NA         0.31         XXX
                                             neck w/o dye.
70490.........  TC..........  A...........  Ct soft tissue            0.00         6.04         5.38            NA           NA         0.25         XXX
                                             neck w/o dye.
70490.........  26..........  A...........  Ct soft tissue            1.28         0.45         0.44          0.45         0.44         0.06         XXX
                                             neck w/o dye.
70491.........  ............  A...........  Ct soft tissue            1.38         8.04         7.08            NA           NA         0.36         XXX
                                             neck w/dye.
70491.........  TC..........  A...........  Ct soft tissue            0.00         7.55         6.61            NA           NA         0.30         XXX
                                             neck w/dye.
70491.........  26..........  A...........  Ct soft tissue            1.38         0.49         0.47          0.49         0.47         0.06         XXX
                                             neck w/dye.
70492.........  ............  A...........  Ct sft tsue nck w/        1.45        10.04         8.79            NA           NA         0.43         XXX
                                             o & w/dye.
70492.........  TC..........  A...........  Ct sft tsue nck w/        0.00         9.53         8.30            NA           NA         0.37         XXX
                                             o & w/dye.
70492.........  26..........  A...........  Ct sft tsue nck w/        1.45         0.51         0.49          0.51         0.49         0.06         XXX
                                             o & w/dye.
70496.........  ............  A...........  Ct angiography,           1.75        17.10        14.14            NA           NA         0.66         XXX
                                             head.
70496.........  TC..........  A...........  Ct angiography,           0.00        16.47        13.54            NA           NA         0.58         XXX
                                             head.
70496.........  26..........  A...........  Ct angiography,           1.75         0.63         0.60          0.63         0.60         0.08         XXX
                                             head.
70498.........  ............  A...........  Ct angiography,           1.75        17.24        14.21            NA           NA         0.66         XXX
                                             neck.
70498.........  TC..........  A...........  Ct angiography,           0.00        16.59        13.60            NA           NA         0.58         XXX
                                             neck.
70498.........  26..........  A...........  Ct angiography,           1.75         0.65         0.61          0.65         0.61         0.08         XXX
                                             neck.
70540.........  ............  A...........  Mri orbit/face/           1.35        14.18        12.91            NA           NA         0.45         XXX
                                             neck w/o dye.
70540.........  TC..........  A...........  Mri orbit/face/           0.00        13.72        12.46            NA           NA         0.39         XXX
                                             neck w/o dye.
70540.........  26..........  A...........  Mri orbit/face/           1.35         0.46         0.45          0.46         0.45         0.06         XXX
                                             neck w/o dye.
70542.........  ............  A...........  Mri orbit/face/           1.62        15.29        14.64            NA           NA         0.54         XXX
                                             neck w/dye.
70542.........  TC..........  A...........  Mri orbit/face/           0.00        14.73        14.09            NA           NA         0.47         XXX
                                             neck w/dye.
70542.........  26..........  A...........  Mri orbit/face/           1.62         0.56         0.55          0.56         0.55         0.07         XXX
                                             neck w/dye.
70543.........  ............  A...........  Mri orbt/fac/nck w/       2.15        18.77        22.18            NA           NA         0.94         XXX
                                             o & w/dye.
70543.........  TC..........  A...........  Mri orbt/fac/nck w/       0.00        18.03        21.46            NA           NA         0.84         XXX
                                             o & w/dye.
70543.........  26..........  A...........  Mri orbt/fac/nck w/       2.15         0.74         0.72          0.74         0.72         0.10         XXX
                                             o & w/dye.
70544.........  ............  A...........  Mr angiography            1.20        15.86        13.73            NA           NA         0.64         XXX
                                             head w/o dye.
70544.........  TC..........  A...........  Mr angiography            0.00        15.44        13.32            NA           NA         0.59         XXX
                                             head w/o dye.
70544.........  26..........  A...........  Mr angiography            1.20         0.42         0.41          0.42         0.41         0.05         XXX
                                             head w/o dye.
70545.........  ............  A...........  Mr angiography            1.20        15.74        13.67            NA           NA         0.64         XXX
                                             head w/dye.
70545.........  TC..........  A...........  Mr angiography            0.00        15.32        13.26            NA           NA         0.59         XXX
                                             head w/dye.
70545.........  26..........  A...........  Mr angiography            1.20         0.42         0.41          0.42         0.41         0.05         XXX
                                             head w/dye.
70546.........  ............  A...........  Mr angiograph head        1.80        24.03        23.53            NA           NA         0.67         XXX
                                             w/o&w/dye.
70546.........  TC..........  A...........  Mr angiograph head        0.00        23.41        22.92            NA           NA         0.59         XXX
                                             w/o&w/dye.
70546.........  26..........  A...........  Mr angiograph head        1.80         0.62         0.61          0.62         0.61         0.08         XXX
                                             w/o&w/dye.
70547.........  ............  A...........  Mr angiography            1.20        15.79        13.69            NA           NA         0.64         XXX
                                             neck w/o dye.
70547.........  TC..........  A...........  Mr angiography            0.00        15.38        13.29            NA           NA         0.59         XXX
                                             neck w/o dye.
70547.........  26..........  A...........  Mr angiography            1.20         0.41         0.40          0.41         0.40         0.05         XXX
                                             neck w/o dye.
70548.........  ............  A...........  Mr angiography            1.20        16.65        14.13            NA           NA         0.64         XXX
                                             neck w/dye.
70548.........  TC..........  A...........  Mr angiography            0.00        16.23        13.72            NA           NA         0.59         XXX
                                             neck w/dye.
70548.........  26..........  A...........  Mr angiography            1.20         0.42         0.41          0.42         0.41         0.05         XXX
                                             neck w/dye.
70549.........  ............  A...........  Mr angiograph neck        1.80        24.05        23.53            NA           NA         0.67         XXX
                                             w/o&w/dye.
70549.........  TC..........  A...........  Mr angiograph neck        0.00        23.42        22.92            NA           NA         0.59         XXX
                                             w/o&w/dye.
70549.........  26..........  A...........  Mr angiograph neck        1.80         0.63         0.61          0.63         0.61         0.08         XXX
                                             w/o&w/dye.
70551.........  ............  A...........  Mri brain w/o dye.        1.48        14.44        13.07            NA           NA         0.66         XXX
70551.........  TC..........  A...........  Mri brain w/o dye.        0.00        13.93        12.57            NA           NA         0.59         XXX
70551.........  26..........  A...........  Mri brain w/o dye.        1.48         0.51         0.50          0.51         0.50         0.07         XXX
70552.........  ............  A...........  Mri brain w/dye...        1.78        15.59        14.82            NA           NA         0.78         XXX
70552.........  TC..........  A...........  Mri brain w/dye...        0.00        14.97        14.21            NA           NA         0.70         XXX
70552.........  26..........  A...........  Mri brain w/dye...        1.78         0.62         0.61          0.62         0.61         0.08         XXX
70553.........  ............  A...........  Mri brain w/o & w/        2.36        18.09        21.88            NA           NA         1.41         XXX
                                             dye.
70553.........  TC..........  A...........  Mri brain w/o & w/        0.00        17.27        21.08            NA           NA         1.31         XXX
                                             dye.
70553.........  26..........  A...........  Mri brain w/o & w/        2.36         0.82         0.80          0.82         0.80         0.10         XXX
                                             dye.
70554.........  ............  A...........  Fmri brain by tech        2.11        15.42        15.42            NA           NA         0.92         XXX
70554.........  TC..........  A...........  Fmri brain by tech        0.00        14.73        14.73            NA           NA         0.82         XXX
70554.........  26..........  A...........  Fmri brain by tech        2.11         0.69         0.69          0.69         0.69         0.10         XXX
70555.........  ............  C...........  Fmri brain by phys/       0.00         0.00         0.00            NA           NA         0.00         XXX
                                             psych.
70555.........  TC..........  C...........  Fmri brain by phys/       0.00         0.00         0.00            NA           NA         0.00         XXX
                                             psych.
70555.........  26..........  A...........  Fmri brain by phys/       2.54         0.90         0.90          0.90         0.90         0.11         XXX
                                             psych.
70557.........  ............  C...........  Mri brain w/o dye.        0.00         0.00         0.00            NA           NA         0.00         XXX
70557.........  TC..........  C...........  Mri brain w/o dye.        0.00         0.00         0.00            NA           NA         0.00         XXX
70557.........  26..........  A...........  Mri brain w/o dye.        2.90         1.03         1.08          1.03         1.08         0.08         XXX
70558.........  ............  C...........  Mri brain w/dye...        0.00         0.00         0.00            NA           NA         0.00         XXX
70558.........  TC..........  C...........  Mri brain w/dye...        0.00         0.00         0.00            NA           NA         0.00         XXX
70558.........  26..........  A...........  Mri brain w/dye...        3.20         1.10         1.17          1.10         1.17         0.10         XXX
70559.........  ............  C...........  Mri brain w/o & w/        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             dye.
70559.........  TC..........  C...........  Mri brain w/o & w/        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             dye.
70559.........  26..........  A...........  Mri brain w/o & w/        3.20         1.14         1.19          1.14         1.19         0.12         XXX
                                             dye.
71010.........  ............  A...........  Chest x-ray.......        0.18         0.43         0.48            NA           NA         0.03         XXX
71010.........  TC..........  A...........  Chest x-ray.......        0.00         0.37         0.42            NA           NA         0.02         XXX
71010.........  26..........  A...........  Chest x-ray.......        0.18         0.06         0.06          0.06         0.06         0.01         XXX

[[Page 2652]]

 
71015.........  ............  A...........  Chest x-ray.......        0.21         0.58         0.58            NA           NA         0.03         XXX
71015.........  TC..........  A...........  Chest x-ray.......        0.00         0.51         0.51            NA           NA         0.02         XXX
71015.........  26..........  A...........  Chest x-ray.......        0.21         0.07         0.07          0.07         0.07         0.01         XXX
71020.........  ............  A...........  Chest x-ray.......        0.22         0.57         0.63            NA           NA         0.05         XXX
71020.........  TC..........  A...........  Chest x-ray.......        0.00         0.50         0.56            NA           NA         0.04         XXX
71020.........  26..........  A...........  Chest x-ray.......        0.22         0.07         0.07          0.07         0.07         0.01         XXX
71021.........  ............  A...........  Chest x-ray.......        0.27         0.71         0.77            NA           NA         0.06         XXX
71021.........  TC..........  A...........  Chest x-ray.......        0.00         0.62         0.68            NA           NA         0.05         XXX
71021.........  26..........  A...........  Chest x-ray.......        0.27         0.09         0.09          0.09         0.09         0.01         XXX
71022.........  ............  A...........  Chest x-ray.......        0.31         0.90         0.86            NA           NA         0.06         XXX
71022.........  TC..........  A...........  Chest x-ray.......        0.00         0.80         0.76            NA           NA         0.05         XXX
71022.........  26..........  A...........  Chest x-ray.......        0.31         0.10         0.10          0.10         0.10         0.01         XXX
71023.........  ............  A...........  Chest x-ray and           0.38         1.54         1.23            NA           NA         0.06         XXX
                                             fluoroscopy.
71023.........  TC..........  A...........  Chest x-ray and           0.00         1.40         1.09            NA           NA         0.05         XXX
                                             fluoroscopy.
71023.........  26..........  A...........  Chest x-ray and           0.38         0.14         0.14          0.14         0.14         0.01         XXX
                                             fluoroscopy.
71030.........  ............  A...........  Chest x-ray.......        0.31         0.92         0.90            NA           NA         0.06         XXX
71030.........  TC..........  A...........  Chest x-ray.......        0.00         0.82         0.80            NA           NA         0.05         XXX
71030.........  26..........  A...........  Chest x-ray.......        0.31         0.10         0.10          0.10         0.10         0.01         XXX
71034.........  ............  A...........  Chest x-ray and           0.46         2.12         1.85            NA           NA         0.10         XXX
                                             fluoroscopy.
71034.........  TC..........  A...........  Chest x-ray and           0.00         1.91         1.67            NA           NA         0.08         XXX
                                             fluoroscopy.
71034.........  26..........  A...........  Chest x-ray and           0.46         0.21         0.18          0.21         0.18         0.02         XXX
                                             fluoroscopy.
71035.........  ............  A...........  Chest x-ray.......        0.18         0.78         0.68            NA           NA         0.03         XXX
71035.........  TC..........  A...........  Chest x-ray.......        0.00         0.72         0.62            NA           NA         0.02         XXX
71035.........  26..........  A...........  Chest x-ray.......        0.18         0.06         0.06          0.06         0.06         0.01         XXX
71040.........  ............  A...........  Contrast x-ray of         0.58         2.06         1.85            NA           NA         0.11         XXX
                                             bronchi.
71040.........  TC..........  A...........  Contrast x-ray of         0.00         1.88         1.67            NA           NA         0.08         XXX
                                             bronchi.
71040.........  26..........  A...........  Contrast x-ray of         0.58         0.18         0.18          0.18         0.18         0.03         XXX
                                             bronchi.
71060.........  ............  A...........  Contrast x-ray of         0.74         3.11         2.78            NA           NA         0.16         XXX
                                             bronchi.
71060.........  TC..........  A...........  Contrast x-ray of         0.00         2.85         2.53            NA           NA         0.13         XXX
                                             bronchi.
71060.........  26..........  A...........  Contrast x-ray of         0.74         0.26         0.25          0.26         0.25         0.03         XXX
                                             bronchi.
71090.........  ............  C...........  X-ray & pacemaker         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             insertion.
71090.........  TC..........  C...........  X-ray & pacemaker         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             insertion.
71090.........  26..........  A...........  X-ray & pacemaker         0.54         0.28         0.24          0.28         0.24         0.02         XXX
                                             insertion.
71100.........  ............  A...........  X-ray exam of ribs        0.22         0.62         0.63            NA           NA         0.05         XXX
71100.........  TC..........  A...........  X-ray exam of ribs        0.00         0.55         0.56            NA           NA         0.04         XXX
71100.........  26..........  A...........  X-ray exam of ribs        0.22         0.07         0.07          0.07         0.07         0.01         XXX
71101.........  ............  A...........  X-ray exam of ribs/       0.27         0.77         0.76            NA           NA         0.05         XXX
                                             chest.
71101.........  TC..........  A...........  X-ray exam of ribs/       0.00         0.68         0.67            NA           NA         0.04         XXX
                                             chest.
71101.........  26..........  A...........  X-ray exam of ribs/       0.27         0.09         0.09          0.09         0.09         0.01         XXX
                                             chest.
71110.........  ............  A...........  X-ray exam of ribs        0.27         0.77         0.82            NA           NA         0.06         XXX
71110.........  TC..........  A...........  X-ray exam of ribs        0.00         0.69         0.73            NA           NA         0.05         XXX
71110.........  26..........  A...........  X-ray exam of ribs        0.27         0.08         0.09          0.08         0.09         0.01         XXX
71111.........  ............  A...........  X-ray exam of ribs/       0.32         1.06         1.03            NA           NA         0.07         XXX
                                             chest.
71111.........  TC..........  A...........  X-ray exam of ribs/       0.00         0.96         0.93            NA           NA         0.06         XXX
                                             chest.
71111.........  26..........  A...........  X-ray exam of ribs/       0.32         0.10         0.10          0.10         0.10         0.01         XXX
                                             chest.
71120.........  ............  A...........  X-ray exam of             0.20         0.63         0.68            NA           NA         0.05         XXX
                                             breastbone.
71120.........  TC..........  A...........  X-ray exam of             0.00         0.56         0.61            NA           NA         0.04         XXX
                                             breastbone.
71120.........  26..........  A...........  X-ray exam of             0.20         0.07         0.07          0.07         0.07         0.01         XXX
                                             breastbone.
71130.........  ............  A...........  X-ray exam of             0.22         0.76         0.76            NA           NA         0.05         XXX
                                             breastbone.
71130.........  TC..........  A...........  X-ray exam of             0.00         0.68         0.69            NA           NA         0.04         XXX
                                             breastbone.
71130.........  26..........  A...........  X-ray exam of             0.22         0.08         0.07          0.08         0.07         0.01         XXX
                                             breastbone.
71250.........  ............  A...........  Ct thorax w/o dye.        1.16         6.45         6.37            NA           NA         0.36         XXX
71250.........  TC..........  A...........  Ct thorax w/o dye.        0.00         6.04         5.98            NA           NA         0.31         XXX
71250.........  26..........  A...........  Ct thorax w/o dye.        1.16         0.41         0.39          0.41         0.39         0.05         XXX
71260.........  ............  A...........  Ct thorax w/dye...        1.24         8.00         7.74            NA           NA         0.42         XXX
71260.........  TC..........  A...........  Ct thorax w/dye...        0.00         7.56         7.32            NA           NA         0.37         XXX
71260.........  26..........  A...........  Ct thorax w/dye...        1.24         0.44         0.42          0.44         0.42         0.05         XXX
71270.........  ............  A...........  Ct thorax w/o & w/        1.38        10.04         9.68            NA           NA         0.52         XXX
                                             dye.
71270.........  TC..........  A...........  Ct thorax w/o & w/        0.00         9.56         9.21            NA           NA         0.46         XXX
                                             dye.
71270.........  26..........  A...........  Ct thorax w/o & w/        1.38         0.48         0.47          0.48         0.47         0.06         XXX
                                             dye.
71275.........  ............  A...........  Ct angiography,           1.92        11.77        12.39            NA           NA         0.48         XXX
                                             chest.
71275.........  TC..........  A...........  Ct angiography,           0.00        11.08        11.73            NA           NA         0.39         XXX
                                             chest.
71275.........  26..........  A...........  Ct angiography,           1.92         0.69         0.66          0.69         0.66         0.09         XXX
                                             chest.
71550.........  ............  A...........  Mri chest w/o dye.        1.46        16.38        14.03            NA           NA         0.51         XXX
71550.........  TC..........  A...........  Mri chest w/o dye.        0.00        15.87        13.54            NA           NA         0.45         XXX
71550.........  26..........  A...........  Mri chest w/o dye.        1.46         0.51         0.49          0.51         0.49         0.06         XXX
71551.........  ............  A...........  Mri chest w/dye...        1.73        17.94        15.97            NA           NA         0.60         XXX
71551.........  TC..........  A...........  Mri chest w/dye...        0.00        17.34        15.39            NA           NA         0.52         XXX
71551.........  26..........  A...........  Mri chest w/dye...        1.73         0.60         0.58          0.60         0.58         0.08         XXX
71552.........  ............  A...........  Mri chest w/o & w/        2.26        22.58        24.10            NA           NA         0.78         XXX
                                             dye.
71552.........  TC..........  A...........  Mri chest w/o & w/        0.00        21.77        23.33            NA           NA         0.68         XXX
                                             dye.
71552.........  26..........  A...........  Mri chest w/o & w/        2.26         0.81         0.77          0.81         0.77         0.10         XXX
                                             dye.

[[Page 2653]]

 
71555.........  ............  R...........  Mri angio chest w         1.81        15.31        13.56            NA           NA         0.67         XXX
                                             or w/o dye.
71555.........  TC..........  R...........  Mri angio chest w         0.00        14.65        12.93            NA           NA         0.59         XXX
                                             or w/o dye.
71555.........  26..........  R...........  Mri angio chest w         1.81         0.66         0.63          0.66         0.63         0.08         XXX
                                             or w/o dye.
72010.........  ............  A...........  X-ray exam of             0.45         1.43         1.30            NA           NA         0.08         XXX
                                             spine.
72010.........  TC..........  A...........  X-ray exam of             0.00         1.30         1.16            NA           NA         0.06         XXX
                                             spine.
72010.........  26..........  A...........  X-ray exam of             0.45         0.13         0.14          0.13         0.14         0.02         XXX
                                             spine.
72020.........  ............  A...........  X-ray exam of             0.15         0.47         0.47            NA           NA         0.03         XXX
                                             spine.
72020.........  TC..........  A...........  X-ray exam of             0.00         0.42         0.42            NA           NA         0.02         XXX
                                             spine.
72020.........  26..........  A...........  X-ray exam of             0.15         0.05         0.05          0.05         0.05         0.01         XXX
                                             spine.
72040.........  ............  A...........  X-ray exam of neck        0.22         0.76         0.72            NA           NA         0.05         XXX
                                             spine.
72040.........  TC..........  A...........  X-ray exam of neck        0.00         0.69         0.65            NA           NA         0.04         XXX
                                             spine.
72040.........  26..........  A...........  X-ray exam of neck        0.22         0.07         0.07          0.07         0.07         0.01         XXX
                                             spine.
72050.........  ............  A...........  X-ray exam of neck        0.31         1.08         1.03            NA           NA         0.07         XXX
                                             spine.
72050.........  TC..........  A...........  X-ray exam of neck        0.00         0.97         0.93            NA           NA         0.06         XXX
                                             spine.
72050.........  26..........  A...........  X-ray exam of neck        0.31         0.11         0.10          0.11         0.10         0.01         XXX
                                             spine.
72052.........  ............  A...........  X-ray exam of neck        0.36         1.39         1.32            NA           NA         0.08         XXX
                                             spine.
72052.........  TC..........  A...........  X-ray exam of neck        0.00         1.27         1.20            NA           NA         0.06         XXX
                                             spine.
72052.........  26..........  A...........  X-ray exam of neck        0.36         0.12         0.12          0.12         0.12         0.02         XXX
                                             spine.
72069.........  ............  A...........  X-ray exam of             0.22         0.76         0.66            NA           NA         0.03         XXX
                                             trunk spine.
72069.........  TC..........  A...........  X-ray exam of             0.00         0.68         0.58            NA           NA         0.02         XXX
                                             trunk spine.
72069.........  26..........  A...........  X-ray exam of             0.22         0.08         0.08          0.08         0.08         0.01         XXX
                                             trunk spine.
72070.........  ............  A...........  X-ray exam of             0.22         0.64         0.68            NA           NA         0.05         XXX
                                             thoracic spine.
72070.........  TC..........  A...........  X-ray exam of             0.00         0.57         0.61            NA           NA         0.04         XXX
                                             thoracic spine.
72070.........  26..........  A...........  X-ray exam of             0.22         0.07         0.07          0.07         0.07         0.01         XXX
                                             thoracic spine.
72072.........  ............  A...........  X-ray exam of             0.22         0.77         0.78            NA           NA         0.06         XXX
                                             thoracic spine.
72072.........  TC..........  A...........  X-ray exam of             0.00         0.70         0.71            NA           NA         0.05         XXX
                                             thoracic spine.
72072.........  26..........  A...........  X-ray exam of             0.22         0.07         0.07          0.07         0.07         0.01         XXX
                                             thoracic spine.
72074.........  ............  A...........  X-ray exam of             0.22         0.95         0.96            NA           NA         0.07         XXX
                                             thoracic spine.
72074.........  TC..........  A...........  X-ray exam of             0.00         0.88         0.89            NA           NA         0.06         XXX
                                             thoracic spine.
72074.........  26..........  A...........  X-ray exam of             0.22         0.07         0.07          0.07         0.07         0.01         XXX
                                             thoracic spine.
72080.........  ............  A...........  X-ray exam of             0.22         0.70         0.71            NA           NA         0.05         XXX
                                             trunk spine.
72080.........  TC..........  A...........  X-ray exam of             0.00         0.62         0.64            NA           NA         0.04         XXX
                                             trunk spine.
72080.........  26..........  A...........  X-ray exam of             0.22         0.08         0.07          0.08         0.07         0.01         XXX
                                             trunk spine.
72090.........  ............  A...........  X-ray exam of             0.28         1.00         0.89            NA           NA         0.05         XXX
                                             trunk spine.
72090.........  TC..........  A...........  X-ray exam of             0.00         0.90         0.79            NA           NA         0.04         XXX
                                             trunk spine.
72090.........  26..........  A...........  X-ray exam of             0.28         0.10         0.10          0.10         0.10         0.01         XXX
                                             trunk spine.
72100.........  ............  A...........  X-ray exam of             0.22         0.81         0.77            NA           NA         0.05         XXX
                                             lower spine.
72100.........  TC..........  A...........  X-ray exam of             0.00         0.74         0.70            NA           NA         0.04         XXX
                                             lower spine.
72100.........  26..........  A...........  X-ray exam of             0.22         0.07         0.07          0.07         0.07         0.01         XXX
                                             lower spine.
72110.........  ............  A...........  X-ray exam of             0.31         1.15         1.07            NA           NA         0.07         XXX
                                             lower spine.
72110.........  TC..........  A...........  X-ray exam of             0.00         1.04         0.97            NA           NA         0.06         XXX
                                             lower spine.
72110.........  26..........  A...........  X-ray exam of             0.31         0.11         0.10          0.11         0.10         0.01         XXX
                                             lower spine.
72114.........  ............  A...........  X-ray exam of             0.36         1.57         1.43            NA           NA         0.08         XXX
                                             lower spine.
72114.........  TC..........  A...........  X-ray exam of             0.00         1.44         1.31            NA           NA         0.06         XXX
                                             lower spine.
72114.........  26..........  A...........  X-ray exam of             0.36         0.13         0.12          0.13         0.12         0.02         XXX
                                             lower spine.
72120.........  ............  A...........  X-ray exam of             0.22         1.08         1.01            NA           NA         0.07         XXX
                                             lower spine.
72120.........  TC..........  A...........  X-ray exam of             0.00         1.00         0.94            NA           NA         0.06         XXX
                                             lower spine.
72120.........  26..........  A...........  X-ray exam of             0.22         0.08         0.07          0.08         0.07         0.01         XXX
                                             lower spine.
72125.........  ............  A...........  Ct neck spine w/o         1.16         6.47         6.38            NA           NA         0.36         XXX
                                             dye.
72125.........  TC..........  A...........  Ct neck spine w/o         0.00         6.06         5.99            NA           NA         0.31         XXX
                                             dye.
72125.........  26..........  A...........  Ct neck spine w/o         1.16         0.41         0.39          0.41         0.39         0.05         XXX
                                             dye.
72126.........  ............  A...........  Ct neck spine w/          1.22         8.00         7.73            NA           NA         0.42         XXX
                                             dye.
72126.........  TC..........  A...........  Ct neck spine w/          0.00         7.57         7.32            NA           NA         0.37         XXX
                                             dye.
72126.........  26..........  A...........  Ct neck spine w/          1.22         0.43         0.41          0.43         0.41         0.05         XXX
                                             dye.
72127.........  ............  A...........  Ct neck spine w/o         1.27        10.05         9.66            NA           NA         0.52         XXX
                                             & w/dye.
72127.........  TC..........  A...........  Ct neck spine w/o         0.00         9.61         9.23            NA           NA         0.46         XXX
                                             & w/dye.
72127.........  26..........  A...........  Ct neck spine w/o         1.27         0.44         0.43          0.44         0.43         0.06         XXX
                                             & w/dye.
72128.........  ............  A...........  Ct chest spine w/o        1.16         6.46         6.37            NA           NA         0.36         XXX
                                             dye.
72128.........  TC..........  A...........  Ct chest spine w/o        0.00         6.05         5.98            NA           NA         0.31         XXX
                                             dye.
72128.........  26..........  A...........  Ct chest spine w/o        1.16         0.41         0.39          0.41         0.39         0.05         XXX
                                             dye.
72129.........  ............  A...........  Ct chest spine w/         1.22         8.00         7.74            NA           NA         0.42         XXX
                                             dye.
72129.........  TC..........  A...........  Ct chest spine w/         0.00         7.57         7.32            NA           NA         0.37         XXX
                                             dye.
72129.........  26..........  A...........  Ct chest spine w/         1.22         0.43         0.42          0.43         0.42         0.05         XXX
                                             dye.
72130.........  ............  A...........  Ct chest spine w/o        1.27         9.98         9.63            NA           NA         0.52         XXX
                                             & w/dye.
72130.........  TC..........  A...........  Ct chest spine w/o        0.00         9.54         9.20            NA           NA         0.46         XXX
                                             & w/dye.
72130.........  26..........  A...........  Ct chest spine w/o        1.27         0.44         0.43          0.44         0.43         0.06         XXX
                                             & w/dye.
72131.........  ............  A...........  Ct lumbar spine w/        1.16         6.43         6.36            NA           NA         0.36         XXX
                                             o dye.
72131.........  TC..........  A...........  Ct lumbar spine w/        0.00         6.03         5.97            NA           NA         0.31         XXX
                                             o dye.
72131.........  26..........  A...........  Ct lumbar spine w/        1.16         0.40         0.39          0.40         0.39         0.05         XXX
                                             o dye.
72132.........  ............  A...........  Ct lumbar spine w/        1.22         7.98         7.72            NA           NA         0.42         XXX
                                             dye.
72132.........  TC..........  A...........  Ct lumbar spine w/        0.00         7.55         7.31            NA           NA         0.37         XXX
                                             dye.
72132.........  26..........  A...........  Ct lumbar spine w/        1.22         0.43         0.41          0.43         0.41         0.05         XXX
                                             dye.

[[Page 2654]]

 
72133.........  ............  A...........  Ct lumbar spine w/        1.27        10.02         9.65            NA           NA         0.52         XXX
                                             o & w/dye.
72133.........  TC..........  A...........  Ct lumbar spine w/        0.00         9.58         9.22            NA           NA         0.46         XXX
                                             o & w/dye.
72133.........  26..........  A...........  Ct lumbar spine w/        1.27         0.44         0.43          0.44         0.43         0.06         XXX
                                             o & w/dye.
72141.........  ............  A...........  Mri neck spine w/o        1.60        12.46        12.10            NA           NA         0.66         XXX
                                             dye.
72141.........  TC..........  A...........  Mri neck spine w/o        0.00        11.91        11.56            NA           NA         0.59         XXX
                                             dye.
72141.........  26..........  A...........  Mri neck spine w/o        1.60         0.55         0.54          0.55         0.54         0.07         XXX
                                             dye.
72142.........  ............  A...........  Mri neck spine w/         1.92        15.62        14.85            NA           NA         0.79         XXX
                                             dye.
72142.........  TC..........  A...........  Mri neck spine w/         0.00        14.96        14.20            NA           NA         0.70         XXX
                                             dye.
72142.........  26..........  A...........  Mri neck spine w/         1.92         0.66         0.65          0.66         0.65         0.09         XXX
                                             dye.
72146.........  ............  A...........  Mri chest spine w/        1.60        12.48        12.73            NA           NA         0.71         XXX
                                             o dye.
72146.........  TC..........  A...........  Mri chest spine w/        0.00        11.93        12.19            NA           NA         0.64         XXX
                                             o dye.
72146.........  26..........  A...........  Mri chest spine w/        1.60         0.55         0.54          0.55         0.54         0.07         XXX
                                             o dye.
72147.........  ............  A...........  Mri chest spine w/        1.92        13.58        13.83            NA           NA         0.79         XXX
                                             dye.
72147.........  TC..........  A...........  Mri chest spine w/        0.00        12.91        13.18            NA           NA         0.70         XXX
                                             dye.
72147.........  26..........  A...........  Mri chest spine w/        1.92         0.67         0.65          0.67         0.65         0.09         XXX
                                             dye.
72148.........  ............  A...........  Mri lumbar spine w/       1.48        12.42        12.68            NA           NA         0.71         XXX
                                             o dye.
72148.........  TC..........  A...........  Mri lumbar spine w/       0.00        11.91        12.18            NA           NA         0.64         XXX
                                             o dye.
72148.........  26..........  A...........  Mri lumbar spine w/       1.48         0.51         0.50          0.51         0.50         0.07         XXX
                                             o dye.
72149.........  ............  A...........  Mri lumbar spine w/       1.78        15.52        14.79            NA           NA         0.78         XXX
                                             dye.
72149.........  TC..........  A...........  Mri lumbar spine w/       0.00        14.90        14.18            NA           NA         0.70         XXX
                                             dye.
72149.........  26..........  A...........  Mri lumbar spine w/       1.78         0.62         0.61          0.62         0.61         0.08         XXX
                                             dye.
72156.........  ............  A...........  Mri neck spine w/o        2.57        17.79        21.77            NA           NA         1.42         XXX
                                             & w/dye.
72156.........  TC..........  A...........  Mri neck spine w/o        0.00        16.90        20.90            NA           NA         1.31         XXX
                                             & w/dye.
72156.........  26..........  A...........  Mri neck spine w/o        2.57         0.89         0.87          0.89         0.87         0.11         XXX
                                             & w/dye.
72157.........  ............  A...........  Mri chest spine w/        2.57        16.22        20.98            NA           NA         1.42         XXX
                                             o & w/dye.
72157.........  TC..........  A...........  Mri chest spine w/        0.00        15.32        20.11            NA           NA         1.31         XXX
                                             o & w/dye.
72157.........  26..........  A...........  Mri chest spine w/        2.57         0.90         0.87          0.90         0.87         0.11         XXX
                                             o & w/dye.
72158.........  ............  A...........  Mri lumbar spine w/       2.36        17.70        21.69            NA           NA         1.41         XXX
                                             o & w/dye.
72158.........  TC..........  A...........  Mri lumbar spine w/       0.00        16.88        20.89            NA           NA         1.31         XXX
                                             o & w/dye.
72158.........  26..........  A...........  Mri lumbar spine w/       2.36         0.82         0.80          0.82         0.80         0.10         XXX
                                             o & w/dye.
72159.........  ............  N...........  Mr angio spine w/         1.80        14.67        13.80            NA           NA         0.74         XXX
                                             o&w/dye.
72159.........  TC..........  N...........  Mr angio spine w/         0.00        14.25        13.25            NA           NA         0.64         XXX
                                             o&w/dye.
72159.........  26..........  N...........  Mr angio spine w/         1.80         0.42         0.55          0.42         0.55         0.10         XXX
                                             o&w/dye.
72170.........  ............  A...........  X-ray exam of             0.17         0.50         0.54            NA           NA         0.03         XXX
                                             pelvis.
72170.........  TC..........  A...........  X-ray exam of             0.00         0.44         0.48            NA           NA         0.02         XXX
                                             pelvis.
72170.........  26..........  A...........  X-ray exam of             0.17         0.06         0.06          0.06         0.06         0.01         XXX
                                             pelvis.
72190.........  ............  A...........  X-ray exam of             0.21         0.84         0.79            NA           NA         0.05         XXX
                                             pelvis.
72190.........  TC..........  A...........  X-ray exam of             0.00         0.77         0.72            NA           NA         0.04         XXX
                                             pelvis.
72190.........  26..........  A...........  X-ray exam of             0.21         0.07         0.07          0.07         0.07         0.01         XXX
                                             pelvis.
72191.........  ............  A...........  Ct angiograph pelv        1.81        11.34        11.99            NA           NA         0.47         XXX
                                             w/o&w/dye.
72191.........  TC..........  A...........  Ct angiograph pelv        0.00        10.69        11.36            NA           NA         0.39         XXX
                                             w/o&w/dye.
72191.........  26..........  A...........  Ct angiograph pelv        1.81         0.65         0.63          0.65         0.63         0.08         XXX
                                             w/o&w/dye.
72192.........  ............  A...........  Ct pelvis w/o dye.        1.09         6.04         6.15            NA           NA         0.36         XXX
72192.........  TC..........  A...........  Ct pelvis w/o dye.        0.00         5.65         5.78            NA           NA         0.31         XXX
72192.........  26..........  A...........  Ct pelvis w/o dye.        1.09         0.39         0.37          0.39         0.37         0.05         XXX
72193.........  ............  A...........  Ct pelvis w/dye...        1.16         7.55         7.39            NA           NA         0.41         XXX
72193.........  TC..........  A...........  Ct pelvis w/dye...        0.00         7.14         6.99            NA           NA         0.36         XXX
72193.........  26..........  A...........  Ct pelvis w/dye...        1.16         0.41         0.40          0.41         0.40         0.05         XXX
72194.........  ............  A...........  Ct pelvis w/o & w/        1.22        10.13         9.51            NA           NA         0.48         XXX
                                             dye.
72194.........  TC..........  A...........  Ct pelvis w/o & w/        0.00         9.70         9.10            NA           NA         0.43         XXX
                                             dye.
72194.........  26..........  A...........  Ct pelvis w/o & w/        1.22         0.43         0.41          0.43         0.41         0.05         XXX
                                             dye.
72195.........  ............  A...........  Mri pelvis w/o dye        1.46        14.44        13.06            NA           NA         0.51         XXX
72195.........  TC..........  A...........  Mri pelvis w/o dye        0.00        13.93        12.57            NA           NA         0.45         XXX
72195.........  26..........  A...........  Mri pelvis w/o dye        1.46         0.51         0.49          0.51         0.49         0.06         XXX
72196.........  ............  A...........  Mri pelvis w/dye..        1.73        15.54        14.78            NA           NA         0.60         XXX
72196.........  TC..........  A...........  Mri pelvis w/dye..        0.00        14.93        14.19            NA           NA         0.52         XXX
72196.........  26..........  A...........  Mri pelvis w/dye..        1.73         0.61         0.59          0.61         0.59         0.08         XXX
72197.........  ............  A...........  Mri pelvis w/o & w/       2.26        18.97        22.30            NA           NA         1.02         XXX
                                             dye.
72197.........  TC..........  A...........  Mri pelvis w/o & w/       0.00        18.18        21.54            NA           NA         0.92         XXX
                                             dye.
72197.........  26..........  A...........  Mri pelvis w/o & w/       2.26         0.79         0.76          0.79         0.76         0.10         XXX
                                             dye.
72198.........  ............  A...........  Mr angio pelvis w/        1.80        15.09        13.44            NA           NA         0.67         XXX
                                             o & w/dye.
72198.........  TC..........  A...........  Mr angio pelvis w/        0.00        14.45        12.83            NA           NA         0.59         XXX
                                             o & w/dye.
72198.........  26..........  A...........  Mr angio pelvis w/        1.80         0.64         0.61          0.64         0.61         0.08         XXX
                                             o & w/dye.
72200.........  ............  A...........  X-ray exam                0.17         0.59         0.59            NA           NA         0.03         XXX
                                             sacroiliac joints.
72200.........  TC..........  A...........  X-ray exam                0.00         0.54         0.53            NA           NA         0.02         XXX
                                             sacroiliac joints.
72200.........  26..........  A...........  X-ray exam                0.17         0.05         0.06          0.05         0.06         0.01         XXX
                                             sacroiliac joints.
72202.........  ............  A...........  X-ray exam                0.19         0.74         0.71            NA           NA         0.05         XXX
                                             sacroiliac joints.
72202.........  TC..........  A...........  X-ray exam                0.00         0.67         0.65            NA           NA         0.04         XXX
                                             sacroiliac joints.
72202.........  26..........  A...........  X-ray exam                0.19         0.07         0.06          0.07         0.06         0.01         XXX
                                             sacroiliac joints.
72220.........  ............  A...........  X-ray exam of             0.17         0.58         0.61            NA           NA         0.05         XXX
                                             tailbone.
72220.........  TC..........  A...........  X-ray exam of             0.00         0.52         0.55            NA           NA         0.04         XXX
                                             tailbone.
72220.........  26..........  A...........  X-ray exam of             0.17         0.06         0.06          0.06         0.06         0.01         XXX
                                             tailbone.

[[Page 2655]]

 
72240.........  ............  A...........  Contrast x-ray of         0.91         2.58         3.80            NA           NA         0.29         XXX
                                             neck spine.
72240.........  TC..........  A...........  Contrast x-ray of         0.00         2.26         3.50            NA           NA         0.25         XXX
                                             neck spine.
72240.........  26..........  A...........  Contrast x-ray of         0.91         0.32         0.30          0.32         0.30         0.04         XXX
                                             neck spine.
72255.........  ............  A...........  Contrast x-ray,           0.91         2.24         3.43            NA           NA         0.26         XXX
                                             thorax spine.
72255.........  TC..........  A...........  Contrast x-ray,           0.00         1.96         3.15            NA           NA         0.22         XXX
                                             thorax spine.
72255.........  26..........  A...........  Contrast x-ray,           0.91         0.28         0.28          0.28         0.28         0.04         XXX
                                             thorax spine.
72265.........  ............  A...........  Contrast x-ray,           0.83         2.54         3.43            NA           NA         0.26         XXX
                                             lower spine.
72265.........  TC..........  A...........  Contrast x-ray,           0.00         2.25         3.16            NA           NA         0.22         XXX
                                             lower spine.
72265.........  26..........  A...........  Contrast x-ray,           0.83         0.29         0.27          0.29         0.27         0.04         XXX
                                             lower spine.
72270.........  ............  A...........  Contrast x-ray,           1.33         3.99         5.27            NA           NA         0.39         XXX
                                             spine.
72270.........  TC..........  A...........  Contrast x-ray,           0.00         3.52         4.82            NA           NA         0.33         XXX
                                             spine.
72270.........  26..........  A...........  Contrast x-ray,           1.33         0.47         0.45          0.47         0.45         0.06         XXX
                                             spine.
72275.........  ............  A...........  Epidurography.....        0.76         1.73         2.02            NA           NA         0.26         XXX
72275.........  TC..........  A...........  Epidurography.....        0.00         1.53         1.82            NA           NA         0.22         XXX
72275.........  26..........  A...........  Epidurography.....        0.76         0.20         0.20          0.20         0.20         0.04         XXX
72285.........  ............  A...........  X-ray c/t spine           1.16         1.44         5.09            NA           NA         0.50         XXX
                                             disk.
72285.........  TC..........  A...........  X-ray c/t spine           0.00         1.14         4.76            NA           NA         0.43         XXX
                                             disk.
72285.........  26..........  A...........  X-ray c/t spine           1.16         0.30         0.33          0.30         0.33         0.07         XXX
                                             disk.
72291.........  ............  C...........  Perq                      0.00         0.00         0.00            NA           NA         0.00         XXX
                                             vertebroplasty,
                                             fluor.
72291.........  TC..........  C...........  Perq                      0.00         0.00         0.00            NA           NA         0.00         XXX
                                             vertebroplasty,
                                             fluor.
72291.........  26..........  A...........  Perq                      1.31         0.48         0.47          0.48         0.47         0.10         XXX
                                             vertebroplasty,
                                             fluor.
72292.........  ............  C...........  Perq                      0.00         0.00         0.00            NA           NA         0.00         XXX
                                             vertebroplasty,
                                             ct.
72292.........  TC..........  C...........  Perq                      0.00         0.00         0.00            NA           NA         0.00         XXX
                                             vertebroplasty,
                                             ct.
72292.........  26..........  A...........  Perq                      1.38         0.50         0.49          0.50         0.49         0.07         XXX
                                             vertebroplasty,
                                             ct.
72295.........  ............  A...........  X-ray of lower            0.83         1.46         4.80            NA           NA         0.46         XXX
                                             spine disk.
72295.........  TC..........  A...........  X-ray of lower            0.00         1.22         4.54            NA           NA         0.40         XXX
                                             spine disk.
72295.........  26..........  A...........  X-ray of lower            0.83         0.24         0.26          0.24         0.26         0.06         XXX
                                             spine disk.
73000.........  ............  A...........  X-ray exam of             0.16         0.55         0.56            NA           NA         0.03         XXX
                                             collar bone.
73000.........  TC..........  A...........  X-ray exam of             0.00         0.50         0.51            NA           NA         0.02         XXX
                                             collar bone.
73000.........  26..........  A...........  X-ray exam of             0.16         0.05         0.05          0.05         0.05         0.01         XXX
                                             collar bone.
73010.........  ............  A...........  X-ray exam of             0.17         0.58         0.58            NA           NA         0.03         XXX
                                             shoulder blade.
73010.........  TC..........  A...........  X-ray exam of             0.00         0.52         0.52            NA           NA         0.02         XXX
                                             shoulder blade.
73010.........  26..........  A...........  X-ray exam of             0.17         0.06         0.06          0.06         0.06         0.01         XXX
                                             shoulder blade.
73020.........  ............  A...........  X-ray exam of             0.15         0.44         0.48            NA           NA         0.03         XXX
                                             shoulder.
73020.........  TC..........  A...........  X-ray exam of             0.00         0.39         0.43            NA           NA         0.02         XXX
                                             shoulder.
73020.........  26..........  A...........  X-ray exam of             0.15         0.05         0.05          0.05         0.05         0.01         XXX
                                             shoulder.
73030.........  ............  A...........  X-ray exam of             0.18         0.57         0.60            NA           NA         0.05         XXX
                                             shoulder.
73030.........  TC..........  A...........  X-ray exam of             0.00         0.51         0.54            NA           NA         0.04         XXX
                                             shoulder.
73030.........  26..........  A...........  X-ray exam of             0.18         0.06         0.06          0.06         0.06         0.01         XXX
                                             shoulder.
73040.........  ............  A...........  Contrast x-ray of         0.54         2.25         2.27            NA           NA         0.14         XXX
                                             shoulder.
73040.........  TC..........  A...........  Contrast x-ray of         0.00         2.06         2.08            NA           NA         0.12         XXX
                                             shoulder.
73040.........  26..........  A...........  Contrast x-ray of         0.54         0.19         0.19          0.19         0.19         0.02         XXX
                                             shoulder.
73050.........  ............  A...........  X-ray exam of             0.20         0.74         0.73            NA           NA         0.05         XXX
                                             shoulders.
73050.........  TC..........  A...........  X-ray exam of             0.00         0.66         0.66            NA           NA         0.04         XXX
                                             shoulders.
73050.........  26..........  A...........  X-ray exam of             0.20         0.08         0.07          0.08         0.07         0.01         XXX
                                             shoulders.
73060.........  ............  A...........  X-ray exam of             0.17         0.58         0.60            NA           NA         0.05         XXX
                                             humerus.
73060.........  TC..........  A...........  X-ray exam of             0.00         0.52         0.54            NA           NA         0.04         XXX
                                             humerus.
73060.........  26..........  A...........  X-ray exam of             0.17         0.06         0.06          0.06         0.06         0.01         XXX
                                             humerus.
73070.........  ............  A...........  X-ray exam of             0.15         0.55         0.56            NA           NA         0.03         XXX
                                             elbow.
73070.........  TC..........  A...........  X-ray exam of             0.00         0.50         0.51            NA           NA         0.02         XXX
                                             elbow.
73070.........  26..........  A...........  X-ray exam of             0.15         0.05         0.05          0.05         0.05         0.01         XXX
                                             elbow.
73080.........  ............  A...........  X-ray exam of             0.17         0.76         0.69            NA           NA         0.05         XXX
                                             elbow.
73080.........  TC..........  A...........  X-ray exam of             0.00         0.70         0.63            NA           NA         0.04         XXX
                                             elbow.
73080.........  26..........  A...........  X-ray exam of             0.17         0.06         0.06          0.06         0.06         0.01         XXX
                                             elbow.
73085.........  ............  A...........  Contrast x-ray of         0.54         1.84         2.07            NA           NA         0.14         XXX
                                             elbow.
73085.........  TC..........  A...........  Contrast x-ray of         0.00         1.66         1.88            NA           NA         0.12         XXX
                                             elbow.
73085.........  26..........  A...........  Contrast x-ray of         0.54         0.18         0.19          0.18         0.19         0.02         XXX
                                             elbow.
73090.........  ............  A...........  X-ray exam of             0.16         0.55         0.56            NA           NA         0.03         XXX
                                             forearm.
73090.........  TC..........  A...........  X-ray exam of             0.00         0.50         0.51            NA           NA         0.02         XXX
                                             forearm.
73090.........  26..........  A...........  X-ray exam of             0.16         0.05         0.05          0.05         0.05         0.01         XXX
                                             forearm.
73092.........  ............  A...........  X-ray exam of arm,        0.16         0.58         0.56            NA           NA         0.03         XXX
                                             infant.
73092.........  TC..........  A...........  X-ray exam of arm,        0.00         0.53         0.51            NA           NA         0.02         XXX
                                             infant.
73092.........  26..........  A...........  X-ray exam of arm,        0.16         0.05         0.05          0.05         0.05         0.01         XXX
                                             infant.
73100.........  ............  A...........  X-ray exam of             0.16         0.61         0.57            NA           NA         0.03         XXX
                                             wrist.
73100.........  TC..........  A...........  X-ray exam of             0.00         0.55         0.52            NA           NA         0.02         XXX
                                             wrist.
73100.........  26..........  A...........  X-ray exam of             0.16         0.06         0.05          0.06         0.05         0.01         XXX
                                             wrist.
73110.........  ............  A...........  X-ray exam of             0.17         0.78         0.68            NA           NA         0.03         XXX
                                             wrist.
73110.........  TC..........  A...........  X-ray exam of             0.00         0.72         0.62            NA           NA         0.02         XXX
                                             wrist.
73110.........  26..........  A...........  X-ray exam of             0.17         0.06         0.06          0.06         0.06         0.01         XXX
                                             wrist.
73115.........  ............  A...........  Contrast x-ray of         0.54         2.33         2.04            NA           NA         0.12         XXX
                                             wrist.
73115.........  TC..........  A...........  Contrast x-ray of         0.00         2.14         1.86            NA           NA         0.10         XXX
                                             wrist.
73115.........  26..........  A...........  Contrast x-ray of         0.54         0.19         0.18          0.19         0.18         0.02         XXX
                                             wrist.

[[Page 2656]]

 
73120.........  ............  A...........  X-ray exam of hand        0.16         0.56         0.55            NA           NA         0.03         XXX
73120.........  TC..........  A...........  X-ray exam of hand        0.00         0.51         0.50            NA           NA         0.02         XXX
73120.........  26..........  A...........  X-ray exam of hand        0.16         0.05         0.05          0.05         0.05         0.01         XXX
73130.........  ............  A...........  X-ray exam of hand        0.17         0.66         0.63            NA           NA         0.03         XXX
73130.........  TC..........  A...........  X-ray exam of hand        0.00         0.60         0.57            NA           NA         0.02         XXX
73130.........  26..........  A...........  X-ray exam of hand        0.17         0.06         0.06          0.06         0.06         0.01         XXX
73140.........  ............  A...........  X-ray exam of             0.13         0.67         0.57            NA           NA         0.03         XXX
                                             finger(s).
73140.........  TC..........  A...........  X-ray exam of             0.00         0.63         0.53            NA           NA         0.02         XXX
                                             finger(s).
73140.........  26..........  A...........  X-ray exam of             0.13         0.04         0.04          0.04         0.04         0.01         XXX
                                             finger(s).
73200.........  ............  A...........  Ct upper extremity        1.09         6.40         5.86            NA           NA         0.30         XXX
                                             w/o dye.
73200.........  TC..........  A...........  Ct upper extremity        0.00         6.02         5.49            NA           NA         0.25         XXX
                                             w/o dye.
73200.........  26..........  A...........  Ct upper extremity        1.09         0.38         0.37          0.38         0.37         0.05         XXX
                                             w/o dye.
73201.........  ............  A...........  Ct upper extremity        1.16         7.92         7.10            NA           NA         0.36         XXX
                                             w/dye.
73201.........  TC..........  A...........  Ct upper extremity        0.00         7.51         6.71            NA           NA         0.31         XXX
                                             w/dye.
73201.........  26..........  A...........  Ct upper extremity        1.16         0.41         0.39          0.41         0.39         0.05         XXX
                                             w/dye.
73202.........  ............  A...........  Ct uppr extremity         1.22        10.55         9.19            NA           NA         0.44         XXX
                                             w/o&w/dye.
73202.........  TC..........  A...........  Ct uppr extremity         0.00        10.13         8.78            NA           NA         0.39         XXX
                                             w/o&w/dye.
73202.........  26..........  A...........  Ct uppr extremity         1.22         0.42         0.41          0.42         0.41         0.05         XXX
                                             w/o&w/dye.
73206.........  ............  A...........  Ct angio upr extrm        1.81        10.94        11.24            NA           NA         0.47         XXX
                                             w/o&w/dye.
73206.........  TC..........  A...........  Ct angio upr extrm        0.00        10.26        10.61            NA           NA         0.39         XXX
                                             w/o&w/dye.
73206.........  26..........  A...........  Ct angio upr extrm        1.81         0.68         0.63          0.68         0.63         0.08         XXX
                                             w/o&w/dye.
73218.........  ............  A...........  Mri upper                 1.35        14.65        13.15            NA           NA         0.45         XXX
                                             extremity w/o dye.
73218.........  TC..........  A...........  Mri upper                 0.00        14.19        12.70            NA           NA         0.39         XXX
                                             extremity w/o dye.
73218.........  26..........  A...........  Mri upper                 1.35         0.46         0.45          0.46         0.45         0.06         XXX
                                             extremity w/o dye.
73219.........  ............  A...........  Mri upper                 1.62        15.41        14.70            NA           NA         0.54         XXX
                                             extremity w/dye.
73219.........  TC..........  A...........  Mri upper                 0.00        14.85        14.15            NA           NA         0.47         XXX
                                             extremity w/dye.
73219.........  26..........  A...........  Mri upper                 1.62         0.56         0.55          0.56         0.55         0.07         XXX
                                             extremity w/dye.
73220.........  ............  A...........  Mri uppr extremity        2.15        19.06        22.33            NA           NA         0.94         XXX
                                             w/o&w/dye.
73220.........  TC..........  A...........  Mri uppr extremity        0.00        18.31        21.60            NA           NA         0.84         XXX
                                             w/o&w/dye.
73220.........  26..........  A...........  Mri uppr extremity        2.15         0.75         0.73          0.75         0.73         0.10         XXX
                                             w/o&w/dye.
73221.........  ............  A...........  Mri joint upr             1.35        13.56        12.60            NA           NA         0.45         XXX
                                             extrem w/o dye.
73221.........  TC..........  A...........  Mri joint upr             0.00        13.09        12.15            NA           NA         0.39         XXX
                                             extrem w/o dye.
73221.........  26..........  A...........  Mri joint upr             1.35         0.47         0.45          0.47         0.45         0.06         XXX
                                             extrem w/o dye.
73222.........  ............  A...........  Mri joint upr             1.62        14.31        14.15            NA           NA         0.54         XXX
                                             extrem w/dye.
73222.........  TC..........  A...........  Mri joint upr             0.00        13.75        13.60            NA           NA         0.47         XXX
                                             extrem w/dye.
73222.........  26..........  A...........  Mri joint upr             1.62         0.56         0.55          0.56         0.55         0.07         XXX
                                             extrem w/dye.
73223.........  ............  A...........  Mri joint upr extr        2.15        17.58        21.59            NA           NA         0.94         XXX
                                             w/o&w/dye.
73223.........  TC..........  A...........  Mri joint upr extr        0.00        16.84        20.87            NA           NA         0.84         XXX
                                             w/o&w/dye.
73223.........  26..........  A...........  Mri joint upr extr        2.15         0.74         0.72          0.74         0.72         0.10         XXX
                                             w/o&w/dye.
73225.........  ............  N...........  Mr angio upr extr         1.73        14.65        13.16            NA           NA         0.69         XXX
                                             w/o&w/dye.
73225.........  TC..........  N...........  Mr angio upr extr         0.00        14.25        12.63            NA           NA         0.59         XXX
                                             w/o&w/dye.
73225.........  26..........  N...........  Mr angio upr extr         1.73         0.40         0.53          0.40         0.53         0.10         XXX
                                             w/o&w/dye.
73500.........  ............  A...........  X-ray exam of hip.        0.17         0.49         0.51            NA           NA         0.03         XXX
73500.........  TC..........  A...........  X-ray exam of hip.        0.00         0.43         0.45            NA           NA         0.02         XXX
73500.........  26..........  A...........  X-ray exam of hip.        0.17         0.06         0.06          0.06         0.06         0.01         XXX
73510.........  ............  A...........  X-ray exam of hip.        0.21         0.77         0.71            NA           NA         0.05         XXX
73510.........  TC..........  A...........  X-ray exam of hip.        0.00         0.70         0.64            NA           NA         0.04         XXX
73510.........  26..........  A...........  X-ray exam of hip.        0.21         0.07         0.07          0.07         0.07         0.01         XXX
73520.........  ............  A...........  X-ray exam of hips        0.26         0.79         0.77            NA           NA         0.05         XXX
73520.........  TC..........  A...........  X-ray exam of hips        0.00         0.70         0.68            NA           NA         0.04         XXX
73520.........  26..........  A...........  X-ray exam of hips        0.26         0.09         0.09          0.09         0.09         0.01         XXX
73525.........  ............  A...........  Contrast x-ray of         0.54         1.83         2.06            NA           NA         0.15         XXX
                                             hip.
73525.........  TC..........  A...........  Contrast x-ray of         0.00         1.65         1.88            NA           NA         0.12         XXX
                                             hip.
73525.........  26..........  A...........  Contrast x-ray of         0.54         0.18         0.18          0.18         0.18         0.03         XXX
                                             hip.
73530.........  ............  C...........  X-ray exam of hip.        0.00         0.00         0.00            NA           NA         0.00         XXX
73530.........  TC..........  C...........  X-ray exam of hip.        0.00         0.00         0.00            NA           NA         0.00         XXX
73530.........  26..........  A...........  X-ray exam of hip.        0.29         0.11         0.10          0.11         0.10         0.01         XXX
73540.........  ............  A...........  X-ray exam of             0.20         0.81         0.72            NA           NA         0.05         XXX
                                             pelvis & hips.
73540.........  TC..........  A...........  X-ray exam of             0.00         0.74         0.65            NA           NA         0.04         XXX
                                             pelvis & hips.
73540.........  26..........  A...........  X-ray exam of             0.20         0.07         0.07          0.07         0.07         0.01         XXX
                                             pelvis & hips.
73542.........  ............  A...........  X-ray exam,               0.59         1.13         1.70            NA           NA         0.15         XXX
                                             sacroiliac joint.
73542.........  TC..........  A...........  X-ray exam,               0.00         0.99         1.55            NA           NA         0.12         XXX
                                             sacroiliac joint.
73542.........  26..........  A...........  X-ray exam,               0.59         0.14         0.15          0.14         0.15         0.03         XXX
                                             sacroiliac joint.
73550.........  ............  A...........  X-ray exam of             0.17         0.55         0.59            NA           NA         0.05         XXX
                                             thigh.
73550.........  TC..........  A...........  X-ray exam of             0.00         0.49         0.53            NA           NA         0.04         XXX
                                             thigh.
73550.........  26..........  A...........  X-ray exam of             0.17         0.06         0.06          0.06         0.06         0.01         XXX
                                             thigh.
73560.........  ............  A...........  X-ray exam of             0.17         0.58         0.58            NA           NA         0.03         XXX
                                             knee, 1 or 2.
73560.........  TC..........  A...........  X-ray exam of             0.00         0.52         0.52            NA           NA         0.02         XXX
                                             knee, 1 or 2.
73560.........  26..........  A...........  X-ray exam of             0.17         0.06         0.06          0.06         0.06         0.01         XXX
                                             knee, 1 or 2.
73562.........  ............  A...........  X-ray exam of             0.18         0.73         0.68            NA           NA         0.05         XXX
                                             knee, 3.
73562.........  TC..........  A...........  X-ray exam of             0.00         0.66         0.62            NA           NA         0.04         XXX
                                             knee, 3.
73562.........  26..........  A...........  X-ray exam of             0.18         0.07         0.06          0.07         0.06         0.01         XXX
                                             knee, 3.

[[Page 2657]]

 
73564.........  ............  A...........  X-ray exam, knee,         0.22         0.86         0.77            NA           NA         0.05         XXX
                                             4 or more.
73564.........  TC..........  A...........  X-ray exam, knee,         0.00         0.78         0.70            NA           NA         0.04         XXX
                                             4 or more.
73564.........  26..........  A...........  X-ray exam, knee,         0.22         0.08         0.07          0.08         0.07         0.01         XXX
                                             4 or more.
73565.........  ............  A...........  X-ray exam of             0.17         0.65         0.60            NA           NA         0.03         XXX
                                             knees.
73565.........  TC..........  A...........  X-ray exam of             0.00         0.59         0.54            NA           NA         0.02         XXX
                                             knees.
73565.........  26..........  A...........  X-ray exam of             0.17         0.06         0.06          0.06         0.06         0.01         XXX
                                             knees.
73580.........  ............  A...........  Contrast x-ray of         0.54         2.56         2.68            NA           NA         0.17         XXX
                                             knee joint.
73580.........  TC..........  A...........  Contrast x-ray of         0.00         2.37         2.50            NA           NA         0.14         XXX
                                             knee joint.
73580.........  26..........  A...........  Contrast x-ray of         0.54         0.19         0.18          0.19         0.18         0.03         XXX
                                             knee joint.
73590.........  ............  A...........  X-ray exam of             0.17         0.54         0.56            NA           NA         0.03         XXX
                                             lower leg.
73590.........  TC..........  A...........  X-ray exam of             0.00         0.48         0.50            NA           NA         0.02         XXX
                                             lower leg.
73590.........  26..........  A...........  X-ray exam of             0.17         0.06         0.06          0.06         0.06         0.01         XXX
                                             lower leg.
73592.........  ............  A...........  X-ray exam of leg,        0.16         0.58         0.56            NA           NA         0.03         XXX
                                             infant.
73592.........  TC..........  A...........  X-ray exam of leg,        0.00         0.53         0.51            NA           NA         0.02         XXX
                                             infant.
73592.........  26..........  A...........  X-ray exam of leg,        0.16         0.05         0.05          0.05         0.05         0.01         XXX
                                             infant.
73600.........  ............  A...........  X-ray exam of             0.16         0.56         0.55            NA           NA         0.03         XXX
                                             ankle.
73600.........  TC..........  A...........  X-ray exam of             0.00         0.51         0.50            NA           NA         0.02         XXX
                                             ankle.
73600.........  26..........  A...........  X-ray exam of             0.16         0.05         0.05          0.05         0.05         0.01         XXX
                                             ankle.
73610.........  ............  A...........  X-ray exam of             0.17         0.68         0.63            NA           NA         0.03         XXX
                                             ankle.
73610.........  TC..........  A...........  X-ray exam of             0.00         0.62         0.57            NA           NA         0.02         XXX
                                             ankle.
73610.........  26..........  A...........  X-ray exam of             0.17         0.06         0.06          0.06         0.06         0.01         XXX
                                             ankle.
73615.........  ............  A...........  Contrast x-ray of         0.54         2.00         2.14            NA           NA         0.15         XXX
                                             ankle.
73615.........  TC..........  A...........  Contrast x-ray of         0.00         1.82         1.96            NA           NA         0.12         XXX
                                             ankle.
73615.........  26..........  A...........  Contrast x-ray of         0.54         0.18         0.18          0.18         0.18         0.03         XXX
                                             ankle.
73620.........  ............  A...........  X-ray exam of foot        0.16         0.52         0.54            NA           NA         0.03         XXX
73620.........  TC..........  A...........  X-ray exam of foot        0.00         0.48         0.49            NA           NA         0.02         XXX
73620.........  26..........  A...........  X-ray exam of foot        0.16         0.04         0.05          0.04         0.05         0.01         XXX
73630.........  ............  A...........  X-ray exam of foot        0.17         0.65         0.63            NA           NA         0.03         XXX
73630.........  TC..........  A...........  X-ray exam of foot        0.00         0.60         0.57            NA           NA         0.02         XXX
73630.........  26..........  A...........  X-ray exam of foot        0.17         0.05         0.06          0.05         0.06         0.01         XXX
73650.........  ............  A...........  X-ray exam of heel        0.16         0.55         0.53            NA           NA         0.03         XXX
73650.........  TC..........  A...........  X-ray exam of heel        0.00         0.50         0.48            NA           NA         0.02         XXX
73650.........  26..........  A...........  X-ray exam of heel        0.16         0.05         0.05          0.05         0.05         0.01         XXX
73660.........  ............  A...........  X-ray exam of             0.13         0.64         0.55            NA           NA         0.03         XXX
                                             toe(s).
73660.........  TC..........  A...........  X-ray exam of             0.00         0.60         0.51            NA           NA         0.02         XXX
                                             toe(s).
73660.........  26..........  A...........  X-ray exam of             0.13         0.04         0.04          0.04         0.04         0.01         XXX
                                             toe(s).
73700.........  ............  A...........  Ct lower extremity        1.09         6.41         5.86            NA           NA         0.30         XXX
                                             w/o dye.
73700.........  TC..........  A...........  Ct lower extremity        0.00         6.03         5.49            NA           NA         0.25         XXX
                                             w/o dye.
73700.........  26..........  A...........  Ct lower extremity        1.09         0.38         0.37          0.38         0.37         0.05         XXX
                                             w/o dye.
73701.........  ............  A...........  Ct lower extremity        1.16         7.98         7.14            NA           NA         0.36         XXX
                                             w/dye.
73701.........  TC..........  A...........  Ct lower extremity        0.00         7.57         6.74            NA           NA         0.31         XXX
                                             w/dye.
73701.........  26..........  A...........  Ct lower extremity        1.16         0.41         0.40          0.41         0.40         0.05         XXX
                                             w/dye.
73702.........  ............  A...........  Ct lwr extremity w/       1.22        10.73         9.28            NA           NA         0.44         XXX
                                             o&w/dye.
73702.........  TC..........  A...........  Ct lwr extremity w/       0.00        10.29         8.86            NA           NA         0.39         XXX
                                             o&w/dye.
73702.........  26..........  A...........  Ct lwr extremity w/       1.22         0.44         0.42          0.44         0.42         0.05         XXX
                                             o&w/dye.
73706.........  ............  A...........  Ct angio lwr extr         1.90        12.35        11.97            NA           NA         0.47         XXX
                                             w/o&w/dye.
73706.........  TC..........  A...........  Ct angio lwr extr         0.00        11.63        11.30            NA           NA         0.39         XXX
                                             w/o&w/dye.
73706.........  26..........  A...........  Ct angio lwr extr         1.90         0.72         0.67          0.72         0.67         0.08         XXX
                                             w/o&w/dye.
73718.........  ............  A...........  Mri lower                 1.35        14.27        12.96            NA           NA         0.45         XXX
                                             extremity w/o dye.
73718.........  TC..........  A...........  Mri lower                 0.00        13.81        12.51            NA           NA         0.39         XXX
                                             extremity w/o dye.
73718.........  26..........  A...........  Mri lower                 1.35         0.46         0.45          0.46         0.45         0.06         XXX
                                             extremity w/o dye.
73719.........  ............  A...........  Mri lower                 1.62        15.41        14.70            NA           NA         0.54         XXX
                                             extremity w/dye.
73719.........  TC..........  A...........  Mri lower                 0.00        14.84        14.15            NA           NA         0.47         XXX
                                             extremity w/dye.
73719.........  26..........  A...........  Mri lower                 1.62         0.57         0.55          0.57         0.55         0.07         XXX
                                             extremity w/dye.
73720.........  ............  A...........  Mri lwr extremity         2.15        19.00        22.29            NA           NA         0.94         XXX
                                             w/o&w/dye.
73720.........  TC..........  A...........  Mri lwr extremity         0.00        18.25        21.57            NA           NA         0.84         XXX
                                             w/o&w/dye.
73720.........  26..........  A...........  Mri lwr extremity         2.15         0.75         0.72          0.75         0.72         0.10         XXX
                                             w/o&w/dye.
73721.........  ............  A...........  Mri jnt of lwr            1.35        13.88        12.76            NA           NA         0.45         XXX
                                             extre w/o dye.
73721.........  TC..........  A...........  Mri jnt of lwr            0.00        13.41        12.31            NA           NA         0.39         XXX
                                             extre w/o dye.
73721.........  26..........  A...........  Mri jnt of lwr            1.35         0.47         0.45          0.47         0.45         0.06         XXX
                                             extre w/o dye.
73722.........  ............  A...........  Mri joint of lwr          1.62        14.49        14.24            NA           NA         0.54         XXX
                                             extr w/dye.
73722.........  TC..........  A...........  Mri joint of lwr          0.00        13.92        13.69            NA           NA         0.47         XXX
                                             extr w/dye.
73722.........  26..........  A...........  Mri joint of lwr          1.62         0.57         0.55          0.57         0.55         0.07         XXX
                                             extr w/dye.
73723.........  ............  A...........  Mri joint lwr extr        2.15        17.56        21.59            NA           NA         0.94         XXX
                                             w/o&w/dye.
73723.........  TC..........  A...........  Mri joint lwr extr        0.00        16.82        20.86            NA           NA         0.84         XXX
                                             w/o&w/dye.
73723.........  26..........  A...........  Mri joint lwr extr        2.15         0.74         0.73          0.74         0.73         0.10         XXX
                                             w/o&w/dye.
73725.........  ............  R...........  Mr ang lwr ext w          1.82        15.13        13.47            NA           NA         0.67         XXX
                                             or w/o dye.
73725.........  TC..........  R...........  Mr ang lwr ext w          0.00        14.49        12.85            NA           NA         0.59         XXX
                                             or w/o dye.
73725.........  26..........  R...........  Mr ang lwr ext w          1.82         0.64         0.62          0.64         0.62         0.08         XXX
                                             or w/o dye.
74000.........  ............  A...........  X-ray exam of             0.18         0.46         0.52            NA           NA         0.03         XXX
                                             abdomen.
74000.........  TC..........  A...........  X-ray exam of             0.00         0.40         0.46            NA           NA         0.02         XXX
                                             abdomen.
74000.........  26..........  A...........  X-ray exam of             0.18         0.06         0.06          0.06         0.06         0.01         XXX
                                             abdomen.

