"APC","LO_VERSION","HI_VERSION","DESCRIPTION","STATUS_INDICATOR","PAYMENT_INDICATOR","APC_PAYMENT","MENTAL_HEALTH","ER_VISIT","DEVICE_OFFSET","COMP1_ID","COMP2_ID","COMP3_ID","NUC_RAD_FB","CAPC_SRS"
"00004","60","61","Level I Needle Biopsy/ Aspiration Except Bone Marrow","T","1","48734","0","0","0","0","0","0","0","0"
"00005","60","61","Level II Needle Biopsy/Aspiration Except Bone Marrow","T","1","105263","0","0","0","0","0","0","0","0"
"00006","60","61","Level I Incision & Drainage","T","1","16196","0","0","0","0","0","0","0","0"
"00007","60","61","Level II Incision & Drainage","T","1","86596","0","0","0","0","0","0","0","0"
"00008","60","61","Level III Incision and Drainage","T","1","163577","0","0","0","0","0","0","0","0"
"00012","60","61","Level I Debridement & Destruction","T","1","9849","0","0","0","0","0","0","0","0"
"00015","60","61","Level II Debridement & Destruction","T","1","14614","0","0","0","0","0","0","0","0"
"00016","60","61","Level III Debridement & Destruction","T","1","28314","0","0","0","0","0","0","0","0"
"00017","60","61","Level IV Debridement & Destruction","T","1","128772","0","0","0","0","0","0","0","0"
"00019","60","61","Level I Excision/ Biopsy","T","1","37856","0","0","0","0","0","0","0","0"
"00020","60","61","Level II Excision/ Biopsy","T","1","82658","0","0","0","0","0","0","0","0"
"00021","60","61","Level III Excision/ Biopsy","T","1","134141","0","0","0","0","0","0","0","0"
"00022","60","61","Level IV Excision/ Biopsy","T","1","182431","0","0","0","0","0","0","0","0"
"00028","60","61","Level I Breast and Skin Surgery","T","1","216764","0","0","0","0","0","0","0","0"
"00029","60","61","Level II Breast and Skin Surgery","T","1","301277","0","0","0","0","0","0","0","0"
"00030","60","61","Level III Breast and Skin Surgery","T","1","415045","0","0","0","0","0","0","0","0"
"00031","60","61","Level I Health and Behavior Services","S","1","2602","0","0","0","0","0","0","0","0"
"00034","60","61","Mental Health Services Composite","S","1","19570","0","0","0","0","0","0","0","0"
"00039","60","61","Level III Neurostimulator & Related Procedures","J1","1","1710604","0","0","0","0","0","0","0","0"
"00041","60","61","Level I Arthroscopy","T","1","215157","0","0","0","0","0","0","0","0"
"00042","60","61","Level II Arthroscopy","T","1","434555","0","0","0","0","0","0","0","0"
"00045","60","61","Bone/Joint Manipulation Under Anesthesia","T","1","115068","0","0","0","0","0","0","0","0"
"00047","60","61","Arthroplasty","T","1","336430","0","0","0","0","0","0","0","0"
"00049","60","61","Level I Musculoskeletal Procedures Except Hand and Foot","T","1","166083","0","0","0","0","0","0","0","0"
"00050","60","61","Level II Musculoskeletal Procedures Except Hand and Foot","T","1","260213","0","0","0","0","0","0","0","0"
"00051","60","61","Level III Musculoskeletal Procedures Except Hand and Foot","T","1","376300","0","0","0","0","0","0","0","0"
"00052","60","61","Level IV Musculoskeletal Procedures Except Hand and Foot","T","1","632279","0","0","0","0","0","0","0","0"
"00053","60","61","Level I Hand Musculoskeletal Procedures","T","1","122833","0","0","0","0","0","0","0","0"
"00054","60","61","Level II Hand Musculoskeletal Procedures","T","1","221011","0","0","0","0","0","0","0","0"
"00055","60","61","Level I Foot Musculoskeletal Procedures","T","1","174352","0","0","0","0","0","0","0","0"
"00056","60","61","Level II Foot Musculoskeletal Procedures","T","1","521915","0","0","0","0","0","0","0","0"
"00057","60","61","Bunion Procedures","T","1","267646","0","0","0","0","0","0","0","0"
"00058","60","61","Level II Strapping and Cast Application","S","1","22329","0","0","0","0","0","0","0","0"
"00059","60","61","Level I Strapping and Cast Application","S","1","12787","0","0","0","0","0","0","0","0"
"00060","60","61","Manipulation Therapy","S","1","1983","0","0","0","0","0","0","0","0"
"00061","60","61","Level II Neurostimulator & Related Procedures","J1","1","529065","0","0","0","0","0","0","0","0"
"00062","60","61","Level I Treatment Fracture/Dislocation","T","1","204265","0","0","0","0","0","0","0","0"
"00063","60","61","Level II Treatment Fracture/Dislocation","T","1","422840","0","0","0","0","0","0","0","0"
"00064","60","61","Level III Treatment Fracture/Dislocation","T","1","556947","0","0","0","0","0","0","0","0"
"00066","60","61","Level V Radiation Therapy","S","1","190322","0","0","0","0","0","0","0","0"
"00067","60","61","Single Session Cranial Stereotactic Radiosurgery","J1","1","976922","0","0","0","0","0","0","0","0"
"00069","60","61","Thoracoscopy","T","1","307386","0","0","0","0","0","0","0","0"
"00070","60","61","Thoracentesis/Lavage Procedures","T","1","48935","0","0","0","0","0","0","0","0"
"00071","60","61","Level I Endoscopy Upper Airway","T","1","15068","0","0","0","0","0","0","0","0"
"00072","60","61","Level II Endoscopy Upper Airway","T","1","38640","0","0","0","0","0","0","0","0"
"00073","60","61","Level III Endoscopy Upper Airway","T","1","125955","0","0","0","0","0","0","0","0"
"00074","60","61","Level IV Endoscopy Upper Airway","T","1","201026","0","0","0","0","0","0","0","0"
"00075","60","61","Level V Endoscopy Upper Airway","T","1","307076","0","0","0","0","0","0","0","0"
"00076","60","61","Level I Endoscopy Lower Airway","T","1","105512","0","0","0","0","0","0","0","0"
"00077","60","61","Pulmonary Treatment","S","1","16463","0","0","0","0","0","0","0","0"
"00079","60","61","Ventilation Initiation and Management","S","1","37420","0","0","0","0","0","0","0","0"
"00080","60","61","Diagnostic Cardiac Catheterization","T","1","257634","0","0","0","0","0","0","0","0"
"00083","60","61","Level I Endovascular Procedures","J1","1","453922","0","0","0","0","0","0","0","0"
"00084","60","61","Level I Electrophysiologic Procedures","J1","1","87326","0","0","0","0","0","0","0","0"
"00085","60","61","Level II Electrophysiologic Procedures","J1","1","463514","0","0","0","0","0","0","0","0"
"00086","60","61","Level III Electrophysiologic Procedures","J1","1","1436224","0","0","0","0","0","0","0","0"
"00088","60","61","Thrombectomy","T","1","322086","0","0","0","0","0","0","0","0"
"00089","60","61","Level III Pacemaker and Similar Procedures","J1","1","949345","0","0","0","0","0","0","0","0"
"00090","60","61","Level II Pacemaker and Similar Procedures","J1","1","654534","0","0","0","0","0","0","0","0"
"00093","60","61","Vascular Reconstruction/Fistula Repair","T","1","250117","0","0","0","0","0","0","0","0"
"00094","60","61","Resuscitation and Cardioversion","S","1","47050","0","0","0","0","0","0","0","0"
"00095","60","61","Cardiac Rehabilitation","S","1","10330","0","0","0","0","0","0","0","0"
"00096","60","61","Level II Noninvasive Physiologic Studies","S","1","32977","0","0","0","0","0","0","0","0"
"00097","60","61","Level I Noninvasive Physiologic Studies","S","1","11271","0","0","0","0","0","0","0","0"
"00099","60","61","Electrocardiograms/Cardiography","S","1","7847","0","0","0","0","0","0","0","0"
"00100","60","61","Cardiac Stress Tests","S","1","23804","0","0","0","0","0","0","0","0"
"00103","60","61","Miscellaneous Vascular Procedures","T","1","157605","0","0","0","0","0","0","0","0"
"00105","60","61","Level I Pacemaker & Similar Procedures","T","1","234724","0","0","0","0","0","0","0","0"
"00107","60","61","Level I ICD and Similar Procedures","J1","1","2291660","0","0","0","0","0","0","0","0"
"00108","60","61","Level II ICD and Similar Procedures","J1","1","3081844","0","0","0","0","0","0","0","0"
"00110","60","61","Transfusion","S","1","29730","0","0","0","0","0","0","0","0"
"00111","60","61","Blood Product Exchange","S","1","105540","0","0","0","0","0","0","0","0"
"00112","60","61","Apheresis and Stem Cell Procedures","S","1","284580","0","0","0","0","0","0","0","0"
"00113","60","61","Excision Lymphatic System","T","1","234450","0","0","0","0","0","0","0","0"
"00114","60","61","Thyroid/Lymphadenectomy Procedures","T","1","423961","0","0","0","0","0","0","0","0"
"00121","60","61","Level I Tube or Catheter Changes or Repositioning","T","1","48806","0","0","0","0","0","0","0","0"
"00126","60","61","Level I Urinary and Anal Procedures","T","1","11323","0","0","0","0","0","0","0","0"
"00129","60","61","Level I Closed Treatment Fracture","T","1","16909","0","0","0","0","0","0","0","0"
"00130","60","61","Level I Laparoscopy","T","1","301693","0","0","0","0","0","0","0","0"
"00131","60","61","Level II Laparoscopy","T","1","377940","0","0","0","0","0","0","0","0"
"00132","60","61","Level III Laparoscopy","T","1","547913","0","0","0","0","0","0","0","0"
"00138","60","61","Level II Closed Treatment Fracture","T","1","21383","0","0","0","0","0","0","0","0"
"00139","60","61","Level III Closed Treatment Fracture","T","1","71325","0","0","0","0","0","0","0","0"
"00141","60","61","Level I Upper GI Procedures","T","1","74560","0","0","0","0","0","0","0","0"
"00142","60","61","Level I Small Intestine Endoscopy","T","1","85243","0","0","0","0","0","0","0","0"
"00143","60","61","Lower GI Endoscopy","T","1","78986","0","0","0","0","0","0","0","0"
"00146","60","61","Level I Sigmoidoscopy and Anoscopy","T","1","49369","0","0","0","0","0","0","0","0"
"00147","60","61","Level II Sigmoidoscopy and Anoscopy","T","1","82742","0","0","0","0","0","0","0","0"
"00148","60","61","Level I Anal/Rectal Procedures","T","1","44251","0","0","0","0","0","0","0","0"
"00149","60","61","Level III Anal/Rectal Procedures","T","1","194143","0","0","0","0","0","0","0","0"
"00150","60","61","Level IV Anal/Rectal Procedures","T","1","260106","0","0","0","0","0","0","0","0"
"00151","60","61","Endoscopic Retrograde Cholangio-Pancreatography (ERCP)","T","1","195306","0","0","0","0","0","0","0","0"
"00152","60","61","Level I Percutaneous Abdominal and Biliary Procedures","T","1","183349","0","0","0","0","0","0","0","0"
"00153","60","61","Peritoneal and Abdominal Procedures","T","1","228591","0","0","0","0","0","0","0","0"
"00154","60","61","Hernia/Hydrocele Procedures","T","1","267543","0","0","0","0","0","0","0","0"
"00155","60","61","Level II Anal/Rectal Procedures","T","1","145516","0","0","0","0","0","0","0","0"
"00156","60","61","Level III Urinary and Anal Procedures","T","1","37381","0","0","0","0","0","0","0","0"
"00157","60","61","Colorectal Cancer Screening: Barium Enema","S","1","34353","0","0","0","0","0","0","0","0"
"00158","60","61","Colorectal Cancer Screening: Colonoscopy","T","1","65504","0","0","0","0","0","0","0","0"
"00159","60","61","Colorectal Cancer Screening: Flexible Sigmoidoscopy","S","1","46891","0","0","0","0","0","0","0","0"
"00160","60","61","Level I Cystourethroscopy and other Genitourinary Procedures","T","1","54893","0","0","0","0","0","0","0","0"
"00161","60","61","Level II Cystourethroscopy and other Genitourinary Procedures","T","1","122695","0","0","0","0","0","0","0","0"
"00162","60","61","Level III Cystourethroscopy and other Genitourinary Procedures","T","1","208485","0","0","0","0","0","0","0","0"
"00163","60","61","Level IV Cystourethroscopy and other Genitourinary Procedures","T","1","311376","0","0","0","0","0","0","0","0"
"00164","60","61","Level II Urinary and Anal Procedures","T","1","21378","0","0","0","0","0","0","0","0"
"00165","60","61","Level IV Urinary and Anal Procedures","T","1","137576","0","0","0","0","0","0","0","0"
"00166","60","61","Level I Urethral Procedures","T","1","162876","0","0","0","0","0","0","0","0"
"00168","60","61","Level II Urethral Procedures","T","1","250957","0","0","0","0","0","0","0","0"
"00170","60","61","Dialysis","S","1","61357","0","0","0","0","0","0","0","0"
"00172","60","61","Level I Partial Hospitalization (3 services) for CMHCs","P","8","9654","0","0","0","0","0","0","0","0"
"00173","60","61","Level II Partial Hospitalization (4 or more services) for CMHCs","P","8","11427","0","0","0","0","0","0","0","0"
"00174","60","61","Level IV Laparoscopy","T","1","806991","0","0","0","0","0","0","0","0"
"00175","60","61","Level I Partial Hospitalization (3 services) for Hospital-based PHPs","P","8","17918","0","0","0","0","0","0","0","0"
"00176","60","61","Level II Partial Hospitalization (4 or more services) for Hospital-based PHPs","P","8","19570","0","0","0","0","0","0","0","0"
"00177","60","61","Level I Echocardiogram with Contrast","S","1","49048","0","0","0","0","0","0","0","0"
"00178","60","61","Level II Echocardiogram with Contrast","S","1","68862","0","0","0","0","0","0","0","0"
"00181","60","61","Level II Male Genital Procedures","T","1","223520","0","0","0","0","0","0","0","0"
"00183","60","61","Level I Male Genital Procedures","T","1","181218","0","0","0","0","0","0","0","0"
"00184","60","61","Prostate Biopsy","T","1","146230","0","0","0","0","0","0","0","0"
"00188","60","61","Level I Gynecologic Procedures","T","1","13098","0","0","0","0","0","0","0","0"
"00189","60","61","Level II Gynecologic Procedures","T","1","22616","0","0","0","0","0","0","0","0"
"00192","60","61","Level III Gynecologic Procedures","T","1","48725","0","0","0","0","0","0","0","0"
"00193","60","61","Level IV Gynecologic Procedures","T","1","184620","0","0","0","0","0","0","0","0"
"00202","60","61","Level V Gynecologic Procedures","J1","1","397918","0","0","0","0","0","0","0","0"
"00203","60","61","Level IV Nerve Injections","T","1","147003","0","0","0","0","0","0","0","0"
"00204","60","61","Level I Nerve Injections","T","1","21121","0","0","0","0","0","0","0","0"
"00205","60","61","Level III Male Genital Procedures","T","1","341633","0","0","0","0","0","0","0","0"
"00206","60","61","Level II Nerve Injections","T","1","37276","0","0","0","0","0","0","0","0"
"00207","60","61","Level III Nerve Injections","T","1","67206","0","0","0","0","0","0","0","0"
"00208","60","61","Laminotomies and Laminectomies","T","1","411317","0","0","0","0","0","0","0","0"
"00209","60","61","Level II Extended EEG, Sleep, and Cardiovascular Studies","S","1","23083","0","0","0","0","0","0","0","0"
"00213","60","61","Level I Extended EEG, Sleep, and Cardiovascular Studies","S","1","17663","0","0","0","0","0","0","0","0"
"00215","60","61","Level I Nerve and Muscle Services","S","1","9497","0","0","0","0","0","0","0","0"
"00216","60","61","Level III Nerve and Muscle Services","S","1","27270","0","0","0","0","0","0","0","0"
"00218","60","61","Level II Nerve and Muscle Services","S","1","15886","0","0","0","0","0","0","0","0"
"00219","60","61","Vascular Ligation","T","1","217172","0","0","0","0","0","0","0","0"
"00220","60","61","Level I Nerve Procedures","T","1","138407","0","0","0","0","0","0","0","0"
"00221","60","61","Level II Nerve Procedures","T","1","294754","0","0","0","0","0","0","0","0"
"00224","60","61","Implantation of Catheter/Reservoir/Shunt","T","1","366254","0","0","0","0","0","0","0","0"
"00227","60","61","Implantation of Drug Infusion Device","J1","1","1557243","0","0","0","0","0","0","0","0"
"00229","60","61","Level II Endovascular Procedures","J1","1","962786","0","0","0","0","0","0","0","0"
"00230","60","61","Level I Eye Tests & Treatments","S","1","5206","0","0","0","0","0","0","0","0"
"00231","60","61","Level III Eye Tests & Treatments","S","1","31441","0","0","0","0","0","0","0","0"
"00233","60","61","Level II Intraocular Procedures","T","1","175262","0","0","0","0","0","0","0","0"
"00238","60","61","Level I Extraocular, Repair, and Plastic Eye Procedures","T","1","29835","0","0","0","0","0","0","0","0"
"00239","60","61","Level II Extraocular, Repair, and Plastic Eye Procedures","T","1","70166","0","0","0","0","0","0","0","0"
"00240","60","61","Level III Extraocular, Repair, and Plastic Eye Procedures","T","1","153467","0","0","0","0","0","0","0","0"
"00242","60","61","Level IV Extraocular, Repair, and Plastic Eye Procedures","T","1","266800","0","0","0","0","0","0","0","0"
"00247","60","61","Laser Eye Procedures","T","1","44363","0","0","0","0","0","0","0","0"
"00250","60","61","Level I ENT Procedures","T","1","12972","0","0","0","0","0","0","0","0"
"00251","60","61","Level II ENT Procedures","T","1","36329","0","0","0","0","0","0","0","0"
"00252","60","61","Level III ENT Procedures","T","1","64666","0","0","0","0","0","0","0","0"
"00253","60","61","Level IV ENT Procedures","T","1","126686","0","0","0","0","0","0","0","0"
"00254","60","61","Level V ENT Procedures","T","1","194620","0","0","0","0","0","0","0","0"
"00255","60","61","Level I Intraocular Procedures","T","1","75218","0","0","0","0","0","0","0","0"
"00256","60","61","Level VI ENT Procedures","T","1","373003","0","0","0","0","0","0","0","0"
"00259","60","61","Level VII ENT Procedures","J1","1","2971847","0","0","0","0","0","0","0","0"
"00260","60","61","Level I Plain Film Including Bone Density Measurement","S","1","5937","0","0","0","0","0","0","0","0"
"00261","60","61","Level II Plain Film Including Bone Density Measurement","S","1","9502","0","0","0","0","0","0","0","0"
"00263","60","61","Level I Miscellaneous Radiology Procedures","S","1","33703","0","0","0","0","0","0","0","0"
"00265","60","61","Level I Diagnostic and Screening Ultrasound","S","1","9169","0","0","0","0","0","0","0","0"
"00266","60","61","Level II Diagnostic and Screening Ultrasound","S","1","13485","0","0","0","0","0","0","0","0"
"00267","60","61","Level III Diagnostic and Screening Ultrasound","S","1","18962","0","0","0","0","0","0","0","0"
"00269","60","61","Level I Echocardiogram Without Contrast","S","1","42275","0","0","0","0","0","0","0","0"
"00270","60","61","Level II Echocardiogram Without Contrast","S","1","59444","0","0","0","0","0","0","0","0"
"00272","60","61","Fluoroscopy and Other Radiology Services","S","1","15953","0","0","0","0","0","0","0","0"
"00274","60","61","Myelography","S","1","61428","0","0","0","0","0","0","0","0"
"00275","60","61","Arthrography","S","1","33865","0","0","0","0","0","0","0","0"
"00276","60","61","Level I Digestive Radiology","S","1","10169","0","0","0","0","0","0","0","0"
"00277","60","61","Level II Digestive Radiology","S","1","15099","0","0","0","0","0","0","0","0"
"00278","60","61","Diagnostic Urography","S","1","26525","0","0","0","0","0","0","0","0"
"00279","60","61","Level II Angiography and Venography","S","1","256042","0","0","0","0","0","0","0","0"
"00280","60","61","Level III Angiography and Venography","S","1","532461","0","0","0","0","0","0","0","0"
"00283","60","61","Computed Tomography with Contrast","S","1","24092","0","0","0","0","0","0","0","0"
"00284","60","61","Magnetic Resonance Imaging and Magnetic Resonance Angiography with Contrast","S","1","42704","0","0","0","0","0","0","0","0"
"00293","60","61","Level IV Intraocular Procedures","J1","1","844985","0","0","0","0","0","0","0","0"
"00300","60","61","Level I Radiation Therapy","S","1","10013","0","0","0","0","0","0","0","0"
"00301","60","61","Level II Radiation Therapy","S","1","19324","0","0","0","0","0","0","0","0"
"00303","60","61","Treatment Device Construction","S","1","21563","0","0","0","0","0","0","0","0"
"00304","60","61","Level I Therapeutic Radiation Treatment Preparation","S","1","11317","0","0","0","0","0","0","0","0"
"00305","60","61","Level II Therapeutic Radiation Treatment Preparation","S","1","31455","0","0","0","0","0","0","0","0"
"00308","60","61","Positron Emission Tomography (PET) imaging","S","1","128623","0","0","0","0","0","0","0","0"
"00310","60","61","Level III Therapeutic Radiation Treatment Preparation","S","1","103853","0","0","0","0","0","0","0","0"
"00312","60","61","Radioelement Applications","S","1","39592","0","0","0","0","0","0","0","0"
"00313","60","61","Brachytherapy","S","1","72968","0","0","0","0","0","0","0","0"
"00317","60","61","Level II Miscellaneous Radiology Procedures","S","1","81320","0","0","0","0","0","0","0","0"
"00318","60","61","Level IV Neurostimulator & Related Procedures","J1","1","2616239","0","0","0","0","0","0","0","0"
"00319","60","61","Level III Endovascular Procedures","J1","1","1484645","0","0","0","0","0","0","0","0"
"00320","60","61","Electroconvulsive Therapy","S","1","44629","0","0","0","0","0","0","0","0"
"00322","60","61","Brief Individual Psychotherapy","S","1","8949","1","0","0","0","0","0","0","0"
"00323","60","61","Extended Individual Psychotherapy","S","1","11552","1","0","0","0","0","0","0","0"
"00324","60","61","Family Psychotherapy","S","1","12400","1","0","0","0","0","0","0","0"
"00325","60","61","Group Psychotherapy","S","1","6605","1","0","0","0","0","0","0","0"
"00326","60","61","Level I Skin Procedures","T","1","21993","0","0","0","0","0","0","0","0"
"00327","60","61","Level II Skin Procedures","T","1","43012","0","0","0","0","0","0","0","0"
"00328","60","61","Level III Skin Procedures","T","1","140742","0","0","0","0","0","0","0","0"
"00329","60","61","Level IV Skin Procedures","T","1","230154","0","0","0","0","0","0","0","0"
"00330","60","61","Dental Procedures","S","1","25297","0","0","0","0","0","0","0","0"
"00331","60","61","Combined Abdomen and Pelvis CT without Contrast","S","1","23686","0","0","0","0","0","0","0","0"
"00332","60","61","Computed Tomography without Contrast","S","1","12002","0","0","0","0","0","0","0","0"
"00333","60","61","Computed Tomography without Contrast followed by Contrast","S","1","26971","0","0","0","0","0","0","0","0"
"00334","60","61","Combined Abdomen and Pelvis CT with Contrast","S","1","37557","0","0","0","0","0","0","0","0"
"00336","60","61","Magnetic Resonance Imaging and Magnetic Resonance Angiography without Contrast","S","1","28641","0","0","0","0","0","0","0","0"
"00337","60","61","Magnetic Resonance Imaging and Magnetic Resonance Angiography without Contrast followed by Contrast","S","1","48308","0","0","0","0","0","0","0","0"
"00340","60","61","Level II Minor Procedures","S","1","5237","0","0","0","0","0","0","0","0"
"00342","60","61","Level I Pathology","S","1","5428","0","0","0","0","0","0","0","0"
"00345","60","61","Level I Transfusion Laboratory Procedures","S","1","7607","0","0","0","0","0","0","0","0"
"00346","60","61","Level II Transfusion Laboratory Procedures","S","1","12512","0","0","0","0","0","0","0","0"
"00351","60","61","Level V Intraocular Procedures","J1","1","2308433","0","0","0","0","0","0","0","0"
"00360","60","61","Level I Alimentary Tests","S","1","14117","0","0","0","0","0","0","0","0"
"00361","60","61","Level II Alimentary Tests","S","1","32873","0","0","0","0","0","0","0","0"
"00363","60","61","Otorhinolaryngologic and Related Tests","S","1","14301","0","0","0","0","0","0","0","0"
"00364","60","61","Level I Audiometry","S","1","4332","0","0","0","0","0","0","0","0"
"00365","60","61","Level II Audiometry","S","1","11795","0","0","0","0","0","0","0","0"
"00367","60","61","Level I Pulmonary Tests","S","1","16128","0","0","0","0","0","0","0","0"
"00369","60","61","Level II Pulmonary Tests","S","1","23686","0","0","0","0","0","0","0","0"
"00373","60","61","Neuropsychological Testing","S","1","19933","1","0","0","0","0","0","0","0"
"00375","60","61","Ancillary Outpatient Services When Patient Expires","S","1","629095","0","0","0","0","0","0","0","0"
"00377","60","61","Level II Cardiac Imaging","S","1","114054","0","0","0","0","0","0","0","0"
"00378","60","61","Level II Pulmonary Imaging","S","1","44034","0","0","0","0","0","0","0","0"
"00383","60","61","Cardiac Computed Tomographic Imaging","S","1","21605","0","0","0","0","0","0","0","0"
"00384","60","61","GI Procedures with Stents","J1","1","317507","0","0","0","0","0","0","0","0"
"00385","60","61","Level I Urogenital Procedures","J1","1","682501","0","0","0","0","0","0","0","0"
"00386","60","61","Level II Urogenital Procedures","J1","1","1397343","0","0","0","0","0","0","0","0"
"00388","60","61","Discography","S","1","333275","0","0","0","0","0","0","0","0"
"00389","60","61","Level I Non-imaging Nuclear Medicine","S","1","18916","0","0","0","0","0","0","0","0"
"00390","60","61","Level I Endocrine Imaging","S","1","18992","0","0","0","0","0","0","0","0"
"00391","60","61","Level II Endocrine Imaging","S","1","28200","0","0","0","0","0","0","0","0"
"00392","60","61","Level II Non-imaging Nuclear Medicine","S","1","28027","0","0","0","0","0","0","0","0"
"00393","60","61","Hematologic Processing & Studies","S","1","62819","0","0","0","0","0","0","0","0"
"00394","60","61","Hepatobiliary Imaging","S","1","37305","0","0","0","0","0","0","0","0"
"00395","60","61","GI Tract Imaging","S","1","32695","0","0","0","0","0","0","0","0"
"00396","60","61","Bone Imaging","S","1","33231","0","0","0","0","0","0","0","0"
"00398","60","61","Level I Cardiac Imaging","S","1","37356","0","0","0","0","0","0","0","0"
"00400","60","61","Hematopoietic Imaging","S","1","36960","0","0","0","0","0","0","0","0"
"00401","60","61","Level I Pulmonary Imaging","S","1","31589","0","0","0","0","0","0","0","0"
"00402","60","61","Level II Nervous System Imaging","S","1","55725","0","0","0","0","0","0","0","0"
"00403","60","61","Level I Nervous System Imaging","S","1","17706","0","0","0","0","0","0","0","0"
"00404","60","61","Renal and Genitourinary Studies","S","1","42066","0","0","0","0","0","0","0","0"
"00406","60","61","Level I Tumor/Infection Imaging","S","1","37733","0","0","0","0","0","0","0","0"
"00407","60","61","Radionuclide Therapy","S","1","27693","0","0","0","0","0","0","0","0"
"00408","60","61","Level III Tumor/Infection Imaging","S","1","118874","0","0","0","0","0","0","0","0"
"00412","60","61","Level III Radiation Therapy","S","1","50775","0","0","0","0","0","0","0","0"
"00414","60","61","Level II Tumor/Infection Imaging","S","1","70673","0","0","0","0","0","0","0","0"
"00415","60","61","Level II Endoscopy Lower Airway","T","1","225636","0","0","0","0","0","0","0","0"
"00419","60","61","Level II Upper GI Procedures","T","1","106486","0","0","0","0","0","0","0","0"
"00420","60","61","Level III Minor Procedures","S","1","13175","0","0","0","0","0","0","0","0"
"00422","60","61","Level III Upper GI Procedures","T","1","191515","0","0","0","0","0","0","0","0"
"00423","60","61","Level II Percutaneous Abdominal and Biliary Procedures","T","1","409589","0","0","0","0","0","0","0","0"
"00424","60","61","Level II Small Intestine Endoscopy","T","1","124940","0","0","0","0","0","0","0","0"
"00425","60","61","Level V Musculoskeletal Procedures Except Hand and Foot","J1","1","1022400","0","0","0","0","0","0","0","0"
"00427","60","61","Level II Tube or Catheter Changes or Repositioning","T","1","128907","0","0","0","0","0","0","0","0"
"00428","60","61","Level III Sigmoidoscopy and Anoscopy","T","1","165767","0","0","0","0","0","0","0","0"
"00431","60","61","Level IV Closed Treatment Fracture","T","1","131218","0","0","0","0","0","0","0","0"
"00432","60","61","Level II Health and Behavior Services","S","1","5024","0","0","0","0","0","0","0","0"
"00433","60","61","Level II Pathology","S","1","18369","0","0","0","0","0","0","0","0"
"00435","60","61","Level III Extended EEG, Sleep, and Cardiovascular Studies","S","1","85429","0","0","0","0","0","0","0","0"
"00436","60","61","Level I Drug Administration","S","1","3258","0","0","0","0","0","0","0","0"
"00437","60","61","Level II Drug Administration","S","1","5354","0","0","0","0","0","0","0","0"
"00438","60","61","Level III Drug Administration","S","1","10824","0","0","0","0","0","0","0","0"
"00439","60","61","Level IV Drug Administration","S","1","17359","0","0","0","0","0","0","0","0"
"00440","60","61","Level V Drug Administration","S","1","28511","0","0","0","0","0","0","0","0"
"00442","60","61","Dosimetric Drug Administration","S","1","115159","0","0","0","0","0","0","0","0"
"00446","60","61","Level IV Nerve and Muscle Services","S","1","130096","0","0","0","0","0","0","0","0"
"00450","60","61","Level I Minor Procedures","S","1","2924","0","0","0","0","0","0","0","0"
"00609","60","61","Level 1 Type A Emergency Visits","V","1","6049","0","1","0","0","0","0","0","0"
"00613","60","61","Level 2 Type A Emergency Visits","V","1","11279","0","1","0","0","0","0","0","0"
"00614","60","61","Level 3 Type A Emergency Visits","V","1","19839","0","1","0","0","0","0","0","0"
"00615","60","61","Level 4 Type A Emergency Visits","V","1","33380","0","1","0","0","0","0","0","0"
"00616","60","61","Level 5 Type A Emergency Visits","V","1","49269","0","1","0","0","0","0","0","0"
"00617","60","61","Critical Care","S","1","65694","0","1","0","0","0","0","0","0"
"00618","60","61","Trauma Response with Critical Care","S","1","88932","0","0","0","0","0","0","0","0"
"00621","60","61","Level I Vascular Access Procedures","T","1","84350","0","0","0","0","0","0","0","0"
"00622","60","61","Level II Vascular Access Procedures","T","1","223628","0","0","0","0","0","0","0","0"
"00624","60","61","Phlebotomy and Minor Vascular Access Device Procedures","S","1","7882","0","0","0","0","0","0","0","0"
"00626","60","61","Level 1 Type B Emergency Visits","V","1","6272","0","0","0","0","0","0","0","0"
"00627","60","61","Level 2 Type B Emergency Visits","V","1","6951","0","0","0","0","0","0","0","0"
"00628","60","61","Level 3 Type B Emergency Visits","V","1","11297","0","0","0","0","0","0","0","0"
"00629","60","61","Level 4 Type B Emergency Visits","V","1","19898","0","0","0","0","0","0","0","0"
"00630","60","61","Level 5 Type B Emergency Visits","V","1","30438","0","0","0","0","0","0","0","0"
"00631","60","61","Level 1 Examinations & Related Services","V","1","5372","0","0","0","0","0","0","0","0"
"00632","60","61","Level 2 Examinations & Related Services","V","1","10627","0","0","0","0","0","0","0","0"
"00633","60","61","Level 3 Examinations & Related Services","V","1","38695","0","0","0","0","0","0","0","0"
"00634","60","61","Hospital Clinic Visits","V","1","9625","0","0","0","0","0","0","0","0"
"00648","60","61","Level IV Breast and Skin Surgery","J1","1","746432","0","0","0","0","0","0","0","0"
"00651","60","61","Complex Interstitial Radiation Source Application","S","1","95248","0","0","0","0","0","0","0","0"
"00652","60","61","Insertion of Intraperitoneal and Pleural Catheters","T","1","228824","0","0","0","0","0","0","0","0"
"00655","60","61","Level IV Pacemaker and Similar Procedures","J1","1","1640739","0","0","0","0","0","0","0","0"
"00659","60","61","Hyperbaric Oxygen","S","1","10929","0","0","0","0","0","0","0","0"
"00661","60","61","Level III Pathology","S","1","29425","0","0","0","0","0","0","0","0"
"00662","60","61","CT Angiography","S","1","28194","0","0","0","0","0","0","0","0"
"00667","60","61","Level IV Radiation Therapy","S","1","107237","0","0","0","0","0","0","0","0"
"00668","60","61","Level I Angiography and Venography","T","1","82752","0","0","0","0","0","0","0","0"
"00673","60","61","Level III Intraocular Procedures","T","1","312256","0","0","0","0","0","0","0","0"
"00676","60","61","Thrombolysis and Other Device Revisions","T","1","19520","0","0","0","0","0","0","0","0"
"00688","60","61","Level I Neurostimulator & Related Procedures","T","1","212881","0","0","0","0","0","0","0","0"
"00690","60","61","Level I Electronic Analysis of Devices","S","1","3515","0","0","0","0","0","0","0","0"
"00691","60","61","Level III Electronic Analysis of Devices","S","1","24754","0","0","0","0","0","0","0","0"
"00692","60","61","Level II Electronic Analysis of Devices","S","1","12823","0","0","0","0","0","0","0","0"
"00698","60","61","Level II Eye Tests & Treatments","S","1","10085","0","0","0","0","0","0","0","0"
"00701","60","60","Sr89 strontium","K","1","117641","0","0","0","0","0","0","0","0"
"00701","61","61","Sr89 strontium","K","1","116915","0","0","0","0","0","0","0","0"
"00701","62","62","Sr89 strontium","K","2","116034","0","0","0","0","0","0","0","0"
"00701","63","63","Sr89 strontium","K","2","115992","0","0","0","0","0","0","0","0"
"00701","64","64","Sr89 strontium","K","2","117826","0","0","0","0","0","0","0","0"
"00701","65","65","Sr89 strontium","K","2","128953","0","0","0","0","0","0","0","0"
"00701","66","66","Sr89 strontium","K","2","128139","0","0","0","0","0","0","0","0"
"00701","67","67","Sr89 strontium","K","2","125892","0","0","0","0","0","0","0","0"
"00701","68","68","Sr89 strontium","K","2","127511","0","0","0","0","0","0","0","0"
"00701","69","69","Sr89 strontium","K","2","140948","0","0","0","0","0","0","0","0"
"00701","70","70","Sr89 strontium","K","2","140806","0","0","0","0","0","0","0","0"
"00701","71","71","Sr89 strontium","K","2","140699","0","0","0","0","0","0","0","0"
"00701","72","72","Sr89 strontium","K","2","151871","0","0","0","0","0","0","0","0"
"00701","73","73","Sr89 strontium","K","2","150937","0","0","0","0","0","0","0","0"
"00701","74","74","Sr89 strontium","K","2","150236","0","0","0","0","0","0","0","0"
"00701","75","75","Sr89 strontium","K","2","149567","0","0","0","0","0","0","0","0"
"00701","76","76","Sr89 strontium","K","2","204570","0","0","0","0","0","0","0","0"
"00701","77","77","Sr89 strontium","K","2","162941","0","0","0","0","0","0","0","0"
"00701","78","82","Sr89 strontium","K","2","204570","0","0","0","0","0","0","0","0"
"00701","83","87","Sr89 strontium","K","2","397500","0","0","0","0","0","0","0","0"
"00726","60","60","Dexrazoxane HCl injection","K","1","13757","0","0","0","0","0","0","0","0"
"00726","61","61","Dexrazoxane HCl injection","K","1","13821","0","0","0","0","0","0","0","0"
"00726","62","62","Dexrazoxane HCl injection","K","2","14638","0","0","0","0","0","0","0","0"
"00726","63","63","Dexrazoxane HCl injection","K","2","16678","0","0","0","0","0","0","0","0"
"00726","64","64","Dexrazoxane HCl injection","K","2","16346","0","0","0","0","0","0","0","0"
"00726","65","65","Dexrazoxane HCl injection","K","2","18101","0","0","0","0","0","0","0","0"
"00726","66","66","Dexrazoxane HCl injection","K","2","18405","0","0","0","0","0","0","0","0"
"00726","67","67","Dexrazoxane HCl injection","K","2","19690","0","0","0","0","0","0","0","0"
"00726","68","68","Dexrazoxane HCl injection","K","2","20633","0","0","0","0","0","0","0","0"
"00726","69","69","Dexrazoxane HCl injection","K","2","18466","0","0","0","0","0","0","0","0"
"00726","70","70","Dexrazoxane HCl injection","K","2","18589","0","0","0","0","0","0","0","0"
"00726","71","71","Dexrazoxane HCl injection","K","2","22322","0","0","0","0","0","0","0","0"
"00726","72","72","Dexrazoxane HCl injection","K","2","24313","0","0","0","0","0","0","0","0"
"00726","73","73","Dexrazoxane HCl injection","K","2","23649","0","0","0","0","0","0","0","0"
"00726","74","74","Dexrazoxane HCl injection","K","2","22993","0","0","0","0","0","0","0","0"
"00726","75","75","Dexrazoxane HCl injection","K","2","22097","0","0","0","0","0","0","0","0"
"00726","76","76","Dexrazoxane HCl injection","K","2","21149","0","0","0","0","0","0","0","0"
"00726","77","77","Dexrazoxane HCl injection","K","2","19472","0","0","0","0","0","0","0","0"
"00726","78","78","Dexrazoxane HCl injection","K","2","19434","0","0","0","0","0","0","0","0"
"00726","79","79","Dexrazoxane HCl injection","K","2","19752","0","0","0","0","0","0","0","0"
"00726","80","80","Dexrazoxane HCl injection","K","2","19432","0","0","0","0","0","0","0","0"
"00726","81","81","Dexrazoxane HCl injection","K","2","21146","0","0","0","0","0","0","0","0"
"00726","82","82","Dexrazoxane HCl injection","K","2","19993","0","0","0","0","0","0","0","0"
"00726","83","83","Dexrazoxane HCl injection","K","2","19598","0","0","0","0","0","0","0","0"
"00726","84","84","Dexrazoxane HCl injection","K","2","20749","0","0","0","0","0","0","0","0"
"00726","85","85","Dexrazoxane HCl injection","K","2","19498","0","0","0","0","0","0","0","0"
"00726","86","86","Dexrazoxane HCl injection","K","2","19233","0","0","0","0","0","0","0","0"
"00726","87","87","Dexrazoxane HCl injection","K","2","18984","0","0","0","0","0","0","0","0"
"00731","60","60","Sargramostim injection","K","1","3176","0","0","0","0","0","0","0","0"
"00731","61","61","Sargramostim injection","K","1","3173","0","0","0","0","0","0","0","0"
"00731","62","62","Sargramostim injection","K","2","3168","0","0","0","0","0","0","0","0"
"00731","63","63","Sargramostim injection","K","2","3428","0","0","0","0","0","0","0","0"
"00731","64","64","Sargramostim injection","K","2","3512","0","0","0","0","0","0","0","0"
"00731","65","65","Sargramostim injection","K","2","3530","0","0","0","0","0","0","0","0"
"00731","66","66","Sargramostim injection","K","2","3623","0","0","0","0","0","0","0","0"
"00731","67","67","Sargramostim injection","K","2","3713","0","0","0","0","0","0","0","0"
"00731","68","68","Sargramostim injection","K","2","3709","0","0","0","0","0","0","0","0"
"00731","69","69","Sargramostim injection","K","2","3782","0","0","0","0","0","0","0","0"
"00731","70","70","Sargramostim injection","K","2","3770","0","0","0","0","0","0","0","0"
"00731","71","71","Sargramostim injection","K","2","3779","0","0","0","0","0","0","0","0"
"00731","72","72","Sargramostim injection","K","2","3748","0","0","0","0","0","0","0","0"
"00731","73","73","Sargramostim injection","K","2","3562","0","0","0","0","0","0","0","0"
"00731","74","74","Sargramostim injection","K","2","3761","0","0","0","0","0","0","0","0"
"00731","75","75","Sargramostim injection","K","2","3896","0","0","0","0","0","0","0","0"
"00731","76","76","Sargramostim injection","K","2","3967","0","0","0","0","0","0","0","0"
"00731","77","77","Sargramostim injection","K","2","4240","0","0","0","0","0","0","0","0"
"00731","78","78","Sargramostim injection","K","2","4344","0","0","0","0","0","0","0","0"
"00731","79","79","Sargramostim injection","K","2","4350","0","0","0","0","0","0","0","0"
"00731","80","80","Sargramostim injection","K","2","4677","0","0","0","0","0","0","0","0"
"00731","81","81","Sargramostim injection","K","2","4796","0","0","0","0","0","0","0","0"
"00731","82","82","Sargramostim injection","K","2","4812","0","0","0","0","0","0","0","0"
"00731","83","83","Sargramostim injection","K","2","4883","0","0","0","0","0","0","0","0"
"00731","84","84","Sargramostim injection","K","2","4841","0","0","0","0","0","0","0","0"
"00731","85","85","Sargramostim injection","K","2","4951","0","0","0","0","0","0","0","0"
"00731","86","86","Sargramostim injection","K","2","5155","0","0","0","0","0","0","0","0"
"00731","87","87","Sargramostim injection","K","2","5356","0","0","0","0","0","0","0","0"
"00736","60","60","Amphotericin b liposome inj","K","1","1710","0","0","0","0","0","0","0","0"
"00736","61","61","Amphotericin b liposome inj","K","1","1772","0","0","0","0","0","0","0","0"
"00736","62","62","Amphotericin b liposome inj","K","2","1823","0","0","0","0","0","0","0","0"
"00736","63","63","Amphotericin b liposome inj","K","2","1818","0","0","0","0","0","0","0","0"
"00736","64","64","Amphotericin b liposome inj","K","2","1804","0","0","0","0","0","0","0","0"
"00736","65","65","Amphotericin b liposome inj","K","2","1877","0","0","0","0","0","0","0","0"
"00736","66","66","Amphotericin b liposome inj","K","2","1901","0","0","0","0","0","0","0","0"
"00736","67","67","Amphotericin b liposome inj","K","2","1977","0","0","0","0","0","0","0","0"
"00736","68","68","Amphotericin b liposome inj","K","2","1953","0","0","0","0","0","0","0","0"
"00736","69","69","Amphotericin b liposome inj","K","2","2075","0","0","0","0","0","0","0","0"
"00736","70","70","Amphotericin b liposome inj","K","2","2152","0","0","0","0","0","0","0","0"
"00736","71","71","Amphotericin b liposome inj","K","2","2071","0","0","0","0","0","0","0","0"
"00736","72","74","Amphotericin b liposome inj","K","2","4807","0","0","0","0","0","0","0","0"
"00736","75","75","Amphotericin b liposome inj","K","2","2219","0","0","0","0","0","0","0","0"
"00736","76","76","Amphotericin b liposome inj","K","2","2392","0","0","0","0","0","0","0","0"
"00736","77","77","Amphotericin b liposome inj","K","2","1833","0","0","0","0","0","0","0","0"
"00736","78","78","Amphotericin b liposome inj","K","2","2609","0","0","0","0","0","0","0","0"
"00736","79","79","Amphotericin b liposome inj","K","2","2673","0","0","0","0","0","0","0","0"
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"00810","77","77","Goserelin acetate implant","K","2","50025","0","0","0","0","0","0","0","0"
"00810","78","78","Goserelin acetate implant","K","2","49772","0","0","0","0","0","0","0","0"
"00810","79","79","Goserelin acetate implant","K","2","50398","0","0","0","0","0","0","0","0"
"00810","80","80","Goserelin acetate implant","K","2","50031","0","0","0","0","0","0","0","0"
"00810","81","81","Goserelin acetate implant","K","2","50430","0","0","0","0","0","0","0","0"
"00810","82","82","Goserelin acetate implant","K","2","50359","0","0","0","0","0","0","0","0"
"00810","83","83","Goserelin acetate implant","K","2","50127","0","0","0","0","0","0","0","0"
"00810","84","84","Goserelin acetate implant","K","2","53824","0","0","0","0","0","0","0","0"
"00810","85","85","Goserelin acetate implant","K","2","53163","0","0","0","0","0","0","0","0"
"00810","86","86","Goserelin acetate implant","K","2","52521","0","0","0","0","0","0","0","0"
"00810","87","87","Goserelin acetate implant","K","2","54316","0","0","0","0","0","0","0","0"
"00812","60","60","Carmustine injection","K","1","198352","0","0","0","0","0","0","0","0"
"00812","61","61","Carmustine injection","K","1","235027","0","0","0","0","0","0","0","0"
"00812","62","62","Carmustine injection","K","2","297334","0","0","0","0","0","0","0","0"
"00812","63","63","Carmustine injection","K","2","321751","0","0","0","0","0","0","0","0"
"00812","64","64","Carmustine injection","K","2","386063","0","0","0","0","0","0","0","0"
"00812","65","65","Carmustine injection","K","2","382075","0","0","0","0","0","0","0","0"
"00812","66","66","Carmustine injection","K","2","384756","0","0","0","0","0","0","0","0"
"00812","67","67","Carmustine injection","K","2","385006","0","0","0","0","0","0","0","0"
"00812","68","68","Carmustine injection","K","2","384696","0","0","0","0","0","0","0","0"
"00812","69","69","Carmustine injection","K","2","386248","0","0","0","0","0","0","0","0"
"00812","70","70","Carmustine injection","K","2","386347","0","0","0","0","0","0","0","0"
"00812","71","71","Carmustine injection","K","2","385278","0","0","0","0","0","0","0","0"
"00812","72","72","Carmustine injection","K","2","385459","0","0","0","0","0","0","0","0"
"00812","73","73","Carmustine injection","K","2","392151","0","0","0","0","0","0","0","0"
"00812","74","74","Carmustine injection","K","2","405150","0","0","0","0","0","0","0","0"
"00812","75","75","Carmustine injection","K","2","405235","0","0","0","0","0","0","0","0"
"00812","76","76","Carmustine injection","K","2","388323","0","0","0","0","0","0","0","0"
"00812","77","77","Carmustine injection","K","2","353485","0","0","0","0","0","0","0","0"
"00812","78","78","Carmustine injection","K","2","303901","0","0","0","0","0","0","0","0"
"00812","79","79","Carmustine injection","K","2","261862","0","0","0","0","0","0","0","0"
"00812","80","80","Carmustine injection","K","2","192769","0","0","0","0","0","0","0","0"
"00812","81","81","Carmustine injection","K","2","197369","0","0","0","0","0","0","0","0"
"00812","82","82","Carmustine injection","K","2","201627","0","0","0","0","0","0","0","0"
"00812","83","83","Carmustine injection","K","2","174325","0","0","0","0","0","0","0","0"
"00812","84","84","Carmustine injection","K","2","172436","0","0","0","0","0","0","0","0"
"00812","85","85","Carmustine injection","K","2","172202","0","0","0","0","0","0","0","0"
"00812","86","86","Carmustine injection","K","2","123446","0","0","0","0","0","0","0","0"
"00812","87","87","Carmustine injection","K","2","109982","0","0","0","0","0","0","0","0"
"00814","60","61","Asparaginase, NOS","K","1","6456","0","0","0","0","0","0","0","0"
"00820","60","60","Daunorubicin injection","K","1","2627","0","0","0","0","0","0","0","0"
"00820","61","61","Daunorubicin injection","K","1","2719","0","0","0","0","0","0","0","0"
"00820","62","62","Daunorubicin injection","K","2","2645","0","0","0","0","0","0","0","0"
"00820","63","63","Daunorubicin injection","K","2","2646","0","0","0","0","0","0","0","0"
"00820","64","64","Daunorubicin injection","K","2","3917","0","0","0","0","0","0","0","0"
"00820","65","65","Daunorubicin injection","K","2","3769","0","0","0","0","0","0","0","0"
"00820","66","66","Daunorubicin injection","K","2","4003","0","0","0","0","0","0","0","0"
"00820","67","67","Daunorubicin injection","K","2","3139","0","0","0","0","0","0","0","0"
"00820","68","68","Daunorubicin injection","K","2","3924","0","0","0","0","0","0","0","0"
"00820","69","69","Daunorubicin injection","K","2","4116","0","0","0","0","0","0","0","0"
"00820","70","70","Daunorubicin injection","K","2","3786","0","0","0","0","0","0","0","0"
"00820","71","71","Daunorubicin injection","K","2","4357","0","0","0","0","0","0","0","0"
"00820","72","72","Daunorubicin injection","K","2","4158","0","0","0","0","0","0","0","0"
"00820","73","73","Daunorubicin injection","K","2","4230","0","0","0","0","0","0","0","0"
"00820","74","74","Daunorubicin injection","K","2","5066","0","0","0","0","0","0","0","0"
"00820","75","75","Daunorubicin injection","K","2","4817","0","0","0","0","0","0","0","0"
"00820","76","76","Daunorubicin injection","K","2","4724","0","0","0","0","0","0","0","0"
"00820","77","77","Daunorubicin injection","K","2","4714","0","0","0","0","0","0","0","0"
"00820","78","78","Daunorubicin injection","K","2","4674","0","0","0","0","0","0","0","0"
"00820","79","79","Daunorubicin injection","K","2","4840","0","0","0","0","0","0","0","0"
"00820","80","80","Daunorubicin injection","K","2","4634","0","0","0","0","0","0","0","0"
"00820","81","81","Daunorubicin injection","K","2","4611","0","0","0","0","0","0","0","0"
"00820","82","82","Daunorubicin injection","K","2","4384","0","0","0","0","0","0","0","0"
"00820","83","83","Daunorubicin injection","K","2","4252","0","0","0","0","0","0","0","0"
"00820","84","84","Daunorubicin injection","K","2","4237","0","0","0","0","0","0","0","0"
"00820","85","85","Daunorubicin injection","K","2","4524","0","0","0","0","0","0","0","0"
"00820","86","86","Daunorubicin injection","K","2","4036","0","0","0","0","0","0","0","0"
"00820","87","87","Daunorubicin injection","K","2","4124","0","0","0","0","0","0","0","0"
"00821","60","60","Daunorubicin citrate inj","K","1","23909","0","0","0","0","0","0","0","0"
"00821","61","61","Daunorubicin citrate inj","K","1","23900","0","0","0","0","0","0","0","0"
"00821","62","63","Daunorubicin citrate inj","K","2","23886","0","0","0","0","0","0","0","0"
"00821","64","64","Daunorubicin citrate inj","K","2","23883","0","0","0","0","0","0","0","0"
"00821","65","65","Daunorubicin citrate inj","K","2","23874","0","0","0","0","0","0","0","0"
"00821","66","66","Daunorubicin citrate inj","K","2","24367","0","0","0","0","0","0","0","0"
"00821","67","69","Daunorubicin citrate inj","K","2","24380","0","0","0","0","0","0","0","0"
"00823","60","60","Docetaxel injection","K","1","277","0","0","0","0","0","0","0","0"
"00823","61","61","Docetaxel injection","K","1","379","0","0","0","0","0","0","0","0"
"00823","62","62","Docetaxel injection","K","2","349","0","0","0","0","0","0","0","0"
"00823","63","63","Docetaxel injection","K","2","260","0","0","0","0","0","0","0","0"
"00823","64","64","Docetaxel injection","K","2","239","0","0","0","0","0","0","0","0"
"00823","65","65","Docetaxel injection","K","2","273","0","0","0","0","0","0","0","0"
"00823","66","66","Docetaxel injection","K","2","272","0","0","0","0","0","0","0","0"
"00823","67","67","Docetaxel injection","K","2","256","0","0","0","0","0","0","0","0"
"00823","68","68","Docetaxel injection","K","2","189","0","0","0","0","0","0","0","0"
"00823","69","69","Docetaxel injection","K","2","180","0","0","0","0","0","0","0","0"
"00823","70","70","Docetaxel injection","K","2","189","0","0","0","0","0","0","0","0"
"00823","71","71","Docetaxel injection","K","2","174","0","0","0","0","0","0","0","0"
"00823","72","72","Docetaxel injection","K","2","166","0","0","0","0","0","0","0","0"
"00823","73","73","Docetaxel injection","K","2","181","0","0","0","0","0","0","0","0"
"00823","74","74","Docetaxel injection","K","2","151","0","0","0","0","0","0","0","0"
"00823","75","75","Docetaxel injection","K","2","135","0","0","0","0","0","0","0","0"
"00823","76","76","Docetaxel injection","K","2","116","0","0","0","0","0","0","0","0"
"00823","77","77","Docetaxel injection","K","2","85","0","0","0","0","0","0","0","0"
"00823","78","78","Docetaxel injection","K","2","87","0","0","0","0","0","0","0","0"
"00823","79","79","Docetaxel injection","K","2","97","0","0","0","0","0","0","0","0"
"00823","80","80","Docetaxel injection","K","2","104","0","0","0","0","0","0","0","0"
"00823","81","81","Docetaxel injection","K","2","87","0","0","0","0","0","0","0","0"
"00825","60","60","Nelarabine injection","K","1","14266","0","0","0","0","0","0","0","0"
"00825","61","61","Nelarabine injection","K","1","14685","0","0","0","0","0","0","0","0"
"00825","62","62","Nelarabine injection","K","2","14857","0","0","0","0","0","0","0","0"
"00825","63","63","Nelarabine injection","K","2","14812","0","0","0","0","0","0","0","0"
"00825","64","64","Nelarabine injection","K","2","14794","0","0","0","0","0","0","0","0"
"00825","65","65","Nelarabine injection","K","2","15208","0","0","0","0","0","0","0","0"
"00825","66","66","Nelarabine injection","K","2","15221","0","0","0","0","0","0","0","0"
"00825","67","67","Nelarabine injection","K","2","15191","0","0","0","0","0","0","0","0"
"00825","68","68","Nelarabine injection","K","2","15203","0","0","0","0","0","0","0","0"
"00825","69","69","Nelarabine injection","K","2","15201","0","0","0","0","0","0","0","0"
"00825","70","70","Nelarabine injection","K","2","15166","0","0","0","0","0","0","0","0"
"00825","71","71","Nelarabine injection","K","2","15191","0","0","0","0","0","0","0","0"
"00825","72","72","Nelarabine injection","K","2","15190","0","0","0","0","0","0","0","0"
"00825","73","73","Nelarabine injection","K","2","15211","0","0","0","0","0","0","0","0"
"00825","74","74","Nelarabine injection","K","2","15221","0","0","0","0","0","0","0","0"
"00825","75","75","Nelarabine injection","K","2","15202","0","0","0","0","0","0","0","0"
"00825","76","76","Nelarabine injection","K","2","15217","0","0","0","0","0","0","0","0"
"00825","77","77","Nelarabine injection","K","2","15232","0","0","0","0","0","0","0","0"
"00825","78","78","Nelarabine injection","K","2","15248","0","0","0","0","0","0","0","0"
"00825","79","79","Nelarabine injection","K","2","15271","0","0","0","0","0","0","0","0"
"00825","80","80","Nelarabine injection","K","2","15253","0","0","0","0","0","0","0","0"
"00825","81","81","Nelarabine injection","K","2","15239","0","0","0","0","0","0","0","0"
"00825","82","82","Nelarabine injection","K","2","15215","0","0","0","0","0","0","0","0"
"00825","83","83","Nelarabine injection","K","2","15189","0","0","0","0","0","0","0","0"
"00825","84","84","Nelarabine injection","K","2","15190","0","0","0","0","0","0","0","0"
"00825","85","85","Nelarabine injection","K","2","15244","0","0","0","0","0","0","0","0"
"00825","86","87","Nelarabine injection","K","2","15590","0","0","0","0","0","0","0","0"
"00827","60","60","Floxuridine injection","K","1","3801","0","0","0","0","0","0","0","0"
"00827","61","61","Floxuridine injection","K","1","6024","0","0","0","0","0","0","0","0"
"00827","62","62","Floxuridine injection","K","2","6769","0","0","0","0","0","0","0","0"
"00827","63","63","Floxuridine injection","K","2","6959","0","0","0","0","0","0","0","0"
"00827","64","64","Floxuridine injection","K","2","4745","0","0","0","0","0","0","0","0"
"00827","65","65","Floxuridine injection","K","2","1628","0","0","0","0","0","0","0","0"
"00827","66","66","Floxuridine injection","K","2","5280","0","0","0","0","0","0","0","0"
"00827","67","67","Floxuridine injection","K","2","7479","0","0","0","0","0","0","0","0"
"00827","68","68","Floxuridine injection","K","2","6059","0","0","0","0","0","0","0","0"
"00827","69","69","Floxuridine injection","K","2","7388","0","0","0","0","0","0","0","0"
"00831","60","60","Ifosfamide injection","K","1","3244","0","0","0","0","0","0","0","0"
"00831","61","61","Ifosfamide injection","K","1","3099","0","0","0","0","0","0","0","0"
"00831","62","62","Ifosfamide injection","K","2","3220","0","0","0","0","0","0","0","0"
"00831","63","63","Ifosfamide injection","K","2","3094","0","0","0","0","0","0","0","0"
"00831","64","64","Ifosfamide injection","K","2","2978","0","0","0","0","0","0","0","0"
"00831","65","65","Ifosfamide injection","K","2","2919","0","0","0","0","0","0","0","0"
"00831","66","66","Ifosfamide injection","K","2","2818","0","0","0","0","0","0","0","0"
"00831","67","67","Ifosfamide injection","K","2","2833","0","0","0","0","0","0","0","0"
"00831","68","68","Ifosfamide injection","K","2","2807","0","0","0","0","0","0","0","0"
"00831","69","69","Ifosfamide injection","K","2","2726","0","0","0","0","0","0","0","0"
"00832","60","60","Idarubicin hcl injection","K","1","4015","0","0","0","0","0","0","0","0"
"00832","61","61","Idarubicin hcl injection","K","1","3885","0","0","0","0","0","0","0","0"
"00832","62","62","Idarubicin hcl injection","K","2","3488","0","0","0","0","0","0","0","0"
"00832","63","63","Idarubicin hcl injection","K","2","3905","0","0","0","0","0","0","0","0"
"00832","64","64","Idarubicin hcl injection","K","2","3695","0","0","0","0","0","0","0","0"
"00832","65","65","Idarubicin hcl injection","K","2","2597","0","0","0","0","0","0","0","0"
"00832","66","66","Idarubicin hcl injection","K","2","2976","0","0","0","0","0","0","0","0"
"00832","67","67","Idarubicin hcl injection","K","2","3437","0","0","0","0","0","0","0","0"
"00832","68","68","Idarubicin hcl injection","K","2","4154","0","0","0","0","0","0","0","0"
"00832","69","69","Idarubicin hcl injection","K","2","3928","0","0","0","0","0","0","0","0"
"00832","70","70","Idarubicin hcl injection","K","2","3947","0","0","0","0","0","0","0","0"
"00832","71","71","Idarubicin hcl injection","K","2","4340","0","0","0","0","0","0","0","0"
"00832","72","72","Idarubicin hcl injection","K","2","3428","0","0","0","0","0","0","0","0"
"00832","73","73","Idarubicin hcl injection","K","2","3545","0","0","0","0","0","0","0","0"
"00835","60","61","Cosyntropin injection NOS","K","1","10168","0","0","0","0","0","0","0","0"
"00835","62","65","Cosyntropin injection NOS","K","2","10168","0","0","0","0","0","0","0","0"
"00836","60","60","Interferon alfa-2b inj","K","1","2258","0","0","0","0","0","0","0","0"
"00836","61","61","Interferon alfa-2b inj","K","1","2261","0","0","0","0","0","0","0","0"
"00836","62","62","Interferon alfa-2b inj","K","2","2405","0","0","0","0","0","0","0","0"
"00836","63","63","Interferon alfa-2b inj","K","2","2390","0","0","0","0","0","0","0","0"
"00836","64","64","Interferon alfa-2b inj","K","2","2530","0","0","0","0","0","0","0","0"
"00836","65","65","Interferon alfa-2b inj","K","2","2527","0","0","0","0","0","0","0","0"
"00836","66","66","Interferon alfa-2b inj","K","2","2686","0","0","0","0","0","0","0","0"
"00836","67","67","Interferon alfa-2b inj","K","2","2673","0","0","0","0","0","0","0","0"
"00836","68","68","Interferon alfa-2b inj","K","2","2852","0","0","0","0","0","0","0","0"
"00836","69","69","Interferon alfa-2b inj","K","2","2844","0","0","0","0","0","0","0","0"
"00836","70","70","Interferon alfa-2b inj","K","2","3171","0","0","0","0","0","0","0","0"
"00836","71","71","Interferon alfa-2b inj","K","2","3149","0","0","0","0","0","0","0","0"
"00836","72","72","Interferon alfa-2b inj","K","2","3109","0","0","0","0","0","0","0","0"
"00836","73","73","Interferon alfa-2b inj","K","2","3438","0","0","0","0","0","0","0","0"
"00836","74","74","Interferon alfa-2b inj","K","2","3415","0","0","0","0","0","0","0","0"
"00836","75","75","Interferon alfa-2b inj","K","2","3403","0","0","0","0","0","0","0","0"
"00836","76","76","Interferon alfa-2b inj","K","2","3359","0","0","0","0","0","0","0","0"
"00836","77","77","Interferon alfa-2b inj","K","2","3399","0","0","0","0","0","0","0","0"
"00836","78","78","Interferon alfa-2b inj","K","2","3424","0","0","0","0","0","0","0","0"
"00836","79","79","Interferon alfa-2b inj","K","2","3421","0","0","0","0","0","0","0","0"
"00836","80","80","Interferon alfa-2b inj","K","2","3355","0","0","0","0","0","0","0","0"
"00836","81","81","Interferon alfa-2b inj","K","2","3445","0","0","0","0","0","0","0","0"
"00836","82","82","Interferon alfa-2b inj","K","2","3435","0","0","0","0","0","0","0","0"
"00836","83","83","Interferon alfa-2b inj","K","2","3399","0","0","0","0","0","0","0","0"
"00836","84","84","Interferon alfa-2b inj","K","2","3413","0","0","0","0","0","0","0","0"
"00836","85","85","Interferon alfa-2b inj","K","2","3376","0","0","0","0","0","0","0","0"
"00836","86","86","Interferon alfa-2b inj","K","2","3324","0","0","0","0","0","0","0","0"
"00836","87","87","Interferon alfa-2b inj","K","2","3274","0","0","0","0","0","0","0","0"
"00838","60","61","Interferon gamma 1-b inj","K","1","438829","0","0","0","0","0","0","0","0"
"00838","62","63","Interferon gamma 1-b inj","K","2","526595","0","0","0","0","0","0","0","0"
"00838","64","67","Interferon gamma 1-b inj","K","2","573988","0","0","0","0","0","0","0","0"
"00838","68","71","Interferon gamma 1-b inj","K","2","630813","0","0","0","0","0","0","0","0"
"00840","60","60","Inj melphalan hydrochl","K","1","129239","0","0","0","0","0","0","0","0"
"00840","61","61","Inj melphalan hydrochl","K","1","130575","0","0","0","0","0","0","0","0"
"00840","62","62","Inj melphalan hydrochl","K","2","128540","0","0","0","0","0","0","0","0"
"00840","63","63","Inj melphalan hydrochl","K","2","160405","0","0","0","0","0","0","0","0"
"00840","64","64","Inj melphalan hydrochl","K","2","188407","0","0","0","0","0","0","0","0"
"00840","65","65","Inj melphalan hydrochl","K","2","176597","0","0","0","0","0","0","0","0"
"00840","66","66","Inj melphalan hydrochl","K","2","187163","0","0","0","0","0","0","0","0"
"00840","67","67","Inj melphalan hydrochl","K","2","201704","0","0","0","0","0","0","0","0"
"00840","68","68","Inj melphalan hydrochl","K","2","180413","0","0","0","0","0","0","0","0"
"00840","69","69","Inj melphalan hydrochl","K","2","146885","0","0","0","0","0","0","0","0"
"00840","70","70","Inj melphalan hydrochl","K","2","136946","0","0","0","0","0","0","0","0"
"00840","71","71","Inj melphalan hydrochl","K","2","119300","0","0","0","0","0","0","0","0"
"00840","72","72","Inj melphalan hydrochl","K","2","111799","0","0","0","0","0","0","0","0"
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"00864","87","87","Mitoxantrone hydrochl","K","2","2940","0","0","0","0","0","0","0","0"
"00868","60","60","Oral aprepitant","K","1","848","0","0","0","0","0","0","0","0"
"00868","61","61","Oral aprepitant","K","1","936","0","0","0","0","0","0","0","0"
"00868","62","62","Oral aprepitant","K","2","954","0","0","0","0","0","0","0","0"
"00868","63","63","Oral aprepitant","K","2","1020","0","0","0","0","0","0","0","0"
"00868","64","64","Oral aprepitant","K","2","1003","0","0","0","0","0","0","0","0"
"00868","65","65","Oral aprepitant","K","2","1104","0","0","0","0","0","0","0","0"
"00868","66","66","Oral aprepitant","K","2","1111","0","0","0","0","0","0","0","0"
"00868","67","67","Oral aprepitant","K","2","1227","0","0","0","0","0","0","0","0"
"00868","68","68","Oral aprepitant","K","2","1178","0","0","0","0","0","0","0","0"
"00868","69","69","Oral aprepitant","K","2","949","0","0","0","0","0","0","0","0"
"00868","70","70","Oral aprepitant","K","2","766","0","0","0","0","0","0","0","0"
"00868","71","71","Oral aprepitant","K","2","668","0","0","0","0","0","0","0","0"
"00868","72","72","Oral aprepitant","K","2","803","0","0","0","0","0","0","0","0"
"00868","73","73","Oral aprepitant","K","2","749","0","0","0","0","0","0","0","0"
"00873","60","60","Hyalgan/supartz inj per dose","K","1","8921","0","0","0","0","0","0","0","0"
"00873","61","61","Hyalgan/supartz inj per dose","K","1","8931","0","0","0","0","0","0","0","0"
"00873","62","62","Hyalgan/supartz inj per dose","K","2","8861","0","0","0","0","0","0","0","0"
"00873","63","63","Hyalgan/supartz inj per dose","K","2","8812","0","0","0","0","0","0","0","0"
"00873","64","64","Hyalgan/supartz inj per dose","K","2","8856","0","0","0","0","0","0","0","0"
"00873","65","65","Hyalgan/supartz inj per dose","K","2","8659","0","0","0","0","0","0","0","0"
"00873","66","66","Hyalgan/supartz inj per dose","K","2","8773","0","0","0","0","0","0","0","0"
"00873","67","67","Hyalgan/supartz inj per dose","K","2","8614","0","0","0","0","0","0","0","0"
"00873","68","68","Hyalgan/supartz inj per dose","K","2","8716","0","0","0","0","0","0","0","0"
"00873","69","69","Hyalgan/supartz inj per dose","K","2","8554","0","0","0","0","0","0","0","0"
"00873","70","70","Hyalgan supartz visco-3 dose","K","2","8764","0","0","0","0","0","0","0","0"
"00873","71","71","Hyalgan supartz visco-3 dose","K","2","8521","0","0","0","0","0","0","0","0"
"00873","72","72","Hyalgan supartz visco-3 dose","K","2","8865","0","0","0","0","0","0","0","0"
"00873","73","73","Hyalgan supartz visco-3 dose","K","2","8318","0","0","0","0","0","0","0","0"
"00873","74","74","Hyalgan supartz visco-3 dose","K","2","8530","0","0","0","0","0","0","0","0"
"00873","75","75","Hyalgan supartz visco-3 dose","K","2","7991","0","0","0","0","0","0","0","0"
"00873","76","76","Hyalgan supartz visco-3 dose","K","2","8364","0","0","0","0","0","0","0","0"
"00873","77","77","Hyalgan supartz visco-3 dose","K","2","7485","0","0","0","0","0","0","0","0"
"00874","60","60","Synvisc or synvisc-one","K","1","1266","0","0","0","0","0","0","0","0"
"00874","61","61","Synvisc or synvisc-one","K","1","1272","0","0","0","0","0","0","0","0"
"00874","62","62","Synvisc or synvisc-one","K","2","1287","0","0","0","0","0","0","0","0"
"00874","63","63","Synvisc or synvisc-one","K","2","1313","0","0","0","0","0","0","0","0"
"00874","64","64","Synvisc or synvisc-one","K","2","1283","0","0","0","0","0","0","0","0"
"00874","65","65","Synvisc or synvisc-one","K","2","1249","0","0","0","0","0","0","0","0"
"00874","66","66","Synvisc or synvisc-one","K","2","1277","0","0","0","0","0","0","0","0"
"00874","67","67","Synvisc or synvisc-one","K","2","1303","0","0","0","0","0","0","0","0"
"00874","68","68","Synvisc or synvisc-one","K","2","1254","0","0","0","0","0","0","0","0"
"00874","69","69","Synvisc or synvisc-one","K","2","1269","0","0","0","0","0","0","0","0"
"00874","70","70","Synvisc or synvisc-one","K","2","1227","0","0","0","0","0","0","0","0"
"00874","71","71","Synvisc or synvisc-one","K","2","1226","0","0","0","0","0","0","0","0"
"00874","72","72","Synvisc or synvisc-one","K","2","1208","0","0","0","0","0","0","0","0"
"00874","73","73","Synvisc or synvisc-one","K","2","1170","0","0","0","0","0","0","0","0"
"00874","74","74","Synvisc or synvisc-one","K","2","1183","0","0","0","0","0","0","0","0"
"00874","75","75","Synvisc or synvisc-one","K","2","1186","0","0","0","0","0","0","0","0"
"00874","76","76","Synvisc or synvisc-one","K","2","1132","0","0","0","0","0","0","0","0"
"00874","77","77","Synvisc or synvisc-one","K","2","1139","0","0","0","0","0","0","0","0"
"00874","78","78","Synvisc or synvisc-one","K","2","1141","0","0","0","0","0","0","0","0"
"00874","79","79","Synvisc or synvisc-one","K","2","1103","0","0","0","0","0","0","0","0"
"00874","80","80","Synvisc or synvisc-one","K","2","1100","0","0","0","0","0","0","0","0"
"00874","81","81","Synvisc or synvisc-one","K","2","1119","0","0","0","0","0","0","0","0"
"00874","82","82","Synvisc or synvisc-one","K","2","1022","0","0","0","0","0","0","0","0"
"00874","83","83","Synvisc or synvisc-one","K","2","1067","0","0","0","0","0","0","0","0"
"00874","84","84","Synvisc or synvisc-one","K","2","1016","0","0","0","0","0","0","0","0"
"00874","85","85","Synvisc or synvisc-one","K","2","1089","0","0","0","0","0","0","0","0"
"00874","86","86","Synvisc or synvisc-one","K","2","1124","0","0","0","0","0","0","0","0"
"00874","87","87","Synvisc or synvisc-one","K","2","1043","0","0","0","0","0","0","0","0"
"00875","60","60","Euflexxa inj per dose","K","1","14851","0","0","0","0","0","0","0","0"
"00875","61","61","Euflexxa inj per dose","K","1","15284","0","0","0","0","0","0","0","0"
"00875","62","62","Euflexxa inj per dose","K","2","15200","0","0","0","0","0","0","0","0"
"00875","63","63","Euflexxa inj per dose","K","2","14910","0","0","0","0","0","0","0","0"
"00875","64","64","Euflexxa inj per dose","K","2","15686","0","0","0","0","0","0","0","0"
"00875","65","65","Euflexxa inj per dose","K","2","15758","0","0","0","0","0","0","0","0"
"00875","66","66","Euflexxa inj per dose","K","2","15532","0","0","0","0","0","0","0","0"
"00875","67","67","Euflexxa inj per dose","K","2","15735","0","0","0","0","0","0","0","0"
"00875","68","68","Euflexxa inj per dose","K","2","15384","0","0","0","0","0","0","0","0"
"00875","69","69","Euflexxa inj per dose","K","2","15233","0","0","0","0","0","0","0","0"
"00875","70","71","Euflexxa inj per dose","K","2","15523","0","0","0","0","0","0","0","0"
"00875","72","72","Euflexxa inj per dose","K","2","14992","0","0","0","0","0","0","0","0"
"00875","73","73","Euflexxa inj per dose","K","2","14373","0","0","0","0","0","0","0","0"
"00875","74","74","Euflexxa inj per dose","K","2","14147","0","0","0","0","0","0","0","0"
"00875","75","75","Euflexxa inj per dose","K","2","14103","0","0","0","0","0","0","0","0"
"00875","76","76","Euflexxa inj per dose","K","2","14530","0","0","0","0","0","0","0","0"
"00875","77","77","Euflexxa inj per dose","K","2","14329","0","0","0","0","0","0","0","0"
"00875","78","78","Euflexxa inj per dose","K","2","14508","0","0","0","0","0","0","0","0"
"00875","79","79","Euflexxa inj per dose","K","2","14469","0","0","0","0","0","0","0","0"
"00875","80","80","Euflexxa inj per dose","K","2","14122","0","0","0","0","0","0","0","0"
"00875","81","81","Euflexxa inj per dose","K","2","14923","0","0","0","0","0","0","0","0"
"00875","82","82","Euflexxa inj per dose","K","2","14031","0","0","0","0","0","0","0","0"
"00875","83","83","Euflexxa inj per dose","K","2","13514","0","0","0","0","0","0","0","0"
"00875","84","84","Euflexxa inj per dose","K","2","13853","0","0","0","0","0","0","0","0"
"00875","85","85","Euflexxa inj per dose","K","2","12916","0","0","0","0","0","0","0","0"
"00875","86","86","Euflexxa inj per dose","K","2","13882","0","0","0","0","0","0","0","0"
"00875","87","87","Euflexxa inj per dose","K","2","13524","0","0","0","0","0","0","0","0"
"00877","60","60","Orthovisc inj per dose","K","1","17707","0","0","0","0","0","0","0","0"
"00877","61","61","Orthovisc inj per dose","K","1","17040","0","0","0","0","0","0","0","0"
"00877","62","62","Orthovisc inj per dose","K","2","17263","0","0","0","0","0","0","0","0"
"00877","63","63","Orthovisc inj per dose","K","2","16854","0","0","0","0","0","0","0","0"
"00877","64","64","Orthovisc inj per dose","K","2","16783","0","0","0","0","0","0","0","0"
"00877","65","65","Orthovisc inj per dose","K","2","15978","0","0","0","0","0","0","0","0"
"00877","66","66","Orthovisc inj per dose","K","2","15928","0","0","0","0","0","0","0","0"
"00877","67","67","Orthovisc inj per dose","K","2","15099","0","0","0","0","0","0","0","0"
"00877","68","68","Orthovisc inj per dose","K","2","15355","0","0","0","0","0","0","0","0"
"00877","69","69","Orthovisc inj per dose","K","2","14272","0","0","0","0","0","0","0","0"
"00877","70","70","Orthovisc inj per dose","K","2","14948","0","0","0","0","0","0","0","0"
"00877","71","71","Orthovisc inj per dose","K","2","14011","0","0","0","0","0","0","0","0"
"00877","72","72","Orthovisc inj per dose","K","2","14940","0","0","0","0","0","0","0","0"
"00877","73","73","Orthovisc inj per dose","K","2","14034","0","0","0","0","0","0","0","0"
"00877","74","74","Orthovisc inj per dose","K","2","14779","0","0","0","0","0","0","0","0"
"00877","75","75","Orthovisc inj per dose","K","2","14691","0","0","0","0","0","0","0","0"
"00877","76","77","Orthovisc inj per dose","K","2","50668","0","0","0","0","0","0","0","0"
"00877","78","78","Orthovisc inj per dose","K","2","14340","0","0","0","0","0","0","0","0"
"00877","79","79","Orthovisc inj per dose","K","2","14042","0","0","0","0","0","0","0","0"
"00877","80","80","Orthovisc inj per dose","K","2","13503","0","0","0","0","0","0","0","0"
"00877","81","81","Orthovisc inj per dose","K","2","13354","0","0","0","0","0","0","0","0"
"00877","82","82","Orthovisc inj per dose","K","2","12841","0","0","0","0","0","0","0","0"
"00877","83","83","Orthovisc inj per dose","K","2","12855","0","0","0","0","0","0","0","0"
"00877","84","84","Orthovisc inj per dose","K","2","13150","0","0","0","0","0","0","0","0"
"00877","85","85","Orthovisc inj per dose","K","2","13495","0","0","0","0","0","0","0","0"
"00877","86","86","Orthovisc inj per dose","K","2","14874","0","0","0","0","0","0","0","0"
"00877","87","87","Orthovisc inj per dose","K","2","14775","0","0","0","0","0","0","0","0"
"00887","60","61","Azathioprine parenteral","K","1","21730","0","0","0","0","0","0","0","0"
"00887","62","65","Azathioprine parenteral","K","2","21730","0","0","0","0","0","0","0","0"
"00887","66","66","Azathioprine parenteral","K","2","25553","0","0","0","0","0","0","0","0"
"00887","67","67","Azathioprine parenteral","K","2","23579","0","0","0","0","0","0","0","0"
"00887","68","68","Azathioprine parenteral","K","2","25045","0","0","0","0","0","0","0","0"
"00887","69","69","Azathioprine parenteral","K","2","24647","0","0","0","0","0","0","0","0"
"00887","70","70","Azathioprine parenteral","K","2","23808","0","0","0","0","0","0","0","0"
"00887","71","71","Azathioprine parenteral","K","2","23516","0","0","0","0","0","0","0","0"
"00887","72","72","Azathioprine parenteral","K","2","22286","0","0","0","0","0","0","0","0"
"00887","73","73","Azathioprine parenteral","K","2","23028","0","0","0","0","0","0","0","0"
"00887","74","74","Azathioprine parenteral","K","2","22936","0","0","0","0","0","0","0","0"
"00887","75","75","Azathioprine parenteral","K","2","23889","0","0","0","0","0","0","0","0"
"00887","76","76","Azathioprine parenteral","K","2","23933","0","0","0","0","0","0","0","0"
"00887","77","77","Azathioprine parenteral","K","2","24179","0","0","0","0","0","0","0","0"
"00887","78","78","Azathioprine parenteral","K","2","23819","0","0","0","0","0","0","0","0"
"00887","79","79","Azathioprine parenteral","K","2","22470","0","0","0","0","0","0","0","0"
"00887","80","80","Azathioprine parenteral","K","2","22642","0","0","0","0","0","0","0","0"
"00887","81","81","Azathioprine parenteral","K","2","22099","0","0","0","0","0","0","0","0"
"00887","82","82","Azathioprine parenteral","K","2","22793","0","0","0","0","0","0","0","0"
"00887","83","83","Azathioprine parenteral","K","2","24517","0","0","0","0","0","0","0","0"
"00887","84","84","Azathioprine parenteral","K","2","24421","0","0","0","0","0","0","0","0"
"00887","85","85","Azathioprine parenteral","K","2","24486","0","0","0","0","0","0","0","0"
"00887","86","86","Azathioprine parenteral","K","2","24502","0","0","0","0","0","0","0","0"
"00887","87","87","Azathioprine parenteral","K","2","23234","0","0","0","0","0","0","0","0"
"00890","60","60","Lymphocyte immune globulin","K","1","90142","0","0","0","0","0","0","0","0"
"00890","61","61","Lymphocyte immune globulin","K","1","103282","0","0","0","0","0","0","0","0"
"00890","62","62","Lymphocyte immune globulin","K","2","106933","0","0","0","0","0","0","0","0"
"00890","63","63","Lymphocyte immune globulin","K","2","113693","0","0","0","0","0","0","0","0"
"00890","64","64","Lymphocyte immune globulin","K","2","113719","0","0","0","0","0","0","0","0"
"00890","65","65","Lymphocyte immune globulin","K","2","128976","0","0","0","0","0","0","0","0"
"00890","66","66","Lymphocyte immune globulin","K","2","143874","0","0","0","0","0","0","0","0"
"00890","67","67","Lymphocyte immune globulin","K","2","147934","0","0","0","0","0","0","0","0"
"00890","68","68","Lymphocyte immune globulin","K","2","147880","0","0","0","0","0","0","0","0"
"00890","69","69","Lymphocyte immune globulin","K","2","175467","0","0","0","0","0","0","0","0"
"00890","70","70","Lymphocyte immune globulin","K","2","181704","0","0","0","0","0","0","0","0"
"00890","71","71","Lymphocyte immune globulin","K","2","194278","0","0","0","0","0","0","0","0"
"00890","72","72","Lymphocyte immune globulin","K","2","193764","0","0","0","0","0","0","0","0"
"00890","73","73","Lymphocyte immune globulin","K","2","210651","0","0","0","0","0","0","0","0"
"00890","74","74","Lymphocyte immune globulin","K","2","208122","0","0","0","0","0","0","0","0"
"00890","75","75","Lymphocyte immune globulin","K","2","206612","0","0","0","0","0","0","0","0"
"00890","76","76","Lymphocyte immune globulin","K","2","207180","0","0","0","0","0","0","0","0"
"00890","77","77","Lymphocyte immune globulin","K","2","207224","0","0","0","0","0","0","0","0"
"00890","78","78","Lymphocyte immune globulin","K","2","206602","0","0","0","0","0","0","0","0"
"00890","79","79","Lymphocyte immune globulin","K","2","206004","0","0","0","0","0","0","0","0"
"00890","80","80","Lymphocyte immune globulin","K","2","205322","0","0","0","0","0","0","0","0"
"00890","81","81","Lymphocyte immune globulin","K","2","222562","0","0","0","0","0","0","0","0"
"00890","82","82","Lymphocyte immune globulin","K","2","225767","0","0","0","0","0","0","0","0"
"00890","83","83","Lymphocyte immune globulin","K","2","225765","0","0","0","0","0","0","0","0"
"00890","84","84","Lymphocyte immune globulin","K","2","224984","0","0","0","0","0","0","0","0"
"00890","85","85","Lymphocyte immune globulin","K","2","236227","0","0","0","0","0","0","0","0"
"00890","86","86","Lymphocyte immune globulin","K","2","235553","0","0","0","0","0","0","0","0"
"00890","87","87","Lymphocyte immune globulin","K","2","235536","0","0","0","0","0","0","0","0"
"00901","60","60","Alpha 1 proteinase inhibitor","K","1","433","0","0","0","0","0","0","0","0"
"00901","61","61","Alpha 1 proteinase inhibitor","K","1","438","0","0","0","0","0","0","0","0"
"00901","62","62","Alpha 1 proteinase inhibitor","K","2","445","0","0","0","0","0","0","0","0"
"00901","63","63","Alpha 1 proteinase inhibitor","K","2","459","0","0","0","0","0","0","0","0"
"00901","64","64","Alpha 1 proteinase inhibitor","K","2","460","0","0","0","0","0","0","0","0"
"00901","65","65","Alpha 1 proteinase inhibitor","K","2","461","0","0","0","0","0","0","0","0"
"00901","66","66","Alpha 1 proteinase inhibitor","K","2","483","0","0","0","0","0","0","0","0"
"00901","67","67","Alpha 1 proteinase inhibitor","K","2","485","0","0","0","0","0","0","0","0"
"00901","68","68","Alpha 1 proteinase inhibitor","K","2","482","0","0","0","0","0","0","0","0"
"00901","69","70","Alpha 1 proteinase inhibitor","K","2","494","0","0","0","0","0","0","0","0"
"00901","71","71","Alpha 1 proteinase inhibitor","K","2","454","0","0","0","0","0","0","0","0"
"00901","72","72","Alpha 1 proteinase inhibitor","K","2","445","0","0","0","0","0","0","0","0"
"00901","73","73","Alpha 1 proteinase inhibitor","K","2","451","0","0","0","0","0","0","0","0"
"00901","74","74","Alpha 1 proteinase inhibitor","K","2","446","0","0","0","0","0","0","0","0"
"00901","75","75","Alpha 1 proteinase inhibitor","K","2","455","0","0","0","0","0","0","0","0"
"00901","76","76","Alpha 1 proteinase inhibitor","K","2","456","0","0","0","0","0","0","0","0"
"00901","77","77","Alpha 1 proteinase inhibitor","K","2","451","0","0","0","0","0","0","0","0"
"00901","78","78","Alpha 1 proteinase inhibitor","K","2","455","0","0","0","0","0","0","0","0"
"00901","79","79","Alpha 1 proteinase inhibitor","K","2","445","0","0","0","0","0","0","0","0"
"00901","80","80","Alpha 1 proteinase inhibitor","K","2","443","0","0","0","0","0","0","0","0"
"00901","81","81","Alpha 1 proteinase inhibitor","K","2","438","0","0","0","0","0","0","0","0"
"00901","82","82","Alpha 1 proteinase inhibitor","K","2","436","0","0","0","0","0","0","0","0"
"00901","83","83","Alpha 1 proteinase inhibitor","K","2","452","0","0","0","0","0","0","0","0"
"00901","84","84","Alpha 1 proteinase inhibitor","K","2","451","0","0","0","0","0","0","0","0"
"00901","85","85","Alpha 1 proteinase inhibitor","K","2","456","0","0","0","0","0","0","0","0"
"00901","86","86","Alpha 1 proteinase inhibitor","K","2","454","0","0","0","0","0","0","0","0"
"00901","87","87","Alpha 1 proteinase inhibitor","K","2","455","0","0","0","0","0","0","0","0"
"00902","60","60","Injection,onabotulinumtoxinA","K","1","557","0","0","0","0","0","0","0","0"
"00902","61","61","Injection,onabotulinumtoxinA","K","1","573","0","0","0","0","0","0","0","0"
"00902","62","64","Injection,onabotulinumtoxinA","K","2","572","0","0","0","0","0","0","0","0"
"00902","65","65","Injection,onabotulinumtoxinA","K","2","584","0","0","0","0","0","0","0","0"
"00902","66","66","Injection,onabotulinumtoxinA","K","2","593","0","0","0","0","0","0","0","0"
"00902","67","68","Injection,onabotulinumtoxinA","K","2","594","0","0","0","0","0","0","0","0"
"00902","69","69","Injection,onabotulinumtoxinA","K","2","599","0","0","0","0","0","0","0","0"
"00902","70","70","Injection,onabotulinumtoxinA","K","2","603","0","0","0","0","0","0","0","0"
"00902","71","71","Injection,onabotulinumtoxinA","K","2","613","0","0","0","0","0","0","0","0"
"00902","72","72","Injection,onabotulinumtoxinA","K","2","615","0","0","0","0","0","0","0","0"
"00902","73","73","Injection,onabotulinumtoxinA","K","2","616","0","0","0","0","0","0","0","0"
"00902","74","75","Injection,onabotulinumtoxinA","K","2","614","0","0","0","0","0","0","0","0"
"00902","76","79","Injection,onabotulinumtoxinA","K","2","612","0","0","0","0","0","0","0","0"
"00902","80","80","Injection,onabotulinumtoxinA","K","2","611","0","0","0","0","0","0","0","0"
"00902","81","81","Injection,onabotulinumtoxinA","K","2","610","0","0","0","0","0","0","0","0"
"00902","82","82","Injection,onabotulinumtoxinA","K","2","608","0","0","0","0","0","0","0","0"
"00902","83","84","Injection,onabotulinumtoxinA","K","2","606","0","0","0","0","0","0","0","0"
"00902","85","85","Injection,onabotulinumtoxinA","K","2","608","0","0","0","0","0","0","0","0"
"00902","86","86","Injection,onabotulinumtoxinA","K","2","609","0","0","0","0","0","0","0","0"
"00902","87","87","Injection,onabotulinumtoxinA","K","2","619","0","0","0","0","0","0","0","0"
"00903","60","60","Cytomegalovirus imm IV /vial","K","1","101387","0","0","0","0","0","0","0","0"
"00903","61","61","Cytomegalovirus imm IV /vial","K","1","106335","0","0","0","0","0","0","0","0"
"00903","62","64","Cytomegalovirus imm IV /vial","K","2","106477","0","0","0","0","0","0","0","0"
"00903","65","65","Cytomegalovirus imm IV /vial","K","2","112696","0","0","0","0","0","0","0","0"
"00903","66","66","Cytomegalovirus imm IV /vial","K","2","112655","0","0","0","0","0","0","0","0"
"00903","67","67","Cytomegalovirus imm IV /vial","K","2","112763","0","0","0","0","0","0","0","0"
"00903","68","68","Cytomegalovirus imm IV /vial","K","2","112774","0","0","0","0","0","0","0","0"
"00903","69","69","Cytomegalovirus imm IV /vial","K","2","112867","0","0","0","0","0","0","0","0"
"00903","70","70","Cytomegalovirus imm IV /vial","K","2","112871","0","0","0","0","0","0","0","0"
"00903","71","71","Cytomegalovirus imm IV /vial","K","2","112913","0","0","0","0","0","0","0","0"
"00903","72","73","Cytomegalovirus imm IV /vial","K","2","112912","0","0","0","0","0","0","0","0"
"00903","74","79","Cytomegalovirus imm IV /vial","K","2","112915","0","0","0","0","0","0","0","0"
"00903","80","80","Cytomegalovirus imm IV /vial","K","2","133481","0","0","0","0","0","0","0","0"
"00903","81","81","Cytomegalovirus imm IV /vial","K","2","147974","0","0","0","0","0","0","0","0"
"00903","82","82","Cytomegalovirus imm IV /vial","K","2","149695","0","0","0","0","0","0","0","0"
"00903","83","84","Cytomegalovirus imm IV /vial","K","2","146702","0","0","0","0","0","0","0","0"
"00903","85","85","Cytomegalovirus imm IV /vial","K","2","152065","0","0","0","0","0","0","0","0"
"00903","86","86","Cytomegalovirus imm IV /vial","K","2","153870","0","0","0","0","0","0","0","0"
"00903","87","87","Cytomegalovirus imm IV /vial","K","2","152546","0","0","0","0","0","0","0","0"
"00910","60","60","Interferon beta-1b / .25 MG","K","1","35237","0","0","0","0","0","0","0","0"
"00910","61","61","Interferon beta-1b / .25 MG","K","1","35436","0","0","0","0","0","0","0","0"
"00910","62","62","Interferon beta-1b / .25 MG","K","2","35722","0","0","0","0","0","0","0","0"
"00910","63","63","Interferon beta-1b / .25 MG","K","2","36365","0","0","0","0","0","0","0","0"
"00910","64","64","Interferon beta-1b / .25 MG","K","2","37358","0","0","0","0","0","0","0","0"
"00910","65","65","Interferon beta-1b / .25 MG","K","2","38020","0","0","0","0","0","0","0","0"
"00910","66","66","Interferon beta-1b / .25 MG","K","2","39011","0","0","0","0","0","0","0","0"
"00910","67","67","Interferon beta-1b / .25 MG","K","2","38092","0","0","0","0","0","0","0","0"
"00910","68","68","Interferon beta-1b / .25 MG","K","2","37630","0","0","0","0","0","0","0","0"
"00910","69","69","Interferon beta-1b / .25 MG","K","2","39187","0","0","0","0","0","0","0","0"
"00910","70","70","Interferon beta-1b / .25 MG","K","2","38040","0","0","0","0","0","0","0","0"
"00910","71","71","Interferon beta-1b / .25 MG","K","2","37976","0","0","0","0","0","0","0","0"
"00910","72","72","Interferon beta-1b / .25 MG","K","2","36499","0","0","0","0","0","0","0","0"
"00910","73","73","Interferon beta-1b / .25 MG","K","2","38920","0","0","0","0","0","0","0","0"
"00910","74","74","Interferon beta-1b / .25 MG","K","2","37963","0","0","0","0","0","0","0","0"
"00910","75","75","Interferon beta-1b / .25 MG","K","2","37082","0","0","0","0","0","0","0","0"
"00910","76","76","Interferon beta-1b / .25 MG","K","2","37317","0","0","0","0","0","0","0","0"
"00910","77","77","Interferon beta-1b / .25 MG","K","2","38250","0","0","0","0","0","0","0","0"
"00910","78","78","Interferon beta-1b / .25 MG","K","2","38624","0","0","0","0","0","0","0","0"
"00910","79","79","Interferon beta-1b / .25 MG","K","2","37615","0","0","0","0","0","0","0","0"
"00910","80","80","Interferon beta-1b / .25 MG","K","2","37131","0","0","0","0","0","0","0","0"
"00910","81","81","Interferon beta-1b / .25 MG","K","2","40375","0","0","0","0","0","0","0","0"
"00910","82","82","Interferon beta-1b / .25 MG","K","2","39383","0","0","0","0","0","0","0","0"
"00910","83","83","Interferon beta-1b / .25 MG","K","2","39347","0","0","0","0","0","0","0","0"
"00910","84","84","Interferon beta-1b / .25 MG","K","2","39675","0","0","0","0","0","0","0","0"
"00910","85","85","Interferon beta-1b / .25 MG","K","2","39776","0","0","0","0","0","0","0","0"
"00910","86","86","Interferon beta-1b / .25 MG","K","2","40624","0","0","0","0","0","0","0","0"
"00910","87","87","Interferon beta-1b / .25 MG","K","2","39800","0","0","0","0","0","0","0","0"
"00913","60","61","Ganciclovir long act implant","K","1","1696000","0","0","0","0","0","0","0","0"
"00913","62","66","Ganciclovir long act implant","K","2","1696000","0","0","0","0","0","0","0","0"
"00913","67","69","Ganciclovir long act implant","K","2","1171","0","0","0","0","0","0","0","0"
"00925","60","60","Factor viii","K","1","94","0","0","0","0","0","0","0","0"
"00925","61","61","Factor viii","K","1","98","0","0","0","0","0","0","0","0"
"00925","62","64","Factor viii","K","2","96","0","0","0","0","0","0","0","0"
"00925","65","66","Factor viii","K","2","98","0","0","0","0","0","0","0","0"
"00925","67","67","Factor viii","K","2","102","0","0","0","0","0","0","0","0"
"00925","68","68","Factor viii","K","2","101","0","0","0","0","0","0","0","0"
"00925","69","69","Factor viii","K","2","98","0","0","0","0","0","0","0","0"
"00925","70","70","Factor viii","K","2","102","0","0","0","0","0","0","0","0"
"00925","71","71","Factor viii","K","2","108","0","0","0","0","0","0","0","0"
"00925","72","72","Factor viii","K","2","104","0","0","0","0","0","0","0","0"
"00925","73","73","Factor viii","K","2","111","0","0","0","0","0","0","0","0"
"00925","74","74","Factor viii","K","2","107","0","0","0","0","0","0","0","0"
"00925","75","75","Factor viii","K","2","108","0","0","0","0","0","0","0","0"
"00925","76","76","Factor viii","K","2","104","0","0","0","0","0","0","0","0"
"00925","77","77","Factor viii","K","2","114","0","0","0","0","0","0","0","0"
"00925","78","78","Factor viii","K","2","107","0","0","0","0","0","0","0","0"
"00925","79","79","Factor viii","K","2","110","0","0","0","0","0","0","0","0"
"00925","80","80","Factor viii","K","2","105","0","0","0","0","0","0","0","0"
"00925","81","81","Factor viii","K","2","120","0","0","0","0","0","0","0","0"
"00925","82","82","Factor viii","K","2","102","0","0","0","0","0","0","0","0"
"00925","83","83","Factor viii","K","2","107","0","0","0","0","0","0","0","0"
"00925","84","84","Factor viii","K","2","101","0","0","0","0","0","0","0","0"
"00925","85","86","Factor viii","K","2","112","0","0","0","0","0","0","0","0"
"00925","87","87","Factor viii","K","2","111","0","0","0","0","0","0","0","0"
"00927","60","60","Factor viii recombinant","K","1","115","0","0","0","0","0","0","0","0"
"00927","61","61","Factor viii recombinant","K","1","117","0","0","0","0","0","0","0","0"
"00927","62","62","Factor viii recombinant","K","2","116","0","0","0","0","0","0","0","0"
"00927","63","64","Factor viii recombinant","K","2","118","0","0","0","0","0","0","0","0"
"00927","65","68","Factor viii recombinant","K","2","120","0","0","0","0","0","0","0","0"
"00927","69","69","Factor viii recombinant","K","2","122","0","0","0","0","0","0","0","0"
"00927","70","70","Factor viii recombinant","K","2","124","0","0","0","0","0","0","0","0"
"00927","71","72","Factor viii recombinant","K","2","128","0","0","0","0","0","0","0","0"
"00927","73","73","Factor viii recombinant","K","2","135","0","0","0","0","0","0","0","0"
"00927","74","74","Factor viii recombinant","K","2","133","0","0","0","0","0","0","0","0"
"00927","75","75","Factor viii recombinant","K","2","130","0","0","0","0","0","0","0","0"
"00927","76","77","Factor viii recombinant","K","2","128","0","0","0","0","0","0","0","0"
"00927","78","78","Factor viii recombinant","K","2","125","0","0","0","0","0","0","0","0"
"00927","79","79","Factor viii recombinant","K","2","129","0","0","0","0","0","0","0","0"
"00927","80","80","Factor viii recombinant","K","2","127","0","0","0","0","0","0","0","0"
"00927","81","81","Factor viii recombinant","K","2","137","0","0","0","0","0","0","0","0"
"00927","82","82","Factor viii recombinant","K","2","138","0","0","0","0","0","0","0","0"
"00927","83","84","Factor viii recombinant","K","2","135","0","0","0","0","0","0","0","0"
"00927","85","85","Factor viii recombinant","K","2","141","0","0","0","0","0","0","0","0"
"00927","86","87","Factor viii recombinant","K","2","143","0","0","0","0","0","0","0","0"
"00928","60","60","Factor ix complex","K","1","113","0","0","0","0","0","0","0","0"
"00928","61","61","Factor ix complex","K","1","116","0","0","0","0","0","0","0","0"
"00928","62","62","Factor ix complex","K","2","119","0","0","0","0","0","0","0","0"
"00928","63","64","Factor ix complex","K","2","122","0","0","0","0","0","0","0","0"
"00928","65","65","Factor ix complex","K","2","128","0","0","0","0","0","0","0","0"
"00928","66","66","Factor ix complex","K","2","129","0","0","0","0","0","0","0","0"
"00928","67","67","Factor ix complex","K","2","131","0","0","0","0","0","0","0","0"
"00928","68","68","Factor ix complex","K","2","134","0","0","0","0","0","0","0","0"
"00928","69","69","Factor ix complex","K","2","140","0","0","0","0","0","0","0","0"
"00928","70","70","Factor ix complex","K","2","139","0","0","0","0","0","0","0","0"
"00928","71","71","Factor ix complex","K","2","141","0","0","0","0","0","0","0","0"
"00928","72","72","Factor ix complex","K","2","140","0","0","0","0","0","0","0","0"
"00928","73","73","Factor ix complex","K","2","143","0","0","0","0","0","0","0","0"
"00928","74","74","Factor ix complex","K","2","142","0","0","0","0","0","0","0","0"
"00928","75","75","Factor ix complex","K","2","143","0","0","0","0","0","0","0","0"
"00928","76","77","Factor ix complex","K","2","144","0","0","0","0","0","0","0","0"
"00928","78","78","Factor ix complex","K","2","147","0","0","0","0","0","0","0","0"
"00928","79","79","Factor ix complex","K","2","148","0","0","0","0","0","0","0","0"
"00928","80","81","Factor ix complex","K","2","151","0","0","0","0","0","0","0","0"
"00928","82","82","Factor ix complex","K","2","149","0","0","0","0","0","0","0","0"
"00928","83","83","Factor ix complex","K","2","148","0","0","0","0","0","0","0","0"
"00928","84","85","Factor ix complex","K","2","149","0","0","0","0","0","0","0","0"
"00928","86","86","Factor ix complex","K","2","154","0","0","0","0","0","0","0","0"
"00928","87","87","Factor ix complex","K","2","153","0","0","0","0","0","0","0","0"
"00929","60","60","Anti-inhibitor","K","1","177","0","0","0","0","0","0","0","0"
"00929","61","61","Anti-inhibitor","K","1","183","0","0","0","0","0","0","0","0"
"00929","62","62","Anti-inhibitor","K","2","183","0","0","0","0","0","0","0","0"
"00929","63","64","Anti-inhibitor","K","2","190","0","0","0","0","0","0","0","0"
"00929","65","65","Anti-inhibitor","K","2","193","0","0","0","0","0","0","0","0"
"00929","66","66","Anti-inhibitor","K","2","192","0","0","0","0","0","0","0","0"
"00929","67","69","Anti-inhibitor","K","2","193","0","0","0","0","0","0","0","0"
"00929","70","70","Anti-inhibitor","K","2","194","0","0","0","0","0","0","0","0"
"00929","71","71","Anti-inhibitor","K","2","200","0","0","0","0","0","0","0","0"
"00929","72","72","Anti-inhibitor","K","2","199","0","0","0","0","0","0","0","0"
"00929","73","73","Anti-inhibitor","K","2","211","0","0","0","0","0","0","0","0"
"00929","74","74","Anti-inhibitor","K","2","208","0","0","0","0","0","0","0","0"
"00929","75","75","Anti-inhibitor","K","2","200","0","0","0","0","0","0","0","0"
"00929","76","76","Anti-inhibitor","K","2","192","0","0","0","0","0","0","0","0"
"00929","77","77","Anti-inhibitor","K","2","193","0","0","0","0","0","0","0","0"
"00929","78","78","Anti-inhibitor","K","2","190","0","0","0","0","0","0","0","0"
"00929","79","79","Anti-inhibitor","K","2","187","0","0","0","0","0","0","0","0"
"00929","80","80","Anti-inhibitor","K","2","193","0","0","0","0","0","0","0","0"
"00929","81","81","Anti-inhibitor","K","2","203","0","0","0","0","0","0","0","0"
"00929","82","82","Anti-inhibitor","K","2","205","0","0","0","0","0","0","0","0"
"00929","83","83","Anti-inhibitor","K","2","209","0","0","0","0","0","0","0","0"
"00929","84","84","Anti-inhibitor","K","2","210","0","0","0","0","0","0","0","0"
"00929","85","85","Anti-inhibitor","K","2","215","0","0","0","0","0","0","0","0"
"00929","86","86","Anti-inhibitor","K","2","221","0","0","0","0","0","0","0","0"
"00929","87","87","Anti-inhibitor","K","2","220","0","0","0","0","0","0","0","0"
"00931","60","60","Factor IX non-recombinant","K","1","105","0","0","0","0","0","0","0","0"
"00931","61","61","Factor IX non-recombinant","K","1","106","0","0","0","0","0","0","0","0"
"00931","62","62","Factor IX non-recombinant","K","2","107","0","0","0","0","0","0","0","0"
"00931","63","63","Factor IX non-recombinant","K","2","110","0","0","0","0","0","0","0","0"
"00931","64","64","Factor IX non-recombinant","K","2","112","0","0","0","0","0","0","0","0"
"00931","65","66","Factor IX non-recombinant","K","2","111","0","0","0","0","0","0","0","0"
"00931","67","67","Factor IX non-recombinant","K","2","112","0","0","0","0","0","0","0","0"
"00931","68","68","Factor IX non-recombinant","K","2","116","0","0","0","0","0","0","0","0"
"00931","69","69","Factor IX non-recombinant","K","2","112","0","0","0","0","0","0","0","0"
"00931","70","70","Factor IX non-recombinant","K","2","114","0","0","0","0","0","0","0","0"
"00931","71","71","Factor IX non-recombinant","K","2","115","0","0","0","0","0","0","0","0"
"00931","72","72","Factor IX non-recombinant","K","2","113","0","0","0","0","0","0","0","0"
"00931","73","73","Factor IX non-recombinant","K","2","114","0","0","0","0","0","0","0","0"
"00931","74","74","Factor IX non-recombinant","K","2","112","0","0","0","0","0","0","0","0"
"00931","75","75","Factor IX non-recombinant","K","2","114","0","0","0","0","0","0","0","0"
"00931","76","76","Factor IX non-recombinant","K","2","115","0","0","0","0","0","0","0","0"
"00931","77","77","Factor IX non-recombinant","K","2","112","0","0","0","0","0","0","0","0"
"00931","78","78","Factor IX non-recombinant","K","2","115","0","0","0","0","0","0","0","0"
"00931","79","79","Factor IX non-recombinant","K","2","117","0","0","0","0","0","0","0","0"
"00931","80","80","Factor IX non-recombinant","K","2","116","0","0","0","0","0","0","0","0"
"00931","81","81","Factor IX non-recombinant","K","2","117","0","0","0","0","0","0","0","0"
"00931","82","82","Factor IX non-recombinant","K","2","116","0","0","0","0","0","0","0","0"
"00931","83","83","Factor IX non-recombinant","K","2","119","0","0","0","0","0","0","0","0"
"00931","84","84","Factor IX non-recombinant","K","2","116","0","0","0","0","0","0","0","0"
"00931","85","85","Factor IX non-recombinant","K","2","113","0","0","0","0","0","0","0","0"
"00931","86","87","Factor IX non-recombinant","K","2","117","0","0","0","0","0","0","0","0"
"00932","60","60","Factor ix recombinant nos","K","1","137","0","0","0","0","0","0","0","0"
"00932","61","61","Factor ix recombinant nos","K","1","148","0","0","0","0","0","0","0","0"
"00932","62","62","Factor ix recombinant nos","K","2","146","0","0","0","0","0","0","0","0"
"00932","63","64","Factor ix recombinant nos","K","2","145","0","0","0","0","0","0","0","0"
"00932","65","65","Factor ix recombinant nos","K","2","151","0","0","0","0","0","0","0","0"
"00932","66","67","Factor ix recombinant nos","K","2","152","0","0","0","0","0","0","0","0"
"00932","68","68","Factor ix recombinant nos","K","2","151","0","0","0","0","0","0","0","0"
"00932","69","70","Factor ix recombinant nos","K","2","150","0","0","0","0","0","0","0","0"
"00932","71","71","Factor ix recombinant nos","K","2","151","0","0","0","0","0","0","0","0"
"00932","72","72","Factor ix recombinant nos","K","2","150","0","0","0","0","0","0","0","0"
"00932","73","74","Factor ix recombinant nos","K","2","151","0","0","0","0","0","0","0","0"
"00932","75","76","Factor ix recombinant nos","K","2","150","0","0","0","0","0","0","0","0"
"00932","77","77","Factor ix recombinant nos","K","2","151","0","0","0","0","0","0","0","0"
"00932","78","78","Factor ix recombinant nos","K","2","150","0","0","0","0","0","0","0","0"
"00932","79","79","Factor ix recombinant nos","K","2","153","0","0","0","0","0","0","0","0"
"00932","80","80","Factor ix recombinant nos","K","2","152","0","0","0","0","0","0","0","0"
"00932","81","81","Factor ix recombinant nos","K","2","154","0","0","0","0","0","0","0","0"
"00932","82","83","Factor ix recombinant nos","K","2","153","0","0","0","0","0","0","0","0"
"00932","84","84","Factor ix recombinant nos","K","2","156","0","0","0","0","0","0","0","0"
"00932","85","85","Factor ix recombinant nos","K","2","159","0","0","0","0","0","0","0","0"
"00932","86","86","Factor ix recombinant nos","K","2","161","0","0","0","0","0","0","0","0"
"00932","87","87","Factor ix recombinant nos","K","2","159","0","0","0","0","0","0","0","0"
"00934","60","60","Capecitabine, oral","K","1","2322","0","0","0","0","0","0","0","0"
"00934","61","61","Capecitabine, oral","K","1","2060","0","0","0","0","0","0","0","0"
"00934","62","62","Capecitabine, oral","K","2","1950","0","0","0","0","0","0","0","0"
"00934","63","63","Capecitabine, oral","K","2","1665","0","0","0","0","0","0","0","0"
"00934","64","64","Capecitabine, oral","K","2","1563","0","0","0","0","0","0","0","0"
"00934","65","65","Capecitabine, oral","K","2","1476","0","0","0","0","0","0","0","0"
"00943","60","60","Octagam injection","K","1","4055","0","0","0","0","0","0","0","0"
"00943","61","61","Octagam injection","K","1","3866","0","0","0","0","0","0","0","0"
"00943","62","62","Octagam injection","K","2","4280","0","0","0","0","0","0","0","0"
"00943","63","63","Octagam injection","K","2","4244","0","0","0","0","0","0","0","0"
"00943","64","64","Octagam injection","K","2","4586","0","0","0","0","0","0","0","0"
"00943","65","65","Octagam injection","K","2","3978","0","0","0","0","0","0","0","0"
"00943","66","66","Octagam injection","K","2","3598","0","0","0","0","0","0","0","0"
"00943","67","67","Octagam injection","K","2","3540","0","0","0","0","0","0","0","0"
"00943","68","68","Octagam injection","K","2","3609","0","0","0","0","0","0","0","0"
"00943","69","69","Octagam injection","K","2","3413","0","0","0","0","0","0","0","0"
"00943","70","70","Octagam injection","K","2","3662","0","0","0","0","0","0","0","0"
"00943","71","71","Octagam injection","K","2","3559","0","0","0","0","0","0","0","0"
"00943","72","72","Octagam injection","K","2","4141","0","0","0","0","0","0","0","0"
"00943","73","73","Octagam injection","K","2","3316","0","0","0","0","0","0","0","0"
"00943","74","74","Octagam injection","K","2","3672","0","0","0","0","0","0","0","0"
"00943","75","75","Octagam injection","K","2","3547","0","0","0","0","0","0","0","0"
"00943","76","76","Octagam injection","K","2","3247","0","0","0","0","0","0","0","0"
"00943","77","77","Octagam injection","K","2","3868","0","0","0","0","0","0","0","0"
"00943","78","78","Octagam injection","K","2","3568","0","0","0","0","0","0","0","0"
"00943","79","79","Octagam injection","K","2","3822","0","0","0","0","0","0","0","0"
"00943","80","80","Octagam injection","K","2","4047","0","0","0","0","0","0","0","0"
"00943","81","81","Octagam injection","K","2","3896","0","0","0","0","0","0","0","0"
"00943","82","82","Octagam injection","K","2","4123","0","0","0","0","0","0","0","0"
"00943","83","83","Octagam injection","K","2","4163","0","0","0","0","0","0","0","0"
"00943","84","84","Octagam injection","K","2","4202","0","0","0","0","0","0","0","0"
"00943","85","85","Octagam injection","K","2","4160","0","0","0","0","0","0","0","0"
"00943","86","86","Octagam injection","K","2","4163","0","0","0","0","0","0","0","0"
"00943","87","87","Octagam injection","K","2","4161","0","0","0","0","0","0","0","0"
"00944","60","60","Gammagard liquid injection","K","1","3921","0","0","0","0","0","0","0","0"
"00944","61","61","Gammagard liquid injection","K","1","3878","0","0","0","0","0","0","0","0"
"00944","62","62","Gammagard liquid injection","K","2","3856","0","0","0","0","0","0","0","0"
"00944","63","63","Gammagard liquid injection","K","2","3812","0","0","0","0","0","0","0","0"
"00944","64","64","Gammagard liquid injection","K","2","3882","0","0","0","0","0","0","0","0"
"00944","65","66","Gammagard liquid injection","K","2","4000","0","0","0","0","0","0","0","0"
"00944","67","67","Gammagard liquid injection","K","2","4020","0","0","0","0","0","0","0","0"
"00944","68","68","Gammagard liquid injection","K","2","4043","0","0","0","0","0","0","0","0"
"00944","69","69","Gammagard liquid injection","K","2","4019","0","0","0","0","0","0","0","0"
"00944","70","70","Gammagard liquid injection","K","2","3978","0","0","0","0","0","0","0","0"
"00944","71","71","Gammagard liquid injection","K","2","4072","0","0","0","0","0","0","0","0"
"00944","72","72","Gammagard liquid injection","K","2","3969","0","0","0","0","0","0","0","0"
"00944","73","73","Gammagard liquid injection","K","2","4633","0","0","0","0","0","0","0","0"
"00944","74","74","Gammagard liquid injection","K","2","4314","0","0","0","0","0","0","0","0"
"00944","75","75","Gammagard liquid injection","K","2","4223","0","0","0","0","0","0","0","0"
"00944","76","76","Gammagard liquid injection","K","2","4215","0","0","0","0","0","0","0","0"
"00944","77","77","Gammagard liquid injection","K","2","4097","0","0","0","0","0","0","0","0"
"00944","78","78","Gammagard liquid injection","K","2","3747","0","0","0","0","0","0","0","0"
"00944","79","79","Gammagard liquid injection","K","2","3992","0","0","0","0","0","0","0","0"
"00944","80","80","Gammagard liquid injection","K","2","3975","0","0","0","0","0","0","0","0"
"00944","81","81","Gammagard liquid injection","K","2","4203","0","0","0","0","0","0","0","0"
"00944","82","82","Gammagard liquid injection","K","2","4320","0","0","0","0","0","0","0","0"
"00944","83","83","Gammagard liquid injection","K","2","4363","0","0","0","0","0","0","0","0"
"00944","84","84","Gammagard liquid injection","K","2","4611","0","0","0","0","0","0","0","0"
"00944","85","85","Gammagard liquid injection","K","2","4771","0","0","0","0","0","0","0","0"
"00944","86","86","Gammagard liquid injection","K","2","4449","0","0","0","0","0","0","0","0"
"00944","87","87","Gammagard liquid injection","K","2","4667","0","0","0","0","0","0","0","0"
"00945","60","60","Rhophylac injection","K","1","479","0","0","0","0","0","0","0","0"
"00945","61","61","Rhophylac injection","K","1","475","0","0","0","0","0","0","0","0"
"00946","60","60","Hepagam b im injection","K","1","5386","0","0","0","0","0","0","0","0"
"00946","61","61","Hepagam b im injection","K","1","5384","0","0","0","0","0","0","0","0"
"00946","62","62","Hepagam b im injection","K","2","5443","0","0","0","0","0","0","0","0"
"00946","63","63","Hepagam b im injection","K","2","5581","0","0","0","0","0","0","0","0"
"00946","64","64","Hepagam b im injection","K","2","5497","0","0","0","0","0","0","0","0"
"00946","65","65","Hepagam b im injection","K","2","5475","0","0","0","0","0","0","0","0"
"00946","66","66","Hepagam b im injection","K","2","5606","0","0","0","0","0","0","0","0"
"00946","67","67","Hepagam b im injection","K","2","5855","0","0","0","0","0","0","0","0"
"00946","68","68","Hepagam b im injection","K","2","5865","0","0","0","0","0","0","0","0"
"00946","69","69","Hepagam b im injection","K","2","6020","0","0","0","0","0","0","0","0"
"00946","70","70","Hepagam b im injection","K","2","6112","0","0","0","0","0","0","0","0"
"00946","71","71","Hepagam b im injection","K","2","6317","0","0","0","0","0","0","0","0"
"00946","72","72","Hepagam b im injection","K","2","6221","0","0","0","0","0","0","0","0"
"00946","73","73","Hepagam b im injection","K","2","6789","0","0","0","0","0","0","0","0"
"00946","74","74","Hepagam b im injection","K","2","6422","0","0","0","0","0","0","0","0"
"00946","75","75","Hepagam b im injection","K","2","6434","0","0","0","0","0","0","0","0"
"00946","76","76","Hepagam b im injection","K","2","6461","0","0","0","0","0","0","0","0"
"00946","77","77","Hepagam b im injection","K","2","6035","0","0","0","0","0","0","0","0"
"00946","78","78","Hepagam b im injection","K","2","6006","0","0","0","0","0","0","0","0"
"00946","79","79","Hepagam b im injection","K","2","5896","0","0","0","0","0","0","0","0"
"00946","80","80","Hepagam b im injection","K","2","5845","0","0","0","0","0","0","0","0"
"00946","81","81","Hepagam b im injection","K","2","6367","0","0","0","0","0","0","0","0"
"00946","82","82","Hepagam b im injection","K","2","6340","0","0","0","0","0","0","0","0"
"00946","83","83","Hepagam b im injection","K","2","6561","0","0","0","0","0","0","0","0"
"00946","84","84","Hepagam b im injection","K","2","6546","0","0","0","0","0","0","0","0"
"00946","85","85","Hepagam b im injection","K","2","7005","0","0","0","0","0","0","0","0"
"00946","86","86","Hepagam b im injection","K","2","7094","0","0","0","0","0","0","0","0"
"00946","87","87","Hepagam b im injection","K","2","7360","0","0","0","0","0","0","0","0"
"00947","60","60","Flebogamma injection","K","1","3554","0","0","0","0","0","0","0","0"
"00947","61","61","Flebogamma injection","K","1","3475","0","0","0","0","0","0","0","0"
"00947","62","62","Flebogamma injection","K","2","3566","0","0","0","0","0","0","0","0"
"00947","63","63","Flebogamma injection","K","2","3936","0","0","0","0","0","0","0","0"
"00947","64","64","Flebogamma injection","K","2","3915","0","0","0","0","0","0","0","0"
"00947","65","65","Flebogamma injection","K","2","3789","0","0","0","0","0","0","0","0"
"00947","66","66","Flebogamma injection","K","2","3680","0","0","0","0","0","0","0","0"
"00947","67","67","Flebogamma injection","K","2","3268","0","0","0","0","0","0","0","0"
"00947","68","68","Flebogamma injection","K","2","3018","0","0","0","0","0","0","0","0"
"00947","69","69","Flebogamma injection","K","2","2793","0","0","0","0","0","0","0","0"
"00947","70","70","Flebogamma injection","K","2","2984","0","0","0","0","0","0","0","0"
"00947","71","71","Flebogamma injection","K","2","3365","0","0","0","0","0","0","0","0"
"00947","72","72","Flebogamma injection","K","2","3515","0","0","0","0","0","0","0","0"
"00947","73","73","Flebogamma injection","K","2","3607","0","0","0","0","0","0","0","0"
"00947","74","74","Flebogamma injection","K","2","3507","0","0","0","0","0","0","0","0"
"00947","75","75","Flebogamma injection","K","2","3440","0","0","0","0","0","0","0","0"
"00947","76","76","Flebogamma injection","K","2","3643","0","0","0","0","0","0","0","0"
"00947","77","77","Flebogamma injection","K","2","3586","0","0","0","0","0","0","0","0"
"00947","78","78","Flebogamma injection","K","2","3559","0","0","0","0","0","0","0","0"
"00947","79","79","Flebogamma injection","K","2","3577","0","0","0","0","0","0","0","0"
"00947","80","80","Flebogamma injection","K","2","3602","0","0","0","0","0","0","0","0"
"00947","81","81","Flebogamma injection","K","2","3743","0","0","0","0","0","0","0","0"
"00947","82","82","Flebogamma injection","K","2","4038","0","0","0","0","0","0","0","0"
"00947","83","83","Flebogamma injection","K","2","3686","0","0","0","0","0","0","0","0"
"00947","84","84","Flebogamma injection","K","2","3608","0","0","0","0","0","0","0","0"
"00947","85","85","Flebogamma injection","K","2","3471","0","0","0","0","0","0","0","0"
"00947","86","86","Flebogamma injection","K","2","3680","0","0","0","0","0","0","0","0"
"00947","87","87","Flebogamma injection","K","2","3589","0","0","0","0","0","0","0","0"
"00948","60","60","Gamunex-C/Gammaked","K","1","3991","0","0","0","0","0","0","0","0"
"00948","61","61","Gamunex-C/Gammaked","K","1","3980","0","0","0","0","0","0","0","0"
"00948","62","62","Gamunex-C/Gammaked","K","2","4030","0","0","0","0","0","0","0","0"
"00948","63","63","Gamunex-C/Gammaked","K","2","4177","0","0","0","0","0","0","0","0"
"00948","64","64","Gamunex-C/Gammaked","K","2","4182","0","0","0","0","0","0","0","0"
"00948","65","65","Gamunex-C/Gammaked","K","2","4090","0","0","0","0","0","0","0","0"
"00948","66","66","Gamunex-C/Gammaked","K","2","3858","0","0","0","0","0","0","0","0"
"00948","67","67","Gamunex-C/Gammaked","K","2","3644","0","0","0","0","0","0","0","0"
"00948","68","68","Gamunex-C/Gammaked","K","2","3393","0","0","0","0","0","0","0","0"
"00948","69","69","Gamunex-C/Gammaked","K","2","3841","0","0","0","0","0","0","0","0"
"00948","70","70","Gamunex-C/Gammaked","K","2","3894","0","0","0","0","0","0","0","0"
"00948","71","71","Gamunex-C/Gammaked","K","2","4070","0","0","0","0","0","0","0","0"
"00948","72","72","Gamunex-C/Gammaked","K","2","3915","0","0","0","0","0","0","0","0"
"00948","73","73","Gamunex-C/Gammaked","K","2","4121","0","0","0","0","0","0","0","0"
"00948","74","74","Gamunex-C/Gammaked","K","2","3949","0","0","0","0","0","0","0","0"
"00948","75","75","Gamunex-C/Gammaked","K","2","4011","0","0","0","0","0","0","0","0"
"00948","76","76","Gamunex-C/Gammaked","K","2","3875","0","0","0","0","0","0","0","0"
"00948","77","77","Gamunex-C/Gammaked","K","2","3864","0","0","0","0","0","0","0","0"
"00948","78","78","Gamunex-C/Gammaked","K","2","3914","0","0","0","0","0","0","0","0"
"00948","79","79","Gamunex-C/Gammaked","K","2","4035","0","0","0","0","0","0","0","0"
"00948","80","80","Gamunex-C/Gammaked","K","2","4082","0","0","0","0","0","0","0","0"
"00948","81","81","Gamunex-C/Gammaked","K","2","4169","0","0","0","0","0","0","0","0"
"00948","82","82","Gamunex-C/Gammaked","K","2","4219","0","0","0","0","0","0","0","0"
"00948","83","83","Gamunex-C/Gammaked","K","2","4367","0","0","0","0","0","0","0","0"
"00948","84","84","Gamunex-C/Gammaked","K","2","4652","0","0","0","0","0","0","0","0"
"00948","85","85","Gamunex-C/Gammaked","K","2","4777","0","0","0","0","0","0","0","0"
"00948","86","86","Gamunex-C/Gammaked","K","2","4822","0","0","0","0","0","0","0","0"
"00948","87","87","Gamunex-C/Gammaked","K","2","4651","0","0","0","0","0","0","0","0"
"00949","60","61","Frozen plasma, pooled, sd","R","1","6928","0","0","0","0","0","0","0","0"
"00950","60","61","Whole blood for transfusion","R","1","21725","0","0","0","0","0","0","0","0"
"00952","60","61","Cryoprecipitate each unit","R","1","7082","0","0","0","0","0","0","0","0"
"00954","60","61","RBC leukocytes reduced","R","1","18945","0","0","0","0","0","0","0","0"
"00955","60","61","Plasma, frz between 8-24hour","R","1","7138","0","0","0","0","0","0","0","0"
"00956","60","61","Plasma protein fract,5%,50ml","R","1","2305","0","0","0","0","0","0","0","0"
"00957","60","61","Platelets, each unit","R","1","11535","0","0","0","0","0","0","0","0"
"00958","60","61","Plaelet rich plasma unit","R","1","13593","0","0","0","0","0","0","0","0"
"00959","60","61","Red blood cells unit","R","1","15057","0","0","0","0","0","0","0","0"
"00960","60","61","Washed red blood cells unit","R","1","32032","0","0","0","0","0","0","0","0"
"00961","60","61","Albumin (human),5%, 50ml","K","1","1091","0","0","0","0","0","0","0","0"
"00961","62","63","Albumin (human),5%, 50ml","K","2","1091","0","0","0","0","0","0","0","0"
"00961","64","65","Albumin (human),5%, 50ml","K","2","1132","0","0","0","0","0","0","0","0"
"00961","66","66","Albumin (human),5%, 50ml","K","2","1102","0","0","0","0","0","0","0","0"
"00961","67","67","Albumin (human),5%, 50ml","K","2","1132","0","0","0","0","0","0","0","0"
"00961","68","73","Albumin (human),5%, 50ml","K","2","1180","0","0","0","0","0","0","0","0"
"00961","74","87","Albumin (human),5%, 50ml","K","2","1049","0","0","0","0","0","0","0","0"
"00963","60","61","Albumin (human), 5%, 250 ml","K","1","5454","0","0","0","0","0","0","0","0"
"00963","62","63","Albumin (human), 5%, 250 ml","K","2","5454","0","0","0","0","0","0","0","0"
"00963","64","73","Albumin (human), 5%, 250 ml","K","2","5472","0","0","0","0","0","0","0","0"
"00963","74","87","Albumin (human), 5%, 250 ml","K","2","5245","0","0","0","0","0","0","0","0"
"00964","60","61","Albumin (human), 25%, 20 ml","K","1","2249","0","0","0","0","0","0","0","0"