[[Page 2658]]

 
74010.........  ............  A...........  X-ray exam of             0.23         0.79         0.72            NA           NA         0.05         XXX
                                             abdomen.
74010.........  TC..........  A...........  X-ray exam of             0.00         0.71         0.64            NA           NA         0.04         XXX
                                             abdomen.
74010.........  26..........  A...........  X-ray exam of             0.23         0.08         0.08          0.08         0.08         0.01         XXX
                                             abdomen.
74020.........  ............  A...........  X-ray exam of             0.27         0.81         0.76            NA           NA         0.05         XXX
                                             abdomen.
74020.........  TC..........  A...........  X-ray exam of             0.00         0.72         0.67            NA           NA         0.04         XXX
                                             abdomen.
74020.........  26..........  A...........  X-ray exam of             0.27         0.09         0.09          0.09         0.09         0.01         XXX
                                             abdomen.
74022.........  ............  A...........  X-ray exam series,        0.32         0.99         0.91            NA           NA         0.06         XXX
                                             abdomen.
74022.........  TC..........  A...........  X-ray exam series,        0.00         0.88         0.80            NA           NA         0.05         XXX
                                             abdomen.
74022.........  26..........  A...........  X-ray exam series,        0.32         0.11         0.11          0.11         0.11         0.01         XXX
                                             abdomen.
74150.........  ............  A...........  Ct abdomen w/o dye        1.19         6.07         6.07            NA           NA         0.35         XXX
74150.........  TC..........  A...........  Ct abdomen w/o dye        0.00         5.65         5.66            NA           NA         0.30         XXX
74150.........  26..........  A...........  Ct abdomen w/o dye        1.19         0.42         0.41          0.42         0.41         0.05         XXX
74160.........  ............  A...........  Ct abdomen w/dye..        1.27         8.82         8.05            NA           NA         0.42         XXX
74160.........  TC..........  A...........  Ct abdomen w/dye..        0.00         8.37         7.61            NA           NA         0.36         XXX
74160.........  26..........  A...........  Ct abdomen w/dye..        1.27         0.45         0.44          0.45         0.44         0.06         XXX
74170.........  ............  A...........  Ct abdomen w/o & w/       1.40        12.19        10.57            NA           NA         0.49         XXX
                                             dye.
74170.........  TC..........  A...........  Ct abdomen w/o & w/       0.00        11.70        10.09            NA           NA         0.43         XXX
                                             dye.
74170.........  26..........  A...........  Ct abdomen w/o & w/       1.40         0.49         0.48          0.49         0.48         0.06         XXX
                                             dye.
74175.........  ............  A...........  Ct angio abdom w/o        1.90        12.28        12.46            NA           NA         0.47         XXX
                                             & w/dye.
74175.........  TC..........  A...........  Ct angio abdom w/o        0.00        11.59        11.81            NA           NA         0.39         XXX
                                             & w/dye.
74175.........  26..........  A...........  Ct angio abdom w/o        1.90         0.69         0.65          0.69         0.65         0.08         XXX
                                             & w/dye.
74181.........  ............  A...........  Mri abdomen w/o           1.46        12.45        12.07            NA           NA         0.51         XXX
                                             dye.
74181.........  TC..........  A...........  Mri abdomen w/o           0.00        11.94        11.57            NA           NA         0.45         XXX
                                             dye.
74181.........  26..........  A...........  Mri abdomen w/o           1.46         0.51         0.50          0.51         0.50         0.06         XXX
                                             dye.
74182.........  ............  A...........  Mri abdomen w/dye.        1.73        17.45        15.74            NA           NA         0.60         XXX
74182.........  TC..........  A...........  Mri abdomen w/dye.        0.00        16.84        15.15            NA           NA         0.52         XXX
74182.........  26..........  A...........  Mri abdomen w/dye.        1.73         0.61         0.59          0.61         0.59         0.08         XXX
74183.........  ............  A...........  Mri abdomen w/o &         2.26        19.00        22.31            NA           NA         1.02         XXX
                                             w/dye.
74183.........  TC..........  A...........  Mri abdomen w/o &         0.00        18.21        21.55            NA           NA         0.92         XXX
                                             w/dye.
74183.........  26..........  A...........  Mri abdomen w/o &         2.26         0.79         0.76          0.79         0.76         0.10         XXX
                                             w/dye.
74185.........  ............  R...........  Mri angio, abdom w        1.80        15.09        13.44            NA           NA         0.67         XXX
                                             orw/o dye.
74185.........  TC..........  R...........  Mri angio, abdom w        0.00        14.45        12.83            NA           NA         0.59         XXX
                                             orw/o dye.
74185.........  26..........  R...........  Mri angio, abdom w        1.80         0.64         0.61          0.64         0.61         0.08         XXX
                                             orw/o dye.
74190.........  ............  C...........  X-ray exam of             0.00         0.00         0.00            NA           NA         0.00         XXX
                                             peritoneum.
74190.........  TC..........  C...........  X-ray exam of             0.00         0.00         0.00            NA           NA         0.00         XXX
                                             peritoneum.
74190.........  26..........  A...........  X-ray exam of             0.48         0.17         0.16          0.17         0.16         0.02         XXX
                                             peritoneum.
74210.........  ............  A...........  Contrst x-ray exam        0.36         1.77         1.54            NA           NA         0.08         XXX
                                             of throat.
74210.........  TC..........  A...........  Contrst x-ray exam        0.00         1.64         1.42            NA           NA         0.06         XXX
                                             of throat.
74210.........  26..........  A...........  Contrst x-ray exam        0.36         0.13         0.12          0.13         0.12         0.02         XXX
                                             of throat.
74220.........  ............  A...........  Contrast x-ray,           0.46         2.01         1.68            NA           NA         0.08         XXX
                                             esophagus.
74220.........  TC..........  A...........  Contrast x-ray,           0.00         1.85         1.52            NA           NA         0.06         XXX
                                             esophagus.
74220.........  26..........  A...........  Contrast x-ray,           0.46         0.16         0.16          0.16         0.16         0.02         XXX
                                             esophagus.
74230.........  ............  A...........  Cine/vid x-ray,           0.53         1.95         1.72            NA           NA         0.09         XXX
                                             throat/esoph.
74230.........  TC..........  A...........  Cine/vid x-ray,           0.00         1.76         1.54            NA           NA         0.07         XXX
                                             throat/esoph.
74230.........  26..........  A...........  Cine/vid x-ray,           0.53         0.19         0.18          0.19         0.18         0.02         XXX
                                             throat/esoph.
74235.........  ............  C...........  Remove esophagus          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             obstruction.
74235.........  TC..........  C...........  Remove esophagus          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             obstruction.
74235.........  26..........  A...........  Remove esophagus          1.19         0.47         0.43          0.47         0.43         0.05         XXX
                                             obstruction.
74240.........  ............  A...........  X-ray exam, upper         0.69         2.30         2.00            NA           NA         0.11         XXX
                                             gi tract.
74240.........  TC..........  A...........  X-ray exam, upper         0.00         2.06         1.76            NA           NA         0.08         XXX
                                             gi tract.
74240.........  26..........  A...........  X-ray exam, upper         0.69         0.24         0.24          0.24         0.24         0.03         XXX
                                             gi tract.
74241.........  ............  A...........  X-ray exam, upper         0.69         2.57         2.14            NA           NA         0.11         XXX
                                             gi tract.
74241.........  TC..........  A...........  X-ray exam, upper         0.00         2.33         1.91            NA           NA         0.08         XXX
                                             gi tract.
74241.........  26..........  A...........  X-ray exam, upper         0.69         0.24         0.23          0.24         0.23         0.03         XXX
                                             gi tract.
74245.........  ............  A...........  X-ray exam, upper         0.91         3.96         3.32            NA           NA         0.17         XXX
                                             gi tract.
74245.........  TC..........  A...........  X-ray exam, upper         0.00         3.64         3.01            NA           NA         0.13         XXX
                                             gi tract.
74245.........  26..........  A...........  X-ray exam, upper         0.91         0.32         0.31          0.32         0.31         0.04         XXX
                                             gi tract.
74246.........  ............  A...........  Contrst x-ray uppr        0.69         2.81         2.34            NA           NA         0.13         XXX
                                             gi tract.
74246.........  TC..........  A...........  Contrst x-ray uppr        0.00         2.56         2.10            NA           NA         0.10         XXX
                                             gi tract.
74246.........  26..........  A...........  Contrst x-ray uppr        0.69         0.25         0.24          0.25         0.24         0.03         XXX
                                             gi tract.
74247.........  ............  A...........  Contrst x-ray uppr        0.69         3.22         2.57            NA           NA         0.14         XXX
                                             gi tract.
74247.........  TC..........  A...........  Contrst x-ray uppr        0.00         2.98         2.33            NA           NA         0.11         XXX
                                             gi tract.
74247.........  26..........  A...........  Contrst x-ray uppr        0.69         0.24         0.24          0.24         0.24         0.03         XXX
                                             gi tract.
74249.........  ............  A...........  Contrst x-ray uppr        0.91         4.35         3.61            NA           NA         0.18         XXX
                                             gi tract.
74249.........  TC..........  A...........  Contrst x-ray uppr        0.00         4.03         3.30            NA           NA         0.14         XXX
                                             gi tract.
74249.........  26..........  A...........  Contrst x-ray uppr        0.91         0.32         0.31          0.32         0.31         0.04         XXX
                                             gi tract.
74250.........  ............  A...........  X-ray exam of             0.47         2.49         1.97            NA           NA         0.09         XXX
                                             small bowel.
74250.........  TC..........  A...........  X-ray exam of             0.00         2.32         1.81            NA           NA         0.07         XXX
                                             small bowel.
74250.........  26..........  A...........  X-ray exam of             0.47         0.17         0.16          0.17         0.16         0.02         XXX
                                             small bowel.
74251.........  ............  A...........  X-ray exam of             0.69        10.02         5.78            NA           NA         0.10         XXX
                                             small bowel.
74251.........  TC..........  A...........  X-ray exam of             0.00         9.77         5.54            NA           NA         0.07         XXX
                                             small bowel.
74251.........  26..........  A...........  X-ray exam of             0.69         0.25         0.24          0.25         0.24         0.03         XXX
                                             small bowel.

[[Page 2659]]

 
74260.........  ............  A...........  X-ray exam of             0.50         8.31         4.98            NA           NA         0.10         XXX
                                             small bowel.
74260.........  TC..........  A...........  X-ray exam of             0.00         8.13         4.81            NA           NA         0.08         XXX
                                             small bowel.
74260.........  26..........  A...........  X-ray exam of             0.50         0.18         0.17          0.18         0.17         0.02         XXX
                                             small bowel.
74270.........  ............  A...........  Contrast x-ray            0.69         3.59         2.76            NA           NA         0.14         XXX
                                             exam of colon.
74270.........  TC..........  A...........  Contrast x-ray            0.00         3.34         2.52            NA           NA         0.11         XXX
                                             exam of colon.
74270.........  26..........  A...........  Contrast x-ray            0.69         0.25         0.24          0.25         0.24         0.03         XXX
                                             exam of colon.
74280.........  ............  A...........  Contrast x-ray            0.99         4.95         3.75            NA           NA         0.17         XXX
                                             exam of colon.
74280.........  TC..........  A...........  Contrast x-ray            0.00         4.60         3.42            NA           NA         0.13         XXX
                                             exam of colon.
74280.........  26..........  A...........  Contrast x-ray            0.99         0.35         0.33          0.35         0.33         0.04         XXX
                                             exam of colon.
74283.........  ............  A...........  Contrast x-ray            2.02         3.49         3.35            NA           NA         0.23         XXX
                                             exam of colon.
74283.........  TC..........  A...........  Contrast x-ray            0.00         2.80         2.68            NA           NA         0.14         XXX
                                             exam of colon.
74283.........  26..........  A...........  Contrast x-ray            2.02         0.69         0.67          0.69         0.67         0.09         XXX
                                             exam of colon.
74290.........  ............  A...........  Contrast x-ray,           0.32         1.58         1.21            NA           NA         0.06         XXX
                                             gallbladder.
74290.........  TC..........  A...........  Contrast x-ray,           0.00         1.47         1.10            NA           NA         0.05         XXX
                                             gallbladder.
74290.........  26..........  A...........  Contrast x-ray,           0.32         0.11         0.11          0.11         0.11         0.01         XXX
                                             gallbladder.
74291.........  ............  A...........  Contrast x-rays,          0.20         1.56         1.02            NA           NA         0.03         XXX
                                             gallbladder.
74291.........  TC..........  A...........  Contrast x-rays,          0.00         1.49         0.95            NA           NA         0.02         XXX
                                             gallbladder.
74291.........  26..........  A...........  Contrast x-rays,          0.20         0.07         0.07          0.07         0.07         0.01         XXX
                                             gallbladder.
74300.........  ............  C...........  X-ray bile ducts/         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             pancreas.
74300.........  TC..........  C...........  X-ray bile ducts/         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             pancreas.
74300.........  26..........  A...........  X-ray bile ducts/         0.36         0.13         0.12          0.13         0.12         0.02         XXX
                                             pancreas.
74301.........  ............  C...........  X-rays at surgery         0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             add-on.
74301.........  TC..........  C...........  X-rays at surgery         0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             add-on.
74301.........  26..........  A...........  X-rays at surgery         0.21         0.07         0.07          0.07         0.07         0.01         ZZZ
                                             add-on.
74305.........  ............  C...........  X-ray bile ducts/         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             pancreas.
74305.........  TC..........  C...........  X-ray bile ducts/         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             pancreas.
74305.........  26..........  A...........  X-ray bile ducts/         0.42         0.15         0.15          0.15         0.15         0.02         XXX
                                             pancreas.
74320.........  ............  A...........  Contrast x-ray of         0.54         2.14         2.73            NA           NA         0.19         XXX
                                             bile ducts.
74320.........  TC..........  A...........  Contrast x-ray of         0.00         1.94         2.54            NA           NA         0.17         XXX
                                             bile ducts.
74320.........  26..........  A...........  Contrast x-ray of         0.54         0.20         0.19          0.20         0.19         0.02         XXX
                                             bile ducts.
74327.........  ............  A...........  X-ray bile stone          0.70         2.97         2.48            NA           NA         0.14         XXX
                                             removal.
74327.........  TC..........  A...........  X-ray bile stone          0.00         2.72         2.24            NA           NA         0.11         XXX
                                             removal.
74327.........  26..........  A...........  X-ray bile stone          0.70         0.25         0.24          0.25         0.24         0.03         XXX
                                             removal.
74328.........  ............  C...........  X-ray bile duct           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             endoscopy.
74328.........  TC..........  C...........  X-ray bile duct           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             endoscopy.
74328.........  26..........  A...........  X-ray bile duct           0.70         0.26         0.25          0.26         0.25         0.03         XXX
                                             endoscopy.
74329.........  ............  C...........  X-ray for pancreas        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             endoscopy.
74329.........  TC..........  C...........  X-ray for pancreas        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             endoscopy.
74329.........  26..........  A...........  X-ray for pancreas        0.70         0.27         0.25          0.27         0.25         0.03         XXX
                                             endoscopy.
74330.........  ............  C...........  X-ray bile/panc           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             endoscopy.
74330.........  TC..........  C...........  X-ray bile/panc           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             endoscopy.
74330.........  26..........  A...........  X-ray bile/panc           0.90         0.33         0.31          0.33         0.31         0.04         XXX
                                             endoscopy.
74340.........  ............  C...........  X-ray guide for GI        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             tube.
74340.........  TC..........  C...........  X-ray guide for GI        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             tube.
74340.........  26..........  A...........  X-ray guide for GI        0.54         0.19         0.19          0.19         0.19         0.02         XXX
                                             tube.
74355.........  ............  C...........  X-ray guide,              0.00         0.00         0.00            NA           NA         0.00         XXX
                                             intestinal tube.
74355.........  TC..........  C...........  X-ray guide,              0.00         0.00         0.00            NA           NA         0.00         XXX
                                             intestinal tube.
74355.........  26..........  A...........  X-ray guide,              0.76         0.28         0.26          0.28         0.26         0.03         XXX
                                             intestinal tube.
74360.........  ............  C...........  X-ray guide, GI           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             dilation.
74360.........  TC..........  C...........  X-ray guide, GI           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             dilation.
74360.........  26..........  A...........  X-ray guide, GI           0.54         0.24         0.21          0.24         0.21         0.02         XXX
                                             dilation.
74363.........  ............  C...........  X-ray, bile duct          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             dilation.
74363.........  TC..........  C...........  X-ray, bile duct          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             dilation.
74363.........  26..........  A...........  X-ray, bile duct          0.88         0.32         0.30          0.32         0.30         0.04         XXX
                                             dilation.
74400.........  ............  A...........  Contrst x-ray,            0.49         2.60         2.22            NA           NA         0.13         XXX
                                             urinary tract.
74400.........  TC..........  A...........  Contrst x-ray,            0.00         2.43         2.05            NA           NA         0.11         XXX
                                             urinary tract.
74400.........  26..........  A...........  Contrst x-ray,            0.49         0.17         0.17          0.17         0.17         0.02         XXX
                                             urinary tract.
74410.........  ............  A...........  Contrst x-ray,            0.49         2.69         2.40            NA           NA         0.13         XXX
                                             urinary tract.
74410.........  TC..........  A...........  Contrst x-ray,            0.00         2.51         2.23            NA           NA         0.11         XXX
                                             urinary tract.
74410.........  26..........  A...........  Contrst x-ray,            0.49         0.18         0.17          0.18         0.17         0.02         XXX
                                             urinary tract.
74415.........  ............  A...........  Contrst x-ray,            0.49         3.27         2.78            NA           NA         0.14         XXX
                                             urinary tract.
74415.........  TC..........  A...........  Contrst x-ray,            0.00         3.10         2.61            NA           NA         0.12         XXX
                                             urinary tract.
74415.........  26..........  A...........  Contrst x-ray,            0.49         0.17         0.17          0.17         0.17         0.02         XXX
                                             urinary tract.
74420.........  ............  C...........  Contrst x-ray,            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             urinary tract.
74420.........  TC..........  C...........  Contrst x-ray,            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             urinary tract.
74420.........  26..........  A...........  Contrst x-ray,            0.36         0.14         0.13          0.14         0.13         0.02         XXX
                                             urinary tract.
74425.........  ............  C...........  Contrst x-ray,            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             urinary tract.
74425.........  TC..........  C...........  Contrst x-ray,            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             urinary tract.
74425.........  26..........  A...........  Contrst x-ray,            0.36         0.13         0.13          0.13         0.13         0.02         XXX
                                             urinary tract.
74430.........  ............  A...........  Contrast x-ray,           0.32         1.96         1.56            NA           NA         0.08         XXX
                                             bladder.
74430.........  TC..........  A...........  Contrast x-ray,           0.00         1.84         1.45            NA           NA         0.06         XXX
                                             bladder.
74430.........  26..........  A...........  Contrast x-ray,           0.32         0.12         0.11          0.12         0.11         0.02         XXX
                                             bladder.

[[Page 2660]]

 
74440.........  ............  A...........  X-ray, male               0.38         2.12         1.68            NA           NA         0.08         XXX
                                             genital tract.
74440.........  TC..........  A...........  X-ray, male               0.00         1.98         1.55            NA           NA         0.06         XXX
                                             genital tract.
74440.........  26..........  A...........  X-ray, male               0.38         0.14         0.13          0.14         0.13         0.02         XXX
                                             genital tract.
74445.........  ............  C...........  X-ray exam of             0.00         0.00         0.00            NA           NA         0.00         XXX
                                             penis.
74445.........  TC..........  C...........  X-ray exam of             0.00         0.00         0.00            NA           NA         0.00         XXX
                                             penis.
74445.........  26..........  A...........  X-ray exam of             1.14         0.45         0.41          0.45         0.41         0.07         XXX
                                             penis.
74450.........  ............  C...........  X-ray, urethra/           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             bladder.
74450.........  TC..........  C...........  X-ray, urethra/           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             bladder.
74450.........  26..........  A...........  X-ray, urethra/           0.33         0.12         0.12          0.12         0.12         0.02         XXX
                                             bladder.
74455.........  ............  A...........  X-ray, urethra/           0.33         2.18         1.94            NA           NA         0.12         XXX
                                             bladder.
74455.........  TC..........  A...........  X-ray, urethra/           0.00         2.06         1.82            NA           NA         0.10         XXX
                                             bladder.
74455.........  26..........  A...........  X-ray, urethra/           0.33         0.12         0.12          0.12         0.12         0.02         XXX
                                             bladder.
74470.........  ............  C...........  X-ray exam of             0.00         0.00         0.00            NA           NA         0.00         XXX
                                             kidney lesion.
74470.........  TC..........  C...........  X-ray exam of             0.00         0.00         0.00            NA           NA         0.00         XXX
                                             kidney lesion.
74470.........  26..........  A...........  X-ray exam of             0.54         0.17         0.18          0.17         0.18         0.02         XXX
                                             kidney lesion.
74475.........  ............  A...........  X-ray control,            0.54         2.12         3.19            NA           NA         0.24         XXX
                                             cath insert.
74475.........  TC..........  A...........  X-ray control,            0.00         1.92         3.00            NA           NA         0.22         XXX
                                             cath insert.
74475.........  26..........  A...........  X-ray control,            0.54         0.20         0.19          0.20         0.19         0.02         XXX
                                             cath insert.
74480.........  ............  A...........  X-ray control,            0.54         2.13         3.19            NA           NA         0.24         XXX
                                             cath insert.
74480.........  TC..........  A...........  X-ray control,            0.00         1.93         3.00            NA           NA         0.22         XXX
                                             cath insert.
74480.........  26..........  A...........  X-ray control,            0.54         0.20         0.19          0.20         0.19         0.02         XXX
                                             cath insert.
74485.........  ............  A...........  X-ray guide, GU           0.54         2.27         2.80            NA           NA         0.20         XXX
                                             dilation.
74485.........  TC..........  A...........  X-ray guide, GU           0.00         2.07         2.61            NA           NA         0.17         XXX
                                             dilation.
74485.........  26..........  A...........  X-ray guide, GU           0.54         0.20         0.19          0.20         0.19         0.03         XXX
                                             dilation.
74710.........  ............  A...........  X-ray measurement         0.34         0.64         0.90            NA           NA         0.08         XXX
                                             of pelvis.
74710.........  TC..........  A...........  X-ray measurement         0.00         0.53         0.79            NA           NA         0.06         XXX
                                             of pelvis.
74710.........  26..........  A...........  X-ray measurement         0.34         0.11         0.11          0.11         0.11         0.02         XXX
                                             of pelvis.
74740.........  ............  A...........  X-ray, female             0.38         1.77         1.60            NA           NA         0.09         XXX
                                             genital tract.
74740.........  TC..........  A...........  X-ray, female             0.00         1.64         1.47            NA           NA         0.07         XXX
                                             genital tract.
74740.........  26..........  A...........  X-ray, female             0.38         0.13         0.13          0.13         0.13         0.02         XXX
                                             genital tract.
74742.........  ............  C...........  X-ray, fallopian          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             tube.
74742.........  TC..........  C...........  X-ray, fallopian          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             tube.
74742.........  26..........  A...........  X-ray, fallopian          0.61         0.19         0.20          0.19         0.20         0.03         XXX
                                             tube.
74775.........  ............  C...........  X-ray exam of             0.00         0.00         0.00            NA           NA         0.00         XXX
                                             perineum.
74775.........  TC..........  C...........  X-ray exam of             0.00         0.00         0.00            NA           NA         0.00         XXX
                                             perineum.
74775.........  26..........  A...........  X-ray exam of             0.62         0.22         0.21          0.22         0.21         0.03         XXX
                                             perineum.
75557.........  ............  A...........  Cardiac mri for           2.35        11.27        11.27            NA           NA         0.97         XXX
                                             morph.
75557.........  TC..........  A...........  Cardiac mri for           0.00        10.33        10.33            NA           NA         0.87         XXX
                                             morph.
75557.........  26..........  A...........  Cardiac mri for           2.35         0.94         0.94          0.94         0.94         0.10         XXX
                                             morph.
75558.........  ............  N...........  Cardiac mri flow/         2.60        12.39        12.39            NA           NA         1.07         XXX
                                             velocity.
75558.........  TC..........  N...........  Cardiac mri flow/         0.00        11.79        11.79            NA           NA         0.96         XXX
                                             velocity.
75558.........  26..........  N...........  Cardiac mri flow/         2.60         0.60         0.60          0.60         0.60         0.11         XXX
                                             velocity.
75559.........  ............  A...........  Cardiac mri w/            2.95        17.26        17.26            NA           NA         0.97         XXX
                                             stress img.
75559.........  TC..........  A...........  Cardiac mri w/            0.00        15.99        15.99            NA           NA         0.87         XXX
                                             stress img.
75559.........  26..........  A...........  Cardiac mri w/            2.95         1.27         1.27          1.27         1.27         0.10         XXX
                                             stress img.
75560.........  ............  N...........  Cardiac mri flow/         3.00        16.84        16.84            NA           NA         1.00         XXX
                                             vel/stress.
75560.........  TC..........  N...........  Cardiac mri flow/         0.00        16.15        16.15            NA           NA         0.89         XXX
                                             vel/stress.
75560.........  26..........  N...........  Cardiac mri flow/         3.00         0.69         0.69          0.69         0.69         0.11         XXX
                                             vel/stress.
75561.........  ............  A...........  Cardiac mri for           2.60        15.98        15.98            NA           NA         1.07         XXX
                                             morph w/dye.
75561.........  TC..........  A...........  Cardiac mri for           0.00        14.94        14.94            NA           NA         0.96         XXX
                                             morph w/dye.
75561.........  26..........  A...........  Cardiac mri for           2.60         1.04         1.04          1.04         1.04         0.11         XXX
                                             morph w/dye.
75562.........  ............  N...........  Card mri flow/vel         2.86        16.77        16.77            NA           NA         1.03         XXX
                                             w/dye.
75562.........  TC..........  N...........  Card mri flow/vel         0.00        16.11        16.11            NA           NA         0.92         XXX
                                             w/dye.
75562.........  26..........  N...........  Card mri flow/vel         2.86         0.66         0.66          0.66         0.66         0.11         XXX
                                             w/dye.
75563.........  ............  A...........  Card mri w/stress         3.00        20.22        20.22            NA           NA         1.08         XXX
                                             img & dye.
75563.........  TC..........  A...........  Card mri w/stress         0.00        18.84        18.84            NA           NA         0.97         XXX
                                             img & dye.
75563.........  26..........  A...........  Card mri w/stress         3.00         1.38         1.38          1.38         1.38         0.11         XXX
                                             img & dye.
75564.........  ............  N...........  Ht mri w/flo/vel/         3.35        19.73        19.73            NA           NA         1.21         XXX
                                             strs & dye.
75564.........  TC..........  N...........  Ht mri w/flo/vel/         0.00        18.96        18.96            NA           NA         1.08         XXX
                                             strs & dye.
75564.........  26..........  N...........  Ht mri w/flo/vel/         3.35         0.77         0.77          0.77         0.77         0.13         XXX
                                             strs & dye.
75600.........  ............  A...........  Contrast x-ray            0.49         6.42         9.62            NA           NA         0.67         XXX
                                             exam of aorta.
75600.........  TC..........  A...........  Contrast x-ray            0.00         6.18         9.40            NA           NA         0.65         XXX
                                             exam of aorta.
75600.........  26..........  A...........  Contrast x-ray            0.49         0.24         0.22          0.24         0.22         0.02         XXX
                                             exam of aorta.
75605.........  ............  A...........  Contrast x-ray            1.14         3.55         8.28            NA           NA         0.70         XXX
                                             exam of aorta.
75605.........  TC..........  A...........  Contrast x-ray            0.00         3.06         7.84            NA           NA         0.65         XXX
                                             exam of aorta.
75605.........  26..........  A...........  Contrast x-ray            1.14         0.49         0.44          0.49         0.44         0.05         XXX
                                             exam of aorta.
75625.........  ............  A...........  Contrast x-ray            1.14         3.35         8.17            NA           NA         0.71         XXX
                                             exam of aorta.
75625.........  TC..........  A...........  Contrast x-ray            0.00         2.93         7.77            NA           NA         0.65         XXX
                                             exam of aorta.
75625.........  26..........  A...........  Contrast x-ray            1.14         0.42         0.40          0.42         0.40         0.06         XXX
                                             exam of aorta.
75630.........  ............  A...........  X-ray aorta, leg          1.79         3.76         8.76            NA           NA         0.80         XXX
                                             arteries.
75630.........  TC..........  A...........  X-ray aorta, leg          0.00         3.05         8.10            NA           NA         0.69         XXX
                                             arteries.
75630.........  26..........  A...........  X-ray aorta, leg          1.79         0.71         0.66          0.71         0.66         0.11         XXX
                                             arteries.

[[Page 2661]]

 
75635.........  ............  A...........  Ct angio abdominal        2.40        12.94        14.82            NA           NA         0.50         XXX
                                             arteries.
75635.........  TC..........  A...........  Ct angio abdominal        0.00        12.02        13.97            NA           NA         0.39         XXX
                                             arteries.
75635.........  26..........  A...........  Ct angio abdominal        2.40         0.92         0.85          0.92         0.85         0.11         XXX
                                             arteries.
75650.........  ............  A...........  Artery x-rays,            1.49         3.53         8.31            NA           NA         0.72         XXX
                                             head & neck.
75650.........  TC..........  A...........  Artery x-rays,            0.00         2.95         7.78            NA           NA         0.65         XXX
                                             head & neck.
75650.........  26..........  A...........  Artery x-rays,            1.49         0.58         0.53          0.58         0.53         0.07         XXX
                                             head & neck.
75658.........  ............  A...........  Artery x-rays, arm        1.31         3.73         8.41            NA           NA         0.72         XXX
75658.........  TC..........  A...........  Artery x-rays, arm        0.00         3.29         7.95            NA           NA         0.65         XXX
75658.........  26..........  A...........  Artery x-rays, arm        1.31         0.44         0.46          0.44         0.46         0.07         XXX
75660.........  ............  A...........  Artery x-rays,            1.31         3.88         8.47            NA           NA         0.71         XXX
                                             head & neck.
75660.........  TC..........  A...........  Artery x-rays,            0.00         3.39         8.00            NA           NA         0.65         XXX
                                             head & neck.
75660.........  26..........  A...........  Artery x-rays,            1.31         0.49         0.47          0.49         0.47         0.06         XXX
                                             head & neck.
75662.........  ............  A...........  Artery x-rays,            1.66         5.01         9.11            NA           NA         0.71         XXX
                                             head & neck.
75662.........  TC..........  A...........  Artery x-rays,            0.00         4.31         8.46            NA           NA         0.65         XXX
                                             head & neck.
75662.........  26..........  A...........  Artery x-rays,            1.66         0.70         0.65          0.70         0.65         0.06         XXX
                                             head & neck.
75665.........  ............  A...........  Artery x-rays,            1.31         4.10         8.58            NA           NA         0.74         XXX
                                             head & neck.
75665.........  TC..........  A...........  Artery x-rays,            0.00         3.62         8.12            NA           NA         0.65         XXX
                                             head & neck.
75665.........  26..........  A...........  Artery x-rays,            1.31         0.48         0.46          0.48         0.46         0.09         XXX
                                             head & neck.
75671.........  ............  A...........  Artery x-rays,            1.66         5.10         9.13            NA           NA         0.72         XXX
                                             head & neck.
75671.........  TC..........  A...........  Artery x-rays,            0.00         4.46         8.54            NA           NA         0.65         XXX
                                             head & neck.
75671.........  26..........  A...........  Artery x-rays,            1.66         0.64         0.59          0.64         0.59         0.07         XXX
                                             head & neck.
75676.........  ............  A...........  Artery x-rays,            1.31         3.87         8.46            NA           NA         0.72         XXX
                                             neck.
75676.........  TC..........  A...........  Artery x-rays,            0.00         3.38         8.00            NA           NA         0.65         XXX
                                             neck.
75676.........  26..........  A...........  Artery x-rays,            1.31         0.49         0.46          0.49         0.46         0.07         XXX
                                             neck.
75680.........  ............  A...........  Artery x-rays,            1.66         4.61         8.88            NA           NA         0.72         XXX
                                             neck.
75680.........  TC..........  A...........  Artery x-rays,            0.00         3.95         8.28            NA           NA         0.65         XXX
                                             neck.
75680.........  26..........  A...........  Artery x-rays,            1.66         0.66         0.60          0.66         0.60         0.07         XXX
                                             neck.
75685.........  ............  A...........  Artery x-rays,            1.31         3.89         8.47            NA           NA         0.71         XXX
                                             spine.
75685.........  TC..........  A...........  Artery x-rays,            0.00         3.39         8.00            NA           NA         0.65         XXX
                                             spine.
75685.........  26..........  A...........  Artery x-rays,            1.31         0.50         0.47          0.50         0.47         0.06         XXX
                                             spine.
75705.........  ............  A...........  Artery x-rays,            2.18         4.18         8.75            NA           NA         0.78         XXX
                                             spine.
75705.........  TC..........  A...........  Artery x-rays,            0.00         3.38         7.99            NA           NA         0.65         XXX
                                             spine.
75705.........  26..........  A...........  Artery x-rays,            2.18         0.80         0.76          0.80         0.76         0.13         XXX
                                             spine.
75710.........  ............  A...........  Artery x-rays, arm/       1.14         3.95         8.48            NA           NA         0.72         XXX
                                             leg.
75710.........  TC..........  A...........  Artery x-rays, arm/       0.00         3.53         8.07            NA           NA         0.65         XXX
                                             leg.
75710.........  26..........  A...........  Artery x-rays, arm/       1.14         0.42         0.41          0.42         0.41         0.07         XXX
                                             leg.
75716.........  ............  A...........  Artery x-rays,            1.31         4.92         8.98            NA           NA         0.72         XXX
                                             arms/legs.
75716.........  TC..........  A...........  Artery x-rays,            0.00         4.42         8.52            NA           NA         0.65         XXX
                                             arms/legs.
75716.........  26..........  A...........  Artery x-rays,            1.31         0.50         0.46          0.50         0.46         0.07         XXX
                                             arms/legs.
75722.........  ............  A...........  Artery x-rays,            1.14         3.84         8.43            NA           NA         0.70         XXX
                                             kidney.
75722.........  TC..........  A...........  Artery x-rays,            0.00         3.37         7.99            NA           NA         0.65         XXX
                                             kidney.
75722.........  26..........  A...........  Artery x-rays,            1.14         0.47         0.44          0.47         0.44         0.05         XXX
                                             kidney.
75724.........  ............  A...........  Artery x-rays,            1.49         5.13         9.15            NA           NA         0.70         XXX
                                             kidneys.
75724.........  TC..........  A...........  Artery x-rays,            0.00         4.39         8.50            NA           NA         0.65         XXX
                                             kidneys.
75724.........  26..........  A...........  Artery x-rays,            1.49         0.74         0.65          0.74         0.65         0.05         XXX
                                             kidneys.
75726.........  ............  A...........  Artery x-rays,            1.14         3.77         8.37            NA           NA         0.70         XXX
                                             abdomen.
75726.........  TC..........  A...........  Artery x-rays,            0.00         3.35         7.98            NA           NA         0.65         XXX
                                             abdomen.
75726.........  26..........  A...........  Artery x-rays,            1.14         0.42         0.39          0.42         0.39         0.05         XXX
                                             abdomen.
75731.........  ............  A...........  Artery x-rays,            1.14         4.10         8.54            NA           NA         0.71         XXX
                                             adrenal gland.
75731.........  TC..........  A...........  Artery x-rays,            0.00         3.60         8.10            NA           NA         0.65         XXX
                                             adrenal gland.
75731.........  26..........  A...........  Artery x-rays,            1.14         0.50         0.44          0.50         0.44         0.06         XXX
                                             adrenal gland.
75733.........  ............  A...........  Artery x-rays,            1.31         5.46         9.26            NA           NA         0.71         XXX
                                             adrenals.
75733.........  TC..........  A...........  Artery x-rays,            0.00         4.81         8.71            NA           NA         0.65         XXX
                                             adrenals.
75733.........  26..........  A...........  Artery x-rays,            1.31         0.65         0.55          0.65         0.55         0.06         XXX
                                             adrenals.
75736.........  ............  A...........  Artery x-rays,            1.14         3.87         8.44            NA           NA         0.71         XXX
                                             pelvis.
75736.........  TC..........  A...........  Artery x-rays,            0.00         3.44         8.03            NA           NA         0.65         XXX
                                             pelvis.
75736.........  26..........  A...........  Artery x-rays,            1.14         0.43         0.41          0.43         0.41         0.06         XXX
                                             pelvis.
75741.........  ............  A...........  Artery x-rays,            1.31         3.18         8.11            NA           NA         0.71         XXX
                                             lung.
75741.........  TC..........  A...........  Artery x-rays,            0.00         2.69         7.65            NA           NA         0.65         XXX
                                             lung.
75741.........  26..........  A...........  Artery x-rays,            1.31         0.49         0.46          0.49         0.46         0.06         XXX
                                             lung.
75743.........  ............  A...........  Artery x-rays,            1.66         3.56         8.36            NA           NA         0.72         XXX
                                             lungs.
75743.........  TC..........  A...........  Artery x-rays,            0.00         2.94         7.78            NA           NA         0.65         XXX
                                             lungs.
75743.........  26..........  A...........  Artery x-rays,            1.66         0.62         0.58          0.62         0.58         0.07         XXX
                                             lungs.
75746.........  ............  A...........  Artery x-rays,            1.14         3.52         8.26            NA           NA         0.70         XXX
                                             lung.
75746.........  TC..........  A...........  Artery x-rays,            0.00         3.12         7.87            NA           NA         0.65         XXX
                                             lung.
75746.........  26..........  A...........  Artery x-rays,            1.14         0.40         0.39          0.40         0.39         0.05         XXX
                                             lung.
75756.........  ............  A...........  Artery x-rays,            1.14         4.34         8.70            NA           NA         0.69         XXX
                                             chest.
75756.........  TC..........  A...........  Artery x-rays,            0.00         3.76         8.19            NA           NA         0.65         XXX
                                             chest.
75756.........  26..........  A...........  Artery x-rays,            1.14         0.58         0.51          0.58         0.51         0.04         XXX
                                             chest.
75774.........  ............  A...........  Artery x-ray, each        0.36         2.51         7.62            NA           NA         0.67         ZZZ
                                             vessel.
75774.........  TC..........  A...........  Artery x-ray, each        0.00         2.37         7.49            NA           NA         0.65         ZZZ
                                             vessel.
75774.........  26..........  A...........  Artery x-ray, each        0.36         0.14         0.13          0.14         0.13         0.02         ZZZ
                                             vessel.

[[Page 2662]]

 
75790.........  ............  A...........  Visualize A-V             1.84         3.12         2.54            NA           NA         0.17         XXX
                                             shunt.
75790.........  TC..........  A...........  Visualize A-V             0.00         2.52         1.94            NA           NA         0.08         XXX
                                             shunt.
75790.........  26..........  A...........  Visualize A-V             1.84         0.60         0.60          0.60         0.60         0.09         XXX
                                             shunt.
75801.........  ............  C...........  Lymph vessel x-           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             ray, arm/leg.
75801.........  TC..........  C...........  Lymph vessel x-           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             ray, arm/leg.
75801.........  26..........  A...........  Lymph vessel x-           0.81         0.22         0.25          0.22         0.25         0.08         XXX
                                             ray, arm/leg.
75803.........  ............  C...........  Lymph vessel x-           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             ray,arms/legs.
75803.........  TC..........  C...........  Lymph vessel x-           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             ray,arms/legs.
75803.........  26..........  A...........  Lymph vessel x-           1.17         0.40         0.39          0.40         0.39         0.05         XXX
                                             ray,arms/legs.
75805.........  ............  C...........  Lymph vessel x-           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             ray, trunk.
75805.........  TC..........  C...........  Lymph vessel x-           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             ray, trunk.
75805.........  26..........  A...........  Lymph vessel x-           0.81         0.27         0.27          0.27         0.27         0.05         XXX
                                             ray, trunk.
75807.........  ............  C...........  Lymph vessel x-           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             ray, trunk.
75807.........  TC..........  C...........  Lymph vessel x-           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             ray, trunk.
75807.........  26..........  A...........  Lymph vessel x-           1.17         0.39         0.39          0.39         0.39         0.05         XXX
                                             ray, trunk.
75809.........  ............  A...........  Nonvascular shunt,        0.47         2.17         1.54            NA           NA         0.07         XXX
                                             x-ray.
75809.........  TC..........  A...........  Nonvascular shunt,        0.00         2.01         1.39            NA           NA         0.05         XXX
                                             x-ray.
75809.........  26..........  A...........  Nonvascular shunt,        0.47         0.16         0.15          0.16         0.15         0.02         XXX
                                             x-ray.
75810.........  ............  C...........  Vein x-ray, spleen/       0.00         0.00         0.00            NA           NA         0.00         XXX
                                             liver.
75810.........  TC..........  C...........  Vein x-ray, spleen/       0.00         0.00         0.00            NA           NA         0.00         XXX
                                             liver.
75810.........  26..........  A...........  Vein x-ray, spleen/       1.14         0.39         0.38          0.39         0.38         0.05         XXX
                                             liver.
75820.........  ............  A...........  Vein x-ray, arm/          0.70         3.01         2.09            NA           NA         0.09         XXX
                                             leg.
75820.........  TC..........  A...........  Vein x-ray, arm/          0.00         2.72         1.83            NA           NA         0.06         XXX
                                             leg.
75820.........  26..........  A...........  Vein x-ray, arm/          0.70         0.29         0.26          0.29         0.26         0.03         XXX
                                             leg.
75822.........  ............  A...........  Vein x-ray, arms/         1.06         3.18         2.50            NA           NA         0.13         XXX
                                             legs.
75822.........  TC..........  A...........  Vein x-ray, arms/         0.00         2.81         2.14            NA           NA         0.08         XXX
                                             legs.
75822.........  26..........  A...........  Vein x-ray, arms/         1.06         0.37         0.36          0.37         0.36         0.05         XXX
                                             legs.
75825.........  ............  A...........  Vein x-ray, trunk.        1.14         2.93         7.96            NA           NA         0.72         XXX
75825.........  TC..........  A...........  Vein x-ray, trunk.        0.00         2.55         7.58            NA           NA         0.65         XXX
75825.........  26..........  A...........  Vein x-ray, trunk.        1.14         0.38         0.38          0.38         0.38         0.07         XXX
75827.........  ............  A...........  Vein x-ray, chest.        1.14         2.95         7.97            NA           NA         0.70         XXX
75827.........  TC..........  A...........  Vein x-ray, chest.        0.00         2.58         7.60            NA           NA         0.65         XXX
75827.........  26..........  A...........  Vein x-ray, chest.        1.14         0.37         0.37          0.37         0.37         0.05         XXX
75831.........  ............  A...........  Vein x-ray, kidney        1.14         3.05         8.01            NA           NA         0.71         XXX
75831.........  TC..........  A...........  Vein x-ray, kidney        0.00         2.67         7.64            NA           NA         0.65         XXX
75831.........  26..........  A...........  Vein x-ray, kidney        1.14         0.38         0.37          0.38         0.37         0.06         XXX
75833.........  ............  A...........  Vein x-ray,               1.49         3.68         8.39            NA           NA         0.74         XXX
                                             kidneys.
75833.........  TC..........  A...........  Vein x-ray,               0.00         3.18         7.89            NA           NA         0.65         XXX
                                             kidneys.
75833.........  26..........  A...........  Vein x-ray,               1.49         0.50         0.50          0.50         0.50         0.09         XXX
                                             kidneys.
75840.........  ............  A...........  Vein x-ray,               1.14         2.96         7.98            NA           NA         0.72         XXX
                                             adrenal gland.
75840.........  TC..........  A...........  Vein x-ray,               0.00         2.60         7.61            NA           NA         0.65         XXX
                                             adrenal gland.
75840.........  26..........  A...........  Vein x-ray,               1.14         0.36         0.37          0.36         0.37         0.07         XXX
                                             adrenal gland.
75842.........  ............  A...........  Vein x-ray,               1.49         3.75         8.42            NA           NA         0.72         XXX
                                             adrenal glands.
75842.........  TC..........  A...........  Vein x-ray,               0.00         3.20         7.91            NA           NA         0.65         XXX
                                             adrenal glands.
75842.........  26..........  A...........  Vein x-ray,               1.49         0.55         0.51          0.55         0.51         0.07         XXX
                                             adrenal glands.
75860.........  ............  A...........  Vein x-ray, neck..        1.14         3.40         8.20            NA           NA         0.69         XXX
75860.........  TC..........  A...........  Vein x-ray, neck..        0.00         2.91         7.76            NA           NA         0.65         XXX
75860.........  26..........  A...........  Vein x-ray, neck..        1.14         0.49         0.44          0.49         0.44         0.04         XXX
75870.........  ............  A...........  Vein x-ray, skull.        1.14         3.29         8.15            NA           NA         0.70         XXX
75870.........  TC..........  A...........  Vein x-ray, skull.        0.00         2.89         7.75            NA           NA         0.65         XXX
75870.........  26..........  A...........  Vein x-ray, skull.        1.14         0.40         0.40          0.40         0.40         0.05         XXX
75872.........  ............  A...........  Vein x-ray, skull.        1.14         4.04         8.52            NA           NA         0.79         XXX
75872.........  TC..........  A...........  Vein x-ray, skull.        0.00         3.60         8.11            NA           NA         0.65         XXX
75872.........  26..........  A...........  Vein x-ray, skull.        1.14         0.44         0.41          0.44         0.41         0.14         XXX
75880.........  ............  A...........  Vein x-ray, eye           0.70         3.21         2.20            NA           NA         0.09         XXX
                                             socket.
75880.........  TC..........  A...........  Vein x-ray, eye           0.00         2.94         1.95            NA           NA         0.06         XXX
                                             socket.
75880.........  26..........  A...........  Vein x-ray, eye           0.70         0.27         0.25          0.27         0.25         0.03         XXX
                                             socket.
75885.........  ............  A...........  Vein x-ray, liver.        1.44         3.18         8.13            NA           NA         0.71         XXX
75885.........  TC..........  A...........  Vein x-ray, liver.        0.00         2.66         7.64            NA           NA         0.65         XXX
75885.........  26..........  A...........  Vein x-ray, liver.        1.44         0.52         0.49          0.52         0.49         0.06         XXX
75887.........  ............  A...........  Vein x-ray, liver.        1.44         3.42         8.25            NA           NA         0.71         XXX
75887.........  TC..........  A...........  Vein x-ray, liver.        0.00         2.85         7.73            NA           NA         0.65         XXX
75887.........  26..........  A...........  Vein x-ray, liver.        1.44         0.57         0.52          0.57         0.52         0.06         XXX
75889.........  ............  A...........  Vein x-ray, liver.        1.14         3.07         8.03            NA           NA         0.70         XXX
75889.........  TC..........  A...........  Vein x-ray, liver.        0.00         2.66         7.64            NA           NA         0.65         XXX
75889.........  26..........  A...........  Vein x-ray, liver.        1.14         0.41         0.39          0.41         0.39         0.05         XXX
75891.........  ............  A...........  Vein x-ray, liver.        1.14         3.07         8.02            NA           NA         0.70         XXX
75891.........  TC..........  A...........  Vein x-ray, liver.        0.00         2.66         7.63            NA           NA         0.65         XXX
75891.........  26..........  A...........  Vein x-ray, liver.        1.14         0.41         0.39          0.41         0.39         0.05         XXX
75893.........  ............  A...........  Venous sampling by        0.54         2.86         7.83            NA           NA         0.67         XXX
                                             catheter.
75893.........  TC..........  A...........  Venous sampling by        0.00         2.66         7.64            NA           NA         0.65         XXX
                                             catheter.
75893.........  26..........  A...........  Venous sampling by        0.54         0.20         0.19          0.20         0.19         0.02         XXX
                                             catheter.

[[Page 2663]]

 
75894.........  ............  C...........  X-rays, transcath         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             therapy.
75894.........  TC..........  C...........  X-rays, transcath         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             therapy.
75894.........  26..........  A...........  X-rays, transcath         1.31         0.46         0.44          0.46         0.44         0.08         XXX
                                             therapy.
75896.........  ............  C...........  X-rays, transcath         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             therapy.
75896.........  TC..........  C...........  X-rays, transcath         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             therapy.
75896.........  26..........  A...........  X-rays, transcath         1.31         0.52         0.48          0.52         0.48         0.05         XXX
                                             therapy.
75898.........  ............  C...........  Follow-up                 0.00         0.00         0.00            NA           NA         0.00         XXX
                                             angiography.
75898.........  TC..........  C...........  Follow-up                 0.00         0.00         0.00            NA           NA         0.00         XXX
                                             angiography.
75898.........  26..........  A...........  Follow-up                 1.65         0.63         0.59          0.63         0.59         0.07         XXX
                                             angiography.
75900.........  ............  C...........  Intravascular cath        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             exchange.
75900.........  TC..........  C...........  Intravascular cath        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             exchange.
75900.........  26..........  A...........  Intravascular cath        0.49         0.17         0.16          0.17         0.16         0.03         XXX
                                             exchange.
75901.........  ............  A...........  Remove cva device         0.49         4.15         2.81            NA           NA         0.85         XXX
                                             obstruct.
75901.........  TC..........  A...........  Remove cva device         0.00         3.98         2.64            NA           NA         0.83         XXX
                                             obstruct.
75901.........  26..........  A...........  Remove cva device         0.49         0.17         0.17          0.17         0.17         0.02         XXX
                                             obstruct.
75902.........  ............  A...........  Remove cva lumen          0.39         1.63         1.53            NA           NA         0.85         XXX
                                             obstruct.
75902.........  TC..........  A...........  Remove cva lumen          0.00         1.50         1.40            NA           NA         0.83         XXX
                                             obstruct.
75902.........  26..........  A...........  Remove cva lumen          0.39         0.13         0.13          0.13         0.13         0.02         XXX
                                             obstruct.
75940.........  ............  C...........  X-ray placement,          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             vein filter.
75940.........  TC..........  C...........  X-ray placement,          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             vein filter.
75940.........  26..........  A...........  X-ray placement,          0.54         0.18         0.18          0.18         0.18         0.04         XXX
                                             vein filter.
75945.........  ............  C...........  Intravascular us..        0.00         0.00         0.00            NA           NA         0.00         XXX
75945.........  TC..........  C...........  Intravascular us..        0.00         0.00         0.00            NA           NA         0.00         XXX
75945.........  26..........  A...........  Intravascular us..        0.40         0.14         0.14          0.14         0.14         0.04         XXX
75946.........  ............  C...........  Intravascular us          0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             add-on.
75946.........  TC..........  C...........  Intravascular us          0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             add-on.
75946.........  26..........  A...........  Intravascular us          0.40         0.12         0.13          0.12         0.13         0.05         ZZZ
                                             add-on.
75952.........  ............  C...........  Endovasc repair           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             abdom aorta.
75952.........  TC..........  C...........  Endovasc repair           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             abdom aorta.
75952.........  26..........  A...........  Endovasc repair           4.49         1.30         1.39          1.30         1.39         0.43         XXX
                                             abdom aorta.
75953.........  ............  C...........  Abdom aneurysm            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             endovas rpr.
75953.........  TC..........  C...........  Abdom aneurysm            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             endovas rpr.
75953.........  26..........  A...........  Abdom aneurysm            1.36         0.40         0.42          0.40         0.42         0.13         XXX
                                             endovas rpr.
75954.........  ............  C...........  Iliac aneurysm            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             endovas rpr.
75954.........  TC..........  C...........  Iliac aneurysm            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             endovas rpr.
75954.........  26..........  A...........  Iliac aneurysm            2.25         0.63         0.70          0.63         0.70         0.15         XXX
                                             endovas rpr.
75956.........  ............  C...........  Xray, endovasc            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             thor ao repr.
75956.........  TC..........  C...........  Xray, endovasc            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             thor ao repr.
75956.........  26..........  A...........  Xray, endovasc            7.00         1.88         2.29          1.88         2.29         0.69         XXX
                                             thor ao repr.
75957.........  ............  C...........  Xray, endovasc            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             thor ao repr.
75957.........  TC..........  C...........  Xray, endovasc            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             thor ao repr.
75957.........  26..........  A...........  Xray, endovasc            6.00         1.63         1.97          1.63         1.97         0.59         XXX
                                             thor ao repr.
75958.........  ............  C...........  Xray, place prox          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             ext thor ao.
75958.........  TC..........  C...........  Xray, place prox          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             ext thor ao.
75958.........  26..........  A...........  Xray, place prox          4.00         1.05         1.30          1.05         1.30         0.39         XXX
                                             ext thor ao.
75959.........  ............  C...........  Xray, place dist          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             ext thor ao.
75959.........  TC..........  C...........  Xray, place dist          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             ext thor ao.
75959.........  26..........  A...........  Xray, place dist          3.50         0.92         1.14          0.92         1.14         0.34         XXX
                                             ext thor ao.
75960.........  ............  A...........  Transcath iv stent        0.82         2.71         8.95            NA           NA         0.82         XXX
                                             rs&i.
75960.........  TC..........  A...........  Transcath iv stent        0.00         2.39         8.65            NA           NA         0.77         XXX
                                             rs&i.
75960.........  26..........  A...........  Transcath iv stent        0.82         0.32         0.30          0.32         0.30         0.05         XXX
                                             rs&i.
75961.........  ............  A...........  Retrieval, broken         4.24         4.68         8.29            NA           NA         0.73         XXX
                                             catheter.
75961.........  TC..........  A...........  Retrieval, broken         0.00         3.19         6.85            NA           NA         0.55         XXX
                                             catheter.
75961.........  26..........  A...........  Retrieval, broken         4.24         1.49         1.44          1.49         1.44         0.18         XXX
                                             catheter.
75962.........  ............  A...........  Repair arterial           0.54         3.50         9.72            NA           NA         0.86         XXX
                                             blockage.
75962.........  TC..........  A...........  Repair arterial           0.00         3.30         9.53            NA           NA         0.83         XXX
                                             blockage.
75962.........  26..........  A...........  Repair arterial           0.54         0.20         0.19          0.20         0.19         0.03         XXX
                                             blockage.
75964.........  ............  A...........  Repair artery             0.36         2.35         5.43            NA           NA         0.46         ZZZ
                                             blockage, each.
75964.........  TC..........  A...........  Repair artery             0.00         2.22         5.31            NA           NA         0.43         ZZZ
                                             blockage, each.
75964.........  26..........  A...........  Repair artery             0.36         0.13         0.12          0.13         0.12         0.03         ZZZ
                                             blockage, each.
75966.........  ............  A...........  Repair arterial           1.31         4.17        10.19            NA           NA         0.89         XXX
                                             blockage.
75966.........  TC..........  A...........  Repair arterial           0.00         3.60         9.68            NA           NA         0.83         XXX
                                             blockage.
75966.........  26..........  A...........  Repair arterial           1.31         0.57         0.51          0.57         0.51         0.06         XXX
                                             blockage.
75968.........  ............  A...........  Repair artery             0.36         2.41         5.46            NA           NA         0.45         ZZZ
                                             blockage, each.
75968.........  TC..........  A...........  Repair artery             0.00         2.25         5.32            NA           NA         0.43         ZZZ
                                             blockage, each.
75968.........  26..........  A...........  Repair artery             0.36         0.16         0.14          0.16         0.14         0.02         ZZZ
                                             blockage, each.
75970.........  ............  C...........  Vascular biopsy...        0.00         0.00         0.00            NA           NA         0.00         XXX
75970.........  TC..........  C...........  Vascular biopsy...        0.00         0.00         0.00            NA           NA         0.00         XXX
75970.........  26..........  A...........  Vascular biopsy...        0.83         0.31         0.29          0.31         0.29         0.04         XXX
75978.........  ............  A...........  Repair venous             0.54         3.27         9.60            NA           NA         0.85         XXX
                                             blockage.
75978.........  TC..........  A...........  Repair venous             0.00         3.09         9.42            NA           NA         0.83         XXX
                                             blockage.
75978.........  26..........  A...........  Repair venous             0.54         0.18         0.18          0.18         0.18         0.02         XXX
                                             blockage.