"00964","62","73","Albumin (human), 25%, 20 ml","K","2","2249","0","0","0","0","0","0","0","0"
"00964","74","87","Albumin (human), 25%, 20 ml","K","2","2098","0","0","0","0","0","0","0","0"
"00965","60","61","Albumin (human), 25%, 50ml","K","1","5344","0","0","0","0","0","0","0","0"
"00965","62","73","Albumin (human), 25%, 50ml","K","2","5344","0","0","0","0","0","0","0","0"
"00965","74","87","Albumin (human), 25%, 50ml","K","2","5245","0","0","0","0","0","0","0","0"
"00966","60","61","Plasmaprotein fract,5%,250ml","R","1","3364","0","0","0","0","0","0","0","0"
"00967","60","61","Blood split unit","R","1","13046","0","0","0","0","0","0","0","0"
"00968","60","61","Platelets leukoreduced irrad","R","1","16225","0","0","0","0","0","0","0","0"
"00969","60","61","RBC leukoreduced irradiated","R","1","27547","0","0","0","0","0","0","0","0"
"01009","60","61","Cryoprecipitatereducedplasma","R","1","7856","0","0","0","0","0","0","0","0"
"01010","60","61","Blood, l/r, cmv-neg","R","1","16399","0","0","0","0","0","0","0","0"
"01011","60","61","Platelets, hla-m, l/r, unit","R","1","70437","0","0","0","0","0","0","0","0"
"01013","60","61","Platelets leukocytes reduced","R","1","11213","0","0","0","0","0","0","0","0"
"01015","60","60","Injection glatiramer acetate","K","1","18678","0","0","0","0","0","0","0","0"
"01015","61","61","Injection glatiramer acetate","K","1","19737","0","0","0","0","0","0","0","0"
"01015","62","62","Injection glatiramer acetate","K","2","19425","0","0","0","0","0","0","0","0"
"01015","63","63","Injection glatiramer acetate","K","2","19045","0","0","0","0","0","0","0","0"
"01015","64","64","Injection glatiramer acetate","K","2","18637","0","0","0","0","0","0","0","0"
"01015","65","65","Injection glatiramer acetate","K","2","20091","0","0","0","0","0","0","0","0"
"01015","66","66","Injection glatiramer acetate","K","2","19858","0","0","0","0","0","0","0","0"
"01015","67","67","Injection glatiramer acetate","K","2","19627","0","0","0","0","0","0","0","0"
"01015","68","68","Injection glatiramer acetate","K","2","19790","0","0","0","0","0","0","0","0"
"01015","69","69","Injection glatiramer acetate","K","2","21419","0","0","0","0","0","0","0","0"
"01015","70","70","Injection glatiramer acetate","K","2","21444","0","0","0","0","0","0","0","0"
"01015","71","71","Injection glatiramer acetate","K","2","21172","0","0","0","0","0","0","0","0"
"01015","72","72","Injection glatiramer acetate","K","2","20929","0","0","0","0","0","0","0","0"
"01015","73","73","Injection glatiramer acetate","K","2","20559","0","0","0","0","0","0","0","0"
"01015","74","74","Injection glatiramer acetate","K","2","20117","0","0","0","0","0","0","0","0"
"01015","75","75","Injection glatiramer acetate","K","2","19457","0","0","0","0","0","0","0","0"
"01015","76","76","Injection glatiramer acetate","K","2","18735","0","0","0","0","0","0","0","0"
"01015","77","77","Injection glatiramer acetate","K","2","17577","0","0","0","0","0","0","0","0"
"01015","78","78","Injection glatiramer acetate","K","2","16340","0","0","0","0","0","0","0","0"
"01015","79","79","Injection glatiramer acetate","K","2","16132","0","0","0","0","0","0","0","0"
"01015","80","80","Injection glatiramer acetate","K","2","15170","0","0","0","0","0","0","0","0"
"01015","81","81","Injection glatiramer acetate","K","2","15682","0","0","0","0","0","0","0","0"
"01015","82","82","Injection glatiramer acetate","K","2","15742","0","0","0","0","0","0","0","0"
"01015","83","83","Injection glatiramer acetate","K","2","15312","0","0","0","0","0","0","0","0"
"01015","84","84","Injection glatiramer acetate","K","2","15098","0","0","0","0","0","0","0","0"
"01015","85","85","Injection glatiramer acetate","K","2","14818","0","0","0","0","0","0","0","0"
"01015","86","86","Injection glatiramer acetate","K","2","14129","0","0","0","0","0","0","0","0"
"01015","87","87","Injection glatiramer acetate","K","2","14104","0","0","0","0","0","0","0","0"
"01016","60","61","Blood, l/r, froz/degly/wash","R","1","24418","0","0","0","0","0","0","0","0"
"01017","60","61","Plt, aph/pher, l/r, cmv-neg","R","1","39410","0","0","0","0","0","0","0","0"
"01018","60","61","Blood, l/r, irradiated","R","1","13453","0","0","0","0","0","0","0","0"
"01019","60","61","Plate pheres leukoredu irrad","R","1","67443","0","0","0","0","0","0","0","0"
"01020","60","61","Plt, pher, l/r cmv-neg, irr","R","1","65849","0","0","0","0","0","0","0","0"
"01021","60","61","RBC, frz/deg/wsh, l/r, irrad","R","1","44884","0","0","0","0","0","0","0","0"
"01022","60","61","RBC, l/r, cmv-neg, irrad","R","1","27477","0","0","0","0","0","0","0","0"
"01023","60","60","Pralidoxime chloride inj","K","1","8851","0","0","0","0","0","0","0","0"
"01023","61","61","Pralidoxime chloride inj","K","1","9190","0","0","0","0","0","0","0","0"
"01052","60","60","Injection, voriconazole","K","1","371","0","0","0","0","0","0","0","0"
"01052","61","61","Injection, voriconazole","K","1","426","0","0","0","0","0","0","0","0"
"01052","62","62","Injection, voriconazole","K","2","419","0","0","0","0","0","0","0","0"
"01052","63","63","Injection, voriconazole","K","2","388","0","0","0","0","0","0","0","0"
"01052","64","64","Injection, voriconazole","K","2","456","0","0","0","0","0","0","0","0"
"01052","65","65","Injection, voriconazole","K","2","409","0","0","0","0","0","0","0","0"
"01052","66","66","Injection, voriconazole","K","2","464","0","0","0","0","0","0","0","0"
"01052","67","67","Injection, voriconazole","K","2","360","0","0","0","0","0","0","0","0"
"01052","68","68","Injection, voriconazole","K","2","364","0","0","0","0","0","0","0","0"
"01052","69","69","Injection, voriconazole","K","2","326","0","0","0","0","0","0","0","0"
"01052","70","70","Injection, voriconazole","K","2","270","0","0","0","0","0","0","0","0"
"01052","71","71","Injection, voriconazole","K","2","224","0","0","0","0","0","0","0","0"
"01052","72","72","Injection, voriconazole","K","2","210","0","0","0","0","0","0","0","0"
"01052","73","73","Injection, voriconazole","K","2","194","0","0","0","0","0","0","0","0"
"01064","60","61","I131 iodide cap, rx","K","1","4070","0","0","0","0","0","0","0","0"
"01064","62","70","I131 iodide cap, rx","K","2","4070","0","0","0","0","0","0","0","0"
"01064","71","73","I131 iodide cap, rx","K","2","1998","0","0","0","0","0","0","0","0"
"01064","74","78","I131 iodide cap, rx","K","2","2076","0","0","0","0","0","0","0","0"
"01064","79","82","I131 iodide cap, rx","K","2","2069","0","0","0","0","0","0","0","0"
"01064","83","87","I131 iodide cap, rx","K","2","2012","0","0","0","0","0","0","0","0"
"01083","60","60","Adalimumab injection","K","1","65871","0","0","0","0","0","0","0","0"
"01083","61","61","Adalimumab injection","K","1","68116","0","0","0","0","0","0","0","0"
"01083","62","62","Adalimumab injection","K","2","74296","0","0","0","0","0","0","0","0"
"01083","63","63","Adalimumab injection","K","2","75326","0","0","0","0","0","0","0","0"
"01083","64","64","Adalimumab injection","K","2","79667","0","0","0","0","0","0","0","0"
"01083","65","65","Adalimumab injection","K","2","84904","0","0","0","0","0","0","0","0"
"01083","66","66","Adalimumab injection","K","2","86145","0","0","0","0","0","0","0","0"
"01083","67","67","Adalimumab injection","K","2","90922","0","0","0","0","0","0","0","0"
"01083","68","71","Adalimumab injection","K","2","117693","0","0","0","0","0","0","0","0"
"01083","72","75","Adalimumab injection","K","2","129109","0","0","0","0","0","0","0","0"
"01083","76","76","Adalimumab injection","K","2","137113","0","0","0","0","0","0","0","0"
"01083","77","78","Adalimumab injection","K","2","137114","0","0","0","0","0","0","0","0"
"01083","79","79","Adalimumab injection","K","2","137113","0","0","0","0","0","0","0","0"
"01083","80","81","Adalimumab injection","K","2","147260","0","0","0","0","0","0","0","0"
"01083","82","83","Adalimumab injection","K","2","143092","0","0","0","0","0","0","0","0"
"01083","84","87","Adalimumab injection","K","2","158157","0","0","0","0","0","0","0","0"
"01086","60","60","Temozolomide","K","1","337","0","0","0","0","0","0","0","0"
"01086","61","61","Temozolomide","K","1","293","0","0","0","0","0","0","0","0"
"01086","62","62","Temozolomide","K","2","266","0","0","0","0","0","0","0","0"
"01086","63","63","Temozolomide","K","2","362","0","0","0","0","0","0","0","0"
"01086","64","64","Temozolomide","K","2","358","0","0","0","0","0","0","0","0"
"01086","65","65","Temozolomide","K","2","288","0","0","0","0","0","0","0","0"
"01086","66","66","Temozolomide","K","2","266","0","0","0","0","0","0","0","0"
"01086","67","67","Temozolomide","K","2","195","0","0","0","0","0","0","0","0"
"01086","68","68","Temozolomide","K","2","186","0","0","0","0","0","0","0","0"
"01086","69","69","Temozolomide","K","2","187","0","0","0","0","0","0","0","0"
"01138","60","60","Hepagam b intravenous, inj","K","1","5386","0","0","0","0","0","0","0","0"
"01138","61","61","Hepagam b intravenous, inj","K","1","5384","0","0","0","0","0","0","0","0"
"01138","62","62","Hepagam b intravenous, inj","K","2","5443","0","0","0","0","0","0","0","0"
"01138","63","63","Hepagam b intravenous, inj","K","2","5581","0","0","0","0","0","0","0","0"
"01138","64","64","Hepagam b intravenous, inj","K","2","5497","0","0","0","0","0","0","0","0"
"01138","65","65","Hepagam b intravenous, inj","K","2","5475","0","0","0","0","0","0","0","0"
"01138","66","66","Hepagam b intravenous, inj","K","2","5606","0","0","0","0","0","0","0","0"
"01138","67","67","Hepagam b intravenous, inj","K","2","5855","0","0","0","0","0","0","0","0"
"01138","68","68","Hepagam b intravenous, inj","K","2","5865","0","0","0","0","0","0","0","0"
"01138","69","69","Hepagam b intravenous, inj","K","2","6020","0","0","0","0","0","0","0","0"
"01138","70","70","Hepagam b intravenous, inj","K","2","6112","0","0","0","0","0","0","0","0"
"01138","71","71","Hepagam b intravenous, inj","K","2","6317","0","0","0","0","0","0","0","0"
"01138","72","72","Hepagam b intravenous, inj","K","2","6221","0","0","0","0","0","0","0","0"
"01138","73","73","Hepagam b intravenous, inj","K","2","6789","0","0","0","0","0","0","0","0"
"01138","74","74","Hepagam b intravenous, inj","K","2","6422","0","0","0","0","0","0","0","0"
"01138","75","75","Hepagam b intravenous, inj","K","2","6434","0","0","0","0","0","0","0","0"
"01138","76","76","Hepagam b intravenous, inj","K","2","6461","0","0","0","0","0","0","0","0"
"01138","77","77","Hepagam b intravenous, inj","K","2","6035","0","0","0","0","0","0","0","0"
"01138","78","78","Hepagam b intravenous, inj","K","2","6006","0","0","0","0","0","0","0","0"
"01138","79","79","Hepagam b intravenous, inj","K","2","5896","0","0","0","0","0","0","0","0"
"01138","80","80","Hepagam b intravenous, inj","K","2","5934","0","0","0","0","0","0","0","0"
"01138","81","81","Hepagam b intravenous, inj","K","2","6615","0","0","0","0","0","0","0","0"
"01138","82","82","Hepagam b intravenous, inj","K","2","6596","0","0","0","0","0","0","0","0"
"01138","83","83","Hepagam b intravenous, inj","K","2","6675","0","0","0","0","0","0","0","0"
"01138","84","84","Hepagam b intravenous, inj","K","2","6659","0","0","0","0","0","0","0","0"
"01138","85","85","Hepagam b intravenous, inj","K","2","7025","0","0","0","0","0","0","0","0"
"01138","86","86","Hepagam b intravenous, inj","K","2","7124","0","0","0","0","0","0","0","0"
"01138","87","87","Hepagam b intravenous, inj","K","2","7360","0","0","0","0","0","0","0","0"
"01139","60","60","Protein c concentrate","K","1","1510","0","0","0","0","0","0","0","0"
"01139","61","61","Protein c concentrate","K","1","1533","0","0","0","0","0","0","0","0"
"01139","62","62","Protein c concentrate","K","2","1512","0","0","0","0","0","0","0","0"
"01139","63","63","Protein c concentrate","K","2","1513","0","0","0","0","0","0","0","0"
"01139","64","64","Protein c concentrate","K","2","1519","0","0","0","0","0","0","0","0"
"01139","65","65","Protein c concentrate","K","2","1525","0","0","0","0","0","0","0","0"
"01139","66","66","Protein c concentrate","K","2","1523","0","0","0","0","0","0","0","0"
"01139","67","67","Protein c concentrate","K","2","1522","0","0","0","0","0","0","0","0"
"01139","68","68","Protein c concentrate","K","2","1520","0","0","0","0","0","0","0","0"
"01139","69","69","Protein c concentrate","K","2","1517","0","0","0","0","0","0","0","0"
"01139","70","70","Protein c concentrate","K","2","1513","0","0","0","0","0","0","0","0"
"01139","71","71","Protein c concentrate","K","2","1516","0","0","0","0","0","0","0","0"
"01139","72","72","Protein c concentrate","K","2","1520","0","0","0","0","0","0","0","0"
"01139","73","73","Protein c concentrate","K","2","1534","0","0","0","0","0","0","0","0"
"01139","74","74","Protein c concentrate","K","2","1515","0","0","0","0","0","0","0","0"
"01139","75","75","Protein c concentrate","K","2","1513","0","0","0","0","0","0","0","0"
"01139","76","76","Protein c concentrate","K","2","1512","0","0","0","0","0","0","0","0"
"01139","77","77","Protein c concentrate","K","2","1506","0","0","0","0","0","0","0","0"
"01139","78","78","Protein c concentrate","K","2","1510","0","0","0","0","0","0","0","0"
"01139","79","79","Protein c concentrate","K","2","1508","0","0","0","0","0","0","0","0"
"01139","80","82","Protein c concentrate","K","2","1506","0","0","0","0","0","0","0","0"
"01139","83","83","Protein c concentrate","K","2","1508","0","0","0","0","0","0","0","0"
"01139","84","85","Protein c concentrate","K","2","1515","0","0","0","0","0","0","0","0"
"01139","86","86","Protein c concentrate","K","2","1513","0","0","0","0","0","0","0","0"
"01139","87","87","Protein c concentrate","K","2","1509","0","0","0","0","0","0","0","0"
"01142","60","60","Supprelin LA implant","K","1","2117364","0","0","0","0","0","0","0","0"
"01142","61","61","Supprelin LA implant","K","1","2218562","0","0","0","0","0","0","0","0"
"01142","62","62","Supprelin LA implant","K","2","2217084","0","0","0","0","0","0","0","0"
"01142","63","63","Supprelin LA implant","K","2","2378839","0","0","0","0","0","0","0","0"
"01142","64","64","Supprelin LA implant","K","2","2406875","0","0","0","0","0","0","0","0"
"01142","65","65","Supprelin LA implant","K","2","2616411","0","0","0","0","0","0","0","0"
"01142","66","66","Supprelin LA implant","K","2","2620550","0","0","0","0","0","0","0","0"
"01142","67","67","Supprelin LA implant","K","2","2776244","0","0","0","0","0","0","0","0"
"01142","68","68","Supprelin LA implant","K","2","2773693","0","0","0","0","0","0","0","0"
"01142","69","69","Supprelin LA implant","K","2","2774907","0","0","0","0","0","0","0","0"
"01142","70","70","Supprelin LA implant","K","2","2900367","0","0","0","0","0","0","0","0"
"01142","71","71","Supprelin LA implant","K","2","2897668","0","0","0","0","0","0","0","0"
"01142","72","72","Supprelin LA implant","K","2","3032334","0","0","0","0","0","0","0","0"
"01142","73","73","Supprelin LA implant","K","2","3044190","0","0","0","0","0","0","0","0"
"01142","74","74","Supprelin LA implant","K","2","3183505","0","0","0","0","0","0","0","0"
"01142","75","75","Supprelin LA implant","K","2","3186423","0","0","0","0","0","0","0","0"
"01142","76","76","Supprelin LA implant","K","2","3497023","0","0","0","0","0","0","0","0"
"01142","77","77","Supprelin LA implant","K","2","3499449","0","0","0","0","0","0","0","0"
"01142","78","78","Supprelin LA implant","K","2","3664760","0","0","0","0","0","0","0","0"
"01142","79","79","Supprelin LA implant","K","2","3667454","0","0","0","0","0","0","0","0"
"01142","80","80","Supprelin LA implant","K","2","3825781","0","0","0","0","0","0","0","0"
"01142","81","81","Supprelin LA implant","K","2","3841497","0","0","0","0","0","0","0","0"
"01142","82","82","Supprelin LA implant","K","2","4023700","0","0","0","0","0","0","0","0"
"01142","83","83","Supprelin LA implant","K","2","4011600","0","0","0","0","0","0","0","0"
"01142","84","84","Supprelin LA implant","K","2","4177313","0","0","0","0","0","0","0","0"
"01142","85","85","Supprelin LA implant","K","2","4164555","0","0","0","0","0","0","0","0"
"01142","86","86","Supprelin LA implant","K","2","4346703","0","0","0","0","0","0","0","0"
"01142","87","87","Supprelin LA implant","K","2","4344233","0","0","0","0","0","0","0","0"
"01150","60","61","I131 iodide sol, rx","K","1","1028","0","0","0","0","0","0","0","0"
"01150","62","66","I131 iodide sol, rx","K","2","1028","0","0","0","0","0","0","0","0"
"01150","67","70","I131 iodide sol, rx","K","2","1256","0","0","0","0","0","0","0","0"
"01150","71","73","I131 iodide sol, rx","K","2","1188","0","0","0","0","0","0","0","0"
"01150","74","78","I131 iodide sol, rx","K","2","1357","0","0","0","0","0","0","0","0"
"01150","79","82","I131 iodide sol, rx","K","2","1336","0","0","0","0","0","0","0","0"
"01150","83","87","I131 iodide sol, rx","K","2","1334","0","0","0","0","0","0","0","0"
"01166","60","60","Cytarabine liposome inj","K","1","56053","0","0","0","0","0","0","0","0"
"01166","61","61","Cytarabine liposome inj","K","1","57240","0","0","0","0","0","0","0","0"
"01166","62","62","Cytarabine liposome inj","K","2","57648","0","0","0","0","0","0","0","0"
"01166","63","63","Cytarabine liposome inj","K","2","58135","0","0","0","0","0","0","0","0"
"01166","64","64","Cytarabine liposome inj","K","2","57626","0","0","0","0","0","0","0","0"
"01166","65","65","Cytarabine liposome inj","K","2","59131","0","0","0","0","0","0","0","0"
"01166","66","66","Cytarabine liposome inj","K","2","59576","0","0","0","0","0","0","0","0"
"01166","67","67","Cytarabine liposome inj","K","2","59518","0","0","0","0","0","0","0","0"
"01166","68","68","Cytarabine liposome inj","K","2","59399","0","0","0","0","0","0","0","0"
"01166","69","69","Cytarabine liposome inj","K","2","61140","0","0","0","0","0","0","0","0"
"01166","70","70","Cytarabine liposome inj","K","2","64167","0","0","0","0","0","0","0","0"
"01166","71","71","Cytarabine liposome inj","K","2","62890","0","0","0","0","0","0","0","0"
"01166","72","77","Cytarabine liposome inj","K","2","62837","0","0","0","0","0","0","0","0"
"01166","78","78","Cytarabine liposome inj","K","2","8142","0","0","0","0","0","0","0","0"
"01166","79","81","Cytarabine liposome inj","K","2","49292","0","0","0","0","0","0","0","0"
"01168","60","60","Inj, temsirolimus","K","1","6008","0","0","0","0","0","0","0","0"
"01168","61","61","Inj, temsirolimus","K","1","6183","0","0","0","0","0","0","0","0"
"01168","62","62","Inj, temsirolimus","K","2","6250","0","0","0","0","0","0","0","0"
"01168","63","64","Inj, temsirolimus","K","2","6374","0","0","0","0","0","0","0","0"
"01168","65","65","Inj, temsirolimus","K","2","6558","0","0","0","0","0","0","0","0"
"01168","66","66","Inj, temsirolimus","K","2","6667","0","0","0","0","0","0","0","0"
"01168","67","67","Inj, temsirolimus","K","2","6793","0","0","0","0","0","0","0","0"
"01168","68","68","Inj, temsirolimus","K","2","6730","0","0","0","0","0","0","0","0"
"01168","69","69","Inj, temsirolimus","K","2","6998","0","0","0","0","0","0","0","0"
"01168","70","70","Inj, temsirolimus","K","2","7051","0","0","0","0","0","0","0","0"
"01168","71","72","Inj, temsirolimus","K","2","7169","0","0","0","0","0","0","0","0"
"01168","73","73","Inj, temsirolimus","K","2","7377","0","0","0","0","0","0","0","0"
"01168","74","74","Inj, temsirolimus","K","2","7375","0","0","0","0","0","0","0","0"
"01168","75","75","Inj, temsirolimus","K","2","6556","0","0","0","0","0","0","0","0"
"01168","76","76","Inj, temsirolimus","K","2","6213","0","0","0","0","0","0","0","0"
"01168","77","77","Inj, temsirolimus","K","2","5793","0","0","0","0","0","0","0","0"
"01168","78","78","Inj, temsirolimus","K","2","5314","0","0","0","0","0","0","0","0"
"01168","79","79","Inj, temsirolimus","K","2","4793","0","0","0","0","0","0","0","0"
"01168","80","80","Inj, temsirolimus","K","2","4518","0","0","0","0","0","0","0","0"
"01168","81","81","Inj, temsirolimus","K","2","4451","0","0","0","0","0","0","0","0"
"01168","82","82","Inj, temsirolimus","K","2","4499","0","0","0","0","0","0","0","0"
"01168","83","83","Inj, temsirolimus","K","2","4286","0","0","0","0","0","0","0","0"
"01168","84","84","Inj, temsirolimus","K","2","4039","0","0","0","0","0","0","0","0"
"01168","85","85","Inj, temsirolimus","K","2","3763","0","0","0","0","0","0","0","0"
"01168","86","86","Inj, temsirolimus","K","2","3825","0","0","0","0","0","0","0","0"
"01168","87","87","Inj, temsirolimus","K","2","3475","0","0","0","0","0","0","0","0"
"01178","60","60","Busulfan injection","K","1","3323","0","0","0","0","0","0","0","0"
"01178","61","61","Busulfan injection","K","1","3321","0","0","0","0","0","0","0","0"
"01178","62","62","Busulfan injection","K","2","3320","0","0","0","0","0","0","0","0"
"01178","63","63","Busulfan injection","K","2","3318","0","0","0","0","0","0","0","0"
"01178","64","64","Busulfan injection","K","2","3316","0","0","0","0","0","0","0","0"
"01178","65","65","Busulfan injection","K","2","3521","0","0","0","0","0","0","0","0"
"01178","66","66","Busulfan injection","K","2","3837","0","0","0","0","0","0","0","0"
"01178","67","67","Busulfan injection","K","2","3729","0","0","0","0","0","0","0","0"
"01178","68","68","Busulfan injection","K","2","3650","0","0","0","0","0","0","0","0"
"01178","69","69","Busulfan injection","K","2","3586","0","0","0","0","0","0","0","0"
"01178","70","70","Busulfan injection","K","2","3473","0","0","0","0","0","0","0","0"
"01178","71","71","Busulfan injection","K","2","3140","0","0","0","0","0","0","0","0"
"01178","72","72","Busulfan injection","K","2","2795","0","0","0","0","0","0","0","0"
"01178","73","73","Busulfan injection","K","2","2027","0","0","0","0","0","0","0","0"
"01178","74","74","Busulfan injection","K","2","1037","0","0","0","0","0","0","0","0"
"01178","75","75","Busulfan injection","K","2","1082","0","0","0","0","0","0","0","0"
"01178","76","76","Busulfan injection","K","2","682","0","0","0","0","0","0","0","0"
"01178","77","77","Busulfan injection","K","2","578","0","0","0","0","0","0","0","0"
"01178","78","78","Busulfan injection","K","2","458","0","0","0","0","0","0","0","0"
"01178","79","79","Busulfan injection","K","2","489","0","0","0","0","0","0","0","0"
"01178","80","80","Busulfan injection","K","2","437","0","0","0","0","0","0","0","0"
"01178","81","81","Busulfan injection","K","2","367","0","0","0","0","0","0","0","0"
"01178","82","82","Busulfan injection","K","2","341","0","0","0","0","0","0","0","0"
"01178","83","83","Busulfan injection","K","2","213","0","0","0","0","0","0","0","0"
"01178","84","84","Busulfan injection","K","2","220","0","0","0","0","0","0","0","0"
"01178","85","85","Busulfan injection","K","2","195","0","0","0","0","0","0","0","0"
"01178","86","86","Busulfan injection","K","2","171","0","0","0","0","0","0","0","0"
"01178","87","87","Busulfan injection","K","2","145","0","0","0","0","0","0","0","0"
"01203","60","61","Verteporfin injection","K","1","1089","0","0","0","0","0","0","0","0"
"01203","62","62","Verteporfin injection","K","2","1099","0","0","0","0","0","0","0","0"
"01203","63","63","Verteporfin injection","K","2","1098","0","0","0","0","0","0","0","0"
"01203","64","64","Verteporfin injection","K","2","1096","0","0","0","0","0","0","0","0"
"01203","65","65","Verteporfin injection","K","2","1092","0","0","0","0","0","0","0","0"
"01203","66","66","Verteporfin injection","K","2","1088","0","0","0","0","0","0","0","0"
"01203","67","67","Verteporfin injection","K","2","1074","0","0","0","0","0","0","0","0"
"01203","68","71","Verteporfin injection","K","2","1076","0","0","0","0","0","0","0","0"
"01203","72","73","Verteporfin injection","K","2","1086","0","0","0","0","0","0","0","0"
"01203","74","74","Verteporfin injection","K","2","1095","0","0","0","0","0","0","0","0"
"01203","75","75","Verteporfin injection","K","2","1098","0","0","0","0","0","0","0","0"
"01203","76","76","Verteporfin injection","K","2","1096","0","0","0","0","0","0","0","0"
"01203","77","77","Verteporfin injection","K","2","1105","0","0","0","0","0","0","0","0"
"01203","78","78","Verteporfin injection","K","2","1108","0","0","0","0","0","0","0","0"
"01203","79","80","Verteporfin injection","K","2","1111","0","0","0","0","0","0","0","0"
"01203","81","81","Verteporfin injection","K","2","1120","0","0","0","0","0","0","0","0"
"01203","82","82","Verteporfin injection","K","2","1123","0","0","0","0","0","0","0","0"
"01203","83","84","Verteporfin injection","K","2","1125","0","0","0","0","0","0","0","0"
"01203","85","85","Verteporfin injection","K","2","1119","0","0","0","0","0","0","0","0"
"01203","86","86","Verteporfin injection","K","2","1125","0","0","0","0","0","0","0","0"
"01203","87","87","Verteporfin injection","K","2","1124","0","0","0","0","0","0","0","0"
"01207","60","60","Octreotide injection, depot","K","1","14469","0","0","0","0","0","0","0","0"
"01207","61","61","Octreotide injection, depot","K","1","15648","0","0","0","0","0","0","0","0"
"01207","62","62","Octreotide injection, depot","K","2","15694","0","0","0","0","0","0","0","0"
"01207","63","63","Octreotide injection, depot","K","2","15871","0","0","0","0","0","0","0","0"
"01207","64","64","Octreotide injection, depot","K","2","16040","0","0","0","0","0","0","0","0"
"01207","65","65","Octreotide injection, depot","K","2","16682","0","0","0","0","0","0","0","0"
"01207","66","66","Octreotide injection, depot","K","2","16811","0","0","0","0","0","0","0","0"
"01207","67","67","Octreotide injection, depot","K","2","17452","0","0","0","0","0","0","0","0"
"01207","68","68","Octreotide injection, depot","K","2","17555","0","0","0","0","0","0","0","0"
"01207","69","69","Octreotide injection, depot","K","2","18259","0","0","0","0","0","0","0","0"
"01207","70","70","Octreotide injection, depot","K","2","18364","0","0","0","0","0","0","0","0"
"01207","71","72","Octreotide injection, depot","K","2","19068","0","0","0","0","0","0","0","0"
"01207","73","73","Octreotide injection, depot","K","2","19903","0","0","0","0","0","0","0","0"
"01207","74","74","Octreotide injection, depot","K","2","19851","0","0","0","0","0","0","0","0"
"01207","75","75","Octreotide injection, depot","K","2","19788","0","0","0","0","0","0","0","0"
"01207","76","76","Octreotide injection, depot","K","2","19791","0","0","0","0","0","0","0","0"
"01207","77","77","Octreotide injection, depot","K","2","20469","0","0","0","0","0","0","0","0"
"01207","78","78","Octreotide injection, depot","K","2","20657","0","0","0","0","0","0","0","0"
"01207","79","79","Octreotide injection, depot","K","2","20609","0","0","0","0","0","0","0","0"
"01207","80","80","Octreotide injection, depot","K","2","20608","0","0","0","0","0","0","0","0"
"01207","81","81","Octreotide injection, depot","K","2","20722","0","0","0","0","0","0","0","0"
"01207","82","82","Octreotide injection, depot","K","2","20588","0","0","0","0","0","0","0","0"
"01207","83","83","Octreotide injection, depot","K","2","20566","0","0","0","0","0","0","0","0"
"01207","84","84","Octreotide injection, depot","K","2","20504","0","0","0","0","0","0","0","0"
"01207","85","85","Octreotide injection, depot","K","2","20511","0","0","0","0","0","0","0","0"
"01207","86","86","Octreotide injection, depot","K","2","20537","0","0","0","0","0","0","0","0"
"01207","87","87","Octreotide injection, depot","K","2","20656","0","0","0","0","0","0","0","0"
"01213","60","61","Antihemophilic viii/vwf comp","K","1","96","0","0","0","0","0","0","0","0"
"01213","62","62","Antihemophilic viii/vwf comp","K","2","96","0","0","0","0","0","0","0","0"
"01213","63","66","Antihemophilic viii/vwf comp","K","2","97","0","0","0","0","0","0","0","0"
"01213","67","67","Antihemophilic viii/vwf comp","K","2","98","0","0","0","0","0","0","0","0"
"01213","68","68","Antihemophilic viii/vwf comp","K","2","99","0","0","0","0","0","0","0","0"
"01213","69","69","Antihemophilic viii/vwf comp","K","2","94","0","0","0","0","0","0","0","0"
"01213","70","71","Antihemophilic viii/vwf comp","K","2","98","0","0","0","0","0","0","0","0"
"01213","72","74","Antihemophilic viii/vwf comp","K","2","99","0","0","0","0","0","0","0","0"
"01213","75","75","Antihemophilic viii/vwf comp","K","2","100","0","0","0","0","0","0","0","0"
"01213","76","76","Antihemophilic viii/vwf comp","K","2","103","0","0","0","0","0","0","0","0"
"01213","77","77","Antihemophilic viii/vwf comp","K","2","105","0","0","0","0","0","0","0","0"
"01213","78","78","Antihemophilic viii/vwf comp","K","2","106","0","0","0","0","0","0","0","0"
"01213","79","79","Antihemophilic viii/vwf comp","K","2","107","0","0","0","0","0","0","0","0"
"01213","80","80","Antihemophilic viii/vwf comp","K","2","108","0","0","0","0","0","0","0","0"
"01213","81","81","Antihemophilic viii/vwf comp","K","2","111","0","0","0","0","0","0","0","0"
"01213","82","82","Antihemophilic viii/vwf comp","K","2","114","0","0","0","0","0","0","0","0"
"01213","83","85","Antihemophilic viii/vwf comp","K","2","112","0","0","0","0","0","0","0","0"
"01213","86","86","Antihemophilic viii/vwf comp","K","2","114","0","0","0","0","0","0","0","0"
"01213","87","87","Antihemophilic viii/vwf comp","K","2","113","0","0","0","0","0","0","0","0"
"01214","60","60","Inj IVIG privigen 500 mg","K","1","3745","0","0","0","0","0","0","0","0"
"01214","61","61","Inj IVIG privigen 500 mg","K","1","3828","0","0","0","0","0","0","0","0"
"01214","62","62","Inj IVIG privigen 500 mg","K","2","3805","0","0","0","0","0","0","0","0"
"01214","63","64","Inj IVIG privigen 500 mg","K","2","3826","0","0","0","0","0","0","0","0"
"01214","65","65","Inj IVIG privigen 500 mg","K","2","3823","0","0","0","0","0","0","0","0"
"01214","66","66","Inj IVIG privigen 500 mg","K","2","3790","0","0","0","0","0","0","0","0"
"01214","67","67","Inj IVIG privigen 500 mg","K","2","3867","0","0","0","0","0","0","0","0"
"01214","68","68","Inj IVIG privigen 500 mg","K","2","3887","0","0","0","0","0","0","0","0"
"01214","69","69","Inj IVIG privigen 500 mg","K","2","3860","0","0","0","0","0","0","0","0"
"01214","70","70","Inj IVIG privigen 500 mg","K","2","3851","0","0","0","0","0","0","0","0"
"01214","71","71","Inj IVIG privigen 500 mg","K","2","3848","0","0","0","0","0","0","0","0"
"01214","72","72","Inj IVIG privigen 500 mg","K","2","3965","0","0","0","0","0","0","0","0"
"01214","73","73","Inj IVIG privigen 500 mg","K","2","3967","0","0","0","0","0","0","0","0"
"01214","74","74","Inj IVIG privigen 500 mg","K","2","3963","0","0","0","0","0","0","0","0"
"01214","75","75","Inj IVIG privigen 500 mg","K","2","4032","0","0","0","0","0","0","0","0"
"01214","76","76","Inj IVIG privigen 500 mg","K","2","4072","0","0","0","0","0","0","0","0"
"01214","77","77","Inj IVIG privigen 500 mg","K","2","4060","0","0","0","0","0","0","0","0"
"01214","78","78","Inj IVIG privigen 500 mg","K","2","4012","0","0","0","0","0","0","0","0"
"01214","79","79","Inj IVIG privigen 500 mg","K","2","4084","0","0","0","0","0","0","0","0"
"01214","80","80","Inj IVIG privigen 500 mg","K","2","4122","0","0","0","0","0","0","0","0"
"01214","81","81","Inj IVIG privigen 500 mg","K","2","4128","0","0","0","0","0","0","0","0"
"01214","82","82","Inj IVIG privigen 500 mg","K","2","4150","0","0","0","0","0","0","0","0"
"01214","83","83","Inj IVIG privigen 500 mg","K","2","4243","0","0","0","0","0","0","0","0"
"01214","84","84","Inj IVIG privigen 500 mg","K","2","4303","0","0","0","0","0","0","0","0"
"01214","85","85","Inj IVIG privigen 500 mg","K","2","4318","0","0","0","0","0","0","0","0"
"01214","86","86","Inj IVIG privigen 500 mg","K","2","4448","0","0","0","0","0","0","0","0"
"01214","87","87","Inj IVIG privigen 500 mg","K","2","4501","0","0","0","0","0","0","0","0"
"01232","60","60","Mitomycin injection","K","1","6585","0","0","0","0","0","0","0","0"
"01232","61","61","Mitomycin injection","K","1","7580","0","0","0","0","0","0","0","0"
"01232","62","62","Mitomycin injection","K","2","7303","0","0","0","0","0","0","0","0"
"01232","63","63","Mitomycin injection","K","2","10760","0","0","0","0","0","0","0","0"
"01232","64","64","Mitomycin injection","K","2","10251","0","0","0","0","0","0","0","0"
"01232","65","65","Mitomycin injection","K","2","9821","0","0","0","0","0","0","0","0"
"01232","66","66","Mitomycin injection","K","2","10317","0","0","0","0","0","0","0","0"
"01232","67","67","Mitomycin injection","K","2","10481","0","0","0","0","0","0","0","0"
"01232","68","68","Mitomycin injection","K","2","11568","0","0","0","0","0","0","0","0"
"01232","69","69","Mitomycin injection","K","2","12145","0","0","0","0","0","0","0","0"
"01232","70","70","Mitomycin injection","K","2","13365","0","0","0","0","0","0","0","0"
"01232","71","71","Mitomycin injection","K","2","14081","0","0","0","0","0","0","0","0"
"01232","72","72","Mitomycin injection","K","2","14008","0","0","0","0","0","0","0","0"
"01232","73","73","Mitomycin injection","K","2","14408","0","0","0","0","0","0","0","0"
"01232","74","74","Mitomycin injection","K","2","13425","0","0","0","0","0","0","0","0"
"01232","75","75","Mitomycin injection","K","2","12507","0","0","0","0","0","0","0","0"
"01232","76","76","Mitomycin injection","K","2","11592","0","0","0","0","0","0","0","0"
"01232","77","77","Mitomycin injection","K","2","10038","0","0","0","0","0","0","0","0"
"01232","78","78","Mitomycin injection","K","2","8775","0","0","0","0","0","0","0","0"
"01232","79","79","Mitomycin injection","K","2","7989","0","0","0","0","0","0","0","0"
"01232","80","80","Mitomycin injection","K","2","6463","0","0","0","0","0","0","0","0"
"01232","81","81","Mitomycin injection","K","2","5721","0","0","0","0","0","0","0","0"
"01232","82","82","Mitomycin injection","K","2","4988","0","0","0","0","0","0","0","0"
"01232","83","83","Mitomycin injection","K","2","5424","0","0","0","0","0","0","0","0"
"01232","84","84","Mitomycin injection","K","2","4276","0","0","0","0","0","0","0","0"
"01232","85","85","Mitomycin injection","K","2","4438","0","0","0","0","0","0","0","0"
"01232","86","86","Mitomycin injection","K","2","3863","0","0","0","0","0","0","0","0"
"01232","87","87","Mitomycin injection","K","2","5066","0","0","0","0","0","0","0","0"
"01235","60","60","Valrubicin injection","K","1","110004","0","0","0","0","0","0","0","0"
"01235","61","61","Valrubicin injection","K","1","110038","0","0","0","0","0","0","0","0"
"01235","62","62","Valrubicin injection","K","2","111731","0","0","0","0","0","0","0","0"
"01235","63","63","Valrubicin injection","K","2","111416","0","0","0","0","0","0","0","0"
"01235","64","64","Valrubicin injection","K","2","113435","0","0","0","0","0","0","0","0"
"01235","65","65","Valrubicin injection","K","2","113278","0","0","0","0","0","0","0","0"
"01235","66","66","Valrubicin injection","K","2","114873","0","0","0","0","0","0","0","0"
"01235","67","67","Valrubicin injection","K","2","114889","0","0","0","0","0","0","0","0"
"01235","68","68","Valrubicin injection","K","2","115811","0","0","0","0","0","0","0","0"
"01235","69","69","Valrubicin injection","K","2","116195","0","0","0","0","0","0","0","0"
"01235","70","70","Valrubicin injection","K","2","119856","0","0","0","0","0","0","0","0"
"01235","71","71","Valrubicin injection","K","2","119832","0","0","0","0","0","0","0","0"
"01235","72","72","Valrubicin injection","K","2","124719","0","0","0","0","0","0","0","0"
"01235","73","73","Valrubicin injection","K","2","124917","0","0","0","0","0","0","0","0"
"01235","74","74","Valrubicin injection","K","2","132867","0","0","0","0","0","0","0","0"
"01235","75","75","Valrubicin injection","K","2","133112","0","0","0","0","0","0","0","0"
"01235","76","76","Valrubicin injection","K","2","138006","0","0","0","0","0","0","0","0"
"01235","77","77","Valrubicin injection","K","2","138414","0","0","0","0","0","0","0","0"
"01235","78","78","Valrubicin injection","K","2","143859","0","0","0","0","0","0","0","0"
"01235","79","79","Valrubicin injection","K","2","142635","0","0","0","0","0","0","0","0"
"01235","80","80","Valrubicin injection","K","2","140286","0","0","0","0","0","0","0","0"
"01235","81","81","Valrubicin injection","K","2","141827","0","0","0","0","0","0","0","0"
"01235","82","82","Valrubicin injection","K","2","140317","0","0","0","0","0","0","0","0"
"01235","83","83","Valrubicin injection","K","2","151340","0","0","0","0","0","0","0","0"
"01235","84","84","Valrubicin injection","K","2","140962","0","0","0","0","0","0","0","0"
"01235","85","85","Valrubicin injection","K","2","138242","0","0","0","0","0","0","0","0"
"01235","86","86","Valrubicin injection","K","2","142537","0","0","0","0","0","0","0","0"
"01235","87","87","Valrubicin injection","K","2","143566","0","0","0","0","0","0","0","0"
"01236","60","60","Levoleucovorin injection","K","1","180","0","0","0","0","0","0","0","0"
"01236","61","61","Levoleucovorin injection","K","1","174","0","0","0","0","0","0","0","0"
"01236","62","62","Levoleucovorin injection","K","2","192","0","0","0","0","0","0","0","0"
"01236","63","63","Levoleucovorin injection","K","2","162","0","0","0","0","0","0","0","0"
"01236","64","64","Levoleucovorin injection","K","2","141","0","0","0","0","0","0","0","0"
"01236","65","65","Levoleucovorin injection","K","2","109","0","0","0","0","0","0","0","0"
"01236","66","66","Levoleucovorin injection","K","2","90","0","0","0","0","0","0","0","0"
"01236","67","67","Levoleucovorin injection","K","2","69","0","0","0","0","0","0","0","0"
"01236","68","68","Levoleucovorin injection","K","2","71","0","0","0","0","0","0","0","0"
"01236","69","69","Levoleucovorin injection","K","2","70","0","0","0","0","0","0","0","0"
"01236","70","70","Levoleucovorin injection","K","2","53","0","0","0","0","0","0","0","0"
"01236","71","71","Levoleucovorin injection","K","2","31","0","0","0","0","0","0","0","0"
"01236","72","72","Levoleucovorin injection","K","2","36","0","0","0","0","0","0","0","0"
"01236","73","73","Levoleucovorin injection","K","2","23","0","0","0","0","0","0","0","0"
"01236","74","74","Levoleucovorin injection","K","2","24","0","0","0","0","0","0","0","0"
"01236","75","75","Levoleucovorin injection","K","2","12","0","0","0","0","0","0","0","0"
"01236","76","76","Levoleucovorin injection","K","2","23","0","0","0","0","0","0","0","0"
"01236","77","78","Inj levoleucovorin nos 0.5mg","K","2","58","0","0","0","0","0","0","0","0"
"01236","79","79","Inj levoleucovorin nos 0.5mg","K","2","17","0","0","0","0","0","0","0","0"
"01236","80","80","Inj levoleucovorin nos 0.5mg","K","2","12","0","0","0","0","0","0","0","0"
"01236","81","82","Inj levoleucovorin nos 0.5mg","K","2","28","0","0","0","0","0","0","0","0"
"01236","83","84","Inj levoleucovorin nos 0.5mg","K","2","12","0","0","0","0","0","0","0","0"
"01236","85","85","Inj levoleucovorin nos 0.5mg","K","2","8","0","0","0","0","0","0","0","0"
"01237","60","60","Inj iron dextran","K","1","1212","0","0","0","0","0","0","0","0"
"01237","61","61","Inj iron dextran","K","1","1209","0","0","0","0","0","0","0","0"
"01237","62","62","Inj iron dextran","K","2","1208","0","0","0","0","0","0","0","0"
"01237","63","63","Inj iron dextran","K","2","1220","0","0","0","0","0","0","0","0"
"01237","64","64","Inj iron dextran","K","2","1226","0","0","0","0","0","0","0","0"
"01237","65","65","Inj iron dextran","K","2","1234","0","0","0","0","0","0","0","0"
"01237","66","66","Inj iron dextran","K","2","1241","0","0","0","0","0","0","0","0"
"01237","67","68","Inj iron dextran","K","2","1246","0","0","0","0","0","0","0","0"
"01237","69","69","Inj iron dextran","K","2","1303","0","0","0","0","0","0","0","0"
"01237","70","71","Inj iron dextran","K","2","1304","0","0","0","0","0","0","0","0"
"01237","72","72","Inj iron dextran","K","2","1303","0","0","0","0","0","0","0","0"
"01237","73","73","Inj iron dextran","K","2","1367","0","0","0","0","0","0","0","0"
"01237","74","74","Inj iron dextran","K","2","1406","0","0","0","0","0","0","0","0"
"01237","75","75","Inj iron dextran","K","2","1362","0","0","0","0","0","0","0","0"
"01237","76","76","Inj iron dextran","K","2","1364","0","0","0","0","0","0","0","0"
"01237","77","78","Inj iron dextran","K","2","1441","0","0","0","0","0","0","0","0"
"01237","79","79","Inj iron dextran","K","2","1438","0","0","0","0","0","0","0","0"
"01237","80","80","Inj iron dextran","K","2","1436","0","0","0","0","0","0","0","0"
"01237","81","81","Inj iron dextran","K","2","1502","0","0","0","0","0","0","0","0"
"01237","82","82","Inj iron dextran","K","2","1501","0","0","0","0","0","0","0","0"
"01237","83","83","Inj iron dextran","K","2","1505","0","0","0","0","0","0","0","0"
"01237","84","84","Inj iron dextran","K","2","1507","0","0","0","0","0","0","0","0"
"01237","85","85","Inj iron dextran","K","2","1579","0","0","0","0","0","0","0","0"
"01237","86","86","Inj iron dextran","K","2","1584","0","0","0","0","0","0","0","0"
"01237","87","87","Inj iron dextran","K","2","1583","0","0","0","0","0","0","0","0"
"01238","60","60","Topotecan oral","K","1","9767","0","0","0","0","0","0","0","0"
"01238","61","61","Topotecan oral","K","1","10049","0","0","0","0","0","0","0","0"
"01238","62","62","Topotecan oral","K","2","10136","0","0","0","0","0","0","0","0"
"01238","63","63","Topotecan oral","K","2","10116","0","0","0","0","0","0","0","0"
"01238","64","64","Topotecan oral","K","2","10104","0","0","0","0","0","0","0","0"
"01238","65","65","Topotecan oral","K","2","10382","0","0","0","0","0","0","0","0"
"01238","66","66","Topotecan oral","K","2","10385","0","0","0","0","0","0","0","0"
"01238","67","67","Topotecan oral","K","2","10382","0","0","0","0","0","0","0","0"
"01238","68","68","Topotecan oral","K","2","10379","0","0","0","0","0","0","0","0"
"01238","69","69","Topotecan oral","K","2","10378","0","0","0","0","0","0","0","0"
"01238","70","70","Topotecan oral","K","2","10363","0","0","0","0","0","0","0","0"
"01238","71","71","Topotecan oral","K","2","10368","0","0","0","0","0","0","0","0"
"01238","72","72","Topotecan oral","K","2","10373","0","0","0","0","0","0","0","0"
"01238","73","73","Topotecan oral","K","2","10386","0","0","0","0","0","0","0","0"
"01253","60","60","Triamcinolone A inj PRS-free","K","1","372","0","0","0","0","0","0","0","0"
"01253","61","61","Triamcinolone A inj PRS-free","K","1","370","0","0","0","0","0","0","0","0"
"01253","62","62","Triamcinolone A inj PRS-free","K","2","372","0","0","0","0","0","0","0","0"
"01253","63","63","Triamcinolone A inj PRS-free","K","2","375","0","0","0","0","0","0","0","0"
"01253","64","64","Triamcinolone A inj PRS-free","K","2","371","0","0","0","0","0","0","0","0"
"01253","65","66","Triamcinolone A inj PRS-free","K","2","370","0","0","0","0","0","0","0","0"
"01253","67","67","Triamcinolone A inj PRS-free","K","2","372","0","0","0","0","0","0","0","0"
"01253","68","68","Triamcinolone A inj PRS-free","K","2","374","0","0","0","0","0","0","0","0"
"01253","69","69","Triamcinolone A inj PRS-free","K","2","389","0","0","0","0","0","0","0","0"
"01253","70","70","Triamcinolone A inj PRS-free","K","2","388","0","0","0","0","0","0","0","0"
"01253","71","72","Triamcinolone A inj PRS-free","K","2","387","0","0","0","0","0","0","0","0"
"01253","73","75","Triamcinolone A inj PRS-free","K","2","386","0","0","0","0","0","0","0","0"
"01253","76","77","Triamcinolone A inj PRS-free","K","2","385","0","0","0","0","0","0","0","0"
"01263","60","60","Antithrombin iii injection","K","1","327","0","0","0","0","0","0","0","0"
"01263","61","61","Antithrombin iii injection","K","1","328","0","0","0","0","0","0","0","0"
"01263","62","62","Antithrombin iii injection","K","2","337","0","0","0","0","0","0","0","0"
"01263","63","63","Antithrombin iii injection","K","2","362","0","0","0","0","0","0","0","0"
"01263","64","64","Antithrombin iii injection","K","2","368","0","0","0","0","0","0","0","0"
"01263","65","65","Antithrombin iii injection","K","2","362","0","0","0","0","0","0","0","0"
"01263","66","66","Antithrombin iii injection","K","2","343","0","0","0","0","0","0","0","0"
"01263","67","67","Antithrombin iii injection","K","2","334","0","0","0","0","0","0","0","0"
"01263","68","69","Antithrombin iii injection","K","2","322","0","0","0","0","0","0","0","0"
"01263","70","70","Antithrombin iii injection","K","2","375","0","0","0","0","0","0","0","0"
"01263","71","71","Antithrombin iii injection","K","2","373","0","0","0","0","0","0","0","0"
"01263","72","72","Antithrombin iii injection","K","2","359","0","0","0","0","0","0","0","0"
"01263","73","73","Antithrombin iii injection","K","2","368","0","0","0","0","0","0","0","0"
"01263","74","74","Antithrombin iii injection","K","2","349","0","0","0","0","0","0","0","0"
"01263","75","75","Antithrombin iii injection","K","2","350","0","0","0","0","0","0","0","0"
"01263","76","76","Antithrombin iii injection","K","2","340","0","0","0","0","0","0","0","0"
"01263","77","77","Antithrombin iii injection","K","2","341","0","0","0","0","0","0","0","0"
"01263","78","78","Antithrombin iii injection","K","2","332","0","0","0","0","0","0","0","0"
"01263","79","79","Antithrombin iii injection","K","2","328","0","0","0","0","0","0","0","0"
"01263","80","80","Antithrombin iii injection","K","2","361","0","0","0","0","0","0","0","0"
"01263","81","81","Antithrombin iii injection","K","2","347","0","0","0","0","0","0","0","0"
"01263","82","82","Antithrombin iii injection","K","2","350","0","0","0","0","0","0","0","0"
"01263","83","83","Antithrombin iii injection","K","2","348","0","0","0","0","0","0","0","0"
"01263","84","85","Antithrombin iii injection","K","2","331","0","0","0","0","0","0","0","0"
"01263","86","86","Antithrombin iii injection","K","2","320","0","0","0","0","0","0","0","0"
"01263","87","87","Antithrombin iii injection","K","2","355","0","0","0","0","0","0","0","0"
"01268","60","60","Xyntha inj","K","1","118","0","0","0","0","0","0","0","0"
"01268","61","61","Xyntha inj","K","1","119","0","0","0","0","0","0","0","0"
"01268","62","62","Xyntha inj","K","2","142","0","0","0","0","0","0","0","0"
"01268","63","63","Xyntha inj","K","2","122","0","0","0","0","0","0","0","0"
"01268","64","64","Xyntha inj","K","2","120","0","0","0","0","0","0","0","0"
"01268","65","65","Xyntha inj","K","2","124","0","0","0","0","0","0","0","0"
"01268","66","66","Xyntha inj","K","2","120","0","0","0","0","0","0","0","0"
"01268","67","68","Xyntha inj","K","2","122","0","0","0","0","0","0","0","0"
"01268","69","69","Xyntha inj","K","2","127","0","0","0","0","0","0","0","0"
"01268","70","70","Xyntha inj","K","2","125","0","0","0","0","0","0","0","0"
"01268","71","71","Xyntha inj","K","2","128","0","0","0","0","0","0","0","0"
"01268","72","73","Xyntha inj","K","2","125","0","0","0","0","0","0","0","0"
"01268","74","75","Xyntha inj","K","2","122","0","0","0","0","0","0","0","0"
"01268","76","76","Xyntha inj","K","2","124","0","0","0","0","0","0","0","0"
"01268","77","77","Xyntha inj","K","2","125","0","0","0","0","0","0","0","0"
"01268","78","78","Xyntha inj","K","2","127","0","0","0","0","0","0","0","0"
"01268","79","80","Xyntha inj","K","2","126","0","0","0","0","0","0","0","0"
"01268","81","81","Xyntha inj","K","2","125","0","0","0","0","0","0","0","0"
"01268","82","82","Xyntha inj","K","2","131","0","0","0","0","0","0","0","0"
"01268","83","83","Xyntha inj","K","2","123","0","0","0","0","0","0","0","0"
"01268","84","84","Xyntha inj","K","2","126","0","0","0","0","0","0","0","0"
"01268","85","86","Xyntha inj","K","2","133","0","0","0","0","0","0","0","0"
"01268","87","87","Xyntha inj","K","2","127","0","0","0","0","0","0","0","0"
"01272","60","60","Acetylcysteine injection","K","1","210","0","0","0","0","0","0","0","0"
"01272","61","61","Acetylcysteine injection","K","1","205","0","0","0","0","0","0","0","0"
"01272","62","62","Acetylcysteine injection","K","2","200","0","0","0","0","0","0","0","0"
"01272","63","63","Acetylcysteine injection","K","2","172","0","0","0","0","0","0","0","0"
"01272","64","64","Acetylcysteine injection","K","2","163","0","0","0","0","0","0","0","0"
"01272","65","65","Acetylcysteine injection","K","2","159","0","0","0","0","0","0","0","0"
"01274","60","60","Edetate calcium disodium inj","K","1","443035","0","0","0","0","0","0","0","0"
"01274","61","61","Edetate calcium disodium inj","K","1","559442","0","0","0","0","0","0","0","0"
"01274","62","70","Edetate calcium disodium inj","K","2","559442","0","0","0","0","0","0","0","0"
"01274","71","71","Edetate calcium disodium inj","K","2","558833","0","0","0","0","0","0","0","0"
"01274","72","83","Edetate calcium disodium inj","K","2","559442","0","0","0","0","0","0","0","0"
"01274","84","84","Edetate calcium disodium inj","K","2","559256","0","0","0","0","0","0","0","0"
"01274","85","87","Edetate calcium disodium inj","K","2","570859","0","0","0","0","0","0","0","0"
"01280","60","60","Corticotropin injection","K","1","333997","0","0","0","0","0","0","0","0"
"01280","61","61","Corticotropin injection","K","1","339208","0","0","0","0","0","0","0","0"
"01280","62","62","Corticotropin injection","K","2","346813","0","0","0","0","0","0","0","0"
"01280","63","64","Corticotropin injection","K","2","357855","0","0","0","0","0","0","0","0"
"01280","65","65","Corticotropin injection","K","2","356108","0","0","0","0","0","0","0","0"
"01280","66","66","Corticotropin injection","K","2","355535","0","0","0","0","0","0","0","0"
"01280","67","67","Corticotropin injection","K","2","353642","0","0","0","0","0","0","0","0"
"01280","68","68","Corticotropin injection","K","2","353709","0","0","0","0","0","0","0","0"
"01280","69","69","Corticotropin injection","K","2","370338","0","0","0","0","0","0","0","0"
"01280","70","70","Corticotropin injection","K","2","377136","0","0","0","0","0","0","0","0"
"01280","71","71","Corticotropin injection","K","2","376428","0","0","0","0","0","0","0","0"
"01280","72","72","Corticotropin injection","K","2","375407","0","0","0","0","0","0","0","0"
"01280","73","73","Corticotropin injection","K","2","399017","0","0","0","0","0","0","0","0"
"01281","60","60","Bevacizumab injection","K","1","171","0","0","0","0","0","0","0","0"
"01281","61","61","Bevacizumab injection","K","1","174","0","0","0","0","0","0","0","0"
"01281","62","62","Bevacizumab injection","K","2","174","0","0","0","0","0","0","0","0"
"01281","63","64","Bevacizumab injection","K","2","177","0","0","0","0","0","0","0","0"
"01281","65","66","Bevacizumab injection","K","2","181","0","0","0","0","0","0","0","0"
"01281","67","68","Bevacizumab injection","K","2","184","0","0","0","0","0","0","0","0"
"01281","69","69","Bevacizumab injection","K","2","187","0","0","0","0","0","0","0","0"
"01281","70","70","Bevacizumab injection","K","2","188","0","0","0","0","0","0","0","0"
"01281","71","71","Bevacizumab injection","K","2","192","0","0","0","0","0","0","0","0"
"01281","72","72","Bevacizumab injection","K","2","193","0","0","0","0","0","0","0","0"
"01281","73","73","Bevacizumab injection","K","2","197","0","0","0","0","0","0","0","0"
"01281","74","74","Bevacizumab injection","K","2","198","0","0","0","0","0","0","0","0"
"01281","75","78","Bevacizumab injection","K","2","203","0","0","0","0","0","0","0","0"
"01281","79","79","Bevacizumab injection","K","2","202","0","0","0","0","0","0","0","0"
"01281","80","80","Bevacizumab injection","K","2","199","0","0","0","0","0","0","0","0"
"01281","81","81","Bevacizumab injection","K","2","196","0","0","0","0","0","0","0","0"
"01281","82","82","Bevacizumab injection","K","2","191","0","0","0","0","0","0","0","0"
"01281","83","83","Bevacizumab injection","K","2","188","0","0","0","0","0","0","0","0"
"01281","84","84","Bevacizumab injection","K","2","181","0","0","0","0","0","0","0","0"
"01281","85","85","Bevacizumab injection","K","2","177","0","0","0","0","0","0","0","0"
"01281","86","86","Bevacizumab injection","K","2","176","0","0","0","0","0","0","0","0"
"01281","87","87","Bevacizumab injection","K","2","170","0","0","0","0","0","0","0","0"
"01289","60","60","AbobotulinumtoxinA","K","1","795","0","0","0","0","0","0","0","0"
"01289","61","61","AbobotulinumtoxinA","K","1","755","0","0","0","0","0","0","0","0"
"01289","62","62","AbobotulinumtoxinA","K","2","806","0","0","0","0","0","0","0","0"
"01289","63","63","AbobotulinumtoxinA","K","2","790","0","0","0","0","0","0","0","0"
"01289","64","64","AbobotulinumtoxinA","K","2","777","0","0","0","0","0","0","0","0"
"01289","65","65","AbobotulinumtoxinA","K","2","771","0","0","0","0","0","0","0","0"
"01289","66","66","AbobotulinumtoxinA","K","2","790","0","0","0","0","0","0","0","0"
"01289","67","67","AbobotulinumtoxinA","K","2","780","0","0","0","0","0","0","0","0"
"01289","68","68","AbobotulinumtoxinA","K","2","797","0","0","0","0","0","0","0","0"
"01289","69","69","AbobotulinumtoxinA","K","2","795","0","0","0","0","0","0","0","0"
"01289","70","70","AbobotulinumtoxinA","K","2","826","0","0","0","0","0","0","0","0"
"01289","71","71","AbobotulinumtoxinA","K","2","824","0","0","0","0","0","0","0","0"
"01289","72","72","AbobotulinumtoxinA","K","2","823","0","0","0","0","0","0","0","0"
"01289","73","73","AbobotulinumtoxinA","K","2","843","0","0","0","0","0","0","0","0"
"01289","74","74","AbobotulinumtoxinA","K","2","842","0","0","0","0","0","0","0","0"
"01289","75","75","AbobotulinumtoxinA","K","2","853","0","0","0","0","0","0","0","0"
"01289","76","76","AbobotulinumtoxinA","K","2","841","0","0","0","0","0","0","0","0"
"01289","77","77","AbobotulinumtoxinA","K","2","842","0","0","0","0","0","0","0","0"
"01289","78","78","AbobotulinumtoxinA","K","2","843","0","0","0","0","0","0","0","0"
"01289","79","80","AbobotulinumtoxinA","K","2","840","0","0","0","0","0","0","0","0"
"01289","81","81","AbobotulinumtoxinA","K","2","838","0","0","0","0","0","0","0","0"
"01289","82","82","AbobotulinumtoxinA","K","2","815","0","0","0","0","0","0","0","0"
"01289","83","83","AbobotulinumtoxinA","K","2","827","0","0","0","0","0","0","0","0"
"01289","84","84","AbobotulinumtoxinA","K","2","825","0","0","0","0","0","0","0","0"
"01289","85","85","AbobotulinumtoxinA","K","2","820","0","0","0","0","0","0","0","0"
"01289","86","86","AbobotulinumtoxinA","K","2","841","0","0","0","0","0","0","0","0"
"01289","87","87","AbobotulinumtoxinA","K","2","831","0","0","0","0","0","0","0","0"
"01291","60","61","Rilonacept injection","K","1","2409","0","0","0","0","0","0","0","0"
"01291","62","73","Rilonacept injection","K","2","2409","0","0","0","0","0","0","0","0"
"01295","60","60","Sm 153 lexidronam","K","1","847591","0","0","0","0","0","0","0","0"
"01295","61","61","Sm 153 lexidronam","K","1","1061233","0","0","0","0","0","0","0","0"
"01295","62","62","Sm 153 lexidronam","K","2","1096242","0","0","0","0","0","0","0","0"
"01295","63","63","Sm 153 lexidronam","K","2","1100642","0","0","0","0","0","0","0","0"
"01295","64","64","Sm 153 lexidronam","K","2","1100625","0","0","0","0","0","0","0","0"
"01295","65","65","Sm 153 lexidronam","K","2","1206035","0","0","0","0","0","0","0","0"
"01295","66","66","Sm 153 lexidronam","K","2","1211348","0","0","0","0","0","0","0","0"
"01295","67","67","Sm 153 lexidronam","K","2","1207491","0","0","0","0","0","0","0","0"
"01295","68","68","Sm 153 lexidronam","K","2","1205591","0","0","0","0","0","0","0","0"
"01295","69","69","Sm 153 lexidronam","K","2","1331279","0","0","0","0","0","0","0","0"
"01295","70","70","Sm 153 lexidronam","K","2","1330704","0","0","0","0","0","0","0","0"
"01295","71","71","Sm 153 lexidronam","K","2","1336406","0","0","0","0","0","0","0","0"
"01295","72","72","Sm 153 lexidronam","K","2","1336634","0","0","0","0","0","0","0","0"
"01295","73","73","Sm 153 lexidronam","K","2","1383642","0","0","0","0","0","0","0","0"
"01295","74","74","Sm 153 lexidronam","K","2","1465843","0","0","0","0","0","0","0","0"
"01295","75","75","Sm 153 lexidronam","K","2","1465022","0","0","0","0","0","0","0","0"
"01295","76","76","Sm 153 lexidronam","K","2","1464867","0","0","0","0","0","0","0","0"
"01295","77","77","Sm 153 lexidronam","K","2","1604452","0","0","0","0","0","0","0","0"
"01295","78","78","Sm 153 lexidronam","K","2","1604056","0","0","0","0","0","0","0","0"
"01295","79","79","Sm 153 lexidronam","K","2","1604706","0","0","0","0","0","0","0","0"
"01295","80","80","Sm 153 lexidronam","K","2","1603777","0","0","0","0","0","0","0","0"
"01295","81","82","Sm 153 lexidronam","K","2","1725985","0","0","0","0","0","0","0","0"
"01295","83","83","Sm 153 lexidronam","K","2","1708961","0","0","0","0","0","0","0","0"
"01295","84","84","Sm 153 lexidronam","K","2","1709561","0","0","0","0","0","0","0","0"
"01295","85","85","Sm 153 lexidronam","K","2","1827374","0","0","0","0","0","0","0","0"
"01295","86","87","Sm 153 lexidronam","K","2","1725985","0","0","0","0","0","0","0","0"
"01296","60","60","Degarelix injection","K","1","348","0","0","0","0","0","0","0","0"
"01296","61","61","Degarelix injection","K","1","358","0","0","0","0","0","0","0","0"
"01296","62","62","Degarelix injection","K","2","359","0","0","0","0","0","0","0","0"
"01296","63","63","Degarelix injection","K","2","365","0","0","0","0","0","0","0","0"
"01296","64","64","Degarelix injection","K","2","368","0","0","0","0","0","0","0","0"
"01296","65","65","Degarelix injection","K","2","372","0","0","0","0","0","0","0","0"
"01296","66","66","Degarelix injection","K","2","362","0","0","0","0","0","0","0","0"
"01296","67","67","Degarelix injection","K","2","368","0","0","0","0","0","0","0","0"
"01296","68","68","Degarelix injection","K","2","363","0","0","0","0","0","0","0","0"
"01296","69","69","Degarelix injection","K","2","365","0","0","0","0","0","0","0","0"
"01296","70","71","Degarelix injection","K","2","364","0","0","0","0","0","0","0","0"
"01296","72","72","Degarelix injection","K","2","369","0","0","0","0","0","0","0","0"
"01296","73","73","Degarelix injection","K","2","366","0","0","0","0","0","0","0","0"
"01296","74","74","Degarelix injection","K","2","372","0","0","0","0","0","0","0","0"
"01296","75","75","Degarelix injection","K","2","380","0","0","0","0","0","0","0","0"
"01296","76","76","Degarelix injection","K","2","382","0","0","0","0","0","0","0","0"
"01296","77","77","Degarelix injection","K","2","390","0","0","0","0","0","0","0","0"
"01296","78","78","Degarelix injection","K","2","397","0","0","0","0","0","0","0","0"
"01296","79","79","Degarelix injection","K","2","396","0","0","0","0","0","0","0","0"
"01296","80","80","Degarelix injection","K","2","387","0","0","0","0","0","0","0","0"
"01296","81","81","Degarelix injection","K","2","397","0","0","0","0","0","0","0","0"
"01296","82","82","Degarelix injection","K","2","384","0","0","0","0","0","0","0","0"
"01296","83","83","Degarelix injection","K","2","389","0","0","0","0","0","0","0","0"
"01296","84","84","Degarelix injection","K","2","400","0","0","0","0","0","0","0","0"
"01296","85","85","Degarelix injection","K","2","398","0","0","0","0","0","0","0","0"
"01296","86","86","Degarelix injection","K","2","412","0","0","0","0","0","0","0","0"
"01296","87","87","Degarelix injection","K","2","406","0","0","0","0","0","0","0","0"
"01297","60","60","Ferumoxytol, non-esrd","K","1","79","0","0","0","0","0","0","0","0"
"01297","61","61","Ferumoxytol, non-esrd","K","1","81","0","0","0","0","0","0","0","0"
"01297","62","62","Ferumoxytol, non-esrd","K","2","81","0","0","0","0","0","0","0","0"
"01297","63","63","Ferumoxytol, non-esrd","K","2","82","0","0","0","0","0","0","0","0"
"01297","64","64","Ferumoxytol, non-esrd","K","2","84","0","0","0","0","0","0","0","0"
"01297","65","65","Ferumoxytol, non-esrd","K","2","86","0","0","0","0","0","0","0","0"
"01297","66","66","Ferumoxytol, non-esrd","K","2","88","0","0","0","0","0","0","0","0"
"01297","67","69","Ferumoxytol, non-esrd","K","2","89","0","0","0","0","0","0","0","0"
"01297","70","70","Ferumoxytol, non-esrd","K","2","91","0","0","0","0","0","0","0","0"
"01297","71","71","Ferumoxytol, non-esrd","K","2","93","0","0","0","0","0","0","0","0"
"01297","72","72","Ferumoxytol, non-esrd","K","2","95","0","0","0","0","0","0","0","0"
"01297","73","73","Ferumoxytol, non-esrd","K","2","96","0","0","0","0","0","0","0","0"
"01297","74","74","Ferumoxytol, non-esrd","K","2","98","0","0","0","0","0","0","0","0"
"01297","75","75","Ferumoxytol, non-esrd","K","2","101","0","0","0","0","0","0","0","0"
"01297","76","76","Ferumoxytol, non-esrd","K","2","97","0","0","0","0","0","0","0","0"
"01297","77","78","Ferumoxytol, non-esrd","K","2","100","0","0","0","0","0","0","0","0"
"01297","79","79","Ferumoxytol, non-esrd","K","2","104","0","0","0","0","0","0","0","0"
"01297","80","80","Ferumoxytol, non-esrd","K","2","107","0","0","0","0","0","0","0","0"
"01297","81","81","Ferumoxytol, non-esrd","K","2","106","0","0","0","0","0","0","0","0"
"01297","82","82","Ferumoxytol, non-esrd","K","2","98","0","0","0","0","0","0","0","0"
"01297","83","83","Ferumoxytol, non-esrd","K","2","93","0","0","0","0","0","0","0","0"
"01297","84","84","Ferumoxytol, non-esrd","K","2","97","0","0","0","0","0","0","0","0"
"01297","85","85","Ferumoxytol, non-esrd","K","2","95","0","0","0","0","0","0","0","0"
"01297","86","86","Ferumoxytol, non-esrd","K","2","100","0","0","0","0","0","0","0","0"
"01297","87","87","Ferumoxytol, non-esrd","K","2","109","0","0","0","0","0","0","0","0"
"01311","60","60","Canakinumab injection","K","1","9109","0","0","0","0","0","0","0","0"
"01311","61","61","Canakinumab injection","K","1","9149","0","0","0","0","0","0","0","0"
"01311","62","62","Canakinumab injection","K","2","9178","0","0","0","0","0","0","0","0"
"01311","63","63","Canakinumab injection","K","2","9212","0","0","0","0","0","0","0","0"
"01311","64","64","Canakinumab injection","K","2","9240","0","0","0","0","0","0","0","0"
"01311","65","65","Canakinumab injection","K","2","9242","0","0","0","0","0","0","0","0"
"01311","66","66","Canakinumab injection","K","2","9249","0","0","0","0","0","0","0","0"
"01311","67","69","Canakinumab injection","K","2","9251","0","0","0","0","0","0","0","0"
"01311","70","70","Canakinumab injection","K","2","10612","0","0","0","0","0","0","0","0"
"01311","71","71","Canakinumab injection","K","2","10803","0","0","0","0","0","0","0","0"
"01311","72","72","Canakinumab injection","K","2","10870","0","0","0","0","0","0","0","0"
"01311","73","73","Canakinumab injection","K","2","11052","0","0","0","0","0","0","0","0"
"01311","74","74","Canakinumab injection","K","2","11100","0","0","0","0","0","0","0","0"
"01311","75","75","Canakinumab injection","K","2","11099","0","0","0","0","0","0","0","0"
"01311","76","76","Canakinumab injection","K","2","11102","0","0","0","0","0","0","0","0"
"01311","77","78","Canakinumab injection","K","2","11101","0","0","0","0","0","0","0","0"
"01311","79","80","Canakinumab injection","K","2","11100","0","0","0","0","0","0","0","0"
"01311","81","81","Canakinumab injection","K","2","11312","0","0","0","0","0","0","0","0"
"01311","82","82","Canakinumab injection","K","2","11324","0","0","0","0","0","0","0","0"
"01311","83","83","Canakinumab injection","K","2","11326","0","0","0","0","0","0","0","0"
"01311","84","84","Canakinumab injection","K","2","11332","0","0","0","0","0","0","0","0"
"01311","85","85","Canakinumab injection","K","2","11542","0","0","0","0","0","0","0","0"
"01311","86","86","Canakinumab injection","K","2","11561","0","0","0","0","0","0","0","0"
"01311","87","87","Canakinumab injection","K","2","11589","0","0","0","0","0","0","0","0"
"01312","60","60","Hizentra injection","K","1","818","0","0","0","0","0","0","0","0"
"01312","61","61","Hizentra injection","K","1","817","0","0","0","0","0","0","0","0"
"01312","62","64","Hizentra injection","K","2","847","0","0","0","0","0","0","0","0"
"01312","65","65","Hizentra injection","K","2","984","0","0","0","0","0","0","0","0"
"01312","66","66","Hizentra injection","K","2","983","0","0","0","0","0","0","0","0"
"01312","67","67","Hizentra injection","K","2","985","0","0","0","0","0","0","0","0"
"01312","68","69","Hizentra injection","K","2","983","0","0","0","0","0","0","0","0"
"01312","70","70","Hizentra injection","K","2","981","0","0","0","0","0","0","0","0"
"01312","71","72","Hizentra injection","K","2","983","0","0","0","0","0","0","0","0"
"01312","73","73","Hizentra injection","K","2","985","0","0","0","0","0","0","0","0"
"01312","74","74","Hizentra injection","K","2","986","0","0","0","0","0","0","0","0"
"01312","75","75","Hizentra injection","K","2","1011","0","0","0","0","0","0","0","0"
"01312","76","77","Hizentra injection","K","2","1019","0","0","0","0","0","0","0","0"
"01312","78","78","Hizentra injection","K","2","1044","0","0","0","0","0","0","0","0"
"01312","79","80","Hizentra injection","K","2","1050","0","0","0","0","0","0","0","0"
"01312","81","81","Hizentra injection","K","2","1079","0","0","0","0","0","0","0","0"
"01312","82","82","Hizentra injection","K","2","1086","0","0","0","0","0","0","0","0"
"01312","83","83","Hizentra injection","K","2","1109","0","0","0","0","0","0","0","0"
"01312","84","85","Hizentra injection","K","2","1123","0","0","0","0","0","0","0","0"
"01312","86","86","Hizentra injection","K","2","1158","0","0","0","0","0","0","0","0"
"01312","87","87","Hizentra injection","K","2","1179","0","0","0","0","0","0","0","0"
"01327","60","61","Imiglucerase injection","K","1","4200","0","0","0","0","0","0","0","0"
"01327","62","63","Imiglucerase injection","K","2","4200","0","0","0","0","0","0","0","0"
"01327","64","64","Imiglucerase injection","K","2","4196","0","0","0","0","0","0","0","0"
"01327","65","65","Imiglucerase injection","K","2","4194","0","0","0","0","0","0","0","0"
"01327","66","66","Imiglucerase injection","K","2","4193","0","0","0","0","0","0","0","0"
"01327","67","67","Imiglucerase injection","K","2","4183","0","0","0","0","0","0","0","0"
"01327","68","68","Imiglucerase injection","K","2","4180","0","0","0","0","0","0","0","0"
"01327","69","69","Imiglucerase injection","K","2","4175","0","0","0","0","0","0","0","0"
"01327","70","70","Imiglucerase injection","K","2","4169","0","0","0","0","0","0","0","0"
"01327","71","71","Imiglucerase injection","K","2","4170","0","0","0","0","0","0","0","0"
"01327","72","72","Imiglucerase injection","K","2","4158","0","0","0","0","0","0","0","0"
"01327","73","73","Imiglucerase injection","K","2","4133","0","0","0","0","0","0","0","0"
"01327","74","74","Imiglucerase injection","K","2","4145","0","0","0","0","0","0","0","0"
"01327","75","75","Imiglucerase injection","K","2","4212","0","0","0","0","0","0","0","0"
"01327","76","76","Imiglucerase injection","K","2","4210","0","0","0","0","0","0","0","0"
"01327","77","77","Imiglucerase injection","K","2","4287","0","0","0","0","0","0","0","0"
"01327","78","78","Imiglucerase injection","K","2","4294","0","0","0","0","0","0","0","0"
"01327","79","79","Imiglucerase injection","K","2","4264","0","0","0","0","0","0","0","0"
"01327","80","80","Imiglucerase injection","K","2","4262","0","0","0","0","0","0","0","0"
"01327","81","81","Imiglucerase injection","K","2","4324","0","0","0","0","0","0","0","0"
"01327","82","83","Imiglucerase injection","K","2","4338","0","0","0","0","0","0","0","0"
"01327","84","84","Imiglucerase injection","K","2","4344","0","0","0","0","0","0","0","0"
"01327","85","85","Imiglucerase injection","K","2","4396","0","0","0","0","0","0","0","0"
"01327","86","86","Imiglucerase injection","K","2","4405","0","0","0","0","0","0","0","0"
"01327","87","87","Imiglucerase injection","K","2","4397","0","0","0","0","0","0","0","0"
"01331","60","61","Olanzapine long-acting inj","K","1","292","0","0","0","0","0","0","0","0"
"01331","62","69","Olanzapine long-acting inj","K","2","292","0","0","0","0","0","0","0","0"
"01331","82","85","Olanzapine long-acting inj","K","2","292","0","0","0","0","0","0","0","0"
"01331","86","86","Olanzapine long-acting inj","K","2","291","0","0","0","0","0","0","0","0"
"01331","87","87","Olanzapine long-acting inj","K","2","292","0","0","0","0","0","0","0","0"
"01332","60","61","Antithrombin recombinant","K","1","10335","0","0","0","0","0","0","0","0"
"01332","62","69","Antithrombin recombinant","K","2","10335","0","0","0","0","0","0","0","0"
"01338","60","61","Methyl aminolevulinate, top","K","1","8369","0","0","0","0","0","0","0","0"
"01338","62","69","Methyl aminolevulinate, top","K","2","8369","0","0","0","0","0","0","0","0"
"01340","60","60","Collagenase, clost hist inj","K","1","3842","0","0","0","0","0","0","0","0"
"01340","61","61","Collagenase, clost hist inj","K","1","3805","0","0","0","0","0","0","0","0"
"01340","62","62","Collagenase, clost hist inj","K","2","3806","0","0","0","0","0","0","0","0"
"01340","63","63","Collagenase, clost hist inj","K","2","3846","0","0","0","0","0","0","0","0"
"01340","64","64","Collagenase, clost hist inj","K","2","3850","0","0","0","0","0","0","0","0"
"01340","65","65","Collagenase, clost hist inj","K","2","4003","0","0","0","0","0","0","0","0"
"01340","66","66","Collagenase, clost hist inj","K","2","4142","0","0","0","0","0","0","0","0"
"01340","67","67","Collagenase, clost hist inj","K","2","4115","0","0","0","0","0","0","0","0"
"01340","68","68","Collagenase, clost hist inj","K","2","4069","0","0","0","0","0","0","0","0"
"01340","69","69","Collagenase, clost hist inj","K","2","4066","0","0","0","0","0","0","0","0"
"01340","70","71","Collagenase, clost hist inj","K","2","4183","0","0","0","0","0","0","0","0"
"01340","72","72","Collagenase, clost hist inj","K","2","4358","0","0","0","0","0","0","0","0"
"01340","73","73","Collagenase, clost hist inj","K","2","4350","0","0","0","0","0","0","0","0"
"01340","74","74","Collagenase, clost hist inj","K","2","4505","0","0","0","0","0","0","0","0"
"01340","75","75","Collagenase, clost hist inj","K","2","4506","0","0","0","0","0","0","0","0"
"01340","76","76","Collagenase, clost hist inj","K","2","4696","0","0","0","0","0","0","0","0"
"01340","77","77","Collagenase, clost hist inj","K","2","4709","0","0","0","0","0","0","0","0"
"01340","78","78","Collagenase, clost hist inj","K","2","4876","0","0","0","0","0","0","0","0"
"01340","79","79","Collagenase, clost hist inj","K","2","4873","0","0","0","0","0","0","0","0"
"01340","80","80","Collagenase, clost hist inj","K","2","5040","0","0","0","0","0","0","0","0"
"01340","81","81","Collagenase, clost hist inj","K","2","5070","0","0","0","0","0","0","0","0"
"01340","82","82","Collagenase, clost hist inj","K","2","5239","0","0","0","0","0","0","0","0"
"01340","83","83","Collagenase, clost hist inj","K","2","5262","0","0","0","0","0","0","0","0"
"01340","84","84","Collagenase, clost hist inj","K","2","5444","0","0","0","0","0","0","0","0"
"01340","85","85","Collagenase, clost hist inj","K","2","5440","0","0","0","0","0","0","0","0"
"01340","86","86","Collagenase, clost hist inj","K","2","5666","0","0","0","0","0","0","0","0"
"01340","87","87","Collagenase, clost hist inj","K","2","5660","0","0","0","0","0","0","0","0"
"01341","60","61","Amobarbital 125 MG inj","K","1","19426","0","0","0","0","0","0","0","0"
"01341","62","70","Amobarbital 125 MG inj","K","2","19426","0","0","0","0","0","0","0","0"
"01341","71","73","Amobarbital 125 MG inj","K","2","23402","0","0","0","0","0","0","0","0"
"01341","74","78","Amobarbital 125 MG inj","K","2","5662","0","0","0","0","0","0","0","0"
"01341","79","82","Amobarbital 125 MG inj","K","2","9516","0","0","0","0","0","0","0","0"
"01341","83","87","Amobarbital 125 MG inj","K","2","12522","0","0","0","0","0","0","0","0"
"01350","60","60","Topotecan injection","K","1","216","0","0","0","0","0","0","0","0"
"01350","61","61","Topotecan injection","K","1","148","0","0","0","0","0","0","0","0"
"01352","60","60","Wilate injection","K","1","98","0","0","0","0","0","0","0","0"
"01352","61","61","Wilate injection","K","1","99","0","0","0","0","0","0","0","0"
"01352","62","62","Wilate injection","K","2","102","0","0","0","0","0","0","0","0"
"01352","63","63","Wilate injection","K","2","100","0","0","0","0","0","0","0","0"
"01352","64","64","Wilate injection","K","2","98","0","0","0","0","0","0","0","0"
"01352","65","65","Wilate injection","K","2","80","0","0","0","0","0","0","0","0"
"01352","66","66","Wilate injection","K","2","97","0","0","0","0","0","0","0","0"
"01352","67","67","Wilate injection","K","2","95","0","0","0","0","0","0","0","0"
"01352","68","68","Wilate injection","K","2","101","0","0","0","0","0","0","0","0"
"01352","69","70","Wilate injection","K","2","104","0","0","0","0","0","0","0","0"
"01352","71","71","Wilate injection","K","2","103","0","0","0","0","0","0","0","0"
"01352","72","72","Wilate injection","K","2","104","0","0","0","0","0","0","0","0"
"01352","73","73","Wilate injection","K","2","103","0","0","0","0","0","0","0","0"
"01352","74","74","Wilate injection","K","2","101","0","0","0","0","0","0","0","0"
"01352","75","75","Wilate injection","K","2","102","0","0","0","0","0","0","0","0"
"01352","76","76","Wilate injection","K","2","98","0","0","0","0","0","0","0","0"
"01352","77","77","Wilate injection","K","2","101","0","0","0","0","0","0","0","0"
"01352","78","78","Wilate injection","K","2","97","0","0","0","0","0","0","0","0"
"01352","79","79","Wilate injection","K","2","103","0","0","0","0","0","0","0","0"
"01352","80","80","Wilate injection","K","2","106","0","0","0","0","0","0","0","0"
"01352","81","81","Wilate injection","K","2","97","0","0","0","0","0","0","0","0"
"01352","82","82","Wilate injection","K","2","102","0","0","0","0","0","0","0","0"
"01352","83","83","Wilate injection","K","2","104","0","0","0","0","0","0","0","0"
"01352","84","84","Wilate injection","K","2","109","0","0","0","0","0","0","0","0"
"01352","85","85","Wilate injection","K","2","114","0","0","0","0","0","0","0","0"
"01352","86","86","Wilate injection","K","2","116","0","0","0","0","0","0","0","0"
"01352","87","87","Wilate injection","K","2","114","0","0","0","0","0","0","0","0"
"01353","60","60","Belimumab injection","K","1","4002","0","0","0","0","0","0","0","0"
"01353","61","61","Belimumab injection","K","1","4054","0","0","0","0","0","0","0","0"
"01353","62","62","Belimumab injection","K","2","4054","0","0","0","0","0","0","0","0"
"01353","63","63","Belimumab injection","K","2","4146","0","0","0","0","0","0","0","0"
"01353","64","64","Belimumab injection","K","2","4149","0","0","0","0","0","0","0","0"
"01353","65","65","Belimumab injection","K","2","4209","0","0","0","0","0","0","0","0"
"01353","66","66","Belimumab injection","K","2","4202","0","0","0","0","0","0","0","0"
"01353","67","67","Belimumab injection","K","2","4194","0","0","0","0","0","0","0","0"
"01353","68","68","Belimumab injection","K","2","4258","0","0","0","0","0","0","0","0"
"01353","69","69","Belimumab injection","K","2","4198","0","0","0","0","0","0","0","0"
"01353","70","70","Belimumab injection","K","2","4281","0","0","0","0","0","0","0","0"
"01353","71","71","Belimumab injection","K","2","4293","0","0","0","0","0","0","0","0"
"01353","72","72","Belimumab injection","K","2","4352","0","0","0","0","0","0","0","0"
"01353","73","73","Belimumab injection","K","2","4362","0","0","0","0","0","0","0","0"
"01353","74","76","Belimumab injection","K","2","4416","0","0","0","0","0","0","0","0"
"01353","77","78","Belimumab injection","K","2","4482","0","0","0","0","0","0","0","0"
"01353","79","79","Belimumab injection","K","2","4549","0","0","0","0","0","0","0","0"
"01353","80","80","Belimumab injection","K","2","4550","0","0","0","0","0","0","0","0"
"01353","81","81","Belimumab injection","K","2","4617","0","0","0","0","0","0","0","0"
"01353","82","82","Belimumab injection","K","2","4618","0","0","0","0","0","0","0","0"
"01353","83","83","Belimumab injection","K","2","4684","0","0","0","0","0","0","0","0"
"01353","84","84","Belimumab injection","K","2","4687","0","0","0","0","0","0","0","0"
"01353","85","85","Belimumab injection","K","2","4758","0","0","0","0","0","0","0","0"
"01353","86","86","Belimumab injection","K","2","4757","0","0","0","0","0","0","0","0"
"01353","87","87","Belimumab injection","K","2","4823","0","0","0","0","0","0","0","0"
"01354","60","61","Hydroxyprogesterone caproate","K","1","264","0","0","0","0","0","0","0","0"
"01354","62","62","Hydroxyprogesterone caproate","K","2","261","0","0","0","0","0","0","0","0"
"01354","63","63","Hydroxyprogesterone caproate","K","2","259","0","0","0","0","0","0","0","0"
"01354","64","64","Hydroxyprogesterone caproate","K","2","256","0","0","0","0","0","0","0","0"
"01354","65","65","Hydroxyprogesterone caproate","K","2","268","0","0","0","0","0","0","0","0"
"01354","66","66","Hydroxyprogesterone caproate","K","2","269","0","0","0","0","0","0","0","0"
"01354","67","67","Hydroxyprogesterone caproate","K","2","275","0","0","0","0","0","0","0","0"
"01356","60","60","Zoledronic Acid 1mg","K","1","3823","0","0","0","0","0","0","0","0"
"01356","61","61","Zoledronic Acid 1mg","K","1","3224","0","0","0","0","0","0","0","0"
"01356","62","62","Zoledronic Acid 1mg","K","2","3497","0","0","0","0","0","0","0","0"
"01356","63","63","Zoledronic Acid 1mg","K","2","2753","0","0","0","0","0","0","0","0"
"01356","64","64","Zoledronic Acid 1mg","K","2","2112","0","0","0","0","0","0","0","0"
"01356","65","65","Zoledronic Acid 1mg","K","2","1845","0","0","0","0","0","0","0","0"
"01361","60","61","Enfuvirtide injection","K","1","1863","0","0","0","0","0","0","0","0"
"01361","62","69","Enfuvirtide injection","K","2","1863","0","0","0","0","0","0","0","0"
"01408","60","60","Cyclophosphamide 100 MG inj","K","1","5840","0","0","0","0","0","0","0","0"
"01408","61","61","Cyclophosphamide 100 MG inj","K","1","5560","0","0","0","0","0","0","0","0"
"01408","62","62","Cyclophosphamide 100 MG inj","K","2","4895","0","0","0","0","0","0","0","0"
"01408","63","63","Cyclophosphamide 100 MG inj","K","2","4867","0","0","0","0","0","0","0","0"
"01408","64","64","Cyclophosphamide 100 MG inj","K","2","4351","0","0","0","0","0","0","0","0"
"01408","65","65","Cyclophosphamide 100 MG inj","K","2","4219","0","0","0","0","0","0","0","0"
"01408","66","66","Cyclophosphamide 100 MG inj","K","2","4397","0","0","0","0","0","0","0","0"
"01408","67","68","Cyclophosphamide 100 MG inj","K","2","4231","0","0","0","0","0","0","0","0"
"01408","69","69","Cyclophosphamide 100 MG inj","K","2","4216","0","0","0","0","0","0","0","0"
"01408","70","70","Cyclophosphamide 100 MG inj","K","2","4206","0","0","0","0","0","0","0","0"
"01408","71","71","Cyclophosphamide 100 MG inj","K","2","4227","0","0","0","0","0","0","0","0"
"01408","72","72","Cyclophosphamide 100 MG inj","K","2","4187","0","0","0","0","0","0","0","0"
"01408","73","73","Cyclophosphamide 100 MG inj","K","2","4183","0","0","0","0","0","0","0","0"
"01408","74","74","Cyclophosphamide 100 MG inj","K","2","4161","0","0","0","0","0","0","0","0"
"01408","75","75","Cyclophosphamide 100 MG inj","K","2","3782","0","0","0","0","0","0","0","0"
"01408","76","76","Cyclophosphamide 100 MG inj","K","2","3745","0","0","0","0","0","0","0","0"
"01408","77","77","Cyclophosphamide 100 MG inj","K","2","3473","0","0","0","0","0","0","0","0"
"01408","78","78","Cyclophosphamide 100 MG inj","K","2","3414","0","0","0","0","0","0","0","0"
"01408","79","79","Cyclophosphamide 100 MG inj","K","2","3324","0","0","0","0","0","0","0","0"
"01408","80","80","Cyclophosphamide 100 MG inj","K","2","3185","0","0","0","0","0","0","0","0"
"01408","81","81","Cyclophosphamide 100 MG inj","K","2","3457","0","0","0","0","0","0","0","0"
"01408","82","82","Cyclophosphamide 100 MG inj","K","2","2967","0","0","0","0","0","0","0","0"
"01408","83","83","Cyclophosphamide 100 MG inj","K","2","3116","0","0","0","0","0","0","0","0"
"01408","84","84","Cyclophosphamide 100 MG inj","K","2","3089","0","0","0","0","0","0","0","0"
"01408","85","85","Cyclophosphamide 100 MG inj","K","2","3100","0","0","0","0","0","0","0","0"
"01408","86","86","Cyclophosphamide 100 MG inj","K","2","2915","0","0","0","0","0","0","0","0"
"01408","87","87","Cyclophosphamide 100 MG inj","K","2","2747","0","0","0","0","0","0","0","0"
"01413","60","60","Lumizyme injection","K","1","15361","0","0","0","0","0","0","0","0"
"01413","61","61","Lumizyme injection","K","1","15360","0","0","0","0","0","0","0","0"
"01413","62","63","Lumizyme injection","K","2","15360","0","0","0","0","0","0","0","0"
"01413","64","64","Lumizyme injection","K","2","15462","0","0","0","0","0","0","0","0"
"01413","65","65","Lumizyme injection","K","2","15937","0","0","0","0","0","0","0","0"
"01413","66","66","Lumizyme injection","K","2","15939","0","0","0","0","0","0","0","0"
"01413","67","67","Lumizyme injection","K","2","15973","0","0","0","0","0","0","0","0"
"01413","68","69","Lumizyme injection","K","2","15974","0","0","0","0","0","0","0","0"
"01413","70","70","Lumizyme injection","K","2","15973","0","0","0","0","0","0","0","0"
"01413","71","71","Lumizyme injection","K","2","15976","0","0","0","0","0","0","0","0"
"01413","72","72","Lumizyme injection","K","2","16064","0","0","0","0","0","0","0","0"
"01413","73","73","Lumizyme injection","K","2","16282","0","0","0","0","0","0","0","0"
"01413","74","74","Lumizyme injection","K","2","16383","0","0","0","0","0","0","0","0"
"01413","75","75","Lumizyme injection","K","2","16620","0","0","0","0","0","0","0","0"
"01413","76","76","Lumizyme injection","K","2","16621","0","0","0","0","0","0","0","0"
"01413","77","77","Lumizyme injection","K","2","17008","0","0","0","0","0","0","0","0"
"01413","78","78","Lumizyme injection","K","2","17105","0","0","0","0","0","0","0","0"
"01413","79","80","Lumizyme injection","K","2","17121","0","0","0","0","0","0","0","0"
"01413","81","81","Lumizyme injection","K","2","17386","0","0","0","0","0","0","0","0"
"01413","82","82","Lumizyme injection","K","2","17449","0","0","0","0","0","0","0","0"
"01413","83","84","Lumizyme injection","K","2","17463","0","0","0","0","0","0","0","0"
"01413","85","85","Lumizyme injection","K","2","17695","0","0","0","0","0","0","0","0"
"01413","86","86","Lumizyme injection","K","2","18035","0","0","0","0","0","0","0","0"
"01413","87","87","Lumizyme injection","K","2","18142","0","0","0","0","0","0","0","0"
"01415","60","60","Glassia injection","K","1","402","0","0","0","0","0","0","0","0"
"01415","61","61","Glassia injection","K","1","411","0","0","0","0","0","0","0","0"
"01415","62","62","Glassia injection","K","2","411","0","0","0","0","0","0","0","0"
"01415","63","64","Glassia injection","K","2","427","0","0","0","0","0","0","0","0"
"01415","65","65","Glassia injection","K","2","438","0","0","0","0","0","0","0","0"
"01415","66","67","Glassia injection","K","2","437","0","0","0","0","0","0","0","0"
"01415","68","68","Glassia injection","K","2","436","0","0","0","0","0","0","0","0"
"01415","69","69","Glassia injection","K","2","463","0","0","0","0","0","0","0","0"
"01415","70","70","Glassia injection","K","2","457","0","0","0","0","0","0","0","0"
"01415","71","71","Glassia injection","K","2","468","0","0","0","0","0","0","0","0"
"01415","72","72","Glassia injection","K","2","464","0","0","0","0","0","0","0","0"
"01415","73","73","Glassia injection","K","2","472","0","0","0","0","0","0","0","0"
"01415","74","74","Glassia injection","K","2","465","0","0","0","0","0","0","0","0"
"01415","75","75","Glassia injection","K","2","470","0","0","0","0","0","0","0","0"
"01415","76","76","Glassia injection","K","2","472","0","0","0","0","0","0","0","0"
"01415","77","77","Glassia injection","K","2","489","0","0","0","0","0","0","0","0"
"01415","78","78","Glassia injection","K","2","482","0","0","0","0","0","0","0","0"
"01415","79","79","Glassia injection","K","2","486","0","0","0","0","0","0","0","0"
"01415","80","80","Glassia injection","K","2","490","0","0","0","0","0","0","0","0"
"01415","81","81","Glassia injection","K","2","481","0","0","0","0","0","0","0","0"
"01415","82","82","Glassia injection","K","2","483","0","0","0","0","0","0","0","0"
"01415","83","83","Glassia injection","K","2","489","0","0","0","0","0","0","0","0"
"01415","84","84","Glassia injection","K","2","487","0","0","0","0","0","0","0","0"
"01415","85","85","Glassia injection","K","2","497","0","0","0","0","0","0","0","0"
"01415","86","86","Glassia injection","K","2","495","0","0","0","0","0","0","0","0"
"01415","87","87","Glassia injection","K","2","498","0","0","0","0","0","0","0","0"
"01416","60","60","Factor xiii anti-hem factor","K","1","705","0","0","0","0","0","0","0","0"
"01416","61","61","Factor xiii anti-hem factor","K","1","741","0","0","0","0","0","0","0","0"
"01416","62","62","Factor xiii anti-hem factor","K","2","741","0","0","0","0","0","0","0","0"
"01416","63","64","Factor xiii anti-hem factor","K","2","777","0","0","0","0","0","0","0","0"
"01416","65","65","Factor xiii anti-hem factor","K","2","819","0","0","0","0","0","0","0","0"
"01416","66","66","Factor xiii anti-hem factor","K","2","818","0","0","0","0","0","0","0","0"
"01416","67","69","Factor xiii anti-hem factor","K","2","819","0","0","0","0","0","0","0","0"
"01416","70","70","Factor xiii anti-hem factor","K","2","821","0","0","0","0","0","0","0","0"
"01416","71","73","Factor xiii anti-hem factor","K","2","822","0","0","0","0","0","0","0","0"
"01416","74","74","Factor xiii anti-hem factor","K","2","823","0","0","0","0","0","0","0","0"
"01416","75","75","Factor xiii anti-hem factor","K","2","821","0","0","0","0","0","0","0","0"
"01416","76","78","Factor xiii anti-hem factor","K","2","847","0","0","0","0","0","0","0","0"
"01416","79","79","Factor xiii anti-hem factor","K","2","846","0","0","0","0","0","0","0","0"
"01416","80","80","Factor xiii anti-hem factor","K","2","880","0","0","0","0","0","0","0","0"
"01416","81","81","Factor xiii anti-hem factor","K","2","878","0","0","0","0","0","0","0","0"
"01416","82","82","Factor xiii anti-hem factor","K","2","877","0","0","0","0","0","0","0","0"
"01416","83","83","Factor xiii anti-hem factor","K","2","878","0","0","0","0","0","0","0","0"
"01416","84","84","Factor xiii anti-hem factor","K","2","910","0","0","0","0","0","0","0","0"
"01416","85","85","Factor xiii anti-hem factor","K","2","913","0","0","0","0","0","0","0","0"
"01416","86","87","Factor xiii anti-hem factor","K","2","914","0","0","0","0","0","0","0","0"
"01417","60","60","Gel-one","K","1","56143","0","0","0","0","0","0","0","0"
"01417","61","61","Gel-one","K","1","56215","0","0","0","0","0","0","0","0"
"01417","62","62","Gel-one","K","2","57811","0","0","0","0","0","0","0","0"
"01417","63","63","Gel-one","K","2","56361","0","0","0","0","0","0","0","0"
"01417","64","64","Gel-one","K","2","57196","0","0","0","0","0","0","0","0"
"01417","65","65","Gel-one","K","2","61010","0","0","0","0","0","0","0","0"
"01417","66","66","Gel-one","K","2","58758","0","0","0","0","0","0","0","0"
"01417","67","67","Gel-one","K","2","61261","0","0","0","0","0","0","0","0"
"01417","68","68","Gel-one","K","2","54361","0","0","0","0","0","0","0","0"
"01417","69","69","Gel-one","K","2","55813","0","0","0","0","0","0","0","0"
"01417","70","70","Gel-one","K","2","51057","0","0","0","0","0","0","0","0"
"01417","71","71","Gel-one","K","2","52157","0","0","0","0","0","0","0","0"
"01417","72","72","Gel-one","K","2","52787","0","0","0","0","0","0","0","0"
"01417","73","73","Gel-one","K","2","50935","0","0","0","0","0","0","0","0"
"01417","74","74","Gel-one","K","2","53736","0","0","0","0","0","0","0","0"
"01417","75","76","Gel-one","K","2","105788","0","0","0","0","0","0","0","0"
"01417","77","81","Gel-one","K","2","116600","0","0","0","0","0","0","0","0"
"01417","82","87","Gel-one","K","2","121900","0","0","0","0","0","0","0","0"
"01419","60","60","Dermacell","G","5","8232","0","0","0","0","0","0","0","0"
"01419","61","61","Dermacell","G","5","3928","0","0","0","0","0","0","0","0"
"01420","60","61","Aflibercept injection","K","1","98050","0","0","0","0","0","0","0","0"
"01420","62","65","Aflibercept injection","K","2","98050","0","0","0","0","0","0","0","0"
"01420","66","66","Aflibercept injection","K","2","98046","0","0","0","0","0","0","0","0"
"01420","67","67","Aflibercept injection","K","2","98038","0","0","0","0","0","0","0","0"
"01420","68","68","Aflibercept injection","K","2","98014","0","0","0","0","0","0","0","0"
"01420","69","69","Aflibercept injection","K","2","97809","0","0","0","0","0","0","0","0"
"01420","70","70","Aflibercept injection","K","2","97459","0","0","0","0","0","0","0","0"
"01420","71","71","Aflibercept injection","K","2","97195","0","0","0","0","0","0","0","0"
"01420","72","72","Aflibercept injection","K","2","96879","0","0","0","0","0","0","0","0"
"01420","73","73","Aflibercept injection","K","2","96767","0","0","0","0","0","0","0","0"
"01420","74","74","Aflibercept injection","K","2","96733","0","0","0","0","0","0","0","0"
"01420","75","75","Aflibercept injection","K","2","96354","0","0","0","0","0","0","0","0"
"01420","76","76","Aflibercept injection","K","2","96020","0","0","0","0","0","0","0","0"
"01420","77","77","Aflibercept injection","K","2","95736","0","0","0","0","0","0","0","0"
"01420","78","78","Aflibercept injection","K","2","95247","0","0","0","0","0","0","0","0"
"01420","79","79","Aflibercept injection","K","2","94503","0","0","0","0","0","0","0","0"
"01420","80","80","Aflibercept injection","K","2","93844","0","0","0","0","0","0","0","0"
"01420","81","81","Aflibercept injection","K","2","93177","0","0","0","0","0","0","0","0"
"01420","82","82","Aflibercept injection","K","2","92824","0","0","0","0","0","0","0","0"
"01420","83","83","Aflibercept injection","K","2","92176","0","0","0","0","0","0","0","0"
"01420","84","84","Aflibercept injection","K","2","91887","0","0","0","0","0","0","0","0"
"01420","85","85","Aflibercept injection","K","2","91641","0","0","0","0","0","0","0","0"
"01420","86","86","Aflibercept injection","K","2","91794","0","0","0","0","0","0","0","0"
"01420","87","87","Aflibercept injection","K","2","91575","0","0","0","0","0","0","0","0"
"01421","60","61","Imported lipodox inj","K","1","50843","0","0","0","0","0","0","0","0"
"01421","62","71","Imported lipodox inj","K","2","50843","0","0","0","0","0","0","0","0"
"01421","74","78","Imported lipodox inj","K","2","47040","0","0","0","0","0","0","0","0"
"01421","79","82","Imported lipodox inj","K","2","48206","0","0","0","0","0","0","0","0"
"01421","83","87","Imported lipodox inj","K","2","31104","0","0","0","0","0","0","0","0"
"01422","60","61","Anthrax vaccine sc or im","K","1","9405","0","0","0","0","0","0","0","0"
"01424","60","61","Nabilone oral","K","1","3410","0","0","0","0","0","0","0","0"
"01424","62","63","Nabilone oral","K","2","3410","0","0","0","0","0","0","0","0"
"01424","64","67","Nabilone oral","K","2","3819","0","0","0","0","0","0","0","0"
"01424","68","69","Nabilone oral","K","2","3820","0","0","0","0","0","0","0","0"
"01426","60","60","Eribulin mesylate injection","K","1","10042","0","0","0","0","0","0","0","0"
"01426","61","61","Eribulin mesylate injection","K","1","10193","0","0","0","0","0","0","0","0"
"01426","62","62","Eribulin mesylate injection","K","2","10253","0","0","0","0","0","0","0","0"
"01426","63","63","Eribulin mesylate injection","K","2","10443","0","0","0","0","0","0","0","0"
"01426","64","64","Eribulin mesylate injection","K","2","10478","0","0","0","0","0","0","0","0"
"01426","65","65","Eribulin mesylate injection","K","2","10638","0","0","0","0","0","0","0","0"
"01426","66","66","Eribulin mesylate injection","K","2","10608","0","0","0","0","0","0","0","0"
"01426","67","67","Eribulin mesylate injection","K","2","10808","0","0","0","0","0","0","0","0"
"01426","68","68","Eribulin mesylate injection","K","2","10831","0","0","0","0","0","0","0","0"
"01426","69","69","Eribulin mesylate injection","K","2","10961","0","0","0","0","0","0","0","0"
"01426","70","70","Eribulin mesylate injection","K","2","10916","0","0","0","0","0","0","0","0"
"01426","71","71","Eribulin mesylate injection","K","2","11057","0","0","0","0","0","0","0","0"
"01426","72","72","Eribulin mesylate injection","K","2","11128","0","0","0","0","0","0","0","0"
"01426","73","73","Eribulin mesylate injection","K","2","11299","0","0","0","0","0","0","0","0"
"01426","74","74","Eribulin mesylate injection","K","2","11434","0","0","0","0","0","0","0","0"
"01426","75","75","Eribulin mesylate injection","K","2","11531","0","0","0","0","0","0","0","0"
"01426","76","76","Eribulin mesylate injection","K","2","11484","0","0","0","0","0","0","0","0"
"01426","77","77","Eribulin mesylate injection","K","2","11576","0","0","0","0","0","0","0","0"
"01426","78","78","Eribulin mesylate injection","K","2","11427","0","0","0","0","0","0","0","0"
"01426","79","79","Eribulin mesylate injection","K","2","11624","0","0","0","0","0","0","0","0"
"01426","80","80","Eribulin mesylate injection","K","2","11666","0","0","0","0","0","0","0","0"
"01426","81","81","Eribulin mesylate injection","K","2","11742","0","0","0","0","0","0","0","0"
"01426","82","82","Eribulin mesylate injection","K","2","11766","0","0","0","0","0","0","0","0"
"01426","83","83","Eribulin mesylate injection","K","2","11776","0","0","0","0","0","0","0","0"
"01426","84","84","Eribulin mesylate injection","K","2","11791","0","0","0","0","0","0","0","0"
"01426","85","85","Eribulin mesylate injection","K","2","12129","0","0","0","0","0","0","0","0"
"01426","86","86","Eribulin mesylate injection","K","2","12393","0","0","0","0","0","0","0","0"
"01426","87","87","Eribulin mesylate injection","K","2","12744","0","0","0","0","0","0","0","0"
"01431","60","61","Centruroides immune f(ab)","K","1","363580","0","0","0","0","0","0","0","0"
"01431","62","62","Centruroides immune f(ab)","K","2","363580","0","0","0","0","0","0","0","0"
"01431","63","64","Centruroides immune f(ab)","K","2","392666","0","0","0","0","0","0","0","0"
"01431","65","65","Centruroides immune f(ab)","K","2","423665","0","0","0","0","0","0","0","0"
"01431","66","68","Centruroides immune f(ab)","K","2","424669","0","0","0","0","0","0","0","0"
"01431","69","72","Centruroides immune f(ab)","K","2","445902","0","0","0","0","0","0","0","0"
"01431","73","76","Centruroides immune f(ab)","K","2","459280","0","0","0","0","0","0","0","0"
"01431","77","80","Centruroides immune f(ab)","K","2","482243","0","0","0","0","0","0","0","0"
"01431","81","81","Centruroides immune f(ab)","K","2","501058","0","0","0","0","0","0","0","0"
"01431","82","84","Centruroides immune f(ab)","K","2","506356","0","0","0","0","0","0","0","0"
"01431","85","87","Centruroides immune f(ab)","K","2","519015","0","0","0","0","0","0","0","0"
"01433","60","60","Calcitonin salmon injection","K","1","95669","0","0","0","0","0","0","0","0"
"01433","61","61","Calcitonin salmon injection","K","1","116283","0","0","0","0","0","0","0","0"
"01433","62","62","Calcitonin salmon injection","K","2","200685","0","0","0","0","0","0","0","0"
"01433","63","63","Calcitonin salmon injection","K","2","199776","0","0","0","0","0","0","0","0"
"01433","64","64","Calcitonin salmon injection","K","2","236913","0","0","0","0","0","0","0","0"
"01433","65","65","Calcitonin salmon injection","K","2","232812","0","0","0","0","0","0","0","0"
"01433","66","66","Calcitonin salmon injection","K","2","232114","0","0","0","0","0","0","0","0"
"01433","67","67","Calcitonin salmon injection","K","2","230157","0","0","0","0","0","0","0","0"
"01433","68","68","Calcitonin salmon injection","K","2","226789","0","0","0","0","0","0","0","0"
"01433","69","69","Calcitonin salmon injection","K","2","228299","0","0","0","0","0","0","0","0"
"01433","70","70","Calcitonin salmon injection","K","2","228794","0","0","0","0","0","0","0","0"
"01433","71","71","Calcitonin salmon injection","K","2","226702","0","0","0","0","0","0","0","0"
"01433","72","72","Calcitonin salmon injection","K","2","246106","0","0","0","0","0","0","0","0"
"01433","73","73","Calcitonin salmon injection","K","2","260613","0","0","0","0","0","0","0","0"
"01433","74","74","Calcitonin salmon injection","K","2","262953","0","0","0","0","0","0","0","0"
"01433","75","75","Calcitonin salmon injection","K","2","265110","0","0","0","0","0","0","0","0"
"01433","76","76","Calcitonin salmon injection","K","2","265754","0","0","0","0","0","0","0","0"
"01433","77","77","Calcitonin salmon injection","K","2","264726","0","0","0","0","0","0","0","0"
"01433","78","78","Calcitonin salmon injection","K","2","266105","0","0","0","0","0","0","0","0"
"01433","79","79","Calcitonin salmon injection","K","2","265648","0","0","0","0","0","0","0","0"
"01433","80","80","Calcitonin salmon injection","K","2","265346","0","0","0","0","0","0","0","0"
"01433","81","81","Calcitonin salmon injection","K","2","283150","0","0","0","0","0","0","0","0"
"01433","82","82","Calcitonin salmon injection","K","2","283922","0","0","0","0","0","0","0","0"
"01433","83","83","Calcitonin salmon injection","K","2","283055","0","0","0","0","0","0","0","0"
"01433","84","84","Calcitonin salmon injection","K","2","280101","0","0","0","0","0","0","0","0"
"01433","85","85","Calcitonin salmon injection","K","2","303661","0","0","0","0","0","0","0","0"
"01433","86","86","Calcitonin salmon injection","K","2","310079","0","0","0","0","0","0","0","0"
"01433","87","87","Calcitonin salmon injection","K","2","284159","0","0","0","0","0","0","0","0"
"01440","60","60","Inj desmopressin acetate","K","1","552","0","0","0","0","0","0","0","0"
"01440","61","61","Inj desmopressin acetate","K","1","761","0","0","0","0","0","0","0","0"
"01440","62","62","Inj desmopressin acetate","K","2","897","0","0","0","0","0","0","0","0"
"01440","63","63","Inj desmopressin acetate","K","2","1352","0","0","0","0","0","0","0","0"
"01440","64","64","Inj desmopressin acetate","K","2","1411","0","0","0","0","0","0","0","0"
"01440","65","65","Inj desmopressin acetate","K","2","1520","0","0","0","0","0","0","0","0"
"01440","66","66","Inj desmopressin acetate","K","2","1404","0","0","0","0","0","0","0","0"
"01440","67","67","Inj desmopressin acetate","K","2","1336","0","0","0","0","0","0","0","0"
"01440","68","68","Inj desmopressin acetate","K","2","1315","0","0","0","0","0","0","0","0"
"01440","69","69","Inj desmopressin acetate","K","2","1240","0","0","0","0","0","0","0","0"
"01440","70","70","Inj desmopressin acetate","K","2","1275","0","0","0","0","0","0","0","0"
"01440","71","71","Inj desmopressin acetate","K","2","1290","0","0","0","0","0","0","0","0"
"01440","72","72","Inj desmopressin acetate","K","2","1302","0","0","0","0","0","0","0","0"
"01440","73","73","Inj desmopressin acetate","K","2","1290","0","0","0","0","0","0","0","0"
"01440","74","74","Inj desmopressin acetate","K","2","1260","0","0","0","0","0","0","0","0"
"01440","75","75","Inj desmopressin acetate","K","2","1246","0","0","0","0","0","0","0","0"
"01440","76","76","Inj desmopressin acetate","K","2","1235","0","0","0","0","0","0","0","0"
"01440","77","77","Inj desmopressin acetate","K","2","1197","0","0","0","0","0","0","0","0"
"01440","78","78","Inj desmopressin acetate","K","2","1214","0","0","0","0","0","0","0","0"
"01440","79","79","Inj desmopressin acetate","K","2","1152","0","0","0","0","0","0","0","0"
"01440","80","80","Inj desmopressin acetate","K","2","1130","0","0","0","0","0","0","0","0"
"01440","81","81","Inj desmopressin acetate","K","2","1106","0","0","0","0","0","0","0","0"
"01440","82","82","Inj desmopressin acetate","K","2","1045","0","0","0","0","0","0","0","0"
"01440","83","83","Inj desmopressin acetate","K","2","1057","0","0","0","0","0","0","0","0"
"01440","84","84","Inj desmopressin acetate","K","2","1009","0","0","0","0","0","0","0","0"
"01440","85","85","Inj desmopressin acetate","K","2","986","0","0","0","0","0","0","0","0"
"01440","86","86","Inj desmopressin acetate","K","2","940","0","0","0","0","0","0","0","0"
"01440","87","87","Inj desmopressin acetate","K","2","929","0","0","0","0","0","0","0","0"
"01442","60","61","Non-HEU TC-99M add-on/dose","K","1","1000","0","0","0","0","0","0","0","0"
"01442","62","87","Non-HEU TC-99M add-on/dose","K","2","1000","0","0","0","0","0","0","0","0"
"01443","60","60","Icatibant injection","K","1","27635","0","0","0","0","0","0","0","0"
"01443","61","61","Icatibant injection","K","1","29862","0","0","0","0","0","0","0","0"
"01443","62","62","Icatibant injection","K","2","29890","0","0","0","0","0","0","0","0"
"01443","63","63","Icatibant injection","K","2","31244","0","0","0","0","0","0","0","0"
"01443","64","64","Icatibant injection","K","2","31428","0","0","0","0","0","0","0","0"
"01443","65","65","Icatibant injection","K","2","32334","0","0","0","0","0","0","0","0"
"01443","66","66","Icatibant injection","K","2","32548","0","0","0","0","0","0","0","0"
"01443","67","67","Icatibant injection","K","2","32545","0","0","0","0","0","0","0","0"
"01443","68","68","Icatibant injection","K","2","32561","0","0","0","0","0","0","0","0"
"01443","69","69","Icatibant injection","K","2","32944","0","0","0","0","0","0","0","0"
"01443","70","70","Icatibant injection","K","2","33534","0","0","0","0","0","0","0","0"
"01443","71","71","Icatibant injection","K","2","35182","0","0","0","0","0","0","0","0"
"01443","72","72","Icatibant injection","K","2","35528","0","0","0","0","0","0","0","0"
"01443","73","73","Icatibant injection","K","2","36473","0","0","0","0","0","0","0","0"
"01443","74","74","Icatibant injection","K","2","35900","0","0","0","0","0","0","0","0"
"01443","75","75","Icatibant injection","K","2","36339","0","0","0","0","0","0","0","0"
"01443","76","76","Icatibant injection","K","2","35038","0","0","0","0","0","0","0","0"
"01443","77","77","Icatibant injection","K","2","36820","0","0","0","0","0","0","0","0"
"01443","78","78","Icatibant injection","K","2","37708","0","0","0","0","0","0","0","0"
"01443","79","79","Icatibant injection","K","2","37179","0","0","0","0","0","0","0","0"
"01443","80","80","Icatibant injection","K","2","33784","0","0","0","0","0","0","0","0"
"01443","81","81","Icatibant injection","K","2","30830","0","0","0","0","0","0","0","0"
"01443","82","82","Icatibant injection","K","2","27657","0","0","0","0","0","0","0","0"
"01443","83","83","Icatibant injection","K","2","27360","0","0","0","0","0","0","0","0"
"01443","84","84","Icatibant injection","K","2","21624","0","0","0","0","0","0","0","0"
"01443","85","85","Icatibant injection","K","2","21913","0","0","0","0","0","0","0","0"
"01443","86","86","Icatibant injection","K","2","20496","0","0","0","0","0","0","0","0"
"01443","87","87","Icatibant injection","K","2","20047","0","0","0","0","0","0","0","0"
"01446","60","60","Visualization adjunct","K","1","1046","0","0","0","0","0","0","0","0"
"01446","61","61","Visualization adjunct","K","1","1070","0","0","0","0","0","0","0","0"
"01446","62","62","Visualization adjunct","K","2","1080","0","0","0","0","0","0","0","0"
"01446","63","63","Visualization adjunct","K","2","1064","0","0","0","0","0","0","0","0"
"01446","64","64","Visualization adjunct","K","2","1141","0","0","0","0","0","0","0","0"
"01446","65","65","Visualization adjunct","K","2","1184","0","0","0","0","0","0","0","0"
"01446","66","66","Visualization adjunct","K","2","222","0","0","0","0","0","0","0","0"
"01446","67","67","Visualization adjunct","K","2","239","0","0","0","0","0","0","0","0"
"01446","68","68","Visualization adjunct","K","2","297","0","0","0","0","0","0","0","0"
"01446","69","69","Visualization adjunct","K","2","429","0","0","0","0","0","0","0","0"
"01446","70","70","Visualization adjunct","K","2","404","0","0","0","0","0","0","0","0"
"01446","71","71","Visualization adjunct","K","2","392","0","0","0","0","0","0","0","0"
"01446","72","72","Visualization adjunct","K","2","496","0","0","0","0","0","0","0","0"
"01446","73","73","Visualization adjunct","K","2","548","0","0","0","0","0","0","0","0"
"01446","74","74","Visualization adjunct","K","2","386","0","0","0","0","0","0","0","0"
"01446","75","75","Visualization adjunct","K","2","427","0","0","0","0","0","0","0","0"
"01446","76","76","Visualization adjunct","K","2","454","0","0","0","0","0","0","0","0"
"01446","77","77","Visualization adjunct","K","2","411","0","0","0","0","0","0","0","0"
"01446","78","78","Visualization adjunct","K","2","640","0","0","0","0","0","0","0","0"
"01446","79","79","Visualization adjunct","K","2","611","0","0","0","0","0","0","0","0"
"01446","80","80","Visualization adjunct","K","2","649","0","0","0","0","0","0","0","0"
"01446","81","81","Visualization adjunct","K","2","727","0","0","0","0","0","0","0","0"
"01446","82","82","Visualization adjunct","K","2","755","0","0","0","0","0","0","0","0"
"01446","83","83","Visualization adjunct","K","2","620","0","0","0","0","0","0","0","0"
"01446","84","84","Visualization adjunct","K","2","697","0","0","0","0","0","0","0","0"
"01446","85","85","Visualization adjunct","K","2","666","0","0","0","0","0","0","0","0"
"01446","86","86","Visualization adjunct","K","2","673","0","0","0","0","0","0","0","0"
"01446","87","87","Visualization adjunct","K","2","776","0","0","0","0","0","0","0","0"
"01448","60","60","Opthalmic mitomycin","G","5","37397","0","0","0","0","0","0","0","0"
"01448","61","61","Opthalmic mitomycin","G","5","37552","0","0","0","0","0","0","0","0"
"01449","60","60","Talymed","G","5","1681","0","0","0","0","0","0","0","0"
"01449","61","61","Talymed","G","5","1519","0","0","0","0","0","0","0","0"
"01456","60","60","Pentobarbital sodium inj","K","1","3691","0","0","0","0","0","0","0","0"
"01456","61","61","Pentobarbital sodium inj","K","1","3794","0","0","0","0","0","0","0","0"
"01457","60","61","Totazoline hcl injection","K","1","160040","0","0","0","0","0","0","0","0"
"01457","62","69","Totazoline hcl injection","K","2","160040","0","0","0","0","0","0","0","0"
"01458","60","60","Phentolaine mesylate inj","K","1","12771","0","0","0","0","0","0","0","0"
"01458","61","61","Phentolaine mesylate inj","K","1","15900","0","0","0","0","0","0","0","0"
"01458","62","63","Phentolaine mesylate inj","K","2","15900","0","0","0","0","0","0","0","0"
"01458","64","64","Phentolaine mesylate inj","K","2","42579","0","0","0","0","0","0","0","0"
"01458","65","65","Phentolaine mesylate inj","K","2","40896","0","0","0","0","0","0","0","0"
"01458","66","66","Phentolaine mesylate inj","K","2","40251","0","0","0","0","0","0","0","0"
"01458","67","67","Phentolaine mesylate inj","K","2","39832","0","0","0","0","0","0","0","0"
"01458","68","68","Phentolaine mesylate inj","K","2","33492","0","0","0","0","0","0","0","0"
"01458","69","69","Phentolaine mesylate inj","K","2","32888","0","0","0","0","0","0","0","0"
"01458","70","70","Phentolaine mesylate inj","K","2","35828","0","0","0","0","0","0","0","0"
"01458","71","71","Phentolaine mesylate inj","K","2","38908","0","0","0","0","0","0","0","0"
"01458","72","72","Phentolaine mesylate inj","K","2","37844","0","0","0","0","0","0","0","0"
"01458","73","73","Phentolaine mesylate inj","K","2","39194","0","0","0","0","0","0","0","0"
"01458","74","74","Phentolaine mesylate inj","K","2","39284","0","0","0","0","0","0","0","0"
"01458","75","75","Phentolaine mesylate inj","K","2","37964","0","0","0","0","0","0","0","0"
"01458","76","76","Phentolaine mesylate inj","K","2","38712","0","0","0","0","0","0","0","0"
"01458","77","77","Phentolaine mesylate inj","K","2","39215","0","0","0","0","0","0","0","0"
"01458","78","78","Phentolaine mesylate inj","K","2","37757","0","0","0","0","0","0","0","0"
"01458","79","79","Phentolaine mesylate inj","K","2","38190","0","0","0","0","0","0","0","0"
"01458","80","80","Phentolaine mesylate inj","K","2","37875","0","0","0","0","0","0","0","0"
"01458","81","81","Phentolaine mesylate inj","K","2","37474","0","0","0","0","0","0","0","0"
"01458","82","82","Phentolaine mesylate inj","K","2","35914","0","0","0","0","0","0","0","0"
"01458","83","83","Phentolaine mesylate inj","K","2","35688","0","0","0","0","0","0","0","0"
"01458","84","84","Phentolaine mesylate inj","K","2","41336","0","0","0","0","0","0","0","0"
"01458","85","85","Phentolaine mesylate inj","K","2","40955","0","0","0","0","0","0","0","0"
"01458","86","86","Phentolaine mesylate inj","K","2","41600","0","0","0","0","0","0","0","0"
"01458","87","87","Phentolaine mesylate inj","K","2","41412","0","0","0","0","0","0","0","0"
"01459","60","61","Urea injection","K","1","3997","0","0","0","0","0","0","0","0"
"01460","60","61","Interferon alfa-2a inj","K","1","73357","0","0","0","0","0","0","0","0"
"01460","62","66","Interferon alfa-2a inj","K","2","73357","0","0","0","0","0","0","0","0"
"01460","67","69","Interferon alfa-2a inj","K","2","3223","0","0","0","0","0","0","0","0"
"01463","60","61","Tc99 Tilmanocept diag 0.5mci","G","5","35700","0","0","0","0","0","0","0","0"
"01464","60","61","Factor VIII (porcine)","K","1","20","0","0","0","0","0","0","0","0"
"01464","62","69","Factor VIII (porcine)","K","2","20","0","0","0","0","0","0","0","0"
"01465","60","61","Tacrolimus ex rel oral 0.1mg","G","5","39","0","0","0","0","0","0","0","0"
"01465","62","65","Tacrol astagraf ex rel oral","G","2","39","0","0","0","0","0","0","0","0"
"01466","60","60","Inj, vincristine sul lip 1mg","G","5","222699","0","0","0","0","0","0","0","0"
"01466","61","61","Inj, vincristine sul lip 1mg","G","5","222861","0","0","0","0","0","0","0","0"
"01466","62","62","Inj, vincristine sul lip 1mg","G","2","232182","0","0","0","0","0","0","0","0"
"01466","63","63","Inj, vincristine sul lip 1mg","G","2","232019","0","0","0","0","0","0","0","0"
"01466","64","64","Inj, vincristine sul lip 1mg","G","2","241247","0","0","0","0","0","0","0","0"
"01466","65","65","Inj, vincristine sul lip 1mg","G","2","249301","0","0","0","0","0","0","0","0"
"01466","66","66","Inj, vincristine sul lip 1mg","K","2","250649","0","0","0","0","0","0","0","0"
"01466","67","67","Inj, vincristine sul lip 1mg","K","2","250276","0","0","0","0","0","0","0","0"
"01466","68","69","Inj, vincristine sul lip 1mg","K","2","260036","0","0","0","0","0","0","0","0"
"01466","70","71","Inj, vincristine sul lip 1mg","K","2","270178","0","0","0","0","0","0","0","0"
"01466","72","73","Inj, vincristine sul lip 1mg","K","2","280715","0","0","0","0","0","0","0","0"
"01466","74","75","Inj, vincristine sul lip 1mg","K","2","291662","0","0","0","0","0","0","0","0"
"01466","76","77","Inj, vincristine sul lip 1mg","K","2","303037","0","0","0","0","0","0","0","0"
"01466","78","78","Inj, vincristine sul lip 1mg","K","2","308004","0","0","0","0","0","0","0","0"
"01466","79","80","Inj, vincristine sul lip 1mg","K","2","307583","0","0","0","0","0","0","0","0"
"01466","81","81","Inj, vincristine sul lip 1mg","K","2","319535","0","0","0","0","0","0","0","0"