[[Page 2664]]

 
75980.........  ............  C...........  Contrast xray exam        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             bile duct.
75980.........  TC..........  C...........  Contrast xray exam        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             bile duct.
75980.........  26..........  A...........  Contrast xray exam        1.44         0.52         0.50          0.52         0.50         0.06         XXX
                                             bile duct.
75982.........  ............  C...........  Contrast xray exam        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             bile duct.
75982.........  TC..........  C...........  Contrast xray exam        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             bile duct.
75982.........  26..........  A...........  Contrast xray exam        1.44         0.52         0.50          0.52         0.50         0.06         XXX
                                             bile duct.
75984.........  ............  A...........  Xray control              0.72         2.31         2.24            NA           NA         0.14         XXX
                                             catheter change.
75984.........  TC..........  A...........  Xray control              0.00         2.05         2.00            NA           NA         0.11         XXX
                                             catheter change.
75984.........  26..........  A...........  Xray control              0.72         0.26         0.24          0.26         0.24         0.03         XXX
                                             catheter change.
75989.........  ............  A...........  Abscess drainage          1.19         2.24         2.90            NA           NA         0.22         XXX
                                             under x-ray.
75989.........  TC..........  A...........  Abscess drainage          0.00         1.82         2.49            NA           NA         0.17         XXX
                                             under x-ray.
75989.........  26..........  A...........  Abscess drainage          1.19         0.42         0.41          0.42         0.41         0.05         XXX
                                             under x-ray.
75992.........  ............  C...........  Atherectomy, x-ray        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             exam.
75992.........  TC..........  C...........  Atherectomy, x-ray        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             exam.
75992.........  26..........  A...........  Atherectomy, x-ray        0.54         0.22         0.21          0.22         0.21         0.03         XXX
                                             exam.
75993.........  ............  C...........  Atherectomy, x-ray        0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             exam.
75993.........  TC..........  C...........  Atherectomy, x-ray        0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             exam.
75993.........  26..........  A...........  Atherectomy, x-ray        0.36         0.14         0.13          0.14         0.13         0.02         ZZZ
                                             exam.
75994.........  ............  C...........  Atherectomy, x-ray        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             exam.
75994.........  TC..........  C...........  Atherectomy, x-ray        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             exam.
75994.........  26..........  A...........  Atherectomy, x-ray        1.31         0.54         0.50          0.54         0.50         0.07         XXX
                                             exam.
75995.........  ............  C...........  Atherectomy, x-ray        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             exam.
75995.........  TC..........  C...........  Atherectomy, x-ray        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             exam.
75995.........  26..........  A...........  Atherectomy, x-ray        1.31         0.48         0.47          0.48         0.47         0.05         XXX
                                             exam.
75996.........  ............  C...........  Atherectomy, x-ray        0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             exam.
75996.........  TC..........  C...........  Atherectomy, x-ray        0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             exam.
75996.........  26..........  A...........  Atherectomy, x-ray        0.36         0.12         0.12          0.12         0.12         0.02         ZZZ
                                             exam.
76000.........  ............  A...........  Fluoroscope               0.17         2.77         2.06            NA           NA         0.08         XXX
                                             examination.
76000.........  TC..........  A...........  Fluoroscope               0.00         2.71         2.01            NA           NA         0.07         XXX
                                             examination.
76000.........  26..........  A...........  Fluoroscope               0.17         0.06         0.05          0.06         0.05         0.01         XXX
                                             examination.
76001.........  ............  C...........  Fluoroscope exam,         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             extensive.
76001.........  TC..........  C...........  Fluoroscope exam,         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             extensive.
76001.........  26..........  A...........  Fluoroscope exam,         0.67         0.24         0.23          0.24         0.23         0.05         XXX
                                             extensive.
76010.........  ............  A...........  X-ray, nose to            0.18         0.54         0.56            NA           NA         0.03         XXX
                                             rectum.
76010.........  TC..........  A...........  X-ray, nose to            0.00         0.48         0.50            NA           NA         0.02         XXX
                                             rectum.
76010.........  26..........  A...........  X-ray, nose to            0.18         0.06         0.06          0.06         0.06         0.01         XXX
                                             rectum.
76080.........  ............  A...........  X-ray exam of             0.54         1.10         1.16            NA           NA         0.08         XXX
                                             fistula.
76080.........  TC..........  A...........  X-ray exam of             0.00         0.90         0.97            NA           NA         0.06         XXX
                                             fistula.
76080.........  26..........  A...........  X-ray exam of             0.54         0.20         0.19          0.20         0.19         0.02         XXX
                                             fistula.
76098.........  ............  A...........  X-ray exam, breast        0.16         0.32         0.39            NA           NA         0.03         XXX
                                             specimen.
76098.........  TC..........  A...........  X-ray exam, breast        0.00         0.27         0.34            NA           NA         0.02         XXX
                                             specimen.
76098.........  26..........  A...........  X-ray exam, breast        0.16         0.05         0.05          0.05         0.05         0.01         XXX
                                             specimen.
76100.........  ............  A...........  X-ray exam of body        0.58         3.55         2.50            NA           NA         0.10         XXX
                                             section.
76100.........  TC..........  A...........  X-ray exam of body        0.00         3.35         2.30            NA           NA         0.07         XXX
                                             section.
76100.........  26..........  A...........  X-ray exam of body        0.58         0.20         0.20          0.20         0.20         0.03         XXX
                                             section.
76101.........  ............  A...........  Complex body              0.58         5.47         3.54            NA           NA         0.11         XXX
                                             section x-ray.
76101.........  TC..........  A...........  Complex body              0.00         5.28         3.35            NA           NA         0.08         XXX
                                             section x-ray.
76101.........  26..........  A...........  Complex body              0.58         0.19         0.19          0.19         0.19         0.03         XXX
                                             section x-ray.
76102.........  ............  A...........  Complex body              0.58         7.65         4.78            NA           NA         0.14         XXX
                                             section x-rays.
76102.........  TC..........  A...........  Complex body              0.00         7.47         4.60            NA           NA         0.11         XXX
                                             section x-rays.
76102.........  26..........  A...........  Complex body              0.58         0.18         0.18          0.18         0.18         0.03         XXX
                                             section x-rays.
76120.........  ............  A...........  Cine/video x-rays.        0.38         1.87         1.53            NA           NA         0.08         XXX
76120.........  TC..........  A...........  Cine/video x-rays.        0.00         1.74         1.40            NA           NA         0.06         XXX
76120.........  26..........  A...........  Cine/video x-rays.        0.38         0.13         0.13          0.13         0.13         0.02         XXX
76125.........  ............  C...........  Cine/video x-rays         0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             add-on.
76125.........  TC..........  C...........  Cine/video x-rays         0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             add-on.
76125.........  26..........  A...........  Cine/video x-rays         0.27         0.12         0.11          0.12         0.11         0.01         ZZZ
                                             add-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         0.68         0.55            NA           NA         0.02         XXX
                                             process.
76350.........  ............  C...........  Special x-ray             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             contrast study.
76376.........  ............  A...........  3d render w/o             0.20         1.41         2.45            NA           NA         0.10         XXX
                                             postprocess.
76376.........  TC..........  A...........  3d render w/o             0.00         1.34         2.38            NA           NA         0.08         XXX
                                             postprocess.
76376.........  26..........  A...........  3d render w/o             0.20         0.07         0.07          0.07         0.07         0.02         XXX
                                             postprocess.
76377.........  ............  A...........  3d rendering w/           0.79         1.40         2.54            NA           NA         0.39         XXX
                                             postprocess.
76377.........  TC..........  A...........  3d rendering w/           0.00         1.12         2.27            NA           NA         0.31         XXX
                                             postprocess.
76377.........  26..........  A...........  3d rendering w/           0.79         0.28         0.27          0.28         0.27         0.08         XXX
                                             postprocess.
76380.........  ............  A...........  CAT scan follow-up        0.98         4.72         4.27            NA           NA         0.22         XXX
                                             study.
76380.........  TC..........  A...........  CAT scan follow-up        0.00         4.38         3.94            NA           NA         0.18         XXX
                                             study.
76380.........  26..........  A...........  CAT scan follow-up        0.98         0.34         0.33          0.34         0.33         0.04         XXX
                                             study.
76390.........  ............  N...........  Mr spectroscopy...        1.40         9.43        10.46            NA           NA         0.66         XXX
76390.........  TC..........  N...........  Mr spectroscopy...        0.00         9.11        10.06            NA           NA         0.59         XXX
76390.........  26..........  N...........  Mr spectroscopy...        1.40         0.32         0.40          0.32         0.40         0.07         XXX

[[Page 2665]]

 
76496.........  ............  C...........  Fluoroscopic              0.00         0.00         0.00            NA           NA         0.00         XXX
                                             procedure.
76496.........  TC..........  C...........  Fluoroscopic              0.00         0.00         0.00            NA           NA         0.00         XXX
                                             procedure.
76496.........  26..........  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            NA           NA         0.00         XXX
76497.........  TC..........  C...........  Ct procedure......        0.00         0.00         0.00            NA           NA         0.00         XXX
76497.........  26..........  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            NA           NA         0.00         XXX
76498.........  TC..........  C...........  Mri procedure.....        0.00         0.00         0.00            NA           NA         0.00         XXX
76498.........  26..........  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            NA           NA         0.00         XXX
                                             procedure.
76499.........  TC..........  C...........  Radiographic              0.00         0.00         0.00            NA           NA         0.00         XXX
                                             procedure.
76499.........  26..........  C...........  Radiographic              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             procedure.
76506.........  ............  A...........  Echo exam of head.        0.63         2.76         2.21            NA           NA         0.14         XXX
76506.........  TC..........  A...........  Echo exam of head.        0.00         2.56         1.99            NA           NA         0.08         XXX
76506.........  26..........  A...........  Echo exam of head.        0.63         0.20         0.22          0.20         0.22         0.06         XXX
76510.........  ............  A...........  Ophth us, b &             1.55         2.25         2.55            NA           NA         0.10         XXX
                                             quant a.
76510.........  TC..........  A...........  Ophth us, b &             0.00         1.70         1.94            NA           NA         0.07         XXX
                                             quant a.
76510.........  26..........  A...........  Ophth us, b &             1.55         0.55         0.61          0.55         0.61         0.03         XXX
                                             quant a.
76511.........  ............  A...........  Ophth us, quant a         0.94         1.35         1.89            NA           NA         0.10         XXX
                                             only.
76511.........  TC..........  A...........  Ophth us, quant a         0.00         1.02         1.53            NA           NA         0.07         XXX
                                             only.
76511.........  26..........  A...........  Ophth us, quant a         0.94         0.33         0.36          0.33         0.36         0.03         XXX
                                             only.
76512.........  ............  A...........  Ophth us, b w/non-        0.94         1.16         1.69            NA           NA         0.12         XXX
                                             quant a.
76512.........  TC..........  A...........  Ophth us, b w/non-        0.00         0.83         1.32            NA           NA         0.10         XXX
                                             quant a.
76512.........  26..........  A...........  Ophth us, b w/non-        0.94         0.33         0.37          0.33         0.37         0.02         XXX
                                             quant a.
76513.........  ............  A...........  Echo exam of eye,         0.66         1.52         1.67            NA           NA         0.12         XXX
                                             water bath.
76513.........  TC..........  A...........  Echo exam of eye,         0.00         1.29         1.41            NA           NA         0.10         XXX
                                             water bath.
76513.........  26..........  A...........  Echo exam of eye,         0.66         0.23         0.26          0.23         0.26         0.02         XXX
                                             water bath.
76514.........  ............  A...........  Echo exam of eye,         0.17         0.16         0.15            NA           NA         0.02         XXX
                                             thickness.
76514.........  TC..........  A...........  Echo exam of eye,         0.00         0.10         0.08            NA           NA         0.01         XXX
                                             thickness.
76514.........  26..........  A...........  Echo exam of eye,         0.17         0.06         0.07          0.06         0.07         0.01         XXX
                                             thickness.
76516.........  ............  A...........  Echo exam of eye..        0.54         1.15         1.31            NA           NA         0.08         XXX
76516.........  TC..........  A...........  Echo exam of eye..        0.00         0.97         1.10            NA           NA         0.07         XXX
76516.........  26..........  A...........  Echo exam of eye..        0.54         0.18         0.21          0.18         0.21         0.01         XXX
76519.........  ............  A...........  Echo exam of eye..        0.54         1.29         1.42            NA           NA         0.08         XXX
76519.........  TC..........  A...........  Echo exam of eye..        0.00         1.10         1.20            NA           NA         0.07         XXX
76519.........  26..........  A...........  Echo exam of eye..        0.54         0.19         0.22          0.19         0.22         0.01         XXX
76529.........  ............  A...........  Echo exam of eye..        0.57         1.15         1.26            NA           NA         0.10         XXX
76529.........  TC..........  A...........  Echo exam of eye..        0.00         0.95         1.04            NA           NA         0.08         XXX
76529.........  26..........  A...........  Echo exam of eye..        0.57         0.20         0.22          0.20         0.22         0.02         XXX
76536.........  ............  A...........  Us exam of head           0.56         2.68         2.14            NA           NA         0.10         XXX
                                             and neck.
76536.........  TC..........  A...........  Us exam of head           0.00         2.50         1.96            NA           NA         0.08         XXX
                                             and neck.
76536.........  26..........  A...........  Us exam of head           0.56         0.18         0.18          0.18         0.18         0.02         XXX
                                             and neck.
76604.........  ............  A...........  Us exam, chest....        0.55         1.83         1.66            NA           NA         0.09         XXX
76604.........  TC..........  A...........  Us exam, chest....        0.00         1.64         1.47            NA           NA         0.07         XXX
76604.........  26..........  A...........  Us exam, chest....        0.55         0.19         0.19          0.19         0.19         0.02         XXX
76645.........  ............  A...........  Us exam, breast(s)        0.54         2.12         1.67            NA           NA         0.08         XXX
76645.........  TC..........  A...........  Us exam, breast(s)        0.00         1.93         1.49            NA           NA         0.06         XXX
76645.........  26..........  A...........  Us exam, breast(s)        0.54         0.19         0.18          0.19         0.18         0.02         XXX
76700.........  ............  A...........  Us exam, abdom,           0.81         3.02         2.63            NA           NA         0.15         XXX
                                             complete.
76700.........  TC..........  A...........  Us exam, abdom,           0.00         2.75         2.36            NA           NA         0.11         XXX
                                             complete.
76700.........  26..........  A...........  Us exam, abdom,           0.81         0.27         0.27          0.27         0.27         0.04         XXX
                                             complete.
76705.........  ............  A...........  Echo exam of              0.59         2.36         1.98            NA           NA         0.11         XXX
                                             abdomen.
76705.........  TC..........  A...........  Echo exam of              0.00         2.15         1.78            NA           NA         0.08         XXX
                                             abdomen.
76705.........  26..........  A...........  Echo exam of              0.59         0.21         0.20          0.21         0.20         0.03         XXX
                                             abdomen.
76770.........  ............  A...........  Us exam abdo back         0.74         2.93         2.57            NA           NA         0.14         XXX
                                             wall, comp.
76770.........  TC..........  A...........  Us exam abdo back         0.00         2.67         2.32            NA           NA         0.11         XXX
                                             wall, comp.
76770.........  26..........  A...........  Us exam abdo back         0.74         0.26         0.25          0.26         0.25         0.03         XXX
                                             wall, comp.
76775.........  ............  A...........  Us exam abdo back         0.58         2.42         2.01            NA           NA         0.11         XXX
                                             wall, lim.
76775.........  TC..........  A...........  Us exam abdo back         0.00         2.21         1.81            NA           NA         0.08         XXX
                                             wall, lim.
76775.........  26..........  A...........  Us exam abdo back         0.58         0.21         0.20          0.21         0.20         0.03         XXX
                                             wall, lim.
76776.........  ............  A...........  Us exam k transpl         0.76         3.43         2.83            NA           NA         0.14         XXX
                                             w/doppler.
76776.........  TC..........  A...........  Us exam k transpl         0.00         3.16         2.57            NA           NA         0.11         XXX
                                             w/doppler.
76776.........  26..........  A...........  Us exam k transpl         0.76         0.27         0.26          0.27         0.26         0.03         XXX
                                             w/doppler.
76800.........  ............  A...........  Us exam, spinal           1.13         2.31         2.03            NA           NA         0.13         XXX
                                             canal.
76800.........  TC..........  A...........  Us exam, spinal           0.00         2.03         1.72            NA           NA         0.08         XXX
                                             canal.
76800.........  26..........  A...........  Us exam, spinal           1.13         0.28         0.31          0.28         0.31         0.05         XXX
                                             canal.
76801.........  ............  A...........  Ob us < 14 wks,           0.99         2.46         2.45            NA           NA         0.16         XXX
                                             single fetus.
76801.........  TC..........  A...........  Ob us < 14 wks,           0.00         2.16         2.13            NA           NA         0.12         XXX
                                             single fetus.
76801.........  26..........  A...........  Ob us < 14 wks,           0.99         0.30         0.32          0.30         0.32         0.04         XXX
                                             single fetus.
76802.........  ............  A...........  Ob us < 14 wks,           0.83         0.97         1.16            NA           NA         0.16         ZZZ
                                             add[AElig]l fetus.
76802.........  TC..........  A...........  Ob us < 14 wks,           0.00         0.71         0.88            NA           NA         0.12         ZZZ
                                             add[AElig]l fetus.
76802.........  26..........  A...........  Ob us < 14 wks,           0.83         0.26         0.28          0.26         0.28         0.04         ZZZ
                                             add[AElig]l fetus.

[[Page 2666]]

 
76805.........  ............  A...........  Ob us >/= 14 wks,         0.99         3.05         2.74            NA           NA         0.16         XXX
                                             sngl fetus.
76805.........  TC..........  A...........  Ob us >/= 14 wks,         0.00         2.74         2.42            NA           NA         0.12         XXX
                                             sngl fetus.
76805.........  26..........  A...........  Ob us >/= 14 wks,         0.99         0.31         0.32          0.31         0.32         0.04         XXX
                                             sngl fetus.
76810.........  ............  A...........  Ob us >/= 14 wks,         0.98         1.65         1.52            NA           NA         0.26         ZZZ
                                             addl fetus.
76810.........  TC..........  A...........  Ob us >/= 14 wks,         0.00         1.35         1.20            NA           NA         0.22         ZZZ
                                             addl fetus.
76810.........  26..........  A...........  Ob us >/= 14 wks,         0.98         0.30         0.32          0.30         0.32         0.04         ZZZ
                                             addl fetus.
76811.........  ............  A...........  Ob us, detailed,          1.90         3.05         3.64            NA           NA         0.52         XXX
                                             sngl fetus.
76811.........  TC..........  A...........  Ob us, detailed,          0.00         2.51         3.02            NA           NA         0.43         XXX
                                             sngl fetus.
76811.........  26..........  A...........  Ob us, detailed,          1.90         0.54         0.62          0.54         0.62         0.09         XXX
                                             sngl fetus.
76812.........  ............  A...........  Ob us, detailed,          1.78         3.98         2.84            NA           NA         0.49         ZZZ
                                             addl fetus.
76812.........  TC..........  A...........  Ob us, detailed,          0.00         3.48         2.26            NA           NA         0.41         ZZZ
                                             addl fetus.
76812.........  26..........  A...........  Ob us, detailed,          1.78         0.50         0.58          0.50         0.58         0.08         ZZZ
                                             addl fetus.
76813.........  ............  A...........  Ob us nuchal meas,        1.18         2.21         2.21            NA           NA         0.19         XXX
                                             1 gest.
76813.........  TC..........  A...........  Ob us nuchal meas,        0.00         1.81         1.81            NA           NA         0.14         XXX
                                             1 gest.
76813.........  26..........  A...........  Ob us nuchal meas,        1.18         0.40         0.40          0.40         0.40         0.05         XXX
                                             1 gest.
76814.........  ............  A...........  Ob us nuchal meas,        0.99         1.15         1.15            NA           NA         0.19         XXX
                                             add-on.
76814.........  TC..........  A...........  Ob us nuchal meas,        0.00         0.86         0.86            NA           NA         0.14         XXX
                                             add-on.
76814.........  26..........  A...........  Ob us nuchal meas,        0.99         0.29         0.29          0.29         0.29         0.05         XXX
                                             add-on.
76815.........  ............  A...........  Ob us, limited,           0.65         1.80         1.72            NA           NA         0.11         XXX
                                             fetus(s).
76815.........  TC..........  A...........  Ob us, limited,           0.00         1.60         1.51            NA           NA         0.08         XXX
                                             fetus(s).
76815.........  26..........  A...........  Ob us, limited,           0.65         0.20         0.21          0.20         0.21         0.03         XXX
                                             fetus(s).
76816.........  ............  A...........  Ob us, follow-up,         0.85         2.38         1.90            NA           NA         0.10         XXX
                                             per fetus.
76816.........  TC..........  A...........  Ob us, follow-up,         0.00         2.13         1.62            NA           NA         0.06         XXX
                                             per fetus.
76816.........  26..........  A...........  Ob us, follow-up,         0.85         0.25         0.28          0.25         0.28         0.04         XXX
                                             per fetus.
76817.........  ............  A...........  Transvaginal us,          0.75         2.02         1.89            NA           NA         0.09         XXX
                                             obstetric.
76817.........  TC..........  A...........  Transvaginal us,          0.00         1.79         1.65            NA           NA         0.06         XXX
                                             obstetric.
76817.........  26..........  A...........  Transvaginal us,          0.75         0.23         0.24          0.23         0.24         0.03         XXX
                                             obstetric.
76818.........  ............  A...........  Fetal biophys             1.05         2.22         2.11            NA           NA         0.15         XXX
                                             profile w/nst.
76818.........  TC..........  A...........  Fetal biophys             0.00         1.92         1.76            NA           NA         0.10         XXX
                                             profile w/nst.
76818.........  26..........  A...........  Fetal biophys             1.05         0.30         0.35          0.30         0.35         0.05         XXX
                                             profile w/nst.
76819.........  ............  A...........  Fetal biophys             0.77         1.63         1.76            NA           NA         0.13         XXX
                                             profil w/o nst.
76819.........  TC..........  A...........  Fetal biophys             0.00         1.40         1.50            NA           NA         0.10         XXX
                                             profil w/o nst.
76819.........  26..........  A...........  Fetal biophys             0.77         0.23         0.26          0.23         0.26         0.03         XXX
                                             profil w/o nst.
76820.........  ............  A...........  Umbilical artery          0.50         0.56         1.18            NA           NA         0.15         XXX
                                             echo.
76820.........  TC..........  A...........  Umbilical artery          0.00         0.42         1.01            NA           NA         0.12         XXX
                                             echo.
76820.........  26..........  A...........  Umbilical artery          0.50         0.14         0.17          0.14         0.17         0.03         XXX
                                             echo.
76821.........  ............  A...........  Middle cerebral           0.70         1.87         1.88            NA           NA         0.15         XXX
                                             artery echo.
76821.........  TC..........  A...........  Middle cerebral           0.00         1.67         1.64            NA           NA         0.12         XXX
                                             artery echo.
76821.........  26..........  A...........  Middle cerebral           0.70         0.20         0.24          0.20         0.24         0.03         XXX
                                             artery echo.
76825.........  ............  A...........  Echo exam of fetal        1.67         4.37         3.47            NA           NA         0.18         XXX
                                             heart.
76825.........  TC..........  A...........  Echo exam of fetal        0.00         3.87         2.92            NA           NA         0.11         XXX
                                             heart.
76825.........  26..........  A...........  Echo exam of fetal        1.67         0.50         0.55          0.50         0.55         0.07         XXX
                                             heart.
76826.........  ............  A...........  Echo exam of fetal        0.83         2.76         1.88            NA           NA         0.08         XXX
                                             heart.
76826.........  TC..........  A...........  Echo exam of fetal        0.00         2.52         1.61            NA           NA         0.05         XXX
                                             heart.
76826.........  26..........  A...........  Echo exam of fetal        0.83         0.24         0.27          0.24         0.27         0.03         XXX
                                             heart.
76827.........  ............  A...........  Echo exam of fetal        0.58         1.07         1.50            NA           NA         0.14         XXX
                                             heart.
76827.........  TC..........  A...........  Echo exam of fetal        0.00         0.90         1.31            NA           NA         0.12         XXX
                                             heart.
76827.........  26..........  A...........  Echo exam of fetal        0.58         0.17         0.19          0.17         0.19         0.02         XXX
                                             heart.
76828.........  ............  A...........  Echo exam of fetal        0.56         0.63         0.98            NA           NA         0.11         XXX
                                             heart.
76828.........  TC..........  A...........  Echo exam of fetal        0.00         0.48         0.79            NA           NA         0.08         XXX
                                             heart.
76828.........  26..........  A...........  Echo exam of fetal        0.56         0.15         0.19          0.15         0.19         0.03         XXX
                                             heart.
76830.........  ............  A...........  Transvaginal us,          0.69         2.76         2.26            NA           NA         0.13         XXX
                                             non-ob.
76830.........  TC..........  A...........  Transvaginal us,          0.00         2.54         2.03            NA           NA         0.10         XXX
                                             non-ob.
76830.........  26..........  A...........  Transvaginal us,          0.69         0.22         0.23          0.22         0.23         0.03         XXX
                                             non-ob.
76831.........  ............  A...........  Echo exam, uterus.        0.72         2.74         2.25            NA           NA         0.13         XXX
76831.........  TC..........  A...........  Echo exam, uterus.        0.00         2.53         2.02            NA           NA         0.10         XXX
76831.........  26..........  A...........  Echo exam, uterus.        0.72         0.21         0.23          0.21         0.23         0.03         XXX
76856.........  ............  A...........  Us exam, pelvic,          0.69         2.80         2.27            NA           NA         0.13         XXX
                                             complete.
76856.........  TC..........  A...........  Us exam, pelvic,          0.00         2.56         2.04            NA           NA         0.10         XXX
                                             complete.
76856.........  26..........  A...........  Us exam, pelvic,          0.69         0.24         0.23          0.24         0.23         0.03         XXX
                                             complete.
76857.........  ............  A...........  Us exam, pelvic,          0.38         2.49         2.16            NA           NA         0.08         XXX
                                             limited.
76857.........  TC..........  A...........  Us exam, pelvic,          0.00         2.35         2.03            NA           NA         0.06         XXX
                                             limited.
76857.........  26..........  A...........  Us exam, pelvic,          0.38         0.14         0.13          0.14         0.13         0.02         XXX
                                             limited.
76870.........  ............  A...........  Us exam, scrotum..        0.64         2.83         2.28            NA           NA         0.13         XXX
76870.........  TC..........  A...........  Us exam, scrotum..        0.00         2.60         2.06            NA           NA         0.10         XXX
76870.........  26..........  A...........  Us exam, scrotum..        0.64         0.23         0.22          0.23         0.22         0.03         XXX
76872.........  ............  A...........  Us, transrectal...        0.69         3.41         2.82            NA           NA         0.14         XXX
76872.........  TC..........  A...........  Us, transrectal...        0.00         3.14         2.58            NA           NA         0.10         XXX
76872.........  26..........  A...........  Us, transrectal...        0.69         0.27         0.24          0.27         0.24         0.04         XXX
76873.........  ............  A...........  Echograp trans r,         1.55         3.40         3.00            NA           NA         0.25         XXX
                                             pros study.
76873.........  TC..........  A...........  Echograp trans r,         0.00         2.85         2.48            NA           NA         0.16         XXX
                                             pros study.
76873.........  26..........  A...........  Echograp trans r,         1.55         0.55         0.52          0.55         0.52         0.09         XXX
                                             pros study.

[[Page 2667]]

 
76880.........  ............  A...........  Us exam, extremity        0.59         3.19         2.40            NA           NA         0.11         XXX
76880.........  TC..........  A...........  Us exam, extremity        0.00         3.01         2.21            NA           NA         0.08         XXX
76880.........  26..........  A...........  Us exam, extremity        0.59         0.18         0.19          0.18         0.19         0.03         XXX
76885.........  ............  A...........  Us exam infant            0.74         3.26         2.50            NA           NA         0.13         XXX
                                             hips, dynamic.
76885.........  TC..........  A...........  Us exam infant            0.00         3.01         2.26            NA           NA         0.10         XXX
                                             hips, dynamic.
76885.........  26..........  A...........  Us exam infant            0.74         0.25         0.24          0.25         0.24         0.03         XXX
                                             hips, dynamic.
76886.........  ............  A...........  Us exam infant            0.62         2.28         1.95            NA           NA         0.11         XXX
                                             hips, static.
76886.........  TC..........  A...........  Us exam infant            0.00         2.06         1.74            NA           NA         0.08         XXX
                                             hips, static.
76886.........  26..........  A...........  Us exam infant            0.62         0.22         0.21          0.22         0.21         0.03         XXX
                                             hips, static.
76930.........  ............  A...........  Echo guide,               0.67         2.08         1.92            NA           NA         0.12         XXX
                                             cardiocentesis.
76930.........  TC..........  A...........  Echo guide,               0.00         1.74         1.63            NA           NA         0.10         XXX
                                             cardiocentesis.
76930.........  26..........  A...........  Echo guide,               0.67         0.34         0.29          0.34         0.29         0.02         XXX
                                             cardiocentesis.
76932.........  ............  C...........  Echo guide for            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             heart biopsy.
76932.........  TC..........  C...........  Echo guide for            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             heart biopsy.
76932.........  26..........  A...........  Echo guide for            0.67         0.35         0.30          0.35         0.30         0.02         XXX
                                             heart biopsy.
76936.........  ............  A...........  Echo guide for            1.99         6.13         6.55            NA           NA         0.47         XXX
                                             artery repair.
76936.........  TC..........  A...........  Echo guide for            0.00         5.42         5.86            NA           NA         0.34         XXX
                                             artery repair.
76936.........  26..........  A...........  Echo guide for            1.99         0.71         0.69          0.71         0.69         0.13         XXX
                                             artery repair.
76937.........  ............  A...........  Us guide, vascular        0.30         0.62         0.55            NA           NA         0.13         ZZZ
                                             access.
76937.........  TC..........  A...........  Us guide, vascular        0.00         0.52         0.45            NA           NA         0.10         ZZZ
                                             access.
76937.........  26..........  A...........  Us guide, vascular        0.30         0.10         0.10          0.10         0.10         0.03         ZZZ
                                             access.
76940.........  ............  C...........  Us guide, tissue          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             ablation.
76940.........  TC..........  C...........  Us guide, tissue          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             ablation.
76940.........  26..........  A...........  Us guide, tissue          2.00         0.65         0.65          0.65         0.65         0.31         XXX
                                             ablation.
76941.........  ............  C...........  Echo guide for            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             transfusion.
76941.........  TC..........  C...........  Echo guide for            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             transfusion.
76941.........  26..........  A...........  Echo guide for            1.34         0.38         0.43          0.38         0.43         0.07         XXX
                                             transfusion.
76942.........  ............  A...........  Echo guide for            0.67         4.80         3.91            NA           NA         0.13         XXX
                                             biopsy.
76942.........  TC..........  A...........  Echo guide for            0.00         4.56         3.68            NA           NA         0.10         XXX
                                             biopsy.
76942.........  26..........  A...........  Echo guide for            0.67         0.24         0.23          0.24         0.23         0.03         XXX
                                             biopsy.
76945.........  ............  C...........  Echo guide, villus        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             sampling.
76945.........  TC..........  C...........  Echo guide, villus        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             sampling.
76945.........  26..........  A...........  Echo guide, villus        0.67         0.21         0.21          0.21         0.21         0.03         XXX
                                             sampling.
76946.........  ............  A...........  Echo guide for            0.38         0.45         1.05            NA           NA         0.12         XXX
                                             amniocentesis.
76946.........  TC..........  A...........  Echo guide for            0.00         0.34         0.93            NA           NA         0.10         XXX
                                             amniocentesis.
76946.........  26..........  A...........  Echo guide for            0.38         0.11         0.12          0.11         0.12         0.02         XXX
                                             amniocentesis.
76948.........  ............  A...........  Echo guide, ova           0.38         0.45         1.04            NA           NA         0.12         XXX
                                             aspiration.
76948.........  TC..........  A...........  Echo guide, ova           0.00         0.35         0.93            NA           NA         0.10         XXX
                                             aspiration.
76948.........  26..........  A...........  Echo guide, ova           0.38         0.10         0.11          0.10         0.11         0.02         XXX
                                             aspiration.
76950.........  ............  A...........  Echo guidance             0.58         1.21         1.35            NA           NA         0.10         XXX
                                             radiotherapy.
76950.........  TC..........  A...........  Echo guidance             0.00         1.02         1.16            NA           NA         0.07         XXX
                                             radiotherapy.
76950.........  26..........  A...........  Echo guidance             0.58         0.19         0.19          0.19         0.19         0.03         XXX
                                             radiotherapy.
76965.........  ............  A...........  Echo guidance             1.34         1.20         3.60            NA           NA         0.37         XXX
                                             radiotherapy.
76965.........  TC..........  A...........  Echo guidance             0.00         0.70         3.14            NA           NA         0.29         XXX
                                             radiotherapy.
76965.........  26..........  A...........  Echo guidance             1.34         0.50         0.46          0.50         0.46         0.08         XXX
                                             radiotherapy.
76970.........  ............  A...........  Ultrasound exam           0.40         1.99         1.58            NA           NA         0.08         XXX
                                             follow-up.
76970.........  TC..........  A...........  Ultrasound exam           0.00         1.88         1.46            NA           NA         0.06         XXX
                                             follow-up.
76970.........  26..........  A...........  Ultrasound exam           0.40         0.11         0.12          0.11         0.12         0.02         XXX
                                             follow-up.
76975.........  ............  C...........  GI endoscopic             0.00         0.00         0.00            NA           NA         0.00         XXX
                                             ultrasound.
76975.........  TC..........  C...........  GI endoscopic             0.00         0.00         0.00            NA           NA         0.00         XXX
                                             ultrasound.
76975.........  26..........  A...........  GI endoscopic             0.81         0.30         0.29          0.30         0.29         0.04         XXX
                                             ultrasound.
76977.........  ............  A...........  Us bone density           0.05         0.10         0.48            NA           NA         0.06         XXX
                                             measure.
76977.........  TC..........  A...........  Us bone density           0.00         0.09         0.46            NA           NA         0.05         XXX
                                             measure.
76977.........  26..........  A...........  Us bone density           0.05         0.01         0.02          0.01         0.02         0.01         XXX
                                             measure.
76998.........  ............  C...........  Us guide, intraop.        0.00         0.00         0.00            NA           NA         0.00         XXX
76998.........  TC..........  C...........  Us guide, intraop.        0.00         0.00         0.00            NA           NA         0.00         XXX
76998.........  26..........  A...........  Us guide, intraop.        1.20         0.35         0.38          0.35         0.38         0.13         XXX
76999.........  ............  C...........  Echo examination          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             procedure.
76999.........  TC..........  C...........  Echo examination          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             procedure.
76999.........  26..........  C...........  Echo examination          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             procedure.
77001.........  ............  A...........  Fluoroguide for           0.38         2.73         2.08            NA           NA         0.11         ZZZ
                                             vein device.
77001.........  TC..........  A...........  Fluoroguide for           0.00         2.60         1.95            NA           NA         0.10         ZZZ
                                             vein device.
77001.........  26..........  A...........  Fluoroguide for           0.38         0.13         0.13          0.13         0.13         0.01         ZZZ
                                             vein device.
77002.........  ............  A...........  Needle                    0.54         1.23         1.35            NA           NA         0.09         XXX
                                             localization by
                                             xray.
77002.........  TC..........  A...........  Needle                    0.00         1.07         1.19            NA           NA         0.07         XXX
                                             localization by
                                             xray.
77002.........  26..........  A...........  Needle                    0.54         0.16         0.16          0.16         0.16         0.02         XXX
                                             localization by
                                             xray.
77003.........  ............  A...........  Fluoroguide for           0.60         0.76         1.11            NA           NA         0.10         XXX
                                             spine inject.
77003.........  TC..........  A...........  Fluoroguide for           0.00         0.62         0.96            NA           NA         0.07         XXX
                                             spine inject.
77003.........  26..........  A...........  Fluoroguide for           0.60         0.14         0.15          0.14         0.15         0.03         XXX
                                             spine inject.
77011.........  ............  A...........  Ct scan for               1.21        20.28        14.47            NA           NA         0.47         XXX
                                             localization.
77011.........  TC..........  A...........  Ct scan for               0.00        19.88        14.07            NA           NA         0.42         XXX
                                             localization.
77011.........  26..........  A...........  Ct scan for               1.21         0.40         0.40          0.40         0.40         0.05         XXX
                                             localization.

[[Page 2668]]

 
77012.........  ............  A...........  Ct scan for needle        1.16         2.33         5.49            NA           NA         0.47         XXX
                                             biopsy.
77012.........  TC..........  A...........  Ct scan for needle        0.00         1.92         5.09            NA           NA         0.42         XXX
                                             biopsy.
77012.........  26..........  A...........  Ct scan for needle        1.16         0.41         0.40          0.41         0.40         0.05         XXX
                                             biopsy.
77013.........  ............  C...........  Ct guide for              0.00         0.00         0.00            NA           NA         0.00         XXX
                                             tissue ablation.
77013.........  TC..........  C...........  Ct guide for              0.00         0.00         0.00            NA           NA         0.00         XXX
                                             tissue ablation.
77013.........  26..........  A...........  Ct guide for              3.99         1.43         1.36          1.43         1.36         0.18         XXX
                                             tissue ablation.
77014.........  ............  A...........  Ct scan for               0.85         4.48         3.86            NA           NA         0.20         XXX
                                             therapy guide.
77014.........  TC..........  A...........  Ct scan for               0.00         4.20         3.58            NA           NA         0.16         XXX
                                             therapy guide.
77014.........  26..........  A...........  Ct scan for               0.85         0.28         0.28          0.28         0.28         0.04         XXX
                                             therapy guide.
77021.........  ............  A...........  Mr guidance for           1.50         9.71        10.71            NA           NA         0.64         XXX
                                             needle place.
77021.........  TC..........  A...........  Mr guidance for           0.00         9.19        10.20            NA           NA         0.55         XXX
                                             needle place.
77021.........  26..........  A...........  Mr guidance for           1.50         0.52         0.51          0.52         0.51         0.09         XXX
                                             needle place.
77022.........  ............  C...........  Mri for tissue            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             ablation.
77022.........  TC..........  C...........  Mri for tissue            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             ablation.
77022.........  26..........  A...........  Mri for tissue            4.24         1.52         1.45          1.52         1.45         0.24         XXX
                                             ablation.
77031.........  ............  A...........  Stereotact guide          1.59         1.87         4.78            NA           NA         0.46         XXX
                                             for brst bx.
77031.........  TC..........  A...........  Stereotact guide          0.00         1.34         4.25            NA           NA         0.37         XXX
                                             for brst bx.
77031.........  26..........  A...........  Stereotact guide          1.59         0.53         0.53          0.53         0.53         0.09         XXX
                                             for brst bx.
77032.........  ............  A...........  Guidance for              0.56         0.84         1.17            NA           NA         0.09         XXX
                                             needle, breast.
77032.........  TC..........  A...........  Guidance for              0.00         0.64         0.98            NA           NA         0.07         XXX
                                             needle, breast.
77032.........  26..........  A...........  Guidance for              0.56         0.20         0.19          0.20         0.19         0.02         XXX
                                             needle, breast.
77051.........  ............  A...........  Computer dx               0.06         0.20         0.32            NA           NA         0.02         ZZZ
                                             mammogram add-on.
77051.........  TC..........  A...........  Computer dx               0.00         0.18         0.30            NA           NA         0.01         ZZZ
                                             mammogram add-on.
77051.........  26..........  A...........  Computer dx               0.06         0.02         0.02          0.02         0.02         0.01         ZZZ
                                             mammogram add-on.
77052.........  ............  A...........  Comp screen               0.06         0.20         0.32            NA           NA         0.02         ZZZ
                                             mammogram add-on.
77052.........  TC..........  A...........  Comp screen               0.00         0.18         0.30            NA           NA         0.01         ZZZ
                                             mammogram add-on.
77052.........  26..........  A...........  Comp screen               0.06         0.02         0.02          0.02         0.02         0.01         ZZZ
                                             mammogram add-on.
77053.........  ............  A...........  X-ray of mammary          0.36         1.24         1.99            NA           NA         0.16         XXX
                                             duct.
77053.........  TC..........  A...........  X-ray of mammary          0.00         1.11         1.87            NA           NA         0.14         XXX
                                             duct.
77053.........  26..........  A...........  X-ray of mammary          0.36         0.13         0.12          0.13         0.12         0.02         XXX
                                             duct.
77054.........  ............  A...........  X-ray of mammary          0.45         1.68         2.74            NA           NA         0.21         XXX
                                             ducts.
77054.........  TC..........  A...........  X-ray of mammary          0.00         1.52         2.59            NA           NA         0.19         XXX
                                             ducts.
77054.........  26..........  A...........  X-ray of mammary          0.45         0.16         0.15          0.16         0.15         0.02         XXX
                                             ducts.
77055.........  ............  A...........  Mammogram, one            0.70         1.65         1.46            NA           NA         0.09         XXX
                                             breast.
77055.........  TC..........  A...........  Mammogram, one            0.00         1.40         1.22            NA           NA         0.06         XXX
                                             breast.
77055.........  26..........  A...........  Mammogram, one            0.70         0.25         0.24          0.25         0.24         0.03         XXX
                                             breast.
77056.........  ............  A...........  Mammogram, both           0.87         2.15         1.86            NA           NA         0.11         XXX
                                             breasts.
77056.........  TC..........  A...........  Mammogram, both           0.00         1.84         1.57            NA           NA         0.07         XXX
                                             breasts.
77056.........  26..........  A...........  Mammogram, both           0.87         0.31         0.29          0.31         0.29         0.04         XXX
                                             breasts.
77057.........  ............  A...........  Mammogram,                0.70         1.44         1.46            NA           NA         0.10         XXX
                                             screening.
77057.........  TC..........  A...........  Mammogram,                0.00         1.20         1.22            NA           NA         0.07         XXX
                                             screening.
77057.........  26..........  A...........  Mammogram,                0.70         0.24         0.24          0.24         0.24         0.03         XXX
                                             screening.
77058.........  ............  A...........  Mri, one breast...        1.63        21.65        19.91            NA           NA         0.99         XXX
77058.........  TC..........  A...........  Mri, one breast...        0.00        21.09        19.36            NA           NA         0.92         XXX
77058.........  26..........  A...........  Mri, one breast...        1.63         0.56         0.55          0.56         0.55         0.07         XXX
77059.........  ............  A...........  Mri, both breasts.        1.63        21.58        23.02            NA           NA         1.31         XXX
77059.........  TC..........  A...........  Mri, both breasts.        0.00        21.01        22.47            NA           NA         1.24         XXX
77059.........  26..........  A...........  Mri, both breasts.        1.63         0.57         0.55          0.57         0.55         0.07         XXX
77071.........  ............  A...........  X-ray stress view.        0.41         0.77         0.48          0.77         0.48         0.06         XXX
77072.........  ............  A...........  X-rays for bone           0.19         0.42         0.42            NA           NA         0.03         XXX
                                             age.
77072.........  TC..........  A...........  X-rays for bone           0.00         0.36         0.36            NA           NA         0.02         XXX
                                             age.
77072.........  26..........  A...........  X-rays for bone           0.19         0.06         0.06          0.06         0.06         0.01         XXX
                                             age.
77073.........  ............  A...........  X-rays, bone              0.27         0.67         0.78            NA           NA         0.06         XXX
                                             length studies.
77073.........  TC..........  A...........  X-rays, bone              0.00         0.57         0.68            NA           NA         0.05         XXX
                                             length studies.
77073.........  26..........  A...........  X-rays, bone              0.27         0.10         0.10          0.10         0.10         0.01         XXX
                                             length studies.
77074.........  ............  A...........  X-rays, bone              0.45         1.45         1.30            NA           NA         0.08         XXX
                                             survey, limited.
77074.........  TC..........  A...........  X-rays, bone              0.00         1.29         1.14            NA           NA         0.06         XXX
                                             survey, limited.
77074.........  26..........  A...........  X-rays, bone              0.45         0.16         0.16          0.16         0.16         0.02         XXX
                                             survey, limited.
77075.........  ............  A...........  X-rays, bone              0.54         2.29         1.96            NA           NA         0.10         XXX
                                             survey complete.
77075.........  TC..........  A...........  X-rays, bone              0.00         2.10         1.77            NA           NA         0.08         XXX
                                             survey complete.
77075.........  26..........  A...........  X-rays, bone              0.54         0.19         0.19          0.19         0.19         0.02         XXX
                                             survey complete.
77076.........  ............  A...........  X-rays, bone              0.70         2.13         1.55            NA           NA         0.08         XXX
                                             survey, infant.
77076.........  TC..........  A...........  X-rays, bone              0.00         1.90         1.32            NA           NA         0.05         XXX
                                             survey, infant.
77076.........  26..........  A...........  X-rays, bone              0.70         0.23         0.23          0.23         0.23         0.03         XXX
                                             survey, infant.
77077.........  ............  A...........  Joint survey,             0.31         0.66         0.93            NA           NA         0.08         XXX
                                             single view.
77077.........  TC..........  A...........  Joint survey,             0.00         0.55         0.83            NA           NA         0.06         XXX
                                             single view.
77077.........  26..........  A...........  Joint survey,             0.31         0.11         0.10          0.11         0.10         0.02         XXX
                                             single view.
77078.........  ............  A...........  Ct bone density,          0.25         4.75         3.88            NA           NA         0.17         XXX
                                             axial.
77078.........  TC..........  A...........  Ct bone density,          0.00         4.66         3.80            NA           NA         0.16         XXX
                                             axial.
77078.........  26..........  A...........  Ct bone density,          0.25         0.09         0.08          0.09         0.08         0.01         XXX
                                             axial.
77079.........  ............  A...........  Ct bone density,          0.22         0.83         1.92            NA           NA         0.06         XXX
                                             peripheral.
77079.........  TC..........  A...........  Ct bone density,          0.00         0.75         1.85            NA           NA         0.05         XXX
                                             peripheral.

[[Page 2669]]

 
77079.........  26..........  A...........  Ct bone density,          0.22         0.08         0.07          0.08         0.07         0.01         XXX
                                             peripheral.
77080.........  ............  A...........  Dxa bone density,         0.20         1.10         2.15            NA           NA         0.18         XXX
                                             axial.
77080.........  TC..........  A...........  Dxa bone density,         0.00         1.04         2.07            NA           NA         0.17         XXX
                                             axial.
77080.........  26..........  A...........  Dxa bone density,         0.20         0.06         0.08          0.06         0.08         0.01         XXX
                                             axial.
77081.........  ............  A...........  Dxa bone density/         0.22         0.47         0.65            NA           NA         0.06         XXX
                                             peripheral.
77081.........  TC..........  A...........  Dxa bone density/         0.00         0.41         0.58            NA           NA         0.05         XXX
                                             peripheral.
77081.........  26..........  A...........  Dxa bone density/         0.22         0.06         0.07          0.06         0.07         0.01         XXX
                                             peripheral.
77082.........  ............  A...........  Dxa bone density,         0.17         0.53         0.66            NA           NA         0.06         XXX
                                             vert fx.
77082.........  TC..........  A...........  Dxa bone density,         0.00         0.48         0.61            NA           NA         0.05         XXX
                                             vert fx.
77082.........  26..........  A...........  Dxa bone density,         0.17         0.05         0.05          0.05         0.05         0.01         XXX
                                             vert fx.
77083.........  ............  A...........  Radiographic              0.20         0.37         0.59            NA           NA         0.06         XXX
                                             absorptiometry.
77083.........  TC..........  A...........  Radiographic              0.00         0.32         0.53            NA           NA         0.05         XXX
                                             absorptiometry.
77083.........  26..........  A...........  Radiographic              0.20         0.05         0.06          0.05         0.06         0.01         XXX
                                             absorptiometry.
77084.........  ............  A...........  Magnetic image,           1.60        13.57        12.65            NA           NA         0.66         XXX
                                             bone marrow.
77084.........  TC..........  A...........  Magnetic image,           0.00        13.05        12.13            NA           NA         0.59         XXX
                                             bone marrow.
77084.........  26..........  A...........  Magnetic image,           1.60         0.52         0.52          0.52         0.52         0.07         XXX
                                             bone marrow.
77261.........  ............  A...........  Radiation therapy         1.39         0.48         0.49          0.48         0.49         0.07         XXX
                                             planning.
77262.........  ............  A...........  Radiation therapy         2.11         0.69         0.72          0.69         0.72         0.11         XXX
                                             planning.
77263.........  ............  A...........  Radiation therapy         3.14         1.03         1.07          1.03         1.07         0.16         XXX
                                             planning.
77280.........  ............  A...........  Set radiation             0.70         4.43         4.07            NA           NA         0.22         XXX
                                             therapy field.
77280.........  TC..........  A...........  Set radiation             0.00         4.20         3.84            NA           NA         0.18         XXX
                                             therapy field.
77280.........  26..........  A...........  Set radiation             0.70         0.23         0.23          0.23         0.23         0.04         XXX
                                             therapy field.
77285.........  ............  A...........  Set radiation             1.05         8.02         6.97            NA           NA         0.35         XXX
                                             therapy field.
77285.........  TC..........  A...........  Set radiation             0.00         7.68         6.63            NA           NA         0.30         XXX
                                             therapy field.
77285.........  26..........  A...........  Set radiation             1.05         0.34         0.34          0.34         0.34         0.05         XXX
                                             therapy field.
77290.........  ............  A...........  Set radiation             1.56        13.43        10.22            NA           NA         0.43         XXX
                                             therapy field.
77290.........  TC..........  A...........  Set radiation             0.00        12.92         9.72            NA           NA         0.35         XXX
                                             therapy field.
77290.........  26..........  A...........  Set radiation             1.56         0.51         0.50          0.51         0.50         0.08         XXX
                                             therapy field.
77295.........  ............  A...........  Set radiation             4.56         7.46        18.43            NA           NA         1.71         XXX
                                             therapy field.
77295.........  TC..........  A...........  Set radiation             0.00         5.96        16.95            NA           NA         1.48         XXX
                                             therapy field.
77295.........  26..........  A...........  Set radiation             4.56         1.50         1.48          1.50         1.48         0.23         XXX
                                             therapy field.
77299.........  ............  C...........  Radiation therapy         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             planning.
77299.........  TC..........  C...........  Radiation therapy         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             planning.
77299.........  26..........  C...........  Radiation therapy         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             planning.
77300.........  ............  A...........  Radiation therapy         0.62         1.18         1.36            NA           NA         0.10         XXX
                                             dose plan.
77300.........  TC..........  A...........  Radiation therapy         0.00         0.98         1.16            NA           NA         0.07         XXX
                                             dose plan.
77300.........  26..........  A...........  Radiation therapy         0.62         0.20         0.20          0.20         0.20         0.03         XXX
                                             dose plan.
77301.........  ............  A...........  Radiotherapy dose         7.99        57.48        43.99            NA           NA         1.88         XXX
                                             plan, imrt.
77301.........  TC..........  A...........  Radiotherapy dose         0.00        54.86        41.40            NA           NA         1.48         XXX
                                             plan, imrt.
77301.........  26..........  A...........  Radiotherapy dose         7.99         2.62         2.59          2.62         2.59         0.40         XXX
                                             plan, imrt.
77305.........  ............  A...........  Teletx isodose            0.70         0.90         1.50            NA           NA         0.15         XXX
                                             plan simple.
77305.........  TC..........  A...........  Teletx isodose            0.00         0.67         1.27            NA           NA         0.11         XXX
                                             plan simple.
77305.........  26..........  A...........  Teletx isodose            0.70         0.23         0.23          0.23         0.23         0.04         XXX
                                             plan simple.
77310.........  ............  A...........  Teletx isodose            1.05         1.24         1.96            NA           NA         0.18         XXX
                                             plan intermed.
77310.........  TC..........  A...........  Teletx isodose            0.00         0.90         1.62            NA           NA         0.13         XXX
                                             plan intermed.
77310.........  26..........  A...........  Teletx isodose            1.05         0.34         0.34          0.34         0.34         0.05         XXX
                                             plan intermed.
77315.........  ............  A...........  Teletx isodose            1.56         2.08         2.62            NA           NA         0.22         XXX
                                             plan complex.
77315.........  TC..........  A...........  Teletx isodose            0.00         1.57         2.12            NA           NA         0.14         XXX
                                             plan complex.
77315.........  26..........  A...........  Teletx isodose            1.56         0.51         0.50          0.51         0.50         0.08         XXX
                                             plan complex.
77321.........  ............  A...........  Special teletx            0.95         1.51         2.93            NA           NA         0.26         XXX
                                             port plan.
77321.........  TC..........  A...........  Special teletx            0.00         1.20         2.62            NA           NA         0.21         XXX
                                             port plan.
77321.........  26..........  A...........  Special teletx            0.95         0.31         0.31          0.31         0.31         0.05         XXX
                                             port plan.
77326.........  ............  A...........  Brachytx isodose          0.93         2.98         2.82            NA           NA         0.18         XXX
                                             calc simp.
77326.........  TC..........  A...........  Brachytx isodose          0.00         2.68         2.52            NA           NA         0.13         XXX
                                             calc simp.
77326.........  26..........  A...........  Brachytx isodose          0.93         0.30         0.30          0.30         0.30         0.05         XXX
                                             calc simp.
77327.........  ............  A...........  Brachytx isodose          1.39         4.09         4.01            NA           NA         0.25         XXX
                                             calc interm.
77327.........  TC..........  A...........  Brachytx isodose          0.00         3.64         3.56            NA           NA         0.18         XXX
                                             calc interm.
77327.........  26..........  A...........  Brachytx isodose          1.39         0.45         0.45          0.45         0.45         0.07         XXX
                                             calc interm.
77328.........  ............  A...........  Brachytx isodose          2.09         5.26         5.44            NA           NA         0.36         XXX
                                             plan compl.
77328.........  TC..........  A...........  Brachytx isodose          0.00         4.57         4.76            NA           NA         0.25         XXX
                                             plan compl.
77328.........  26..........  A...........  Brachytx isodose          2.09         0.69         0.68          0.69         0.68         0.11         XXX
                                             plan compl.
77331.........  ............  A...........  Special radiation         0.87         0.81         0.79            NA           NA         0.06         XXX
                                             dosimetry.
77331.........  TC..........  A...........  Special radiation         0.00         0.52         0.51            NA           NA         0.02         XXX
                                             dosimetry.
77331.........  26..........  A...........  Special radiation         0.87         0.29         0.28          0.29         0.28         0.04         XXX
                                             dosimetry.
77332.........  ............  A...........  Radiation                 0.54         1.55         1.53            NA           NA         0.10         XXX
                                             treatment aid(s).
77332.........  TC..........  A...........  Radiation                 0.00         1.37         1.36            NA           NA         0.07         XXX
                                             treatment aid(s).
77332.........  26..........  A...........  Radiation                 0.54         0.18         0.17          0.18         0.17         0.03         XXX
                                             treatment aid(s).
77333.........  ............  A...........  Radiation                 0.84         0.52         1.34            NA           NA         0.15         XXX
                                             treatment aid(s).
77333.........  TC..........  A...........  Radiation                 0.00         0.24         1.07            NA           NA         0.11         XXX
                                             treatment aid(s).
77333.........  26..........  A...........  Radiation                 0.84         0.28         0.27          0.28         0.27         0.04         XXX
                                             treatment aid(s).
77334.........  ............  A...........  Radiation                 1.24         2.72         3.18            NA           NA         0.23         XXX
                                             treatment aid(s).
77334.........  TC..........  A...........  Radiation                 0.00         2.31         2.78            NA           NA         0.17         XXX
                                             treatment aid(s).

[[Page 2670]]

 
77334.........  26..........  A...........  Radiation                 1.24         0.41         0.40          0.41         0.40         0.06         XXX
                                             treatment aid(s).
77336.........  ............  A...........  Radiation physics         0.00         1.14         2.06            NA           NA         0.16         XXX
                                             consult.
77370.........  ............  A...........  Radiation physics         0.00         3.05         3.27            NA           NA         0.18         XXX
                                             consult.
77371.........  ............  A...........  Srs, multisource..        0.00        30.11        30.11            NA           NA         0.13         XXX
77372.........  ............  A...........  Srs, linear based.        0.00        22.83        22.83            NA           NA         0.13         XXX
77373.........  ............  A...........  Sbrt delivery.....        0.00        42.67        42.67            NA           NA         0.13         XXX
77399.........  ............  C...........  External radiation        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             dosimetry.
77399.........  TC..........  C...........  External radiation        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             dosimetry.
77399.........  26..........  C...........  External radiation        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             dosimetry.
77401.........  ............  A...........  Radiation                 0.00         0.47         1.12            NA           NA         0.11         XXX
                                             treatment
                                             delivery.
77402.........  ............  A...........  Radiation                 0.00         4.35         3.06            NA           NA         0.11         XXX
                                             treatment
                                             delivery.
77403.........  ............  A...........  Radiation                 0.00         3.76         2.77            NA           NA         0.11         XXX
                                             treatment
                                             delivery.
77404.........  ............  A...........  Radiation                 0.00         4.21         2.99            NA           NA         0.11         XXX
                                             treatment
                                             delivery.
77406.........  ............  A...........  Radiation                 0.00         4.24         3.01            NA           NA         0.11         XXX
                                             treatment
                                             delivery.
77407.........  ............  A...........  Radiation                 0.00         5.78         3.94            NA           NA         0.12         XXX
                                             treatment
                                             delivery.
77408.........  ............  A...........  Radiation                 0.00         5.19         3.64            NA           NA         0.12         XXX
                                             treatment
                                             delivery.
77409.........  ............  A...........  Radiation                 0.00         5.77         3.93            NA           NA         0.12         XXX
                                             treatment
                                             delivery.
77411.........  ............  A...........  Radiation                 0.00         5.74         3.92            NA           NA         0.12         XXX
                                             treatment
                                             delivery.
77412.........  ............  A...........  Radiation                 0.00         6.79         4.56            NA           NA         0.13         XXX
                                             treatment
                                             delivery.
77413.........  ............  A...........  Radiation                 0.00         6.86         4.60            NA           NA         0.13         XXX
                                             treatment
                                             delivery.
77414.........  ............  A...........  Radiation                 0.00         7.72         5.03            NA           NA         0.13         XXX
                                             treatment
                                             delivery.
77416.........  ............  A...........  Radiation                 0.00         7.73         5.03            NA           NA         0.13         XXX
                                             treatment
                                             delivery.
77417.........  ............  A...........  Radiology port            0.00         0.36         0.48            NA           NA         0.04         XXX
                                             film(s).
77418.........  ............  A...........  Radiation tx              0.00        13.17        15.60            NA           NA         0.13         XXX
                                             delivery, imrt.
77421.........  ............  A...........  Stereoscopic x-ray        0.39         2.39         2.93            NA           NA         0.12         XXX
                                             guidance.
77421.........  TC..........  A...........  Stereoscopic x-ray        0.00         2.26         2.80            NA           NA         0.10         XXX
                                             guidance.
77421.........  26..........  A...........  Stereoscopic x-ray        0.39         0.13         0.13          0.13         0.13         0.02         XXX
                                             guidance.
77422.........  ............  A...........  Neutron beam tx,          0.00         5.36         3.53            NA           NA         0.13         XXX
                                             simple.
77423.........  ............  A...........  Neutron beam tx,          0.00         7.47         4.86            NA           NA         0.13         XXX
                                             complex.
77427.........  ............  A...........  Radiation tx              3.70         1.39         1.22          1.39         1.22         0.17         XXX
                                             management, x5.
77431.........  ............  A...........  Radiation therapy         1.81         0.78         0.73          0.78         0.73         0.09         XXX
                                             management.
77432.........  ............  A...........  Stereotactic              7.92         2.59         2.75          2.59         2.75         0.41         XXX
                                             radiation trmt.
77435.........  ............  A...........  Sbrt management...       13.00         4.76         4.76            NA           NA         0.67         XXX
77470.........  ............  A...........  Special radiation         2.09         1.92         6.88            NA           NA         0.70         XXX
                                             treatment.
77470.........  TC..........  A...........  Special radiation         0.00         1.24         6.20            NA           NA         0.59         XXX
                                             treatment.
77470.........  26..........  A...........  Special radiation         2.09         0.68         0.68          0.68         0.68         0.11         XXX
                                             treatment.
77499.........  ............  C...........  Radiation therapy         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             management.
77499.........  TC..........  C...........  Radiation therapy         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             management.
77499.........  26..........  C...........  Radiation therapy         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             management.
77520.........  ............  C...........  Proton trmt,              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             simple w/o comp.
77522.........  ............  C...........  Proton trmt,              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             simple w/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        10.24         6.90            NA           NA         0.24         XXX
                                             treatment.
77600.........  TC..........  R...........  Hyperthermia              0.00         9.74         6.40            NA           NA         0.16         XXX
                                             treatment.
77600.........  26..........  R...........  Hyperthermia              1.56         0.50         0.50          0.50         0.50         0.08         XXX
                                             treatment.
77605.........  ............  R...........  Hyperthermia              2.09        18.48        11.60            NA           NA         0.38         XXX
                                             treatment.
77605.........  TC..........  R...........  Hyperthermia              0.00        17.93        11.00            NA           NA         0.22         XXX
                                             treatment.
77605.........  26..........  R...........  Hyperthermia              2.09         0.55         0.60          0.55         0.60         0.16         XXX
                                             treatment.
77610.........  ............  R...........  Hyperthermia              1.56        17.94        10.75            NA           NA         0.24         XXX
                                             treatment.
77610.........  TC..........  R...........  Hyperthermia              0.00        17.58        10.32            NA           NA         0.16         XXX
                                             treatment.
77610.........  26..........  R...........  Hyperthermia              1.56         0.36         0.43          0.36         0.43         0.08         XXX
                                             treatment.
77615.........  ............  R...........  Hyperthermia              2.09        25.93        15.32            NA           NA         0.33         XXX
                                             treatment.
77615.........  TC..........  R...........  Hyperthermia              0.00        25.29        14.67            NA           NA         0.22         XXX
                                             treatment.
77615.........  26..........  R...........  Hyperthermia              2.09         0.64         0.65          0.64         0.65         0.11         XXX
                                             treatment.
77620.........  ............  R...........  Hyperthermia              1.56        10.50         7.04            NA           NA         0.36         XXX
                                             treatment.
77620.........  TC..........  R...........  Hyperthermia              0.00        10.10         6.58            NA           NA         0.16         XXX
                                             treatment.
77620.........  26..........  R...........  Hyperthermia              1.56         0.40         0.46          0.40         0.46         0.20         XXX
                                             treatment.
77750.........  ............  A...........  Infuse radioactive        4.94         4.55         3.73            NA           NA         0.32         090
                                             materials.
77750.........  TC..........  A...........  Infuse radioactive        0.00         2.93         2.13            NA           NA         0.07         090
                                             materials.
77750.........  26..........  A...........  Infuse radioactive        4.94         1.62         1.60          1.62         1.60         0.25         090
                                             materials.
77761.........  ............  A...........  Apply intrcav             3.82         6.34         4.97            NA           NA         0.33         090
                                             radiat simple.
77761.........  TC..........  A...........  Apply intrcav             0.00         5.10         3.80            NA           NA         0.14         090
                                             radiat simple.
77761.........  26..........  A...........  Apply intrcav             3.82         1.24         1.17          1.24         1.17         0.19         090
                                             radiat simple.
77762.........  ............  A...........  Apply intrcav             5.73         7.63         6.54            NA           NA         0.48         090
                                             radiat interm.
77762.........  TC..........  A...........  Apply intrcav             0.00         5.75         4.68            NA           NA         0.19         090
                                             radiat interm.
77762.........  26..........  A...........  Apply intrcav             5.73         1.88         1.86          1.88         1.86         0.29         090
                                             radiat interm.
77763.........  ............  A...........  Apply intrcav             8.60        10.35         8.79            NA           NA         0.66         090
                                             radiat compl.
77763.........  TC..........  A...........  Apply intrcav             0.00         7.53         6.01            NA           NA         0.23         090
                                             radiat compl.
77763.........  26..........  A...........  Apply intrcav             8.60         2.82         2.78          2.82         2.78         0.43         090
                                             radiat compl.
77776.........  ............  A...........  Apply interstit           4.67         7.46         5.30            NA           NA         0.57         090
                                             radiat simpl.
77776.........  TC..........  A...........  Apply interstit           0.00         5.79         3.99            NA           NA         0.13         090
                                             radiat simpl.

[[Page 2671]]

 
77776.........  26..........  A...........  Apply interstit           4.67         1.67         1.31          1.67         1.31         0.44         090
                                             radiat simpl.
77777.........  ............  A...........  Apply interstit           7.49         7.92         7.26            NA           NA         0.61         090
                                             radiat inter.
77777.........  TC..........  A...........  Apply interstit           0.00         5.47         4.85            NA           NA         0.22         090
                                             radiat inter.
77777.........  26..........  A...........  Apply interstit           7.49         2.45         2.41          2.45         2.41         0.39         090
                                             radiat inter.
77778.........  ............  A...........  Apply interstit          11.23        11.33        10.01            NA           NA         0.84         090
                                             radiat compl.
77778.........  TC..........  A...........  Apply interstit           0.00         7.63         6.38            NA           NA         0.27         090
                                             radiat compl.
77778.........  26..........  A...........  Apply interstit          11.23         3.70         3.63          3.70         3.63         0.57         090
                                             radiat compl.
77781.........  ............  A...........  High intensity            1.21         4.41        12.62            NA           NA         1.14         XXX
                                             brachytherapy.
77781.........  TC..........  A...........  High intensity            0.00         4.01        12.16            NA           NA         1.06         XXX
                                             brachytherapy.
77781.........  26..........  A...........  High intensity            1.21         0.40         0.46          0.40         0.46         0.08         XXX
                                             brachytherapy.
77782.........  ............  A...........  High intensity            2.04        12.42        16.76            NA           NA         1.19         XXX
                                             brachytherapy.
77782.........  TC..........  A...........  High intensity            0.00        11.75        16.03            NA           NA         1.06         XXX
                                             brachytherapy.
77782.........  26..........  A...........  High intensity            2.04         0.67         0.73          0.67         0.73         0.13         XXX
                                             brachytherapy.
77783.........  ............  A...........  High intensity            3.27        24.21        22.86            NA           NA         1.25         XXX
                                             brachytherapy.
77783.........  TC..........  A...........  High intensity            0.00        23.14        21.73            NA           NA         1.06         XXX
                                             brachytherapy.
77783.........  26..........  A...........  High intensity            3.27         1.07         1.13          1.07         1.13         0.19         XXX
                                             brachytherapy.
77784.........  ............  A...........  High intensity            5.15        45.71        33.91            NA           NA         1.35         XXX
                                             brachytherapy.
77784.........  TC..........  A...........  High intensity            0.00        44.03        32.17            NA           NA         1.06         XXX
                                             brachytherapy.
77784.........  26..........  A...........  High intensity            5.15         1.68         1.74          1.68         1.74         0.29         XXX
                                             brachytherapy.
77789.........  ............  A...........  Apply surface             1.14         2.02         1.42            NA           NA         0.08         000
                                             radiation.
77789.........  TC..........  A...........  Apply surface             0.00         1.64         1.04            NA           NA         0.02         000
                                             radiation.
77789.........  26..........  A...........  Apply surface             1.14         0.38         0.38          0.38         0.38         0.06         000
                                             radiation.
77790.........  ............  A...........  Radiation handling        1.05         1.46         1.15            NA           NA         0.07         XXX
77790.........  TC..........  A...........  Radiation handling        0.00         1.12         0.81            NA           NA         0.02         XXX
77790.........  26..........  A...........  Radiation handling        1.05         0.34         0.34          0.34         0.34         0.05         XXX
77799.........  ............  C...........  Radium/                   0.00         0.00         0.00            NA           NA         0.00         XXX
                                             radioisotope
                                             therapy.
77799.........  TC..........  C...........  Radium/                   0.00         0.00         0.00            NA           NA         0.00         XXX
                                             radioisotope
                                             therapy.
77799.........  26..........  C...........  Radium/                   0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             radioisotope
                                             therapy.
78000.........  ............  A...........  Thyroid, single           0.19         1.85         1.44            NA           NA         0.07         XXX
                                             uptake.
78000.........  TC..........  A...........  Thyroid, single           0.00         1.79         1.38            NA           NA         0.06         XXX
                                             uptake.
78000.........  26..........  A...........  Thyroid, single           0.19         0.06         0.06          0.06         0.06         0.01         XXX
                                             uptake.
78001.........  ............  A...........  Thyroid, multiple         0.26         2.31         1.85            NA           NA         0.08         XXX
                                             uptakes.
78001.........  TC..........  A...........  Thyroid, multiple         0.00         2.22         1.76            NA           NA         0.07         XXX
                                             uptakes.
78001.........  26..........  A...........  Thyroid, multiple         0.26         0.09         0.09          0.09         0.09         0.01         XXX
                                             uptakes.
78003.........  ............  A...........  Thyroid suppress/         0.33         1.94         1.50            NA           NA         0.07         XXX
                                             stimul.
78003.........  TC..........  A...........  Thyroid suppress/         0.00         1.82         1.39            NA           NA         0.06         XXX
                                             stimul.
78003.........  26..........  A...........  Thyroid suppress/         0.33         0.12         0.11          0.12         0.11         0.01         XXX
                                             stimul.
78006.........  ............  A...........  Thyroid imaging           0.49         6.23         4.38            NA           NA         0.15         XXX
                                             with uptake.
78006.........  TC..........  A...........  Thyroid imaging           0.00         6.06         4.22            NA           NA         0.13         XXX
                                             with uptake.
78006.........  26..........  A...........  Thyroid imaging           0.49         0.17         0.16          0.17         0.16         0.02         XXX
                                             with uptake.
78007.........  ............  A...........  Thyroid image,            0.50         3.06         2.90            NA           NA         0.16         XXX
                                             mult uptakes.
78007.........  TC..........  A...........  Thyroid image,            0.00         2.89         2.73            NA           NA         0.14         XXX
                                             mult uptakes.
78007.........  26..........  A...........  Thyroid image,            0.50         0.17         0.17          0.17         0.17         0.02         XXX
                                             mult uptakes.
78010.........  ............  A...........  Thyroid imaging...        0.39         4.19         3.07            NA           NA         0.13         XXX
78010.........  TC..........  A...........  Thyroid imaging...        0.00         4.06         2.94            NA           NA         0.11         XXX
78010.........  26..........  A...........  Thyroid imaging...        0.39         0.13         0.13          0.13         0.13         0.02         XXX
78011.........  ............  A...........  Thyroid imaging           0.45         4.55         3.55            NA           NA         0.15         XXX
                                             with flow.
78011.........  TC..........  A...........  Thyroid imaging           0.00         4.39         3.40            NA           NA         0.13         XXX
                                             with flow.
78011.........  26..........  A...........  Thyroid imaging           0.45         0.16         0.15          0.16         0.15         0.02         XXX
                                             with flow.
78015.........  ............  A...........  Thyroid met               0.67         5.34         4.08            NA           NA         0.17         XXX
                                             imaging.
78015.........  TC..........  A...........  Thyroid met               0.00         5.12         3.85            NA           NA         0.14         XXX
                                             imaging.
78015.........  26..........  A...........  Thyroid met               0.67         0.22         0.23          0.22         0.23         0.03         XXX
                                             imaging.
78016.........  ............  A...........  Thyroid met               0.82         8.54         6.15            NA           NA         0.21         XXX
                                             imaging/studies.
78016.........  TC..........  A...........  Thyroid met               0.00         8.26         5.87            NA           NA         0.18         XXX
                                             imaging/studies.
78016.........  26..........  A...........  Thyroid met               0.82         0.28         0.28          0.28         0.28         0.03         XXX
                                             imaging/studies.
78018.........  ............  A...........  Thyroid met               0.86         7.94         6.83            NA           NA         0.33         XXX
                                             imaging, body.
78018.........  TC..........  A...........  Thyroid met               0.00         7.64         6.53            NA           NA         0.29         XXX
                                             imaging, body.
78018.........  26..........  A...........  Thyroid met               0.86         0.30         0.30          0.30         0.30         0.04         XXX
                                             imaging, body.
78020.........  ............  A...........  Thyroid met uptake        0.60         1.80         1.66            NA           NA         0.16         ZZZ
78020.........  TC..........  A...........  Thyroid met uptake        0.00         1.60         1.45            NA           NA         0.14         ZZZ
78020.........  26..........  A...........  Thyroid met uptake        0.60         0.20         0.21          0.20         0.21         0.02         ZZZ
78070.........  ............  A...........  Parathyroid               0.82         3.48         4.02            NA           NA         0.15         XXX
                                             nuclear imaging.
78070.........  TC..........  A...........  Parathyroid               0.00         3.20         3.74            NA           NA         0.11         XXX
                                             nuclear imaging.
78070.........  26..........  A...........  Parathyroid               0.82         0.28         0.28          0.28         0.28         0.04         XXX
                                             nuclear imaging.
78075.........  ............  A...........  Adrenal nuclear           0.74        11.63         8.65            NA           NA         0.32         XXX
                                             imaging.
78075.........  TC..........  A...........  Adrenal nuclear           0.00        11.38         8.40            NA           NA         0.29         XXX
                                             imaging.
78075.........  26..........  A...........  Adrenal nuclear           0.74         0.25         0.25          0.25         0.25         0.03         XXX
                                             imaging.
78099.........  ............  C...........  Endocrine nuclear         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             procedure.
78099.........  TC..........  C...........  Endocrine nuclear         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             procedure.
78099.........  26..........  C...........  Endocrine nuclear         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             procedure.
78102.........  ............  A...........  Bone marrow               0.55         4.18         3.21            NA           NA         0.14         XXX
                                             imaging, ltd.
78102.........  TC..........  A...........  Bone marrow               0.00         3.99         3.02            NA           NA         0.12         XXX
                                             imaging, ltd.