"01466","82","82","Inj, vincristine sul lip 1mg","K","2","332017","0","0","0","0","0","0","0","0"
"01466","83","83","Inj, vincristine sul lip 1mg","K","2","332040","0","0","0","0","0","0","0","0"
"01466","84","85","Inj, vincristine sul lip 1mg","K","2","332042","0","0","0","0","0","0","0","0"
"01466","86","86","Inj, vincristine sul lip 1mg","K","2","337023","0","0","0","0","0","0","0","0"
"01466","87","87","Inj, vincristine sul lip 1mg","K","2","342078","0","0","0","0","0","0","0","0"
"01467","60","61","Factor ix recombinan rixubis","G","5","124","0","0","0","0","0","0","0","0"
"01467","62","62","Factor ix recombinan rixubis","G","2","123","0","0","0","0","0","0","0","0"
"01467","63","63","Factor ix recombinan rixubis","G","2","124","0","0","0","0","0","0","0","0"
"01467","64","64","Factor ix recombinan rixubis","G","2","123","0","0","0","0","0","0","0","0"
"01467","65","65","Factor ix recombinan rixubis","G","2","125","0","0","0","0","0","0","0","0"
"01467","66","68","Factor ix recombinan rixubis","K","2","125","0","0","0","0","0","0","0","0"
"01467","69","69","Factor ix recombinan rixubis","K","2","128","0","0","0","0","0","0","0","0"
"01467","70","70","Factor ix recombinan rixubis","K","2","127","0","0","0","0","0","0","0","0"
"01467","71","71","Factor ix recombinan rixubis","K","2","138","0","0","0","0","0","0","0","0"
"01467","72","72","Factor ix recombinan rixubis","K","2","131","0","0","0","0","0","0","0","0"
"01467","73","73","Factor ix recombinan rixubis","K","2","135","0","0","0","0","0","0","0","0"
"01467","74","74","Factor ix recombinan rixubis","K","2","130","0","0","0","0","0","0","0","0"
"01467","75","75","Factor ix recombinan rixubis","K","2","131","0","0","0","0","0","0","0","0"
"01467","76","76","Factor ix recombinan rixubis","K","2","133","0","0","0","0","0","0","0","0"
"01467","77","77","Factor ix recombinan rixubis","K","2","140","0","0","0","0","0","0","0","0"
"01467","78","78","Factor ix recombinan rixubis","K","2","132","0","0","0","0","0","0","0","0"
"01467","79","79","Factor ix recombinan rixubis","K","2","133","0","0","0","0","0","0","0","0"
"01467","80","80","Factor ix recombinan rixubis","K","2","137","0","0","0","0","0","0","0","0"
"01467","81","81","Factor ix recombinan rixubis","K","2","145","0","0","0","0","0","0","0","0"
"01467","82","83","Factor ix recombinan rixubis","K","2","146","0","0","0","0","0","0","0","0"
"01467","84","84","Factor ix recombinan rixubis","K","2","140","0","0","0","0","0","0","0","0"
"01467","85","85","Factor ix recombinan rixubis","K","2","147","0","0","0","0","0","0","0","0"
"01467","86","86","Factor ix recombinan rixubis","K","2","154","0","0","0","0","0","0","0","0"
"01467","87","87","Factor ix recombinan rixubis","K","2","145","0","0","0","0","0","0","0","0"
"01468","60","60","Inj Aripiprazole Ext Rel 1mg","K","1","398","0","0","0","0","0","0","0","0"
"01468","61","61","Inj Aripiprazole Ext Rel 1mg","K","1","410","0","0","0","0","0","0","0","0"
"01468","62","62","Inj Aripiprazole Ext Rel 1mg","K","2","410","0","0","0","0","0","0","0","0"
"01468","63","64","Inj Aripiprazole Ext Rel 1mg","K","2","425","0","0","0","0","0","0","0","0"
"01468","65","65","Inj Aripiprazole Ext Rel 1mg","K","2","440","0","0","0","0","0","0","0","0"
"01468","66","66","Inj Aripiprazole Ext Rel 1mg","K","2","438","0","0","0","0","0","0","0","0"
"01468","67","67","Inj Aripiprazole Ext Rel 1mg","K","2","459","0","0","0","0","0","0","0","0"
"01468","68","68","Inj Aripiprazole Ext Rel 1mg","K","2","458","0","0","0","0","0","0","0","0"
"01468","69","69","Inj Aripiprazole Ext Rel 1mg","K","2","479","0","0","0","0","0","0","0","0"
"01468","70","70","Inj Aripiprazole Ext Rel 1mg","K","2","489","0","0","0","0","0","0","0","0"
"01468","71","71","Inj Aripiprazole Ext Rel 1mg","K","2","502","0","0","0","0","0","0","0","0"
"01468","72","72","Inj Aripiprazole Ext Rel 1mg","K","2","501","0","0","0","0","0","0","0","0"
"01468","73","74","Inj Aripiprazole Ext Rel 1mg","K","2","524","0","0","0","0","0","0","0","0"
"01468","75","75","Inj Aripiprazole Ext Rel 1mg","K","2","547","0","0","0","0","0","0","0","0"
"01468","76","77","Inj Aripiprazole Ext Rel 1mg","K","2","545","0","0","0","0","0","0","0","0"
"01468","78","79","Inj Aripiprazole Ext Rel 1mg","K","2","570","0","0","0","0","0","0","0","0"
"01468","80","80","Inj Aripiprazole Ext Rel 1mg","K","2","569","0","0","0","0","0","0","0","0"
"01468","81","84","Inj Aripiprazole Ext Rel 1mg","K","2","570","0","0","0","0","0","0","0","0"
"01468","85","85","Inj Aripiprazole Ext Rel 1mg","K","2","592","0","0","0","0","0","0","0","0"
"01468","86","86","Inj Aripiprazole Ext Rel 1mg","K","2","601","0","0","0","0","0","0","0","0"
"01468","87","87","Inj Aripiprazole Ext Rel 1mg","K","2","599","0","0","0","0","0","0","0","0"
"01469","60","60","Inj, Filgrastim G-CSF 1mcg","K","1","99","0","0","0","0","0","0","0","0"
"01469","61","61","Inj, Filgrastim G-CSF 1mcg","K","1","100","0","0","0","0","0","0","0","0"
"01469","62","62","Inj filgrastim excl biosimil","K","2","100","0","0","0","0","0","0","0","0"
"01469","63","64","Inj filgrastim excl biosimil","K","2","101","0","0","0","0","0","0","0","0"
"01469","65","67","Inj filgrastim excl biosimil","K","2","100","0","0","0","0","0","0","0","0"
"01469","68","70","Inj filgrastim excl biosimil","K","2","101","0","0","0","0","0","0","0","0"
"01469","71","71","Inj filgrastim excl biosimil","K","2","100","0","0","0","0","0","0","0","0"
"01469","72","74","Inj filgrastim excl biosimil","K","2","102","0","0","0","0","0","0","0","0"
"01469","75","76","Inj filgrastim excl biosimil","K","2","100","0","0","0","0","0","0","0","0"
"01469","77","77","Inj filgrastim excl biosimil","K","2","98","0","0","0","0","0","0","0","0"
"01469","78","79","Inj filgrastim excl biosimil","K","2","96","0","0","0","0","0","0","0","0"
"01469","80","80","Inj filgrastim excl biosimil","K","2","94","0","0","0","0","0","0","0","0"
"01469","81","81","Inj filgrastim excl biosimil","K","2","92","0","0","0","0","0","0","0","0"
"01469","82","82","Inj filgrastim excl biosimil","K","2","93","0","0","0","0","0","0","0","0"
"01469","83","83","Inj filgrastim excl biosimil","K","2","94","0","0","0","0","0","0","0","0"
"01469","84","84","Inj filgrastim excl biosimil","K","2","95","0","0","0","0","0","0","0","0"
"01469","85","85","Inj filgrastim excl biosimil","K","2","96","0","0","0","0","0","0","0","0"
"01469","86","86","Inj filgrastim excl biosimil","K","2","97","0","0","0","0","0","0","0","0"
"01469","87","87","Inj filgrastim excl biosimil","K","2","98","0","0","0","0","0","0","0","0"
"01471","60","61","Injection, Pertuzumab, 1 mg","K","1","1022","0","0","0","0","0","0","0","0"
"01471","62","62","Injection, Pertuzumab, 1 mg","K","2","1022","0","0","0","0","0","0","0","0"
"01471","63","63","Injection, Pertuzumab, 1 mg","K","2","1047","0","0","0","0","0","0","0","0"
"01471","64","64","Injection, Pertuzumab, 1 mg","K","2","1044","0","0","0","0","0","0","0","0"
"01471","65","65","Injection, Pertuzumab, 1 mg","K","2","1066","0","0","0","0","0","0","0","0"
"01471","66","66","Injection, Pertuzumab, 1 mg","K","2","1065","0","0","0","0","0","0","0","0"
"01471","67","67","Injection, Pertuzumab, 1 mg","K","2","1090","0","0","0","0","0","0","0","0"
"01471","68","68","Injection, Pertuzumab, 1 mg","K","2","1088","0","0","0","0","0","0","0","0"
"01471","69","69","Injection, Pertuzumab, 1 mg","K","2","1111","0","0","0","0","0","0","0","0"
"01471","70","70","Injection, Pertuzumab, 1 mg","K","2","1116","0","0","0","0","0","0","0","0"
"01471","71","71","Injection, Pertuzumab, 1 mg","K","2","1143","0","0","0","0","0","0","0","0"
"01471","72","72","Injection, Pertuzumab, 1 mg","K","2","1151","0","0","0","0","0","0","0","0"
"01471","73","73","Injection, Pertuzumab, 1 mg","K","2","1181","0","0","0","0","0","0","0","0"
"01471","74","74","Injection, Pertuzumab, 1 mg","K","2","1187","0","0","0","0","0","0","0","0"
"01471","75","76","Injection, Pertuzumab, 1 mg","K","2","1220","0","0","0","0","0","0","0","0"
"01471","77","77","Injection, Pertuzumab, 1 mg","K","2","1225","0","0","0","0","0","0","0","0"
"01471","78","78","Injection, Pertuzumab, 1 mg","K","2","1229","0","0","0","0","0","0","0","0"
"01471","79","79","Injection, Pertuzumab, 1 mg","K","2","1262","0","0","0","0","0","0","0","0"
"01471","80","80","Injection, Pertuzumab, 1 mg","K","2","1264","0","0","0","0","0","0","0","0"
"01471","81","81","Injection, Pertuzumab, 1 mg","K","2","1294","0","0","0","0","0","0","0","0"
"01471","82","82","Injection, Pertuzumab, 1 mg","K","2","1295","0","0","0","0","0","0","0","0"
"01471","83","83","Injection, Pertuzumab, 1 mg","K","2","1299","0","0","0","0","0","0","0","0"
"01471","84","84","Injection, Pertuzumab, 1 mg","K","2","1302","0","0","0","0","0","0","0","0"
"01471","85","85","Injection, Pertuzumab, 1 mg","K","2","1353","0","0","0","0","0","0","0","0"
"01471","86","87","Injection, Pertuzumab, 1 mg","K","2","1356","0","0","0","0","0","0","0","0"
"01472","60","60","Inj beta interferon im 1 mcg","K","1","3850","0","0","0","0","0","0","0","0"
"01472","61","61","Inj beta interferon im 1 mcg","K","1","3870","0","0","0","0","0","0","0","0"
"01472","62","62","Inj beta interferon im 1 mcg","K","2","4052","0","0","0","0","0","0","0","0"
"01472","63","63","Inj beta interferon im 1 mcg","K","2","4179","0","0","0","0","0","0","0","0"
"01472","64","64","Inj beta interferon im 1 mcg","K","2","4348","0","0","0","0","0","0","0","0"
"01472","65","65","Inj beta interferon im 1 mcg","K","2","4480","0","0","0","0","0","0","0","0"
"01472","66","66","Inj beta interferon im 1 mcg","K","2","4537","0","0","0","0","0","0","0","0"
"01472","67","67","Inj beta interferon im 1 mcg","K","2","4634","0","0","0","0","0","0","0","0"
"01472","68","68","Inj beta interferon im 1 mcg","K","2","4621","0","0","0","0","0","0","0","0"
"01472","69","69","Inj beta interferon im 1 mcg","K","2","5026","0","0","0","0","0","0","0","0"
"01472","70","70","Inj beta interferon im 1 mcg","K","2","5011","0","0","0","0","0","0","0","0"
"01472","71","72","Inj beta interferon im 1 mcg","K","2","5017","0","0","0","0","0","0","0","0"
"01472","73","73","Inj beta interferon im 1 mcg","K","2","5418","0","0","0","0","0","0","0","0"
"01472","74","74","Inj beta interferon im 1 mcg","K","2","5411","0","0","0","0","0","0","0","0"
"01472","75","75","Inj beta interferon im 1 mcg","K","2","5363","0","0","0","0","0","0","0","0"
"01472","76","76","Inj beta interferon im 1 mcg","K","2","5340","0","0","0","0","0","0","0","0"
"01472","77","77","Inj beta interferon im 1 mcg","K","2","5389","0","0","0","0","0","0","0","0"
"01472","78","78","Inj beta interferon im 1 mcg","K","2","5358","0","0","0","0","0","0","0","0"
"01472","79","79","Inj beta interferon im 1 mcg","K","2","5356","0","0","0","0","0","0","0","0"
"01472","80","80","Inj beta interferon im 1 mcg","K","2","5322","0","0","0","0","0","0","0","0"
"01472","81","81","Inj beta interferon im 1 mcg","K","2","5401","0","0","0","0","0","0","0","0"
"01472","82","82","Inj beta interferon im 1 mcg","K","2","5432","0","0","0","0","0","0","0","0"
"01472","83","83","Inj beta interferon im 1 mcg","K","2","5442","0","0","0","0","0","0","0","0"
"01472","84","84","Inj beta interferon im 1 mcg","K","2","5429","0","0","0","0","0","0","0","0"
"01472","85","85","Inj beta interferon im 1 mcg","K","2","5552","0","0","0","0","0","0","0","0"
"01472","86","86","Inj beta interferon im 1 mcg","K","2","5529","0","0","0","0","0","0","0","0"
"01472","87","87","Inj beta interferon im 1 mcg","K","2","5484","0","0","0","0","0","0","0","0"
"01474","60","60","Certolizumab pegol inj 1mg","K","1","605","0","0","0","0","0","0","0","0"
"01474","61","61","Certolizumab pegol inj 1mg","K","1","599","0","0","0","0","0","0","0","0"
"01474","62","62","Certolizumab pegol inj 1mg","K","2","662","0","0","0","0","0","0","0","0"
"01474","63","63","Certolizumab pegol inj 1mg","K","2","647","0","0","0","0","0","0","0","0"
"01474","64","64","Certolizumab pegol inj 1mg","K","2","649","0","0","0","0","0","0","0","0"
"01474","65","66","Certolizumab pegol inj 1mg","K","2","706","0","0","0","0","0","0","0","0"
"01474","67","67","Certolizumab pegol inj 1mg","K","2","738","0","0","0","0","0","0","0","0"
"01474","68","68","Certolizumab pegol inj 1mg","K","2","734","0","0","0","0","0","0","0","0"
"01474","69","69","Certolizumab pegol inj 1mg","K","2","771","0","0","0","0","0","0","0","0"
"01474","70","70","Certolizumab pegol inj 1mg","K","2","747","0","0","0","0","0","0","0","0"
"01474","71","71","Certolizumab pegol inj 1mg","K","2","793","0","0","0","0","0","0","0","0"
"01474","72","72","Certolizumab pegol inj 1mg","K","2","774","0","0","0","0","0","0","0","0"
"01474","73","73","Certolizumab pegol inj 1mg","K","2","802","0","0","0","0","0","0","0","0"
"01474","74","74","Certolizumab pegol inj 1mg","K","2","814","0","0","0","0","0","0","0","0"
"01474","75","75","Certolizumab pegol inj 1mg","K","2","789","0","0","0","0","0","0","0","0"
"01474","76","76","Certolizumab pegol inj 1mg","K","2","787","0","0","0","0","0","0","0","0"
"01474","77","77","Certolizumab pegol inj 1mg","K","2","813","0","0","0","0","0","0","0","0"
"01474","78","78","Certolizumab pegol inj 1mg","K","2","802","0","0","0","0","0","0","0","0"
"01474","79","79","Certolizumab pegol inj 1mg","K","2","821","0","0","0","0","0","0","0","0"
"01474","80","80","Certolizumab pegol inj 1mg","K","2","799","0","0","0","0","0","0","0","0"
"01474","81","81","Certolizumab pegol inj 1mg","K","2","828","0","0","0","0","0","0","0","0"
"01474","82","82","Certolizumab pegol inj 1mg","K","2","816","0","0","0","0","0","0","0","0"
"01474","83","83","Certolizumab pegol inj 1mg","K","2","818","0","0","0","0","0","0","0","0"
"01474","84","84","Certolizumab pegol inj 1mg","K","2","808","0","0","0","0","0","0","0","0"
"01474","85","85","Certolizumab pegol inj 1mg","K","2","652","0","0","0","0","0","0","0","0"
"01474","86","86","Certolizumab pegol inj 1mg","K","2","627","0","0","0","0","0","0","0","0"
"01474","87","87","Certolizumab pegol inj 1mg","K","2","628","0","0","0","0","0","0","0","0"
"01475","60","60","Golimumab for iv use 1mg","K","1","2420","0","0","0","0","0","0","0","0"
"01475","61","61","Golimumab for iv use 1mg","K","1","2404","0","0","0","0","0","0","0","0"
"01475","62","62","Golimumab for iv use 1mg","K","2","2433","0","0","0","0","0","0","0","0"
"01475","63","63","Golimumab for iv use 1mg","K","2","2436","0","0","0","0","0","0","0","0"
"01475","64","64","Golimumab for iv use 1mg","K","2","2460","0","0","0","0","0","0","0","0"
"01475","65","65","Golimumab for iv use 1mg","K","2","2473","0","0","0","0","0","0","0","0"
"01475","66","66","Golimumab for iv use 1mg","K","2","2479","0","0","0","0","0","0","0","0"
"01475","67","67","Golimumab for iv use 1mg","K","2","2439","0","0","0","0","0","0","0","0"
"01475","68","68","Golimumab for iv use 1mg","K","2","2499","0","0","0","0","0","0","0","0"
"01475","69","69","Golimumab for iv use 1mg","K","2","2473","0","0","0","0","0","0","0","0"
"01475","70","70","Golimumab for iv use 1mg","K","2","2474","0","0","0","0","0","0","0","0"
"01475","71","71","Golimumab for iv use 1mg","K","2","2428","0","0","0","0","0","0","0","0"
"01475","72","72","Golimumab for iv use 1mg","K","2","2404","0","0","0","0","0","0","0","0"
"01475","73","73","Golimumab for iv use 1mg","K","2","2430","0","0","0","0","0","0","0","0"
"01475","74","74","Golimumab for iv use 1mg","K","2","2401","0","0","0","0","0","0","0","0"
"01475","75","75","Golimumab for iv use 1mg","K","2","2333","0","0","0","0","0","0","0","0"
"01475","76","76","Golimumab for iv use 1mg","K","2","2234","0","0","0","0","0","0","0","0"
"01475","77","77","Golimumab for iv use 1mg","K","2","2189","0","0","0","0","0","0","0","0"
"01475","78","78","Golimumab for iv use 1mg","K","2","2158","0","0","0","0","0","0","0","0"
"01475","79","79","Golimumab for iv use 1mg","K","2","2066","0","0","0","0","0","0","0","0"
"01475","80","80","Golimumab for iv use 1mg","K","2","2017","0","0","0","0","0","0","0","0"
"01475","81","81","Golimumab for iv use 1mg","K","2","2000","0","0","0","0","0","0","0","0"
"01475","82","82","Golimumab for iv use 1mg","K","2","1900","0","0","0","0","0","0","0","0"
"01475","83","83","Golimumab for iv use 1mg","K","2","1812","0","0","0","0","0","0","0","0"
"01475","84","84","Golimumab for iv use 1mg","K","2","1715","0","0","0","0","0","0","0","0"
"01475","85","85","Golimumab for iv use 1mg","K","2","1696","0","0","0","0","0","0","0","0"
"01475","86","86","Golimumab for iv use 1mg","K","2","1682","0","0","0","0","0","0","0","0"
"01475","87","87","Golimumab for iv use 1mg","K","2","1610","0","0","0","0","0","0","0","0"
"01476","60","60","Obinutuzumab inj","G","5","5421","0","0","0","0","0","0","0","0"
"01476","61","61","Obinutuzumab inj","G","5","5419","0","0","0","0","0","0","0","0"
"01476","62","62","Obinutuzumab inj","G","2","5421","0","0","0","0","0","0","0","0"
"01476","63","63","Obinutuzumab inj","G","2","5536","0","0","0","0","0","0","0","0"
"01476","64","64","Obinutuzumab inj","G","2","5520","0","0","0","0","0","0","0","0"
"01476","65","65","Obinutuzumab inj","G","2","5629","0","0","0","0","0","0","0","0"
"01476","66","66","Obinutuzumab inj","K","2","5620","0","0","0","0","0","0","0","0"
"01476","67","67","Obinutuzumab inj","K","2","5743","0","0","0","0","0","0","0","0"
"01476","68","68","Obinutuzumab inj","K","2","5736","0","0","0","0","0","0","0","0"
"01476","69","69","Obinutuzumab inj","K","2","5878","0","0","0","0","0","0","0","0"
"01476","70","70","Obinutuzumab inj","K","2","5894","0","0","0","0","0","0","0","0"
"01476","71","71","Obinutuzumab inj","K","2","6064","0","0","0","0","0","0","0","0"
"01476","72","72","Obinutuzumab inj","K","2","6084","0","0","0","0","0","0","0","0"
"01476","73","73","Obinutuzumab inj","K","2","6284","0","0","0","0","0","0","0","0"
"01476","74","74","Obinutuzumab inj","K","2","6263","0","0","0","0","0","0","0","0"
"01476","75","75","Obinutuzumab inj","K","2","6462","0","0","0","0","0","0","0","0"
"01476","76","76","Obinutuzumab inj","K","2","6391","0","0","0","0","0","0","0","0"
"01476","77","77","Obinutuzumab inj","K","2","6334","0","0","0","0","0","0","0","0"
"01476","78","78","Obinutuzumab inj","K","2","6286","0","0","0","0","0","0","0","0"
"01476","79","79","Obinutuzumab inj","K","2","6352","0","0","0","0","0","0","0","0"
"01476","80","80","Obinutuzumab inj","K","2","6348","0","0","0","0","0","0","0","0"
"01476","81","81","Obinutuzumab inj","K","2","6419","0","0","0","0","0","0","0","0"
"01476","82","82","Obinutuzumab inj","K","2","6374","0","0","0","0","0","0","0","0"
"01476","83","83","Obinutuzumab inj","K","2","6354","0","0","0","0","0","0","0","0"
"01476","84","84","Obinutuzumab inj","K","2","6308","0","0","0","0","0","0","0","0"
"01476","85","85","Obinutuzumab inj","K","2","6442","0","0","0","0","0","0","0","0"
"01476","86","86","Obinutuzumab inj","K","2","6454","0","0","0","0","0","0","0","0"
"01476","87","87","Obinutuzumab inj","K","2","6411","0","0","0","0","0","0","0","0"
"01477","60","60","Inj, tbo-filgrastim, 5 mcg","G","5","385","0","0","0","0","0","0","0","0"
"01477","61","61","Inj, tbo-filgrastim, 5 mcg","G","5","394","0","0","0","0","0","0","0","0"
"01478","60","60","Human fibrinogen conc inj","K","1","101","0","0","0","0","0","0","0","0"
"01478","61","61","Human fibrinogen conc inj","K","1","105","0","0","0","0","0","0","0","0"
"01478","62","62","Human fibrinogen conc inj","K","2","105","0","0","0","0","0","0","0","0"
"01478","63","64","Human fibrinogen conc inj","K","2","109","0","0","0","0","0","0","0","0"
"01478","65","66","Human fibrinogen conc inj","K","2","114","0","0","0","0","0","0","0","0"
"01478","67","69","Human fibrinogen conc inj","K","2","115","0","0","0","0","0","0","0","0"
"01478","70","70","Human fibrinogen conc inj","K","2","116","0","0","0","0","0","0","0","0"
"01478","71","72","Human fibrinogen conc inj","K","2","117","0","0","0","0","0","0","0","0"
"01478","73","73","Human fibrinogen conc inj","K","2","116","0","0","0","0","0","0","0","0"
"01478","74","74","Inj human fibrinogen con nos","K","2","116","0","0","0","0","0","0","0","0"
"01478","75","75","Inj human fibrinogen con nos","K","2","117","0","0","0","0","0","0","0","0"
"01478","76","79","Inj human fibrinogen con nos","K","2","120","0","0","0","0","0","0","0","0"
"01478","80","82","Inj human fibrinogen con nos","K","2","124","0","0","0","0","0","0","0","0"
"01478","83","83","Inj human fibrinogen con nos","K","2","126","0","0","0","0","0","0","0","0"
"01478","84","87","Inj human fibrinogen con nos","K","2","130","0","0","0","0","0","0","0","0"
"01479","60","60","Theraskin","G","5","3513","0","0","0","0","0","0","0","0"
"01479","61","61","Theraskin","G","5","3618","0","0","0","0","0","0","0","0"
"01479","62","62","Theraskin","G","2","3600","0","0","0","0","0","0","0","0"
"01479","63","63","Theraskin","G","2","3847","0","0","0","0","0","0","0","0"
"01479","64","64","Theraskin","G","2","3964","0","0","0","0","0","0","0","0"
"01479","65","65","Theraskin","G","2","4015","0","0","0","0","0","0","0","0"
"01480","60","60","Elosulfase alfa, injection","G","5","22175","0","0","0","0","0","0","0","0"
"01480","61","61","Elosulfase alfa, injection","G","5","22163","0","0","0","0","0","0","0","0"
"01480","62","62","Elosulfase alfa, injection","G","2","22154","0","0","0","0","0","0","0","0"
"01480","63","63","Elosulfase alfa, injection","G","2","22175","0","0","0","0","0","0","0","0"
"01480","64","64","Elosulfase alfa, injection","G","2","22166","0","0","0","0","0","0","0","0"
"01480","65","65","Elosulfase alfa, injection","G","2","22138","0","0","0","0","0","0","0","0"
"01480","66","66","Elosulfase alfa, injection","K","2","22177","0","0","0","0","0","0","0","0"
"01480","67","67","Elosulfase alfa, injection","K","2","22161","0","0","0","0","0","0","0","0"
"01480","68","68","Elosulfase alfa, injection","K","2","22437","0","0","0","0","0","0","0","0"
"01480","69","69","Elosulfase alfa, injection","K","2","22710","0","0","0","0","0","0","0","0"
"01480","70","70","Elosulfase alfa, injection","K","2","23096","0","0","0","0","0","0","0","0"
"01480","71","71","Elosulfase alfa, injection","K","2","23092","0","0","0","0","0","0","0","0"
"01480","72","72","Elosulfase alfa, injection","K","2","23113","0","0","0","0","0","0","0","0"
"01480","73","73","Elosulfase alfa, injection","K","2","23252","0","0","0","0","0","0","0","0"
"01480","74","74","Elosulfase alfa, injection","K","2","23663","0","0","0","0","0","0","0","0"
"01480","75","75","Elosulfase alfa, injection","K","2","23696","0","0","0","0","0","0","0","0"
"01480","76","76","Elosulfase alfa, injection","K","2","23683","0","0","0","0","0","0","0","0"
"01480","77","77","Elosulfase alfa, injection","K","2","23676","0","0","0","0","0","0","0","0"
"01480","78","78","Elosulfase alfa, injection","K","2","24145","0","0","0","0","0","0","0","0"
"01480","79","80","Elosulfase alfa, injection","K","2","24142","0","0","0","0","0","0","0","0"
"01480","81","81","Elosulfase alfa, injection","K","2","24604","0","0","0","0","0","0","0","0"
"01480","82","82","Elosulfase alfa, injection","K","2","24620","0","0","0","0","0","0","0","0"
"01480","83","84","Elosulfase alfa, injection","K","2","24534","0","0","0","0","0","0","0","0"
"01480","85","85","Elosulfase alfa, injection","K","2","25012","0","0","0","0","0","0","0","0"
"01480","86","86","Elosulfase alfa, injection","K","2","25033","0","0","0","0","0","0","0","0"
"01480","87","87","Elosulfase alfa, injection","K","2","25030","0","0","0","0","0","0","0","0"
"01482","60","60","Darbepoetin alfa, esrd use","K","1","373","0","0","0","0","0","0","0","0"
"01482","61","61","Darbepoetin alfa, esrd use","K","1","406","0","0","0","0","0","0","0","0"
"01482","62","62","Darbepoetin alfa, esrd use","K","2","438","0","0","0","0","0","0","0","0"
"01482","63","63","Darbepoetin alfa, esrd use","K","2","415","0","0","0","0","0","0","0","0"
"01482","64","64","Darbepoetin alfa, esrd use","K","2","414","0","0","0","0","0","0","0","0"
"01482","65","65","Darbepoetin alfa, esrd use","K","2","401","0","0","0","0","0","0","0","0"
"01482","66","66","Darbepoetin alfa, esrd use","K","2","393","0","0","0","0","0","0","0","0"
"01482","67","68","Darbepoetin alfa, esrd use","K","2","385","0","0","0","0","0","0","0","0"
"01482","69","69","Darbepoetin alfa, esrd use","K","2","390","0","0","0","0","0","0","0","0"
"01482","70","70","Darbepoetin alfa, esrd use","K","2","395","0","0","0","0","0","0","0","0"
"01482","71","71","Darbepoetin alfa, esrd use","K","2","390","0","0","0","0","0","0","0","0"
"01482","72","72","Darbepoetin alfa, esrd use","K","2","378","0","0","0","0","0","0","0","0"
"01482","73","73","Darbepoetin alfa, esrd use","K","2","384","0","0","0","0","0","0","0","0"
"01482","74","74","Darbepoetin alfa, esrd use","K","2","377","0","0","0","0","0","0","0","0"
"01482","75","75","Darbepoetin alfa, esrd use","K","2","383","0","0","0","0","0","0","0","0"
"01482","76","76","Darbepoetin alfa, esrd use","K","2","397","0","0","0","0","0","0","0","0"
"01482","77","77","Darbepoetin alfa, esrd use","K","2","383","0","0","0","0","0","0","0","0"
"01482","78","78","Darbepoetin alfa, esrd use","K","2","385","0","0","0","0","0","0","0","0"
"01482","79","79","Darbepoetin alfa, esrd use","K","2","382","0","0","0","0","0","0","0","0"
"01482","80","80","Darbepoetin alfa, esrd use","K","2","367","0","0","0","0","0","0","0","0"
"01482","81","81","Darbepoetin alfa, esrd use","K","2","379","0","0","0","0","0","0","0","0"
"01482","82","82","Darbepoetin alfa, esrd use","K","2","372","0","0","0","0","0","0","0","0"
"01482","83","83","Darbepoetin alfa, esrd use","K","2","356","0","0","0","0","0","0","0","0"
"01482","84","84","Darbepoetin alfa, esrd use","K","2","331","0","0","0","0","0","0","0","0"
"01482","85","85","Darbepoetin alfa, esrd use","K","2","320","0","0","0","0","0","0","0","0"
"01482","86","86","Darbepoetin alfa, esrd use","K","2","315","0","0","0","0","0","0","0","0"
"01482","87","87","Darbepoetin alfa, esrd use","K","2","309","0","0","0","0","0","0","0","0"
"01484","60","60","Pentazocine injection","K","1","11799","0","0","0","0","0","0","0","0"
"01484","61","61","Pentazocine injection","K","1","11551","0","0","0","0","0","0","0","0"
"01484","62","62","Pentazocine injection","K","2","12183","0","0","0","0","0","0","0","0"
"01484","63","63","Pentazocine injection","K","2","12397","0","0","0","0","0","0","0","0"
"01484","64","64","Pentazocine injection","K","2","12546","0","0","0","0","0","0","0","0"
"01484","65","65","Pentazocine injection","K","2","14451","0","0","0","0","0","0","0","0"
"01484","66","66","Pentazocine injection","K","2","14039","0","0","0","0","0","0","0","0"
"01484","67","67","Pentazocine injection","K","2","14049","0","0","0","0","0","0","0","0"
"01484","68","68","Pentazocine injection","K","2","13671","0","0","0","0","0","0","0","0"
"01484","69","69","Pentazocine injection","K","2","7413","0","0","0","0","0","0","0","0"
"01484","70","70","Pentazocine injection","K","2","7147","0","0","0","0","0","0","0","0"
"01484","71","71","Pentazocine injection","K","2","6637","0","0","0","0","0","0","0","0"
"01484","72","73","Pentazocine injection","K","2","10839","0","0","0","0","0","0","0","0"
"01485","60","60","Ferumoxytol, esrd use","K","1","79","0","0","0","0","0","0","0","0"
"01485","61","61","Ferumoxytol, esrd use","K","1","81","0","0","0","0","0","0","0","0"
"01485","62","62","Ferumoxytol, esrd use","K","2","81","0","0","0","0","0","0","0","0"
"01485","63","63","Ferumoxytol, esrd use","K","2","82","0","0","0","0","0","0","0","0"
"01485","64","64","Ferumoxytol, esrd use","K","2","84","0","0","0","0","0","0","0","0"
"01485","65","65","Ferumoxytol, esrd use","K","2","86","0","0","0","0","0","0","0","0"
"01485","66","66","Ferumoxytol, esrd use","K","2","88","0","0","0","0","0","0","0","0"
"01485","67","69","Ferumoxytol, esrd use","K","2","89","0","0","0","0","0","0","0","0"
"01485","70","70","Ferumoxytol, esrd use","K","2","91","0","0","0","0","0","0","0","0"
"01485","71","71","Ferumoxytol, esrd use","K","2","93","0","0","0","0","0","0","0","0"
"01485","72","72","Ferumoxytol, esrd use","K","2","95","0","0","0","0","0","0","0","0"
"01485","73","73","Ferumoxytol, esrd use","K","2","96","0","0","0","0","0","0","0","0"
"01485","74","74","Ferumoxytol, esrd use","K","2","98","0","0","0","0","0","0","0","0"
"01485","75","75","Ferumoxytol, esrd use","K","2","101","0","0","0","0","0","0","0","0"
"01485","76","76","Ferumoxytol, esrd use","K","2","97","0","0","0","0","0","0","0","0"
"01485","77","78","Ferumoxytol, esrd use","K","2","100","0","0","0","0","0","0","0","0"
"01485","79","79","Ferumoxytol, esrd use","K","2","104","0","0","0","0","0","0","0","0"
"01485","80","80","Ferumoxytol, esrd use","K","2","107","0","0","0","0","0","0","0","0"
"01485","81","81","Ferumoxytol, esrd use","K","2","106","0","0","0","0","0","0","0","0"
"01485","82","82","Ferumoxytol, esrd use","K","2","98","0","0","0","0","0","0","0","0"
"01485","83","83","Ferumoxytol, esrd use","K","2","93","0","0","0","0","0","0","0","0"
"01485","84","84","Ferumoxytol, esrd use","K","2","97","0","0","0","0","0","0","0","0"
"01485","85","85","Ferumoxytol, esrd use","K","2","95","0","0","0","0","0","0","0","0"
"01485","86","87","Ferumoxytol, esrd use","K","2","100","0","0","0","0","0","0","0","0"
"01486","60","60","Factor ix fc fusion recomb","G","5","282","0","0","0","0","0","0","0","0"
"01486","61","61","Factor ix fc fusion recomb","G","5","281","0","0","0","0","0","0","0","0"
"01486","62","63","Factor ix fc fusion recomb","G","2","281","0","0","0","0","0","0","0","0"
"01486","64","65","Factor ix fc fusion recomb","G","2","282","0","0","0","0","0","0","0","0"
"01486","66","66","Factor ix fc fusion recomb","K","2","282","0","0","0","0","0","0","0","0"
"01486","67","67","Factor ix fc fusion recomb","K","2","292","0","0","0","0","0","0","0","0"
"01486","68","68","Factor ix fc fusion recomb","K","2","293","0","0","0","0","0","0","0","0"
"01486","69","69","Factor ix fc fusion recomb","K","2","298","0","0","0","0","0","0","0","0"
"01486","70","70","Factor ix fc fusion recomb","K","2","299","0","0","0","0","0","0","0","0"
"01486","71","71","Factor ix fc fusion recomb","K","2","300","0","0","0","0","0","0","0","0"
"01486","72","72","Factor ix fc fusion recomb","K","2","303","0","0","0","0","0","0","0","0"
"01486","73","74","Factor ix fc fusion recomb","K","2","299","0","0","0","0","0","0","0","0"
"01486","75","76","Factor ix fc fusion recomb","K","2","300","0","0","0","0","0","0","0","0"
"01486","77","77","Factor ix fc fusion recomb","K","2","312","0","0","0","0","0","0","0","0"
"01486","78","78","Factor ix fc fusion recomb","K","2","311","0","0","0","0","0","0","0","0"
"01486","79","79","Factor ix fc fusion recomb","K","2","314","0","0","0","0","0","0","0","0"
"01486","80","80","Factor ix fc fusion recomb","K","2","313","0","0","0","0","0","0","0","0"
"01486","81","82","Factor ix fc fusion recomb","K","2","325","0","0","0","0","0","0","0","0"
"01486","83","83","Factor ix fc fusion recomb","K","2","326","0","0","0","0","0","0","0","0"
"01486","84","84","Factor ix fc fusion recomb","K","2","325","0","0","0","0","0","0","0","0"
"01486","85","85","Factor ix fc fusion recomb","K","2","326","0","0","0","0","0","0","0","0"
"01486","86","86","Factor ix fc fusion recomb","K","2","328","0","0","0","0","0","0","0","0"
"01486","87","87","Factor ix fc fusion recomb","K","2","315","0","0","0","0","0","0","0","0"
"01487","60","60","Testosterone undecanoate 1mg","G","5","116","0","0","0","0","0","0","0","0"
"01487","61","61","Testosterone undecanoate 1mg","G","5","117","0","0","0","0","0","0","0","0"
"01487","62","63","Testosterone undecanoate 1mg","G","2","117","0","0","0","0","0","0","0","0"
"01487","64","64","Testosterone undecanoate 1mg","G","2","119","0","0","0","0","0","0","0","0"
"01487","65","65","Testosterone undecanoate 1mg","G","2","121","0","0","0","0","0","0","0","0"
"01488","60","61","Injection, ramucirumab","G","5","5397","0","0","0","0","0","0","0","0"
"01488","62","62","Injection, ramucirumab","G","2","5397","0","0","0","0","0","0","0","0"
"01488","63","63","Injection, ramucirumab","G","2","5402","0","0","0","0","0","0","0","0"
"01488","64","64","Injection, ramucirumab","G","2","5400","0","0","0","0","0","0","0","0"
"01488","65","65","Injection, ramucirumab","G","2","5615","0","0","0","0","0","0","0","0"
"01488","66","66","Injection, ramucirumab","K","2","5593","0","0","0","0","0","0","0","0"
"01488","67","67","Injection, ramucirumab","K","2","5639","0","0","0","0","0","0","0","0"
"01488","68","68","Injection, ramucirumab","K","2","5627","0","0","0","0","0","0","0","0"
"01488","69","69","Injection, ramucirumab","K","2","5656","0","0","0","0","0","0","0","0"
"01488","70","70","Injection, ramucirumab","K","2","5653","0","0","0","0","0","0","0","0"
"01488","71","71","Injection, ramucirumab","K","2","5703","0","0","0","0","0","0","0","0"
"01488","72","72","Injection, ramucirumab","K","2","5693","0","0","0","0","0","0","0","0"
"01488","73","73","Injection, ramucirumab","K","2","5767","0","0","0","0","0","0","0","0"
"01488","74","74","Injection, ramucirumab","K","2","5768","0","0","0","0","0","0","0","0"
"01488","75","75","Injection, ramucirumab","K","2","5762","0","0","0","0","0","0","0","0"
"01488","76","76","Injection, ramucirumab","K","2","5768","0","0","0","0","0","0","0","0"
"01488","77","77","Injection, ramucirumab","K","2","5839","0","0","0","0","0","0","0","0"
"01488","78","78","Injection, ramucirumab","K","2","5842","0","0","0","0","0","0","0","0"
"01488","79","79","Injection, ramucirumab","K","2","5967","0","0","0","0","0","0","0","0"
"01488","80","80","Injection, ramucirumab","K","2","5953","0","0","0","0","0","0","0","0"
"01488","81","81","Injection, ramucirumab","K","2","6106","0","0","0","0","0","0","0","0"
"01488","82","82","Injection, ramucirumab","K","2","6071","0","0","0","0","0","0","0","0"
"01488","83","83","Injection, ramucirumab","K","2","6166","0","0","0","0","0","0","0","0"
"01488","84","84","Injection, ramucirumab","K","2","6137","0","0","0","0","0","0","0","0"
"01488","85","85","Injection, ramucirumab","K","2","6238","0","0","0","0","0","0","0","0"
"01488","86","86","Injection, ramucirumab","K","2","6269","0","0","0","0","0","0","0","0"
"01488","87","87","Injection, ramucirumab","K","2","6356","0","0","0","0","0","0","0","0"
"01489","60","61","Injection, vedolizumab","G","5","1703","0","0","0","0","0","0","0","0"
"01489","62","65","Injection, vedolizumab","G","2","1703","0","0","0","0","0","0","0","0"
"01489","66","66","Injection, vedolizumab","K","2","1743","0","0","0","0","0","0","0","0"
"01489","67","67","Injection, vedolizumab","K","2","1758","0","0","0","0","0","0","0","0"
"01489","68","68","Injection, vedolizumab","K","2","1813","0","0","0","0","0","0","0","0"
"01489","69","69","Injection, vedolizumab","K","2","1806","0","0","0","0","0","0","0","0"
"01489","70","70","Injection, vedolizumab","K","2","1859","0","0","0","0","0","0","0","0"
"01489","71","71","Injection, vedolizumab","K","2","1856","0","0","0","0","0","0","0","0"
"01489","72","72","Injection, vedolizumab","K","2","1913","0","0","0","0","0","0","0","0"
"01489","73","73","Injection, vedolizumab","K","2","1962","0","0","0","0","0","0","0","0"
"01489","74","74","Injection, vedolizumab","K","2","1958","0","0","0","0","0","0","0","0"
"01489","75","75","Injection, vedolizumab","K","2","2004","0","0","0","0","0","0","0","0"
"01489","76","76","Injection, vedolizumab","K","2","1974","0","0","0","0","0","0","0","0"
"01489","77","77","Injection, vedolizumab","K","2","2013","0","0","0","0","0","0","0","0"
"01489","78","78","Injection, vedolizumab","K","2","1986","0","0","0","0","0","0","0","0"
"01489","79","79","Injection, vedolizumab","K","2","2024","0","0","0","0","0","0","0","0"
"01489","80","80","Injection, vedolizumab","K","2","2017","0","0","0","0","0","0","0","0"
"01489","81","81","Injection, vedolizumab","K","2","2066","0","0","0","0","0","0","0","0"
"01489","82","82","Injection, vedolizumab","K","2","2030","0","0","0","0","0","0","0","0"
"01489","83","83","Injection, vedolizumab","K","2","2035","0","0","0","0","0","0","0","0"
"01489","84","84","Injection, vedolizumab","K","2","2067","0","0","0","0","0","0","0","0"
"01489","85","85","Injection, vedolizumab","K","2","2102","0","0","0","0","0","0","0","0"
"01489","86","86","Injection, vedolizumab","K","2","2128","0","0","0","0","0","0","0","0"
"01489","87","87","Injection, vedolizumab","K","2","2129","0","0","0","0","0","0","0","0"
"01490","60","60","Injection, pembrolizumab","G","5","4570","0","0","0","0","0","0","0","0"
"01490","61","61","Injection, pembrolizumab","G","5","4569","0","0","0","0","0","0","0","0"
"01490","62","62","Inj pembrolizumab","G","2","4569","0","0","0","0","0","0","0","0"
"01490","63","64","Inj pembrolizumab","G","2","4570","0","0","0","0","0","0","0","0"
"01490","65","65","Inj pembrolizumab","G","2","4577","0","0","0","0","0","0","0","0"
"01490","66","66","Inj pembrolizumab","G","2","4650","0","0","0","0","0","0","0","0"
"01490","67","67","Inj pembrolizumab","G","2","4654","0","0","0","0","0","0","0","0"
"01490","68","68","Inj pembrolizumab","G","2","4730","0","0","0","0","0","0","0","0"
"01490","69","69","Inj pembrolizumab","G","2","4718","0","0","0","0","0","0","0","0"
"01490","70","70","Inj pembrolizumab","K","2","4797","0","0","0","0","0","0","0","0"
"01490","71","71","Inj pembrolizumab","K","2","4787","0","0","0","0","0","0","0","0"
"01490","72","72","Inj pembrolizumab","K","2","4871","0","0","0","0","0","0","0","0"
"01490","73","73","Inj pembrolizumab","K","2","4857","0","0","0","0","0","0","0","0"
"01490","74","74","Inj pembrolizumab","K","2","4935","0","0","0","0","0","0","0","0"
"01490","75","75","Inj pembrolizumab","K","2","4899","0","0","0","0","0","0","0","0"
"01490","76","76","Inj pembrolizumab","K","2","4920","0","0","0","0","0","0","0","0"
"01490","77","77","Inj pembrolizumab","K","2","4958","0","0","0","0","0","0","0","0"
"01490","78","78","Inj pembrolizumab","K","2","4939","0","0","0","0","0","0","0","0"
"01490","79","79","Inj pembrolizumab","K","2","5026","0","0","0","0","0","0","0","0"
"01490","80","80","Inj pembrolizumab","K","2","5002","0","0","0","0","0","0","0","0"
"01490","81","81","Inj pembrolizumab","K","2","5093","0","0","0","0","0","0","0","0"
"01490","82","82","Inj pembrolizumab","K","2","5085","0","0","0","0","0","0","0","0"
"01490","83","83","Inj pembrolizumab","K","2","5065","0","0","0","0","0","0","0","0"
"01490","84","84","Inj pembrolizumab","K","2","5162","0","0","0","0","0","0","0","0"
"01490","85","85","Inj pembrolizumab","K","2","5135","0","0","0","0","0","0","0","0"
"01490","86","86","Inj pembrolizumab","K","2","5275","0","0","0","0","0","0","0","0"
"01490","87","87","Inj pembrolizumab","K","2","5230","0","0","0","0","0","0","0","0"
"01491","60","60","New Technology - Level IA ($0-$10)","S","1","500","0","0","0","0","0","0","0","0"
"01491","61","61","New Technology  - Level IA ($0-$10)","S","1","500","0","0","0","0","0","0","0","0"
"01491","62","77","New Technology  - Level 1A ($0-$10)","S","1","500","0","0","0","0","0","0","0","0"
"01491","78","87","New Technology - Level 1A ($0-$10)","S","1","500","0","0","0","0","0","0","0","0"
"01492","60","60","New Technology - Level IB ($10-$20)","S","1","1500","0","0","0","0","0","0","0","0"
"01492","61","61","New Technology  - Level IB ($10-$20)","S","1","1500","0","0","0","0","0","0","0","0"
"01492","62","65","New Technology  - Level 1B ($10-$20)","S","1","1500","0","0","0","0","0","0","0","0"
"01492","66","77","New Technology  - Level 1B ($11-$20)","S","1","1550","0","0","0","0","0","0","0","0"
"01492","78","87","New Technology - Level 1B ($11-$20)","S","1","1550","0","0","0","0","0","0","0","0"
"01493","60","60","New Technology - Level IC ($20-$30)","S","1","2500","0","0","0","0","0","0","0","0"
"01493","61","61","New Technology  - Level IC ($20-$30)","S","1","2500","0","0","0","0","0","0","0","0"
"01493","62","65","New Technology  - Level 1C ($20-$30)","S","1","2500","0","0","0","0","0","0","0","0"
"01493","66","77","New Technology  - Level 1C ($21-$30)","S","1","2550","0","0","0","0","0","0","0","0"
"01493","78","87","New Technology - Level 1C ($21-$30)","S","1","2550","0","0","0","0","0","0","0","0"
"01494","60","60","New Technology - Level ID ($30-$40)","S","1","3500","0","0","0","0","0","0","0","0"
"01494","61","61","New Technology  - Level ID ($30-$40)","S","1","3500","0","0","0","0","0","0","0","0"
"01494","62","65","New Technology  - Level 1D ($30-$40)","S","1","3500","0","0","0","0","0","0","0","0"
"01494","66","77","New Technology  - Level 1D ($31-$40)","S","1","3550","0","0","0","0","0","0","0","0"
"01494","78","87","New Technology - Level 1D ($31-$40)","S","1","3550","0","0","0","0","0","0","0","0"
"01495","60","60","New Technology - Level IE ($40-$50)","S","1","4500","0","0","0","0","0","0","0","0"
"01495","61","61","New Technology  - Level IE ($40-$50)","S","1","4500","0","0","0","0","0","0","0","0"
"01495","62","65","New Technology  - Level 1E ($40-$50)","S","1","4500","0","0","0","0","0","0","0","0"
"01495","66","77","New Technology  - Level 1E ($41-$50)","S","1","4550","0","0","0","0","0","0","0","0"
"01495","78","87","New Technology - Level 1E ($41-$50)","S","1","4550","0","0","0","0","0","0","0","0"
"01496","60","60","New Technology - Level IA ($0-$10)","T","1","500","0","0","0","0","0","0","0","0"
"01496","61","61","New Technology  - Level IA ($0-$10)","T","1","500","0","0","0","0","0","0","0","0"
"01496","62","77","New Technology  - Level 1A ($0-$10)","T","1","500","0","0","0","0","0","0","0","0"
"01496","78","87","New Technology - Level 1A ($0-$10)","T","1","500","0","0","0","0","0","0","0","0"
"01497","60","60","New Technology - Level IB ($10-$20)","T","1","1500","0","0","0","0","0","0","0","0"
"01497","61","61","New Technology  - Level IB($10-$20)","T","1","1500","0","0","0","0","0","0","0","0"
"01497","62","65","New Technology  - Level 1B ($10-$20)","T","1","1500","0","0","0","0","0","0","0","0"
"01497","66","77","New Technology  - Level 1B ($11-$20)","T","1","1550","0","0","0","0","0","0","0","0"
"01497","78","87","New Technology - Level 1B ($11-$20)","T","1","1550","0","0","0","0","0","0","0","0"
"01498","60","60","New Technology - Level IC ($20-$30)","T","1","2500","0","0","0","0","0","0","0","0"
"01498","61","61","New Technology  - Level IC ($20-$30)","T","1","2500","0","0","0","0","0","0","0","0"
"01498","62","65","New Technology  - Level 1C ($20-$30)","T","1","2500","0","0","0","0","0","0","0","0"
"01498","66","77","New Technology  - Level 1C ($21-$30)","T","1","2550","0","0","0","0","0","0","0","0"
"01498","78","87","New Technology - Level 1C ($21-$30)","T","1","2550","0","0","0","0","0","0","0","0"
"01499","60","60","New Technology - Level ID ($30-$40)","T","1","3500","0","0","0","0","0","0","0","0"
"01499","61","61","New Technology  - Level ID($30-$40)","T","1","3500","0","0","0","0","0","0","0","0"
"01499","62","65","New Technology  - Level 1D ($30-$40)","T","1","3500","0","0","0","0","0","0","0","0"
"01499","66","77","New Technology  - Level 1D ($31-$40)","T","1","3550","0","0","0","0","0","0","0","0"
"01499","78","87","New Technology - Level 1D ($31-$40)","T","1","3550","0","0","0","0","0","0","0","0"
"01500","60","60","New Technology - Level IE ($40-$50)","T","1","4500","0","0","0","0","0","0","0","0"
"01500","61","61","New Technology  - Level IE ($40-$50)","T","1","4500","0","0","0","0","0","0","0","0"
"01500","62","65","New Technology  - Level 1E ($40-$50)","T","1","4500","0","0","0","0","0","0","0","0"
"01500","66","77","New Technology  - Level 1E ($41-$50)","T","1","4550","0","0","0","0","0","0","0","0"
"01500","78","87","New Technology - Level 1E ($41-$50)","T","1","4550","0","0","0","0","0","0","0","0"
"01502","60","60","New Technology - Level II ($50 - $100)","S","1","7500","0","0","0","0","0","0","0","0"
"01502","61","61","New Technology - Level II   ($50 - $100)","S","1","7500","0","0","0","0","0","0","0","0"
"01502","62","65","New Technology - Level 2 ($50 - $100)","S","1","7500","0","0","0","0","0","0","0","0"
"01502","66","87","New Technology - Level 2 ($51 - $100)","S","1","7550","0","0","0","0","0","0","0","0"
"01503","60","60","New Technology - Level III ($100 - $200)","S","1","15000","0","0","0","0","0","0","0","0"
"01503","61","61","New Technology - Level III   ($100 - $200)","S","1","15000","0","0","0","0","0","0","0","0"
"01503","62","65","New Technology - Level 3 ($100 - $200)","S","1","15000","0","0","0","0","0","0","0","0"
"01503","66","87","New Technology - Level 3 ($101 - $200)","S","1","15050","0","0","0","0","0","0","0","0"
"01504","60","60","New Technology - Level IV ($200 - $300)","S","1","25000","0","0","0","0","0","0","0","0"
"01504","61","61","New Technology - Level IV  ($200 - $300)","S","1","25000","0","0","0","0","0","0","0","0"
"01504","62","65","New Technology - Level 4 ($200 - $300)","S","1","25000","0","0","0","0","0","0","0","0"
"01504","66","87","New Technology - Level 4 ($201 - $300)","S","1","25050","0","0","0","0","0","0","0","0"
"01505","60","60","New Technology - Level V ($300 - $400)","S","1","35000","0","0","0","0","0","0","0","0"
"01505","61","61","New Technology - Level V   ($300 - $400)","S","1","35000","0","0","0","0","0","0","0","0"
"01505","62","65","New Technology - Level 5 ($300 - $400)","S","1","35000","0","0","0","0","0","0","0","0"
"01505","66","87","New Technology - Level 5 ($301 - $400)","S","1","35050","0","0","0","0","0","0","0","0"
"01506","60","60","New Technology - Level VI ($400 - $500)","S","1","45000","0","0","0","0","0","0","0","0"
"01506","61","61","New Technology - Level VI  ($400 - $500)","S","1","45000","0","0","0","0","0","0","0","0"
"01506","62","65","New Technology - Level 6 ($400 - $500)","S","1","45000","0","0","0","0","0","0","0","0"
"01506","66","87","New Technology - Level 6 ($401 - $500)","S","1","45050","0","0","0","0","0","0","0","0"
"01507","60","60","New Technology - Level VII ($500 - $600)","S","1","55000","0","0","0","0","0","0","0","0"
"01507","61","61","New Technology - Level VII  ($500 - $600)","S","1","55000","0","0","0","0","0","0","0","0"
"01507","62","65","New Technology - Level 7 ($500 - $600)","S","1","55000","0","0","0","0","0","0","0","0"
"01507","66","87","New Technology - Level 7 ($501 - $600)","S","1","55050","0","0","0","0","0","0","0","0"
"01508","60","61","New Technology - Level VIII ($600 - $700)","S","1","65000","0","0","0","0","0","0","0","0"
"01508","62","65","New Technology - Level 8 ($600 - $700)","S","1","65000","0","0","0","0","0","0","0","0"
"01508","66","87","New Technology - Level 8 ($601 - $700)","S","1","65050","0","0","0","0","0","0","0","0"
"01509","60","61","New Technology - Level IX   ($700 - $800)","S","1","75000","0","0","0","0","0","0","0","0"
"01509","62","65","New Technology - Level 9 ($700 - $800)","S","1","75000","0","0","0","0","0","0","0","0"
"01509","66","87","New Technology - Level 9 ($701 - $800)","S","1","75050","0","0","0","0","0","0","0","0"
"01510","60","61","New Technology - Level X    ($800 - $900)","S","1","85000","0","0","0","0","0","0","0","0"
"01510","62","65","New Technology - Level 10 ($800 - $900)","S","1","85000","0","0","0","0","0","0","0","0"
"01510","66","87","New Technology - Level 10 ($801 - $900)","S","1","85050","0","0","0","0","0","0","0","0"
"01511","60","61","New Technology - Level XI   ($900 - $1000)","S","1","95000","0","0","0","0","0","0","0","0"
"01511","62","65","New Technology - Level 11 ($900 - $1000)","S","1","95000","0","0","0","0","0","0","0","0"
"01511","66","87","New Technology - Level 11 ($901 - $1000)","S","1","95050","0","0","0","0","0","0","0","0"
"01512","60","61","New Technology - Level XII  ($1000 - $1100)","S","1","105000","0","0","0","0","0","0","0","0"
"01512","62","65","New Technology - Level 12 ($1000 - $1100)","S","1","105000","0","0","0","0","0","0","0","0"
"01512","66","87","New Technology - Level 12 ($1001 - $1100)","S","1","105050","0","0","0","0","0","0","0","0"
"01513","60","61","New Technology - Level XIII  ($1100 - $1200)","S","1","115000","0","0","0","0","0","0","0","0"
"01513","62","65","New Technology - Level 13 ($1100 - $1200)","S","1","115000","0","0","0","0","0","0","0","0"
"01513","66","87","New Technology - Level 13 ($1101 - $1200)","S","1","115050","0","0","0","0","0","0","0","0"
"01514","60","61","New Technology - Level XIV ($1200- $1300)","S","1","125000","0","0","0","0","0","0","0","0"
"01514","62","65","New Technology - Level 14 ($1200- $1300)","S","1","125000","0","0","0","0","0","0","0","0"
"01514","66","87","New Technology - Level 14 ($1201- $1300)","S","1","125050","0","0","0","0","0","0","0","0"
"01515","60","61","New Technology - Level XV ($1300 - $1400)","S","1","135000","0","0","0","0","0","0","0","0"
"01515","62","65","New Technology - Level 15 ($1300 - $1400)","S","1","135000","0","0","0","0","0","0","0","0"
"01515","66","87","New Technology - Level 15 ($1301 - $1400)","S","1","135050","0","0","0","0","0","0","0","0"
"01516","60","61","New Technology - Level XVI  ($1400 - $1500)","S","1","145000","0","0","0","0","0","0","0","0"
"01516","62","65","New Technology - Level 16  ($1400 - $1500)","S","1","145000","0","0","0","0","0","0","0","0"
"01516","66","77","New Technology - Level 16  ($1401 - $1500)","S","1","145050","0","0","0","0","0","0","0","0"
"01516","78","87","New Technology - Level 16 ($1401 - $1500)","S","1","145050","0","0","0","0","0","0","0","0"
"01517","60","61","New Technology - Level XVII ($1500-$1600)","S","1","155000","0","0","0","0","0","0","0","0"
"01517","62","65","New Technology - Level 17 ($1500-$1600)","S","1","155000","0","0","0","0","0","0","0","0"
"01517","66","87","New Technology - Level 17 ($1501-$1600)","S","1","155050","0","0","0","0","0","0","0","0"
"01518","60","61","New Technology - Level XVIII ($1600-$1700)","S","1","165000","0","0","0","0","0","0","0","0"
"01518","62","65","New Technology - Level 18 ($1600-$1700)","S","1","165000","0","0","0","0","0","0","0","0"
"01518","66","87","New Technology - Level 18 ($1601-$1700)","S","1","165050","0","0","0","0","0","0","0","0"
"01519","60","61","New Technology - Level IXX ($1700-$1800)","S","1","175000","0","0","0","0","0","0","0","0"
"01519","62","65","New Technology - Level 19 ($1700-$1800)","S","1","175000","0","0","0","0","0","0","0","0"
"01519","66","87","New Technology - Level 19 ($1701-$1800)","S","1","175050","0","0","0","0","0","0","0","0"
"01520","60","61","New Technology - Level XX ($1800-$1900)","S","1","185000","0","0","0","0","0","0","0","0"
"01520","62","65","New Technology - Level 20 ($1800-$1900)","S","1","185000","0","0","0","0","0","0","0","0"
"01520","66","87","New Technology - Level 20 ($1801-$1900)","S","1","185050","0","0","0","0","0","0","0","0"
"01521","60","61","New Technology - Level XXI ($1900-$2000)","S","1","195000","0","0","0","0","0","0","0","0"
"01521","62","65","New Technology - Level 21 ($1900-$2000)","S","1","195000","0","0","0","0","0","0","0","0"
"01521","66","87","New Technology - Level 21 ($1901-$2000)","S","1","195050","0","0","0","0","0","0","0","0"
"01522","60","61","New Technology - Level XXII ($2000-$2500)","S","1","225000","0","0","0","0","0","0","0","0"
"01522","62","65","New Technology - Level 22 ($2000-$2500)","S","1","225000","0","0","0","0","0","0","0","0"
"01522","66","87","New Technology - Level 22 ($2001-$2500)","S","1","225050","0","0","0","0","0","0","0","0"
"01523","60","61","New Technology - Level XXIII ($2500-$3000)","S","1","275000","0","0","0","0","0","0","0","0"
"01523","62","65","New Technology - Level 23 ($2500-$3000)","S","1","275000","0","0","0","0","0","0","0","0"
"01523","66","87","New Technology - Level 23 ($2501-$3000)","S","1","275050","0","0","0","0","0","0","0","0"
"01524","60","61","New Technology - Level XXIV ($3000-$3500)","S","1","325000","0","0","0","0","0","0","0","0"
"01524","62","65","New Technology - Level 24 ($3000-$3500)","S","1","325000","0","0","0","0","0","0","0","0"
"01524","66","87","New Technology - Level 24 ($3001-$3500)","S","1","325050","0","0","0","0","0","0","0","0"
"01525","60","61","New Technology - Level XXV ($3500-$4000)","S","1","375000","0","0","0","0","0","0","0","0"
"01525","62","65","New Technology - Level 25 ($3500-$4000)","S","1","375000","0","0","0","0","0","0","0","0"
"01525","66","87","New Technology - Level 25 ($3501-$4000)","S","1","375050","0","0","0","0","0","0","0","0"
"01526","60","61","New Technology - Level XXVI ($4000-$4500)","S","1","425000","0","0","0","0","0","0","0","0"
"01526","62","65","New Technology - Level 26 ($4000-$4500)","S","1","425000","0","0","0","0","0","0","0","0"
"01526","66","87","New Technology - Level 26 ($4001-$4500)","S","1","425050","0","0","0","0","0","0","0","0"
"01527","60","61","New Technology - Level XXVII ($4500-$5000)","S","1","475000","0","0","0","0","0","0","0","0"
"01527","62","65","New Technology - Level 27 ($4500-$5000)","S","1","475000","0","0","0","0","0","0","0","0"
"01527","66","87","New Technology - Level 27 ($4501-$5000)","S","1","475050","0","0","0","0","0","0","0","0"
"01528","60","61","New Technology - Level XXVIII ($5000-$5500)","S","1","525000","0","0","0","0","0","0","0","0"
"01528","62","65","New Technology - Level 28 ($5000-$5500)","S","1","525000","0","0","0","0","0","0","0","0"
"01528","66","87","New Technology - Level 28 ($5001-$5500)","S","1","525050","0","0","0","0","0","0","0","0"
"01529","60","61","New Technology - Level XXIX ($5500-$6000)","S","1","575000","0","0","0","0","0","0","0","0"
"01529","62","65","New Technology - Level 29 ($5500-$6000)","S","1","575000","0","0","0","0","0","0","0","0"
"01529","66","87","New Technology - Level 29 ($5501-$6000)","S","1","575050","0","0","0","0","0","0","0","0"
"01530","60","61","New Technology - Level XXX ($6000-$6500)","S","1","625000","0","0","0","0","0","0","0","0"
"01530","62","65","New Technology - Level 30 ($6000-$6500)","S","1","625000","0","0","0","0","0","0","0","0"
"01530","66","87","New Technology - Level 30 ($6001-$6500)","S","1","625050","0","0","0","0","0","0","0","0"
"01531","60","61","New Technology - Level XXXI ($6500-$7000)","S","1","675000","0","0","0","0","0","0","0","0"
"01531","62","65","New Technology - Level 31 ($6500-$7000)","S","1","675000","0","0","0","0","0","0","0","0"
"01531","66","87","New Technology - Level 31 ($6501-$7000)","S","1","675050","0","0","0","0","0","0","0","0"
"01532","60","61","New Technology - Level XXXII ($7000-$7500)","S","1","725000","0","0","0","0","0","0","0","0"
"01532","62","65","New Technology - Level 32 ($7000-$7500)","S","1","725000","0","0","0","0","0","0","0","0"
"01532","66","87","New Technology - Level 32 ($7001-$7500)","S","1","725050","0","0","0","0","0","0","0","0"
"01533","60","61","New Technology - Level XXXIII ($7500-$8000)","S","1","775000","0","0","0","0","0","0","0","0"
"01533","62","65","New Technology - Level 33 ($7500-$8000)","S","1","775000","0","0","0","0","0","0","0","0"
"01533","66","87","New Technology - Level 33 ($7501-$8000)","S","1","775050","0","0","0","0","0","0","0","0"
"01534","60","61","New Technology - Level XXXIV ($8000-$8500)","S","1","825000","0","0","0","0","0","0","0","0"
"01534","62","65","New Technology - Level 34 ($8000-$8500)","S","1","825000","0","0","0","0","0","0","0","0"
"01534","66","87","New Technology - Level 34 ($8001-$8500)","S","1","825050","0","0","0","0","0","0","0","0"
"01535","60","61","New Technology - Level XXXV ($8500-$9000)","S","1","875000","0","0","0","0","0","0","0","0"
"01535","62","65","New Technology - Level 35 ($8500-$9000)","S","1","875000","0","0","0","0","0","0","0","0"
"01535","66","87","New Technology - Level 35 ($8501-$9000)","S","1","875050","0","0","0","0","0","0","0","0"
"01536","60","61","New Technology - Level XXXVI ($9000-$9500)","S","1","925000","0","0","0","0","0","0","0","0"
"01536","62","65","New Technology - Level 36 ($9000-$9500)","S","1","925000","0","0","0","0","0","0","0","0"
"01536","66","87","New Technology - Level 36 ($9001-$9500)","S","1","925050","0","0","0","0","0","0","0","0"
"01537","60","61","New Technology - Level XXXVII ($9500-$10000)","S","1","975000","0","0","0","0","0","0","0","0"
"01537","62","65","New Technology - Level 37 ($9500-$10000)","S","1","975000","0","0","0","0","0","0","0","0"
"01537","66","87","New Technology - Level 37 ($9501-$10000)","S","1","975050","0","0","0","0","0","0","0","0"
"01539","60","61","New Technology - Level II   ($50 - $100)","T","1","7500","0","0","0","0","0","0","0","0"
"01539","62","65","New Technology - Level 2 ($50 - $100)","T","1","7500","0","0","0","0","0","0","0","0"
"01539","66","87","New Technology - Level 2 ($51 - $100)","T","1","7550","0","0","0","0","0","0","0","0"
"01540","60","61","New Technology - Level III   ($100 - $200)","T","1","15000","0","0","0","0","0","0","0","0"
"01540","62","65","New Technology - Level 3 ($100 - $200)","T","1","15000","0","0","0","0","0","0","0","0"
"01540","66","87","New Technology - Level 3 ($101 - $200)","T","1","15050","0","0","0","0","0","0","0","0"
"01541","60","61","New Technology - Level IV  ($200 - $300)","T","1","25000","0","0","0","0","0","0","0","0"
"01541","62","65","New Technology - Level 4 ($200 - $300)","T","1","25000","0","0","0","0","0","0","0","0"
"01541","66","87","New Technology - Level 4 ($201 - $300)","T","1","25050","0","0","0","0","0","0","0","0"
"01542","60","61","New Technology - Level V   ($300 - $400)","T","1","35000","0","0","0","0","0","0","0","0"
"01542","62","65","New Technology - Level 5 ($300 - $400)","T","1","35000","0","0","0","0","0","0","0","0"
"01542","66","87","New Technology - Level 5 ($301 - $400)","T","1","35050","0","0","0","0","0","0","0","0"
"01543","60","61","New Technology - Level VI  ($400 - $500)","T","1","45000","0","0","0","0","0","0","0","0"
"01543","62","65","New Technology - Level 6 ($400 - $500)","T","1","45000","0","0","0","0","0","0","0","0"
"01543","66","87","New Technology - Level 6 ($401 - $500)","T","1","45050","0","0","0","0","0","0","0","0"
"01544","60","61","New Technology - Level VII  ($500 - $600)","T","1","55000","0","0","0","0","0","0","0","0"
"01544","62","65","New Technology - Level 7 ($500 - $600)","T","1","55000","0","0","0","0","0","0","0","0"
"01544","66","87","New Technology - Level 7 ($501 - $600)","T","1","55050","0","0","0","0","0","0","0","0"
"01545","60","61","New Technology - Level VIII ($600 - $700)","T","1","65000","0","0","0","0","0","0","0","0"
"01545","62","65","New Technology - Level 8 ($600 - $700)","T","1","65000","0","0","0","0","0","0","0","0"
"01545","66","87","New Technology - Level 8 ($601 - $700)","T","1","65050","0","0","0","0","0","0","0","0"
"01546","60","61","New Technology - Level IX   ($700 - $800)","T","1","75000","0","0","0","0","0","0","0","0"
"01546","62","65","New Technology - Level 9 ($700 - $800)","T","1","75000","0","0","0","0","0","0","0","0"
"01546","66","87","New Technology - Level 9 ($701 - $800)","T","1","75050","0","0","0","0","0","0","0","0"
"01547","60","61","New Technology - Level X    ($800 - $900)","T","1","85000","0","0","0","0","0","0","0","0"
"01547","62","65","New Technology - Level 10 ($800 - $900)","T","1","85000","0","0","0","0","0","0","0","0"
"01547","66","87","New Technology - Level 10 ($801 - $900)","T","1","85050","0","0","0","0","0","0","0","0"
"01548","60","61","New Technology - Level XI   ($900 - $1000)","T","1","95000","0","0","0","0","0","0","0","0"
"01548","62","65","New Technology - Level 11 ($900 - $1000)","T","1","95000","0","0","0","0","0","0","0","0"
"01548","66","87","New Technology - Level 11 ($901 - $1000)","T","1","95050","0","0","0","0","0","0","0","0"
"01549","60","61","New Technology - Level XII  ($1000 - $1100)","T","1","105000","0","0","0","0","0","0","0","0"
"01549","62","65","New Technology - Level 12 ($1000 - $1100)","T","1","105000","0","0","0","0","0","0","0","0"
"01549","66","87","New Technology - Level 12 ($1001 - $1100)","T","1","105050","0","0","0","0","0","0","0","0"
"01550","60","61","New Technology - Level XIII  ($1100 - $1200)","T","1","115000","0","0","0","0","0","0","0","0"
"01550","62","65","New Technology - Level 13 ($1100 - $1200)","T","1","115000","0","0","0","0","0","0","0","0"
"01550","66","87","New Technology - Level 13 ($1101 - $1200)","T","1","115050","0","0","0","0","0","0","0","0"
"01551","60","61","New Technology - Level XIV ($1200- $1300)","T","1","125000","0","0","0","0","0","0","0","0"
"01551","62","65","New Technology - Level 14 ($1200- $1300)","T","1","125000","0","0","0","0","0","0","0","0"
"01551","66","87","New Technology - Level 14 ($1201- $1300)","T","1","125050","0","0","0","0","0","0","0","0"
"01552","60","61","New Technology - Level XV ($1300 - $1400)","T","1","135000","0","0","0","0","0","0","0","0"
"01552","62","65","New Technology - Level 15 ($1300 - $1400)","T","1","135000","0","0","0","0","0","0","0","0"
"01552","66","87","New Technology - Level 15 ($1301 - $1400)","T","1","135050","0","0","0","0","0","0","0","0"
"01553","60","61","New Technology - Level XVI  ($1400 - $1500)","T","1","145000","0","0","0","0","0","0","0","0"
"01553","62","65","New Technology - Level 16 ($1400 - $1500)","T","1","145000","0","0","0","0","0","0","0","0"
"01553","66","87","New Technology - Level 16 ($1401 - $1500)","T","1","145050","0","0","0","0","0","0","0","0"
"01554","60","61","New Technology - Level XVII ($1500-$1600)","T","1","155000","0","0","0","0","0","0","0","0"
"01554","62","65","New Technology - Level 17 ($1500-$1600)","T","1","155000","0","0","0","0","0","0","0","0"
"01554","66","87","New Technology - Level 17 ($1501-$1600)","T","1","155050","0","0","0","0","0","0","0","0"
"01555","60","61","New Technology - Level XVIII ($1600-$1700)","T","1","165000","0","0","0","0","0","0","0","0"
"01555","62","65","New Technology - Level 18 ($1600-$1700)","T","1","165000","0","0","0","0","0","0","0","0"
"01555","66","87","New Technology - Level 18 ($1601-$1700)","T","1","165050","0","0","0","0","0","0","0","0"
"01556","60","61","New Technology - Level XIX ($1700-$1800)","T","1","175000","0","0","0","0","0","0","0","0"
"01556","62","65","New Technology - Level 19 ($1700-$1800)","T","1","175000","0","0","0","0","0","0","0","0"
"01556","66","87","New Technology - Level 19 ($1701-$1800)","T","1","175050","0","0","0","0","0","0","0","0"
"01557","60","61","New Technology - Level XX ($1800-$1900)","T","1","185000","0","0","0","0","0","0","0","0"
"01557","62","65","New Technology - Level 20 ($1800-$1900)","T","1","185000","0","0","0","0","0","0","0","0"
"01557","66","87","New Technology - Level 20 ($1801-$1900)","T","1","185050","0","0","0","0","0","0","0","0"
"01558","60","61","New Technology - Level XXI ($1900-$2000)","T","1","195000","0","0","0","0","0","0","0","0"
"01558","62","65","New Technology - Level 21 ($1900-$2000)","T","1","195000","0","0","0","0","0","0","0","0"
"01558","66","87","New Technology - Level 21 ($1901-$2000)","T","1","195050","0","0","0","0","0","0","0","0"
"01559","60","61","New Technology - Level XXII ($2000-$2500)","T","1","225000","0","0","0","0","0","0","0","0"
"01559","62","65","New Technology - Level 22 ($2000-$2500)","T","1","225000","0","0","0","0","0","0","0","0"
"01559","66","87","New Technology - Level 22 ($2001-$2500)","T","1","225050","0","0","0","0","0","0","0","0"
"01560","60","61","New Technology - Level XXIII ($2500-$3000)","T","1","275000","0","0","0","0","0","0","0","0"
"01560","62","65","New Technology - Level 23 ($2500-$3000)","T","1","275000","0","0","0","0","0","0","0","0"
"01560","66","87","New Technology - Level 23 ($2501-$3000)","T","1","275050","0","0","0","0","0","0","0","0"
"01561","60","61","New Technology - Level XXIV ($3000-$3500)","T","1","325000","0","0","0","0","0","0","0","0"
"01561","62","65","New Technology - Level 24 ($3000-$3500)","T","1","325000","0","0","0","0","0","0","0","0"
"01561","66","87","New Technology - Level 24 ($3001-$3500)","T","1","325050","0","0","0","0","0","0","0","0"
"01562","60","61","New Technology - Level XXV ($3500-$4000)","T","1","375000","0","0","0","0","0","0","0","0"
"01562","62","65","New Technology - Level 25 ($3500-$4000)","T","1","375000","0","0","0","0","0","0","0","0"
"01562","66","87","New Technology - Level 25 ($3501-$4000)","T","1","375050","0","0","0","0","0","0","0","0"
"01563","60","61","New Technology - Level XXVI ($4000-$4500)","T","1","425000","0","0","0","0","0","0","0","0"
"01563","62","65","New Technology - Level 26 ($4000-$4500)","T","1","425000","0","0","0","0","0","0","0","0"
"01563","66","87","New Technology - Level 26 ($4001-$4500)","T","1","425050","0","0","0","0","0","0","0","0"
"01564","60","61","New Technology - Level XXVII ($4500-$5000)","T","1","475000","0","0","0","0","0","0","0","0"
"01564","62","65","New Technology - Level 27 ($4500-$5000)","T","1","475000","0","0","0","0","0","0","0","0"
"01564","66","87","New Technology - Level 27 ($4501-$5000)","T","1","475050","0","0","0","0","0","0","0","0"
"01565","60","61","New Technology - Level XXVIII ($5000-$5500)","T","1","525000","0","0","0","0","0","0","0","0"
"01565","62","65","New Technology - Level 28 ($5000-$5500)","T","1","525000","0","0","0","0","0","0","0","0"
"01565","66","87","New Technology - Level 28 ($5001-$5500)","T","1","525050","0","0","0","0","0","0","0","0"
"01566","60","61","New Technology - Level XXIX ($5500-$6000)","T","1","575000","0","0","0","0","0","0","0","0"
"01566","62","65","New Technology - Level 29 ($5500-$6000)","T","1","575000","0","0","0","0","0","0","0","0"
"01566","66","87","New Technology - Level 29 ($5501-$6000)","T","1","575050","0","0","0","0","0","0","0","0"
"01567","60","61","New Technology - Level XXX ($6000-$6500)","T","1","625000","0","0","0","0","0","0","0","0"
"01567","62","65","New Technology - Level 30 ($6000-$6500)","T","1","625000","0","0","0","0","0","0","0","0"
"01567","66","87","New Technology - Level 30 ($6001-$6500)","T","1","625050","0","0","0","0","0","0","0","0"
"01568","60","61","New Technology - Level XXXI ($6500-$7000)","T","1","675000","0","0","0","0","0","0","0","0"
"01568","62","65","New Technology - Level 31 ($6500-$7000)","T","1","675000","0","0","0","0","0","0","0","0"
"01568","66","87","New Technology - Level 31 ($6501-$7000)","T","1","675050","0","0","0","0","0","0","0","0"
"01569","60","61","New Technology - Level XXXII ($7000-$7500)","T","1","725000","0","0","0","0","0","0","0","0"
"01569","62","65","New Technology - Level 32 ($7000-$7500)","T","1","725000","0","0","0","0","0","0","0","0"
"01569","66","87","New Technology - Level 32 ($7001-$7500)","T","1","725050","0","0","0","0","0","0","0","0"
"01570","60","61","New Technology - Level XXXIII ($7500-$8000)","T","1","775000","0","0","0","0","0","0","0","0"
"01570","62","65","New Technology - Level 33 ($7500-$8000)","T","1","775000","0","0","0","0","0","0","0","0"
"01570","66","87","New Technology - Level 33 ($7501-$8000)","T","1","775050","0","0","0","0","0","0","0","0"
"01571","60","61","New Technology - Level XXXIV ($8000-$8500)","T","1","825000","0","0","0","0","0","0","0","0"
"01571","62","65","New Technology - Level 34 ($8000-$8500)","T","1","825000","0","0","0","0","0","0","0","0"
"01571","66","87","New Technology - Level 34 ($8001-$8500)","T","1","825050","0","0","0","0","0","0","0","0"
"01572","60","61","New Technology - Level XXXV ($8500-$9000)","T","1","875000","0","0","0","0","0","0","0","0"
"01572","62","65","New Technology - Level 35 ($8500-$9000)","T","1","875000","0","0","0","0","0","0","0","0"
"01572","66","87","New Technology - Level 35 ($8501-$9000)","T","1","875050","0","0","0","0","0","0","0","0"
"01573","60","61","New Technology - Level XXXVI ($9000-$9500)","T","1","925000","0","0","0","0","0","0","0","0"
"01573","62","65","New Technology - Level 36 ($9000-$9500)","T","1","925000","0","0","0","0","0","0","0","0"
"01573","66","87","New Technology - Level 36 ($9001-$9500)","T","1","925050","0","0","0","0","0","0","0","0"
"01574","60","61","New Technology - Level XXXVII ($9500-$10000)","T","1","975000","0","0","0","0","0","0","0","0"
"01574","62","65","New Technology - Level 37 ($9500-$10000)","T","1","975000","0","0","0","0","0","0","0","0"
"01574","66","87","New Technology - Level 37 ($9501-$10000)","T","1","975050","0","0","0","0","0","0","0","0"
"01575","62","65","New Technology - Level 38 ($10,000-$15,000)","S","1","1250000","0","0","0","0","0","0","0","0"
"01575","66","87","New Technology - Level 38 ($10,001-$15,000)","S","1","1250050","0","0","0","0","0","0","0","0"
"01576","62","65","New Technology - Level 39 ($15,000-$20,000)","S","1","1750000","0","0","0","0","0","0","0","0"
"01576","66","87","New Technology - Level 39 ($15,001-$20,000)","S","1","1750050","0","0","0","0","0","0","0","0"
"01577","62","65","New Technology - Level 40 ($20,000-$25,000)","S","1","2250000","0","0","0","0","0","0","0","0"
"01577","66","87","New Technology - Level 40 ($20,001-$25,000)","S","1","2250050","0","0","0","0","0","0","0","0"
"01578","62","65","New Technology - Level 41 ($25,000-$30,000)","S","1","2750000","0","0","0","0","0","0","0","0"
"01578","66","87","New Technology - Level 41 ($25,001-$30,000)","S","1","2750050","0","0","0","0","0","0","0","0"
"01579","62","65","New Technology - Level 42 ($30,000-$40,000)","S","1","3500000","0","0","0","0","0","0","0","0"
"01579","66","87","New Technology - Level 42 ($30,001-$40,000)","S","1","3500050","0","0","0","0","0","0","0","0"
"01580","62","65","New Technology - Level 43 ($40,000-$50,000)","S","1","4500000","0","0","0","0","0","0","0","0"
"01580","66","87","New Technology - Level 43 ($40,001-$50,000)","S","1","4500050","0","0","0","0","0","0","0","0"
"01581","62","65","New Technology - Level 44 ($50,000-$60,000)","S","1","5500000","0","0","0","0","0","0","0","0"
"01581","66","87","New Technology - Level 44 ($50,001-$60,000)","S","1","5500050","0","0","0","0","0","0","0","0"
"01582","62","65","New Technology - Level 45 ($60,000-$70,000)","S","1","6500000","0","0","0","0","0","0","0","0"
"01582","66","87","New Technology - Level 45 ($60,001-$70,000)","S","1","6500050","0","0","0","0","0","0","0","0"
"01583","62","65","New Technology - Level 46 ($70,000-$80,000)","S","1","7500000","0","0","0","0","0","0","0","0"
"01583","66","87","New Technology - Level 46 ($70,001-$80,000)","S","1","7500050","0","0","0","0","0","0","0","0"
"01584","62","65","New Technology - Level 47 ($80,000-$90,000)","S","1","8500000","0","0","0","0","0","0","0","0"
"01584","66","87","New Technology - Level 47 ($80,001-$90,000)","S","1","8500050","0","0","0","0","0","0","0","0"
"01585","62","65","New Technology - Level 48 ($90,000-$100,000)","S","1","9500000","0","0","0","0","0","0","0","0"
"01585","66","87","New Technology - Level 48 ($90,001-$100,000)","S","1","9500050","0","0","0","0","0","0","0","0"
"01589","62","65","New Technology - Level 38 ($10,000-$15,000)","T","1","1250000","0","0","0","0","0","0","0","0"
"01589","66","87","New Technology - Level 38 ($10,001-$15,000)","T","1","1250050","0","0","0","0","0","0","0","0"
"01590","62","65","New Technology - Level 39 ($15,000-$20,000)","T","1","1750000","0","0","0","0","0","0","0","0"
"01590","66","87","New Technology - Level 39 ($15,001-$20,000)","T","1","1750050","0","0","0","0","0","0","0","0"
"01591","62","65","New Technology - Level 40 ($20,000-$25,000)","T","1","2250000","0","0","0","0","0","0","0","0"
"01591","66","87","New Technology - Level 40 ($20,001-$25,000)","T","1","2250050","0","0","0","0","0","0","0","0"
"01592","62","65","New Technology - Level 41 ($25,000-$30,000)","T","1","2750000","0","0","0","0","0","0","0","0"
"01592","66","87","New Technology - Level 41 ($25,001-$30,000)","T","1","2750050","0","0","0","0","0","0","0","0"
"01593","62","65","New Technology - Level 42 ($30,000-$40,000)","T","1","3500000","0","0","0","0","0","0","0","0"
"01593","66","87","New Technology - Level 42 ($30,001-$40,000)","T","1","3500050","0","0","0","0","0","0","0","0"
"01594","62","65","New Technology - Level 43 ($40,000-$50,000)","T","1","4500000","0","0","0","0","0","0","0","0"
"01594","66","87","New Technology - Level 43 ($40,001-$50,000)","T","1","4500050","0","0","0","0","0","0","0","0"
"01595","62","65","New Technology - Level 44 ($50,000-$60,000)","T","1","5500000","0","0","0","0","0","0","0","0"
"01595","66","87","New Technology - Level 44 ($50,001-$60,000)","T","1","5500050","0","0","0","0","0","0","0","0"
"01596","62","65","New Technology - Level 45 ($60,000-$70,000)","T","1","6500000","0","0","0","0","0","0","0","0"
"01596","66","87","New Technology - Level 45 ($60,001-$70,000)","T","1","6500050","0","0","0","0","0","0","0","0"
"01597","62","65","New Technology - Level 46 ($70,000-$80,000)","T","1","7500000","0","0","0","0","0","0","0","0"
"01597","66","87","New Technology - Level 46 ($70,001-$80,000)","T","1","7500050","0","0","0","0","0","0","0","0"
"01598","62","65","New Technology - Level 47 ($80,000-$90,000)","T","1","8500000","0","0","0","0","0","0","0","0"
"01598","66","87","New Technology - Level 47 ($80,001-$90,000)","T","1","8500050","0","0","0","0","0","0","0","0"
"01599","62","65","New Technology - Level 48 ($90,000-$100,000)","T","1","9500000","0","0","0","0","0","0","0","0"
"01599","66","87","New Technology - Level 48 ($90,001-$100,000)","T","1","9500050","0","0","0","0","0","0","0","0"
"01605","60","60","Abciximab injection","K","1","82378","0","0","0","0","0","0","0","0"
"01605","61","61","Abciximab injection","K","1","89587","0","0","0","0","0","0","0","0"
"01605","66","66","Abciximab injection","K","2","113651","0","0","0","0","0","0","0","0"
"01605","67","67","Abciximab injection","K","2","114752","0","0","0","0","0","0","0","0"
"01605","68","68","Abciximab injection","K","2","115219","0","0","0","0","0","0","0","0"
"01605","69","69","Abciximab injection","K","2","123547","0","0","0","0","0","0","0","0"
"01607","60","60","Eptifibatide injection","K","1","2917","0","0","0","0","0","0","0","0"
"01607","61","61","Eptifibatide injection","K","1","3156","0","0","0","0","0","0","0","0"
"01607","62","62","Eptifibatide injection","K","2","3239","0","0","0","0","0","0","0","0"
"01607","63","63","Eptifibatide injection","K","2","3102","0","0","0","0","0","0","0","0"
"01607","64","64","Eptifibatide injection","K","2","3251","0","0","0","0","0","0","0","0"
"01607","65","65","Eptifibatide injection","K","2","3259","0","0","0","0","0","0","0","0"
"01607","66","66","Eptifibatide injection","K","2","3129","0","0","0","0","0","0","0","0"
"01607","67","67","Eptifibatide injection","K","2","2931","0","0","0","0","0","0","0","0"
"01607","68","68","Eptifibatide injection","K","2","2361","0","0","0","0","0","0","0","0"
"01607","69","69","Eptifibatide injection","K","2","2184","0","0","0","0","0","0","0","0"
"01607","70","70","Eptifibatide injection","K","2","2174","0","0","0","0","0","0","0","0"
"01607","71","71","Eptifibatide injection","K","2","2049","0","0","0","0","0","0","0","0"
"01607","72","72","Eptifibatide injection","K","2","1951","0","0","0","0","0","0","0","0"
"01607","73","73","Eptifibatide injection","K","2","1848","0","0","0","0","0","0","0","0"
"01607","74","74","Eptifibatide injection","K","2","1628","0","0","0","0","0","0","0","0"
"01607","75","75","Eptifibatide injection","K","2","1527","0","0","0","0","0","0","0","0"
"01607","76","76","Eptifibatide injection","K","2","1411","0","0","0","0","0","0","0","0"
"01607","77","77","Eptifibatide injection","K","2","509","0","0","0","0","0","0","0","0"
"01607","78","78","Eptifibatide injection","K","2","429","0","0","0","0","0","0","0","0"
"01607","79","79","Eptifibatide injection","K","2","336","0","0","0","0","0","0","0","0"
"01607","80","80","Eptifibatide injection","K","2","312","0","0","0","0","0","0","0","0"
"01607","81","81","Eptifibatide injection","K","2","392","0","0","0","0","0","0","0","0"
"01608","60","60","Etanercept injection","K","1","30237","0","0","0","0","0","0","0","0"
"01608","61","61","Etanercept injection","K","1","31074","0","0","0","0","0","0","0","0"
"01608","62","62","Etanercept injection","K","2","33081","0","0","0","0","0","0","0","0"
"01608","63","63","Etanercept injection","K","2","35211","0","0","0","0","0","0","0","0"
"01608","64","64","Etanercept injection","K","2","37914","0","0","0","0","0","0","0","0"
"01608","65","65","Etanercept injection","K","2","41171","0","0","0","0","0","0","0","0"
"01608","66","66","Etanercept injection","K","2","40462","0","0","0","0","0","0","0","0"
"01608","67","67","Etanercept injection","K","2","43817","0","0","0","0","0","0","0","0"
"01608","68","68","Etanercept injection","K","2","43758","0","0","0","0","0","0","0","0"
"01608","69","69","Etanercept injection","K","2","45726","0","0","0","0","0","0","0","0"
"01608","70","71","Etanercept injection","K","2","58857","0","0","0","0","0","0","0","0"
"01608","72","75","Etanercept injection","K","2","64554","0","0","0","0","0","0","0","0"
"01608","76","79","Etanercept injection","K","2","68556","0","0","0","0","0","0","0","0"
"01608","80","83","Etanercept injection","K","2","73630","0","0","0","0","0","0","0","0"
"01608","84","87","Etanercept injection","K","2","79078","0","0","0","0","0","0","0","0"
"01609","60","60","Rho(D) immune globulin h, sd","K","1","1890","0","0","0","0","0","0","0","0"
"01609","61","61","Rho(D) immune globulin h, sd","K","1","1886","0","0","0","0","0","0","0","0"
"01609","62","62","Rho(D) immune globulin h, sd","K","2","1940","0","0","0","0","0","0","0","0"
"01609","63","63","Rho(D) immune globulin h, sd","K","2","2022","0","0","0","0","0","0","0","0"
"01609","64","64","Rho(D) immune globulin h, sd","K","2","2025","0","0","0","0","0","0","0","0"
"01609","65","65","Rho(D) immune globulin h, sd","K","2","2116","0","0","0","0","0","0","0","0"
"01609","66","66","Rho(D) immune globulin h, sd","K","2","2133","0","0","0","0","0","0","0","0"
"01609","67","67","Rho(D) immune globulin h, sd","K","2","2232","0","0","0","0","0","0","0","0"
"01609","68","68","Rho(D) immune globulin h, sd","K","2","2270","0","0","0","0","0","0","0","0"
"01609","69","69","Rho(D) immune globulin h, sd","K","2","2386","0","0","0","0","0","0","0","0"
"01609","70","70","Rho(D) immune globulin h, sd","K","2","2380","0","0","0","0","0","0","0","0"
"01609","71","71","Rho(D) immune globulin h, sd","K","2","2531","0","0","0","0","0","0","0","0"
"01609","72","72","Rho(D) immune globulin h, sd","K","2","2431","0","0","0","0","0","0","0","0"
"01609","73","73","Rho(D) immune globulin h, sd","K","2","2732","0","0","0","0","0","0","0","0"
"01609","74","74","Rho(D) immune globulin h, sd","K","2","2702","0","0","0","0","0","0","0","0"
"01609","75","75","Rho(D) immune globulin h, sd","K","2","2778","0","0","0","0","0","0","0","0"
"01609","76","76","Rho(D) immune globulin h, sd","K","2","2861","0","0","0","0","0","0","0","0"
"01609","77","77","Rho(D) immune globulin h, sd","K","2","3010","0","0","0","0","0","0","0","0"
"01609","78","78","Rho(D) immune globulin h, sd","K","2","2978","0","0","0","0","0","0","0","0"
"01609","79","79","Rho(D) immune globulin h, sd","K","2","2979","0","0","0","0","0","0","0","0"
"01609","80","80","Rho(D) immune globulin h, sd","K","2","2874","0","0","0","0","0","0","0","0"
"01609","81","81","Rho(D) immune globulin h, sd","K","2","2972","0","0","0","0","0","0","0","0"
"01609","82","82","Rho(D) immune globulin h, sd","K","2","3637","0","0","0","0","0","0","0","0"
"01609","83","83","Rho(D) immune globulin h, sd","K","2","2940","0","0","0","0","0","0","0","0"
"01609","84","84","Rho(D) immune globulin h, sd","K","2","3157","0","0","0","0","0","0","0","0"
"01609","85","85","Rho(D) immune globulin h, sd","K","2","3003","0","0","0","0","0","0","0","0"
"01609","86","86","Rho(D) immune globulin h, sd","K","2","3142","0","0","0","0","0","0","0","0"
"01609","87","87","Rho(D) immune globulin h, sd","K","2","3152","0","0","0","0","0","0","0","0"
"01612","60","61","Daclizumab, parenteral","K","1","52634","0","0","0","0","0","0","0","0"
"01612","62","66","Daclizumab, parenteral","K","2","52634","0","0","0","0","0","0","0","0"
"01612","67","69","Daclizumab, parenteral","K","2","1000","0","0","0","0","0","0","0","0"
"01613","60","60","Trastuzumab injection","K","1","8522","0","0","0","0","0","0","0","0"
"01613","61","61","Trastuzumab injection","K","1","8724","0","0","0","0","0","0","0","0"
"01613","62","62","Trastuzumab injection","K","2","8736","0","0","0","0","0","0","0","0"
"01613","63","63","Trastuzumab injection","K","2","8951","0","0","0","0","0","0","0","0"
"01613","64","64","Trastuzumab injection","K","2","8967","0","0","0","0","0","0","0","0"
"01613","65","65","Trastuzumab injection","K","2","9173","0","0","0","0","0","0","0","0"
"01613","66","66","Trastuzumab injection","K","2","9209","0","0","0","0","0","0","0","0"
"01613","67","67","Trastuzumab injection","K","2","9453","0","0","0","0","0","0","0","0"
"01613","68","68","Trastuzumab injection","K","2","9449","0","0","0","0","0","0","0","0"
"01613","69","69","Trastuzumab injection","K","2","9663","0","0","0","0","0","0","0","0"
"01613","70","70","Trastuzumab injection","K","2","9780","0","0","0","0","0","0","0","0"
"01613","71","71","Trastuzumab injection","K","2","10065","0","0","0","0","0","0","0","0"
"01613","72","72","Trastuzumab injection","K","2","10105","0","0","0","0","0","0","0","0"
"01613","73","73","Trastuzumab injection","K","2","10373","0","0","0","0","0","0","0","0"
"01613","74","74","Trastuzumab injection","K","2","10412","0","0","0","0","0","0","0","0"
"01613","75","75","Trastuzumab injection","K","2","10700","0","0","0","0","0","0","0","0"
"01613","76","76","Trastuzumab injection","K","2","10702","0","0","0","0","0","0","0","0"
"01613","77","77","Trastuzumab injection","K","2","10698","0","0","0","0","0","0","0","0"
"01613","78","78","Trastuzumab injection","K","2","10662","0","0","0","0","0","0","0","0"
"01613","79","79","Trastuzumab injection","K","2","10586","0","0","0","0","0","0","0","0"
"01613","80","80","Trastuzumab injection","K","2","10420","0","0","0","0","0","0","0","0"
"01613","81","81","Trastuzumab injection","K","2","10232","0","0","0","0","0","0","0","0"
"01613","82","82","Inj trastuzumab excl biosimi","K","2","9968","0","0","0","0","0","0","0","0"
"01613","83","83","Inj trastuzumab excl biosimi","K","2","9792","0","0","0","0","0","0","0","0"
"01613","84","84","Inj trastuzumab excl biosimi","K","2","9368","0","0","0","0","0","0","0","0"
"01613","85","85","Inj trastuzumab excl biosimi","K","2","9098","0","0","0","0","0","0","0","0"
"01613","86","86","Trastuzumab injection","K","2","8981","0","0","0","0","0","0","0","0"
"01613","87","87","Trastuzumab injection","K","2","8641","0","0","0","0","0","0","0","0"
"01630","60","60","Hep b ig, im","K","1","10456","0","0","0","0","0","0","0","0"
"01630","61","61","Hep b ig, im","K","1","11996","0","0","0","0","0","0","0","0"
"01630","62","62","Hep b ig, im","K","2","11039","0","0","0","0","0","0","0","0"
"01630","63","63","Hep b ig, im","K","2","11322","0","0","0","0","0","0","0","0"
"01630","64","64","Hep b ig, im","K","2","12192","0","0","0","0","0","0","0","0"
"01630","65","65","Hep b ig, im","K","2","11444","0","0","0","0","0","0","0","0"
"01630","66","66","Hep b ig, im","K","2","11133","0","0","0","0","0","0","0","0"
"01630","67","67","Hep b ig, im","K","2","10947","0","0","0","0","0","0","0","0"
"01630","68","68","Hep b ig, im","K","2","11196","0","0","0","0","0","0","0","0"
"01630","69","69","Hep b ig, im","K","2","10824","0","0","0","0","0","0","0","0"
"01630","70","70","Hep b ig, im","K","2","12427","0","0","0","0","0","0","0","0"
"01630","71","71","Hep b ig, im","K","2","11600","0","0","0","0","0","0","0","0"
"01630","72","72","Hep b ig, im","K","2","11351","0","0","0","0","0","0","0","0"
"01630","73","73","Hep b ig, im","K","2","11712","0","0","0","0","0","0","0","0"
"01630","74","74","Hep b ig, im","K","2","11233","0","0","0","0","0","0","0","0"
"01630","75","75","Hep b ig, im","K","2","11954","0","0","0","0","0","0","0","0"
"01630","76","76","Hep b ig, im","K","2","12537","0","0","0","0","0","0","0","0"
"01630","77","77","Hep b ig, im","K","2","11820","0","0","0","0","0","0","0","0"
"01630","78","78","Hep b ig, im","K","2","11067","0","0","0","0","0","0","0","0"
"01630","79","79","Hep b ig, im","K","2","11594","0","0","0","0","0","0","0","0"
"01630","80","80","Hep b ig, im","K","2","11783","0","0","0","0","0","0","0","0"
"01630","81","81","Hep b ig, im","K","2","11589","0","0","0","0","0","0","0","0"
"01630","82","82","Hep b ig, im","K","2","11909","0","0","0","0","0","0","0","0"
"01630","83","83","Hep b ig, im","K","2","12686","0","0","0","0","0","0","0","0"
"01630","84","84","Hep b ig, im","K","2","12628","0","0","0","0","0","0","0","0"
"01630","85","85","Hep b ig, im","K","2","13186","0","0","0","0","0","0","0","0"
"01630","86","86","Hep b ig, im","K","2","13031","0","0","0","0","0","0","0","0"
"01630","87","87","Hep b ig, im","K","2","13559","0","0","0","0","0","0","0","0"
"01631","60","60","Baclofen intrathecal trial","K","1","7650","0","0","0","0","0","0","0","0"
"01631","61","61","Baclofen intrathecal trial","K","1","7595","0","0","0","0","0","0","0","0"
"01631","62","62","Baclofen intrathecal trial","K","2","7607","0","0","0","0","0","0","0","0"
"01631","63","63","Baclofen intrathecal trial","K","2","7640","0","0","0","0","0","0","0","0"
"01631","64","64","Baclofen intrathecal trial","K","2","7736","0","0","0","0","0","0","0","0"
"01631","65","65","Baclofen intrathecal trial","K","2","7703","0","0","0","0","0","0","0","0"
"01631","66","66","Baclofen intrathecal trial","K","2","7696","0","0","0","0","0","0","0","0"
"01631","67","67","Baclofen intrathecal trial","K","2","7652","0","0","0","0","0","0","0","0"
"01631","68","68","Baclofen intrathecal trial","K","2","7684","0","0","0","0","0","0","0","0"
"01631","69","69","Baclofen intrathecal trial","K","2","7321","0","0","0","0","0","0","0","0"
"01631","70","70","Baclofen intrathecal trial","K","2","7034","0","0","0","0","0","0","0","0"
"01631","71","71","Baclofen intrathecal trial","K","2","4288","0","0","0","0","0","0","0","0"
"01631","72","72","Baclofen intrathecal trial","K","2","4598","0","0","0","0","0","0","0","0"
"01631","73","73","Baclofen intrathecal trial","K","2","5939","0","0","0","0","0","0","0","0"
"01633","60","61","Alefacept","K","1","4164","0","0","0","0","0","0","0","0"
"01633","62","69","Alefacept","K","2","4164","0","0","0","0","0","0","0","0"
"01643","60","60","Y90 ibritumomab, rx","K","1","4537609","0","0","0","0","0","0","0","0"
"01643","61","61","Y90 ibritumomab, rx","K","1","4570313","0","0","0","0","0","0","0","0"
"01643","62","62","Y90 ibritumomab, rx","K","2","4630442","0","0","0","0","0","0","0","0"
"01643","63","63","Y90 ibritumomab, rx","K","2","4617612","0","0","0","0","0","0","0","0"
"01643","64","64","Y90 ibritumomab, rx","K","2","4672269","0","0","0","0","0","0","0","0"
"01643","65","65","Y90 ibritumomab, rx","K","2","4685473","0","0","0","0","0","0","0","0"
"01643","66","66","Y90 ibritumomab, rx","K","2","4694238","0","0","0","0","0","0","0","0"
"01643","67","67","Y90 ibritumomab, rx","K","2","4685949","0","0","0","0","0","0","0","0"
"01643","68","68","Y90 ibritumomab, rx","K","2","4711190","0","0","0","0","0","0","0","0"
"01643","69","69","Y90 ibritumomab, rx","K","2","4691725","0","0","0","0","0","0","0","0"
"01643","70","70","Y90 ibritumomab, rx","K","2","4820434","0","0","0","0","0","0","0","0"
"01643","71","71","Y90 ibritumomab, rx","K","2","4772421","0","0","0","0","0","0","0","0"
"01643","72","72","Y90 ibritumomab, rx","K","2","4838779","0","0","0","0","0","0","0","0"
"01643","73","73","Y90 ibritumomab, rx","K","2","4826957","0","0","0","0","0","0","0","0"
"01643","74","74","Y90 ibritumomab, rx","K","2","4666164","0","0","0","0","0","0","0","0"
"01643","75","75","Y90 ibritumomab, rx","K","2","4767388","0","0","0","0","0","0","0","0"
"01643","76","76","Y90 ibritumomab, rx","K","2","4993170","0","0","0","0","0","0","0","0"
"01643","77","77","Y90 ibritumomab, rx","K","2","4929846","0","0","0","0","0","0","0","0"
"01643","78","78","Y90 ibritumomab, rx","K","2","4247267","0","0","0","0","0","0","0","0"
"01643","79","79","Y90 ibritumomab, rx","K","2","5526757","0","0","0","0","0","0","0","0"
"01643","80","80","Y90 ibritumomab, rx","K","2","5583795","0","0","0","0","0","0","0","0"
"01643","81","81","Y90 ibritumomab, rx","K","2","5734050","0","0","0","0","0","0","0","0"
"01643","82","82","Y90 ibritumomab, rx","K","2","5674693","0","0","0","0","0","0","0","0"
"01643","83","83","Y90 ibritumomab, rx","K","2","5891018","0","0","0","0","0","0","0","0"
"01643","84","84","Y90 ibritumomab, rx","K","2","5682455","0","0","0","0","0","0","0","0"
"01643","85","85","Y90 ibritumomab, rx","K","2","5891018","0","0","0","0","0","0","0","0"
"01643","86","87","Y90 ibritumomab, rx","K","2","5979385","0","0","0","0","0","0","0","0"
"01656","60","60","Factor VIII FC Fusion Recomb","G","5","192","0","0","0","0","0","0","0","0"
"01656","61","61","Factor VIII FC Fusion Recomb","G","5","189","0","0","0","0","0","0","0","0"
"01656","62","62","Factor viii fc fusion recomb","G","2","190","0","0","0","0","0","0","0","0"
"01656","63","63","Factor viii fc fusion recomb","G","2","189","0","0","0","0","0","0","0","0"
"01656","64","64","Factor viii fc fusion recomb","G","2","190","0","0","0","0","0","0","0","0"
"01656","65","65","Factor viii fc fusion recomb","G","2","189","0","0","0","0","0","0","0","0"
"01656","66","66","Factor viii fc fusion recomb","K","2","189","0","0","0","0","0","0","0","0"
"01656","67","67","Factor viii fc fusion recomb","K","2","197","0","0","0","0","0","0","0","0"
"01656","68","68","Factor viii fc fusion recomb","K","2","198","0","0","0","0","0","0","0","0"
"01656","69","69","Factor viii fc fusion recomb","K","2","203","0","0","0","0","0","0","0","0"
"01656","70","71","Factor viii fc fusion recomb","K","2","202","0","0","0","0","0","0","0","0"
"01656","72","72","Factor viii fc fusion recomb","K","2","205","0","0","0","0","0","0","0","0"
"01656","73","75","Factor viii fc fusion recomb","K","2","201","0","0","0","0","0","0","0","0"
"01656","76","76","Factor viii fc fusion recomb","K","2","202","0","0","0","0","0","0","0","0"
"01656","77","77","Factor viii fc fusion recomb","K","2","210","0","0","0","0","0","0","0","0"
"01656","78","78","Factor viii fc fusion recomb","K","2","208","0","0","0","0","0","0","0","0"
"01656","79","79","Factor viii fc fusion recomb","K","2","211","0","0","0","0","0","0","0","0"
"01656","80","80","Factor viii fc fusion recomb","K","2","210","0","0","0","0","0","0","0","0"
"01656","81","81","Factor viii fc fusion recomb","K","2","216","0","0","0","0","0","0","0","0"
"01656","82","83","Factor viii fc fusion recomb","K","2","217","0","0","0","0","0","0","0","0"
"01656","84","84","Factor viii fc fusion recomb","K","2","218","0","0","0","0","0","0","0","0"
"01656","85","85","Factor viii fc fusion recomb","K","2","212","0","0","0","0","0","0","0","0"
"01656","86","86","Factor viii fc fusion recomb","K","2","215","0","0","0","0","0","0","0","0"
"01656","87","87","Factor viii fc fusion recomb","K","2","212","0","0","0","0","0","0","0","0"
"01657","60","61","PuraPly, PuraPly Antimic","G","5","10918","0","0","0","0","0","0","0","0"
"01657","62","62","Puraply, puraply antimic","G","2","10918","0","0","0","0","0","0","0","0"
"01657","63","63","Puraply, puraply antimic","G","2","11943","0","0","0","0","0","0","0","0"
"01657","64","65","Puraply, puraply antimic","G","2","12138","0","0","0","0","0","0","0","0"
"01657","66","66","Puraply or puraply am","G","2","11912","0","0","0","0","0","0","0","0"
"01657","67","67","Puraply or puraply am","G","2","12011","0","0","0","0","0","0","0","0"
"01657","68","68","Puraply or puraply am","G","2","10412","0","0","0","0","0","0","0","0"
"01657","69","69","Puraply or puraply am","G","2","12018","0","0","0","0","0","0","0","0"
"01658","60","60","Injection, belinostat","G","5","3169","0","0","0","0","0","0","0","0"
"01658","61","61","Injection, belinostat","G","5","3165","0","0","0","0","0","0","0","0"
"01658","62","62","Injection, belinostat, 10mg","G","2","3164","0","0","0","0","0","0","0","0"
"01658","63","63","Injection, belinostat, 10mg","G","2","3250","0","0","0","0","0","0","0","0"
"01658","64","64","Injection, belinostat, 10mg","G","2","3241","0","0","0","0","0","0","0","0"
"01658","65","65","Injection, belinostat, 10mg","G","2","3339","0","0","0","0","0","0","0","0"
"01658","66","66","Injection, belinostat, 10mg","G","2","3354","0","0","0","0","0","0","0","0"
"01658","67","67","Injection, belinostat, 10mg","G","2","3453","0","0","0","0","0","0","0","0"
"01658","68","68","Injection, belinostat, 10mg","G","2","3439","0","0","0","0","0","0","0","0"
"01658","69","69","Injection, belinostat, 10mg","G","2","3526","0","0","0","0","0","0","0","0"
"01658","70","70","Injection, belinostat, 10mg","K","2","3521","0","0","0","0","0","0","0","0"
"01658","71","71","Injection, belinostat, 10mg","K","2","3611","0","0","0","0","0","0","0","0"
"01658","72","72","Injection, belinostat, 10mg","K","2","3627","0","0","0","0","0","0","0","0"
"01658","73","73","Injection, belinostat, 10mg","K","2","3726","0","0","0","0","0","0","0","0"
"01658","74","74","Injection, belinostat, 10mg","K","2","3774","0","0","0","0","0","0","0","0"
"01658","75","75","Injection, belinostat, 10mg","K","2","3824","0","0","0","0","0","0","0","0"
"01658","76","76","Injection, belinostat, 10mg","K","2","3889","0","0","0","0","0","0","0","0"
"01658","77","77","Injection, belinostat, 10mg","K","2","3939","0","0","0","0","0","0","0","0"
"01658","78","78","Injection, belinostat, 10mg","K","2","4007","0","0","0","0","0","0","0","0"
"01658","79","79","Injection, belinostat, 10mg","K","2","4083","0","0","0","0","0","0","0","0"
"01658","80","80","Injection, belinostat, 10mg","K","2","4118","0","0","0","0","0","0","0","0"
"01658","81","81","Injection, belinostat, 10mg","K","2","4239","0","0","0","0","0","0","0","0"
"01658","82","82","Injection, belinostat, 10mg","K","2","4279","0","0","0","0","0","0","0","0"
"01658","83","83","Injection, belinostat, 10mg","K","2","4270","0","0","0","0","0","0","0","0"
"01658","84","84","Injection, belinostat, 10mg","K","2","4261","0","0","0","0","0","0","0","0"
"01658","85","85","Injection, belinostat, 10mg","K","2","4223","0","0","0","0","0","0","0","0"
"01658","86","86","Injection, belinostat, 10mg","K","2","4277","0","0","0","0","0","0","0","0"
"01658","87","87","Injection, belinostat, 10mg","K","2","4342","0","0","0","0","0","0","0","0"
"01659","60","60","Injection, dalbavancin","G","5","2957","0","0","0","0","0","0","0","0"
"01659","61","61","Injection, dalbavancin","G","5","2788","0","0","0","0","0","0","0","0"
"01660","60","60","Injection, oritavancin","G","5","2562","0","0","0","0","0","0","0","0"
"01660","61","61","Injection, oritavancin","G","5","2510","0","0","0","0","0","0","0","0"
"01660","62","62","Injection, oritavancin","G","2","2507","0","0","0","0","0","0","0","0"
"01660","63","63","Injection, oritavancin","G","2","2562","0","0","0","0","0","0","0","0"
"01660","64","65","Injection, oritavancin","G","2","2470","0","0","0","0","0","0","0","0"
"01660","66","66","Injection, oritavancin","G","2","2464","0","0","0","0","0","0","0","0"
"01660","67","67","Injection, oritavancin","G","2","2466","0","0","0","0","0","0","0","0"
"01660","68","68","Injection, oritavancin","G","2","2456","0","0","0","0","0","0","0","0"
"01660","69","69","Injection, oritavancin","G","2","2337","0","0","0","0","0","0","0","0"
"01660","70","70","Injection, oritavancin","K","2","2336","0","0","0","0","0","0","0","0"
"01660","71","71","Injection, oritavancin","K","2","2324","0","0","0","0","0","0","0","0"
"01660","72","72","Injection, oritavancin","K","2","2349","0","0","0","0","0","0","0","0"
"01660","73","73","Injection, oritavancin","K","2","2562","0","0","0","0","0","0","0","0"
"01660","74","74","Injection, oritavancin","K","2","2308","0","0","0","0","0","0","0","0"
"01660","75","75","Injection, oritavancin","K","2","2366","0","0","0","0","0","0","0","0"
"01660","76","76","Injection, oritavancin","K","2","2391","0","0","0","0","0","0","0","0"
"01660","77","77","Injection, oritavancin","K","2","2414","0","0","0","0","0","0","0","0"
"01660","78","78","Injection, oritavancin","K","2","2378","0","0","0","0","0","0","0","0"
"01660","79","79","Injection, oritavancin","K","2","2376","0","0","0","0","0","0","0","0"
"01660","80","80","Injection, oritavancin","K","2","2327","0","0","0","0","0","0","0","0"
"01660","81","81","Injection, oritavancin","K","2","2396","0","0","0","0","0","0","0","0"
"01660","82","82","Injection, oritavancin","K","2","2380","0","0","0","0","0","0","0","0"
"01660","83","83","Injection, oritavancin","K","2","2382","0","0","0","0","0","0","0","0"
"01660","84","84","Injection, oritavancin","K","2","2363","0","0","0","0","0","0","0","0"
"01660","85","85","Injection, oritavancin","K","2","2379","0","0","0","0","0","0","0","0"
"01660","86","86","Injection, oritavancin","K","2","2363","0","0","0","0","0","0","0","0"
"01660","87","87","Injection, oritavancin","K","2","2440","0","0","0","0","0","0","0","0"
"01661","62","69","Gen, neuro, HF, rechg bat","H","6","0","0","0","0","0","0","0","0","0"
"01662","60","61","Inj, tedizolid phosphate","G","5","12","0","0","0","0","0","0","0","0"
"01662","62","62","Inj tedizolid phosphate","G","2","12","0","0","0","0","0","0","0","0"
"01662","63","64","Inj tedizolid phosphate","G","2","121","0","0","0","0","0","0","0","0"
"01662","65","65","Inj tedizolid phosphate","G","2","127","0","0","0","0","0","0","0","0"
"01662","66","66","Inj tedizolid phosphate","G","2","128","0","0","0","0","0","0","0","0"
"01662","67","68","Inj tedizolid phosphate","G","2","127","0","0","0","0","0","0","0","0"
"01662","69","69","Inj tedizolid phosphate","G","2","132","0","0","0","0","0","0","0","0"
"01662","70","70","Inj tedizolid phosphate","K","2","133","0","0","0","0","0","0","0","0"
"01662","71","71","Inj tedizolid phosphate","K","2","137","0","0","0","0","0","0","0","0"
"01662","72","72","Inj tedizolid phosphate","K","2","138","0","0","0","0","0","0","0","0"
"01662","73","73","Inj tedizolid phosphate","K","2","144","0","0","0","0","0","0","0","0"
"01662","74","74","Inj tedizolid phosphate","K","2","143","0","0","0","0","0","0","0","0"
"01662","75","76","Inj tedizolid phosphate","K","2","142","0","0","0","0","0","0","0","0"
"01662","77","77","Inj tedizolid phosphate","K","2","148","0","0","0","0","0","0","0","0"
"01662","78","78","Inj tedizolid phosphate","K","2","149","0","0","0","0","0","0","0","0"
"01662","79","79","Inj tedizolid phosphate","K","2","155","0","0","0","0","0","0","0","0"
"01662","80","80","Inj tedizolid phosphate","K","2","156","0","0","0","0","0","0","0","0"
"01662","81","84","Inj tedizolid phosphate","K","2","159","0","0","0","0","0","0","0","0"
"01662","85","85","Inj tedizolid phosphate","K","2","158","0","0","0","0","0","0","0","0"
"01662","86","86","Inj tedizolid phosphate","K","2","160","0","0","0","0","0","0","0","0"
"01662","87","87","Inj tedizolid phosphate","K","2","166","0","0","0","0","0","0","0","0"
"01663","60","61","Inj, phenylephrine ketorolac","G","5","49290","0","0","0","0","0","0","0","0"
"01663","62","62","Inj, phenylephrine ketorolac","G","2","49290","0","0","0","0","0","0","0","0"
"01663","63","63","Inj, phenylephrine ketorolac","G","2","49014","0","0","0","0","0","0","0","0"
"01663","64","64","Inj, phenylephrine ketorolac","G","2","48789","0","0","0","0","0","0","0","0"
"01663","65","65","Inj, phenylephrine ketorolac","G","2","48740","0","0","0","0","0","0","0","0"
"01663","66","66","Inj, phenylephrine ketorolac","G","2","48712","0","0","0","0","0","0","0","0"
"01663","67","67","Inj, phenylephrine ketorolac","G","2","48807","0","0","0","0","0","0","0","0"
"01663","68","68","Inj, phenylephrine ketorolac","G","2","48786","0","0","0","0","0","0","0","0"
"01663","69","69","Inj, phenylephrine ketorolac","G","2","48334","0","0","0","0","0","0","0","0"
"01664","60","61","Florbetapir f18","G","5","275600","0","0","0","0","0","0","0","0"
"01664","62","69","Florbetapir f18","G","2","275600","0","0","0","0","0","0","0","0"
"01665","60","60","Capsaicin 8% patch","K","1","273","0","0","0","0","0","0","0","0"
"01665","61","61","Capsaicin 8% patch","K","1","280","0","0","0","0","0","0","0","0"
"01665","62","62","Capsaicin 8% patch","K","2","281","0","0","0","0","0","0","0","0"
"01665","63","64","Capsaicin 8% patch","K","2","289","0","0","0","0","0","0","0","0"
"01665","65","65","Capsaicin 8% patch","K","2","298","0","0","0","0","0","0","0","0"
"01666","60","61","Tetracyclin injection","K","1","9797","0","0","0","0","0","0","0","0"
"01666","62","66","Tetracyclin injection","K","2","9797","0","0","0","0","0","0","0","0"
"01666","67","69","Tetracyclin injection","K","2","729","0","0","0","0","0","0","0","0"
"01667","60","61","Alatrofloxacin mesylate","K","1","3886","0","0","0","0","0","0","0","0"
"01668","60","60","Chorionic gonadotropin/1000u","K","1","1938","0","0","0","0","0","0","0","0"
"01668","61","61","Chorionic gonadotropin/1000u","K","1","1857","0","0","0","0","0","0","0","0"
"01668","62","62","Chorionic gonadotropin/1000u","K","2","2259","0","0","0","0","0","0","0","0"
"01668","63","63","Chorionic gonadotropin/1000u","K","2","2021","0","0","0","0","0","0","0","0"
"01668","64","64","Chorionic gonadotropin/1000u","K","2","1622","0","0","0","0","0","0","0","0"
"01668","65","65","Chorionic gonadotropin/1000u","K","2","1934","0","0","0","0","0","0","0","0"
"01669","60","60","Erythro lactobionate /500 mg","K","1","4346","0","0","0","0","0","0","0","0"
"01669","61","61","Erythro lactobionate /500 mg","K","1","5113","0","0","0","0","0","0","0","0"
"01669","62","62","Erythro lactobionate /500 mg","K","2","5075","0","0","0","0","0","0","0","0"
"01669","63","63","Erythro lactobionate /500 mg","K","2","4840","0","0","0","0","0","0","0","0"
"01669","64","64","Erythro lactobionate /500 mg","K","2","4933","0","0","0","0","0","0","0","0"
"01669","65","65","Erythro lactobionate /500 mg","K","2","5904","0","0","0","0","0","0","0","0"
"01669","66","66","Erythro lactobionate /500 mg","K","2","5929","0","0","0","0","0","0","0","0"
"01669","67","67","Erythro lactobionate /500 mg","K","2","5970","0","0","0","0","0","0","0","0"
"01669","68","68","Erythro lactobionate /500 mg","K","2","5944","0","0","0","0","0","0","0","0"
"01669","69","69","Erythro lactobionate /500 mg","K","2","6243","0","0","0","0","0","0","0","0"
"01669","70","70","Erythro lactobionate /500 mg","K","2","6490","0","0","0","0","0","0","0","0"
"01669","71","72","Erythro lactobionate /500 mg","K","2","7236","0","0","0","0","0","0","0","0"
"01669","73","77","Erythro lactobionate /500 mg","K","2","7887","0","0","0","0","0","0","0","0"
"01669","82","83","Erythro lactobionate /500 mg","K","2","7685","0","0","0","0","0","0","0","0"
"01669","84","84","Erythro lactobionate /500 mg","K","2","7671","0","0","0","0","0","0","0","0"
"01669","85","85","Erythro lactobionate /500 mg","K","2","7874","0","0","0","0","0","0","0","0"
"01670","60","60","Tetanus immune globulin inj","K","1","32595","0","0","0","0","0","0","0","0"
"01670","61","61","Tetanus immune globulin inj","K","1","33736","0","0","0","0","0","0","0","0"
"01670","62","62","Tetanus immune globulin inj","K","2","25521","0","0","0","0","0","0","0","0"
"01670","63","63","Tetanus immune globulin inj","K","2","40282","0","0","0","0","0","0","0","0"
"01670","64","64","Tetanus immune globulin inj","K","2","40371","0","0","0","0","0","0","0","0"
"01670","65","65","Tetanus immune globulin inj","K","2","38611","0","0","0","0","0","0","0","0"
"01670","66","66","Tetanus immune globulin inj","K","2","43306","0","0","0","0","0","0","0","0"
"01670","67","67","Tetanus immune globulin inj","K","2","37651","0","0","0","0","0","0","0","0"
"01670","68","68","Tetanus immune globulin inj","K","2","36515","0","0","0","0","0","0","0","0"
"01670","69","69","Tetanus immune globulin inj","K","2","42204","0","0","0","0","0","0","0","0"
"01670","70","70","Tetanus immune globulin inj","K","2","55745","0","0","0","0","0","0","0","0"
"01670","71","71","Tetanus immune globulin inj","K","2","48560","0","0","0","0","0","0","0","0"
"01670","72","72","Tetanus immune globulin inj","K","2","45151","0","0","0","0","0","0","0","0"
"01670","73","73","Tetanus immune globulin inj","K","2","31243","0","0","0","0","0","0","0","0"
"01670","74","74","Tetanus immune globulin inj","K","2","25570","0","0","0","0","0","0","0","0"
"01670","75","75","Tetanus immune globulin inj","K","2","41861","0","0","0","0","0","0","0","0"
"01670","76","76","Tetanus immune globulin inj","K","2","40843","0","0","0","0","0","0","0","0"
"01670","77","77","Tetanus immune globulin inj","K","2","41884","0","0","0","0","0","0","0","0"
"01670","78","78","Tetanus immune globulin inj","K","2","43266","0","0","0","0","0","0","0","0"
"01670","79","79","Tetanus immune globulin inj","K","2","46299","0","0","0","0","0","0","0","0"
"01670","80","80","Tetanus immune globulin inj","K","2","53473","0","0","0","0","0","0","0","0"
"01670","81","81","Tetanus immune globulin inj","K","2","53578","0","0","0","0","0","0","0","0"
"01670","82","82","Tetanus immune globulin inj","K","2","47657","0","0","0","0","0","0","0","0"
"01670","83","83","Tetanus immune globulin inj","K","2","46995","0","0","0","0","0","0","0","0"
"01670","84","84","Tetanus immune globulin inj","K","2","45225","0","0","0","0","0","0","0","0"
"01670","85","85","Tetanus immune globulin inj","K","2","48391","0","0","0","0","0","0","0","0"
"01670","86","86","Tetanus immune globulin inj","K","2","44170","0","0","0","0","0","0","0","0"
"01670","87","87","Tetanus immune globulin inj","K","2","48208","0","0","0","0","0","0","0","0"
"01675","60","61","P32 Na phosphate","K","1","21356","0","0","0","0","0","0","0","0"
"01675","62","66","P32 Na phosphate","K","2","21356","0","0","0","0","0","0","0","0"
"01675","67","70","P32 Na phosphate","K","2","5664","0","0","0","0","0","0","0","0"
"01675","71","73","P32 Na phosphate","K","2","25600","0","0","0","0","0","0","0","0"
"01675","74","78","P32 Na phosphate","K","2","73003","0","0","0","0","0","0","0","0"
"01675","79","82","P32 Na phosphate","K","2","44931","0","0","0","0","0","0","0","0"
"01675","83","87","P32 Na phosphate","K","2","45834","0","0","0","0","0","0","0","0"
"01676","60","61","P32 chromic phosphate","K","1","90662","0","0","0","0","0","0","0","0"
"01676","62","66","P32 chromic phosphate","K","2","90662","0","0","0","0","0","0","0","0"
"01676","67","69","P32 chromic phosphate","K","2","7114","0","0","0","0","0","0","0","0"
"01683","60","60","Basiliximab","K","1","271840","0","0","0","0","0","0","0","0"
"01683","61","61","Basiliximab","K","1","284544","0","0","0","0","0","0","0","0"
"01683","62","62","Basiliximab","K","2","285152","0","0","0","0","0","0","0","0"
"01683","63","63","Basiliximab","K","2","300797","0","0","0","0","0","0","0","0"
"01683","64","64","Basiliximab","K","2","303987","0","0","0","0","0","0","0","0"
"01683","65","65","Basiliximab","K","2","318021","0","0","0","0","0","0","0","0"
"01683","66","66","Basiliximab","K","2","319611","0","0","0","0","0","0","0","0"
"01683","67","67","Basiliximab","K","2","334106","0","0","0","0","0","0","0","0"
"01683","68","68","Basiliximab","K","2","335734","0","0","0","0","0","0","0","0"
"01683","69","69","Basiliximab","K","2","342397","0","0","0","0","0","0","0","0"
"01683","70","70","Basiliximab","K","2","344037","0","0","0","0","0","0","0","0"
"01683","71","71","Basiliximab","K","2","354684","0","0","0","0","0","0","0","0"
"01683","72","72","Basiliximab","K","2","355039","0","0","0","0","0","0","0","0"
"01683","73","73","Basiliximab","K","2","365601","0","0","0","0","0","0","0","0"
"01683","74","74","Basiliximab","K","2","368613","0","0","0","0","0","0","0","0"
"01683","75","75","Basiliximab","K","2","367761","0","0","0","0","0","0","0","0"
"01683","76","76","Basiliximab","K","2","368717","0","0","0","0","0","0","0","0"
"01683","77","77","Basiliximab","K","2","378963","0","0","0","0","0","0","0","0"
"01683","78","78","Basiliximab","K","2","379993","0","0","0","0","0","0","0","0"
"01683","79","79","Basiliximab","K","2","380808","0","0","0","0","0","0","0","0"
"01683","80","80","Basiliximab","K","2","380554","0","0","0","0","0","0","0","0"
"01683","81","81","Basiliximab","K","2","401659","0","0","0","0","0","0","0","0"
"01683","82","82","Basiliximab","K","2","400519","0","0","0","0","0","0","0","0"
"01683","83","83","Basiliximab","K","2","401907","0","0","0","0","0","0","0","0"
"01683","84","84","Basiliximab","K","2","401682","0","0","0","0","0","0","0","0"
"01683","85","85","Basiliximab","K","2","402923","0","0","0","0","0","0","0","0"
"01683","86","86","Basiliximab","K","2","401308","0","0","0","0","0","0","0","0"
"01683","87","87","Basiliximab","K","2","403765","0","0","0","0","0","0","0","0"
"01684","60","61","Corticorelin ovine triflutal","K","1","774","0","0","0","0","0","0","0","0"
"01684","62","62","Corticorelin ovine triflutal","K","2","774","0","0","0","0","0","0","0","0"
"01684","63","63","Corticorelin ovine triflutal","K","2","772","0","0","0","0","0","0","0","0"
"01684","64","64","Corticorelin ovine triflutal","K","2","771","0","0","0","0","0","0","0","0"
"01684","65","65","Corticorelin ovine triflutal","K","2","805","0","0","0","0","0","0","0","0"
"01684","66","68","Corticorelin ovine triflutal","K","2","812","0","0","0","0","0","0","0","0"
"01684","69","69","Corticorelin ovine triflutal","K","2","825","0","0","0","0","0","0","0","0"
"01684","70","72","Corticorelin ovine triflutal","K","2","861","0","0","0","0","0","0","0","0"
"01684","73","73","Corticorelin ovine triflutal","K","2","860","0","0","0","0","0","0","0","0"
"01684","74","74","Corticorelin ovine triflutal","K","2","859","0","0","0","0","0","0","0","0"
"01684","75","75","Corticorelin ovine triflutal","K","2","893","0","0","0","0","0","0","0","0"
"01684","76","76","Corticorelin ovine triflutal","K","2","906","0","0","0","0","0","0","0","0"
"01684","77","77","Corticorelin ovine triflutal","K","2","905","0","0","0","0","0","0","0","0"
"01684","78","78","Corticorelin ovine triflutal","K","2","904","0","0","0","0","0","0","0","0"