[[Page 2672]]

 
78102.........  26..........  A...........  Bone marrow               0.55         0.19         0.19          0.19         0.19         0.02         XXX
                                             imaging, ltd.
78103.........  ............  A...........  Bone marrow               0.75         5.44         4.44            NA           NA         0.20         XXX
                                             imaging, mult.
78103.........  TC..........  A...........  Bone marrow               0.00         5.18         4.18            NA           NA         0.17         XXX
                                             imaging, mult.
78103.........  26..........  A...........  Bone marrow               0.75         0.26         0.26          0.26         0.26         0.03         XXX
                                             imaging, mult.
78104.........  ............  A...........  Bone marrow               0.80         6.23         5.29            NA           NA         0.25         XXX
                                             imaging, body.
78104.........  TC..........  A...........  Bone marrow               0.00         5.94         5.01            NA           NA         0.22         XXX
                                             imaging, body.
78104.........  26..........  A...........  Bone marrow               0.80         0.29         0.28          0.29         0.28         0.03         XXX
                                             imaging, body.
78110.........  ............  A...........  Plasma volume,            0.19         2.13         1.58            NA           NA         0.07         XXX
                                             single.
78110.........  TC..........  A...........  Plasma volume,            0.00         2.06         1.51            NA           NA         0.06         XXX
                                             single.
78110.........  26..........  A...........  Plasma volume,            0.19         0.07         0.07          0.07         0.07         0.01         XXX
                                             single.
78111.........  ............  A...........  Plasma volume,            0.22         2.14         2.40            NA           NA         0.15         XXX
                                             multiple.
78111.........  TC..........  A...........  Plasma volume,            0.00         2.07         2.32            NA           NA         0.14         XXX
                                             multiple.
78111.........  26..........  A...........  Plasma volume,            0.22         0.07         0.08          0.07         0.08         0.01         XXX
                                             multiple.
78120.........  ............  A...........  Red cell mass,            0.23         2.10         1.96            NA           NA         0.12         XXX
                                             single.
78120.........  TC..........  A...........  Red cell mass,            0.00         2.02         1.88            NA           NA         0.11         XXX
                                             single.
78120.........  26..........  A...........  Red cell mass,            0.23         0.08         0.08          0.08         0.08         0.01         XXX
                                             single.
78121.........  ............  A...........  Red cell mass,            0.32         2.20         2.62            NA           NA         0.15         XXX
                                             multiple.
78121.........  TC..........  A...........  Red cell mass,            0.00         2.10         2.51            NA           NA         0.14         XXX
                                             multiple.
78121.........  26..........  A...........  Red cell mass,            0.32         0.10         0.11          0.10         0.11         0.01         XXX
                                             multiple.
78122.........  ............  A...........  Blood volume......        0.45         2.25         3.51            NA           NA         0.26         XXX
78122.........  TC..........  A...........  Blood volume......        0.00         2.10         3.35            NA           NA         0.24         XXX
78122.........  26..........  A...........  Blood volume......        0.45         0.15         0.16          0.15         0.16         0.02         XXX
78130.........  ............  A...........  Red cell survival         0.61         3.50         3.28            NA           NA         0.17         XXX
                                             study.
78130.........  TC..........  A...........  Red cell survival         0.00         3.29         3.07            NA           NA         0.14         XXX
                                             study.
78130.........  26..........  A...........  Red cell survival         0.61         0.21         0.21          0.21         0.21         0.03         XXX
                                             study.
78135.........  ............  A...........  Red cell survival         0.64         8.68         6.89            NA           NA         0.28         XXX
                                             kinetics.
78135.........  TC..........  A...........  Red cell survival         0.00         8.46         6.67            NA           NA         0.25         XXX
                                             kinetics.
78135.........  26..........  A...........  Red cell survival         0.64         0.22         0.22          0.22         0.22         0.03         XXX
                                             kinetics.
78140.........  ............  A...........  Red cell                  0.61         2.95         3.54            NA           NA         0.24         XXX
                                             sequestration.
78140.........  TC..........  A...........  Red cell                  0.00         2.73         3.33            NA           NA         0.21         XXX
                                             sequestration.
78140.........  26..........  A...........  Red cell                  0.61         0.22         0.21          0.22         0.21         0.03         XXX
                                             sequestration.
78185.........  ............  A...........  Spleen imaging....        0.40         5.20         3.85            NA           NA         0.15         XXX
78185.........  TC..........  A...........  Spleen imaging....        0.00         5.06         3.71            NA           NA         0.13         XXX
78185.........  26..........  A...........  Spleen imaging....        0.40         0.14         0.14          0.14         0.14         0.02         XXX
78190.........  ............  A...........  Platelet survival,        1.09         8.38         7.24            NA           NA         0.38         XXX
                                             kinetics.
78190.........  TC..........  A...........  Platelet survival,        0.00         8.13         6.92            NA           NA         0.30         XXX
                                             kinetics.
78190.........  26..........  A...........  Platelet survival,        1.09         0.25         0.32          0.25         0.32         0.08         XXX
                                             kinetics.
78191.........  ............  A...........  Platelet survival.        0.61         3.52         5.53            NA           NA         0.40         XXX
78191.........  TC..........  A...........  Platelet survival.        0.00         3.31         5.32            NA           NA         0.37         XXX
78191.........  26..........  A...........  Platelet survival.        0.61         0.21         0.21          0.21         0.21         0.03         XXX
78195.........  ............  A...........  Lymph system              1.20         8.69         6.58            NA           NA         0.28         XXX
                                             imaging.
78195.........  TC..........  A...........  Lymph system              0.00         8.28         6.17            NA           NA         0.22         XXX
                                             imaging.
78195.........  26..........  A...........  Lymph system              1.20         0.41         0.41          0.41         0.41         0.06         XXX
                                             imaging.
78199.........  ............  C...........  Blood/lymph               0.00         0.00         0.00            NA           NA         0.00         XXX
                                             nuclear exam.
78199.........  TC..........  C...........  Blood/lymph               0.00         0.00         0.00            NA           NA         0.00         XXX
                                             nuclear exam.
78199.........  26..........  C...........  Blood/lymph               0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             nuclear exam.
78201.........  ............  A...........  Liver imaging.....        0.44         4.60         3.56            NA           NA         0.15         XXX
78201.........  TC..........  A...........  Liver imaging.....        0.00         4.47         3.42            NA           NA         0.13         XXX
78201.........  26..........  A...........  Liver imaging.....        0.44         0.13         0.14          0.13         0.14         0.02         XXX
78202.........  ............  A...........  Liver imaging with        0.51         5.35         4.20            NA           NA         0.16         XXX
                                             flow.
78202.........  TC..........  A...........  Liver imaging with        0.00         5.18         4.03            NA           NA         0.14         XXX
                                             flow.
78202.........  26..........  A...........  Liver imaging with        0.51         0.17         0.17          0.17         0.17         0.02         XXX
                                             flow.
78205.........  ............  A...........  Liver imaging (3D)        0.71         5.27         5.71            NA           NA         0.34         XXX
78205.........  TC..........  A...........  Liver imaging (3D)        0.00         5.02         5.47            NA           NA         0.31         XXX
78205.........  26..........  A...........  Liver imaging (3D)        0.71         0.25         0.24          0.25         0.24         0.03         XXX
78206.........  ............  A...........  Liver image (3d)          0.96         8.61         7.42            NA           NA         0.15         XXX
                                             with flow.
78206.........  TC..........  A...........  Liver image (3d)          0.00         8.27         7.09            NA           NA         0.11         XXX
                                             with flow.
78206.........  26..........  A...........  Liver image (3d)          0.96         0.34         0.33          0.34         0.33         0.04         XXX
                                             with flow.
78215.........  ............  A...........  Liver and spleen          0.49         4.82         3.97            NA           NA         0.16         XXX
                                             imaging.
78215.........  TC..........  A...........  Liver and spleen          0.00         4.65         3.80            NA           NA         0.14         XXX
                                             imaging.
78215.........  26..........  A...........  Liver and spleen          0.49         0.17         0.17          0.17         0.17         0.02         XXX
                                             imaging.
78216.........  ............  A...........  Liver & spleen            0.57         2.86         3.26            NA           NA         0.20         XXX
                                             image/flow.
78216.........  TC..........  A...........  Liver & spleen            0.00         2.66         3.07            NA           NA         0.18         XXX
                                             image/flow.
78216.........  26..........  A...........  Liver & spleen            0.57         0.20         0.19          0.20         0.19         0.02         XXX
                                             image/flow.
78220.........  ............  A...........  Liver function            0.49         3.08         3.48            NA           NA         0.21         XXX
                                             study.
78220.........  TC..........  A...........  Liver function            0.00         2.91         3.32            NA           NA         0.19         XXX
                                             study.
78220.........  26..........  A...........  Liver function            0.49         0.17         0.16          0.17         0.16         0.02         XXX
                                             study.
78223.........  ............  A...........  Hepatobiliary             0.84         8.51         6.23            NA           NA         0.23         XXX
                                             imaging.
78223.........  TC..........  A...........  Hepatobiliary             0.00         8.22         5.94            NA           NA         0.19         XXX
                                             imaging.
78223.........  26..........  A...........  Hepatobiliary             0.84         0.29         0.29          0.29         0.29         0.04         XXX
                                             imaging.
78230.........  ............  A...........  Salivary gland            0.45         4.17         3.25            NA           NA         0.15         XXX
                                             imaging.
78230.........  TC..........  A...........  Salivary gland            0.00         4.01         3.10            NA           NA         0.13         XXX
                                             imaging.

[[Page 2673]]

 
78230.........  26..........  A...........  Salivary gland            0.45         0.16         0.15          0.16         0.15         0.02         XXX
                                             imaging.
78231.........  ............  A...........  Serial salivary           0.52         2.81         3.07            NA           NA         0.19         XXX
                                             imaging.
78231.........  TC..........  A...........  Serial salivary           0.00         2.64         2.90            NA           NA         0.17         XXX
                                             imaging.
78231.........  26..........  A...........  Serial salivary           0.52         0.17         0.17          0.17         0.17         0.02         XXX
                                             imaging.
78232.........  ............  A...........  Salivary gland            0.47         2.78         3.24            NA           NA         0.20         XXX
                                             function exam.
78232.........  TC..........  A...........  Salivary gland            0.00         2.63         3.08            NA           NA         0.18         XXX
                                             function exam.
78232.........  26..........  A...........  Salivary gland            0.47         0.15         0.16          0.15         0.16         0.02         XXX
                                             function exam.
78258.........  ............  A...........  Esophageal                0.74         5.52         4.33            NA           NA         0.17         XXX
                                             motility study.
78258.........  TC..........  A...........  Esophageal                0.00         5.25         4.07            NA           NA         0.14         XXX
                                             motility study.
78258.........  26..........  A...........  Esophageal                0.74         0.27         0.26          0.27         0.26         0.03         XXX
                                             motility study.
78261.........  ............  A...........  Gastric mucosa            0.69         6.01         5.17            NA           NA         0.25         XXX
                                             imaging.
78261.........  TC..........  A...........  Gastric mucosa            0.00         5.77         4.93            NA           NA         0.22         XXX
                                             imaging.
78261.........  26..........  A...........  Gastric mucosa            0.69         0.24         0.24          0.24         0.24         0.03         XXX
                                             imaging.
78262.........  ............  A...........  Gastroesophageal          0.68         5.96         5.22            NA           NA         0.25         XXX
                                             reflux exam.
78262.........  TC..........  A...........  Gastroesophageal          0.00         5.74         5.00            NA           NA         0.22         XXX
                                             reflux exam.
78262.........  26..........  A...........  Gastroesophageal          0.68         0.22         0.22          0.22         0.22         0.03         XXX
                                             reflux exam.
78264.........  ............  A...........  Gastric emptying          0.78         7.16         5.78            NA           NA         0.25         XXX
                                             study.
78264.........  TC..........  A...........  Gastric emptying          0.00         6.89         5.51            NA           NA         0.22         XXX
                                             study.
78264.........  26..........  A...........  Gastric emptying          0.78         0.27         0.27          0.27         0.27         0.03         XXX
                                             study.
78267.........  ............  X...........  Breath tst attain/        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             anal c-14.
78268.........  ............  X...........  Breath test               0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             analysis, c-14.
78270.........  ............  A...........  Vit B-12                  0.20         1.95         1.78            NA           NA         0.11         XXX
                                             absorption exam.
78270.........  TC..........  A...........  Vit B-12                  0.00         1.88         1.71            NA           NA         0.10         XXX
                                             absorption exam.
78270.........  26..........  A...........  Vit B-12                  0.20         0.07         0.07          0.07         0.07         0.01         XXX
                                             absorption exam.
78271.........  ............  A...........  Vit b-12 absrp            0.20         1.89         1.80            NA           NA         0.11         XXX
                                             exam, int fac.
78271.........  TC..........  A...........  Vit b-12 absrp            0.00         1.84         1.74            NA           NA         0.10         XXX
                                             exam, int fac.
78271.........  26..........  A...........  Vit b-12 absrp            0.20         0.05         0.06          0.05         0.06         0.01         XXX
                                             exam, int fac.
78272.........  ............  A...........  Vit B-12 absorp,          0.27         2.06         2.24            NA           NA         0.14         XXX
                                             combined.
78272.........  TC..........  A...........  Vit B-12 absorp,          0.00         1.99         2.16            NA           NA         0.13         XXX
                                             combined.
78272.........  26..........  A...........  Vit B-12 absorp,          0.27         0.07         0.08          0.07         0.08         0.01         XXX
                                             combined.
78278.........  ............  A...........  Acute GI blood            0.99         8.61         6.91            NA           NA         0.29         XXX
                                             loss imaging.
78278.........  TC..........  A...........  Acute GI blood            0.00         8.26         6.57            NA           NA         0.25         XXX
                                             loss imaging.
78278.........  26..........  A...........  Acute GI blood            0.99         0.35         0.34          0.35         0.34         0.04         XXX
                                             loss imaging.
78282.........  ............  C...........  GI protein loss           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             exam.
78282.........  TC..........  C...........  GI protein loss           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             exam.
78282.........  26..........  A...........  GI protein loss           0.38         0.13         0.13          0.13         0.13         0.02         XXX
                                             exam.
78290.........  ............  A...........  Meckel[AElig]s            0.68         8.52         5.91            NA           NA         0.19         XXX
                                             divert exam.
78290.........  TC..........  A...........  Meckel[AElig]s            0.00         8.28         5.67            NA           NA         0.16         XXX
                                             divert exam.
78290.........  26..........  A...........  Meckel[AElig]s            0.68         0.24         0.24          0.24         0.24         0.03         XXX
                                             divert exam.
78291.........  ............  A...........  Leveen/shunt              0.88         6.15         4.76            NA           NA         0.20         XXX
                                             patency exam.
78291.........  TC..........  A...........  Leveen/shunt              0.00         5.85         4.46            NA           NA         0.16         XXX
                                             patency exam.
78291.........  26..........  A...........  Leveen/shunt              0.88         0.30         0.30          0.30         0.30         0.04         XXX
                                             patency exam.
78299.........  ............  C...........  GI nuclear                0.00         0.00         0.00            NA           NA         0.00         XXX
                                             procedure.
78299.........  TC..........  C...........  GI nuclear                0.00         0.00         0.00            NA           NA         0.00         XXX
                                             procedure.
78299.........  26..........  C...........  GI nuclear                0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             procedure.
78300.........  ............  A...........  Bone imaging,             0.62         4.23         3.46            NA           NA         0.17         XXX
                                             limited area.
78300.........  TC..........  A...........  Bone imaging,             0.00         4.01         3.25            NA           NA         0.14         XXX
                                             limited area.
78300.........  26..........  A...........  Bone imaging,             0.62         0.22         0.21          0.22         0.21         0.03         XXX
                                             limited area.
78305.........  ............  A...........  Bone imaging,             0.83         5.48         4.71            NA           NA         0.23         XXX
                                             multiple areas.
78305.........  TC..........  A...........  Bone imaging,             0.00         5.20         4.43            NA           NA         0.19         XXX
                                             multiple areas.
78305.........  26..........  A...........  Bone imaging,             0.83         0.28         0.28          0.28         0.28         0.04         XXX
                                             multiple areas.
78306.........  ............  A...........  Bone imaging,             0.86         6.07         5.32            NA           NA         0.26         XXX
                                             whole body.
78306.........  TC..........  A...........  Bone imaging,             0.00         5.77         5.02            NA           NA         0.22         XXX
                                             whole body.
78306.........  26..........  A...........  Bone imaging,             0.86         0.30         0.30          0.30         0.30         0.04         XXX
                                             whole body.
78315.........  ............  A...........  Bone imaging, 3           1.02         8.60         6.86            NA           NA         0.29         XXX
                                             phase.
78315.........  TC..........  A...........  Bone imaging, 3           0.00         8.24         6.51            NA           NA         0.25         XXX
                                             phase.
78315.........  26..........  A...........  Bone imaging, 3           1.02         0.36         0.35          0.36         0.35         0.04         XXX
                                             phase.
78320.........  ............  A...........  Bone imaging (3D).        1.04         5.35         5.82            NA           NA         0.35         XXX
78320.........  TC..........  A...........  Bone imaging (3D).        0.00         4.99         5.46            NA           NA         0.31         XXX
78320.........  26..........  A...........  Bone imaging (3D).        1.04         0.36         0.36          0.36         0.36         0.04         XXX
78350.........  ............  N...........  Bone mineral,             0.22         0.51         0.67            NA           NA         0.06         XXX
                                             single photon.
78350.........  TC..........  N...........  Bone mineral,             0.00         0.46         0.61            NA           NA         0.05         XXX
                                             single photon.
78350.........  26..........  N...........  Bone mineral,             0.22         0.05         0.06          0.05         0.06         0.01         XXX
                                             single photon.
78351.........  ............  N...........  Bone mineral, dual        0.30           NA           NA          0.07         0.09         0.01         XXX
                                             photon.
78399.........  ............  C...........  Musculoskeletal           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             nuclear exam.
78399.........  TC..........  C...........  Musculoskeletal           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             nuclear exam.
78399.........  26..........  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            NA           NA         0.00         XXX
                                             function.
78414.........  TC..........  C...........  Non-imaging heart         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             function.
78414.........  26..........  A...........  Non-imaging heart         0.45         0.17         0.17          0.17         0.17         0.02         XXX
                                             function.
78428.........  ............  A...........  Cardiac shunt             0.78         5.26         3.90            NA           NA         0.16         XXX
                                             imaging.
78428.........  TC..........  A...........  Cardiac shunt             0.00         4.90         3.58            NA           NA         0.13         XXX
                                             imaging.

[[Page 2674]]

 
78428.........  26..........  A...........  Cardiac shunt             0.78         0.36         0.32          0.36         0.32         0.03         XXX
                                             imaging.
78445.........  ............  A...........  Vascular flow             0.49         4.49         3.26            NA           NA         0.13         XXX
                                             imaging.
78445.........  TC..........  A...........  Vascular flow             0.00         4.32         3.09            NA           NA         0.11         XXX
                                             imaging.
78445.........  26..........  A...........  Vascular flow             0.49         0.17         0.17          0.17         0.17         0.02         XXX
                                             imaging.
78456.........  ............  A...........  Acute venous              1.00         8.81         6.57            NA           NA         0.33         XXX
                                             thrombus image.
78456.........  TC..........  A...........  Acute venous              0.00         8.44         6.21            NA           NA         0.29         XXX
                                             thrombus image.
78456.........  26..........  A...........  Acute venous              1.00         0.37         0.36          0.37         0.36         0.04         XXX
                                             thrombus image.
78457.........  ............  A...........  Venous thrombosis         0.77         4.66         3.79            NA           NA         0.17         XXX
                                             imaging.
78457.........  TC..........  A...........  Venous thrombosis         0.00         4.41         3.54            NA           NA         0.14         XXX
                                             imaging.
78457.........  26..........  A...........  Venous thrombosis         0.77         0.25         0.25          0.25         0.25         0.03         XXX
                                             imaging.
78458.........  ............  A...........  Ven thrombosis            0.90         4.51         4.43            NA           NA         0.25         XXX
                                             images, bilat.
78458.........  TC..........  A...........  Ven thrombosis            0.00         4.22         4.12            NA           NA         0.21         XXX
                                             images, bilat.
78458.........  26..........  A...........  Ven thrombosis            0.90         0.29         0.31          0.29         0.31         0.04         XXX
                                             images, bilat.
78459.........  ............  C...........  Heart muscle              0.00         0.00         0.00            NA           NA         0.00         XXX
                                             imaging (PET).
78459.........  TC..........  C...........  Heart muscle              0.00         0.00         0.00            NA           NA         0.00         XXX
                                             imaging (PET).
78459.........  26..........  A...........  Heart muscle              1.50         0.61         0.59          0.61         0.59         0.05         XXX
                                             imaging (PET).
78460.........  ............  A...........  Heart muscle              0.86         4.66         3.65            NA           NA         0.17         XXX
                                             blood, single.
78460.........  TC..........  A...........  Heart muscle              0.00         4.34         3.35            NA           NA         0.13         XXX
                                             blood, single.
78460.........  26..........  A...........  Heart muscle              0.86         0.32         0.30          0.32         0.30         0.04         XXX
                                             blood, single.
78461.........  ............  A...........  Heart muscle              1.23         4.07         4.61            NA           NA         0.30         XXX
                                             blood, multiple.
78461.........  TC..........  A...........  Heart muscle              0.00         3.61         4.17            NA           NA         0.25         XXX
                                             blood, multiple.
78461.........  26..........  A...........  Heart muscle              1.23         0.46         0.44          0.46         0.44         0.05         XXX
                                             blood, multiple.
78464.........  ............  A...........  Heart image (3d),         1.09         5.86         6.66            NA           NA         0.41         XXX
                                             single.
78464.........  TC..........  A...........  Heart image (3d),         0.00         5.36         6.22            NA           NA         0.37         XXX
                                             single.
78464.........  26..........  A...........  Heart image (3d),         1.09         0.50         0.44          0.50         0.44         0.04         XXX
                                             single.
78465.........  ............  A...........  Heart image (3d),         1.46        11.46        11.88            NA           NA         0.67         XXX
                                             multiple.
78465.........  TC..........  A...........  Heart image (3d),         0.00        10.75        11.27            NA           NA         0.62         XXX
                                             multiple.
78465.........  26..........  A...........  Heart image (3d),         1.46         0.71         0.61          0.71         0.61         0.05         XXX
                                             multiple.
78466.........  ............  A...........  Heart infarct             0.69         4.58         3.72            NA           NA         0.17         XXX
                                             image.
78466.........  TC..........  A...........  Heart infarct             0.00         4.29         3.46            NA           NA         0.14         XXX
                                             image.
78466.........  26..........  A...........  Heart infarct             0.69         0.29         0.26          0.29         0.26         0.03         XXX
                                             image.
78468.........  ............  A...........  Heart infarct             0.80         5.88         4.90            NA           NA         0.22         XXX
                                             image (ef).
78468.........  TC..........  A...........  Heart infarct             0.00         5.48         4.57            NA           NA         0.19         XXX
                                             image (ef).
78468.........  26..........  A...........  Heart infarct             0.80         0.40         0.33          0.40         0.33         0.03         XXX
                                             image (ef).
78469.........  ............  A...........  Heart infarct             0.92         6.29         5.92            NA           NA         0.31         XXX
                                             image (3D).
78469.........  TC..........  A...........  Heart infarct             0.00         5.85         5.54            NA           NA         0.28         XXX
                                             image (3D).
78469.........  26..........  A...........  Heart infarct             0.92         0.44         0.38          0.44         0.38         0.03         XXX
                                             image (3D).
78472.........  ............  A...........  Gated heart,              0.98         6.03         5.94            NA           NA         0.34         XXX
                                             planar, single.
78472.........  TC..........  A...........  Gated heart,              0.00         5.62         5.57            NA           NA         0.30         XXX
                                             planar, single.
78472.........  26..........  A...........  Gated heart,              0.98         0.41         0.37          0.41         0.37         0.04         XXX
                                             planar, single.
78473.........  ............  A...........  Gated heart,              1.47         7.76         8.27            NA           NA         0.48         XXX
                                             multiple.
78473.........  TC..........  A...........  Gated heart,              0.00         7.12         7.69            NA           NA         0.42         XXX
                                             multiple.
78473.........  26..........  A...........  Gated heart,              1.47         0.64         0.58          0.64         0.58         0.06         XXX
                                             multiple.
78478.........  ............  A...........  Heart wall motion         0.50         0.80         1.30            NA           NA         0.12         XXX
                                             add-on.
78478.........  TC..........  A...........  Heart wall motion         0.00         0.56         1.06            NA           NA         0.10         XXX
                                             add-on.
78478.........  26..........  A...........  Heart wall motion         0.50         0.24         0.24          0.24         0.24         0.02         XXX
                                             add-on.
78480.........  ............  A...........  Heart function add-       0.30         0.70         1.24            NA           NA         0.12         XXX
                                             on.
78480.........  TC..........  A...........  Heart function add-       0.00         0.56         1.06            NA           NA         0.10         XXX
                                             on.
78480.........  26..........  A...........  Heart function add-       0.30         0.14         0.18          0.14         0.18         0.02         XXX
                                             on.
78481.........  ............  A...........  Heart first pass,         0.98         5.07         5.33            NA           NA         0.31         XXX
                                             single.
78481.........  TC..........  A...........  Heart first pass,         0.00         4.58         4.90            NA           NA         0.28         XXX
                                             single.
78481.........  26..........  A...........  Heart first pass,         0.98         0.49         0.43          0.49         0.43         0.03         XXX
                                             single.
78483.........  ............  A...........  Heart first pass,         1.47         6.87         7.64            NA           NA         0.46         XXX
                                             multiple.
78483.........  TC..........  A...........  Heart first pass,         0.00         6.09         6.98            NA           NA         0.41         XXX
                                             multiple.
78483.........  26..........  A...........  Heart first pass,         1.47         0.78         0.66          0.78         0.66         0.05         XXX
                                             multiple.
78491.........  ............  C...........  Heart image (pet),        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             single.
78491.........  TC..........  C...........  Heart image (pet),        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             single.
78491.........  26..........  A...........  Heart image (pet),        1.50         0.63         0.61          0.63         0.61         0.06         XXX
                                             single.
78492.........  ............  C...........  Heart image (pet),        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             multiple.
78492.........  TC..........  C...........  Heart image (pet),        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             multiple.
78492.........  26..........  A...........  Heart image (pet),        1.87         0.91         0.82          0.91         0.82         0.07         XXX
                                             multiple.
78494.........  ............  A...........  Heart image, spect        1.19         6.23         6.86            NA           NA         0.35         XXX
78494.........  TC..........  A...........  Heart image, spect        0.00         5.69         6.38            NA           NA         0.30         XXX
78494.........  26..........  A...........  Heart image, spect        1.19         0.54         0.48          0.54         0.48         0.05         XXX
78496.........  ............  A...........  Heart first pass          0.50         0.88         4.06            NA           NA         0.32         ZZZ
                                             add-on.
78496.........  TC..........  A...........  Heart first pass          0.00         0.65         3.86            NA           NA         0.30         ZZZ
                                             add-on.
78496.........  26..........  A...........  Heart first pass          0.50         0.23         0.20          0.23         0.20         0.02         ZZZ
                                             add-on.
78499.........  ............  C...........  Cardiovascular            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             nuclear exam.
78499.........  TC..........  C...........  Cardiovascular            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             nuclear exam.
78499.........  26..........  C...........  Cardiovascular            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             nuclear exam.
78580.........  ............  A...........  Lung perfusion            0.74         5.13         4.41            NA           NA         0.21         XXX
                                             imaging.
78580.........  TC..........  A...........  Lung perfusion            0.00         4.87         4.15            NA           NA         0.18         XXX
                                             imaging.

[[Page 2675]]

 
78580.........  26..........  A...........  Lung perfusion            0.74         0.26         0.26          0.26         0.26         0.03         XXX
                                             imaging.
78584.........  ............  A...........  Lung V/Q image            0.99         3.02         3.28            NA           NA         0.21         XXX
                                             single breath.
78584.........  TC..........  A...........  Lung V/Q image            0.00         2.67         2.94            NA           NA         0.17         XXX
                                             single breath.
78584.........  26..........  A...........  Lung V/Q image            0.99         0.35         0.34          0.35         0.34         0.04         XXX
                                             single breath.
78585.........  ............  A...........  Lung V/Q imaging..        1.09         8.63         7.32            NA           NA         0.35         XXX
78585.........  TC..........  A...........  Lung V/Q imaging..        0.00         8.25         6.95            NA           NA         0.30         XXX
78585.........  26..........  A...........  Lung V/Q imaging..        1.09         0.38         0.37          0.38         0.37         0.05         XXX
78586.........  ............  A...........  Aerosol lung              0.40         4.17         3.44            NA           NA         0.16         XXX
                                             image, single.
78586.........  TC..........  A...........  Aerosol lung              0.00         4.03         3.31            NA           NA         0.14         XXX
                                             image, single.
78586.........  26..........  A...........  Aerosol lung              0.40         0.14         0.13          0.14         0.13         0.02         XXX
                                             image, single.
78587.........  ............  A...........  Aerosol lung              0.49         5.44         4.21            NA           NA         0.16         XXX
                                             image, multiple.
78587.........  TC..........  A...........  Aerosol lung              0.00         5.27         4.04            NA           NA         0.14         XXX
                                             image, multiple.
78587.........  26..........  A...........  Aerosol lung              0.49         0.17         0.17          0.17         0.17         0.02         XXX
                                             image, multiple.
78588.........  ............  A...........  Perfusion lung            1.09         8.66         6.11            NA           NA         0.23         XXX
                                             image.
78588.........  TC..........  A...........  Perfusion lung            0.00         8.28         5.74            NA           NA         0.18         XXX
                                             image.
78588.........  26..........  A...........  Perfusion lung            1.09         0.38         0.37          0.38         0.37         0.05         XXX
                                             image.
78591.........  ............  A...........  Vent image, 1             0.40         4.17         3.58            NA           NA         0.16         XXX
                                             breath, 1 proj.
78591.........  TC..........  A...........  Vent image, 1             0.00         4.03         3.44            NA           NA         0.14         XXX
                                             breath, 1 proj.
78591.........  26..........  A...........  Vent image, 1             0.40         0.14         0.14          0.14         0.14         0.02         XXX
                                             breath, 1 proj.
78593.........  ............  A...........  Vent image, 1             0.49         4.82         4.21            NA           NA         0.20         XXX
                                             proj, gas.
78593.........  TC..........  A...........  Vent image, 1             0.00         4.65         4.05            NA           NA         0.18         XXX
                                             proj, gas.
78593.........  26..........  A...........  Vent image, 1             0.49         0.17         0.16          0.17         0.16         0.02         XXX
                                             proj, gas.
78594.........  ............  A...........  Vent image, mult          0.53         5.29         5.23            NA           NA         0.27         XXX
                                             proj, gas.
78594.........  TC..........  A...........  Vent image, mult          0.00         5.11         5.05            NA           NA         0.25         XXX
                                             proj, gas.
78594.........  26..........  A...........  Vent image, mult          0.53         0.18         0.18          0.18         0.18         0.02         XXX
                                             proj, gas.
78596.........  ............  A...........  Lung differential         1.27         8.68         8.09            NA           NA         0.42         XXX
                                             function.
78596.........  TC..........  A...........  Lung differential         0.00         8.29         7.68            NA           NA         0.37         XXX
                                             function.
78596.........  26..........  A...........  Lung differential         1.27         0.39         0.41          0.39         0.41         0.05         XXX
                                             function.
78599.........  ............  C...........  Respiratory               0.00         0.00         0.00            NA           NA         0.00         XXX
                                             nuclear exam.
78599.........  TC..........  C...........  Respiratory               0.00         0.00         0.00            NA           NA         0.00         XXX
                                             nuclear exam.
78599.........  26..........  C...........  Respiratory               0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             nuclear exam.
78600.........  ............  A...........  Brain image < 4           0.44         4.39         3.71            NA           NA         0.16         XXX
                                             views.
78600.........  TC..........  A...........  Brain image < 4           0.00         4.24         3.56            NA           NA         0.14         XXX
                                             views.
78600.........  26..........  A...........  Brain image < 4           0.44         0.15         0.15          0.15         0.15         0.02         XXX
                                             views.
78601.........  ............  A...........  Brain image w/flow        0.51         5.39         4.47            NA           NA         0.20         XXX
                                             < 4 views.
78601.........  TC..........  A...........  Brain image w/flow        0.00         5.21         4.30            NA           NA         0.18         XXX
                                             < 4 views.
78601.........  26..........  A...........  Brain image w/flow        0.51         0.18         0.17          0.18         0.17         0.02         XXX
                                             < 4 views.
78605.........  ............  A...........  Brain image 4+            0.53         4.85         4.22            NA           NA         0.20         XXX
                                             views.
78605.........  TC..........  A...........  Brain image 4+            0.00         4.66         4.03            NA           NA         0.18         XXX
                                             views.
78605.........  26..........  A...........  Brain image 4+            0.53         0.19         0.19          0.19         0.19         0.02         XXX
                                             views.
78606.........  ............  A...........  Brain image w/flow        0.64         8.54         6.31            NA           NA         0.24         XXX
                                             4 + views.
78606.........  TC..........  A...........  Brain image w/flow        0.00         8.32         6.10            NA           NA         0.21         XXX
                                             4 + views.
78606.........  26..........  A...........  Brain image w/flow        0.64         0.22         0.21          0.22         0.21         0.03         XXX
                                             4 + views.
78607.........  ............  A...........  Brain imaging (3D)        1.23         8.64         7.81            NA           NA         0.40         XXX
78607.........  TC..........  A...........  Brain imaging (3D)        0.00         8.23         7.39            NA           NA         0.35         XXX
78607.........  26..........  A...........  Brain imaging (3D)        1.23         0.41         0.42          0.41         0.42         0.05         XXX
78608.........  ............  C...........  Brain imaging             0.00         0.00         0.00            NA           NA         0.00         XXX
                                             (PET).
78608.........  TC..........  C...........  Brain imaging             0.00         0.00         0.00            NA           NA         0.00         XXX
                                             (PET).
78608.........  26..........  A...........  Brain imaging             1.50         0.49         0.50          0.49         0.50         0.06         XXX
                                             (PET).
78609.........  ............  N...........  Brain imaging             1.50         0.00         0.49            NA           NA         0.06         XXX
                                             (PET).
78609.........  TC..........  N...........  Brain imaging             0.00         0.00         0.00            NA           NA         0.00         XXX
                                             (PET).
78609.........  26..........  N...........  Brain imaging             1.50         0.00         0.49          0.00         0.49         0.06         XXX
                                             (PET).
78610.........  ............  A...........  Brain flow imaging        0.30         4.46         4.24            NA           NA         0.11         XXX
                                             only.
78610.........  TC..........  A...........  Brain flow imaging        0.00         4.36         4.11            NA           NA         0.10         XXX
                                             only.
78610.........  26..........  A...........  Brain flow imaging        0.30         0.10         0.13          0.10         0.13         0.01         XXX
                                             only.
78630.........  ............  A...........  Cerebrospinal             0.68         8.66         6.96            NA           NA         0.30         XXX
                                             fluid scan.
78630.........  TC..........  A...........  Cerebrospinal             0.00         8.42         6.73            NA           NA         0.27         XXX
                                             fluid scan.
78630.........  26..........  A...........  Cerebrospinal             0.68         0.24         0.23          0.24         0.23         0.03         XXX
                                             fluid scan.
78635.........  ............  A...........  CSF                       0.61         8.80         5.79            NA           NA         0.16         XXX
                                             ventriculography.
78635.........  TC..........  A...........  CSF                       0.00         8.59         5.57            NA           NA         0.14         XXX
                                             ventriculography.
78635.........  26..........  A...........  CSF                       0.61         0.21         0.22          0.21         0.22         0.02         XXX
                                             ventriculography.
78645.........  ............  A...........  CSF shunt                 0.57         8.49         6.05            NA           NA         0.20         XXX
                                             evaluation.
78645.........  TC..........  A...........  CSF shunt                 0.00         8.29         5.86            NA           NA         0.18         XXX
                                             evaluation.
78645.........  26..........  A...........  CSF shunt                 0.57         0.20         0.19          0.20         0.19         0.02         XXX
                                             evaluation.
78647.........  ............  A...........  Cerebrospinal             0.90         8.53         7.38            NA           NA         0.35         XXX
                                             fluid scan.
78647.........  TC..........  A...........  Cerebrospinal             0.00         8.24         7.08            NA           NA         0.31         XXX
                                             fluid scan.
78647.........  26..........  A...........  Cerebrospinal             0.90         0.29         0.30          0.29         0.30         0.04         XXX
                                             fluid scan.
78650.........  ............  A...........  CSF leakage               0.61         8.57         6.71            NA           NA         0.27         XXX
                                             imaging.
78650.........  TC..........  A...........  CSF leakage               0.00         8.36         6.50            NA           NA         0.24         XXX
                                             imaging.
78650.........  26..........  A...........  CSF leakage               0.61         0.21         0.21          0.21         0.21         0.03         XXX
                                             imaging.
78660.........  ............  A...........  Nuclear exam of           0.53         4.26         3.28            NA           NA         0.14         XXX
                                             tear flow.
78660.........  TC..........  A...........  Nuclear exam of           0.00         4.07         3.10            NA           NA         0.12         XXX
                                             tear flow.

[[Page 2676]]

 
78660.........  26..........  A...........  Nuclear exam of           0.53         0.19         0.18          0.19         0.18         0.02         XXX
                                             tear flow.
78699.........  ............  C...........  Nervous system            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             nuclear exam.
78699.........  TC..........  C...........  Nervous system            0.00         0.00         0.00            NA           NA         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.
78700.........  ............  A...........  Kidney imaging,           0.45         4.39         3.80            NA           NA         0.18         XXX
                                             morphol.
78700.........  TC..........  A...........  Kidney imaging,           0.00         4.23         3.64            NA           NA         0.16         XXX
                                             morphol.
78700.........  26..........  A...........  Kidney imaging,           0.45         0.16         0.16          0.16         0.16         0.02         XXX
                                             morphol.
78701.........  ............  A...........  Kidney imaging            0.49         5.39         4.56            NA           NA         0.20         XXX
                                             with flow.
78701.........  TC..........  A...........  Kidney imaging            0.00         5.22         4.39            NA           NA         0.18         XXX
                                             with flow.
78701.........  26..........  A...........  Kidney imaging            0.49         0.17         0.17          0.17         0.17         0.02         XXX
                                             with flow.
78707.........  ............  A...........  K flow/funct image        0.96         5.49         5.14            NA           NA         0.27         XXX
                                             w/o drug.
78707.........  TC..........  A...........  K flow/funct image        0.00         5.15         4.81            NA           NA         0.23         XXX
                                             w/o drug.
78707.........  26..........  A...........  K flow/funct image        0.96         0.34         0.33          0.34         0.33         0.04         XXX
                                             w/o drug.
78708.........  ............  A...........  K flow/funct image        1.21         3.48         4.18            NA           NA         0.28         XXX
                                             w/drug.
78708.........  TC..........  A...........  K flow/funct image        0.00         3.05         3.76            NA           NA         0.23         XXX
                                             w/drug.
78708.........  26..........  A...........  K flow/funct image        1.21         0.43         0.42          0.43         0.42         0.05         XXX
                                             w/drug.
78709.........  ............  A...........  K flow/funct              1.41         8.89         6.91            NA           NA         0.29         XXX
                                             image, multiple.
78709.........  TC..........  A...........  K flow/funct              0.00         8.40         6.43            NA           NA         0.23         XXX
                                             image, multiple.
78709.........  26..........  A...........  K flow/funct              1.41         0.49         0.48          0.49         0.48         0.06         XXX
                                             image, multiple.
78710.........  ............  A...........  Kidney imaging            0.66         5.28         5.71            NA           NA         0.34         XXX
                                             (3D).
78710.........  TC..........  A...........  Kidney imaging            0.00         5.06         5.49            NA           NA         0.31         XXX
                                             (3D).
78710.........  26..........  A...........  Kidney imaging            0.66         0.22         0.22          0.22         0.22         0.03         XXX
                                             (3D).
78725.........  ............  A...........  Kidney function           0.38         2.35         2.14            NA           NA         0.13         XXX
                                             study.
78725.........  TC..........  A...........  Kidney function           0.00         2.23         2.01            NA           NA         0.11         XXX
                                             study.
78725.........  26..........  A...........  Kidney function           0.38         0.12         0.13          0.12         0.13         0.02         XXX
                                             study.
78730.........  ............  A...........  Urinary bladder           0.15         1.99         1.78            NA           NA         0.10         ZZZ
                                             retention.
78730.........  TC..........  A...........  Urinary bladder           0.00         1.93         1.69            NA           NA         0.08         ZZZ
                                             retention.
78730.........  26..........  A...........  Urinary bladder           0.15         0.06         0.09          0.06         0.09         0.02         ZZZ
                                             retention.
78740.........  ............  A...........  Ureteral reflux           0.57         5.65         3.98            NA           NA         0.15         XXX
                                             study.
78740.........  TC..........  A...........  Ureteral reflux           0.00         5.46         3.79            NA           NA         0.12         XXX
                                             study.
78740.........  26..........  A...........  Ureteral reflux           0.57         0.19         0.19          0.19         0.19         0.03         XXX
                                             study.
78761.........  ............  A...........  Testicular imaging        0.71         5.06         4.24            NA           NA         0.20         XXX
                                             w/flow.
78761.........  TC..........  A...........  Testicular imaging        0.00         4.81         4.00            NA           NA         0.17         XXX
                                             w/flow.
78761.........  26..........  A...........  Testicular imaging        0.71         0.25         0.24          0.25         0.24         0.03         XXX
                                             w/flow.
78799.........  ............  C...........  Genitourinary             0.00         0.00         0.00            NA           NA         0.00         XXX
                                             nuclear exam.
78799.........  TC..........  C...........  Genitourinary             0.00         0.00         0.00            NA           NA         0.00         XXX
                                             nuclear exam.
78799.........  26..........  C...........  Genitourinary             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             nuclear exam.
78800.........  ............  A...........  Tumor imaging,            0.66         4.34         3.99            NA           NA         0.22         XXX
                                             limited area.
78800.........  TC..........  A...........  Tumor imaging,            0.00         4.13         3.77            NA           NA         0.18         XXX
                                             limited area.
78800.........  26..........  A...........  Tumor imaging,            0.66         0.21         0.22          0.21         0.22         0.04         XXX
                                             limited area.
78801.........  ............  A...........  Tumor imaging,            0.79         6.06         5.27            NA           NA         0.27         XXX
                                             mult areas.
78801.........  TC..........  A...........  Tumor imaging,            0.00         5.79         5.00            NA           NA         0.22         XXX
                                             mult areas.
78801.........  26..........  A...........  Tumor imaging,            0.79         0.27         0.27          0.27         0.27         0.05         XXX
                                             mult areas.
78802.........  ............  A...........  Tumor imaging,            0.86         8.15         6.98            NA           NA         0.34         XXX
                                             whole body.
78802.........  TC..........  A...........  Tumor imaging,            0.00         7.85         6.69            NA           NA         0.30         XXX
                                             whole body.
78802.........  26..........  A...........  Tumor imaging,            0.86         0.30         0.29          0.30         0.29         0.04         XXX
                                             whole body.
78803.........  ............  A...........  Tumor imaging (3D)        1.09         8.54         7.74            NA           NA         0.40         XXX
78803.........  TC..........  A...........  Tumor imaging (3D)        0.00         8.17         7.36            NA           NA         0.35         XXX
78803.........  26..........  A...........  Tumor imaging (3D)        1.09         0.37         0.38          0.37         0.38         0.05         XXX
78804.........  ............  A...........  Tumor imaging,            1.07        14.85        13.14            NA           NA         0.34         XXX
                                             whole body.
78804.........  TC..........  A...........  Tumor imaging,            0.00        14.48        12.77            NA           NA         0.30         XXX
                                             whole body.
78804.........  26..........  A...........  Tumor imaging,            1.07         0.37         0.37          0.37         0.37         0.04         XXX
                                             whole body.
78805.........  ............  A...........  Abscess imaging,          0.73         4.23         3.94            NA           NA         0.21         XXX
                                             ltd area.
78805.........  TC..........  A...........  Abscess imaging,          0.00         3.98         3.69            NA           NA         0.18         XXX
                                             ltd area.
78805.........  26..........  A...........  Abscess imaging,          0.73         0.25         0.25          0.25         0.25         0.03         XXX
                                             ltd area.
78806.........  ............  A...........  Abscess imaging,          0.86         8.36         7.54            NA           NA         0.39         XXX
                                             whole body.
78806.........  TC..........  A...........  Abscess imaging,          0.00         8.06         7.25            NA           NA         0.35         XXX
                                             whole body.
78806.........  26..........  A...........  Abscess imaging,          0.86         0.30         0.29          0.30         0.29         0.04         XXX
                                             whole body.
78807.........  ............  A...........  Nuclear                   1.09         8.52         7.73            NA           NA         0.39         XXX
                                             localization/
                                             abscess.
78807.........  TC..........  A...........  Nuclear                   0.00         8.15         7.35            NA           NA         0.35         XXX
                                             localization/
                                             abscess.
78807.........  26..........  A...........  Nuclear                   1.09         0.37         0.38          0.37         0.38         0.04         XXX
                                             localization/
                                             abscess.
78811.........  ............  C...........  Pet image, ltd            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             area.
78811.........  TC..........  C...........  Pet image, ltd            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             area.
78811.........  26..........  A...........  Pet image, ltd            1.54         0.54         0.53          0.54         0.53         0.11         XXX
                                             area.
78812.........  ............  C...........  Pet image, skull-         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             thigh.
78812.........  TC..........  C...........  Pet image, skull-         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             thigh.
78812.........  26..........  A...........  Pet image, skull-         1.93         0.67         0.66          0.67         0.66         0.11         XXX
                                             thigh.
78813.........  ............  C...........  Pet image, full           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             body.
78813.........  TC..........  C...........  Pet image, full           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             body.
78813.........  26..........  A...........  Pet image, full           2.00         0.68         0.69          0.68         0.69         0.11         XXX
                                             body.
78814.........  ............  C...........  Pet image w/ct,           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             lmtd.
78814.........  TC..........  C...........  Pet image w/ct,           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             lmtd.

[[Page 2677]]

 
78814.........  26..........  A...........  Pet image w/ct,           2.20         0.74         0.75          0.74         0.75         0.11         XXX
                                             lmtd.
78815.........  ............  C...........  Pet image w/ct,           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             skull-thigh.
78815.........  TC..........  C...........  Pet image w/ct,           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             skull-thigh.
78815.........  26..........  A...........  Pet image w/ct,           2.44         0.84         0.84          0.84         0.84         0.11         XXX
                                             skull-thigh.
78816.........  ............  C...........  Pet image w/ct,           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             full body.
78816.........  TC..........  C...........  Pet image w/ct,           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             full body.
78816.........  26..........  A...........  Pet image w/ct,           2.50         0.85         0.86          0.85         0.86         0.11         XXX
                                             full body.
78890.........  ............  B...........  Nuclear medicine          0.05         0.39         0.86            NA           NA         0.07         XXX
                                             data proc.
78890.........  TC..........  B...........  Nuclear medicine          0.00         0.38         0.84            NA           NA         0.06         XXX
                                             data proc.
78890.........  26..........  B...........  Nuclear medicine          0.05         0.01         0.02          0.01         0.02         0.01         XXX
                                             data proc.
78891.........  ............  B...........  Nuclear med data          0.10         0.88         1.77            NA           NA         0.14         XXX
                                             proc.
78891.........  TC..........  B...........  Nuclear med data          0.00         0.86         1.74            NA           NA         0.13         XXX
                                             proc.
78891.........  26..........  B...........  Nuclear med data          0.10         0.02         0.03          0.02         0.03         0.01         XXX
                                             proc.
78999.........  ............  C...........  Nuclear diagnostic        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             exam.
78999.........  TC..........  C...........  Nuclear diagnostic        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             exam.
78999.........  26..........  C...........  Nuclear diagnostic        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             exam.
79005.........  ............  A...........  Nuclear rx, oral          1.80         1.85         2.54            NA           NA         0.22         XXX
                                             admin.
79005.........  TC..........  A...........  Nuclear rx, oral          0.00         1.27         1.95            NA           NA         0.14         XXX
                                             admin.
79005.........  26..........  A...........  Nuclear rx, oral          1.80         0.58         0.59          0.58         0.59         0.08         XXX
                                             admin.
79101.........  ............  A...........  Nuclear rx, iv            1.96         2.17         2.73            NA           NA         0.22         XXX
                                             admin.
79101.........  TC..........  A...........  Nuclear rx, iv            0.00         1.43         2.03            NA           NA         0.14         XXX
                                             admin.
79101.........  26..........  A...........  Nuclear rx, iv            1.96         0.74         0.70          0.74         0.70         0.08         XXX
                                             admin.
79200.........  ............  A...........  Nuclear rx,               1.99         2.22         2.77            NA           NA         0.23         XXX
                                             intracav admin.
79200.........  TC..........  A...........  Nuclear rx,               0.00         1.57         2.10            NA           NA         0.14         XXX
                                             intracav admin.
79200.........  26..........  A...........  Nuclear rx,               1.99         0.65         0.67          0.65         0.67         0.09         XXX
                                             intracav admin.
79300.........  ............  C...........  Nuclr rx,                 0.00         0.00         0.00            NA           NA         0.00         XXX
                                             interstit colloid.
79300.........  TC..........  C...........  Nuclr rx,                 0.00         0.00         0.00            NA           NA         0.00         XXX
                                             interstit colloid.
79300.........  26..........  A...........  Nuclr rx,                 1.60         0.54         0.55          0.54         0.55         0.13         XXX
                                             interstit colloid.
79403.........  ............  A...........  Hematopoietic             2.25         2.92         4.04            NA           NA         0.24         XXX
                                             nuclear tx.
79403.........  TC..........  A...........  Hematopoietic             0.00         2.17         3.22            NA           NA         0.14         XXX
                                             nuclear tx.
79403.........  26..........  A...........  Hematopoietic             2.25         0.75         0.82          0.75         0.82         0.10         XXX
                                             nuclear tx.
79440.........  ............  A...........  Nuclear rx, intra-        1.99         1.84         2.59            NA           NA         0.22         XXX
                                             articular.
79440.........  TC..........  A...........  Nuclear rx, intra-        0.00         1.16         1.89            NA           NA         0.14         XXX
                                             articular.
79440.........  26..........  A...........  Nuclear rx, intra-        1.99         0.68         0.70          0.68         0.70         0.08         XXX
                                             articular.
79445.........  ............  C...........  Nuclear rx, intra-        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             arterial.
79445.........  TC..........  C...........  Nuclear rx, intra-        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             arterial.
79445.........  26..........  A...........  Nuclear rx, intra-        2.40         0.85         0.83          0.85         0.83         0.12         XXX
                                             arterial.
79999.........  ............  C...........  Nuclear medicine          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             therapy.
79999.........  TC..........  C...........  Nuclear medicine          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             therapy.
79999.........  26..........  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         0.20          0.11         0.14         0.01         XXX
                                             consultation.
80502.........  ............  A...........  Lab pathology             1.33         0.31         0.43          0.25         0.40         0.04         XXX
                                             consultation.
83020.........  26..........  A...........  Hemoglobin                0.37         0.12         0.13          0.12         0.13         0.01         XXX
                                             electrophoresis.
83912.........  26..........  A...........  Genetic                   0.37         0.11         0.12          0.11         0.12         0.01         XXX
                                             examination.
84165.........  26..........  A...........  Protein e-                0.37         0.12         0.13          0.12         0.13         0.01         XXX
                                             phoresis, serum.
84166.........  26..........  A...........  Protein e-phoresis/       0.37         0.12         0.13          0.12         0.13         0.01         XXX
                                             urine/csf.
84181.........  26..........  A...........  Western blot test.        0.37         0.12         0.13          0.12         0.13         0.01         XXX
84182.........  26..........  A...........  Protein, western          0.37         0.12         0.14          0.12         0.14         0.02         XXX
                                             blot test.
85060.........  ............  A...........  Blood smear               0.45         0.14         0.16          0.14         0.16         0.02         XXX
                                             interpretation.
85097.........  ............  A...........  Bone marrow               0.94         1.25         1.58          0.27         0.34         0.04         XXX
                                             interpretation.
85390.........  26..........  A...........  Fibrinolysins             0.37         0.13         0.13          0.13         0.13         0.01         XXX
                                             screen.
85396.........  ............  A...........  Clotting assay,           0.37           NA           NA          0.10         0.13         0.04         XXX
                                             whole blood.
85576.........  26..........  A...........  Blood platelet            0.37         0.12         0.14          0.12         0.14         0.01         XXX
                                             aggregation.
86077.........  ............  A...........  Physician blood           0.94         0.38         0.39          0.30         0.34         0.03         XXX
                                             bank service.
86078.........  ............  A...........  Physician blood           0.94         0.38         0.42          0.30         0.35         0.03         XXX
                                             bank service.
86079.........  ............  A...........  Physician blood           0.94         0.39         0.42          0.30         0.36         0.03         XXX
                                             bank service.
86255.........  26..........  A...........  Fluorescent               0.37         0.12         0.13          0.12         0.13         0.01         XXX
                                             antibody, screen.
86256.........  26..........  A...........  Fluorescent               0.37         0.12         0.14          0.12         0.14         0.01         XXX
                                             antibody, titer.
86320.........  26..........  A...........  Serum                     0.37         0.12         0.14          0.12         0.14         0.01         XXX
                                             immunoelectrophor
                                             esis.
86325.........  26..........  A...........  Other                     0.37         0.12         0.13          0.12         0.13         0.01         XXX
                                             immunoelectrophor
                                             esis.
86327.........  26..........  A...........  Immunoelectrophore        0.42         0.12         0.15          0.12         0.15         0.02         XXX
                                             sis assay.
86334.........  26..........  A...........  Immunofix e-              0.37         0.12         0.13          0.12         0.13         0.01         XXX
                                             phoresis, serum.
86335.........  26..........  A...........  Immunfix e-phorsis/       0.37         0.12         0.13          0.12         0.13         0.01         XXX
                                             urine/csf.
86485.........  ............  C...........  Skin test, candida        0.00         0.00         0.00          0.00         0.00         0.00         XXX
86486.........  ............  A...........  Skin test, nos            0.00         0.13         0.13            NA           NA         0.02         XXX
                                             antigen.
86490.........  ............  A...........  Coccidioidomycosis        0.00         0.13         0.21            NA           NA         0.02         XXX
                                             skin test.
86510.........  ............  A...........  Histoplasmosis            0.00         0.13         0.22            NA           NA         0.02         XXX
                                             skin test.
86580.........  ............  A...........  TB intradermal            0.00         0.16         0.20            NA           NA         0.02         XXX
                                             test.
87164.........  26..........  A...........  Dark field                0.37         0.12         0.12          0.12         0.12         0.01         XXX
                                             examination.
87207.........  26..........  A...........  Smear, special            0.37         0.12         0.14          0.12         0.14         0.01         XXX
                                             stain.
88104.........  ............  A...........  Cytopath fl               0.56         1.19         1.02            NA           NA         0.04         XXX
                                             nongyn, smears.
88104.........  TC..........  A...........  Cytopath fl               0.00         1.03         0.82            NA           NA         0.02         XXX
                                             nongyn, smears.