"01684","79","79","Corticorelin ovine triflutal","K","2","924","0","0","0","0","0","0","0","0"
"01684","80","80","Corticorelin ovine triflutal","K","2","936","0","0","0","0","0","0","0","0"
"01684","81","81","Corticorelin ovine triflutal","K","2","937","0","0","0","0","0","0","0","0"
"01684","82","82","Corticorelin ovine triflutal","K","2","938","0","0","0","0","0","0","0","0"
"01684","83","83","Corticorelin ovine triflutal","K","2","957","0","0","0","0","0","0","0","0"
"01684","84","87","Corticorelin ovine triflutal","K","2","967","0","0","0","0","0","0","0","0"
"01685","60","60","Darbepoetin alfa, non-esrd","K","1","373","0","0","0","0","0","0","0","0"
"01685","61","61","Darbepoetin alfa, non-esrd","K","1","406","0","0","0","0","0","0","0","0"
"01685","62","62","Darbepoetin alfa, non-esrd","K","2","438","0","0","0","0","0","0","0","0"
"01685","63","63","Darbepoetin alfa, non-esrd","K","2","415","0","0","0","0","0","0","0","0"
"01685","64","64","Darbepoetin alfa, non-esrd","K","2","414","0","0","0","0","0","0","0","0"
"01685","65","65","Darbepoetin alfa, non-esrd","K","2","401","0","0","0","0","0","0","0","0"
"01685","66","66","Darbepoetin alfa, non-esrd","K","2","393","0","0","0","0","0","0","0","0"
"01685","67","68","Darbepoetin alfa, non-esrd","K","2","385","0","0","0","0","0","0","0","0"
"01685","69","69","Darbepoetin alfa, non-esrd","K","2","390","0","0","0","0","0","0","0","0"
"01685","70","70","Darbepoetin alfa, non-esrd","K","2","395","0","0","0","0","0","0","0","0"
"01685","71","71","Darbepoetin alfa, non-esrd","K","2","390","0","0","0","0","0","0","0","0"
"01685","72","72","Darbepoetin alfa, non-esrd","K","2","378","0","0","0","0","0","0","0","0"
"01685","73","73","Darbepoetin alfa, non-esrd","K","2","384","0","0","0","0","0","0","0","0"
"01685","74","74","Darbepoetin alfa, non-esrd","K","2","377","0","0","0","0","0","0","0","0"
"01685","75","75","Darbepoetin alfa, non-esrd","K","2","383","0","0","0","0","0","0","0","0"
"01685","76","76","Darbepoetin alfa, non-esrd","K","2","397","0","0","0","0","0","0","0","0"
"01685","77","77","Darbepoetin alfa, non-esrd","K","2","383","0","0","0","0","0","0","0","0"
"01685","78","78","Darbepoetin alfa, non-esrd","K","2","385","0","0","0","0","0","0","0","0"
"01685","79","79","Darbepoetin alfa, non-esrd","K","2","382","0","0","0","0","0","0","0","0"
"01685","80","80","Darbepoetin alfa, non-esrd","K","2","367","0","0","0","0","0","0","0","0"
"01685","81","81","Darbepoetin alfa, non-esrd","K","2","379","0","0","0","0","0","0","0","0"
"01685","82","82","Darbepoetin alfa, non-esrd","K","2","372","0","0","0","0","0","0","0","0"
"01685","83","83","Darbepoetin alfa, non-esrd","K","2","356","0","0","0","0","0","0","0","0"
"01685","84","84","Darbepoetin alfa, non-esrd","K","2","331","0","0","0","0","0","0","0","0"
"01685","85","85","Darbepoetin alfa, non-esrd","K","2","320","0","0","0","0","0","0","0","0"
"01685","86","86","Darbepoetin alfa, non-esrd","K","2","315","0","0","0","0","0","0","0","0"
"01685","87","87","Darbepoetin alfa, non-esrd","K","2","309","0","0","0","0","0","0","0","0"
"01686","60","60","Epoetin alfa, non-esrd","K","1","1184","0","0","0","0","0","0","0","0"
"01686","61","61","Epoetin alfa, non-esrd","K","1","1214","0","0","0","0","0","0","0","0"
"01686","62","62","Epoetin alfa, non-esrd","K","2","1262","0","0","0","0","0","0","0","0"
"01686","63","63","Epoetin alfa, non-esrd","K","2","1233","0","0","0","0","0","0","0","0"
"01686","64","64","Epoetin alfa, non-esrd","K","2","1237","0","0","0","0","0","0","0","0"
"01686","65","65","Epoetin alfa, non-esrd","K","2","1252","0","0","0","0","0","0","0","0"
"01686","66","66","Epoetin alfa, non-esrd","K","2","1259","0","0","0","0","0","0","0","0"
"01686","67","67","Epoetin alfa, non-esrd","K","2","1232","0","0","0","0","0","0","0","0"
"01686","68","68","Epoetin alfa, non-esrd","K","2","1362","0","0","0","0","0","0","0","0"
"01686","69","69","Epoetin alfa, non-esrd","K","2","1376","0","0","0","0","0","0","0","0"
"01686","70","70","Epoetin alfa, non-esrd","K","2","1294","0","0","0","0","0","0","0","0"
"01686","71","71","Epoetin alfa, non-esrd","K","2","1213","0","0","0","0","0","0","0","0"
"01686","72","72","Epoetin alfa, non-esrd","K","2","1300","0","0","0","0","0","0","0","0"
"01686","73","73","Epoetin alfa, non-esrd","K","2","1309","0","0","0","0","0","0","0","0"
"01686","74","74","Epoetin alfa, non-esrd","K","2","1227","0","0","0","0","0","0","0","0"
"01686","75","75","Epoetin alfa, non-esrd","K","2","1195","0","0","0","0","0","0","0","0"
"01686","76","76","Epoetin alfa, non-esrd","K","2","1173","0","0","0","0","0","0","0","0"
"01686","77","77","Epoetin alfa, non-esrd","K","2","1146","0","0","0","0","0","0","0","0"
"01686","78","78","Epoetin alfa, non-esrd","K","2","1103","0","0","0","0","0","0","0","0"
"01686","79","79","Epoetin alfa, non-esrd","K","2","1056","0","0","0","0","0","0","0","0"
"01686","80","80","Epoetin alfa, non-esrd","K","2","1002","0","0","0","0","0","0","0","0"
"01686","81","81","Epoetin alfa, non-esrd","K","2","970","0","0","0","0","0","0","0","0"
"01686","82","82","Epoetin alfa, non-esrd","K","2","911","0","0","0","0","0","0","0","0"
"01686","83","83","Epoetin alfa, non-esrd","K","2","882","0","0","0","0","0","0","0","0"
"01686","84","84","Epoetin alfa, non-esrd","K","2","854","0","0","0","0","0","0","0","0"
"01686","85","85","Epoetin alfa, non-esrd","K","2","822","0","0","0","0","0","0","0","0"
"01686","86","86","Epoetin alfa, non-esrd","K","2","815","0","0","0","0","0","0","0","0"
"01686","87","87","Epoetin alfa, non-esrd","K","2","822","0","0","0","0","0","0","0","0"
"01687","60","60","Digoxin immune fab (ovine)","K","1","236131","0","0","0","0","0","0","0","0"
"01687","61","61","Digoxin immune fab (ovine)","K","1","235912","0","0","0","0","0","0","0","0"
"01687","62","62","Digoxin immune fab (ovine)","K","2","263926","0","0","0","0","0","0","0","0"
"01687","63","63","Digoxin immune fab (ovine)","K","2","264271","0","0","0","0","0","0","0","0"
"01687","64","64","Digoxin immune fab (ovine)","K","2","303988","0","0","0","0","0","0","0","0"
"01687","65","67","Digoxin immune fab (ovine)","K","2","303953","0","0","0","0","0","0","0","0"
"01687","68","68","Digoxin immune fab (ovine)","K","2","326754","0","0","0","0","0","0","0","0"
"01687","69","70","Digoxin immune fab (ovine)","K","2","326703","0","0","0","0","0","0","0","0"
"01687","71","71","Digoxin immune fab (ovine)","K","2","342159","0","0","0","0","0","0","0","0"
"01687","72","72","Digoxin immune fab (ovine)","K","2","351319","0","0","0","0","0","0","0","0"
"01687","73","73","Digoxin immune fab (ovine)","K","2","351218","0","0","0","0","0","0","0","0"
"01687","74","74","Digoxin immune fab (ovine)","K","2","368829","0","0","0","0","0","0","0","0"
"01687","75","75","Digoxin immune fab (ovine)","K","2","368774","0","0","0","0","0","0","0","0"
"01687","76","76","Digoxin immune fab (ovine)","K","2","377999","0","0","0","0","0","0","0","0"
"01687","77","77","Digoxin immune fab (ovine)","K","2","378026","0","0","0","0","0","0","0","0"
"01687","78","79","Digoxin immune fab (ovine)","K","2","378019","0","0","0","0","0","0","0","0"
"01687","80","80","Digoxin immune fab (ovine)","K","2","396958","0","0","0","0","0","0","0","0"
"01687","81","81","Digoxin immune fab (ovine)","K","2","396521","0","0","0","0","0","0","0","0"
"01687","82","82","Digoxin immune fab (ovine)","K","2","397214","0","0","0","0","0","0","0","0"
"01687","83","83","Digoxin immune fab (ovine)","K","2","396927","0","0","0","0","0","0","0","0"
"01687","84","84","Digoxin immune fab (ovine)","K","2","412375","0","0","0","0","0","0","0","0"
"01687","85","87","Digoxin immune fab (ovine)","K","2","412819","0","0","0","0","0","0","0","0"
"01688","60","60","Ethanolamine oleate","K","1","31112","0","0","0","0","0","0","0","0"
"01688","61","61","Ethanolamine oleate","K","1","37509","0","0","0","0","0","0","0","0"
"01688","62","67","Ethanolamine oleate","K","2","40409","0","0","0","0","0","0","0","0"
"01688","68","68","Ethanolamine oleate","K","2","42237","0","0","0","0","0","0","0","0"
"01688","69","69","Ethanolamine oleate","K","2","44410","0","0","0","0","0","0","0","0"
"01688","70","70","Ethanolamine oleate","K","2","44368","0","0","0","0","0","0","0","0"
"01688","71","87","Ethanolamine oleate","K","2","44410","0","0","0","0","0","0","0","0"
"01689","60","60","Fomepizole","K","1","581","0","0","0","0","0","0","0","0"
"01689","61","61","Fomepizole","K","1","574","0","0","0","0","0","0","0","0"
"01689","62","62","Fomepizole","K","2","701","0","0","0","0","0","0","0","0"
"01689","63","63","Fomepizole","K","2","738","0","0","0","0","0","0","0","0"
"01689","64","64","Fomepizole","K","2","700","0","0","0","0","0","0","0","0"
"01689","65","65","Fomepizole","K","2","784","0","0","0","0","0","0","0","0"
"01689","66","66","Fomepizole","K","2","794","0","0","0","0","0","0","0","0"
"01689","67","67","Fomepizole","K","2","786","0","0","0","0","0","0","0","0"
"01689","68","68","Fomepizole","K","2","778","0","0","0","0","0","0","0","0"
"01689","69","69","Fomepizole","K","2","689","0","0","0","0","0","0","0","0"
"01689","70","70","Fomepizole","K","2","721","0","0","0","0","0","0","0","0"
"01689","71","71","Fomepizole","K","2","755","0","0","0","0","0","0","0","0"
"01689","72","72","Fomepizole","K","2","731","0","0","0","0","0","0","0","0"
"01689","73","73","Fomepizole","K","2","568","0","0","0","0","0","0","0","0"
"01689","74","74","Fomepizole","K","2","741","0","0","0","0","0","0","0","0"
"01689","75","75","Fomepizole","K","2","856","0","0","0","0","0","0","0","0"
"01689","76","76","Fomepizole","K","2","634","0","0","0","0","0","0","0","0"
"01689","77","77","Fomepizole","K","2","763","0","0","0","0","0","0","0","0"
"01689","78","78","Fomepizole","K","2","854","0","0","0","0","0","0","0","0"
"01689","79","79","Fomepizole","K","2","857","0","0","0","0","0","0","0","0"
"01689","80","80","Fomepizole","K","2","878","0","0","0","0","0","0","0","0"
"01689","81","81","Fomepizole","K","2","831","0","0","0","0","0","0","0","0"
"01689","82","82","Fomepizole","K","2","533","0","0","0","0","0","0","0","0"
"01689","83","83","Fomepizole","K","2","739","0","0","0","0","0","0","0","0"
"01689","84","84","Fomepizole","K","2","450","0","0","0","0","0","0","0","0"
"01689","85","85","Fomepizole","K","2","516","0","0","0","0","0","0","0","0"
"01689","86","86","Fomepizole","K","2","598","0","0","0","0","0","0","0","0"
"01689","87","87","Fomepizole","K","2","538","0","0","0","0","0","0","0","0"
"01690","60","60","Hemin","K","1","2073","0","0","0","0","0","0","0","0"
"01690","61","61","Hemin","K","1","2158","0","0","0","0","0","0","0","0"
"01690","62","64","Hemin","K","2","2177","0","0","0","0","0","0","0","0"
"01690","65","65","Hemin","K","2","2267","0","0","0","0","0","0","0","0"
"01690","66","68","Hemin","K","2","2286","0","0","0","0","0","0","0","0"
"01690","69","69","Hemin","K","2","2373","0","0","0","0","0","0","0","0"
"01690","70","70","Hemin","K","2","2400","0","0","0","0","0","0","0","0"
"01690","71","72","Hemin","K","2","2236","0","0","0","0","0","0","0","0"
"01690","73","73","Hemin","K","2","2304","0","0","0","0","0","0","0","0"
"01690","74","74","Hemin","K","2","2303","0","0","0","0","0","0","0","0"
"01690","75","75","Hemin","K","2","2298","0","0","0","0","0","0","0","0"
"01690","76","76","Hemin","K","2","2303","0","0","0","0","0","0","0","0"
"01690","77","77","Hemin","K","2","2376","0","0","0","0","0","0","0","0"
"01690","78","80","Hemin","K","2","2372","0","0","0","0","0","0","0","0"
"01690","81","81","Hemin","K","2","2431","0","0","0","0","0","0","0","0"
"01690","82","82","Hemin","K","2","2444","0","0","0","0","0","0","0","0"
"01690","83","83","Hemin","K","2","2443","0","0","0","0","0","0","0","0"
"01690","84","84","Hemin","K","2","2444","0","0","0","0","0","0","0","0"
"01690","85","85","Hemin","K","2","2644","0","0","0","0","0","0","0","0"
"01690","86","86","Hemin","K","2","2664","0","0","0","0","0","0","0","0"
"01690","87","87","Hemin","K","2","2663","0","0","0","0","0","0","0","0"
"01693","60","61","Lepirudin","K","1","23552","0","0","0","0","0","0","0","0"
"01693","62","66","Lepirudin","K","2","23552","0","0","0","0","0","0","0","0"
"01693","67","69","Lepirudin","K","2","1271","0","0","0","0","0","0","0","0"
"01694","60","60","Ziconotide injection","K","1","697","0","0","0","0","0","0","0","0"
"01694","61","61","Ziconotide injection","K","1","707","0","0","0","0","0","0","0","0"
"01694","62","62","Ziconotide injection","K","2","708","0","0","0","0","0","0","0","0"
"01694","63","64","Ziconotide injection","K","2","718","0","0","0","0","0","0","0","0"
"01694","65","65","Ziconotide injection","K","2","729","0","0","0","0","0","0","0","0"
"01694","66","66","Ziconotide injection","K","2","731","0","0","0","0","0","0","0","0"
"01694","67","69","Ziconotide injection","K","2","733","0","0","0","0","0","0","0","0"
"01694","70","70","Ziconotide injection","K","2","742","0","0","0","0","0","0","0","0"
"01694","71","72","Ziconotide injection","K","2","744","0","0","0","0","0","0","0","0"
"01694","73","73","Ziconotide injection","K","2","758","0","0","0","0","0","0","0","0"
"01694","74","74","Ziconotide injection","K","2","759","0","0","0","0","0","0","0","0"
"01694","75","75","Ziconotide injection","K","2","773","0","0","0","0","0","0","0","0"
"01694","76","76","Ziconotide injection","K","2","772","0","0","0","0","0","0","0","0"
"01694","77","79","Ziconotide injection","K","2","791","0","0","0","0","0","0","0","0"
"01694","80","80","Ziconotide injection","K","2","824","0","0","0","0","0","0","0","0"
"01694","81","81","Ziconotide injection","K","2","830","0","0","0","0","0","0","0","0"
"01694","82","82","Ziconotide injection","K","2","817","0","0","0","0","0","0","0","0"
"01694","83","83","Ziconotide injection","K","2","848","0","0","0","0","0","0","0","0"
"01694","84","84","Ziconotide injection","K","2","840","0","0","0","0","0","0","0","0"
"01694","85","85","Ziconotide injection","K","2","866","0","0","0","0","0","0","0","0"
"01694","86","86","Ziconotide injection","K","2","869","0","0","0","0","0","0","0","0"
"01694","87","87","Ziconotide injection","K","2","905","0","0","0","0","0","0","0","0"
"01695","60","60","Nesiritide injection","K","1","6631","0","0","0","0","0","0","0","0"
"01695","61","61","Nesiritide injection","K","1","7184","0","0","0","0","0","0","0","0"
"01695","62","62","Nesiritide injection","K","2","7298","0","0","0","0","0","0","0","0"
"01695","63","63","Nesiritide injection","K","2","7314","0","0","0","0","0","0","0","0"
"01695","64","64","Nesiritide injection","K","2","7321","0","0","0","0","0","0","0","0"
"01695","65","65","Nesiritide injection","K","2","7354","0","0","0","0","0","0","0","0"
"01695","66","66","Nesiritide injection","K","2","7273","0","0","0","0","0","0","0","0"
"01695","67","67","Nesiritide injection","K","2","7297","0","0","0","0","0","0","0","0"
"01695","68","68","Nesiritide injection","K","2","7318","0","0","0","0","0","0","0","0"
"01695","69","69","Nesiritide injection","K","2","7325","0","0","0","0","0","0","0","0"
"01695","70","70","Nesiritide injection","K","2","7330","0","0","0","0","0","0","0","0"
"01695","71","72","Nesiritide injection","K","2","7332","0","0","0","0","0","0","0","0"
"01695","73","73","Nesiritide injection","K","2","7333","0","0","0","0","0","0","0","0"
"01695","74","74","Nesiritide injection","K","2","7334","0","0","0","0","0","0","0","0"
"01695","75","80","Nesiritide injection","K","2","7480","0","0","0","0","0","0","0","0"
"01696","60","60","Palifermin injection","K","1","1561","0","0","0","0","0","0","0","0"
"01696","61","61","Palifermin injection","K","1","1559","0","0","0","0","0","0","0","0"
"01696","62","62","Palifermin injection","K","2","1559","0","0","0","0","0","0","0","0"
"01696","63","63","Palifermin injection","K","2","1641","0","0","0","0","0","0","0","0"
"01696","64","64","Palifermin injection","K","2","1638","0","0","0","0","0","0","0","0"
"01696","65","65","Palifermin injection","K","2","1787","0","0","0","0","0","0","0","0"
"01696","66","68","Palifermin injection","K","2","1768","0","0","0","0","0","0","0","0"
"01696","69","69","Palifermin injection","K","2","1916","0","0","0","0","0","0","0","0"
"01696","70","70","Palifermin injection","K","2","1920","0","0","0","0","0","0","0","0"
"01696","71","72","Palifermin injection","K","2","1909","0","0","0","0","0","0","0","0"
"01696","73","73","Palifermin injection","K","2","2034","0","0","0","0","0","0","0","0"
"01696","74","74","Palifermin injection","K","2","2029","0","0","0","0","0","0","0","0"
"01696","75","76","Palifermin injection","K","2","2022","0","0","0","0","0","0","0","0"
"01696","77","77","Palifermin injection","K","2","2130","0","0","0","0","0","0","0","0"
"01696","78","78","Palifermin injection","K","2","2128","0","0","0","0","0","0","0","0"
"01696","79","79","Palifermin injection","K","2","2126","0","0","0","0","0","0","0","0"
"01696","80","80","Palifermin injection","K","2","2123","0","0","0","0","0","0","0","0"
"01696","81","81","Palifermin injection","K","2","2280","0","0","0","0","0","0","0","0"
"01696","82","82","Palifermin injection","K","2","2281","0","0","0","0","0","0","0","0"
"01696","83","83","Palifermin injection","K","2","2282","0","0","0","0","0","0","0","0"
"01696","84","84","Palifermin injection","K","2","2286","0","0","0","0","0","0","0","0"
"01696","85","87","Palifermin injection","K","2","2393","0","0","0","0","0","0","0","0"
"01697","60","60","Pegaptanib sodium injection","K","1","104051","0","0","0","0","0","0","0","0"
"01697","61","61","Pegaptanib sodium injection","K","1","103216","0","0","0","0","0","0","0","0"
"01697","62","62","Pegaptanib sodium injection","K","2","103185","0","0","0","0","0","0","0","0"
"01697","63","63","Pegaptanib sodium injection","K","2","103615","0","0","0","0","0","0","0","0"
"01697","64","69","Pegaptanib sodium injection","K","2","105470","0","0","0","0","0","0","0","0"
"01697","70","70","Pegaptanib sodium injection","K","2","72947","0","0","0","0","0","0","0","0"
"01697","71","71","Pegaptanib sodium injection","K","2","72125","0","0","0","0","0","0","0","0"
"01697","72","72","Pegaptanib sodium injection","K","2","72068","0","0","0","0","0","0","0","0"
"01697","73","73","Pegaptanib sodium injection","K","2","71787","0","0","0","0","0","0","0","0"
"01700","60","61","Inj secretin synthetic human","K","1","3478","0","0","0","0","0","0","0","0"
"01700","62","87","Inj secretin synthetic human","K","2","3478","0","0","0","0","0","0","0","0"
"01701","60","61","Treprostinil injection","K","1","6124","0","0","0","0","0","0","0","0"
"01701","62","73","Treprostinil injection","K","2","6124","0","0","0","0","0","0","0","0"
"01701","74","74","Treprostinil injection","K","2","6614","0","0","0","0","0","0","0","0"
"01701","75","75","Treprostinil injection","K","2","6613","0","0","0","0","0","0","0","0"
"01701","76","76","Treprostinil injection","K","2","6612","0","0","0","0","0","0","0","0"
"01701","77","77","Treprostinil injection","K","2","6492","0","0","0","0","0","0","0","0"
"01701","78","78","Treprostinil injection","K","2","6385","0","0","0","0","0","0","0","0"
"01701","79","79","Treprostinil injection","K","2","6251","0","0","0","0","0","0","0","0"
"01701","80","80","Treprostinil injection","K","2","6164","0","0","0","0","0","0","0","0"
"01701","81","81","Treprostinil injection","K","2","6141","0","0","0","0","0","0","0","0"
"01701","82","82","Treprostinil injection","K","2","6281","0","0","0","0","0","0","0","0"
"01701","83","83","Treprostinil injection","K","2","6403","0","0","0","0","0","0","0","0"
"01701","84","84","Treprostinil injection","K","2","6256","0","0","0","0","0","0","0","0"
"01701","85","85","Treprostinil injection","K","2","6038","0","0","0","0","0","0","0","0"
"01701","86","86","Treprostinil injection","K","2","5968","0","0","0","0","0","0","0","0"
"01701","87","87","Treprostinil injection","K","2","5747","0","0","0","0","0","0","0","0"
"01704","60","61","Humate-P, inj","K","1","99","0","0","0","0","0","0","0","0"
"01704","62","62","Humate-P, inj","K","2","99","0","0","0","0","0","0","0","0"
"01704","63","64","Humate-P, inj","K","2","100","0","0","0","0","0","0","0","0"
"01704","65","67","Humate-P, inj","K","2","104","0","0","0","0","0","0","0","0"
"01704","68","70","Humate-P, inj","K","2","109","0","0","0","0","0","0","0","0"
"01704","71","71","Humate-P, inj","K","2","110","0","0","0","0","0","0","0","0"
"01704","72","72","Humate-P, inj","K","2","113","0","0","0","0","0","0","0","0"
"01704","73","74","Humate-P, inj","K","2","112","0","0","0","0","0","0","0","0"
"01704","75","75","Humate-P, inj","K","2","113","0","0","0","0","0","0","0","0"
"01704","76","78","Humate-P, inj","K","2","116","0","0","0","0","0","0","0","0"
"01704","79","79","Humate-P, inj","K","2","117","0","0","0","0","0","0","0","0"
"01704","80","82","Humate-P, inj","K","2","121","0","0","0","0","0","0","0","0"
"01704","83","83","Humate-P, inj","K","2","122","0","0","0","0","0","0","0","0"
"01704","84","87","Humate-P, inj","K","2","126","0","0","0","0","0","0","0","0"
"01705","60","60","Factor viia","K","1","176","0","0","0","0","0","0","0","0"
"01705","61","61","Factor viia","K","1","204","0","0","0","0","0","0","0","0"
"01705","62","62","Factor viia","K","2","207","0","0","0","0","0","0","0","0"
"01705","63","63","Factor viia","K","2","197","0","0","0","0","0","0","0","0"
"01705","64","66","Factor viia","K","2","190","0","0","0","0","0","0","0","0"
"01705","67","67","Factor viia","K","2","192","0","0","0","0","0","0","0","0"
"01705","68","68","Factor viia","K","2","193","0","0","0","0","0","0","0","0"
"01705","69","69","Factor viia","K","2","198","0","0","0","0","0","0","0","0"
"01705","70","70","Factor viia","K","2","200","0","0","0","0","0","0","0","0"
"01705","71","71","Factor viia","K","2","199","0","0","0","0","0","0","0","0"
"01705","72","72","Factor viia","K","2","206","0","0","0","0","0","0","0","0"
"01705","73","73","Factor viia","K","2","207","0","0","0","0","0","0","0","0"
"01705","74","74","Factor viia","K","2","206","0","0","0","0","0","0","0","0"
"01705","75","75","Factor viia","K","2","208","0","0","0","0","0","0","0","0"
"01705","76","76","Factor viia","K","2","207","0","0","0","0","0","0","0","0"
"01705","77","77","Factor viia","K","2","213","0","0","0","0","0","0","0","0"
"01705","78","78","Factor viia","K","2","215","0","0","0","0","0","0","0","0"
"01705","79","79","Factor viia","K","2","216","0","0","0","0","0","0","0","0"
"01705","80","80","Factor viia","K","2","217","0","0","0","0","0","0","0","0"
"01705","81","81","Factor viia","K","2","225","0","0","0","0","0","0","0","0"
"01705","82","82","Factor viia recomb novoseven","K","2","225","0","0","0","0","0","0","0","0"
"01705","83","84","Factor viia recomb novoseven","K","2","226","0","0","0","0","0","0","0","0"
"01705","85","85","Factor viia recomb novoseven","K","2","231","0","0","0","0","0","0","0","0"
"01705","86","86","Factor viia recomb novoseven","K","2","233","0","0","0","0","0","0","0","0"
"01705","87","87","Factor viia recomb novoseven","K","2","231","0","0","0","0","0","0","0","0"
"01709","60","60","Azacitidine injection","K","1","346","0","0","0","0","0","0","0","0"
"01709","61","61","Azacitidine injection","K","1","326","0","0","0","0","0","0","0","0"
"01709","62","62","Azacitidine injection","K","2","305","0","0","0","0","0","0","0","0"
"01709","63","63","Azacitidine injection","K","2","299","0","0","0","0","0","0","0","0"
"01709","64","64","Azacitidine injection","K","2","294","0","0","0","0","0","0","0","0"
"01709","65","65","Azacitidine injection","K","2","283","0","0","0","0","0","0","0","0"
"01709","66","66","Azacitidine injection","K","2","284","0","0","0","0","0","0","0","0"
"01709","67","67","Azacitidine injection","K","2","243","0","0","0","0","0","0","0","0"
"01709","68","68","Azacitidine injection","K","2","211","0","0","0","0","0","0","0","0"
"01709","69","69","Azacitidine injection","K","2","210","0","0","0","0","0","0","0","0"
"01709","70","70","Azacitidine injection","K","2","166","0","0","0","0","0","0","0","0"
"01709","71","71","Azacitidine injection","K","2","158","0","0","0","0","0","0","0","0"
"01709","72","72","Azacitidine injection","K","2","144","0","0","0","0","0","0","0","0"
"01709","73","73","Azacitidine injection","K","2","151","0","0","0","0","0","0","0","0"
"01709","74","74","Azacitidine injection","K","2","147","0","0","0","0","0","0","0","0"
"01709","75","75","Azacitidine injection","K","2","131","0","0","0","0","0","0","0","0"
"01709","76","76","Azacitidine injection","K","2","135","0","0","0","0","0","0","0","0"
"01709","77","77","Azacitidine injection","K","2","127","0","0","0","0","0","0","0","0"
"01709","78","78","Azacitidine injection","K","2","116","0","0","0","0","0","0","0","0"
"01709","79","79","Azacitidine injection","K","2","102","0","0","0","0","0","0","0","0"
"01709","80","80","Azacitidine injection","K","2","89","0","0","0","0","0","0","0","0"
"01709","81","81","Azacitidine injection","K","2","109","0","0","0","0","0","0","0","0"
"01709","82","82","Azacitidine injection","K","2","80","0","0","0","0","0","0","0","0"
"01709","83","83","Azacitidine injection","K","2","91","0","0","0","0","0","0","0","0"
"01709","84","84","Azacitidine injection","K","2","78","0","0","0","0","0","0","0","0"
"01709","85","85","Azacitidine injection","K","2","121","0","0","0","0","0","0","0","0"
"01709","86","86","Azacitidine injection","K","2","93","0","0","0","0","0","0","0","0"
"01709","87","87","Azacitidine injection","K","2","89","0","0","0","0","0","0","0","0"
"01710","60","60","Clofarabine injection","K","1","13431","0","0","0","0","0","0","0","0"
"01710","61","61","Clofarabine injection","K","1","13799","0","0","0","0","0","0","0","0"
"01710","62","62","Clofarabine injection","K","2","13838","0","0","0","0","0","0","0","0"
"01710","63","63","Clofarabine injection","K","2","13832","0","0","0","0","0","0","0","0"
"01710","64","64","Clofarabine injection","K","2","13821","0","0","0","0","0","0","0","0"
"01710","65","65","Clofarabine injection","K","2","15064","0","0","0","0","0","0","0","0"
"01710","66","66","Clofarabine injection","K","2","15244","0","0","0","0","0","0","0","0"
"01710","67","67","Clofarabine injection","K","2","15243","0","0","0","0","0","0","0","0"
"01710","68","68","Clofarabine injection","K","2","15237","0","0","0","0","0","0","0","0"
"01710","69","69","Clofarabine injection","K","2","15196","0","0","0","0","0","0","0","0"
"01710","70","70","Clofarabine injection","K","2","14996","0","0","0","0","0","0","0","0"
"01710","71","71","Clofarabine injection","K","2","14545","0","0","0","0","0","0","0","0"
"01710","72","72","Clofarabine injection","K","2","12956","0","0","0","0","0","0","0","0"
"01710","73","73","Clofarabine injection","K","2","12024","0","0","0","0","0","0","0","0"
"01710","74","74","Clofarabine injection","K","2","11129","0","0","0","0","0","0","0","0"
"01710","75","75","Clofarabine injection","K","2","9493","0","0","0","0","0","0","0","0"
"01710","76","76","Clofarabine injection","K","2","6619","0","0","0","0","0","0","0","0"
"01710","77","77","Clofarabine injection","K","2","5758","0","0","0","0","0","0","0","0"
"01710","78","78","Clofarabine injection","K","2","6169","0","0","0","0","0","0","0","0"
"01710","79","79","Clofarabine injection","K","2","5422","0","0","0","0","0","0","0","0"
"01710","80","80","Clofarabine injection","K","2","6458","0","0","0","0","0","0","0","0"
"01710","81","81","Clofarabine injection","K","2","5788","0","0","0","0","0","0","0","0"
"01710","82","82","Clofarabine injection","K","2","5264","0","0","0","0","0","0","0","0"
"01710","83","83","Clofarabine injection","K","2","3018","0","0","0","0","0","0","0","0"
"01710","84","84","Clofarabine injection","K","2","3850","0","0","0","0","0","0","0","0"
"01710","85","85","Clofarabine injection","K","2","6494","0","0","0","0","0","0","0","0"
"01710","86","86","Clofarabine injection","K","2","5315","0","0","0","0","0","0","0","0"
"01710","87","87","Clofarabine injection","K","2","6165","0","0","0","0","0","0","0","0"
"01711","60","60","Vantas implant","K","1","298019","0","0","0","0","0","0","0","0"
"01711","61","61","Vantas implant","K","1","295382","0","0","0","0","0","0","0","0"
"01711","62","62","Vantas implant","K","2","301229","0","0","0","0","0","0","0","0"
"01711","63","63","Vantas implant","K","2","300740","0","0","0","0","0","0","0","0"
"01711","64","64","Vantas implant","K","2","305296","0","0","0","0","0","0","0","0"
"01711","65","65","Vantas implant","K","2","308807","0","0","0","0","0","0","0","0"
"01711","66","66","Vantas implant","K","2","313804","0","0","0","0","0","0","0","0"
"01711","67","67","Vantas implant","K","2","315229","0","0","0","0","0","0","0","0"
"01711","68","68","Vantas implant","K","2","312881","0","0","0","0","0","0","0","0"
"01711","69","69","Vantas implant","K","2","320311","0","0","0","0","0","0","0","0"
"01711","70","70","Vantas implant","K","2","328412","0","0","0","0","0","0","0","0"
"01711","71","71","Vantas implant","K","2","328603","0","0","0","0","0","0","0","0"
"01711","72","72","Vantas implant","K","2","346585","0","0","0","0","0","0","0","0"
"01711","73","73","Vantas implant","K","2","345233","0","0","0","0","0","0","0","0"
"01711","74","74","Vantas implant","K","2","361032","0","0","0","0","0","0","0","0"
"01711","75","75","Vantas implant","K","2","365973","0","0","0","0","0","0","0","0"
"01711","76","76","Vantas implant","K","2","386815","0","0","0","0","0","0","0","0"
"01711","77","77","Vantas implant","K","2","389740","0","0","0","0","0","0","0","0"
"01711","78","78","Vantas implant","K","2","408561","0","0","0","0","0","0","0","0"
"01711","79","79","Vantas implant","K","2","411979","0","0","0","0","0","0","0","0"
"01711","80","80","Vantas implant","K","2","430611","0","0","0","0","0","0","0","0"
"01711","81","81","Vantas implant","K","2","435002","0","0","0","0","0","0","0","0"
"01711","82","82","Vantas implant","K","2","455813","0","0","0","0","0","0","0","0"
"01711","83","83","Vantas implant","K","2","458621","0","0","0","0","0","0","0","0"
"01711","84","84","Vantas implant","K","2","484514","0","0","0","0","0","0","0","0"
"01711","85","87","Vantas implant","K","2","516629","0","0","0","0","0","0","0","0"
"01712","60","60","Paclitaxel protein bound","K","1","968","0","0","0","0","0","0","0","0"
"01712","61","61","Paclitaxel protein bound","K","1","984","0","0","0","0","0","0","0","0"
"01712","62","62","Paclitaxel protein bound","K","2","977","0","0","0","0","0","0","0","0"
"01712","63","63","Paclitaxel protein bound","K","2","1003","0","0","0","0","0","0","0","0"
"01712","64","64","Paclitaxel protein bound","K","2","1000","0","0","0","0","0","0","0","0"
"01712","65","65","Paclitaxel protein bound","K","2","1005","0","0","0","0","0","0","0","0"
"01712","66","66","Paclitaxel protein bound","K","2","1032","0","0","0","0","0","0","0","0"
"01712","67","67","Paclitaxel protein bound","K","2","1035","0","0","0","0","0","0","0","0"
"01712","68","68","Paclitaxel protein bound","K","2","1045","0","0","0","0","0","0","0","0"
"01712","69","69","Paclitaxel protein bound","K","2","1075","0","0","0","0","0","0","0","0"
"01712","70","70","Paclitaxel protein bound","K","2","1078","0","0","0","0","0","0","0","0"
"01712","71","71","Paclitaxel protein bound","K","2","1103","0","0","0","0","0","0","0","0"
"01712","72","72","Paclitaxel protein bound","K","2","1112","0","0","0","0","0","0","0","0"
"01712","73","73","Paclitaxel protein bound","K","2","1123","0","0","0","0","0","0","0","0"
"01712","74","74","Paclitaxel protein bound","K","2","1160","0","0","0","0","0","0","0","0"
"01712","75","75","Paclitaxel protein bound","K","2","1187","0","0","0","0","0","0","0","0"
"01712","76","76","Paclitaxel protein bound","K","2","1185","0","0","0","0","0","0","0","0"
"01712","77","77","Paclitaxel protein bound","K","2","1230","0","0","0","0","0","0","0","0"
"01712","78","78","Paclitaxel protein bound","K","2","1251","0","0","0","0","0","0","0","0"
"01712","79","79","Paclitaxel protein bound","K","2","1255","0","0","0","0","0","0","0","0"
"01712","80","80","Paclitaxel protein bound","K","2","1272","0","0","0","0","0","0","0","0"
"01712","81","81","Paclitaxel protein bound","K","2","1327","0","0","0","0","0","0","0","0"
"01712","82","82","Paclitaxel protein bound","K","2","1330","0","0","0","0","0","0","0","0"
"01712","83","83","Paclitaxel protein bound","K","2","1343","0","0","0","0","0","0","0","0"
"01712","84","84","Paclitaxel protein bound","K","2","1335","0","0","0","0","0","0","0","0"
"01712","85","85","Paclitaxel protein bound","K","2","1410","0","0","0","0","0","0","0","0"
"01712","86","86","Paclitaxel protein bound","K","2","1408","0","0","0","0","0","0","0","0"
"01712","87","87","Paclitaxel protein bound","K","2","1404","0","0","0","0","0","0","0","0"
"01716","60","61","Brachytx, non-str, Gold-198","U","1","3731","0","0","0","0","0","0","0","0"
"01717","60","61","Brachytx, non-str, HDR Ir-192","U","1","27238","0","0","0","0","0","0","0","0"
"01719","60","61","Brachytx, NS, Non-HDRIr-192","U","1","5373","0","0","0","0","0","0","0","0"
"01738","60","60","Oxaliplatin","K","1","52","0","0","0","0","0","0","0","0"
"01738","61","61","Oxaliplatin","K","1","54","0","0","0","0","0","0","0","0"
"01738","62","62","Oxaliplatin","K","2","48","0","0","0","0","0","0","0","0"
"01738","63","63","Oxaliplatin","K","2","39","0","0","0","0","0","0","0","0"
"01738","64","64","Oxaliplatin","K","2","37","0","0","0","0","0","0","0","0"
"01738","65","65","Oxaliplatin","K","2","30","0","0","0","0","0","0","0","0"
"01738","66","66","Oxaliplatin","K","2","39","0","0","0","0","0","0","0","0"
"01738","67","67","Oxaliplatin","K","2","32","0","0","0","0","0","0","0","0"
"01738","68","68","Oxaliplatin","K","2","27","0","0","0","0","0","0","0","0"
"01738","69","69","Oxaliplatin","K","2","18","0","0","0","0","0","0","0","0"
"01739","60","60","Pegademase bovine, 25 iu","K","1","27540","0","0","0","0","0","0","0","0"
"01739","61","61","Pegademase bovine, 25 iu","K","1","27631","0","0","0","0","0","0","0","0"
"01739","62","62","Pegademase bovine, 25 iu","K","2","28112","0","0","0","0","0","0","0","0"
"01739","63","64","Pegademase bovine, 25 iu","K","2","28140","0","0","0","0","0","0","0","0"
"01739","65","66","Pegademase bovine, 25 iu","K","2","31967","0","0","0","0","0","0","0","0"
"01739","67","67","Pegademase bovine, 25 iu","K","2","34350","0","0","0","0","0","0","0","0"
"01739","68","69","Pegademase bovine, 25 iu","K","2","34523","0","0","0","0","0","0","0","0"
"01739","70","70","Pegademase bovine, 25 iu","K","2","35227","0","0","0","0","0","0","0","0"
"01739","71","72","Pegademase bovine, 25 iu","K","2","35899","0","0","0","0","0","0","0","0"
"01739","73","79","Pegademase bovine, 25 iu","K","2","36796","0","0","0","0","0","0","0","0"
"01739","80","83","Pegademase bovine, 25 iu","K","2","147185","0","0","0","0","0","0","0","0"
"01739","84","85","Pegademase bovine, 25 iu","K","2","406","0","0","0","0","0","0","0","0"
"01741","60","60","Urofollitropin, 75 iu","K","1","5863","0","0","0","0","0","0","0","0"
"01741","61","61","Urofollitropin, 75 iu","K","1","6802","0","0","0","0","0","0","0","0"
"01741","62","62","Urofollitropin, 75 iu","K","2","6469","0","0","0","0","0","0","0","0"
"01741","63","63","Urofollitropin, 75 iu","K","2","6298","0","0","0","0","0","0","0","0"
"01741","64","65","Urofollitropin, 75 iu","K","2","12061","0","0","0","0","0","0","0","0"
"01741","66","69","Urofollitropin, 75 iu","K","2","13266","0","0","0","0","0","0","0","0"
"01742","60","61","Gold sodium thiomaleate inj","K","1","427","0","0","0","0","0","0","0","0"
"01743","60","61","Nandrolone decanoate 50 mg","K","1","12278","0","0","0","0","0","0","0","0"
"01743","62","66","Nandrolone decanoate 50 mg","K","2","12278","0","0","0","0","0","0","0","0"
"01743","67","70","Nandrolone decanoate 50 mg","K","2","13336","0","0","0","0","0","0","0","0"
"01743","71","73","Nandrolone decanoate 50 mg","K","2","7258","0","0","0","0","0","0","0","0"
"01743","74","77","Nandrolone decanoate 50 mg","K","2","2169","0","0","0","0","0","0","0","0"
"01744","60","61","Zidovudine","K","1","150","0","0","0","0","0","0","0","0"
"01745","60","60","Radium ra223 dichloride ther","K","1","11231","0","0","0","0","0","0","0","0"
"01745","61","61","Radium ra223 dichloride ther","K","1","12049","0","0","0","0","0","0","0","0"
"01745","62","62","Radium ra223 dichloride ther","K","2","11230","0","0","0","0","0","0","0","0"
"01745","63","63","Radium ra223 dichloride ther","K","2","11875","0","0","0","0","0","0","0","0"
"01745","64","64","Radium ra223 dichloride ther","K","2","12311","0","0","0","0","0","0","0","0"
"01745","65","65","Radium ra223 dichloride ther","K","2","12662","0","0","0","0","0","0","0","0"
"01745","66","66","Radium ra223 dichloride ther","K","2","12707","0","0","0","0","0","0","0","0"
"01745","67","67","Radium ra223 dichloride ther","K","2","12634","0","0","0","0","0","0","0","0"
"01745","68","68","Radium ra223 dichloride ther","K","2","12875","0","0","0","0","0","0","0","0"
"01745","69","69","Radium ra223 dichloride ther","K","2","12854","0","0","0","0","0","0","0","0"
"01745","70","70","Radium ra223 dichloride ther","K","2","13107","0","0","0","0","0","0","0","0"
"01745","71","71","Radium ra223 dichloride ther","K","2","13110","0","0","0","0","0","0","0","0"
"01745","72","72","Radium ra223 dichloride ther","K","2","13425","0","0","0","0","0","0","0","0"
"01745","73","73","Radium ra223 dichloride ther","K","2","13361","0","0","0","0","0","0","0","0"
"01745","74","74","Radium ra223 dichloride ther","K","2","13661","0","0","0","0","0","0","0","0"
"01745","75","75","Radium ra223 dichloride ther","K","2","13669","0","0","0","0","0","0","0","0"
"01745","76","76","Radium ra223 dichloride ther","K","2","13646","0","0","0","0","0","0","0","0"
"01745","77","77","Radium ra223 dichloride ther","K","2","13922","0","0","0","0","0","0","0","0"
"01745","78","78","Radium ra223 dichloride ther","K","2","13882","0","0","0","0","0","0","0","0"
"01745","79","79","Radium ra223 dichloride ther","K","2","14084","0","0","0","0","0","0","0","0"
"01745","80","80","Radium ra223 dichloride ther","K","2","14050","0","0","0","0","0","0","0","0"
"01745","81","81","Radium ra223 dichloride ther","K","2","14158","0","0","0","0","0","0","0","0"
"01745","82","82","Radium ra223 dichloride ther","K","2","14096","0","0","0","0","0","0","0","0"
"01745","83","83","Radium ra223 dichloride ther","K","2","14339","0","0","0","0","0","0","0","0"
"01745","84","84","Radium ra223 dichloride ther","K","2","14328","0","0","0","0","0","0","0","0"
"01745","85","85","Radium ra223 dichloride ther","K","2","14506","0","0","0","0","0","0","0","0"
"01745","86","86","Radium ra223 dichloride ther","K","2","14565","0","0","0","0","0","0","0","0"
"01745","87","87","Radium ra223 dichloride ther","K","2","14893","0","0","0","0","0","0","0","0"
"01746","60","60","Factor xiii recomb a-subunit","G","5","1373","0","0","0","0","0","0","0","0"
"01746","61","61","Factor xiii recomb a-subunit","G","5","1377","0","0","0","0","0","0","0","0"
"01746","62","62","Factor xiii recomb a-subunit","G","2","1407","0","0","0","0","0","0","0","0"
"01746","63","63","Factor xiii recomb a-subunit","G","2","1403","0","0","0","0","0","0","0","0"
"01746","64","64","Factor xiii recomb a-subunit","G","2","1377","0","0","0","0","0","0","0","0"
"01746","65","65","Factor xiii recomb a-subunit","G","2","1414","0","0","0","0","0","0","0","0"
"01746","66","66","Factor xiii recomb a-subunit","K","2","1462","0","0","0","0","0","0","0","0"
"01746","67","67","Factor xiii recomb a-subunit","K","2","1465","0","0","0","0","0","0","0","0"
"01746","68","68","Factor xiii recomb a-subunit","K","2","1474","0","0","0","0","0","0","0","0"
"01746","69","69","Factor xiii recomb a-subunit","K","2","1494","0","0","0","0","0","0","0","0"
"01746","70","70","Factor xiii recomb a-subunit","K","2","1513","0","0","0","0","0","0","0","0"
"01746","71","71","Factor xiii recomb a-subunit","K","2","1509","0","0","0","0","0","0","0","0"
"01746","72","72","Factor xiii recomb a-subunit","K","2","1502","0","0","0","0","0","0","0","0"
"01746","73","73","Factor xiii recomb a-subunit","K","2","1489","0","0","0","0","0","0","0","0"
"01746","74","74","Factor xiii recomb a-subunit","K","2","1491","0","0","0","0","0","0","0","0"
"01746","75","75","Factor xiii recomb a-subunit","K","2","1482","0","0","0","0","0","0","0","0"
"01746","76","76","Factor xiii recomb a-subunit","K","2","1472","0","0","0","0","0","0","0","0"
"01746","77","77","Factor xiii recomb a-subunit","K","2","1515","0","0","0","0","0","0","0","0"
"01746","78","78","Factor xiii recomb a-subunit","K","2","1552","0","0","0","0","0","0","0","0"
"01746","79","79","Factor xiii recomb a-subunit","K","2","1547","0","0","0","0","0","0","0","0"
"01746","80","80","Factor xiii recomb a-subunit","K","2","1532","0","0","0","0","0","0","0","0"
"01746","81","81","Factor xiii recomb a-subunit","K","2","1557","0","0","0","0","0","0","0","0"
"01746","82","82","Factor xiii recomb a-subunit","K","2","1553","0","0","0","0","0","0","0","0"
"01746","83","83","Factor xiii recomb a-subunit","K","2","1545","0","0","0","0","0","0","0","0"
"01746","84","84","Factor xiii recomb a-subunit","K","2","1536","0","0","0","0","0","0","0","0"
"01746","85","85","Factor xiii recomb a-subunit","K","2","1574","0","0","0","0","0","0","0","0"
"01746","86","86","Factor xiii recomb a-subunit","K","2","1587","0","0","0","0","0","0","0","0"
"01746","87","87","Factor xiii recomb a-subunit","K","2","1612","0","0","0","0","0","0","0","0"
"01747","60","60","Monovisc inj per dose","K","1","97901","0","0","0","0","0","0","0","0"
"01747","61","61","Monovisc inj per dose","K","1","96380","0","0","0","0","0","0","0","0"
"01747","62","62","Monovisc inj per dose","K","2","95845","0","0","0","0","0","0","0","0"
"01747","63","63","Monovisc inj per dose","K","2","96380","0","0","0","0","0","0","0","0"
"01747","64","64","Monovisc inj per dose","K","2","93444","0","0","0","0","0","0","0","0"
"01747","65","65","Monovisc inj per dose","K","2","91074","0","0","0","0","0","0","0","0"
"01747","66","66","Monovisc inj per dose","K","2","91777","0","0","0","0","0","0","0","0"
"01747","67","67","Monovisc inj per dose","K","2","90647","0","0","0","0","0","0","0","0"
"01747","68","68","Monovisc inj per dose","K","2","89515","0","0","0","0","0","0","0","0"
"01747","69","69","Monovisc inj per dose","K","2","86739","0","0","0","0","0","0","0","0"
"01747","70","70","Monovisc inj per dose","K","2","85679","0","0","0","0","0","0","0","0"
"01747","71","71","Monovisc inj per dose","K","2","84676","0","0","0","0","0","0","0","0"
"01747","72","72","Monovisc inj per dose","K","2","81255","0","0","0","0","0","0","0","0"
"01747","73","73","Monovisc inj per dose","K","2","79656","0","0","0","0","0","0","0","0"
"01747","74","74","Monovisc inj per dose","K","2","77935","0","0","0","0","0","0","0","0"
"01747","75","75","Monovisc inj per dose","K","2","79124","0","0","0","0","0","0","0","0"
"01747","76","77","Monovisc inj per dose","K","2","151115","0","0","0","0","0","0","0","0"
"01747","78","78","Monovisc inj per dose","K","2","76951","0","0","0","0","0","0","0","0"
"01747","79","79","Monovisc inj per dose","K","2","78127","0","0","0","0","0","0","0","0"
"01747","80","80","Monovisc inj per dose","K","2","73986","0","0","0","0","0","0","0","0"
"01747","81","81","Monovisc inj per dose","K","2","76634","0","0","0","0","0","0","0","0"
"01747","82","82","Monovisc inj per dose","K","2","69458","0","0","0","0","0","0","0","0"
"01747","83","83","Monovisc inj per dose","K","2","78519","0","0","0","0","0","0","0","0"
"01747","84","84","Monovisc inj per dose","K","2","70905","0","0","0","0","0","0","0","0"
"01747","85","85","Monovisc inj per dose","K","2","79058","0","0","0","0","0","0","0","0"
"01747","86","86","Monovisc inj per dose","K","2","76280","0","0","0","0","0","0","0","0"
"01747","87","87","Monovisc inj per dose","K","2","79078","0","0","0","0","0","0","0","0"
"01748","62","62","Inj tbo filgrastim 1 microg","G","2","386","0","0","0","0","0","0","0","0"
"01748","63","65","Inj tbo filgrastim 1 microg","G","2","77","0","0","0","0","0","0","0","0"
"01748","66","66","Inj tbo filgrastim 1 microg","K","2","0","0","0","0","0","0","0","0","0"
"01748","67","67","Inj tbo filgrastim 1 microg","K","2","71","0","0","0","0","0","0","0","0"
"01748","68","68","Inj tbo filgrastim 1 microg","K","2","67","0","0","0","0","0","0","0","0"
"01748","69","69","Inj tbo filgrastim 1 microg","K","2","64","0","0","0","0","0","0","0","0"
"01748","70","70","Inj tbo filgrastim 1 microg","K","2","63","0","0","0","0","0","0","0","0"
"01748","71","72","Inj tbo filgrastim 1 microg","K","2","61","0","0","0","0","0","0","0","0"
"01748","73","73","Inj tbo filgrastim 1 microg","K","2","59","0","0","0","0","0","0","0","0"
"01748","74","75","Inj tbo filgrastim 1 microg","K","2","58","0","0","0","0","0","0","0","0"
"01748","76","76","Inj tbo filgrastim 1 microg","K","2","57","0","0","0","0","0","0","0","0"
"01748","77","77","Inj tbo filgrastim 1 microg","K","2","58","0","0","0","0","0","0","0","0"
"01748","78","78","Inj tbo filgrastim 1 microg","K","2","57","0","0","0","0","0","0","0","0"
"01748","79","79","Inj tbo filgrastim 1 microg","K","2","53","0","0","0","0","0","0","0","0"
"01748","80","80","Inj tbo filgrastim 1 microg","K","2","52","0","0","0","0","0","0","0","0"
"01748","81","81","Inj tbo filgrastim 1 microg","K","2","48","0","0","0","0","0","0","0","0"
"01748","82","82","Inj tbo filgrastim 1 microg","K","2","47","0","0","0","0","0","0","0","0"
"01748","83","83","Inj tbo filgrastim 1 microg","K","2","46","0","0","0","0","0","0","0","0"
"01748","84","84","Inj tbo filgrastim 1 microg","K","2","45","0","0","0","0","0","0","0","0"
"01748","85","85","Inj tbo filgrastim 1 microg","K","2","47","0","0","0","0","0","0","0","0"
"01748","86","86","Inj tbo filgrastim 1 microg","K","2","46","0","0","0","0","0","0","0","0"
"01748","87","87","Inj tbo filgrastim 1 microg","K","2","45","0","0","0","0","0","0","0","0"
"01761","64","64","Rolapitant, oral, 1mg","K","2","0","0","0","0","0","0","0","0","0"
"01761","65","65","Rolapitant, oral, 1mg","K","2","1262","0","0","0","0","0","0","0","0"
"01761","66","66","Rolapitant, oral, 1mg","K","2","1265","0","0","0","0","0","0","0","0"
"01761","67","67","Rolapitant, oral, 1mg","K","2","245","0","0","0","0","0","0","0","0"
"01761","68","68","Rolapitant, oral, 1mg","K","2","215","0","0","0","0","0","0","0","0"
"01761","69","69","Rolapitant, oral, 1mg","K","2","225","0","0","0","0","0","0","0","0"
"01761","70","70","Rolapitant, oral, 1mg","K","2","230","0","0","0","0","0","0","0","0"
"01761","71","71","Rolapitant, oral, 1mg","K","2","226","0","0","0","0","0","0","0","0"
"01761","72","72","Rolapitant, oral, 1mg","K","2","227","0","0","0","0","0","0","0","0"
"01761","73","73","Rolapitant, oral, 1mg","K","2","223","0","0","0","0","0","0","0","0"
"01761","74","74","Rolapitant, oral, 1mg","K","2","221","0","0","0","0","0","0","0","0"
"01761","75","75","Rolapitant, oral, 1mg","K","2","131","0","0","0","0","0","0","0","0"
"01761","76","76","Rolapitant, oral, 1mg","K","2","175","0","0","0","0","0","0","0","0"
"01761","77","77","Rolapitant, oral, 1mg","K","2","222","0","0","0","0","0","0","0","0"
"01761","78","78","Rolapitant, oral, 1mg","K","2","212","0","0","0","0","0","0","0","0"
"01761","79","79","Rolapitant, oral, 1mg","K","2","208","0","0","0","0","0","0","0","0"
"01761","80","80","Rolapitant, oral, 1mg","K","2","259","0","0","0","0","0","0","0","0"
"01761","81","81","Rolapitant, oral, 1mg","K","2","274","0","0","0","0","0","0","0","0"
"01761","82","82","Rolapitant, oral, 1mg","K","2","227","0","0","0","0","0","0","0","0"
"01761","83","83","Rolapitant, oral, 1mg","K","2","234","0","0","0","0","0","0","0","0"
"01761","84","84","Rolapitant, oral, 1mg","K","2","201","0","0","0","0","0","0","0","0"
"01761","85","86","Rolapitant, oral, 1mg","K","2","175","0","0","0","0","0","0","0","0"
"01761","87","87","Rolapitant, oral, 1mg","K","2","177","0","0","0","0","0","0","0","0"
"01807","60","60","Menb pr w/omv vaccine im","K","1","0","0","0","0","0","0","0","0","0"
"01807","61","61","Menb pr w/omv vaccine im","K","1","13791","0","0","0","0","0","0","0","0"
"01807","62","62","Menb pr w/omv vaccine im","K","2","15570","0","0","0","0","0","0","0","0"
"01807","63","63","Menb pr w/omv vaccine im","K","2","15660","0","0","0","0","0","0","0","0"
"01807","64","64","Menb pr w/omv vaccine im","K","2","15309","0","0","0","0","0","0","0","0"
"01807","65","65","Menb pr w/omv vaccine im","K","2","14761","0","0","0","0","0","0","0","0"
"01808","60","61","Menb rlp vaccine im","K","1","12270","0","0","0","0","0","0","0","0"
"01808","62","65","Menb rlp vaccine im","K","2","12270","0","0","0","0","0","0","0","0"
"01809","61","61","Injection, Alemtuzumab","K","1","0","0","0","0","0","0","0","0","0"
"01809","62","62","Injection, alemtuzumab","K","2","174319","0","0","0","0","0","0","0","0"
"01809","63","63","Injection, alemtuzumab","K","2","174382","0","0","0","0","0","0","0","0"
"01809","64","64","Injection, alemtuzumab","K","2","173869","0","0","0","0","0","0","0","0"
"01809","65","65","Injection, alemtuzumab","K","2","173456","0","0","0","0","0","0","0","0"
"01809","66","66","Injection, alemtuzumab","K","2","173836","0","0","0","0","0","0","0","0"
"01809","67","67","Injection, alemtuzumab","K","2","175071","0","0","0","0","0","0","0","0"
"01809","68","68","Injection, alemtuzumab","K","2","175302","0","0","0","0","0","0","0","0"
"01809","69","69","Injection, alemtuzumab","K","2","178199","0","0","0","0","0","0","0","0"
"01809","70","70","Injection, alemtuzumab","K","2","177860","0","0","0","0","0","0","0","0"
"01809","71","71","Injection, alemtuzumab","K","2","181277","0","0","0","0","0","0","0","0"
"01809","72","72","Injection, alemtuzumab","K","2","181756","0","0","0","0","0","0","0","0"
"01809","73","73","Injection, alemtuzumab","K","2","184328","0","0","0","0","0","0","0","0"
"01809","74","74","Injection, alemtuzumab","K","2","184213","0","0","0","0","0","0","0","0"
"01809","75","75","Injection, alemtuzumab","K","2","188206","0","0","0","0","0","0","0","0"
"01809","76","76","Injection, alemtuzumab","K","2","187316","0","0","0","0","0","0","0","0"
"01809","77","77","Injection, alemtuzumab","K","2","191835","0","0","0","0","0","0","0","0"
"01809","78","78","Injection, alemtuzumab","K","2","191704","0","0","0","0","0","0","0","0"
"01809","79","79","Injection, alemtuzumab","K","2","194917","0","0","0","0","0","0","0","0"
"01809","80","80","Injection, alemtuzumab","K","2","194960","0","0","0","0","0","0","0","0"
"01809","81","81","Injection, alemtuzumab","K","2","198643","0","0","0","0","0","0","0","0"
"01809","82","82","Injection, alemtuzumab","K","2","198432","0","0","0","0","0","0","0","0"
"01809","83","83","Injection, alemtuzumab","K","2","201745","0","0","0","0","0","0","0","0"
"01809","84","84","Injection, alemtuzumab","K","2","202299","0","0","0","0","0","0","0","0"
"01809","85","85","Injection, alemtuzumab","K","2","205248","0","0","0","0","0","0","0","0"
"01809","86","86","Injection, alemtuzumab","K","2","208632","0","0","0","0","0","0","0","0"
"01809","87","87","Injection, alemtuzumab","K","2","212915","0","0","0","0","0","0","0","0"
"01822","60","61","Inj filgrastim g-csf biosim","K","1","0","0","0","0","0","0","0","0","0"
"01822","62","64","Inj filgrastim gcsf biosimil","G","2","97","0","0","0","0","0","0","0","0"
"01822","65","65","Inj filgrastim gcsf biosimil","G","2","87","0","0","0","0","0","0","0","0"
"01822","66","66","Inj filgrastim gcsf biosimil","G","2","83","0","0","0","0","0","0","0","0"
"01822","67","67","Inj filgrastim gcsf biosimil","G","2","78","0","0","0","0","0","0","0","0"
"01822","68","68","Inj filgrastim gcsf biosimil","G","2","76","0","0","0","0","0","0","0","0"
"01822","69","69","Inj filgrastim gcsf biosimil","G","2","73","0","0","0","0","0","0","0","0"
"01822","70","70","Inj filgrastim gcsf biosimil","G","2","72","0","0","0","0","0","0","0","0"
"01822","71","71","Injection, zarxio","G","2","69","0","0","0","0","0","0","0","0"
"01822","72","72","Injection, zarxio","G","2","68","0","0","0","0","0","0","0","0"
"01822","73","73","Injection, zarxio","G","2","65","0","0","0","0","0","0","0","0"
"01822","74","76","Injection, zarxio","K","2","64","0","0","0","0","0","0","0","0"
"01822","77","77","Injection, zarxio","K","2","61","0","0","0","0","0","0","0","0"
"01822","78","78","Injection, zarxio","K","2","57","0","0","0","0","0","0","0","0"
"01822","79","79","Injection, zarxio","K","2","55","0","0","0","0","0","0","0","0"
"01822","80","80","Injection, zarxio","K","2","49","0","0","0","0","0","0","0","0"
"01822","81","81","Injection, zarxio","K","2","48","0","0","0","0","0","0","0","0"
"01822","82","82","Injection, zarxio","K","2","47","0","0","0","0","0","0","0","0"
"01822","83","83","Injection, zarxio","K","2","41","0","0","0","0","0","0","0","0"
"01822","84","84","Injection, zarxio","K","2","38","0","0","0","0","0","0","0","0"
"01822","85","85","Injection, zarxio","K","2","35","0","0","0","0","0","0","0","0"
"01822","86","86","Injection, zarxio","K","2","32","0","0","0","0","0","0","0","0"
"01822","87","87","Injection, zarxio","K","2","31","0","0","0","0","0","0","0","0"
"01823","62","62","Injection, dalbavancin","G","2","1428","0","0","0","0","0","0","0","0"
"01823","63","63","Injection, dalbavancin","G","2","1458","0","0","0","0","0","0","0","0"
"01823","64","64","Injection, dalbavancin","G","2","1470","0","0","0","0","0","0","0","0"
"01823","65","65","Injection, dalbavancin","G","2","1508","0","0","0","0","0","0","0","0"
"01823","66","66","Injection, dalbavancin","G","2","1522","0","0","0","0","0","0","0","0"
"01823","67","67","Injection, dalbavancin","G","2","1489","0","0","0","0","0","0","0","0"
"01823","68","68","Injection, dalbavancin","G","2","1473","0","0","0","0","0","0","0","0"
"01823","69","69","Injection, dalbavancin","G","2","1457","0","0","0","0","0","0","0","0"
"01823","70","70","Injection, dalbavancin","K","2","1440","0","0","0","0","0","0","0","0"
"01823","71","71","Injection, dalbavancin","K","2","1477","0","0","0","0","0","0","0","0"
"01823","72","72","Injection, dalbavancin","K","2","1473","0","0","0","0","0","0","0","0"
"01823","73","73","Injection, dalbavancin","K","2","1466","0","0","0","0","0","0","0","0"
"01823","74","74","Injection, dalbavancin","K","2","1435","0","0","0","0","0","0","0","0"
"01823","75","75","Injection, dalbavancin","K","2","1355","0","0","0","0","0","0","0","0"
"01823","76","76","Injection, dalbavancin","K","2","1450","0","0","0","0","0","0","0","0"
"01823","77","77","Injection, dalbavancin","K","2","1462","0","0","0","0","0","0","0","0"
"01823","78","78","Injection, dalbavancin","K","2","1495","0","0","0","0","0","0","0","0"
"01823","79","79","Injection, dalbavancin","K","2","1506","0","0","0","0","0","0","0","0"
"01823","80","80","Injection, dalbavancin","K","2","1502","0","0","0","0","0","0","0","0"
"01823","81","81","Injection, dalbavancin","K","2","1535","0","0","0","0","0","0","0","0"
"01823","82","83","Injection, dalbavancin","K","2","1539","0","0","0","0","0","0","0","0"
"01823","84","84","Injection, dalbavancin","K","2","1552","0","0","0","0","0","0","0","0"
"01823","85","85","Injection, dalbavancin","K","2","1580","0","0","0","0","0","0","0","0"
"01823","86","87","Injection, dalbavancin","K","2","1589","0","0","0","0","0","0","0","0"
"01824","62","62","Ceftaroline fosamil inj","K","2","214","0","0","0","0","0","0","0","0"
"01824","63","63","Ceftaroline fosamil inj","K","2","227","0","0","0","0","0","0","0","0"
"01824","64","64","Ceftaroline fosamil inj","K","2","231","0","0","0","0","0","0","0","0"
"01824","65","65","Ceftaroline fosamil inj","K","2","246","0","0","0","0","0","0","0","0"
"01824","66","66","Ceftaroline fosamil inj","K","2","248","0","0","0","0","0","0","0","0"
"01824","67","67","Ceftaroline fosamil inj","K","2","246","0","0","0","0","0","0","0","0"
"01824","68","68","Ceftaroline fosamil inj","K","2","247","0","0","0","0","0","0","0","0"
"01824","69","69","Ceftaroline fosamil inj","K","2","262","0","0","0","0","0","0","0","0"
"01824","70","70","Ceftaroline fosamil inj","K","2","263","0","0","0","0","0","0","0","0"
"01824","71","71","Ceftaroline fosamil inj","K","2","261","0","0","0","0","0","0","0","0"
"01824","72","72","Ceftaroline fosamil inj","K","2","262","0","0","0","0","0","0","0","0"
"01824","73","73","Ceftaroline fosamil inj","K","2","290","0","0","0","0","0","0","0","0"
"01824","74","74","Ceftaroline fosamil inj","K","2","289","0","0","0","0","0","0","0","0"
"01824","75","75","Ceftaroline fosamil inj","K","2","291","0","0","0","0","0","0","0","0"
"01824","76","76","Ceftaroline fosamil inj","K","2","292","0","0","0","0","0","0","0","0"
"01824","77","77","Ceftaroline fosamil inj","K","2","316","0","0","0","0","0","0","0","0"
"01824","78","78","Ceftaroline fosamil inj","K","2","319","0","0","0","0","0","0","0","0"
"01824","79","80","Ceftaroline fosamil inj","K","2","318","0","0","0","0","0","0","0","0"
"01824","81","81","Ceftaroline fosamil inj","K","2","333","0","0","0","0","0","0","0","0"
"01824","82","82","Ceftaroline fosamil inj","K","2","332","0","0","0","0","0","0","0","0"
"01824","83","83","Ceftaroline fosamil inj","K","2","335","0","0","0","0","0","0","0","0"
"01824","84","84","Ceftaroline fosamil inj","K","2","336","0","0","0","0","0","0","0","0"
"01824","85","85","Ceftaroline fosamil inj","K","2","354","0","0","0","0","0","0","0","0"
"01824","86","86","Ceftaroline fosamil inj","K","2","351","0","0","0","0","0","0","0","0"
"01824","87","87","Ceftaroline fosamil inj","K","2","357","0","0","0","0","0","0","0","0"
"01825","62","62","Ceftazidime and avibactam","K","2","7553","0","0","0","0","0","0","0","0"
"01825","63","63","Ceftazidime and avibactam","K","2","7387","0","0","0","0","0","0","0","0"
"01825","64","64","Ceftazidime and avibactam","K","2","7390","0","0","0","0","0","0","0","0"
"01825","65","65","Ceftazidime and avibactam","K","2","7394","0","0","0","0","0","0","0","0"
"01825","66","66","Ceftazidime and avibactam","K","2","7705","0","0","0","0","0","0","0","0"
"01825","67","67","Ceftazidime and avibactam","K","2","7731","0","0","0","0","0","0","0","0"
"01825","68","68","Ceftazidime and avibactam","K","2","7713","0","0","0","0","0","0","0","0"
"01825","69","69","Ceftazidime and avibactam","K","2","7700","0","0","0","0","0","0","0","0"
"01825","70","70","Ceftazidime and avibactam","K","2","7692","0","0","0","0","0","0","0","0"
"01825","71","72","Ceftazidime and avibactam","K","2","7708","0","0","0","0","0","0","0","0"
"01825","73","73","Ceftazidime and avibactam","K","2","8398","0","0","0","0","0","0","0","0"
"01825","74","74","Ceftazidime and avibactam","K","2","8425","0","0","0","0","0","0","0","0"
"01825","75","75","Ceftazidime and avibactam","K","2","8423","0","0","0","0","0","0","0","0"
"01825","76","76","Ceftazidime and avibactam","K","2","8416","0","0","0","0","0","0","0","0"
"01825","77","77","Ceftazidime and avibactam","K","2","9113","0","0","0","0","0","0","0","0"
"01825","78","78","Ceftazidime and avibactam","K","2","9205","0","0","0","0","0","0","0","0"
"01825","79","79","Ceftazidime and avibactam","K","2","9203","0","0","0","0","0","0","0","0"
"01825","80","80","Ceftazidime and avibactam","K","2","9205","0","0","0","0","0","0","0","0"
"01825","81","81","Ceftazidime and avibactam","K","2","9189","0","0","0","0","0","0","0","0"
"01825","82","82","Ceftazidime and avibactam","K","2","9200","0","0","0","0","0","0","0","0"
"01825","83","83","Ceftazidime and avibactam","K","2","9228","0","0","0","0","0","0","0","0"
"01825","84","84","Ceftazidime and avibactam","K","2","9245","0","0","0","0","0","0","0","0"
"01825","85","85","Ceftazidime and avibactam","K","2","9246","0","0","0","0","0","0","0","0"
"01825","86","86","Ceftazidime and avibactam","K","2","9239","0","0","0","0","0","0","0","0"
"01825","87","87","Ceftazidime and avibactam","K","2","9237","0","0","0","0","0","0","0","0"
"01826","62","62","Hyqvia 100mg immuneglobulin","K","2","1096","0","0","0","0","0","0","0","0"
"01826","63","63","Hyqvia 100mg immuneglobulin","K","2","1083","0","0","0","0","0","0","0","0"
"01826","64","64","Hyqvia 100mg immuneglobulin","K","2","1147","0","0","0","0","0","0","0","0"
"01826","65","65","Hyqvia 100mg immuneglobulin","K","2","1300","0","0","0","0","0","0","0","0"
"01826","66","66","Hyqvia 100mg immuneglobulin","K","2","1274","0","0","0","0","0","0","0","0"
"01826","67","67","Hyqvia 100mg immuneglobulin","K","2","1297","0","0","0","0","0","0","0","0"
"01826","68","68","Hyqvia 100mg immuneglobulin","K","2","1296","0","0","0","0","0","0","0","0"
"01826","69","69","Hyqvia 100mg immuneglobulin","K","2","1304","0","0","0","0","0","0","0","0"
"01826","70","70","Hyqvia 100mg immuneglobulin","K","2","1314","0","0","0","0","0","0","0","0"
"01826","71","71","Hyqvia 100mg immuneglobulin","K","2","1406","0","0","0","0","0","0","0","0"
"01826","72","72","Hyqvia 100mg immuneglobulin","K","2","1386","0","0","0","0","0","0","0","0"
"01826","73","73","Hyqvia 100mg immuneglobulin","K","2","1434","0","0","0","0","0","0","0","0"
"01826","74","74","Hyqvia 100mg immuneglobulin","K","2","1413","0","0","0","0","0","0","0","0"
"01826","75","75","Hyqvia 100mg immuneglobulin","K","2","1418","0","0","0","0","0","0","0","0"
"01826","76","76","Hyqvia 100mg immuneglobulin","K","2","1411","0","0","0","0","0","0","0","0"
"01826","77","77","Hyqvia 100mg immuneglobulin","K","2","1402","0","0","0","0","0","0","0","0"
"01826","78","78","Hyqvia 100mg immuneglobulin","K","2","1456","0","0","0","0","0","0","0","0"
"01826","79","79","Hyqvia 100mg immuneglobulin","K","2","1464","0","0","0","0","0","0","0","0"
"01826","80","80","Hyqvia 100mg immuneglobulin","K","2","1414","0","0","0","0","0","0","0","0"
"01826","81","81","Hyqvia 100mg immuneglobulin","K","2","1407","0","0","0","0","0","0","0","0"
"01826","82","82","Hyqvia 100mg immuneglobulin","K","2","1449","0","0","0","0","0","0","0","0"
"01826","83","83","Hyqvia 100mg immuneglobulin","K","2","1434","0","0","0","0","0","0","0","0"
"01826","84","84","Hyqvia 100mg immuneglobulin","K","2","1473","0","0","0","0","0","0","0","0"
"01826","85","85","Hyqvia 100mg immuneglobulin","K","2","1483","0","0","0","0","0","0","0","0"
"01826","86","86","Hyqvia 100mg immuneglobulin","K","2","1516","0","0","0","0","0","0","0","0"
"01826","87","87","Hyqvia 100mg immuneglobulin","K","2","1542","0","0","0","0","0","0","0","0"
"01827","62","62","Factor viii recomb obizur","K","2","490","0","0","0","0","0","0","0","0"
"01827","63","63","Factor viii recomb obizur","K","2","476","0","0","0","0","0","0","0","0"
"01827","64","64","Factor viii recomb obizur","K","2","437","0","0","0","0","0","0","0","0"
"01827","65","65","Factor viii recomb obizur","K","2","406","0","0","0","0","0","0","0","0"
"01827","66","66","Factor viii recomb obizur","K","2","453","0","0","0","0","0","0","0","0"
"01827","67","67","Factor viii recomb obizur","K","2","428","0","0","0","0","0","0","0","0"
"01827","68","68","Factor viii recomb obizur","K","2","396","0","0","0","0","0","0","0","0"
"01827","69","69","Factor viii recomb obizur","K","2","408","0","0","0","0","0","0","0","0"
"01827","70","70","Factor viii recomb obizur","K","2","530","0","0","0","0","0","0","0","0"
"01827","71","71","Factor viii recomb obizur","K","2","282","0","0","0","0","0","0","0","0"
"01827","72","72","Factor viii recomb obizur","K","2","405","0","0","0","0","0","0","0","0"
"01827","73","73","Factor viii recomb obizur","K","2","247","0","0","0","0","0","0","0","0"
"01827","74","74","Factor viii recomb obizur","K","2","285","0","0","0","0","0","0","0","0"
"01827","75","75","Factor viii recomb obizur","K","2","305","0","0","0","0","0","0","0","0"
"01827","76","76","Factor viii recomb obizur","K","2","321","0","0","0","0","0","0","0","0"
"01827","77","77","Factor viii recomb obizur","K","2","317","0","0","0","0","0","0","0","0"
"01827","78","79","Factor viii recomb obizur","K","2","318","0","0","0","0","0","0","0","0"
"01827","80","84","Factor viii recomb obizur","K","2","319","0","0","0","0","0","0","0","0"
"01827","85","85","Factor viii recomb obizur","K","2","320","0","0","0","0","0","0","0","0"
"01827","86","86","Factor viii recomb obizur","K","2","319","0","0","0","0","0","0","0","0"
"01827","87","87","Factor viii recomb obizur","K","2","320","0","0","0","0","0","0","0","0"
"01828","62","65","Carbidopa levodopa enteral","K","2","214","0","0","0","0","0","0","0","0"
"01828","66","67","Carbidopa levodopa ent 100ml","K","2","214","0","0","0","0","0","0","0","0"
"01828","68","68","Carbidopa levodopa ent 100ml","K","2","224","0","0","0","0","0","0","0","0"
"01828","69","69","Carbidopa levodopa ent 100ml","K","2","215","0","0","0","0","0","0","0","0"
"01828","70","72","Carbidopa levodopa ent 100ml","K","2","214","0","0","0","0","0","0","0","0"
"01828","73","73","Carbidopa levodopa ent 100ml","K","2","219","0","0","0","0","0","0","0","0"
"01829","62","62","Penicillin g benzathine inj","K","2","784","0","0","0","0","0","0","0","0"
"01829","63","63","Penicillin g benzathine inj","K","2","833","0","0","0","0","0","0","0","0"
"01829","64","64","Penicillin g benzathine inj","K","2","838","0","0","0","0","0","0","0","0"
"01829","65","65","Penicillin g benzathine inj","K","2","952","0","0","0","0","0","0","0","0"
"01829","66","66","Penicillin g benzathine inj","K","2","1031","0","0","0","0","0","0","0","0"
"01829","67","67","Penicillin g benzathine inj","K","2","1066","0","0","0","0","0","0","0","0"
"01829","68","68","Penicillin g benzathine inj","K","2","1075","0","0","0","0","0","0","0","0"
"01829","69","69","Penicillin g benzathine inj","K","2","1145","0","0","0","0","0","0","0","0"
"01829","70","70","Penicillin g benzathine inj","K","2","1192","0","0","0","0","0","0","0","0"
"01829","71","71","Penicillin g benzathine inj","K","2","1281","0","0","0","0","0","0","0","0"
"01829","72","72","Penicillin g benzathine inj","K","2","1284","0","0","0","0","0","0","0","0"
"01829","73","73","Penicillin g benzathine inj","K","2","1394","0","0","0","0","0","0","0","0"
"01829","74","74","Penicillin g benzathine inj","K","2","1390","0","0","0","0","0","0","0","0"
"01829","75","75","Penicillin g benzathine inj","K","2","1385","0","0","0","0","0","0","0","0"
"01829","76","76","Penicillin g benzathine inj","K","2","1387","0","0","0","0","0","0","0","0"
"01829","77","77","Penicillin g benzathine inj","K","2","1385","0","0","0","0","0","0","0","0"
"01829","78","78","Penicillin g benzathine inj","K","2","1382","0","0","0","0","0","0","0","0"
"01829","79","79","Penicillin g benzathine inj","K","2","1376","0","0","0","0","0","0","0","0"
"01829","80","80","Penicillin g benzathine inj","K","2","1383","0","0","0","0","0","0","0","0"
"01829","81","81","Penicillin g benzathine inj","K","2","1503","0","0","0","0","0","0","0","0"
"01829","82","82","Penicillin g benzathine inj","K","2","1516","0","0","0","0","0","0","0","0"
"01829","83","83","Penicillin g benzathine inj","K","2","1510","0","0","0","0","0","0","0","0"
"01829","84","84","Penicillin g benzathine inj","K","2","1523","0","0","0","0","0","0","0","0"
"01829","85","85","Penicillin g benzathine inj","K","2","1519","0","0","0","0","0","0","0","0"
"01829","86","86","Penicillin g benzathine inj","K","2","1495","0","0","0","0","0","0","0","0"
"01829","87","87","Penicillin g benzathine inj","K","2","1504","0","0","0","0","0","0","0","0"
"01831","62","64","Chloramphenicol sodium injec","K","2","3174","0","0","0","0","0","0","0","0"
"01831","65","65","Chloramphenicol sodium injec","K","2","4126","0","0","0","0","0","0","0","0"
"01832","62","62","Dimethyl sulfoxide 50% 50 ml","K","2","21157","0","0","0","0","0","0","0","0"
"01832","63","63","Dimethyl sulfoxide 50% 50 ml","K","2","21754","0","0","0","0","0","0","0","0"
"01832","64","64","Dimethyl sulfoxide 50% 50 ml","K","2","31555","0","0","0","0","0","0","0","0"
"01832","65","65","Dimethyl sulfoxide 50% 50 ml","K","2","45001","0","0","0","0","0","0","0","0"
"01832","66","66","Dimethyl sulfoxide 50% 50 ml","K","2","48194","0","0","0","0","0","0","0","0"
"01832","67","67","Dimethyl sulfoxide 50% 50 ml","K","2","49780","0","0","0","0","0","0","0","0"
"01832","68","68","Dimethyl sulfoxide 50% 50 ml","K","2","53372","0","0","0","0","0","0","0","0"
"01832","69","69","Dimethyl sulfoxide 50% 50 ml","K","2","55342","0","0","0","0","0","0","0","0"
"01832","70","70","Dimethyl sulfoxide 50% 50 ml","K","2","55416","0","0","0","0","0","0","0","0"
"01832","71","71","Dimethyl sulfoxide 50% 50 ml","K","2","55457","0","0","0","0","0","0","0","0"
"01832","72","72","Dimethyl sulfoxide 50% 50 ml","K","2","54934","0","0","0","0","0","0","0","0"
"01832","73","73","Dimethyl sulfoxide 50% 50 ml","K","2","53155","0","0","0","0","0","0","0","0"
"01832","74","74","Dimethyl sulfoxide 50% 50 ml","K","2","53599","0","0","0","0","0","0","0","0"
"01832","75","75","Dimethyl sulfoxide 50% 50 ml","K","2","54161","0","0","0","0","0","0","0","0"
"01832","76","76","Dimethyl sulfoxide 50% 50 ml","K","2","55053","0","0","0","0","0","0","0","0"
"01832","77","77","Dimethyl sulfoxide 50% 50 ml","K","2","55887","0","0","0","0","0","0","0","0"
"01832","78","78","Dimethyl sulfoxide 50% 50 ml","K","2","58651","0","0","0","0","0","0","0","0"
"01832","79","79","Dimethyl sulfoxide 50% 50 ml","K","2","61679","0","0","0","0","0","0","0","0"
"01832","80","80","Dimethyl sulfoxide 50% 50 ml","K","2","62291","0","0","0","0","0","0","0","0"
"01832","81","81","Dimethyl sulfoxide 50% 50 ml","K","2","63297","0","0","0","0","0","0","0","0"
"01832","82","82","Dimethyl sulfoxide 50% 50 ml","K","2","63567","0","0","0","0","0","0","0","0"
"01832","83","83","Dimethyl sulfoxide 50% 50 ml","K","2","63587","0","0","0","0","0","0","0","0"
"01832","84","84","Dimethyl sulfoxide 50% 50 ml","K","2","63716","0","0","0","0","0","0","0","0"
"01832","85","85","Dimethyl sulfoxide 50% 50 ml","K","2","63713","0","0","0","0","0","0","0","0"
"01832","86","86","Dimethyl sulfoxide 50% 50 ml","K","2","63711","0","0","0","0","0","0","0","0"
"01832","87","87","Dimethyl sulfoxide 50% 50 ml","K","2","63656","0","0","0","0","0","0","0","0"
"01833","62","63","Epoetin beta esrd use","K","2","1129","0","0","0","0","0","0","0","0"
"01833","64","64","Epoetin beta esrd use","K","2","165","0","0","0","0","0","0","0","0"
"01833","65","65","Epoetin beta esrd use","K","2","169","0","0","0","0","0","0","0","0"
"01834","62","62","Digoxin injection","K","2","11494","0","0","0","0","0","0","0","0"
"01834","63","63","Digoxin injection","K","2","458","0","0","0","0","0","0","0","0"
"01834","64","64","Digoxin injection","K","2","502","0","0","0","0","0","0","0","0"
"01834","65","65","Digoxin injection","K","2","496","0","0","0","0","0","0","0","0"
"01835","62","65","Ergonovine maleate injection","K","2","9115","0","0","0","0","0","0","0","0"
"01836","62","62","Penicillin g procaine inj","K","2","2159","0","0","0","0","0","0","0","0"
"01836","63","63","Penicillin g procaine inj","K","2","2252","0","0","0","0","0","0","0","0"
"01836","64","64","Penicillin g procaine inj","K","2","2299","0","0","0","0","0","0","0","0"
"01836","65","65","Penicillin g procaine inj","K","2","2505","0","0","0","0","0","0","0","0"
"01836","66","66","Penicillin g procaine inj","K","2","2677","0","0","0","0","0","0","0","0"
"01836","67","67","Penicillin g procaine inj","K","2","2804","0","0","0","0","0","0","0","0"
"01836","68","69","Penicillin g procaine inj","K","2","2677","0","0","0","0","0","0","0","0"
"01837","62","62","Methocarbamol injection","K","2","4619","0","0","0","0","0","0","0","0"
"01837","63","63","Methocarbamol injection","K","2","4322","0","0","0","0","0","0","0","0"
"01837","64","64","Methocarbamol injection","K","2","4050","0","0","0","0","0","0","0","0"
"01837","65","65","Methocarbamol injection","K","2","3950","0","0","0","0","0","0","0","0"
"01838","62","69","Urokinase 250,000 iu inj","K","2","26279","0","0","0","0","0","0","0","0"
"01839","62","62","Oral busulfan","K","2","1262","0","0","0","0","0","0","0","0"
"01839","63","63","Oral busulfan","K","2","1234","0","0","0","0","0","0","0","0"
"01839","64","64","Oral busulfan","K","2","1602","0","0","0","0","0","0","0","0"
"01839","65","65","Oral busulfan","K","2","2345","0","0","0","0","0","0","0","0"
"01839","66","66","Oral busulfan","K","2","2369","0","0","0","0","0","0","0","0"
"01839","67","67","Oral busulfan","K","2","2372","0","0","0","0","0","0","0","0"
"01839","68","68","Oral busulfan","K","2","2367","0","0","0","0","0","0","0","0"
"01839","69","69","Oral busulfan","K","2","2483","0","0","0","0","0","0","0","0"
"01841","60","61","Retinal prosth int/ext comp","H","6","0","0","0","0","0","0","0","0","0"
"01842","62","69","Leuprolide acetate implant","K","2","16848","0","0","0","0","0","0","0","0"
"01843","62","62","Menacwy vaccine im","K","2","10136","0","0","0","0","0","0","0","0"
"01843","63","63","Menacwy vaccine im","K","2","10716","0","0","0","0","0","0","0","0"
"01843","64","64","Menacwy vaccine im","K","2","10599","0","0","0","0","0","0","0","0"
"01843","65","65","Menacwy vaccine im","K","2","10154","0","0","0","0","0","0","0","0"
"01844","63","63","Adynovate Factor VIII recom","G","2","0","0","0","0","0","0","0","0","0"
"01844","64","64","Adynovate Factor VIII recom","G","2","189","0","0","0","0","0","0","0","0"
"01844","65","65","Adynovate Factor VIII recom","G","2","155","0","0","0","0","0","0","0","0"
"01844","66","66","Factor viii pegylated recomb","G","2","155","0","0","0","0","0","0","0","0"
"01844","67","67","Factor viii pegylated recomb","G","2","174","0","0","0","0","0","0","0","0"
"01844","68","68","Factor viii pegylated recomb","G","2","171","0","0","0","0","0","0","0","0"
"01844","69","69","Factor viii pegylated recomb","G","2","177","0","0","0","0","0","0","0","0"
"01844","70","70","Factor viii pegylated recomb","G","2","187","0","0","0","0","0","0","0","0"
"01844","71","71","Factor viii pegylated recomb","G","2","178","0","0","0","0","0","0","0","0"
"01844","72","72","Factor viii pegylated recomb","G","2","180","0","0","0","0","0","0","0","0"
"01844","73","73","Factor viii pegylated recomb","G","2","176","0","0","0","0","0","0","0","0"
"01844","74","74","Factor viii pegylated recomb","K","2","172","0","0","0","0","0","0","0","0"
"01844","75","75","Factor viii pegylated recomb","K","2","169","0","0","0","0","0","0","0","0"
"01844","76","77","Factor viii pegylated recomb","K","2","163","0","0","0","0","0","0","0","0"
"01844","78","78","Factor viii pegylated recomb","K","2","174","0","0","0","0","0","0","0","0"
"01844","79","79","Factor viii pegylated recomb","K","2","179","0","0","0","0","0","0","0","0"
"01844","80","80","Factor viii pegylated recomb","K","2","172","0","0","0","0","0","0","0","0"
"01844","81","82","Factor viii pegylated recomb","K","2","187","0","0","0","0","0","0","0","0"
"01844","83","83","Factor viii pegylated recomb","K","2","185","0","0","0","0","0","0","0","0"
"01844","84","84","Factor viii pegylated recomb","K","2","186","0","0","0","0","0","0","0","0"
"01844","85","86","Factor viii pegylated recomb","K","2","192","0","0","0","0","0","0","0","0"
"01844","87","87","Factor viii pegylated recomb","K","2","194","0","0","0","0","0","0","0","0"
"01845","63","63","Tacrol envarsus ex rel oral","G","2","0","0","0","0","0","0","0","0","0"
"01845","64","64","Tacrol envarsus ex rel oral","G","2","103","0","0","0","0","0","0","0","0"
"01845","65","65","Tacrol envarsus ex rel oral","G","2","108","0","0","0","0","0","0","0","0"
"01845","66","68","Tacrol envarsus ex rel oral","G","2","123","0","0","0","0","0","0","0","0"
"01845","69","70","Tacrol envarsus ex rel oral","G","2","124","0","0","0","0","0","0","0","0"
"01845","71","71","Tacrol envarsus ex rel oral","G","2","123","0","0","0","0","0","0","0","0"
"01845","72","72","Tacrol envarsus ex rel oral","G","2","124","0","0","0","0","0","0","0","0"
"01845","73","73","Tacrol envarsus ex rel oral","G","2","125","0","0","0","0","0","0","0","0"
"01846","63","63","Nuwiq Factor VIII recomb","G","2","0","0","0","0","0","0","0","0","0"
"01846","64","64","Nuwiq Factor VIII recomb","G","2","199","0","0","0","0","0","0","0","0"
"01846","65","65","Nuwiq Factor VIII recomb","G","2","152","0","0","0","0","0","0","0","0"
"01846","66","66","Factor viii nuwiq recomb 1iu","G","2","150","0","0","0","0","0","0","0","0"
"01846","67","67","Factor viii nuwiq recomb 1iu","G","2","170","0","0","0","0","0","0","0","0"
"01846","68","68","Factor viii nuwiq recomb 1iu","G","2","163","0","0","0","0","0","0","0","0"
"01846","69","69","Factor viii nuwiq recomb 1iu","G","2","161","0","0","0","0","0","0","0","0"
"01846","70","70","Factor viii nuwiq recomb 1iu","G","2","152","0","0","0","0","0","0","0","0"
"01846","71","71","Factor viii nuwiq recomb 1iu","G","2","163","0","0","0","0","0","0","0","0"
"01846","72","72","Factor viii nuwiq recomb 1iu","G","2","162","0","0","0","0","0","0","0","0"
"01846","73","73","Factor viii nuwiq recomb 1iu","G","2","148","0","0","0","0","0","0","0","0"
"01846","74","74","Factor viii nuwiq recomb 1iu","K","2","142","0","0","0","0","0","0","0","0"
"01846","75","75","Factor viii nuwiq recomb 1iu","K","2","134","0","0","0","0","0","0","0","0"
"01846","76","76","Factor viii nuwiq recomb 1iu","K","2","125","0","0","0","0","0","0","0","0"
"01846","77","77","Factor viii nuwiq recomb 1iu","K","2","139","0","0","0","0","0","0","0","0"
"01846","78","78","Factor viii nuwiq recomb 1iu","K","2","124","0","0","0","0","0","0","0","0"
"01846","79","79","Factor viii nuwiq recomb 1iu","K","2","121","0","0","0","0","0","0","0","0"
"01846","80","80","Factor viii nuwiq recomb 1iu","K","2","132","0","0","0","0","0","0","0","0"
"01846","81","81","Factor viii nuwiq recomb 1iu","K","2","134","0","0","0","0","0","0","0","0"
"01846","82","82","Factor viii nuwiq recomb 1iu","K","2","136","0","0","0","0","0","0","0","0"
"01846","83","83","Factor viii nuwiq recomb 1iu","K","2","126","0","0","0","0","0","0","0","0"
"01846","84","84","Factor viii nuwiq recomb 1iu","K","2","132","0","0","0","0","0","0","0","0"
"01846","85","85","Factor viii nuwiq recomb 1iu","K","2","123","0","0","0","0","0","0","0","0"
"01846","86","86","Factor viii nuwiq recomb 1iu","K","2","124","0","0","0","0","0","0","0","0"
"01846","87","87","Factor viii nuwiq recomb 1iu","K","2","130","0","0","0","0","0","0","0","0"
"01847","63","63","Inj., infliximab biosimilar","K","2","0","0","0","0","0","0","0","0","0"
"01847","66","66","Inj., infliximab biosimilar","K","2","0","0","0","0","0","0","0","0","0"
"01847","67","68","Inj., infliximab biosimilar","G","2","10031","0","0","0","0","0","0","0","0"
"01847","69","69","Inj., infliximab biosimilar","G","2","8019","0","0","0","0","0","0","0","0"
"01847","70","70","Inj., infliximab biosimilar","G","2","7872","0","0","0","0","0","0","0","0"
"01847","71","71","Injection, inflectra","G","2","7552","0","0","0","0","0","0","0","0"
"01847","72","72","Injection, inflectra","G","2","6971","0","0","0","0","0","0","0","0"
"01847","73","73","Injection, inflectra","G","2","6498","0","0","0","0","0","0","0","0"
"01847","74","74","Injection, inflectra","G","2","6136","0","0","0","0","0","0","0","0"
"01847","75","75","Injection, inflectra","G","2","5728","0","0","0","0","0","0","0","0"
"01847","76","76","Injection, inflectra","G","2","5434","0","0","0","0","0","0","0","0"
"01847","77","77","Injection, inflectra","G","2","5132","0","0","0","0","0","0","0","0"
"01847","78","78","Injection, inflectra","G","2","4925","0","0","0","0","0","0","0","0"
"01847","79","79","Injection, inflectra","K","2","4777","0","0","0","0","0","0","0","0"
"01847","80","80","Injection, inflectra","K","2","4778","0","0","0","0","0","0","0","0"
"01847","81","81","Injection, inflectra","K","2","4713","0","0","0","0","0","0","0","0"
"01847","82","82","Injection, inflectra","K","2","4372","0","0","0","0","0","0","0","0"
"01847","83","83","Injection, inflectra","K","2","4306","0","0","0","0","0","0","0","0"
"01847","84","84","Injection, inflectra","K","2","4061","0","0","0","0","0","0","0","0"
"01847","85","85","Injection, inflectra","K","2","4005","0","0","0","0","0","0","0","0"
"01847","86","86","Injection, inflectra","K","2","4119","0","0","0","0","0","0","0","0"
"01847","87","87","Injection, inflectra","K","2","4057","0","0","0","0","0","0","0","0"
"01848","66","66","Artiss fibrin sealant","K","2","24178","0","0","0","0","0","0","0","0"
"01848","67","67","Artiss fibrin sealant","K","2","11298","0","0","0","0","0","0","0","0"
"01848","68","68","Artiss fibrin sealant","K","2","11168","0","0","0","0","0","0","0","0"
"01848","69","69","Artiss fibrin sealant","K","2","11292","0","0","0","0","0","0","0","0"
"01848","70","70","Artiss fibrin sealant","K","2","11135","0","0","0","0","0","0","0","0"
"01848","71","71","Artiss fibrin sealant","K","2","11137","0","0","0","0","0","0","0","0"
"01848","72","72","Artiss fibrin sealant","K","2","11321","0","0","0","0","0","0","0","0"
"01848","73","73","Artiss fibrin sealant","K","2","12440","0","0","0","0","0","0","0","0"
"01848","74","74","Artiss fibrin sealant","K","2","17512","0","0","0","0","0","0","0","0"
"01848","75","76","Artiss fibrin sealant","K","2","15684","0","0","0","0","0","0","0","0"
"01848","77","78","Artiss fibrin sealant","K","2","16485","0","0","0","0","0","0","0","0"
"01848","79","87","Artiss fibrin sealant","K","2","15684","0","0","0","0","0","0","0","0"
"01849","66","66","Foscarnet sodium injection","K","2","4728","0","0","0","0","0","0","0","0"
"01849","67","67","Foscarnet sodium injection","K","2","6914","0","0","0","0","0","0","0","0"
"01849","68","71","Foscarnet sodium injection","K","2","7517","0","0","0","0","0","0","0","0"
"01849","72","83","Foscarnet sodium injection","K","2","8227","0","0","0","0","0","0","0","0"
"01849","84","84","Foscarnet sodium injection","K","2","8268","0","0","0","0","0","0","0","0"
"01849","85","85","Foscarnet sodium injection","K","2","8062","0","0","0","0","0","0","0","0"
"01849","86","86","Foscarnet sodium injection","K","2","7286","0","0","0","0","0","0","0","0"
"01849","87","87","Foscarnet sodium injection","K","2","7169","0","0","0","0","0","0","0","0"
"01850","66","66","Gamma globulin 1 cc inj","K","2","3641","0","0","0","0","0","0","0","0"
"01850","67","67","Gamma globulin 1 cc inj","K","2","3585","0","0","0","0","0","0","0","0"
"01850","68","68","Gamma globulin 1 cc inj","K","2","3574","0","0","0","0","0","0","0","0"
"01850","69","69","Gamma globulin 1 cc inj","K","2","3637","0","0","0","0","0","0","0","0"
"01850","70","70","Gamma globulin 1 cc inj","K","2","3176","0","0","0","0","0","0","0","0"
"01850","71","71","Gamma globulin 1 cc inj","K","2","3296","0","0","0","0","0","0","0","0"
"01850","72","72","Gamma globulin 1 cc inj","K","2","3879","0","0","0","0","0","0","0","0"
"01850","73","73","Gamma globulin 1 cc inj","K","2","3848","0","0","0","0","0","0","0","0"
"01850","74","74","Gamma globulin 1 cc inj","K","2","3805","0","0","0","0","0","0","0","0"
"01850","75","75","Gamma globulin 1 cc inj","K","2","3997","0","0","0","0","0","0","0","0"
"01850","76","76","Gamma globulin 1 cc inj","K","2","3921","0","0","0","0","0","0","0","0"
"01850","77","77","Gamma globulin 1 cc inj","K","2","4054","0","0","0","0","0","0","0","0"
"01850","78","78","Gamma globulin 1 cc inj","K","2","3991","0","0","0","0","0","0","0","0"
"01850","79","79","Gamma globulin 1 cc inj","K","2","4085","0","0","0","0","0","0","0","0"
"01850","80","80","Gamma globulin 1 cc inj","K","2","4095","0","0","0","0","0","0","0","0"
"01850","81","81","Gamma globulin 1 cc inj","K","2","4269","0","0","0","0","0","0","0","0"
"01850","82","82","Gamma globulin 1 cc inj","K","2","4293","0","0","0","0","0","0","0","0"
"01850","83","83","Gamma globulin 1 cc inj","K","2","4330","0","0","0","0","0","0","0","0"
"01850","84","84","Gamma globulin 1 cc inj","K","2","4318","0","0","0","0","0","0","0","0"
"01850","85","85","Gamma globulin 1 cc inj","K","2","4338","0","0","0","0","0","0","0","0"
"01850","86","86","Gamma globulin 1 cc inj","K","2","4413","0","0","0","0","0","0","0","0"
"01850","87","87","Gamma globulin 1 cc inj","K","2","4542","0","0","0","0","0","0","0","0"
"01851","66","66","Gamma globulin > 10 cc inj","K","2","36412","0","0","0","0","0","0","0","0"
"01851","67","67","Gamma globulin > 10 cc inj","K","2","35849","0","0","0","0","0","0","0","0"
"01851","68","68","Gamma globulin > 10 cc inj","K","2","35738","0","0","0","0","0","0","0","0"
"01851","69","69","Gamma globulin > 10 cc inj","K","2","36366","0","0","0","0","0","0","0","0"
"01851","70","70","Gamma globulin > 10 cc inj","K","2","31764","0","0","0","0","0","0","0","0"
"01851","71","71","Gamma globulin > 10 cc inj","K","2","32958","0","0","0","0","0","0","0","0"
"01851","72","72","Gamma globulin > 10 cc inj","K","2","38793","0","0","0","0","0","0","0","0"
"01851","73","73","Gamma globulin > 10 cc inj","K","2","38481","0","0","0","0","0","0","0","0"
"01851","74","74","Gamma globulin > 10 cc inj","K","2","38048","0","0","0","0","0","0","0","0"
"01851","75","75","Gamma globulin > 10 cc inj","K","2","39972","0","0","0","0","0","0","0","0"
"01851","76","76","Gamma globulin > 10 cc inj","K","2","39206","0","0","0","0","0","0","0","0"
"01851","77","77","Gamma globulin > 10 cc inj","K","2","40536","0","0","0","0","0","0","0","0"
"01851","78","78","Gamma globulin > 10 cc inj","K","2","39909","0","0","0","0","0","0","0","0"
"01851","79","79","Gamma globulin > 10 cc inj","K","2","40854","0","0","0","0","0","0","0","0"
"01851","80","80","Gamma globulin > 10 cc inj","K","2","40947","0","0","0","0","0","0","0","0"
"01851","81","81","Gamma globulin > 10 cc inj","K","2","42693","0","0","0","0","0","0","0","0"
"01851","82","82","Gamma globulin > 10 cc inj","K","2","42926","0","0","0","0","0","0","0","0"
"01851","83","83","Gamma globulin > 10 cc inj","K","2","43296","0","0","0","0","0","0","0","0"
"01851","84","84","Gamma globulin > 10 cc inj","K","2","43176","0","0","0","0","0","0","0","0"
"01851","85","85","Gamma globulin > 10 cc inj","K","2","43379","0","0","0","0","0","0","0","0"
"01851","86","86","Gamma globulin > 10 cc inj","K","2","44131","0","0","0","0","0","0","0","0"
"01851","87","87","Gamma globulin > 10 cc inj","K","2","45419","0","0","0","0","0","0","0","0"
"01852","66","70","Interferon beta-1a inj","K","2","48221","0","0","0","0","0","0","0","0"
"01852","71","73","Interferon beta-1a inj","K","2","60440","0","0","0","0","0","0","0","0"
"01852","74","78","Interferon beta-1a inj","K","2","278597","0","0","0","0","0","0","0","0"
"01852","79","82","Interferon beta-1a inj","K","2","227661","0","0","0","0","0","0","0","0"
"01852","83","87","Interferon beta-1a inj","K","2","229385","0","0","0","0","0","0","0","0"
"01853","66","66","Minocycline hydrochloride","K","2","154","0","0","0","0","0","0","0","0"
"01853","67","68","Minocycline hydrochloride","K","2","151","0","0","0","0","0","0","0","0"
"01853","69","69","Minocycline hydrochloride","K","2","150","0","0","0","0","0","0","0","0"
"01853","70","70","Minocycline hydrochloride","K","2","155","0","0","0","0","0","0","0","0"
"01853","71","72","Minocycline hydrochloride","K","2","159","0","0","0","0","0","0","0","0"
"01853","73","73","Minocycline hydrochloride","K","2","164","0","0","0","0","0","0","0","0"
"01853","74","74","Minocycline hydrochloride","K","2","157","0","0","0","0","0","0","0","0"
"01853","75","76","Minocycline hydrochloride","K","2","165","0","0","0","0","0","0","0","0"
"01853","77","77","Minocycline hydrochloride","K","2","174","0","0","0","0","0","0","0","0"
"01853","78","79","Minocycline hydrochloride","K","2","181","0","0","0","0","0","0","0","0"
"01853","80","81","Minocycline hydrochloride","K","2","198","0","0","0","0","0","0","0","0"
"01853","82","82","Minocycline hydrochloride","K","2","199","0","0","0","0","0","0","0","0"
"01853","83","86","Minocycline hydrochloride","K","2","200","0","0","0","0","0","0","0","0"
"01853","87","87","Minocycline hydrochloride","K","2","214","0","0","0","0","0","0","0","0"
"01854","66","66","Pentobarbital sodium inj","K","2","4718","0","0","0","0","0","0","0","0"
"01854","67","67","Pentobarbital sodium inj","K","2","4944","0","0","0","0","0","0","0","0"
"01854","68","68","Pentobarbital sodium inj","K","2","4734","0","0","0","0","0","0","0","0"
"01854","69","69","Pentobarbital sodium inj","K","2","4822","0","0","0","0","0","0","0","0"
"01854","70","70","Pentobarbital sodium inj","K","2","5240","0","0","0","0","0","0","0","0"
"01854","71","71","Pentobarbital sodium inj","K","2","5119","0","0","0","0","0","0","0","0"
"01854","72","72","Pentobarbital sodium inj","K","2","5202","0","0","0","0","0","0","0","0"
"01854","73","73","Pentobarbital sodium inj","K","2","4920","0","0","0","0","0","0","0","0"
"01854","74","74","Pentobarbital sodium inj","K","2","4708","0","0","0","0","0","0","0","0"
"01854","75","75","Pentobarbital sodium inj","K","2","4829","0","0","0","0","0","0","0","0"
"01854","76","76","Pentobarbital sodium inj","K","2","4440","0","0","0","0","0","0","0","0"
"01854","77","77","Pentobarbital sodium inj","K","2","3804","0","0","0","0","0","0","0","0"
"01854","78","78","Pentobarbital sodium inj","K","2","3702","0","0","0","0","0","0","0","0"
"01854","79","79","Pentobarbital sodium inj","K","2","3498","0","0","0","0","0","0","0","0"
"01854","80","80","Pentobarbital sodium inj","K","2","3725","0","0","0","0","0","0","0","0"
"01854","81","81","Pentobarbital sodium inj","K","2","3552","0","0","0","0","0","0","0","0"
"01854","82","82","Pentobarbital sodium inj","K","2","3393","0","0","0","0","0","0","0","0"
"01854","83","83","Pentobarbital sodium inj","K","2","2987","0","0","0","0","0","0","0","0"
"01854","84","84","Pentobarbital sodium inj","K","2","3391","0","0","0","0","0","0","0","0"
"01854","85","85","Pentobarbital sodium inj","K","2","2762","0","0","0","0","0","0","0","0"
"01855","66","66","Pralidoxime chloride inj","K","2","14119","0","0","0","0","0","0","0","0"
"01855","67","67","Pralidoxime chloride inj","K","2","8720","0","0","0","0","0","0","0","0"
"01855","68","68","Pralidoxime chloride inj","K","2","8704","0","0","0","0","0","0","0","0"
"01855","69","69","Pralidoxime chloride inj","K","2","8794","0","0","0","0","0","0","0","0"
"01856","66","66","Factor viii recomb novoeight","K","2","131","0","0","0","0","0","0","0","0"
"01856","67","68","Factor viii recomb novoeight","K","2","129","0","0","0","0","0","0","0","0"
"01856","69","69","Factor viii recomb novoeight","K","2","131","0","0","0","0","0","0","0","0"
"01856","70","70","Factor viii recomb novoeight","K","2","129","0","0","0","0","0","0","0","0"
"01856","71","71","Factor viii recomb novoeight","K","2","126","0","0","0","0","0","0","0","0"
"01856","72","72","Factor viii recomb novoeight","K","2","131","0","0","0","0","0","0","0","0"
"01856","73","73","Factor viii recomb novoeight","K","2","133","0","0","0","0","0","0","0","0"
"01856","74","74","Factor viii recomb novoeight","K","2","134","0","0","0","0","0","0","0","0"
"01856","75","75","Factor viii recomb novoeight","K","2","133","0","0","0","0","0","0","0","0"
"01856","76","77","Factor viii recomb novoeight","K","2","130","0","0","0","0","0","0","0","0"
"01856","78","78","Factor viii recomb novoeight","K","2","131","0","0","0","0","0","0","0","0"
"01856","79","79","Factor viii recomb novoeight","K","2","130","0","0","0","0","0","0","0","0"
"01856","80","80","Factor viii recomb novoeight","K","2","129","0","0","0","0","0","0","0","0"
"01856","81","81","Factor viii recomb novoeight","K","2","130","0","0","0","0","0","0","0","0"
"01856","82","82","Factor viii recomb novoeight","K","2","133","0","0","0","0","0","0","0","0"
"01856","83","83","Factor viii recomb novoeight","K","2","136","0","0","0","0","0","0","0","0"
"01856","84","84","Factor viii recomb novoeight","K","2","125","0","0","0","0","0","0","0","0"
"01856","85","85","Factor viii recomb novoeight","K","2","133","0","0","0","0","0","0","0","0"
"01856","86","86","Factor viii recomb novoeight","K","2","151","0","0","0","0","0","0","0","0"
"01856","87","87","Factor viii recomb novoeight","K","2","153","0","0","0","0","0","0","0","0"
"01857","66","66","Inj, factor x, (human), 1iu","K","2","651","0","0","0","0","0","0","0","0"
"01857","67","68","Inj, factor x, (human), 1iu","K","2","652","0","0","0","0","0","0","0","0"
"01857","69","70","Inj, factor x, (human), 1iu","K","2","683","0","0","0","0","0","0","0","0"
"01857","71","72","Inj, factor x, (human), 1iu","K","2","684","0","0","0","0","0","0","0","0"
"01857","73","76","Inj, factor x, (human), 1iu","K","2","717","0","0","0","0","0","0","0","0"
"01857","77","78","Inj, factor x, (human), 1iu","K","2","751","0","0","0","0","0","0","0","0"
"01857","79","80","Inj, factor x, (human), 1iu","K","2","752","0","0","0","0","0","0","0","0"
"01857","81","82","Inj, factor x, (human), 1iu","K","2","788","0","0","0","0","0","0","0","0"
"01857","83","84","Inj, factor x, (human), 1iu","K","2","789","0","0","0","0","0","0","0","0"
"01857","85","87","Inj, factor x, (human), 1iu","K","2","820","0","0","0","0","0","0","0","0"
"01858","66","66","Leuprolide acetate injeciton","K","2","1790","0","0","0","0","0","0","0","0"
"01858","67","67","Leuprolide acetate injeciton","K","2","2248","0","0","0","0","0","0","0","0"
"01858","68","68","Leuprolide acetate injeciton","K","2","2596","0","0","0","0","0","0","0","0"
"01858","69","69","Leuprolide acetate injeciton","K","2","2573","0","0","0","0","0","0","0","0"
"01858","70","70","Leuprolide acetate injeciton","K","2","2597","0","0","0","0","0","0","0","0"
"01858","71","71","Leuprolide acetate injeciton","K","2","2663","0","0","0","0","0","0","0","0"
"01858","72","72","Leuprolide acetate injeciton","K","2","2579","0","0","0","0","0","0","0","0"
"01858","73","73","Leuprolide acetate injeciton","K","2","3320","0","0","0","0","0","0","0","0"
"01859","66","66","Argatroban nonesrd use 1mg","K","2","214","0","0","0","0","0","0","0","0"
"01859","67","67","Argatroban nonesrd use 1mg","K","2","186","0","0","0","0","0","0","0","0"
"01859","68","68","Argatroban nonesrd use 1mg","K","2","162","0","0","0","0","0","0","0","0"
"01859","69","69","Argatroban nonesrd use 1mg","K","2","151","0","0","0","0","0","0","0","0"
"01859","70","70","Argatroban nonesrd use 1mg","K","2","129","0","0","0","0","0","0","0","0"
"01859","71","71","Argatroban nonesrd use 1mg","K","2","150","0","0","0","0","0","0","0","0"
"01859","72","72","Argatroban nonesrd use 1mg","K","2","124","0","0","0","0","0","0","0","0"
"01859","73","73","Argatroban nonesrd use 1mg","K","2","131","0","0","0","0","0","0","0","0"
"01859","74","74","Argatroban nonesrd use 1mg","K","2","123","0","0","0","0","0","0","0","0"
"01859","75","75","Argatroban nonesrd use 1mg","K","2","102","0","0","0","0","0","0","0","0"
"01859","76","76","Argatroban nonesrd use 1mg","K","2","92","0","0","0","0","0","0","0","0"
"01859","77","77","Argatroban nonesrd use 1mg","K","2","132","0","0","0","0","0","0","0","0"
"01859","78","78","Argatroban nonesrd use 1mg","K","2","119","0","0","0","0","0","0","0","0"
"01859","79","79","Argatroban nonesrd use 1mg","K","2","122","0","0","0","0","0","0","0","0"
"01859","80","80","Argatroban nonesrd use 1mg","K","2","141","0","0","0","0","0","0","0","0"
"01859","81","81","Argatroban nonesrd use 1mg","K","2","134","0","0","0","0","0","0","0","0"
"01859","82","82","Argatroban nonesrd use 1mg","K","2","131","0","0","0","0","0","0","0","0"
"01859","83","83","Argatroban nonesrd use 1mg","K","2","145","0","0","0","0","0","0","0","0"
"01859","84","84","Argatroban nonesrd use 1mg","K","2","140","0","0","0","0","0","0","0","0"
"01859","85","85","Argatroban nonesrd use 1mg","K","2","131","0","0","0","0","0","0","0","0"
"01859","86","86","Argatroban nonesrd use 1mg","K","2","120","0","0","0","0","0","0","0","0"
"01859","87","87","Argatroban nonesrd use 1mg","K","2","124","0","0","0","0","0","0","0","0"
"01860","66","70","Monoclonal antibodies","K","2","23122","0","0","0","0","0","0","0","0"
"01860","71","73","Monoclonal antibodies","K","2","680","0","0","0","0","0","0","0","0"
"01861","66","66","Inj., bendeka 1 mg","G","2","2379","0","0","0","0","0","0","0","0"
"01861","67","67","Inj., bendeka 1 mg","G","2","2369","0","0","0","0","0","0","0","0"
"01861","68","68","Inj., bendeka 1 mg","G","2","2346","0","0","0","0","0","0","0","0"
"01861","69","69","Inj., bendeka 1 mg","G","2","2355","0","0","0","0","0","0","0","0"
"01861","70","70","Inj., bendeka 1 mg","G","2","2377","0","0","0","0","0","0","0","0"
"01861","71","71","Inj., bendeka 1 mg","G","2","2366","0","0","0","0","0","0","0","0"
"01861","72","72","Inj., bendeka 1 mg","G","2","2375","0","0","0","0","0","0","0","0"
"01861","73","73","Inj., bendeka 1 mg","G","2","2345","0","0","0","0","0","0","0","0"
"01861","74","74","Inj., bendeka 1 mg","G","2","2384","0","0","0","0","0","0","0","0"
"01861","75","75","Inj., bendeka 1 mg","G","2","2383","0","0","0","0","0","0","0","0"
"01861","76","76","Inj., bendeka 1 mg","G","2","2398","0","0","0","0","0","0","0","0"
"01861","77","77","Inj., bendeka 1 mg","G","2","2380","0","0","0","0","0","0","0","0"
"01861","78","78","Inj., bendeka 1 mg","K","2","2285","0","0","0","0","0","0","0","0"
"01861","79","79","Inj., bendeka 1 mg","K","2","2173","0","0","0","0","0","0","0","0"
"01861","80","80","Inj., bendeka 1 mg","K","2","2118","0","0","0","0","0","0","0","0"
"01861","81","81","Inj., bendeka 1 mg","K","2","2044","0","0","0","0","0","0","0","0"
"01861","82","82","Inj., bendeka 1 mg","K","2","2027","0","0","0","0","0","0","0","0"
"01861","83","83","Inj., bendeka 1 mg","K","2","2017","0","0","0","0","0","0","0","0"
"01861","84","84","Inj., bendeka 1 mg","K","2","1958","0","0","0","0","0","0","0","0"
"01861","85","86","Inj., bendeka 1 mg","K","2","1965","0","0","0","0","0","0","0","0"
"01861","87","87","Inj., bendeka 1 mg","K","2","1908","0","0","0","0","0","0","0","0"
"01862","67","67","Gel-syn injection 0.1 mg","G","2","0","0","0","0","0","0","0","0","0"
"01862","68","69","Gel-syn injection 0.1 mg","G","2","218","0","0","0","0","0","0","0","0"
"01862","70","78","Gelsyn-3 injection 0.1 mg","G","2","218","0","0","0","0","0","0","0","0"
"01862","79","86","Gelsyn-3 injection 0.1 mg","K","2","218","0","0","0","0","0","0","0","0"
"01862","87","87","Gelsyn-3 injection 0.1 mg","K","2","224","0","0","0","0","0","0","0","0"
"01863","66","67","Inj diclofenac sodium 0.5mg","K","2","0","0","0","0","0","0","0","0","0"
"01863","68","68","Inj diclofenac sodium 0.5mg","K","2","16","0","0","0","0","0","0","0","0"
"01863","69","69","Inj diclofenac sodium 0.5mg","K","2","18","0","0","0","0","0","0","0","0"
"01863","70","70","Inj diclofenac sodium 0.5mg","K","2","19","0","0","0","0","0","0","0","0"
"01863","71","71","Inj diclofenac sodium 0.5mg","K","2","18","0","0","0","0","0","0","0","0"
"01863","72","73","Inj diclofenac sodium 0.5mg","K","2","22","0","0","0","0","0","0","0","0"
"01901","66","69","New Technology - Level 49 ($100,001-$120,000)","S","1","11000050","0","0","0","0","0","0","0","0"
"01901","70","87","New Technology - Level 49 ($100,001-$115,000)","S","1","10750050","0","0","0","0","0","0","0","0"
"01902","66","69","New Technology - Level 49 ($100,001-$120,000)","T","1","11000050","0","0","0","0","0","0","0","0"
"01902","70","87","New Technology - Level 49 ($100,001-$115,000)","T","1","10750050","0","0","0","0","0","0","0","0"
"01903","66","69","New Technology - Level 50 ($120,001-$140,000)","S","1","13000050","0","0","0","0","0","0","0","0"
"01903","70","87","New Technology - Level 50 ($115,001-$130,000)","S","1","12250050","0","0","0","0","0","0","0","0"
"01904","66","69","New Technology - Level 50 ($120,001-$140,000)","T","1","13000050","0","0","0","0","0","0","0","0"
"01904","70","87","New Technology - Level 50 ($115,001-$130,000)","T","1","12250050","0","0","0","0","0","0","0","0"
"01905","66","69","New Technology - Level 51 ($140,001-$160,000)","S","1","15000050","0","0","0","0","0","0","0","0"
"01905","70","87","New Technology - Level 51 ($130,001-$145,000)","S","1","13750050","0","0","0","0","0","0","0","0"
"01906","66","69","New Technology - Level 51 ($140,001-$160,000)","T","1","15000050","0","0","0","0","0","0","0","0"
"01906","70","87","New Technology - Level 51 ($130,001-$145,000)","T","1","13750050","0","0","0","0","0","0","0","0"
"01907","70","87","New Technology - Level 52 ($145,001-$160,000)","S","1","15250050","0","0","0","0","0","0","0","0"
"01908","70","87","New Technology - Level 52 ($145,001-$160,000)","T","1","15250050","0","0","0","0","0","0","0","0"
"02024","78","87","Generator, CCM, implant","H","6","0","0","0","0","0","0","0","0","0"
"02025","78","87","Cath, pressure,valve-occlu","H","6","0","0","0","0","0","0","0","0","0"
"02026","78","87","Orth/devic/drug bn/bn,tis/bn","H","6","0","0","0","0","0","0","0","0","0"
"02027","78","87","Probe, robotic, water-jet","H","6","0","0","0","0","0","0","0","0","0"
"02028","78","87","Iris prosthesis","H","6","0","0","0","0","0","0","0","0","0"
"02029","80","80","Endoscope, single, UGI","H","6","0","0","0","0","0","0","0","0","0"
"02029","81","81","Endoscope, single, ugi","H","6","0","0","0","0","0","0","0","0","0"
"02029","82","87","Endoscope, single, UGI","H","6","0","0","0","0","0","0","0","0","0"
"02030","82","87","Gen, neuro, carot sinus baro","H","6","0","0","0","0","0","0","0","0","0"
"02031","82","87","Hemostatic agent, GI, topic","H","6","0","0","0","0","0","0","0","0","0"
"02032","82","87","Intravertebral fx aug impl","H","6","0","0","0","0","0","0","0","0","0"
"02033","84","87","Cath, trans intra litho/coro","H","6","0","0","0","0","0","0","0","0","0"
"02034","85","87","Personalized interbody cage","H","6","0","0","0","0","0","0","0","0","0"
"02035","86","87","Auto cell process sys","H","6","0","0","0","0","0","0","0","0","0"
"02036","86","87","Cardiac monitor sys","H","6","0","0","0","0","0","0","0","0","0"
"02613","60","69","Lung bx plug w/del sys","H","6","0","0","0","0","0","0","0","0","0"
"02616","60","61","Brachytx, non-str,Yttrium-90","U","1","1558268","0","0","0","0","0","0","0","0"
"02616","62","65","Brachytx, non-str,Yttrium-90","U","1","1602170","0","0","0","0","0","0","0","0"
"02616","66","69","Brachytx, non-str,Yttrium-90","U","1","1650773","0","0","0","0","0","0","0","0"
"02616","70","73","Brachytx, non-str,Yttrium-90","U","1","1671759","0","0","0","0","0","0","0","0"
"02616","74","77","Brachytx, non-str,Yttrium-90","U","1","1662588","0","0","0","0","0","0","0","0"
"02616","78","81","Brachytx, non-str,Yttrium-90","U","1","1709157","0","0","0","0","0","0","0","0"
"02616","82","85","Brachytx, non-str,Yttrium-90","U","1","1739764","0","0","0","0","0","0","0","0"
"02616","86","87","Brachytx, non-str,Yttrium-90","U","1","1776321","0","0","0","0","0","0","0","0"
"02623","60","69","Cath, translumin, drug-coat","H","6","0","0","0","0","0","0","0","0","0"
"02624","60","65","Wireless pressure sensor","H","6","0","0","0","0","0","0","0","0","0"
"02632","60","61","Iodine I-125 sodium iodide","U","1","1325","0","0","0","0","0","0","0","0"
"02632","62","65","Iodine I-125 sodium iodide","U","1","714","0","0","0","0","0","0","0","0"
"02632","66","69","Iodine I-125 sodium iodide","U","1","2993","0","0","0","0","0","0","0","0"
"02632","70","73","Iodine I-125 sodium iodide","U","1","2665","0","0","0","0","0","0","0","0"
"02632","74","77","Iodine I-125 sodium iodide","U","1","3787","0","0","0","0","0","0","0","0"
"02632","78","81","Iodine I-125 sodium iodide","U","1","3127","0","0","0","0","0","0","0","0"
"02632","82","85","Iodine I-125 sodium iodide","U","1","2673","0","0","0","0","0","0","0","0"
"02632","86","87","Iodine I-125 sodium iodide","U","1","4037","0","0","0","0","0","0","0","0"
"02634","60","61","Brachytx, non-str, HA, I-125","U","1","8581","0","0","0","0","0","0","0","0"
"02634","62","65","Brachytx, non-str, HA, I-125","U","1","8518","0","0","0","0","0","0","0","0"
"02634","66","69","Brachytx, non-str, HA, I-125","U","1","12052","0","0","0","0","0","0","0","0"
"02634","70","73","Brachytx, non-str, HA, I-125","U","1","11766","0","0","0","0","0","0","0","0"
"02634","74","77","Brachytx, non-str, HA, I-125","U","1","13859","0","0","0","0","0","0","0","0"
"02634","78","81","Brachytx, non-str, HA, I-125","U","1","18191","0","0","0","0","0","0","0","0"
"02634","82","85","Brachytx, non-str, HA, I-125","U","1","14809","0","0","0","0","0","0","0","0"
"02634","86","87","Brachytx, non-str, HA, I-125","U","1","15120","0","0","0","0","0","0","0","0"
"02635","60","61","Brachytx, non-str, HA, P-103","U","1","2581","0","0","0","0","0","0","0","0"
"02635","62","65","Brachytx, non-str, HA, P-103","U","1","3524","0","0","0","0","0","0","0","0"
"02635","66","69","Brachytx, non-str, HA, P-103","U","1","2570","0","0","0","0","0","0","0","0"
"02635","70","73","Brachytx, non-str, HA, P-103","U","1","2594","0","0","0","0","0","0","0","0"
"02635","74","77","Brachytx, non-str, HA, P-103","U","1","2712","0","0","0","0","0","0","0","0"
"02635","78","81","Brachytx, non-str, HA, P-103","U","1","5638","0","0","0","0","0","0","0","0"
"02635","82","85","Brachytx, non-str, HA, P-103","U","1","4555","0","0","0","0","0","0","0","0"
"02635","86","87","Brachytx, non-str, HA, P-103","U","1","4562","0","0","0","0","0","0","0","0"
"02636","60","61","Brachy linear, non-str,P-103","U","1","1944","0","0","0","0","0","0","0","0"
"02636","62","65","Brachy linear, non-str,P-103","U","1","1424","0","0","0","0","0","0","0","0"
"02636","66","69","Brachy linear, non-str,P-103","U","1","1865","0","0","0","0","0","0","0","0"
"02636","70","73","Brachy linear, non-str,P-103","U","1","2708","0","0","0","0","0","0","0","0"
"02636","74","77","Brachy linear, non-str,P-103","U","1","4933","0","0","0","0","0","0","0","0"
"02636","78","81","Brachy linear, non-str,P-103","U","1","3603","0","0","0","0","0","0","0","0"
"02636","82","85","Brachy linear, non-str,P-103","U","1","3140","0","0","0","0","0","0","0","0"
"02636","86","87","Brachy linear, non-str,P-103","U","1","5257","0","0","0","0","0","0","0","0"
"02638","60","61","Brachytx, stranded, I-125","U","1","4242","0","0","0","0","0","0","0","0"
"02638","62","65","Brachytx, stranded, I-125","U","1","3809","0","0","0","0","0","0","0","0"
"02638","66","69","Brachytx, stranded, I-125","U","1","3797","0","0","0","0","0","0","0","0"
"02638","70","73","Brachytx, stranded, I-125","U","1","3473","0","0","0","0","0","0","0","0"
"02638","74","77","Brachytx, stranded, I-125","U","1","3640","0","0","0","0","0","0","0","0"
"02638","78","81","Brachytx, stranded, I-125","U","1","3455","0","0","0","0","0","0","0","0"
"02638","82","85","Brachytx, stranded, I-125","U","1","3740","0","0","0","0","0","0","0","0"
"02638","86","87","Brachytx, stranded, I-125","U","1","3819","0","0","0","0","0","0","0","0"
"02639","60","61","Brachytx, non-stranded,I-125","U","1","3705","0","0","0","0","0","0","0","0"
"02639","62","65","Brachytx, non-stranded,I-125","U","1","3664","0","0","0","0","0","0","0","0"
"02639","66","69","Brachytx, non-stranded,I-125","U","1","3570","0","0","0","0","0","0","0","0"
"02639","70","73","Brachytx, non-stranded,I-125","U","1","3466","0","0","0","0","0","0","0","0"
"02639","74","77","Brachytx, non-stranded,I-125","U","1","3501","0","0","0","0","0","0","0","0"
"02639","78","81","Brachytx, non-stranded,I-125","U","1","3564","0","0","0","0","0","0","0","0"
"02639","82","85","Brachytx, non-stranded,I-125","U","1","3410","0","0","0","0","0","0","0","0"
"02639","86","87","Brachytx, non-stranded,I-125","U","1","3482","0","0","0","0","0","0","0","0"
"02640","60","61","Brachytx, stranded, P-103","U","1","6550","0","0","0","0","0","0","0","0"
"02640","62","65","Brachytx, stranded, P-103","U","1","6878","0","0","0","0","0","0","0","0"
"02640","66","69","Brachytx, stranded, P-103","U","1","7322","0","0","0","0","0","0","0","0"
"02640","70","73","Brachytx, stranded, P-103","U","1","7872","0","0","0","0","0","0","0","0"
"02640","74","77","Brachytx, stranded, P-103","U","1","7467","0","0","0","0","0","0","0","0"
"02640","78","81","Brachytx, stranded, P-103","U","1","8360","0","0","0","0","0","0","0","0"
"02640","82","85","Brachytx, stranded, P-103","U","1","8775","0","0","0","0","0","0","0","0"
"02640","86","87","Brachytx, stranded, P-103","U","1","8959","0","0","0","0","0","0","0","0"
"02641","60","61","Brachytx, non-stranded,P-103","U","1","6793","0","0","0","0","0","0","0","0"
"02641","62","65","Brachytx, non-stranded,P-103","U","1","6623","0","0","0","0","0","0","0","0"
"02641","66","69","Brachytx, non-stranded,P-103","U","1","6545","0","0","0","0","0","0","0","0"
"02641","70","73","Brachytx, non-stranded,P-103","U","1","6427","0","0","0","0","0","0","0","0"
"02641","74","77","Brachytx, non-stranded,P-103","U","1","6013","0","0","0","0","0","0","0","0"
"02641","78","81","Brachytx, non-stranded,P-103","U","1","6939","0","0","0","0","0","0","0","0"
"02641","82","85","Brachytx, non-stranded,P-103","U","1","6950","0","0","0","0","0","0","0","0"
"02641","86","87","Brachytx, non-stranded,P-103","U","1","7095","0","0","0","0","0","0","0","0"
"02642","60","61","Brachytx, stranded, C-131","U","1","10539","0","0","0","0","0","0","0","0"
"02642","62","65","Brachytx, stranded, C-131","U","1","8659","0","0","0","0","0","0","0","0"
"02642","66","69","Brachytx, stranded, C-131","U","1","8761","0","0","0","0","0","0","0","0"
"02642","70","73","Brachytx, stranded, C-131","U","1","8789","0","0","0","0","0","0","0","0"
"02642","74","77","Brachytx, stranded, C-131","U","1","7994","0","0","0","0","0","0","0","0"
"02642","78","81","Brachytx, stranded, C-131","U","1","7671","0","0","0","0","0","0","0","0"
"02642","82","85","Brachytx, stranded, C-131","U","1","7186","0","0","0","0","0","0","0","0"
"02642","86","87","Brachytx, stranded, C-131","U","1","7337","0","0","0","0","0","0","0","0"
"02643","60","61","Brachytx, non-stranded,C-131","U","1","5471","0","0","0","0","0","0","0","0"
"02643","62","65","Brachytx, non-stranded,C-131","U","1","5218","0","0","0","0","0","0","0","0"
"02643","66","69","Brachytx, non-stranded,C-131","U","1","5919","0","0","0","0","0","0","0","0"
"02643","70","73","Brachytx, non-stranded,C-131","U","1","8740","0","0","0","0","0","0","0","0"
"02643","74","77","Brachytx, non-stranded,C-131","U","1","7836","0","0","0","0","0","0","0","0"
"02643","78","81","Brachytx, non-stranded,C-131","U","1","9572","0","0","0","0","0","0","0","0"
"02643","82","85","Brachytx, non-stranded,C-131","U","1","8035","0","0","0","0","0","0","0","0"
"02643","86","87","Brachytx, non-stranded,C-131","U","1","8203","0","0","0","0","0","0","0","0"
"02644","60","61","Brachytx cesium-131 chloride","U","1","1325","0","0","0","0","0","0","0","0"
"02644","62","65","Brachytx cesium-131 chloride","U","1","1241","0","0","0","0","0","0","0","0"
"02644","70","73","Brachytx cesium-131 chloride","U","1","10509","0","0","0","0","0","0","0","0"
"02645","62","65","Brachytx, non-str, Gold-198","U","1","4554","0","0","0","0","0","0","0","0"
"02645","66","69","Brachytx, non-str, Gold-198","U","1","13530","0","0","0","0","0","0","0","0"
"02645","70","73","Brachytx, non-str, Gold-198","U","1","12261","0","0","0","0","0","0","0","0"
"02645","74","77","Brachytx, non-str, Gold-198","U","1","8629","0","0","0","0","0","0","0","0"
"02645","78","81","Brachytx, non-str, Gold-198","U","1","11646","0","0","0","0","0","0","0","0"
"02645","82","85","Brachytx, non-str, Gold-198","U","1","28836","0","0","0","0","0","0","0","0"
"02645","86","87","Brachytx, non-str, Gold-198","U","1","61661","0","0","0","0","0","0","0","0"
"02646","62","65","Brachytx, non-str, HDR Ir-192","U","1","29404","0","0","0","0","0","0","0","0"
"02646","66","69","Brachytx, non-str, HDR Ir-192","U","1","28158","0","0","0","0","0","0","0","0"
"02646","70","73","Brachytx, non-str, HDR Ir-192","U","1","29459","0","0","0","0","0","0","0","0"
"02646","74","77","Brachytx, non-str, HDR Ir-192","U","1","29078","0","0","0","0","0","0","0","0"
"02646","78","81","Brachytx, non-str, HDR Ir-192","U","1","32202","0","0","0","0","0","0","0","0"
"02646","82","85","Brachytx, non-str, HDR Ir-192","U","1","33469","0","0","0","0","0","0","0","0"
"02646","86","87","Brachytx, non-str, HDR Ir-192","U","1","34172","0","0","0","0","0","0","0","0"
"02647","62","65","Brachytx, NS, Non-HDRIr-192","U","1","9311","0","0","0","0","0","0","0","0"
"02647","66","69","Brachytx, NS, Non-HDRIr-192","U","1","3383","0","0","0","0","0","0","0","0"
"02647","70","73","Brachytx, NS, Non-HDRIr-192","U","1","1916","0","0","0","0","0","0","0","0"
"02647","74","77","Brachytx, NS, Non-HDRIr-192","U","1","8492","0","0","0","0","0","0","0","0"
"02647","78","81","Brachytx, NS, Non-HDRIr-192","U","1","6297","0","0","0","0","0","0","0","0"
"02647","82","85","Brachytx, NS, Non-HDRIr-192","U","1","28244","0","0","0","0","0","0","0","0"
"02647","86","87","Brachytx, NS, Non-HDRIr-192","U","1","20582","0","0","0","0","0","0","0","0"
"02648","62","87","Brachytx planar, p-103","U","1","469","0","0","0","0","0","0","0","0"
"02698","60","61","Brachytx, stranded, NOS","U","1","4242","0","0","0","0","0","0","0","0"
"02698","62","65","Brachytx, stranded, NOS","U","1","3809","0","0","0","0","0","0","0","0"
"02698","66","69","Brachytx, stranded, NOS","U","1","3797","0","0","0","0","0","0","0","0"
"02698","70","73","Brachytx, stranded, NOS","U","1","3473","0","0","0","0","0","0","0","0"
"02698","74","77","Brachytx, stranded, NOS","U","1","3640","0","0","0","0","0","0","0","0"
"02698","78","81","Brachytx, stranded, NOS","U","1","3455","0","0","0","0","0","0","0","0"
"02698","82","85","Brachytx, stranded, NOS","U","1","3740","0","0","0","0","0","0","0","0"
"02698","86","87","Brachytx, stranded, NOS","U","1","3819","0","0","0","0","0","0","0","0"
"02699","60","61","Brachytx, non-stranded, NOS","U","1","1944","0","0","0","0","0","0","0","0"
"02699","62","65","Brachytx, non-stranded, NOS","U","1","1424","0","0","0","0","0","0","0","0"
"02699","66","69","Brachytx, non-stranded, NOS","U","1","1865","0","0","0","0","0","0","0","0"
"02699","70","73","Brachytx, non-stranded, NOS","U","1","1916","0","0","0","0","0","0","0","0"
"02699","74","77","Brachytx, non-stranded, NOS","U","1","2712","0","0","0","0","0","0","0","0"
"02699","78","81","Brachytx, non-stranded, NOS","U","1","3564","0","0","0","0","0","0","0","0"
"02699","82","85","Brachytx, non-stranded, NOS","U","1","3140","0","0","0","0","0","0","0","0"
"02699","86","87","Brachytx, non-stranded, NOS","U","1","3482","0","0","0","0","0","0","0","0"
"02731","60","60","Immune globulin, powder","K","1","2895","0","0","0","0","0","0","0","0"
"02731","61","61","Immune globulin, powder","K","1","3225","0","0","0","0","0","0","0","0"
"02731","62","62","Immune globulin, powder","K","2","3311","0","0","0","0","0","0","0","0"
"02731","63","63","Immune globulin, powder","K","2","3490","0","0","0","0","0","0","0","0"
"02731","64","64","Immune globulin, powder","K","2","3502","0","0","0","0","0","0","0","0"
"02731","65","65","Immune globulin, powder","K","2","3403","0","0","0","0","0","0","0","0"
"02731","66","66","Immune globulin, powder","K","2","3307","0","0","0","0","0","0","0","0"
"02731","67","67","Immune globulin, powder","K","2","3204","0","0","0","0","0","0","0","0"
"02731","68","68","Immune globulin, powder","K","2","3264","0","0","0","0","0","0","0","0"
"02731","69","69","Immune globulin, powder","K","2","3294","0","0","0","0","0","0","0","0"
"02731","70","70","Immune globulin, powder","K","2","3428","0","0","0","0","0","0","0","0"
"02731","71","71","Immune globulin, powder","K","2","3442","0","0","0","0","0","0","0","0"
"02731","72","72","Immune globulin, powder","K","2","3553","0","0","0","0","0","0","0","0"
"02731","73","73","Immune globulin, powder","K","2","4001","0","0","0","0","0","0","0","0"
"02731","74","74","Immune globulin, powder","K","2","3795","0","0","0","0","0","0","0","0"
"02731","75","75","Immune globulin, powder","K","2","4311","0","0","0","0","0","0","0","0"
"02731","76","76","Immune globulin, powder","K","2","5981","0","0","0","0","0","0","0","0"
"02731","77","77","Immune globulin, powder","K","2","6222","0","0","0","0","0","0","0","0"
"02731","78","78","Immune globulin, powder","K","2","6120","0","0","0","0","0","0","0","0"
"02731","79","79","Immune globulin, powder","K","2","6319","0","0","0","0","0","0","0","0"
"02731","80","80","Immune globulin, powder","K","2","6409","0","0","0","0","0","0","0","0"
"02731","81","81","Immune globulin, powder","K","2","6694","0","0","0","0","0","0","0","0"
"02731","82","82","Immune globulin, powder","K","2","6830","0","0","0","0","0","0","0","0"
"02731","83","83","Immune globulin, powder","K","2","6697","0","0","0","0","0","0","0","0"
"02731","84","84","Immune globulin, powder","K","2","6422","0","0","0","0","0","0","0","0"
"02731","85","85","Immune globulin, powder","K","2","6589","0","0","0","0","0","0","0","0"
"02731","86","86","Immune globulin, powder","K","2","6549","0","0","0","0","0","0","0","0"
"02731","87","87","Immune globulin, powder","K","2","6959","0","0","0","0","0","0","0","0"
"02770","60","60","Quinupristin/dalfopristin","K","1","26220","0","0","0","0","0","0","0","0"
"02770","61","61","Quinupristin/dalfopristin","K","1","29990","0","0","0","0","0","0","0","0"
"02770","62","62","Quinupristin/dalfopristin","K","2","31104","0","0","0","0","0","0","0","0"
"02770","63","63","Quinupristin/dalfopristin","K","2","33213","0","0","0","0","0","0","0","0"
"02770","64","64","Quinupristin/dalfopristin","K","2","33214","0","0","0","0","0","0","0","0"
"02770","65","65","Quinupristin/dalfopristin","K","2","37986","0","0","0","0","0","0","0","0"
"02770","66","66","Quinupristin/dalfopristin","K","2","41352","0","0","0","0","0","0","0","0"
"02770","67","67","Quinupristin/dalfopristin","K","2","43531","0","0","0","0","0","0","0","0"
"02770","68","68","Quinupristin/dalfopristin","K","2","43677","0","0","0","0","0","0","0","0"
"02770","69","69","Quinupristin/dalfopristin","K","2","43830","0","0","0","0","0","0","0","0"
"02770","70","70","Quinupristin/dalfopristin","K","2","42862","0","0","0","0","0","0","0","0"
"02770","71","71","Quinupristin/dalfopristin","K","2","41820","0","0","0","0","0","0","0","0"
"02770","72","72","Quinupristin/dalfopristin","K","2","41920","0","0","0","0","0","0","0","0"
"02770","73","73","Quinupristin/dalfopristin","K","2","41859","0","0","0","0","0","0","0","0"
"02770","74","74","Quinupristin/dalfopristin","K","2","41837","0","0","0","0","0","0","0","0"
"02770","75","75","Quinupristin/dalfopristin","K","2","41776","0","0","0","0","0","0","0","0"
"02770","76","76","Quinupristin/dalfopristin","K","2","41700","0","0","0","0","0","0","0","0"
"02770","77","77","Quinupristin/dalfopristin","K","2","41810","0","0","0","0","0","0","0","0"
"02770","78","78","Quinupristin/dalfopristin","K","2","41749","0","0","0","0","0","0","0","0"
"02770","79","79","Quinupristin/dalfopristin","K","2","41777","0","0","0","0","0","0","0","0"
"02770","80","80","Quinupristin/dalfopristin","K","2","41642","0","0","0","0","0","0","0","0"
"02770","81","81","Quinupristin/dalfopristin","K","2","45788","0","0","0","0","0","0","0","0"
"02770","82","82","Quinupristin/dalfopristin","K","2","45804","0","0","0","0","0","0","0","0"
"02770","83","83","Quinupristin/dalfopristin","K","2","45883","0","0","0","0","0","0","0","0"
"02770","84","84","Quinupristin/dalfopristin","K","2","45904","0","0","0","0","0","0","0","0"
"02770","85","85","Quinupristin/dalfopristin","K","2","45688","0","0","0","0","0","0","0","0"
"02770","86","86","Quinupristin/dalfopristin","K","2","44467","0","0","0","0","0","0","0","0"
"02770","87","87","Quinupristin/dalfopristin","K","2","42819","0","0","0","0","0","0","0","0"
"02993","74","87","Gen, neuro, trans sen/stim","H","6","0","0","0","0","0","0","0","0","0"
"03041","60","60","Bivalirudin","K","1","350","0","0","0","0","0","0","0","0"
"03041","61","61","Bivalirudin","K","1","373","0","0","0","0","0","0","0","0"
"03041","66","66","Bivalirudin","K","2","153","0","0","0","0","0","0","0","0"
"03041","67","67","Bivalirudin","K","2","133","0","0","0","0","0","0","0","0"
"03041","68","68","Bivalirudin","K","2","148","0","0","0","0","0","0","0","0"
"03041","69","69","Bivalirudin","K","2","151","0","0","0","0","0","0","0","0"
"04001","66","69","Echo guidance radiotherapy","S","1","2189","0","0","0","0","0","0","0","0"
"04001","70","73","Echo guidance radiotherapy","S","1","2376","0","0","0","0","0","0","0","0"
"04001","74","77","Echo guidance radiotherapy","S","1","5190","0","0","0","0","0","0","0","0"
"04001","78","81","Echo guidance radiotherapy","S","1","8852","0","0","0","0","0","0","0","0"
"04001","82","82","Echo guidance radiotherapy","S","1","11797","0","0","0","0","0","0","0","0"
"04001","83","85","Echo guidance radiotherapy","S","1","12457","0","0","0","0","0","0","0","0"
"04001","86","87","Echo guidance radiotherapy","S","1","15424","0","0","0","0","0","0","0","0"
"04002","66","69","Stereoscopic x-ray guidance","S","1","5599","0","0","0","0","0","0","0","0"
"04002","70","73","Stereoscopic x-ray guidance","S","1","5759","0","0","0","0","0","0","0","0"
"04002","74","77","Stereoscopic x-ray guidance","S","1","5622","0","0","0","0","0","0","0","0"
"04002","78","81","Stereoscopic x-ray guidance","S","1","5681","0","0","0","0","0","0","0","0"
"04002","82","82","Stereoscopic x-ray guidance","S","1","5380","0","0","0","0","0","0","0","0"
"04002","83","85","Stereoscopic x-ray guidance","S","1","5653","0","0","0","0","0","0","0","0"
"04002","86","87","Stereoscopic x-ray guidance","S","1","5564","0","0","0","0","0","0","0","0"
"04003","66","69","Radiation treatment delivery, MeV <= 5; simple","S","1","19308","0","0","0","0","0","0","0","0"
"04003","70","73","Radiation treatment delivery, MeV <= 5; simple","S","1","20230","0","0","0","0","0","0","0","0"
"04003","74","77","Radiation treatment delivery, MeV <= 5; simple","S","1","19930","0","0","0","0","0","0","0","0"
"04003","78","81","Radiation treatment delivery, MeV <= 5; simple","S","1","19401","0","0","0","0","0","0","0","0"
"04003","82","82","Radiation treatment delivery, MeV <= 5; simple","S","1","14876","0","0","0","0","0","0","0","0"
"04003","83","85","Radiation treatment delivery, MeV <= 5; simple","S","1","15667","0","0","0","0","0","0","0","0"
"04003","86","87","Radiation treatment delivery, MeV <= 5; simple","S","1","15318","0","0","0","0","0","0","0","0"
"04004","66","69","Radiation treatment delivery, 6-10 MeV; simple","S","1","14643","0","0","0","0","0","0","0","0"
"04004","70","73","Radiation treatment delivery, 6-10 MeV; simple","S","1","15010","0","0","0","0","0","0","0","0"
"04004","74","77","Radiation treatment delivery, 6-10 MeV; simple","S","1","14596","0","0","0","0","0","0","0","0"
"04004","78","81","Radiation treatment delivery, 6-10 MeV; simple","S","1","14680","0","0","0","0","0","0","0","0"
"04004","82","82","Radiation treatment delivery, 6-10 MeV; simple","S","1","13774","0","0","0","0","0","0","0","0"
"04004","83","85","Radiation treatment delivery, 6-10 MeV; simple","S","1","14481","0","0","0","0","0","0","0","0"
"04004","86","87","Radiation treatment delivery, 6-10 MeV; simple","S","1","13768","0","0","0","0","0","0","0","0"
"04005","66","69","Radiation treatment delivery, 11-19 MeV; simple","S","1","14607","0","0","0","0","0","0","0","0"
"04005","70","73","Radiation treatment delivery, 11-19 MeV; simple","S","1","14974","0","0","0","0","0","0","0","0"
"04005","74","77","Radiation treatment delivery, 11-19 MeV; simple","S","1","14596","0","0","0","0","0","0","0","0"
"04005","78","81","Radiation treatment delivery, 11-19 MeV; simple","S","1","14680","0","0","0","0","0","0","0","0"
"04005","82","82","Radiation treatment delivery, 11-19 MeV; simple","S","1","13806","0","0","0","0","0","0","0","0"
"04005","83","85","Radiation treatment delivery, 11-19 MeV; simple","S","1","14516","0","0","0","0","0","0","0","0"
"04005","86","87","Radiation treatment delivery, 11-19 MeV; simple","S","1","13768","0","0","0","0","0","0","0","0"
"04006","66","69","Radiation treatment delivery, MeV>=20; simple","S","1","14607","0","0","0","0","0","0","0","0"
"04006","70","73","Radiation treatment delivery, MeV>=20; simple","S","1","15010","0","0","0","0","0","0","0","0"
"04006","74","77","Radiation treatment delivery, MeV>=20; simple","S","1","14560","0","0","0","0","0","0","0","0"
"04006","78","81","Radiation treatment delivery, MeV>=20; simple","S","1","14680","0","0","0","0","0","0","0","0"
"04006","82","82","Radiation treatment delivery, MeV>=20; simple","S","1","13741","0","0","0","0","0","0","0","0"
"04006","83","85","Radiation treatment delivery, MeV>=20; simple","S","1","14446","0","0","0","0","0","0","0","0"
"04006","86","87","Radiation treatment delivery, MeV>=20; simple","S","1","13768","0","0","0","0","0","0","0","0"
"04007","66","69","Radiation treatment delivery, MeV<=5; intermediate","S","1","30182","0","0","0","0","0","0","0","0"
"04007","70","73","Radiation treatment delivery, MeV<=5; intermediate","S","1","30381","0","0","0","0","0","0","0","0"
"04007","74","77","Radiation treatment delivery, MeV<=5; intermediate","S","1","27606","0","0","0","0","0","0","0","0"
"04007","78","81","Radiation treatment delivery, MeV<=5; intermediate","S","1","27553","0","0","0","0","0","0","0","0"
"04007","82","82","Radiation treatment delivery, MeV<=5; intermediate","S","1","26089","0","0","0","0","0","0","0","0"
"04007","83","85","Radiation treatment delivery, MeV<=5; intermediate","S","1","27531","0","0","0","0","0","0","0","0"
"04007","86","87","Radiation treatment delivery, MeV<=5; intermediate","S","1","25355","0","0","0","0","0","0","0","0"
"04008","66","69","Radiation treatment delivery, 6-10 MeV; intermediate","S","1","20169","0","0","0","0","0","0","0","0"
"04008","70","73","Radiation treatment delivery, 6-10 MeV; intermediate","S","1","20770","0","0","0","0","0","0","0","0"
"04008","74","77","Radiation treatment delivery, 6-10 MeV; intermediate","S","1","20146","0","0","0","0","0","0","0","0"
"04008","78","81","Radiation treatment delivery, 6-10 MeV; intermediate","S","1","20249","0","0","0","0","0","0","0","0"
"04008","82","82","Radiation treatment delivery, 6-10 MeV; intermediate","S","1","19089","0","0","0","0","0","0","0","0"
"04008","83","85","Radiation treatment delivery, 6-10 MeV; intermediate","S","1","20029","0","0","0","0","0","0","0","0"
"04008","86","87","Radiation treatment delivery, 6-10 MeV; intermediate","S","1","18945","0","0","0","0","0","0","0","0"
"04009","66","69","Radiation treatment delivery, 11-19 MeV; intermediate","S","1","20098","0","0","0","0","0","0","0","0"
"04009","70","73","Radiation treatment delivery, 11-19 MeV; intermediate","S","1","20698","0","0","0","0","0","0","0","0"
"04009","74","77","Radiation treatment delivery, 11-19 MeV; intermediate","S","1","20038","0","0","0","0","0","0","0","0"
"04009","78","81","Radiation treatment delivery, 11-19 MeV; intermediate","S","1","20102","0","0","0","0","0","0","0","0"
"04009","82","82","Radiation treatment delivery, 11-19 MeV; intermediate","S","1","18959","0","0","0","0","0","0","0","0"
"04009","83","85","Radiation treatment delivery, 11-19 MeV; intermediate","S","1","19889","0","0","0","0","0","0","0","0"
"04009","86","87","Radiation treatment delivery, 11-19 MeV; intermediate","S","1","18910","0","0","0","0","0","0","0","0"
"04010","66","69","Radiation treatment delivery, MeV >=20; intermediate","S","1","20026","0","0","0","0","0","0","0","0"
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"04011","86","87","Radiation treatment delivery, MeV<=5; complex","S","1","25108","0","0","0","0","0","0","0","0"
"04012","66","69","Radiation treatment delivery, 6-10 MeV; complex","S","1","26701","0","0","0","0","0","0","0","0"
"04012","70","73","Radiation treatment delivery, 6-10 MeV; complex","S","1","27465","0","0","0","0","0","0","0","0"
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"04012","78","81","Radiation treatment delivery, 6-10 MeV; complex","S","1","26852","0","0","0","0","0","0","0","0"
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"04012","86","87","Radiation treatment delivery, 6-10 MeV; complex","S","1","25073","0","0","0","0","0","0","0","0"
"04013","66","69","Radiation treatment delivery, 11-19 MeV; complex","S","1","26737","0","0","0","0","0","0","0","0"
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"05061","86","87","Hyperbaric Oxygen","S","1","12180","0","0","0","0","0","0","0","0"
"05071","62","65","Level 1 Excision/ Biopsy/ Incision and Drainage","T","1","22827","0","0","0","0","0","0","0","0"
"05071","66","69","Level 1 Excision/ Biopsy/ Incision and Drainage","T","1","53911","0","0","0","0","0","0","0","0"
"05071","70","73","Level 1 Excision/ Biopsy/ Incision and Drainage","T","1","57285","0","0","0","0","0","0","0","0"
"05071","74","77","Level 1 Excision/ Biopsy/ Incision and Drainage","T","1","57934","0","0","0","0","0","0","0","0"
"05071","78","81","Level 1 Excision/ Biopsy/ Incision and Drainage","T","1","61001","0","0","0","0","0","0","0","0"
"05071","82","85","Level 1 Excision/ Biopsy/ Incision and Drainage","T","1","62197","0","0","0","0","0","0","0","0"
"05071","86","87","Level 1 Excision/ Biopsy/ Incision and Drainage","T","1","63554","0","0","0","0","0","0","0","0"
"05072","62","65","Level 2 Excision/ Biopsy/ Incision and Drainage","T","1","48064","0","0","0","0","0","0","0","0"
"05072","66","69","Level 2 Excision/ Biopsy/ Incision and Drainage","J1","1","123662","0","0","0","0","0","0","0","0"
"05072","70","73","Level 2 Excision/ Biopsy/ Incision and Drainage","J1","1","134803","0","0","0","0","0","0","0","0"
"05072","74","77","Level 2 Excision/ Biopsy/ Incision and Drainage","J1","1","137550","0","0","0","0","0","0","0","0"
"05072","78","81","Level 2 Excision/ Biopsy/ Incision and Drainage","J1","1","137260","0","0","0","0","0","0","0","0"
"05072","82","85","Level 2 Excision/ Biopsy/ Incision and Drainage","J1","1","140700","0","0","0","0","0","0","0","0"
"05072","86","87","Level 2 Excision/ Biopsy/ Incision and Drainage","J1","1","143699","0","0","0","0","0","0","0","0"
"05073","62","65","Level 3 Excision/ Biopsy/ Incision and Drainage","T","1","94198","0","0","0","0","0","0","0","0"
"05073","66","69","Level 3 Excision/ Biopsy/ Incision and Drainage","J1","1","214891","0","0","0","0","0","0","0","0"
"05073","70","73","Level 3 Excision/ Biopsy/ Incision and Drainage","J1","1","232487","0","0","0","0","0","0","0","0"
"05073","74","77","Level 3 Excision/ Biopsy/ Incision and Drainage","J1","1","237829","0","0","0","0","0","0","0","0"
"05073","78","81","Level 3 Excision/ Biopsy/ Incision and Drainage","J1","1","231889","0","0","0","0","0","0","0","0"
"05073","82","85","Level 3 Excision/ Biopsy/ Incision and Drainage","J1","1","237001","0","0","0","0","0","0","0","0"
"05073","86","87","Level 3 Excision/ Biopsy/ Incision and Drainage","J1","1","242155","0","0","0","0","0","0","0","0"
"05074","62","65","Level 4 Excision/ Biopsy/ Incision and Drainage","T","1","141428","0","0","0","0","0","0","0","0"
"05091","62","65","Level 1 Breast/Lymphatic Surgery and Related Procedures","T","1","218794","0","0","0","0","0","0","0","0"
"05091","66","69","Level 1 Breast/Lymphatic Surgery and Related Procedures","J1","1","249948","0","0","0","0","0","0","0","0"
"05091","70","73","Level 1 Breast/Lymphatic Surgery and Related Procedures","J1","1","272784","0","0","0","0","0","0","0","0"
"05091","74","77","Level 1 Breast/Lymphatic Surgery and Related Procedures","J1","1","281601","0","0","0","0","0","0","0","0"
"05091","78","81","Level 1 Breast/Lymphatic Surgery and Related Procedures","J1","1","302955","0","0","0","0","0","0","0","0"
"05091","82","85","Level 1 Breast/Lymphatic Surgery and Related Procedures","J1","1","315774","0","0","0","0","0","0","0","0"
"05091","86","87","Level 1 Breast/Lymphatic Surgery and Related Procedures","J1","1","322500","0","0","0","0","0","0","0","0"
"05092","62","65","Level 2 Breast/Lymphatic Surgery and Related Procedures","T","1","364706","0","0","0","0","0","0","0","0"
"05092","66","69","Level 2 Breast/Lymphatic Surgery and Related Procedures","J1","1","441946","0","0","0","0","0","0","0","0"
"05092","70","73","Level 2 Breast/Lymphatic Surgery and Related Procedures","J1","1","481188","0","0","0","0","0","0","0","0"
"05092","74","77","Level 2 Breast/Lymphatic Surgery and Related Procedures","J1","1","491521","0","0","0","0","0","0","0","0"
"05092","78","81","Level 2 Breast/Lymphatic Surgery and Related Procedures","J1","1","523729","0","0","0","0","0","0","0","0"
"05092","82","85","Level 2 Breast/Lymphatic Surgery and Related Procedures","J1","1","553394","0","0","0","0","0","0","0","0"
"05092","86","87","Level 2 Breast/Lymphatic Surgery and Related Procedures","J1","1","565210","0","0","0","0","0","0","0","0"
"05093","62","65","Level 3 Breast/Lymphatic Surgery and Related Procedures","J1","1","755775","0","0","0","0","0","0","0","0"
"05093","66","69","Level 3 Breast/Lymphatic Surgery and Related Procedures","J1","1","648635","0","0","0","0","0","0","0","0"
"05093","70","73","Level 3 Breast/Lymphatic Surgery and Related Procedures","J1","1","738773","0","0","0","0","0","0","0","0"
"05093","74","77","Level 3 Breast/Lymphatic Surgery and Related Procedures","J1","1","744883","0","0","0","0","0","0","0","0"
"05093","78","81","Level 3 Breast/Lymphatic Surgery and Related Procedures","J1","1","813556","0","0","0","0","0","0","0","0"
"05093","82","85","Level 3 Breast/Lymphatic Surgery and Related Procedures","J1","1","892004","0","0","0","0","0","0","0","0"
"05093","86","87","Level 3 Breast/Lymphatic Surgery and Related Procedures","J1","1","910641","0","0","0","0","0","0","0","0"
"05094","66","69","Level 4 Breast/Lymphatic Surgery and Related Procedures","J1","1","1003705","0","0","0","0","0","0","0","0"
"05094","70","73","Level 4 Breast/Lymphatic Surgery and Related Procedures","J1","1","1138855","0","0","0","0","0","0","0","0"
"05094","74","77","Level 4 Breast/Lymphatic Surgery and Related Procedures","J1","1","1212714","0","0","0","0","0","0","0","0"
"05094","78","81","Level 4 Breast/Lymphatic Surgery and Related Procedures","J1","1","1385333","0","0","0","0","0","0","0","0"
"05094","82","85","Level 4 Breast/Lymphatic Surgery and Related Procedures","J1","1","1492870","0","0","0","0","0","0","0","0"
"05094","86","87","Level 4 Breast/Lymphatic Surgery and Related Procedures","J1","1","1523772","0","0","0","0","0","0","0","0"
"05101","62","65","Level 1 Strapping and Cast Application","S","1","11924","0","0","0","0","0","0","0","0"
"05101","66","69","Level 1 Strapping and Cast Application","T","1","12515","0","0","0","0","0","0","0","0"
"05101","70","73","Level 1 Strapping and Cast Application","T","1","13542","0","0","0","0","0","0","0","0"
"05101","74","77","Level 1 Strapping and Cast Application","T","1","13462","0","0","0","0","0","0","0","0"
"05101","78","81","Level 1 Strapping and Cast Application","T","1","13374","0","0","0","0","0","0","0","0"
"05101","82","85","Level 1 Strapping and Cast Application","T","1","14118","0","0","0","0","0","0","0","0"
"05101","86","87","Level 1 Strapping and Cast Application","T","1","14429","0","0","0","0","0","0","0","0"
"05102","62","65","Level 2 Strapping and Cast Application","S","1","20788","0","0","0","0","0","0","0","0"
"05102","66","69","Level 2 Strapping and Cast Application","T","1","22075","0","0","0","0","0","0","0","0"
"05102","70","73","Level 2 Strapping and Cast Application","T","1","23728","0","0","0","0","0","0","0","0"
"05102","74","77","Level 2 Strapping and Cast Application","T","1","23558","0","0","0","0","0","0","0","0"
"05102","78","81","Level 2 Strapping and Cast Application","T","1","22982","0","0","0","0","0","0","0","0"
"05102","82","85","Level 2 Strapping and Cast Application","T","1","24117","0","0","0","0","0","0","0","0"
"05102","86","87","Level 2 Strapping and Cast Application","T","1","24638","0","0","0","0","0","0","0","0"
"05111","62","65","Level 1 Closed Treatment Fracture and Related Services","T","1","17233","0","0","0","0","0","0","0","0"
"05111","66","69","Level 1 Musculoskeletal Procedures","T","1","19983","0","0","0","0","0","0","0","0"
"05111","70","73","Level 1 Musculoskeletal Procedures","T","1","21490","0","0","0","0","0","0","0","0"
"05111","74","77","Level 1 Musculoskeletal Procedures","T","1","22509","0","0","0","0","0","0","0","0"
"05111","78","81","Level 1 Musculoskeletal Procedures","T","1","21564","0","0","0","0","0","0","0","0"
"05111","82","85","Level 1 Musculoskeletal Procedures","T","1","20619","0","0","0","0","0","0","0","0"
"05111","86","87","Level 1 Musculoskeletal Procedures","T","1","21050","0","0","0","0","0","0","0","0"
"05112","62","65","Level 2 Closed Treatment Fracture and Related Services","T","1","23750","0","0","0","0","0","0","0","0"
"05112","66","69","Level 2 Musculoskeletal Procedures","J1","1","121742","0","0","0","0","0","0","0","0"
"05112","70","73","Level 2 Musculoskeletal Procedures","J1","1","134994","0","0","0","0","0","0","0","0"
"05112","74","77","Level 2 Musculoskeletal Procedures","J1","1","131334","0","0","0","0","0","0","0","0"
"05112","78","81","Level 2 Musculoskeletal Procedures","J1","1","135539","0","0","0","0","0","0","0","0"
"05112","82","85","Level 2 Musculoskeletal Procedures","J1","1","139235","0","0","0","0","0","0","0","0"
"05112","86","87","Level 2 Musculoskeletal Procedures","J1","1","142251","0","0","0","0","0","0","0","0"
"05113","62","65","Level 3 Closed Treatment Fracture and Related Services","T","1","109645","0","0","0","0","0","0","0","0"
"05113","66","69","Level 3 Musculoskeletal Procedures","J1","1","243834","0","0","0","0","0","0","0","0"
"05113","70","73","Level 3 Musculoskeletal Procedures","J1","1","264523","0","0","0","0","0","0","0","0"
"05113","74","77","Level 3 Musculoskeletal Procedures","J1","1","262334","0","0","0","0","0","0","0","0"
"05113","78","81","Level 3 Musculoskeletal Procedures","J1","1","273745","0","0","0","0","0","0","0","0"
"05113","82","85","Level 3 Musculoskeletal Procedures","J1","1","283040","0","0","0","0","0","0","0","0"
"05113","86","87","Level 3 Musculoskeletal Procedures","J1","1","289228","0","0","0","0","0","0","0","0"
"05114","66","69","Level 4 Musculoskeletal Procedures","J1","1","522157","0","0","0","0","0","0","0","0"
"05114","70","73","Level 4 Musculoskeletal Procedures","J1","1","560642","0","0","0","0","0","0","0","0"
"05114","74","77","Level 4 Musculoskeletal Procedures","J1","1","569959","0","0","0","0","0","0","0","0"
"05114","78","81","Level 4 Musculoskeletal Procedures","J1","1","598195","0","0","0","0","0","0","0","0"
"05114","82","85","Level 4 Musculoskeletal Procedures","J1","1","626495","0","0","0","0","0","0","0","0"
"05114","86","87","Level 4 Musculoskeletal Procedures","J1","1","639705","0","0","0","0","0","0","0","0"
"05115","66","69","Level 5 Musculoskeletal Procedures","J1","1","956123","0","0","0","0","0","0","0","0"
"05115","70","73","Level 5 Musculoskeletal Procedures","J1","1","1012292","0","0","0","0","0","0","0","0"
"05115","74","77","Level 5 Musculoskeletal Procedures","J1","1","1071388","0","0","0","0","0","0","0","0"
"05115","78","81","Level 5 Musculoskeletal Procedures","J1","1","1190071","0","0","0","0","0","0","0","0"
"05115","82","85","Level 5 Musculoskeletal Procedures","J1","1","1231476","0","0","0","0","0","0","0","0"
"05115","86","87","Level 5 Musculoskeletal Procedures","J1","1","1259329","0","0","0","0","0","0","0","0"
"05116","66","69","Level 6 Musculoskeletal Procedures","J1","1","1470413","0","0","0","0","0","0","0","0"
"05116","70","73","Level 6 Musculoskeletal Procedures","J1","1","1537100","0","0","0","0","0","0","0","0"
"05116","74","77","Level 6 Musculoskeletal Procedures","J1","1","1540246","0","0","0","0","0","0","0","0"
"05116","78","81","Level 6 Musculoskeletal Procedures","J1","1","1594608","0","0","0","0","0","0","0","0"
"05116","82","85","Level 6 Musculoskeletal Procedures","J1","1","1586813","0","0","0","0","0","0","0","0"
"05116","86","87","Level 6 Musculoskeletal Procedures","J1","1","1651336","0","0","0","0","0","0","0","0"
"05121","62","65","Level1 Musculoskeletal Procedures","T","1","145526","0","0","0","0","0","0","0","0"
"05122","62","65","Level 2 Musculoskeletal Procedures","T","1","239559","0","0","0","0","0","0","0","0"
"05123","62","65","Level 3 Musculoskeletal Procedures","J1","1","496926","0","0","0","0","0","0","0","0"
"05124","62","65","Level 4 Musculoskeletal Procedures","J1","1","706407","0","0","0","0","0","0","0","0"
"05125","62","65","Level 5 Musculoskeletal Procedures","J1","1","1053790","0","0","0","0","0","0","0","0"
"05141","62","65","Thoracoscopy","T","1","315292","0","0","0","0","0","0","0","0"
"05151","62","65","Level 1 Airway Endoscopy","T","1","14131","0","0","0","0","0","0","0","0"
"05151","66","69","Level 1 Airway Endoscopy","T","1","14620","0","0","0","0","0","0","0","0"
"05151","70","73","Level 1 Airway Endoscopy","T","1","15708","0","0","0","0","0","0","0","0"
"05151","74","77","Level 1 Airway Endoscopy","T","1","16397","0","0","0","0","0","0","0","0"
"05151","78","81","Level 1 Airway Endoscopy","T","1","15655","0","0","0","0","0","0","0","0"
"05151","82","85","Level 1 Airway Endoscopy","T","1","16439","0","0","0","0","0","0","0","0"
"05151","86","87","Level 1 Airway Endoscopy","T","1","16812","0","0","0","0","0","0","0","0"
"05152","62","65","Level 2 Airway Endoscopy","T","1","37513","0","0","0","0","0","0","0","0"
"05152","66","69","Level 2 Airway Endoscopy","T","1","36192","0","0","0","0","0","0","0","0"
"05152","70","73","Level 2 Airway Endoscopy","T","1","37547","0","0","0","0","0","0","0","0"
"05152","74","77","Level 2 Airway Endoscopy","T","1","38650","0","0","0","0","0","0","0","0"
"05152","78","81","Level 2 Airway Endoscopy","T","1","37789","0","0","0","0","0","0","0","0"
"05152","82","85","Level 2 Airway Endoscopy","T","1","37651","0","0","0","0","0","0","0","0"
"05152","86","87","Level 2 Airway Endoscopy","T","1","38388","0","0","0","0","0","0","0","0"
"05153","62","65","Level 3 Airway Endoscopy","T","1","103750","0","0","0","0","0","0","0","0"
"05153","66","69","Level 3 Airway Endoscopy","J1","1","126979","0","0","0","0","0","0","0","0"
"05153","70","73","Level 3 Airway Endoscopy","J1","1","132370","0","0","0","0","0","0","0","0"
"05153","74","77","Level 3 Airway Endoscopy","J1","1","136929","0","0","0","0","0","0","0","0"
"05153","78","81","Level 3 Airway Endoscopy","J1","1","143061","0","0","0","0","0","0","0","0"
"05153","82","85","Level 3 Airway Endoscopy","J1","1","149639","0","0","0","0","0","0","0","0"
"05153","86","87","Level 3 Airway Endoscopy","J1","1","152800","0","0","0","0","0","0","0","0"
"05154","62","65","Level 4 Airway Endoscopy","T","1","199192","0","0","0","0","0","0","0","0"
"05154","66","69","Level 4 Airway Endoscopy","J1","1","243123","0","0","0","0","0","0","0","0"
"05154","70","73","Level 4 Airway Endoscopy","J1","1","261657","0","0","0","0","0","0","0","0"
"05154","74","77","Level 4 Airway Endoscopy","J1","1","274066","0","0","0","0","0","0","0","0"
"05154","78","81","Level 4 Airway Endoscopy","J1","1","293691","0","0","0","0","0","0","0","0"
"05154","82","85","Level 4 Airway Endoscopy","J1","1","309802","0","0","0","0","0","0","0","0"
"05154","86","87","Level 4 Airway Endoscopy","J1","1","316358","0","0","0","0","0","0","0","0"
"05155","62","65","Level 5 Airway Endoscopy","T","1","306648","0","0","0","0","0","0","0","0"
"05155","66","69","Level 5 Airway Endoscopy","J1","1","436295","0","0","0","0","0","0","0","0"
"05155","70","73","Level 5 Airway Endoscopy","J1","1","486417","0","0","0","0","0","0","0","0"
"05155","74","77","Level 5 Airway Endoscopy","J1","1","514757","0","0","0","0","0","0","0","0"
"05155","78","81","Level 5 Airway Endoscopy","J1","1","544036","0","0","0","0","0","0","0","0"
"05155","82","85","Level 5 Airway Endoscopy","J1","1","582276","0","0","0","0","0","0","0","0"
"05155","86","87","Level 5 Airway Endoscopy","J1","1","594748","0","0","0","0","0","0","0","0"
"05161","62","65","Level 1 ENT Procedures","T","1","12929","0","0","0","0","0","0","0","0"
"05161","66","69","Level 1 ENT Procedures","T","1","17709","0","0","0","0","0","0","0","0"
"05161","70","73","Level 1 ENT Procedures","T","1","17850","0","0","0","0","0","0","0","0"
"05161","74","77","Level 1 ENT Procedures","T","1","20614","0","0","0","0","0","0","0","0"
"05161","78","81","Level 1 ENT Procedures","T","1","20364","0","0","0","0","0","0","0","0"
"05161","82","85","Level 1 ENT Procedures","T","1","21160","0","0","0","0","0","0","0","0"
"05161","86","87","Level 1 ENT Procedures","T","1","21607","0","0","0","0","0","0","0","0"
"05162","62","65","Level 2 ENT Procedures","T","1","31293","0","0","0","0","0","0","0","0"
"05162","66","69","Level 2 ENT Procedures","T","1","44262","0","0","0","0","0","0","0","0"
"05162","70","73","Level 2 ENT Procedures","T","1","45987","0","0","0","0","0","0","0","0"
"05162","74","77","Level 2 ENT Procedures","T","1","48713","0","0","0","0","0","0","0","0"
"05162","78","81","Level 2 ENT Procedures","T","1","44172","0","0","0","0","0","0","0","0"
"05162","82","85","Level 2 ENT Procedures","T","1","45236","0","0","0","0","0","0","0","0"
"05162","86","87","Level 2 ENT Procedures","T","1","46190","0","0","0","0","0","0","0","0"
"05163","62","65","Level 3 ENT Procedures","T","1","68963","0","0","0","0","0","0","0","0"
"05163","66","69","Level 3 ENT Procedures","T","1","103855","0","0","0","0","0","0","0","0"
"05163","70","73","Level 3 ENT Procedures","T","1","113818","0","0","0","0","0","0","0","0"
"05163","74","77","Level 3 ENT Procedures","J1","1","127910","0","0","0","0","0","0","0","0"
"05163","78","81","Level 3 ENT Procedures","J1","1","134934","0","0","0","0","0","0","0","0"
"05163","82","85","Level 3 ENT Procedures","J1","1","135279","0","0","0","0","0","0","0","0"
"05163","86","87","Level 3 ENT Procedures","J1","1","138154","0","0","0","0","0","0","0","0"
"05164","62","65","Level 4 ENT Procedures","T","1","161690","0","0","0","0","0","0","0","0"
"05164","66","69","Level 4 ENT Procedures","J1","1","217369","0","0","0","0","0","0","0","0"
"05164","70","73","Level 4 ENT Procedures","J1","1","219906","0","0","0","0","0","0","0","0"
"05164","74","77","Level 4 ENT Procedures","J1","1","223127","0","0","0","0","0","0","0","0"
"05164","78","81","Level 4 ENT Procedures","J1","1","261929","0","0","0","0","0","0","0","0"
"05164","82","85","Level 4 ENT Procedures","J1","1","273639","0","0","0","0","0","0","0","0"
"05164","86","87","Level 4 ENT Procedures","J1","1","279398","0","0","0","0","0","0","0","0"
"05165","62","65","Level 5 ENT Procedures","J1","1","395598","0","0","0","0","0","0","0","0"
"05165","66","69","Level 5 ENT Procedures","J1","1","413094","0","0","0","0","0","0","0","0"
"05165","70","73","Level 5 ENT Procedures","J1","1","433879","0","0","0","0","0","0","0","0"
"05165","74","77","Level 5 ENT Procedures","J1","1","442423","0","0","0","0","0","0","0","0"
"05165","78","81","Level 5 ENT Procedures","J1","1","485053","0","0","0","0","0","0","0","0"
"05165","82","85","Level 5 ENT Procedures","J1","1","508605","0","0","0","0","0","0","0","0"
"05165","86","87","Level 5 ENT Procedures","J1","1","519427","0","0","0","0","0","0","0","0"
"05166","62","65","Level 6 ENT Procedures","J1","1","3042758","0","0","0","0","0","0","0","0"
"05166","66","69","Cochlear Implant Procedure","J1","1","3183699","0","0","0","0","0","0","0","0"
"05166","70","73","Cochlear Implant Procedure","J1","1","3259998","0","0","0","0","0","0","0","0"
"05166","74","77","Cochlear Implant Procedure","J1","1","3196777","0","0","0","0","0","0","0","0"
"05166","78","81","Cochlear Implant Procedure","J1","1","3310832","0","0","0","0","0","0","0","0"
"05166","82","85","Cochlear Implant Procedure","J1","1","3442756","0","0","0","0","0","0","0","0"
"05166","86","87","Cochlear Implant Procedure","J1","1","3520261","0","0","0","0","0","0","0","0"
"05181","62","65","Level 1 Vascular Procedures","T","1","86251","0","0","0","0","0","0","0","0"
"05181","66","69","Level 1 Vascular Procedures","T","1","68413","0","0","0","0","0","0","0","0"
"05181","70","73","Level 1 Vascular Procedures","T","1","61257","0","0","0","0","0","0","0","0"
"05181","74","77","Level 1 Vascular Procedures","T","1","62001","0","0","0","0","0","0","0","0"
"05181","78","81","Level 1 Vascular Procedures","T","1","63051","0","0","0","0","0","0","0","0"
"05181","82","85","Level 1 Vascular Procedures","T","1","54162","0","0","0","0","0","0","0","0"
"05181","86","87","Level 1 Vascular Procedures","T","1","55204","0","0","0","0","0","0","0","0"
"05182","62","65","Level 2 Vascular Procedures","T","1","224733","0","0","0","0","0","0","0","0"
"05182","66","69","Level 2 Vascular Procedures","T","1","236060","0","0","0","0","0","0","0","0"
"05182","70","73","Level 2 Vascular Procedures","T","1","98297","0","0","0","0","0","0","0","0"
"05182","74","77","Level 2 Vascular Procedures","T","1","109363","0","0","0","0","0","0","0","0"
"05182","78","81","Level 2 Vascular Procedures","J1","1","163113","0","0","0","0","0","0","0","0"
"05182","82","85","Level 2 Vascular Procedures","J1","1","140614","0","0","0","0","0","0","0","0"
"05182","86","87","Level 2 Vascular Procedures","J1","1","143616","0","0","0","0","0","0","0","0"
"05183","62","65","Level 3 Vascular Procedures","T","1","379528","0","0","0","0","0","0","0","0"
"05183","66","69","Level 3 Vascular Procedures","T","1","392428","0","0","0","0","0","0","0","0"
"05183","70","73","Level 3 Vascular Procedures","T","1","249274","0","0","0","0","0","0","0","0"
"05183","74","77","Level 3 Vascular Procedures","J1","1","264152","0","0","0","0","0","0","0","0"
"05183","78","81","Level 3 Vascular Procedures","J1","1","277128","0","0","0","0","0","0","0","0"
"05183","82","85","Level 3 Vascular Procedures","J1","1","286166","0","0","0","0","0","0","0","0"
"05183","86","87","Level 3 Vascular Procedures","J1","1","292363","0","0","0","0","0","0","0","0"
"05184","70","73","Level 4 Vascular Procedures","T","1","426496","0","0","0","0","0","0","0","0"
"05184","74","77","Level 4 Vascular Procedures","J1","1","437652","0","0","0","0","0","0","0","0"
"05184","78","81","Level 4 Vascular Procedures","J1","1","459619","0","0","0","0","0","0","0","0"
"05184","82","85","Level 4 Vascular Procedures","J1","1","477037","0","0","0","0","0","0","0","0"
"05184","86","87","Level 4 Vascular Procedures","J1","1","487025","0","0","0","0","0","0","0","0"
"05188","62","65","Diagnostic Cardiac Catheterization","T","1","254912","0","0","0","0","0","0","0","0"
"05191","62","65","Level 1 Endovascular Procedures","J1","1","459215","0","0","0","0","0","0","0","0"
"05191","66","69","Level 1 Endovascular Procedures","J1","1","283355","0","0","0","0","0","0","0","0"
"05191","70","73","Level 1 Endovascular Procedures","J1","1","281360","0","0","0","0","0","0","0","0"
"05191","74","77","Level 1 Endovascular Procedures","J1","1","281041","0","0","0","0","0","0","0","0"
"05191","78","81","Level 1 Endovascular Procedures","J1","1","284995","0","0","0","0","0","0","0","0"
"05191","82","85","Level 1 Endovascular Procedures","J1","1","289902","0","0","0","0","0","0","0","0"
"05191","86","87","Level 1 Endovascular Procedures","J1","1","296152","0","0","0","0","0","0","0","0"
"05192","62","65","Level 2 Endovascular Procedures","J1","1","954235","0","0","0","0","0","0","0","0"
"05192","66","69","Level 2 Endovascular Procedures","J1","1","482520","0","0","0","0","0","0","0","0"
"05192","70","73","Level 2 Endovascular Procedures","J1","1","508500","0","0","0","0","0","0","0","0"
"05192","74","77","Level 2 Endovascular Procedures","J1","1","467853","0","0","0","0","0","0","0","0"
"05192","78","81","Level 2 Endovascular Procedures","J1","1","495391","0","0","0","0","0","0","0","0"
"05192","82","85","Level 2 Endovascular Procedures","J1","1","495684","0","0","0","0","0","0","0","0"
"05192","86","87","Level 2 Endovascular Procedures","J1","1","506189","0","0","0","0","0","0","0","0"
"05193","62","65","Level 3 Endovascular Procedures","J1","1","1461217","0","0","0","0","0","0","0","0"
"05193","66","69","Level 3 Endovascular Procedures","J1","1","975243","0","0","0","0","0","0","0","0"
"05193","70","73","Level 3 Endovascular Procedures","J1","1","1051046","0","0","0","0","0","0","0","0"
"05193","74","77","Level 3 Endovascular Procedures","J1","1","966904","0","0","0","0","0","0","0","0"
"05193","78","81","Level 3 Endovascular Procedures","J1","1","990848","0","0","0","0","0","0","0","0"
"05193","82","85","Level 3 Endovascular Procedures","J1","1","1004294","0","0","0","0","0","0","0","0"
"05193","86","87","Level 3 Endovascular Procedures","J1","1","1025849","0","0","0","0","0","0","0","0"
"05194","66","69","Level 4 Endovascular Procedures","J1","1","1478214","0","0","0","0","0","0","0","0"
"05194","70","73","Level 4 Endovascular Procedures","J1","1","1602039","0","0","0","0","0","0","0","0"
"05194","74","77","Level 4 Endovascular Procedures","J1","1","1535450","0","0","0","0","0","0","0","0"
"05194","78","81","Level 4 Endovascular Procedures","J1","1","1593997","0","0","0","0","0","0","0","0"
"05194","82","85","Level 4 Endovascular Procedures","J1","1","1606400","0","0","0","0","0","0","0","0"
"05194","86","87","Level 4 Endovascular Procedures","J1","1","1640231","0","0","0","0","0","0","0","0"
"05200","66","69","Implantation Wireless PA Pressure Monitor","J1","1","2951757","0","0","0","0","0","0","0","0"
"05200","70","73","Implantation Wireless PA Pressure Monitor","J1","1","3262857","0","0","0","0","0","0","0","0"
"05200","74","77","Implantation Wireless PA Pressure Monitor","J1","1","2934073","0","0","0","0","0","0","0","0"
"05200","78","81","Implantation Wireless PA Pressure Monitor","J1","1","2852153","0","0","0","0","0","0","0","0"
"05200","82","85","Implantation Wireless PA Pressure Monitor","J1","1","2881540","0","0","0","0","0","0","0","0"
"05200","86","87","Implantation Wireless PA Pressure Monitor","J1","1","2946000","0","0","0","0","0","0","0","0"
"05211","62","65","Level 1 Electrophysiologic Procedures","J1","1","84504","0","0","0","0","0","0","0","0"
"05211","66","69","Level 1 Electrophysiologic Procedures","J1","1","86685","0","0","0","0","0","0","0","0"
"05211","70","73","Level 1 Electrophysiologic Procedures","J1","1","90926","0","0","0","0","0","0","0","0"
"05211","74","77","Level 1 Electrophysiologic Procedures","J1","1","91933","0","0","0","0","0","0","0","0"
"05211","78","81","Level 1 Electrophysiologic Procedures","J1","1","98756","0","0","0","0","0","0","0","0"
"05211","82","85","Level 1 Electrophysiologic Procedures","J1","1","111278","0","0","0","0","0","0","0","0"
"05211","86","87","Level 1 Electrophysiologic Procedures","J1","1","113752","0","0","0","0","0","0","0","0"
"05212","62","65","Level 2 Electrophysiologic Procedures","J1","1","469797","0","0","0","0","0","0","0","0"
"05212","66","69","Level 2 Electrophysiologic Procedures","J1","1","500640","0","0","0","0","0","0","0","0"
"05212","70","73","Level 2 Electrophysiologic Procedures","J1","1","531432","0","0","0","0","0","0","0","0"
"05212","74","77","Level 2 Electrophysiologic Procedures","J1","1","509739","0","0","0","0","0","0","0","0"
"05212","78","81","Level 2 Electrophysiologic Procedures","J1","1","588571","0","0","0","0","0","0","0","0"
"05212","82","85","Level 2 Electrophysiologic Procedures","J1","1","607848","0","0","0","0","0","0","0","0"
"05212","86","87","Level 2 Electrophysiologic Procedures","J1","1","620784","0","0","0","0","0","0","0","0"
"05213","62","65","Level 3 Electrophysiologic Procedures","J1","1","1556111","0","0","0","0","0","0","0","0"
"05213","66","69","Level 3 Electrophysiologic Procedures","J1","1","1678523","0","0","0","0","0","0","0","0"
"05213","70","73","Level 3 Electrophysiologic Procedures","J1","1","1851613","0","0","0","0","0","0","0","0"
"05213","74","77","Level 3 Electrophysiologic Procedures","J1","1","1921374","0","0","0","0","0","0","0","0"
"05213","78","81","Level 3 Electrophysiologic Procedures","J1","1","2043527","0","0","0","0","0","0","0","0"
"05213","82","85","Level 3 Electrophysiologic Procedures","J1","1","2146441","0","0","0","0","0","0","0","0"
"05213","86","87","Level 3 Electrophysiologic Procedures","J1","1","2191558","0","0","0","0","0","0","0","0"
"05221","62","65","Level1 Pacemaker and Similar Procedures","T","1","248969","0","0","0","0","0","0","0","0"
"05221","66","69","Level1 Pacemaker and Similar Procedures","T","1","255959","0","0","0","0","0","0","0","0"
"05221","70","73","Level1 Pacemaker and Similar Procedures","T","1","286795","0","0","0","0","0","0","0","0"
"05221","74","77","Level1 Pacemaker and Similar Procedures","T","1","313053","0","0","0","0","0","0","0","0"
"05221","78","81","Level1 Pacemaker and Similar Procedures","T","1","298401","0","0","0","0","0","0","0","0"
"05221","82","85","Level1 Pacemaker and Similar Procedures","T","1","344037","0","0","0","0","0","0","0","0"
"05221","86","87","Level1 Pacemaker and Similar Procedures","T","1","351682","0","0","0","0","0","0","0","0"
"05222","62","65","Level 2 Pacemaker and Similar Procedures","J1","1","669685","0","0","0","0","0","0","0","0"
"05222","66","69","Level 2 Pacemaker and Similar Procedures","J1","1","697657","0","0","0","0","0","0","0","0"
"05222","70","73","Level 2 Pacemaker and Similar Procedures","J1","1","737099","0","0","0","0","0","0","0","0"
"05222","74","77","Level 2 Pacemaker and Similar Procedures","J1","1","740411","0","0","0","0","0","0","0","0"
"05222","78","81","Level 2 Pacemaker and Similar Procedures","J1","1","764185","0","0","0","0","0","0","0","0"
"05222","82","85","Level 2 Pacemaker and Similar Procedures","J1","1","815258","0","0","0","0","0","0","0","0"
"05222","86","87","Level 2 Pacemaker and Similar Procedures","J1","1","833237","0","0","0","0","0","0","0","0"
"05223","62","65","Level 3 Pacemaker and Similar Procedures","J1","1","927340","0","0","0","0","0","0","0","0"
"05223","66","69","Level 3 Pacemaker and Similar Procedures","J1","1","941365","0","0","0","0","0","0","0","0"
"05223","70","73","Level 3 Pacemaker and Similar Procedures","J1","1","974799","0","0","0","0","0","0","0","0"
"05223","74","77","Level 3 Pacemaker and Similar Procedures","J1","1","987934","0","0","0","0","0","0","0","0"
"05223","78","81","Level 3 Pacemaker and Similar Procedures","J1","1","1025194","0","0","0","0","0","0","0","0"
"05223","82","85","Level 3 Pacemaker and Similar Procedures","J1","1","1040015","0","0","0","0","0","0","0","0"
"05223","86","87","Level 3 Pacemaker and Similar Procedures","J1","1","1061932","0","0","0","0","0","0","0","0"
"05224","62","65","Level 4 Pacemaker and Similar Procedures","J1","1","1691440","0","0","0","0","0","0","0","0"
"05224","66","69","Level 4 Pacemaker and Similar Procedures","J1","1","1676686","0","0","0","0","0","0","0","0"
"05224","70","73","Level 4 Pacemaker and Similar Procedures","J1","1","1758554","0","0","0","0","0","0","0","0"
"05224","74","77","Level 4 Pacemaker and Similar Procedures","J1","1","1767901","0","0","0","0","0","0","0","0"
"05224","78","81","Level 4 Pacemaker and Similar Procedures","J1","1","1831322","0","0","0","0","0","0","0","0"
"05224","82","85","Level 4 Pacemaker and Similar Procedures","J1","1","1861126","0","0","0","0","0","0","0","0"
"05224","86","87","Level 4 Pacemaker and Similar Procedures","J1","1","1902079","0","0","0","0","0","0","0","0"
"05231","62","65","Level 1 ICD and Similar Procedures","J1","1","2193003","0","0","0","0","0","0","0","0"
"05231","66","69","Level 1 ICD and Similar Procedures","J1","1","2199998","0","0","0","0","0","0","0","0"
"05231","70","73","Level 1 ICD and Similar Procedures","J1","1","2211052","0","0","0","0","0","0","0","0"
"05231","74","77","Level 1 ICD and Similar Procedures","J1","1","2199646","0","0","0","0","0","0","0","0"
"05231","78","81","Level 1 ICD and Similar Procedures","J1","1","2271289","0","0","0","0","0","0","0","0"
"05231","82","85","Level 1 ICD and Similar Procedures","J1","1","2304016","0","0","0","0","0","0","0","0"
"05231","86","87","Level 1 ICD and Similar Procedures","J1","1","2355085","0","0","0","0","0","0","0","0"
"05232","62","65","Level 2 ICD and Similar Procedures","J1","1","3048978","0","0","0","0","0","0","0","0"
"05232","66","69","Level 2 ICD and Similar Procedures","J1","1","3052721","0","0","0","0","0","0","0","0"
"05232","70","73","Level 2 ICD and Similar Procedures","J1","1","3096213","0","0","0","0","0","0","0","0"
"05232","74","77","Level 2 ICD and Similar Procedures","J1","1","3065638","0","0","0","0","0","0","0","0"
"05232","78","81","Level 2 ICD and Similar Procedures","J1","1","3228264","0","0","0","0","0","0","0","0"
"05232","82","85","Level 2 ICD and Similar Procedures","J1","1","3283889","0","0","0","0","0","0","0","0"
"05232","86","87","Level 2 ICD and Similar Procedures","J1","1","3354703","0","0","0","0","0","0","0","0"
"05241","62","65","Transfusion","S","1","34914","0","0","0","0","0","0","0","0"
"05241","66","69","Level 1 Blood Product Exchange and Related Services","S","1","35454","0","0","0","0","0","0","0","0"
"05241","70","73","Level 1 Blood Product Exchange and Related Services","S","1","37507","0","0","0","0","0","0","0","0"
"05241","74","77","Level 1 Blood Product Exchange and Related Services","S","1","38290","0","0","0","0","0","0","0","0"
"05241","78","81","Level 1 Blood Product Exchange and Related Services","S","1","38804","0","0","0","0","0","0","0","0"
"05241","82","85","Level 1 Blood Product Exchange and Related Services","S","1","39706","0","0","0","0","0","0","0","0"
"05241","86","87","Level 1 Blood Product Exchange and Related Services","S","1","40537","0","0","0","0","0","0","0","0"
"05242","66","69","Level 2 Blood Product Exchange and Related Services","S","1","109868","0","0","0","0","0","0","0","0"
"05242","70","73","Level 2 Blood Product Exchange and Related Services","S","1","122174","0","0","0","0","0","0","0","0"
"05242","74","77","Level 2 Blood Product Exchange and Related Services","S","1","124700","0","0","0","0","0","0","0","0"
"05242","78","81","Level 2 Blood Product Exchange and Related Services","S","1","132362","0","0","0","0","0","0","0","0"
"05242","82","85","Level 2 Blood Product Exchange and Related Services","S","1","136316","0","0","0","0","0","0","0","0"
"05242","86","87","Level 2 Blood Product Exchange and Related Services","S","1","139302","0","0","0","0","0","0","0","0"
"05243","66","69","Level 3 Blood Product Exchange and Related Services","S","1","318783","0","0","0","0","0","0","0","0"
"05243","70","73","Level 3 Blood Product Exchange and Related Services","S","1","370011","0","0","0","0","0","0","0","0"
"05243","74","77","Level 3 Blood Product Exchange and Related Services","S","1","392250","0","0","0","0","0","0","0","0"
"05243","78","81","Level 3 Blood Product Exchange and Related Services","S","1","381836","0","0","0","0","0","0","0","0"
"05243","82","85","Level 3 Blood Product Exchange and Related Services","S","1","403771","0","0","0","0","0","0","0","0"
"05243","86","87","Level 3 Blood Product Exchange and Related Services","S","1","413046","0","0","0","0","0","0","0","0"
"05244","66","69","Level 4 Blood Product Exchange and Related Services","J1","1","2776447","0","0","0","0","0","0","0","0"
"05244","70","73","Level 4 Blood Product Exchange and Related Services","J1","1","3044342","0","0","0","0","0","0","0","0"
"05244","74","77","Level 4 Blood Product Exchange and Related Services","J1","1","3789276","0","0","0","0","0","0","0","0"
"05244","78","81","Level 4 Blood Product Exchange and Related Services","J1","1","3743588","0","0","0","0","0","0","0","0"
"05244","82","85","Level 4 Blood Product Exchange and Related Services","J1","1","3183813","0","0","0","0","0","0","0","0"
"05244","86","87","Level 4 Blood Product Exchange and Related Services","J1","1","4102698","0","0","0","0","0","0","0","0"
"05271","62","65","Blood Product Exchange and Related Services","S","1","104776","0","0","0","0","0","0","0","0"
"05281","62","65","Apheresis/Stem Cell and Related Services","S","1","301506","0","0","0","0","0","0","0","0"
"05291","62","65","Thrombolysis and Other Device Revisions","T","1","19980","0","0","0","0","0","0","0","0"
"05301","62","65","Level 1 Upper GI Procedures","T","1","74536","0","0","0","0","0","0","0","0"
"05301","66","69","Level 1 Upper GI Procedures","T","1","69979","0","0","0","0","0","0","0","0"
"05301","70","73","Level 1 Upper GI Procedures","T","1","74349","0","0","0","0","0","0","0","0"
"05301","74","77","Level 1 Upper GI Procedures","T","1","76155","0","0","0","0","0","0","0","0"
"05301","78","81","Level 1 Upper GI Procedures","T","1","78592","0","0","0","0","0","0","0","0"
"05301","82","85","Level 1 Upper GI Procedures","T","1","80960","0","0","0","0","0","0","0","0"
"05301","86","87","Level 1 Upper GI Procedures","T","1","82639","0","0","0","0","0","0","0","0"
"05302","62","65","Level 2 Upper GI Procedures","T","1","108800","0","0","0","0","0","0","0","0"
"05302","66","69","Level 2 Upper GI Procedures","J1","1","133483","0","0","0","0","0","0","0","0"
"05302","70","73","Level 2 Upper GI Procedures","J1","1","142739","0","0","0","0","0","0","0","0"
"05302","74","77","Level 2 Upper GI Procedures","J1","1","148335","0","0","0","0","0","0","0","0"
"05302","78","81","Level 2 Upper GI Procedures","J1","1","155740","0","0","0","0","0","0","0","0"
"05302","82","85","Level 2 Upper GI Procedures","J1","1","162502","0","0","0","0","0","0","0","0"
"05302","86","87","Level 2 Upper GI Procedures","J1","1","165881","0","0","0","0","0","0","0","0"
"05303","62","65","Level 3 Upper GI Procedures","T","1","198043","0","0","0","0","0","0","0","0"
"05303","66","69","Level 3 Upper GI Procedures","J1","1","251070","0","0","0","0","0","0","0","0"
"05303","70","73","Level 3 Upper GI Procedures","J1","1","274344","0","0","0","0","0","0","0","0"
"05303","74","77","Level 3 Upper GI Procedures","J1","1","282469","0","0","0","0","0","0","0","0"
"05303","78","81","Level 3 Upper GI Procedures","J1","1","299908","0","0","0","0","0","0","0","0"
"05303","82","85","Level 3 Upper GI Procedures","J1","1","308079","0","0","0","0","0","0","0","0"
"05303","86","87","Level 3 Upper GI Procedures","J1","1","313590","0","0","0","0","0","0","0","0"
"05311","62","65","Level 1 Lower GI Procedures","T","1","49245","0","0","0","0","0","0","0","0"
"05311","66","69","Level 1 Lower GI Procedures","T","1","66767","0","0","0","0","0","0","0","0"
"05311","70","73","Level 1 Lower GI Procedures","T","1","70998","0","0","0","0","0","0","0","0"
"05311","74","77","Level 1 Lower GI Procedures","T","1","74489","0","0","0","0","0","0","0","0"
"05311","78","81","Level 1 Lower GI Procedures","T","1","76388","0","0","0","0","0","0","0","0"
"05311","82","85","Level 1 Lower GI Procedures","T","1","79365","0","0","0","0","0","0","0","0"
"05311","86","87","Level 1 Lower GI Procedures","T","1","81048","0","0","0","0","0","0","0","0"
"05312","62","65","Level 2 Lower GI Procedures","T","1","75276","0","0","0","0","0","0","0","0"
"05312","66","69","Level 2 Lower GI Procedures","T","1","87760","0","0","0","0","0","0","0","0"
"05312","70","73","Level 2 Lower GI Procedures","T","1","93639","0","0","0","0","0","0","0","0"
"05312","74","77","Level 2 Lower GI Procedures","T","1","97979","0","0","0","0","0","0","0","0"
"05312","78","81","Level 2 Lower GI Procedures","T","1","100422","0","0","0","0","0","0","0","0"
"05312","82","85","Level 2 Lower GI Procedures","T","1","103696","0","0","0","0","0","0","0","0"
"05312","86","87","Level 2 Lower GI Procedures","T","1","105906","0","0","0","0","0","0","0","0"
"05313","62","65","Level 3 Lower GI Procedures","T","1","166150","0","0","0","0","0","0","0","0"
"05313","66","69","Level 3 Lower GI Procedures","J1","1","216751","0","0","0","0","0","0","0","0"
"05313","70","73","Level 3 Lower GI Procedures","J1","1","231563","0","0","0","0","0","0","0","0"
"05313","74","77","Level 3 Lower GI Procedures","J1","1","233458","0","0","0","0","0","0","0","0"
"05313","78","81","Level 3 Lower GI Procedures","J1","1","234418","0","0","0","0","0","0","0","0"
"05313","82","85","Level 3 Lower GI Procedures","J1","1","244339","0","0","0","0","0","0","0","0"
"05313","86","87","Level 3 Lower GI Procedures","J1","1","249504","0","0","0","0","0","0","0","0"
"05314","62","65","Level 4 Lower GI Procedures","T","1","232664","0","0","0","0","0","0","0","0"
"05331","62","65","Complex GI Procedures","J1","1","361357","0","0","0","0","0","0","0","0"
"05331","66","69","Complex GI Procedures","J1","1","394061","0","0","0","0","0","0","0","0"
"05331","70","73","Complex GI Procedures","J1","1","429362","0","0","0","0","0","0","0","0"
"05331","74","77","Complex GI Procedures","J1","1","449607","0","0","0","0","0","0","0","0"
"05331","78","81","Complex GI Procedures","J1","1","478083","0","0","0","0","0","0","0","0"
"05331","82","85","Complex GI Procedures","J1","1","502852","0","0","0","0","0","0","0","0"
"05331","86","87","Complex GI Procedures","J1","1","514085","0","0","0","0","0","0","0","0"
"05341","62","65","Peritoneal and Abdominal Procedures","T","1","261257","0","0","0","0","0","0","0","0"
"05341","66","69","Abdominal/Peritoneal/Biliary and Related Procedures","J1","1","286274","0","0","0","0","0","0","0","0"
"05341","70","73","Abdominal/Peritoneal/Biliary and Related Procedures","J1","1","291116","0","0","0","0","0","0","0","0"
"05341","74","77","Abdominal/Peritoneal/Biliary and Related Procedures","J1","1","294732","0","0","0","0","0","0","0","0"
"05341","78","81","Abdominal/Peritoneal/Biliary and Related Procedures","J1","1","310934","0","0","0","0","0","0","0","0"
"05341","82","85","Abdominal/Peritoneal/Biliary and Related Procedures","J1","1","318341","0","0","0","0","0","0","0","0"
"05341","86","87","Abdominal/Peritoneal/Biliary and Related Procedures","J1","1","324935","0","0","0","0","0","0","0","0"
"05351","62","65","Level 1 Percutaneous Abdominal/Biliary Procedures and Related Procedures","T","1","217711","0","0","0","0","0","0","0","0"
"05352","62","65","Level 2 Percutaneous Abdominal/Biliary Procedures and Related Procedures","T","1","411823","0","0","0","0","0","0","0","0"
"05361","62","65","Level 1 Laparoscopy","J1","1","400115","0","0","0","0","0","0","0","0"
"05361","66","69","Level 1 Laparoscopy and Related Services","J1","1","419913","0","0","0","0","0","0","0","0"
"05361","70","73","Level 1 Laparoscopy and Related Services","J1","1","448868","0","0","0","0","0","0","0","0"
"05361","74","77","Level 1 Laparoscopy and Related Services","J1","1","459585","0","0","0","0","0","0","0","0"
"05361","78","81","Level 1 Laparoscopy and Related Services","J1","1","483371","0","0","0","0","0","0","0","0"
"05361","82","85","Level 1 Laparoscopy and Related Services","J1","1","506044","0","0","0","0","0","0","0","0"
"05361","86","87","Level 1 Laparoscopy and Related Services","J1","1","516769","0","0","0","0","0","0","0","0"
"05362","62","65","Level 2 Laparoscopy","J1","1","686091","0","0","0","0","0","0","0","0"
"05362","66","69","Level 2 Laparoscopy and Related Services","J1","1","696984","0","0","0","0","0","0","0","0"
"05362","70","73","Level 2 Laparoscopy and Related Services","J1","1","759542","0","0","0","0","0","0","0","0"
"05362","74","77","Level 2 Laparoscopy and Related Services","J1","1","774163","0","0","0","0","0","0","0","0"
"05362","78","81","Level 2 Laparoscopy and Related Services","J1","1","841311","0","0","0","0","0","0","0","0"
"05362","82","85","Level 2 Laparoscopy and Related Services","J1","1","890766","0","0","0","0","0","0","0","0"
"05362","86","87","Level 2 Laparoscopy and Related Services","J1","1","909646","0","0","0","0","0","0","0","0"
"05371","62","65","Level 1 Urology and Related Services","T","1","20661","0","0","0","0","0","0","0","0"
"05371","66","69","Level 1 Urology and Related Services","T","1","21604","0","0","0","0","0","0","0","0"
"05371","70","73","Level 1 Urology and Related Services","T","1","22953","0","0","0","0","0","0","0","0"
"05371","74","77","Level 1 Urology and Related Services","T","1","23142","0","0","0","0","0","0","0","0"
"05371","78","81","Level 1 Urology and Related Services","T","1","23490","0","0","0","0","0","0","0","0"
"05371","82","85","Level 1 Urology and Related Services","T","1","26614","0","0","0","0","0","0","0","0"
"05371","86","87","Level 1 Urology and Related Services","T","1","27177","0","0","0","0","0","0","0","0"
"05372","62","65","Level 2 Urology and Related Services","T","1","52448","0","0","0","0","0","0","0","0"
"05372","66","69","Level 2 Urology and Related Services","T","1","54944","0","0","0","0","0","0","0","0"
"05372","70","73","Level 2 Urology and Related Services","T","1","56560","0","0","0","0","0","0","0","0"
"05372","74","77","Level 2 Urology and Related Services","T","1","56225","0","0","0","0","0","0","0","0"
"05372","78","81","Level 2 Urology and Related Services","T","1","55653","0","0","0","0","0","0","0","0"
"05372","82","85","Level 2 Urology and Related Services","T","1","57477","0","0","0","0","0","0","0","0"
"05372","86","87","Level 2 Urology and Related Services","T","1","58756","0","0","0","0","0","0","0","0"
"05373","62","65","Level 3 Urology and Related Services","T","1","150642","0","0","0","0","0","0","0","0"
"05373","66","69","Level 3 Urology and Related Services","J1","1","164466","0","0","0","0","0","0","0","0"
"05373","70","73","Level 3 Urology and Related Services","J1","1","169568","0","0","0","0","0","0","0","0"
"05373","74","77","Level 3 Urology and Related Services","J1","1","173975","0","0","0","0","0","0","0","0"
"05373","78","81","Level 3 Urology and Related Services","J1","1","177155","0","0","0","0","0","0","0","0"
"05373","82","85","Level 3 Urology and Related Services","J1","1","179299","0","0","0","0","0","0","0","0"
"05373","86","87","Level 3 Urology and Related Services","J1","1","182865","0","0","0","0","0","0","0","0"
"05374","62","65","Level 4 Urology and Related Services","T","1","224349","0","0","0","0","0","0","0","0"
"05374","66","69","Level 4 Urology and Related Services","J1","1","254256","0","0","0","0","0","0","0","0"
"05374","70","73","Level 4 Urology and Related Services","J1","1","269676","0","0","0","0","0","0","0","0"
"05374","74","77","Level 4 Urology and Related Services","J1","1","292686","0","0","0","0","0","0","0","0"
"05374","78","81","Level 4 Urology and Related Services","J1","1","301854","0","0","0","0","0","0","0","0"
"05374","82","85","Level 4 Urology and Related Services","J1","1","307634","0","0","0","0","0","0","0","0"
"05374","86","87","Level 4 Urology and Related Services","J1","1","314004","0","0","0","0","0","0","0","0"
"05375","62","65","Level 5 Urology and Related Services","J1","1","339373","0","0","0","0","0","0","0","0"
"05375","66","69","Level 5 Urology and Related Services","J1","1","348401","0","0","0","0","0","0","0","0"
"05375","70","73","Level 5 Urology and Related Services","J1","1","370603","0","0","0","0","0","0","0","0"
"05375","74","77","Level 5 Urology and Related Services","J1","1","402054","0","0","0","0","0","0","0","0"
"05375","78","81","Level 5 Urology and Related Services","J1","1","423162","0","0","0","0","0","0","0","0"
"05375","82","85","Level 5 Urology and Related Services","J1","1","441390","0","0","0","0","0","0","0","0"
"05375","86","87","Level 5 Urology and Related Services","J1","1","450589","0","0","0","0","0","0","0","0"
"05376","62","65","Level 6 Urology and Related Services","J1","1","742827","0","0","0","0","0","0","0","0"
"05376","66","69","Level 6 Urology and Related Services","J1","1","745266","0","0","0","0","0","0","0","0"
"05376","70","73","Level 6 Urology and Related Services","J1","1","759626","0","0","0","0","0","0","0","0"
"05376","74","77","Level 6 Urology and Related Services","J1","1","765055","0","0","0","0","0","0","0","0"
"05376","78","81","Level 6 Urology and Related Services","J1","1","806793","0","0","0","0","0","0","0","0"
"05376","82","85","Level 6 Urology and Related Services","J1","1","825813","0","0","0","0","0","0","0","0"
"05376","86","87","Level 6 Urology and Related Services","J1","1","842882","0","0","0","0","0","0","0","0"
"05377","62","65","Level 7 Urology and Related Services","J1","1","1408802","0","0","0","0","0","0","0","0"
"05377","66","69","Level 7 Urology and Related Services","J1","1","1436361","0","0","0","0","0","0","0","0"
"05377","70","73","Level 7 Urology and Related Services","J1","1","1569782","0","0","0","0","0","0","0","0"
"05377","74","77","Level 7 Urology and Related Services","J1","1","1631955","0","0","0","0","0","0","0","0"
"05377","78","81","Level 7 Urology and Related Services","J1","1","1757396","0","0","0","0","0","0","0","0"
"05377","82","85","Level 7 Urology and Related Services","J1","1","1148802","0","0","0","0","0","0","0","0"
"05377","86","87","Level 7 Urology and Related Services","J1","1","1172996","0","0","0","0","0","0","0","0"
"05378","82","85","Level 8 Urology and Related Services","J1","1","1825835","0","0","0","0","0","0","0","0"
"05378","86","87","Level 8 Urology and Related Services","J1","1","1865303","0","0","0","0","0","0","0","0"
"05391","62","65","Level 1 Tube/Catheter Changes/Thoracentesis/Lavage","T","1","48283","0","0","0","0","0","0","0","0"
"05392","62","65","Level 2 Tube/Catheter Changes/Thoracentesis/Lavage","T","1","120775","0","0","0","0","0","0","0","0"
"05401","62","65","Dialysis","S","1","54667","0","0","0","0","0","0","0","0"
"05401","66","69","Dialysis","S","1","55258","0","0","0","0","0","0","0","0"
"05401","70","73","Dialysis","S","1","59803","0","0","0","0","0","0","0","0"
"05401","74","77","Dialysis","S","1","61173","0","0","0","0","0","0","0","0"
"05401","78","81","Dialysis","S","1","64003","0","0","0","0","0","0","0","0"
"05401","82","85","Dialysis","S","1","65434","0","0","0","0","0","0","0","0"
"05401","86","87","Dialysis","S","1","66891","0","0","0","0","0","0","0","0"
"05411","62","65","Level 1 Gynecologic Procedures","T","1","14059","0","0","0","0","0","0","0","0"
"05411","66","69","Level 1 Gynecologic Procedures","T","1","15221","0","0","0","0","0","0","0","0"
"05411","70","73","Level 1 Gynecologic Procedures","T","1","16070","0","0","0","0","0","0","0","0"
"05411","74","77","Level 1 Gynecologic Procedures","T","1","16593","0","0","0","0","0","0","0","0"
"05411","78","81","Level 1 Gynecologic Procedures","T","1","16605","0","0","0","0","0","0","0","0"
"05411","82","85","Level 1 Gynecologic Procedures","T","1","17032","0","0","0","0","0","0","0","0"
"05411","86","87","Level 1 Gynecologic Procedures","T","1","17399","0","0","0","0","0","0","0","0"
"05412","62","65","Level 2 Gynecologic Procedures","T","1","25090","0","0","0","0","0","0","0","0"
"05412","66","69","Level 2 Gynecologic Procedures","T","1","27576","0","0","0","0","0","0","0","0"
"05412","70","73","Level 2 Gynecologic Procedures","T","1","26835","0","0","0","0","0","0","0","0"
"05412","74","77","Level 2 Gynecologic Procedures","T","1","27300","0","0","0","0","0","0","0","0"
"05412","78","81","Level 2 Gynecologic Procedures","T","1","27072","0","0","0","0","0","0","0","0"
"05412","82","85","Level 2 Gynecologic Procedures","T","1","28148","0","0","0","0","0","0","0","0"
"05412","86","87","Level 2 Gynecologic Procedures","T","1","28804","0","0","0","0","0","0","0","0"
"05413","62","65","Level 3 Gynecologic Procedures","T","1","63684","0","0","0","0","0","0","0","0"
"05413","66","69","Level 3 Gynecologic Procedures","T","1","66587","0","0","0","0","0","0","0","0"
"05413","70","73","Level 3 Gynecologic Procedures","T","1","57560","0","0","0","0","0","0","0","0"
"05413","74","77","Level 3 Gynecologic Procedures","T","1","55804","0","0","0","0","0","0","0","0"
"05413","78","81","Level 3 Gynecologic Procedures","T","1","63846","0","0","0","0","0","0","0","0"
"05413","82","85","Level 3 Gynecologic Procedures","T","1","63341","0","0","0","0","0","0","0","0"
"05413","86","87","Level 3 Gynecologic Procedures","T","1","64747","0","0","0","0","0","0","0","0"
"05414","62","65","Level 4 Gynecologic Procedures","T","1","186118","0","0","0","0","0","0","0","0"
"05414","66","69","Level 4 Gynecologic Procedures","J1","1","208547","0","0","0","0","0","0","0","0"
"05414","70","73","Level 4 Gynecologic Procedures","J1","1","227277","0","0","0","0","0","0","0","0"
"05414","74","77","Level 4 Gynecologic Procedures","J1","1","236127","0","0","0","0","0","0","0","0"
"05414","78","81","Level 4 Gynecologic Procedures","J1","1","249810","0","0","0","0","0","0","0","0"
"05414","82","85","Level 4 Gynecologic Procedures","J1","1","262321","0","0","0","0","0","0","0","0"
"05414","86","87","Level 4 Gynecologic Procedures","J1","1","267956","0","0","0","0","0","0","0","0"
"05415","62","65","Level 5 Gynecologic Procedures","J1","1","366020","0","0","0","0","0","0","0","0"
"05415","66","69","Level 5 Gynecologic Procedures","J1","1","381085","0","0","0","0","0","0","0","0"
"05415","70","73","Level 5 Gynecologic Procedures","J1","1","411181","0","0","0","0","0","0","0","0"
"05415","74","77","Level 5 Gynecologic Procedures","J1","1","412583","0","0","0","0","0","0","0","0"
"05415","78","81","Level 5 Gynecologic Procedures","J1","1","427154","0","0","0","0","0","0","0","0"
"05415","82","85","Level 5 Gynecologic Procedures","J1","1","440954","0","0","0","0","0","0","0","0"
"05415","86","87","Level 5 Gynecologic Procedures","J1","1","450349","0","0","0","0","0","0","0","0"
"05416","62","65","Level 6 Gynecologic Procedures","J1","1","569895","0","0","0","0","0","0","0","0"
"05416","66","69","Level 6 Gynecologic Procedures","J1","1","586607","0","0","0","0","0","0","0","0"
"05416","70","73","Level 6 Gynecologic Procedures","J1","1","628736","0","0","0","0","0","0","0","0"
"05416","74","77","Level 6 Gynecologic Procedures","J1","1","634441","0","0","0","0","0","0","0","0"
"05416","78","81","Level 6 Gynecologic Procedures","J1","1","670360","0","0","0","0","0","0","0","0"
"05416","82","85","Level 6 Gynecologic Procedures","J1","1","679431","0","0","0","0","0","0","0","0"
"05416","86","87","Level 6 Gynecologic Procedures","J1","1","693322","0","0","0","0","0","0","0","0"
"05431","62","65","Level 1 Nerve Procedures","T","1","139256","0","0","0","0","0","0","0","0"
"05431","66","69","Level 1 Nerve Procedures","J1","1","156342","0","0","0","0","0","0","0","0"
"05431","70","73","Level 1 Nerve Procedures","J1","1","161050","0","0","0","0","0","0","0","0"
"05431","74","77","Level 1 Nerve Procedures","J1","1","163148","0","0","0","0","0","0","0","0"
"05431","78","81","Level 1 Nerve Procedures","J1","1","171935","0","0","0","0","0","0","0","0"
"05431","82","85","Level 1 Nerve Procedures","J1","1","175439","0","0","0","0","0","0","0","0"
"05431","86","87","Level 1 Nerve Procedures","J1","1","179331","0","0","0","0","0","0","0","0"
"05432","62","65","Level 2 Nerve Procedures","T","1","339678","0","0","0","0","0","0","0","0"
"05432","66","69","Level 2 Nerve Procedures","J1","1","415186","0","0","0","0","0","0","0","0"
"05432","70","73","Level 2 Nerve Procedures","J1","1","462759","0","0","0","0","0","0","0","0"
"05432","74","77","Level 2 Nerve Procedures","J1","1","456606","0","0","0","0","0","0","0","0"
"05432","78","81","Level 2 Nerve Procedures","J1","1","550901","0","0","0","0","0","0","0","0"
"05432","82","85","Level 2 Nerve Procedures","J1","1","570029","0","0","0","0","0","0","0","0"
"05432","86","87","Level 2 Nerve Procedures","J1","1","582395","0","0","0","0","0","0","0","0"
"05441","62","65","Level 1 Nerve Injections","T","1","22376","0","0","0","0","0","0","0","0"
"05441","66","69","Level 1 Nerve Injections","T","1","23100","0","0","0","0","0","0","0","0"
"05441","70","73","Level 1 Nerve Injections","T","1","24470","0","0","0","0","0","0","0","0"
"05441","74","77","Level 1 Nerve Injections","T","1","24748","0","0","0","0","0","0","0","0"
"05441","78","81","Level 1 Nerve Injections","T","1","26177","0","0","0","0","0","0","0","0"
"05441","82","85","Level 1 Nerve Injections","T","1","26117","0","0","0","0","0","0","0","0"
"05441","86","87","Level 1 Nerve Injections","T","1","26683","0","0","0","0","0","0","0","0"
"05442","62","65","Level 2 Nerve Injections","T","1","58517","0","0","0","0","0","0","0","0"
"05442","66","69","Level 2 Nerve Injections","T","1","50719","0","0","0","0","0","0","0","0"
"05442","70","73","Level 2 Nerve Injections","T","1","54338","0","0","0","0","0","0","0","0"
"05442","74","77","Level 2 Nerve Injections","T","1","59881","0","0","0","0","0","0","0","0"
"05442","78","81","Level 2 Nerve Injections","T","1","62505","0","0","0","0","0","0","0","0"
"05442","82","85","Level 2 Nerve Injections","T","1","63459","0","0","0","0","0","0","0","0"
"05442","86","87","Level 2 Nerve Injections","T","1","64852","0","0","0","0","0","0","0","0"
"05443","62","65","Level 3 Nerve Injections","T","1","82210","0","0","0","0","0","0","0","0"
"05443","66","69","Level 3 Nerve Injections","T","1","63893","0","0","0","0","0","0","0","0"
"05443","70","73","Level 3 Nerve Injections","T","1","67218","0","0","0","0","0","0","0","0"
"05443","74","77","Level 3 Nerve Injections","T","1","76484","0","0","0","0","0","0","0","0"
"05443","78","81","Level 3 Nerve Injections","T","1","81205","0","0","0","0","0","0","0","0"
"05443","82","85","Level 3 Nerve Injections","T","1","82246","0","0","0","0","0","0","0","0"
"05443","86","87","Level 3 Nerve Injections","T","1","84073","0","0","0","0","0","0","0","0"
"05461","62","65","Level 1 Neurostimulator and Related Procedures","T","1","218864","0","0","0","0","0","0","0","0"
"05461","66","69","Level 1 Neurostimulator and Related Procedures","T","1","269046","0","0","0","0","0","0","0","0"
"05461","70","73","Level 1 Neurostimulator and Related Procedures","T","1","287938","0","0","0","0","0","0","0","0"
"05461","74","77","Level 1 Neurostimulator and Related Procedures","T","1","287980","0","0","0","0","0","0","0","0"
"05461","78","81","Level 1 Neurostimulator and Related Procedures","J1","1","314850","0","0","0","0","0","0","0","0"
"05461","82","85","Level 1 Neurostimulator and Related Procedures","J1","1","327530","0","0","0","0","0","0","0","0"
"05461","86","87","Level 1 Neurostimulator and Related Procedures","J1","1","334573","0","0","0","0","0","0","0","0"
"05462","62","65","Level 2 Neurostimulator and Related Procedures","J1","1","524437","0","0","0","0","0","0","0","0"
"05462","66","69","Level 2 Neurostimulator and Related Procedures","J1","1","574511","0","0","0","0","0","0","0","0"
"05462","70","73","Level 2 Neurostimulator and Related Procedures","J1","1","605561","0","0","0","0","0","0","0","0"
"05462","74","77","Level 2 Neurostimulator and Related Procedures","J1","1","597953","0","0","0","0","0","0","0","0"
"05462","78","81","Level 2 Neurostimulator and Related Procedures","J1","1","618713","0","0","0","0","0","0","0","0"
"05462","82","85","Level 2 Neurostimulator and Related Procedures","J1","1","616068","0","0","0","0","0","0","0","0"
"05462","86","87","Level 2 Neurostimulator and Related Procedures","J1","1","629545","0","0","0","0","0","0","0","0"
"05463","62","65","Level 3 Neurostimulator and Related Procedures","J1","1","1735937","0","0","0","0","0","0","0","0"
"05463","66","69","Level 3 Neurostimulator and Related Procedures","J1","1","1780338","0","0","0","0","0","0","0","0"
"05463","70","73","Level 3 Neurostimulator and Related Procedures","J1","1","1836889","0","0","0","0","0","0","0","0"
"05463","74","77","Level 3 Neurostimulator and Related Procedures","J1","1","1870716","0","0","0","0","0","0","0","0"
"05463","78","81","Level 3 Neurostimulator and Related Procedures","J1","1","1927942","0","0","0","0","0","0","0","0"
"05463","82","85","Level 3 Neurostimulator and Related Procedures","J1","1","1123621","0","0","0","0","0","0","0","0"
"05463","86","87","Level 3 Neurostimulator and Related Procedures","J1","1","1148338","0","0","0","0","0","0","0","0"
"05464","62","65","Level 4 Neurostimulator and Related Procedures","J1","1","2672839","0","0","0","0","0","0","0","0"
"05464","66","69","Level 4 Neurostimulator and Related Procedures","J1","1","2704711","0","0","0","0","0","0","0","0"
"05464","70","73","Level 4 Neurostimulator and Related Procedures","J1","1","2789179","0","0","0","0","0","0","0","0"
"05464","74","77","Level 4 Neurostimulator and Related Procedures","J1","1","2769785","0","0","0","0","0","0","0","0"
"05464","78","81","Level 4 Neurostimulator and Related Procedures","J1","1","2911874","0","0","0","0","0","0","0","0"
"05464","82","85","Level 4 Neurostimulator and Related Procedures","J1","1","2047978","0","0","0","0","0","0","0","0"
"05464","86","87","Level 4 Neurostimulator and Related Procedures","J1","1","2091255","0","0","0","0","0","0","0","0"
"05465","82","85","Level 5 Neurostimulator and Related Procedures","J1","1","2944452","0","0","0","0","0","0","0","0"
"05465","86","87","Level 5 Neurostimulator and Related Procedures","J1","1","3006348","0","0","0","0","0","0","0","0"
"05471","62","65","Implantation of Drug Infusion Device","J1","1","1535022","0","0","0","0","0","0","0","0"
"05471","66","69","Implantation of Drug Infusion Device","J1","1","1562257","0","0","0","0","0","0","0","0"
"05471","70","73","Implantation of Drug Infusion Device","J1","1","1644080","0","0","0","0","0","0","0","0"
"05471","74","77","Implantation of Drug Infusion Device","J1","1","1606739","0","0","0","0","0","0","0","0"
"05471","78","81","Implantation of Drug Infusion Device","J1","1","1651644","0","0","0","0","0","0","0","0"
"05471","82","85","Implantation of Drug Infusion Device","J1","1","1703190","0","0","0","0","0","0","0","0"
"05471","86","87","Implantation of Drug Infusion Device","J1","1","1740531","0","0","0","0","0","0","0","0"
"05481","62","65","Laser Eye Procedures","T","1","44038","0","0","0","0","0","0","0","0"
"05481","66","69","Laser Eye Procedures","T","1","46987","0","0","0","0","0","0","0","0"
"05481","70","73","Laser Eye Procedures","T","1","48798","0","0","0","0","0","0","0","0"
"05481","74","77","Laser Eye Procedures","T","1","49618","0","0","0","0","0","0","0","0"
"05481","78","81","Laser Eye Procedures","T","1","50693","0","0","0","0","0","0","0","0"
"05481","82","85","Laser Eye Procedures","T","1","50386","0","0","0","0","0","0","0","0"
"05481","86","87","Laser Eye Procedures","T","1","51398","0","0","0","0","0","0","0","0"
"05491","62","65","Level 1 Intraocular Procedures","T","1","174570","0","0","0","0","0","0","0","0"
"05491","66","69","Level 1 Intraocular Procedures","J1","1","182435","0","0","0","0","0","0","0","0"
"05491","70","73","Level 1 Intraocular Procedures","J1","1","192109","0","0","0","0","0","0","0","0"
"05491","74","77","Level 1 Intraocular Procedures","J1","1","191716","0","0","0","0","0","0","0","0"
"05491","78","81","Level 1 Intraocular Procedures","J1","1","202186","0","0","0","0","0","0","0","0"
"05491","82","85","Level 1 Intraocular Procedures","J1","1","207916","0","0","0","0","0","0","0","0"
"05491","86","87","Level 1 Intraocular Procedures","J1","1","212086","0","0","0","0","0","0","0","0"
"05492","62","65","Level 2 Intraocular Procedures","J1","1","338077","0","0","0","0","0","0","0","0"
"05492","66","69","Level 2 Intraocular Procedures","J1","1","341876","0","0","0","0","0","0","0","0"
"05492","70","73","Level 2 Intraocular Procedures","J1","1","361075","0","0","0","0","0","0","0","0"
"05492","74","77","Level 2 Intraocular Procedures","J1","1","364026","0","0","0","0","0","0","0","0"
"05492","78","81","Level 2 Intraocular Procedures","J1","1","381833","0","0","0","0","0","0","0","0"
"05492","82","85","Level 2 Intraocular Procedures","J1","1","391774","0","0","0","0","0","0","0","0"
"05492","86","87","Level 2 Intraocular Procedures","J1","1","399959","0","0","0","0","0","0","0","0"
"05493","62","65","Level 3 Intraocular Procedures","J1","1","939842","0","0","0","0","0","0","0","0"
"05493","66","69","Level 3 Intraocular Procedures","J1","1","820163","0","0","0","0","0","0","0","0"
"05493","70","73","Level 3 Intraocular Procedures","J1","1","918708","0","0","0","0","0","0","0","0"
"05493","74","77","Level 3 Intraocular Procedures","J1","1","983630","0","0","0","0","0","0","0","0"
"05493","78","81","Level 3 Intraocular Procedures","J1","1","619931","0","0","0","0","0","0","0","0"
"05493","82","85","Level 3 Intraocular Procedures","J1","1","733586","0","0","0","0","0","0","0","0"
"05493","86","87","Level 3 Intraocular Procedures","J1","1","749426","0","0","0","0","0","0","0","0"
"05494","62","65","Level 4 Intraocular Procedures","J1","1","1755083","0","0","0","0","0","0","0","0"
"05494","66","69","Level 4 Intraocular Procedures","J1","1","1204728","0","0","0","0","0","0","0","0"
"05494","70","73","Level 4 Intraocular Procedures","J1","1","953241","0","0","0","0","0","0","0","0"
"05494","74","77","Level 4 Intraocular Procedures","J1","1","1623422","0","0","0","0","0","0","0","0"
"05494","78","81","Level 4 Intraocular Procedures","J1","1","1287613","0","0","0","0","0","0","0","0"
"05494","82","85","Level 4 Intraocular Procedures","J1","1","1500938","0","0","0","0","0","0","0","0"
"05494","86","87","Level 4 Intraocular Procedures","J1","1","1705497","0","0","0","0","0","0","0","0"
"05495","66","69","Level 5 Intraocular Procedures","J1","1","1899175","0","0","0","0","0","0","0","0"
"05495","70","73","Level 5 Intraocular Procedures","J1","1","1756129","0","0","0","0","0","0","0","0"
"05495","78","81","Level 5 Intraocular Procedures","J1","1","2067562","0","0","0","0","0","0","0","0"
"05495","82","85","Level 5 Intraocular Procedures","J1","1","2076656","0","0","0","0","0","0","0","0"
"05495","86","87","Level 5 Intraocular Procedures","J1","1","2416629","0","0","0","0","0","0","0","0"
"05501","62","65","Level 1 Extraocular, Repair, and Plastic Eye Procedures","T","1","26103","0","0","0","0","0","0","0","0"
"05501","66","69","Level 1 Extraocular, Repair, and Plastic Eye Procedures","T","1","26849","0","0","0","0","0","0","0","0"
"05501","70","73","Level 1 Extraocular, Repair, and Plastic Eye Procedures","T","1","26766","0","0","0","0","0","0","0","0"
"05501","74","77","Level 1 Extraocular, Repair, and Plastic Eye Procedures","T","1","28352","0","0","0","0","0","0","0","0"
"05501","78","81","Level 1 Extraocular, Repair, and Plastic Eye Procedures","T","1","27049","0","0","0","0","0","0","0","0"
"05501","82","85","Level 1 Extraocular, Repair, and Plastic Eye Procedures","T","1","26128","0","0","0","0","0","0","0","0"
"05501","86","87","Level 1 Extraocular, Repair, and Plastic Eye Procedures","T","1","26716","0","0","0","0","0","0","0","0"
"05502","62","65","Level 2 Extraocular, Repair, and Plastic Eye Procedures","T","1","69671","0","0","0","0","0","0","0","0"
"05502","66","69","Level 2 Extraocular, Repair, and Plastic Eye Procedures","T","1","77457","0","0","0","0","0","0","0","0"
"05502","70","73","Level 2 Extraocular, Repair, and Plastic Eye Procedures","T","1","80837","0","0","0","0","0","0","0","0"
"05502","74","77","Level 2 Extraocular, Repair, and Plastic Eye Procedures","T","1","80729","0","0","0","0","0","0","0","0"
"05502","78","81","Level 2 Extraocular, Repair, and Plastic Eye Procedures","T","1","80697","0","0","0","0","0","0","0","0"
"05502","82","85","Level 2 Extraocular, Repair, and Plastic Eye Procedures","T","1","80954","0","0","0","0","0","0","0","0"
"05502","86","87","Level 2 Extraocular, Repair, and Plastic Eye Procedures","T","1","82706","0","0","0","0","0","0","0","0"
"05503","62","65","Level 3 Extraocular, Repair, and Plastic Eye Procedures","T","1","140116","0","0","0","0","0","0","0","0"
"05503","66","69","Level 3 Extraocular, Repair, and Plastic Eye Procedures","J1","1","170148","0","0","0","0","0","0","0","0"
"05503","70","73","Level 3 Extraocular, Repair, and Plastic Eye Procedures","J1","1","181135","0","0","0","0","0","0","0","0"
"05503","74","77","Level 3 Extraocular, Repair, and Plastic Eye Procedures","J1","1","181268","0","0","0","0","0","0","0","0"
"05503","78","81","Level 3 Extraocular, Repair, and Plastic Eye Procedures","J1","1","193520","0","0","0","0","0","0","0","0"
"05503","82","85","Level 3 Extraocular, Repair, and Plastic Eye Procedures","J1","1","200235","0","0","0","0","0","0","0","0"
"05503","86","87","Level 3 Extraocular, Repair, and Plastic Eye Procedures","J1","1","204370","0","0","0","0","0","0","0","0"
"05504","62","65","Level 4 Extraocular, Repair, and Plastic Eye Procedures","T","1","251035","0","0","0","0","0","0","0","0"
"05504","66","69","Level 4 Extraocular, Repair, and Plastic Eye Procedures","J1","1","277483","0","0","0","0","0","0","0","0"
"05504","70","73","Level 4 Extraocular, Repair, and Plastic Eye Procedures","J1","1","295157","0","0","0","0","0","0","0","0"
"05504","74","77","Level 4 Extraocular, Repair, and Plastic Eye Procedures","J1","1","297527","0","0","0","0","0","0","0","0"
"05504","78","81","Level 4 Extraocular, Repair, and Plastic Eye Procedures","J1","1","312706","0","0","0","0","0","0","0","0"
"05504","82","85","Level 4 Extraocular, Repair, and Plastic Eye Procedures","J1","1","330545","0","0","0","0","0","0","0","0"
"05504","86","87","Level 4 Extraocular, Repair, and Plastic Eye Procedures","J1","1","337668","0","0","0","0","0","0","0","0"
"05521","62","65","Level 1 X-Ray and Related Services","S","1","6080","0","0","0","0","0","0","0","0"
"05521","66","69","Level 1 Imaging without Contrast","S","1","5986","0","0","0","0","0","0","0","0"
"05521","70","73","Level 1 Imaging without Contrast","S","1","6212","0","0","0","0","0","0","0","0"
"05521","74","77","Level 1 Imaging without Contrast","S","1","6230","0","0","0","0","0","0","0","0"
"05521","78","81","Level 1 Imaging without Contrast","S","1","7981","0","0","0","0","0","0","0","0"
"05521","82","85","Level 1 Imaging without Contrast","S","1","8090","0","0","0","0","0","0","0","0"
"05521","86","87","Level 1 Imaging without Contrast","S","1","8261","0","0","0","0","0","0","0","0"
"05522","62","65","Level 2 X-Ray and Related Services","S","1","10069","0","0","0","0","0","0","0","0"
"05522","66","69","Level 2 Imaging without Contrast","S","1","11273","0","0","0","0","0","0","0","0"
"05522","70","73","Level 2 Imaging without Contrast","S","1","11446","0","0","0","0","0","0","0","0"
"05522","74","77","Level 2 Imaging without Contrast","S","1","11251","0","0","0","0","0","0","0","0"
"05522","78","81","Level 2 Imaging without Contrast","S","1","11208","0","0","0","0","0","0","0","0"
"05522","82","85","Level 2 Imaging without Contrast","S","1","10897","0","0","0","0","0","0","0","0"
"05522","86","87","Level 2 Imaging without Contrast","S","1","11119","0","0","0","0","0","0","0","0"
"05523","62","65","Level 3 X-Ray and Related Services","S","1","19197","0","0","0","0","0","0","0","0"
"05523","66","69","Level 3 Imaging without Contrast","S","1","22591","0","0","0","0","0","0","0","0"
"05523","70","73","Level 3 Imaging without Contrast","S","1","23231","0","0","0","0","0","0","0","0"
"05523","74","77","Level 3 Imaging without Contrast","S","1","23056","0","0","0","0","0","0","0","0"
"05523","78","81","Level 3 Imaging without Contrast","S","1","23304","0","0","0","0","0","0","0","0"
"05523","82","85","Level 3 Imaging without Contrast","S","1","23013","0","0","0","0","0","0","0","0"
"05523","86","87","Level 3 Imaging without Contrast","S","1","23500","0","0","0","0","0","0","0","0"
"05524","62","65","Level 4 X-Ray and Related Services","S","1","35171","0","0","0","0","0","0","0","0"
"05524","66","69","Level 4 Imaging without Contrast","S","1","44968","0","0","0","0","0","0","0","0"
"05524","70","73","Level 4 Imaging without Contrast","S","1","48669","0","0","0","0","0","0","0","0"
"05524","74","77","Level 4 Imaging without Contrast","S","1","49749","0","0","0","0","0","0","0","0"
"05524","78","81","Level 4 Imaging without Contrast","S","1","48158","0","0","0","0","0","0","0","0"
"05524","82","85","Level 4 Imaging without Contrast","S","1","48289","0","0","0","0","0","0","0","0"
"05524","86","87","Level 4 Imaging without Contrast","S","1","49348","0","0","0","0","0","0","0","0"
"05525","62","65","Level 5 X-Ray and Related Services","S","1","66793","0","0","0","0","0","0","0","0"
"05526","62","65","Level 6 X-Ray and Related Services","S","1","271883","0","0","0","0","0","0","0","0"
"05531","62","65","Level 1 Ultrasound and Related Services","S","1","9207","0","0","0","0","0","0","0","0"
"05532","62","65","Level 2 Ultrasound and Related Services","S","1","15358","0","0","0","0","0","0","0","0"
"05533","62","65","Level 3 Ultrasound and Related Services","S","1","41680","0","0","0","0","0","0","0","0"
"05534","62","65","Level 4 Ultrasound and Related Services","S","1","69865","0","0","0","0","0","0","0","0"
"05561","62","65","Level 1 Echocardiogram with Contrast","S","1","45405","0","0","0","0","0","0","0","0"
"05562","62","65","Level 2 Echocardiogram with Contrast","S","1","67096","0","0","0","0","0","0","0","0"
"05570","62","65","Computed Tomography without Contrast","S","1","11249","0","0","0","0","0","0","0","0"
"05571","62","65","Level 1 Computed Tomography with Contrast and Computed Tomography Angiography","S","1","23686","0","0","0","0","0","0","0","0"
"05571","66","69","Level 1 Imaging with Contrast","S","1","26502","0","0","0","0","0","0","0","0"
"05571","70","73","Level 1 Imaging with Contrast","S","1","25274","0","0","0","0","0","0","0","0"
"05571","74","77","Level 1 Imaging with Contrast","S","1","20174","0","0","0","0","0","0","0","0"
"05571","78","81","Level 1 Imaging with Contrast","S","1","18222","0","0","0","0","0","0","0","0"
"05571","82","85","Level 1 Imaging with Contrast","S","1","17855","0","0","0","0","0","0","0","0"
"05571","86","87","Level 1 Imaging with Contrast","S","1","18243","0","0","0","0","0","0","0","0"
"05572","62","65","Level 2 Computed Tomography with Contrast and Computed Tomography Angiography","S","1","34772","0","0","0","0","0","0","0","0"
"05572","66","69","Level 2 Imaging with Contrast","S","1","42652","0","0","0","0","0","0","0","0"
"05572","70","73","Level 2 Imaging with Contrast","S","1","45637","0","0","0","0","0","0","0","0"
"05572","74","77","Level 2 Imaging with Contrast","S","1","38588","0","0","0","0","0","0","0","0"
"05572","78","81","Level 2 Imaging with Contrast","S","1","38185","0","0","0","0","0","0","0","0"
"05572","82","85","Level 2 Imaging with Contrast","S","1","36812","0","0","0","0","0","0","0","0"
"05572","86","87","Level 2 Imaging with Contrast","S","1","37609","0","0","0","0","0","0","0","0"
"05573","66","69","Level 3 Imaging with Contrast","S","1","65691","0","0","0","0","0","0","0","0"
"05573","70","73","Level 3 Imaging with Contrast","S","1","68188","0","0","0","0","0","0","0","0"
"05573","74","77","Level 3 Imaging with Contrast","S","1","69175","0","0","0","0","0","0","0","0"
"05573","78","81","Level 3 Imaging with Contrast","S","1","68082","0","0","0","0","0","0","0","0"
"05573","82","85","Level 3 Imaging with Contrast","S","1","71518","0","0","0","0","0","0","0","0"
"05573","86","87","Level 3 Imaging with Contrast","S","1","73067","0","0","0","0","0","0","0","0"
"05581","62","65","Magnetic Resonance Imaging and Magnetic Resonance Angiography without Contrast","S","1","27354","0","0","0","0","0","0","0","0"
"05582","62","65","Magnetic Resonance Imaging and Magnetic Resonance Angiography with Contrast","S","1","45432","0","0","0","0","0","0","0","0"
"05591","62","65","Level 1 Nuclear Medicine and Related Services","S","1","33265","0","0","0","0","0","0","0","0"
"05591","66","69","Level 1 Nuclear Medicine and Related Services","S","1","33308","0","0","0","0","0","0","0","0"
"05591","70","73","Level 1 Nuclear Medicine and Related Services","S","1","34944","0","0","0","0","0","0","0","0"
"05591","74","77","Level 1 Nuclear Medicine and Related Services","S","1","35349","0","0","0","0","0","0","0","0"
"05591","78","81","Level 1 Nuclear Medicine and Related Services","S","1","36813","0","0","0","0","0","0","0","0"
"05591","82","85","Level 1 Nuclear Medicine and Related Services","S","1","37712","0","0","0","0","0","0","0","0"
"05591","86","87","Level 1 Nuclear Medicine and Related Services","S","1","38499","0","0","0","0","0","0","0","0"
"05592","62","65","Level 2 Nuclear Medicine and Related Services","S","1","44136","0","0","0","0","0","0","0","0"
"05592","66","69","Level 2 Nuclear Medicine and Related Services","S","1","42913","0","0","0","0","0","0","0","0"
"05592","70","73","Level 2 Nuclear Medicine and Related Services","S","1","45308","0","0","0","0","0","0","0","0"
"05592","74","77","Level 2 Nuclear Medicine and Related Services","S","1","45552","0","0","0","0","0","0","0","0"
"05592","78","81","Level 2 Nuclear Medicine and Related Services","S","1","47198","0","0","0","0","0","0","0","0"
"05592","82","85","Level 2 Nuclear Medicine and Related Services","S","1","48940","0","0","0","0","0","0","0","0"
"05592","86","87","Level 2 Nuclear Medicine and Related Services","S","1","49978","0","0","0","0","0","0","0","0"
"05593","62","65","Level 3 Nuclear Medicine and Related Services","S","1","110846","0","0","0","0","0","0","0","0"
"05593","66","69","Level 3 Nuclear Medicine and Related Services","S","1","113894","0","0","0","0","0","0","0","0"
"05593","70","73","Level 3 Nuclear Medicine and Related Services","S","1","120268","0","0","0","0","0","0","0","0"
"05593","74","77","Level 3 Nuclear Medicine and Related Services","S","1","122938","0","0","0","0","0","0","0","0"
"05593","78","81","Level 3 Nuclear Medicine and Related Services","S","1","127219","0","0","0","0","0","0","0","0"
"05593","82","85","Level 3 Nuclear Medicine and Related Services","S","1","130594","0","0","0","0","0","0","0","0"
"05593","86","87","Level 3 Nuclear Medicine and Related Services","S","1","133462","0","0","0","0","0","0","0","0"
"05594","62","65","Level 4 Nuclear Medicine and Related Services","S","1","128517","0","0","0","0","0","0","0","0"
"05594","66","69","Level 4 Nuclear Medicine and Related Services","S","1","132153","0","0","0","0","0","0","0","0"
"05594","70","73","Level 4 Nuclear Medicine and Related Services","S","1","137722","0","0","0","0","0","0","0","0"
"05594","74","77","Level 4 Nuclear Medicine and Related Services","S","1","137554","0","0","0","0","0","0","0","0"
"05594","78","81","Level 4 Nuclear Medicine and Related Services","S","1","144309","0","0","0","0","0","0","0","0"
"05594","82","85","Level 4 Nuclear Medicine and Related Services","S","1","148034","0","0","0","0","0","0","0","0"
"05594","86","87","Level 4 Nuclear Medicine and Related Services","S","1","151156","0","0","0","0","0","0","0","0"
"05611","62","65","Level 1 Therapeutic Radiation Treatment Preparation","S","1","10740","0","0","0","0","0","0","0","0"
"05611","66","69","Level 1 Therapeutic Radiation Treatment Preparation","S","1","11759","0","0","0","0","0","0","0","0"
"05611","70","73","Level 1 Therapeutic Radiation Treatment Preparation","S","1","12535","0","0","0","0","0","0","0","0"
"05611","74","77","Level 1 Therapeutic Radiation Treatment Preparation","S","1","12377","0","0","0","0","0","0","0","0"
"05611","78","81","Level 1 Therapeutic Radiation Treatment Preparation","S","1","12659","0","0","0","0","0","0","0","0"
"05611","82","85","Level 1 Therapeutic Radiation Treatment Preparation","S","1","12687","0","0","0","0","0","0","0","0"
"05611","86","87","Level 1 Therapeutic Radiation Treatment Preparation","S","1","12959","0","0","0","0","0","0","0","0"
"05612","62","65","Level 2 Therapeutic Radiation Treatment Preparation","S","1","16665","0","0","0","0","0","0","0","0"
"05612","66","69","Level 2 Therapeutic Radiation Treatment Preparation","S","1","31157","0","0","0","0","0","0","0","0"
"05612","70","73","Level 2 Therapeutic Radiation Treatment Preparation","S","1","32309","0","0","0","0","0","0","0","0"
"05612","74","77","Level 2 Therapeutic Radiation Treatment Preparation","S","1","32182","0","0","0","0","0","0","0","0"
"05612","78","81","Level 2 Therapeutic Radiation Treatment Preparation","S","1","33516","0","0","0","0","0","0","0","0"
"05612","82","85","Level 2 Therapeutic Radiation Treatment Preparation","S","1","33868","0","0","0","0","0","0","0","0"
"05612","86","87","Level 2 Therapeutic Radiation Treatment Preparation","S","1","34585","0","0","0","0","0","0","0","0"
"05613","62","65","Level 3 Therapeutic Radiation Treatment Preparation","S","1","29177","0","0","0","0","0","0","0","0"
"05613","66","69","Level 3 Therapeutic Radiation Treatment Preparation","S","1","106624","0","0","0","0","0","0","0","0"
"05613","70","73","Level 3 Therapeutic Radiation Treatment Preparation","S","1","118668","0","0","0","0","0","0","0","0"
"05613","74","77","Level 3 Therapeutic Radiation Treatment Preparation","S","1","119192","0","0","0","0","0","0","0","0"
"05613","78","81","Level 3 Therapeutic Radiation Treatment Preparation","S","1","124534","0","0","0","0","0","0","0","0"
"05613","82","85","Level 3 Therapeutic Radiation Treatment Preparation","S","1","126218","0","0","0","0","0","0","0","0"
"05613","86","87","Level 3 Therapeutic Radiation Treatment Preparation","S","1","128967","0","0","0","0","0","0","0","0"
"05614","62","65","Level 4 Therapeutic Radiation Treatment Preparation","S","1","102681","0","0","0","0","0","0","0","0"
"05621","62","65","Level 1 Radiation Therapy","S","1","11034","0","0","0","0","0","0","0","0"
"05621","66","69","Level 1 Radiation Therapy","S","1","11435","0","0","0","0","0","0","0","0"
"05621","70","73","Level 1 Radiation Therapy","S","1","12473","0","0","0","0","0","0","0","0"
"05621","74","77","Level 1 Radiation Therapy","S","1","11699","0","0","0","0","0","0","0","0"
"05621","78","81","Level 1 Radiation Therapy","S","1","12271","0","0","0","0","0","0","0","0"
"05621","82","85","Level 1 Radiation Therapy","S","1","12054","0","0","0","0","0","0","0","0"
"05621","86","87","Level 1 Radiation Therapy","S","1","12234","0","0","0","0","0","0","0","0"
"05622","62","65","Level 2 Radiation Therapy","S","1","19435","0","0","0","0","0","0","0","0"
"05622","66","69","Level 2 Radiation Therapy","S","1","20451","0","0","0","0","0","0","0","0"
"05622","70","73","Level 2 Radiation Therapy","S","1","21983","0","0","0","0","0","0","0","0"
"05622","74","77","Level 2 Radiation Therapy","S","1","22446","0","0","0","0","0","0","0","0"
"05622","78","81","Level 2 Radiation Therapy","S","1","23636","0","0","0","0","0","0","0","0"
"05622","82","85","Level 2 Radiation Therapy","S","1","24168","0","0","0","0","0","0","0","0"
"05622","86","87","Level 2 Radiation Therapy","S","1","24687","0","0","0","0","0","0","0","0"
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"05801","62","65","Ventilation Initiation and Management","S","1","45711","0","0","0","0","0","0","0","0"
"05801","66","69","Ventilation Initiation and Management","S","1","42395","0","0","0","0","0","0","0","0"
"05801","70","73","Ventilation Initiation and Management","S","1","46070","0","0","0","0","0","0","0","0"
"05801","74","77","Ventilation Initiation and Management","S","1","50997","0","0","0","0","0","0","0","0"
"05801","78","81","Ventilation Initiation and Management","S","1","46453","0","0","0","0","0","0","0","0"
"05801","82","85","Ventilation Initiation and Management","S","1","48526","0","0","0","0","0","0","0","0"
"05801","86","87","Ventilation Initiation and Management","S","1","49754","0","0","0","0","0","0","0","0"
"05811","62","65","Manipulation Therapy","S","1","2295","0","0","0","0","0","0","0","0"
"05811","66","69","Manipulation Therapy","S","1","2462","0","0","0","0","0","0","0","0"
"05811","70","73","Manipulation Therapy","S","1","2683","0","0","0","0","0","0","0","0"
"05811","74","77","Manipulation Therapy","S","1","2478","0","0","0","0","0","0","0","0"
"05811","78","81","Manipulation Therapy","S","1","2452","0","0","0","0","0","0","0","0"
"05811","82","85","Manipulation Therapy","S","1","2655","0","0","0","0","0","0","0","0"
"05811","86","87","Manipulation Therapy","S","1","2724","0","0","0","0","0","0","0","0"
"05821","62","65","Level 1 Health and Behavior Services","S","1","2712","0","0","0","0","0","0","0","0"
"05821","66","69","Level 1 Health and Behavior Services","S","1","2523","0","0","0","0","0","0","0","0"
"05821","70","73","Level 1 Health and Behavior Services","S","1","3042","0","0","0","0","0","0","0","0"
"05821","74","77","Level 1 Health and Behavior Services","S","1","3338","0","0","0","0","0","0","0","0"
"05821","78","81","Level 1 Health and Behavior Services","S","1","2732","0","0","0","0","0","0","0","0"
"05821","82","85","Level 1 Health and Behavior Services","S","1","2623","0","0","0","0","0","0","0","0"
"05821","86","87","Level 1 Health and Behavior Services","S","1","2684","0","0","0","0","0","0","0","0"
"05822","62","65","Level 2 Health and Behavior Services","S","1","6965","0","0","0","0","0","0","0","0"
"05822","66","69","Level 2 Health and Behavior Services","S","1","7026","0","0","0","0","0","0","0","0"
"05822","70","73","Level 2 Health and Behavior Services","S","1","7194","0","0","0","0","0","0","0","0"
"05822","74","77","Level 2 Health and Behavior Services","S","1","7639","0","0","0","0","0","0","0","0"
"05822","78","81","Level 2 Health and Behavior Services","S","1","7854","0","0","0","0","0","0","0","0"
"05822","82","85","Level 2 Health and Behavior Services","S","1","7487","0","0","0","0","0","0","0","0"
"05822","86","87","Level 2 Health and Behavior Services","S","1","7642","0","0","0","0","0","0","0","0"
"05823","66","69","Level 3 Health and Behavior Services","S","1","12601","0","0","0","0","0","0","0","0"
"05823","70","73","Level 3 Health and Behavior Services","S","1","12395","0","0","0","0","0","0","0","0"
"05823","74","77","Level 3 Health and Behavior Services","S","1","12755","0","0","0","0","0","0","0","0"
"05823","78","81","Level 3 Health and Behavior Services","S","1","13136","0","0","0","0","0","0","0","0"
"05823","82","85","Level 3 Health and Behavior Services","S","1","13363","0","0","0","0","0","0","0","0"
"05823","86","87","Level 3 Health and Behavior Services","S","1","13665","0","0","0","0","0","0","0","0"
"05841","62","65","Psychotherapy","S","1","12504","1","0","0","0","0","0","0","0"
"05851","62","65","Level 1 Partial Hospitalization (3 services) for CMHCs","P","8","9449","0","0","0","0","0","0","0","0"
"05852","62","65","Level 2 Partial Hospitalization (4 or more services) for CMHCs","P","8","14300","0","0","0","0","0","0","0","0"
"05853","66","69","Partial Hospitalization (3 or more services) for CMHCs","P","8","12153","0","0","0","0","0","0","0","0"
"05853","70","73","Partial Hospitalization (3 or more services) for CMHCs","P","8","14331","0","0","0","0","0","0","0","0"
"05853","74","77","Partial Hospitalization (3 or more services) for CMHCs","P","8","12058","0","0","0","0","0","0","0","0"
"05853","78","81","Partial Hospitalization (3 or more services) for CMHCs","P","8","12430","0","0","0","0","0","0","0","0"
"05853","82","85","Partial Hospitalization (3 or more services) for CMHCs","P","8","13975","0","0","0","0","0","0","0","0"
"05853","86","87","Partial Hospitalization (3 or more services) for CMHCs","P","8","14270","0","0","0","0","0","0","0","0"
"05861","62","65","Level 1 Partial Hospitalization (3 services) for Hospital-based PHPs","P","8","18341","0","0","0","0","0","0","0","0"
"05862","62","65","Level 2 Partial Hospitalization (4 or more services) for Hospital-based PHPs","P","8","21267","0","0","0","0","0","0","0","0"
"05863","66","69","Partial Hospitalization (3 or more services) for Hospital-based PHPs","P","8","20736","0","0","0","0","0","0","0","0"
"05863","70","73","Partial Hospitalization (3 or more services) for Hospital-based PHPs","P","8","20823","0","0","0","0","0","0","0","0"
"05863","74","77","Partial Hospitalization (3 or more services) for Hospital-based PHPs","P","8","22086","0","0","0","0","0","0","0","0"
"05863","78","81","Partial Hospitalization (3 or more services) for Hospital-based PHPs","P","8","23866","0","0","0","0","0","0","0","0"
"05863","82","85","Partial Hospitalization (3 or more services) for Hospital-based PHPs","P","8","26049","0","0","0","0","0","0","0","0"
"05863","86","87","Partial Hospitalization (3 or more services) for Hospital-based PHPs","P","8","26597","0","0","0","0","0","0","0","0"
"05871","62","65","Dental Procedures","S","1","37121","0","0","0","0","0","0","0","0"
"05871","66","69","Dental Procedures","S","1","51307","0","0","0","0","0","0","0","0"
"05871","70","73","Dental Procedures","S","1","77243","0","0","0","0","0","0","0","0"
"05871","74","77","Dental Procedures","S","1","89918","0","0","0","0","0","0","0","0"
"05871","78","81","Dental Procedures","S","1","97507","0","0","0","0","0","0","0","0"
"05871","82","85","Dental Procedures","S","1","139353","0","0","0","0","0","0","0","0"
"05871","86","87","Dental Procedures","S","1","141662","0","0","0","0","0","0","0","0"
"05881","62","65","Ancillary Outpatient Services When Patient Dies","J1","1","614375","0","0","0","0","0","0","0","0"
"05881","66","69","Ancillary Outpatient Services When Patient Dies","J1","1","675435","0","0","0","0","0","0","0","0"
"05881","70","73","Ancillary Outpatient Services When Patient Dies","J1","1","707777","0","0","0","0","0","0","0","0"
"05881","74","77","Ancillary Outpatient Services When Patient Dies","J1","1","672064","0","0","0","0","0","0","0","0"
"05881","78","81","Ancillary Outpatient Services When Patient Dies","J1","1","672481","0","0","0","0","0","0","0","0"
"05881","82","85","Ancillary Outpatient Services When Patient Dies","J1","1","874490","0","0","0","0","0","0","0","0"
"05881","86","87","Ancillary Outpatient Services When Patient Dies","J1","1","1236573","0","0","0","0","0","0","0","0"
"07000","60","60","Amifostine","K","1","36177","0","0","0","0","0","0","0","0"
"07000","61","61","Amifostine","K","1","35908","0","0","0","0","0","0","0","0"
"07000","62","62","Amifostine","K","2","36393","0","0","0","0","0","0","0","0"
"07000","63","63","Amifostine","K","2","37788","0","0","0","0","0","0","0","0"
"07000","64","64","Amifostine","K","2","39034","0","0","0","0","0","0","0","0"
"07000","65","65","Amifostine","K","2","40143","0","0","0","0","0","0","0","0"
"07000","66","66","Amifostine","K","2","41653","0","0","0","0","0","0","0","0"
"07000","67","67","Amifostine","K","2","41227","0","0","0","0","0","0","0","0"
"07000","68","68","Amifostine","K","2","51901","0","0","0","0","0","0","0","0"
"07000","69","69","Amifostine","K","2","103413","0","0","0","0","0","0","0","0"
"07000","70","70","Amifostine","K","2","95981","0","0","0","0","0","0","0","0"
"07000","71","71","Amifostine","K","2","97404","0","0","0","0","0","0","0","0"
"07000","72","72","Amifostine","K","2","94818","0","0","0","0","0","0","0","0"
"07000","73","73","Amifostine","K","2","97656","0","0","0","0","0","0","0","0"
"07000","74","74","Amifostine","K","2","97341","0","0","0","0","0","0","0","0"
"07000","75","75","Amifostine","K","2","97975","0","0","0","0","0","0","0","0"
"07000","76","76","Amifostine","K","2","99039","0","0","0","0","0","0","0","0"
"07000","77","77","Amifostine","K","2","97731","0","0","0","0","0","0","0","0"
"07000","78","78","Amifostine","K","2","100359","0","0","0","0","0","0","0","0"
"07000","79","79","Amifostine","K","2","101189","0","0","0","0","0","0","0","0"
"07000","80","80","Amifostine","K","2","98014","0","0","0","0","0","0","0","0"
"07000","81","87","Amifostine","K","2","113569","0","0","0","0","0","0","0","0"
"07011","60","60","Oprelvekin injection","K","1","32227","0","0","0","0","0","0","0","0"
"07011","61","61","Oprelvekin injection","K","1","40251","0","0","0","0","0","0","0","0"
"07011","62","62","Oprelvekin injection","K","2","41779","0","0","0","0","0","0","0","0"
"07011","63","63","Oprelvekin injection","K","2","43906","0","0","0","0","0","0","0","0"
"07011","64","64","Oprelvekin injection","K","2","43987","0","0","0","0","0","0","0","0"
"07011","65","65","Oprelvekin injection","K","2","44848","0","0","0","0","0","0","0","0"
"07011","66","72","Oprelvekin injection","K","2","46722","0","0","0","0","0","0","0","0"
"07011","73","74","Oprelvekin injection","K","2","42692","0","0","0","0","0","0","0","0"
"07011","75","78","Oprelvekin injection","K","2","16398","0","0","0","0","0","0","0","0"
"07011","79","81","Oprelvekin injection","K","2","134","0","0","0","0","0","0","0","0"
"07034","60","60","Somatropin injection","K","1","7643","0","0","0","0","0","0","0","0"
"07034","61","61","Somatropin injection","K","1","8159","0","0","0","0","0","0","0","0"