[[Page 2678]]

 
88104.........  26..........  A...........  Cytopath fl               0.56         0.16         0.20          0.16         0.20         0.02         XXX
                                             nongyn, smears.
88106.........  ............  A...........  Cytopath fl               0.56         1.52         1.44            NA           NA         0.04         XXX
                                             nongyn, filter.
88106.........  TC..........  A...........  Cytopath fl               0.00         1.37         1.24            NA           NA         0.02         XXX
                                             nongyn, filter.
88106.........  26..........  A...........  Cytopath fl               0.56         0.15         0.20          0.15         0.20         0.02         XXX
                                             nongyn, filter.
88107.........  ............  A...........  Cytopath fl               0.76         2.00         1.77            NA           NA         0.05         XXX
                                             nongyn, sm/fltr.
88107.........  TC..........  A...........  Cytopath fl               0.00         1.77         1.49            NA           NA         0.02         XXX
                                             nongyn, sm/fltr.
88107.........  26..........  A...........  Cytopath fl               0.76         0.23         0.28          0.23         0.28         0.03         XXX
                                             nongyn, sm/fltr.
88108.........  ............  A...........  Cytopath,                 0.56         1.47         1.34            NA           NA         0.04         XXX
                                             concentrate tech.
88108.........  TC..........  A...........  Cytopath,                 0.00         1.32         1.14            NA           NA         0.02         XXX
                                             concentrate tech.
88108.........  26..........  A...........  Cytopath,                 0.56         0.15         0.20          0.15         0.20         0.02         XXX
                                             concentrate tech.
88112.........  ............  A...........  Cytopath, cell            1.18         1.47         1.72            NA           NA         0.04         XXX
                                             enhance tech.
88112.........  TC..........  A...........  Cytopath, cell            0.00         1.18         1.32            NA           NA         0.02         XXX
                                             enhance tech.
88112.........  26..........  A...........  Cytopath, cell            1.18         0.29         0.40          0.29         0.40         0.02         XXX
                                             enhance tech.
88125.........  ............  A...........  Forensic                  0.26         0.21         0.24            NA           NA         0.02         XXX
                                             cytopathology.
88125.........  TC..........  A...........  Forensic                  0.00         0.16         0.16            NA           NA         0.01         XXX
                                             cytopathology.
88125.........  26..........  A...........  Forensic                  0.26         0.05         0.08          0.05         0.08         0.01         XXX
                                             cytopathology.
88141.........  ............  A...........  Cytopath, c/v,            0.42         0.38         0.26          0.38         0.26         0.02         XXX
                                             interpret.
88160.........  ............  A...........  Cytopath smear,           0.50         0.91         0.87            NA           NA         0.04         XXX
                                             other source.
88160.........  TC..........  A...........  Cytopath smear,           0.00         0.78         0.70            NA           NA         0.02         XXX
                                             other source.
88160.........  26..........  A...........  Cytopath smear,           0.50         0.13         0.17          0.13         0.17         0.02         XXX
                                             other source.
88161.........  ............  A...........  Cytopath smear,           0.50         1.06         1.00            NA           NA         0.04         XXX
                                             other source.
88161.........  TC..........  A...........  Cytopath smear,           0.00         0.92         0.82            NA           NA         0.02         XXX
                                             other source.
88161.........  26..........  A...........  Cytopath smear,           0.50         0.14         0.18          0.14         0.18         0.02         XXX
                                             other source.
88162.........  ............  A...........  Cytopath smear,           0.76         1.58         1.30            NA           NA         0.05         XXX
                                             other source.
88162.........  TC..........  A...........  Cytopath smear,           0.00         1.35         1.02            NA           NA         0.02         XXX
                                             other source.
88162.........  26..........  A...........  Cytopath smear,           0.76         0.23         0.28          0.23         0.28         0.03         XXX
                                             other source.
88172.........  ............  A...........  Cytopathology eval        0.60         0.81         0.77            NA           NA         0.04         XXX
                                             of fna.
88172.........  TC..........  A...........  Cytopathology eval        0.00         0.64         0.55            NA           NA         0.02         XXX
                                             of fna.
88172.........  26..........  A...........  Cytopathology eval        0.60         0.17         0.22          0.17         0.22         0.02         XXX
                                             of fna.
88173.........  ............  A...........  Cytopath eval,            1.39         2.20         2.16            NA           NA         0.07         XXX
                                             fna, report.
88173.........  TC..........  A...........  Cytopath eval,            0.00         1.82         1.68            NA           NA         0.02         XXX
                                             fna, report.
88173.........  26..........  A...........  Cytopath eval,            1.39         0.38         0.48          0.38         0.48         0.05         XXX
                                             fna, report.
88182.........  ............  A...........  Cell marker study.        0.77         2.02         1.99            NA           NA         0.07         XXX
88182.........  TC..........  A...........  Cell marker study.        0.00         1.88         1.76            NA           NA         0.04         XXX
88182.........  26..........  A...........  Cell marker study.        0.77         0.14         0.23          0.14         0.23         0.03         XXX
88184.........  ............  A...........  Flowcytometry/ tc,        0.00         2.47         1.89            NA           NA         0.02         XXX
                                             1 marker.
88185.........  ............  A...........  Flowcytometry/tc,         0.00         1.50         1.07            NA           NA         0.02         ZZZ
                                             add-on.
88187.........  ............  A...........  Flowcytometry/            1.36         0.40         0.42          0.40         0.42         0.01         XXX
                                             read, 2-8.
88188.........  ............  A...........  Flowcytometry/            1.69         0.44         0.51          0.44         0.51         0.01         XXX
                                             read, 9-15.
88189.........  ............  A...........  Flowcytometry/            2.23         0.47         0.61          0.47         0.61         0.01         XXX
                                             read, 16 & >.
88199.........  ............  C...........  Cytopathology             0.00         0.00         0.00            NA           NA         0.00         XXX
                                             procedure.
88199.........  TC..........  C...........  Cytopathology             0.00         0.00         0.00            NA           NA         0.00         XXX
                                             procedure.
88199.........  26..........  C...........  Cytopathology             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             procedure.
88291.........  ............  A...........  Cyto/molecular            0.52         0.27         0.22          0.27         0.22         0.02         XXX
                                             report.
88299.........  ............  C...........  Cytogenetic study.        0.00         0.00         0.00          0.00         0.00         0.00         XXX
88300.........  ............  A...........  Surgical path,            0.08         0.56         0.51            NA           NA         0.02         XXX
                                             gross.
88300.........  TC..........  A...........  Surgical path,            0.00         0.54         0.48            NA           NA         0.01         XXX
                                             gross.
88300.........  26..........  A...........  Surgical path,            0.08         0.02         0.03          0.02         0.03         0.01         XXX
                                             gross.
88302.........  ............  A...........  Tissue exam by            0.13         1.29         1.16            NA           NA         0.03         XXX
                                             pathologist.
88302.........  TC..........  A...........  Tissue exam by            0.00         1.25         1.11            NA           NA         0.02         XXX
                                             pathologist.
88302.........  26..........  A...........  Tissue exam by            0.13         0.04         0.05          0.04         0.05         0.01         XXX
                                             pathologist.
88304.........  ............  A...........  Tissue exam by            0.22         1.48         1.39            NA           NA         0.03         XXX
                                             pathologist.
88304.........  TC..........  A...........  Tissue exam by            0.00         1.42         1.32            NA           NA         0.02         XXX
                                             pathologist.
88304.........  26..........  A...........  Tissue exam by            0.22         0.06         0.07          0.06         0.07         0.01         XXX
                                             pathologist.
88305.........  ............  A...........  Tissue exam by            0.75         2.05         1.97            NA           NA         0.07         XXX
                                             pathologist.
88305.........  TC..........  A...........  Tissue exam by            0.00         1.85         1.71            NA           NA         0.04         XXX
                                             pathologist.
88305.........  26..........  A...........  Tissue exam by            0.75         0.20         0.26          0.20         0.26         0.03         XXX
                                             pathologist.
88307.........  ............  A...........  Tissue exam by            1.59         4.41         3.79            NA           NA         0.12         XXX
                                             pathologist.
88307.........  TC..........  A...........  Tissue exam by            0.00         3.94         3.21            NA           NA         0.06         XXX
                                             pathologist.
88307.........  26..........  A...........  Tissue exam by            1.59         0.47         0.58          0.47         0.58         0.06         XXX
                                             pathologist.
88309.........  ............  A...........  Tissue exam by            2.80         6.17         5.28            NA           NA         0.14         XXX
                                             pathologist.
88309.........  TC..........  A...........  Tissue exam by            0.00         5.34         4.38            NA           NA         0.06         XXX
                                             pathologist.
88309.........  26..........  A...........  Tissue exam by            2.80         0.83         0.90          0.83         0.90         0.08         XXX
                                             pathologist.
88311.........  ............  A...........  Decalcify tissue..        0.24         0.24         0.23            NA           NA         0.02         XXX
88311.........  TC..........  A...........  Decalcify tissue..        0.00         0.17         0.15            NA           NA         0.01         XXX
88311.........  26..........  A...........  Decalcify tissue..        0.24         0.07         0.08          0.07         0.08         0.01         XXX
88312.........  ............  A...........  Special stains....        0.54         2.30         1.90            NA           NA         0.03         XXX
88312.........  TC..........  A...........  Special stains....        0.00         2.16         1.72            NA           NA         0.01         XXX
88312.........  26..........  A...........  Special stains....        0.54         0.14         0.18          0.14         0.18         0.02         XXX
88313.........  ............  A...........  Special stains....        0.24         1.95         1.60            NA           NA         0.02         XXX
88313.........  TC..........  A...........  Special stains....        0.00         1.89         1.52            NA           NA         0.01         XXX
88313.........  26..........  A...........  Special stains....        0.24         0.06         0.08          0.06         0.08         0.01         XXX

[[Page 2679]]

 
88314.........  ............  A...........  Histochemical             0.45         1.96         2.01            NA           NA         0.04         XXX
                                             stain.
88314.........  TC..........  A...........  Histochemical             0.00         1.82         1.85            NA           NA         0.02         XXX
                                             stain.
88314.........  26..........  A...........  Histochemical             0.45         0.14         0.16          0.14         0.16         0.02         XXX
                                             stain.
88318.........  ............  A...........  Chemical                  0.42         2.95         2.30            NA           NA         0.03         XXX
                                             histochemistry.
88318.........  TC..........  A...........  Chemical                  0.00         2.83         2.15            NA           NA         0.01         XXX
                                             histochemistry.
88318.........  26..........  A...........  Chemical                  0.42         0.12         0.15          0.12         0.15         0.02         XXX
                                             histochemistry.
88319.........  ............  A...........  Enzyme                    0.53         3.23         3.32            NA           NA         0.04         XXX
                                             histochemistry.
88319.........  TC..........  A...........  Enzyme                    0.00         3.08         3.13            NA           NA         0.02         XXX
                                             histochemistry.
88319.........  26..........  A...........  Enzyme                    0.53         0.15         0.19          0.15         0.19         0.02         XXX
                                             histochemistry.
88321.........  ............  A...........  Microslide                1.63         0.71         0.75          0.46         0.51         0.05         XXX
                                             consultation.
88323.........  ............  A...........  Microslide                1.83         2.21         2.00            NA           NA         0.07         XXX
                                             consultation.
88323.........  TC..........  A...........  Microslide                0.00         1.75         1.48            NA           NA         0.02         XXX
                                             consultation.
88323.........  26..........  A...........  Microslide                1.83         0.46         0.52          0.46         0.52         0.05         XXX
                                             consultation.
88325.........  ............  A...........  Comprehensive             2.50         2.40         2.67          0.69         0.82         0.07         XXX
                                             review of data.
88329.........  ............  A...........  Path consult              0.67         0.66         0.66          0.20         0.24         0.02         XXX
                                             introp.
88331.........  ............  A...........  Path consult              1.19         1.21         1.16            NA           NA         0.08         XXX
                                             intraop, 1 bloc.
88331.........  TC..........  A...........  Path consult              0.00         0.84         0.72            NA           NA         0.04         XXX
                                             intraop, 1 bloc.
88331.........  26..........  A...........  Path consult              1.19         0.37         0.44          0.37         0.44         0.04         XXX
                                             intraop, 1 bloc.
88332.........  ............  A...........  Path consult              0.59         0.48         0.47            NA           NA         0.04         XXX
                                             intraop,
                                             add[AElig]l.
88332.........  TC..........  A...........  Path consult              0.00         0.30         0.25            NA           NA         0.02         XXX
                                             intraop,
                                             add[AElig]l.
88332.........  26..........  A...........  Path consult              0.59         0.18         0.22          0.18         0.22         0.02         XXX
                                             intraop,
                                             add[AElig]l.
88333.........  ............  A...........  Intraop cyto path         1.20         1.32         1.20            NA           NA         0.08         XXX
                                             consult, 1.
88333.........  TC..........  A...........  Intraop cyto path         0.00         0.95         0.75            NA           NA         0.04         XXX
                                             consult, 1.
88333.........  26..........  A...........  Intraop cyto path         1.20         0.37         0.45          0.37         0.45         0.04         XXX
                                             consult, 1.
88334.........  ............  A...........  Intraop cyto path         0.73         0.78         0.69            NA           NA         0.04         XXX
                                             consult, 2.
88334.........  TC..........  A...........  Intraop cyto path         0.00         0.56         0.45            NA           NA         0.02         XXX
                                             consult, 2.
88334.........  26..........  A...........  Intraop cyto path         0.73         0.22         0.24          0.22         0.24         0.02         XXX
                                             consult, 2.
88342.........  ............  A...........  Immunohistochemist        0.85         2.00         1.72            NA           NA         0.05         XXX
                                             ry.
88342.........  TC..........  A...........  Immunohistochemist        0.00         1.77         1.43            NA           NA         0.02         XXX
                                             ry.
88342.........  26..........  A...........  Immunohistochemist        0.85         0.23         0.29          0.23         0.29         0.03         XXX
                                             ry.
88346.........  ............  A...........  Immunofluorescent         0.86         1.91         1.74            NA           NA         0.05         XXX
                                             study.
88346.........  TC..........  A...........  Immunofluorescent         0.00         1.68         1.45            NA           NA         0.02         XXX
                                             study.
88346.........  26..........  A...........  Immunofluorescent         0.86         0.23         0.29          0.23         0.29         0.03         XXX
                                             study.
88347.........  ............  A...........  Immunofluorescent         0.86         1.31         1.29            NA           NA         0.05         XXX
                                             study.
88347.........  TC..........  A...........  Immunofluorescent         0.00         1.13         1.02            NA           NA         0.02         XXX
                                             study.
88347.........  26..........  A...........  Immunofluorescent         0.86         0.18         0.27          0.18         0.27         0.03         XXX
                                             study.
88348.........  ............  A...........  Electron                  1.51        18.26        13.81            NA           NA         0.13         XXX
                                             microscopy.
88348.........  TC..........  A...........  Electron                  0.00        17.84        13.28            NA           NA         0.07         XXX
                                             microscopy.
88348.........  26..........  A...........  Electron                  1.51         0.42         0.53          0.42         0.53         0.06         XXX
                                             microscopy.
88349.........  ............  A...........  Scanning electron         0.76         9.40         6.48            NA           NA         0.09         XXX
                                             microscopy.
88349.........  TC..........  A...........  Scanning electron         0.00         9.17         6.20            NA           NA         0.06         XXX
                                             microscopy.
88349.........  26..........  A...........  Scanning electron         0.76         0.23         0.28          0.23         0.28         0.03         XXX
                                             microscopy.
88355.........  ............  A...........  Analysis, skeletal        1.85         3.22         6.00            NA           NA         0.13         XXX
                                             muscle.
88355.........  TC..........  A...........  Analysis, skeletal        0.00         2.85         5.42            NA           NA         0.06         XXX
                                             muscle.
88355.........  26..........  A...........  Analysis, skeletal        1.85         0.37         0.58          0.37         0.58         0.07         XXX
                                             muscle.
88356.........  ............  A...........  Analysis, nerve...        3.02         5.36         4.77            NA           NA         0.19         XXX
88356.........  TC..........  A...........  Analysis, nerve...        0.00         4.78         3.85            NA           NA         0.07         XXX
88356.........  26..........  A...........  Analysis, nerve...        3.02         0.58         0.92          0.58         0.92         0.12         XXX
88358.........  ............  A...........  Analysis, tumor...        0.95         1.10         0.97            NA           NA         0.17         XXX
88358.........  TC..........  A...........  Analysis, tumor...        0.00         0.94         0.69            NA           NA         0.07         XXX
88358.........  26..........  A...........  Analysis, tumor...        0.95         0.16         0.28          0.16         0.28         0.10         XXX
88360.........  ............  A...........  Tumor                     1.10         2.22         1.98            NA           NA         0.08         XXX
                                             immunohistochem/
                                             manual.
88360.........  TC..........  A...........  Tumor                     0.00         1.95         1.61            NA           NA         0.02         XXX
                                             immunohistochem/
                                             manual.
88360.........  26..........  A...........  Tumor                     1.10         0.27         0.37          0.27         0.37         0.06         XXX
                                             immunohistochem/
                                             manual.
88361.........  ............  A...........  Tumor                     1.18         2.80         2.91            NA           NA         0.17         XXX
                                             immunohistochem/
                                             comput.
88361.........  TC..........  A...........  Tumor                     0.00         2.53         2.53            NA           NA         0.07         XXX
                                             immunohistochem/
                                             comput.
88361.........  26..........  A...........  Tumor                     1.18         0.27         0.38          0.27         0.38         0.10         XXX
                                             immunohistochem/
                                             comput.
88362.........  ............  A...........  Nerve teasing             2.17         5.00         4.85            NA           NA         0.15         XXX
                                             preparations.
88362.........  TC..........  A...........  Nerve teasing             0.00         4.43         4.10            NA           NA         0.06         XXX
                                             preparations.
88362.........  26..........  A...........  Nerve teasing             2.17         0.57         0.75          0.57         0.75         0.09         XXX
                                             preparations.
88365.........  ............  A...........  Insitu                    1.20         3.34         2.73            NA           NA         0.05         XXX
                                             hybridization
                                             (fish).
88365.........  TC..........  A...........  Insitu                    0.00         3.04         2.33            NA           NA         0.02         XXX
                                             hybridization
                                             (fish).
88365.........  26..........  A...........  Insitu                    1.20         0.30         0.40          0.30         0.40         0.03         XXX
                                             hybridization
                                             (fish).
88367.........  ............  A...........  Insitu                    1.30         5.16         4.60            NA           NA         0.12         XXX
                                             hybridization,
                                             auto.
88367.........  TC..........  A...........  Insitu                    0.00         4.94         4.22            NA           NA         0.06         XXX
                                             hybridization,
                                             auto.
88367.........  26..........  A...........  Insitu                    1.30         0.22         0.38          0.22         0.38         0.06         XXX
                                             hybridization,
                                             auto.
88368.........  ............  A...........  Insitu                    1.40         4.97         3.69            NA           NA         0.12         XXX
                                             hybridization,
                                             manual.
88368.........  TC..........  A...........  Insitu                    0.00         4.72         3.26            NA           NA         0.06         XXX
                                             hybridization,
                                             manual.
88368.........  26..........  A...........  Insitu                    1.40         0.25         0.43          0.25         0.43         0.06         XXX
                                             hybridization,
                                             manual.
88371.........  26..........  A...........  Protein, western          0.37         0.10         0.12          0.10         0.12         0.01         XXX
                                             blot tissue.
88372.........  26..........  A...........  Protein analysis w/       0.37         0.12         0.14          0.12         0.14         0.01         XXX
                                             probe.
88380.........  ............  A...........  Microdissection,          1.56         2.66         2.66            NA           NA         0.14         XXX
                                             laser.

[[Page 2680]]

 
88380.........  TC..........  A...........  Microdissection,          0.00         2.23         2.23            NA           NA         0.07         XXX
                                             laser.
88380.........  26..........  A...........  Microdissection,          1.56         0.43         0.43          0.43         0.43         0.07         XXX
                                             laser.
88381.........  ............  A...........  Microdissection,          1.18         4.47         4.47            NA           NA         0.08         XXX
                                             manual.
88381.........  TC..........  A...........  Microdissection,          0.00         4.15         4.15            NA           NA         0.02         XXX
                                             manual.
88381.........  26..........  A...........  Microdissection,          1.18         0.32         0.32          0.32         0.32         0.06         XXX
                                             manual.
88384.........  ............  C...........  Eval molecular            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             probes, 11-50.
88384.........  TC..........  C...........  Eval molecular            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             probes, 11-50.
88384.........  26..........  C...........  Eval molecular            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             probes, 11-50.
88385.........  ............  A...........  Eval molecul              1.50        15.55        11.32            NA           NA         0.12         XXX
                                             probes, 51-250.
88385.........  TC..........  A...........  Eval molecul              0.00        15.28        10.86            NA           NA         0.06         XXX
                                             probes, 51-250.
88385.........  26..........  A...........  Eval molecul              1.50         0.27         0.46          0.27         0.46         0.06         XXX
                                             probes, 51-250.
88386.........  ............  A...........  Eval molecul              1.88        15.46        11.25            NA           NA         0.16         XXX
                                             probes, 251-500.
88386.........  TC..........  A...........  Eval molecul              0.00        15.12        10.67            NA           NA         0.08         XXX
                                             probes, 251-500.
88386.........  26..........  A...........  Eval molecul              1.88         0.34         0.58          0.34         0.58         0.08         XXX
                                             probes, 251-500.
88399.........  ............  C...........  Surgical pathology        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             procedure.
88399.........  TC..........  C...........  Surgical pathology        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             procedure.
88399.........  26..........  C...........  Surgical pathology        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             procedure.
89049.........  ............  A...........  Chct for mal              1.40         3.56         3.56          0.19         0.23         0.06         XXX
                                             hyperthermia.
89060.........  26..........  A...........  Exam,synovial             0.37         0.12         0.14          0.12         0.14         0.01         XXX
                                             fluid crystals.
89100.........  ............  A...........  Sample intestinal         0.60         7.90         4.87          0.54         0.37         0.03         XXX
                                             contents.
89105.........  ............  A...........  Sample intestinal         0.50         7.85         5.04          0.46         0.32         0.02         XXX
                                             contents.
89130.........  ............  A...........  Sample stomach            0.45         6.55         4.15          0.38         0.25         0.02         XXX
                                             contents.
89132.........  ............  A...........  Sample stomach            0.19         8.39         4.97          0.39         0.22         0.01         XXX
                                             contents.
89135.........  ............  A...........  Sample stomach            0.79         8.83         5.36          0.67         0.46         0.04         XXX
                                             contents.
89136.........  ............  A...........  Sample stomach            0.21         5.95         3.84          0.26         0.18         0.01         XXX
                                             contents.
89140.........  ............  A...........  Sample stomach            0.94         6.22         4.15          0.43         0.35         0.04         XXX
                                             contents.
89141.........  ............  A...........  Sample stomach            0.85         6.36         4.58          0.49         0.41         0.03         XXX
                                             contents.
89220.........  ............  A...........  Sputum specimen           0.00         0.37         0.40            NA           NA         0.02         XXX
                                             collection.
89230.........  ............  A...........  Collect sweat for         0.00         0.07         0.09            NA           NA         0.02         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
90284.........  ............  X...........  Human ig, sc......        0.00         0.00         0.00          0.00         0.00         0.00         XXX
90287.........  ............  I...........  Botulinum                 0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             antitoxin.
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                0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             antitoxin.
90371.........  ............  E...........  Hep b ig, im......        0.00         0.00         0.00          0.00         0.00         0.00         XXX
90375.........  ............  E...........  Rabies ig, im/sc..        0.00         0.00         0.00          0.00         0.00         0.00         XXX
90376.........  ............  E...........  Rabies ig, heat           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             treated.
90378.........  ............  X...........  Rsv ig, im, 50mg..        0.00         0.00         0.00          0.00         0.00         0.00         XXX
90379.........  ............  I...........  Rsv ig, iv........        0.00         0.00         0.00          0.00         0.00         0.00         XXX
90384.........  ............  I...........  Rh ig, full-dose,         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             im.
90385.........  ............  E...........  Rh ig, minidose,          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             im.
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          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             ig, im.
90399.........  ............  I...........  Immune globulin...        0.00         0.00         0.00          0.00         0.00         0.00         XXX
90465.........  ............  A...........  Immune admin 1            0.17         0.44         0.38            NA           NA         0.01         XXX
                                             inj, < 8 yrs.
90466.........  ............  A...........  Immune admin addl         0.15         0.12         0.12          0.04         0.08         0.01         ZZZ
                                             inj, < 8 y.
90467.........  ............  R...........  Immune admin o or         0.17         0.17         0.17          0.07         0.08         0.01         XXX
                                             n, < 8 yrs.
90468.........  ............  R...........  Immune admin o/n,         0.15         0.11         0.11          0.04         0.05         0.01         ZZZ
                                             addl < 8 y.
90471.........  ............  A...........  Immunization admin        0.17         0.44         0.38            NA           NA         0.01         XXX
90472.........  ............  A...........  Immunization              0.15         0.12         0.13          0.04         0.08         0.01         ZZZ
                                             admin, each add.
90473.........  ............  R...........  Immune admin oral/        0.17         0.17         0.18          0.04         0.06         0.01         XXX
                                             nasal.
90474.........  ............  R...........  Immune admin oral/        0.15         0.08         0.09          0.04         0.05         0.01         ZZZ
                                             nasal addl.
90476.........  ............  E...........  Adenovirus                0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             vaccine, type 4.
90477.........  ............  E...........  Adenovirus                0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             vaccine, type 7.
90581.........  ............  E...........  Anthrax vaccine,          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             sc.
90585.........  ............  E...........  Bcg vaccine,              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             percut.
90586.........  ............  E...........  Bcg vaccine,              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             intravesical.
90632.........  ............  E...........  Hep a vaccine,            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             adult im.
90633.........  ............  E...........  Hep a vacc, ped/          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             adol, 2 dose.
90634.........  ............  E...........  Hep a vacc, ped/          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             adol, 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,        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             im.
90646.........  ............  E...........  Hib vaccine, prp-         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             d, im.
90647.........  ............  E...........  Hib vaccine, prp-         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             omp, im.
90648.........  ............  E...........  Hib vaccine, prp-         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             t, im.
90649.........  ............  E...........  H papilloma vacc 3        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             dose im.
90655.........  ............  X...........  Flu vaccine no            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             preserv 6-35m.

[[Page 2681]]

 
90656.........  ............  X...........  Flu vaccine no            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             preserv 3 & >.
90657.........  ............  X...........  Flu vaccine, 3            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             yrs, im.
90658.........  ............  X...........  Flu vaccine, 3 yrs        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             & >, im.
90660.........  ............  X...........  Flu vaccine, nasal        0.00         0.00         0.00          0.00         0.00         0.00         XXX
90661.........  ............  X...........  Flu vacc cell cult        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             prsv free.
90662.........  ............  X...........  Flu vacc prsv free        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             inc antig.
90663.........  ............  X...........  Flu vacc pandemic.        0.00         0.00         0.00          0.00         0.00         0.00         XXX
90665.........  ............  E...........  Lyme disease              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             vaccine, im.
90669.........  ............  X...........  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 vacc 3          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             dose, oral.
90690.........  ............  E...........  Typhoid vaccine,          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             oral.
90691.........  ............  E...........  Typhoid vaccine,          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             im.
90692.........  ............  E...........  Typhoid vaccine, h-       0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             p, sc/id.
90693.........  ............  E...........  Typhoid vaccine,          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             akd, sc.
90698.........  ............  E...........  Dtap-hib-ip               0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             vaccine, 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,          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             im.
90704.........  ............  E...........  Mumps vaccine, sc.        0.00         0.00         0.00          0.00         0.00         0.00         XXX
90705.........  ............  E...........  Measles vaccine,          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             sc.
90706.........  ............  E...........  Rubella vaccine,          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             sc.
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,          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             sc/im.
90714.........  ............  E...........  Td vaccine no             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             prsrv >/= 7 im.
90715.........  ............  E...........  Tdap vaccine >7 im        0.00         0.00         0.00          0.00         0.00         0.00         XXX
90716.........  ............  E...........  Chicken pox               0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             vaccine, sc.
90717.........  ............  E...........  Yellow fever              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             vaccine, sc.
90718.........  ............  E...........  Td vaccine > 7, im        0.00         0.00         0.00          0.00         0.00         0.00         XXX
90719.........  ............  E...........  Diphtheria                0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             vaccine, im.
90720.........  ............  E...........  Dtp/hib vaccine,          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             im.
90721.........  ............  E...........  Dtap/hib vaccine,         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             im.
90723.........  ............  I...........  Dtap-hep b-ipv            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             vaccine, im.
90725.........  ............  E...........  Cholera vaccine,          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             injectable.
90727.........  ............  E...........  Plague vaccine, im        0.00         0.00         0.00          0.00         0.00         0.00         XXX
90732.........  ............  X...........  Pneumococcal              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             vaccine.
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              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             vaccine, sc.
90736.........  ............  E...........  Zoster vacc, sc...        0.00         0.00         0.00          0.00         0.00         0.00         XXX
90740.........  ............  X...........  Hepb vacc, ill pat        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             3 dose im.
90743.........  ............  X...........  Hep b vacc, adol,         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             2 dose, im.
90744.........  ............  X...........  Hepb vacc ped/adol        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             3 dose im.
90746.........  ............  X...........  Hep b vaccine,            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             adult, im.
90747.........  ............  X...........  Hepb vacc, ill pat        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             4 dose im.
90748.........  ............  I...........  Hep b/hib vaccine,        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             im.
90749.........  ............  E...........  Vaccine toxoid....        0.00         0.00         0.00          0.00         0.00         0.00         XXX
90760.........  ............  A...........  Hydration iv              0.17         1.32         1.37            NA           NA         0.07         XXX
                                             infusion, init.
90761.........  ............  A...........  Hydrate iv                0.09         0.32         0.36            NA           NA         0.04         ZZZ
                                             infusion, add-on.
90765.........  ............  A...........  Ther/proph/diag iv        0.21         1.62         1.69            NA           NA         0.07         XXX
                                             inf, init.
90766.........  ............  A...........  Ther/proph/dg iv          0.18         0.37         0.42            NA           NA         0.04         ZZZ
                                             inf, add-on.
90767.........  ............  A...........  Tx/proph/dg addl          0.19         0.69         0.79            NA           NA         0.04         ZZZ
                                             seq iv inf.
90768.........  ............  A...........  Ther/diag                 0.17         0.33         0.39            NA           NA         0.04         ZZZ
                                             concurrent inf.
90769.........  ............  A...........  Sc ther infusion,         0.21         3.93         3.93            NA           NA         0.06         XXX
                                             up to 1 hr.
90770.........  ............  A...........  Sc ther infusion,         0.18         0.22         0.22            NA           NA         0.04         ZZZ
                                             addl hr.
90771.........  ............  A...........  Sc ther infusion,         0.00         1.86         1.86            NA           NA         0.01         ZZZ
                                             reset pump.
90772.........  ............  A...........  Ther/proph/diag           0.17         0.44         0.38            NA           NA         0.01         XXX
                                             inj, sc/im.
90773.........  ............  A...........  Ther/proph/diag           0.17         0.30         0.31            NA           NA         0.02         XXX
                                             inj, ia.
90774.........  ............  A...........  Ther/proph/diag           0.18         1.33         1.32            NA           NA         0.04         XXX
                                             inj, iv push.
90775.........  ............  A...........  Tx/pro/dx inj new         0.10         0.51         0.54            NA           NA         0.04         ZZZ
                                             drug addon.
90776.........  ............  X...........  Tx/pro/dx inj same        0.00         0.00         0.00          0.00         0.00         0.00         ZZZ
                                             drug adon.
90779.........  ............  C...........  Ther/prop/diag inj/       0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             inf proc.
90801.........  ............  A...........  Psy dx interview..        2.80         1.49         1.33          0.60         0.76         0.06         XXX
90802.........  ............  A...........  Intac psy dx              3.01         1.54         1.37          0.68         0.83         0.07         XXX
                                             interview.
90804.........  ............  A...........  Psytx, office, 20-        1.21         0.56         0.52          0.22         0.30         0.03         XXX
                                             30 min.
90805.........  ............  A...........  Psytx, off, 20-30         1.37         0.60         0.55          0.24         0.33         0.03         XXX
                                             min w/e&m.
90806.........  ............  A...........  Psytx, off, 45-50         1.86         0.53         0.61          0.33         0.46         0.04         XXX
                                             min.

[[Page 2682]]

 
90807.........  ............  A...........  Psytx, off, 45-50         2.02         0.70         0.70          0.35         0.49         0.05         XXX
                                             min w/e&m.
90808.........  ............  A...........  Psytx, office, 75-        2.79         0.69         0.86          0.49         0.70         0.06         XXX
                                             80 min.
90809.........  ............  A...........  Psytx, off, 75-80,        2.95         0.86         0.93          0.52         0.72         0.07         XXX
                                             w/e&m.
90810.........  ............  A...........  Intac psytx, off,         1.32         0.54         0.52          0.23         0.33         0.04         XXX
                                             20-30 min.
90811.........  ............  A...........  Intac psytx, 20-          1.48         0.72         0.64          0.26         0.36         0.04         XXX
                                             30, w/e&m.
90812.........  ............  A...........  Intac psytx, off,         1.97         0.65         0.72          0.34         0.49         0.04         XXX
                                             45-50 min.
90813.........  ............  A...........  Intac psytx, 45-50        2.13         0.83         0.80          0.37         0.52         0.05         XXX
                                             min w/e&m.
90814.........  ............  A...........  Intac psytx, off,         2.90         0.81         0.95          0.53         0.75         0.06         XXX
                                             75-80 min.
90815.........  ............  A...........  Intac psytx, 75-80        3.06         0.99         1.02          0.53         0.74         0.07         XXX
                                             w/e&m.
90816.........  ............  A...........  Psytx, hosp, 20-30        1.25           NA           NA          0.33         0.39         0.03         XXX
                                             min.
90817.........  ............  A...........  Psytx, hosp, 20-30        1.41           NA           NA          0.35         0.40         0.03         XXX
                                             min w/e&m.
90818.........  ............  A...........  Psytx, hosp, 45-50        1.89           NA           NA          0.44         0.56         0.04         XXX
                                             min.
90819.........  ............  A...........  Psytx, hosp, 45-50        2.05           NA           NA          0.46         0.56         0.05         XXX
                                             min w/e&m.
90821.........  ............  A...........  Psytx, hosp, 75-80        2.83           NA           NA          0.60         0.80         0.06         XXX
                                             min.
90822.........  ............  A...........  Psytx, hosp, 75-80        2.99           NA           NA          0.63         0.79         0.08         XXX
                                             min w/e&m.
90823.........  ............  A...........  Intac psytx, hosp,        1.36           NA           NA          0.35         0.41         0.03         XXX
                                             20-30 min.
90824.........  ............  A...........  Intac psytx, hsp          1.52           NA           NA          0.37         0.43         0.04         XXX
                                             20-30 w/e&m.
90826.........  ............  A...........  Intac psytx, hosp,        2.01           NA           NA          0.46         0.59         0.05         XXX
                                             45-50 min.
90827.........  ............  A...........  Intac psytx, hsp          2.16           NA           NA          0.48         0.58         0.05         XXX
                                             45-50 w/e&m.
90828.........  ............  A...........  Intac psytx, hosp,        2.94           NA           NA          0.62         0.84         0.06         XXX
                                             75-80 min.
90829.........  ............  A...........  Intac psytx, hsp          3.10           NA           NA          0.64         0.81         0.07         XXX
                                             75-80 w/e&m.
90845.........  ............  A...........  Psychoanalysis....        1.79         0.39         0.48          0.32         0.43         0.04         XXX
90846.........  ............  R...........  Family psytx w/o          1.83         0.51         0.58          0.43         0.54         0.04         XXX
                                             patient.
90847.........  ............  R...........  Family psytx w/           2.21         0.74         0.78          0.49         0.63         0.05         XXX
                                             patient.
90849.........  ............  R...........  Multiple family           0.59         0.33         0.30          0.21         0.22         0.02         XXX
                                             group psytx.
90853.........  ............  A...........  Group                     0.59         0.26         0.26          0.20         0.21         0.01         XXX
                                             psychotherapy.
90857.........  ............  A...........  Intac group psytx.        0.63         0.38         0.33          0.21         0.23         0.01         XXX
90862.........  ............  A...........  Medication                0.95         0.62         0.51          0.27         0.29         0.02         XXX
                                             management.
90865.........  ............  A...........  Narcosynthesis....        2.84         1.17         1.26          0.63         0.77         0.12         XXX
90870.........  ............  A...........  Electroconvulsive         1.88         1.92         1.93          0.38         0.49         0.04         000
                                             therapy.
90875.........  ............  N...........  Psychophysiologica        1.20         0.53         0.71          0.28         0.37         0.04         XXX
                                             l therapy.
90876.........  ............  N...........  Psychophysiologica        1.90         0.67         0.92          0.44         0.58         0.05         XXX
                                             l therapy.
90880.........  ............  A...........  Hypnotherapy......        2.19         0.58         0.81          0.39         0.54         0.05         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         0.22         0.30          0.22         0.30         0.02         XXX
                                             records.
90887.........  ............  B...........  Consultation with         1.48         0.61         0.71          0.34         0.45         0.04         XXX
                                             family.
90889.........  ............  B...........  Preparation of            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             report.
90899.........  ............  C...........  Psychiatric               0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             service/therapy.
90901.........  ............  A...........  Biofeedback train,        0.41         0.46         0.56          0.10         0.12         0.02         000
                                             any meth.
90911.........  ............  A...........  Biofeedback peri/         0.89         1.37         1.47          0.30         0.30         0.06         000
                                             uro/rectal.
90918.........  ............  I...........  ESRD related             11.16         4.70         5.41          3.74         4.93         0.36         XXX
                                             services, month.
90919.........  ............  I...........  ESRD related              8.53         3.03         3.52          2.55         3.28         0.29         XXX
                                             services, month.
90920.........  ............  I...........  ESRD related              7.26         2.74         3.24          2.27         3.01         0.23         XXX
                                             services, month.
90921.........  ............  I...........  ESRD related              4.46         1.71         2.08          1.61         2.03         0.14         XXX
                                             services, month.
90922.........  ............  I...........  ESRD related              0.37         0.16         0.18          0.13         0.17         0.01         XXX
                                             services, day.
90923.........  ............  I...........  Esrd related              0.28         0.10         0.11          0.08         0.11         0.01         XXX
                                             services, day.
90924.........  ............  I...........  Esrd related              0.24         0.09         0.10          0.07         0.10         0.01         XXX
                                             services, day.
90925.........  ............  I...........  Esrd related              0.15         0.05         0.07          0.05         0.07         0.01         XXX
                                             services, day.
90935.........  ............  A...........  Hemodialysis, one         1.22           NA           NA          0.54         0.60         0.04         000
                                             evaluation.
90937.........  ............  A...........  Hemodialysis,             2.11           NA           NA          0.77         0.87         0.07         000
                                             repeated eval.
90940.........  ............  X...........  Hemodialysis              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             access study.
90945.........  ............  A...........  Dialysis, one             1.28           NA           NA          0.55         0.62         0.04         000
                                             evaluation.
90947.........  ............  A...........  Dialysis, repeated        2.16           NA           NA          0.79         0.89         0.07         000
                                             eval.
90989.........  ............  X...........  Dialysis training,        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             complete.
90993.........  ............  X...........  Dialysis training,        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             incompl.
90997.........  ............  A...........  Hemoperfusion.....        1.84           NA           NA          0.50         0.58         0.06         000
90999.........  ............  C...........  Dialysis procedure        0.00         0.00         0.00          0.00         0.00         0.00         XXX
91000.........  ............  A...........  Esophageal                0.73         2.13         1.23            NA           NA         0.04         000
                                             intubation.
91000.........  TC..........  A...........  Esophageal                0.00         1.91         0.99            NA           NA         0.01         000
                                             intubation.
91000.........  26..........  A...........  Esophageal                0.73         0.22         0.24          0.22         0.24         0.03         000
                                             intubation.
91010.........  ............  A...........  Esophagus motility        1.25         3.67         4.04            NA           NA         0.12         000
                                             study.
91010.........  TC..........  A...........  Esophagus motility        0.00         3.12         3.55            NA           NA         0.06         000
                                             study.
91010.........  26..........  A...........  Esophagus motility        1.25         0.55         0.49          0.55         0.49         0.06         000
                                             study.
91011.........  ............  A...........  Esophagus motility        1.50         5.38         5.30            NA           NA         0.13         000
                                             study.
91011.........  TC..........  A...........  Esophagus motility        0.00         4.66         4.68            NA           NA         0.06         000
                                             study.
91011.........  26..........  A...........  Esophagus motility        1.50         0.72         0.62          0.72         0.62         0.07         000
                                             study.
91012.........  ............  A...........  Esophagus motility        1.46         5.44         5.60            NA           NA         0.13         000
                                             study.
91012.........  TC..........  A...........  Esophagus motility        0.00         4.76         5.00            NA           NA         0.07         000
                                             study.
91012.........  26..........  A...........  Esophagus motility        1.46         0.68         0.60          0.68         0.60         0.06         000
                                             study.
91020.........  ............  A...........  Gastric motility          1.44         4.82         4.67            NA           NA         0.13         000
                                             studies.
91020.........  TC..........  A...........  Gastric motility          0.00         4.21         4.12            NA           NA         0.06         000
                                             studies.
91020.........  26..........  A...........  Gastric motility          1.44         0.61         0.55          0.61         0.55         0.07         000
                                             studies.

[[Page 2683]]

 
91022.........  ............  A...........  Duodenal motility         1.44         3.14         3.76            NA           NA         0.13         000
                                             study.
91022.........  TC..........  A...........  Duodenal motility         0.00         2.52         3.20            NA           NA         0.06         000
                                             study.
91022.........  26..........  A...........  Duodenal motility         1.44         0.62         0.56          0.62         0.56         0.07         000
                                             study.
91030.........  ............  A...........  Acid perfusion of         0.91         2.90         2.67            NA           NA         0.06         000
                                             esophagus.
91030.........  TC..........  A...........  Acid perfusion of         0.00         2.48         2.30            NA           NA         0.02         000
                                             esophagus.
91030.........  26..........  A...........  Acid perfusion of         0.91         0.42         0.37          0.42         0.37         0.04         000
                                             esophagus.
91034.........  ............  A...........  Gastroesophageal          0.97         4.15         4.69            NA           NA         0.12         000
                                             reflux test.
91034.........  TC..........  A...........  Gastroesophageal          0.00         3.73         4.31            NA           NA         0.06         000
                                             reflux test.
91034.........  26..........  A...........  Gastroesophageal          0.97         0.42         0.38          0.42         0.38         0.06         000
                                             reflux test.
91035.........  ............  A...........  G-esoph reflx tst         1.59        11.39        11.10            NA           NA         0.12         000
                                             w/electrod.
91035.........  TC..........  A...........  G-esoph reflx tst         0.00        10.69        10.47            NA           NA         0.06         000
                                             w/electrod.
91035.........  26..........  A...........  G-esoph reflx tst         1.59         0.70         0.63          0.70         0.63         0.06         000
                                             w/electrod.
91037.........  ............  A...........  Esoph imped               0.97         3.47         3.20            NA           NA         0.12         000
                                             function test.
91037.........  TC..........  A...........  Esoph imped               0.00         3.03         2.81            NA           NA         0.06         000
                                             function test.
91037.........  26..........  A...........  Esoph imped               0.97         0.44         0.39          0.44         0.39         0.06         000
                                             function test.
91038.........  ............  A...........  Esoph imped funct         1.10         2.81         2.52            NA           NA         0.12         000
                                             test > 1h.
91038.........  TC..........  A...........  Esoph imped funct         0.00         2.31         2.07            NA           NA         0.06         000
                                             test > 1h.
91038.........  26..........  A...........  Esoph imped funct         1.10         0.50         0.45          0.50         0.45         0.06         000
                                             test > 1h.
91040.........  ............  A...........  Esoph balloon             0.97         7.73         9.43            NA           NA         0.12         000
                                             distension tst.
91040.........  TC..........  A...........  Esoph balloon             0.00         7.45         9.12            NA           NA         0.06         000
                                             distension tst.
91040.........  26..........  A...........  Esoph balloon             0.97         0.28         0.31          0.28         0.31         0.06         000
                                             distension tst.
91052.........  ............  A...........  Gastric analysis          0.79         2.92         2.68            NA           NA         0.05         000
                                             test.
91052.........  TC..........  A...........  Gastric analysis          0.00         2.55         2.36            NA           NA         0.02         000
                                             test.
91052.........  26..........  A...........  Gastric analysis          0.79         0.37         0.32          0.37         0.32         0.03         000
                                             test.
91055.........  ............  A...........  Gastric intubation        0.94         2.58         2.76            NA           NA         0.07         000
                                             for smear.
91055.........  TC..........  A...........  Gastric intubation        0.00         2.29         2.48            NA           NA         0.02         000
                                             for smear.
91055.........  26..........  A...........  Gastric intubation        0.94         0.29         0.28          0.29         0.28         0.05         000
                                             for smear.
91065.........  ............  A...........  Breath hydrogen           0.20         1.34         1.40            NA           NA         0.03         000
                                             test.
91065.........  TC..........  A...........  Breath hydrogen           0.00         1.28         1.33            NA           NA         0.02         000
                                             test.
91065.........  26..........  A...........  Breath hydrogen           0.20         0.06         0.07          0.06         0.07         0.01         000
                                             test.
91100.........  ............  A...........  Pass intestine            1.08         2.14         2.47          0.32         0.30         0.07         000
                                             bleeding tube.
91105.........  ............  A...........  Gastric intubation        0.37         1.67         1.89          0.07         0.08         0.03         000
                                             treatment.
91110.........  ............  A...........  Gi tract capsule          3.64        20.66        21.42            NA           NA         0.16         XXX
                                             endoscopy.
91110.........  TC..........  A...........  Gi tract capsule          0.00        18.99        19.95            NA           NA         0.07         XXX
                                             endoscopy.
91110.........  26..........  A...........  Gi tract capsule          3.64         1.67         1.47          1.67         1.47         0.09         XXX
                                             endoscopy.
91111.........  ............  A...........  Esophageal capsule        1.00        18.84        18.84            NA           NA         0.05         XXX
                                             endoscopy.
91111.........  TC..........  A...........  Esophageal capsule        0.00        18.39        18.39            NA           NA         0.02         XXX
                                             endoscopy.
91111.........  26..........  A...........  Esophageal capsule        1.00         0.45         0.45          0.45         0.45         0.03         XXX
                                             endoscopy.
91120.........  ............  A...........  Rectal sensation          0.97         8.89         9.94            NA           NA         0.11         XXX
                                             test.
91120.........  TC..........  A...........  Rectal sensation          0.00         8.62         9.63            NA           NA         0.04         XXX
                                             test.
91120.........  26..........  A...........  Rectal sensation          0.97         0.27         0.31          0.27         0.31         0.07         XXX
                                             test.
91122.........  ............  A...........  Anal pressure             1.77         4.31         4.70            NA           NA         0.21         000
                                             record.
91122.........  TC..........  A...........  Anal pressure             0.00         3.69         4.09            NA           NA         0.08         000
                                             record.
91122.........  26..........  A...........  Anal pressure             1.77         0.62         0.61          0.62         0.61         0.13         000
                                             record.
91123.........  ............  B...........  Irrigate fecal            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             impaction.
91132.........  ............  C...........  Electrogastrograph        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             y.
91132.........  TC..........  C...........  Electrogastrograph        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             y.
91132.........  26..........  A...........  Electrogastrograph        0.52         0.25         0.22          0.25         0.22         0.02         XXX
                                             y.
91133.........  ............  C...........  Electrogastrograph        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             y w/test.
91133.........  TC..........  C...........  Electrogastrograph        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             y w/test.
91133.........  26..........  A...........  Electrogastrograph        0.66         0.32         0.28          0.32         0.28         0.03         XXX
                                             y w/test.
91299.........  ............  C...........  Gastroenterology          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             procedure.
91299.........  TC..........  C...........  Gastroenterology          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             procedure.
91299.........  26..........  C...........  Gastroenterology          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             procedure.
92002.........  ............  A...........  Eye exam, new             0.88         0.93         0.95          0.25         0.30         0.02         XXX
                                             patient.
92004.........  ............  A...........  Eye exam, new             1.82         1.57         1.63          0.55         0.62         0.04         XXX
                                             patient.
92012.........  ............  A...........  Eye exam                  0.92         0.99         1.01          0.31         0.30         0.02         XXX
                                             established pat.
92014.........  ............  A...........  Eye exam &                1.42         1.37         1.39          0.46         0.46         0.03         XXX
                                             treatment.
92015.........  ............  N...........  Refraction........        0.38         0.10         0.79          0.09         0.12         0.01         XXX
92018.........  ............  A...........  New eye exam &            2.50           NA           NA          0.86         0.96         0.07         XXX
                                             treatment.
92019.........  ............  A...........  Eye exam &                1.31           NA           NA          0.35         0.46         0.03         XXX
                                             treatment.
92020.........  ............  A...........  Special eye               0.37         0.25         0.29          0.13         0.14         0.01         XXX
                                             evaluation.
92025.........  ............  A...........  Corneal topography        0.35         0.49         0.49            NA           NA         0.02         XXX
92025.........  TC..........  A...........  Corneal topography        0.00         0.37         0.37            NA           NA         0.01         XXX
92025.........  26..........  A...........  Corneal topography        0.35         0.12         0.12          0.12         0.12         0.01         XXX
92060.........  ............  A...........  Special eye               0.69         0.76         0.75            NA           NA         0.03         XXX
                                             evaluation.
92060.........  TC..........  A...........  Special eye               0.00         0.54         0.49            NA           NA         0.01         XXX
                                             evaluation.
92060.........  26..........  A...........  Special eye               0.69         0.22         0.26          0.22         0.26         0.02         XXX
                                             evaluation.
92065.........  ............  A...........  Orthoptic/pleoptic        0.37         0.86         0.69            NA           NA         0.02         XXX
                                             training.
92065.........  TC..........  A...........  Orthoptic/pleoptic        0.00         0.77         0.57            NA           NA         0.01         XXX
                                             training.
92065.........  26..........  A...........  Orthoptic/pleoptic        0.37         0.09         0.12          0.09         0.12         0.01         XXX
                                             training.
92070.........  ............  A...........  Fitting of contact        0.70         0.90         0.99          0.22         0.27         0.02         XXX
                                             lens.

[[Page 2684]]

 
92081.........  ............  A...........  Visual field              0.36         0.95         0.95            NA           NA         0.02         XXX
                                             examination(s).
92081.........  TC..........  A...........  Visual field              0.00         0.84         0.82            NA           NA         0.01         XXX
                                             examination(s).
92081.........  26..........  A...........  Visual field              0.36         0.11         0.13          0.11         0.13         0.01         XXX
                                             examination(s).
92082.........  ............  A...........  Visual field              0.44         1.32         1.27            NA           NA         0.02         XXX
                                             examination(s).
92082.........  TC..........  A...........  Visual field              0.00         1.18         1.11            NA           NA         0.01         XXX
                                             examination(s).
92082.........  26..........  A...........  Visual field              0.44         0.14         0.16          0.14         0.16         0.01         XXX
                                             examination(s).
92083.........  ............  A...........  Visual field              0.50         1.51         1.47            NA           NA         0.02         XXX
                                             examination(s).
92083.........  TC..........  A...........  Visual field              0.00         1.35         1.28            NA           NA         0.01         XXX
                                             examination(s).
92083.........  26..........  A...........  Visual field              0.50         0.16         0.19          0.16         0.19         0.01         XXX
                                             examination(s).
92100.........  ............  A...........  Serial tonometry          0.92         1.24         1.29          0.27         0.32         0.02         XXX
                                             exam(s).
92120.........  ............  A...........  Tonography & eye          0.81         0.97         1.02          0.25         0.28         0.02         XXX
                                             evaluation.
92130.........  ............  A...........  Water provocation         0.81         1.18         1.23          0.27         0.32         0.02         XXX
                                             tonography.
92135.........  ............  A...........  Ophth dx imaging          0.35         0.79         0.79            NA           NA         0.02         XXX
                                             post seg.
92135.........  TC..........  A...........  Ophth dx imaging          0.00         0.67         0.66            NA           NA         0.01         XXX
                                             post seg.
92135.........  26..........  A...........  Ophth dx imaging          0.35         0.12         0.13          0.12         0.13         0.01         XXX
                                             post seg.
92136.........  ............  A...........  Ophthalmic                0.54         1.42         1.54            NA           NA         0.08         XXX
                                             biometry.
92136.........  TC..........  A...........  Ophthalmic                0.00         1.23         1.32            NA           NA         0.07         XXX
                                             biometry.
92136.........  26..........  A...........  Ophthalmic                0.54         0.19         0.22          0.19         0.22         0.01         XXX
                                             biometry.
92140.........  ............  A...........  Glaucoma                  0.50         0.89         0.94          0.14         0.18         0.01         XXX
                                             provocative tests.
92225.........  ............  A...........  Special eye exam,         0.38         0.24         0.23          0.12         0.14         0.01         XXX
                                             initial.
92226.........  ............  A...........  Special eye exam,         0.33         0.23         0.22          0.11         0.13         0.01         XXX
                                             subsequent.
92230.........  ............  A...........  Eye exam with             0.60         0.68         1.10          0.19         0.19         0.02         XXX
                                             photos.
92235.........  ............  A...........  Eye exam with             0.81         2.26         2.44            NA           NA         0.08         XXX
                                             photos.
92235.........  TC..........  A...........  Eye exam with             0.00         1.97         2.11            NA           NA         0.06         XXX
                                             photos.
92235.........  26..........  A...........  Eye exam with             0.81         0.29         0.33          0.29         0.33         0.02         XXX
                                             photos.
92240.........  ............  A...........  Icg angiography...        1.10         4.38         5.25            NA           NA         0.09         XXX
92240.........  TC..........  A...........  Icg angiography...        0.00         3.99         4.80            NA           NA         0.06         XXX
92240.........  26..........  A...........  Icg angiography...        1.10         0.39         0.45          0.39         0.45         0.03         XXX
92250.........  ............  A...........  Eye exam with             0.44         1.30         1.41            NA           NA         0.02         XXX
                                             photos.
92250.........  TC..........  A...........  Eye exam with             0.00         1.16         1.25            NA           NA         0.01         XXX
                                             photos.
92250.........  26..........  A...........  Eye exam with             0.44         0.14         0.16          0.14         0.16         0.01         XXX
                                             photos.
92260.........  ............  A...........  Ophthalmoscopy/           0.20         0.23         0.24          0.07         0.08         0.01         XXX
                                             dynamometry.
92265.........  ............  A...........  Eye muscle                0.81         1.00         1.24            NA           NA         0.06         XXX
                                             evaluation.
92265.........  TC..........  A...........  Eye muscle                0.00         0.76         0.98            NA           NA         0.02         XXX
                                             evaluation.
92265.........  26..........  A...........  Eye muscle                0.81         0.24         0.26          0.24         0.26         0.04         XXX
                                             evaluation.
92270.........  ............  A...........  Electro-                  0.81         1.32         1.42            NA           NA         0.05         XXX
                                             oculography.
92270.........  TC..........  A...........  Electro-                  0.00         1.09         1.14            NA           NA         0.02         XXX
                                             oculography.
92270.........  26..........  A...........  Electro-                  0.81         0.23         0.28          0.23         0.28         0.03         XXX
                                             oculography.
92275.........  ............  A...........  Electroretinograph        1.01         2.42         2.18            NA           NA         0.05         XXX
                                             y.
92275.........  TC..........  A...........  Electroretinograph        0.00         2.07         1.79            NA           NA         0.02         XXX
                                             y.
92275.........  26..........  A...........  Electroretinograph        1.01         0.35         0.39          0.35         0.39         0.03         XXX
                                             y.
92283.........  ............  A...........  Color vision              0.17         0.99         0.91            NA           NA         0.02         XXX
                                             examination.
92283.........  TC..........  A...........  Color vision              0.00         0.94         0.85            NA           NA         0.01         XXX
                                             examination.
92283.........  26..........  A...........  Color vision              0.17         0.05         0.06          0.05         0.06         0.01         XXX
                                             examination.
92284.........  ............  A...........  Dark adaptation           0.24         1.13         1.50            NA           NA         0.02         XXX
                                             eye exam.
92284.........  TC..........  A...........  Dark adaptation           0.00         1.06         1.43            NA           NA         0.01         XXX
                                             eye exam.
92284.........  26..........  A...........  Dark adaptation           0.24         0.07         0.07          0.07         0.07         0.01         XXX
                                             eye exam.
92285.........  ............  A...........  Eye photography...        0.20         0.80         0.89            NA           NA         0.02         XXX
92285.........  TC..........  A...........  Eye photography...        0.00         0.73         0.81            NA           NA         0.01         XXX
92285.........  26..........  A...........  Eye photography...        0.20         0.07         0.08          0.07         0.08         0.01         XXX
92286.........  ............  A...........  Internal eye              0.66         2.09         2.56            NA           NA         0.04         XXX
                                             photography.
92286.........  TC..........  A...........  Internal eye              0.00         1.87         2.31            NA           NA         0.02         XXX
                                             photography.
92286.........  26..........  A...........  Internal eye              0.66         0.22         0.25          0.22         0.25         0.02         XXX
                                             photography.
92287.........  ............  A...........  Internal eye              0.81         1.90         2.14          0.27         0.29         0.02         XXX
                                             photography.
92310.........  ............  N...........  Contact lens              1.17         1.06         1.09          0.27         0.36         0.04         XXX
                                             fitting.
92311.........  ............  A...........  Contact lens              1.08         1.27         1.18          0.31         0.33         0.03         XXX
                                             fitting.
92312.........  ............  A...........  Contact lens              1.26         1.45         1.27          0.33         0.42         0.03         XXX
                                             fitting.
92313.........  ............  A...........  Contact lens              0.92         1.42         1.24          0.31         0.30         0.02         XXX
                                             fitting.
92314.........  ............  N...........  Prescription of           0.69         1.14         1.04          0.16         0.21         0.01         XXX
                                             contact lens.
92315.........  ............  A...........  Prescription of           0.45         1.31         1.08          0.13         0.14         0.01         XXX
                                             contact lens.
92316.........  ............  A...........  Prescription of           0.68         1.63         1.27          0.22         0.26         0.02         XXX
                                             contact lens.
92317.........  ............  A...........  Prescription of           0.45         1.31         1.12          0.11         0.13         0.01         XXX
                                             contact lens.
92325.........  ............  A...........  Modification of           0.00         0.83         0.62            NA           NA         0.01         XXX
                                             contact lens.
92326.........  ............  A...........  Replacement of            0.00         0.73         1.18            NA           NA         0.06         XXX
                                             contact lens.
92340.........  ............  N...........  Fitting of                0.37         0.44         0.57          0.09         0.11         0.01         XXX
                                             spectacles.
92341.........  ............  N...........  Fitting of                0.47         0.46         0.60          0.11         0.14         0.01         XXX
                                             spectacles.
92342.........  ............  N...........  Fitting of                0.53         0.48         0.62          0.12         0.17         0.01         XXX
                                             spectacles.
92352.........  ............  B...........  Special spectacles        0.37         0.56         0.62          0.09         0.11         0.01         XXX
                                             fitting.
92353.........  ............  B...........  Special spectacles        0.50         0.59         0.66          0.11         0.15         0.02         XXX
                                             fitting.
92354.........  ............  B...........  Special spectacles        0.00         0.28         4.58            NA           NA         0.10         XXX
                                             fitting.
92355.........  ............  B...........  Special spectacles        0.00         0.44         2.39            NA           NA         0.01         XXX
                                             fitting.
92358.........  ............  B...........  Eye prosthesis            0.00         0.24         0.60            NA           NA         0.05         XXX
                                             service.

[[Page 2685]]

 
92370.........  ............  N...........  Repair & adjust           0.32         0.39         0.47          0.07         0.10         0.02         XXX
                                             spectacles.
92371.........  ............  B...........  Repair & adjust           0.00         0.24         0.43            NA           NA         0.02         XXX
                                             spectacles.
92499.........  ............  C...........  Eye service or            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             procedure.
92499.........  TC..........  C...........  Eye service or            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             procedure.
92499.........  26..........  C...........  Eye service or            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             procedure.
92502.........  ............  A...........  Ear and throat            1.51           NA           NA          0.90         1.01         0.05         000
                                             examination.
92504.........  ............  A...........  Ear microscopy            0.18         0.60         0.55          0.06         0.07         0.01         XXX
                                             examination.
92506.........  ............  A...........  Speech/hearing            0.86         3.50         3.05          0.28         0.34         0.03         XXX
                                             evaluation.
92507.........  ............  A...........  Speech/hearing            0.52         1.23         1.17          0.16         0.19         0.02         XXX
                                             therapy.
92508.........  ............  A...........  Speech/hearing            0.26         0.55         0.53          0.09         0.11         0.01         XXX
                                             therapy.
92511.........  ............  A...........  Nasopharyngoscopy.        0.84         3.12         3.22          0.67         0.72         0.03         000
92512.........  ............  A...........  Nasal function            0.55         1.00         1.07          0.17         0.18         0.02         XXX
                                             studies.
92516.........  ............  A...........  Facial nerve              0.43         1.23         1.21          0.14         0.18         0.01         XXX
                                             function test.
92520.........  ............  A...........  Laryngeal function        0.75         0.93         0.72          0.24         0.31         0.03         XXX
                                             studies.
92526.........  ............  A...........  Oral function             0.55         1.70         1.67          0.16         0.18         0.02         XXX
                                             therapy.
92531.........  ............  B...........  Spontaneous               0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             nystagmus study.
92532.........  ............  B...........  Positional                0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             nystagmus test.
92533.........  ............  B...........  Caloric vestibular        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             test.
92534.........  ............  B...........  Optokinetic               0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             nystagmus test.
92541.........  ............  A...........  Spontaneous               0.40         1.15         1.09            NA           NA         0.04         XXX
                                             nystagmus test.
92541.........  TC..........  A...........  Spontaneous               0.00         1.04         0.94            NA           NA         0.02         XXX
                                             nystagmus test.
92541.........  26..........  A...........  Spontaneous               0.40         0.11         0.15          0.11         0.15         0.02         XXX
                                             nystagmus test.
92542.........  ............  A...........  Positional                0.33         1.29         1.22            NA           NA         0.03         XXX
                                             nystagmus test.
92542.........  TC..........  A...........  Positional                0.00         1.20         1.09            NA           NA         0.02         XXX
                                             nystagmus test.
92542.........  26..........  A...........  Positional                0.33         0.09         0.13          0.09         0.13         0.01         XXX
                                             nystagmus test.
92543.........  ............  A...........  Caloric vestibular        0.10         0.65         0.61            NA           NA         0.02         XXX
                                             test.
92543.........  TC..........  A...........  Caloric vestibular        0.00         0.62         0.57            NA           NA         0.01         XXX
                                             test.
92543.........  26..........  A...........  Caloric vestibular        0.10         0.03         0.04          0.03         0.04         0.01         XXX
                                             test.
92544.........  ............  A...........  Optokinetic               0.26         1.03         0.97            NA           NA         0.03         XXX
                                             nystagmus test.
92544.........  TC..........  A...........  Optokinetic               0.00         0.96         0.87            NA           NA         0.02         XXX
                                             nystagmus test.
92544.........  26..........  A...........  Optokinetic               0.26         0.07         0.10          0.07         0.10         0.01         XXX
                                             nystagmus test.
92545.........  ............  A...........  Oscillating               0.23         1.00         0.90            NA           NA         0.03         XXX
                                             tracking test.
92545.........  TC..........  A...........  Oscillating               0.00         0.94         0.81            NA           NA         0.02         XXX
                                             tracking test.
92545.........  26..........  A...........  Oscillating               0.23         0.06         0.09          0.06         0.09         0.01         XXX
                                             tracking test.
92546.........  ............  A...........  Sinusoidal                0.29         1.81         1.90            NA           NA         0.03         XXX
                                             rotational test.
92546.........  TC..........  A...........  Sinusoidal                0.00         1.73         1.80            NA           NA         0.02         XXX
                                             rotational test.
92546.........  26..........  A...........  Sinusoidal                0.29         0.08         0.10          0.08         0.10         0.01         XXX
                                             rotational test.
92547.........  ............  A...........  Supplemental              0.00         0.11         0.09          0.11         0.09         0.06         ZZZ
                                             electrical test.
92548.........  ............  A...........  Posturography.....        0.50         1.70         1.98            NA           NA         0.15         XXX
92548.........  TC..........  A...........  Posturography.....        0.00         1.56         1.78            NA           NA         0.13         XXX
92548.........  26..........  A...........  Posturography.....        0.50         0.14         0.20          0.14         0.20         0.02         XXX
92551.........  ............  N...........  Pure tone hearing         0.00         0.25         0.25            NA           NA         0.01         XXX
                                             test, air.
92552.........  ............  A...........  Pure tone                 0.00         0.61         0.52            NA           NA         0.04         XXX
                                             audiometry, air.
92553.........  ............  A...........  Audiometry, air &         0.00         0.77         0.71            NA           NA         0.06         XXX
                                             bone.
92555.........  ............  A...........  Speech threshold          0.00         0.41         0.40            NA           NA         0.04         XXX
                                             audiometry.
92556.........  ............  A...........  Speech audiometry,        0.00         0.51         0.54            NA           NA         0.06         XXX
                                             complete.
92557.........  ............  A...........  Comprehensive             0.60         0.29         0.74          0.20         0.69         0.12         XXX
                                             hearing 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         0.70         0.71            NA           NA         0.06         XXX
                                             diagnosis.
92562.........  ............  A...........  Loudness balance          0.00         0.62         0.51            NA           NA         0.04         XXX
                                             test.
92563.........  ............  A...........  Tone decay hearing        0.00         0.55         0.46            NA           NA         0.04         XXX
                                             test.
92564.........  ............  A...........  Sisi hearing test.        0.00         0.48         0.47            NA           NA         0.05         XXX
92565.........  ............  A...........  Stenger test, pure        0.00         0.25         0.33            NA           NA         0.04         XXX
                                             tone.
92567.........  ............  A...........  Tympanometry......        0.20         0.13         0.33          0.07         0.29         0.06         XXX
92568.........  ............  A...........  Acoustic refl             0.29         0.10         0.24          0.09         0.24         0.04         XXX
                                             threshold tst.
92569.........  ............  A...........  Acoustic reflex           0.20         0.07         0.24          0.07         0.24         0.04         XXX
                                             decay test.
92571.........  ............  A...........  Filtered speech           0.00         0.44         0.41            NA           NA         0.04         XXX
                                             hearing test.
92572.........  ............  A...........  Staggered spondaic        0.00         0.59         0.34            NA           NA         0.01         XXX
                                             word test.
92575.........  ............  A...........  Sensorineural             0.00         1.15         0.73            NA           NA         0.02         XXX
                                             acuity test.
92576.........  ............  A...........  Synthetic sentence        0.00         0.58         0.51            NA           NA         0.05         XXX
                                             test.
92577.........  ............  A...........  Stenger test,             0.00         0.26         0.49            NA           NA         0.07         XXX
                                             speech.
92579.........  ............  A...........  Visual audiometry         0.70         0.35         0.54          0.23         0.48         0.06         XXX
                                             (vra).
92582.........  ............  A...........  Conditioning play         0.00         1.17         0.95            NA           NA         0.06         XXX
                                             audiometry.
92583.........  ............  A...........  Select picture            0.00         0.73         0.81            NA           NA         0.08         XXX
                                             audiometry.
92584.........  ............  A...........  Electrocochleograp        0.00         1.36         1.92            NA           NA         0.21         XXX
                                             hy.
92585.........  ............  A...........  Auditor evoke             0.50         2.10         2.08            NA           NA         0.17         XXX
                                             potent, compre.
92585.........  TC..........  A...........  Auditor evoke             0.00         1.95         1.90            NA           NA         0.14         XXX
                                             potent, compre.
92585.........  26..........  A...........  Auditor evoke             0.50         0.15         0.18          0.15         0.18         0.03         XXX
                                             potent, compre.
92586.........  ............  A...........  Auditor evoke             0.00         1.41         1.64            NA           NA         0.14         XXX
                                             potent, limit.
92587.........  ............  A...........  Evoked auditory           0.13         0.65         1.01            NA           NA         0.12         XXX
                                             test.
92587.........  TC..........  A...........  Evoked auditory           0.00         0.61         0.96            NA           NA         0.11         XXX
                                             test.