"07034","62","70","Somatropin injection","K","2","8159","0","0","0","0","0","0","0","0"
"07034","71","73","Somatropin injection","K","2","7465","0","0","0","0","0","0","0","0"
"07035","60","60","Teniposide","K","1","91982","0","0","0","0","0","0","0","0"
"07035","61","61","Teniposide","K","1","235372","0","0","0","0","0","0","0","0"
"07035","62","62","Teniposide","K","2","349446","0","0","0","0","0","0","0","0"
"07035","63","65","Teniposide","K","2","202566","0","0","0","0","0","0","0","0"
"07035","66","66","Teniposide","K","2","237768","0","0","0","0","0","0","0","0"
"07035","67","69","Teniposide","K","2","259279","0","0","0","0","0","0","0","0"
"07035","70","70","Teniposide","K","2","264571","0","0","0","0","0","0","0","0"
"07035","71","71","Teniposide","K","2","246392","0","0","0","0","0","0","0","0"
"07035","72","72","Teniposide","K","2","254026","0","0","0","0","0","0","0","0"
"07035","73","73","Teniposide","K","2","256953","0","0","0","0","0","0","0","0"
"07035","74","74","Teniposide","K","2","257515","0","0","0","0","0","0","0","0"
"07035","75","75","Teniposide","K","2","258397","0","0","0","0","0","0","0","0"
"07035","76","87","Teniposide","K","2","264571","0","0","0","0","0","0","0","0"
"07041","60","60","Tirofiban HCl","K","1","880","0","0","0","0","0","0","0","0"
"07041","61","61","Tirofiban HCl","K","1","912","0","0","0","0","0","0","0","0"
"07041","62","62","Tirofiban HCl","K","2","894","0","0","0","0","0","0","0","0"
"07041","63","63","Tirofiban HCl","K","2","914","0","0","0","0","0","0","0","0"
"07041","64","64","Tirofiban HCl","K","2","982","0","0","0","0","0","0","0","0"
"07041","65","65","Tirofiban HCl","K","2","847","0","0","0","0","0","0","0","0"
"07041","66","66","Tirofiban HCl","K","2","900","0","0","0","0","0","0","0","0"
"07041","67","67","Tirofiban HCl","K","2","923","0","0","0","0","0","0","0","0"
"07041","68","68","Tirofiban HCl","K","2","981","0","0","0","0","0","0","0","0"
"07041","69","69","Tirofiban HCl","K","2","886","0","0","0","0","0","0","0","0"
"07041","70","70","Tirofiban HCl","K","2","919","0","0","0","0","0","0","0","0"
"07041","71","71","Tirofiban HCl","K","2","910","0","0","0","0","0","0","0","0"
"07041","72","72","Tirofiban HCl","K","2","879","0","0","0","0","0","0","0","0"
"07041","73","73","Tirofiban HCl","K","2","837","0","0","0","0","0","0","0","0"
"07041","74","74","Tirofiban HCl","K","2","826","0","0","0","0","0","0","0","0"
"07041","75","75","Tirofiban HCl","K","2","772","0","0","0","0","0","0","0","0"
"07041","76","77","Tirofiban HCl","K","2","1098","0","0","0","0","0","0","0","0"
"07041","78","78","Tirofiban HCl","K","2","692","0","0","0","0","0","0","0","0"
"07041","79","79","Tirofiban HCl","K","2","634","0","0","0","0","0","0","0","0"
"07041","80","80","Tirofiban HCl","K","2","522","0","0","0","0","0","0","0","0"
"07041","81","81","Tirofiban HCl","K","2","527","0","0","0","0","0","0","0","0"
"07041","82","82","Tirofiban HCl","K","2","219","0","0","0","0","0","0","0","0"
"07041","83","83","Tirofiban HCl","K","2","241","0","0","0","0","0","0","0","0"
"07041","84","84","Tirofiban HCl","K","2","295","0","0","0","0","0","0","0","0"
"07041","85","85","Tirofiban HCl","K","2","374","0","0","0","0","0","0","0","0"
"07041","86","86","Tirofiban hcl","K","2","383","0","0","0","0","0","0","0","0"
"07041","87","87","Tirofiban hcl","K","2","361","0","0","0","0","0","0","0","0"
"07042","60","60","Capecitabine, oral","K","1","696","0","0","0","0","0","0","0","0"
"07042","61","61","Capecitabine, oral","K","1","632","0","0","0","0","0","0","0","0"
"07042","62","62","Capecitabine, oral","K","2","553","0","0","0","0","0","0","0","0"
"07042","63","63","Capecitabine, oral","K","2","524","0","0","0","0","0","0","0","0"
"07042","64","64","Capecitabine, oral","K","2","489","0","0","0","0","0","0","0","0"
"07042","65","65","Capecitabine, oral","K","2","463","0","0","0","0","0","0","0","0"
"07043","60","60","Infliximab injection","K","1","7651","0","0","0","0","0","0","0","0"
"07043","61","61","Infliximab injection","K","1","7689","0","0","0","0","0","0","0","0"
"07043","62","62","Infliximab injection","K","2","7876","0","0","0","0","0","0","0","0"
"07043","63","63","Infliximab injection","K","2","7991","0","0","0","0","0","0","0","0"
"07043","64","64","Infliximab injection","K","2","8160","0","0","0","0","0","0","0","0"
"07043","65","65","Infliximab injection","K","2","8228","0","0","0","0","0","0","0","0"
"07043","66","66","Infliximab not biosimil 10mg","K","2","8287","0","0","0","0","0","0","0","0"
"07043","67","67","Infliximab not biosimil 10mg","K","2","8222","0","0","0","0","0","0","0","0"
"07043","68","68","Infliximab not biosimil 10mg","K","2","8559","0","0","0","0","0","0","0","0"
"07043","69","69","Infliximab not biosimil 10mg","K","2","8574","0","0","0","0","0","0","0","0"
"07043","70","70","Infliximab not biosimil 10mg","K","2","8715","0","0","0","0","0","0","0","0"
"07043","71","71","Infliximab not biosimil 10mg","K","2","8581","0","0","0","0","0","0","0","0"
"07043","72","72","Infliximab not biosimil 10mg","K","2","8329","0","0","0","0","0","0","0","0"
"07043","73","73","Infliximab not biosimil 10mg","K","2","8390","0","0","0","0","0","0","0","0"
"07043","74","74","Infliximab not biosimil 10mg","K","2","7883","0","0","0","0","0","0","0","0"
"07043","75","75","Infliximab not biosimil 10mg","K","2","7665","0","0","0","0","0","0","0","0"
"07043","76","76","Infliximab not biosimil 10mg","K","2","7183","0","0","0","0","0","0","0","0"
"07043","77","77","Infliximab not biosimil 10mg","K","2","6496","0","0","0","0","0","0","0","0"
"07043","78","78","Infliximab not biosimil 10mg","K","2","6329","0","0","0","0","0","0","0","0"
"07043","79","79","Infliximab not biosimil 10mg","K","2","5735","0","0","0","0","0","0","0","0"
"07043","80","80","Infliximab not biosimil 10mg","K","2","5570","0","0","0","0","0","0","0","0"
"07043","81","81","Infliximab not biosimil 10mg","K","2","5120","0","0","0","0","0","0","0","0"
"07043","82","82","Infliximab not biosimil 10mg","K","2","4762","0","0","0","0","0","0","0","0"
"07043","83","83","Infliximab not biosimil 10mg","K","2","4490","0","0","0","0","0","0","0","0"
"07043","84","84","Infliximab not biosimil 10mg","K","2","4195","0","0","0","0","0","0","0","0"
"07043","85","85","Infliximab not biosimil 10mg","K","2","4132","0","0","0","0","0","0","0","0"
"07043","86","86","Infliximab not biosimil 10mg","K","2","3953","0","0","0","0","0","0","0","0"
"07043","87","87","Infliximab not biosimil 10mg","K","2","3788","0","0","0","0","0","0","0","0"
"07046","60","60","Doxorubicin inj 10mg","K","1","48848","0","0","0","0","0","0","0","0"
"07046","61","61","Doxorubicin inj 10mg","K","1","48284","0","0","0","0","0","0","0","0"
"07046","62","62","Doxorubicin inj 10mg","K","2","44383","0","0","0","0","0","0","0","0"
"07046","63","63","Doxorubicin inj 10mg","K","2","43152","0","0","0","0","0","0","0","0"
"07046","64","64","Doxorubicin inj 10mg","K","2","43593","0","0","0","0","0","0","0","0"
"07046","65","65","Doxorubicin inj 10mg","K","2","42625","0","0","0","0","0","0","0","0"
"07046","66","66","Doxorubicin inj 10mg","K","2","43544","0","0","0","0","0","0","0","0"
"07046","67","67","Doxorubicin inj 10mg","K","2","42960","0","0","0","0","0","0","0","0"
"07046","68","68","Doxorubicin inj 10mg","K","2","40815","0","0","0","0","0","0","0","0"
"07046","69","69","Doxorubicin inj 10mg","K","2","38383","0","0","0","0","0","0","0","0"
"07046","70","70","Doxorubicin inj 10mg","K","2","37493","0","0","0","0","0","0","0","0"
"07046","71","71","Doxorubicin inj 10mg","K","2","38577","0","0","0","0","0","0","0","0"
"07046","72","72","Doxorubicin inj 10mg","K","2","37616","0","0","0","0","0","0","0","0"
"07046","73","73","Doxorubicin inj 10mg","K","2","37249","0","0","0","0","0","0","0","0"
"07046","74","74","Doxorubicin inj 10mg","K","2","38357","0","0","0","0","0","0","0","0"
"07046","75","75","Doxorubicin inj 10mg","K","2","38133","0","0","0","0","0","0","0","0"
"07046","76","76","Doxorubicin inj 10mg","K","2","36136","0","0","0","0","0","0","0","0"
"07046","77","77","Doxorubicin inj 10mg","K","2","34930","0","0","0","0","0","0","0","0"
"07046","78","78","Doxorubicin inj 10mg","K","2","35507","0","0","0","0","0","0","0","0"
"07046","79","79","Doxorubicin inj 10mg","K","2","29552","0","0","0","0","0","0","0","0"
"07046","80","80","Doxorubicin inj 10mg","K","2","30472","0","0","0","0","0","0","0","0"
"07046","81","81","Doxorubicin inj 10mg","K","2","31770","0","0","0","0","0","0","0","0"
"07046","82","82","Doxorubicin inj 10mg","K","2","31573","0","0","0","0","0","0","0","0"
"07046","83","83","Doxorubicin inj 10mg","K","2","29880","0","0","0","0","0","0","0","0"
"07046","84","84","Doxorubicin inj 10mg","K","2","30709","0","0","0","0","0","0","0","0"
"07046","85","85","Doxorubicin inj 10mg","K","2","25709","0","0","0","0","0","0","0","0"
"07046","86","86","Doxorubicin inj 10mg","K","2","23403","0","0","0","0","0","0","0","0"
"07046","87","87","Doxorubicin inj 10mg","K","2","20052","0","0","0","0","0","0","0","0"
"07048","60","60","Alteplase recombinant","K","1","6844","0","0","0","0","0","0","0","0"
"07048","61","61","Alteplase recombinant","K","1","7305","0","0","0","0","0","0","0","0"
"07048","62","62","Alteplase recombinant","K","2","7374","0","0","0","0","0","0","0","0"
"07048","63","63","Alteplase recombinant","K","2","7469","0","0","0","0","0","0","0","0"
"07048","64","64","Alteplase recombinant","K","2","7466","0","0","0","0","0","0","0","0"
"07048","65","65","Alteplase recombinant","K","2","7989","0","0","0","0","0","0","0","0"
"07048","66","66","Alteplase recombinant","K","2","8029","0","0","0","0","0","0","0","0"
"07048","67","67","Alteplase recombinant","K","2","8122","0","0","0","0","0","0","0","0"
"07048","68","68","Alteplase recombinant","K","2","8135","0","0","0","0","0","0","0","0"
"07048","69","69","Alteplase recombinant","K","2","8348","0","0","0","0","0","0","0","0"
"07048","70","70","Alteplase recombinant","K","2","8399","0","0","0","0","0","0","0","0"
"07048","71","71","Alteplase recombinant","K","2","8495","0","0","0","0","0","0","0","0"
"07048","72","72","Alteplase recombinant","K","2","8458","0","0","0","0","0","0","0","0"
"07048","73","73","Alteplase recombinant","K","2","8762","0","0","0","0","0","0","0","0"
"07048","74","74","Alteplase recombinant","K","2","8778","0","0","0","0","0","0","0","0"
"07048","75","75","Alteplase recombinant","K","2","8775","0","0","0","0","0","0","0","0"
"07048","76","76","Alteplase recombinant","K","2","8768","0","0","0","0","0","0","0","0"
"07048","77","77","Alteplase recombinant","K","2","8769","0","0","0","0","0","0","0","0"
"07048","78","78","Alteplase recombinant","K","2","8764","0","0","0","0","0","0","0","0"
"07048","79","79","Alteplase recombinant","K","2","8785","0","0","0","0","0","0","0","0"
"07048","80","80","Alteplase recombinant","K","2","8770","0","0","0","0","0","0","0","0"
"07048","81","81","Alteplase recombinant","K","2","8789","0","0","0","0","0","0","0","0"
"07048","82","82","Alteplase recombinant","K","2","8715","0","0","0","0","0","0","0","0"
"07048","83","83","Alteplase recombinant","K","2","8743","0","0","0","0","0","0","0","0"
"07048","84","84","Alteplase recombinant","K","2","8768","0","0","0","0","0","0","0","0"
"07048","85","85","Alteplase recombinant","K","2","8741","0","0","0","0","0","0","0","0"
"07048","86","86","Alteplase recombinant","K","2","8775","0","0","0","0","0","0","0","0"
"07048","87","87","Alteplase recombinant","K","2","8767","0","0","0","0","0","0","0","0"
"07308","60","61","Aminolevulinic acid hcl top","K","1","29415","0","0","0","0","0","0","0","0"
"07308","62","62","Aminolevulinic acid hcl top","K","2","29279","0","0","0","0","0","0","0","0"
"07308","63","63","Aminolevulinic acid hcl top","K","2","29256","0","0","0","0","0","0","0","0"
"07308","64","66","Aminolevulinic acid hcl top","K","2","32741","0","0","0","0","0","0","0","0"
"07308","67","67","Aminolevulinic acid hcl top","K","2","34702","0","0","0","0","0","0","0","0"
"07308","68","70","Aminolevulinic acid hcl top","K","2","36781","0","0","0","0","0","0","0","0"
"07308","71","75","Aminolevulinic acid hcl top","K","2","40459","0","0","0","0","0","0","0","0"
"07308","76","76","Aminolevulinic acid hcl top","K","2","39608","0","0","0","0","0","0","0","0"
"07308","77","77","Aminolevulinic acid hcl top","K","2","40139","0","0","0","0","0","0","0","0"
"07308","78","78","Aminolevulinic acid hcl top","K","2","39098","0","0","0","0","0","0","0","0"
"07308","79","79","Aminolevulinic acid hcl top","K","2","39237","0","0","0","0","0","0","0","0"
"07308","80","80","Aminolevulinic acid hcl top","K","2","39524","0","0","0","0","0","0","0","0"
"07308","81","81","Aminolevulinic acid hcl top","K","2","39463","0","0","0","0","0","0","0","0"
"07308","82","82","Aminolevulinic acid hcl top","K","2","39475","0","0","0","0","0","0","0","0"
"07308","83","83","Aminolevulinic acid hcl top","K","2","38842","0","0","0","0","0","0","0","0"
"07308","84","84","Aminolevulinic acid hcl top","K","2","39300","0","0","0","0","0","0","0","0"
"07308","85","85","Aminolevulinic acid hcl top","K","2","38213","0","0","0","0","0","0","0","0"
"07308","86","86","Aminolevulinic acid hcl top","K","2","39248","0","0","0","0","0","0","0","0"
"07308","87","87","Aminolevulinic acid hcl top","K","2","39143","0","0","0","0","0","0","0","0"
"08001","60","61","LDR Prostate Brachytherapy Composite","T","1","360985","0","0","0","2","0","0","0","0"
"08001","62","65","LDR Prostate Brachytherapy Composite","T","1","338544","0","0","0","2","0","0","0","0"
"08001","66","69","LDR Prostate Brachytherapy Composite","T","1","350025","0","0","0","2","0","0","0","0"
"08004","60","61","Ultrasound Composite","S","1","28531","0","0","0","0","0","1","0","0"
"08004","62","65","Ultrasound Composite","S","1","28726","0","0","0","0","0","1","0","0"
"08004","66","69","Ultrasound Composite","S","1","28836","0","0","0","0","0","1","0","0"
"08004","70","73","Ultrasound Composite","S","1","29989","0","0","0","0","0","1","0","0"
"08004","74","77","Ultrasound Composite","S","1","29962","0","0","0","0","0","1","0","0"
"08004","78","81","Ultrasound Composite","S","1","30772","0","0","0","0","0","1","0","0"
"08004","82","85","Ultrasound Composite","S","1","29834","0","0","0","0","0","1","0","0"
"08004","86","87","Ultrasound Composite","S","1","30464","0","0","0","0","0","1","0","0"
"08005","60","61","CT and CTA without Contrast Composite","S","1","31337","0","0","0","0","0","2","0","0"
"08005","62","65","CT and CTA without Contrast Composite","S","1","28412","0","0","0","0","0","2","0","0"
"08005","66","69","CT and CTA without Contrast Composite","S","1","27309","0","0","0","0","0","2","0","0"
"08005","70","73","CT and CTA without Contrast Composite","S","1","27484","0","0","0","0","0","2","0","0"
"08005","74","77","CT and CTA without Contrast Composite","S","1","26495","0","0","0","0","0","2","0","0"
"08005","78","81","CT and CTA without Contrast Composite","S","1","24204","0","0","0","0","0","2","0","0"
"08005","82","85","CT and CTA without Contrast Composite","S","1","22433","0","0","0","0","0","2","0","0"
"08005","86","87","CT and CTA without Contrast Composite","S","1","22905","0","0","0","0","0","2","0","0"
"08006","60","61","CT and CTA with Contrast Composite","S","1","52856","0","0","0","0","0","3","0","0"
"08006","62","65","CT and CTA with Contrast Composite","S","1","49391","0","0","0","0","0","3","0","0"
"08006","66","69","CT and CTA with Contrast Composite","S","1","48937","0","0","0","0","0","3","0","0"
"08006","70","73","CT and CTA with Contrast Composite","S","1","50085","0","0","0","0","0","3","0","0"
"08006","74","77","CT and CTA with Contrast Composite","S","1","48077","0","0","0","0","0","3","0","0"
"08006","78","81","CT and CTA with Contrast Composite","S","1","46118","0","0","0","0","0","3","0","0"
"08006","82","85","CT and CTA with Contrast Composite","S","1","43513","0","0","0","0","0","3","0","0"
"08006","86","87","CT and CTA with Contrast Composite","S","1","44456","0","0","0","0","0","3","0","0"
"08007","60","61","MRI and MRA without Contrast Composite","S","1","60788","0","0","0","0","0","4","0","0"
"08007","62","65","MRI and MRA without Contrast Composite","S","1","56606","0","0","0","0","0","4","0","0"
"08007","66","69","MRI and MRA without Contrast Composite","S","1","55175","0","0","0","0","0","4","0","0"
"08007","70","73","MRI and MRA without Contrast Composite","S","1","55617","0","0","0","0","0","4","0","0"
"08007","74","77","MRI and MRA without Contrast Composite","S","1","54422","0","0","0","0","0","4","0","0"
"08007","78","81","MRI and MRA without Contrast Composite","S","1","54318","0","0","0","0","0","4","0","0"
"08007","82","85","MRI and MRA without Contrast Composite","S","1","52279","0","0","0","0","0","4","0","0"
"08007","86","87","MRI and MRA without Contrast Composite","S","1","53388","0","0","0","0","0","4","0","0"
"08008","60","61","MRI and MRA with Contrast Composite","S","1","91122","0","0","0","0","0","5","0","0"
"08008","62","65","MRI and MRA with Contrast Composite","S","1","86224","0","0","0","0","0","5","0","0"
"08008","66","69","MRI and MRA with Contrast Composite","S","1","85169","0","0","0","0","0","5","0","0"
"08008","70","73","MRI and MRA with Contrast Composite","S","1","87186","0","0","0","0","0","5","0","0"
"08008","74","77","MRI and MRA with Contrast Composite","S","1","85560","0","0","0","0","0","5","0","0"
"08008","78","81","MRI and MRA with Contrast Composite","S","1","86545","0","0","0","0","0","5","0","0"
"08008","82","85","MRI and MRA with Contrast Composite","S","1","84316","0","0","0","0","0","5","0","0"
"08008","86","87","MRI and MRA with Contrast Composite","S","1","86116","0","0","0","0","0","5","0","0"
"08009","60","61","Extended Assessment & Management Composite","V","1","123470","0","0","0","0","1","0","0","0"
"08010","62","65","Mental Health Services Composite","S","1","21267","0","0","0","0","0","0","0","0"
"08010","66","69","Mental Health Services Composite","S","1","20736","0","0","0","0","0","0","0","0"
"08010","70","73","Mental Health Services Composite","S","1","20823","0","0","0","0","0","0","0","0"
"08010","74","77","Mental Health Services Composite","S","1","22086","0","0","0","0","0","0","0","0"
"08010","78","81","Mental Health Services Composite","S","1","23866","0","0","0","0","0","0","0","0"
"08010","82","85","Mental Health Services Composite","S","1","26049","0","0","0","0","0","0","0","0"
"08010","86","87","Mental Health Services Composite","S","1","26597","0","0","0","0","0","0","0","0"
"08011","62","65","Comprehensive Observation Services","J2","1","217414","0","0","0","0","0","0","0","0"
"08011","66","69","Comprehensive Observation Services","J2","1","222264","0","0","0","0","0","0","0","0"
"08011","70","73","Comprehensive Observation Services","J2","1","234982","0","0","0","0","0","0","0","0"
"08011","74","77","Comprehensive Observation Services","J2","1","238680","0","0","0","0","0","0","0","0"
"08011","78","81","Comprehensive Observation Services","J2","1","220360","0","0","0","0","0","0","0","0"
"08011","82","85","Comprehensive Observation Services","J2","1","228316","0","0","0","0","0","0","0","0"
"08011","86","87","Comprehensive Observation Services","J2","1","233190","0","0","0","0","0","0","0","0"
"09001","60","60","Linezolid injection","K","1","4771","0","0","0","0","0","0","0","0"
"09001","61","61","Linezolid injection","K","1","3859","0","0","0","0","0","0","0","0"
"09001","62","62","Linezolid injection","K","2","3162","0","0","0","0","0","0","0","0"
"09001","63","63","Linezolid injection","K","2","2371","0","0","0","0","0","0","0","0"
"09001","64","64","Linezolid injection","K","2","1765","0","0","0","0","0","0","0","0"
"09001","65","65","Linezolid injection","K","2","1595","0","0","0","0","0","0","0","0"
"09002","60","60","Tenecteplase injection","K","1","8621","0","0","0","0","0","0","0","0"
"09002","61","61","Tenecteplase injection","K","1","8842","0","0","0","0","0","0","0","0"
"09002","62","62","Tenecteplase injection","K","2","9396","0","0","0","0","0","0","0","0"
"09002","63","63","Tenecteplase injection","K","2","9393","0","0","0","0","0","0","0","0"
"09002","64","64","Tenecteplase injection","K","2","9398","0","0","0","0","0","0","0","0"
"09002","65","65","Tenecteplase injection","K","2","10180","0","0","0","0","0","0","0","0"
"09002","66","67","Tenecteplase injection","K","2","10243","0","0","0","0","0","0","0","0"
"09002","68","68","Tenecteplase injection","K","2","10242","0","0","0","0","0","0","0","0"
"09002","69","69","Tenecteplase injection","K","2","11004","0","0","0","0","0","0","0","0"
"09002","70","70","Tenecteplase injection","K","2","11170","0","0","0","0","0","0","0","0"
"09002","71","71","Tenecteplase injection","K","2","11155","0","0","0","0","0","0","0","0"
"09002","72","72","Tenecteplase injection","K","2","11163","0","0","0","0","0","0","0","0"
"09002","73","73","Tenecteplase injection","K","2","12103","0","0","0","0","0","0","0","0"
"09002","74","74","Tenecteplase injection","K","2","12176","0","0","0","0","0","0","0","0"
"09002","75","75","Tenecteplase injection","K","2","12181","0","0","0","0","0","0","0","0"
"09002","76","76","Tenecteplase injection","K","2","12178","0","0","0","0","0","0","0","0"
"09002","77","77","Tenecteplase injection","K","2","12179","0","0","0","0","0","0","0","0"
"09002","78","78","Tenecteplase injection","K","2","12183","0","0","0","0","0","0","0","0"
"09002","79","79","Tenecteplase injection","K","2","12542","0","0","0","0","0","0","0","0"
"09002","80","80","Tenecteplase injection","K","2","12555","0","0","0","0","0","0","0","0"
"09002","81","81","Tenecteplase injection","K","2","12906","0","0","0","0","0","0","0","0"
"09002","82","82","Tenecteplase injection","K","2","12926","0","0","0","0","0","0","0","0"
"09002","83","83","Tenecteplase injection","K","2","12927","0","0","0","0","0","0","0","0"
"09002","84","84","Tenecteplase injection","K","2","12917","0","0","0","0","0","0","0","0"
"09002","85","85","Tenecteplase injection","K","2","13481","0","0","0","0","0","0","0","0"
"09002","86","86","Tenecteplase injection","K","2","13474","0","0","0","0","0","0","0","0"
"09002","87","87","Tenecteplase injection","K","2","13462","0","0","0","0","0","0","0","0"
"09003","60","60","Palivizumab","K","1","194779","0","0","0","0","0","0","0","0"
"09003","61","61","Palivizumab","K","1","194749","0","0","0","0","0","0","0","0"
"09003","62","66","Palivizumab","K","2","194749","0","0","0","0","0","0","0","0"
"09003","67","70","Palivizumab","K","2","17635","0","0","0","0","0","0","0","0"
"09003","71","73","Palivizumab","K","2","151417","0","0","0","0","0","0","0","0"
"09003","74","78","Palivizumab","K","2","120505","0","0","0","0","0","0","0","0"
"09003","79","82","Palivizumab","K","2","183868","0","0","0","0","0","0","0","0"
"09003","83","87","Palivizumab","K","2","118567","0","0","0","0","0","0","0","0"
"09005","60","61","Reteplase injection","K","1","230191","0","0","0","0","0","0","0","0"
"09005","62","73","Reteplase injection","K","2","230191","0","0","0","0","0","0","0","0"
"09005","74","76","Reteplase injection","K","2","50498","0","0","0","0","0","0","0","0"
"09005","77","77","Reteplase injection","K","2","258185","0","0","0","0","0","0","0","0"
"09005","82","82","Reteplase injection","K","2","238630","0","0","0","0","0","0","0","0"
"09005","83","83","Reteplase injection","K","2","239594","0","0","0","0","0","0","0","0"
"09005","84","84","Reteplase injection","K","2","276626","0","0","0","0","0","0","0","0"
"09005","85","86","Reteplase injection","K","2","250651","0","0","0","0","0","0","0","0"
"09005","87","87","Reteplase injection","K","2","185183","0","0","0","0","0","0","0","0"
"09006","60","60","Tacrolimus injection","K","1","14911","0","0","0","0","0","0","0","0"
"09006","61","61","Tacrolimus injection","K","1","14945","0","0","0","0","0","0","0","0"
"09006","62","62","Tacrolimus injection","K","2","16325","0","0","0","0","0","0","0","0"
"09006","63","63","Tacrolimus injection","K","2","16444","0","0","0","0","0","0","0","0"
"09006","64","64","Tacrolimus injection","K","2","16416","0","0","0","0","0","0","0","0"
"09006","65","65","Tacrolimus injection","K","2","16371","0","0","0","0","0","0","0","0"
"09006","66","66","Tacrolimus injection","K","2","16377","0","0","0","0","0","0","0","0"
"09006","67","67","Tacrolimus injection","K","2","17075","0","0","0","0","0","0","0","0"
"09006","68","68","Tacrolimus injection","K","2","17085","0","0","0","0","0","0","0","0"
"09006","69","69","Tacrolimus injection","K","2","18524","0","0","0","0","0","0","0","0"
"09006","70","70","Tacrolimus injection","K","2","18832","0","0","0","0","0","0","0","0"
"09006","71","71","Tacrolimus injection","K","2","18783","0","0","0","0","0","0","0","0"
"09006","72","72","Tacrolimus injection","K","2","19281","0","0","0","0","0","0","0","0"
"09006","73","73","Tacrolimus injection","K","2","20632","0","0","0","0","0","0","0","0"
"09006","74","74","Tacrolimus injection","K","2","20562","0","0","0","0","0","0","0","0"
"09006","75","75","Tacrolimus injection","K","2","20601","0","0","0","0","0","0","0","0"
"09006","76","76","Tacrolimus injection","K","2","20600","0","0","0","0","0","0","0","0"
"09006","77","77","Tacrolimus injection","K","2","21178","0","0","0","0","0","0","0","0"
"09006","78","78","Tacrolimus injection","K","2","21184","0","0","0","0","0","0","0","0"
"09006","79","79","Tacrolimus injection","K","2","21160","0","0","0","0","0","0","0","0"
"09006","80","80","Tacrolimus injection","K","2","21175","0","0","0","0","0","0","0","0"
"09006","81","81","Tacrolimus injection","K","2","21217","0","0","0","0","0","0","0","0"
"09006","82","82","Tacrolimus injection","K","2","21197","0","0","0","0","0","0","0","0"
"09006","83","83","Tacrolimus injection","K","2","21222","0","0","0","0","0","0","0","0"
"09006","84","84","Tacrolimus injection","K","2","21228","0","0","0","0","0","0","0","0"
"09006","85","85","Tacrolimus injection","K","2","21574","0","0","0","0","0","0","0","0"
"09006","86","86","Tacrolimus injection","K","2","21933","0","0","0","0","0","0","0","0"
"09006","87","87","Tacrolimus injection","K","2","21967","0","0","0","0","0","0","0","0"
"09012","60","60","Arsenic trioxide injection","K","1","5385","0","0","0","0","0","0","0","0"
"09012","61","61","Arsenic trioxide injection","K","1","5906","0","0","0","0","0","0","0","0"
"09012","62","62","Arsenic trioxide injection","K","2","5942","0","0","0","0","0","0","0","0"
"09012","63","63","Arsenic trioxide injection","K","2","5926","0","0","0","0","0","0","0","0"
"09012","64","64","Arsenic trioxide injection","K","2","5924","0","0","0","0","0","0","0","0"
"09012","65","65","Arsenic trioxide injection","K","2","6512","0","0","0","0","0","0","0","0"
"09012","66","66","Arsenic trioxide injection","K","2","6462","0","0","0","0","0","0","0","0"
"09012","67","67","Arsenic trioxide injection","K","2","6498","0","0","0","0","0","0","0","0"
"09012","68","68","Arsenic trioxide injection","K","2","6493","0","0","0","0","0","0","0","0"
"09012","69","69","Arsenic trioxide injection","K","2","7094","0","0","0","0","0","0","0","0"
"09012","70","70","Arsenic trioxide injection","K","2","7134","0","0","0","0","0","0","0","0"
"09012","71","71","Arsenic trioxide injection","K","2","7105","0","0","0","0","0","0","0","0"
"09012","72","72","Arsenic trioxide injection","K","2","7182","0","0","0","0","0","0","0","0"
"09012","73","73","Arsenic trioxide injection","K","2","7706","0","0","0","0","0","0","0","0"
"09012","74","74","Arsenic trioxide injection","K","2","7703","0","0","0","0","0","0","0","0"
"09012","75","75","Arsenic trioxide injection","K","2","7691","0","0","0","0","0","0","0","0"
"09012","76","76","Arsenic trioxide injection","K","2","6301","0","0","0","0","0","0","0","0"
"09012","77","77","Arsenic trioxide injection","K","2","5123","0","0","0","0","0","0","0","0"
"09012","78","78","Arsenic trioxide injection","K","2","4431","0","0","0","0","0","0","0","0"
"09012","79","79","Arsenic trioxide injection","K","2","4407","0","0","0","0","0","0","0","0"
"09012","80","80","Arsenic trioxide injection","K","2","3023","0","0","0","0","0","0","0","0"
"09012","81","81","Arsenic trioxide injection","K","2","2867","0","0","0","0","0","0","0","0"
"09012","82","82","Arsenic trioxide injection","K","2","2206","0","0","0","0","0","0","0","0"
"09012","83","83","Arsenic trioxide injection","K","2","1782","0","0","0","0","0","0","0","0"
"09012","84","84","Arsenic trioxide injection","K","2","2370","0","0","0","0","0","0","0","0"
"09012","85","85","Arsenic trioxide injection","K","2","1843","0","0","0","0","0","0","0","0"
"09012","86","86","Arsenic trioxide injection","K","2","1311","0","0","0","0","0","0","0","0"
"09012","87","87","Arsenic trioxide injection","K","2","1281","0","0","0","0","0","0","0","0"
"09014","70","73","Injection, cerliponase alfa","G","2","9540","0","0","0","0","0","0","0","0"
"09014","74","74","Inj., cerliponase alfa 1 mg","G","2","9540","0","0","0","0","0","0","0","0"
"09014","75","75","Inj., cerliponase alfa 1 mg","G","2","9362","0","0","0","0","0","0","0","0"
"09014","76","76","Inj., cerliponase alfa 1 mg","G","2","9375","0","0","0","0","0","0","0","0"
"09014","77","77","Inj., cerliponase alfa 1 mg","G","2","9350","0","0","0","0","0","0","0","0"
"09014","78","78","Inj., cerliponase alfa 1 mg","G","2","9351","0","0","0","0","0","0","0","0"
"09014","79","80","Inj., cerliponase alfa 1 mg","G","2","9349","0","0","0","0","0","0","0","0"
"09014","81","81","Inj., cerliponase alfa 1 mg","G","2","9526","0","0","0","0","0","0","0","0"
"09015","70","71","C-1 esterase, haegarda","G","2","996","0","0","0","0","0","0","0","0"
"09015","72","73","C-1 esterase, haegarda","G","2","967","0","0","0","0","0","0","0","0"
"09015","74","81","Inj., haegarda 10 units","G","2","967","0","0","0","0","0","0","0","0"
"09015","82","82","Inj., haegarda 10 units","K","2","992","0","0","0","0","0","0","0","0"
"09015","83","84","Inj., haegarda 10 units","K","2","995","0","0","0","0","0","0","0","0"
"09015","85","85","Inj., haegarda 10 units","K","2","1025","0","0","0","0","0","0","0","0"
"09016","70","73","Inj, triptorelin ext rel","G","2","282667","0","0","0","0","0","0","0","0"
"09016","74","74","Inj., triptorelin xr 3.75 mg","G","2","282667","0","0","0","0","0","0","0","0"
"09016","75","75","Inj., triptorelin xr 3.75 mg","G","2","287519","0","0","0","0","0","0","0","0"
"09016","76","76","Inj., triptorelin xr 3.75 mg","G","2","289697","0","0","0","0","0","0","0","0"
"09016","77","77","Inj., triptorelin xr 3.75 mg","G","2","289708","0","0","0","0","0","0","0","0"
"09016","78","79","Inj., triptorelin xr 3.75 mg","G","2","289733","0","0","0","0","0","0","0","0"
"09016","80","80","Inj., triptorelin xr 3.75 mg","G","2","296791","0","0","0","0","0","0","0","0"
"09016","81","81","Inj., triptorelin xr 3.75 mg","G","2","296977","0","0","0","0","0","0","0","0"
"09016","82","85","Inj., triptorelin xr 3.75 mg","K","2","304401","0","0","0","0","0","0","0","0"
"09016","86","86","Inj., triptorelin xr 3.75 mg","K","2","312011","0","0","0","0","0","0","0","0"
"09016","87","87","Inj., triptorelin xr 3.75 mg","K","2","306725","0","0","0","0","0","0","0","0"
"09018","60","60","Inj, rimabotulinumtoxinB","K","1","1129","0","0","0","0","0","0","0","0"
"09018","61","61","Inj, rimabotulinumtoxinB","K","1","1163","0","0","0","0","0","0","0","0"
"09018","62","62","Inj, rimabotulinumtoxinB","K","2","1165","0","0","0","0","0","0","0","0"
"09018","63","63","Inj, rimabotulinumtoxinB","K","2","1161","0","0","0","0","0","0","0","0"
"09018","64","64","Inj, rimabotulinumtoxinB","K","2","1167","0","0","0","0","0","0","0","0"
"09018","65","65","Inj, rimabotulinumtoxinB","K","2","1162","0","0","0","0","0","0","0","0"
"09018","66","66","Inj, rimabotulinumtoxinB","K","2","1171","0","0","0","0","0","0","0","0"
"09018","67","67","Inj, rimabotulinumtoxinB","K","2","1169","0","0","0","0","0","0","0","0"
"09018","68","68","Inj, rimabotulinumtoxinB","K","2","1175","0","0","0","0","0","0","0","0"
"09018","69","69","Inj, rimabotulinumtoxinB","K","2","1069","0","0","0","0","0","0","0","0"
"09018","70","70","Inj, rimabotulinumtoxinB","K","2","1198","0","0","0","0","0","0","0","0"
"09018","71","72","Inj, rimabotulinumtoxinB","K","2","1199","0","0","0","0","0","0","0","0"
"09018","73","73","Inj, rimabotulinumtoxinB","K","2","1202","0","0","0","0","0","0","0","0"
"09018","74","74","Inj, rimabotulinumtoxinB","K","2","1203","0","0","0","0","0","0","0","0"
"09018","75","75","Inj, rimabotulinumtoxinB","K","2","1200","0","0","0","0","0","0","0","0"
"09018","76","76","Inj, rimabotulinumtoxinB","K","2","1197","0","0","0","0","0","0","0","0"
"09018","77","77","Inj, rimabotulinumtoxinB","K","2","1202","0","0","0","0","0","0","0","0"
"09018","78","80","Inj, rimabotulinumtoxinB","K","2","1199","0","0","0","0","0","0","0","0"
"09018","81","81","Inj, rimabotulinumtoxinB","K","2","1197","0","0","0","0","0","0","0","0"
"09018","82","82","Inj, rimabotulinumtoxinB","K","2","1193","0","0","0","0","0","0","0","0"
"09018","83","84","Inj, rimabotulinumtoxinB","K","2","1197","0","0","0","0","0","0","0","0"
"09018","85","85","Inj, rimabotulinumtoxinB","K","2","1157","0","0","0","0","0","0","0","0"
"09018","86","86","Inj, rimabotulinumtoxinB","K","2","1205","0","0","0","0","0","0","0","0"
"09018","87","87","Inj, rimabotulinumtoxinB","K","2","1212","0","0","0","0","0","0","0","0"
"09019","60","60","Caspofungin acetate","K","1","1184","0","0","0","0","0","0","0","0"
"09019","61","61","Caspofungin acetate","K","1","1254","0","0","0","0","0","0","0","0"
"09019","62","62","Caspofungin acetate","K","2","1275","0","0","0","0","0","0","0","0"
"09019","63","63","Caspofungin acetate","K","2","1294","0","0","0","0","0","0","0","0"
"09019","64","64","Caspofungin acetate","K","2","1326","0","0","0","0","0","0","0","0"
"09019","65","65","Caspofungin acetate","K","2","1191","0","0","0","0","0","0","0","0"
"09019","66","66","Caspofungin acetate","K","2","1221","0","0","0","0","0","0","0","0"
"09019","67","67","Caspofungin acetate","K","2","1165","0","0","0","0","0","0","0","0"
"09019","68","68","Caspofungin acetate","K","2","1056","0","0","0","0","0","0","0","0"
"09019","69","69","Caspofungin acetate","K","2","1198","0","0","0","0","0","0","0","0"
"09019","70","70","Caspofungin acetate","K","2","1246","0","0","0","0","0","0","0","0"
"09019","71","71","Caspofungin acetate","K","2","1813","0","0","0","0","0","0","0","0"
"09019","72","72","Caspofungin acetate","K","2","1551","0","0","0","0","0","0","0","0"
"09019","73","73","Caspofungin acetate","K","2","1360","0","0","0","0","0","0","0","0"
"09019","74","74","Caspofungin acetate","K","2","1264","0","0","0","0","0","0","0","0"
"09019","75","75","Caspofungin acetate","K","2","1002","0","0","0","0","0","0","0","0"
"09019","76","76","Caspofungin acetate","K","2","1044","0","0","0","0","0","0","0","0"
"09019","77","77","Caspofungin acetate","K","2","981","0","0","0","0","0","0","0","0"
"09024","60","60","Amphotericin b lipid complex","K","1","1165","0","0","0","0","0","0","0","0"
"09024","61","61","Amphotericin b lipid complex","K","1","1202","0","0","0","0","0","0","0","0"
"09024","62","62","Amphotericin b lipid complex","K","2","1238","0","0","0","0","0","0","0","0"
"09024","63","63","Amphotericin b lipid complex","K","2","1303","0","0","0","0","0","0","0","0"
"09024","64","64","Amphotericin b lipid complex","K","2","1375","0","0","0","0","0","0","0","0"
"09024","65","65","Amphotericin b lipid complex","K","2","1313","0","0","0","0","0","0","0","0"
"09024","66","66","Amphotericin b lipid complex","K","2","1341","0","0","0","0","0","0","0","0"
"09024","67","67","Amphotericin b lipid complex","K","2","1450","0","0","0","0","0","0","0","0"
"09024","68","68","Amphotericin b lipid complex","K","2","1318","0","0","0","0","0","0","0","0"
"09024","69","69","Amphotericin b lipid complex","K","2","1308","0","0","0","0","0","0","0","0"
"09024","70","70","Amphotericin b lipid complex","K","2","1386","0","0","0","0","0","0","0","0"
"09024","71","71","Amphotericin b lipid complex","K","2","1492","0","0","0","0","0","0","0","0"
"09024","72","72","Amphotericin b lipid complex","K","2","1735","0","0","0","0","0","0","0","0"
"09024","73","73","Amphotericin b lipid complex","K","2","1934","0","0","0","0","0","0","0","0"
"09024","74","74","Amphotericin b lipid complex","K","2","1772","0","0","0","0","0","0","0","0"
"09024","75","75","Amphotericin b lipid complex","K","2","807","0","0","0","0","0","0","0","0"
"09024","76","76","Amphotericin b lipid complex","K","2","616","0","0","0","0","0","0","0","0"
"09024","77","77","Amphotericin b lipid complex","K","2","712","0","0","0","0","0","0","0","0"
"09024","78","78","Amphotericin b lipid complex","K","2","618","0","0","0","0","0","0","0","0"
"09024","79","79","Amphotericin b lipid complex","K","2","906","0","0","0","0","0","0","0","0"
"09024","80","80","Amphotericin b lipid complex","K","2","920","0","0","0","0","0","0","0","0"
"09024","81","81","Amphotericin b lipid complex","K","2","931","0","0","0","0","0","0","0","0"
"09024","82","82","Amphotericin b lipid complex","K","2","936","0","0","0","0","0","0","0","0"
"09024","83","84","Amphotericin b lipid complex","K","2","937","0","0","0","0","0","0","0","0"
"09024","85","85","Amphotericin b lipid complex","K","2","942","0","0","0","0","0","0","0","0"
"09024","86","86","Amphotericin b lipid complex","K","2","950","0","0","0","0","0","0","0","0"
"09024","87","87","Amphotericin b lipid complex","K","2","960","0","0","0","0","0","0","0","0"
"09028","70","73","Inj. inotuzumab ozogamicin","G","2","220244","0","0","0","0","0","0","0","0"
"09028","74","74","Inj inotuzumab ozogam 0.1 mg","G","2","220244","0","0","0","0","0","0","0","0"
"09028","75","75","Inj inotuzumab ozogam 0.1 mg","G","2","220827","0","0","0","0","0","0","0","0"
"09028","76","76","Inj inotuzumab ozogam 0.1 mg","G","2","219914","0","0","0","0","0","0","0","0"
"09028","77","77","Inj inotuzumab ozogam 0.1 mg","G","2","225050","0","0","0","0","0","0","0","0"
"09028","78","78","Inj inotuzumab ozogam 0.1 mg","G","2","227031","0","0","0","0","0","0","0","0"
"09028","79","79","Inj inotuzumab ozogam 0.1 mg","G","2","227376","0","0","0","0","0","0","0","0"
"09028","80","80","Inj inotuzumab ozogam 0.1 mg","G","2","227357","0","0","0","0","0","0","0","0"
"09028","81","81","Inj inotuzumab ozogam 0.1 mg","G","2","233787","0","0","0","0","0","0","0","0"
"09028","82","82","Inj inotuzumab ozogam 0.1 mg","K","2","234150","0","0","0","0","0","0","0","0"
"09028","83","83","Inj inotuzumab ozogam 0.1 mg","K","2","234130","0","0","0","0","0","0","0","0"
"09028","84","84","Inj inotuzumab ozogam 0.1 mg","K","2","234109","0","0","0","0","0","0","0","0"
"09028","85","86","Inj inotuzumab ozogam 0.1 mg","K","2","237162","0","0","0","0","0","0","0","0"
"09028","87","87","Inj inotuzumab ozogam 0.1 mg","K","2","240720","0","0","0","0","0","0","0","0"
"09029","70","71","Injection, guselkumab","G","2","10265","0","0","0","0","0","0","0","0"
"09029","72","72","Injection, guselkumab","G","2","9966","0","0","0","0","0","0","0","0"
"09029","73","73","Injection, guselkumab","G","2","10313","0","0","0","0","0","0","0","0"
"09029","74","74","Inj., guselkumab, 1 mg","G","2","10187","0","0","0","0","0","0","0","0"
"09029","75","75","Inj., guselkumab, 1 mg","G","2","9792","0","0","0","0","0","0","0","0"
"09029","76","76","Inj., guselkumab, 1 mg","G","2","9532","0","0","0","0","0","0","0","0"
"09029","77","77","Inj., guselkumab, 1 mg","G","2","9930","0","0","0","0","0","0","0","0"
"09029","78","78","Inj., guselkumab, 1 mg","G","2","10021","0","0","0","0","0","0","0","0"
"09029","79","79","Inj., guselkumab, 1 mg","G","2","9941","0","0","0","0","0","0","0","0"
"09029","80","80","Inj., guselkumab, 1 mg","G","2","9376","0","0","0","0","0","0","0","0"
"09029","81","81","Inj., guselkumab, 1 mg","G","2","9785","0","0","0","0","0","0","0","0"
"09029","82","82","Inj., guselkumab, 1 mg","K","2","9312","0","0","0","0","0","0","0","0"
"09029","83","83","Inj., guselkumab, 1 mg","K","2","8840","0","0","0","0","0","0","0","0"
"09029","84","84","Inj., guselkumab, 1 mg","K","2","8421","0","0","0","0","0","0","0","0"
"09029","85","85","Inj., guselkumab, 1 mg","K","2","8247","0","0","0","0","0","0","0","0"
"09029","86","86","Inj., guselkumab, 1 mg","K","2","8256","0","0","0","0","0","0","0","0"
"09029","87","87","Inj., guselkumab, 1 mg","K","2","7948","0","0","0","0","0","0","0","0"
"09030","72","72","Inj copanlisib","G","2","0","0","0","0","0","0","0","0","0"
"09030","73","73","Inj copanlisib","G","2","7158","0","0","0","0","0","0","0","0"
"09030","74","74","Inj., copanlisib, 1 mg","G","2","7790","0","0","0","0","0","0","0","0"
"09030","75","75","Inj., copanlisib, 1 mg","G","2","7746","0","0","0","0","0","0","0","0"
"09030","76","76","Inj., copanlisib, 1 mg","G","2","7770","0","0","0","0","0","0","0","0"
"09030","77","77","Inj., copanlisib, 1 mg","G","2","7790","0","0","0","0","0","0","0","0"
"09030","78","78","Inj., copanlisib, 1 mg","G","2","7942","0","0","0","0","0","0","0","0"
"09030","79","79","Inj., copanlisib, 1 mg","G","2","7937","0","0","0","0","0","0","0","0"
"09030","80","80","Inj., copanlisib, 1 mg","G","2","7922","0","0","0","0","0","0","0","0"
"09030","81","81","Inj., copanlisib, 1 mg","G","2","7901","0","0","0","0","0","0","0","0"
"09030","82","82","Inj., copanlisib, 1 mg","G","2","7899","0","0","0","0","0","0","0","0"
"09030","83","83","Inj., copanlisib, 1 mg","G","2","7909","0","0","0","0","0","0","0","0"
"09030","84","84","Inj., copanlisib, 1 mg","K","2","7926","0","0","0","0","0","0","0","0"
"09030","85","85","Inj., copanlisib, 1 mg","K","2","8090","0","0","0","0","0","0","0","0"
"09030","86","86","Inj., copanlisib, 1 mg","K","2","8096","0","0","0","0","0","0","0","0"
"09030","87","87","Inj., copanlisib, 1 mg","K","2","8104","0","0","0","0","0","0","0","0"
"09031","70","72","Inj, etelcalcetide, 0.1 mg","K","2","347","0","0","0","0","0","0","0","0"
"09031","73","73","Inj, etelcalcetide, 0.1 mg","K","2","317","0","0","0","0","0","0","0","0"
"09031","74","74","Inj, etelcalcetide, 0.1 mg","K","2","298","0","0","0","0","0","0","0","0"
"09031","75","75","Inj, etelcalcetide, 0.1 mg","K","2","288","0","0","0","0","0","0","0","0"
"09031","76","76","Inj, etelcalcetide, 0.1 mg","K","2","283","0","0","0","0","0","0","0","0"
"09031","77","77","Inj, etelcalcetide, 0.1 mg","K","2","268","0","0","0","0","0","0","0","0"
"09031","78","78","Inj, etelcalcetide, 0.1 mg","K","2","260","0","0","0","0","0","0","0","0"
"09031","79","79","Inj, etelcalcetide, 0.1 mg","K","2","245","0","0","0","0","0","0","0","0"
"09031","80","80","Inj, etelcalcetide, 0.1 mg","K","2","233","0","0","0","0","0","0","0","0"
"09031","81","81","Inj, etelcalcetide, 0.1 mg","K","2","224","0","0","0","0","0","0","0","0"
"09032","60","60","Baclofen 10 MG injection","K","1","16981","0","0","0","0","0","0","0","0"
"09032","61","61","Baclofen 10 MG injection","K","1","16408","0","0","0","0","0","0","0","0"
"09032","62","62","Baclofen 10 MG injection","K","2","17003","0","0","0","0","0","0","0","0"
"09032","63","63","Baclofen 10 MG injection","K","2","16596","0","0","0","0","0","0","0","0"
"09032","64","64","Baclofen 10 MG injection","K","2","18276","0","0","0","0","0","0","0","0"
"09032","65","65","Baclofen 10 MG injection","K","2","17803","0","0","0","0","0","0","0","0"
"09032","66","66","Baclofen 10 MG injection","K","2","17343","0","0","0","0","0","0","0","0"
"09032","67","67","Baclofen 10 MG injection","K","2","16724","0","0","0","0","0","0","0","0"
"09032","68","68","Baclofen 10 MG injection","K","2","16869","0","0","0","0","0","0","0","0"
"09032","69","69","Baclofen 10 MG injection","K","2","16801","0","0","0","0","0","0","0","0"
"09032","70","70","Baclofen 10 MG injection","K","2","16462","0","0","0","0","0","0","0","0"
"09032","71","71","Baclofen 10 MG injection","K","2","17786","0","0","0","0","0","0","0","0"
"09032","72","72","Baclofen 10 MG injection","K","2","17838","0","0","0","0","0","0","0","0"
"09032","73","73","Baclofen 10 MG injection","K","2","17331","0","0","0","0","0","0","0","0"
"09032","74","74","Baclofen 10 MG injection","K","2","17602","0","0","0","0","0","0","0","0"
"09032","75","75","Baclofen 10 MG injection","K","2","16975","0","0","0","0","0","0","0","0"
"09032","76","76","Baclofen 10 MG injection","K","2","17419","0","0","0","0","0","0","0","0"
"09032","77","77","Baclofen 10 MG injection","K","2","17339","0","0","0","0","0","0","0","0"
"09032","78","78","Baclofen 10 MG injection","K","2","16951","0","0","0","0","0","0","0","0"
"09032","79","79","Baclofen 10 MG injection","K","2","17360","0","0","0","0","0","0","0","0"
"09032","80","80","Baclofen 10 MG injection","K","2","17765","0","0","0","0","0","0","0","0"
"09032","81","81","Baclofen 10 MG injection","K","2","17516","0","0","0","0","0","0","0","0"
"09032","82","82","Baclofen 10 MG injection","K","2","17159","0","0","0","0","0","0","0","0"
"09032","83","83","Baclofen 10 MG injection","K","2","17278","0","0","0","0","0","0","0","0"
"09032","84","84","Baclofen 10 MG injection","K","2","17901","0","0","0","0","0","0","0","0"
"09032","85","85","Baclofen 10 MG injection","K","2","17942","0","0","0","0","0","0","0","0"
"09032","86","86","Baclofen 10 MG injection","K","2","17743","0","0","0","0","0","0","0","0"
"09032","87","87","Baclofen 10 MG injection","K","2","18157","0","0","0","0","0","0","0","0"
"09033","60","60","Cidofovir injection","K","1","55301","0","0","0","0","0","0","0","0"
"09033","61","61","Cidofovir injection","K","1","54676","0","0","0","0","0","0","0","0"
"09033","62","62","Cidofovir injection","K","2","65018","0","0","0","0","0","0","0","0"
"09033","63","63","Cidofovir injection","K","2","56686","0","0","0","0","0","0","0","0"
"09033","64","64","Cidofovir injection","K","2","59416","0","0","0","0","0","0","0","0"
"09033","65","65","Cidofovir injection","K","2","58575","0","0","0","0","0","0","0","0"
"09033","66","66","Cidofovir injection","K","2","55448","0","0","0","0","0","0","0","0"
"09033","67","67","Cidofovir injection","K","2","50941","0","0","0","0","0","0","0","0"
"09033","68","68","Cidofovir injection","K","2","52212","0","0","0","0","0","0","0","0"
"09033","69","69","Cidofovir injection","K","2","48840","0","0","0","0","0","0","0","0"
"09033","70","70","Cidofovir injection","K","2","47755","0","0","0","0","0","0","0","0"
"09033","71","71","Cidofovir injection","K","2","46588","0","0","0","0","0","0","0","0"
"09033","72","72","Cidofovir injection","K","2","49346","0","0","0","0","0","0","0","0"
"09033","73","73","Cidofovir injection","K","2","46661","0","0","0","0","0","0","0","0"
"09033","74","74","Cidofovir injection","K","2","47807","0","0","0","0","0","0","0","0"
"09033","75","75","Cidofovir injection","K","2","52274","0","0","0","0","0","0","0","0"
"09033","76","76","Cidofovir injection","K","2","57991","0","0","0","0","0","0","0","0"
"09033","77","77","Cidofovir injection","K","2","64329","0","0","0","0","0","0","0","0"
"09033","78","78","Cidofovir injection","K","2","62327","0","0","0","0","0","0","0","0"
"09033","79","79","Cidofovir injection","K","2","63340","0","0","0","0","0","0","0","0"
"09033","80","80","Cidofovir injection","K","2","61107","0","0","0","0","0","0","0","0"
"09033","81","81","Cidofovir injection","K","2","58885","0","0","0","0","0","0","0","0"
"09033","82","82","Cidofovir injection","K","2","66625","0","0","0","0","0","0","0","0"
"09033","83","83","Cidofovir injection","K","2","59029","0","0","0","0","0","0","0","0"
"09033","84","84","Cidofovir injection","K","2","62328","0","0","0","0","0","0","0","0"
"09033","85","85","Cidofovir injection","K","2","58978","0","0","0","0","0","0","0","0"
"09033","86","86","Cidofovir injection","K","2","56376","0","0","0","0","0","0","0","0"
"09033","87","87","Cidofovir injection","K","2","56792","0","0","0","0","0","0","0","0"
"09034","70","70","Inj cuvitru, 100 mg","K","2","1318","0","0","0","0","0","0","0","0"
"09034","71","71","Inj cuvitru, 100 mg","K","2","1379","0","0","0","0","0","0","0","0"
"09034","72","72","Inj cuvitru, 100 mg","K","2","1353","0","0","0","0","0","0","0","0"
"09034","73","74","Inj cuvitru, 100 mg","K","2","1340","0","0","0","0","0","0","0","0"
"09034","75","75","Inj cuvitru, 100 mg","K","2","1361","0","0","0","0","0","0","0","0"
"09034","76","76","Inj cuvitru, 100 mg","K","2","1317","0","0","0","0","0","0","0","0"
"09034","77","77","Inj cuvitru, 100 mg","K","2","1386","0","0","0","0","0","0","0","0"
"09034","78","78","Inj cuvitru, 100 mg","K","2","1379","0","0","0","0","0","0","0","0"
"09034","79","79","Inj cuvitru, 100 mg","K","2","1401","0","0","0","0","0","0","0","0"
"09034","80","80","Inj cuvitru, 100 mg","K","2","1389","0","0","0","0","0","0","0","0"
"09034","81","81","Inj cuvitru, 100 mg","K","2","1392","0","0","0","0","0","0","0","0"
"09034","82","82","Inj cuvitru, 100 mg","K","2","1402","0","0","0","0","0","0","0","0"
"09034","83","83","Inj cuvitru, 100 mg","K","2","1394","0","0","0","0","0","0","0","0"
"09034","84","84","Inj cuvitru, 100 mg","K","2","1401","0","0","0","0","0","0","0","0"
"09034","85","85","Inj cuvitru, 100 mg","K","2","1421","0","0","0","0","0","0","0","0"
"09034","86","86","Inj cuvitru, 100 mg","K","2","1450","0","0","0","0","0","0","0","0"
"09034","87","87","Inj cuvitru, 100 mg","K","2","1475","0","0","0","0","0","0","0","0"
"09035","71","71","Axicabtagene ciloleucel car+","G","2","0","0","0","0","0","0","0","0","0"
"09035","72","82","Axicabtagene ciloleucel car+","G","2","39538000","0","0","0","0","0","0","0","0"
"09035","83","86","Axicabtagene ciloleucel car+","K","2","39538000","0","0","0","0","0","0","0","0"
"09035","87","87","Axicabtagene ciloleucel car+","K","2","41191600","0","0","0","0","0","0","0","0"
"09036","71","71","Injection, renflexis","G","2","0","0","0","0","0","0","0","0","0"
"09036","72","72","Injection, renflexis","G","2","7038","0","0","0","0","0","0","0","0"
"09036","73","73","Injection, renflexis","G","2","6922","0","0","0","0","0","0","0","0"
"09036","74","74","Injection, renflexis","G","2","6438","0","0","0","0","0","0","0","0"
"09036","75","75","Injection, renflexis","G","2","6190","0","0","0","0","0","0","0","0"
"09036","76","76","Injection, renflexis","G","2","5927","0","0","0","0","0","0","0","0"
"09036","77","77","Injection, renflexis","G","2","5465","0","0","0","0","0","0","0","0"
"09036","78","78","Injection, renflexis","G","2","5340","0","0","0","0","0","0","0","0"
"09036","79","79","Injection, renflexis","G","2","5175","0","0","0","0","0","0","0","0"
"09036","80","80","Injection, renflexis","G","2","4985","0","0","0","0","0","0","0","0"
"09036","81","81","Injection, renflexis","G","2","4864","0","0","0","0","0","0","0","0"
"09036","82","82","Injection, renflexis","G","2","4455","0","0","0","0","0","0","0","0"
"09036","83","83","Injection, renflexis","K","2","4209","0","0","0","0","0","0","0","0"
"09036","84","84","Injection, renflexis","K","2","4088","0","0","0","0","0","0","0","0"
"09036","85","85","Injection, renflexis","K","2","3956","0","0","0","0","0","0","0","0"
"09036","86","86","Injection, renflexis","K","2","3879","0","0","0","0","0","0","0","0"
"09036","87","87","Injection, renflexis","K","2","3958","0","0","0","0","0","0","0","0"
"09038","60","60","Inj estrogen conjugate","K","1","19066","0","0","0","0","0","0","0","0"
"09038","61","61","Inj estrogen conjugate","K","1","20739","0","0","0","0","0","0","0","0"
"09038","62","62","Inj estrogen conjugate","K","2","21570","0","0","0","0","0","0","0","0"
"09038","63","64","Inj estrogen conjugate","K","2","22837","0","0","0","0","0","0","0","0"
"09038","65","65","Inj estrogen conjugate","K","2","24885","0","0","0","0","0","0","0","0"
"09038","66","66","Inj estrogen conjugate","K","2","26140","0","0","0","0","0","0","0","0"
"09038","67","67","Inj estrogen conjugate","K","2","27853","0","0","0","0","0","0","0","0"
"09038","68","68","Inj estrogen conjugate","K","2","27839","0","0","0","0","0","0","0","0"
"09038","69","69","Inj estrogen conjugate","K","2","30316","0","0","0","0","0","0","0","0"
"09038","70","70","Inj estrogen conjugate","K","2","30461","0","0","0","0","0","0","0","0"
"09038","71","71","Inj estrogen conjugate","K","2","30171","0","0","0","0","0","0","0","0"
"09038","72","72","Inj estrogen conjugate","K","2","30160","0","0","0","0","0","0","0","0"
"09038","73","73","Inj estrogen conjugate","K","2","31039","0","0","0","0","0","0","0","0"
"09038","74","74","Inj estrogen conjugate","K","2","30863","0","0","0","0","0","0","0","0"
"09038","75","75","Inj estrogen conjugate","K","2","30891","0","0","0","0","0","0","0","0"
"09038","76","76","Inj estrogen conjugate","K","2","30921","0","0","0","0","0","0","0","0"
"09038","77","77","Inj estrogen conjugate","K","2","30933","0","0","0","0","0","0","0","0"
"09038","78","78","Inj estrogen conjugate","K","2","30893","0","0","0","0","0","0","0","0"
"09038","79","79","Inj estrogen conjugate","K","2","30870","0","0","0","0","0","0","0","0"
"09038","80","80","Inj estrogen conjugate","K","2","30838","0","0","0","0","0","0","0","0"
"09038","81","81","Inj estrogen conjugate","K","2","32255","0","0","0","0","0","0","0","0"
"09038","82","82","Inj estrogen conjugate","K","2","32562","0","0","0","0","0","0","0","0"
"09038","83","83","Inj estrogen conjugate","K","2","32551","0","0","0","0","0","0","0","0"
"09038","84","84","Inj estrogen conjugate","K","2","32546","0","0","0","0","0","0","0","0"
"09038","85","85","Inj estrogen conjugate","K","2","34177","0","0","0","0","0","0","0","0"
"09038","86","86","Inj estrogen conjugate","K","2","34146","0","0","0","0","0","0","0","0"
"09038","87","87","Inj estrogen conjugate","K","2","34150","0","0","0","0","0","0","0","0"
"09042","60","60","Glucagon hydrochloride","K","1","15678","0","0","0","0","0","0","0","0"
"09042","61","61","Glucagon hydrochloride","K","1","17607","0","0","0","0","0","0","0","0"
"09042","62","62","Glucagon hydrochloride","K","2","19060","0","0","0","0","0","0","0","0"
"09042","63","63","Glucagon hydrochloride","K","2","19795","0","0","0","0","0","0","0","0"
"09042","64","64","Glucagon hydrochloride","K","2","19657","0","0","0","0","0","0","0","0"
"09042","65","65","Glucagon hydrochloride","K","2","20033","0","0","0","0","0","0","0","0"
"09042","66","66","Glucagon hydrochloride","K","2","19912","0","0","0","0","0","0","0","0"
"09042","67","67","Glucagon hydrochloride","K","2","21587","0","0","0","0","0","0","0","0"
"09042","68","68","Glucagon hydrochloride","K","2","20082","0","0","0","0","0","0","0","0"
"09042","69","69","Glucagon hydrochloride","K","2","19443","0","0","0","0","0","0","0","0"
"09042","70","70","Glucagon hydrochloride","K","2","20555","0","0","0","0","0","0","0","0"
"09042","71","71","Glucagon hydrochloride","K","2","21914","0","0","0","0","0","0","0","0"
"09042","72","72","Glucagon hydrochloride","K","2","21173","0","0","0","0","0","0","0","0"
"09042","73","73","Glucagon hydrochloride","K","2","19732","0","0","0","0","0","0","0","0"
"09042","74","74","Glucagon hydrochloride","K","2","21439","0","0","0","0","0","0","0","0"
"09042","75","75","Glucagon hydrochloride","K","2","21992","0","0","0","0","0","0","0","0"
"09042","76","76","Glucagon hydrochloride","K","2","20713","0","0","0","0","0","0","0","0"
"09042","77","77","Glucagon hydrochloride","K","2","20026","0","0","0","0","0","0","0","0"
"09042","78","78","Glucagon hydrochloride","K","2","19927","0","0","0","0","0","0","0","0"
"09042","79","79","Glucagon hydrochloride","K","2","21756","0","0","0","0","0","0","0","0"
"09042","80","80","Glucagon hydrochloride","K","2","19988","0","0","0","0","0","0","0","0"
"09042","81","81","Glucagon hydrochloride","K","2","19913","0","0","0","0","0","0","0","0"
"09042","82","82","Glucagon hydrochloride","K","2","21179","0","0","0","0","0","0","0","0"
"09042","83","83","Glucagon hydrochloride","K","2","19442","0","0","0","0","0","0","0","0"
"09042","84","84","Glucagon hydrochloride","K","2","20380","0","0","0","0","0","0","0","0"
"09042","85","85","Glucagon hydrochloride","K","2","17745","0","0","0","0","0","0","0","0"
"09042","86","86","Glucagon hydrochloride","K","2","17174","0","0","0","0","0","0","0","0"
"09042","87","87","Glucagon hydrochloride","K","2","16677","0","0","0","0","0","0","0","0"
"09043","66","66","Afstyla Factor VIII recomb","G","2","195","0","0","0","0","0","0","0","0"
"09043","67","67","Afstyla Factor VIII recomb","G","2","143","0","0","0","0","0","0","0","0"
"09043","68","69","Afstyla Factor VIII recomb","G","2","142","0","0","0","0","0","0","0","0"
"09043","70","70","Inj, afstyla, 1 i.u.","G","2","141","0","0","0","0","0","0","0","0"
"09043","71","71","Inj, afstyla, 1 i.u.","G","2","142","0","0","0","0","0","0","0","0"
"09043","72","72","Inj, afstyla, 1 i.u.","G","2","140","0","0","0","0","0","0","0","0"
"09043","73","73","Inj, afstyla, 1 i.u.","G","2","139","0","0","0","0","0","0","0","0"
"09043","74","77","Inj, afstyla, 1 i.u.","G","2","136","0","0","0","0","0","0","0","0"
"09043","78","80","Inj, afstyla, 1 i.u.","K","2","136","0","0","0","0","0","0","0","0"
"09043","81","81","Inj, afstyla, 1 i.u.","K","2","135","0","0","0","0","0","0","0","0"
"09043","82","82","Inj, afstyla, 1 i.u.","K","2","134","0","0","0","0","0","0","0","0"
"09043","83","83","Inj, afstyla, 1 i.u.","K","2","135","0","0","0","0","0","0","0","0"
"09043","84","85","Inj, afstyla, 1 i.u.","K","2","137","0","0","0","0","0","0","0","0"
"09043","86","86","Inj, afstyla, 1 i.u.","K","2","136","0","0","0","0","0","0","0","0"
"09043","87","87","Inj, afstyla, 1 i.u.","K","2","135","0","0","0","0","0","0","0","0"
"09044","60","60","Ibutilide fumarate injection","K","1","11469","0","0","0","0","0","0","0","0"
"09044","61","61","Ibutilide fumarate injection","K","1","13940","0","0","0","0","0","0","0","0"
"09044","62","62","Ibutilide fumarate injection","K","2","6310","0","0","0","0","0","0","0","0"
"09044","63","63","Ibutilide fumarate injection","K","2","9425","0","0","0","0","0","0","0","0"
"09044","64","64","Ibutilide fumarate injection","K","2","10903","0","0","0","0","0","0","0","0"
"09044","65","65","Ibutilide fumarate injection","K","2","26444","0","0","0","0","0","0","0","0"
"09044","66","66","Ibutilide fumarate injection","K","2","18619","0","0","0","0","0","0","0","0"
"09044","67","67","Ibutilide fumarate injection","K","2","18289","0","0","0","0","0","0","0","0"
"09044","68","68","Ibutilide fumarate injection","K","2","19250","0","0","0","0","0","0","0","0"
"09044","69","69","Ibutilide fumarate injection","K","2","6575","0","0","0","0","0","0","0","0"
"09044","70","70","Ibutilide fumarate injection","K","2","16914","0","0","0","0","0","0","0","0"
"09044","71","71","Ibutilide fumarate injection","K","2","20005","0","0","0","0","0","0","0","0"
"09044","72","72","Ibutilide fumarate injection","K","2","32130","0","0","0","0","0","0","0","0"
"09044","73","73","Ibutilide fumarate injection","K","2","29865","0","0","0","0","0","0","0","0"
"09044","74","74","Ibutilide fumarate injection","K","2","24076","0","0","0","0","0","0","0","0"
"09044","75","75","Ibutilide fumarate injection","K","2","23548","0","0","0","0","0","0","0","0"
"09044","76","76","Ibutilide fumarate injection","K","2","13154","0","0","0","0","0","0","0","0"
"09044","77","77","Ibutilide fumarate injection","K","2","15286","0","0","0","0","0","0","0","0"
"09044","78","78","Ibutilide fumarate injection","K","2","27877","0","0","0","0","0","0","0","0"
"09044","79","79","Ibutilide fumarate injection","K","2","25822","0","0","0","0","0","0","0","0"
"09044","80","80","Ibutilide fumarate injection","K","2","24201","0","0","0","0","0","0","0","0"
"09044","81","81","Ibutilide fumarate injection","K","2","23799","0","0","0","0","0","0","0","0"
"09044","82","82","Ibutilide fumarate injection","K","2","31620","0","0","0","0","0","0","0","0"
"09044","83","83","Ibutilide fumarate injection","K","2","27316","0","0","0","0","0","0","0","0"
"09044","84","84","Ibutilide fumarate injection","K","2","26241","0","0","0","0","0","0","0","0"
"09044","85","85","Ibutilide fumarate injection","K","2","22610","0","0","0","0","0","0","0","0"
"09044","86","86","Ibutilide fumarate injection","K","2","20506","0","0","0","0","0","0","0","0"
"09044","87","87","Ibutilide fumarate injection","K","2","31620","0","0","0","0","0","0","0","0"
"09052","66","75","Fluciciovine F-18","G","2","38955","0","0","0","0","0","0","0","0"
"09052","76","77","Fluciciovine F-18","G","2","42453","0","0","0","0","0","0","0","0"
"09056","66","75","Gallium Ga-68","G","2","6674","0","0","0","0","0","0","0","0"
"09056","76","77","Gallium Ga-68","G","2","6870","0","0","0","0","0","0","0","0"
"09058","66","66","Buprenorphine implant 74.2mg","G","2","131175","0","0","0","0","0","0","0","0"
"09058","67","67","Buprenorphine implant 74.2mg","G","2","128052","0","0","0","0","0","0","0","0"
"09058","68","68","Buprenorphine implant 74.2mg","G","2","126059","0","0","0","0","0","0","0","0"
"09058","69","69","Buprenorphine implant 74.2mg","G","2","127404","0","0","0","0","0","0","0","0"
"09058","70","70","Buprenorphine implant 74.2mg","G","2","126131","0","0","0","0","0","0","0","0"
"09058","71","71","Buprenorphine implant 74.2mg","G","2","125711","0","0","0","0","0","0","0","0"
"09058","72","72","Buprenorphine implant 74.2mg","G","2","122998","0","0","0","0","0","0","0","0"
"09058","73","73","Buprenorphine implant 74.2mg","G","2","125092","0","0","0","0","0","0","0","0"
"09058","74","74","Buprenorphine implant 74.2mg","G","2","126023","0","0","0","0","0","0","0","0"
"09058","75","75","Buprenorphine implant 74.2mg","G","2","126991","0","0","0","0","0","0","0","0"
"09058","76","76","Buprenorphine implant 74.2mg","G","2","126319","0","0","0","0","0","0","0","0"
"09058","77","77","Buprenorphine implant 74.2mg","G","2","126187","0","0","0","0","0","0","0","0"
"09058","78","78","Buprenorphine implant 74.2mg","K","2","130353","0","0","0","0","0","0","0","0"
"09058","79","79","Buprenorphine implant 74.2mg","K","2","121127","0","0","0","0","0","0","0","0"
"09058","80","80","Buprenorphine implant 74.2mg","K","2","123314","0","0","0","0","0","0","0","0"
"09058","81","81","Buprenorphine implant 74.2mg","K","2","127019","0","0","0","0","0","0","0","0"
"09058","82","82","Buprenorphine implant 74.2mg","K","2","120716","0","0","0","0","0","0","0","0"
"09058","83","83","Buprenorphine implant 74.2mg","K","2","120499","0","0","0","0","0","0","0","0"
"09058","84","84","Buprenorphine implant 74.2mg","K","2","128578","0","0","0","0","0","0","0","0"
"09058","85","87","Buprenorphine implant 74.2mg","K","2","131175","0","0","0","0","0","0","0","0"
"09059","66","66","Vonvendi inj 1 iu vwf:rco","G","2","230","0","0","0","0","0","0","0","0"
"09059","67","67","Vonvendi inj 1 iu vwf:rco","G","2","231","0","0","0","0","0","0","0","0"
"09059","68","70","Vonvendi inj 1 iu vwf:rco","G","2","227","0","0","0","0","0","0","0","0"
"09059","71","71","Vonvendi inj 1 iu vwf:rco","G","2","228","0","0","0","0","0","0","0","0"
"09059","72","72","Vonvendi inj 1 iu vwf:rco","G","2","227","0","0","0","0","0","0","0","0"
"09059","73","73","Vonvendi inj 1 iu vwf:rco","G","2","226","0","0","0","0","0","0","0","0"
"09059","74","74","Vonvendi inj 1 iu vwf:rco","G","2","202","0","0","0","0","0","0","0","0"
"09059","75","75","Vonvendi inj 1 iu vwf:rco","G","2","196","0","0","0","0","0","0","0","0"
"09059","76","76","Vonvendi inj 1 iu vwf:rco","G","2","193","0","0","0","0","0","0","0","0"
"09059","77","77","Vonvendi inj 1 iu vwf:rco","G","2","188","0","0","0","0","0","0","0","0"
"09059","78","78","Vonvendi inj 1 iu vwf:rco","K","2","183","0","0","0","0","0","0","0","0"
"09059","79","79","Vonvendi inj 1 iu vwf:rco","K","2","190","0","0","0","0","0","0","0","0"
"09059","80","80","Vonvendi inj 1 iu vwf:rco","K","2","185","0","0","0","0","0","0","0","0"
"09059","81","81","Vonvendi inj 1 iu vwf:rco","K","2","180","0","0","0","0","0","0","0","0"
"09059","82","82","Vonvendi inj 1 iu vwf:rco","K","2","178","0","0","0","0","0","0","0","0"
"09059","83","83","Vonvendi inj 1 iu vwf:rco","K","2","189","0","0","0","0","0","0","0","0"
"09059","84","84","Vonvendi inj 1 iu vwf:rco","K","2","188","0","0","0","0","0","0","0","0"
"09059","85","85","Vonvendi inj 1 iu vwf:rco","K","2","179","0","0","0","0","0","0","0","0"
"09059","86","86","Vonvendi inj 1 iu vwf:rco","K","2","185","0","0","0","0","0","0","0","0"
"09059","87","87","Vonvendi inj 1 iu vwf:rco","K","2","184","0","0","0","0","0","0","0","0"
"09060","66","69","Diazoxide injection","K","2","69003","0","0","0","0","0","0","0","0"
"09061","66","66","Inj milrinone lactate / 5 mg","K","2","1822","0","0","0","0","0","0","0","0"
"09061","67","67","Inj milrinone lactate / 5 mg","K","2","252","0","0","0","0","0","0","0","0"
"09061","68","68","Inj milrinone lactate / 5 mg","K","2","248","0","0","0","0","0","0","0","0"
"09061","69","69","Inj milrinone lactate / 5 mg","K","2","175","0","0","0","0","0","0","0","0"
"09062","66","66","Topotecan injection","K","2","306","0","0","0","0","0","0","0","0"
"09062","67","67","Topotecan injection","K","2","107","0","0","0","0","0","0","0","0"
"09062","68","68","Topotecan injection","K","2","126","0","0","0","0","0","0","0","0"
"09062","69","69","Topotecan injection","K","2","108","0","0","0","0","0","0","0","0"
"09063","82","87","Rh ig minidose im","K","2","15141","0","0","0","0","0","0","0","0"
"09064","70","73","Aripiprazole injection","K","2","76","0","0","0","0","0","0","0","0"
"09065","70","70","Argatroban esrd dialysis 1mg","K","2","129","0","0","0","0","0","0","0","0"
"09065","71","71","Argatroban esrd dialysis 1mg","K","2","150","0","0","0","0","0","0","0","0"
"09065","72","72","Argatroban esrd dialysis 1mg","K","2","124","0","0","0","0","0","0","0","0"
"09065","73","73","Argatroban esrd dialysis 1mg","K","2","131","0","0","0","0","0","0","0","0"
"09065","74","74","Argatroban esrd dialysis 1mg","K","2","123","0","0","0","0","0","0","0","0"
"09065","75","75","Argatroban esrd dialysis 1mg","K","2","102","0","0","0","0","0","0","0","0"
"09065","76","76","Argatroban esrd dialysis 1mg","K","2","92","0","0","0","0","0","0","0","0"
"09065","77","77","Argatroban esrd dialysis 1mg","K","2","132","0","0","0","0","0","0","0","0"
"09065","78","78","Argatroban esrd dialysis 1mg","K","2","119","0","0","0","0","0","0","0","0"
"09065","79","79","Argatroban esrd dialysis 1mg","K","2","122","0","0","0","0","0","0","0","0"
"09065","80","80","Argatroban esrd dialysis 1mg","K","2","141","0","0","0","0","0","0","0","0"
"09065","81","81","Argatroban esrd dialysis 1mg","K","2","134","0","0","0","0","0","0","0","0"
"09065","82","82","Argatroban esrd dialysis 1mg","K","2","131","0","0","0","0","0","0","0","0"
"09065","83","83","Argatroban esrd dialysis 1mg","K","2","145","0","0","0","0","0","0","0","0"
"09065","84","84","Argatroban esrd dialysis 1mg","K","2","140","0","0","0","0","0","0","0","0"
"09065","85","85","Argatroban esrd dialysis 1mg","K","2","131","0","0","0","0","0","0","0","0"
"09065","86","86","Argatroban esrd dialysis 1mg","K","2","120","0","0","0","0","0","0","0","0"
"09065","87","87","Argatroban esrd dialysis 1mg","K","2","124","0","0","0","0","0","0","0","0"
"09066","70","70","Inj dihydroergotamine mesylt","K","2","10562","0","0","0","0","0","0","0","0"
"09066","71","71","Inj dihydroergotamine mesylt","K","2","10477","0","0","0","0","0","0","0","0"
"09066","72","72","Inj dihydroergotamine mesylt","K","2","8335","0","0","0","0","0","0","0","0"
"09066","73","73","Inj dihydroergotamine mesylt","K","2","9219","0","0","0","0","0","0","0","0"
"09067","72","72","Lutetium Lu 177 dotatate, tx","G","2","0","0","0","0","0","0","0","0","0"
"09067","73","73","Lutetium Lu 177 dotatate, tx","G","2","25175","0","0","0","0","0","0","0","0"
"09067","74","76","Lutetium lu 177 dotatat ther","G","2","25175","0","0","0","0","0","0","0","0"
"09067","77","80","Lutetium lu 177 dotatat ther","G","2","25917","0","0","0","0","0","0","0","0"
"09067","81","83","Lutetium lu 177 dotatat ther","G","2","26659","0","0","0","0","0","0","0","0"
"09067","84","84","Lutetium lu 177 dotatat ther","K","2","26659","0","0","0","0","0","0","0","0"
"09067","85","87","Lutetium lu 177 dotatat ther","K","2","27433","0","0","0","0","0","0","0","0"
"09069","82","82","Phenobarbital sodium inj","K","2","4733","0","0","0","0","0","0","0","0"
"09069","83","83","Phenobarbital sodium inj","K","2","4566","0","0","0","0","0","0","0","0"
"09069","84","84","Phenobarbital sodium inj","K","2","4551","0","0","0","0","0","0","0","0"
"09069","85","85","Phenobarbital sodium inj","K","2","4495","0","0","0","0","0","0","0","0"
"09069","86","86","Phenobarbital sodium inj","K","2","4022","0","0","0","0","0","0","0","0"
"09069","87","87","Phenobarbital sodium inj","K","2","4224","0","0","0","0","0","0","0","0"
"09070","72","72","Voretigne neparvovec-rzyl","G","2","0","0","0","0","0","0","0","0","0"
"09070","73","73","Voretigene neparvovec-rzyl","G","2","300333","0","0","0","0","0","0","0","0"
"09070","74","74","Inj luxturna 1 billion vec g","G","2","296329","0","0","0","0","0","0","0","0"
"09070","75","75","Inj luxturna 1 billion vec g","G","2","294150","0","0","0","0","0","0","0","0"
"09070","76","76","Inj luxturna 1 billion vec g","G","2","291500","0","0","0","0","0","0","0","0"
"09070","77","77","Inj luxturna 1 billion vec g","G","2","291323","0","0","0","0","0","0","0","0"
"09070","78","78","Inj luxturna 1 billion vec g","G","2","292367","0","0","0","0","0","0","0","0"
"09070","79","79","Inj luxturna 1 billion vec g","G","2","291239","0","0","0","0","0","0","0","0"
"09070","80","80","Inj luxturna 1 billion vec g","G","2","290917","0","0","0","0","0","0","0","0"
"09070","81","81","Inj luxturna 1 billion vec g","G","2","291050","0","0","0","0","0","0","0","0"
"09070","82","82","Inj luxturna 1 billion vec g","G","2","288320","0","0","0","0","0","0","0","0"
"09070","83","83","Inj luxturna 1 billion vec g","G","2","291524","0","0","0","0","0","0","0","0"
"09070","84","84","Inj luxturna 1 billion vec g","K","2","293469","0","0","0","0","0","0","0","0"
"09070","85","85","Inj luxturna 1 billion vec g","K","2","295078","0","0","0","0","0","0","0","0"
"09070","86","86","Inj luxturna 1 billion vec g","K","2","295371","0","0","0","0","0","0","0","0"
"09070","87","87","Inj luxturna 1 billion vec g","K","2","293200","0","0","0","0","0","0","0","0"
"09071","70","70","Capsaicin 8% patch","K","2","315","0","0","0","0","0","0","0","0"
"09071","71","71","Capsaicin 8% patch","K","2","316","0","0","0","0","0","0","0","0"
"09071","72","73","Capsaicin 8% patch","K","2","315","0","0","0","0","0","0","0","0"
"09071","74","74","Capsaicin 8% patch","K","2","316","0","0","0","0","0","0","0","0"
"09071","75","75","Capsaicin 8% patch","K","2","315","0","0","0","0","0","0","0","0"
"09071","76","76","Capsaicin 8% patch","K","2","314","0","0","0","0","0","0","0","0"
"09071","77","78","Capsaicin 8% patch","K","2","315","0","0","0","0","0","0","0","0"
"09071","79","85","Capsaicin 8% patch","K","2","325","0","0","0","0","0","0","0","0"
"09071","86","86","Capsaicin 8% patch","K","2","323","0","0","0","0","0","0","0","0"
"09071","87","87","Capsaicin 8% patch","K","2","324","0","0","0","0","0","0","0","0"
"09072","70","70","Fosphenytoin inj pe","K","2","497","0","0","0","0","0","0","0","0"
"09072","71","71","Fosphenytoin inj pe","K","2","391","0","0","0","0","0","0","0","0"
"09072","72","72","Fosphenytoin inj pe","K","2","343","0","0","0","0","0","0","0","0"
"09072","73","73","Fosphenytoin inj pe","K","2","355","0","0","0","0","0","0","0","0"
"09073","72","72","Buprenorph xr 100 mg or less","G","2","0","0","0","0","0","0","0","0","0"
"09073","73","77","Buprenorph xr 100 mg or less","G","2","167480","0","0","0","0","0","0","0","0"
"09073","78","78","Buprenorph xr 100 mg or less","G","2","167336","0","0","0","0","0","0","0","0"
"09073","79","79","Buprenorph xr 100 mg or less","G","2","167245","0","0","0","0","0","0","0","0"
"09073","80","80","Buprenorph xr 100 mg or less","G","2","166610","0","0","0","0","0","0","0","0"
"09073","81","81","Buprenorph xr 100 mg or less","G","2","174452","0","0","0","0","0","0","0","0"
"09073","82","82","Buprenorph xr 100 mg or less","G","2","174348","0","0","0","0","0","0","0","0"
"09073","83","83","Buprenorph xr 100 mg or less","G","2","173726","0","0","0","0","0","0","0","0"
"09073","84","84","Buprenorph xr 100 mg or less","K","2","173654","0","0","0","0","0","0","0","0"
"09073","85","85","Buprenorph xr 100 mg or less","K","2","181665","0","0","0","0","0","0","0","0"
"09073","86","86","Buprenorph xr 100 mg or less","K","2","179680","0","0","0","0","0","0","0","0"
"09073","87","87","Buprenorph xr 100 mg or less","K","2","178703","0","0","0","0","0","0","0","0"
"09074","68","68","Inj, Makena","K","2","0","0","0","0","0","0","0","0","0"
"09074","69","69","Inj, Makena","K","2","272","0","0","0","0","0","0","0","0"
"09074","70","70","Makena, 10 mg","K","2","271","0","0","0","0","0","0","0","0"
"09074","71","71","Makena, 10 mg","K","2","2761","0","0","0","0","0","0","0","0"
"09074","72","72","Makena, 10 mg","K","2","2733","0","0","0","0","0","0","0","0"
"09074","73","73","Makena, 10 mg","K","2","2829","0","0","0","0","0","0","0","0"
"09074","74","74","Makena, 10 mg","K","2","2793","0","0","0","0","0","0","0","0"
"09074","75","75","Makena, 10 mg","K","2","2456","0","0","0","0","0","0","0","0"
"09074","76","76","Makena, 10 mg","K","2","2220","0","0","0","0","0","0","0","0"
"09074","77","77","Makena, 10 mg","K","2","2346","0","0","0","0","0","0","0","0"
"09074","78","78","Makena, 10 mg","K","2","2240","0","0","0","0","0","0","0","0"
"09074","79","79","Makena, 10 mg","K","2","2011","0","0","0","0","0","0","0","0"
"09074","80","80","Makena, 10 mg","K","2","1838","0","0","0","0","0","0","0","0"
"09074","81","81","Makena, 10 mg","K","2","1668","0","0","0","0","0","0","0","0"
"09074","82","82","Makena, 10 mg","K","2","1588","0","0","0","0","0","0","0","0"
"09074","83","83","Makena, 10 mg","K","2","1605","0","0","0","0","0","0","0","0"
"09074","84","84","Makena, 10 mg","K","2","1502","0","0","0","0","0","0","0","0"
"09074","85","85","Makena, 10 mg","K","2","1338","0","0","0","0","0","0","0","0"
"09074","86","86","Makena, 10 mg","K","2","1682","0","0","0","0","0","0","0","0"
"09074","87","87","Makena, 10 mg","K","2","1476","0","0","0","0","0","0","0","0"
"09075","70","70","Inj, kovaltry, 1 i.u.","K","2","124","0","0","0","0","0","0","0","0"
"09075","71","71","Inj, kovaltry, 1 i.u.","K","2","125","0","0","0","0","0","0","0","0"
"09075","72","72","Inj, kovaltry, 1 i.u.","K","2","124","0","0","0","0","0","0","0","0"
"09075","73","74","Inj, kovaltry, 1 i.u.","K","2","126","0","0","0","0","0","0","0","0"
"09075","75","75","Inj, kovaltry, 1 i.u.","K","2","127","0","0","0","0","0","0","0","0"
"09075","76","77","Inj, kovaltry, 1 i.u.","K","2","126","0","0","0","0","0","0","0","0"
"09075","82","83","Inj, kovaltry, 1 i.u.","K","2","122","0","0","0","0","0","0","0","0"
"09075","84","84","Inj, kovaltry, 1 i.u.","K","2","123","0","0","0","0","0","0","0","0"
"09075","85","85","Inj, kovaltry, 1 i.u.","K","2","127","0","0","0","0","0","0","0","0"
"09075","86","86","Inj, kovaltry, 1 i.u.","K","2","124","0","0","0","0","0","0","0","0"
"09075","87","87","Inj, kovaltry, 1 i.u.","K","2","123","0","0","0","0","0","0","0","0"
"09076","70","70","Dimecaprol injection","K","2","5269","0","0","0","0","0","0","0","0"
"09076","71","71","Dimecaprol injection","K","2","5123","0","0","0","0","0","0","0","0"
"09076","72","72","Dimecaprol injection","K","2","5091","0","0","0","0","0","0","0","0"
"09076","73","73","Dimecaprol injection","K","2","5044","0","0","0","0","0","0","0","0"
"09077","70","71","Epoetin beta non esrd","K","2","163","0","0","0","0","0","0","0","0"
"09077","72","72","Epoetin beta non esrd","K","2","190","0","0","0","0","0","0","0","0"
"09077","73","73","Epoetin beta non esrd","K","2","179","0","0","0","0","0","0","0","0"
"09077","82","82","Epoetin beta non esrd","K","2","154","0","0","0","0","0","0","0","0"
"09077","83","83","Epoetin beta non esrd","K","2","150","0","0","0","0","0","0","0","0"
"09077","84","84","Epoetin beta non esrd","K","2","154","0","0","0","0","0","0","0","0"
"09077","85","85","Epoetin beta non esrd","K","2","153","0","0","0","0","0","0","0","0"
"09077","86","87","Epoetin beta non esrd","K","2","151","0","0","0","0","0","0","0","0"
"09078","70","71","Testosterone undecanoate 1mg","K","2","129","0","0","0","0","0","0","0","0"
"09078","72","72","Testosterone undecanoate 1mg","K","2","134","0","0","0","0","0","0","0","0"
"09078","73","73","Testosterone undecanoate 1mg","K","2","133","0","0","0","0","0","0","0","0"
"09078","74","75","Testosterone undecanoate 1mg","K","2","136","0","0","0","0","0","0","0","0"
"09078","76","76","Testosterone undecanoate 1mg","K","2","142","0","0","0","0","0","0","0","0"
"09078","77","77","Testosterone undecanoate 1mg","K","2","141","0","0","0","0","0","0","0","0"
"09078","78","78","Testosterone undecanoate 1mg","K","2","147","0","0","0","0","0","0","0","0"
"09078","79","79","Testosterone undecanoate 1mg","K","2","145","0","0","0","0","0","0","0","0"
"09078","80","80","Testosterone undecanoate 1mg","K","2","150","0","0","0","0","0","0","0","0"
"09078","81","81","Testosterone undecanoate 1mg","K","2","149","0","0","0","0","0","0","0","0"
"09078","82","82","Testosterone undecanoate 1mg","K","2","154","0","0","0","0","0","0","0","0"
"09078","83","83","Testosterone undecanoate 1mg","K","2","153","0","0","0","0","0","0","0","0"
"09078","84","84","Testosterone undecanoate 1mg","K","2","159","0","0","0","0","0","0","0","0"
"09078","85","85","Testosterone undecanoate 1mg","K","2","157","0","0","0","0","0","0","0","0"
"09078","86","86","Testosterone undecanoate 1mg","K","2","163","0","0","0","0","0","0","0","0"
"09078","87","87","Testosterone undecanoate 1mg","K","2","161","0","0","0","0","0","0","0","0"
"09079","70","70","Genvisc 850, inj, 1mg","K","2","742","0","0","0","0","0","0","0","0"
"09079","71","71","Genvisc 850, inj, 1mg","K","2","642","0","0","0","0","0","0","0","0"
"09079","72","72","Genvisc 850, inj, 1mg","K","2","644","0","0","0","0","0","0","0","0"
"09079","73","73","Genvisc 850, inj, 1mg","K","2","625","0","0","0","0","0","0","0","0"
"09079","74","74","Genvisc 850, inj, 1mg","K","2","1060","0","0","0","0","0","0","0","0"
"09079","75","76","Genvisc 850, inj, 1mg","K","2","720","0","0","0","0","0","0","0","0"
"09079","77","87","Genvisc 850, inj, 1mg","K","2","1692","0","0","0","0","0","0","0","0"
"09080","70","70","Fludarabine phosphate inj","K","2","10489","0","0","0","0","0","0","0","0"
"09080","71","71","Fludarabine phosphate inj","K","2","8469","0","0","0","0","0","0","0","0"
"09080","72","72","Fludarabine phosphate inj","K","2","7662","0","0","0","0","0","0","0","0"
"09080","73","73","Fludarabine phosphate inj","K","2","7428","0","0","0","0","0","0","0","0"
"09081","70","70","Tisagenlecleucel car-pos t","K","2","50350000","0","0","0","0","0","0","0","0"
"09081","71","71","Tisagenlecleucel car-pos t","G","2","50350000","0","0","0","0","0","0","0","0"
"09081","72","72","Tisagenlecleucel car-pos t","G","2","50083864","0","0","0","0","0","0","0","0"
"09081","73","73","Tisagenlecleucel car-pos t","G","2","50091537","0","0","0","0","0","0","0","0"
"09082","73","73","Puraply or puraply am","G","2","0","0","0","0","0","0","0","0","0"
"09083","73","73","Inj, phenylephrine ketorolac","G","2","0","0","0","0","0","0","0","0","0"
"09083","74","75","Inj, phenylephrine ketorolac","G","2","47324","0","0","0","0","0","0","0","0"
"09083","76","76","Inj, phenylephrine ketorolac","G","2","43740","0","0","0","0","0","0","0","0"
"09084","73","73","Florbetapir f18","G","2","0","0","0","0","0","0","0","0","0"
"09084","74","74","Florbetapir f18","G","2","302316","0","0","0","0","0","0","0","0"
"09084","75","75","Florbetapir f18","G","2","302884","0","0","0","0","0","0","0","0"
"09084","76","76","Florbetapir f18","G","2","302907","0","0","0","0","0","0","0","0"
"09084","77","80","Florbetapir f18","G","2","302884","0","0","0","0","0","0","0","0"
"09085","73","73","Inj sulf hexa lipid microsph","G","2","0","0","0","0","0","0","0","0","0"
"09085","74","75","Inj sulf hexa lipid microsph","G","2","2125","0","0","0","0","0","0","0","0"
"09085","76","76","Inj sulf hexa lipid microsph","G","2","1997","0","0","0","0","0","0","0","0"
"09085","77","77","Inj sulf hexa lipid microsph","G","2","1974","0","0","0","0","0","0","0","0"
"09085","78","78","Inj sulf hexa lipid microsph","G","2","1954","0","0","0","0","0","0","0","0"
"09085","79","79","Inj sulf hexa lipid microsph","G","2","1959","0","0","0","0","0","0","0","0"
"09085","80","80","Inj sulf hexa lipid microsph","G","2","1906","0","0","0","0","0","0","0","0"
"09086","74","74","Hepa vacc ped/adol 3 dose","K","2","2869","0","0","0","0","0","0","0","0"
"09086","75","75","Hepa vacc ped/adol 3 dose","K","2","2847","0","0","0","0","0","0","0","0"
"09086","76","76","Hepa vacc ped/adol 3 dose","K","2","2911","0","0","0","0","0","0","0","0"
"09086","77","77","Hepa vacc ped/adol 3 dose","K","2","2953","0","0","0","0","0","0","0","0"
"09087","74","74","Inj, clevidipine butyrate","K","2","279","0","0","0","0","0","0","0","0"
"09087","75","75","Inj, clevidipine butyrate","K","2","278","0","0","0","0","0","0","0","0"
"09087","76","76","Inj, clevidipine butyrate","K","2","272","0","0","0","0","0","0","0","0"
"09087","77","77","Inj, clevidipine butyrate","K","2","277","0","0","0","0","0","0","0","0"
"09087","82","83","Inj, clevidipine butyrate","K","2","287","0","0","0","0","0","0","0","0"
"09087","84","84","Inj, clevidipine butyrate","K","2","286","0","0","0","0","0","0","0","0"
"09087","85","85","Inj, clevidipine butyrate","K","2","289","0","0","0","0","0","0","0","0"
"09088","74","74","Peng benzathine/procaine inj","K","2","1110","0","0","0","0","0","0","0","0"
"09088","75","75","Peng benzathine/procaine inj","K","2","1096","0","0","0","0","0","0","0","0"
"09088","76","76","Peng benzathine/procaine inj","K","2","1101","0","0","0","0","0","0","0","0"
"09088","77","77","Peng benzathine/procaine inj","K","2","1102","0","0","0","0","0","0","0","0"
"09088","78","78","Peng benzathine/procaine inj","K","2","1089","0","0","0","0","0","0","0","0"
"09088","79","79","Peng benzathine/procaine inj","K","2","1087","0","0","0","0","0","0","0","0"
"09088","80","80","Peng benzathine/procaine inj","K","2","1081","0","0","0","0","0","0","0","0"
"09088","81","81","Peng benzathine/procaine inj","K","2","1168","0","0","0","0","0","0","0","0"
"09088","82","82","Peng benzathine/procaine inj","K","2","1200","0","0","0","0","0","0","0","0"
"09088","83","83","Peng benzathine/procaine inj","K","2","1201","0","0","0","0","0","0","0","0"
"09088","84","84","Peng benzathine/procaine inj","K","2","1206","0","0","0","0","0","0","0","0"
"09088","85","85","Peng benzathine/procaine inj","K","2","1204","0","0","0","0","0","0","0","0"
"09088","86","86","Peng benzathine/procaine inj","K","2","1179","0","0","0","0","0","0","0","0"
"09088","87","87","Peng benzathine/procaine inj","K","2","1178","0","0","0","0","0","0","0","0"
"09089","74","77","Oral fludarabine phosphate","K","2","8142","0","0","0","0","0","0","0","0"
"09090","74","77","Melphalan oral 2 mg","K","2","1200","0","0","0","0","0","0","0","0"
"09091","74","74","Daunorubicin citrate inj","K","2","24380","0","0","0","0","0","0","0","0"
"09091","75","77","Daunorubicin citrate inj","K","2","32","0","0","0","0","0","0","0","0"
"09092","74","78","Interferon alfa-2a inj","K","2","16933","0","0","0","0","0","0","0","0"
"09092","79","81","Interferon alfa-2a inj","K","2","40724","0","0","0","0","0","0","0","0"
"09093","74","77","Plicamycin (mithramycin) inj","K","2","612","0","0","0","0","0","0","0","0"
"09093","82","87","Plicamycin (mithramycin) inj","K","2","11540","0","0","0","0","0","0","0","0"
"09094","74","78","Radiesse injection","K","2","47390","0","0","0","0","0","0","0","0"
"09094","79","82","Radiesse injection","K","2","22209","0","0","0","0","0","0","0","0"
"09094","83","87","Radiesse injection","K","2","25737","0","0","0","0","0","0","0","0"
"09095","74","78","Inj, sculptra, 0.5mg","K","2","328","0","0","0","0","0","0","0","0"
"09095","79","82","Inj, sculptra, 0.5mg","K","2","319","0","0","0","0","0","0","0","0"
"09095","83","87","Inj, sculptra, 0.5mg","K","2","249","0","0","0","0","0","0","0","0"
"09096","72","72","Inj Retacrit esrd on dialysi","K","2","117","0","0","0","0","0","0","0","0"
"09096","73","73","Inj Retacrit esrd on dialysi","G","2","117","0","0","0","0","0","0","0","0"
"09096","74","74","Inj retacrit esrd on dialysi","G","2","117","0","0","0","0","0","0","0","0"
"09096","75","76","Inj retacrit esrd on dialysi","G","2","114","0","0","0","0","0","0","0","0"
"09096","77","77","Inj retacrit esrd on dialysi","G","2","102","0","0","0","0","0","0","0","0"
"09096","78","78","Inj retacrit esrd on dialysi","G","2","96","0","0","0","0","0","0","0","0"
"09096","79","79","Inj retacrit esrd on dialysi","G","2","93","0","0","0","0","0","0","0","0"
"09096","80","80","Inj retacrit esrd on dialysi","G","2","92","0","0","0","0","0","0","0","0"
"09096","81","81","Inj retacrit esrd on dialysi","G","2","90","0","0","0","0","0","0","0","0"
"09096","82","83","Inj retacrit esrd on dialysi","G","2","86","0","0","0","0","0","0","0","0"
"09096","84","84","Inj retacrit esrd on dialysi","G","2","92","0","0","0","0","0","0","0","0"
"09097","72","72","Inj Retacrit non-esrd use","K","2","1169","0","0","0","0","0","0","0","0"
"09097","73","73","Inj Retacrit non-esrd use","G","2","1169","0","0","0","0","0","0","0","0"
"09097","74","74","Inj retacrit non-esrd use","G","2","1169","0","0","0","0","0","0","0","0"
"09097","75","76","Inj retacrit non-esrd use","G","2","1136","0","0","0","0","0","0","0","0"
"09097","77","77","Inj retacrit non-esrd use","G","2","1018","0","0","0","0","0","0","0","0"
"09097","78","78","Inj retacrit non-esrd use","G","2","963","0","0","0","0","0","0","0","0"
"09097","79","79","Inj retacrit non-esrd use","G","2","933","0","0","0","0","0","0","0","0"
"09097","80","80","Inj retacrit non-esrd use","G","2","921","0","0","0","0","0","0","0","0"
"09097","81","81","Inj retacrit non-esrd use","G","2","897","0","0","0","0","0","0","0","0"
"09097","82","82","Inj retacrit non-esrd use","G","2","861","0","0","0","0","0","0","0","0"
"09097","83","83","Inj retacrit non-esrd use","G","2","855","0","0","0","0","0","0","0","0"
"09097","84","84","Inj retacrit non-esrd use","G","2","919","0","0","0","0","0","0","0","0"
"09097","85","85","Inj retacrit non-esrd use","K","2","863","0","0","0","0","0","0","0","0"
"09097","86","86","Inj retacrit non-esrd use","K","2","866","0","0","0","0","0","0","0","0"
"09097","87","87","Inj retacrit non-esrd use","K","2","813","0","0","0","0","0","0","0","0"
"09098","74","74","Chorionic gonadotropin/1000u","K","2","2395","0","0","0","0","0","0","0","0"
"09098","75","75","Chorionic gonadotropin/1000u","K","2","2260","0","0","0","0","0","0","0","0"
"09098","76","76","Chorionic gonadotropin/1000u","K","2","2221","0","0","0","0","0","0","0","0"
"09098","77","77","Chorionic gonadotropin/1000u","K","2","2237","0","0","0","0","0","0","0","0"
"09099","73","73","Inj, akynzeo","G","2","0","0","0","0","0","0","0","0","0"
"09099","74","74","Inj fosnetupitant, palonoset","G","2","54060","0","0","0","0","0","0","0","0"
"09099","75","75","Inj fosnetupitant, palonoset","G","2","52952","0","0","0","0","0","0","0","0"
"09099","76","76","Inj fosnetupitant, palonoset","G","2","52870","0","0","0","0","0","0","0","0"
"09099","77","77","Inj fosnetupitant, palonoset","G","2","46042","0","0","0","0","0","0","0","0"
"09099","78","78","Inj fosnetupitant, palonoset","G","2","41687","0","0","0","0","0","0","0","0"
"09099","79","79","Inj fosnetupitant, palonoset","G","2","30187","0","0","0","0","0","0","0","0"
"09099","80","80","Inj fosnetupitant, palonoset","G","2","25975","0","0","0","0","0","0","0","0"
"09099","81","81","Inj fosnetupitant, palonoset","G","2","37517","0","0","0","0","0","0","0","0"
"09099","82","82","Inj fosnetupitant, palonoset","G","2","69577","0","0","0","0","0","0","0","0"
"09099","83","83","Inj fosnetupitant, palonoset","G","2","69556","0","0","0","0","0","0","0","0"
"09099","84","84","Inj fosnetupitant, palonoset","G","2","64125","0","0","0","0","0","0","0","0"
"09099","85","85","Inj fosnetupitant, palonoset","K","2","59420","0","0","0","0","0","0","0","0"
"09099","86","86","Inj fosnetupitant, palonoset","K","2","57122","0","0","0","0","0","0","0","0"
"09099","87","87","Inj fosnetupitant, palonoset","K","2","50398","0","0","0","0","0","0","0","0"
"09104","60","60","Antithymocyte globuln rabbit","K","1","59406","0","0","0","0","0","0","0","0"
"09104","61","61","Antithymocyte globuln rabbit","K","1","62129","0","0","0","0","0","0","0","0"
"09104","62","62","Antithymocyte globuln rabbit","K","2","63849","0","0","0","0","0","0","0","0"
"09104","63","63","Antithymocyte globuln rabbit","K","2","64300","0","0","0","0","0","0","0","0"
"09104","64","64","Antithymocyte globuln rabbit","K","2","64958","0","0","0","0","0","0","0","0"
"09104","65","65","Antithymocyte globuln rabbit","K","2","67620","0","0","0","0","0","0","0","0"
"09104","66","66","Antithymocyte globuln rabbit","K","2","69084","0","0","0","0","0","0","0","0"
"09104","67","67","Antithymocyte globuln rabbit","K","2","68844","0","0","0","0","0","0","0","0"
"09104","68","68","Antithymocyte globuln rabbit","K","2","68777","0","0","0","0","0","0","0","0"
"09104","69","69","Antithymocyte globuln rabbit","K","2","70613","0","0","0","0","0","0","0","0"
"09104","70","70","Antithymocyte globuln rabbit","K","2","71035","0","0","0","0","0","0","0","0"
"09104","71","71","Antithymocyte globuln rabbit","K","2","71220","0","0","0","0","0","0","0","0"
"09104","72","72","Antithymocyte globuln rabbit","K","2","71384","0","0","0","0","0","0","0","0"
"09104","73","73","Antithymocyte globuln rabbit","K","2","72569","0","0","0","0","0","0","0","0"
"09104","74","74","Antithymocyte globuln rabbit","K","2","75125","0","0","0","0","0","0","0","0"
"09104","75","75","Antithymocyte globuln rabbit","K","2","73132","0","0","0","0","0","0","0","0"
"09104","76","76","Antithymocyte globuln rabbit","K","2","73975","0","0","0","0","0","0","0","0"
"09104","77","77","Antithymocyte globuln rabbit","K","2","76112","0","0","0","0","0","0","0","0"
"09104","78","78","Antithymocyte globuln rabbit","K","2","76856","0","0","0","0","0","0","0","0"
"09104","79","79","Antithymocyte globuln rabbit","K","2","76574","0","0","0","0","0","0","0","0"
"09104","80","80","Antithymocyte globuln rabbit","K","2","77052","0","0","0","0","0","0","0","0"
"09104","81","81","Antithymocyte globuln rabbit","K","2","77900","0","0","0","0","0","0","0","0"
"09104","82","82","Antithymocyte globuln rabbit","K","2","81712","0","0","0","0","0","0","0","0"
"09104","83","83","Antithymocyte globuln rabbit","K","2","79060","0","0","0","0","0","0","0","0"
"09104","84","84","Antithymocyte globuln rabbit","K","2","79499","0","0","0","0","0","0","0","0"
"09104","85","85","Antithymocyte globuln rabbit","K","2","84555","0","0","0","0","0","0","0","0"
"09104","86","86","Antithymocyte globuln rabbit","K","2","83742","0","0","0","0","0","0","0","0"
"09104","87","87","Antithymocyte globuln rabbit","K","2","83833","0","0","0","0","0","0","0","0"
"09108","60","60","Thyrotropin injection","K","1","142044","0","0","0","0","0","0","0","0"
"09108","61","61","Thyrotropin injection","K","1","143167","0","0","0","0","0","0","0","0"
"09108","62","62","Thyrotropin injection","K","2","143217","0","0","0","0","0","0","0","0"
"09108","63","63","Thyrotropin injection","K","2","143197","0","0","0","0","0","0","0","0"
"09108","64","64","Thyrotropin injection","K","2","145799","0","0","0","0","0","0","0","0"
"09108","65","65","Thyrotropin injection","K","2","156954","0","0","0","0","0","0","0","0"
"09108","66","66","Thyrotropin injection","K","2","157130","0","0","0","0","0","0","0","0"
"09108","67","67","Thyrotropin injection","K","2","157482","0","0","0","0","0","0","0","0"
"09108","68","68","Thyrotropin injection","K","2","156693","0","0","0","0","0","0","0","0"
"09108","69","69","Thyrotropin injection","K","2","156425","0","0","0","0","0","0","0","0"
"09108","70","70","Thyrotropin injection","K","2","157969","0","0","0","0","0","0","0","0"
"09108","71","71","Thyrotropin injection","K","2","160264","0","0","0","0","0","0","0","0"
"09108","72","72","Thyrotropin injection","K","2","159800","0","0","0","0","0","0","0","0"
"09108","73","73","Thyrotropin injection","K","2","160872","0","0","0","0","0","0","0","0"
"09108","74","74","Thyrotropin injection","K","2","162445","0","0","0","0","0","0","0","0"
"09108","75","75","Thyrotropin injection","K","2","165359","0","0","0","0","0","0","0","0"
"09108","76","76","Thyrotropin injection","K","2","165212","0","0","0","0","0","0","0","0"
"09108","77","77","Thyrotropin injection","K","2","169030","0","0","0","0","0","0","0","0"
"09108","78","78","Thyrotropin injection","K","2","169512","0","0","0","0","0","0","0","0"
"09108","79","79","Thyrotropin injection","K","2","170041","0","0","0","0","0","0","0","0"
"09108","80","80","Thyrotropin injection","K","2","170091","0","0","0","0","0","0","0","0"
"09108","81","81","Thyrotropin injection","K","2","175998","0","0","0","0","0","0","0","0"
"09108","82","82","Thyrotropin injection","K","2","174023","0","0","0","0","0","0","0","0"
"09108","83","83","Thyrotropin injection","K","2","177621","0","0","0","0","0","0","0","0"
"09108","84","84","Thyrotropin injection","K","2","177433","0","0","0","0","0","0","0","0"
"09108","85","85","Thyrotropin injection","K","2","184118","0","0","0","0","0","0","0","0"
"09108","86","86","Thyrotropin injection","K","2","183725","0","0","0","0","0","0","0","0"
"09108","87","87","Thyrotropin injection","K","2","185804","0","0","0","0","0","0","0","0"
"09119","60","60","Injection, pegfilgrastim 6mg","K","1","350059","0","0","0","0","0","0","0","0"
"09119","61","61","Injection, pegfilgrastim 6mg","K","1","367861","0","0","0","0","0","0","0","0"
"09119","62","62","Injection, pegfilgrastim 6mg","K","2","377279","0","0","0","0","0","0","0","0"
"09119","63","63","Injection, pegfilgrastim 6mg","K","2","382810","0","0","0","0","0","0","0","0"
"09119","64","64","Injection, pegfilgrastim 6mg","K","2","389841","0","0","0","0","0","0","0","0"
"09119","65","65","Injection, pegfilgrastim 6mg","K","2","398690","0","0","0","0","0","0","0","0"
"09119","66","66","Injection, pegfilgrastim 6mg","K","2","404069","0","0","0","0","0","0","0","0"
"09119","67","67","Injection, pegfilgrastim 6mg","K","2","411723","0","0","0","0","0","0","0","0"
"09119","68","68","Injection, pegfilgrastim 6mg","K","2","419134","0","0","0","0","0","0","0","0"
"09119","69","69","Injection, pegfilgrastim 6mg","K","2","424725","0","0","0","0","0","0","0","0"
"09119","70","70","Injection, pegfilgrastim 6mg","K","2","432073","0","0","0","0","0","0","0","0"
"09119","71","71","Injection, pegfilgrastim 6mg","K","2","444231","0","0","0","0","0","0","0","0"
"09119","72","72","Injection, pegfilgrastim 6mg","K","2","450088","0","0","0","0","0","0","0","0"
"09119","73","73","Injection, pegfilgrastim 6mg","K","2","472084","0","0","0","0","0","0","0","0"
"09119","74","74","Injection, pegfilgrastim 6mg","K","2","468771","0","0","0","0","0","0","0","0"
"09119","75","75","Injection, pegfilgrastim 6mg","K","2","468181","0","0","0","0","0","0","0","0"
"09119","76","76","Injection, pegfilgrastim 6mg","K","2","465548","0","0","0","0","0","0","0","0"
"09119","77","77","Injection, pegfilgrastim 6mg","K","2","452831","0","0","0","0","0","0","0","0"
"09119","78","78","Injection, pegfilgrastim 6mg","K","2","443256","0","0","0","0","0","0","0","0"
"09119","79","79","Injection, pegfilgrastim 6mg","K","2","425710","0","0","0","0","0","0","0","0"
"09119","80","80","Injection, pegfilgrastim 6mg","K","2","398314","0","0","0","0","0","0","0","0"
"09119","81","81","Injection, pegfilgrastim 6mg","K","2","380730","0","0","0","0","0","0","0","0"
"09119","82","82","Injection, pegfilgrastim 6mg","K","2","357168","0","0","0","0","0","0","0","0"
"09119","83","83","Injection, pegfilgrastim 6mg","K","2","307949","0","0","0","0","0","0","0","0"
"09119","84","84","Injection, pegfilgrastim 6mg","K","2","280806","0","0","0","0","0","0","0","0"
"09119","85","85","Injection, pegfilgrastim 6mg","K","2","246936","0","0","0","0","0","0","0","0"
"09120","60","60","Injection, Fulvestrant","K","1","9235","0","0","0","0","0","0","0","0"
"09120","61","61","Injection, Fulvestrant","K","1","9218","0","0","0","0","0","0","0","0"
"09120","62","62","Injection, Fulvestrant","K","2","9344","0","0","0","0","0","0","0","0"
"09120","63","63","Injection, Fulvestrant","K","2","9358","0","0","0","0","0","0","0","0"
"09120","64","64","Injection, Fulvestrant","K","2","9402","0","0","0","0","0","0","0","0"
"09120","65","65","Injection, Fulvestrant","K","2","9408","0","0","0","0","0","0","0","0"
"09120","66","66","Injection, Fulvestrant","K","2","9577","0","0","0","0","0","0","0","0"
"09120","67","67","Injection, Fulvestrant","K","2","9574","0","0","0","0","0","0","0","0"
"09120","68","68","Injection, Fulvestrant","K","2","9624","0","0","0","0","0","0","0","0"
"09120","69","69","Injection, Fulvestrant","K","2","9618","0","0","0","0","0","0","0","0"
"09120","70","70","Injection, Fulvestrant","K","2","9677","0","0","0","0","0","0","0","0"
"09120","71","72","Injection, Fulvestrant","K","2","9688","0","0","0","0","0","0","0","0"
"09120","73","73","Injection, Fulvestrant","K","2","9724","0","0","0","0","0","0","0","0"
"09120","74","74","Injection, Fulvestrant","K","2","9794","0","0","0","0","0","0","0","0"
"09120","75","75","Injection, Fulvestrant","K","2","9749","0","0","0","0","0","0","0","0"
"09120","76","76","Injection, Fulvestrant","K","2","9754","0","0","0","0","0","0","0","0"
"09120","77","77","Injection, Fulvestrant","K","2","9878","0","0","0","0","0","0","0","0"
"09120","78","78","Injection, Fulvestrant","K","2","9487","0","0","0","0","0","0","0","0"
"09120","79","79","Injection, Fulvestrant","K","2","8496","0","0","0","0","0","0","0","0"
"09120","80","80","Injection, Fulvestrant","K","2","5646","0","0","0","0","0","0","0","0"
"09120","81","81","Injection, Fulvestrant","K","2","4948","0","0","0","0","0","0","0","0"
"09120","82","82","Injection, Fulvestrant","K","2","5274","0","0","0","0","0","0","0","0"
"09120","83","83","Injection, Fulvestrant","K","2","5477","0","0","0","0","0","0","0","0"
"09120","84","84","Injection, Fulvestrant","K","2","4510","0","0","0","0","0","0","0","0"
"09120","85","85","Injection, Fulvestrant","K","2","2760","0","0","0","0","0","0","0","0"
"09120","86","86","Injection, Fulvestrant","K","2","1598","0","0","0","0","0","0","0","0"
"09120","87","87","Injection, Fulvestrant","K","2","1565","0","0","0","0","0","0","0","0"
"09121","60","60","Injection, argatroban","K","1","1632","0","0","0","0","0","0","0","0"
"09121","61","61","Injection, argatroban","K","1","1498","0","0","0","0","0","0","0","0"
"09121","62","62","Injection, argatroban","K","2","1514","0","0","0","0","0","0","0","0"
"09121","63","63","Injection, argatroban","K","2","1417","0","0","0","0","0","0","0","0"
"09121","64","64","Injection, argatroban","K","2","1240","0","0","0","0","0","0","0","0"
"09121","65","65","Injection, argatroban","K","2","1141","0","0","0","0","0","0","0","0"
"09122","60","60","Triptorelin pamoate","K","1","18019","0","0","0","0","0","0","0","0"
"09122","61","61","Triptorelin pamoate","K","1","20424","0","0","0","0","0","0","0","0"
"09122","62","62","Triptorelin pamoate","K","2","14459","0","0","0","0","0","0","0","0"
"09122","63","63","Triptorelin pamoate","K","2","23897","0","0","0","0","0","0","0","0"
"09122","64","64","Triptorelin pamoate","K","2","23496","0","0","0","0","0","0","0","0"
"09122","65","65","Triptorelin pamoate","K","2","39206","0","0","0","0","0","0","0","0"
"09122","66","66","Triptorelin pamoate","K","2","46085","0","0","0","0","0","0","0","0"
"09122","67","67","Triptorelin pamoate","K","2","40238","0","0","0","0","0","0","0","0"
"09122","68","68","Triptorelin pamoate","K","2","36544","0","0","0","0","0","0","0","0"
"09122","69","69","Triptorelin pamoate","K","2","27936","0","0","0","0","0","0","0","0"
"09122","70","70","Triptorelin pamoate","K","2","39111","0","0","0","0","0","0","0","0"
"09122","71","71","Triptorelin pamoate","K","2","41578","0","0","0","0","0","0","0","0"
"09122","72","72","Triptorelin pamoate","K","2","25273","0","0","0","0","0","0","0","0"
"09122","73","73","Triptorelin pamoate","K","2","26210","0","0","0","0","0","0","0","0"
"09122","74","74","Triptorelin pamoate","K","2","26738","0","0","0","0","0","0","0","0"
"09122","75","75","Triptorelin pamoate","K","2","24450","0","0","0","0","0","0","0","0"
"09122","76","76","Triptorelin pamoate","K","2","24068","0","0","0","0","0","0","0","0"
"09122","77","77","Triptorelin pamoate","K","2","24839","0","0","0","0","0","0","0","0"
"09122","78","78","Triptorelin pamoate","K","2","25874","0","0","0","0","0","0","0","0"
"09122","79","79","Triptorelin pamoate","K","2","26374","0","0","0","0","0","0","0","0"
"09122","80","80","Triptorelin pamoate","K","2","26843","0","0","0","0","0","0","0","0"
"09122","81","81","Triptorelin pamoate","K","2","28264","0","0","0","0","0","0","0","0"
"09122","82","82","Triptorelin pamoate","K","2","38561","0","0","0","0","0","0","0","0"
"09122","83","83","Triptorelin pamoate","K","2","50381","0","0","0","0","0","0","0","0"
"09122","84","84","Triptorelin pamoate","K","2","52322","0","0","0","0","0","0","0","0"
"09122","85","85","Triptorelin pamoate","K","2","42822","0","0","0","0","0","0","0","0"
"09122","86","86","Triptorelin pamoate","K","2","37990","0","0","0","0","0","0","0","0"
"09122","87","87","Triptorelin pamoate","K","2","33701","0","0","0","0","0","0","0","0"
"09124","60","60","Daptomycin injection","K","1","71","0","0","0","0","0","0","0","0"
"09124","61","61","Daptomycin injection","K","1","76","0","0","0","0","0","0","0","0"
"09124","62","62","Daptomycin injection","K","2","76","0","0","0","0","0","0","0","0"
"09124","63","63","Daptomycin injection","K","2","80","0","0","0","0","0","0","0","0"
"09124","64","64","Daptomycin injection","K","2","83","0","0","0","0","0","0","0","0"
"09124","65","66","Daptomycin injection","K","2","90","0","0","0","0","0","0","0","0"
"09124","67","67","Daptomycin injection","K","2","89","0","0","0","0","0","0","0","0"
"09124","68","68","Daptomycin injection","K","2","68","0","0","0","0","0","0","0","0"
"09124","69","69","Daptomycin injection","K","2","67","0","0","0","0","0","0","0","0"
"09124","70","70","Daptomycin injection","K","2","62","0","0","0","0","0","0","0","0"
"09124","71","71","Daptomycin injection","K","2","50","0","0","0","0","0","0","0","0"
"09124","72","72","Daptomycin injection","K","2","42","0","0","0","0","0","0","0","0"
"09124","73","73","Daptomycin injection","K","2","36","0","0","0","0","0","0","0","0"
"09124","74","74","Daptomycin injection","K","2","32","0","0","0","0","0","0","0","0"
"09124","75","75","Daptomycin injection","K","2","41","0","0","0","0","0","0","0","0"
"09124","76","76","Daptomycin injection","K","2","37","0","0","0","0","0","0","0","0"
"09124","77","77","Daptomycin injection","K","2","35","0","0","0","0","0","0","0","0"
"09124","78","78","Daptomycin injection","K","2","33","0","0","0","0","0","0","0","0"
"09124","79","79","Daptomycin injection","K","2","29","0","0","0","0","0","0","0","0"
"09124","80","80","Daptomycin injection","K","2","20","0","0","0","0","0","0","0","0"
"09124","81","81","Daptomycin injection","K","2","14","0","0","0","0","0","0","0","0"
"09125","60","60","Risperidone, long acting","K","1","653","0","0","0","0","0","0","0","0"
"09125","61","61","Risperidone, long acting","K","1","689","0","0","0","0","0","0","0","0"
"09125","62","62","Risperidone, long acting","K","2","691","0","0","0","0","0","0","0","0"
"09125","63","63","Risperidone, long acting","K","2","728","0","0","0","0","0","0","0","0"
"09125","64","64","Risperidone, long acting","K","2","732","0","0","0","0","0","0","0","0"
"09125","65","65","Risperidone, long acting","K","2","776","0","0","0","0","0","0","0","0"
"09125","66","66","Risperidone, long acting","K","2","782","0","0","0","0","0","0","0","0"
"09125","67","67","Risperidone, long acting","K","2","813","0","0","0","0","0","0","0","0"
"09125","68","68","Risperidone, long acting","K","2","817","0","0","0","0","0","0","0","0"
"09125","69","69","Risperidone, long acting","K","2","854","0","0","0","0","0","0","0","0"
"09125","70","70","Risperidone, long acting","K","2","863","0","0","0","0","0","0","0","0"
"09125","71","71","Risperidone, long acting","K","2","896","0","0","0","0","0","0","0","0"
"09125","72","72","Risperidone, long acting","K","2","898","0","0","0","0","0","0","0","0"
"09125","73","73","Risperidone, long acting","K","2","940","0","0","0","0","0","0","0","0"
"09125","74","75","Risperidone, long acting","K","2","941","0","0","0","0","0","0","0","0"
"09125","76","76","Risperidone, long acting","K","2","939","0","0","0","0","0","0","0","0"
"09125","77","77","Inj., risperdal consta, 0.5 mg","K","2","995","0","0","0","0","0","0","0","0"
"09125","78","78","Risperidone, long acting","K","2","1004","0","0","0","0","0","0","0","0"
"09125","79","80","Risperidone, long acting","K","2","1005","0","0","0","0","0","0","0","0"
"09125","81","81","Risperidone, long acting","K","2","1044","0","0","0","0","0","0","0","0"
"09125","82","84","Inj risperdal consta, 0.5 mg","K","2","1053","0","0","0","0","0","0","0","0"
"09125","85","85","Inj risperdal consta, 0.5 mg","K","2","1096","0","0","0","0","0","0","0","0"
"09125","86","87","Risperidone, long acting","K","2","1104","0","0","0","0","0","0","0","0"
"09126","60","60","Natalizumab injection","K","1","1582","0","0","0","0","0","0","0","0"
"09126","61","61","Natalizumab injection","K","1","1640","0","0","0","0","0","0","0","0"
"09126","62","62","Natalizumab injection","K","2","1624","0","0","0","0","0","0","0","0"
"09126","63","63","Natalizumab injection","K","2","1702","0","0","0","0","0","0","0","0"
"09126","64","64","Natalizumab injection","K","2","1706","0","0","0","0","0","0","0","0"
"09126","65","65","Natalizumab injection","K","2","1790","0","0","0","0","0","0","0","0"
"09126","66","66","Natalizumab injection","K","2","1789","0","0","0","0","0","0","0","0"
"09126","67","67","Natalizumab injection","K","2","1878","0","0","0","0","0","0","0","0"
"09126","68","68","Natalizumab injection","K","2","1880","0","0","0","0","0","0","0","0"
"09126","69","69","Natalizumab injection","K","2","1943","0","0","0","0","0","0","0","0"
"09126","70","71","Natalizumab injection","K","2","1942","0","0","0","0","0","0","0","0"
"09126","72","72","Natalizumab injection","K","2","1936","0","0","0","0","0","0","0","0"
"09126","73","73","Natalizumab injection","K","2","1990","0","0","0","0","0","0","0","0"
"09126","74","74","Natalizumab injection","K","2","1983","0","0","0","0","0","0","0","0"
"09126","75","75","Natalizumab injection","K","2","1973","0","0","0","0","0","0","0","0"
"09126","76","76","Natalizumab injection","K","2","1969","0","0","0","0","0","0","0","0"
"09126","77","77","Natalizumab injection","K","2","2029","0","0","0","0","0","0","0","0"
"09126","78","78","Natalizumab injection","K","2","2024","0","0","0","0","0","0","0","0"
"09126","79","79","Natalizumab injection","K","2","2090","0","0","0","0","0","0","0","0"
"09126","80","80","Natalizumab injection","K","2","2088","0","0","0","0","0","0","0","0"
"09126","81","81","Natalizumab injection","K","2","2161","0","0","0","0","0","0","0","0"
"09126","82","82","Natalizumab injection","K","2","2163","0","0","0","0","0","0","0","0"
"09126","83","83","Natalizumab injection","K","2","2239","0","0","0","0","0","0","0","0"
"09126","84","84","Natalizumab injection","K","2","2229","0","0","0","0","0","0","0","0"
"09126","85","85","Natalizumab injection","K","2","2325","0","0","0","0","0","0","0","0"
"09126","86","86","Natalizumab injection","K","2","2324","0","0","0","0","0","0","0","0"
"09126","87","87","Natalizumab injection","K","2","2325","0","0","0","0","0","0","0","0"
"09130","60","60","Inj, Imm Glob Bivigam, 500mg","G","5","3635","0","0","0","0","0","0","0","0"
"09130","61","61","Inj, Imm Glob Bivigam, 500mg","G","5","3901","0","0","0","0","0","0","0","0"
"09130","62","62","Inj, Imm Glob Bivigam, 500mg","K","2","3849","0","0","0","0","0","0","0","0"
"09130","63","63","Inj, Imm Glob Bivigam, 500mg","K","2","3886","0","0","0","0","0","0","0","0"
"09130","64","64","Inj, Imm Glob Bivigam, 500mg","K","2","3923","0","0","0","0","0","0","0","0"
"09130","65","65","Inj, Imm Glob Bivigam, 500mg","K","2","3741","0","0","0","0","0","0","0","0"
"09130","66","66","Inj, Imm Glob Bivigam, 500mg","K","2","3952","0","0","0","0","0","0","0","0"
"09130","67","67","Inj, Imm Glob Bivigam, 500mg","K","2","3714","0","0","0","0","0","0","0","0"
"09130","68","70","Inj, Imm Glob Bivigam, 500mg","K","2","3831","0","0","0","0","0","0","0","0"
"09130","71","77","Inj, Imm Glob Bivigam, 500mg","K","2","7052","0","0","0","0","0","0","0","0"
"09130","82","87","Inj, Imm Glob Bivigam, 500mg","K","2","7049","0","0","0","0","0","0","0","0"
"09131","60","61","Inj, Ado-trastuzumab Emt 1mg","G","5","2922","0","0","0","0","0","0","0","0"
"09131","62","63","Inj, Ado-trastuzumab Emt 1mg","K","2","2921","0","0","0","0","0","0","0","0"
"09131","64","66","Inj, Ado-trastuzumab Emt 1mg","K","2","2922","0","0","0","0","0","0","0","0"
"09131","67","67","Inj, Ado-trastuzumab Emt 1mg","K","2","2956","0","0","0","0","0","0","0","0"
"09131","68","68","Inj, Ado-trastuzumab Emt 1mg","K","2","2952","0","0","0","0","0","0","0","0"
"09131","69","69","Inj, Ado-trastuzumab Emt 1mg","K","2","2979","0","0","0","0","0","0","0","0"
"09131","70","70","Inj, Ado-trastuzumab Emt 1mg","K","2","2981","0","0","0","0","0","0","0","0"
"09131","71","71","Inj, Ado-trastuzumab Emt 1mg","K","2","3021","0","0","0","0","0","0","0","0"
"09131","72","72","Inj, Ado-trastuzumab Emt 1mg","K","2","3031","0","0","0","0","0","0","0","0"
"09131","73","73","Inj, Ado-trastuzumab Emt 1mg","K","2","3069","0","0","0","0","0","0","0","0"
"09131","74","74","Inj, Ado-trastuzumab Emt 1mg","K","2","3078","0","0","0","0","0","0","0","0"
"09131","75","75","Inj, Ado-trastuzumab Emt 1mg","K","2","3122","0","0","0","0","0","0","0","0"
"09131","76","76","Inj, Ado-trastuzumab Emt 1mg","K","2","3121","0","0","0","0","0","0","0","0"
"09131","77","77","Inj, Ado-trastuzumab Emt 1mg","K","2","3129","0","0","0","0","0","0","0","0"
"09131","78","78","Inj, Ado-trastuzumab Emt 1mg","K","2","3136","0","0","0","0","0","0","0","0"
"09131","79","79","Inj, Ado-trastuzumab Emt 1mg","K","2","3211","0","0","0","0","0","0","0","0"
"09131","80","80","Inj, Ado-trastuzumab Emt 1mg","K","2","3206","0","0","0","0","0","0","0","0"
"09131","81","81","Inj, Ado-trastuzumab Emt 1mg","K","2","3282","0","0","0","0","0","0","0","0"
"09131","82","82","Inj, Ado-trastuzumab Emt 1mg","K","2","3279","0","0","0","0","0","0","0","0"
"09131","83","83","Inj, Ado-trastuzumab Emt 1mg","K","2","3285","0","0","0","0","0","0","0","0"
"09131","84","84","Inj, Ado-trastuzumab Emt 1mg","K","2","3290","0","0","0","0","0","0","0","0"
"09131","85","85","Inj, Ado-trastuzumab Emt 1mg","K","2","3416","0","0","0","0","0","0","0","0"
"09131","86","86","Inj, Ado-trastuzumab Emt 1mg","K","2","3418","0","0","0","0","0","0","0","0"
"09131","87","87","Inj, Ado-trastuzumab Emt 1mg","K","2","3415","0","0","0","0","0","0","0","0"
"09132","60","61","Kcentra, per i.u.","G","5","162","0","0","0","0","0","0","0","0"
"09132","62","62","Kcentra, per i.u.","K","2","162","0","0","0","0","0","0","0","0"
"09132","63","64","Kcentra, per i.u.","K","2","169","0","0","0","0","0","0","0","0"
"09132","65","66","Kcentra, per i.u.","K","2","177","0","0","0","0","0","0","0","0"
"09132","67","67","Kcentra, per i.u.","K","2","182","0","0","0","0","0","0","0","0"
"09132","68","69","Kcentra, per i.u.","K","2","185","0","0","0","0","0","0","0","0"
"09132","70","71","Kcentra, per i.u.","K","2","186","0","0","0","0","0","0","0","0"
"09132","72","72","Kcentra, per i.u.","K","2","194","0","0","0","0","0","0","0","0"
"09132","73","74","Kcentra, per i.u.","K","2","193","0","0","0","0","0","0","0","0"
"09132","75","75","Kcentra, per i.u.","K","2","194","0","0","0","0","0","0","0","0"
"09132","76","76","Kcentra, per i.u.","K","2","193","0","0","0","0","0","0","0","0"
"09132","77","77","Kcentra, per i.u.","K","2","201","0","0","0","0","0","0","0","0"
"09132","78","78","Kcentra, per i.u.","K","2","200","0","0","0","0","0","0","0","0"
"09132","79","80","Kcentra, per i.u.","K","2","201","0","0","0","0","0","0","0","0"
"09132","81","82","Kcentra, per i.u.","K","2","209","0","0","0","0","0","0","0","0"
"09132","83","83","Kcentra, per i.u.","K","2","210","0","0","0","0","0","0","0","0"
"09132","84","85","Prothrombin complex kcentra","K","2","223","0","0","0","0","0","0","0","0"
"09132","86","87","Prothrombin complex kcentra","K","2","199","0","0","0","0","0","0","0","0"
"09133","60","60","Rabies ig, im/sc","K","1","24830","0","0","0","0","0","0","0","0"
"09133","61","61","Rabies ig, im/sc","K","1","24473","0","0","0","0","0","0","0","0"
"09133","62","62","Rabies ig, im/sc","K","2","28593","0","0","0","0","0","0","0","0"
"09133","63","63","Rabies ig, im/sc","K","2","28518","0","0","0","0","0","0","0","0"
"09133","64","64","Rabies ig, im/sc","K","2","28983","0","0","0","0","0","0","0","0"
"09133","65","65","Rabies ig, im/sc","K","2","28363","0","0","0","0","0","0","0","0"
"09133","66","66","Rabies ig, im/sc","K","2","30548","0","0","0","0","0","0","0","0"
"09133","67","67","Rabies ig, im/sc","K","2","28191","0","0","0","0","0","0","0","0"
"09133","68","68","Rabies ig, im/sc","K","2","29671","0","0","0","0","0","0","0","0"
"09133","69","69","Rabies ig, im/sc","K","2","28729","0","0","0","0","0","0","0","0"
"09133","70","70","Rabies ig, im/sc","K","2","31427","0","0","0","0","0","0","0","0"
"09133","71","71","Rabies ig, im/sc","K","2","30247","0","0","0","0","0","0","0","0"
"09133","72","72","Rabies ig, im/sc","K","2","31508","0","0","0","0","0","0","0","0"
"09133","73","73","Rabies ig, im/sc","K","2","29582","0","0","0","0","0","0","0","0"
"09133","74","74","Rabies ig, im/sc","K","2","33499","0","0","0","0","0","0","0","0"
"09133","75","75","Rabies ig, im/sc","K","2","30702","0","0","0","0","0","0","0","0"
"09133","76","76","Rabies ig, im/sc","K","2","31246","0","0","0","0","0","0","0","0"
"09133","77","77","Rabies ig, im/sc","K","2","30173","0","0","0","0","0","0","0","0"
"09133","78","78","Rabies ig, im/sc","K","2","28064","0","0","0","0","0","0","0","0"
"09133","79","79","Rabies ig, im/sc","K","2","27734","0","0","0","0","0","0","0","0"
"09133","80","80","Rabies ig, im/sc","K","2","34148","0","0","0","0","0","0","0","0"
"09133","81","81","Rabies ig, im/sc","K","2","25955","0","0","0","0","0","0","0","0"
"09133","82","82","Rabies ig, im/sc","K","2","27304","0","0","0","0","0","0","0","0"
"09133","83","83","Rabies ig, im/sc","K","2","27137","0","0","0","0","0","0","0","0"
"09133","84","84","Rabies ig, im/sc","K","2","33655","0","0","0","0","0","0","0","0"
"09133","85","85","Rabies ig, im/sc","K","2","29780","0","0","0","0","0","0","0","0"
"09133","86","86","Rabies ig, im/sc","K","2","26730","0","0","0","0","0","0","0","0"
"09133","87","87","Rabies ig, im/sc","K","2","30867","0","0","0","0","0","0","0","0"
"09134","60","60","Rabies ig, heat treated","K","1","24239","0","0","0","0","0","0","0","0"
"09134","61","61","Rabies ig, heat treated","K","1","25403","0","0","0","0","0","0","0","0"
"09134","62","62","Rabies ig, heat treated","K","2","25295","0","0","0","0","0","0","0","0"
"09134","63","63","Rabies ig, heat treated","K","2","26281","0","0","0","0","0","0","0","0"
"09134","64","64","Rabies ig, heat treated","K","2","27913","0","0","0","0","0","0","0","0"
"09134","65","65","Rabies ig, heat treated","K","2","27208","0","0","0","0","0","0","0","0"
"09134","66","66","Rabies ig, heat treated","K","2","29459","0","0","0","0","0","0","0","0"
"09134","67","67","Rabies ig, heat treated","K","2","29624","0","0","0","0","0","0","0","0"
"09134","68","68","Rabies ig, heat treated","K","2","29634","0","0","0","0","0","0","0","0"
"09134","69","69","Rabies ig, heat treated","K","2","31397","0","0","0","0","0","0","0","0"
"09134","70","70","Rabies ig, heat treated","K","2","31743","0","0","0","0","0","0","0","0"
"09134","71","71","Rabies ig, heat treated","K","2","33243","0","0","0","0","0","0","0","0"
"09134","72","72","Rabies ig, heat treated","K","2","34630","0","0","0","0","0","0","0","0"
"09134","73","73","Rabies ig, heat treated","K","2","30544","0","0","0","0","0","0","0","0"
"09134","74","74","Rabies ig, heat treated","K","2","32495","0","0","0","0","0","0","0","0"
"09134","75","75","Rabies ig, heat treated","K","2","31199","0","0","0","0","0","0","0","0"
"09134","76","76","Rabies ig, heat treated","K","2","27924","0","0","0","0","0","0","0","0"
"09134","77","77","Rabies ig, heat treated","K","2","28566","0","0","0","0","0","0","0","0"
"09134","78","78","Rabies ig, heat treated","K","2","27137","0","0","0","0","0","0","0","0"
"09134","79","79","Rabies ig, heat treated","K","2","27870","0","0","0","0","0","0","0","0"
"09134","80","80","Rabies ig, heat treated","K","2","22680","0","0","0","0","0","0","0","0"
"09134","81","81","Rabies ig, heat treated","K","2","29761","0","0","0","0","0","0","0","0"
"09134","82","82","Rabies ig, heat treated","K","2","33180","0","0","0","0","0","0","0","0"
"09134","83","83","Rabies ig, heat treated","K","2","23737","0","0","0","0","0","0","0","0"
"09134","84","84","Rabies ig, heat treated","K","2","31058","0","0","0","0","0","0","0","0"
"09134","85","85","Rabies ig, heat treated","K","2","30910","0","0","0","0","0","0","0","0"
"09134","86","86","Rabies ig, heat treated","K","2","28738","0","0","0","0","0","0","0","0"
"09134","87","87","Rabies ig, heat treated","K","2","35633","0","0","0","0","0","0","0","0"
"09135","60","60","Varicella-zoster ig, im","K","1","70907","0","0","0","0","0","0","0","0"
"09135","61","61","Varicella-zoster ig, im","K","1","70898","0","0","0","0","0","0","0","0"
"09135","62","62","Varicella-zoster ig, im","K","2","120224","0","0","0","0","0","0","0","0"
"09135","63","68","Varicella-zoster ig, im","K","2","123098","0","0","0","0","0","0","0","0"
"09135","69","69","Varicella-zoster ig, im","K","2","130675","0","0","0","0","0","0","0","0"
"09135","70","70","Varicella-zoster ig, im","K","2","130484","0","0","0","0","0","0","0","0"
"09135","71","72","Varicella-zoster ig, im","K","2","135703","0","0","0","0","0","0","0","0"
"09135","73","73","Varicella-zoster ig, im","K","2","149936","0","0","0","0","0","0","0","0"
"09135","74","74","Varicella-zoster ig, im","K","2","149137","0","0","0","0","0","0","0","0"
"09135","75","75","Varicella-zoster ig, im","K","2","154150","0","0","0","0","0","0","0","0"
"09135","76","76","Varicella-zoster ig, im","K","2","156594","0","0","0","0","0","0","0","0"
"09135","77","77","Varicella-zoster ig, im","K","2","168754","0","0","0","0","0","0","0","0"
"09135","78","78","Varicella-zoster ig, im","K","2","171618","0","0","0","0","0","0","0","0"
"09135","79","80","Varicella-zoster ig, im","K","2","170532","0","0","0","0","0","0","0","0"
"09135","81","82","Varicella-zoster ig, im","K","2","170397","0","0","0","0","0","0","0","0"
"09135","83","83","Varicella-zoster ig, im","K","2","191239","0","0","0","0","0","0","0","0"
"09135","84","84","Varicella-zoster ig, im","K","2","187414","0","0","0","0","0","0","0","0"
"09135","85","85","Varicella-zoster ig, im","K","2","193025","0","0","0","0","0","0","0","0"
"09135","86","86","Varicella-zoster ig, im","K","2","196597","0","0","0","0","0","0","0","0"
"09135","87","87","Varicella-zoster ig, im","K","2","195983","0","0","0","0","0","0","0","0"
"09137","60","60","Bcg vaccine, percut","K","1","12195","0","0","0","0","0","0","0","0"
"09137","61","61","Bcg vaccine, percut","K","1","12244","0","0","0","0","0","0","0","0"
"09137","62","62","Bcg vaccine, percut","K","2","12288","0","0","0","0","0","0","0","0"
"09137","63","63","Bcg vaccine, percut","K","2","12376","0","0","0","0","0","0","0","0"
"09137","64","64","Bcg vaccine, percut","K","2","12299","0","0","0","0","0","0","0","0"
"09137","65","65","Bcg vaccine, percut","K","2","12339","0","0","0","0","0","0","0","0"
"09139","60","60","Rabies vaccine, im","K","1","23738","0","0","0","0","0","0","0","0"
"09139","61","61","Rabies vaccine, im","K","1","23493","0","0","0","0","0","0","0","0"
"09139","62","62","Rabies vaccine, im","K","2","26354","0","0","0","0","0","0","0","0"
"09139","63","63","Rabies vaccine, im","K","2","28021","0","0","0","0","0","0","0","0"
"09139","64","64","Rabies vaccine, im","K","2","27397","0","0","0","0","0","0","0","0"
"09139","65","65","Rabies vaccine, im","K","2","25873","0","0","0","0","0","0","0","0"
"09139","66","66","Rabies vaccine, im","K","2","27249","0","0","0","0","0","0","0","0"
"09139","67","67","Rabies vaccine, im","K","2","26298","0","0","0","0","0","0","0","0"
"09139","68","68","Rabies vaccine, im","K","2","26991","0","0","0","0","0","0","0","0"
"09139","69","69","Rabies vaccine, im","K","2","28302","0","0","0","0","0","0","0","0"
"09139","70","70","Rabies vaccine, im","K","2","26912","0","0","0","0","0","0","0","0"
"09139","71","71","Rabies vaccine, im","K","2","28498","0","0","0","0","0","0","0","0"
"09139","72","72","Rabies vaccine, im","K","2","28729","0","0","0","0","0","0","0","0"
"09139","73","73","Rabies vaccine, im","K","2","28896","0","0","0","0","0","0","0","0"
"09139","74","74","Rabies vaccine, im","K","2","29144","0","0","0","0","0","0","0","0"
"09139","75","75","Rabies vaccine, im","K","2","28998","0","0","0","0","0","0","0","0"
"09139","76","76","Rabies vaccine, im","K","2","28376","0","0","0","0","0","0","0","0"
"09139","77","77","Rabies vaccine, im","K","2","29453","0","0","0","0","0","0","0","0"
"09139","78","78","Rabies vaccine, im","K","2","29759","0","0","0","0","0","0","0","0"
"09139","79","79","Rabies vaccine, im","K","2","27782","0","0","0","0","0","0","0","0"
"09139","80","80","Rabies vaccine, im","K","2","28620","0","0","0","0","0","0","0","0"
"09139","81","81","Rabies vaccine, im","K","2","29472","0","0","0","0","0","0","0","0"
"09139","82","82","Rabies vaccine, im","K","2","30324","0","0","0","0","0","0","0","0"
"09139","83","83","Rabies vaccine, im","K","2","31806","0","0","0","0","0","0","0","0"
"09139","84","84","Rabies vaccine, im","K","2","34718","0","0","0","0","0","0","0","0"
"09139","85","85","Rabies vaccine, im","K","2","32661","0","0","0","0","0","0","0","0"
"09139","86","86","Rabies vaccine, im","K","2","32753","0","0","0","0","0","0","0","0"
"09139","87","87","Rabies vaccine, im","K","2","34195","0","0","0","0","0","0","0","0"
"09140","60","61","Rabies vaccine, id","K","1","17230","0","0","0","0","0","0","0","0"
"09140","62","66","Rabies vaccine, id","K","2","17230","0","0","0","0","0","0","0","0"
"09140","67","70","Rabies vaccine, id","K","2","14102","0","0","0","0","0","0","0","0"
"09140","71","73","Rabies vaccine, id","K","2","19654","0","0","0","0","0","0","0","0"
"09140","74","78","Rabies vaccine, id","K","2","13001","0","0","0","0","0","0","0","0"
"09140","79","82","Rabies vaccine, id","K","2","22753","0","0","0","0","0","0","0","0"
"09140","83","87","Rabies vaccine, id","K","2","18963","0","0","0","0","0","0","0","0"
"09143","60","61","Meningococcal vaccine, sc","K","1","10649","0","0","0","0","0","0","0","0"
"09143","62","65","Meningococcal vaccine, sc","K","2","10649","0","0","0","0","0","0","0","0"
"09144","60","61","Encephalitis vaccine, sc","K","1","10829","0","0","0","0","0","0","0","0"
"09171","65","65","Idelvion, 1 i.u.","G","2","0","0","0","0","0","0","0","0","0"
"09171","66","66","Factor ix idelvion inj","G","2","418","0","0","0","0","0","0","0","0"
"09171","67","67","Factor ix idelvion inj","G","2","414","0","0","0","0","0","0","0","0"
"09171","68","68","Factor ix idelvion inj","G","2","415","0","0","0","0","0","0","0","0"
"09171","69","70","Factor ix idelvion inj","G","2","414","0","0","0","0","0","0","0","0"
"09171","71","71","Factor ix idelvion inj","G","2","416","0","0","0","0","0","0","0","0"
"09171","72","72","Factor ix idelvion inj","G","2","424","0","0","0","0","0","0","0","0"
"09171","73","73","Factor ix idelvion inj","G","2","433","0","0","0","0","0","0","0","0"
"09171","74","74","Factor ix idelvion inj","K","2","428","0","0","0","0","0","0","0","0"
"09171","75","75","Factor ix idelvion inj","K","2","431","0","0","0","0","0","0","0","0"
"09171","76","76","Factor ix idelvion inj","K","2","430","0","0","0","0","0","0","0","0"
"09171","77","77","Factor ix idelvion inj","K","2","431","0","0","0","0","0","0","0","0"
"09171","78","78","Factor ix idelvion inj","K","2","429","0","0","0","0","0","0","0","0"
"09171","79","79","Factor ix idelvion inj","K","2","431","0","0","0","0","0","0","0","0"
"09171","80","80","Factor ix idelvion inj","K","2","445","0","0","0","0","0","0","0","0"
"09171","81","82","Factor ix idelvion inj","K","2","444","0","0","0","0","0","0","0","0"
"09171","83","83","Factor ix idelvion inj","K","2","446","0","0","0","0","0","0","0","0"
"09171","84","84","Factor ix idelvion inj","K","2","459","0","0","0","0","0","0","0","0"
"09171","85","85","Factor ix idelvion inj","K","2","461","0","0","0","0","0","0","0","0"
"09171","86","86","Factor ix idelvion inj","K","2","459","0","0","0","0","0","0","0","0"
"09171","87","87","Factor ix idelvion inj","K","2","461","0","0","0","0","0","0","0","0"
"09172","73","73","Injection, dexamethasone 9%","G","2","0","0","0","0","0","0","0","0","0"
"09172","74","76","Injection, dexamethasone 9%","G","2","111","0","0","0","0","0","0","0","0"
"09172","77","77","Injection, dexamethasone 9%","G","2","122","0","0","0","0","0","0","0","0"
"09172","78","78","Injection, dexamethasone 9%","G","2","119","0","0","0","0","0","0","0","0"
"09172","79","79","Injection, dexamethasone 9%","G","2","121","0","0","0","0","0","0","0","0"
"09172","80","80","Injection, dexamethasone 9%","G","2","119","0","0","0","0","0","0","0","0"
"09172","81","81","Injection, dexamethasone 9%","G","2","113","0","0","0","0","0","0","0","0"
"09172","82","83","Injection, dexamethasone 9%","G","2","111","0","0","0","0","0","0","0","0"
"09172","84","86","Injection, dexamethasone 9%","G","2","104","0","0","0","0","0","0","0","0"
"09172","87","87","Injection, dexamethasone 9%","G","2","96","0","0","0","0","0","0","0","0"
"09173","72","73","Injection, fulphila","K","2","0","0","0","0","0","0","0","0","0"
"09173","74","74","Injection, fulphila","K","2","36879","0","0","0","0","0","0","0","0"
"09173","75","75","Injection, fulphila","G","2","35835","0","0","0","0","0","0","0","0"
"09173","76","76","Injection, fulphila","G","2","35012","0","0","0","0","0","0","0","0"
"09173","77","77","Injection, fulphila","G","2","33255","0","0","0","0","0","0","0","0"
"09173","78","78","Injection, fulphila","G","2","32741","0","0","0","0","0","0","0","0"
"09173","79","79","Injection, fulphila","G","2","31162","0","0","0","0","0","0","0","0"
"09173","80","80","Injection, fulphila","G","2","30752","0","0","0","0","0","0","0","0"
"09173","81","81","Injection, fulphila","G","2","29434","0","0","0","0","0","0","0","0"
"09173","82","82","Injection, fulphila","G","2","26904","0","0","0","0","0","0","0","0"
"09173","83","83","Injection, fulphila","G","2","24816","0","0","0","0","0","0","0","0"
"09173","84","84","Injection, fulphila","G","2","23646","0","0","0","0","0","0","0","0"
"09173","85","85","Injection, fulphila","G","2","22226","0","0","0","0","0","0","0","0"
"09173","86","86","Injection, fulphila","G","2","21119","0","0","0","0","0","0","0","0"
"09173","87","87","Injection, fulphila","G","2","20414","0","0","0","0","0","0","0","0"
"09174","74","74","Inj, durolane 1 mg","G","2","103350","0","0","0","0","0","0","0","0"
"09174","75","82","Inj, durolane 1 mg","G","2","1723","0","0","0","0","0","0","0","0"
"09174","83","86","Inj, durolane 1 mg","K","2","1723","0","0","0","0","0","0","0","0"
"09174","87","87","Inj, durolane 1 mg","K","2","1774","0","0","0","0","0","0","0","0"
"09175","74","74","Puraply 1 sq cm","G","2","7120","0","0","0","0","0","0","0","0"
"09175","75","75","Puraply 1 sq cm","G","2","12078","0","0","0","0","0","0","0","0"
"09175","76","76","Puraply 1 sq cm","G","2","5314","0","0","0","0","0","0","0","0"
"09175","77","77","Puraply 1 sq cm","G","2","9993","0","0","0","0","0","0","0","0"
"09175","78","78","Puraply 1 sq cm","G","2","8970","0","0","0","0","0","0","0","0"
"09175","79","79","Puraply 1 sq cm","G","2","11999","0","0","0","0","0","0","0","0"
"09175","80","80","Puraply 1 sq cm","G","2","11356","0","0","0","0","0","0","0","0"
"09176","74","74","Puraply am 1 sq cm","G","2","6896","0","0","0","0","0","0","0","0"
"09176","75","75","Puraply am 1 sq cm","G","2","12078","0","0","0","0","0","0","0","0"
"09176","76","76","Puraply am 1 sq cm","G","2","8199","0","0","0","0","0","0","0","0"
"09176","77","77","Puraply am 1 sq cm","G","2","10448","0","0","0","0","0","0","0","0"
"09176","78","78","Puraply am 1 sq cm","G","2","10483","0","0","0","0","0","0","0","0"
"09176","79","79","Puraply am 1 sq cm","G","2","11386","0","0","0","0","0","0","0","0"
"09176","80","80","Puraply am 1 sq cm","G","2","10965","0","0","0","0","0","0","0","0"
"09177","74","81","Antithrombin recombinant","K","2","10335","0","0","0","0","0","0","0","0"
"09178","74","74","Inj., meropenem, vaborbactam","K","2","0","0","0","0","0","0","0","0","0"
"09178","75","75","Inj., meropenem, vaborbactam","K","2","166","0","0","0","0","0","0","0","0"
"09178","76","76","Inj., meropenem, vaborbactam","K","2","168","0","0","0","0","0","0","0","0"
"09178","77","77","Inj., meropenem, vaborbactam","K","2","167","0","0","0","0","0","0","0","0"
"09178","78","78","Inj., meropenem, vaborbactam","K","2","179","0","0","0","0","0","0","0","0"
"09178","79","79","Inj., meropenem, vaborbactam","K","2","180","0","0","0","0","0","0","0","0"
"09178","80","80","Inj., meropenem, vaborbactam","K","2","179","0","0","0","0","0","0","0","0"
"09178","81","82","Inj., meropenem, vaborbactam","K","2","178","0","0","0","0","0","0","0","0"
"09178","83","83","Inj., meropenem, vaborbactam","K","2","177","0","0","0","0","0","0","0","0"
"09178","84","84","Inj., meropenem, vaborbactam","K","2","176","0","0","0","0","0","0","0","0"
"09178","85","85","Inj., meropenem, vaborbactam","K","2","175","0","0","0","0","0","0","0","0"
"09178","86","86","Inj., meropenem, vaborbactam","K","2","176","0","0","0","0","0","0","0","0"
"09178","87","87","Inj., meropenem, vaborbactam","K","2","184","0","0","0","0","0","0","0","0"
"09179","74","74","Injection, Aristada Initio","G","2","294","0","0","0","0","0","0","0","0"
"09179","75","75","Injection, Aristada Initio","G","2","285","0","0","0","0","0","0","0","0"
"09179","76","76","Injection, Aristada Initio","G","2","271","0","0","0","0","0","0","0","0"
"09179","77","77","Inj., aristada initio, 1 mg","G","2","280","0","0","0","0","0","0","0","0"
"09179","78","78","Injection, Aristada Initio","G","2","286","0","0","0","0","0","0","0","0"
"09179","79","79","Injection, Aristada Initio","G","2","277","0","0","0","0","0","0","0","0"
"09179","80","80","Injection, Aristada Initio","G","2","278","0","0","0","0","0","0","0","0"
"09179","81","81","Injection, Aristada Initio","G","2","276","0","0","0","0","0","0","0","0"
"09179","82","82","Injection, Aristada Initio","G","2","286","0","0","0","0","0","0","0","0"
"09179","83","84","Injection, Aristada Initio","G","2","291","0","0","0","0","0","0","0","0"
"09179","85","85","Injection, Aristada Initio","G","2","293","0","0","0","0","0","0","0","0"
"09179","86","86","Inj., aristada initio, 1 mg","G","2","305","0","0","0","0","0","0","0","0"
"09179","87","87","Inj., aristada initio, 1 mg","G","2","300","0","0","0","0","0","0","0","0"
"09180","74","74","Injection, patisiran","G","2","334","0","0","0","0","0","0","0","0"
"09180","75","75","Injection, patisiran","G","2","9785","0","0","0","0","0","0","0","0"
"09180","76","76","Injection, patisiran","G","2","9840","0","0","0","0","0","0","0","0"
"09180","77","77","Inj., patisiran, 0.1 mg","G","2","9844","0","0","0","0","0","0","0","0"
"09180","78","78","Inj., patisiran, 0.1 mg","G","2","9832","0","0","0","0","0","0","0","0"
"09180","79","79","Inj., patisiran, 0.1 mg","G","2","9835","0","0","0","0","0","0","0","0"
"09180","80","81","Inj., patisiran, 0.1 mg","G","2","9821","0","0","0","0","0","0","0","0"
"09180","82","82","Inj., patisiran, 0.1 mg","G","2","9784","0","0","0","0","0","0","0","0"
"09180","83","83","Inj., patisiran, 0.1 mg","G","2","9768","0","0","0","0","0","0","0","0"
"09180","84","84","Inj., patisiran, 0.1 mg","G","2","9754","0","0","0","0","0","0","0","0"
"09180","85","85","Inj., patisiran, 0.1 mg","G","2","9759","0","0","0","0","0","0","0","0"
"09180","86","86","Inj., patisiran, 0.1 mg","G","2","9775","0","0","0","0","0","0","0","0"
"09180","87","87","Inj., patisiran, 0.1 mg","G","2","9778","0","0","0","0","0","0","0","0"
"09181","74","74","Injection, risperidone","G","2","1007","0","0","0","0","0","0","0","0"
"09181","75","76","Injection, risperidone","G","2","979","0","0","0","0","0","0","0","0"
"09181","77","78","Inj., perseris, 0.5 mg","G","2","987","0","0","0","0","0","0","0","0"
"09181","79","79","Inj., perseris, 0.5 mg","G","2","984","0","0","0","0","0","0","0","0"
"09181","80","80","Inj., perseris, 0.5 mg","G","2","977","0","0","0","0","0","0","0","0"
"09181","81","81","Inj., perseris, 0.5 mg","G","2","1019","0","0","0","0","0","0","0","0"
"09181","82","82","Inj., perseris, 0.5 mg","G","2","1018","0","0","0","0","0","0","0","0"
"09181","83","83","Inj., perseris, 0.5 mg","G","2","1016","0","0","0","0","0","0","0","0"
"09181","84","84","Inj., perseris, 0.5 mg","G","2","1017","0","0","0","0","0","0","0","0"
"09181","85","85","Inj., perseris, 0.5 mg","G","2","1071","0","0","0","0","0","0","0","0"
"09181","86","86","Inj., perseris, 0.5 mg","G","2","1069","0","0","0","0","0","0","0","0"
"09181","87","87","Inj., perseris, 0.5 mg","G","2","1068","0","0","0","0","0","0","0","0"
"09182","74","74","Inj mogamulizumab-kpkc","G","2","20087","0","0","0","0","0","0","0","0"
"09182","75","75","Inj mogamulizumab-kpkc","G","2","19519","0","0","0","0","0","0","0","0"
"09182","76","76","Inj mogamulizumab-kpkc","G","2","20087","0","0","0","0","0","0","0","0"
"09182","77","77","Inj, mogamulizumab-kpkc, 1 mg","G","2","20087","0","0","0","0","0","0","0","0"
"09182","78","80","Inj mogamulizumab-kpkc, 1 mg","G","2","20087","0","0","0","0","0","0","0","0"
"09182","81","81","Inj mogamulizumab-kpkc, 1 mg","G","2","20323","0","0","0","0","0","0","0","0"
"09182","82","82","Inj mogamulizumab-kpkc, 1 mg","G","2","20388","0","0","0","0","0","0","0","0"
"09182","83","83","Inj mogamulizumab-kpkc, 1 mg","G","2","20642","0","0","0","0","0","0","0","0"
"09182","84","84","Inj mogamulizumab-kpkc, 1 mg","G","2","20694","0","0","0","0","0","0","0","0"
"09182","85","86","Inj mogamulizumab-kpkc, 1 mg","G","2","21005","0","0","0","0","0","0","0","0"
"09182","87","87","Inj mogamulizumab-kpkc, 1 mg","G","2","21264","0","0","0","0","0","0","0","0"
"09183","74","74","Injection, plazomicin","G","2","33","0","0","0","0","0","0","0","0"
"09183","75","75","Injection, plazomicin","G","2","325","0","0","0","0","0","0","0","0"
"09183","76","76","Injection, plazomicin","G","2","316","0","0","0","0","0","0","0","0"
"09183","77","77","Inj., plazomicin, 5 mg","G","2","317","0","0","0","0","0","0","0","0"
"09183","78","78","Inj., plazomicin, 5 mg","G","2","322","0","0","0","0","0","0","0","0"
"09183","79","79","Inj., plazomicin, 5 mg","G","2","334","0","0","0","0","0","0","0","0"
"09183","80","80","Inj., plazomicin, 5 mg","G","2","319","0","0","0","0","0","0","0","0"
"09183","81","81","Inj., plazomicin, 5 mg","G","2","308","0","0","0","0","0","0","0","0"
"09183","82","82","Inj., plazomicin, 5 mg","G","2","311","0","0","0","0","0","0","0","0"
"09183","83","83","Inj., plazomicin, 5 mg","G","2","307","0","0","0","0","0","0","0","0"
"09183","84","84","Inj., plazomicin, 5 mg","G","2","318","0","0","0","0","0","0","0","0"
"09183","85","86","Inj., plazomicin, 5 mg","G","2","305","0","0","0","0","0","0","0","0"
"09183","87","87","Inj., plazomicin, 5 mg","G","2","310","0","0","0","0","0","0","0","0"
"09184","74","74","Iodine i-131 iobenguane, dx","G","2","32012","0","0","0","0","0","0","0","0"
"09184","75","75","Iodine i-131 iobenguane, dx","G","2","31106","0","0","0","0","0","0","0","0"
"09184","76","77","Iodine i-131 iobenguane, dx","G","2","32012","0","0","0","0","0","0","0","0"
"09185","74","74","Iodine i-131 iobenguane, tx","G","2","32012","0","0","0","0","0","0","0","0"
"09185","75","75","Iodine i-131 iobenguane, tx","G","2","31106","0","0","0","0","0","0","0","0"
"09185","76","77","Iodine i-131 iobenguane, tx","G","2","32012","0","0","0","0","0","0","0","0"
"09186","74","74","Inj., rituximab, 10 mg","K","2","9199","0","0","0","0","0","0","0","0"
"09186","75","75","Inj., rituximab, 10 mg","K","2","9540","0","0","0","0","0","0","0","0"
"09186","76","76","Inj., rituximab, 10 mg","K","2","9520","0","0","0","0","0","0","0","0"
"09186","77","77","Inj., rituximab, 10 mg","K","2","9497","0","0","0","0","0","0","0","0"
"09186","78","78","Inj., rituximab, 10 mg","K","2","9467","0","0","0","0","0","0","0","0"
"09186","79","79","Inj., rituximab, 10 mg","K","2","9441","0","0","0","0","0","0","0","0"
"09186","80","80","Inj., rituximab, 10 mg","K","2","9418","0","0","0","0","0","0","0","0"
"09186","81","81","Inj., rituximab, 10 mg","K","2","9337","0","0","0","0","0","0","0","0"
"09186","82","82","Inj., rituximab, 10 mg","K","2","9256","0","0","0","0","0","0","0","0"
"09186","83","83","Inj., rituximab, 10 mg","K","2","9126","0","0","0","0","0","0","0","0"
"09186","84","84","Inj., rituximab, 10 mg","K","2","8914","0","0","0","0","0","0","0","0"
"09186","85","85","Inj., rituximab, 10 mg","K","2","8778","0","0","0","0","0","0","0","0"
"09186","86","86","Inj., rituximab, 10 mg","K","2","8694","0","0","0","0","0","0","0","0"
"09186","87","87","Inj., rituximab, 10 mg","K","2","8563","0","0","0","0","0","0","0","0"
"09187","74","74","Injection, burosumab-twza 1m","K","2","36040","0","0","0","0","0","0","0","0"
"09187","75","75","Injection, burosumab-twza 1m","K","2","35340","0","0","0","0","0","0","0","0"
"09187","76","76","Injection, burosumab-twza 1m","K","2","35328","0","0","0","0","0","0","0","0"
"09187","77","77","Injection, burosumab-twza 1m","K","2","35306","0","0","0","0","0","0","0","0"
"09187","78","78","Injection, burosumab-twza 1m","K","2","35321","0","0","0","0","0","0","0","0"
"09187","79","79","Injection, burosumab-twza 1m","K","2","35329","0","0","0","0","0","0","0","0"
"09187","80","80","Injection, burosumab-twza 1m","K","2","35338","0","0","0","0","0","0","0","0"
"09187","81","81","Injection, burosumab-twza 1m","K","2","36185","0","0","0","0","0","0","0","0"
"09187","82","82","Injection, burosumab-twza 1m","K","2","36190","0","0","0","0","0","0","0","0"
"09187","83","83","Injection, burosumab-twza 1m","K","2","36195","0","0","0","0","0","0","0","0"
"09187","84","84","Injection, burosumab-twza 1m","K","2","36194","0","0","0","0","0","0","0","0"
"09187","85","85","Injection, burosumab-twza 1m","K","2","36903","0","0","0","0","0","0","0","0"
"09187","86","86","Injection, burosumab-twza 1m","K","2","36911","0","0","0","0","0","0","0","0"
"09187","87","87","Injection, burosumab-twza 1m","K","2","38015","0","0","0","0","0","0","0","0"
"09188","74","76","Inj crotalidae im f(ab')2 eq","K","2","125660","0","0","0","0","0","0","0","0"
"09188","77","77","Inj crotalidae im f(ab')2 eq","K","2","126580","0","0","0","0","0","0","0","0"
"09188","78","78","Inj crotalidae im f(ab')2 eq","K","2","126442","0","0","0","0","0","0","0","0"
"09188","79","79","Inj crotalidae im f(ab')2 eq","K","2","126096","0","0","0","0","0","0","0","0"
"09188","80","80","Inj crotalidae im f(ab')2 eq","K","2","126093","0","0","0","0","0","0","0","0"
"09188","81","81","Inj crotalidae im f(ab')2 eq","K","2","126440","0","0","0","0","0","0","0","0"
"09188","82","82","Inj crotalidae im f(ab')2 eq","K","2","126421","0","0","0","0","0","0","0","0"
"09188","83","83","Inj crotalidae im f(ab')2 eq","K","2","126349","0","0","0","0","0","0","0","0"
"09188","84","84","Inj crotalidae im f(ab')2 eq","K","2","126106","0","0","0","0","0","0","0","0"
"09188","85","85","Inj crotalidae im f(ab')2 eq","K","2","126547","0","0","0","0","0","0","0","0"
"09188","86","86","Inj crotalidae im f(ab')2 eq","K","2","118981","0","0","0","0","0","0","0","0"
"09188","87","87","Inj crotalidae im f(ab')2 eq","K","2","102245","0","0","0","0","0","0","0","0"
"09189","74","74","Inj., ibalizumab-uiyk, 10 mg","K","2","6016","0","0","0","0","0","0","0","0"
"09189","75","75","Inj., ibalizumab-uiyk, 10 mg","K","2","5864","0","0","0","0","0","0","0","0"
"09189","76","76","Inj., ibalizumab-uiyk, 10 mg","K","2","5847","0","0","0","0","0","0","0","0"
"09189","77","77","Inj., ibalizumab-uiyk, 10 mg","K","2","5871","0","0","0","0","0","0","0","0"
"09189","78","78","Inj., ibalizumab-uiyk, 10 mg","K","2","6016","0","0","0","0","0","0","0","0"
"09189","79","80","Inj., ibalizumab-uiyk, 10 mg","K","2","5838","0","0","0","0","0","0","0","0"
"09189","81","81","Inj., ibalizumab-uiyk, 10 mg","K","2","6016","0","0","0","0","0","0","0","0"
"09189","82","82","Inj., ibalizumab-uiyk, 10 mg","K","2","6362","0","0","0","0","0","0","0","0"
"09189","83","83","Inj., ibalizumab-uiyk, 10 mg","K","2","6405","0","0","0","0","0","0","0","0"
"09189","84","84","Inj., ibalizumab-uiyk, 10 mg","K","2","6421","0","0","0","0","0","0","0","0"
"09189","85","85","Inj., ibalizumab-uiyk, 10 mg","K","2","6437","0","0","0","0","0","0","0","0"
"09189","86","86","Inj., ibalizumab-uiyk, 10 mg","K","2","6639","0","0","0","0","0","0","0","0"
"09189","87","87","Inj., ibalizumab-uiyk, 10 mg","K","2","6625","0","0","0","0","0","0","0","0"
"09190","74","74","Inj., vestronidase alfa-vjbk","K","2","21968","0","0","0","0","0","0","0","0"
"09190","75","75","Inj., vestronidase alfa-vjbk","K","2","21877","0","0","0","0","0","0","0","0"
"09190","76","76","Inj., vestronidase alfa-vjbk","K","2","21853","0","0","0","0","0","0","0","0"
"09190","77","77","Inj., vestronidase alfa-vjbk","K","2","21874","0","0","0","0","0","0","0","0"
"09190","78","78","Inj., vestronidase alfa-vjbk","K","2","21833","0","0","0","0","0","0","0","0"
"09190","79","79","Inj., vestronidase alfa-vjbk","K","2","21877","0","0","0","0","0","0","0","0"
"09190","80","80","Inj., vestronidase alfa-vjbk","K","2","21873","0","0","0","0","0","0","0","0"
"09190","81","81","Inj., vestronidase alfa-vjbk","K","2","22298","0","0","0","0","0","0","0","0"
"09191","74","74","Inj., fibryga, 1 mg","K","2","106","0","0","0","0","0","0","0","0"
"09191","75","75","Inj., fibryga, 1 mg","K","2","107","0","0","0","0","0","0","0","0"
"09191","76","76","Inj., fibryga, 1 mg","K","2","127","0","0","0","0","0","0","0","0"
"09191","77","77","Inj., fibryga, 1 mg","K","2","139","0","0","0","0","0","0","0","0"
"09191","78","78","Inj., fibryga, 1 mg","K","2","114","0","0","0","0","0","0","0","0"
"09191","79","79","Inj., fibryga, 1 mg","K","2","224","0","0","0","0","0","0","0","0"
"09191","80","80","Inj., fibryga, 1 mg","K","2","109","0","0","0","0","0","0","0","0"
"09191","81","81","Inj., fibryga, 1 mg","K","2","119","0","0","0","0","0","0","0","0"
"09192","74","74","Inj, bortezomib, nos, 0.1 mg","K","2","3806","0","0","0","0","0","0","0","0"
"09192","75","75","Inj, bortezomib, nos, 0.1 mg","K","2","3567","0","0","0","0","0","0","0","0"
"09192","76","76","Inj, bortezomib, nos, 0.1 mg","K","2","3106","0","0","0","0","0","0","0","0"
"09192","77","77","Inj, bortezomib, nos, 0.1 mg","K","2","2519","0","0","0","0","0","0","0","0"
"09192","78","78","Inj, bortezomib, nos, 0.1 mg","K","2","2504","0","0","0","0","0","0","0","0"
"09192","79","79","Inj, bortezomib, nos, 0.1 mg","K","2","2270","0","0","0","0","0","0","0","0"
"09192","80","80","Inj, bortezomib, nos, 0.1 mg","K","2","2735","0","0","0","0","0","0","0","0"
"09192","81","81","Inj, bortezomib, nos, 0.1 mg","K","2","2417","0","0","0","0","0","0","0","0"
"09192","82","82","Inj, bortezomib, nos, 0.1 mg","K","2","2204","0","0","0","0","0","0","0","0"
"09192","83","83","Inj, bortezomib, nos, 0.1 mg","K","2","2110","0","0","0","0","0","0","0","0"
"09192","84","84","Inj, bortezomib, nos, 0.1 mg","K","2","2160","0","0","0","0","0","0","0","0"
"09192","85","85","Inj, bortezomib, nos, 0.1 mg","K","2","1930","0","0","0","0","0","0","0","0"
"09192","86","86","Inj, bortezomib, nos, 0.1 mg","K","2","1831","0","0","0","0","0","0","0","0"
"09192","87","87","Inj, bortezomib, nos, 0.1 mg","K","2","1677","0","0","0","0","0","0","0","0"
"09193","73","74","Nivestym","K","2","77","0","0","0","0","0","0","0","0"
"09193","75","75","Nivestym","G","2","75","0","0","0","0","0","0","0","0"
"09193","76","76","Nivestym","G","2","73","0","0","0","0","0","0","0","0"
"09193","77","77","Nivestym","G","2","69","0","0","0","0","0","0","0","0"
"09193","78","78","Nivestym","G","2","64","0","0","0","0","0","0","0","0"
"09193","79","80","Nivestym","G","2","63","0","0","0","0","0","0","0","0"
"09193","81","82","Nivestym","G","2","62","0","0","0","0","0","0","0","0"
"09193","83","83","Nivestym","G","2","52","0","0","0","0","0","0","0","0"
"09193","84","84","Nivestym","G","2","45","0","0","0","0","0","0","0","0"
"09193","85","85","Nivestym","G","2","39","0","0","0","0","0","0","0","0"
"09193","86","86","Nivestym","G","2","33","0","0","0","0","0","0","0","0"
"09193","87","87","Nivestym","G","2","34","0","0","0","0","0","0","0","0"
"09194","74","74","Tisagenlecleucel car-pos t","G","2","48976413","0","0","0","0","0","0","0","0"
"09194","75","75","Tisagenlecleucel car-pos t","G","2","43938831","0","0","0","0","0","0","0","0"
"09194","76","76","Tisagenlecleucel car-pos t","G","2","44912831","0","0","0","0","0","0","0","0"
"09194","77","77","Tisagenlecleucel car-pos t","G","2","44057709","0","0","0","0","0","0","0","0"
"09194","78","78","Tisagenlecleucel car-pos t","G","2","44150839","0","0","0","0","0","0","0","0"
"09194","79","79","Tisagenlecleucel car-pos t","G","2","42646734","0","0","0","0","0","0","0","0"
"09194","80","80","Tisagenlecleucel car-pos t","G","2","43560387","0","0","0","0","0","0","0","0"
"09194","81","81","Tisagenlecleucel car-pos t","G","2","42783649","0","0","0","0","0","0","0","0"
"09194","82","82","Tisagenlecleucel car-pos t","G","2","42981331","0","0","0","0","0","0","0","0"
"09194","83","83","Tisagenlecleucel car-pos t","K","2","42515901","0","0","0","0","0","0","0","0"
"09194","84","84","Tisagenlecleucel car-pos t","K","2","42172884","0","0","0","0","0","0","0","0"
"09194","85","85","Tisagenlecleucel car-pos t","K","2","42540920","0","0","0","0","0","0","0","0"
"09194","86","86","Tisagenlecleucel car-pos t","K","2","43433760","0","0","0","0","0","0","0","0"
"09194","87","87","Tisagenlecleucel car-pos t","K","2","42937463","0","0","0","0","0","0","0","0"
"09195","74","74","Injection, udenyca 0.5 mg","K","2","0","0","0","0","0","0","0","0","0"
"09195","75","76","Injection, udenyca 0.5 mg","G","2","35835","0","0","0","0","0","0","0","0"
"09195","77","77","Injection, udenyca 0.5 mg","G","2","35921","0","0","0","0","0","0","0","0"
"09195","78","78","Injection, udenyca 0.5 mg","G","2","34706","0","0","0","0","0","0","0","0"
"09195","79","79","Injection, udenyca 0.5 mg","G","2","33652","0","0","0","0","0","0","0","0"
"09195","80","80","Injection, udenyca 0.5 mg","G","2","32185","0","0","0","0","0","0","0","0"
"09195","81","81","Injection, udenyca 0.5 mg","G","2","30180","0","0","0","0","0","0","0","0"
"09195","82","82","Injection, udenyca 0.5 mg","G","2","28667","0","0","0","0","0","0","0","0"
"09195","83","83","Injection, udenyca 0.5 mg","G","2","26779","0","0","0","0","0","0","0","0"
"09195","84","84","Injection, udenyca 0.5 mg","G","2","25130","0","0","0","0","0","0","0","0"
"09195","85","85","Injection, udenyca 0.5 mg","G","2","25174","0","0","0","0","0","0","0","0"
"09195","86","86","Injection, udenyca 0.5 mg","G","2","22238","0","0","0","0","0","0","0","0"
"09195","87","87","Injection, udenyca 0.5 mg","G","2","20210","0","0","0","0","0","0","0","0"
"09196","74","74","Inj, trivisc 1 mg","K","2","0","0","0","0","0","0","0","0","0"
"09196","75","76","Inj, trivisc 1 mg","K","2","699","0","0","0","0","0","0","0","0"
"09196","77","83","Inj, trivisc 1 mg","K","2","720","0","0","0","0","0","0","0","0"
"09196","84","87","Inj, trivisc 1 mg","K","2","1912","0","0","0","0","0","0","0","0"
"09197","75","75","Injection, fremanezumab-vfrm","G","2","0","0","0","0","0","0","0","0","0"
"09197","76","76","Injection, fremanezumab-vfrm","G","2","265","0","0","0","0","0","0","0","0"
"09197","77","77","Inj., fremanezumab-vfrm 1 mg","G","2","261","0","0","0","0","0","0","0","0"
"09197","78","78","Inj., fremanezumab-vfrm 1 mg","G","2","251","0","0","0","0","0","0","0","0"
"09197","79","79","Inj., fremanezumab-vfrm 1 mg","G","2","242","0","0","0","0","0","0","0","0"
"09197","80","80","Inj., fremanezumab-vfrm 1 mg","G","2","234","0","0","0","0","0","0","0","0"
"09197","81","81","Inj., fremanezumab-vfrm 1 mg","G","2","231","0","0","0","0","0","0","0","0"
"09197","82","82","Inj., fremanezumab-vfrm 1 mg","G","2","225","0","0","0","0","0","0","0","0"
"09197","83","83","Inj., fremanezumab-vfrm 1 mg","G","2","228","0","0","0","0","0","0","0","0"
"09197","84","84","Inj., fremanezumab-vfrm 1 mg","G","2","226","0","0","0","0","0","0","0","0"
"09197","85","85","Inj., fremanezumab-vfrm 1 mg","G","2","237","0","0","0","0","0","0","0","0"
"09197","86","86","Inj., fremanezumab-vfrm 1 mg","G","2","234","0","0","0","0","0","0","0","0"
"09197","87","87","Inj., fremanezumab-vfrm 1 mg","G","2","231","0","0","0","0","0","0","0","0"
"09198","75","75","Inj, coagulation factor Xa","G","2","0","0","0","0","0","0","0","0","0"
"09198","76","79","Inj, coagulation factor Xa","G","2","29150","0","0","0","0","0","0","0","0"
"09198","80","83","Inj andexxa, 10 mg","G","2","29150","0","0","0","0","0","0","0","0"
"09198","84","84","Inj andexxa, 10 mg","G","2","29130","0","0","0","0","0","0","0","0"
"09198","85","85","Inj andexxa, 10 mg","G","2","29062","0","0","0","0","0","0","0","0"
"09198","86","86","Inj andexxa, 10 mg","G","2","28993","0","0","0","0","0","0","0","0"
"09198","87","87","Inj andexxa, 10 mg","G","2","28847","0","0","0","0","0","0","0","0"
"09199","76","76","Injection, caplacizumab-yhdp","G","2","0","0","0","0","0","0","0","0","0"
"09199","77","78","Injection, caplacizumab-yhdp","G","2","68355","0","0","0","0","0","0","0","0"
"09199","79","80","Injection, caplacizumab-yhdp","G","2","68939","0","0","0","0","0","0","0","0"
"09199","81","81","Injection, caplacizumab-yhdp","G","2","69192","0","0","0","0","0","0","0","0"
"09199","82","82","Injection, caplacizumab-yhdp","G","2","69068","0","0","0","0","0","0","0","0"
"09199","83","83","Injection, caplacizumab-yhdp","G","2","69129","0","0","0","0","0","0","0","0"
"09199","84","84","Injection, caplacizumab-yhdp","G","2","69133","0","0","0","0","0","0","0","0"
"09199","85","85","Injection, caplacizumab-yhdp","G","2","69106","0","0","0","0","0","0","0","0"
"09199","86","86","Injection, caplacizumab-yhdp","G","2","69129","0","0","0","0","0","0","0","0"
"09199","87","87","Injection, caplacizumab-yhdp","G","2","69143","0","0","0","0","0","0","0","0"
"09200","85","86","Inj, remdesivir, 1 mg","K","2","0","0","0","0","0","0","0","0","0"
"09200","87","87","Inj, remdesivir, 1 mg","G","2","551","0","0","0","0","0","0","0","0"
"09201","82","87","Rabies ig ht&sol human im/sc","K","2","0","0","0","0","0","0","0","0","0"
"09202","87","87","Difelikefalin, esrd on dialy","K","2","0","0","0","0","0","0","0","0","0"
"09203","87","87","Inj cyclophosphamd auromedic","G","2","0","0","0","0","0","0","0","0","0"
"09204","87","87","Inj tisotu vedotin-tftv, 1mg","G","2","0","0","0","0","0","0","0","0","0"
"09205","87","87","Inj lon tesirin-lpyl 0.075mg","G","2","0","0","0","0","0","0","0","0","0"
"09206","87","87","Plasminogen, human-tvmh 1 mg","G","2","0","0","0","0","0","0","0","0","0"
"09207","60","60","Bortezomib injection","K","1","4657","0","0","0","0","0","0","0","0"
"09207","61","61","Bortezomib injection","K","1","4675","0","0","0","0","0","0","0","0"
"09207","62","62","Bortezomib injection","K","2","4675","0","0","0","0","0","0","0","0"
"09207","63","63","Bortezomib injection","K","2","4676","0","0","0","0","0","0","0","0"
"09207","64","64","Bortezomib injection","K","2","4682","0","0","0","0","0","0","0","0"
"09207","65","65","Bortezomib injection","K","2","4656","0","0","0","0","0","0","0","0"
"09207","66","66","Bortezomib injection","K","2","4652","0","0","0","0","0","0","0","0"
"09207","67","67","Bortezomib injection","K","2","4626","0","0","0","0","0","0","0","0"
"09207","68","68","Bortezomib injection","K","2","4625","0","0","0","0","0","0","0","0"
"09207","69","69","Bortezomib injection","K","2","4684","0","0","0","0","0","0","0","0"
"09207","70","70","Bortezomib injection","K","2","4687","0","0","0","0","0","0","0","0"
"09207","71","71","Bortezomib injection","K","2","4695","0","0","0","0","0","0","0","0"
"09207","72","72","Bortezomib injection","K","2","4666","0","0","0","0","0","0","0","0"
"09207","73","73","Bortezomib injection","K","2","4675","0","0","0","0","0","0","0","0"
"09207","74","74","Inj., velcade 0.1 mg","K","2","4555","0","0","0","0","0","0","0","0"
"09207","75","75","Inj., velcade 0.1 mg","K","2","4561","0","0","0","0","0","0","0","0"
"09207","76","76","Inj., velcade 0.1 mg","K","2","4446","0","0","0","0","0","0","0","0"
"09207","77","77","Inj., velcade 0.1 mg","K","2","4453","0","0","0","0","0","0","0","0"
"09207","78","78","Inj., velcade 0.1 mg","K","2","4469","0","0","0","0","0","0","0","0"
"09207","79","79","Inj., velcade 0.1 mg","K","2","4486","0","0","0","0","0","0","0","0"
"09207","80","80","Inj., velcade 0.1 mg","K","2","4505","0","0","0","0","0","0","0","0"
"09207","81","81","Inj., velcade 0.1 mg","K","2","4499","0","0","0","0","0","0","0","0"
"09207","82","82","Inj., velcade 0.1 mg","K","2","4497","0","0","0","0","0","0","0","0"
"09207","83","83","Inj., velcade 0.1 mg","K","2","4467","0","0","0","0","0","0","0","0"
"09207","84","84","Inj., velcade 0.1 mg","K","2","4505","0","0","0","0","0","0","0","0"
"09207","85","85","Inj., velcade 0.1 mg","K","2","4469","0","0","0","0","0","0","0","0"
"09207","86","86","Inj., velcade 0.1 mg","K","2","4516","0","0","0","0","0","0","0","0"
"09207","87","87","Inj., velcade 0.1 mg","K","2","4479","0","0","0","0","0","0","0","0"
"09208","60","60","Agalsidase beta injection","K","1","15234","0","0","0","0","0","0","0","0"
"09208","61","61","Agalsidase beta injection","K","1","15793","0","0","0","0","0","0","0","0"
"09208","62","62","Agalsidase beta injection","K","2","15804","0","0","0","0","0","0","0","0"
"09208","63","63","Agalsidase beta injection","K","2","15848","0","0","0","0","0","0","0","0"
"09208","64","64","Agalsidase beta injection","K","2","15966","0","0","0","0","0","0","0","0"
"09208","65","65","Agalsidase beta injection","K","2","16444","0","0","0","0","0","0","0","0"
"09208","66","66","Agalsidase beta injection","K","2","16442","0","0","0","0","0","0","0","0"
"09208","67","67","Agalsidase beta injection","K","2","16480","0","0","0","0","0","0","0","0"
"09208","68","68","Agalsidase beta injection","K","2","16606","0","0","0","0","0","0","0","0"
"09208","69","69","Agalsidase beta injection","K","2","17099","0","0","0","0","0","0","0","0"
"09208","70","70","Agalsidase beta injection","K","2","17107","0","0","0","0","0","0","0","0"
"09208","71","71","Agalsidase beta injection","K","2","17141","0","0","0","0","0","0","0","0"
"09208","72","72","Agalsidase beta injection","K","2","17219","0","0","0","0","0","0","0","0"
"09208","73","73","Agalsidase beta injection","K","2","17467","0","0","0","0","0","0","0","0"
"09208","74","74","Agalsidase beta injection","K","2","17562","0","0","0","0","0","0","0","0"
"09208","75","75","Agalsidase beta injection","K","2","17817","0","0","0","0","0","0","0","0"
"09208","76","76","Agalsidase beta injection","K","2","17820","0","0","0","0","0","0","0","0"
"09208","77","77","Agalsidase beta injection","K","2","18243","0","0","0","0","0","0","0","0"
"09208","78","78","Agalsidase beta injection","K","2","18343","0","0","0","0","0","0","0","0"
"09208","79","79","Agalsidase beta injection","K","2","18375","0","0","0","0","0","0","0","0"
"09208","80","80","Agalsidase beta injection","K","2","18378","0","0","0","0","0","0","0","0"
"09208","81","81","Agalsidase beta injection","K","2","18795","0","0","0","0","0","0","0","0"
"09208","82","82","Agalsidase beta injection","K","2","18899","0","0","0","0","0","0","0","0"
"09208","83","84","Agalsidase beta injection","K","2","18929","0","0","0","0","0","0","0","0"
"09208","85","85","Agalsidase beta injection","K","2","19622","0","0","0","0","0","0","0","0"
"09208","86","86","Agalsidase beta injection","K","2","19814","0","0","0","0","0","0","0","0"
"09208","87","87","Agalsidase beta injection","K","2","19875","0","0","0","0","0","0","0","0"
"09209","60","61","Laronidase injection","K","1","2945","0","0","0","0","0","0","0","0"
"09209","62","63","Laronidase injection","K","2","2945","0","0","0","0","0","0","0","0"
"09209","64","64","Laronidase injection","K","2","2965","0","0","0","0","0","0","0","0"
"09209","65","66","Laronidase injection","K","2","3059","0","0","0","0","0","0","0","0"
"09209","67","72","Laronidase injection","K","2","3061","0","0","0","0","0","0","0","0"
"09209","73","73","Laronidase injection","K","2","3062","0","0","0","0","0","0","0","0"
"09209","74","74","Laronidase injection","K","2","3078","0","0","0","0","0","0","0","0"
"09209","75","76","Laronidase injection","K","2","3122","0","0","0","0","0","0","0","0"
"09209","77","77","Laronidase injection","K","2","3195","0","0","0","0","0","0","0","0"
"09209","78","78","Laronidase injection","K","2","3214","0","0","0","0","0","0","0","0"
"09209","79","80","Laronidase injection","K","2","3215","0","0","0","0","0","0","0","0"
"09209","81","81","Laronidase injection","K","2","3294","0","0","0","0","0","0","0","0"
"09209","82","82","Laronidase injection","K","2","3310","0","0","0","0","0","0","0","0"
"09209","83","84","Laronidase injection","K","2","3312","0","0","0","0","0","0","0","0"
"09209","85","85","Laronidase injection","K","2","3443","0","0","0","0","0","0","0","0"
"09209","86","86","Laronidase injection","K","2","3475","0","0","0","0","0","0","0","0"
"09209","87","87","Laronidase injection","K","2","3478","0","0","0","0","0","0","0","0"
"09210","60","60","Palonosetron hcl","K","1","1995","0","0","0","0","0","0","0","0"
"09210","61","61","Palonosetron hcl","K","1","2084","0","0","0","0","0","0","0","0"
"09210","62","62","Palonosetron hcl","K","2","2053","0","0","0","0","0","0","0","0"
"09210","63","63","Palonosetron hcl","K","2","2147","0","0","0","0","0","0","0","0"
"09210","64","64","Palonosetron hcl","K","2","2227","0","0","0","0","0","0","0","0"
"09210","65","65","Palonosetron hcl","K","2","2243","0","0","0","0","0","0","0","0"
"09210","66","66","Palonosetron hcl","K","2","2288","0","0","0","0","0","0","0","0"
"09210","67","67","Palonosetron hcl","K","2","2254","0","0","0","0","0","0","0","0"
"09210","68","68","Palonosetron hcl","K","2","2263","0","0","0","0","0","0","0","0"
"09210","69","69","Palonosetron hcl","K","2","2205","0","0","0","0","0","0","0","0"
"09210","70","70","Palonosetron hcl","K","2","2090","0","0","0","0","0","0","0","0"
"09210","71","71","Palonosetron hcl","K","2","2030","0","0","0","0","0","0","0","0"
"09210","72","72","Palonosetron hcl","K","2","2002","0","0","0","0","0","0","0","0"
"09210","73","73","Palonosetron hcl","K","2","2260","0","0","0","0","0","0","0","0"
"09210","74","74","Palonosetron hcl","K","2","1714","0","0","0","0","0","0","0","0"
"09210","75","75","Palonosetron hcl","K","2","1495","0","0","0","0","0","0","0","0"
"09210","76","76","Palonosetron hcl","K","2","1173","0","0","0","0","0","0","0","0"
"09210","77","77","Palonosetron hcl","K","2","893","0","0","0","0","0","0","0","0"
"09213","60","60","Pemetrexed injection","K","1","6084","0","0","0","0","0","0","0","0"
"09213","61","61","Pemetrexed injection","K","1","6133","0","0","0","0","0","0","0","0"
"09213","62","62","Pemetrexed injection","K","2","6121","0","0","0","0","0","0","0","0"
"09213","63","63","Pemetrexed injection","K","2","6176","0","0","0","0","0","0","0","0"
"09213","64","64","Pemetrexed injection","K","2","6168","0","0","0","0","0","0","0","0"
"09213","65","65","Pemetrexed injection","K","2","6295","0","0","0","0","0","0","0","0"
"09213","66","66","Pemetrexed injection","K","2","6278","0","0","0","0","0","0","0","0"
"09213","67","67","Pemetrexed injection","K","2","6381","0","0","0","0","0","0","0","0"
"09213","68","68","Pemetrexed injection","K","2","6404","0","0","0","0","0","0","0","0"
"09213","69","69","Pemetrexed injection","K","2","6474","0","0","0","0","0","0","0","0"
"09213","70","70","Pemetrexed injection","K","2","6498","0","0","0","0","0","0","0","0"
"09213","71","71","Pemetrexed injection","K","2","6631","0","0","0","0","0","0","0","0"
"09213","72","72","Pemetrexed injection","K","2","6617","0","0","0","0","0","0","0","0"
"09213","73","73","Pemetrexed injection","K","2","6746","0","0","0","0","0","0","0","0"
"09213","74","74","Pemetrexed injection","K","2","6822","0","0","0","0","0","0","0","0"
"09213","75","75","Pemetrexed injection","K","2","6811","0","0","0","0","0","0","0","0"
"09213","76","76","Pemetrexed injection","K","2","6834","0","0","0","0","0","0","0","0"
"09213","77","77","Pemetrexed injection","K","2","6954","0","0","0","0","0","0","0","0"
"09213","78","78","Pemetrexed injection","K","2","6947","0","0","0","0","0","0","0","0"
"09213","79","79","Pemetrexed injection","K","2","7079","0","0","0","0","0","0","0","0"
"09213","80","80","Pemetrexed injection","K","2","7053","0","0","0","0","0","0","0","0"
"09213","81","81","Inj. pemetrexed nos 10mg","K","2","7241","0","0","0","0","0","0","0","0"
"09213","82","82","Inj. pemetrexed nos 10mg","K","2","7181","0","0","0","0","0","0","0","0"
"09213","83","83","Inj. pemetrexed nos 10mg","K","2","7319","0","0","0","0","0","0","0","0"
"09213","84","84","Inj. pemetrexed nos 10mg","K","2","7292","0","0","0","0","0","0","0","0"
"09213","85","85","Inj. pemetrexed nos 10mg","K","2","7420","0","0","0","0","0","0","0","0"
"09213","86","86","Inj. pemetrexed nos 10mg","K","2","7493","0","0","0","0","0","0","0","0"
"09213","87","87","Inj. pemetrexed nos 10mg","K","2","7604","0","0","0","0","0","0","0","0"
"09214","60","60","Bevacizumab injection","K","1","6848","0","0","0","0","0","0","0","0"
"09214","61","61","Bevacizumab injection","K","1","6961","0","0","0","0","0","0","0","0"
"09214","62","62","Bevacizumab injection","K","2","6960","0","0","0","0","0","0","0","0"
"09214","63","63","Bevacizumab injection","K","2","7084","0","0","0","0","0","0","0","0"
"09214","64","64","Bevacizumab injection","K","2","7096","0","0","0","0","0","0","0","0"
"09214","65","65","Bevacizumab injection","K","2","7220","0","0","0","0","0","0","0","0"
"09214","66","66","Bevacizumab injection","K","2","7231","0","0","0","0","0","0","0","0"
"09214","67","67","Bevacizumab injection","K","2","7373","0","0","0","0","0","0","0","0"
"09214","68","68","Bevacizumab injection","K","2","7360","0","0","0","0","0","0","0","0"
"09214","69","69","Bevacizumab injection","K","2","7484","0","0","0","0","0","0","0","0"
"09214","70","70","Bevacizumab injection","K","2","7518","0","0","0","0","0","0","0","0"
"09214","71","71","Bevacizumab injection","K","2","7666","0","0","0","0","0","0","0","0"
"09214","72","72","Bevacizumab injection","K","2","7717","0","0","0","0","0","0","0","0"
"09214","73","73","Bevacizumab injection","K","2","7885","0","0","0","0","0","0","0","0"
"09214","74","74","Bevacizumab injection","K","2","7925","0","0","0","0","0","0","0","0"
"09214","75","75","Bevacizumab injection","K","2","8118","0","0","0","0","0","0","0","0"
"09214","76","76","Bevacizumab injection","K","2","8122","0","0","0","0","0","0","0","0"
"09214","77","77","Bevacizumab injection","K","2","8128","0","0","0","0","0","0","0","0"
"09214","78","78","Bevacizumab injection","K","2","8118","0","0","0","0","0","0","0","0"
"09214","79","79","Bevacizumab injection","K","2","8064","0","0","0","0","0","0","0","0"
"09214","80","80","Bevacizumab injection","K","2","7956","0","0","0","0","0","0","0","0"
"09214","81","81","Bevacizumab injection","K","2","7840","0","0","0","0","0","0","0","0"
"09214","82","82","Bevacizumab injection","K","2","7636","0","0","0","0","0","0","0","0"
"09214","83","83","Bevacizumab injection","K","2","7516","0","0","0","0","0","0","0","0"
"09214","84","84","Bevacizumab injection","K","2","7251","0","0","0","0","0","0","0","0"
"09214","85","85","Bevacizumab injection","K","2","7060","0","0","0","0","0","0","0","0"
"09214","86","86","Bevacizumab injection","K","2","7041","0","0","0","0","0","0","0","0"
"09214","87","87","Bevacizumab injection","K","2","6786","0","0","0","0","0","0","0","0"
"09215","60","60","Cetuximab injection","K","1","5327","0","0","0","0","0","0","0","0"
"09215","61","61","Cetuximab injection","K","1","5357","0","0","0","0","0","0","0","0"
"09215","62","62","Cetuximab injection","K","2","5348","0","0","0","0","0","0","0","0"
"09215","63","63","Cetuximab injection","K","2","5381","0","0","0","0","0","0","0","0"
"09215","64","64","Cetuximab injection","K","2","5437","0","0","0","0","0","0","0","0"
"09215","65","65","Cetuximab injection","K","2","5597","0","0","0","0","0","0","0","0"
"09215","66","66","Cetuximab injection","K","2","5563","0","0","0","0","0","0","0","0"
"09215","67","67","Cetuximab injection","K","2","5665","0","0","0","0","0","0","0","0"
"09215","68","68","Cetuximab injection","K","2","5639","0","0","0","0","0","0","0","0"
"09215","69","69","Cetuximab injection","K","2","5749","0","0","0","0","0","0","0","0"
"09215","70","70","Cetuximab injection","K","2","5762","0","0","0","0","0","0","0","0"
"09215","71","71","Cetuximab injection","K","2","5922","0","0","0","0","0","0","0","0"
"09215","72","72","Cetuximab injection","K","2","5917","0","0","0","0","0","0","0","0"
"09215","73","73","Cetuximab injection","K","2","6078","0","0","0","0","0","0","0","0"
"09215","74","74","Cetuximab injection","K","2","6063","0","0","0","0","0","0","0","0"
"09215","75","75","Cetuximab injection","K","2","6057","0","0","0","0","0","0","0","0"
"09215","76","76","Cetuximab injection","K","2","6073","0","0","0","0","0","0","0","0"
"09215","77","77","Cetuximab injection","K","2","6211","0","0","0","0","0","0","0","0"
"09215","78","78","Cetuximab injection","K","2","6205","0","0","0","0","0","0","0","0"
"09215","79","79","Cetuximab injection","K","2","6321","0","0","0","0","0","0","0","0"
"09215","80","80","Cetuximab injection","K","2","6295","0","0","0","0","0","0","0","0"
"09215","81","81","Cetuximab injection","K","2","6471","0","0","0","0","0","0","0","0"
"09215","82","82","Cetuximab injection","K","2","6429","0","0","0","0","0","0","0","0"
"09215","83","83","Cetuximab injection","K","2","6548","0","0","0","0","0","0","0","0"
"09215","84","84","Cetuximab injection","K","2","6517","0","0","0","0","0","0","0","0"
"09215","85","85","Cetuximab injection","K","2","6631","0","0","0","0","0","0","0","0"
"09215","86","86","Cetuximab injection","K","2","6671","0","0","0","0","0","0","0","0"
"09215","87","87","Cetuximab injection","K","2","6762","0","0","0","0","0","0","0","0"
"09217","60","60","Leuprolide acetate suspnsion","K","1","22817","0","0","0","0","0","0","0","0"
"09217","61","61","Leuprolide acetate suspnsion","K","1","22088","0","0","0","0","0","0","0","0"
"09217","62","62","Leuprolide acetate suspnsion","K","2","24280","0","0","0","0","0","0","0","0"
"09217","63","63","Leuprolide acetate suspnsion","K","2","25259","0","0","0","0","0","0","0","0"
"09217","64","64","Leuprolide acetate suspnsion","K","2","23179","0","0","0","0","0","0","0","0"
"09217","65","65","Leuprolide acetate suspnsion","K","2","21988","0","0","0","0","0","0","0","0"
"09217","66","66","Leuprolide acetate suspnsion","K","2","22501","0","0","0","0","0","0","0","0"
"09217","67","67","Leuprolide acetate suspnsion","K","2","22098","0","0","0","0","0","0","0","0"
"09217","68","68","Leuprolide acetate suspnsion","K","2","21601","0","0","0","0","0","0","0","0"
"09217","69","69","Leuprolide acetate suspnsion","K","2","20212","0","0","0","0","0","0","0","0"
"09217","70","70","Leuprolide acetate suspnsion","K","2","20971","0","0","0","0","0","0","0","0"
"09217","71","71","Leuprolide acetate suspnsion","K","2","21120","0","0","0","0","0","0","0","0"
"09217","72","72","Leuprolide acetate suspnsion","K","2","20930","0","0","0","0","0","0","0","0"
"09217","73","73","Leuprolide acetate suspnsion","K","2","21817","0","0","0","0","0","0","0","0"
"09217","74","74","Leuprolide acetate suspnsion","K","2","22841","0","0","0","0","0","0","0","0"
"09217","75","75","Leuprolide acetate suspnsion","K","2","23615","0","0","0","0","0","0","0","0"
"09217","76","76","Leuprolide acetate suspnsion","K","2","22430","0","0","0","0","0","0","0","0"
"09217","77","77","Leuprolide acetate suspnsion","K","2","22952","0","0","0","0","0","0","0","0"
"09217","78","78","Leuprolide acetate suspnsion","K","2","22470","0","0","0","0","0","0","0","0"
"09217","79","79","Leuprolide acetate suspnsion","K","2","23007","0","0","0","0","0","0","0","0"
"09217","80","80","Leuprolide acetate suspnsion","K","2","23537","0","0","0","0","0","0","0","0"
"09217","81","81","Leuprolide acetate suspnsion","K","2","20589","0","0","0","0","0","0","0","0"
"09217","82","82","Leuprolide acetate suspnsion","K","2","22445","0","0","0","0","0","0","0","0"
"09217","83","83","Leuprolide acetate suspnsion","K","2","22893","0","0","0","0","0","0","0","0"
"09217","84","84","Leuprolide acetate suspnsion","K","2","20407","0","0","0","0","0","0","0","0"
"09217","85","85","Leuprolide acetate suspnsion","K","2","14446","0","0","0","0","0","0","0","0"
"09217","86","86","Leuprolide acetate suspnsion","K","2","13909","0","0","0","0","0","0","0","0"
"09217","87","87","Leuprolide acetate suspnsion","K","2","20073","0","0","0","0","0","0","0","0"
"09224","60","60","Galsulfase injection","K","1","36237","0","0","0","0","0","0","0","0"
"09224","61","61","Galsulfase injection","K","1","36682","0","0","0","0","0","0","0","0"
"09224","62","62","Galsulfase injection","K","2","36478","0","0","0","0","0","0","0","0"
"09224","63","63","Galsulfase injection","K","2","36439","0","0","0","0","0","0","0","0"
"09224","64","64","Galsulfase injection","K","2","36420","0","0","0","0","0","0","0","0"
"09224","65","65","Galsulfase injection","K","2","36372","0","0","0","0","0","0","0","0"
"09224","66","66","Galsulfase injection","K","2","36441","0","0","0","0","0","0","0","0"
"09224","67","67","Galsulfase injection","K","2","36445","0","0","0","0","0","0","0","0"
"09224","68","68","Galsulfase injection","K","2","36942","0","0","0","0","0","0","0","0"
"09224","69","69","Galsulfase injection","K","2","37381","0","0","0","0","0","0","0","0"
"09224","70","70","Galsulfase injection","K","2","38050","0","0","0","0","0","0","0","0"
"09224","71","71","Galsulfase injection","K","2","38047","0","0","0","0","0","0","0","0"
"09224","72","72","Galsulfase injection","K","2","38091","0","0","0","0","0","0","0","0"
"09224","73","73","Galsulfase injection","K","2","38321","0","0","0","0","0","0","0","0"
"09224","74","74","Galsulfase injection","K","2","38995","0","0","0","0","0","0","0","0"
"09224","75","75","Galsulfase injection","K","2","39046","0","0","0","0","0","0","0","0"
"09224","76","76","Galsulfase injection","K","2","39031","0","0","0","0","0","0","0","0"
"09224","77","77","Galsulfase injection","K","2","39007","0","0","0","0","0","0","0","0"
"09224","78","78","Galsulfase injection","K","2","39792","0","0","0","0","0","0","0","0"
"09224","79","80","Galsulfase injection","K","2","39786","0","0","0","0","0","0","0","0"
"09224","81","81","Galsulfase injection","K","2","40556","0","0","0","0","0","0","0","0"
"09224","82","82","Galsulfase injection","K","2","40576","0","0","0","0","0","0","0","0"
"09224","83","83","Galsulfase injection","K","2","40407","0","0","0","0","0","0","0","0"
"09224","84","84","Galsulfase injection","K","2","40399","0","0","0","0","0","0","0","0"
"09224","85","85","Galsulfase injection","K","2","41154","0","0","0","0","0","0","0","0"
"09224","86","86","Galsulfase injection","K","2","41192","0","0","0","0","0","0","0","0"
"09224","87","87","Galsulfase injection","K","2","41191","0","0","0","0","0","0","0","0"
"09225","60","60","Fluocinolone acetonide implt","K","1","1971073","0","0","0","0","0","0","0","0"
"09225","61","61","Fluocinolone acetonide implt","K","1","1988212","0","0","0","0","0","0","0","0"
"09225","62","62","Fluocinolone acetonide implt","K","2","2013808","0","0","0","0","0","0","0","0"
"09225","63","63","Fluocinolone acetonide implt","K","2","2015053","0","0","0","0","0","0","0","0"
"09225","64","64","Fluocinolone acetonide implt","K","2","2013640","0","0","0","0","0","0","0","0"
"09225","65","65","Fluocinolone acetonide implt","K","2","2013860","0","0","0","0","0","0","0","0"
"09225","66","66","Fluocinolone acetonide implt","K","2","2012660","0","0","0","0","0","0","0","0"
"09225","67","67","Fluocinolone acetonide implt","K","2","2011460","0","0","0","0","0","0","0","0"
"09225","68","68","Fluocinolone acetonide implt","K","2","2011039","0","0","0","0","0","0","0","0"
"09225","69","69","Fluocinolone acetonide implt","K","2","2014325","0","0","0","0","0","0","0","0"
"09225","70","70","Fluocinolone acetonide implt","K","2","2011435","0","0","0","0","0","0","0","0"
"09225","71","71","Fluocinolone acetonide implt","K","2","2010017","0","0","0","0","0","0","0","0"
"09225","72","72","Fluocinolone acetonide implt","K","2","2016650","0","0","0","0","0","0","0","0"
"09225","73","73","Fluocinolone acetonide implt","K","2","2039529","0","0","0","0","0","0","0","0"
"09225","74","74","Fluocinolone acetonide implt","K","2","2013050","0","0","0","0","0","0","0","0"
"09225","75","75","Fluocinolone acetonide implt","K","2","2014237","0","0","0","0","0","0","0","0"
"09225","76","76","Fluocinolone acetonide implt","K","2","2013115","0","0","0","0","0","0","0","0"
"09225","77","77","Inj., retisert, 0.01 mg","K","2","2012583","0","0","0","0","0","0","0","0"
"09225","78","78","Fluocinolone acetonide implt","K","2","34162","0","0","0","0","0","0","0","0"
"09225","79","79","Fluocinolone acetonide implt","K","2","34155","0","0","0","0","0","0","0","0"
"09225","80","80","Fluocinolone acetonide implt","K","2","33944","0","0","0","0","0","0","0","0"
"09225","81","81","Fluocinolone acetonide implt","K","2","34130","0","0","0","0","0","0","0","0"
"09225","82","82","Inj., retisert, 0.01 mg","K","2","34062","0","0","0","0","0","0","0","0"
"09225","83","83","Inj., retisert, 0.01 mg","K","2","34122","0","0","0","0","0","0","0","0"
"09225","84","84","Inj., retisert, 0.01 mg","K","2","34119","0","0","0","0","0","0","0","0"
"09225","85","85","Inj., retisert, 0.01 mg","K","2","34022","0","0","0","0","0","0","0","0"
"09225","86","86","Fluocinolone acetonide implt","K","2","33900","0","0","0","0","0","0","0","0"
"09225","87","87","Fluocinolone acetonide implt","K","2","32409","0","0","0","0","0","0","0","0"
"09227","60","60","Micafungin sodium injection","K","1","93","0","0","0","0","0","0","0","0"
"09227","61","61","Micafungin sodium injection","K","1","58","0","0","0","0","0","0","0","0"
"09227","82","82","Micafungin sodium injection","K","2","118","0","0","0","0","0","0","0","0"
"09227","83","83","Micafungin sodium injection","K","2","109","0","0","0","0","0","0","0","0"
"09227","84","84","Micafungin sodium injection","K","2","100","0","0","0","0","0","0","0","0"
"09227","85","85","Micafungin sodium injection","K","2","111","0","0","0","0","0","0","0","0"
"09228","60","60","Tigecycline injection","K","1","208","0","0","0","0","0","0","0","0"
"09228","61","61","Tigecycline injection","K","1","231","0","0","0","0","0","0","0","0"
"09228","62","62","Tigecycline injection","K","2","235","0","0","0","0","0","0","0","0"
"09228","63","63","Tigecycline injection","K","2","243","0","0","0","0","0","0","0","0"
"09228","64","64","Tigecycline injection","K","2","242","0","0","0","0","0","0","0","0"
"09228","65","65","Tigecycline injection","K","2","275","0","0","0","0","0","0","0","0"
"09228","66","66","Tigecycline injection","K","2","313","0","0","0","0","0","0","0","0"
"09228","67","67","Tigecycline injection","K","2","319","0","0","0","0","0","0","0","0"
"09228","68","68","Tigecycline injection","K","2","318","0","0","0","0","0","0","0","0"
"09228","69","69","Tigecycline injection","K","2","327","0","0","0","0","0","0","0","0"
"09228","70","70","Tigecycline injection","K","2","299","0","0","0","0","0","0","0","0"
"09228","71","71","Tigecycline injection","K","2","282","0","0","0","0","0","0","0","0"
"09228","72","72","Tigecycline injection","K","2","263","0","0","0","0","0","0","0","0"
"09228","73","73","Tigecycline injection","K","2","226","0","0","0","0","0","0","0","0"
"09228","74","74","Tigecycline injection","K","2","206","0","0","0","0","0","0","0","0"
"09228","75","75","Tigecycline injection","K","2","187","0","0","0","0","0","0","0","0"
"09228","76","76","Tigecycline injection","K","2","178","0","0","0","0","0","0","0","0"
"09228","77","77","Tigecycline injection","K","2","169","0","0","0","0","0","0","0","0"
"09228","78","78","Tigecycline injection","K","2","157","0","0","0","0","0","0","0","0"
"09228","79","79","Tigecycline injection","K","2","164","0","0","0","0","0","0","0","0"
"09228","80","80","Tigecycline injection","K","2","162","0","0","0","0","0","0","0","0"
"09228","81","81","Tigecycline injection","K","2","145","0","0","0","0","0","0","0","0"
"09228","82","82","Tigecycline injection","K","2","138","0","0","0","0","0","0","0","0"
"09228","83","83","Tigecycline injection","K","2","119","0","0","0","0","0","0","0","0"
"09228","84","84","Tigecycline injection","K","2","111","0","0","0","0","0","0","0","0"
"09228","85","85","Tigecycline injection","K","2","100","0","0","0","0","0","0","0","0"
"09229","60","60","Ibandronate sodium injection","K","1","12412","0","0","0","0","0","0","0","0"
"09229","61","61","Ibandronate sodium injection","K","1","11411","0","0","0","0","0","0","0","0"
"09229","62","62","Ibandronate sodium injection","K","2","11667","0","0","0","0","0","0","0","0"
"09229","63","63","Ibandronate sodium injection","K","2","10835","0","0","0","0","0","0","0","0"
"09229","64","64","Ibandronate sodium injection","K","2","10413","0","0","0","0","0","0","0","0"
"09229","65","65","Ibandronate sodium injection","K","2","11356","0","0","0","0","0","0","0","0"
"09229","66","66","Ibandronate sodium injection","K","2","10196","0","0","0","0","0","0","0","0"
"09229","67","67","Ibandronate sodium injection","K","2","9652","0","0","0","0","0","0","0","0"
"09229","68","68","Ibandronate sodium injection","K","2","7829","0","0","0","0","0","0","0","0"
"09229","69","69","Ibandronate sodium injection","K","2","8378","0","0","0","0","0","0","0","0"
"09229","70","70","Ibandronate sodium injection","K","2","8287","0","0","0","0","0","0","0","0"
"09229","71","71","Ibandronate sodium injection","K","2","8489","0","0","0","0","0","0","0","0"
"09229","72","72","Ibandronate sodium injection","K","2","7424","0","0","0","0","0","0","0","0"
"09229","73","73","Ibandronate sodium injection","K","2","7811","0","0","0","0","0","0","0","0"
"09229","74","74","Ibandronate sodium injection","K","2","5624","0","0","0","0","0","0","0","0"
"09229","75","75","Ibandronate sodium injection","K","2","5544","0","0","0","0","0","0","0","0"
"09229","76","76","Ibandronate sodium injection","K","2","4445","0","0","0","0","0","0","0","0"
"09229","77","77","Ibandronate sodium injection","K","2","4573","0","0","0","0","0","0","0","0"
"09229","78","78","Ibandronate sodium injection","K","2","4348","0","0","0","0","0","0","0","0"
"09229","79","79","Ibandronate sodium injection","K","2","4427","0","0","0","0","0","0","0","0"
"09229","80","80","Ibandronate sodium injection","K","2","4373","0","0","0","0","0","0","0","0"
"09229","81","81","Ibandronate sodium injection","K","2","4756","0","0","0","0","0","0","0","0"
"09229","82","82","Ibandronate sodium injection","K","2","5100","0","0","0","0","0","0","0","0"
"09229","83","83","Ibandronate sodium injection","K","2","4154","0","0","0","0","0","0","0","0"
"09229","84","84","Ibandronate sodium injection","K","2","3855","0","0","0","0","0","0","0","0"
"09229","85","85","Ibandronate sodium injection","K","2","3706","0","0","0","0","0","0","0","0"
"09230","60","60","Abatacept injection","K","1","3492","0","0","0","0","0","0","0","0"
"09230","61","61","Abatacept injection","K","1","3581","0","0","0","0","0","0","0","0"
"09230","62","62","Abatacept injection","K","2","3733","0","0","0","0","0","0","0","0"
"09230","63","63","Abatacept injection","K","2","3944","0","0","0","0","0","0","0","0"
"09230","64","64","Abatacept injection","K","2","4105","0","0","0","0","0","0","0","0"
"09230","65","65","Abatacept injection","K","2","4198","0","0","0","0","0","0","0","0"
"09230","66","66","Abatacept injection","K","2","4475","0","0","0","0","0","0","0","0"
"09230","67","67","Abatacept injection","K","2","4588","0","0","0","0","0","0","0","0"
"09230","68","68","Abatacept injection","K","2","4686","0","0","0","0","0","0","0","0"
"09230","69","69","Abatacept injection","K","2","4761","0","0","0","0","0","0","0","0"
"09230","70","70","Abatacept injection","K","2","4959","0","0","0","0","0","0","0","0"
"09230","71","71","Abatacept injection","K","2","4855","0","0","0","0","0","0","0","0"
"09230","72","72","Abatacept injection","K","2","5016","0","0","0","0","0","0","0","0"
"09230","73","73","Abatacept injection","K","2","5163","0","0","0","0","0","0","0","0"
"09230","74","74","Abatacept injection","K","2","5293","0","0","0","0","0","0","0","0"
"09230","75","75","Abatacept injection","K","2","5161","0","0","0","0","0","0","0","0"
"09230","76","76","Abatacept injection","K","2","5249","0","0","0","0","0","0","0","0"
"09230","77","77","Abatacept injection","K","2","5394","0","0","0","0","0","0","0","0"
"09230","78","78","Abatacept injection","K","2","5432","0","0","0","0","0","0","0","0"
"09230","79","79","Abatacept injection","K","2","5485","0","0","0","0","0","0","0","0"
"09230","80","80","Abatacept injection","K","2","5508","0","0","0","0","0","0","0","0"
"09230","81","81","Abatacept injection","K","2","5674","0","0","0","0","0","0","0","0"
"09230","82","82","Abatacept injection","K","2","5810","0","0","0","0","0","0","0","0"
"09230","83","83","Abatacept injection","K","2","5687","0","0","0","0","0","0","0","0"
"09230","84","84","Abatacept injection","K","2","5783","0","0","0","0","0","0","0","0"
"09230","85","85","Abatacept injection","K","2","4532","0","0","0","0","0","0","0","0"
"09230","86","86","Abatacept injection","K","2","4527","0","0","0","0","0","0","0","0"
"09230","87","87","Abatacept injection","K","2","4452","0","0","0","0","0","0","0","0"
"09231","60","60","Decitabine injection","K","1","2611","0","0","0","0","0","0","0","0"
"09231","61","61","Decitabine injection","K","1","2429","0","0","0","0","0","0","0","0"
"09231","62","62","Decitabine injection","K","2","2213","0","0","0","0","0","0","0","0"
"09231","63","63","Decitabine injection","K","2","2178","0","0","0","0","0","0","0","0"
"09231","64","64","Decitabine injection","K","2","2297","0","0","0","0","0","0","0","0"
"09231","65","65","Decitabine injection","K","2","2183","0","0","0","0","0","0","0","0"
"09231","66","66","Decitabine injection","K","2","2083","0","0","0","0","0","0","0","0"
"09231","67","67","Decitabine injection","K","2","1966","0","0","0","0","0","0","0","0"
"09231","68","68","Decitabine injection","K","2","1796","0","0","0","0","0","0","0","0"
"09231","69","69","Decitabine injection","K","2","1935","0","0","0","0","0","0","0","0"
"09231","70","70","Decitabine injection","K","2","1770","0","0","0","0","0","0","0","0"
"09231","71","71","Decitabine injection","K","2","1613","0","0","0","0","0","0","0","0"
"09231","72","72","Decitabine injection","K","2","1642","0","0","0","0","0","0","0","0"
"09231","73","73","Decitabine injection","K","2","1450","0","0","0","0","0","0","0","0"
"09231","74","74","Decitabine injection","K","2","1407","0","0","0","0","0","0","0","0"
"09231","75","75","Decitabine injection","K","2","1263","0","0","0","0","0","0","0","0"
"09231","76","76","Decitabine injection","K","2","875","0","0","0","0","0","0","0","0"
"09231","77","77","Decitabine injection","K","2","746","0","0","0","0","0","0","0","0"
"09231","78","78","Decitabine injection","K","2","749","0","0","0","0","0","0","0","0"
"09231","79","79","Decitabine injection","K","2","430","0","0","0","0","0","0","0","0"
"09231","80","80","Decitabine injection","K","2","447","0","0","0","0","0","0","0","0"
"09231","81","81","Decitabine injection","K","2","428","0","0","0","0","0","0","0","0"
"09231","82","82","Decitabine injection","K","2","426","0","0","0","0","0","0","0","0"
"09231","83","83","Decitabine injection","K","2","343","0","0","0","0","0","0","0","0"
"09231","84","84","Decitabine injection","K","2","346","0","0","0","0","0","0","0","0"
"09231","85","85","Decitabine injection","K","2","417","0","0","0","0","0","0","0","0"
"09231","86","86","Decitabine injection","K","2","345","0","0","0","0","0","0","0","0"
"09231","87","87","Decitabine injection","K","2","288","0","0","0","0","0","0","0","0"
"09232","60","60","Idursulfase injection","K","1","49769","0","0","0","0","0","0","0","0"
"09232","61","61","Idursulfase injection","K","1","49741","0","0","0","0","0","0","0","0"
"09232","62","62","Idursulfase injection","K","2","49748","0","0","0","0","0","0","0","0"
"09232","63","63","Idursulfase injection","K","2","51972","0","0","0","0","0","0","0","0"
"09232","64","64","Idursulfase injection","K","2","52265","0","0","0","0","0","0","0","0"
"09232","65","65","Idursulfase injection","K","2","52255","0","0","0","0","0","0","0","0"
"09232","66","67","Idursulfase injection","K","2","52204","0","0","0","0","0","0","0","0"
"09232","68","68","Idursulfase injection","K","2","52201","0","0","0","0","0","0","0","0"
"09232","69","69","Idursulfase injection","K","2","53348","0","0","0","0","0","0","0","0"
"09232","70","71","Idursulfase injection","K","2","54286","0","0","0","0","0","0","0","0"
"09232","72","72","Idursulfase injection","K","2","54288","0","0","0","0","0","0","0","0"
"09232","73","73","Idursulfase injection","K","2","54292","0","0","0","0","0","0","0","0"
"09232","74","74","Idursulfase injection","K","2","53656","0","0","0","0","0","0","0","0"
"09232","75","75","Idursulfase injection","K","2","54292","0","0","0","0","0","0","0","0"
"09232","76","76","Idursulfase injection","K","2","54298","0","0","0","0","0","0","0","0"
"09232","77","80","Idursulfase injection","K","2","54289","0","0","0","0","0","0","0","0"
"09232","81","81","Idursulfase injection","K","2","54292","0","0","0","0","0","0","0","0"
"09233","60","60","Ranibizumab injection","K","1","39554","0","0","0","0","0","0","0","0"
"09233","61","61","Ranibizumab injection","K","1","39353","0","0","0","0","0","0","0","0"
"09233","62","62","Ranibizumab injection","K","2","39141","0","0","0","0","0","0","0","0"
"09233","63","63","Ranibizumab injection","K","2","38766","0","0","0","0","0","0","0","0"
"09233","64","64","Ranibizumab injection","K","2","38633","0","0","0","0","0","0","0","0"
"09233","65","65","Ranibizumab injection","K","2","38260","0","0","0","0","0","0","0","0"
"09233","66","66","Ranibizumab injection","K","2","38323","0","0","0","0","0","0","0","0"
"09233","67","67","Ranibizumab injection","K","2","38022","0","0","0","0","0","0","0","0"
"09233","68","68","Ranibizumab injection","K","2","37521","0","0","0","0","0","0","0","0"
"09233","69","69","Ranibizumab injection","K","2","38089","0","0","0","0","0","0","0","0"
"09233","70","70","Ranibizumab injection","K","2","37835","0","0","0","0","0","0","0","0"
"09233","71","71","Ranibizumab injection","K","2","38655","0","0","0","0","0","0","0","0"
"09233","72","72","Ranibizumab injection","K","2","37293","0","0","0","0","0","0","0","0"
"09233","73","73","Ranibizumab injection","K","2","37350","0","0","0","0","0","0","0","0"
"09233","74","74","Ranibizumab injection","K","2","37336","0","0","0","0","0","0","0","0"
"09233","75","75","Ranibizumab injection","K","2","36398","0","0","0","0","0","0","0","0"
"09233","76","76","Ranibizumab injection","K","2","36415","0","0","0","0","0","0","0","0"
"09233","77","77","Ranibizumab injection","K","2","35734","0","0","0","0","0","0","0","0"
"09233","78","78","Ranibizumab injection","K","2","35217","0","0","0","0","0","0","0","0"
"09233","79","79","Ranibizumab injection","K","2","34728","0","0","0","0","0","0","0","0"
"09233","80","80","Ranibizumab injection","K","2","34331","0","0","0","0","0","0","0","0"
"09233","81","81","Ranibizumab injection","K","2","33337","0","0","0","0","0","0","0","0"
"09233","82","82","Ranibizumab injection","K","2","32427","0","0","0","0","0","0","0","0"
"09233","83","83","Ranibizumab injection","K","2","32285","0","0","0","0","0","0","0","0"
"09233","84","84","Ranibizumab injection","K","2","31226","0","0","0","0","0","0","0","0"
"09233","85","85","Ranibizumab injection","K","2","30693","0","0","0","0","0","0","0","0"
"09233","86","86","Ranibizumab injection","K","2","31847","0","0","0","0","0","0","0","0"
"09233","87","87","Ranibizumab injection","K","2","30720","0","0","0","0","0","0","0","0"
"09234","60","60","Alglucosidase alfa injection","K","1","20663","0","0","0","0","0","0","0","0"
"09234","61","61","Alglucosidase alfa injection","K","1","20664","0","0","0","0","0","0","0","0"
"09234","62","62","Alglucosidase alfa injection","K","2","20664","0","0","0","0","0","0","0","0"
"09234","63","70","Alglucosidase alfa injection","K","2","20670","0","0","0","0","0","0","0","0"
"09234","71","73","Alglucosidase alfa injection","K","2","15963","0","0","0","0","0","0","0","0"
"09234","74","78","Alglucosidase alfa injection","K","2","14114","0","0","0","0","0","0","0","0"
"09234","79","82","Alglucosidase alfa injection","K","2","7381","0","0","0","0","0","0","0","0"
"09234","83","87","Alglucosidase alfa injection","K","2","11707","0","0","0","0","0","0","0","0"
"09235","60","60","Panitumumab injection","K","1","9727","0","0","0","0","0","0","0","0"
"09235","61","61","Panitumumab injection","K","1","10035","0","0","0","0","0","0","0","0"
"09235","62","62","Panitumumab injection","K","2","10091","0","0","0","0","0","0","0","0"
"09235","63","63","Panitumumab injection","K","2","10339","0","0","0","0","0","0","0","0"
"09235","64","64","Panitumumab injection","K","2","10402","0","0","0","0","0","0","0","0"
"09235","65","65","Panitumumab injection","K","2","10552","0","0","0","0","0","0","0","0"
"09235","66","66","Panitumumab injection","K","2","10560","0","0","0","0","0","0","0","0"
"09235","67","67","Panitumumab injection","K","2","10744","0","0","0","0","0","0","0","0"
"09235","68","68","Panitumumab injection","K","2","10771","0","0","0","0","0","0","0","0"
"09235","69","69","Panitumumab injection","K","2","10940","0","0","0","0","0","0","0","0"
"09235","70","70","Panitumumab injection","K","2","11028","0","0","0","0","0","0","0","0"
"09235","71","71","Panitumumab injection","K","2","11139","0","0","0","0","0","0","0","0"
"09235","72","72","Panitumumab injection","K","2","11194","0","0","0","0","0","0","0","0"
"09235","73","73","Panitumumab injection","K","2","11404","0","0","0","0","0","0","0","0"
"09235","74","74","Panitumumab injection","K","2","11438","0","0","0","0","0","0","0","0"
"09235","75","75","Panitumumab injection","K","2","11470","0","0","0","0","0","0","0","0"
"09235","76","76","Panitumumab injection","K","2","11503","0","0","0","0","0","0","0","0"
"09235","77","77","Panitumumab injection","K","2","11776","0","0","0","0","0","0","0","0"
"09235","78","78","Panitumumab injection","K","2","11907","0","0","0","0","0","0","0","0"
"09235","79","79","Panitumumab injection","K","2","11852","0","0","0","0","0","0","0","0"
"09235","80","80","Panitumumab injection","K","2","11858","0","0","0","0","0","0","0","0"
"09235","81","81","Panitumumab injection","K","2","12280","0","0","0","0","0","0","0","0"
"09235","82","82","Panitumumab injection","K","2","12355","0","0","0","0","0","0","0","0"
"09235","83","83","Panitumumab injection","K","2","12417","0","0","0","0","0","0","0","0"
"09235","84","84","Panitumumab injection","K","2","12387","0","0","0","0","0","0","0","0"
"09235","85","85","Panitumumab injection","K","2","12858","0","0","0","0","0","0","0","0"
"09235","86","86","Panitumumab injection","K","2","13038","0","0","0","0","0","0","0","0"
"09235","87","87","Panitumumab injection","K","2","13041","0","0","0","0","0","0","0","0"
"09236","60","60","Eculizumab injection","K","1","21189","0","0","0","0","0","0","0","0"
"09236","61","61","Eculizumab injection","K","1","21393","0","0","0","0","0","0","0","0"
"09236","62","64","Eculizumab injection","K","2","21592","0","0","0","0","0","0","0","0"
"09236","65","65","Eculizumab injection","K","2","21839","0","0","0","0","0","0","0","0"
"09236","66","66","Eculizumab injection","K","2","22112","0","0","0","0","0","0","0","0"
"09236","67","67","Eculizumab injection","K","2","22320","0","0","0","0","0","0","0","0"
"09236","68","70","Eculizumab injection","K","2","22663","0","0","0","0","0","0","0","0"
"09236","71","71","Eculizumab injection","K","2","22837","0","0","0","0","0","0","0","0"
"09236","72","82","Eculizumab injection","K","2","23048","0","0","0","0","0","0","0","0"
"09236","83","83","Eculizumab injection","K","2","23032","0","0","0","0","0","0","0","0"
"09236","84","84","Eculizumab injection","K","2","23006","0","0","0","0","0","0","0","0"
"09236","85","85","Eculizumab injection","K","2","22977","0","0","0","0","0","0","0","0"
"09236","86","86","Eculizumab injection","K","2","22923","0","0","0","0","0","0","0","0"
"09236","87","87","Eculizumab injection","K","2","22894","0","0","0","0","0","0","0","0"
"09237","60","60","Inj, lanreotide acetate","K","1","4667","0","0","0","0","0","0","0","0"
"09237","61","61","Inj, lanreotide acetate","K","1","4738","0","0","0","0","0","0","0","0"
"09237","62","62","Inj, lanreotide acetate","K","2","4718","0","0","0","0","0","0","0","0"
"09237","63","63","Inj, lanreotide acetate","K","2","4817","0","0","0","0","0","0","0","0"
"09237","64","64","Inj, lanreotide acetate","K","2","4844","0","0","0","0","0","0","0","0"
"09237","65","65","Inj, lanreotide acetate","K","2","4940","0","0","0","0","0","0","0","0"
"09237","66","66","Inj, lanreotide acetate","K","2","5131","0","0","0","0","0","0","0","0"
"09237","67","67","Inj, lanreotide acetate","K","2","5223","0","0","0","0","0","0","0","0"
"09237","68","68","Inj, lanreotide acetate","K","2","5401","0","0","0","0","0","0","0","0"
"09237","69","69","Inj, lanreotide acetate","K","2","5439","0","0","0","0","0","0","0","0"
"09237","70","70","Inj, lanreotide acetate","K","2","5598","0","0","0","0","0","0","0","0"
"09237","71","71","Inj, lanreotide acetate","K","2","5669","0","0","0","0","0","0","0","0"
"09237","72","72","Inj, lanreotide acetate","K","2","5686","0","0","0","0","0","0","0","0"
"09237","73","73","Inj, lanreotide acetate","K","2","5898","0","0","0","0","0","0","0","0"
"09237","74","74","Inj, lanreotide acetate","K","2","5884","0","0","0","0","0","0","0","0"
"09237","75","75","Inj, lanreotide acetate","K","2","5877","0","0","0","0","0","0","0","0"
"09237","76","76","Inj, lanreotide acetate","K","2","5874","0","0","0","0","0","0","0","0"
"09237","77","77","Inj, lanreotide acetate","K","2","6321","0","0","0","0","0","0","0","0"
"09237","78","78","Inj, lanreotide acetate","K","2","6232","0","0","0","0","0","0","0","0"
"09237","79","79","Inj, lanreotide acetate","K","2","6365","0","0","0","0","0","0","0","0"
"09237","80","80","Inj, lanreotide acetate","K","2","6585","0","0","0","0","0","0","0","0"
"09237","81","81","Inj, lanreotide acetate","K","2","7042","0","0","0","0","0","0","0","0"
"09237","82","82","Inj, lanreotide acetate","K","2","6848","0","0","0","0","0","0","0","0"
"09237","83","83","Inj, lanreotide acetate","K","2","6846","0","0","0","0","0","0","0","0"
"09237","84","84","Inj, lanreotide acetate","K","2","6673","0","0","0","0","0","0","0","0"
"09237","85","85","Inj, lanreotide acetate","K","2","6850","0","0","0","0","0","0","0","0"
"09237","86","86","Inj, lanreotide acetate","K","2","6764","0","0","0","0","0","0","0","0"
"09237","87","87","Inj, lanreotide acetate","K","2","6618","0","0","0","0","0","0","0","0"
"09239","72","72","Buprenorphine xr over 100 mg","G","2","0","0","0","0","0","0","0","0","0"
"09239","73","77","Buprenorphine xr over 100 mg","G","2","167480","0","0","0","0","0","0","0","0"
"09239","78","78","Buprenorphine xr over 100 mg","G","2","167336","0","0","0","0","0","0","0","0"
"09239","79","79","Buprenorphine xr over 100 mg","G","2","167245","0","0","0","0","0","0","0","0"
"09239","80","80","Buprenorphine xr over 100 mg","G","2","166610","0","0","0","0","0","0","0","0"
"09239","81","81","Buprenorphine xr over 100 mg","G","2","174452","0","0","0","0","0","0","0","0"
"09239","82","82","Buprenorphine xr over 100 mg","G","2","174348","0","0","0","0","0","0","0","0"
"09239","83","83","Buprenorphine xr over 100 mg","G","2","173726","0","0","0","0","0","0","0","0"
"09239","84","84","Buprenorphine xr over 100 mg","K","2","173654","0","0","0","0","0","0","0","0"
"09239","85","85","Buprenorphine xr over 100 mg","K","2","181665","0","0","0","0","0","0","0","0"
"09239","86","86","Buprenorphine xr over 100 mg","K","2","179680","0","0","0","0","0","0","0","0"
"09239","87","87","Buprenorphine xr over 100 mg","K","2","178703","0","0","0","0","0","0","0","0"
"09240","60","60","Injection, ixabepilone","K","1","7099","0","0","0","0","0","0","0","0"
"09240","61","61","Injection, ixabepilone","K","1","7216","0","0","0","0","0","0","0","0"
"09240","62","62","Injection, ixabepilone","K","2","7208","0","0","0","0","0","0","0","0"
"09240","63","63","Injection, ixabepilone","K","2","7347","0","0","0","0","0","0","0","0"
"09240","64","64","Injection, ixabepilone","K","2","7385","0","0","0","0","0","0","0","0"
"09240","65","65","Injection, ixabepilone","K","2","7691","0","0","0","0","0","0","0","0"
"09240","66","66","Injection, ixabepilone","K","2","7787","0","0","0","0","0","0","0","0"
"09240","67","67","Injection, ixabepilone","K","2","7675","0","0","0","0","0","0","0","0"
"09240","68","68","Injection, ixabepilone","K","2","7536","0","0","0","0","0","0","0","0"
"09240","69","69","Injection, ixabepilone","K","2","7409","0","0","0","0","0","0","0","0"
"09240","70","70","Injection, ixabepilone","K","2","7410","0","0","0","0","0","0","0","0"
"09240","71","71","Injection, ixabepilone","K","2","7300","0","0","0","0","0","0","0","0"
"09240","72","72","Injection, ixabepilone","K","2","7211","0","0","0","0","0","0","0","0"
"09240","73","73","Injection, ixabepilone","K","2","7059","0","0","0","0","0","0","0","0"
"09240","74","74","Injection, ixabepilone","K","2","7099","0","0","0","0","0","0","0","0"
"09240","75","75","Injection, ixabepilone","K","2","7690","0","0","0","0","0","0","0","0"
"09240","76","76","Injection, ixabepilone","K","2","8424","0","0","0","0","0","0","0","0"
"09240","77","77","Injection, ixabepilone","K","2","8945","0","0","0","0","0","0","0","0"
"09240","78","78","Injection, ixabepilone","K","2","9107","0","0","0","0","0","0","0","0"
"09240","79","79","Injection, ixabepilone","K","2","9607","0","0","0","0","0","0","0","0"
"09240","80","80","Injection, ixabepilone","K","2","9937","0","0","0","0","0","0","0","0"
"09240","81","81","Injection, ixabepilone","K","2","9985","0","0","0","0","0","0","0","0"
"09240","82","82","Injection, ixabepilone","K","2","10119","0","0","0","0","0","0","0","0"
"09240","83","83","Injection, ixabepilone","K","2","10212","0","0","0","0","0","0","0","0"
"09240","84","84","Injection, ixabepilone","K","2","11186","0","0","0","0","0","0","0","0"
"09240","85","85","Injection, ixabepilone","K","2","11209","0","0","0","0","0","0","0","0"
"09240","86","86","Injection, ixabepilone","K","2","11212","0","0","0","0","0","0","0","0"
"09240","87","87","Injection, ixabepilone","K","2","11419","0","0","0","0","0","0","0","0"
"09241","87","87","Sirolimus, protein-bound,1mg","G","2","0","0","0","0","0","0","0","0","0"
"09242","60","61","Injection, fosaprepitant","K","1","173","0","0","0","0","0","0","0","0"
"09242","62","63","Injection, fosaprepitant","K","2","173","0","0","0","0","0","0","0","0"
"09242","64","64","Injection, fosaprepitant","K","2","181","0","0","0","0","0","0","0","0"
"09242","65","65","Injection, fosaprepitant","K","2","180","0","0","0","0","0","0","0","0"
"09242","66","66","Injection, fosaprepitant","K","2","189","0","0","0","0","0","0","0","0"
"09242","67","67","Injection, fosaprepitant","K","2","186","0","0","0","0","0","0","0","0"
"09242","68","68","Injection, fosaprepitant","K","2","194","0","0","0","0","0","0","0","0"
"09242","69","69","Injection, fosaprepitant","K","2","191","0","0","0","0","0","0","0","0"
"09242","70","70","Injection, fosaprepitant","K","2","203","0","0","0","0","0","0","0","0"
"09242","71","71","Injection, fosaprepitant","K","2","205","0","0","0","0","0","0","0","0"
"09242","72","72","Injection, fosaprepitant","K","2","210","0","0","0","0","0","0","0","0"
"09242","73","73","Injection, fosaprepitant","K","2","208","0","0","0","0","0","0","0","0"
"09242","74","74","Injection, fosaprepitant","K","2","219","0","0","0","0","0","0","0","0"
"09242","75","75","Injection, fosaprepitant","K","2","210","0","0","0","0","0","0","0","0"
"09242","76","76","Injection, fosaprepitant","K","2","205","0","0","0","0","0","0","0","0"
"09242","77","77","Injection, fosaprepitant","K","2","200","0","0","0","0","0","0","0","0"
"09242","78","78","Injection, fosaprepitant","K","2","197","0","0","0","0","0","0","0","0"
"09242","79","79","Injection, fosaprepitant","K","2","198","0","0","0","0","0","0","0","0"
"09242","80","80","Injection, fosaprepitant","K","2","139","0","0","0","0","0","0","0","0"
"09242","81","81","Injection, fosaprepitant","K","2","108","0","0","0","0","0","0","0","0"
"09242","82","82","Injection, fosaprepitant","K","2","79","0","0","0","0","0","0","0","0"
"09242","83","83","Injection, fosaprepitant","K","2","42","0","0","0","0","0","0","0","0"
"09242","84","84","Injection, fosaprepitant","K","2","34","0","0","0","0","0","0","0","0"
"09242","85","85","Injection, fosaprepitant","K","2","33","0","0","0","0","0","0","0","0"
"09243","60","60","Bendamustine injection","K","1","2329","0","0","0","0","0","0","0","0"
"09243","61","61","Bendamustine injection","K","1","2413","0","0","0","0","0","0","0","0"
"09243","62","62","Bendamustine injection","K","2","2466","0","0","0","0","0","0","0","0"
"09243","63","63","Bendamustine injection","K","2","2459","0","0","0","0","0","0","0","0"
"09243","64","64","Bendamustine injection","K","2","2463","0","0","0","0","0","0","0","0"
"09243","65","65","Bendamustine injection","K","2","2475","0","0","0","0","0","0","0","0"
"09243","66","66","Inj., treanda 1 mg","K","2","2701","0","0","0","0","0","0","0","0"
"09243","67","67","Inj., treanda 1 mg","K","2","2798","0","0","0","0","0","0","0","0"
"09243","68","68","Inj., treanda 1 mg","K","2","2797","0","0","0","0","0","0","0","0"
"09243","69","69","Inj., treanda 1 mg","K","2","2891","0","0","0","0","0","0","0","0"
"09243","70","70","Inj., treanda 1 mg","K","2","2919","0","0","0","0","0","0","0","0"
"09243","71","71","Inj., treanda 1 mg","K","2","3013","0","0","0","0","0","0","0","0"
"09243","72","72","Inj., treanda 1 mg","K","2","3021","0","0","0","0","0","0","0","0"
"09243","73","73","Inj., treanda 1 mg","K","2","3075","0","0","0","0","0","0","0","0"
"09243","74","74","Inj., treanda 1 mg","K","2","3058","0","0","0","0","0","0","0","0"
"09243","75","75","Inj., treanda 1 mg","K","2","3027","0","0","0","0","0","0","0","0"
"09243","76","76","Inj., treanda 1 mg","K","2","2995","0","0","0","0","0","0","0","0"
"09243","77","77","Inj., treanda 1 mg","K","2","2888","0","0","0","0","0","0","0","0"
"09243","78","78","Inj., treanda 1 mg","K","2","2784","0","0","0","0","0","0","0","0"
"09243","79","79","Inj., treanda 1 mg","K","2","2689","0","0","0","0","0","0","0","0"
"09243","80","80","Inj., treanda 1 mg","K","2","2621","0","0","0","0","0","0","0","0"
"09243","81","81","Inj., treanda 1 mg","K","2","2523","0","0","0","0","0","0","0","0"
"09243","82","82","Inj., treanda 1 mg","K","2","2469","0","0","0","0","0","0","0","0"
"09243","83","83","Inj., treanda 1 mg","K","2","2458","0","0","0","0","0","0","0","0"
"09243","84","84","Inj., treanda 1 mg","K","2","2398","0","0","0","0","0","0","0","0"
"09243","85","85","Inj., treanda 1 mg","K","2","2380","0","0","0","0","0","0","0","0"
"09243","86","86","Inj., treanda 1 mg","K","2","2201","0","0","0","0","0","0","0","0"
"09243","87","87","Inj., treanda 1 mg","K","2","2069","0","0","0","0","0","0","0","0"
"09245","60","60","Romiplostim injection","K","1","5527","0","0","0","0","0","0","0","0"
"09245","61","61","Romiplostim injection","K","1","5685","0","0","0","0","0","0","0","0"
"09245","62","62","Romiplostim injection","K","2","5747","0","0","0","0","0","0","0","0"
"09245","63","63","Romiplostim injection","K","2","5911","0","0","0","0","0","0","0","0"
"09245","64","64","Romiplostim injection","K","2","5973","0","0","0","0","0","0","0","0"
"09245","65","65","Romiplostim injection","K","2","6153","0","0","0","0","0","0","0","0"
"09245","66","66","Romiplostim injection","K","2","6214","0","0","0","0","0","0","0","0"
"09245","67","67","Romiplostim injection","K","2","6420","0","0","0","0","0","0","0","0"
"09245","68","68","Romiplostim injection","K","2","6503","0","0","0","0","0","0","0","0"
"09245","69","69","Romiplostim injection","K","2","6658","0","0","0","0","0","0","0","0"
"09245","70","70","Romiplostim injection","K","2","6686","0","0","0","0","0","0","0","0"
"09245","71","71","Romiplostim injection","K","2","6806","0","0","0","0","0","0","0","0"
"09245","72","72","Romiplostim injection","K","2","6850","0","0","0","0","0","0","0","0"
"09245","73","73","Romiplostim injection","K","2","7055","0","0","0","0","0","0","0","0"
"09245","74","74","Romiplostim injection","K","2","7140","0","0","0","0","0","0","0","0"
"09245","75","75","Romiplostim injection","K","2","7161","0","0","0","0","0","0","0","0"
"09245","76","76","Romiplostim injection","K","2","7175","0","0","0","0","0","0","0","0"
"09245","77","77","Romiplostim injection","K","2","7351","0","0","0","0","0","0","0","0"
"09245","78","78","Romiplostim injection","K","2","7428","0","0","0","0","0","0","0","0"
"09245","79","79","Romiplostim injection","K","2","7426","0","0","0","0","0","0","0","0"
"09245","80","80","Romiplostim injection","K","2","7466","0","0","0","0","0","0","0","0"
"09245","81","81","Romiplostim injection","K","2","7764","0","0","0","0","0","0","0","0"
"09245","82","82","Romiplostim injection","K","2","7843","0","0","0","0","0","0","0","0"
"09245","83","83","Romiplostim injection","K","2","7911","0","0","0","0","0","0","0","0"
"09245","84","84","Romiplostim injection","K","2","7892","0","0","0","0","0","0","0","0"
"09245","85","85","Romiplostim injection","K","2","8230","0","0","0","0","0","0","0","0"
"09245","86","86","Romiplostim injection","K","2","8347","0","0","0","0","0","0","0","0"
"09245","87","87","Romiplostim injection","K","2","8362","0","0","0","0","0","0","0","0"
"09248","60","60","Inj, clevidipine butyrate","K","1","384","0","0","0","0","0","0","0","0"
"09248","61","61","Inj, clevidipine butyrate","K","1","413","0","0","0","0","0","0","0","0"
"09248","62","62","Inj, clevidipine butyrate","K","2","432","0","0","0","0","0","0","0","0"
"09248","63","63","Inj, clevidipine butyrate","K","2","282","0","0","0","0","0","0","0","0"
"09248","64","64","Inj, clevidipine butyrate","K","2","237","0","0","0","0","0","0","0","0"
"09248","65","65","Inj, clevidipine butyrate","K","2","252","0","0","0","0","0","0","0","0"
"09248","66","66","Inj, clevidipine butyrate","K","2","289","0","0","0","0","0","0","0","0"
"09248","67","67","Inj, clevidipine butyrate","K","2","304","0","0","0","0","0","0","0","0"
"09248","68","68","Inj, clevidipine butyrate","K","2","220","0","0","0","0","0","0","0","0"
"09248","69","69","Inj, clevidipine butyrate","K","2","219","0","0","0","0","0","0","0","0"
"09251","60","60","C1 esterase inhibitor inj","K","1","5190","0","0","0","0","0","0","0","0"
"09251","61","61","C1 esterase inhibitor inj","K","1","5436","0","0","0","0","0","0","0","0"
"09251","62","62","C1 esterase inhibitor inj","K","2","5446","0","0","0","0","0","0","0","0"
"09251","63","63","C1 esterase inhibitor inj","K","2","5448","0","0","0","0","0","0","0","0"
"09251","64","64","C1 esterase inhibitor inj","K","2","5451","0","0","0","0","0","0","0","0"
"09251","65","65","C1 esterase inhibitor inj","K","2","5485","0","0","0","0","0","0","0","0"
"09251","66","67","C1 esterase inhibitor inj","K","2","5555","0","0","0","0","0","0","0","0"
"09251","68","68","C1 esterase inhibitor inj","K","2","5553","0","0","0","0","0","0","0","0"
"09251","69","69","C1 esterase inhibitor inj","K","2","5642","0","0","0","0","0","0","0","0"
"09251","70","70","C1 esterase inhibitor inj","K","2","5721","0","0","0","0","0","0","0","0"
"09251","71","71","C1 esterase inhibitor inj","K","2","5717","0","0","0","0","0","0","0","0"
"09251","72","72","C1 esterase inhibitor inj","K","2","5607","0","0","0","0","0","0","0","0"
"09251","73","73","C1 esterase inhibitor inj","K","2","5594","0","0","0","0","0","0","0","0"
"09251","74","74","C1 esterase inhibitor inj","K","2","5426","0","0","0","0","0","0","0","0"
"09251","75","75","C1 esterase inhibitor inj","K","2","5402","0","0","0","0","0","0","0","0"
"09251","76","76","C1 esterase inhibitor inj","K","2","5497","0","0","0","0","0","0","0","0"
"09251","77","77","C1 esterase inhibitor inj","K","2","5716","0","0","0","0","0","0","0","0"
"09251","78","78","C1 esterase inhibitor inj","K","2","5703","0","0","0","0","0","0","0","0"
"09251","79","79","C1 esterase inhibitor inj","K","2","5648","0","0","0","0","0","0","0","0"
"09251","80","81","C1 esterase inhibitor inj","K","2","5613","0","0","0","0","0","0","0","0"
"09251","82","82","C1 esterase inhibitor inj","K","2","5620","0","0","0","0","0","0","0","0"
"09251","83","83","C1 esterase inhibitor inj","K","2","5641","0","0","0","0","0","0","0","0"
"09251","84","84","C1 esterase inhibitor inj","K","2","5655","0","0","0","0","0","0","0","0"
"09251","85","85","C1 esterase inhibitor inj","K","2","5821","0","0","0","0","0","0","0","0"
"09251","86","86","C1 esterase inhibitor inj","K","2","5893","0","0","0","0","0","0","0","0"
"09251","87","87","C1 esterase inhibitor inj","K","2","5896","0","0","0","0","0","0","0","0"
"09252","60","60","Plerixafor injection","K","1","30400","0","0","0","0","0","0","0","0"
"09252","61","61","Plerixafor injection","K","1","30582","0","0","0","0","0","0","0","0"
"09252","62","62","Plerixafor injection","K","2","30598","0","0","0","0","0","0","0","0"
"09252","63","63","Plerixafor injection","K","2","30788","0","0","0","0","0","0","0","0"
"09252","64","64","Plerixafor injection","K","2","30816","0","0","0","0","0","0","0","0"
"09252","65","65","Plerixafor injection","K","2","31025","0","0","0","0","0","0","0","0"
"09252","66","66","Plerixafor injection","K","2","31211","0","0","0","0","0","0","0","0"
"09252","67","67","Plerixafor injection","K","2","31214","0","0","0","0","0","0","0","0"
"09252","68","68","Plerixafor injection","K","2","31210","0","0","0","0","0","0","0","0"
"09252","69","69","Plerixafor injection","K","2","31423","0","0","0","0","0","0","0","0"
"09252","70","72","Plerixafor injection","K","2","31444","0","0","0","0","0","0","0","0"
"09252","73","73","Plerixafor injection","K","2","32981","0","0","0","0","0","0","0","0"
"09252","74","74","Plerixafor injection","K","2","33041","0","0","0","0","0","0","0","0"
"09252","75","75","Plerixafor injection","K","2","33048","0","0","0","0","0","0","0","0"
"09252","76","76","Plerixafor injection","K","2","33052","0","0","0","0","0","0","0","0"
"09252","77","77","Plerixafor injection","K","2","34724","0","0","0","0","0","0","0","0"
"09252","78","78","Plerixafor injection","K","2","34771","0","0","0","0","0","0","0","0"
"09252","79","79","Plerixafor injection","K","2","34773","0","0","0","0","0","0","0","0"
"09252","80","80","Plerixafor injection","K","2","34781","0","0","0","0","0","0","0","0"
"09252","81","81","Plerixafor injection","K","2","36424","0","0","0","0","0","0","0","0"
"09252","82","82","Plerixafor injection","K","2","36529","0","0","0","0","0","0","0","0"
"09252","83","83","Plerixafor injection","K","2","36502","0","0","0","0","0","0","0","0"
"09252","84","84","Plerixafor injection","K","2","36516","0","0","0","0","0","0","0","0"
"09252","85","85","Plerixafor injection","K","2","38264","0","0","0","0","0","0","0","0"
"09252","86","86","Plerixafor injection","K","2","38285","0","0","0","0","0","0","0","0"
"09252","87","87","Plerixafor injection","K","2","38278","0","0","0","0","0","0","0","0"
"09253","60","60","Temozolomide injection","K","1","623","0","0","0","0","0","0","0","0"
"09253","61","61","Temozolomide injection","K","1","627","0","0","0","0","0","0","0","0"
"09253","62","62","Temozolomide injection","K","2","684","0","0","0","0","0","0","0","0"
"09253","63","63","Temozolomide injection","K","2","674","0","0","0","0","0","0","0","0"
"09253","64","64","Temozolomide injection","K","2","733","0","0","0","0","0","0","0","0"
"09253","65","65","Temozolomide injection","K","2","745","0","0","0","0","0","0","0","0"
"09253","66","66","Temozolomide injection","K","2","824","0","0","0","0","0","0","0","0"
"09253","67","67","Temozolomide injection","K","2","817","0","0","0","0","0","0","0","0"
"09253","68","68","Temozolomide injection","K","2","895","0","0","0","0","0","0","0","0"
"09253","69","69","Temozolomide injection","K","2","880","0","0","0","0","0","0","0","0"
"09253","70","70","Temozolomide injection","K","2","970","0","0","0","0","0","0","0","0"
"09253","71","71","Temozolomide injection","K","2","956","0","0","0","0","0","0","0","0"
"09253","72","72","Temozolomide injection","K","2","948","0","0","0","0","0","0","0","0"
"09253","73","73","Temozolomide injection","K","2","1056","0","0","0","0","0","0","0","0"
"09253","74","74","Temozolomide injection","K","2","1055","0","0","0","0","0","0","0","0"
"09253","75","75","Temozolomide injection","K","2","1046","0","0","0","0","0","0","0","0"
"09253","76","77","Temozolomide injection","K","2","1040","0","0","0","0","0","0","0","0"
"09253","78","79","Temozolomide injection","K","2","1039","0","0","0","0","0","0","0","0"
"09253","80","80","Temozolomide injection","K","2","1038","0","0","0","0","0","0","0","0"
"09253","81","81","Temozolomide injection","K","2","1039","0","0","0","0","0","0","0","0"
"09253","82","83","Temozolomide injection","K","2","1038","0","0","0","0","0","0","0","0"
"09253","84","84","Temozolomide injection","K","2","1040","0","0","0","0","0","0","0","0"
"09253","85","85","Temozolomide injection","K","2","1039","0","0","0","0","0","0","0","0"
"09253","86","87","Temozolomide injection","K","2","1041","0","0","0","0","0","0","0","0"
"09255","60","60","Paliperidone palmitate inj","K","1","813","0","0","0","0","0","0","0","0"
"09255","61","61","Paliperidone palmitate inj","K","1","835","0","0","0","0","0","0","0","0"
"09255","62","62","Paliperidone palmitate inj","K","2","845","0","0","0","0","0","0","0","0"
"09255","63","63","Paliperidone palmitate inj","K","2","869","0","0","0","0","0","0","0","0"
"09255","64","64","Paliperidone palmitate inj","K","2","868","0","0","0","0","0","0","0","0"
"09255","65","65","Paliperidone palmitate inj","K","2","906","0","0","0","0","0","0","0","0"
"09255","66","66","Paliperidone palmitate inj","K","2","912","0","0","0","0","0","0","0","0"
"09255","67","67","Paliperidone palmitate inj","K","2","946","0","0","0","0","0","0","0","0"
"09255","68","68","Paliperidone palmitate inj","K","2","950","0","0","0","0","0","0","0","0"
"09255","69","69","Paliperidone palmitate inj","K","2","996","0","0","0","0","0","0","0","0"
"09255","70","70","Paliperidone palmitate inj","K","2","1002","0","0","0","0","0","0","0","0"
"09255","71","71","Paliperidone palmitate inj","K","2","1037","0","0","0","0","0","0","0","0"
"09255","72","72","Paliperidone palmitate inj","K","2","1038","0","0","0","0","0","0","0","0"
"09255","73","73","Paliperidone palmitate inj","K","2","1088","0","0","0","0","0","0","0","0"
"09255","74","75","Paliperidone palmitate inj","K","2","1094","0","0","0","0","0","0","0","0"
"09255","76","76","Paliperidone palmitate inj","K","2","1087","0","0","0","0","0","0","0","0"
"09255","77","77","Paliperidone palmitate inj","K","2","1148","0","0","0","0","0","0","0","0"
"09255","78","78","Paliperidone palmitate inj","K","2","1163","0","0","0","0","0","0","0","0"
"09255","79","79","Paliperidone palmitate inj","K","2","1158","0","0","0","0","0","0","0","0"
"09255","80","80","Paliperidone palmitate inj","K","2","1162","0","0","0","0","0","0","0","0"
"09255","81","81","Paliperidone palmitate inj","K","2","1203","0","0","0","0","0","0","0","0"
"09255","82","82","Paliperidone palmitate inj","K","2","1210","0","0","0","0","0","0","0","0"
"09255","83","83","Paliperidone palmitate inj","K","2","1212","0","0","0","0","0","0","0","0"
"09255","84","84","Paliperidone palmitate inj","K","2","1210","0","0","0","0","0","0","0","0"
"09255","85","85","Paliperidone palmitate inj","K","2","1255","0","0","0","0","0","0","0","0"
"09255","86","86","Paliperidone palmitate inj","K","2","1266","0","0","0","0","0","0","0","0"
"09255","87","87","Paliperidone palmitate inj","K","2","1265","0","0","0","0","0","0","0","0"
"09256","60","60","Dexamethasone intra implant","K","1","20121","0","0","0","0","0","0","0","0"
"09256","61","61","Dexamethasone intra implant","K","1","20090","0","0","0","0","0","0","0","0"
"09256","62","62","Dexamethasone intra implant","K","2","20103","0","0","0","0","0","0","0","0"
"09256","63","63","Dexamethasone intra implant","K","2","20112","0","0","0","0","0","0","0","0"
"09256","64","64","Dexamethasone intra implant","K","2","20111","0","0","0","0","0","0","0","0"
"09256","65","65","Dexamethasone intra implant","K","2","19781","0","0","0","0","0","0","0","0"
"09256","66","66","Dexamethasone intra implant","K","2","20090","0","0","0","0","0","0","0","0"
"09256","67","67","Dexamethasone intra implant","K","2","20083","0","0","0","0","0","0","0","0"
"09256","68","68","Dexamethasone intra implant","K","2","20078","0","0","0","0","0","0","0","0"
"09256","69","69","Dexamethasone intra implant","K","2","20076","0","0","0","0","0","0","0","0"
"09256","70","70","Dexamethasone intra implant","K","2","20074","0","0","0","0","0","0","0","0"
"09256","71","71","Dexamethasone intra implant","K","2","20056","0","0","0","0","0","0","0","0"
"09256","72","72","Dexamethasone intra implant","K","2","20036","0","0","0","0","0","0","0","0"
"09256","73","73","Dexamethasone intra implant","K","2","20020","0","0","0","0","0","0","0","0"
"09256","74","74","Dexamethasone intra implant","K","2","20017","0","0","0","0","0","0","0","0"
"09256","75","75","Dexamethasone intra implant","K","2","20010","0","0","0","0","0","0","0","0"
"09256","76","76","Dexamethasone intra implant","K","2","20015","0","0","0","0","0","0","0","0"
"09256","77","77","Dexamethasone intra implant","K","2","19981","0","0","0","0","0","0","0","0"
"09256","78","78","Dexamethasone intra implant","K","2","20003","0","0","0","0","0","0","0","0"
"09256","79","79","Dexamethasone intra implant","K","2","20010","0","0","0","0","0","0","0","0"
"09256","80","80","Dexamethasone intra implant","K","2","19959","0","0","0","0","0","0","0","0"