[[Page 2686]]

 
92587.........  26..........  A...........  Evoked auditory           0.13         0.04         0.05          0.04         0.05         0.01         XXX
                                             test.
92588.........  ............  A...........  Evoked auditory           0.36         1.12         1.38            NA           NA         0.14         XXX
                                             test.
92588.........  TC..........  A...........  Evoked auditory           0.00         1.01         1.24            NA           NA         0.13         XXX
                                             test.
92588.........  26..........  A...........  Evoked auditory           0.36         0.11         0.14          0.11         0.14         0.01         XXX
                                             test.
92590.........  ............  N...........  Hearing aid exam,         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             one 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         1.02         0.80            NA           NA         0.06         XXX
                                             evaluation.
92597.........  ............  A...........  Oral speech device        0.86         1.99         1.84          0.28         0.37         0.03         XXX
                                             eval.
92601.........  ............  A...........  Cochlear implt f/         2.30         1.09         2.29          0.64         2.07         0.07         XXX
                                             up exam < 7.
92602.........  ............  A...........  Reprogram cochlear        1.30         0.84         1.61          0.40         1.39         0.07         XXX
                                             implt < 7.
92603.........  ............  A...........  Cochlear implt f/         2.25         1.19         1.67          0.73         1.44         0.07         XXX
                                             up exam 7 >.
92604.........  ............  A...........  Reprogram cochlear        1.25         0.78         1.06          0.41         0.88         0.07         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             0.00         4.63         3.86            NA           NA         0.05         XXX
                                             device rx, 1hr.
92608.........  ............  A...........  Ex for speech             0.00         0.88         0.72            NA           NA         0.05         XXX
                                             device rx addl.
92609.........  ............  A...........  Use of speech             0.00         2.45         2.02            NA           NA         0.04         XXX
                                             device service.
92610.........  ............  A...........  Evaluate                  0.00         1.70         2.57            NA           NA         0.08         XXX
                                             swallowing
                                             function.
92611.........  ............  A...........  Motion fluoroscopy/       0.00         1.95         2.69            NA           NA         0.08         XXX
                                             swallow.
92612.........  ............  A...........  Endoscopy swallow         1.27         2.97         2.86          0.42         0.54         0.04         XXX
                                             tst (fees).
92613.........  ............  A...........  Endoscopy swallow         0.71         0.24         0.32          0.24         0.31         0.05         XXX
                                             tst (fees).
92614.........  ............  A...........  Laryngoscopic             1.27         2.42         2.46          0.42         0.54         0.04         XXX
                                             sensory test.
92615.........  ............  A...........  Eval laryngoscopy         0.63         0.21         0.28          0.21         0.28         0.05         XXX
                                             sense tst.
92616.........  ............  A...........  Fees w/laryngeal          1.88         3.16         3.28          0.61         0.80         0.06         XXX
                                             sense test.
92617.........  ............  A...........  Interprt fees/            0.79         0.26         0.35          0.26         0.35         0.05         XXX
                                             laryngeal test.
92620.........  ............  A...........  Auditory function,        0.00         1.93         1.54            NA           NA         0.06         XXX
                                             60 min.
92621.........  ............  A...........  Auditory function,        0.00         0.44         0.34            NA           NA         0.06         ZZZ
                                             + 15 min.
92625.........  ............  A...........  Tinnitus                  0.00         1.94         1.53          1.94         1.53         0.06         XXX
                                             assessment.
92626.........  ............  A...........  Eval aud rehab            0.00         2.01         2.10            NA           NA         0.06         XXX
                                             status.
92627.........  ............  A...........  Eval aud status           0.00         0.46         0.50          0.46         0.50         0.02         ZZZ
                                             rehab add-on.
92630.........  ............  I...........  Aud rehab pre-ling        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             hear loss.
92633.........  ............  I...........  Aud rehab postling        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             hear loss.
92640.........  ............  A...........  Aud brainstem             0.00         1.34         1.34          1.34         1.34         0.01         XXX
                                             implt programg.
92700.........  ............  C...........  Ent procedure/            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             service.
92950.........  ............  A...........  Heart/lung                3.79         3.25         3.72          0.77         0.87         0.28         000
                                             resuscitation cpr.
92953.........  ............  A...........  Temporary external        0.23           NA           NA          0.07         0.07         0.02         000
                                             pacing.
92960.........  ............  A...........  Cardioversion             2.25         4.37         5.34          1.45         1.31         0.07         000
                                             electric, ext.
92961.........  ............  A...........  Cardioversion,            4.59           NA           NA          2.43         2.26         0.29         000
                                             electric, int.
92970.........  ............  A...........  Cardioassist,             3.51           NA           NA          1.46         1.26         0.16         000
                                             internal.
92971.........  ............  A...........  Cardioassist,             1.77           NA           NA          1.09         0.97         0.06         000
                                             external.
92973.........  ............  A...........  Percut coronary           3.28           NA           NA          1.76         1.52         0.23         ZZZ
                                             thrombectomy.
92974.........  ............  A...........  Cath place, cardio        3.00           NA           NA          1.62         1.40         0.21         ZZZ
                                             brachytx.
92975.........  ............  A...........  Dissolve clot,            7.24           NA           NA          3.84         3.33         0.50         000
                                             heart vessel.
92977.........  ............  A...........  Dissolve clot,            0.00         1.73         4.89            NA           NA         0.46         XXX
                                             heart vessel.
92978.........  ............  C...........  Intravasc us,             0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             heart add-on.
92978.........  TC..........  C...........  Intravasc us,             0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             heart add-on.
92978.........  26..........  A...........  Intravasc us,             1.80         0.96         0.84          0.96         0.84         0.06         ZZZ
                                             heart add-on.
92979.........  ............  C...........  Intravasc us,             0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             heart add-on.
92979.........  TC..........  C...........  Intravasc us,             0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             heart add-on.
92979.........  26..........  A...........  Intravasc us,             1.44         0.77         0.67          0.77         0.67         0.06         ZZZ
                                             heart add-on.
92980.........  ............  A...........  Insert                   14.82           NA           NA          8.13         7.09         1.03         000
                                             intracoronary
                                             stent.
92981.........  ............  A...........  Insert                    4.16           NA           NA          2.23         1.93         0.29         ZZZ
                                             intracoronary
                                             stent.
92982.........  ............  A...........  Coronary artery          10.96           NA           NA          6.06         5.29         0.76         000
                                             dilation.
92984.........  ............  A...........  Coronary artery           2.97           NA           NA          1.58         1.37         0.21         ZZZ
                                             dilation.
92986.........  ............  A...........  Revision of aortic       22.70           NA           NA         15.34        13.59         1.51         090
                                             valve.
92987.........  ............  A...........  Revision of mitral       23.48           NA           NA         15.96        14.09         1.59         090
                                             valve.
92990.........  ............  A...........  Revision of              18.12           NA           NA         11.34        10.57         1.20         090
                                             pulmonary 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                 12.07           NA           NA          6.65         5.80         0.84         000
                                             atherectomy.
92996.........  ............  A...........  Coronary                  3.26           NA           NA          1.76         1.51         0.10         ZZZ
                                             atherectomy add-
                                             on.
92997.........  ............  A...........  Pul art balloon          11.98           NA           NA          5.61         5.22         0.40         000
                                             repr, percut.
92998.........  ............  A...........  Pul art balloon           5.99           NA           NA          3.00         2.60         0.28         ZZZ
                                             repr, percut.
93000.........  ............  A...........  Electrocardiogram,        0.17         0.35         0.42            NA           NA         0.03         XXX
                                             complete.
93005.........  ............  A...........  Electrocardiogram,        0.00         0.28         0.36            NA           NA         0.02         XXX
                                             tracing.
93010.........  ............  A...........  Electrocardiogram         0.17         0.07         0.06          0.07         0.06         0.01         XXX
                                             report.
93012.........  ............  A...........  Transmission of           0.00         4.17         5.09            NA           NA         0.18         XXX
                                             ecg.
93014.........  ............  A...........  Report on                 0.52         0.22         0.21          0.22         0.21         0.02         XXX
                                             transmitted ecg.

[[Page 2687]]

 
93015.........  ............  A...........  Cardiovascular            0.75         1.91         1.94            NA           NA         0.14         XXX
                                             stress test.
93016.........  ............  A...........  Cardiovascular            0.45         0.22         0.20          0.22         0.20         0.02         XXX
                                             stress test.
93017.........  ............  A...........  Cardiovascular            0.00         1.54         1.61            NA           NA         0.11         XXX
                                             stress test.
93018.........  ............  A...........  Cardiovascular            0.30         0.15         0.13          0.15         0.13         0.01         XXX
                                             stress test.
93024.........  ............  A...........  Cardiac drug              1.17         2.40         1.98            NA           NA         0.12         XXX
                                             stress test.
93024.........  TC..........  A...........  Cardiac drug              0.00         1.82         1.47            NA           NA         0.08         XXX
                                             stress test.
93024.........  26..........  A...........  Cardiac drug              1.17         0.58         0.51          0.58         0.51         0.04         XXX
                                             stress test.
93025.........  ............  A...........  Microvolt t-wave          0.75         3.93         5.77            NA           NA         0.14         XXX
                                             assess.
93025.........  TC..........  A...........  Microvolt t-wave          0.00         3.55         5.43            NA           NA         0.11         XXX
                                             assess.
93025.........  26..........  A...........  Microvolt t-wave          0.75         0.38         0.34          0.38         0.34         0.03         XXX
                                             assess.
93040.........  ............  A...........  Rhythm ECG with           0.16         0.19         0.20            NA           NA         0.02         XXX
                                             report.
93041.........  ............  A...........  Rhythm ECG,               0.00         0.14         0.15            NA           NA         0.01         XXX
                                             tracing.
93042.........  ............  A...........  Rhythm ECG, report        0.16         0.05         0.05          0.05         0.05         0.01         XXX
93224.........  ............  A...........  ECG monitor/              0.52         2.31         2.97            NA           NA         0.24         XXX
                                             report, 24 hrs.
93225.........  ............  A...........  ECG monitor/              0.00         0.85         1.05            NA           NA         0.08         XXX
                                             record, 24 hrs.
93226.........  ............  A...........  ECG monitor/              0.00         1.19         1.69            NA           NA         0.14         XXX
                                             report, 24 hrs.
93227.........  ............  A...........  ECG monitor/              0.52         0.27         0.23          0.27         0.23         0.02         XXX
                                             review, 24 hrs.
93230.........  ............  A...........  ECG monitor/              0.52         2.30         3.10            NA           NA         0.26         XXX
                                             report, 24 hrs.
93231.........  ............  A...........  Ecg monitor/              0.00         0.72         1.12            NA           NA         0.11         XXX
                                             record, 24 hrs.
93232.........  ............  A...........  ECG monitor/              0.00         1.35         1.77            NA           NA         0.13         XXX
                                             report, 24 hrs.
93233.........  ............  A...........  ECG monitor/              0.52         0.23         0.21          0.23         0.21         0.02         XXX
                                             review, 24 hrs.
93235.........  ............  C...........  ECG monitor/              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             report, 24 hrs.
93236.........  ............  C...........  ECG monitor/              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             report, 24 hrs.
93237.........  ............  A...........  ECG monitor/              0.45         0.22         0.19          0.22         0.19         0.02         XXX
                                             review, 24 hrs.
93268.........  ............  A...........  ECG record/review.        0.52         5.79         6.61            NA           NA         0.28         XXX
93270.........  ............  A...........  ECG recording.....        0.00         0.29         0.76            NA           NA         0.08         XXX
93271.........  ............  A...........  Ecg/monitoring and        0.00         5.28         5.65            NA           NA         0.18         XXX
                                             analysis.
93272.........  ............  A...........  Ecg/review,               0.52         0.22         0.20          0.22         0.20         0.02         XXX
                                             interpret only.
93278.........  ............  A...........  ECG/signal-               0.25         0.62         0.93            NA           NA         0.12         XXX
                                             averaged.
93278.........  TC..........  A...........  ECG/signal-               0.00         0.52         0.83            NA           NA         0.11         XXX
                                             averaged.
93278.........  26..........  A...........  ECG/signal-               0.25         0.10         0.10          0.10         0.10         0.01         XXX
                                             averaged.
93303.........  ............  A...........  Echo transthoracic        1.30         4.50         4.41            NA           NA         0.27         XXX
93303.........  TC..........  A...........  Echo transthoracic        0.00         3.97         3.91            NA           NA         0.23         XXX
93303.........  26..........  A...........  Echo transthoracic        1.30         0.53         0.50          0.53         0.50         0.04         XXX
93304.........  ............  A...........  Echo transthoracic        0.75         3.10         2.67            NA           NA         0.15         XXX
93304.........  TC..........  A...........  Echo transthoracic        0.00         2.80         2.38            NA           NA         0.13         XXX
93304.........  26..........  A...........  Echo transthoracic        0.75         0.30         0.29          0.30         0.29         0.02         XXX
93307.........  ............  A...........  Echo exam of heart        0.92         3.73         3.97            NA           NA         0.26         XXX
93307.........  TC..........  A...........  Echo exam of heart        0.00         3.28         3.57            NA           NA         0.23         XXX
93307.........  26..........  A...........  Echo exam of heart        0.92         0.45         0.40          0.45         0.40         0.03         XXX
93308.........  ............  A...........  Echo exam of heart        0.53         2.62         2.38            NA           NA         0.15         XXX
93308.........  TC..........  A...........  Echo exam of heart        0.00         2.35         2.15            NA           NA         0.13         XXX
93308.........  26..........  A...........  Echo exam of heart        0.53         0.27         0.23          0.27         0.23         0.02         XXX
93312.........  ............  A...........  Echo                      2.20         7.39         5.98            NA           NA         0.37         XXX
                                             transesophageal.
93312.........  TC..........  A...........  Echo                      0.00         6.42         5.10            NA           NA         0.29         XXX
                                             transesophageal.
93312.........  26..........  A...........  Echo                      2.20         0.97         0.88          0.97         0.88         0.08         XXX
                                             transesophageal.
93313.........  ............  A...........  Echo                      0.95           NA           NA          0.12         0.17         0.06         XXX
                                             transesophageal.
93314.........  ............  A...........  Echo                      1.25         7.22         5.73            NA           NA         0.33         XXX
                                             transesophageal.
93314.........  TC..........  A...........  Echo                      0.00         6.66         5.22            NA           NA         0.29         XXX
                                             transesophageal.
93314.........  26..........  A...........  Echo                      1.25         0.56         0.51          0.56         0.51         0.04         XXX
                                             transesophageal.
93315.........  ............  C...........  Echo                      0.00         0.00         0.00            NA           NA         0.00         XXX
                                             transesophageal.
93315.........  TC..........  C...........  Echo                      0.00         0.00         0.00            NA           NA         0.00         XXX
                                             transesophageal.
93315.........  26..........  A...........  Echo                      2.78         1.31         1.16          1.31         1.16         0.09         XXX
                                             transesophageal.
93316.........  ............  A...........  Echo                      0.95           NA           NA          0.26         0.25         0.05         XXX
                                             transesophageal.
93317.........  ............  C...........  Echo                      0.00         0.00         0.00            NA           NA         0.00         XXX
                                             transesophageal.
93317.........  TC..........  C...........  Echo                      0.00         0.00         0.00            NA           NA         0.00         XXX
                                             transesophageal.
93317.........  26..........  A...........  Echo                      1.83         0.55         0.61          0.55         0.61         0.08         XXX
                                             transesophageal.
93318.........  ............  C...........  Echo                      0.00         0.00         0.00            NA           NA         0.00         XXX
                                             transesophageal
                                             intraop.
93318.........  TC..........  C...........  Echo                      0.00         0.00         0.00            NA           NA         0.00         XXX
                                             transesophageal
                                             intraop.
93318.........  26..........  A...........  Echo                      2.20         0.86         0.67          0.86         0.67         0.14         XXX
                                             transesophageal
                                             intraop.
93320.........  ............  A...........  Doppler echo exam,        0.38         1.67         1.77            NA           NA         0.13         ZZZ
                                             heart.
93320.........  TC..........  A...........  Doppler echo exam,        0.00         1.49         1.60            NA           NA         0.12         ZZZ
                                             heart.
93320.........  26..........  A...........  Doppler echo exam,        0.38         0.18         0.17          0.18         0.17         0.01         ZZZ
                                             heart.
93321.........  ............  A...........  Doppler echo exam,        0.15         0.61         0.89            NA           NA         0.09         ZZZ
                                             heart.
93321.........  TC..........  A...........  Doppler echo exam,        0.00         0.54         0.82            NA           NA         0.08         ZZZ
                                             heart.
93321.........  26..........  A...........  Doppler echo exam,        0.15         0.07         0.07          0.07         0.07         0.01         ZZZ
                                             heart.
93325.........  ............  A...........  Doppler color flow        0.07         0.66         1.80            NA           NA         0.22         ZZZ
                                             add-on.
93325.........  TC..........  A...........  Doppler color flow        0.00         0.63         1.77            NA           NA         0.21         ZZZ
                                             add-on.
93325.........  26..........  A...........  Doppler color flow        0.07         0.03         0.03          0.03         0.03         0.01         ZZZ
                                             add-on.
93350.........  ............  A...........  Echo transthoracic        1.48         5.09         3.71            NA           NA         0.18         XXX
93350.........  TC..........  A...........  Echo transthoracic        0.00         4.33         3.05            NA           NA         0.13         XXX
93350.........  26..........  A...........  Echo transthoracic        1.48         0.76         0.66          0.76         0.66         0.05         XXX

[[Page 2688]]

 
93501.........  ............  A...........  Right heart               3.02        18.71        18.39            NA           NA         1.27         000
                                             catheterization.
93501.........  TC..........  A...........  Right heart               0.00        17.14        17.03            NA           NA         1.06         000
                                             catheterization.
93501.........  26..........  A...........  Right heart               3.02         1.57         1.36          1.57         1.36         0.21         000
                                             catheterization.
93503.........  ............  A...........  Insert/place heart        2.91           NA           NA            NA           NA         0.20         000
                                             catheter.
93505.........  ............  A...........  Biopsy of heart           4.37        20.92        12.29            NA           NA         0.46         000
                                             lining.
93505.........  TC..........  A...........  Biopsy of heart           0.00        18.64        10.31            NA           NA         0.16         000
                                             lining.
93505.........  26..........  A...........  Biopsy of heart           4.37         2.28         1.98          2.28         1.98         0.30         000
                                             lining.
93508.........  ............  A...........  Cath placement,           4.09        28.85        21.78            NA           NA         0.93         000
                                             angiography.
93508.........  TC..........  A...........  Cath placement,           0.00        26.68        19.65            NA           NA         0.65         000
                                             angiography.
93508.........  26..........  A...........  Cath placement,           4.09         2.17         2.13          2.17         2.13         0.28         000
                                             angiography.
93510.........  ............  A...........  Left heart                4.32        28.15        33.65            NA           NA         2.61         000
                                             catheterization.
93510.........  TC..........  A...........  Left heart                0.00        25.87        31.42            NA           NA         2.31         000
                                             catheterization.
93510.........  26..........  A...........  Left heart                4.32         2.28         2.23          2.28         2.23         0.30         000
                                             catheterization.
93511.........  ............  C...........  Left heart                0.00           NA           NA            NA           NA         0.00         000
                                             catheterization.
93511.........  TC..........  C...........  Left heart                0.00           NA           NA            NA           NA         0.00         000
                                             catheterization.
93511.........  26..........  A...........  Left heart                5.02         2.65         2.55          2.65         2.55         0.35         000
                                             catheterization.
93514.........  ............  C...........  Left heart                0.00           NA           NA            NA           NA         0.00         000
                                             catheterization.
93514.........  TC..........  C...........  Left heart                0.00           NA           NA            NA           NA         0.00         000
                                             catheterization.
93514.........  26..........  A...........  Left heart                7.04         2.95         3.04          2.95         3.04         0.49         000
                                             catheterization.
93524.........  ............  C...........  Left heart                0.00           NA           NA            NA           NA         0.00         000
                                             catheterization.
93524.........  TC..........  C...........  Left heart                0.00           NA           NA            NA           NA         0.00         000
                                             catheterization.
93524.........  26..........  A...........  Left heart                6.94         3.78         3.47          3.78         3.47         0.48         000
                                             catheterization.
93526.........  ............  A...........  Rt & Lt heart             5.98        35.14        43.04            NA           NA         3.46         000
                                             catheters.
93526.........  TC..........  A...........  Rt & Lt heart             0.00        31.97        40.05            NA           NA         3.04         000
                                             catheters.
93526.........  26..........  A...........  Rt & Lt heart             5.98         3.17         2.99          3.17         2.99         0.42         000
                                             catheters.
93527.........  ............  C...........  Rt & Lt heart             0.00           NA           NA            NA           NA         0.00         000
                                             catheters.
93527.........  TC..........  C...........  Rt & Lt heart             0.00           NA           NA            NA           NA         0.00         000
                                             catheters.
93527.........  26..........  A...........  Rt & Lt heart             7.27         3.86         3.59          3.86         3.59         0.51         000
                                             catheters.
93528.........  ............  C...........  Rt & Lt heart             0.00           NA           NA            NA           NA         0.00         000
                                             catheters.
93528.........  TC..........  C...........  Rt & Lt heart             0.00           NA           NA            NA           NA         0.00         000
                                             catheters.
93528.........  26..........  A...........  Rt & Lt heart             8.99         4.43         4.23          4.43         4.23         0.62         000
                                             catheters.
93529.........  ............  C...........  Rt, lt heart              0.00           NA           NA            NA           NA         0.00         000
                                             catheterization.
93529.........  TC..........  C...........  Rt, lt heart              0.00           NA           NA            NA           NA         0.00         000
                                             catheterization.
93529.........  26..........  A...........  Rt, lt heart              4.79         2.58         2.43          2.58         2.43         0.33         000
                                             catheterization.
93530.........  ............  C...........  Rt heart cath,            0.00           NA           NA            NA           NA         0.00         000
                                             congenital.
93530.........  TC..........  C...........  Rt heart cath,            0.00           NA           NA            NA           NA         0.00         000
                                             congenital.
93530.........  26..........  A...........  Rt heart cath,            4.22         1.84         1.89          1.84         1.89         0.29         000
                                             congenital.
93531.........  ............  C...........  R & l heart cath,         0.00           NA           NA            NA           NA         0.00         000
                                             congenital.
93531.........  TC..........  C...........  R & l heart cath,         0.00           NA           NA            NA           NA         0.00         000
                                             congenital.
93531.........  26..........  A...........  R & l heart cath,         8.34         3.57         3.58          3.57         3.58         0.58         000
                                             congenital.
93532.........  ............  C...........  R & l heart cath,         0.00           NA           NA            NA           NA         0.00         000
                                             congenital.
93532.........  TC..........  C...........  R & l heart cath,         0.00           NA           NA            NA           NA         0.00         000
                                             congenital.
93532.........  26..........  A...........  R & l heart cath,         9.99         3.66         3.95          3.66         3.95         0.69         000
                                             congenital.
93533.........  ............  C...........  R & l heart cath,         0.00           NA           NA            NA           NA         0.00         000
                                             congenital.
93533.........  TC..........  C...........  R & l heart cath,         0.00           NA           NA            NA           NA         0.00         000
                                             congenital.
93533.........  26..........  A...........  R & l heart cath,         6.69         3.16         2.98          3.16         2.98         0.47         000
                                             congenital.
93539.........  ............  A...........  Injection, cardiac        0.40         2.47         1.31          0.21         0.19         0.01         000
                                             cath.
93540.........  ............  A...........  Injection, cardiac        0.43         8.62         4.39          0.23         0.20         0.01         000
                                             cath.
93541.........  ............  A...........  Injection for lung        0.29         0.15         0.13          0.15         0.13         0.01         000
                                             angiogram.
93542.........  ............  A...........  Injection for             0.29         5.19         2.65          0.15         0.13         0.01         000
                                             heart x-rays.
93543.........  ............  A...........  Injection for             0.29         2.62         1.37          0.16         0.13         0.01         000
                                             heart x-rays.
93544.........  ............  A...........  Injection for             0.25         1.84         0.97          0.13         0.12         0.01         000
                                             aortography.
93545.........  ............  A...........  Inject for                0.40         5.87         3.01          0.21         0.19         0.01         000
                                             coronary x-rays.
93555.........  ............  A...........  Imaging, cardiac          0.81         0.60         3.59            NA           NA         0.37         XXX
                                             cath.
93555.........  TC..........  A...........  Imaging, cardiac          0.00         0.17         3.22            NA           NA         0.34         XXX
                                             cath.
93555.........  26..........  A...........  Imaging, cardiac          0.81         0.43         0.37          0.43         0.37         0.03         XXX
                                             cath.
93556.........  ............  A...........  Imaging, cardiac          0.83         0.88         5.55            NA           NA         0.54         XXX
                                             cath.
93556.........  TC..........  A...........  Imaging, cardiac          0.00         0.44         5.17            NA           NA         0.51         XXX
                                             cath.
93556.........  26..........  A...........  Imaging, cardiac          0.83         0.44         0.38          0.44         0.38         0.03         XXX
                                             cath.
93561.........  ............  C...........  Cardiac output            0.00           NA           NA            NA           NA         0.00         000
                                             measurement.
93561.........  TC..........  C...........  Cardiac output            0.00           NA           NA            NA           NA         0.00         000
                                             measurement.
93561.........  26..........  A...........  Cardiac output            0.50         0.14         0.15          0.14         0.15         0.02         000
                                             measurement.
93562.........  ............  C...........  Cardiac output            0.00           NA           NA            NA           NA         0.00         000
                                             measurement.
93562.........  TC..........  C...........  Cardiac output            0.00           NA           NA            NA           NA         0.00         000
                                             measurement.
93562.........  26..........  A...........  Cardiac output            0.16         0.03         0.04          0.03         0.04         0.01         000
                                             measurement.
93571.........  ............  C...........  Heart flow reserve        0.00           NA           NA            NA           NA         0.00         ZZZ
                                             measure.
93571.........  TC..........  C...........  Heart flow reserve        0.00           NA           NA            NA           NA         0.00         ZZZ
                                             measure.
93571.........  26..........  A...........  Heart flow reserve        1.80         0.96         0.82          0.96         0.82         0.06         ZZZ
                                             measure.
93572.........  ............  C...........  Heart flow reserve        0.00           NA           NA            NA           NA         0.00         ZZZ
                                             measure.
93572.........  TC..........  C...........  Heart flow reserve        0.00           NA           NA            NA           NA         0.00         ZZZ
                                             measure.
93572.........  26..........  A...........  Heart flow reserve        1.44         0.74         0.62          0.74         0.62         0.04         ZZZ
                                             measure.
93580.........  ............  A...........  Transcath closure        17.97           NA           NA          9.41         8.40         1.25         000
                                             of asd.

[[Page 2689]]

 
93581.........  ............  A...........  Transcath closure        24.39           NA           NA         11.56        10.48         1.72         000
                                             of vsd.
93600.........  ............  C...........  Bundle of His             0.00         0.00         0.00            NA           NA         0.00         000
                                             recording.
93600.........  TC..........  C...........  Bundle of His             0.00         0.00         0.00            NA           NA         0.00         000
                                             recording.
93600.........  26..........  A...........  Bundle of His             2.12         1.09         0.96          1.09         0.96         0.16         000
                                             recording.
93602.........  ............  C...........  Intra-atrial              0.00         0.00         0.00            NA           NA         0.00         000
                                             recording.
93602.........  TC..........  C...........  Intra-atrial              0.00         0.00         0.00            NA           NA         0.00         000
                                             recording.
93602.........  26..........  A...........  Intra-atrial              2.12         1.04         0.93          1.04         0.93         0.17         000
                                             recording.
93603.........  ............  C...........  Right ventricular         0.00         0.00         0.00            NA           NA         0.00         000
                                             recording.
93603.........  TC..........  C...........  Right ventricular         0.00         0.00         0.00            NA           NA         0.00         000
                                             recording.
93603.........  26..........  A...........  Right ventricular         2.12         1.04         0.92          1.04         0.92         0.18         000
                                             recording.
93609.........  ............  C...........  Map tachycardia,          0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             add-on.
93609.........  TC..........  C...........  Map tachycardia,          0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             add-on.
93609.........  26..........  A...........  Map tachycardia,          4.99         2.61         2.29          2.61         2.29         0.35         ZZZ
                                             add-on.
93610.........  ............  C...........  Intra-atrial              0.00         0.00         0.00            NA           NA         0.00         000
                                             pacing.
93610.........  TC..........  C...........  Intra-atrial              0.00         0.00         0.00            NA           NA         0.00         000
                                             pacing.
93610.........  26..........  A...........  Intra-atrial              3.02         1.47         1.31          1.47         1.31         0.24         000
                                             pacing.
93612.........  ............  C...........  Intraventricular          0.00         0.00         0.00            NA           NA         0.00         000
                                             pacing.
93612.........  TC..........  C...........  Intraventricular          0.00         0.00         0.00            NA           NA         0.00         000
                                             pacing.
93612.........  26..........  A...........  Intraventricular          3.02         1.43         1.29          1.43         1.29         0.25         000
                                             pacing.
93613.........  ............  A...........  Electrophys map           6.99           NA           NA          3.69         3.23         0.49         ZZZ
                                             3d, add-on.
93615.........  ............  C...........  Esophageal                0.00         0.00         0.00            NA           NA         0.00         000
                                             recording.
93615.........  TC..........  C...........  Esophageal                0.00         0.00         0.00            NA           NA         0.00         000
                                             recording.
93615.........  26..........  A...........  Esophageal                0.99         0.54         0.40          0.54         0.40         0.03         000
                                             recording.
93616.........  ............  C...........  Esophageal                0.00         0.00         0.00            NA           NA         0.00         000
                                             recording.
93616.........  TC..........  C...........  Esophageal                0.00         0.00         0.00            NA           NA         0.00         000
                                             recording.
93616.........  26..........  A...........  Esophageal                1.49         0.26         0.35          0.26         0.35         0.09         000
                                             recording.
93618.........  ............  C...........  Heart rhythm              0.00         0.00         0.00            NA           NA         0.00         000
                                             pacing.
93618.........  TC..........  C...........  Heart rhythm              0.00         0.00         0.00            NA           NA         0.00         000
                                             pacing.
93618.........  26..........  A...........  Heart rhythm              4.25         2.28         1.97          2.28         1.97         0.30         000
                                             pacing.
93619.........  ............  C...........  Electrophysiology         0.00         0.00         0.00            NA           NA         0.00         000
                                             evaluation.
93619.........  TC..........  C...........  Electrophysiology         0.00         0.00         0.00            NA           NA         0.00         000
                                             evaluation.
93619.........  26..........  A...........  Electrophysiology         7.31         3.87         3.53          3.87         3.53         0.51         000
                                             evaluation.
93620.........  ............  C...........  Electrophysiology         0.00         0.00         0.00            NA           NA         0.00         000
                                             evaluation.
93620.........  TC..........  C...........  Electrophysiology         0.00         0.00         0.00            NA           NA         0.00         000
                                             evaluation.
93620.........  26..........  A...........  Electrophysiology        11.57         6.09         5.46          6.09         5.46         0.80         000
                                             evaluation.
93621.........  ............  C...........  Electrophysiology         0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             evaluation.
93621.........  TC..........  C...........  Electrophysiology         0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             evaluation.
93621.........  26..........  A...........  Electrophysiology         2.10         1.10         0.96          1.10         0.96         0.15         ZZZ
                                             evaluation.
93622.........  ............  C...........  Electrophysiology         0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             evaluation.
93622.........  TC..........  C...........  Electrophysiology         0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             evaluation.
93622.........  26..........  A...........  Electrophysiology         3.10         1.57         1.39          1.57         1.39         0.22         ZZZ
                                             evaluation.
93623.........  ............  C...........  Stimulation,              0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             pacing heart.
93623.........  TC..........  C...........  Stimulation,              0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             pacing heart.
93623.........  26..........  A...........  Stimulation,              2.85         1.50         1.30          1.50         1.30         0.20         ZZZ
                                             pacing heart.
93624.........  ............  C...........  Electrophysiologic        0.00         0.00         0.00            NA           NA         0.00         000
                                             study.
93624.........  TC..........  C...........  Electrophysiologic        0.00         0.00         0.00            NA           NA         0.00         000
                                             study.
93624.........  26..........  A...........  Electrophysiologic        4.80         2.60         2.40          2.60         2.40         0.33         000
                                             study.
93631.........  ............  C...........  Heart pacing,             0.00         0.00         0.00            NA           NA         0.00         000
                                             mapping.
93631.........  TC..........  C...........  Heart pacing,             0.00         0.00         0.00            NA           NA         0.00         000
                                             mapping.
93631.........  26..........  A...........  Heart pacing,             7.59         2.75         2.76          2.75         2.76         0.97         000
                                             mapping.
93640.........  ............  C...........  Evaluation heart          0.00         0.00         0.00            NA           NA         0.00         000
                                             device.
93640.........  TC..........  C...........  Evaluation heart          0.00         0.00         0.00            NA           NA         0.00         000
                                             device.
93640.........  26..........  A...........  Evaluation heart          3.51         1.82         1.59          1.82         1.59         0.24         000
                                             device.
93641.........  ............  C...........  Electrophysiology         0.00         0.00         0.00            NA           NA         0.00         000
                                             evaluation.
93641.........  TC..........  C...........  Electrophysiology         0.00         0.00         0.00            NA           NA         0.00         000
                                             evaluation.
93641.........  26..........  A...........  Electrophysiology         5.92         3.11         2.71          3.11         2.71         0.41         000
                                             evaluation.
93642.........  ............  C...........  Electrophysiology         0.00         0.00         0.00            NA           NA         0.00         000
                                             evaluation.
93642.........  TC..........  A...........  Electrophysiology         0.00         4.77         5.97            NA           NA         0.42         000
                                             evaluation.
93642.........  26..........  A...........  Electrophysiology         4.88         2.60         2.41          2.60         2.41         0.15         000
                                             evaluation.
93650.........  ............  A...........  Ablate heart             10.49           NA           NA          5.80         5.12         0.73         000
                                             dysrhythm focus.
93651.........  ............  A...........  Ablate heart             16.23           NA           NA          8.53         7.43         1.13         000
                                             dysrhythm focus.
93652.........  ............  A...........  Ablate heart             17.65           NA           NA          9.35         8.12         1.23         000
                                             dysrhythm focus.
93660.........  ............  A...........  Tilt table                1.89         3.01         2.71            NA           NA         0.08         000
                                             evaluation.
93660.........  TC..........  A...........  Tilt table                0.00         2.04         1.86            NA           NA         0.02         000
                                             evaluation.
93660.........  26..........  A...........  Tilt table                1.89         0.97         0.85          0.97         0.85         0.06         000
                                             evaluation.
93662.........  ............  C...........  Intracardiac ecg          0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             (ice).
93662.........  TC..........  C...........  Intracardiac ecg          0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             (ice).
93662.........  26..........  A...........  Intracardiac ecg          2.80         1.47         1.29          1.47         1.29         0.09         ZZZ
                                             (ice).
93668.........  ............  N...........  Peripheral                0.00         0.41         0.41            NA           NA         0.01         XXX
                                             vascular rehab.
93701.........  ............  A...........  Bioimpedance,             0.17         0.70         0.84            NA           NA         0.02         XXX
                                             thoracic.
93701.........  TC..........  A...........  Bioimpedance,             0.00         0.64         0.77            NA           NA         0.01         XXX
                                             thoracic.
93701.........  26..........  A...........  Bioimpedance,             0.17         0.06         0.07          0.06         0.07         0.01         XXX
                                             thoracic.

[[Page 2690]]

 
93720.........  ............  A...........  Total body                0.17         1.17         0.97            NA           NA         0.07         XXX
                                             plethysmography.
93721.........  ............  A...........  Plethysmography           0.00         1.13         0.92            NA           NA         0.06         XXX
                                             tracing.
93722.........  ............  A...........  Plethysmography           0.17         0.04         0.05          0.04         0.05         0.01         XXX
                                             report.
93724.........  ............  A...........  Analyze pacemaker         4.88         3.23         4.55            NA           NA         0.39         000
                                             system.
93724.........  TC..........  A...........  Analyze pacemaker         0.00         0.88         2.42            NA           NA         0.24         000
                                             system.
93724.........  26..........  A...........  Analyze pacemaker         4.88         2.35         2.13          2.35         2.13         0.15         000
                                             system.
93727.........  ............  A...........  Analyze ilr system        0.52         0.64         0.42          0.64         0.42         0.02         XXX
93731.........  ............  A...........  Analyze pacemaker         0.45         0.79         0.72            NA           NA         0.05         XXX
                                             system.
93731.........  TC..........  A...........  Analyze pacemaker         0.00         0.55         0.52            NA           NA         0.04         XXX
                                             system.
93731.........  26..........  A...........  Analyze pacemaker         0.45         0.24         0.20          0.24         0.20         0.01         XXX
                                             system.
93732.........  ............  A...........  Analyze pacemaker         0.92         1.15         1.01            NA           NA         0.07         XXX
                                             system.
93732.........  TC..........  A...........  Analyze pacemaker         0.00         0.67         0.59            NA           NA         0.04         XXX
                                             system.
93732.........  26..........  A...........  Analyze pacemaker         0.92         0.48         0.42          0.48         0.42         0.03         XXX
                                             system.
93733.........  ............  A...........  Telephone analy,          0.17         0.93         0.86            NA           NA         0.07         XXX
                                             pacemaker.
93733.........  TC..........  A...........  Telephone analy,          0.00         0.85         0.79            NA           NA         0.06         XXX
                                             pacemaker.
93733.........  26..........  A...........  Telephone analy,          0.17         0.08         0.07          0.08         0.07         0.01         XXX
                                             pacemaker.
93734.........  ............  A...........  Analyze pacemaker         0.38         0.69         0.60            NA           NA         0.03         XXX
                                             system.
93734.........  TC..........  A...........  Analyze pacemaker         0.00         0.50         0.43            NA           NA         0.02         XXX
                                             system.
93734.........  26..........  A...........  Analyze pacemaker         0.38         0.19         0.17          0.19         0.17         0.01         XXX
                                             system.
93735.........  ............  A...........  Analyze pacemaker         0.74         0.96         0.84            NA           NA         0.06         XXX
                                             system.
93735.........  TC..........  A...........  Analyze pacemaker         0.00         0.57         0.51            NA           NA         0.04         XXX
                                             system.
93735.........  26..........  A...........  Analyze pacemaker         0.74         0.39         0.33          0.39         0.33         0.02         XXX
                                             system.
93736.........  ............  A...........  Telephonic analy,         0.15         0.91         0.79            NA           NA         0.07         XXX
                                             pacemaker.
93736.........  TC..........  A...........  Telephonic analy,         0.00         0.84         0.73            NA           NA         0.06         XXX
                                             pacemaker.
93736.........  26..........  A...........  Telephonic analy,         0.15         0.07         0.06          0.07         0.06         0.01         XXX
                                             pacemaker.
93740.........  ............  B...........  Temperature               0.16         0.04         0.11            NA           NA         0.02         XXX
                                             gradient studies.
93740.........  TC..........  B...........  Temperature               0.00         0.00         0.07            NA           NA         0.01         XXX
                                             gradient studies.
93740.........  26..........  B...........  Temperature               0.16         0.04         0.04          0.04         0.04         0.01         XXX
                                             gradient studies.
93741.........  ............  A...........  Analyze ht pace           0.80         1.02         0.99            NA           NA         0.07         XXX
                                             device sngl.
93741.........  TC..........  A...........  Analyze ht pace           0.00         0.60         0.63            NA           NA         0.04         XXX
                                             device sngl.
93741.........  26..........  A...........  Analyze ht pace           0.80         0.42         0.36          0.42         0.36         0.03         XXX
                                             device sngl.
93742.........  ............  A...........  Analyze ht pace           0.91         1.15         1.09            NA           NA         0.07         XXX
                                             device sngl.
93742.........  TC..........  A...........  Analyze ht pace           0.00         0.67         0.67            NA           NA         0.04         XXX
                                             device sngl.
93742.........  26..........  A...........  Analyze ht pace           0.91         0.48         0.42          0.48         0.42         0.03         XXX
                                             device sngl.
93743.........  ............  A...........  Analyze ht pace           1.03         1.19         1.16            NA           NA         0.07         XXX
                                             device dual.
93743.........  TC..........  A...........  Analyze ht pace           0.00         0.64         0.69            NA           NA         0.04         XXX
                                             device dual.
93743.........  26..........  A...........  Analyze ht pace           1.03         0.55         0.47          0.55         0.47         0.03         XXX
                                             device dual.
93744.........  ............  A...........  Analyze ht pace           1.18         1.35         1.23            NA           NA         0.08         XXX
                                             device dual.
93744.........  TC..........  A...........  Analyze ht pace           0.00         0.72         0.69            NA           NA         0.04         XXX
                                             device dual.
93744.........  26..........  A...........  Analyze ht pace           1.18         0.63         0.54          0.63         0.54         0.04         XXX
                                             device dual.
93745.........  ............  C...........  Set-up cardiovert-        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             defibrill.
93745.........  TC..........  C...........  Set-up cardiovert-        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             defibrill.
93745.........  26..........  C...........  Set-up cardiovert-        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             defibrill.
93760.........  ............  N...........  Cephalic                  0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             thermogram.
93762.........  ............  N...........  Peripheral                0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             thermogram.
93770.........  ............  B...........  Measure venous            0.16         0.04         0.05            NA           NA         0.02         XXX
                                             pressure.
93770.........  TC..........  B...........  Measure venous            0.00         0.00         0.01            NA           NA         0.01         XXX
                                             pressure.
93770.........  26..........  B...........  Measure venous            0.16         0.04         0.04          0.04         0.04         0.01         XXX
                                             pressure.
93784.........  ............  A...........  Ambulatory BP             0.38         1.39         1.47            NA           NA         0.03         XXX
                                             monitoring.
93786.........  ............  A...........  Ambulatory BP             0.00         0.81         0.86            NA           NA         0.01         XXX
                                             recording.
93788.........  ............  A...........  Ambulatory BP             0.00         0.45         0.48            NA           NA         0.01         XXX
                                             analysis.
93790.........  ............  A...........  Review/report BP          0.38         0.13         0.13          0.13         0.13         0.01         XXX
                                             recording.
93797.........  ............  A...........  Cardiac rehab.....        0.18         0.32         0.31          0.09         0.08         0.01         000
93798.........  ............  A...........  Cardiac rehab/            0.28         0.44         0.45          0.13         0.12         0.01         000
                                             monitor.
93799.........  ............  C...........  Cardiovascular            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             procedure.
93799.........  TC..........  C...........  Cardiovascular            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             procedure.
93799.........  26..........  C...........  Cardiovascular            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             procedure.
93875.........  ............  A...........  Extracranial study        0.22         2.55         2.44            NA           NA         0.12         XXX
93875.........  TC..........  A...........  Extracranial study        0.00         2.48         2.37            NA           NA         0.11         XXX
93875.........  26..........  A...........  Extracranial study        0.22         0.07         0.07          0.07         0.07         0.01         XXX
93880.........  ............  A...........  Extracranial study        0.60         6.16         5.85            NA           NA         0.39         XXX
93880.........  TC..........  A...........  Extracranial study        0.00         5.95         5.65            NA           NA         0.35         XXX
93880.........  26..........  A...........  Extracranial study        0.60         0.21         0.20          0.21         0.20         0.04         XXX
93882.........  ............  A...........  Extracranial study        0.40         4.12         3.82            NA           NA         0.26         XXX
93882.........  TC..........  A...........  Extracranial study        0.00         4.01         3.69            NA           NA         0.22         XXX
93882.........  26..........  A...........  Extracranial study        0.40         0.11         0.13          0.11         0.13         0.04         XXX
93886.........  ............  A...........  Intracranial study        0.94         7.03         6.88            NA           NA         0.45         XXX
93886.........  TC..........  A...........  Intracranial study        0.00         6.75         6.56            NA           NA         0.39         XXX
93886.........  26..........  A...........  Intracranial study        0.94         0.28         0.32          0.28         0.32         0.06         XXX
93888.........  ............  A...........  Intracranial study        0.62         4.92         4.57            NA           NA         0.32         XXX
93888.........  TC..........  A...........  Intracranial study        0.00         4.72         4.36            NA           NA         0.27         XXX
93888.........  26..........  A...........  Intracranial study        0.62         0.20         0.21          0.20         0.21         0.05         XXX

[[Page 2691]]

 
93890.........  ............  A...........  Tcd,                      1.00         6.44         5.68            NA           NA         0.45         XXX
                                             vasoreactivity
                                             study.
93890.........  TC..........  A...........  Tcd,                      0.00         6.13         5.32            NA           NA         0.39         XXX
                                             vasoreactivity
                                             study.
93890.........  26..........  A...........  Tcd,                      1.00         0.31         0.36          0.31         0.36         0.06         XXX
                                             vasoreactivity
                                             study.
93892.........  ............  A...........  Tcd, emboli detect        1.15         6.85         6.00            NA           NA         0.45         XXX
                                             w/o inj.
93892.........  TC..........  A...........  Tcd, emboli detect        0.00         6.53         5.61            NA           NA         0.39         XXX
                                             w/o inj.
93892.........  26..........  A...........  Tcd, emboli detect        1.15         0.32         0.39          0.32         0.39         0.06         XXX
                                             w/o inj.
93893.........  ............  A...........  Tcd, emboli detect        1.15         7.00         6.01            NA           NA         0.45         XXX
                                             w/inj.
93893.........  TC..........  A...........  Tcd, emboli detect        0.00         6.67         5.62            NA           NA         0.39         XXX
                                             w/inj.
93893.........  26..........  A...........  Tcd, emboli detect        1.15         0.33         0.39          0.33         0.39         0.06         XXX
                                             w/inj.
93922.........  ............  A...........  Extremity study...        0.25         3.11         2.90            NA           NA         0.15         XXX
93922.........  TC..........  A...........  Extremity study...        0.00         3.03         2.82            NA           NA         0.13         XXX
93922.........  26..........  A...........  Extremity study...        0.25         0.08         0.08          0.08         0.08         0.02         XXX
93923.........  ............  A...........  Extremity study...        0.45         4.68         4.35            NA           NA         0.26         XXX
93923.........  TC..........  A...........  Extremity study...        0.00         4.54         4.21            NA           NA         0.22         XXX
93923.........  26..........  A...........  Extremity study...        0.45         0.14         0.14          0.14         0.14         0.04         XXX
93924.........  ............  A...........  Extremity study...        0.50         5.94         5.36            NA           NA         0.30         XXX
93924.........  TC..........  A...........  Extremity study...        0.00         5.77         5.19            NA           NA         0.25         XXX
93924.........  26..........  A...........  Extremity study...        0.50         0.17         0.17          0.17         0.17         0.05         XXX
93925.........  ............  A...........  Lower extremity           0.58         8.02         7.40            NA           NA         0.39         XXX
                                             study.
93925.........  TC..........  A...........  Lower extremity           0.00         7.83         7.21            NA           NA         0.35         XXX
                                             study.
93925.........  26..........  A...........  Lower extremity           0.58         0.19         0.19          0.19         0.19         0.04         XXX
                                             study.
93926.........  ............  A...........  Lower extremity           0.39         5.14         4.60            NA           NA         0.27         XXX
                                             study.
93926.........  TC..........  A...........  Lower extremity           0.00         5.03         4.48            NA           NA         0.23         XXX
                                             study.
93926.........  26..........  A...........  Lower extremity           0.39         0.11         0.12          0.11         0.12         0.04         XXX
                                             study.
93930.........  ............  A...........  Upper extremity           0.46         6.25         5.80            NA           NA         0.41         XXX
                                             study.
93930.........  TC..........  A...........  Upper extremity           0.00         6.10         5.65            NA           NA         0.37         XXX
                                             study.
93930.........  26..........  A...........  Upper extremity           0.46         0.15         0.15          0.15         0.15         0.04         XXX
                                             study.
93931.........  ............  A...........  Upper extremity           0.31         4.18         3.83            NA           NA         0.27         XXX
                                             study.
93931.........  TC..........  A...........  Upper extremity           0.00         4.08         3.73            NA           NA         0.24         XXX
                                             study.
93931.........  26..........  A...........  Upper extremity           0.31         0.10         0.10          0.10         0.10         0.03         XXX
                                             study.
93965.........  ............  A...........  Extremity study...        0.35         3.01         2.90            NA           NA         0.14         XXX
93965.........  TC..........  A...........  Extremity study...        0.00         2.90         2.79            NA           NA         0.12         XXX
93965.........  26..........  A...........  Extremity study...        0.35         0.11         0.11          0.11         0.11         0.02         XXX
93970.........  ............  A...........  Extremity study...        0.68         6.20         5.73            NA           NA         0.46         XXX
93970.........  TC..........  A...........  Extremity study...        0.00         5.99         5.51            NA           NA         0.40         XXX
93970.........  26..........  A...........  Extremity study...        0.68         0.21         0.22          0.21         0.22         0.06         XXX
93971.........  ............  A...........  Extremity study...        0.45         4.07         3.83            NA           NA         0.30         XXX
93971.........  TC..........  A...........  Extremity study...        0.00         3.92         3.68            NA           NA         0.27         XXX
93971.........  26..........  A...........  Extremity study...        0.45         0.15         0.15          0.15         0.15         0.03         XXX
93975.........  ............  A...........  Vascular study....        1.80         8.46         8.04            NA           NA         0.56         XXX
93975.........  TC..........  A...........  Vascular study....        0.00         7.83         7.43            NA           NA         0.43         XXX
93975.........  26..........  A...........  Vascular study....        1.80         0.63         0.61          0.63         0.61         0.13         XXX
93976.........  ............  A...........  Vascular study....        1.21         4.58         4.45            NA           NA         0.35         XXX
93976.........  TC..........  A...........  Vascular study....        0.00         4.16         4.04            NA           NA         0.30         XXX
93976.........  26..........  A...........  Vascular study....        1.21         0.42         0.41          0.42         0.41         0.05         XXX
93978.........  ............  A...........  Vascular study....        0.65         6.03         5.28            NA           NA         0.43         XXX
93978.........  TC..........  A...........  Vascular study....        0.00         5.82         5.06            NA           NA         0.37         XXX
93978.........  26..........  A...........  Vascular study....        0.65         0.21         0.22          0.21         0.22         0.06         XXX
93979.........  ............  A...........  Vascular study....        0.44         4.16         3.69            NA           NA         0.27         XXX
93979.........  TC..........  A...........  Vascular study....        0.00         4.02         3.54            NA           NA         0.24         XXX
93979.........  26..........  A...........  Vascular study....        0.44         0.14         0.15          0.14         0.15         0.03         XXX
93980.........  ............  A...........  Penile vascular           1.25         3.48         3.16            NA           NA         0.42         XXX
                                             study.
93980.........  TC..........  A...........  Penile vascular           0.00         3.02         2.73            NA           NA         0.34         XXX
                                             study.
93980.........  26..........  A...........  Penile vascular           1.25         0.46         0.43          0.46         0.43         0.08         XXX
                                             study.
93981.........  ............  A...........  Penile vascular           0.44         2.84         2.86            NA           NA         0.33         XXX
                                             study.
93981.........  TC..........  A...........  Penile vascular           0.00         2.68         2.71            NA           NA         0.31         XXX
                                             study.
93981.........  26..........  A...........  Penile vascular           0.44         0.16         0.15          0.16         0.15         0.02         XXX
                                             study.
93982.........  ............  R...........  Aneurysm pressure         0.30         0.80         0.80            NA           NA         0.01         XXX
                                             sens study.
93990.........  ............  A...........  Doppler flow              0.25         5.22         4.61            NA           NA         0.26         XXX
                                             testing.
93990.........  TC..........  A...........  Doppler flow              0.00         5.16         4.53            NA           NA         0.23         XXX
                                             testing.
93990.........  26..........  A...........  Doppler flow              0.25         0.06         0.08          0.06         0.08         0.03         XXX
                                             testing.
94002.........  ............  A...........  Vent mgmt inpat,          1.99           NA           NA          0.35         0.34         0.09         XXX
                                             init day.
94003.........  ............  A...........  Vent mgmt inpat,          1.37           NA           NA          0.32         0.32         0.06         XXX
                                             subq day.
94004.........  ............  A...........  Vent mgmt nf per          1.00           NA           NA          0.23         0.23         0.04         XXX
                                             day.
94005.........  ............  B...........  Home vent mgmt            1.50         0.70         0.70            NA           NA         0.06         XXX
                                             supervision.
94010.........  ............  A...........  Breathing capacity        0.17         0.74         0.71            NA           NA         0.03         XXX
                                             test.
94010.........  TC..........  A...........  Breathing capacity        0.00         0.70         0.66            NA           NA         0.02         XXX
                                             test.
94010.........  26..........  A...........  Breathing capacity        0.17         0.04         0.05          0.04         0.05         0.01         XXX
                                             test.
94014.........  ............  A...........  Patient recorded          0.52         0.81         0.78            NA           NA         0.03         XXX
                                             spirometry.
94015.........  ............  A...........  Patient recorded          0.00         0.67         0.63            NA           NA         0.01         XXX
                                             spirometry.
94016.........  ............  A...........  Review patient            0.52         0.14         0.15          0.14         0.15         0.02         XXX
                                             spirometry.
94060.........  ............  A...........  Evaluation of             0.31         1.32         1.19            NA           NA         0.07         XXX
                                             wheezing.

[[Page 2692]]

 
94060.........  TC..........  A...........  Evaluation of             0.00         1.24         1.11            NA           NA         0.06         XXX
                                             wheezing.
94060.........  26..........  A...........  Evaluation of             0.31         0.08         0.08          0.08         0.08         0.01         XXX
                                             wheezing.
94070.........  ............  A...........  Evaluation of             0.60         1.00         0.90            NA           NA         0.13         XXX
                                             wheezing.
94070.........  TC..........  A...........  Evaluation of             0.00         0.85         0.74            NA           NA         0.10         XXX
                                             wheezing.
94070.........  26..........  A...........  Evaluation of             0.60         0.15         0.16          0.15         0.16         0.03         XXX
                                             wheezing.
94150.........  ............  B...........  Vital capacity            0.07         0.48         0.47            NA           NA         0.02         XXX
                                             test.
94150.........  TC..........  B...........  Vital capacity            0.00         0.46         0.45            NA           NA         0.01         XXX
                                             test.
94150.........  26..........  B...........  Vital capacity            0.07         0.02         0.02          0.02         0.02         0.01         XXX
                                             test.
94200.........  ............  A...........  Lung function test        0.11         0.51         0.47            NA           NA         0.03         XXX
                                             (MBC/MVV).
94200.........  TC..........  A...........  Lung function test        0.00         0.48         0.44            NA           NA         0.02         XXX
                                             (MBC/MVV).
94200.........  26..........  A...........  Lung function test        0.11         0.03         0.03          0.03         0.03         0.01         XXX
                                             (MBC/MVV).
94240.........  ............  A...........  Residual lung             0.26         0.82         0.74            NA           NA         0.06         XXX
                                             capacity.
94240.........  TC..........  A...........  Residual lung             0.00         0.76         0.67            NA           NA         0.05         XXX
                                             capacity.
94240.........  26..........  A...........  Residual lung             0.26         0.06         0.07          0.06         0.07         0.01         XXX
                                             capacity.
94250.........  ............  A...........  Expired gas               0.11         0.51         0.58            NA           NA         0.02         XXX
                                             collection.
94250.........  TC..........  A...........  Expired gas               0.00         0.48         0.55            NA           NA         0.01         XXX
                                             collection.
94250.........  26..........  A...........  Expired gas               0.11         0.03         0.03          0.03         0.03         0.01         XXX
                                             collection.
94260.........  ............  A...........  Thoracic gas              0.13         0.76         0.66            NA           NA         0.05         XXX
                                             volume.
94260.........  TC..........  A...........  Thoracic gas              0.00         0.73         0.63            NA           NA         0.04         XXX
                                             volume.
94260.........  26..........  A...........  Thoracic gas              0.13         0.03         0.03          0.03         0.03         0.01         XXX
                                             volume.
94350.........  ............  A...........  Lung nitrogen             0.26         0.61         0.69            NA           NA         0.05         XXX
                                             washout curve.
94350.........  TC..........  A...........  Lung nitrogen             0.00         0.55         0.62            NA           NA         0.04         XXX
                                             washout curve.
94350.........  26..........  A...........  Lung nitrogen             0.26         0.06         0.07          0.06         0.07         0.01         XXX
                                             washout curve.
94360.........  ............  A...........  Measure airflow           0.26         0.95         0.82            NA           NA         0.07         XXX
                                             resistance.
94360.........  TC..........  A...........  Measure airflow           0.00         0.89         0.75            NA           NA         0.06         XXX
                                             resistance.
94360.........  26..........  A...........  Measure airflow           0.26         0.06         0.07          0.06         0.07         0.01         XXX
                                             resistance.
94370.........  ............  A...........  Breath airway             0.26         0.60         0.66            NA           NA         0.03         XXX
                                             closing volume.
94370.........  TC..........  A...........  Breath airway             0.00         0.53         0.59            NA           NA         0.02         XXX
                                             closing volume.
94370.........  26..........  A...........  Breath airway             0.26         0.07         0.07          0.07         0.07         0.01         XXX
                                             closing volume.
94375.........  ............  A...........  Respiratory flow          0.31         0.73         0.66            NA           NA         0.03         XXX
                                             volume loop.
94375.........  TC..........  A...........  Respiratory flow          0.00         0.65         0.58            NA           NA         0.02         XXX
                                             volume loop.
94375.........  26..........  A...........  Respiratory flow          0.31         0.08         0.08          0.08         0.08         0.01         XXX
                                             volume loop.
94400.........  ............  A...........  CO2 breathing             0.40         1.03         0.94            NA           NA         0.09         XXX
                                             response curve.
94400.........  TC..........  A...........  CO2 breathing             0.00         0.93         0.83            NA           NA         0.06         XXX
                                             response curve.
94400.........  26..........  A...........  CO2 breathing             0.40         0.10         0.11          0.10         0.11         0.03         XXX
                                             response curve.
94450.........  ............  A...........  Hypoxia response          0.40         1.01         0.92            NA           NA         0.04         XXX
                                             curve.
94450.........  TC..........  A...........  Hypoxia response          0.00         0.92         0.82            NA           NA         0.02         XXX
                                             curve.
94450.........  26..........  A...........  Hypoxia response          0.40         0.09         0.10          0.09         0.10         0.02         XXX
                                             curve.
94452.........  ............  A...........  Hast w/report.....        0.31         1.27         1.14            NA           NA         0.04         XXX
94452.........  TC..........  A...........  Hast w/report.....        0.00         1.20         1.06            NA           NA         0.02         XXX
94452.........  26..........  A...........  Hast w/report.....        0.31         0.07         0.08          0.07         0.08         0.02         XXX
94453.........  ............  A...........  Hast w/oxygen             0.40         1.69         1.60            NA           NA         0.04         XXX
                                             titrate.
94453.........  TC..........  A...........  Hast w/oxygen             0.00         1.59         1.49            NA           NA         0.02         XXX
                                             titrate.
94453.........  26..........  A...........  Hast w/oxygen             0.40         0.10         0.11          0.10         0.11         0.02         XXX
                                             titrate.
94610.........  ............  A...........  Surfactant admin          1.16         0.34         0.34          0.34         0.34         0.26         XXX
                                             thru tube.
94620.........  ............  A...........  Pulmonary stress          0.64         0.79         1.64            NA           NA         0.13         XXX
                                             test/simple.
94620.........  TC..........  A...........  Pulmonary stress          0.00         0.63         1.46            NA           NA         0.10         XXX
                                             test/simple.
94620.........  26..........  A...........  Pulmonary stress          0.64         0.16         0.18          0.16         0.18         0.03         XXX
                                             test/simple.
94621.........  ............  A...........  Pulm stress test/         1.42         3.18         2.69            NA           NA         0.16         XXX
                                             complex.
94621.........  TC..........  A...........  Pulm stress test/         0.00         2.73         2.25            NA           NA         0.10         XXX
                                             complex.
94621.........  26..........  A...........  Pulm stress test/         1.42         0.45         0.44          0.45         0.44         0.06         XXX
                                             complex.
94640.........  ............  A...........  Airway inhalation         0.00         0.38         0.34            NA           NA         0.02         XXX
                                             treatment.
94642.........  ............  C...........  Aerosol inhalation        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             treatment.
94644.........  ............  A...........  Cbt, 1st hour.....        0.00         0.96         0.96            NA           NA         0.02         XXX
94645.........  ............  A...........  Cbt, each addl            0.00         0.35         0.35            NA           NA         0.02         XXX
                                             hour.
94660.........  ............  A...........  Pos airway                0.76         0.81         0.73          0.19         0.21         0.04         XXX
                                             pressure, CPAP.
94662.........  ............  A...........  Neg press                 0.76           NA           NA          0.20         0.21         0.03         XXX
                                             ventilation, cnp.
94664.........  ............  A...........  Evaluate pt use of        0.00         0.40         0.36            NA           NA         0.04         XXX
                                             inhaler.
94667.........  ............  A...........  Chest wall                0.00         0.54         0.53            NA           NA         0.05         XXX
                                             manipulation.
94668.........  ............  A...........  Chest wall                0.00         0.51         0.48            NA           NA         0.02         XXX
                                             manipulation.
94680.........  ............  A...........  Exhaled air               0.26         1.06         1.46            NA           NA         0.07         XXX
                                             analysis, o2.
94680.........  TC..........  A...........  Exhaled air               0.00         1.00         1.39            NA           NA         0.06         XXX
                                             analysis, o2.
94680.........  26..........  A...........  Exhaled air               0.26         0.06         0.07          0.06         0.07         0.01         XXX
                                             analysis, o2.
94681.........  ............  A...........  Exhaled air               0.20         1.07         1.79            NA           NA         0.13         XXX
                                             analysis, o2/co2.
94681.........  TC..........  A...........  Exhaled air               0.00         1.02         1.74            NA           NA         0.12         XXX
                                             analysis, o2/co2.
94681.........  26..........  A...........  Exhaled air               0.20         0.05         0.05          0.05         0.05         0.01         XXX
                                             analysis, o2/co2.
94690.........  ............  A...........  Exhaled air               0.07         1.04         1.52            NA           NA         0.05         XXX
                                             analysis.
94690.........  TC..........  A...........  Exhaled air               0.00         1.02         1.50            NA           NA         0.04         XXX
                                             analysis.
94690.........  26..........  A...........  Exhaled air               0.07         0.02         0.02          0.02         0.02         0.01         XXX
                                             analysis.
94720.........  ............  A...........  Monoxide diffusing        0.26         1.15         1.08            NA           NA         0.07         XXX
                                             capacity.
94720.........  TC..........  A...........  Monoxide diffusing        0.00         1.09         1.01            NA           NA         0.06         XXX
                                             capacity.
94720.........  26..........  A...........  Monoxide diffusing        0.26         0.06         0.07          0.06         0.07         0.01         XXX
                                             capacity.

[[Page 2693]]

 
94725.........  ............  A...........  Membrane diffusion        0.26         0.98         1.94            NA           NA         0.13         XXX
                                             capacity.
94725.........  TC..........  A...........  Membrane diffusion        0.00         0.91         1.87            NA           NA         0.12         XXX
                                             capacity.
94725.........  26..........  A...........  Membrane diffusion        0.26         0.07         0.07          0.07         0.07         0.01         XXX
                                             capacity.
94750.........  ............  A...........  Pulmonary                 0.23         1.77         1.55            NA           NA         0.05         XXX
                                             compliance study.
94750.........  TC..........  A...........  Pulmonary                 0.00         1.71         1.49            NA           NA         0.04         XXX
                                             compliance study.
94750.........  26..........  A...........  Pulmonary                 0.23         0.06         0.06          0.06         0.06         0.01         XXX
                                             compliance study.
94760.........  ............  T...........  Measure blood             0.00         0.06         0.05            NA           NA         0.02         XXX
                                             oxygen level.
94761.........  ............  T...........  Measure blood             0.00         0.11         0.09            NA           NA         0.06         XXX
                                             oxygen level.
94762.........  ............  A...........  Measure blood             0.00         0.84         0.66            NA           NA         0.10         XXX
                                             oxygen level.
94770.........  ............  A...........  Exhaled carbon            0.15         0.81         0.78            NA           NA         0.08         XXX
                                             dioxide test.
94770.........  TC..........  A...........  Exhaled carbon            0.00         0.77         0.74            NA           NA         0.07         XXX
                                             dioxide test.
94770.........  26..........  A...........  Exhaled carbon            0.15         0.04         0.04          0.04         0.04         0.01         XXX
                                             dioxide test.
94772.........  ............  C...........  Breath recording,         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             infant.
94772.........  TC..........  C...........  Breath recording,         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             infant.
94772.........  26..........  C...........  Breath recording,         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             infant.
94774.........  ............  C...........  Ped home apnea            0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             rec, compl.
94775.........  ............  C...........  Ped home apnea            0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             rec, hk-up.
94776.........  ............  C...........  Ped home apnea            0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             rec, downld.
94777.........  ............  C...........  Ped home apnea            0.00         0.00         0.00          0.00         0.00         0.00         YYY
                                             rec, report.
94799.........  ............  C...........  Pulmonary service/        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             procedure.
94799.........  TC..........  C...........  Pulmonary service/        0.00         0.00         0.00            NA           NA         0.00         XXX
                                             procedure.
94799.........  26..........  C...........  Pulmonary service/        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             procedure.
95004.........  ............  A...........  Percut allergy            0.01         0.15         0.13            NA           NA         0.01         XXX
                                             skin tests.
95010.........  ............  A...........  Percut allergy            0.15         0.31         0.32            NA           NA         0.01         XXX
                                             titrate test.
95012.........  ............  A...........  Exhaled nitric            0.00         0.49         0.49            NA           NA         0.01         XXX
                                             oxide meas.
95015.........  ............  A...........  Id allergy titrate-       0.15         0.21         0.18            NA           NA         0.01         XXX
                                             drug/bug.
95024.........  ............  A...........  Id allergy test,          0.01         0.17         0.16            NA           NA         0.01         XXX
                                             drug/bug.
95027.........  ............  A...........  Id allergy titrate-       0.01         0.10         0.12            NA           NA         0.01         XXX
                                             airborne.
95028.........  ............  A...........  Id allergy test-          0.00         0.31         0.27            NA           NA         0.01         XXX
                                             delayed type.
95044.........  ............  A...........  Allergy patch             0.00         0.15         0.18            NA           NA         0.01         XXX
                                             tests.
95052.........  ............  A...........  Photo patch test..        0.00         0.16         0.20            NA           NA         0.01         XXX
95056.........  ............  A...........  Photosensitivity          0.00         1.25         0.71            NA           NA         0.01         XXX
                                             tests.
95060.........  ............  A...........  Eye allergy tests.        0.00         0.73         0.54          0.73         0.54         0.02         XXX
95065.........  ............  A...........  Nose allergy test.        0.00         0.70         0.45          0.70         0.45         0.01         XXX
95070.........  ............  A...........  Bronchial allergy         0.00         0.81         1.55            NA           NA         0.02         XXX
                                             tests.
95071.........  ............  A...........  Bronchial allergy         0.00         0.98         1.95            NA           NA         0.02         XXX
                                             tests.
95075.........  ............  A...........  Ingestion                 0.95         0.68         0.75          0.26         0.32         0.03         XXX
                                             challenge test.
95115.........  ............  A...........  Immunotherapy, one        0.00         0.23         0.31            NA           NA         0.02         XXX
                                             injection.
95117.........  ............  A...........  Immunotherapy             0.00         0.28         0.39            NA           NA         0.02         XXX
                                             injections.
95120.........  ............  I...........  Immunotherapy, one        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             injection.
95125.........  ............  I...........  Immunotherapy,            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             many antigens.
95130.........  ............  I...........  Immunotherapy,            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             insect venom.
95131.........  ............  I...........  Immunotherapy,            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             insect venoms.
95132.........  ............  I...........  Immunotherapy,            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             insect venoms.
95133.........  ............  I...........  Immunotherapy,            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             insect venoms.
95134.........  ............  I...........  Immunotherapy,            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             insect venoms.
95144.........  ............  A...........  Antigen therapy           0.06         0.27         0.23          0.02         0.02         0.01         XXX
                                             services.
95145.........  ............  A...........  Antigen therapy           0.06         0.36         0.34          0.02         0.02         0.01         XXX
                                             services.
95146.........  ............  A...........  Antigen therapy           0.06         0.68         0.56          0.02         0.02         0.01         XXX
                                             services.
95147.........  ............  A...........  Antigen therapy           0.06         0.66         0.54          0.02         0.02         0.01         XXX
                                             services.
95148.........  ............  A...........  Antigen therapy           0.06         0.98         0.78          0.02         0.02         0.01         XXX
                                             services.
95149.........  ............  A...........  Antigen therapy           0.06         1.30         1.05          0.02         0.02         0.01         XXX
                                             services.
95165.........  ............  A...........  Antigen therapy           0.06         0.26         0.23          0.02         0.02         0.01         XXX
                                             services.
95170.........  ............  A...........  Antigen therapy           0.06         0.20         0.17          0.02         0.02         0.01         XXX
                                             services.
95180.........  ............  A...........  Rapid                     2.01         1.66         1.85          0.77         0.85         0.04         XXX
                                             desensitization.
95199.........  ............  C...........  Allergy immunology        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             services.
95250.........  ............  A...........  Glucose                   0.00         3.50         3.80            NA           NA         0.01         XXX
                                             monitoring, cont.
95251.........  ............  A...........  Gluc monitor,             0.85         0.26         0.22          0.26         0.22         0.02         XXX
                                             cont, phys i&r.
95805.........  ............  A...........  Multiple sleep            1.88         7.02        12.14            NA           NA         0.43         XXX
                                             latency test.
95805.........  TC..........  A...........  Multiple sleep            0.00         6.51        11.56            NA           NA         0.34         XXX
                                             latency test.
95805.........  26..........  A...........  Multiple sleep            1.88         0.51         0.58          0.51         0.58         0.09         XXX
                                             latency test.
95806.........  ............  A...........  Sleep study,              1.66         3.93         3.64            NA           NA         0.39         XXX
                                             unattended.
95806.........  TC..........  A...........  Sleep study,              0.00         3.46         3.13            NA           NA         0.31         XXX
                                             unattended.
95806.........  26..........  A...........  Sleep study,              1.66         0.47         0.51          0.47         0.51         0.08         XXX
                                             unattended.
95807.........  ............  A...........  Sleep study,              1.66        12.31        12.08            NA           NA         0.50         XXX
                                             attended.
95807.........  TC..........  A...........  Sleep study,              0.00        11.90        11.61            NA           NA         0.42         XXX
                                             attended.
95807.........  26..........  A...........  Sleep study,              1.66         0.41         0.47          0.41         0.47         0.08         XXX
                                             attended.
95808.........  ............  A...........  Polysomnography, 1-       2.65        15.76        14.48            NA           NA         0.55         XXX
                                             3.
95808.........  TC..........  A...........  Polysomnography, 1-       0.00        15.06        13.67            NA           NA         0.42         XXX
                                             3.
95808.........  26..........  A...........  Polysomnography, 1-       2.65         0.70         0.81          0.70         0.81         0.13         XXX
                                             3.
95810.........  ............  A...........  Polysomnography, 4        3.52        17.70        17.60            NA           NA         0.59         XXX
                                             or more.
95810.........  TC..........  A...........  Polysomnography, 4        0.00        16.80        16.56            NA           NA         0.42         XXX
                                             or more.

[[Page 2694]]

 
95810.........  26..........  A...........  Polysomnography, 4        3.52         0.90         1.04          0.90         1.04         0.17         XXX
                                             or more.
95811.........  ............  A...........  Polysomnography w/        3.79        19.70        19.45            NA           NA         0.61         XXX
                                             cpap.
95811.........  TC..........  A...........  Polysomnography w/        0.00        18.74        18.34            NA           NA         0.43         XXX
                                             cpap.
95811.........  26..........  A...........  Polysomnography w/        3.79         0.96         1.11          0.96         1.11         0.18         XXX
                                             cpap.
95812.........  ............  A...........  Eeg, 41-60 minutes        1.08         5.90         4.97            NA           NA         0.17         XXX
95812.........  TC..........  A...........  Eeg, 41-60 minutes        0.00         5.60         4.59            NA           NA         0.11         XXX
95812.........  26..........  A...........  Eeg, 41-60 minutes        1.08         0.30         0.38          0.30         0.38         0.06         XXX
95813.........  ............  A...........  Eeg, over 1 hour..        1.73         6.52         5.77            NA           NA         0.20         XXX
95813.........  TC..........  A...........  Eeg, over 1 hour..        0.00         6.04         5.18            NA           NA         0.11         XXX
95813.........  26..........  A...........  Eeg, over 1 hour..        1.73         0.48         0.59          0.48         0.59         0.09         XXX
95816.........  ............  A...........  Eeg, awake and            1.08         5.28         4.49            NA           NA         0.16         XXX
                                             drowsy.
95816.........  TC..........  A...........  Eeg, awake and            0.00         4.98         4.11            NA           NA         0.10         XXX
                                             drowsy.
95816.........  26..........  A...........  Eeg, awake and            1.08         0.30         0.38          0.30         0.38         0.06         XXX
                                             drowsy.
95819.........  ............  A...........  Eeg, awake and            1.08         6.13         4.56            NA           NA         0.16         XXX
                                             asleep.
95819.........  TC..........  A...........  Eeg, awake and            0.00         5.83         4.18            NA           NA         0.10         XXX
                                             asleep.
95819.........  26..........  A...........  Eeg, awake and            1.08         0.30         0.38          0.30         0.38         0.06         XXX
                                             asleep.
95822.........  ............  A...........  Eeg, coma or sleep        1.08         5.52         5.06            NA           NA         0.19         XXX
                                             only.
95822.........  TC..........  A...........  Eeg, coma or sleep        0.00         5.22         4.68            NA           NA         0.13         XXX
                                             only.
95822.........  26..........  A...........  Eeg, coma or sleep        1.08         0.30         0.38          0.30         0.38         0.06         XXX
                                             only.
95824.........  ............  C...........  Eeg, cerebral             0.00         0.00         0.00            NA           NA         0.00         XXX
                                             death only.
95824.........  TC..........  C...........  Eeg, cerebral             0.00         0.00         0.00            NA           NA         0.00         XXX
                                             death only.
95824.........  26..........  A...........  Eeg, cerebral             0.74         0.21         0.26          0.21         0.26         0.04         XXX
                                             death only.
95827.........  ............  A...........  Eeg, all night            1.08        11.54         7.12            NA           NA         0.19         XXX
                                             recording.
95827.........  TC..........  A...........  Eeg, all night            0.00        11.24         6.77            NA           NA         0.14         XXX
                                             recording.
95827.........  26..........  A...........  Eeg, all night            1.08         0.30         0.35          0.30         0.35         0.05         XXX
                                             recording.
95829.........  ............  A...........  Surgery                   6.20        24.77        27.90            NA           NA         0.50         XXX
                                             electrocorticogra
                                             m.
95829.........  TC..........  A...........  Surgery                   0.00        23.01        25.86            NA           NA         0.02         XXX
                                             electrocorticogra
                                             m.
95829.........  26..........  A...........  Surgery                   6.20         1.76         2.04          1.76         2.04         0.48         XXX
                                             electrocorticogra
                                             m.
95830.........  ............  A...........  Insert electrodes         1.70         2.97         3.13          0.41         0.57         0.11         XXX
                                             for EEG.
95831.........  ............  A...........  Limb muscle               0.28         0.40         0.43          0.09         0.11         0.01         XXX
                                             testing, manual.
95832.........  ............  A...........  Hand muscle               0.29         0.37         0.35          0.10         0.11         0.02         XXX
                                             testing, manual.
95833.........  ............  A...........  Body muscle               0.47         0.50         0.54          0.14         0.18         0.02         XXX
                                             testing, manual.
95834.........  ............  A...........  Body muscle               0.60         0.54         0.58          0.17         0.23         0.03         XXX
                                             testing, manual.
95851.........  ............  A...........  Range of motion           0.16         0.26         0.31          0.04         0.06         0.01         XXX
                                             measurements.
95852.........  ............  A...........  Range of motion           0.11         0.24         0.25          0.04         0.04         0.01         XXX
                                             measurements.
95857.........  ............  A...........  Tensilon test.....        0.53         0.58         0.59          0.16         0.19         0.02         XXX
95860.........  ............  A...........  Muscle test, one          0.96         1.16         1.29            NA           NA         0.07         XXX
                                             limb.
95860.........  TC..........  A...........  Muscle test, one          0.00         0.84         0.92            NA           NA         0.02         XXX
                                             limb.
95860.........  26..........  A...........  Muscle test, one          0.96         0.32         0.37          0.32         0.37         0.05         XXX
                                             limb.
95861.........  ............  A...........  Muscle test, 2            1.54         1.66         1.53            NA           NA         0.13         XXX
                                             limbs.
95861.........  TC..........  A...........  Muscle test, 2            0.00         1.15         0.94            NA           NA         0.06         XXX
                                             limbs.
95861.........  26..........  A...........  Muscle test, 2            1.54         0.51         0.59          0.51         0.59         0.07         XXX
                                             limbs.
95863.........  ............  A...........  Muscle test, 3            1.87         1.92         1.82            NA           NA         0.15         XXX
                                             limbs.
95863.........  TC..........  A...........  Muscle test, 3            0.00         1.35         1.14            NA           NA         0.06         XXX
                                             limbs.
95863.........  26..........  A...........  Muscle test, 3            1.87         0.57         0.68          0.57         0.68         0.09         XXX
                                             limbs.
95864.........  ............  A...........  Muscle test, 4            1.99         2.14         2.40            NA           NA         0.21         XXX
                                             limbs.
95864.........  TC..........  A...........  Muscle test, 4            0.00         1.53         1.66            NA           NA         0.12         XXX
                                             limbs.
95864.........  26..........  A...........  Muscle test, 4            1.99         0.61         0.74          0.61         0.74         0.09         XXX
                                             limbs.
95865.........  ............  A...........  Muscle test,              1.57         1.39         1.42            NA           NA         0.11         XXX
                                             larynx.
95865.........  TC..........  A...........  Muscle test,              0.00         0.90         0.79            NA           NA         0.03         XXX
                                             larynx.
95865.........  26..........  A...........  Muscle test,              1.57         0.49         0.63          0.49         0.63         0.08         XXX
                                             larynx.
95866.........  ............  A...........  Muscle test,              1.25         1.32         1.03            NA           NA         0.10         XXX
                                             hemidiaphragm.
95866.........  TC..........  A...........  Muscle test,              0.00         0.93         0.56            NA           NA         0.03         XXX
                                             hemidiaphragm.
95866.........  26..........  A...........  Muscle test,              1.25         0.39         0.47          0.39         0.47         0.07         XXX
                                             hemidiaphragm.
95867.........  ............  A...........  Muscle test cran          0.79         1.15         1.04            NA           NA         0.07         XXX
                                             nerv unilat.
95867.........  TC..........  A...........  Muscle test cran          0.00         0.91         0.75            NA           NA         0.04         XXX
                                             nerv unilat.
95867.........  26..........  A...........  Muscle test cran          0.79         0.24         0.29          0.24         0.29         0.03         XXX
                                             nerv unilat.
95868.........  ............  A...........  Muscle test cran          1.18         1.47         1.35            NA           NA         0.10         XXX
                                             nerve bilat.
95868.........  TC..........  A...........  Muscle test cran          0.00         1.11         0.91            NA           NA         0.05         XXX
                                             nerve bilat.
95868.........  26..........  A...........  Muscle test cran          1.18         0.36         0.44          0.36         0.44         0.05         XXX
                                             nerve bilat.
95869.........  ............  A...........  Muscle test, thor         0.37         1.03         0.70            NA           NA         0.04         XXX
                                             paraspinal.
95869.........  TC..........  A...........  Muscle test, thor         0.00         0.91         0.56            NA           NA         0.02         XXX
                                             paraspinal.
95869.........  26..........  A...........  Muscle test, thor         0.37         0.12         0.14          0.12         0.14         0.02         XXX
                                             paraspinal.
95870.........  ............  A...........  Muscle test,              0.37         0.99         0.68            NA           NA         0.04         XXX
                                             nonparaspinal.
95870.........  TC..........  A...........  Muscle test,              0.00         0.87         0.54            NA           NA         0.02         XXX
                                             nonparaspinal.
95870.........  26..........  A...........  Muscle test,              0.37         0.12         0.14          0.12         0.14         0.02         XXX
                                             nonparaspinal.
95872.........  ............  A...........  Muscle test, one          2.88         1.64         1.43            NA           NA         0.13         XXX
                                             fiber.
95872.........  TC..........  A...........  Muscle test, one          0.00         0.76         0.68            NA           NA         0.05         XXX
                                             fiber.
95872.........  26..........  A...........  Muscle test, one          2.88         0.88         0.75          0.88         0.75         0.08         XXX
                                             fiber.
95873.........  ............  A...........  Guide nerv destr,         0.37         1.02         0.69            NA           NA         0.04         ZZZ
                                             elec stim.
95873.........  TC..........  A...........  Guide nerv destr,         0.00         0.88         0.54            NA           NA         0.02         ZZZ
                                             elec stim.
95873.........  26..........  A...........  Guide nerv destr,         0.37         0.14         0.15          0.14         0.15         0.02         ZZZ
                                             elec stim.

[[Page 2695]]

 
95874.........  ............  A...........  Guide nerv destr,         0.37         0.95         0.67            NA           NA         0.04         ZZZ
                                             needle emg.
95874.........  TC..........  A...........  Guide nerv destr,         0.00         0.83         0.52            NA           NA         0.02         ZZZ
                                             needle emg.
95874.........  26..........  A...........  Guide nerv destr,         0.37         0.12         0.15          0.12         0.15         0.02         ZZZ
                                             needle emg.
95875.........  ............  A...........  Limb exercise test        1.10         1.48         1.46            NA           NA         0.11         XXX
95875.........  TC..........  A...........  Limb exercise test        0.00         1.09         1.03            NA           NA         0.06         XXX
95875.........  26..........  A...........  Limb exercise test        1.10         0.39         0.43          0.39         0.43         0.05         XXX
95900.........  ............  A...........  Motor nerve               0.42         0.92         1.09            NA           NA         0.04         XXX
                                             conduction test.
95900.........  TC..........  A...........  Motor nerve               0.00         0.78         0.93            NA           NA         0.02         XXX
                                             conduction test.
95900.........  26..........  A...........  Motor nerve               0.42         0.14         0.16          0.14         0.16         0.02         XXX
                                             conduction test.
95903.........  ............  A...........  Motor nerve               0.60         1.00         1.10            NA           NA         0.05         XXX
                                             conduction test.
95903.........  TC..........  A...........  Motor nerve               0.00         0.83         0.88            NA           NA         0.02         XXX
                                             conduction test.
95903.........  26..........  A...........  Motor nerve               0.60         0.17         0.22          0.17         0.22         0.03         XXX
                                             conduction test.
95904.........  ............  A...........  Sense nerve               0.34         0.84         0.97            NA           NA         0.04         XXX
                                             conduction test.
95904.........  TC..........  A...........  Sense nerve               0.00         0.74         0.84            NA           NA         0.02         XXX
                                             conduction test.
95904.........  26..........  A...........  Sense nerve               0.34         0.10         0.13          0.10         0.13         0.02         XXX
                                             conduction test.
95920.........  ............  A...........  Intraop nerve test        2.11         1.72         1.99            NA           NA         0.23         ZZZ
                                             add-on.
95920.........  TC..........  A...........  Intraop nerve test        0.00         1.10         1.21            NA           NA         0.07         ZZZ
                                             add-on.
95920.........  26..........  A...........  Intraop nerve test        2.11         0.62         0.78          0.62         0.78         0.16         ZZZ
                                             add-on.
95921.........  ............  A...........  Autonomic nerv            0.90         1.16         0.94            NA           NA         0.06         XXX
                                             function test.
95921.........  TC..........  A...........  Autonomic nerv            0.00         0.91         0.65            NA           NA         0.02         XXX
                                             function test.
95921.........  26..........  A...........  Autonomic nerv            0.90         0.25         0.29          0.25         0.29         0.04         XXX
                                             function test.
95922.........  ............  A...........  Autonomic nerv            0.96         1.61         1.19            NA           NA         0.07         XXX
                                             function test.
95922.........  TC..........  A...........  Autonomic nerv            0.00         1.35         0.86            NA           NA         0.02         XXX
                                             function test.
95922.........  26..........  A...........  Autonomic nerv            0.96         0.26         0.33          0.26         0.33         0.05         XXX
                                             function test.
95923.........  ............  A...........  Autonomic nerv            0.90         2.33         2.14            NA           NA         0.07         XXX
                                             function test.
95923.........  TC..........  A...........  Autonomic nerv            0.00         2.08         1.82            NA           NA         0.02         XXX
                                             function test.
95923.........  26..........  A...........  Autonomic nerv            0.90         0.25         0.32          0.25         0.32         0.05         XXX
                                             function test.
95925.........  ............  A...........  Somatosensory             0.54         3.07         2.10            NA           NA         0.10         XXX
                                             testing.
95925.........  TC..........  A...........  Somatosensory             0.00         2.92         1.91            NA           NA         0.06         XXX
                                             testing.
95925.........  26..........  A...........  Somatosensory             0.54         0.15         0.19          0.15         0.19         0.04         XXX
                                             testing.
95926.........  ............  A...........  Somatosensory             0.54         3.00         2.07            NA           NA         0.09         XXX
                                             testing.
95926.........  TC..........  A...........  Somatosensory             0.00         2.85         1.88            NA           NA         0.06         XXX
                                             testing.
95926.........  26..........  A...........  Somatosensory             0.54         0.15         0.19          0.15         0.19         0.03         XXX
                                             testing.
95927.........  ............  A...........  Somatosensory             0.54         3.13         2.15            NA           NA         0.10         XXX
                                             testing.
95927.........  TC..........  A...........  Somatosensory             0.00         2.97         1.94            NA           NA         0.06         XXX
                                             testing.
95927.........  26..........  A...........  Somatosensory             0.54         0.16         0.21          0.16         0.21         0.04         XXX
                                             testing.
95928.........  ............  A...........  C motor evoked,           1.50         3.94         3.48            NA           NA         0.09         XXX
                                             uppr limbs.
95928.........  TC..........  A...........  C motor evoked,           0.00         3.50         2.94            NA           NA         0.03         XXX
                                             uppr limbs.
95928.........  26..........  A...........  C motor evoked,           1.50         0.44         0.54          0.44         0.54         0.06         XXX
                                             uppr limbs.
95929.........  ............  A...........  C motor evoked,           1.50         4.26         3.74            NA           NA         0.09         XXX
                                             lwr limbs.
95929.........  TC..........  A...........  C motor evoked,           0.00         3.82         3.19            NA           NA         0.03         XXX
                                             lwr limbs.
95929.........  26..........  A...........  C motor evoked,           1.50         0.44         0.55          0.44         0.55         0.06         XXX
                                             lwr limbs.
95930.........  ............  A...........  Visual evoked             0.35         2.64         2.45            NA           NA         0.03         XXX
                                             potential test.
95930.........  TC..........  A...........  Visual evoked             0.00         2.54         2.32            NA           NA         0.01         XXX
                                             potential test.
95930.........  26..........  A...........  Visual evoked             0.35         0.10         0.13          0.10         0.13         0.02         XXX
                                             potential test.
95933.........  ............  A...........  Blink reflex test.        0.59         1.11         1.07            NA           NA         0.10         XXX
95933.........  TC..........  A...........  Blink reflex test.        0.00         0.94         0.86            NA           NA         0.06         XXX
95933.........  26..........  A...........  Blink reflex test.        0.59         0.17         0.21          0.17         0.21         0.04         XXX
95934.........  ............  A...........  H-reflex test.....        0.51         0.85         0.64            NA           NA         0.04         XXX
95934.........  TC..........  A...........  H-reflex test.....        0.00         0.70         0.45            NA           NA         0.02         XXX
95934.........  26..........  A...........  H-reflex test.....        0.51         0.15         0.19          0.15         0.19         0.02         XXX
95936.........  ............  A...........  H-reflex test.....        0.55         0.59         0.52            NA           NA         0.05         XXX
95936.........  TC..........  A...........  H-reflex test.....        0.00         0.43         0.32            NA           NA         0.02         XXX
95936.........  26..........  A...........  H-reflex test.....        0.55         0.16         0.20          0.16         0.20         0.03         XXX
95937.........  ............  A...........  Neuromuscular             0.65         0.92         0.76            NA           NA         0.10         XXX
                                             junction test.
95937.........  TC..........  A...........  Neuromuscular             0.00         0.72         0.53            NA           NA         0.02         XXX
                                             junction test.
95937.........  26..........  A...........  Neuromuscular             0.65         0.20         0.23          0.20         0.23         0.08         XXX
                                             junction test.
95950.........  ............  A...........  Ambulatory eeg            1.51         4.93         4.43            NA           NA         0.51         XXX
                                             monitoring.
95950.........  TC..........  A...........  Ambulatory eeg            0.00         4.50         3.90            NA           NA         0.43         XXX
                                             monitoring.
95950.........  26..........  A...........  Ambulatory eeg            1.51         0.43         0.53          0.43         0.53         0.08         XXX
                                             monitoring.
95951.........  ............  C...........  EEG monitoring/           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             videorecord.
95951.........  TC..........  C...........  EEG monitoring/           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             videorecord.
95951.........  26..........  A...........  EEG monitoring/           5.99         1.68         2.12          1.68         2.12         0.32         XXX
                                             videorecord.
95953.........  ............  A...........  EEG monitoring/           3.30         7.22         7.43            NA           NA         0.60         XXX
                                             computer.
95953.........  TC..........  A...........  EEG monitoring/           0.00         6.29         6.32            NA           NA         0.43         XXX
                                             computer.
95953.........  26..........  A...........  EEG monitoring/           3.30         0.93         1.11          0.93         1.11         0.17         XXX
                                             computer.
95954.........  ............  A...........  EEG monitoring/           2.45         4.38         4.30            NA           NA         0.19         XXX
                                             giving drugs.
95954.........  TC..........  A...........  EEG monitoring/           0.00         3.96         3.57            NA           NA         0.06         XXX
                                             giving drugs.
95954.........  26..........  A...........  EEG monitoring/           2.45         0.42         0.73          0.42         0.73         0.13         XXX
                                             giving drugs.
95955.........  ............  A...........  EEG during surgery        1.01         2.76         2.54            NA           NA         0.22         XXX
95955.........  TC..........  A...........  EEG during surgery        0.00         2.48         2.22            NA           NA         0.17         XXX
95955.........  26..........  A...........  EEG during surgery        1.01         0.28         0.32          0.28         0.32         0.05         XXX

[[Page 2696]]

 
95956.........  ............  A...........  Eeg monitoring,           3.08        16.30        15.86            NA           NA         0.59         XXX
                                             cable/radio.
95956.........  TC..........  A...........  Eeg monitoring,           0.00        15.44        14.78            NA           NA         0.43         XXX
                                             cable/radio.
95956.........  26..........  A...........  Eeg monitoring,           3.08         0.86         1.08          0.86         1.08         0.16         XXX
                                             cable/radio.
95957.........  ............  A...........  EEG digital               1.98         5.85         4.20            NA           NA         0.23         XXX
                                             analysis.
95957.........  TC..........  A...........  EEG digital               0.00         5.30         3.50            NA           NA         0.12         XXX
                                             analysis.
95957.........  26..........  A...........  EEG digital               1.98         0.55         0.70          0.55         0.70         0.11         XXX
                                             analysis.
95958.........  ............  A...........  EEG monitoring/           4.24         6.70         5.10            NA           NA         0.34         XXX
                                             function test.
95958.........  TC..........  A...........  EEG monitoring/           0.00         5.47         3.61            NA           NA         0.13         XXX
                                             function test.
95958.........  26..........  A...........  EEG monitoring/           4.24         1.23         1.49          1.23         1.49         0.21         XXX
                                             function test.
95961.........  ............  A...........  Electrode                 2.97         3.05         2.84            NA           NA         0.55         XXX
                                             stimulation,
                                             brain.
95961.........  TC..........  A...........  Electrode                 0.00         2.18         1.74            NA           NA         0.07         XXX
                                             stimulation,
                                             brain.
95961.........  26..........  A...........  Electrode                 2.97         0.87         1.10          0.87         1.10         0.48         XXX
                                             stimulation,
                                             brain.
95962.........  ............  A...........  Electrode stim,           3.21         2.21         2.45            NA           NA         0.39         ZZZ
                                             brain add-on.
95962.........  TC..........  A...........  Electrode stim,           0.00         1.30         1.30            NA           NA         0.07         ZZZ
                                             brain add-on.
95962.........  26..........  A...........  Electrode stim,           3.21         0.91         1.15          0.91         1.15         0.32         ZZZ
                                             brain add-on.
95965.........  ............  C...........  Meg, spontaneous..        0.00         0.00         0.00            NA           NA         0.00         XXX
95965.........  TC..........  C...........  Meg, spontaneous..        0.00         0.00         0.00            NA           NA         0.00         XXX
95965.........  26..........  A...........  Meg, spontaneous..        7.99         2.39         2.91          2.39         2.91         0.46         XXX
95966.........  ............  C...........  Meg, evoked,              0.00         0.00         0.00            NA           NA         0.00         XXX
                                             single.
95966.........  TC..........  C...........  Meg, evoked,              0.00         0.00         0.00            NA           NA         0.00         XXX
                                             single.
95966.........  26..........  A...........  Meg, evoked,              3.99         1.19         1.45          1.19         1.45         0.19         XXX
                                             single.
95967.........  ............  C...........  Meg, evoked, each         0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             add[AElig]l.
95967.........  TC..........  C...........  Meg, evoked, each         0.00         0.00         0.00            NA           NA         0.00         ZZZ
                                             add[AElig]l.
95967.........  26..........  A...........  Meg, evoked, each         3.49         1.01         1.09          1.01         1.09         0.16         ZZZ
                                             add[AElig]l.
95970.........  ............  A...........  Analyze neurostim,        0.45         0.90         0.87          0.13         0.13         0.03         XXX
                                             no prog.
95971.........  ............  A...........  Analyze neurostim,        0.78         0.58         0.63          0.18         0.20         0.07         XXX
                                             simple.
95972.........  ............  A...........  Analyze neurostim,        1.50         1.15         1.18          0.44         0.46         0.14         XXX
                                             complex.
95973.........  ............  A...........  Analyze neurostim,        0.92         0.49         0.55          0.22         0.28         0.07         ZZZ
                                             complex.
95974.........  ............  A...........  Cranial neurostim,        3.00         1.44         1.57          0.78         1.04         0.16         XXX
                                             complex.
95975.........  ............  A...........  Cranial neurostim,        1.70         0.73         0.81          0.47         0.60         0.12         ZZZ
                                             complex.
95978.........  ............  A...........  Analyze neurostim         3.50         1.86         1.90          1.02         1.16         0.18         XXX
                                             brain/1h.
95979.........  ............  A...........  Analyz neurostim          1.64         0.72         0.80          0.46         0.58         0.08         ZZZ
                                             brain addon.
95980.........  ............  A...........  Io anal gast n-           0.80           NA           NA          0.25         0.25         0.07         XXX
                                             stim init.
95981.........  ............  A...........  Io anal gast n-           0.30         0.44         0.44          0.12         0.12         0.02         XXX
                                             stim subsq.
95982.........  ............  A...........  Io ga n-stim subsq        0.65         0.47         0.47          0.18         0.18         0.05         XXX
                                             w/reprog.
95990.........  ............  A...........  Spin/brain pump           0.00         1.62         1.56            NA           NA         0.06         XXX
                                             refil & main.
95991.........  ............  A...........  Spin/brain pump           0.77         1.61         1.55          0.17         0.17         0.06         XXX
                                             refil & 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           NA          0.44         0.48         0.11         XXX
                                             video/3d.
96001.........  ............  A...........  Motion test w/ft          2.15           NA           NA          0.56         0.61         0.10         XXX
                                             press meas.
96002.........  ............  A...........  Dynamic surface           0.41           NA           NA          0.10         0.13         0.02         XXX
                                             emg.
96003.........  ............  A...........  Dynamic fine wire         0.37           NA           NA          0.09         0.10         0.02         XXX
                                             emg.
96004.........  ............  A...........  Phys review of            2.14         0.65         0.79          0.65         0.79         0.11         XXX
                                             motion tests.
96020.........  ............  C...........  Functional brain          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             mapping.
96020.........  TC..........  C...........  Functional brain          0.00         0.00         0.00            NA           NA         0.00         XXX
                                             mapping.
96020.........  26..........  A...........  Functional brain          3.43         1.07         1.07          1.07         1.07         0.17         XXX
                                             mapping.
96040.........  ............  B...........  Genetic                   0.00         0.98         0.98            NA           NA         0.01         XXX
                                             counseling, 30
                                             min.
96101.........  ............  A...........  Psycho testing by         1.86         0.35         0.50          0.33         0.48         0.05         XXX
                                             psych/phys.
96102.........  ............  A...........  Psycho testing by         0.50         1.10         0.88          0.09         0.13         0.01         XXX
                                             technician.
96103.........  ............  A...........  Psycho testing            0.51         0.92         0.56          0.10         0.14         0.02         XXX
                                             admin by comp.
96105.........  ............  A...........  Assessment of             0.00         1.66         1.71            NA           NA         0.18         XXX
                                             aphasia.
96110.........  ............  A...........  Developmental             0.00         0.19         0.18            NA           NA         0.18         XXX
                                             test, lim.
96111.........  ............  A...........  Developmental             2.60         0.69         0.87          0.58         0.81         0.18         XXX
                                             test, extend.
96116.........  ............  A...........  Neurobehavioral           1.86         0.53         0.68          0.40         0.52         0.18         XXX
                                             status exam.
96118.........  ............  A...........  Neuropsych tst by         1.86         0.84         1.11          0.33         0.48         0.18         XXX
                                             psych/phys.
96119.........  ............  A...........  Neuropsych testing        0.55         1.53         1.27          0.10         0.14         0.18         XXX
                                             by tec.
96120.........  ............  A...........  Neuropsych tst            0.51         1.69         1.21          0.10         0.13         0.02         XXX
                                             admin w/comp.
96125.........  ............  A...........  Cognitive test by         1.70         0.76         0.76          0.37         0.37         0.16         XXX
                                             hc pro.
96150.........  ............  A...........  Assess hlth/              0.50         0.10         0.14          0.09         0.13         0.01         XXX
                                             behave, init.
96151.........  ............  A...........  Assess hlth/              0.48         0.10         0.14          0.09         0.13         0.01         XXX
                                             behave, subseq.
96152.........  ............  A...........  Intervene hlth/           0.46         0.09         0.13          0.08         0.12         0.01         XXX
                                             behave, indiv.
96153.........  ............  A...........  Intervene hlth/           0.10         0.02         0.03          0.02         0.02         0.01         XXX
                                             behave, group.
96154.........  ............  A...........  Interv hlth/behav,        0.45         0.09         0.13          0.08         0.12         0.01         XXX
                                             fam w/pt.
96155.........  ............  N...........  Interv hlth/behav         0.44         0.10         0.14          0.10         0.14         0.02         XXX
                                             fam no pt.
96401.........  ............  A...........  Chemo, anti-neopl,        0.21         1.86         1.51            NA           NA         0.01         XXX
                                             sq/im.
96402.........  ............  A...........  Chemo hormon              0.19         0.78         0.89            NA           NA         0.01         XXX
                                             antineopl sq/im.
96405.........  ............  A...........  Chemo                     0.52         3.69         3.06          0.24         0.24         0.03         000
                                             intralesional, up
                                             to 7.
96406.........  ............  A...........  Chemo                     0.80         3.62         3.31          0.32         0.31         0.03         000
                                             intralesional
                                             over 7.
96409.........  ............  A...........  Chemo, iv push,           0.24         2.80         2.86            NA           NA         0.06         XXX
                                             sngl drug.
96411.........  ............  A...........  Chemo, iv push,           0.20         1.50         1.55            NA           NA         0.06         ZZZ
                                             addl drug.
96413.........  ............  A...........  Chemo, iv                 0.28         3.64         3.91            NA           NA         0.08         XXX
                                             infusion, 1 hr.
96415.........  ............  A...........  Chemo, iv                 0.19         0.66         0.71            NA           NA         0.07         ZZZ
                                             infusion, addl hr.

[[Page 2697]]

 
96416.........  ............  A...........  Chemo prolong             0.21         4.09         4.34            NA           NA         0.08         XXX
                                             infuse w/pump.
96417.........  ............  A...........  Chemo iv infus            0.21         1.73         1.84            NA           NA         0.07         ZZZ
                                             each addl seq.
96420.........  ............  A...........  Chemo, ia, push           0.17         2.78         2.72            NA           NA         0.08         XXX
                                             tecnique.
96422.........  ............  A...........  Chemo ia infusion         0.17         4.50         4.66            NA           NA         0.08         XXX
                                             up to 1 hr.
96423.........  ............  A...........  Chemo ia infuse           0.17         1.99         1.94            NA           NA         0.02         ZZZ
                                             each addl hr.
96425.........  ............  A...........  Chemotherapy,infus        0.17         4.67         4.57            NA           NA         0.08         XXX
                                             ion method.
96440.........  ............  A...........  Chemotherapy,             2.37         5.56         6.84          0.98         1.10         0.17         000
                                             intracavitary.
96445.........  ............  A...........  Chemotherapy,             2.20         5.42         6.73          0.96         1.07         0.14         000
                                             intracavitary.
96450.........  ............  A...........  Chemotherapy, into        1.53         4.99         5.97          0.83         1.06         0.09         000
                                             CNS.
96521.........  ............  A...........  Refill/maint,             0.21         3.16         3.46            NA           NA         0.06         XXX
                                             portable pump.
96522.........  ............  A...........  Refill/maint pump/        0.21         2.78         2.71            NA           NA         0.06         XXX
                                             resvr syst.
96523.........  ............  T...........  Irrig drug                0.04         0.64         0.67            NA           NA         0.01         XXX
                                             delivery device.
96542.........  ............  A...........  Chemotherapy              0.75         3.56         3.90          0.32         0.49         0.07         XXX
                                             injection.
96549.........  ............  C...........  Chemotherapy,             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             unspecified.
96567.........  ............  A...........  Photodynamic tx,          0.00         3.74         2.85            NA           NA         0.04         XXX
                                             skin.
96570.........  ............  A...........  Photodynamic tx,          1.10         0.40         0.38          0.40         0.38         0.11         ZZZ
                                             30 min.
96571.........  ............  A...........  Photodynamic tx,          0.55         0.19         0.19          0.19         0.19         0.03         ZZZ
                                             addl 15 min.
96900.........  ............  A...........  Ultraviolet light         0.00         0.57         0.50            NA           NA         0.02         XXX
                                             therapy.
96902.........  ............  B...........  Trichogram........        0.41         0.11         0.15          0.09         0.13         0.01         XXX
96904.........  ............  R...........  Whole body                0.00         1.90         1.90            NA           NA         0.01         XXX
                                             photography.
96910.........  ............  A...........  Photochemotherapy         0.00         2.01         1.50            NA           NA         0.04         XXX
                                             with UV-B.
96912.........  ............  A...........  Photochemotherapy         0.00         2.58         1.92            NA           NA         0.05         XXX
                                             with UV-A.
96913.........  ............  A...........  Photochemotherapy,        0.00         3.47         2.57            NA           NA         0.10         XXX
                                             UV-A or B.
96920.........  ............  A...........  Laser tx, skin <          1.15         3.58         3.06          0.56         0.56         0.02         000
                                             250 sq cm.
96921.........  ............  A...........  Laser tx, skin 250-       1.17         3.33         2.97          0.51         0.54         0.03         000
                                             500 sq cm.
96922.........  ............  A...........  Laser tx, skin >          2.10         4.64         4.06          1.04         0.83         0.04         000
                                             500 sq cm.
96999.........  ............  C...........  Dermatological            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             procedure.
97001.........  ............  A...........  Pt evaluation.....        1.20         0.65         0.70            NA           NA         0.05         XXX
97002.........  ............  A...........  Pt re-evaluation..        0.60         0.41         0.42            NA           NA         0.02         XXX
97003.........  ............  A...........  Ot evaluation.....        1.20         0.76         0.82            NA           NA         0.06         XXX
97004.........  ............  A...........  Ot re-evaluation..        0.60         0.54         0.61            NA           NA         0.02         XXX
97005.........  ............  I...........  Athletic train            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             eval.
97006.........  ............  I...........  Athletic train            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             reeval.
97010.........  ............  B...........  Hot or cold packs         0.06         0.07         0.06            NA           NA         0.01         XXX
                                             therapy.
97012.........  ............  A...........  Mechanical                0.25         0.14         0.14            NA           NA         0.01         XXX
                                             traction therapy.
97014.........  ............  I...........  Electric                  0.18         0.18         0.18            NA           NA         0.01         XXX
                                             stimulation
                                             therapy.
97016.........  ............  A...........  Vasopneumatic             0.18         0.24         0.21            NA           NA         0.01         XXX
                                             device therapy.
97018.........  ............  A...........  Paraffin bath             0.06         0.17         0.13            NA           NA         0.01         XXX
                                             therapy.
97022.........  ............  A...........  Whirlpool therapy.        0.17         0.33         0.27            NA           NA         0.01         XXX
97024.........  ............  A...........  Diathermy eg,             0.06         0.08         0.07            NA           NA         0.01         XXX
                                             microwave.
97026.........  ............  A...........  Infrared therapy..        0.06         0.07         0.06            NA           NA         0.01         XXX
97028.........  ............  A...........  Ultraviolet               0.08         0.08         0.08            NA           NA         0.01         XXX
                                             therapy.
97032.........  ............  A...........  Electrical                0.25         0.20         0.18            NA           NA         0.01         XXX
                                             stimulation.
97033.........  ............  A...........  Electric current          0.26         0.44         0.36            NA           NA         0.01         XXX
                                             therapy.
97034.........  ............  A...........  Contrast bath             0.21         0.20         0.17            NA           NA         0.01         XXX
                                             therapy.
97035.........  ............  A...........  Ultrasound therapy        0.21         0.10         0.10            NA           NA         0.01         XXX
97036.........  ............  A...........  Hydrotherapy......        0.28         0.44         0.38            NA           NA         0.01         XXX
97039.........  ............  C...........  Physical therapy          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             treatment.
97110.........  ............  A...........  Therapeutic               0.45         0.32         0.29            NA           NA         0.02         XXX
                                             exercises.
97112.........  ............  A...........  Neuromuscular             0.45         0.34         0.33            NA           NA         0.01         XXX
                                             reeducation.
97113.........  ............  A...........  Aquatic therapy/          0.44         0.53         0.46            NA           NA         0.01         XXX
                                             exercises.
97116.........  ............  A...........  Gait training             0.40         0.27         0.26            NA           NA         0.01         XXX
                                             therapy.
97124.........  ............  A...........  Massage therapy...        0.35         0.27         0.25            NA           NA         0.01         XXX
97139.........  ............  C...........  Physical medicine         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             procedure.
97140.........  ............  A...........  Manual therapy....        0.43         0.29         0.27            NA           NA         0.01         XXX
97150.........  ............  A...........  Group therapeutic         0.27         0.22         0.20            NA           NA         0.01         XXX
                                             procedures.
97530.........  ............  A...........  Therapeutic               0.44         0.38         0.35            NA           NA         0.01         XXX
                                             activities.
97532.........  ............  A...........  Cognitive skills          0.44         0.22         0.21            NA           NA         0.01         XXX
                                             development.
97533.........  ............  A...........  Sensory                   0.44         0.27         0.25            NA           NA         0.01         XXX
                                             integration.
97535.........  ............  A...........  Self care mngment         0.45         0.37         0.35            NA           NA         0.01         XXX
                                             training.
97537.........  ............  A...........  Community/work            0.45         0.28         0.27            NA           NA         0.01         XXX
                                             reintegration.
97542.........  ............  A...........  Wheelchair mngment        0.45         0.29         0.28            NA           NA         0.01         XXX
                                             training.
97545.........  ............  R...........  Work hardening....        0.00         0.00         0.00          0.00         0.00         0.00         XXX
97546.........  ............  R...........  Work hardening add-       0.00         0.00         0.00          0.00         0.00         0.00         ZZZ
                                             on.
97597.........  ............  A...........  Active wound care/        0.58         1.10         0.88          0.12         0.39         0.05         XXX
                                             20 cm or <.
97598.........  ............  A...........  Active wound care         0.80         1.27         1.03          0.17         0.48         0.05         XXX
                                             > 20 cm.
97602.........  ............  B...........  Wound(s) care non-        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             selective.
97605.........  ............  A...........  Neg press wound           0.55         0.40         0.37          0.11         0.17         0.02         XXX
                                             tx, < 50 cm.
97606.........  ............  A...........  Neg press wound           0.60         0.41         0.38          0.13         0.18         0.03         XXX
                                             tx, > 50 cm.
97750.........  ............  A...........  Physical                  0.45         0.33         0.32            NA           NA         0.02         XXX
                                             performance test.
97755.........  ............  A...........  Assistive                 0.62         0.27         0.28            NA           NA         0.02         XXX
                                             technology assess.
97760.........  ............  A...........  Orthotic mgmt and         0.45         0.42         0.38            NA           NA         0.03         XXX
                                             training.

[[Page 2698]]

 
97761.........  ............  A...........  Prosthetic                0.45         0.33         0.30            NA           NA         0.02         XXX
                                             training.
97762.........  ............  A...........  C/o for orthotic/         0.25         0.73         0.58            NA           NA         0.02         XXX
                                             prosth use.
97799.........  ............  C...........  Physical medicine         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             procedure.
97802.........  ............  A...........  Medical nutrition,        0.45         0.14         0.30          0.11         0.29         0.01         XXX
                                             indiv, in.
97803.........  ............  A...........  Med nutrition,            0.37         0.12         0.29          0.09         0.28         0.01         XXX
                                             indiv, subseq.
97804.........  ............  A...........  Medical nutrition,        0.25         0.08         0.13          0.07         0.12         0.01         XXX
                                             group.
97810.........  ............  N...........  Acupunct w/o              0.60         0.26         0.32          0.14         0.18         0.03         XXX
                                             stimul 15 min.
97811.........  ............  N...........  Acupunct w/o              0.50         0.15         0.20          0.11         0.15         0.03         ZZZ
                                             stimul addl 15m.
97813.........  ............  N...........  Acupunct w/stimul         0.65         0.27         0.33          0.15         0.20         0.03         XXX
                                             15 min.
97814.........  ............  N...........  Acupunct w/stimul         0.55         0.19         0.24          0.13         0.17         0.03         ZZZ
                                             addl 15m.
98925.........  ............  A...........  Osteopathic               0.45         0.29         0.30          0.12         0.13         0.02         000
                                             manipulation.
98926.........  ............  A...........  Osteopathic               0.65         0.37         0.39          0.17         0.21         0.03         000
                                             manipulation.
98927.........  ............  A...........  Osteopathic               0.87         0.45         0.48          0.22         0.26         0.03         000
                                             manipulation.
98928.........  ............  A...........  Osteopathic               1.03         0.51         0.55          0.26         0.30         0.04         000
                                             manipulation.
98929.........  ............  A...........  Osteopathic               1.19         0.57         0.62          0.30         0.33         0.05         000
                                             manipulation.
98940.........  ............  A...........  Chiropractic              0.45         0.21         0.22          0.12         0.12         0.01         000
                                             manipulation.
98941.........  ............  A...........  Chiropractic              0.65         0.27         0.29          0.17         0.17         0.01         000
                                             manipulation.
98942.........  ............  A...........  Chiropractic              0.87         0.33         0.35          0.24         0.23         0.02         000
                                             manipulation.
98943.........  ............  N...........  Chiropractic              0.40         0.17         0.21          0.09         0.13         0.01         XXX
                                             manipulation.
98960.........  ............  B...........  Self-mgmt educ &          0.00         0.58         0.58            NA           NA         0.01         XXX
                                             train, 1 pt.
98961.........  ............  B...........  Self-mgmt educ/           0.00         0.28         0.28            NA           NA         0.01         XXX
                                             train, 2-4 pt.
98962.........  ............  B...........  Self-mgmt educ/           0.00         0.20         0.20            NA           NA         0.01         XXX
                                             train, 5-8 pt.
98966.........  ............  N...........  Hc pro phone call         0.25         0.09         0.09          0.06         0.06         0.01         XXX
                                             5-10 min.
98967.........  ............  N...........  Hc pro phone call         0.50         0.14         0.14          0.11         0.11         0.02         XXX
                                             11-20 min.
98968.........  ............  N...........  Hc pro phone call         0.75         0.20         0.20          0.17         0.17         0.03         XXX
                                             21-30 min.
98969.........  ............  N...........  Online service by         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             hc pro.
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            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             call service.
99027.........  ............  N...........  Out-of-hosp on            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             call service.
99050.........  ............  B...........  Medical services          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             after hrs.
99051.........  ............  B...........  Med serv, eve/            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             wkend/holiday.
99053.........  ............  B...........  Med serv 10pm-8am,        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             24 hr fac.
99056.........  ............  B...........  Med service out of        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             office.
99058.........  ............  B...........  Office emergency          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             care.
99060.........  ............  B...........  Out of office             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             emerg med serv.
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            1.10         0.25         0.25            NA           NA         0.04         XXX
                                             data 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                 0.00         0.00         0.00          0.00         0.00         0.00         ZZZ
                                             anesthesia.
99143.........  ............  C...........  Mod cs by same            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             phys, < 5 yrs.
99144.........  ............  C...........  Mod cs by same            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             phys, 5 yrs +.
99145.........  ............  C...........  Mod cs by same            0.00         0.00         0.00          0.00         0.00         0.00         ZZZ
                                             phys add-on.
99148.........  ............  C...........  Mod cs diff phys <        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             5 yrs.
99149.........  ............  C...........  Mod cs diff phys 5        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             yrs +.
99150.........  ............  C...........  Mod cs diff phys          0.00         0.00         0.00          0.00         0.00         0.00         ZZZ
                                             add-on.
99170.........  ............  A...........  Anogenital exam,          1.75         1.83         1.80          0.61         0.58         0.08         000
                                             child.
99172.........  ............  N...........  Ocular function           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             screen.
99173.........  ............  N...........  Visual acuity             0.00         0.06         0.06            NA           NA         0.01         XXX
                                             screen.
99174.........  ............  N...........  Ocular                    0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             photoscreening.
99175.........  ............  A...........  Induction of              0.00         0.36         0.87            NA           NA         0.10         XXX
                                             vomiting.
99183.........  ............  A...........  Hyperbaric oxygen         2.34         2.60         2.92          0.57         0.65         0.16         XXX
                                             therapy.
99185.........  ............  A...........  Regional                  0.00         1.67         1.15            NA           NA         0.04         XXX
                                             hypothermia.
99186.........  ............  A...........  Total body                0.00         1.63         1.71            NA           NA         0.45         XXX
                                             hypothermia.
99190.........  ............  X...........  Special pump              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             services.
99191.........  ............  X...........  Special pump              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             services.
99192.........  ............  X...........  Special pump              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             services.
99195.........  ............  A...........  Phlebotomy........        0.00         2.56         1.50            NA           NA         0.02         XXX
99199.........  ............  C...........  Special service/          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             proc/report.
99201.........  ............  A...........  Office/outpatient         0.45         0.55         0.52          0.16         0.15         0.03         XXX
                                             visit, new.
99202.........  ............  A...........  Office/outpatient         0.88         0.84         0.81          0.29         0.30         0.05         XXX
                                             visit, new.
99203.........  ............  A...........  Office/outpatient         1.34         1.11         1.12          0.43         0.45         0.09         XXX
                                             visit, new.

[[Page 2699]]

 
99204.........  ............  A...........  Office/outpatient         2.30         1.49         1.49          0.71         0.71         0.12         XXX
                                             visit, new.
99205.........  ............  A...........  Office/outpatient         3.00         1.79         1.78          0.91         0.93         0.15         XXX
                                             visit, new.
99211.........  ............  A...........  Office/outpatient         0.17         0.32         0.36          0.06         0.06         0.01         XXX
                                             visit, est.
99212.........  ............  A...........  Office/outpatient         0.45         0.55         0.55          0.15         0.15         0.03         XXX
                                             visit, est.
99213.........  ............  A...........  Office/outpatient         0.92         0.76         0.73          0.28         0.26         0.03         XXX
                                             visit, est.
99214.........  ............  A...........  Office/outpatient         1.42         1.10         1.06          0.44         0.42         0.05         XXX
                                             visit, est.
99215.........  ............  A...........  Office/outpatient         2.00         1.38         1.35          0.61         0.63         0.08         XXX
                                             visit, est.
99217.........  ............  A...........  Observation care          1.28           NA           NA          0.50         0.51         0.06         XXX
                                             discharge.
99218.........  ............  A...........  Observation care..        1.28           NA           NA          0.38         0.41         0.06         XXX
99219.........  ............  A...........  Observation care..        2.14           NA           NA          0.59         0.65         0.10         XXX
99220.........  ............  A...........  Observation care..        2.99           NA           NA          0.84         0.93         0.14         XXX
99221.........  ............  A...........  Initial hospital          1.88           NA           NA          0.54         0.50         0.07         XXX
                                             care.
99222.........  ............  A...........  Initial hospital          2.56           NA           NA          0.71         0.72         0.10         XXX
                                             care.
99223.........  ............  A...........  Initial hospital          3.78           NA           NA          1.07         1.05         0.13         XXX
                                             care.
99231.........  ............  A...........  Subsequent                0.76           NA           NA          0.24         0.23         0.03         XXX
                                             hospital care.
99232.........  ............  A...........  Subsequent                1.39           NA           NA          0.42         0.40         0.04         XXX
                                             hospital care.
99233.........  ............  A...........  Subsequent                2.00           NA           NA          0.59         0.56         0.06         XXX
                                             hospital care.
99234.........  ............  A...........  Observ/hosp same          2.56           NA           NA          0.78         0.83         0.13         XXX
                                             date.
99235.........  ............  A...........  Observ/hosp same          3.41           NA           NA          0.98         1.07         0.16         XXX
                                             date.
99236.........  ............  A...........  Observ/hosp same          4.26           NA           NA          1.21         1.32         0.19         XXX
                                             date.
99238.........  ............  A...........  Hospital discharge        1.28           NA           NA          0.49         0.52         0.05         XXX
                                             day.
99239.........  ............  A...........  Hospital discharge        1.90           NA           NA          0.67         0.70         0.07         XXX
                                             day.
99241.........  ............  A...........  Office                    0.64         0.66         0.65          0.22         0.22         0.05         XXX
                                             consultation.
99242.........  ............  A...........  Office                    1.34         1.08         1.06          0.48         0.47         0.10         XXX
                                             consultation.
99243.........  ............  A...........  Office                    1.88         1.45         1.42          0.67         0.65         0.13         XXX
                                             consultation.
99244.........  ............  A...........  Office                    3.02         1.93         1.88          1.08         1.00         0.16         XXX
                                             consultation.
99245.........  ............  A...........  Office                    3.77         2.26         2.27          1.31         1.27         0.21         XXX
                                             consultation.
99251.........  ............  A...........  Inpatient                 1.00           NA           NA          0.31         0.27         0.05         XXX
                                             consultation.
99252.........  ............  A...........  Inpatient                 1.50           NA           NA          0.49         0.50         0.09         XXX
                                             consultation.
99253.........  ............  A...........  Inpatient                 2.27           NA           NA          0.80         0.74         0.11         XXX
                                             consultation.
99254.........  ............  A...........  Inpatient                 3.29           NA           NA          1.19         1.08         0.13         XXX
                                             consultation.
99255.........  ............  A...........  Inpatient                 4.00           NA           NA          1.39         1.37         0.18         XXX
                                             consultation.
99281.........  ............  A...........  Emergency dept            0.45           NA           NA          0.09         0.09         0.02         XXX
                                             visit.
99282.........  ............  A...........  Emergency dept            0.88           NA           NA          0.17         0.15         0.04         XXX
                                             visit.
99283.........  ............  A...........  Emergency dept            1.34           NA           NA          0.25         0.28         0.09         XXX
                                             visit.
99284.........  ............  A...........  Emergency dept            2.56           NA           NA          0.46         0.47         0.14         XXX
                                             visit.
99285.........  ............  A...........  Emergency dept            3.80           NA           NA          0.67         0.69         0.23         XXX
                                             visit.
99288.........  ............  B...........  Direct advanced           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             life support.
99289.........  ............  A...........  Ped crit care             4.79           NA           NA          1.08         1.26         0.24         XXX
                                             transport.
99290.........  ............  A...........  Ped crit care             2.40           NA           NA          0.89         0.85         0.12         ZZZ
                                             transport addl.
99291.........  ............  A...........  Critical care,            4.50         2.26         2.42          1.10         1.19         0.21         XXX
                                             first hour.
99292.........  ............  A...........  Critical care,            2.25         0.80         0.85          0.56         0.60         0.11         ZZZ
                                             add[AElig]l 30
                                             min.
99293.........  ............  A...........  Ped critical care,       15.98           NA           NA          3.78         4.27         1.12         XXX
                                             initial.
99294.........  ............  A...........  Ped critical care,        7.99           NA           NA          1.65         2.03         0.45         XXX
                                             subseq.
99295.........  ............  A...........  Neonate crit care,       18.46           NA           NA          4.57         4.97         1.16         XXX
                                             initial.
99296.........  ............  A...........  Neonate critical          7.99           NA           NA          2.06         2.30         0.32         XXX
                                             care subseq.
99298.........  ............  A...........  Ic for lbw infant         2.75           NA           NA          0.68         0.80         0.17         XXX
                                             < 1500 gm.
99299.........  ............  A...........  Ic, lbw infant            2.50           NA           NA          0.58         0.72         0.16         XXX
                                             1500-2500 gm.
99300.........  ............  A...........  Ic, infant pbw            2.40           NA           NA          0.71         0.77         0.15         XXX
                                             2501-5000 gm.
99304.........  ............  A...........  Nursing facility          1.61         0.57         0.53          0.57         0.53         0.05         XXX
                                             care, init.
99305.........  ............  A...........  Nursing facility          2.30         0.74         0.68          0.74         0.68         0.07         XXX
                                             care, init.
99306.........  ............  A...........  Nursing facility          3.00         0.91         0.83          0.91         0.83         0.09         XXX
                                             care, init.
99307.........  ............  A...........  Nursing fac care,         0.76         0.31         0.29          0.31         0.29         0.03         XXX
                                             subseq.
99308.........  ............  A...........  Nursing fac care,         1.16         0.47         0.46          0.47         0.46         0.04         XXX
                                             subseq.
99309.........  ............  A...........  Nursing fac care,         1.55         0.61         0.61          0.61         0.61         0.06         XXX
                                             subseq.
99310.........  ............  A...........  Nursing fac care,         2.35         0.87         0.82          0.87         0.82         0.08         XXX
                                             subseq.
99315.........  ............  A...........  Nursing fac               1.13         0.41         0.43          0.41         0.43         0.05         XXX
                                             discharge day.
99316.........  ............  A...........  Nursing fac               1.50         0.51         0.55          0.51         0.55         0.06         XXX
                                             discharge day.
99318.........  ............  A...........  Annual nursing fac        1.71         0.56         0.53          0.56         0.53         0.05         XXX
                                             assessmnt.
99324.........  ............  A...........  Domicil/r-home            1.01         0.43         0.46            NA           NA         0.05         XXX
                                             visit new pat.
99325.........  ............  A...........  Domicil/r-home            1.52         0.55         0.62            NA           NA         0.07         XXX
                                             visit new pat.
99326.........  ............  A...........  Domicil/r-home            2.63         0.82         0.87            NA           NA         0.10         XXX
                                             visit new pat.
99327.........  ............  A...........  Domicil/r-home            3.46         1.02         1.09            NA           NA         0.13         XXX
                                             visit new pat.
99328.........  ............  A...........  Domicil/r-home            4.09         1.16         1.29            NA           NA         0.16         XXX
                                             visit new pat.
99334.........  ............  A...........  Domicil/r-home            1.07         0.43         0.42            NA           NA         0.04         XXX
                                             visit est pat.
99335.........  ............  A...........  Domicil/r-home            1.72         0.59         0.58            NA           NA         0.06         XXX
                                             visit est pat.
99336.........  ............  A...........  Domicil/r-home            2.46         0.77         0.79            NA           NA         0.09         XXX
                                             visit est pat.
99337.........  ............  A...........  Domicil/r-home            3.58         1.03         1.09            NA           NA         0.13         XXX
                                             visit est pat.
99339.........  ............  B...........  Domicil/r-home            1.25         0.58         0.58            NA           NA         0.06         XXX
                                             care supervis.
99340.........  ............  B...........  Domicil/r-home            1.80         0.77         0.77            NA           NA         0.07         XXX
                                             care supervis.
99341.........  ............  A...........  Home visit, new           1.01         0.43         0.45            NA           NA         0.05         XXX
                                             patient.
99342.........  ............  A...........  Home visit, new           1.52         0.56         0.62            NA           NA         0.07         XXX
                                             patient.

[[Page 2700]]

 
99343.........  ............  A...........  Home visit, new           2.53         0.82         0.88            NA           NA         0.10         XXX
                                             patient.
99344.........  ............  A...........  Home visit, new           3.38         1.00         1.09            NA           NA         0.13         XXX
                                             patient.
99345.........  ............  A...........  Home visit, new           4.09         1.15         1.29            NA           NA         0.16         XXX
                                             patient.
99347.........  ............  A...........  Home visit, est           1.00         0.42         0.41            NA           NA         0.04         XXX
                                             patient.
99348.........  ............  A...........  Home visit, est           1.56         0.56         0.57            NA           NA         0.06         XXX
                                             patient.
99349.........  ............  A...........  Home visit, est           2.33         0.73         0.78            NA           NA         0.09         XXX
                                             patient.
99350.........  ............  A...........  Home visit, est           3.28         0.96         1.07            NA           NA         0.13         XXX
                                             patient.
99354.........  ............  A...........  Prolonged service,        1.77         0.65         0.71          0.50         0.58         0.08         ZZZ
                                             office.
99355.........  ............  A...........  Prolonged service,        1.77         0.62         0.68          0.47         0.54         0.07         ZZZ
                                             office.
99356.........  ............  A...........  Prolonged service,        1.71           NA           NA          0.50         0.56         0.07         ZZZ
                                             inpatient.
99357.........  ............  A...........  Prolonged service,        1.71           NA           NA          0.50         0.56         0.08         ZZZ
                                             inpatient.
99358.........  ............  B...........  Prolonged serv, w/        2.10         0.51         0.51          0.51         0.51         0.09         ZZZ
                                             o contact.
99359.........  ............  B...........  Prolonged serv, w/        1.00         0.26         0.26          0.26         0.26         0.04         ZZZ
                                             o contact.
99360.........  ............  X...........  Physician standby         1.20         0.28         0.28          0.28         0.28         0.05         XXX
                                             services.
99363.........  ............  B...........  Anticoag mgmt,            1.65         1.30         1.30          0.38         0.38         0.07         XXX
                                             init.
99364.........  ............  B...........  Anticoag mgmt,            0.63         0.38         0.38          0.14         0.14         0.04         XXX
                                             subseq.
99366.........  ............  B...........  Team conf w/pat by        0.82         0.20         0.20          0.19         0.19         0.06         XXX
                                             hc pro.
99367.........  ............  B...........  Team conf w/o pat         1.10         0.25         0.25          0.25         0.25         0.05         XXX
                                             by phys.
99368.........  ............  B...........  Team conf w/o pat         0.72         0.16         0.16          0.16         0.16         0.03         XXX
                                             by hc pro.
99374.........  ............  B...........  Home health care          1.10         0.55         0.62          0.25         0.34         0.05         XXX
                                             supervision.
99375.........  ............  I...........  Home health care          1.73         0.75         1.15          0.40         0.97         0.07         XXX
                                             supervision.
99377.........  ............  B...........  Hospice care              1.10         0.55         0.62          0.25         0.34         0.05         XXX
                                             supervision.
99378.........  ............  I...........  Hospice care              1.73         0.75         1.35          0.40         1.17         0.07         XXX
                                             supervision.
99379.........  ............  B...........  Nursing fac care          1.10         0.55         0.62          0.25         0.34         0.04         XXX
                                             supervision.
99380.........  ............  B...........  Nursing fac care          1.73         0.75         0.87          0.40         0.53         0.06         XXX
                                             supervision.
99381.........  ............  N...........  Init pm e/m, new          1.19         1.00         1.25          0.27         0.36         0.05         XXX
                                             pat, inf.
99382.........  ............  N...........  Init pm e/m, new          1.36         1.04         1.29          0.31         0.42         0.05         XXX
                                             pat 1-4 yrs.
99383.........  ............  N...........  Prev visit, new,          1.36         1.03         1.25          0.31         0.42         0.05         XXX
                                             age 5-11.
99384.........  ............  N...........  Prev visit, new,          1.53         1.07         1.31          0.35         0.47         0.06         XXX
                                             age 12-17.
99385.........  ............  N...........  Prev visit, new,          1.53         1.07         1.31          0.35         0.47         0.06         XXX
                                             age 18-39.
99386.........  ............  N...........  Prev visit, new,          1.88         1.15         1.45          0.43         0.58         0.07         XXX
                                             age 40-64.
99387.........  ............  N...........  Init pm e/m, new          2.06         1.28         1.58          0.47         0.63         0.07         XXX
                                             pat 65+ yrs.
99391.........  ............  N...........  Per pm reeval, est        1.02         0.86         0.94          0.24         0.31         0.04         XXX
                                             pat, inf.
99392.........  ............  N...........  Prev visit, est,          1.19         0.90         1.00          0.27         0.36         0.05         XXX
                                             age 1-4.
99393.........  ............  N...........  Prev visit, est,          1.19         0.90         0.98          0.27         0.36         0.05         XXX
                                             age 5-11.
99394.........  ............  N...........  Prev visit, est,          1.36         0.93         1.03          0.31         0.42         0.05         XXX
                                             age 12-17.
99395.........  ............  N...........  Prev visit, est,          1.36         0.94         1.05          0.31         0.42         0.05         XXX
                                             age 18-39.
99396.........  ............  N...........  Prev visit, est,          1.53         0.98         1.11          0.35         0.47         0.06         XXX
                                             age 40-64.
99397.........  ............  N...........  Per pm reeval est         1.71         1.12         1.24          0.39         0.53         0.06         XXX
                                             pat 65+ yr.
99401.........  ............  N...........  Preventive                0.48         0.36         0.49          0.11         0.15         0.01         XXX
                                             counseling, indiv.
99402.........  ............  N...........  Preventive                0.98         0.48         0.67          0.22         0.30         0.02         XXX
                                             counseling, indiv.
99403.........  ............  N...........  Preventive                1.46         0.59         0.84          0.34         0.45         0.04         XXX
                                             counseling, indiv.
99404.........  ............  N...........  Preventive                1.95         0.70         1.01          0.45         0.60         0.05         XXX
                                             counseling, indiv.
99406.........  ............  A...........  Behav chng smoking        0.24         0.11         0.10          0.07         0.08         0.01         XXX
                                             3-10 min.
99407.........  ............  A...........  Behav chng smoking        0.50         0.18         0.18          0.13         0.15         0.01         XXX
                                             < 10 min.
99408.........  ............  N...........  Audit/dast, 15-30         0.65         0.19         0.19          0.15         0.15         0.01         XXX
                                             min.
99409.........  ............  N...........  Audit/dast, over          1.30         0.34         0.34          0.30         0.30         0.03         XXX
                                             30 min.
99411.........  ............  N...........  Preventive                0.15         0.22         0.20          0.03         0.05         0.01         XXX
                                             counseling, group.
99412.........  ............  N...........  Preventive                0.25         0.24         0.25          0.06         0.08         0.01         XXX
                                             counseling, group.
99420.........  ............  N...........  Health risk               0.00         0.22         0.22            NA           NA         0.01         XXX
                                             assessment test.
99429.........  ............  N...........  Unlisted                  0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             preventive
                                             service.
99431.........  ............  A...........  Initial care,             1.17           NA           NA          0.27         0.32         0.05         XXX
                                             normal newborn.
99432.........  ............  A...........  Newborn care, not         1.26         1.01         0.97          0.29         0.34         0.07         XXX
                                             in hosp.
99433.........  ............  A...........  Normal newborn            0.62           NA           NA          0.17         0.19         0.02         XXX
                                             care/hospital.
99435.........  ............  A...........  Newborn discharge         1.50           NA           NA          0.50         0.54         0.06         XXX
                                             day hosp.
99436.........  ............  A...........  Attendance, birth.        1.50           NA           NA          0.33         0.40         0.06         XXX
99440.........  ............  A...........  Newborn                   2.93           NA           NA          0.67         0.80         0.12         XXX
                                             resuscitation.
99441.........  ............  N...........  Phone e/m by phys         0.25         0.09         0.09          0.06         0.06         0.02         XXX
                                             5-10 min.
99442.........  ............  N...........  Phone e/m by phys         0.50         0.14         0.14          0.11         0.11         0.02         XXX
                                             11-20 min.
99443.........  ............  N...........  Phone e/m by phys         0.75         0.20         0.20          0.17         0.17         0.03         XXX
                                             21-30 min.
99444.........  ............  N...........  Online e/m by phys        0.00         0.00         0.00          0.00         0.00         0.00         XXX
99450.........  ............  N...........  Basic life                0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             disability exam.
99455.........  ............  R...........  Work related              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             disability exam.
99456.........  ............  R...........  Disability                0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             examination.
99477.........  ............  A...........  Init day hosp             7.00         1.98         1.98          1.98         1.98         0.32         XXX
                                             neonate care.
99499.........  ............  C...........  Unlisted e&m              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             service.
99500.........  ............  I...........  Home visit,               0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             prenatal.
99501.........  ............  I...........  Home visit,               0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             postnatal.
99502.........  ............  I...........  Home visit, nb            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             care.
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.

[[Page 2701]]

 
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            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             life 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/            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             visit, 2 hrs.
99602.........  ............  I...........  Home infusion,            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             each addtl hr.
99605.........  ............  X...........  Mtms by pharm, np,        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             15 min.
99606.........  ............  X...........  Mtms by pharm,            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             est, 15 min.
99607.........  ............  X...........  Mtms by pharm,            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             addl 15 min.
A4890.........  ............  R...........  Repair/maint cont         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             hemo equip.
G0008.........  ............  X...........  Admin influenza           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             virus vac.
G0009.........  ............  X...........  Admin pneumococcal        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             vaccine.
G0010.........  ............  X...........  Admin hepatitis b         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             vaccine.
G0027.........  ............  X...........  Semen analysis....        0.00         0.00         0.00          0.00         0.00         0.00         XXX
G0101.........  ............  A...........  CA screen;pelvic/         0.45         0.48         0.50            NA           NA         0.02         XXX
                                             breast exam.
G0102.........  ............  A...........  Prostate ca               0.17         0.32         0.36          0.06         0.06         0.01         XXX
                                             screening; dre.
G0103.........  ............  X...........  PSA screening.....        0.00         0.00         0.00          0.00         0.00         0.00         XXX
G0104.........  ............  A...........  CA screen;flexi           0.96         2.52         2.40          0.62         0.56         0.08         000
                                             sigmoidscope.
G0105.........  ............  A...........  Colorectal scrn;          3.69         6.39         6.27          1.82         1.65         0.30         000
                                             hi risk ind.
G0105.........  53..........  A...........  Colorectal scrn;          0.96         2.52         2.40          0.62         0.56         0.08         000
                                             hi risk ind.
G0106.........  ............  A...........  Colon CA                  0.99         4.95         3.75            NA           NA         0.17         XXX
                                             screen;barium
                                             enema.
G0106.........  TC..........  A...........  Colon CA                  0.00         4.60         3.42            NA           NA         0.13         XXX
                                             screen;barium
                                             enema.
G0106.........  26..........  A...........  Colon CA                  0.99         0.35         0.33          0.35         0.33         0.04         XXX
                                             screen;barium
                                             enema.
G0108.........  ............  A...........  Diab manage trn           0.00         0.59         0.71            NA           NA         0.01         XXX
                                             per indiv.
G0109.........  ............  A...........  Diab manage trn           0.00         0.31         0.40            NA           NA         0.01         XXX
                                             ind/group.
G0117.........  ............  T...........  Glaucoma scrn hgh         0.45         0.76         0.74            NA           NA         0.01         XXX
                                             risk direc.
G0118.........  ............  T...........  Glaucoma scrn hgh         0.17         0.71         0.62            NA           NA         0.01         XXX
                                             risk direc.
G0120.........  ............  A...........  Colon ca scrn;            0.99         4.95         3.75            NA           NA         0.17         XXX
                                             barium enema.
G0120.........  TC..........  A...........  Colon ca scrn;            0.00         4.60         3.42            NA           NA         0.13         XXX
                                             barium enema.
G0120.........  26..........  A...........  Colon ca scrn;            0.99         0.35         0.33          0.35         0.33         0.04         XXX
                                             barium enema.
G0121.........  ............  A...........  Colon ca scrn not         3.69         6.39         6.27          1.82         1.65         0.30         000
                                             hi rsk ind.
G0121.........  53..........  A...........  Colon ca scrn not         0.96         2.52         2.40          0.62         0.56         0.08         000
                                             hi rsk ind.
G0122.........  ............  N...........  Colon ca scrn;            0.99         5.65         4.11            NA           NA         0.18         XXX
                                             barium enema.
G0122.........  TC..........  N...........  Colon ca scrn;            0.00         5.42         3.81            NA           NA         0.13         XXX
                                             barium enema.
G0122.........  26..........  N...........  Colon ca scrn;            0.99         0.23         0.30          0.23         0.30         0.05         XXX
                                             barium enema.
G0123.........  ............  X...........  Screen cerv/vag           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             thin layer.
G0124.........  ............  A...........  Screen c/v thin           0.42         0.38         0.26          0.38         0.26         0.02         XXX
                                             layer by MD.
G0127.........  ............  R...........  Trim nail(s)......        0.17         0.38         0.32          0.04         0.06         0.01         000
G0128.........  ............  R...........  CORF skilled              0.08         0.02         0.02          0.02         0.02         0.01         XXX
                                             nursing service.
G0130.........  ............  A...........  Single energy x-          0.22         0.55         0.72            NA           NA         0.06         XXX
                                             ray study.
G0130.........  TC..........  A...........  Single energy x-          0.00         0.49         0.65            NA           NA         0.05         XXX
                                             ray study.
G0130.........  26..........  A...........  Single energy x-          0.22         0.06         0.07          0.06         0.07         0.01         XXX
                                             ray study.
G0141.........  ............  A...........  Scr c/v                   0.42         0.38         0.26          0.38         0.26         0.02         XXX
                                             cyto,autosys and
                                             md.
G0143.........  ............  X...........  Scr c/v                   0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             cyto,thinlayer,re
                                             scr.
G0144.........  ............  X...........  Scr c/v                   0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             cyto,thinlayer,re
                                             scr.
G0145.........  ............  X...........  Scr c/v                   0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             cyto,thinlayer,re
                                             scr.
G0147.........  ............  X...........  Scr c/v cyto,             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             automated sys.
G0148.........  ............  X...........  Scr c/v cyto,             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             autosys, rescr.
G0166.........  ............  A...........  Extrnl                    0.07         4.50         4.04            NA           NA         0.01         XXX
                                             counterpulse, per
                                             tx.
G0168.........  ............  A...........  Wound closure by          0.45         1.58         1.76          0.21         0.21         0.03         000
                                             adhesive.
G0173.........  ............  X...........  Linear acc stereo         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             radsur com.
G0175.........  ............  X...........  OPPS Service,sched        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             team conf.
G0176.........  ............  X...........  OPPS/PHP;activity         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             therapy.
G0177.........  ............  X...........  OPPS/PHP; train &         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             educ serv.
G0179.........  ............  A...........  MD recertification        0.45         0.48         0.75            NA           NA         0.02         XXX
                                             HHA PT.
G0180.........  ............  A...........  MD certification          0.67         0.56         0.91            NA           NA         0.03         XXX
                                             HHA patient.
G0181.........  ............  A...........  Home health care          1.73         0.80         1.14            NA           NA         0.07         XXX
                                             supervision.
G0182.........  ............  A...........  Hospice care              1.73         0.82         1.24            NA           NA         0.07         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...........  Screeningmammograp        0.70         2.81         2.79            NA           NA         0.10         XXX
                                             hydigital.
G0202.........  TC..........  A...........  Screeningmammograp        0.00         2.57         2.56            NA           NA         0.07         XXX
                                             hydigital.
G0202.........  26..........  A...........  Screeningmammograp        0.70         0.24         0.23          0.24         0.23         0.03         XXX
                                             hydigital.
G0204.........  ............  A...........  Diagnosticmammogra        0.87         3.40         3.09            NA           NA         0.11         XXX
                                             phydigital.
G0204.........  TC..........  A...........  Diagnosticmammogra        0.00         3.10         2.80            NA           NA         0.07         XXX
                                             phydigital.
G0204.........  26..........  A...........  Diagnosticmammogra        0.87         0.30         0.29          0.30         0.29         0.04         XXX
                                             phydigital.
G0206.........  ............  A...........  Diagnosticmammogra        0.70         2.67         2.46            NA           NA         0.09         XXX
                                             phydigital.
G0206.........  TC..........  A...........  Diagnosticmammogra        0.00         2.43         2.23            NA           NA         0.06         XXX
                                             phydigital.
G0206.........  26..........  A...........  Diagnosticmammogra        0.70         0.24         0.23          0.24         0.23         0.03         XXX
                                             phydigital.
G0219.........  ............  N...........  PET img wholbod           0.00         0.00         0.00            NA           NA         0.00         XXX
                                             melano nonco.

[[Page 2702]]

 
G0219.........  TC..........  N...........  PET img wholbod           0.00         0.00         0.00            NA           NA         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.
G0235.........  ............  N...........  PET not otherwise         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             specified.
G0235.........  TC..........  N...........  PET not otherwise         0.00         0.00         0.00            NA           NA         0.00         XXX
                                             specified.
G0235.........  26..........  N...........  PET not otherwise         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             specified.
G0237.........  ............  A...........  Therapeutic procd         0.00         0.21         0.34            NA           NA         0.02         XXX
                                             strg endur.
G0238.........  ............  A...........  Oth resp proc,            0.00         0.23         0.36            NA           NA         0.02         XXX
                                             indiv.
G0239.........  ............  A...........  Oth resp proc,            0.00         0.31         0.32            NA           NA         0.02         XXX
                                             group.
G0245.........  ............  R...........  Initial foot exam         0.88         0.84         0.81          0.29         0.30         0.04         XXX
                                             pt lops.
G0246.........  ............  R...........  Followup eval of          0.45         0.55         0.55          0.15         0.15         0.02         XXX
                                             foot pt lop.
G0247.........  ............  R...........  Routine footcare          0.50         0.68         0.60          0.16         0.18         0.02         ZZZ
                                             pt w lops.
G0248.........  ............  R...........  Demonstrate use           0.00         3.41         5.01            NA           NA         0.01         XXX
                                             home inr mon.
G0249.........  ............  R...........  Provide test              0.00         3.40         3.68            NA           NA         0.01         XXX
                                             material,equipm.
G0250.........  ............  R...........  MD review                 0.18         0.08         0.07            NA           NA         0.01         XXX
                                             interpret 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               0.00         0.00         0.00            NA           NA         0.00         XXX
                                             initial dx.
G0252.........  TC..........  N...........  PET imaging               0.00         0.00         0.00            NA           NA         0.00         XXX
                                             initial dx.
G0252.........  26..........  N...........  PET imaging               1.50         0.00         0.60          0.00         0.60         0.04         XXX
                                             initial dx.
G0255.........  ............  N...........  Current percep            0.00         0.00         0.00            NA           NA         0.00         XXX
                                             threshold tst.
G0255.........  TC..........  N...........  Current percep            0.00         0.00         0.00            NA           NA         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.
G0257.........  ............  E...........  Unsched dialysis          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             ESRD pt hos.
G0259.........  ............  E...........  Inject for                0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             sacroiliac joint.
G0260.........  ............  E...........  Inj for sacroiliac        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             jt anesth.
G0268.........  ............  A...........  Removal of                0.61         0.66         0.65          0.20         0.22         0.02         000
                                             impacted wax md.
G0269.........  ............  B...........  Occlusive device          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             in vein art.
G0270.........  ............  A...........  MNT subs tx for           0.37         0.12         0.29          0.09         0.28         0.01         XXX
                                             change dx.
G0271.........  ............  A...........  Group MNT 2 or            0.25         0.08         0.13          0.07         0.12         0.01         XXX
                                             more 30 mins.
G0275.........  ............  A...........  Renal angio,              0.25           NA           NA          0.13         0.12         0.01         ZZZ
                                             cardiac cath.
G0278.........  ............  A...........  Iliac art                 0.25           NA           NA          0.13         0.12         0.01         ZZZ
                                             angio,cardiac
                                             cath.
G0281.........  ............  A...........  Elec stim unattend        0.18         0.14         0.12            NA           NA         0.01         XXX
                                             for press.
G0282.........  ............  N...........  Elect stim wound          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             care not pd.
G0283.........  ............  A...........  Elec stim other           0.18         0.14         0.12            NA           NA         0.01         XXX
                                             than wound.
G0288.........  ............  A...........  Recon, CTA for            0.00         1.03         5.83            NA           NA         0.18         XXX
                                             surg plan.
G0289.........  ............  A...........  Arthro, loose body        1.48           NA           NA          0.58         0.69         0.26         ZZZ
                                             + chondro.
G0290.........  ............  E...........  Drug-eluting              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             stents, 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.
G0297.........  ............  X...........  Insert single             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             chamber/cd.
G0300.........  ............  X...........  Insert reposit            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             lead dual+gen.
G0302.........  ............  X...........  Pre-op service            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             LVRS complete.
G0303.........  ............  X...........  Pre-op service            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             LVRS 10-15dos.
G0304.........  ............  X...........  Pre-op service            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             LVRS 1-9 dos.
G0305.........  ............  X...........  Post op service           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             LVRS min 6.
G0306.........  ............  X...........  CBC/diffwbc w/o           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             platelet.
G0307.........  ............  X...........  CBC without               0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             platelet.
G0308.........  ............  A...........  ESRD related svc         12.74         5.57         7.06          5.57         7.06         0.42         XXX
                                             4+mo < 2yrs.
G0309.........  ............  A...........  ESRD related svc 2-      10.61         4.16         5.63          4.16         5.63         0.36         XXX
                                             3mo <2yrs.
G0310.........  ............  A...........  ESRD related svc 1        8.49         2.78         4.24          2.78         4.24         0.28         XXX
                                             vst <2yrs.
G0311.........  ............  A...........  ESRD related svs          9.73         3.55         4.13          3.55         4.13         0.34         XXX
                                             4+mo 2-11yr.
G0312.........  ............  A...........  ESRD relate svs 2-        8.11         2.70         3.31          2.70         3.31         0.29         XXX
                                             3 mo 2-11y.
G0313.........  ............  A...........  ESRD related svs 1        6.49         1.84         2.49          1.84         2.49         0.22         XXX
                                             mon 2-11y.
G0314.........  ............  A...........  ESRD related svs          8.28         3.39         3.90          3.39         3.90         0.27         XXX
                                             4+ mo 12-19.
G0315.........  ............  A...........  ESRD related svs 2-       6.90         2.56         3.12          2.56         3.12         0.23         XXX
                                             3mo/12-19.
G0316.........  ............  A...........  ESRD related svs          5.52         1.66         2.30          1.66         2.30         0.17         XXX
                                             1vis/12-19y.
G0317.........  ............  A...........  ESRD related svs          5.09         2.25         2.56          2.25         2.56         0.17         XXX
                                             4+mo 20+yrs.
G0318.........  ............  A...........  ESRD related svs 2-       4.24         1.69         2.04          1.69         2.04         0.14         XXX
                                             3 mo 20+y.
G0319.........  ............  A...........  ESRD related svs          3.39         1.13         1.52          1.13         1.52         0.11         XXX
                                             1visit 20+y.
G0320.........  ............  A...........  ESD related svs          10.61         2.69         4.90          2.69         4.90         0.36         XXX
                                             home undr 2.
G0321.........  ............  A...........  ESRDrelatedsvs            8.11         1.99         2.95          1.99         2.95         0.29         XXX
                                             home mo 2-11y.
G0322.........  ............  A...........  ESRD related svs          6.90         1.71         2.69          1.71         2.69         0.23         XXX
                                             hom mo12-19.
G0323.........  ............  A...........  ESRD related svs          4.24         1.14         1.76          1.14         1.76         0.14         XXX
                                             home mo 20+.
G0324.........  ............  A...........  ESRD relate svs           0.35         0.16         0.20          0.16         0.20         0.01         XXX
                                             home/dy <2yr.
G0325.........  ............  A...........  ESRD relate home/         0.23         0.09         0.10          0.09         0.10         0.01         XXX
                                             day/ 2-11yr.
G0326.........  ............  A...........  ESRD relate home/         0.27         0.10         0.11          0.10         0.11         0.01         XXX
                                             dy 12-19yr.
G0327.........  ............  A...........  ESRD relate home/         0.14         0.06         0.07          0.06         0.07         0.01         XXX
                                             dy 20+yrs.
G0328.........  ............  X...........  Fecal blood scrn          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             immunoassay.
G0329.........  ............  A...........  Electromagntic tx         0.06         0.15         0.15            NA           NA         0.01         XXX
                                             for ulcers.
G0332.........  ............  A...........  Preadmin IV               0.00         0.00         1.97            NA           NA         0.00         XXX
                                             immunoglobulin.
G0333.........  ............  X...........  Dispense fee              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             initial 30 day.

[[Page 2703]]

 
G0337.........  ............  X...........  Hospice evaluation        1.34         0.31         0.41          0.31         0.41         0.09         XXX
                                             preelecti.
G0339.........  ............  C...........  Robot lin-radsurg         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             com, first.
G0340.........  ............  C...........  Robt lin-radsurg          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             fractx 2-5.
G0341.........  ............  A...........  Percutaneous islet        6.98           NA           NA          2.36         2.48         0.48         000
                                             celltrans.
G0342.........  ............  A...........  Laparoscopy islet        11.92           NA           NA          5.07         5.18         1.46         090
                                             cell trans.
G0343.........  ............  A...........  Laparotomy islet         19.85           NA           NA          8.55         8.66         2.07         090
                                             cell transp.
G0344.........  ............  A...........  Initial preventive        1.34         1.11         1.12          0.43         0.45         0.10         XXX
                                             exam.
G0364.........  ............  A...........  Bone marrow               0.16         0.16         0.15          0.07         0.06         0.04         ZZZ
                                             aspirate &biopsy.
G0365.........  ............  A...........  Vessel mapping            0.25         5.22         4.61            NA           NA         0.25         XXX
                                             hemo access.
G0365.........  TC..........  A...........  Vessel mapping            0.00         5.16         4.53            NA           NA         0.23         XXX
                                             hemo access.
G0365.........  26..........  A...........  Vessel mapping            0.25         0.06         0.08          0.06         0.08         0.02         XXX
                                             hemo access.
G0366.........  ............  A...........  EKG for initial           0.17         0.35         0.42            NA           NA         0.03         XXX
                                             prevent exam.
G0367.........  ............  A...........  EKG tracing for           0.00         0.28         0.36            NA           NA         0.02         XXX
                                             initial prev.
G0368.........  ............  A...........  EKG interpret &           0.17         0.07         0.06          0.07         0.06         0.01         XXX
                                             report preve.
G0372.........  ............  A...........  MD service                0.17         0.04         0.22          0.04         0.05         0.01         XXX
                                             required for PMD.
G0377.........  ............  X...........  Administra Part D         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             vaccine.
G0378.........  ............  X...........  Hospital                  0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             observation per
                                             hr.
G0379.........  ............  X...........  Direct admit              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             hospital observ.
G0389.........  ............  A...........  Ultrasound exam           0.58         2.41         2.41            NA           NA         0.11         XXX
                                             AAA screen.
G0389.........  TC..........  A...........  Ultrasound exam           0.00         2.21         2.21            NA           NA         0.08         XXX
                                             AAA screen.
G0389.........  26..........  A...........  Ultrasound exam           0.58         0.20         0.20          0.20         0.20         0.03         XXX
                                             AAA screen.
G0392.........  ............  A...........  AV fistula or             9.48        48.69        52.41          3.39         3.47         0.62         000
                                             graft arterial.
G0393.........  ............  A...........  AV fistula or             6.03        37.15        40.96          2.23         2.29         0.34         000
                                             graft venous.
G0394.........  ............  X...........  Blood occult              0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             test,colorectal.
G0396.........  ............  A...........  Alcohol/subs              0.65         0.19         0.19          0.15         0.15         0.01         XXX
                                             interv 15-30mn.
G0397.........  ............  A...........  Alcohol/subs              1.30         0.34         0.34          0.29         0.29         0.03         XXX
                                             interv >30 min.
G3001.........  ............  X...........  Admin + supply,           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             tositumomab.
G9001.........  ............  X...........  MCCD, initial rate        0.00         0.00         0.00          0.00         0.00         0.00         XXX
G9002.........  ............  X...........  MCCD,maintenance          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             rate.
G9003.........  ............  X...........  MCCD, risk adj hi,        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             initial.
G9004.........  ............  X...........  MCCD, risk adj lo,        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             initial.
G9005.........  ............  X...........  MCCD, risk adj,           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             maintenance.
G9006.........  ............  X...........  MCCD, Home                0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             monitoring.
G9007.........  ............  X...........  MCCD, sch team            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             conf.
G9008.........  ............  X...........  Mccd,phys coor-           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             care ovrsght.
G9009.........  ............  X...........  MCCD, risk adj,           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             level 3.
G9010.........  ............  X...........  MCCD, risk adj,           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             level 4.
G9011.........  ............  X...........  MCCD, risk adj,           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             level 5.
G9012.........  ............  X...........  Other Specified           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             Case Mgmt.
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.
G9017.........  ............  X...........  Amantadine HCL            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             100mg oral.
G9018.........  ............  X...........  Zanamivir,inhalati        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             on pwd 10m.
G9019.........  ............  X...........  Oseltamivir               0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             phosphate 75mg.
G9020.........  ............  X...........  Rimantadine HCL           0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             100mg oral.
G9033.........  ............  X...........  Amantadine HCL            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             oral brand.
G9034.........  ............  X...........  Zanamivir, inh            0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             pwdr, brand.
G9035.........  ............  X...........  Oseltamivir phosp,        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             brand.
G9036.........  ............  X...........  Rimantadine HCL,          0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             brand.
G9041.........  ............  A...........  Low vision rehab          0.44         0.10         0.20          0.10         0.20         0.01         XXX
                                             occupationa.
G9042.........  ............  A...........  Low vision rehab          0.10         0.02         0.16          0.02         0.16         0.01         XXX
                                             orient/mobi.
G9043.........  ............  A...........  Low vision                0.10         0.02         0.16          0.02         0.16         0.01         XXX
                                             lowvision therapi.
G9044.........  ............  A...........  Low vision                0.10         0.02         0.13          0.02         0.13         0.01         XXX
                                             rehabilate teache.
G9140.........  ............  X...........  Frontier extended         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             stay demo.
M0064.........  ............  A...........  Visit for drug            0.37         0.91         0.62          0.07         0.09         0.01         XXX
                                             monitoring.
P3001.........  ............  A...........  Screening pap             0.42         0.38         0.26          0.38         0.26         0.02         XXX
                                             smear by phys.
Q0035.........  ............  A...........  Cardiokymography..        0.17         0.30         0.37            NA           NA         0.03         XXX
Q0035.........  TC..........  A...........  Cardiokymography..        0.00         0.25         0.32            NA           NA         0.02         XXX
Q0035.........  26..........  A...........  Cardiokymography..        0.17         0.05         0.05          0.05         0.05         0.01         XXX
Q0091.........  ............  A...........  Obtaining screen          0.37         0.75         0.71          0.10         0.12         0.02         XXX
                                             pap smear.
Q0092.........  ............  A...........  Set up port xray          0.00         0.47         0.40          0.47         0.40         0.01         XXX
                                             equipment.
Q3001.........  ............  C...........  Brachytherapy             0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             Radioelements.
Q3014.........  ............  X...........  Telehealth                0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             facility fee.
R0070.........  ............  C...........  Transport portable        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             x-ray.
R0075.........  ............  C...........  Transport port x-         0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             ray multipl.
R0076.........  ............  B...........  Transport portable        0.00         0.00         0.00          0.00         0.00         0.00         XXX
                                             EKG.
V5299.........  ............  R...........  Hearing service...        0.00         0.00         0.00          0.00         0.00         0.00         XXX
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public
  and are not used for Medicare payment.






  Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / 
Rules and Regulations  


[[Page 2704]]


    2. On pages 66543 through 66545, Addendum C, Codes with Interim 
RVUs, the table is corrected to read as follows:
    --------------------
\1\ CPT codes and descriptions only are copyright 2007 American Medical 
Association. All Rights Reserved. Applicable FARS/DFARS Apply.

\2\ If values are reflected for codes not payable by Medicare, please 
note that these values have been established as a courtesy to the 
general public and are not used for Medicare payment.

                                                          Addendum C.--Codes With Interim RVUS
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                          Fully       Year 2008
                                                            Physician  implemented  transitional     Fully       Year 2008      Mal-
CPT \1\/ HCPCS    Mod       Status         Description     work  RVUs      non-          non-     implemented  transitional   practice        Global
                                                               \2\       facility   facility  PE    facility      facility    RVUs \2\
                                                                       PE RVUs \2\    RVUs \2\    PE RVUs \2\   PE RVUs \2\
--------------------------------------------------------------------------------------------------------------------------------------------------------
20555.........  .......  A             Place ndl musc/tis        6.00           NA           NA          2.18         2.18         0.43  000
                                        for rt.
20660.........  .......  A             Apply, rem                4.00         2.28         2.28          1.55         1.55         0.59  000
                                        fixation device.
20690.........  .......  A             Apply bone                8.65           NA           NA          3.71         3.71         0.59  090
                                        fixation device.
20692.........  .......  A             Apply bone               16.00           NA           NA          6.79         6.79         1.05  090
                                        fixation device.
20985.........  .......  A             Cptr-asst dir ms          2.50         0.99         0.99          0.99         0.99         0.48  ZZZ
                                        px.
20986.........  .......  C             Cptr-asst dir ms          0.00         0.00         0.00          0.00         0.00         0.00  ZZZ
                                        px io img.
20987.........  .......  C             Cptr-asst dir ms          0.00         0.00         0.00          0.00         0.00         0.00  ZZZ
                                        px pre img.
21073.........  .......  A             Mnpj of tmj w/            3.33         5.50         5.50          2.31         2.31         0.43  090
                                        anesth.
22206.........  .......  A             Cut spine 3 col,         37.00           NA           NA         17.73        17.73         6.23  090
                                        thor.
22207.........  .......  A             Cut spine 3 col,         36.50           NA           NA         17.61        17.61         6.07  090
                                        lumb.
22208.........  .......  A             Cut spine 3 col,          9.66         3.73         3.73          3.73         3.73         2.07  ZZZ
                                        addl seg.
23515.........  .......  A             Treat clavicle            9.53           NA           NA          6.78         6.78         1.28  090
                                        fracture.
23585.........  .......  A             Treat scapula            14.07           NA           NA          8.08         8.08         1.54  090
                                        fracture.
23615.........  .......  A             Treat humerus            12.12           NA           NA          8.45         8.45         1.62  090
                                        fracture.
23616.........  .......  A             Treat humerus            18.19           NA           NA         12.30        12.30         3.70  090
                                        fracture.
23630.........  .......  A             Treat humerus            10.39           NA           NA          7.00         7.00         1.27  090
                                        fracture.
23670.........  .......  A             Treat dislocation/       12.12           NA           NA          7.38         7.38         1.36  090
                                        fracture.
23680.........  .......  A             Treat dislocation/       12.99           NA           NA          8.17         8.17         1.76  090
                                        fracture.
24357.........  .......  A             Repair elbow, perc        5.32           NA           NA          5.15         5.15         0.87  090
24358.........  .......  A             Repair elbow w/           6.54           NA           NA          5.73         5.73         1.07  090
                                        deb, open.
24359.........  .......  A             Repair elbow deb/         8.86           NA           NA          6.20         6.20         1.41  090
                                        attch open.
24545.........  .......  A             Treat humerus            12.99           NA           NA          8.37         8.37         1.83  090
                                        fracture.
24546.........  .......  A             Treat humerus            14.73           NA           NA         10.22        10.22         2.74  090
                                        fracture.
24575.........  .......  A             Treat humerus             9.53           NA           NA          7.69         7.69         1.87  090
                                        fracture.
24579.........  .......  A             Treat humerus            11.26           NA           NA          8.29         8.29         2.03  090
                                        fracture.
24635.........  .......  A             Treat elbow               8.64           NA           NA         10.31        10.31         2.29  090
                                        fracture.
24685.........  .......  A             Treat ulnar               8.21           NA           NA          7.02         7.02         1.52  090
                                        fracture.
25515.........  .......  A             Treat fracture of         8.64           NA           NA          6.97         6.97         1.59  090
                                        radius.
25525.........  .......  A             Treat fracture of        10.37           NA           NA          8.71         8.71         2.13  090
                                        radius.
25526.........  .......  A             Treat fracture of        12.96           NA           NA         11.10        11.10         2.20  090
                                        radius.
25545.........  .......  A             Treat fracture of         7.78           NA           NA          6.95         6.95         1.53  090
                                        ulna.
25574.........  .......  A             Treat fracture            8.64           NA           NA          6.88         6.88         1.21  090
                                        radius & ulna.
25575.........  .......  A             Treat fracture           12.10           NA           NA          8.94         8.94         1.82  090
                                        radius/ulna.
25628.........  .......  A             Treat wrist bone          9.51           NA           NA          7.34         7.34         1.37  090
                                        fracture.
26615.........  .......  A             Treat metacarpal          6.91           NA           NA          5.66         5.66         0.86  090
                                        fracture.
26650.........  .......  A             Treat thumb               5.19           NA           NA          5.79         5.79         0.94  090
                                        fracture.
26665.........  .......  A             Treat thumb               7.78           NA           NA          6.47         6.47         0.90  090
                                        fracture.
26685.........  .......  A             Treat hand                6.91           NA           NA          6.06         6.06         1.09  090
                                        dislocation.
26715.........  .......  A             Treat knuckle             6.87           NA           NA          5.76         5.76         0.91  090
                                        dislocation.
26735.........  .......  A             Treat finger              7.26           NA           NA          5.84         5.84         0.95  090
                                        fracture, each.
26746.........  .......  A             Treat finger              9.59           NA           NA          6.38         6.38         0.91  090
                                        fracture, each.
26765.........  .......  A             Treat finger              5.70           NA           NA          4.93         4.93         0.66  090
                                        fracture, each.
26785.........  .......  A             Treat finger              6.44           NA           NA          5.15         5.15         0.68  090
                                        dislocation.
27248.........  .......  A             Treat thigh              10.64           NA           NA          7.30         7.30         1.82  090
                                        fracture.
27267.........  .......  A             Cltx thigh fx.....        5.38           NA           NA          4.40         4.40         0.89  090
27268.........  .......  A             Cltx thigh fx w/          7.00           NA           NA          5.02         5.02         1.16  090
                                        mnpj.
27269.........  .......  A             Optx thigh fx.....       18.75           NA           NA          9.89         9.89         2.93  090
27416.........  .......  A             Osteochondral knee       14.00           NA           NA          8.39         8.39         2.32  090
                                        autograft.
27511.........  .......  A             Treatment of thigh       14.97           NA           NA          9.66         9.66         2.38  090
                                        fracture.
27513.........  .......  A             Treatment of thigh       19.11           NA           NA         11.82        11.82         3.13  090
                                        fracture.
27514.........  .......  A             Treatment of thigh       14.46           NA           NA         10.62        10.62         3.01  090
                                        fracture.
27519.........  .......  A             Treat thigh fx           13.11           NA           NA          9.49         9.49         2.56  090
                                        growth plate.
27535.........  .......  A             Treat knee               13.27           NA           NA          8.78         8.78         2.01  090
                                        fracture.
27540.........  .......  A             Treat knee               11.16           NA           NA          8.45         8.45         2.28  090
                                        fracture.
27556.........  .......  A             Treat knee               12.86           NA           NA          9.46         9.46         2.51  090
                                        dislocation.
27557.........  .......  A             Treat knee               15.76           NA           NA         10.79        10.79         2.98  090
                                        dislocation.
27558.........  .......  A             Treat knee               18.25           NA           NA         11.17        11.17         3.09  090
                                        dislocation.
27726.........  .......  A             Repair fibula            14.20           NA           NA          7.68         7.68         1.43  090
                                        nonunion.
27766.........  .......  A             Optx medial ankle         7.73           NA           NA          6.68         6.68         1.44  090
                                        fx.
27767.........  .......  A             Cltx post ankle fx        2.50         3.62         3.62          3.65         3.65         0.30  090
27768.........  .......  A             Cltx post ankle fx        5.00           NA           NA          4.30         4.30         0.79  090
                                        w/mnpj.
27769.........  .......  A             Optx post ankle fx       10.00           NA           NA          6.08         6.08         1.45  090
27784.........  .......  A             Treatment of              9.51           NA           NA          6.66         6.66         1.23  090
                                        fibula fracture.
27792.........  .......  A             Treatment of ankle        9.55           NA           NA          6.89         6.89         1.32  090
                                        fracture.
27814.........  .......  A             Treatment of ankle       10.46           NA           NA          7.90         7.90         1.86  090
                                        fracture.
27822.........  .......  A             Treatment of ankle       11.03           NA           NA          9.43         9.43         1.92  090
                                        fracture.
27823.........  .......  A             Treatment of ankle       12.98           NA           NA         10.21        10.21         2.26  090
                                        fracture.
27826.........  .......  A             Treat lower leg          10.92           NA           NA          8.52         8.52         1.47  090
                                        fracture.
27827.........  .......  A             Treat lower leg          14.56           NA           NA         11.48        11.48         2.44  090
                                        fracture.
27828.........  .......  A             Treat lower leg          18.20           NA           NA         12.76        12.76         2.82  090
                                        fracture.

[[Page 2705]]

 
27829.........  .......  A             Treat lower leg           8.64           NA           NA          6.88         6.88         0.95  090
                                        joint.
27832.........  .......  A             Treat lower leg          10.01           NA           NA          6.50         6.50         1.03  090
                                        dislocation.
28415.........  .......  A             Treat heel               15.96           NA           NA         11.77        11.77         2.67  090
                                        fracture.
28420.........  .......  A             Treat/graft heel         17.29           NA           NA         11.60        11.60         2.81  090
                                        fracture.
28445.........  .......  A             Treat ankle              15.53           NA           NA         10.26        10.26         2.59  090
                                        fracture.
28446.........  .......  A             Osteochondral            17.50           NA           NA         10.36        10.36         2.45  090
                                        talus autogrft.
28465.........  .......  A             Treat midfoot             8.64           NA           NA          6.19         6.19         1.10  090
                                        fracture, each.
28485.........  .......  A             Treat metatarsal          7.28           NA           NA          5.51         5.51         0.83  090
                                        fracture.
28505.........  .......  A             Treat big toe             7.28         8.28         8.28          4.36         4.36         0.56  090
                                        fracture.
28525.........  .......  A             Treat toe fracture        5.46         7.82         7.82          3.88         3.88         0.49  090
28555.........  .......  A             Repair foot               9.49        10.36        10.36          5.99         5.99         1.04  090
                                        dislocation.
28585.........  .......  A             Repair foot              10.92         9.45         9.45          6.41         6.41         1.25  090
                                        dislocation.
28615.........  .......  A             Repair foot              10.46           NA           NA          8.09         8.09         1.30  090
                                        dislocation.
28645.........  .......  A             Repair toe                7.28         6.65         6.65          3.95         3.95         0.57  090
                                        dislocation.
28675.........  .......  A             Repair of toe             5.46         7.69         7.69          3.90         3.90         0.45  090
                                        dislocation.
29828.........  .......  A             Arthroscopy biceps       13.00           NA           NA          8.18         8.18         2.17  090
                                        tenodesis.
29904.........  .......  A             Subtalar arthro w/        8.50           NA           NA          5.89         5.89         1.25  090
                                        fb rmvl.
29905.........  .......  A             Subtalar arthro w/        9.00           NA           NA          6.52         6.52         1.32  090
                                        exc.
29906.........  .......  A             Subtalar arthro w/        9.47           NA           NA          6.88         6.88         1.39  090
                                        deb.
29907.........  .......  A             Subtalar arthro w/       12.00           NA           NA          7.87         7.87         1.90  090
                                        fusion.
31500.........  .......  A             Insert emergency          2.33           NA           NA          0.48         0.48         0.17  000
                                        airway.
33257.........  .......  A             Ablate atria,             9.63           NA           NA          5.47         5.47         0.89  ZZZ
                                        lmtd, add-on.
33258.........  .......  A             Ablate atria,            11.00           NA           NA          5.99         5.99         1.09  ZZZ
                                        x10sv, add-on.
33259.........  .......  A             Ablate atria w/          14.14           NA           NA          7.80         7.80         1.78  ZZZ
                                        bypass add-on.
33864.........  .......  A             Ascending aortic         60.00           NA           NA         20.11        20.11         6.73  090
                                        graft.
34806.........  .......  A             Aneurysm press            2.06         0.51         0.51          0.51         0.51         0.30  ZZZ
                                        sensor add-on.
35523.........  .......  A             Artery bypass            24.00           NA           NA          9.22         9.22         2.14  090
                                        graft.
36591.........  .......  T             Draw blood off            0.00         0.54         0.54            NA           NA         0.01  XXX
                                        venous device.
36592.........  .......  T             Collect blood from        0.00         0.67         0.67            NA           NA         0.01  XXX
                                        picc.
36593.........  .......  A             Declot vascular           0.00         0.60         0.60            NA           NA         0.37  XXX
                                        device.
36620.........  .......  A             Insertion                 1.15           NA           NA          0.19         0.19         0.07  000
                                        catheter, artery.
41019.........  .......  A             Place needles h&n         8.84           NA           NA          3.28         3.28         0.59  000
                                        for rt.
43760.........  .......  A             Change gastrostomy        0.90         4.04         4.04          0.39         0.39         0.09  000
                                        tube.
49203.........  .......  A             Exc abd tum 5 cm         20.00           NA           NA          7.66         7.66         2.27  090
                                        or less.
49204.........  .......  A             Exc abd tum over 5       26.00           NA           NA          9.27         9.27         2.94  090
                                        cm.
49205.........  .......  A             Exc abd tum over         30.00           NA           NA         10.35        10.35         3.40  090
                                        10 cm.
49440.........  .......  A             Place gastrostomy         4.18        25.06        25.06          1.81         1.81         0.49  010
                                        tube perc.
49441.........  .......  A             Place duod/jej            4.77        30.13        30.13          2.01         2.01         0.29  010
                                        tube perc.
49442.........  .......  A             Place cecostomy           4.00        24.46        24.46          1.63         1.63         0.24  010
                                        tube perc.
49446.........  .......  A             Change g-tube to g-       3.31        25.78        25.78          1.15         1.15         0.18  000
                                        j perc.
49450.........  .......  A             Replace g/c tube          1.36        18.97        18.97          0.44         0.44         0.08  000
                                        perc.
49451.........  .......  A             Replace duod/jej          1.84        19.71        19.71          0.64         0.64         0.11  000
                                        tube perc.
49452.........  .......  A             Replace g-j tube          2.86        23.51        23.51          1.00         1.00         0.18  000
                                        perc.
49460.........  .......  A             Fix g/colon tube w/       0.96        20.59        20.59          0.31         0.31         0.05  000
                                        device.
49465.........  .......  A             Fluoro exam of g/         0.62         3.89         3.89          0.22         0.22         0.03  000
                                        colon tube.
50385.........  .......  A             Change stent via          4.44        30.64        30.64          2.05         2.05         0.27  000
                                        transureth.
50386.........  .......  A             Remove stent via          3.30        19.38        19.38          1.61         1.61         0.20  000
                                        transureth.
50593.........  .......  A             Perc cryo ablate          9.08       114.62       114.62          3.45         3.45         0.58  010
                                        renal tum.
51797.........       26  A             Intraabdominal            0.80         0.41         0.41          0.41         0.41         0.12  ZZZ
                                        pressure test.
52649.........  .......  A             2Prostate laser          17.16           NA           NA          9.32         9.32         1.11  090
                                        enucleation.
55920.........  .......  A             Place needles             8.31           NA           NA          3.14         3.14         0.58  000
                                        pelvic for rt.
57284.........  .......  A             Repair paravag           14.25           NA           NA          6.57         6.57         1.41  090
                                        defect, open.
57285.........  .......  A             Repair paravag           11.52           NA           NA          5.16         5.16         0.63  090
                                        defect, vag.
57423.........  .......  A             Repair paravag           16.00           NA           NA          6.52         6.52         1.65  090
                                        defect, lap.
58570.........  .......  A             Tlh, uterus 250 g        15.75           NA           NA          6.46         6.46         1.82  090
                                        or less.
58571.........  .......  A             Tlh w/t/o 250 g or       17.56           NA           NA          6.95         6.95         1.81  090
                                        less.
58572.........  .......  A             Tlh, uterus over         19.96           NA           NA          7.60         7.60         2.31  090
                                        250 g.
58573.........  .......  A             Tlh w/t/o uterus         22.98           NA           NA          8.42         8.42         2.28  090
                                        over 250 g.
67041.........  .......  A             Vit for macular          19.00           NA           NA         10.37        10.37         0.86  090
                                        pucker.
67042.........  .......  A             Vit for macular          22.13           NA           NA         11.49        11.49         1.00  090
                                        hole.
67043.........  .......  A             Vit for membrane         22.94           NA           NA         12.35        12.35         1.04  090
                                        dissect.
67113.........  .......  A             Repair retinal           25.00           NA           NA         13.75        13.75         1.13  090
                                        detach, cplx.
67229.........  .......  A             Tr retinal les           16.00           NA           NA          9.52         9.52         0.71  090
                                        preterm inf.
68816.........  .......  A             Probe nl duct w/          3.00        12.75        12.75          2.51         2.51         0.16  010
                                        balloon.
75557.........       26  A             Cardiac mri for           2.35         0.94         0.94          0.94         0.94         0.10  XXX
                                        morph.
75558.........       26  N             Cardiac mri flow/         2.60         0.60         0.60          0.60         0.60         0.11  XXX
                                        velocity.
75559.........       26  A             Cardiac mri w/            2.95         1.27         1.27          1.27         1.27         0.10  XXX
                                        stress img.
75560.........       26  N             Cardiac mri flow/         3.00         0.69         0.69          0.69         0.69         0.11  XXX
                                        vel/stress.
75561.........       26  A             Cardiac mri for           2.60         1.04         1.04          1.04         1.04         0.11  XXX
                                        morph w/dye.
75562.........       26  N             Card mri flow/vel         2.86         0.66         0.66          0.66         0.66         0.11  XXX
                                        w/dye.
75563.........       26  A             Card mri w/stress         3.00         1.38         1.38          1.38         1.38         0.11  XXX
                                        img & dye.
75564.........       26  N             Ht mri w/flo/vel/         3.35         0.77         0.77          0.77         0.77         0.13  XXX
                                        strs & dye.
78811.........       26  A             Pet image, ltd            1.54         0.53         0.53          0.53         0.53         0.11  XXX
                                        area.

[[Page 2706]]

 
78812.........       26  A             Pet image, skull-         1.93         0.66         0.66          0.66         0.66         0.11  XXX
                                        thigh.
78813.........       26  A             Pet image, full           2.00         0.69         0.69          0.69         0.69         0.11  XXX
                                        body.
78814.........       26  A             Pet image w/ct,           2.20         0.75         0.75          0.75         0.75         0.11  XXX
                                        lmtd.
78815.........       26  A             Pet image w/ct,           2.44         0.84         0.84          0.84         0.84         0.11  XXX
                                        skull-thigh.
78816.........       26  A             Pet image w/ct,           2.50         0.86         0.86          0.86         0.86         0.11  XXX
                                        full body.
86486.........  .......  A             Skin test, nos            0.00         0.13         0.13            NA           NA         0.02  XXX
                                        antigen.
88380.........       26  A             Microdissection,          1.56         0.43         0.43          0.43         0.43         0.07  XXX
                                        laser.
88381.........       26  A             Microdissection,          1.18         0.32         0.32          0.32         0.32         0.06  XXX
                                        manual.
90769.........  .......  A             Sc ther infusion,         0.21         3.93         3.93            NA           NA         0.06  XXX
                                        up to 1 hr.
90770.........  .......  A             Sc ther infusion,         0.18         0.22         0.22            NA           NA         0.04  ZZZ
                                        addl hr.
90771.........  .......  A             Sc ther infusion,         0.00         1.86         1.86            NA           NA         0.01  ZZZ
                                        reset pump.
93503.........  .......  A             Insert/place heart        2.91           NA           NA            NA           NA         0.20  000
                                        catheter.
93982.........  .......  R             Aneurysm pressure         0.30         0.80         0.80            NA           NA         0.01  XXX
                                        sens study.
95004.........  .......  A             Percut allergy            0.01         0.13         0.13            NA           NA         0.01  XXX
                                        skin tests.
95024.........  .......  A             Id allergy test,          0.01         0.16         0.16            NA           NA         0.01  XXX
                                        drug/bug.
95027.........  .......  A             Id allergy titrate-       0.01         0.12         0.12            NA           NA         0.01  XXX
                                        airborne.
95980.........  .......  A             Io anal gast n-           0.80           NA           NA          0.25         0.25         0.07  XXX
                                        stim init.
95981.........  .......  A             Io anal gast n-           0.30         0.44         0.44          0.12         0.12         0.02  XXX
                                        stim subsq.
95982.........  .......  A             Io ga n-stim subsq        0.65         0.47         0.47          0.18         0.18         0.05  XXX
                                        w/reprog.
96125.........  .......  A             Cognitive test by         1.70         0.76         0.76          0.37         0.37         0.16  XXX
                                        hc pro.
98966.........  .......  N             Hc pro phone call         0.25         0.09         0.09          0.06         0.06         0.01  XXX
                                        5-10 min.
98967.........  .......  N             Hc pro phone call         0.50         0.14         0.14          0.11         0.11         0.02  XXX
                                        11-20 min.
98968.........  .......  N             Hc pro phone call         0.75         0.20         0.20          0.17         0.17         0.03  XXX
                                        21-30 min.
98969.........  .......  N             Online service by         0.00         0.00         0.00          0.00         0.00         0.00  XXX
                                        hc pro.
99174.........  .......  N             Ocular                    0.00         0.00         0.00          0.00         0.00         0.00  XXX
                                        photoscreening.
99366.........  .......  B             Team conf w/pat by        0.82         0.20         0.20          0.19         0.19         0.06  XXX
                                        hc pro.
99367.........  .......  B             Team conf w/o pat         1.10         0.25         0.25          0.25         0.25         0.05  XXX
                                        by phys.
99368.........  .......  B             Team conf w/o pat         0.72         0.16         0.16          0.16         0.16         0.03  XXX
                                        by hc pro.
99406.........  .......  A             Behav chng smoking        0.24         0.10         0.10          0.08         0.08         0.01  XXX
                                        3-10 min.
99407.........  .......  A             Behav chng smoking        0.50         0.18         0.18          0.15         0.15         0.01  XXX
                                        < 10 min.
99408.........  .......  N             Audit/dast, 15-30         0.65         0.19         0.19          0.15         0.15         0.01  XXX
                                        min.
99409.........  .......  N             Audit/dast, over          1.30         0.34         0.34          0.30         0.30         0.03  XXX
                                        30 min.
99441.........  .......  N             Phone e/m by phys         0.25         0.09         0.09          0.06         0.06         0.02  XXX
                                        5-10 min.
99442.........  .......  N             Phone e/m by phys         0.50         0.14         0.14          0.11         0.11         0.02  XXX
                                        11-20 min.
99443.........  .......  N             Phone e/m by phys         0.75         0.20         0.20          0.17         0.17         0.03  XXX
                                        21-30 min.
99444.........  .......  N             Online e/m by phys        0.00         0.00         0.00          0.00         0.00         0.00  XXX
99477.........  .......  A             Init day hosp             7.00         1.98         1.98          1.98         1.98         0.32  XXX
                                        neonate care.
G0396.........  .......  A             Alcohol/subs              0.65         0.19         0.19          0.15         0.15         0.01  XXX
                                        interv 15-30mn.
G0397.........  .......  A             Alcohol/subs              1.30         0.34         0.34          0.29         0.29         0.03  XXX
                                        interv > 30 min.
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public
  and are not used for Medicare payment.






  Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / 
Rules and Regulations  

    3. On pages 66545 through 66546, Addendum D, 2008 Geographic 
Adjustment Factors (GAFs), the table is corrected to read as follows:

   Addendum D.--2008 Geographic Adjustment Factors (GAFs) by Medicare
                                Locality
------------------------------------------------------------------------
       Carrier             Locality           Locality name        GAF
------------------------------------------------------------------------
31140...............  06...............  San Mateo, CA.........    1.231
31140...............  05...............  San Francisco, CA.....    1.228
31140...............  09...............  Santa Clara, CA.......    1.207
00803...............  01...............  Manhattan, NY.........    1.174
00803...............  02...............  NYC Suburbs/Long I.,      1.171
                                          NY.
31140...............  07...............  Oakland/Berkeley, CA..    1.154
31143...............  01...............  Metropolitan Boston...    1.143
14330...............  04...............  Queens, NY............    1.137
31140...............  03...............  Marin/Napa/Solano, CA.    1.133
00805...............  01...............  Northern NJ...........    1.130
00903...............  01...............  DC + MD/VA Suburbs....    1.126
31146...............  26...............  Anaheim/Santa Ana, CA.    1.124
31146...............  17...............  Ventura, CA...........    1.102
31146...............  18...............  Los Angeles, CA.......    1.100
00591...............  00...............  Connecticut...........    1.096
00952...............  16...............  Chicago, IL...........    1.093
00590...............  04...............  Miami, FL.............    1.092
00953...............  01...............  Detroit, MI...........    1.090
00805...............  99...............  Rest of New Jersey....    1.078
00952...............  15...............  Suburban Chicago, IL..    1.074
00865...............  01...............  Metropolitan              1.072
                                          Philadelphia, PA.
00833...............  01...............  Hawaii/Guam...........    1.050
00831...............  01...............  Alaska................    1.045

[[Page 2707]]

 
00836...............  02...............  Seattle (King Cnty),      1.045
                                          WA.
31143...............  99...............  Rest of Massachusetts.    1.042
00803...............  03...............  Poughkpsie/N NYC          1.040
                                          Suburbs, NY.
00901...............  01...............  Baltimore/Surr. Cntys,    1.037
                                          MD.
00590...............  03...............  Fort Lauderdale, FL...    1.033
00524...............  01...............  Rhode Island..........    1.031
00511...............  01...............  Atlanta, GA...........    1.024
00900...............  11...............  Dallas, TX............    1.022
00900...............  18...............  Houston, TX...........    1.021
00834...............  00...............  Nevada................    1.019
31140...............  99...............  Rest of California *..    1.014
31146...............  99...............  Rest of California *..    1.014
00902...............  01...............  Delaware..............    1.012
00900...............  31...............  Austin, TX............    1.001
00835...............  01...............  Portland, OR..........    0.996
31144...............  40...............  New Hampshire.........    0.994
00900...............  09...............  Brazoria, TX..........    0.994
00528...............  01...............  New Orleans, LA.......    0.993
00952...............  12...............  East St. Louis, IL....    0.992
00900...............  28...............  Fort Worth, TX........    0.989
00973...............  50...............  Virgin Islands........    0.989
00900...............  15...............  Galveston, TX.........    0.986
00824...............  01...............  Colorado..............    0.983
31142...............  03...............  Southern Maine........    0.981
00901...............  99...............  Rest of Maryland......    0.981
03102...............  00...............  Arizona...............    0.980
00740...............  02...............  Metropolitan Kansas       0.980
                                          City, MO.
00590...............  99...............  Rest of Florida.......    0.977
00953...............  99...............  Rest of Michigan......    0.976
00836...............  99...............  Rest of Washington....    0.973
00523...............  01...............  Metropolitan St Louis,    0.971
                                          MO.
00883...............  00...............  Ohio..................    0.970
00954...............  00...............  Minnesota.............    0.967
00865...............  99...............  Rest of Pennsylvania..    0.956
31145...............  50...............  Vermont...............    0.953
00904...............  00...............  Virginia..............    0.950
03502...............  09...............  Utah..................    0.948
00900...............  20...............  Beaumont, TX..........    0.946
00801...............  99...............  Rest of New York......    0.945
00951...............  00...............  Wisconsin.............    0.943
00952...............  99...............  Rest of Illinois......    0.941
05535...............  00...............  North Carolina........    0.937
00521...............  05...............  New Mexico............    0.936
00630...............  00...............  Indiana...............    0.935
00511...............  99...............  Rest of Georgia.......    0.931
00900...............  99...............  Rest of Texas.........    0.931
00835...............  99...............  Rest of Oregon........    0.930
00884...............  16...............  West Virginia.........    0.925
00528...............  99...............  Rest of Louisiana.....    0.923
05440...............  35...............  Tennessee.............    0.923
00880...............  01...............  South Carolina........    0.920
00650...............  00...............  Kansas *..............    0.917
00740...............  04...............  Kansas *..............    0.917
31142...............  99...............  Rest of Maine.........    0.915
00660...............  00...............  Kentucky..............    0.912
00510...............  00...............  Alabama...............    0.910
05130...............  00...............  Idaho.................    0.909
03602...............  21...............  Wyoming...............    0.907
00826...............  00...............  Iowa..................    0.906
00512...............  00...............  Mississippi...........    0.902
00655...............  00...............  Nebraska..............    0.902
03202...............  01...............  Montana...............    0.898
00522...............  00...............  Oklahoma..............    0.898
00523...............  99...............  Rest of Missouri *....    0.889
00740...............  99...............  Rest of Missouri *....    0.889
03402...............  02...............  South Dakota..........    0.889
00520...............  13...............  Arkansas..............    0.888
03302...............  01...............  North Dakota..........    0.887
00973...............  20...............  Puerto Rico...........    0.789
------------------------------------------------------------------------
* Indicates multiple carriers.


[[Page 2708]]

    4. On pages 66546 through 66547, Addendum E, 2008*** Geographic 
Practice Cost Indices by State and Medicare Locality, the table is 
corrected to read as follows:

   Addendum E.--2008\**\ Geographic Practice Cost Indices by State and
                            Medicare Locality
------------------------------------------------------------------------
                                                       2008 GPCIs
    Carrier       Locality     Locality name  --------------------------
                                                 Work      PE       MP
------------------------------------------------------------------------
00510.........  00.........  Alabama.........    0.982    0.850    0.617
00831.........  01.........  Alaska..........    1.017    1.098    0.828
03102.........  00.........  Arizona.........    0.988    0.975    0.936
00520.........  13.........  Arkansas........    0.961    0.839    0.439
31146.........  26.........  Anaheim/Santa       1.034    1.254    0.874
                              Ana, CA.
31146.........  18.........  Los Angeles, CA.    1.041    1.192    0.871
31140.........  03.........  Marin/Napa/         1.034    1.304    0.535
                              Solano, CA.
31140.........  07.........  Oakland/            1.053    1.330    0.531
                              Berkeley, CA.
31140.........  05.........  San Francisco,      1.059    1.494    0.526
                              CA.
31140.........  06.........  San Mateo, CA...    1.072    1.486    0.510
31140.........  09.........  Santa Clara, CA.    1.083    1.419    0.485
31146.........  17.........  Ventura, CA.....    1.027    1.223    0.749
31140.........  99.........  Rest of             1.007    1.056    0.634
                              California *.
31146.........  99.........  Rest of             1.007    1.056    0.634
                              California *.
00824.........  01.........  Colorado........    0.986    1.004    0.715
00591.........  00.........  Connecticut.....    1.038    1.179    0.934
00903.........  01.........  DC + MD/VA          1.047    1.235    0.972
                              Suburbs.
00902.........  01.........  Delaware........    1.011    1.033    0.777
00590.........  03.........  Fort Lauderdale,    0.989    1.004    1.965
                              FL.
00590.........  04.........  Miami, FL.......    1.000    1.059    2.703
00590.........  99.........  Rest of Florida.    0.973    0.937    1.489
00511.........  01.........  Atlanta, GA.....    1.009    1.053    0.892
00511.........  99.........  Rest of Georgia.    0.979    0.878    0.889
00833.........  01.........  Hawaii/Guam.....    1.001    1.137    0.726
05130.........  00.........  Idaho...........    0.967    0.876    0.500
00952.........  12.........  East St. Louis,     0.989    0.929    1.757
                              IL.
00952.........  15.........  Suburban            1.017    1.093    1.628
                              Chicago, IL.
00952.........  16.........  Chicago, IL.....    1.025    1.104    1.888
00952.........  99.........  Rest of Illinois    0.975    0.877    1.196
00630.........  00.........  Indiana.........    0.986    0.912    0.514
00826.........  00.........  Iowa............    0.966    0.869    0.506
00650.........  00.........  Kansas *........    0.968    0.881    0.632
00740.........  04.........  Kansas *........    0.968    0.881    0.632
00660.........  00.........  Kentucky........    0.969    0.857    0.754
00528.........  01.........  New Orleans, LA.    0.986    0.995    1.066
00528.........  99.........  Rest of             0.970    0.863    0.965
                              Louisiana.
31142.........  03.........  Southern Maine..    0.980    1.020    0.558
31142.........  99.........  Rest of Maine...    0.962    0.889    0.558
00901.........  01.........  Baltimore/Surr.     1.012    1.069    1.010
                              Cntys, MD.
00901.........  99.........  Rest of Maryland    0.994    0.981    0.812
31143.........  01.........  Metropolitan        1.029    1.311    0.787
                              Boston.
31143.........  99.........  Rest of             1.007    1.106    0.787
                              Massachusetts.
00953.........  01.........  Detroit, MI.....    1.036    1.048    2.300
00953.........  99.........  Rest of Michigan    0.998    0.922    1.287
00954.........  00.........  Minnesota.......    0.992    0.994    0.324
00512.........  00.........  Mississippi.....    0.959    0.847    0.760
00523.........  01.........  Metropolitan St     0.993    0.943    1.001
                              Louis, MO.
00740.........  02.........  Metropolitan        0.990    0.960    1.061
                              Kansas City, MO.
00523.........  99.........  Rest of Missouri    0.949    0.812    0.938
                              *.
00740.........  99.........  Rest of Missouri    0.949    0.812    0.938
                              *.
03202.........  01.........  Montana.........    0.950    0.846    0.780
00655.........  00.........  Nebraska........    0.959    0.882    0.345
00834.........  00.........  Nevada..........    1.002    1.036    1.067
31144.........  40.........  New Hampshire...    0.982    1.034    0.693
00805.........  01.........  Northern NJ.....    1.057    1.225    1.038
00805.........  99.........  Rest of New         1.042    1.124    1.038
                              Jersey.
00521.........  05.........  New Mexico......    0.973    0.888    0.989
00803.........  01.........  Manhattan, NY...    1.064    1.299    1.243
00803.........  02.........  NYC Suburbs/Long    1.051    1.286    1.493
                              I., NY.
00803.........  03.........  Poughkpsie/N NYC    1.014    1.077    0.983
                              Suburbs, NY.
14330.........  04.........  Queens, NY......    1.032    1.235    1.449
00801.........  99.........  Rest of New York    0.997    0.919    0.544
05535.........  00.........  North Carolina..    0.972    0.923    0.632
03302.........  01.........  North Dakota....    0.946    0.852    0.490
00883.........  00.........  Ohio............    0.993    0.930    1.097
00522.........  00.........  Oklahoma........    0.964    0.853    0.503

[[Page 2709]]

 
00835.........  01.........  Portland, OR....    1.002    1.037    0.453
00835.........  99.........  Rest of Oregon..    0.968    0.926    0.453
00865.........  01.........  Metropolitan        1.016    1.102    1.492
                              Philadelphia,
                              PA.
00865.........  99.........  Rest of             0.993    0.914    0.938
                              Pennsylvania.
00973.........  20.........  Puerto Rico.....    0.905    0.696    0.254
00524.........  01.........  Rhode Island....    1.029    1.040    0.946
00880.........  01.........  South Carolina..    0.975    0.899    0.417
03402.........  02.........  South Dakota....    0.942    0.870    0.390
05440.........  35.........  Tennessee.......    0.978    0.884    0.615
00900.........  31.........  Austin, TX......    0.991    1.016    0.969
00900.........  20.........  Beaumont, TX....    0.984    0.868    1.311
00900.........  09.........  Brazoria, TX....    1.019    0.942    1.250
00900.........  11.........  Dallas, TX......    1.009    1.033    1.077
00900.........  28.........  Fort Worth, TX..    0.998    0.971    1.077
00900.........  15.........  Galveston, TX...    0.991    0.956    1.250
00900.........  18.........  Houston, TX.....    1.016    1.001    1.310
00900.........  99.........  Rest of Texas...    0.968    0.872    1.092
03502.........  09.........  Utah............    0.977    0.922    0.841
31145.........  50.........  Vermont.........    0.968    0.976    0.497
00904.........  00.........  Virginia........    0.982    0.941    0.614
00973.........  50.........  Virgin Islands..    0.982    0.996    0.998
00836.........  02.........  Seattle (King       1.014    1.109    0.755
                              Cnty), WA.
00836.........  99.........  Rest of             0.987    0.976    0.748
                              Washington.
00951.........  00.........  Wisconsin.......    0.988    0.920    0.592
00884.........  16.........  West Virginia...    0.973    0.823    1.436
03602.........  21.........  Wyoming.........    0.956    0.848    0.904
------------------------------------------------------------------------
* Indicates multiple carriers.
** 2008 GPCIs are the first year of the update transition.

    5. On page 66551, Addendum F, CPT/HCPCS Imaging Codes Defined by 
DRA 5102(B), the descriptors for the following CPT codes are corrected 
to read as follows:

       Addendum F.--CPT/HCPCS Imaging Codes Defined by DRA 5102(B)
------------------------------------------------------------------------
                HCPCS/CPT*                        Short descriptor
------------------------------------------------------------------------
92135.....................................  Ophth dx imaging post seg.
92235.....................................  Eye exam with photos.
92240.....................................  Icg angiography.
92250.....................................  Eye exam with photos.
92285.....................................  Eye photography.
92286.....................................  Internal eye photography.
------------------------------------------------------------------------

    6. On pages 66575 through 66578, Addendum I, List of CPT \1\/HCPCS 
Codes Used to Describe Certain Designated Health Service Categories \2\ 
Under Section 1877 of the Social Security Act, the table is corrected 
by--
    a. Correcting the following entries:

------------------------------------------------------------------------
 
------------------------------------------------------------------------
              Radiology and Certain Other Imaging Services
------------------------------------------------------------------------
0146T...............................  Ccta w/wo dye.
0147T...............................  Ccta w/wo, quan calcium.
71010...............................  Chest x-ray.
71015...............................  Chest x-ray.
76801...............................  Ob us < 14 wks, single fetus.
A9501...............................  Technetium TC-99m teboroxime.
Q9953...............................  Inj Fe-based MR contrast, 1ml.
------------------------------------------------------------------------
                 Radiation Therapy Services and Supplies
------------------------------------------------------------------------
C1716...............................  Brachytx, non-str, Gold-198.
C1717...............................  Brachytx, non-str, HDR Ir-192.
C1719...............................  Brachytx, NS, Non-HDRIr-192.
C2616...............................  Brachytx, non-str, Yttrium-90.
C2634...............................  Brachytx, non-str, HA, I-125.
C2635...............................  Brachytx, non-str, HA, P-103.
C2636...............................  Brachy linear, non-str, P-103.
C2640...............................  Brachytx, stranded, P-103.
C2641...............................  Brachytx, non-stranded, P-103.
G0103...............................  PSA screening.
------------------------------------------------------------------------

    b. Deleting the following entries:

------------------------------------------------------------------------
 
------------------------------------------------------------------------
              Radiology and Certain Other Imaging Services
------------------------------------------------------------------------
75558...............................  Cardiac MRI flow/velocity.
75560...............................  Cardiac MRI flo/vel/stress.
75562...............................  Card MRI flow/vel w/dye.
75564...............................  Ht MRI w/flow/vel/strs & dye.
------------------------------------------------------------------------
                 Radiation Therapy Services and Supplies
------------------------------------------------------------------------
C2637...............................  Brachytx, Ytterbium-169.
------------------------------------------------------------------------

IV. Waiver of Proposed Rulemaking and Delay in Effective Date

    We ordinarily publish a notice of proposed rulemaking in the 
Federal Register to provide a period for public comment before the 
provisions of a rule take effect in accordance with section 553(b) of 
the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). However, we 
can waive the notice and comment procedures if the Secretary finds, for 
good cause, that the notice and comment process is impracticable, 
unnecessary or contrary to the public interest, and incorporates a 
statement of the finding and the reasons therefore in the rule.
    Section 553(d) of the APA ordinarily requires a 30-day delay in 
effective date of final rules after the date of their publication. This 
30-day delay in effective date can be waived, however, if an agency 
finds for good cause that the delay is impracticable, unnecessary, or 
contrary to the public interest, and the agency incorporates a 
statement of the findings and its reasons in the rule issued.
    This correction notice addresses typographical and technical errors 
made in FR Doc. 07-5506, the CY 2008 PFS final rule with comment 
period, which appeared in the November 27, 2007 Federal Register (72 FR 
66222), and is, with limited exceptions as noted in that rule, 
effective January 1, 2008. The provisions of the final rule with 
comment period have been subjected previously to notice and comment 
procedures. These corrections contained in this correction notice are 
consistent with, and do not make substantive

[[Page 2710]]

changes to, the payment methodologies and policies adopted in the CY 
2008 PFS final rule with comment period. As such, this correction 
notice is intended to ensure the CY 2008 PFS final rule with comment 
period accurately reflects the policies adopted in that rule. We find, 
therefore, for good cause that it is unnecessary and would be contrary 
to the public interest to undertake further notice and comment 
procedures to incorporate these corrections into the final rule with 
comment period.
    For the same reasons, we are also waiving the 30-day delay in 
effective date for this correction notice. We believe that it is in the 
public interest to ensure that the CY 2008 PFS final rule with comment 
period accurately states our policies as of the date they take effect. 
Therefore, we find that delaying the effective date of these 
corrections beyond the effective date of the final rule with comment 
period would be contrary to the public interest. In so doing, we find 
good cause to waive the 30-day delay in the effective date.

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

    Dated: December 31, 2007.
Ashley Files Flory,
Deputy Executive Secretary to the Department.
[FR Doc. 07-6308 Filed 12-31-07; 4:47 pm]
BILLING CODE 4120-01-P