"09256","81","81","Dexamethasone intra implant","K","2","20008","0","0","0","0","0","0","0","0"
"09256","82","82","Dexamethasone intra implant","K","2","19976","0","0","0","0","0","0","0","0"
"09256","83","83","Dexamethasone intra implant","K","2","19985","0","0","0","0","0","0","0","0"
"09256","84","84","Dexamethasone intra implant","K","2","20006","0","0","0","0","0","0","0","0"
"09256","85","85","Dexamethasone intra implant","K","2","20007","0","0","0","0","0","0","0","0"
"09256","86","86","Dexamethasone intra implant","K","2","19969","0","0","0","0","0","0","0","0"
"09256","87","87","Dexamethasone intra implant","K","2","20000","0","0","0","0","0","0","0","0"
"09257","72","72","Inj. emicizumab-kxwh, 0.5 mg","G","2","0","0","0","0","0","0","0","0","0"
"09257","73","73","Inj. emicizumab-kxwh, 0.5 mg","G","2","4948","0","0","0","0","0","0","0","0"
"09257","74","74","Inj., emicizumab-kxwh 0.5 mg","G","2","4886","0","0","0","0","0","0","0","0"
"09257","75","75","Inj., emicizumab-kxwh 0.5 mg","G","2","4860","0","0","0","0","0","0","0","0"
"09257","76","76","Inj., emicizumab-kxwh 0.5 mg","G","2","4808","0","0","0","0","0","0","0","0"
"09257","77","77","Inj., emicizumab-kxwh 0.5 mg","G","2","4737","0","0","0","0","0","0","0","0"
"09257","78","79","Inj., emicizumab-kxwh 0.5 mg","G","2","4735","0","0","0","0","0","0","0","0"
"09257","80","80","Inj., emicizumab-kxwh 0.5 mg","G","2","4731","0","0","0","0","0","0","0","0"
"09257","81","81","Inj., emicizumab-kxwh 0.5 mg","G","2","4773","0","0","0","0","0","0","0","0"
"09257","82","82","Inj., emicizumab-kxwh 0.5 mg","G","2","4747","0","0","0","0","0","0","0","0"
"09257","83","83","Inj., emicizumab-kxwh 0.5 mg","G","2","4775","0","0","0","0","0","0","0","0"
"09257","84","84","Inj., emicizumab-kxwh 0.5 mg","K","2","4756","0","0","0","0","0","0","0","0"
"09257","85","85","Inj., emicizumab-kxwh 0.5 mg","K","2","4876","0","0","0","0","0","0","0","0"
"09257","86","86","Inj., emicizumab-kxwh 0.5 mg","K","2","4888","0","0","0","0","0","0","0","0"
"09257","87","87","Inj., emicizumab-kxwh 0.5 mg","K","2","4875","0","0","0","0","0","0","0","0"
"09258","60","60","Telavancin injection","K","1","455","0","0","0","0","0","0","0","0"
"09258","61","61","Telavancin injection","K","1","485","0","0","0","0","0","0","0","0"
"09258","62","62","Telavancin injection","K","2","491","0","0","0","0","0","0","0","0"
"09258","63","63","Telavancin injection","K","2","530","0","0","0","0","0","0","0","0"
"09258","64","64","Telavancin injection","K","2","522","0","0","0","0","0","0","0","0"
"09258","65","65","Telavancin injection","K","2","499","0","0","0","0","0","0","0","0"
"09258","66","66","Telavancin injection","K","2","502","0","0","0","0","0","0","0","0"
"09258","67","67","Telavancin injection","K","2","513","0","0","0","0","0","0","0","0"
"09258","68","68","Telavancin injection","K","2","500","0","0","0","0","0","0","0","0"
"09258","69","69","Telavancin injection","K","2","508","0","0","0","0","0","0","0","0"
"09258","70","70","Telavancin injection","K","2","512","0","0","0","0","0","0","0","0"
"09258","71","71","Telavancin injection","K","2","538","0","0","0","0","0","0","0","0"
"09258","72","72","Telavancin injection","K","2","539","0","0","0","0","0","0","0","0"
"09258","73","73","Telavancin injection","K","2","549","0","0","0","0","0","0","0","0"
"09258","74","74","Telavancin injection","K","2","547","0","0","0","0","0","0","0","0"
"09258","75","75","Telavancin injection","K","2","555","0","0","0","0","0","0","0","0"
"09258","76","76","Telavancin injection","K","2","598","0","0","0","0","0","0","0","0"
"09258","77","77","Telavancin injection","K","2","585","0","0","0","0","0","0","0","0"
"09258","78","78","Telavancin injection","K","2","574","0","0","0","0","0","0","0","0"
"09258","79","79","Telavancin injection","K","2","563","0","0","0","0","0","0","0","0"
"09258","80","80","Telavancin injection","K","2","527","0","0","0","0","0","0","0","0"
"09258","81","81","Telavancin injection","K","2","551","0","0","0","0","0","0","0","0"
"09258","82","82","Telavancin injection","K","2","514","0","0","0","0","0","0","0","0"
"09258","83","83","Telavancin injection","K","2","594","0","0","0","0","0","0","0","0"
"09258","84","84","Telavancin injection","K","2","585","0","0","0","0","0","0","0","0"
"09258","85","85","Telavancin injection","K","2","666","0","0","0","0","0","0","0","0"
"09258","86","86","Telavancin injection","K","2","616","0","0","0","0","0","0","0","0"
"09258","87","87","Telavancin injection","K","2","640","0","0","0","0","0","0","0","0"
"09259","60","60","Pralatrexate injection","K","1","20481","0","0","0","0","0","0","0","0"
"09259","61","61","Pralatrexate injection","K","1","21237","0","0","0","0","0","0","0","0"
"09259","62","62","Pralatrexate injection","K","2","21280","0","0","0","0","0","0","0","0"
"09259","63","63","Pralatrexate injection","K","2","22175","0","0","0","0","0","0","0","0"
"09259","64","64","Pralatrexate injection","K","2","22107","0","0","0","0","0","0","0","0"
"09259","65","65","Pralatrexate injection","K","2","22994","0","0","0","0","0","0","0","0"
"09259","66","66","Pralatrexate injection","K","2","22972","0","0","0","0","0","0","0","0"
"09259","67","67","Pralatrexate injection","K","2","23737","0","0","0","0","0","0","0","0"
"09259","68","68","Pralatrexate injection","K","2","23868","0","0","0","0","0","0","0","0"
"09259","69","69","Pralatrexate injection","K","2","24760","0","0","0","0","0","0","0","0"
"09259","70","70","Pralatrexate injection","K","2","24797","0","0","0","0","0","0","0","0"
"09259","71","71","Pralatrexate injection","K","2","25711","0","0","0","0","0","0","0","0"
"09259","72","72","Pralatrexate injection","K","2","26232","0","0","0","0","0","0","0","0"
"09259","73","73","Pralatrexate injection","K","2","26708","0","0","0","0","0","0","0","0"
"09259","74","74","Pralatrexate injection","K","2","27161","0","0","0","0","0","0","0","0"
"09259","75","75","Pralatrexate injection","K","2","27623","0","0","0","0","0","0","0","0"
"09259","76","76","Pralatrexate injection","K","2","28146","0","0","0","0","0","0","0","0"
"09259","77","77","Pralatrexate injection","K","2","28653","0","0","0","0","0","0","0","0"
"09259","78","78","Pralatrexate injection","K","2","29126","0","0","0","0","0","0","0","0"
"09259","79","79","Pralatrexate injection","K","2","29552","0","0","0","0","0","0","0","0"
"09259","80","80","Pralatrexate injection","K","2","29718","0","0","0","0","0","0","0","0"
"09259","81","81","Pralatrexate injection","K","2","30567","0","0","0","0","0","0","0","0"
"09259","82","82","Pralatrexate injection","K","2","31122","0","0","0","0","0","0","0","0"
"09259","83","83","Pralatrexate injection","K","2","31093","0","0","0","0","0","0","0","0"
"09259","84","84","Pralatrexate injection","K","2","31091","0","0","0","0","0","0","0","0"
"09259","85","85","Pralatrexate injection","K","2","31019","0","0","0","0","0","0","0","0"
"09259","86","86","Pralatrexate injection","K","2","31484","0","0","0","0","0","0","0","0"
"09259","87","87","Pralatrexate injection","K","2","31973","0","0","0","0","0","0","0","0"
"09260","60","60","Ofatumumab injection","K","1","4832","0","0","0","0","0","0","0","0"
"09260","61","61","Ofatumumab injection","K","1","4897","0","0","0","0","0","0","0","0"
"09260","62","62","Ofatumumab injection","K","2","4947","0","0","0","0","0","0","0","0"
"09260","63","63","Ofatumumab injection","K","2","5053","0","0","0","0","0","0","0","0"
"09260","64","64","Ofatumumab injection","K","2","5061","0","0","0","0","0","0","0","0"
"09260","65","65","Ofatumumab injection","K","2","5196","0","0","0","0","0","0","0","0"
"09260","66","66","Ofatumumab injection","K","2","5187","0","0","0","0","0","0","0","0"
"09260","67","67","Ofatumumab injection","K","2","5326","0","0","0","0","0","0","0","0"
"09260","68","68","Ofatumumab injection","K","2","5339","0","0","0","0","0","0","0","0"
"09260","69","69","Ofatumumab injection","K","2","5484","0","0","0","0","0","0","0","0"
"09260","70","70","Ofatumumab injection","K","2","5491","0","0","0","0","0","0","0","0"
"09260","71","71","Ofatumumab injection","K","2","5647","0","0","0","0","0","0","0","0"
"09260","72","72","Ofatumumab injection","K","2","5659","0","0","0","0","0","0","0","0"
"09260","73","73","Ofatumumab injection","K","2","5844","0","0","0","0","0","0","0","0"
"09260","74","74","Ofatumumab injection","K","2","5855","0","0","0","0","0","0","0","0"
"09260","75","75","Ofatumumab injection","K","2","5849","0","0","0","0","0","0","0","0"
"09260","76","76","Ofatumumab injection","K","2","5842","0","0","0","0","0","0","0","0"
"09260","77","77","Ofatumumab injection","K","2","5980","0","0","0","0","0","0","0","0"
"09260","78","78","Ofatumumab injection","K","2","6009","0","0","0","0","0","0","0","0"
"09260","79","79","Ofatumumab injection","K","2","6008","0","0","0","0","0","0","0","0"
"09260","80","80","Ofatumumab injection","K","2","6002","0","0","0","0","0","0","0","0"
"09260","81","81","Ofatumumab injection","K","2","6184","0","0","0","0","0","0","0","0"
"09260","82","82","Ofatumumab injection","K","2","6194","0","0","0","0","0","0","0","0"
"09260","83","83","Ofatumumab injection","K","2","6215","0","0","0","0","0","0","0","0"
"09260","84","84","Ofatumumab injection","K","2","6223","0","0","0","0","0","0","0","0"
"09260","85","87","Ofatumumab injection","K","2","6396","0","0","0","0","0","0","0","0"
"09261","60","60","Ustekinumab injection","K","1","16347","0","0","0","0","0","0","0","0"
"09261","61","61","Ustekinumab injection","K","1","16451","0","0","0","0","0","0","0","0"
"09261","62","62","Ustekinumab injection","K","2","16699","0","0","0","0","0","0","0","0"
"09261","63","63","Ustekinumab injection","K","2","17098","0","0","0","0","0","0","0","0"
"09261","64","64","Ustekinumab injection","K","2","16934","0","0","0","0","0","0","0","0"
"09261","65","65","Ustekinumab injection","K","2","16773","0","0","0","0","0","0","0","0"
"09261","66","66","Ustekinumab sub cu inj, 1 mg","K","2","17457","0","0","0","0","0","0","0","0"
"09261","67","67","Ustekinumab sub cu inj, 1 mg","K","2","17319","0","0","0","0","0","0","0","0"
"09261","68","68","Ustekinumab sub cu inj, 1 mg","K","2","17420","0","0","0","0","0","0","0","0"
"09261","69","69","Ustekinumab sub cu inj, 1 mg","K","2","18325","0","0","0","0","0","0","0","0"
"09261","70","70","Ustekinumab sub cu inj, 1 mg","K","2","18726","0","0","0","0","0","0","0","0"
"09261","71","71","Ustekinumab sub cu inj, 1 mg","K","2","18712","0","0","0","0","0","0","0","0"
"09261","72","72","Ustekinumab sub cu inj, 1 mg","K","2","18494","0","0","0","0","0","0","0","0"
"09261","73","73","Ustekinumab sub cu inj, 1 mg","K","2","19555","0","0","0","0","0","0","0","0"
"09261","74","74","Ustekinumab sub cu inj, 1 mg","K","2","19103","0","0","0","0","0","0","0","0"
"09261","75","75","Ustekinumab sub cu inj, 1 mg","K","2","18405","0","0","0","0","0","0","0","0"
"09261","76","76","Ustekinumab sub cu inj, 1 mg","K","2","18032","0","0","0","0","0","0","0","0"
"09261","77","77","Ustekinumab sub cu inj, 1 mg","K","2","19071","0","0","0","0","0","0","0","0"
"09261","78","78","Ustekinumab sub cu inj, 1 mg","K","2","19139","0","0","0","0","0","0","0","0"
"09261","79","79","Ustekinumab sub cu inj, 1 mg","K","2","19036","0","0","0","0","0","0","0","0"
"09261","80","80","Ustekinumab sub cu inj, 1 mg","K","2","18577","0","0","0","0","0","0","0","0"
"09261","81","81","Ustekinumab sub cu inj, 1 mg","K","2","18824","0","0","0","0","0","0","0","0"
"09261","82","82","Ustekinumab sub cu inj, 1 mg","K","2","18436","0","0","0","0","0","0","0","0"
"09261","83","83","Ustekinumab sub cu inj, 1 mg","K","2","18012","0","0","0","0","0","0","0","0"
"09261","84","84","Ustekinumab sub cu inj, 1 mg","K","2","17118","0","0","0","0","0","0","0","0"
"09261","85","85","Ustekinumab sub cu inj, 1 mg","K","2","17247","0","0","0","0","0","0","0","0"
"09261","86","86","Ustekinumab sub cu inj, 1 mg","K","2","17665","0","0","0","0","0","0","0","0"
"09261","87","87","Ustekinumab sub cu inj, 1 mg","K","2","17082","0","0","0","0","0","0","0","0"
"09263","60","60","Ecallantide injection","K","1","37578","0","0","0","0","0","0","0","0"
"09263","61","61","Ecallantide injection","K","1","37538","0","0","0","0","0","0","0","0"
"09263","62","62","Ecallantide injection","K","2","40244","0","0","0","0","0","0","0","0"
"09263","63","63","Ecallantide injection","K","2","40468","0","0","0","0","0","0","0","0"
"09263","64","64","Ecallantide injection","K","2","40042","0","0","0","0","0","0","0","0"
"09263","65","65","Ecallantide injection","K","2","39976","0","0","0","0","0","0","0","0"
"09263","66","66","Ecallantide injection","K","2","39956","0","0","0","0","0","0","0","0"
"09263","67","67","Ecallantide injection","K","2","41975","0","0","0","0","0","0","0","0"
"09263","68","68","Ecallantide injection","K","2","42162","0","0","0","0","0","0","0","0"
"09263","69","69","Ecallantide injection","K","2","43271","0","0","0","0","0","0","0","0"
"09263","70","70","Ecallantide injection","K","2","44129","0","0","0","0","0","0","0","0"
"09263","71","71","Ecallantide injection","K","2","45211","0","0","0","0","0","0","0","0"
"09263","72","72","Ecallantide injection","K","2","45708","0","0","0","0","0","0","0","0"
"09263","73","73","Ecallantide injection","K","2","47687","0","0","0","0","0","0","0","0"
"09263","74","74","Ecallantide injection","K","2","47796","0","0","0","0","0","0","0","0"
"09263","75","75","Ecallantide injection","K","2","47864","0","0","0","0","0","0","0","0"
"09263","76","76","Ecallantide injection","K","2","48020","0","0","0","0","0","0","0","0"
"09263","77","77","Ecallantide injection","K","2","48055","0","0","0","0","0","0","0","0"
"09263","78","78","Ecallantide injection","K","2","49374","0","0","0","0","0","0","0","0"
"09263","79","79","Ecallantide injection","K","2","49705","0","0","0","0","0","0","0","0"
"09263","80","80","Ecallantide injection","K","2","49626","0","0","0","0","0","0","0","0"
"09263","81","81","Ecallantide injection","K","2","48529","0","0","0","0","0","0","0","0"
"09263","82","82","Ecallantide injection","K","2","49469","0","0","0","0","0","0","0","0"
"09263","83","83","Ecallantide injection","K","2","49212","0","0","0","0","0","0","0","0"
"09263","84","84","Ecallantide injection","K","2","49244","0","0","0","0","0","0","0","0"
"09263","85","85","Ecallantide injection","K","2","49951","0","0","0","0","0","0","0","0"
"09263","86","86","Ecallantide injection","K","2","50388","0","0","0","0","0","0","0","0"
"09263","87","87","Ecallantide injection","K","2","50413","0","0","0","0","0","0","0","0"
"09264","60","60","Tocilizumab injection","K","1","377","0","0","0","0","0","0","0","0"
"09264","61","61","Tocilizumab injection","K","1","387","0","0","0","0","0","0","0","0"
"09264","62","62","Tocilizumab injection","K","2","385","0","0","0","0","0","0","0","0"
"09264","63","63","Tocilizumab injection","K","2","400","0","0","0","0","0","0","0","0"
"09264","64","64","Tocilizumab injection","K","2","398","0","0","0","0","0","0","0","0"
"09264","65","65","Tocilizumab injection","K","2","413","0","0","0","0","0","0","0","0"
"09264","66","66","Tocilizumab injection","K","2","410","0","0","0","0","0","0","0","0"
"09264","67","67","Tocilizumab injection","K","2","426","0","0","0","0","0","0","0","0"
"09264","68","68","Tocilizumab injection","K","2","422","0","0","0","0","0","0","0","0"
"09264","69","70","Tocilizumab injection","K","2","437","0","0","0","0","0","0","0","0"
"09264","71","71","Tocilizumab injection","K","2","453","0","0","0","0","0","0","0","0"
"09264","72","72","Tocilizumab injection","K","2","454","0","0","0","0","0","0","0","0"
"09264","73","73","Tocilizumab injection","K","2","472","0","0","0","0","0","0","0","0"
"09264","74","74","Tocilizumab injection","K","2","473","0","0","0","0","0","0","0","0"
"09264","75","77","Tocilizumab injection","K","2","493","0","0","0","0","0","0","0","0"
"09264","78","78","Tocilizumab injection","K","2","496","0","0","0","0","0","0","0","0"
"09264","79","79","Tocilizumab injection","K","2","508","0","0","0","0","0","0","0","0"
"09264","80","80","Tocilizumab injection","K","2","509","0","0","0","0","0","0","0","0"
"09264","81","81","Tocilizumab injection","K","2","530","0","0","0","0","0","0","0","0"
"09264","82","82","Tocilizumab injection","K","2","540","0","0","0","0","0","0","0","0"
"09264","83","83","Tocilizumab injection","K","2","547","0","0","0","0","0","0","0","0"
"09264","84","84","Tocilizumab injection","K","2","551","0","0","0","0","0","0","0","0"
"09264","85","85","Tocilizumab injection","K","2","553","0","0","0","0","0","0","0","0"
"09264","86","86","Tocilizumab injection","K","2","555","0","0","0","0","0","0","0","0"
"09264","87","87","Tocilizumab injection","K","2","573","0","0","0","0","0","0","0","0"
"09265","60","60","Romidepsin injection","K","1","27864","0","0","0","0","0","0","0","0"
"09265","61","61","Romidepsin injection","K","1","29002","0","0","0","0","0","0","0","0"
"09265","62","62","Romidepsin injection","K","2","29084","0","0","0","0","0","0","0","0"
"09265","63","63","Romidepsin injection","K","2","29930","0","0","0","0","0","0","0","0"
"09265","64","64","Romidepsin injection","K","2","29821","0","0","0","0","0","0","0","0"
"09265","65","65","Romidepsin injection","K","2","30040","0","0","0","0","0","0","0","0"
"09265","66","66","Romidepsin injection","K","2","30679","0","0","0","0","0","0","0","0"
"09265","67","67","Romidepsin injection","K","2","30614","0","0","0","0","0","0","0","0"
"09265","68","68","Romidepsin injection","K","2","31758","0","0","0","0","0","0","0","0"
"09265","69","69","Romidepsin injection","K","2","31945","0","0","0","0","0","0","0","0"
"09265","70","70","Romidepsin injection","K","2","32883","0","0","0","0","0","0","0","0"
"09265","71","71","Romidepsin injection","K","2","32921","0","0","0","0","0","0","0","0"
"09265","72","72","Romidepsin injection","K","2","33702","0","0","0","0","0","0","0","0"
"09265","73","73","Romidepsin injection","K","2","32904","0","0","0","0","0","0","0","0"
"09265","74","74","Romidepsin injection","K","2","32258","0","0","0","0","0","0","0","0"
"09265","75","75","Romidepsin injection","K","2","31678","0","0","0","0","0","0","0","0"
"09265","76","76","Romidepsin injection","K","2","31370","0","0","0","0","0","0","0","0"
"09265","77","77","Romidepsin injection","K","2","31055","0","0","0","0","0","0","0","0"
"09265","78","78","Romidepsin injection","K","2","29759","0","0","0","0","0","0","0","0"
"09265","79","79","Romidepsin injection","K","2","22088","0","0","0","0","0","0","0","0"
"09265","80","80","Romidepsin injection","K","2","30008","0","0","0","0","0","0","0","0"
"09265","81","81","Romidepsin injection","K","2","33004","0","0","0","0","0","0","0","0"
"09265","82","82","Romidepsin injection","K","2","33654","0","0","0","0","0","0","0","0"
"09265","83","83","Romidepsin injection","K","2","33666","0","0","0","0","0","0","0","0"
"09265","84","84","Romidepsin injection","K","2","33663","0","0","0","0","0","0","0","0"
"09269","60","60","C-1 esterase, berinert","K","1","3857","0","0","0","0","0","0","0","0"
"09269","61","61","C-1 esterase, berinert","K","1","4053","0","0","0","0","0","0","0","0"
"09269","62","62","C-1 esterase, berinert","K","2","4052","0","0","0","0","0","0","0","0"
"09269","63","64","C-1 esterase, berinert","K","2","4632","0","0","0","0","0","0","0","0"
"09269","65","65","C-1 esterase, berinert","K","2","4653","0","0","0","0","0","0","0","0"
"09269","66","66","C-1 esterase, berinert","K","2","4652","0","0","0","0","0","0","0","0"
"09269","67","67","C-1 esterase, berinert","K","2","4663","0","0","0","0","0","0","0","0"
"09269","68","68","C-1 esterase, berinert","K","2","4870","0","0","0","0","0","0","0","0"
"09269","69","69","C-1 esterase, berinert","K","2","4890","0","0","0","0","0","0","0","0"
"09269","70","70","C-1 esterase, berinert","K","2","4897","0","0","0","0","0","0","0","0"
"09269","71","71","C-1 esterase, berinert","K","2","4891","0","0","0","0","0","0","0","0"
"09269","72","72","C-1 esterase, berinert","K","2","4892","0","0","0","0","0","0","0","0"
"09269","73","74","C-1 esterase, berinert","K","2","4894","0","0","0","0","0","0","0","0"
"09269","75","75","C-1 esterase, berinert","K","2","4892","0","0","0","0","0","0","0","0"
"09269","76","76","C-1 esterase, berinert","K","2","4894","0","0","0","0","0","0","0","0"
"09269","77","77","C-1 esterase, berinert","K","2","5135","0","0","0","0","0","0","0","0"
"09269","78","78","C-1 esterase, berinert","K","2","5131","0","0","0","0","0","0","0","0"
"09269","79","79","C-1 esterase, berinert","K","2","5132","0","0","0","0","0","0","0","0"
"09269","80","80","C-1 esterase, berinert","K","2","5127","0","0","0","0","0","0","0","0"
"09269","81","81","C-1 esterase, berinert","K","2","5126","0","0","0","0","0","0","0","0"
"09269","82","82","C-1 esterase, berinert","K","2","5413","0","0","0","0","0","0","0","0"
"09269","83","83","C-1 esterase, berinert","K","2","5433","0","0","0","0","0","0","0","0"
"09269","84","84","C-1 esterase, berinert","K","2","5426","0","0","0","0","0","0","0","0"
"09269","85","85","C-1 esterase, berinert","K","2","5749","0","0","0","0","0","0","0","0"
"09269","86","86","C-1 esterase, berinert","K","2","5739","0","0","0","0","0","0","0","0"
"09269","87","87","C-1 esterase, berinert","K","2","5740","0","0","0","0","0","0","0","0"
"09270","60","60","Gammaplex IVIG","K","1","3638","0","0","0","0","0","0","0","0"
"09270","61","61","Gammaplex IVIG","K","1","3653","0","0","0","0","0","0","0","0"
"09270","62","62","Gammaplex IVIG","K","2","3728","0","0","0","0","0","0","0","0"
"09270","63","63","Gammaplex IVIG","K","2","3731","0","0","0","0","0","0","0","0"
"09270","64","64","Gammaplex IVIG","K","2","3728","0","0","0","0","0","0","0","0"
"09270","65","65","Gammaplex IVIG","K","2","3693","0","0","0","0","0","0","0","0"
"09270","66","66","Gammaplex IVIG","K","2","3703","0","0","0","0","0","0","0","0"
"09270","67","67","Gammaplex IVIG","K","2","3901","0","0","0","0","0","0","0","0"
"09270","68","68","Gammaplex IVIG","K","2","4162","0","0","0","0","0","0","0","0"
"09270","69","69","Gammaplex IVIG","K","2","4669","0","0","0","0","0","0","0","0"
"09270","70","70","Gammaplex IVIG","K","2","4108","0","0","0","0","0","0","0","0"
"09270","71","71","Gammaplex IVIG","K","2","4003","0","0","0","0","0","0","0","0"
"09270","72","72","Gammaplex IVIG","K","2","3909","0","0","0","0","0","0","0","0"
"09270","73","73","Gammaplex IVIG","K","2","5577","0","0","0","0","0","0","0","0"
"09270","74","74","Gammaplex IVIG","K","2","5206","0","0","0","0","0","0","0","0"
"09270","75","75","Gammaplex IVIG","K","2","4589","0","0","0","0","0","0","0","0"
"09270","76","76","Gammaplex IVIG","K","2","4420","0","0","0","0","0","0","0","0"
"09270","77","77","Gammaplex IVIG","K","2","4603","0","0","0","0","0","0","0","0"
"09270","78","78","Gammaplex IVIG","K","2","4582","0","0","0","0","0","0","0","0"
"09270","79","79","Gammaplex IVIG","K","2","4623","0","0","0","0","0","0","0","0"
"09270","80","80","Gammaplex IVIG","K","2","5521","0","0","0","0","0","0","0","0"
"09270","81","81","Gammaplex IVIG","K","2","5354","0","0","0","0","0","0","0","0"
"09270","82","82","Gammaplex IVIG","K","2","5366","0","0","0","0","0","0","0","0"
"09270","83","83","Gammaplex IVIG","K","2","4981","0","0","0","0","0","0","0","0"
"09270","84","84","Gammaplex IVIG","K","2","5127","0","0","0","0","0","0","0","0"
"09270","85","85","Gammaplex IVIG","K","2","4981","0","0","0","0","0","0","0","0"
"09270","86","86","Gammaplex IVIG","K","2","4853","0","0","0","0","0","0","0","0"
"09270","87","87","Gammaplex IVIG","K","2","5080","0","0","0","0","0","0","0","0"
"09271","60","60","Velaglucerase alfa","K","1","35059","0","0","0","0","0","0","0","0"
"09271","61","61","Velaglucerase alfa","K","1","34928","0","0","0","0","0","0","0","0"
"09271","62","62","Velaglucerase alfa","K","2","34608","0","0","0","0","0","0","0","0"
"09271","63","63","Velaglucerase alfa","K","2","34286","0","0","0","0","0","0","0","0"
"09271","64","64","Velaglucerase alfa","K","2","34229","0","0","0","0","0","0","0","0"
"09271","65","65","Velaglucerase alfa","K","2","34311","0","0","0","0","0","0","0","0"
"09271","66","66","Velaglucerase alfa","K","2","34335","0","0","0","0","0","0","0","0"
"09271","67","67","Velaglucerase alfa","K","2","34299","0","0","0","0","0","0","0","0"
"09271","68","68","Velaglucerase alfa","K","2","34270","0","0","0","0","0","0","0","0"
"09271","69","69","Velaglucerase alfa","K","2","34219","0","0","0","0","0","0","0","0"
"09271","70","70","Velaglucerase alfa","K","2","34235","0","0","0","0","0","0","0","0"
"09271","71","71","Velaglucerase alfa","K","2","34393","0","0","0","0","0","0","0","0"
"09271","72","72","Velaglucerase alfa","K","2","34509","0","0","0","0","0","0","0","0"
"09271","73","73","Velaglucerase alfa","K","2","34525","0","0","0","0","0","0","0","0"
"09271","74","74","Velaglucerase alfa","K","2","34539","0","0","0","0","0","0","0","0"
"09271","75","75","Velaglucerase alfa","K","2","34562","0","0","0","0","0","0","0","0"
"09271","76","76","Velaglucerase alfa","K","2","34551","0","0","0","0","0","0","0","0"
"09271","77","77","Velaglucerase alfa","K","2","34514","0","0","0","0","0","0","0","0"
"09271","78","78","Velaglucerase alfa","K","2","34552","0","0","0","0","0","0","0","0"
"09271","79","79","Velaglucerase alfa","K","2","34542","0","0","0","0","0","0","0","0"
"09271","80","80","Velaglucerase alfa","K","2","34573","0","0","0","0","0","0","0","0"
"09271","81","81","Velaglucerase alfa","K","2","34578","0","0","0","0","0","0","0","0"
"09271","82","82","Velaglucerase alfa","K","2","34615","0","0","0","0","0","0","0","0"
"09271","83","83","Velaglucerase alfa","K","2","34663","0","0","0","0","0","0","0","0"
"09271","84","84","Velaglucerase alfa","K","2","34646","0","0","0","0","0","0","0","0"
"09271","85","85","Velaglucerase alfa","K","2","35759","0","0","0","0","0","0","0","0"
"09271","86","86","Velaglucerase alfa","K","2","35929","0","0","0","0","0","0","0","0"
"09271","87","87","Velaglucerase alfa","K","2","35980","0","0","0","0","0","0","0","0"
"09272","60","60","Inj, denosumab","K","1","1471","0","0","0","0","0","0","0","0"
"09272","61","61","Inj, denosumab","K","1","1513","0","0","0","0","0","0","0","0"
"09272","62","62","Inj, denosumab","K","2","1524","0","0","0","0","0","0","0","0"
"09272","63","63","Inj, denosumab","K","2","1549","0","0","0","0","0","0","0","0"
"09272","64","64","Inj, denosumab","K","2","1561","0","0","0","0","0","0","0","0"
"09272","65","65","Inj, denosumab","K","2","1611","0","0","0","0","0","0","0","0"
"09272","66","66","Inj, denosumab","K","2","1623","0","0","0","0","0","0","0","0"
"09272","67","67","Inj, denosumab","K","2","1652","0","0","0","0","0","0","0","0"
"09272","68","68","Inj, denosumab","K","2","1663","0","0","0","0","0","0","0","0"
"09272","69","69","Inj, denosumab","K","2","1704","0","0","0","0","0","0","0","0"
"09272","70","70","Inj, denosumab","K","2","1733","0","0","0","0","0","0","0","0"
"09272","71","71","Inj, denosumab","K","2","1775","0","0","0","0","0","0","0","0"
"09272","72","72","Inj, denosumab","K","2","1794","0","0","0","0","0","0","0","0"
"09272","73","73","Inj, denosumab","K","2","1838","0","0","0","0","0","0","0","0"
"09272","74","74","Inj, denosumab","K","2","1858","0","0","0","0","0","0","0","0"
"09272","75","75","Inj, denosumab","K","2","1861","0","0","0","0","0","0","0","0"
"09272","76","76","Inj, denosumab","K","2","1869","0","0","0","0","0","0","0","0"
"09272","77","77","Inj, denosumab","K","2","1910","0","0","0","0","0","0","0","0"
"09272","78","79","Inj, denosumab","K","2","1928","0","0","0","0","0","0","0","0"
"09272","80","80","Inj, denosumab","K","2","1934","0","0","0","0","0","0","0","0"
"09272","81","81","Inj, denosumab","K","2","1990","0","0","0","0","0","0","0","0"
"09272","82","82","Inj, denosumab","K","2","2012","0","0","0","0","0","0","0","0"
"09272","83","83","Inj, denosumab","K","2","2011","0","0","0","0","0","0","0","0"
"09272","84","84","Inj, denosumab","K","2","2009","0","0","0","0","0","0","0","0"
"09272","85","85","Inj, denosumab","K","2","2097","0","0","0","0","0","0","0","0"
"09272","86","86","Inj, denosumab","K","2","2119","0","0","0","0","0","0","0","0"
"09272","87","87","Inj, denosumab","K","2","2121","0","0","0","0","0","0","0","0"
"09273","60","60","Sipuleucel-T auto CD54+","K","1","3588008","0","0","0","0","0","0","0","0"
"09273","61","61","Sipuleucel-T auto CD54+","K","1","3584585","0","0","0","0","0","0","0","0"
"09273","62","62","Sipuleucel-T auto CD54+","K","2","3670405","0","0","0","0","0","0","0","0"
"09273","63","63","Sipuleucel-T auto CD54+","K","2","3641347","0","0","0","0","0","0","0","0"
"09273","64","64","Sipuleucel-T auto CD54+","K","2","3834731","0","0","0","0","0","0","0","0"
"09273","65","65","Sipuleucel-T auto CD54+","K","2","3803521","0","0","0","0","0","0","0","0"
"09273","66","66","Sipuleucel-T auto CD54+","K","2","3776336","0","0","0","0","0","0","0","0"
"09273","67","67","Sipuleucel-T auto CD54+","K","2","3794191","0","0","0","0","0","0","0","0"
"09273","68","68","Sipuleucel-T auto CD54+","K","2","3991901","0","0","0","0","0","0","0","0"
"09273","69","69","Sipuleucel-T auto CD54+","K","2","3955688","0","0","0","0","0","0","0","0"
"09273","70","70","Sipuleucel-T auto CD54+","K","2","4044017","0","0","0","0","0","0","0","0"
"09273","71","71","Sipuleucel-T auto CD54+","K","2","3992406","0","0","0","0","0","0","0","0"
"09273","72","72","Sipuleucel-T auto CD54+","K","2","4182720","0","0","0","0","0","0","0","0"
"09273","73","73","Sipuleucel-T auto CD54+","K","2","4153264","0","0","0","0","0","0","0","0"
"09273","74","74","Sipuleucel-T auto CD54+","K","2","4341943","0","0","0","0","0","0","0","0"
"09273","75","75","Sipuleucel-T auto CD54+","K","2","4261629","0","0","0","0","0","0","0","0"
"09273","76","76","Sipuleucel-T auto CD54+","K","2","4502755","0","0","0","0","0","0","0","0"
"09273","77","77","Sipuleucel-T auto CD54+","K","2","4402460","0","0","0","0","0","0","0","0"
"09273","78","78","Sipuleucel-T auto CD54+","K","2","4637420","0","0","0","0","0","0","0","0"
"09273","79","79","Sipuleucel-T auto CD54+","K","2","4594263","0","0","0","0","0","0","0","0"
"09273","80","80","Sipuleucel-T auto CD54+","K","2","4798631","0","0","0","0","0","0","0","0"
"09273","81","81","Sipuleucel-T auto CD54+","K","2","4761787","0","0","0","0","0","0","0","0"
"09273","82","82","Sipuleucel-T auto CD54+","K","2","4967177","0","0","0","0","0","0","0","0"
"09273","83","83","Sipuleucel-T auto CD54+","K","2","4964941","0","0","0","0","0","0","0","0"
"09273","84","84","Sipuleucel-T auto CD54+","K","2","5136325","0","0","0","0","0","0","0","0"
"09273","85","85","Sipuleucel-T auto CD54+","K","2","5171298","0","0","0","0","0","0","0","0"
"09273","86","86","Sipuleucel-T auto CD54+","K","2","5301758","0","0","0","0","0","0","0","0"
"09273","87","87","Sipuleucel-T auto CD54+","K","2","5242158","0","0","0","0","0","0","0","0"
"09274","60","60","Crotalidae Poly Immune Fab","K","1","249312","0","0","0","0","0","0","0","0"
"09274","61","61","Crotalidae Poly Immune Fab","K","1","254300","0","0","0","0","0","0","0","0"
"09274","62","63","Crotalidae Poly Immune Fab","K","2","254298","0","0","0","0","0","0","0","0"
"09274","64","64","Crotalidae Poly Immune Fab","K","2","267039","0","0","0","0","0","0","0","0"
"09274","65","67","Crotalidae Poly Immune Fab","K","2","267024","0","0","0","0","0","0","0","0"
"09274","68","68","Crotalidae Poly Immune Fab","K","2","286992","0","0","0","0","0","0","0","0"
"09274","69","70","Crotalidae Poly Immune Fab","K","2","287072","0","0","0","0","0","0","0","0"
"09274","71","71","Crotalidae Poly Immune Fab","K","2","300200","0","0","0","0","0","0","0","0"
"09274","72","72","Crotalidae Poly Immune Fab","K","2","308628","0","0","0","0","0","0","0","0"
"09274","73","73","Crotalidae Poly Immune Fab","K","2","323194","0","0","0","0","0","0","0","0"
"09274","74","74","Crotalidae Poly Immune Fab","K","2","325052","0","0","0","0","0","0","0","0"
"09274","75","75","Crotalidae Poly Immune Fab","K","2","329127","0","0","0","0","0","0","0","0"
"09274","76","76","Crotalidae Poly Immune Fab","K","2","332207","0","0","0","0","0","0","0","0"
"09274","77","77","Crotalidae Poly Immune Fab","K","2","323701","0","0","0","0","0","0","0","0"
"09274","78","78","Crotalidae Poly Immune Fab","K","2","328519","0","0","0","0","0","0","0","0"
"09274","79","79","Crotalidae Poly Immune Fab","K","2","328472","0","0","0","0","0","0","0","0"
"09274","80","80","Crotalidae Poly Immune Fab","K","2","317464","0","0","0","0","0","0","0","0"
"09274","81","81","Crotalidae Poly Immune Fab","K","2","309937","0","0","0","0","0","0","0","0"
"09274","82","82","Crotalidae Poly Immune Fab","K","2","304375","0","0","0","0","0","0","0","0"
"09274","83","83","Crotalidae Poly Immune Fab","K","2","290821","0","0","0","0","0","0","0","0"
"09274","84","84","Crotalidae Poly Immune Fab","K","2","291313","0","0","0","0","0","0","0","0"
"09274","85","85","Crotalidae Poly Immune Fab","K","2","286613","0","0","0","0","0","0","0","0"
"09274","86","86","Crotalidae Poly Immune Fab","K","2","274336","0","0","0","0","0","0","0","0"
"09274","87","87","Crotalidae Poly Immune Fab","K","2","263669","0","0","0","0","0","0","0","0"
"09276","60","60","Cabazitaxel injection","K","1","14555","0","0","0","0","0","0","0","0"
"09276","61","61","Cabazitaxel injection","K","1","14667","0","0","0","0","0","0","0","0"
"09276","62","62","Cabazitaxel injection","K","2","14866","0","0","0","0","0","0","0","0"
"09276","63","63","Cabazitaxel injection","K","2","14772","0","0","0","0","0","0","0","0"
"09276","64","64","Cabazitaxel injection","K","2","15025","0","0","0","0","0","0","0","0"
"09276","65","65","Cabazitaxel injection","K","2","15011","0","0","0","0","0","0","0","0"
"09276","66","66","Cabazitaxel injection","K","2","15457","0","0","0","0","0","0","0","0"
"09276","67","67","Cabazitaxel injection","K","2","15422","0","0","0","0","0","0","0","0"
"09276","68","68","Cabazitaxel injection","K","2","15666","0","0","0","0","0","0","0","0"
"09276","69","69","Cabazitaxel injection","K","2","15692","0","0","0","0","0","0","0","0"
"09276","70","70","Cabazitaxel injection","K","2","15910","0","0","0","0","0","0","0","0"
"09276","71","71","Cabazitaxel injection","K","2","15914","0","0","0","0","0","0","0","0"
"09276","72","72","Cabazitaxel injection","K","2","16386","0","0","0","0","0","0","0","0"
"09276","73","73","Cabazitaxel injection","K","2","16359","0","0","0","0","0","0","0","0"
"09276","74","74","Cabazitaxel injection","K","2","16799","0","0","0","0","0","0","0","0"
"09276","75","75","Cabazitaxel injection","K","2","16831","0","0","0","0","0","0","0","0"
"09276","76","76","Cabazitaxel injection","K","2","16883","0","0","0","0","0","0","0","0"
"09276","77","77","Cabazitaxel injection","K","2","17346","0","0","0","0","0","0","0","0"
"09276","78","78","Cabazitaxel injection","K","2","17367","0","0","0","0","0","0","0","0"
"09276","79","79","Cabazitaxel injection","K","2","17604","0","0","0","0","0","0","0","0"
"09276","80","80","Cabazitaxel injection","K","2","17674","0","0","0","0","0","0","0","0"
"09276","81","81","Cabazitaxel injection","K","2","18147","0","0","0","0","0","0","0","0"
"09276","82","82","Cabazitaxel injection","K","2","18151","0","0","0","0","0","0","0","0"
"09276","83","83","Cabazitaxel injection","K","2","18485","0","0","0","0","0","0","0","0"
"09276","84","84","Cabazitaxel injection","K","2","18406","0","0","0","0","0","0","0","0"
"09276","85","85","Cabazitaxel injection","K","2","19022","0","0","0","0","0","0","0","0"
"09276","86","86","Cabazitaxel injection","K","2","18900","0","0","0","0","0","0","0","0"
"09276","87","87","Cabazitaxel injection","K","2","19131","0","0","0","0","0","0","0","0"
"09278","60","60","Incobotulinumtoxin A","K","1","461","0","0","0","0","0","0","0","0"
"09278","61","61","Incobotulinumtoxin A","K","1","463","0","0","0","0","0","0","0","0"
"09278","62","62","Incobotulinumtoxin A","K","2","467","0","0","0","0","0","0","0","0"
"09278","63","63","Incobotulinumtoxin A","K","2","477","0","0","0","0","0","0","0","0"
"09278","64","64","Incobotulinumtoxin A","K","2","482","0","0","0","0","0","0","0","0"
"09278","65","66","Incobotulinumtoxin A","K","2","491","0","0","0","0","0","0","0","0"
"09278","67","67","Incobotulinumtoxin A","K","2","490","0","0","0","0","0","0","0","0"
"09278","68","68","Incobotulinumtoxin A","K","2","493","0","0","0","0","0","0","0","0"
"09278","69","75","Incobotulinumtoxin A","K","2","508","0","0","0","0","0","0","0","0"
"09278","76","76","Incobotulinumtoxin A","K","2","509","0","0","0","0","0","0","0","0"
"09278","77","78","Incobotulinumtoxin A","K","2","505","0","0","0","0","0","0","0","0"
"09278","79","79","Incobotulinumtoxin A","K","2","501","0","0","0","0","0","0","0","0"
"09278","80","80","Incobotulinumtoxin A","K","2","503","0","0","0","0","0","0","0","0"
"09278","81","82","Incobotulinumtoxin A","K","2","502","0","0","0","0","0","0","0","0"
"09278","83","84","Incobotulinumtoxin A","K","2","506","0","0","0","0","0","0","0","0"
"09278","85","85","Incobotulinumtoxin A","K","2","504","0","0","0","0","0","0","0","0"
"09278","86","86","Incobotulinumtoxin A","K","2","505","0","0","0","0","0","0","0","0"
"09278","87","87","Incobotulinumtoxin A","K","2","506","0","0","0","0","0","0","0","0"
"09281","60","60","Injection, pegloticase","K","1","74026","0","0","0","0","0","0","0","0"
"09281","61","61","Injection, pegloticase","K","1","116703","0","0","0","0","0","0","0","0"
"09281","62","62","Injection, pegloticase","K","2","123916","0","0","0","0","0","0","0","0"
"09281","63","63","Injection, pegloticase","K","2","136340","0","0","0","0","0","0","0","0"
"09281","64","64","Injection, pegloticase","K","2","137999","0","0","0","0","0","0","0","0"
"09281","65","65","Injection, pegloticase","K","2","151102","0","0","0","0","0","0","0","0"
"09281","66","66","Injection, pegloticase","K","2","164246","0","0","0","0","0","0","0","0"
"09281","67","67","Injection, pegloticase","K","2","179426","0","0","0","0","0","0","0","0"
"09281","68","68","Injection, pegloticase","K","2","182153","0","0","0","0","0","0","0","0"
"09281","69","69","Injection, pegloticase","K","2","199885","0","0","0","0","0","0","0","0"
"09281","70","70","Injection, pegloticase","K","2","200666","0","0","0","0","0","0","0","0"
"09281","71","71","Injection, pegloticase","K","2","206048","0","0","0","0","0","0","0","0"
"09281","72","72","Injection, pegloticase","K","2","209002","0","0","0","0","0","0","0","0"
"09281","73","73","Injection, pegloticase","K","2","232206","0","0","0","0","0","0","0","0"
"09281","74","74","Injection, pegloticase","K","2","233459","0","0","0","0","0","0","0","0"
"09281","75","75","Injection, pegloticase","K","2","236105","0","0","0","0","0","0","0","0"
"09281","76","76","Injection, pegloticase","K","2","240330","0","0","0","0","0","0","0","0"
"09281","77","77","Injection, pegloticase","K","2","248524","0","0","0","0","0","0","0","0"
"09281","78","78","Injection, pegloticase","K","2","251255","0","0","0","0","0","0","0","0"
"09281","79","79","Injection, pegloticase","K","2","262177","0","0","0","0","0","0","0","0"
"09281","80","80","Injection, pegloticase","K","2","259090","0","0","0","0","0","0","0","0"
"09281","81","81","Injection, pegloticase","K","2","272560","0","0","0","0","0","0","0","0"
"09281","82","82","Injection, pegloticase","K","2","280108","0","0","0","0","0","0","0","0"
"09281","83","83","Injection, pegloticase","K","2","277129","0","0","0","0","0","0","0","0"
"09281","84","84","Injection, pegloticase","K","2","279966","0","0","0","0","0","0","0","0"
"09281","85","85","Injection, pegloticase","K","2","290042","0","0","0","0","0","0","0","0"
"09281","86","86","Injection, pegloticase","K","2","296091","0","0","0","0","0","0","0","0"
"09281","87","87","Injection, pegloticase","K","2","296861","0","0","0","0","0","0","0","0"
"09284","60","60","Ipilimumab injection","K","1","13559","0","0","0","0","0","0","0","0"
"09284","61","61","Ipilimumab injection","K","1","13695","0","0","0","0","0","0","0","0"
"09284","62","62","Ipilimumab injection","K","2","13883","0","0","0","0","0","0","0","0"
"09284","63","63","Ipilimumab injection","K","2","13926","0","0","0","0","0","0","0","0"
"09284","64","64","Ipilimumab injection","K","2","14075","0","0","0","0","0","0","0","0"
"09284","65","65","Ipilimumab injection","K","2","14063","0","0","0","0","0","0","0","0"
"09284","66","66","Ipilimumab injection","K","2","14265","0","0","0","0","0","0","0","0"
"09284","67","67","Ipilimumab injection","K","2","14259","0","0","0","0","0","0","0","0"
"09284","68","68","Ipilimumab injection","K","2","14466","0","0","0","0","0","0","0","0"
"09284","69","69","Ipilimumab injection","K","2","14467","0","0","0","0","0","0","0","0"
"09284","70","70","Ipilimumab injection","K","2","14678","0","0","0","0","0","0","0","0"
"09284","71","71","Ipilimumab injection","K","2","14669","0","0","0","0","0","0","0","0"
"09284","72","72","Ipilimumab injection","K","2","14878","0","0","0","0","0","0","0","0"
"09284","73","73","Ipilimumab injection","K","2","14863","0","0","0","0","0","0","0","0"
"09284","74","74","Ipilimumab injection","K","2","15087","0","0","0","0","0","0","0","0"
"09284","75","75","Ipilimumab injection","K","2","15090","0","0","0","0","0","0","0","0"
"09284","76","76","Ipilimumab injection","K","2","15094","0","0","0","0","0","0","0","0"
"09284","77","77","Ipilimumab injection","K","2","15306","0","0","0","0","0","0","0","0"
"09284","78","78","Ipilimumab injection","K","2","15313","0","0","0","0","0","0","0","0"
"09284","79","79","Ipilimumab injection","K","2","15518","0","0","0","0","0","0","0","0"
"09284","80","80","Ipilimumab injection","K","2","15523","0","0","0","0","0","0","0","0"
"09284","81","81","Ipilimumab injection","K","2","15729","0","0","0","0","0","0","0","0"
"09284","82","82","Ipilimumab injection","K","2","15738","0","0","0","0","0","0","0","0"
"09284","83","83","Ipilimumab injection","K","2","15723","0","0","0","0","0","0","0","0"
"09284","84","84","Ipilimumab injection","K","2","15672","0","0","0","0","0","0","0","0"
"09284","85","85","Ipilimumab injection","K","2","15884","0","0","0","0","0","0","0","0"
"09284","86","86","Ipilimumab injection","K","2","15865","0","0","0","0","0","0","0","0"
"09284","87","87","Ipilimumab injection","K","2","16070","0","0","0","0","0","0","0","0"
"09286","60","61","Belatacept injection","K","1","380","0","0","0","0","0","0","0","0"
"09286","62","64","Belatacept injection","K","2","380","0","0","0","0","0","0","0","0"
"09286","65","66","Belatacept injection","K","2","384","0","0","0","0","0","0","0","0"
"09286","67","68","Belatacept injection","K","2","383","0","0","0","0","0","0","0","0"
"09286","69","69","Belatacept injection","K","2","391","0","0","0","0","0","0","0","0"
"09286","70","70","Belatacept injection","K","2","394","0","0","0","0","0","0","0","0"
"09286","71","71","Belatacept injection","K","2","391","0","0","0","0","0","0","0","0"
"09286","72","72","Belatacept injection","K","2","389","0","0","0","0","0","0","0","0"
"09286","73","73","Belatacept injection","K","2","383","0","0","0","0","0","0","0","0"
"09286","74","74","Belatacept injection","K","2","381","0","0","0","0","0","0","0","0"
"09286","75","75","Belatacept injection","K","2","379","0","0","0","0","0","0","0","0"
"09286","76","78","Belatacept injection","K","2","378","0","0","0","0","0","0","0","0"
"09286","79","79","Belatacept injection","K","2","377","0","0","0","0","0","0","0","0"
"09286","80","80","Belatacept injection","K","2","378","0","0","0","0","0","0","0","0"
"09286","81","81","Belatacept injection","K","2","377","0","0","0","0","0","0","0","0"
"09286","82","82","Belatacept injection","K","2","378","0","0","0","0","0","0","0","0"
"09286","83","84","Belatacept injection","K","2","379","0","0","0","0","0","0","0","0"
"09286","85","86","Belatacept injection","K","2","380","0","0","0","0","0","0","0","0"
"09286","87","87","Belatacept injection","K","2","379","0","0","0","0","0","0","0","0"
"09287","60","60","Brentuximab vedotin inj","K","1","11517","0","0","0","0","0","0","0","0"
"09287","61","61","Brentuximab vedotin inj","K","1","11981","0","0","0","0","0","0","0","0"
"09287","62","62","Brentuximab vedotin inj","K","2","11962","0","0","0","0","0","0","0","0"
"09287","63","63","Brentuximab vedotin inj","K","2","12442","0","0","0","0","0","0","0","0"
"09287","64","64","Brentuximab vedotin inj","K","2","12424","0","0","0","0","0","0","0","0"
"09287","65","65","Brentuximab vedotin inj","K","2","12929","0","0","0","0","0","0","0","0"
"09287","66","66","Brentuximab vedotin inj","K","2","12909","0","0","0","0","0","0","0","0"
"09287","67","67","Brentuximab vedotin inj","K","2","13444","0","0","0","0","0","0","0","0"
"09287","68","68","Brentuximab vedotin inj","K","2","13415","0","0","0","0","0","0","0","0"
"09287","69","69","Brentuximab vedotin inj","K","2","13975","0","0","0","0","0","0","0","0"
"09287","70","70","Brentuximab vedotin inj","K","2","13939","0","0","0","0","0","0","0","0"
"09287","71","71","Brentuximab vedotin inj","K","2","14496","0","0","0","0","0","0","0","0"
"09287","72","72","Brentuximab vedotin inj","K","2","14484","0","0","0","0","0","0","0","0"
"09287","73","73","Brentuximab vedotin inj","K","2","15082","0","0","0","0","0","0","0","0"
"09287","74","74","Brentuximab vedotin inj","K","2","15048","0","0","0","0","0","0","0","0"
"09287","75","75","Brentuximab vedotin inj","K","2","15672","0","0","0","0","0","0","0","0"
"09287","76","76","Brentuximab vedotin inj","K","2","15637","0","0","0","0","0","0","0","0"
"09287","77","77","Brentuximab vedotin inj","K","2","16307","0","0","0","0","0","0","0","0"
"09287","78","78","Brentuximab vedotin inj","K","2","16244","0","0","0","0","0","0","0","0"
"09287","79","79","Brentuximab vedotin inj","K","2","16937","0","0","0","0","0","0","0","0"
"09287","80","80","Brentuximab vedotin inj","K","2","16890","0","0","0","0","0","0","0","0"
"09287","81","81","Brentuximab vedotin inj","K","2","17586","0","0","0","0","0","0","0","0"
"09287","82","82","Brentuximab vedotin inj","K","2","17528","0","0","0","0","0","0","0","0"
"09287","83","83","Brentuximab vedotin inj","K","2","18208","0","0","0","0","0","0","0","0"
"09287","84","84","Brentuximab vedotin inj","K","2","18206","0","0","0","0","0","0","0","0"
"09287","85","85","Brentuximab vedotin inj","K","2","18916","0","0","0","0","0","0","0","0"
"09287","86","86","Brentuximab vedotin inj","K","2","18934","0","0","0","0","0","0","0","0"
"09287","87","87","Brentuximab vedotin inj","K","2","19655","0","0","0","0","0","0","0","0"
"09289","60","60","Erwinaze injection","K","1","36432","0","0","0","0","0","0","0","0"
"09289","61","61","Erwinaze injection","K","1","37561","0","0","0","0","0","0","0","0"
"09289","62","62","Erwinaze injection","K","2","37649","0","0","0","0","0","0","0","0"
"09289","63","63","Erwinaze injection","K","2","38869","0","0","0","0","0","0","0","0"
"09289","64","64","Erwinaze injection","K","2","39101","0","0","0","0","0","0","0","0"
"09289","65","65","Erwinaze injection","K","2","39846","0","0","0","0","0","0","0","0"
"09289","66","71","Erwinaze injection","K","2","40274","0","0","0","0","0","0","0","0"
"09289","72","72","Erwinaze injection","K","2","40906","0","0","0","0","0","0","0","0"
"09289","73","74","Erwinaze injection","K","2","41483","0","0","0","0","0","0","0","0"
"09289","75","76","Erwinaze injection","K","2","41482","0","0","0","0","0","0","0","0"
"09289","77","78","Erwinaze injection","K","2","41483","0","0","0","0","0","0","0","0"
"09289","79","79","Erwinaze injection","K","2","41482","0","0","0","0","0","0","0","0"
"09289","80","80","Erwinaze injection","K","2","41483","0","0","0","0","0","0","0","0"
"09289","81","81","Erwinaze injection","K","2","41832","0","0","0","0","0","0","0","0"
"09289","82","87","Erwinaze injection","K","2","42727","0","0","0","0","0","0","0","0"
"09293","60","61","Injection, glucarpidase","K","1","25767","0","0","0","0","0","0","0","0"
"09293","62","62","Injection, glucarpidase","K","2","27124","0","0","0","0","0","0","0","0"
"09293","63","63","Injection, glucarpidase","K","2","27056","0","0","0","0","0","0","0","0"
"09293","64","64","Injection, glucarpidase","K","2","27072","0","0","0","0","0","0","0","0"
"09293","65","65","Injection, glucarpidase","K","2","27068","0","0","0","0","0","0","0","0"
"09293","66","66","Injection, glucarpidase","K","2","28427","0","0","0","0","0","0","0","0"
"09293","67","67","Injection, glucarpidase","K","2","28408","0","0","0","0","0","0","0","0"
"09293","68","68","Injection, glucarpidase","K","2","28422","0","0","0","0","0","0","0","0"
"09293","69","69","Injection, glucarpidase","K","2","28408","0","0","0","0","0","0","0","0"
"09293","70","70","Injection, glucarpidase","K","2","29860","0","0","0","0","0","0","0","0"
"09293","71","72","Injection, glucarpidase","K","2","29828","0","0","0","0","0","0","0","0"
"09293","73","73","Injection, glucarpidase","K","2","29872","0","0","0","0","0","0","0","0"
"09293","74","74","Injection, glucarpidase","K","2","31331","0","0","0","0","0","0","0","0"
"09293","75","77","Injection, glucarpidase","K","2","31320","0","0","0","0","0","0","0","0"
"09294","60","61","Inj, Taliglucerace Alfa 10 u","G","5","3523","0","0","0","0","0","0","0","0"
"09294","62","62","Inj, Taliglucerace Alfa 10 u","K","2","3648","0","0","0","0","0","0","0","0"
"09294","63","64","Inj, Taliglucerace Alfa 10 u","K","2","3856","0","0","0","0","0","0","0","0"
"09294","65","65","Inj, Taliglucerace Alfa 10 u","K","2","4049","0","0","0","0","0","0","0","0"
"09294","66","66","Inj, Taliglucerace Alfa 10 u","K","2","4046","0","0","0","0","0","0","0","0"
"09294","67","67","Inj, Taliglucerace Alfa 10 u","K","2","4042","0","0","0","0","0","0","0","0"
"09294","68","68","Inj, Taliglucerace Alfa 10 u","K","2","4040","0","0","0","0","0","0","0","0"
"09294","69","69","Inj, Taliglucerace Alfa 10 u","K","2","4038","0","0","0","0","0","0","0","0"
"09294","70","70","Inj, taliglucerase alfa 10 u","K","2","4037","0","0","0","0","0","0","0","0"
"09294","71","71","Inj, taliglucerase alfa 10 u","K","2","4038","0","0","0","0","0","0","0","0"
"09294","72","72","Inj, taliglucerase alfa 10 u","K","2","4037","0","0","0","0","0","0","0","0"
"09294","73","74","Inj, taliglucerase alfa 10 u","K","2","4039","0","0","0","0","0","0","0","0"
"09294","75","75","Inj, taliglucerase alfa 10 u","K","2","4034","0","0","0","0","0","0","0","0"
"09294","76","76","Inj, taliglucerase alfa 10 u","K","2","4036","0","0","0","0","0","0","0","0"
"09294","77","77","Inj, taliglucerase alfa 10 u","K","2","4034","0","0","0","0","0","0","0","0"
"09294","78","78","Inj, taliglucerase alfa 10 u","K","2","4008","0","0","0","0","0","0","0","0"
"09294","79","79","Inj, taliglucerase alfa 10 u","K","2","3996","0","0","0","0","0","0","0","0"
"09294","80","80","Inj, taliglucerase alfa 10 u","K","2","3969","0","0","0","0","0","0","0","0"
"09294","81","81","Inj, taliglucerase alfa 10 u","K","2","4060","0","0","0","0","0","0","0","0"
"09294","82","82","Inj, taliglucerase alfa 10 u","K","2","4086","0","0","0","0","0","0","0","0"
"09294","83","83","Inj, taliglucerase alfa 10 u","K","2","4096","0","0","0","0","0","0","0","0"
"09294","84","84","Inj, taliglucerase alfa 10 u","K","2","4108","0","0","0","0","0","0","0","0"
"09294","85","85","Inj, taliglucerase alfa 10 u","K","2","4138","0","0","0","0","0","0","0","0"
"09294","86","86","Inj, taliglucerase alfa 10 u","K","2","4132","0","0","0","0","0","0","0","0"
"09294","87","87","Inj, taliglucerase alfa 10 u","K","2","4123","0","0","0","0","0","0","0","0"
"09295","60","60","Injection, Carfilzomib, 1 mg","G","5","3046","0","0","0","0","0","0","0","0"
"09295","61","61","Injection, Carfilzomib, 1 mg","G","5","3056","0","0","0","0","0","0","0","0"
"09295","62","62","Injection, Carfilzomib, 1 mg","K","2","3106","0","0","0","0","0","0","0","0"
"09295","63","63","Injection, Carfilzomib, 1 mg","K","2","3088","0","0","0","0","0","0","0","0"
"09295","64","64","Injection, Carfilzomib, 1 mg","K","2","3209","0","0","0","0","0","0","0","0"
"09295","65","65","Injection, Carfilzomib, 1 mg","K","2","3179","0","0","0","0","0","0","0","0"
"09295","66","66","Injection, Carfilzomib, 1 mg","K","2","3195","0","0","0","0","0","0","0","0"
"09295","67","67","Injection, Carfilzomib, 1 mg","K","2","3181","0","0","0","0","0","0","0","0"
"09295","68","68","Injection, Carfilzomib, 1 mg","K","2","3220","0","0","0","0","0","0","0","0"
"09295","69","69","Injection, Carfilzomib, 1 mg","K","2","3214","0","0","0","0","0","0","0","0"
"09295","70","70","Injection, Carfilzomib, 1 mg","K","2","3316","0","0","0","0","0","0","0","0"
"09295","71","71","Injection, Carfilzomib, 1 mg","K","2","3318","0","0","0","0","0","0","0","0"
"09295","72","72","Injection, Carfilzomib, 1 mg","K","2","3411","0","0","0","0","0","0","0","0"
"09295","73","73","Injection, Carfilzomib, 1 mg","K","2","3519","0","0","0","0","0","0","0","0"
"09295","74","74","Injection, Carfilzomib, 1 mg","K","2","3632","0","0","0","0","0","0","0","0"
"09295","75","75","Injection, Carfilzomib, 1 mg","K","2","3630","0","0","0","0","0","0","0","0"
"09295","76","76","Injection, Carfilzomib, 1 mg","K","2","3636","0","0","0","0","0","0","0","0"
"09295","77","77","Injection, Carfilzomib, 1 mg","K","2","3725","0","0","0","0","0","0","0","0"
"09295","78","78","Injection, Carfilzomib, 1 mg","K","2","3760","0","0","0","0","0","0","0","0"
"09295","79","79","Injection, Carfilzomib, 1 mg","K","2","3754","0","0","0","0","0","0","0","0"
"09295","80","80","Injection, Carfilzomib, 1 mg","K","2","3758","0","0","0","0","0","0","0","0"
"09295","81","81","Injection, Carfilzomib, 1 mg","K","2","3897","0","0","0","0","0","0","0","0"
"09295","82","82","Injection, Carfilzomib, 1 mg","K","2","3920","0","0","0","0","0","0","0","0"
"09295","83","83","Injection, Carfilzomib, 1 mg","K","2","3935","0","0","0","0","0","0","0","0"
"09295","84","84","Injection, Carfilzomib, 1 mg","K","2","3912","0","0","0","0","0","0","0","0"
"09295","85","85","Injection, Carfilzomib, 1 mg","K","2","4048","0","0","0","0","0","0","0","0"
"09295","86","86","Injection, Carfilzomib, 1 mg","K","2","4110","0","0","0","0","0","0","0","0"
"09295","87","87","Injection, Carfilzomib, 1 mg","K","2","4111","0","0","0","0","0","0","0","0"
"09296","60","60","Inj, ziv-aflibercept, 1mg","G","5","815","0","0","0","0","0","0","0","0"
"09296","61","61","Inj, ziv-aflibercept, 1mg","G","5","827","0","0","0","0","0","0","0","0"
"09296","62","62","Inj, ziv-aflibercept, 1mg","K","2","832","0","0","0","0","0","0","0","0"
"09296","63","63","Inj, ziv-aflibercept, 1mg","K","2","821","0","0","0","0","0","0","0","0"
"09296","64","64","Inj, ziv-aflibercept, 1mg","K","2","806","0","0","0","0","0","0","0","0"
"09296","65","65","Inj, ziv-aflibercept, 1mg","K","2","807","0","0","0","0","0","0","0","0"
"09296","66","66","Inj, ziv-aflibercept, 1mg","K","2","845","0","0","0","0","0","0","0","0"
"09296","67","67","Inj, ziv-aflibercept, 1mg","K","2","817","0","0","0","0","0","0","0","0"
"09296","68","68","Inj, ziv-aflibercept, 1mg","K","2","812","0","0","0","0","0","0","0","0"
"09296","69","69","Inj, ziv-aflibercept, 1mg","K","2","805","0","0","0","0","0","0","0","0"
"09296","70","70","Inj, ziv-aflibercept, 1mg","K","2","815","0","0","0","0","0","0","0","0"
"09296","71","71","Inj, ziv-aflibercept, 1mg","K","2","810","0","0","0","0","0","0","0","0"
"09296","72","72","Inj, ziv-aflibercept, 1mg","K","2","812","0","0","0","0","0","0","0","0"
"09296","73","73","Inj, ziv-aflibercept, 1mg","K","2","809","0","0","0","0","0","0","0","0"
"09296","74","74","Inj, ziv-aflibercept, 1mg","K","2","832","0","0","0","0","0","0","0","0"
"09296","75","75","Inj, ziv-aflibercept, 1mg","K","2","808","0","0","0","0","0","0","0","0"
"09296","76","76","Inj, ziv-aflibercept, 1mg","K","2","822","0","0","0","0","0","0","0","0"
"09296","77","77","Inj, ziv-aflibercept, 1mg","K","2","842","0","0","0","0","0","0","0","0"
"09296","78","78","Inj, ziv-aflibercept, 1mg","K","2","837","0","0","0","0","0","0","0","0"
"09296","79","79","Inj, ziv-aflibercept, 1mg","K","2","840","0","0","0","0","0","0","0","0"
"09296","80","80","Inj, ziv-aflibercept, 1mg","K","2","845","0","0","0","0","0","0","0","0"
"09296","81","81","Inj, ziv-aflibercept, 1mg","K","2","808","0","0","0","0","0","0","0","0"
"09296","82","82","Inj, ziv-aflibercept, 1mg","K","2","807","0","0","0","0","0","0","0","0"
"09296","83","83","Inj, ziv-aflibercept, 1mg","K","2","850","0","0","0","0","0","0","0","0"
"09296","84","84","Inj, ziv-aflibercept, 1mg","K","2","752","0","0","0","0","0","0","0","0"
"09296","85","85","Inj, ziv-aflibercept, 1mg","K","2","827","0","0","0","0","0","0","0","0"
"09296","86","86","Inj, ziv-aflibercept, 1mg","K","2","842","0","0","0","0","0","0","0","0"
"09296","87","87","Inj, ziv-aflibercept, 1mg","K","2","766","0","0","0","0","0","0","0","0"
"09297","60","61","Inj, Omacetaxine Mep, 0.01mg","G","5","248","0","0","0","0","0","0","0","0"
"09297","62","62","Inj, Omacetaxine Mep, 0.01mg","K","2","248","0","0","0","0","0","0","0","0"
"09297","63","63","Inj, Omacetaxine Mep, 0.01mg","K","2","250","0","0","0","0","0","0","0","0"
"09297","64","65","Inj, Omacetaxine Mep, 0.01mg","K","2","258","0","0","0","0","0","0","0","0"
"09297","66","66","Inj, Omacetaxine Mep, 0.01mg","K","2","269","0","0","0","0","0","0","0","0"
"09297","67","68","Inj, Omacetaxine Mep, 0.01mg","K","2","272","0","0","0","0","0","0","0","0"
"09297","69","70","Inj, Omacetaxine Mep, 0.01mg","K","2","285","0","0","0","0","0","0","0","0"
"09297","71","72","Inj, Omacetaxine Mep, 0.01mg","K","2","284","0","0","0","0","0","0","0","0"
"09297","73","73","Inj, Omacetaxine Mep, 0.01mg","K","2","297","0","0","0","0","0","0","0","0"
"09297","74","76","Inj, Omacetaxine Mep, 0.01mg","K","2","298","0","0","0","0","0","0","0","0"
"09297","77","78","Inj, Omacetaxine Mep, 0.01mg","K","2","311","0","0","0","0","0","0","0","0"
"09297","79","79","Inj, Omacetaxine Mep, 0.01mg","K","2","291","0","0","0","0","0","0","0","0"
"09297","80","80","Inj, Omacetaxine Mep, 0.01mg","K","2","311","0","0","0","0","0","0","0","0"
"09297","81","81","Inj, Omacetaxine Mep, 0.01mg","K","2","331","0","0","0","0","0","0","0","0"
"09297","82","82","Inj, Omacetaxine Mep, 0.01mg","K","2","298","0","0","0","0","0","0","0","0"
"09297","83","85","Inj, Omacetaxine Mep, 0.01mg","K","2","331","0","0","0","0","0","0","0","0"
"09297","86","87","Inj, Omacetaxine Mep, 0.01mg","K","2","330","0","0","0","0","0","0","0","0"
"09298","60","61","Inj, Ocriplasmin, 0.125 mg","G","5","104675","0","0","0","0","0","0","0","0"
"09298","62","70","Inj, Ocriplasmin, 0.125 mg","K","2","104675","0","0","0","0","0","0","0","0"
"09298","71","71","Inj, Ocriplasmin, 0.125 mg","K","2","104680","0","0","0","0","0","0","0","0"
"09298","72","72","Inj, Ocriplasmin, 0.125 mg","K","2","104693","0","0","0","0","0","0","0","0"
"09298","73","73","Inj, Ocriplasmin, 0.125 mg","K","2","101870","0","0","0","0","0","0","0","0"
"09298","74","74","Inj, Ocriplasmin, 0.125 mg","K","2","83634","0","0","0","0","0","0","0","0"
"09298","75","75","Inj, Ocriplasmin, 0.125 mg","K","2","104693","0","0","0","0","0","0","0","0"
"09298","76","76","Inj, Ocriplasmin, 0.125 mg","K","2","104228","0","0","0","0","0","0","0","0"
"09298","77","87","Inj, Ocriplasmin, 0.125 mg","K","2","104693","0","0","0","0","0","0","0","0"
"09299","75","75","Factor viii pegylated-aucl","G","2","0","0","0","0","0","0","0","0","0"
"09299","76","76","Inj. jivi 1 iu","G","2","203","0","0","0","0","0","0","0","0"
"09299","77","78","Inj. jivi 1 iu","G","2","202","0","0","0","0","0","0","0","0"
"09299","79","80","Inj. jivi 1 iu","G","2","201","0","0","0","0","0","0","0","0"
"09299","81","82","Inj. jivi 1 iu","G","2","202","0","0","0","0","0","0","0","0"
"09299","83","84","Inj. jivi 1 iu","G","2","203","0","0","0","0","0","0","0","0"
"09299","85","86","Inj. jivi 1 iu","G","2","210","0","0","0","0","0","0","0","0"
"09299","87","87","Inj. jivi 1 iu","G","2","211","0","0","0","0","0","0","0","0"
"09300","60","60","Omalizumab injection","K","1","2879","0","0","0","0","0","0","0","0"
"09300","61","61","Omalizumab injection","K","1","2886","0","0","0","0","0","0","0","0"
"09300","62","62","Omalizumab injection","K","2","2991","0","0","0","0","0","0","0","0"
"09300","63","63","Omalizumab injection","K","2","2997","0","0","0","0","0","0","0","0"
"09300","64","64","Omalizumab injection","K","2","3113","0","0","0","0","0","0","0","0"
"09300","65","65","Omalizumab injection","K","2","3114","0","0","0","0","0","0","0","0"
"09300","66","66","Omalizumab injection","K","2","3231","0","0","0","0","0","0","0","0"
"09300","67","67","Omalizumab injection","K","2","3236","0","0","0","0","0","0","0","0"
"09300","68","68","Omalizumab injection","K","2","3361","0","0","0","0","0","0","0","0"
"09300","69","69","Omalizumab injection","K","2","3359","0","0","0","0","0","0","0","0"
"09300","70","70","Omalizumab injection","K","2","3493","0","0","0","0","0","0","0","0"
"09300","71","71","Omalizumab injection","K","2","3494","0","0","0","0","0","0","0","0"
"09300","72","72","Omalizumab injection","K","2","3638","0","0","0","0","0","0","0","0"
"09300","73","73","Omalizumab injection","K","2","3633","0","0","0","0","0","0","0","0"
"09300","74","74","Omalizumab injection","K","2","3707","0","0","0","0","0","0","0","0"
"09300","75","75","Omalizumab injection","K","2","3705","0","0","0","0","0","0","0","0"
"09300","76","76","Omalizumab injection","K","2","3702","0","0","0","0","0","0","0","0"
"09300","77","77","Omalizumab injection","K","2","3705","0","0","0","0","0","0","0","0"
"09300","78","78","Omalizumab injection","K","2","3678","0","0","0","0","0","0","0","0"
"09300","79","79","Omalizumab injection","K","2","3736","0","0","0","0","0","0","0","0"
"09300","80","80","Omalizumab injection","K","2","3715","0","0","0","0","0","0","0","0"
"09300","81","81","Omalizumab injection","K","2","3769","0","0","0","0","0","0","0","0"
"09300","82","82","Omalizumab injection","K","2","3770","0","0","0","0","0","0","0","0"
"09300","83","83","Omalizumab injection","K","2","3742","0","0","0","0","0","0","0","0"
"09300","84","84","Omalizumab injection","K","2","3717","0","0","0","0","0","0","0","0"
"09300","85","85","Omalizumab injection","K","2","3789","0","0","0","0","0","0","0","0"
"09300","86","86","Omalizumab injection","K","2","3767","0","0","0","0","0","0","0","0"
"09300","87","87","Omalizumab injection","K","2","3751","0","0","0","0","0","0","0","0"
"09301","70","70","Aminolevulinic acid, 10% gel","G","2","143","0","0","0","0","0","0","0","0"
"09301","71","71","Aminolevulinic acid, 10% gel","G","2","140","0","0","0","0","0","0","0","0"
"09301","72","73","Aminolevulinic acid, 10% gel","G","2","139","0","0","0","0","0","0","0","0"
"09301","74","74","Aminolevulinic acid, 10% gel","G","2","138","0","0","0","0","0","0","0","0"
"09301","75","75","Aminolevulinic acid, 10% gel","G","2","137","0","0","0","0","0","0","0","0"
"09301","76","76","Aminolevulinic acid, 10% gel","G","2","144","0","0","0","0","0","0","0","0"
"09301","77","77","Aminolevulinic acid, 10% gel","G","2","146","0","0","0","0","0","0","0","0"
"09301","78","79","Aminolevulinic acid, 10% gel","G","2","145","0","0","0","0","0","0","0","0"
"09301","80","80","Aminolevulinic acid, 10% gel","G","2","144","0","0","0","0","0","0","0","0"
"09301","81","81","Aminolevulinic acid, 10% gel","G","2","153","0","0","0","0","0","0","0","0"
"09301","82","82","Aminolevulinic acid, 10% gel","K","2","153","0","0","0","0","0","0","0","0"
"09301","83","83","Aminolevulinic acid, 10% gel","K","2","152","0","0","0","0","0","0","0","0"
"09301","84","84","Aminolevulinic acid, 10% gel","K","2","151","0","0","0","0","0","0","0","0"
"09301","85","85","Aminolevulinic acid, 10% gel","K","2","161","0","0","0","0","0","0","0","0"
"09301","86","87","Aminolevulinic acid, 10% gel","K","2","159","0","0","0","0","0","0","0","0"
"09302","70","73","Inj, daunorubicin-cytarabine","G","2","18671","0","0","0","0","0","0","0","0"
"09302","74","74","Inj daunorubicin, cytarabine","G","2","18670","0","0","0","0","0","0","0","0"
"09302","75","75","Inj daunorubicin, cytarabine","G","2","19032","0","0","0","0","0","0","0","0"
"09302","76","78","Inj daunorubicin, cytarabine","G","2","19231","0","0","0","0","0","0","0","0"
"09302","79","79","Inj daunorubicin, cytarabine","G","2","19542","0","0","0","0","0","0","0","0"
"09302","80","81","Inj daunorubicin, cytarabine","G","2","19808","0","0","0","0","0","0","0","0"
"09302","82","82","Inj daunorubicin, cytarabine","K","2","19779","0","0","0","0","0","0","0","0"
"09302","83","83","Inj daunorubicin, cytarabine","K","2","20169","0","0","0","0","0","0","0","0"
"09302","84","84","Inj daunorubicin, cytarabine","K","2","20264","0","0","0","0","0","0","0","0"
"09302","85","85","Inj daunorubicin, cytarabine","K","2","20281","0","0","0","0","0","0","0","0"
"09302","86","86","Inj daunorubicin, cytarabine","K","2","20260","0","0","0","0","0","0","0","0"
"09302","87","87","Inj daunorubicin, cytarabine","K","2","20763","0","0","0","0","0","0","0","0"
"09303","75","75","Injection, levoleucovorin","G","2","0","0","0","0","0","0","0","0","0"
"09303","76","77","Injection, levoleucovorin","G","2","412","0","0","0","0","0","0","0","0"
"09304","75","75","Injection, cemiplimab","G","2","0","0","0","0","0","0","0","0","0"
"09304","76","76","Injection, cemiplimab-rwlc","G","2","2747","0","0","0","0","0","0","0","0"
"09304","77","78","Inj., cemiplimab-rwlc, 1 mg","G","2","2745","0","0","0","0","0","0","0","0"
"09304","79","79","Inj., cemiplimab-rwlc, 1 mg","G","2","2743","0","0","0","0","0","0","0","0"
"09304","80","80","Inj., cemiplimab-rwlc, 1 mg","G","2","2742","0","0","0","0","0","0","0","0"
"09304","81","81","Inj., cemiplimab-rwlc, 1 mg","G","2","2741","0","0","0","0","0","0","0","0"
"09304","82","83","Inj., cemiplimab-rwlc, 1 mg","G","2","2740","0","0","0","0","0","0","0","0"
"09304","84","84","Inj., cemiplimab-rwlc, 1 mg","G","2","2739","0","0","0","0","0","0","0","0"
"09304","85","85","Inj., cemiplimab-rwlc, 1 mg","G","2","2758","0","0","0","0","0","0","0","0"
"09304","86","86","Inj., cemiplimab-rwlc, 1 mg","G","2","2754","0","0","0","0","0","0","0","0"
"09304","87","87","Inj., cemiplimab-rwlc, 1 mg","G","2","2767","0","0","0","0","0","0","0","0"
"09305","75","75","Moxetumomab pasudotox-tdfk","G","2","0","0","0","0","0","0","0","0","0"
"09305","76","76","Moxetumomab pasudotox-tdfk","G","2","2146","0","0","0","0","0","0","0","0"
"09305","77","79","Inj., lumoxiti, 0.01 mg","G","2","2208","0","0","0","0","0","0","0","0"
"09305","80","80","Inj., lumoxiti, 0.01 mg","G","2","2209","0","0","0","0","0","0","0","0"
"09305","81","81","Inj., lumoxiti, 0.01 mg","G","2","2245","0","0","0","0","0","0","0","0"
"09305","82","82","Inj., lumoxiti, 0.01 mg","G","2","2246","0","0","0","0","0","0","0","0"
"09305","83","83","Inj., lumoxiti, 0.01 mg","G","2","2248","0","0","0","0","0","0","0","0"
"09305","84","87","Inj., lumoxiti, 0.01 mg","G","2","2339","0","0","0","0","0","0","0","0"
"09306","75","75","Inj., tildrakizumab, 1 mg","G","2","0","0","0","0","0","0","0","0","0"
"09306","76","76","Inj., tildrakizumab, 1 mg","G","2","13587","0","0","0","0","0","0","0","0"
"09306","77","77","Inj., tildrakizumab, 1 mg","G","2","12688","0","0","0","0","0","0","0","0"
"09306","78","78","Inj., tildrakizumab, 1 mg","G","2","13649","0","0","0","0","0","0","0","0"
"09306","79","79","Inj., tildrakizumab, 1 mg","G","2","13171","0","0","0","0","0","0","0","0"
"09306","80","80","Inj., tildrakizumab, 1 mg","G","2","13488","0","0","0","0","0","0","0","0"
"09306","81","81","Inj., tildrakizumab, 1 mg","G","2","13706","0","0","0","0","0","0","0","0"
"09306","82","82","Inj., tildrakizumab, 1 mg","G","2","13567","0","0","0","0","0","0","0","0"
"09306","83","83","Inj., tildrakizumab, 1 mg","G","2","13271","0","0","0","0","0","0","0","0"
"09306","84","84","Inj., tildrakizumab, 1 mg","G","2","13576","0","0","0","0","0","0","0","0"
"09306","85","85","Inj., tildrakizumab, 1 mg","G","2","13537","0","0","0","0","0","0","0","0"
"09306","86","86","Inj., tildrakizumab, 1 mg","G","2","13408","0","0","0","0","0","0","0","0"
"09306","87","87","Inj., tildrakizumab, 1 mg","G","2","13359","0","0","0","0","0","0","0","0"
"09307","75","75","Cocaine hcl nasal solution","G","2","0","0","0","0","0","0","0","0","0"
"09307","76","76","Cocaine hcl nasal solution","G","2","162","0","0","0","0","0","0","0","0"
"09307","77","77","Cocaine hcl nasal solution","G","2","94","0","0","0","0","0","0","0","0"
"09307","78","79","Cocaine hcl nasal solution","G","2","86","0","0","0","0","0","0","0","0"
"09307","80","80","Cocaine hcl nasal solution","G","2","121","0","0","0","0","0","0","0","0"
"09307","81","81","Cocaine hcl nasal solution","G","2","126","0","0","0","0","0","0","0","0"
"09307","82","82","Cocaine hcl nasal solution","G","2","123","0","0","0","0","0","0","0","0"
"09307","83","83","Cocaine hcl nasal solution","G","2","126","0","0","0","0","0","0","0","0"
"09307","84","84","Cocaine hcl nasal solution","G","2","125","0","0","0","0","0","0","0","0"
"09307","85","85","Cocaine hcl nasal solution","G","2","130","0","0","0","0","0","0","0","0"
"09307","86","86","Cocaine hcl nasal solution","G","2","133","0","0","0","0","0","0","0","0"
"09307","87","87","Cocaine hcl nasal solution","G","2","130","0","0","0","0","0","0","0","0"
"09308","76","76","Dexamethasone ophth insert","G","2","0","0","0","0","0","0","0","0","0"
"09308","77","77","Dexametha opth insert 0.1 mg","G","2","13875","0","0","0","0","0","0","0","0"
"09308","78","78","Dexametha opth insert 0.1 mg","G","2","15141","0","0","0","0","0","0","0","0"
"09308","79","79","Dexametha opth insert 0.1 mg","G","2","13564","0","0","0","0","0","0","0","0"
"09308","80","80","Dexametha opth insert 0.1 mg","G","2","13916","0","0","0","0","0","0","0","0"
"09308","81","81","Dexametha opth insert 0.1 mg","G","2","13981","0","0","0","0","0","0","0","0"
"09308","82","82","Dexametha opth insert 0.1 mg","G","2","13955","0","0","0","0","0","0","0","0"
"09308","83","83","Dexametha opth insert 0.1 mg","G","2","13947","0","0","0","0","0","0","0","0"
"09308","84","84","Dexametha opth insert 0.1 mg","G","2","13660","0","0","0","0","0","0","0","0"
"09308","85","85","Dexametha opth insert 0.1 mg","G","2","13440","0","0","0","0","0","0","0","0"
"09308","86","86","Dexametha opth insert 0.1 mg","G","2","13330","0","0","0","0","0","0","0","0"
"09308","87","87","Dexametha opth insert 0.1 mg","G","2","13420","0","0","0","0","0","0","0","0"
"09309","76","76","Injection, tagraxofusp-erzs","G","2","0","0","0","0","0","0","0","0","0"
"09309","77","77","Inj. tagraxofusp-erzs 10 mcg","G","2","25163","0","0","0","0","0","0","0","0"
"09309","78","78","Inj. tagraxofusp-erzs 10 mcg","G","2","25896","0","0","0","0","0","0","0","0"
"09309","79","79","Inj. tagraxofusp-erzs 10 mcg","G","2","26282","0","0","0","0","0","0","0","0"
"09309","80","81","Inj. tagraxofusp-erzs 10 mcg","G","2","27061","0","0","0","0","0","0","0","0"
"09309","82","82","Inj. tagraxofusp-erzs 10 mcg","G","2","27059","0","0","0","0","0","0","0","0"
"09309","83","83","Inj. tagraxofusp-erzs 10 mcg","G","2","28333","0","0","0","0","0","0","0","0"
"09309","84","84","Inj. tagraxofusp-erzs 10 mcg","G","2","28421","0","0","0","0","0","0","0","0"
"09309","85","85","Inj. tagraxofusp-erzs 10 mcg","G","2","28401","0","0","0","0","0","0","0","0"
"09309","86","86","Inj. tagraxofusp-erzs 10 mcg","G","2","29037","0","0","0","0","0","0","0","0"
"09309","87","87","Inj. tagraxofusp-erzs 10 mcg","G","2","29634","0","0","0","0","0","0","0","0"
"09310","76","76","Injection, emapalumab-lzsg","G","2","0","0","0","0","0","0","0","0","0"
"09310","77","77","Inj., emapalumab-lzsg, 1 mg","G","2","78452","0","0","0","0","0","0","0","0"
"09310","78","78","Inj., emapalumab-lzsg, 1 mg","G","2","78005","0","0","0","0","0","0","0","0"
"09310","79","79","Inj., emapalumab-lzsg, 1 mg","G","2","78673","0","0","0","0","0","0","0","0"
"09310","80","80","Inj., emapalumab-lzsg, 1 mg","G","2","53337","0","0","0","0","0","0","0","0"
"09310","81","81","Inj., emapalumab-lzsg, 1 mg","G","2","21101","0","0","0","0","0","0","0","0"
"09310","82","82","Inj., emapalumab-lzsg, 1 mg","G","2","44159","0","0","0","0","0","0","0","0"
"09310","83","83","Inj., emapalumab-lzsg, 1 mg","G","2","39316","0","0","0","0","0","0","0","0"
"09310","84","84","Inj., emapalumab-lzsg, 1 mg","G","2","37402","0","0","0","0","0","0","0","0"
"09310","85","85","Inj., emapalumab-lzsg, 1 mg","G","2","38989","0","0","0","0","0","0","0","0"
"09310","86","86","Inj., emapalumab-lzsg, 1 mg","G","2","37603","0","0","0","0","0","0","0","0"
"09310","87","87","Inj., emapalumab-lzsg, 1 mg","G","2","36231","0","0","0","0","0","0","0","0"
"09311","76","76","Injection, omadacycline","G","2","0","0","0","0","0","0","0","0","0"
"09311","77","77","Inj., omadacycline, 1 mg","G","2","355","0","0","0","0","0","0","0","0"
"09311","78","78","Inj., omadacycline, 1 mg","G","2","349","0","0","0","0","0","0","0","0"
"09311","79","79","Inj., omadacycline, 1 mg","G","2","344","0","0","0","0","0","0","0","0"
"09311","80","80","Inj., omadacycline, 1 mg","G","2","331","0","0","0","0","0","0","0","0"
"09311","81","81","Inj., omadacycline, 1 mg","G","2","321","0","0","0","0","0","0","0","0"
"09311","82","82","Inj., omadacycline, 1 mg","G","2","315","0","0","0","0","0","0","0","0"
"09311","83","84","Inj., omadacycline, 1 mg","G","2","327","0","0","0","0","0","0","0","0"
"09311","85","85","Inj., omadacycline, 1 mg","G","2","329","0","0","0","0","0","0","0","0"
"09311","86","86","Inj., omadacycline, 1 mg","G","2","330","0","0","0","0","0","0","0","0"
"09311","87","87","Inj., omadacycline, 1 mg","G","2","333","0","0","0","0","0","0","0","0"
"09312","76","76","Injection, ravulizumab-cwv","G","2","0","0","0","0","0","0","0","0","0"
"09312","77","77","Inj., ravulizumab-cwvz 10 mg","G","2","21987","0","0","0","0","0","0","0","0"
"09312","78","82","Inj., ravulizumab-cwvz 10 mg","G","2","22628","0","0","0","0","0","0","0","0"
"09312","83","83","Inj., ravulizumab-cwvz 10 mg","G","2","22618","0","0","0","0","0","0","0","0"
"09312","84","84","Inj., ravulizumab-cwvz 10 mg","G","2","22607","0","0","0","0","0","0","0","0"
"09312","85","85","Inj., ravulizumab-cwvz 10 mg","G","2","22556","0","0","0","0","0","0","0","0"
"09312","86","86","Inj., ravulizumab-cwvz 10 mg","G","2","22468","0","0","0","0","0","0","0","0"
"09312","87","87","Inj., ravulizumab-cwvz 10 mg","G","2","22463","0","0","0","0","0","0","0","0"
"09313","75","75","Inj., belrapzo 1 mg","G","2","0","0","0","0","0","0","0","0","0"
"09313","76","77","Inj. belrapzo/bendamustine","G","2","2349","0","0","0","0","0","0","0","0"
"09313","78","78","Inj. belrapzo/bendamustine","G","2","2436","0","0","0","0","0","0","0","0"
"09313","79","79","Inj. belrapzo/bendamustine","G","2","2387","0","0","0","0","0","0","0","0"
"09313","80","80","Inj. belrapzo/bendamustine","G","2","2042","0","0","0","0","0","0","0","0"
"09313","81","81","Inj. belrapzo/bendamustine","G","2","2221","0","0","0","0","0","0","0","0"
"09313","82","82","Inj. belrapzo/bendamustine","G","2","2161","0","0","0","0","0","0","0","0"
"09313","83","83","Inj. belrapzo/bendamustine","G","2","2227","0","0","0","0","0","0","0","0"
"09313","84","84","Inj. belrapzo/bendamustine","G","2","2019","0","0","0","0","0","0","0","0"
"09313","85","85","Inj. belrapzo/bendamustine","G","2","2126","0","0","0","0","0","0","0","0"
"09313","86","86","Inj. belrapzo/bendamustine","G","2","2147","0","0","0","0","0","0","0","0"
"09313","87","87","Inj. belrapzo/bendamustine","G","2","2288","0","0","0","0","0","0","0","0"
"09314","76","76","Inj. herceptin hylecta, 10mg","K","2","0","0","0","0","0","0","0","0","0"
"09314","77","78","Inj. herceptin hylecta, 10mg","G","2","8026","0","0","0","0","0","0","0","0"
"09314","79","79","Inj. herceptin hylecta, 10mg","G","2","7918","0","0","0","0","0","0","0","0"
"09314","80","80","Inj. herceptin hylecta, 10mg","G","2","7799","0","0","0","0","0","0","0","0"
"09314","81","81","Inj. herceptin hylecta, 10mg","G","2","7701","0","0","0","0","0","0","0","0"
"09314","82","82","Inj. herceptin hylecta, 10mg","G","2","7508","0","0","0","0","0","0","0","0"
"09314","83","83","Inj. herceptin hylecta, 10mg","G","2","7459","0","0","0","0","0","0","0","0"
"09314","84","84","Inj. herceptin hylecta, 10mg","G","2","7231","0","0","0","0","0","0","0","0"
"09314","85","85","Inj. herceptin hylecta, 10mg","G","2","7224","0","0","0","0","0","0","0","0"
"09314","86","86","Inj. herceptin hylecta, 10mg","G","2","7185","0","0","0","0","0","0","0","0"
"09314","87","87","Inj. herceptin hylecta, 10mg","G","2","7149","0","0","0","0","0","0","0","0"
"09315","78","78","Diphtheria antitoxin","K","2","1268","0","0","0","0","0","0","0","0"
"09315","79","81","Diphtheria antitoxin","K","2","295776","0","0","0","0","0","0","0","0"
"09316","78","78","Corticotropin injection","K","2","394650","0","0","0","0","0","0","0","0"
"09316","79","79","Corticotropin injection","K","2","392378","0","0","0","0","0","0","0","0"
"09316","80","80","Corticotropin injection","K","2","391309","0","0","0","0","0","0","0","0"
"09316","81","81","Corticotropin injection","K","2","399582","0","0","0","0","0","0","0","0"
"09317","78","80","Doripenem injection","K","2","89","0","0","0","0","0","0","0","0"
"09317","81","81","Doripenem injection","K","2","115","0","0","0","0","0","0","0","0"
"09318","78","82","Inj hydroxyprogst capoat nos","K","2","1081","0","0","0","0","0","0","0","0"
"09318","83","87","Inj hydroxyprogst capoat nos","K","2","2154","0","0","0","0","0","0","0","0"
"09319","78","78","Somatropin injection","K","2","167","0","0","0","0","0","0","0","0"
"09319","79","82","Somatropin injection","K","2","8413","0","0","0","0","0","0","0","0"
"09319","83","85","Somatropin injection","K","2","3654","0","0","0","0","0","0","0","0"
"09320","78","78","Carbidopa levodopa ent 100ml","K","2","21945","0","0","0","0","0","0","0","0"
"09320","79","79","Carbidopa levodopa ent 100ml","K","2","21263","0","0","0","0","0","0","0","0"
"09320","80","80","Carbidopa levodopa ent 100ml","K","2","22205","0","0","0","0","0","0","0","0"
"09320","81","81","Carbidopa levodopa ent 100ml","K","2","22196","0","0","0","0","0","0","0","0"
"09320","82","82","Carbidopa levodopa ent 100ml","K","2","21310","0","0","0","0","0","0","0","0"
"09320","83","83","Carbidopa levodopa ent 100ml","K","2","21376","0","0","0","0","0","0","0","0"
"09320","84","84","Carbidopa levodopa ent 100ml","K","2","21212","0","0","0","0","0","0","0","0"
"09320","85","85","Carbidopa levodopa ent 100ml","K","2","21161","0","0","0","0","0","0","0","0"
"09320","86","86","Carbidopa levodopa ent 100ml","K","2","21170","0","0","0","0","0","0","0","0"
"09320","87","87","Carbidopa levodopa ent 100ml","K","2","21126","0","0","0","0","0","0","0","0"
"09321","78","78","Fosphenytoin inj pe","K","2","173","0","0","0","0","0","0","0","0"
"09321","79","79","Fosphenytoin inj pe","K","2","138","0","0","0","0","0","0","0","0"
"09321","80","80","Fosphenytoin inj pe","K","2","184","0","0","0","0","0","0","0","0"
"09321","81","81","Fosphenytoin inj pe","K","2","185","0","0","0","0","0","0","0","0"
"09322","76","78","Bcg live intravesical 1mg","K","2","282","0","0","0","0","0","0","0","0"
"09322","79","79","Bcg live intravesical 1mg","K","2","283","0","0","0","0","0","0","0","0"
"09322","80","80","Bcg live intravesical 1mg","K","2","281","0","0","0","0","0","0","0","0"
"09322","81","81","Bcg live intravesical 1mg","K","2","282","0","0","0","0","0","0","0","0"
"09323","81","81","Gallium ga-68 dotatoc","G","2","0","0","0","0","0","0","0","0","0"
"09323","82","87","Gallium ga-68 dotatoc","G","2","864","0","0","0","0","0","0","0","0"
"09324","77","77","Phenylep ketorolac opth soln","G","2","0","0","0","0","0","0","0","0","0"
"09324","78","78","Phenylep ketorolac opth soln","G","2","11235","0","0","0","0","0","0","0","0"
"09324","79","79","Phenylep ketorolac opth soln","G","2","10970","0","0","0","0","0","0","0","0"
"09324","80","80","Phenylep ketorolac opth soln","G","2","10583","0","0","0","0","0","0","0","0"
"09325","77","77","Inj., eravacycline, 1 mg","K","2","0","0","0","0","0","0","0","0","0"
"09325","78","78","Inj., eravacycline, 1 mg","K","2","96","0","0","0","0","0","0","0","0"
"09325","79","80","Inj., eravacycline, 1 mg","K","2","102","0","0","0","0","0","0","0","0"
"09325","81","81","Inj., eravacycline, 1 mg","K","2","103","0","0","0","0","0","0","0","0"
"09326","77","77","Inj., lanadelumab-flyo, 1 mg","K","2","0","0","0","0","0","0","0","0","0"
"09326","78","78","Inj., lanadelumab-flyo, 1 mg","K","2","7634","0","0","0","0","0","0","0","0"
"09326","79","79","Inj., lanadelumab-flyo, 1 mg","K","2","7636","0","0","0","0","0","0","0","0"
"09326","80","80","Inj., lanadelumab-flyo, 1 mg","K","2","7629","0","0","0","0","0","0","0","0"
"09326","81","81","Inj., lanadelumab-flyo, 1 mg","K","2","7860","0","0","0","0","0","0","0","0"
"09327","77","77","Inj. romosozumab-aqqg 1 mg","G","2","0","0","0","0","0","0","0","0","0"
"09327","78","78","Inj. romosozumab-aqqg 1 mg","G","2","895","0","0","0","0","0","0","0","0"
"09327","79","79","Inj. romosozumab-aqqg 1 mg","G","2","909","0","0","0","0","0","0","0","0"
"09327","80","80","Inj. romosozumab-aqqg 1 mg","G","2","904","0","0","0","0","0","0","0","0"
"09327","81","81","Inj. romosozumab-aqqg 1 mg","G","2","905","0","0","0","0","0","0","0","0"
"09327","82","82","Inj. romosozumab-aqqg 1 mg","G","2","901","0","0","0","0","0","0","0","0"
"09327","83","83","Inj. romosozumab-aqqg 1 mg","G","2","900","0","0","0","0","0","0","0","0"
"09327","84","84","Inj. romosozumab-aqqg 1 mg","G","2","899","0","0","0","0","0","0","0","0"
"09327","85","85","Inj. romosozumab-aqqg 1 mg","G","2","931","0","0","0","0","0","0","0","0"
"09327","86","86","Inj. romosozumab-aqqg 1 mg","G","2","934","0","0","0","0","0","0","0","0"
"09327","87","87","Inj. romosozumab-aqqg 1 mg","G","2","933","0","0","0","0","0","0","0","0"
"09328","77","77","Inj., yutiq, 0.01 mg","K","2","0","0","0","0","0","0","0","0","0"
"09328","78","82","Inj., yutiq, 0.01 mg","K","2","49113","0","0","0","0","0","0","0","0"
"09328","83","83","Inj., yutiq, 0.01 mg","K","2","49642","0","0","0","0","0","0","0","0"
"09328","84","84","Inj., yutiq, 0.01 mg","K","2","50202","0","0","0","0","0","0","0","0"
"09328","85","85","Inj., yutiq, 0.01 mg","K","2","50707","0","0","0","0","0","0","0","0"
"09328","86","86","Inj., yutiq, 0.01 mg","K","2","51316","0","0","0","0","0","0","0","0"
"09328","87","87","Inj., yutiq, 0.01 mg","K","2","51847","0","0","0","0","0","0","0","0"
"09329","76","77","Inj mvasi 10 mg","K","2","0","0","0","0","0","0","0","0","0"
"09329","78","79","Inj mvasi 10 mg","G","2","6977","0","0","0","0","0","0","0","0"
"09329","80","80","Inj mvasi 10 mg","G","2","6266","0","0","0","0","0","0","0","0"
"09329","81","81","Inj mvasi 10 mg","G","2","6242","0","0","0","0","0","0","0","0"
"09329","82","82","Inj mvasi 10 mg","G","2","6094","0","0","0","0","0","0","0","0"
"09329","83","83","Inj mvasi 10 mg","G","2","5673","0","0","0","0","0","0","0","0"
"09329","84","84","Inj mvasi 10 mg","G","2","5289","0","0","0","0","0","0","0","0"
"09329","85","85","Inj mvasi 10 mg","G","2","4878","0","0","0","0","0","0","0","0"
"09329","86","86","Inj mvasi 10 mg","G","2","4456","0","0","0","0","0","0","0","0"
"09329","87","87","Inj mvasi 10 mg","G","2","3977","0","0","0","0","0","0","0","0"
"09330","77","77","Inj., kanjinti, 10 mg","K","2","0","0","0","0","0","0","0","0","0"
"09330","78","79","Inj., kanjinti, 10 mg","G","2","9067","0","0","0","0","0","0","0","0"
"09330","80","80","Inj., kanjinti, 10 mg","G","2","8189","0","0","0","0","0","0","0","0"
"09330","81","81","Inj., kanjinti, 10 mg","G","2","8092","0","0","0","0","0","0","0","0"
"09330","82","82","Inj., kanjinti, 10 mg","G","2","7872","0","0","0","0","0","0","0","0"
"09330","83","83","Inj., kanjinti, 10 mg","G","2","7250","0","0","0","0","0","0","0","0"
"09330","84","84","Inj., kanjinti, 10 mg","G","2","6629","0","0","0","0","0","0","0","0"
"09330","85","85","Inj., kanjinti, 10 mg","G","2","5934","0","0","0","0","0","0","0","0"
"09330","86","86","Inj., kanjinti, 10 mg","G","2","5318","0","0","0","0","0","0","0","0"
"09330","87","87","Inj., kanjinti, 10 mg","G","2","4741","0","0","0","0","0","0","0","0"
"09331","78","78","Inj, polatuzumab vedotin 1mg","G","2","11036","0","0","0","0","0","0","0","0"
"09331","79","79","Inj, polatuzumab vedotin 1mg","G","2","11338","0","0","0","0","0","0","0","0"
"09331","80","80","Inj, polatuzumab vedotin 1mg","G","2","11242","0","0","0","0","0","0","0","0"
"09331","81","81","Inj, polatuzumab vedotin 1mg","G","2","11130","0","0","0","0","0","0","0","0"
"09331","82","82","Inj, polatuzumab vedotin 1mg","G","2","11072","0","0","0","0","0","0","0","0"
"09331","83","83","Inj, polatuzumab vedotin 1mg","G","2","11212","0","0","0","0","0","0","0","0"
"09331","84","87","Inj, polatuzumab vedotin 1mg","G","2","11357","0","0","0","0","0","0","0","0"
"09332","78","79","Injection, lefamulin","G","2","70","0","0","0","0","0","0","0","0"
"09332","80","87","Inj lefamulin 1 mg","G","2","72","0","0","0","0","0","0","0","0"
"09333","78","78","Inj, brexanolone","G","2","7674","0","0","0","0","0","0","0","0"
"09333","79","79","Inj, brexanolone","G","2","7738","0","0","0","0","0","0","0","0"
"09333","80","80","Inj, brexanolone","G","2","7688","0","0","0","0","0","0","0","0"
"09333","81","81","Inj., brexanolone, 1 mg","G","2","7704","0","0","0","0","0","0","0","0"
"09333","82","82","Inj., brexanolone, 1 mg","G","2","7691","0","0","0","0","0","0","0","0"
"09333","83","83","Inj., brexanolone, 1 mg","G","2","7614","0","0","0","0","0","0","0","0"
"09333","84","84","Inj., brexanolone, 1 mg","G","2","7593","0","0","0","0","0","0","0","0"
"09333","85","85","Inj., brexanolone, 1 mg","G","2","7610","0","0","0","0","0","0","0","0"
"09333","86","86","Inj., brexanolone, 1 mg","G","2","7465","0","0","0","0","0","0","0","0"
"09333","87","87","Inj., brexanolone, 1 mg","G","2","7296","0","0","0","0","0","0","0","0"
"09334","78","78","Injection, khapzory, 0.5 mg","G","2","204","0","0","0","0","0","0","0","0"
"09334","79","79","Injection, khapzory, 0.5 mg","G","2","201","0","0","0","0","0","0","0","0"
"09334","80","81","Injection, khapzory, 0.5 mg","G","2","194","0","0","0","0","0","0","0","0"
"09334","82","82","Injection, khapzory, 0.5 mg","G","2","200","0","0","0","0","0","0","0","0"
"09334","83","83","Injection, khapzory, 0.5 mg","G","2","187","0","0","0","0","0","0","0","0"
"09334","84","84","Injection, khapzory, 0.5 mg","G","2","163","0","0","0","0","0","0","0","0"
"09334","85","85","Injection, khapzory, 0.5 mg","G","2","170","0","0","0","0","0","0","0","0"
"09334","86","86","Injection, khapzory, 0.5 mg","G","2","186","0","0","0","0","0","0","0","0"
"09334","87","87","Injection, khapzory, 0.5 mg","G","2","183","0","0","0","0","0","0","0","0"
"09335","78","78","Oral busulfan","K","2","2418","0","0","0","0","0","0","0","0"
"09335","79","79","Oral busulfan","K","2","2483","0","0","0","0","0","0","0","0"
"09335","80","81","Oral busulfan","K","2","2386","0","0","0","0","0","0","0","0"
"09336","77","78","Inj truxima 10 mg","K","2","0","0","0","0","0","0","0","0","0"
"09336","79","80","Inj truxima 10 mg","G","2","8709","0","0","0","0","0","0","0","0"
"09336","81","81","Inj truxima 10 mg","G","2","6919","0","0","0","0","0","0","0","0"
"09336","82","82","Inj truxima 10 mg","G","2","6880","0","0","0","0","0","0","0","0"
"09336","83","83","Inj truxima 10 mg","G","2","6850","0","0","0","0","0","0","0","0"
"09336","84","84","Inj truxima 10 mg","G","2","6206","0","0","0","0","0","0","0","0"
"09336","85","85","Inj truxima 10 mg","G","2","6084","0","0","0","0","0","0","0","0"
"09336","86","86","Inj truxima 10 mg","G","2","6058","0","0","0","0","0","0","0","0"
"09336","87","87","Inj truxima 10 mg","G","2","5735","0","0","0","0","0","0","0","0"
"09337","78","78","Synojoynt, inj., 1 mg","K","2","613","0","0","0","0","0","0","0","0"
"09337","79","79","Synojoynt, inj., 1 mg","G","2","1216","0","0","0","0","0","0","0","0"
"09337","80","80","Synojoynt, inj., 1 mg","G","2","573","0","0","0","0","0","0","0","0"
"09337","81","81","Synojoynt, inj., 1 mg","G","2","497","0","0","0","0","0","0","0","0"
"09337","82","82","Synojoynt, inj., 1 mg","G","2","439","0","0","0","0","0","0","0","0"
"09337","83","87","Synojoynt, inj., 1 mg","G","2","1802","0","0","0","0","0","0","0","0"
"09338","78","79","Inj., triluron, 1 mg","K","2","2518","0","0","0","0","0","0","0","0"
"09338","80","81","Inj., triluron, 1 mg","K","2","2592","0","0","0","0","0","0","0","0"
"09339","78","78","Iodine i-131 iobenguane 1mci","G","2","31106","0","0","0","0","0","0","0","0"
"09339","79","87","Iodine i-131 iobenguane 1mci","G","2","32012","0","0","0","0","0","0","0","0"
"09340","78","78","Inj, brolucizumab-dbll, 1 mg","K","2","31758","0","0","0","0","0","0","0","0"
"09340","79","80","Inj, brolucizumab-dbll, 1 mg","G","2","31758","0","0","0","0","0","0","0","0"
"09340","81","81","Inj, brolucizumab-dbll, 1 mg","G","2","31615","0","0","0","0","0","0","0","0"
"09340","82","82","Inj, brolucizumab-dbll, 1 mg","G","2","31199","0","0","0","0","0","0","0","0"
"09340","83","83","Inj, brolucizumab-dbll, 1 mg","G","2","31495","0","0","0","0","0","0","0","0"
"09340","84","84","Inj, brolucizumab-dbll, 1 mg","G","2","31332","0","0","0","0","0","0","0","0"
"09340","85","85","Inj, brolucizumab-dbll, 1 mg","G","2","31079","0","0","0","0","0","0","0","0"
"09340","86","86","Inj, brolucizumab-dbll, 1 mg","G","2","31201","0","0","0","0","0","0","0","0"
"09340","87","87","Inj, brolucizumab-dbll, 1 mg","G","2","31193","0","0","0","0","0","0","0","0"
"09341","77","78","Inj ogivri 10 mg","K","2","9067","0","0","0","0","0","0","0","0"
"09341","79","80","Inj ogivri 10 mg","G","2","9067","0","0","0","0","0","0","0","0"
"09341","81","81","Inj ogivri 10 mg","G","2","9331","0","0","0","0","0","0","0","0"
"09341","82","82","Inj ogivri 10 mg","G","2","7641","0","0","0","0","0","0","0","0"
"09341","83","83","Inj ogivri 10 mg","G","2","7306","0","0","0","0","0","0","0","0"
"09341","84","84","Inj ogivri 10 mg","G","2","6066","0","0","0","0","0","0","0","0"
"09341","85","85","Inj ogivri 10 mg","G","2","6340","0","0","0","0","0","0","0","0"
"09341","86","86","Inj ogivri 10 mg","G","2","5991","0","0","0","0","0","0","0","0"
"09341","87","87","Inj ogivri 10 mg","G","2","5572","0","0","0","0","0","0","0","0"
"09342","79","79","Inj, crizanlizumab-tmca","G","2","0","0","0","0","0","0","0","0","0"
"09343","79","79","Injection, givosiran","G","2","0","0","0","0","0","0","0","0","0"
"09343","80","80","Inj givosiran 0.5 mg","G","2","10627","0","0","0","0","0","0","0","0"
"09343","81","81","Inj givosiran 0.5 mg","G","2","10718","0","0","0","0","0","0","0","0"
"09343","82","83","Inj givosiran 0.5 mg","G","2","10688","0","0","0","0","0","0","0","0"
"09343","84","84","Inj givosiran 0.5 mg","G","2","10678","0","0","0","0","0","0","0","0"
"09343","85","86","Inj givosiran 0.5 mg","G","2","10676","0","0","0","0","0","0","0","0"
"09343","87","87","Inj givosiran 0.5 mg","G","2","10667","0","0","0","0","0","0","0","0"
"09344","79","79","Inj cetirizine hydrochloride","G","2","0","0","0","0","0","0","0","0","0"
"09345","77","78","Inj pegfilgrastim-bmez 0.5mg","K","2","0","0","0","0","0","0","0","0","0"
"09345","79","80","Inj pegfilgrastim-bmez 0.5mg","G","2","33694","0","0","0","0","0","0","0","0"
"09345","81","81","Inj pegfilgrastim-bmez 0.5mg","G","2","31728","0","0","0","0","0","0","0","0"
"09345","82","82","Inj pegfilgrastim-bmez 0.5mg","G","2","30555","0","0","0","0","0","0","0","0"
"09345","83","83","Inj pegfilgrastim-bmez 0.5mg","G","2","29796","0","0","0","0","0","0","0","0"
"09345","84","84","Inj pegfilgrastim-bmez 0.5mg","G","2","27682","0","0","0","0","0","0","0","0"
"09345","85","85","Inj pegfilgrastim-bmez 0.5mg","G","2","27056","0","0","0","0","0","0","0","0"
"09345","86","86","Inj pegfilgrastim-bmez 0.5mg","G","2","24543","0","0","0","0","0","0","0","0"
"09345","87","87","Inj pegfilgrastim-bmez 0.5mg","G","2","22286","0","0","0","0","0","0","0","0"
"09346","80","80","Mometasone furoate (sinuva)","G","2","0","0","0","0","0","0","0","0","0"
"09346","81","81","Mometasone furoate (sinuva)","G","2","1019","0","0","0","0","0","0","0","0"
"09346","82","82","Mometasone furoate (sinuva)","G","2","1025","0","0","0","0","0","0","0","0"
"09346","83","84","Mometasone sinus sinuva","G","2","1025","0","0","0","0","0","0","0","0"
"09346","85","87","Mometasone sinus sinuva","G","2","1056","0","0","0","0","0","0","0","0"
"09347","80","80","Inj luspatercept-aamt 0.25mg","G","2","0","0","0","0","0","0","0","0","0"
"09347","81","81","Inj luspatercept-aamt 0.25mg","G","2","3638","0","0","0","0","0","0","0","0"
"09347","82","82","Inj luspatercept-aamt 0.25mg","G","2","3632","0","0","0","0","0","0","0","0"
"09347","83","83","Inj luspatercept-aamt 0.25mg","G","2","3631","0","0","0","0","0","0","0","0"
"09347","84","84","Inj luspatercept-aamt 0.25mg","G","2","3629","0","0","0","0","0","0","0","0"
"09347","85","85","Inj luspatercept-aamt 0.25mg","G","2","3683","0","0","0","0","0","0","0","0"
"09347","86","86","Inj luspatercept-aamt 0.25mg","G","2","3685","0","0","0","0","0","0","0","0"
"09347","87","87","Inj luspatercept-aamt 0.25mg","G","2","3740","0","0","0","0","0","0","0","0"
"09348","78","79","Inj., zirabev, 10 mg","K","2","0","0","0","0","0","0","0","0","0"
"09348","80","81","Inj., zirabev, 10 mg","G","2","6318","0","0","0","0","0","0","0","0"
"09348","82","82","Inj., zirabev, 10 mg","G","2","6224","0","0","0","0","0","0","0","0"
"09348","83","83","Inj., zirabev, 10 mg","G","2","5947","0","0","0","0","0","0","0","0"
"09348","84","84","Inj., zirabev, 10 mg","G","2","5734","0","0","0","0","0","0","0","0"
"09348","85","85","Inj., zirabev, 10 mg","G","2","5519","0","0","0","0","0","0","0","0"
"09348","86","86","Inj., zirabev, 10 mg","G","2","5237","0","0","0","0","0","0","0","0"
"09348","87","87","Inj., zirabev, 10 mg","G","2","5059","0","0","0","0","0","0","0","0"
"09349","78","80","Inj herzuma 10 mg","K","2","0","0","0","0","0","0","0","0","0"
"09349","81","81","Inj herzuma 10 mg","G","2","9631","0","0","0","0","0","0","0","0"
"09349","82","82","Inj herzuma 10 mg","G","2","9152","0","0","0","0","0","0","0","0"
"09349","83","83","Inj herzuma 10 mg","G","2","8643","0","0","0","0","0","0","0","0"
"09349","84","84","Inj herzuma 10 mg","G","2","8199","0","0","0","0","0","0","0","0"
"09349","85","85","Inj herzuma 10 mg","G","2","6676","0","0","0","0","0","0","0","0"
"09349","86","86","Inj herzuma 10 mg","G","2","5730","0","0","0","0","0","0","0","0"
"09349","87","87","Inj herzuma 10 mg","G","2","4850","0","0","0","0","0","0","0","0"
"09350","78","79","Inj., trazimera, 10 mg","K","2","0","0","0","0","0","0","0","0","0"
"09350","80","80","Inj., trazimera, 10 mg","G","2","0","0","0","0","0","0","0","0","0"
"09350","81","81","Inj., trazimera, 10 mg","G","2","8316","0","0","0","0","0","0","0","0"
"09350","82","82","Inj., trazimera, 10 mg","G","2","8310","0","0","0","0","0","0","0","0"
"09350","83","83","Inj., trazimera, 10 mg","G","2","7402","0","0","0","0","0","0","0","0"
"09350","84","84","Inj., trazimera, 10 mg","G","2","6811","0","0","0","0","0","0","0","0"
"09350","85","85","Inj., trazimera, 10 mg","G","2","6479","0","0","0","0","0","0","0","0"
"09350","86","86","Inj., trazimera, 10 mg","G","2","5993","0","0","0","0","0","0","0","0"
"09350","87","87","Inj., trazimera, 10 mg","G","2","5579","0","0","0","0","0","0","0","0"
"09351","81","81","Inj bimatoprost itc imp 1mcg","G","2","0","0","0","0","0","0","0","0","0"
"09351","82","82","Inj bimatoprost itc imp1mcg","G","2","20085","0","0","0","0","0","0","0","0"
"09351","83","83","Inj bimatoprost itc imp1mcg","G","2","20638","0","0","0","0","0","0","0","0"
"09351","84","84","Inj bimatoprost itc imp1mcg","G","2","20655","0","0","0","0","0","0","0","0"
"09351","85","85","Inj bimatoprost itc imp1mcg","G","2","20626","0","0","0","0","0","0","0","0"
"09351","86","86","Inj bimatoprost itc imp 1mcg","G","2","20563","0","0","0","0","0","0","0","0"
"09351","87","87","Inj bimatoprost itc imp 1mcg","G","2","20572","0","0","0","0","0","0","0","0"
"09352","82","87","Chloroquine injection","K","2","16522","0","0","0","0","0","0","0","0"
"09353","80","80","Inj fam-trastu deru-nxki 1mg","G","2","0","0","0","0","0","0","0","0","0"
"09353","81","81","Inj fam-trastu deru-nxki 1mg","G","2","2419","0","0","0","0","0","0","0","0"
"09353","82","82","Inj fam-trastu deru-nxki 1mg","G","2","2414","0","0","0","0","0","0","0","0"
"09353","83","83","Inj fam-trastu deru-nxki 1mg","G","2","2413","0","0","0","0","0","0","0","0"
"09353","84","84","Inj fam-trastu deru-nxki 1mg","G","2","2398","0","0","0","0","0","0","0","0"
"09353","85","85","Inj fam-trastu deru-nxki 1mg","G","2","2429","0","0","0","0","0","0","0","0"
"09353","86","86","Inj fam-trastu deru-nxki 1mg","G","2","2427","0","0","0","0","0","0","0","0"
"09353","87","87","Inj fam-trastu deru-nxki 1mg","G","2","2460","0","0","0","0","0","0","0","0"
"09354","80","80","Inj recombin esperoct per iu","G","2","0","0","0","0","0","0","0","0","0"
"09354","81","81","Inj recombin esperoct per iu","G","2","252","0","0","0","0","0","0","0","0"
"09354","82","82","Inj recombin esperoct per iu","G","2","229","0","0","0","0","0","0","0","0"
"09354","83","83","Inj recombin esperoct per iu","G","2","225","0","0","0","0","0","0","0","0"
"09354","84","84","Inj recombin esperoct per iu","G","2","224","0","0","0","0","0","0","0","0"
"09354","85","85","Inj recombin esperoct per iu","G","2","222","0","0","0","0","0","0","0","0"
"09354","86","86","Inj recombin esperoct per iu","G","2","223","0","0","0","0","0","0","0","0"
"09354","87","87","Inj recombin esperoct per iu","G","2","218","0","0","0","0","0","0","0","0"
"09355","80","80","Injection, teprotumumab-trbw","G","2","0","0","0","0","0","0","0","0","0"
"09355","81","81","Inj. teprotumumab-trbw 10 mg","G","2","30694","0","0","0","0","0","0","0","0"
"09355","82","87","Inj. teprotumumab-trbw 10 mg","G","2","31588","0","0","0","0","0","0","0","0"
"09356","80","80","Inj golodirsen 10 mg","G","2","0","0","0","0","0","0","0","0","0"
"09356","81","81","Inj golodirsen 10 mg","G","2","16624","0","0","0","0","0","0","0","0"
"09356","82","82","Inj golodirsen 10 mg","G","2","16633","0","0","0","0","0","0","0","0"
"09356","83","83","Inj golodirsen 10 mg","G","2","16653","0","0","0","0","0","0","0","0"
"09356","84","85","Inj golodirsen 10 mg","G","2","16631","0","0","0","0","0","0","0","0"
"09356","86","86","Inj golodirsen 10 mg","G","2","16621","0","0","0","0","0","0","0","0"
"09356","87","87","Inj golodirsen 10 mg","G","2","16619","0","0","0","0","0","0","0","0"
"09357","80","80","Injection, eptinezumab-jjmr","G","2","0","0","0","0","0","0","0","0","0"
"09357","81","82","Inj. eptinezumab-jjmr 1 mg","G","2","1540","0","0","0","0","0","0","0","0"
"09357","83","83","Inj. eptinezumab-jjmr 1 mg","G","2","1560","0","0","0","0","0","0","0","0"
"09357","84","84","Inj. eptinezumab-jjmr 1 mg","G","2","1561","0","0","0","0","0","0","0","0"
"09357","85","85","Inj. eptinezumab-jjmr 1 mg","G","2","1560","0","0","0","0","0","0","0","0"
"09357","86","86","Inj. eptinezumab-jjmr 1 mg","G","2","1564","0","0","0","0","0","0","0","0"
"09357","87","87","Inj. eptinezumab-jjmr 1 mg","G","2","1601","0","0","0","0","0","0","0","0"
"09358","87","87","Inj., xipere, 1 mg","G","2","0","0","0","0","0","0","0","0","0"
"09359","80","80","Inj crizanlizumab-tmca 5mg","G","2","0","0","0","0","0","0","0","0","0"
"09359","81","81","Inj crizanlizumab-tmca 5mg","G","2","12244","0","0","0","0","0","0","0","0"
"09359","82","82","Inj crizanlizumab-tmca 5mg","G","2","12241","0","0","0","0","0","0","0","0"
"09359","83","84","Inj crizanlizumab-tmca 5mg","G","2","12243","0","0","0","0","0","0","0","0"
"09359","85","85","Inj crizanlizumab-tmca 5mg","G","2","12328","0","0","0","0","0","0","0","0"
"09359","86","86","Inj crizanlizumab-tmca 5mg","G","2","12329","0","0","0","0","0","0","0","0"
"09359","87","87","Inj crizanlizumab-tmca 5mg","G","2","12412","0","0","0","0","0","0","0","0"
"09361","80","80","Inj. cetirizine hcl 0.5mg","G","2","0","0","0","0","0","0","0","0","0"
"09361","81","82","Inj. cetirizine hcl 0.5mg","G","2","1545","0","0","0","0","0","0","0","0"
"09361","83","83","Inj. cetirizine hcl 0.5mg","G","2","1539","0","0","0","0","0","0","0","0"
"09361","84","84","Inj. cetirizine hcl 0.5mg","G","2","1553","0","0","0","0","0","0","0","0"
"09361","85","85","Inj. cetirizine hcl 0.5mg","G","2","1547","0","0","0","0","0","0","0","0"
"09361","86","86","Inj. cetirizine hcl 0.5mg","G","2","1538","0","0","0","0","0","0","0","0"
"09361","87","87","Inj. cetirizine hcl 0.5mg","G","2","1529","0","0","0","0","0","0","0","0"
"09362","80","80","Inj imip 4 cilas 4 releb 2mg","G","2","0","0","0","0","0","0","0","0","0"
"09362","81","81","Inj imip 4 cilas 4 releb 2mg","G","2","220","0","0","0","0","0","0","0","0"
"09362","82","83","Inj imip 4 cilas 4 releb 2mg","G","2","226","0","0","0","0","0","0","0","0"
"09362","84","84","Inj imip 4 cilas 4 releb 2mg","G","2","225","0","0","0","0","0","0","0","0"
"09362","85","85","Inj imip 4 cilas 4 releb 2mg","G","2","230","0","0","0","0","0","0","0","0"
"09362","86","86","Inj imip 4 cilas 4 releb 2mg","G","2","232","0","0","0","0","0","0","0","0"
"09362","87","87","Inj imip 4 cilas 4 releb 2mg","G","2","231","0","0","0","0","0","0","0","0"
"09364","80","80","Inj enfort vedo-ejfv 0.25mg","G","2","0","0","0","0","0","0","0","0","0"
"09364","81","83","Inj enfort vedo-ejfv 0.25mg","G","2","2796","0","0","0","0","0","0","0","0"
"09364","84","84","Inj enfort vedo-ejfv 0.25mg","G","2","2904","0","0","0","0","0","0","0","0"
"09364","85","85","Inj enfort vedo-ejfv 0.25mg","G","2","2906","0","0","0","0","0","0","0","0"
"09364","86","86","Inj enfort vedo-ejfv 0.25mg","G","2","3017","0","0","0","0","0","0","0","0"
"09364","87","87","Inj enfort vedo-ejfv 0.25mg","G","2","3019","0","0","0","0","0","0","0","0"
"09367","78","79","Inj ruxience, 10 mg","K","2","0","0","0","0","0","0","0","0","0"
"09367","80","80","Inj ruxience, 10 mg","G","2","0","0","0","0","0","0","0","0","0"
"09367","81","81","Inj ruxience, 10 mg","G","2","7383","0","0","0","0","0","0","0","0"
"09367","82","82","Inj ruxience, 10 mg","G","2","7090","0","0","0","0","0","0","0","0"
"09367","83","83","Inj ruxience, 10 mg","G","2","6732","0","0","0","0","0","0","0","0"
"09367","84","84","Inj ruxience, 10 mg","G","2","6451","0","0","0","0","0","0","0","0"
"09367","85","85","Inj ruxience, 10 mg","G","2","6248","0","0","0","0","0","0","0","0"
"09367","86","86","Inj ruxience, 10 mg","G","2","5880","0","0","0","0","0","0","0","0"
"09367","87","87","Inj ruxience, 10 mg","G","2","5637","0","0","0","0","0","0","0","0"
"09370","81","81","Fluoroestradiol f18","G","2","0","0","0","0","0","0","0","0","0"
"09370","82","82","Fluoroestradiol f 18","G","2","75","0","0","0","0","0","0","0","0"
"09370","83","83","Fluoroestradiol f 18","G","2","62658","0","0","0","0","0","0","0","0"
"09370","84","85","Fluoroestradiol f 18","G","2","64483","0","0","0","0","0","0","0","0"
"09370","86","87","Fluoroestradiol F 18","G","2","64483","0","0","0","0","0","0","0","0"
"09371","80","80","Injection, meloxicam","G","2","0","0","0","0","0","0","0","0","0"
"09371","81","81","Inj. meloxicam 1 mg","G","2","323","0","0","0","0","0","0","0","0"
"09371","82","83","Inj. meloxicam 1 mg","G","2","326","0","0","0","0","0","0","0","0"
"09371","84","84","Inj. meloxicam 1 mg","G","2","325","0","0","0","0","0","0","0","0"
"09371","85","85","Inj. meloxicam 1 mg","G","2","323","0","0","0","0","0","0","0","0"
"09371","86","86","Inj. meloxicam 1 mg","G","2","318","0","0","0","0","0","0","0","0"
"09371","87","87","Inj. meloxicam 1 mg","G","2","306","0","0","0","0","0","0","0","0"
"09372","80","80","Inj. xembify, 100 mg","K","2","0","0","0","0","0","0","0","0","0"
"09372","81","81","Inj. xembify, 100 mg","K","2","1684","0","0","0","0","0","0","0","0"
"09372","82","82","Inj. xembify, 100 mg","K","2","1422","0","0","0","0","0","0","0","0"
"09372","83","83","Inj. xembify, 100 mg","K","2","1469","0","0","0","0","0","0","0","0"
"09372","84","84","Inj. xembify, 100 mg","K","2","1498","0","0","0","0","0","0","0","0"
"09372","85","85","Inj. xembify, 100 mg","K","2","1339","0","0","0","0","0","0","0","0"
"09372","86","86","Inj. xembify, 100 mg","K","2","1361","0","0","0","0","0","0","0","0"
"09372","87","87","Inj. xembify, 100 mg","K","2","1330","0","0","0","0","0","0","0","0"
"09373","80","80","Inj onase abepar-xioi treat","K","2","0","0","0","0","0","0","0","0","0"
"09373","81","81","Inj onase abepar-xioi treat","K","2","222289060","0","0","0","0","0","0","0","0"
"09373","82","82","Inj onase abepar-xioi treat","K","2","221363428","0","0","0","0","0","0","0","0"
"09373","83","83","Inj onase abepar-xioi treat","K","2","220669098","0","0","0","0","0","0","0","0"
"09374","81","81","Mitomycin pyelocalyceal inst","G","2","0","0","0","0","0","0","0","0","0"
"09374","82","82","Mitomycin instillation","G","2","27522","0","0","0","0","0","0","0","0"
"09374","83","83","Mitomycin instillation","G","2","28217","0","0","0","0","0","0","0","0"
"09374","84","84","Mitomycin instillation","G","2","28223","0","0","0","0","0","0","0","0"
"09374","85","85","Mitomycin instillation","G","2","28212","0","0","0","0","0","0","0","0"
"09374","86","86","Mitomycin instillation","G","2","28188","0","0","0","0","0","0","0","0"
"09374","87","87","Mitomycin instillation","G","2","28179","0","0","0","0","0","0","0","0"
"09375","80","80","Inj., evomela, 1 mg","K","2","0","0","0","0","0","0","0","0","0"
"09375","81","81","Inj., evomela, 1 mg","K","2","3079","0","0","0","0","0","0","0","0"
"09375","82","82","Inj., evomela, 1 mg","K","2","2696","0","0","0","0","0","0","0","0"
"09375","83","83","Inj., evomela, 1 mg","K","2","2360","0","0","0","0","0","0","0","0"
"09375","84","84","Inj., evomela, 1 mg","K","2","2244","0","0","0","0","0","0","0","0"
"09375","85","85","Inj., evomela, 1 mg","K","2","1777","0","0","0","0","0","0","0","0"
"09375","86","87","Inj., evomela, 1 mg","K","2","1820","0","0","0","0","0","0","0","0"
"09376","81","81","Sacituzumab govitecan-hziy","G","2","0","0","0","0","0","0","0","0","0"
"09376","82","82","Sacituzumab govitecan-hziy","G","2","2879","0","0","0","0","0","0","0","0"
"09376","83","83","Sacituzumab govitecan-hziy","G","2","2951","0","0","0","0","0","0","0","0"
"09376","84","84","Sacituzumab govitecan-hziy","G","2","2949","0","0","0","0","0","0","0","0"
"09376","85","85","Sacituzumab govitecan-hziy","G","2","3037","0","0","0","0","0","0","0","0"
"09376","86","86","Sacituzumab govitecan-hziy","G","2","3035","0","0","0","0","0","0","0","0"
"09376","87","87","Sacituzumab govitecan-hziy","G","2","3126","0","0","0","0","0","0","0","0"
"09377","81","81","Inj. isatuximab-irfc 10 mg","G","2","0","0","0","0","0","0","0","0","0"
"09377","82","82","Inj. isatuximab-irfc 10 mg","G","2","6667","0","0","0","0","0","0","0","0"
"09377","83","83","Inj. isatuximab-irfc 10 mg","G","2","6637","0","0","0","0","0","0","0","0"
"09377","84","84","Inj. isatuximab-irfc 10 mg","G","2","6622","0","0","0","0","0","0","0","0"
"09377","85","85","Inj. isatuximab-irfc 10 mg","G","2","6770","0","0","0","0","0","0","0","0"
"09377","86","86","Inj. isatuximab-irfc 10 mg","G","2","6760","0","0","0","0","0","0","0","0"
"09377","87","87","Inj. isatuximab-irfc 10 mg","G","2","6902","0","0","0","0","0","0","0","0"
"09378","81","81","Daratumumab hyaluronidase","G","2","0","0","0","0","0","0","0","0","0"
"09378","82","82","Daratumumab, hyaluronidase","G","2","4334","0","0","0","0","0","0","0","0"
"09378","83","83","Daratumumab, hyaluronidase","G","2","4385","0","0","0","0","0","0","0","0"
"09378","84","84","Daratumumab, hyaluronidase","G","2","4375","0","0","0","0","0","0","0","0"
"09378","85","85","Daratumumab, hyaluronidase","G","2","4514","0","0","0","0","0","0","0","0"
"09378","86","86","Daratumumab, hyaluronidase","G","2","4510","0","0","0","0","0","0","0","0"
"09378","87","87","Daratumumab, hyaluronidase","G","2","4503","0","0","0","0","0","0","0","0"
"09379","81","81","Romidepsin non-lyophilized","G","2","0","0","0","0","0","0","0","0","0"
"09379","82","82","Romidepsin non-lyophilized","G","2","32946","0","0","0","0","0","0","0","0"
"09379","83","83","Romidepsin non-lyophilized","G","2","31184","0","0","0","0","0","0","0","0"
"09379","84","84","Romidepsin non-lyophilized","G","2","29949","0","0","0","0","0","0","0","0"
"09380","82","84","Inj., cefiderocol, 5 mg","G","2","97","0","0","0","0","0","0","0","0"
"09381","80","80","Inj. avsola, 10 mg","K","2","0","0","0","0","0","0","0","0","0"
"09381","81","81","Inj. avsola, 10 mg","G","2","0","0","0","0","0","0","0","0","0"
"09381","82","83","Inj. avsola, 10 mg","G","2","5150","0","0","0","0","0","0","0","0"
"09381","84","84","Inj. avsola, 10 mg","G","2","5006","0","0","0","0","0","0","0","0"
"09381","85","85","Inj. avsola, 10 mg","G","2","4915","0","0","0","0","0","0","0","0"
"09381","86","86","Inj. avsola, 10 mg","G","2","4712","0","0","0","0","0","0","0","0"
"09381","87","87","Inj. avsola, 10 mg","G","2","4530","0","0","0","0","0","0","0","0"
"09382","79","80","Inj ontruzant 10 mg","K","2","9096","0","0","0","0","0","0","0","0"
"09382","81","81","Inj ontruzant 10 mg","G","2","9096","0","0","0","0","0","0","0","0"
"09382","82","82","Inj ontruzant 10 mg","G","2","9230","0","0","0","0","0","0","0","0"
"09382","83","83","Inj ontruzant 10 mg","G","2","8817","0","0","0","0","0","0","0","0"
"09382","84","84","Inj ontruzant 10 mg","G","2","8016","0","0","0","0","0","0","0","0"
"09382","85","85","Inj ontruzant 10 mg","G","2","7208","0","0","0","0","0","0","0","0"
"09382","86","86","Inj ontruzant 10 mg","G","2","6655","0","0","0","0","0","0","0","0"
"09382","87","87","Inj ontruzant 10 mg","G","2","6111","0","0","0","0","0","0","0","0"
"09383","82","82","Copper cu-64, dotatate, dx","G","2","90125","0","0","0","0","0","0","0","0"
"09383","83","83","Copper cu 64 dotatate diag","G","2","90125","0","0","0","0","0","0","0","0"
"09383","84","84","Copper cu 64 dotatate diag","G","2","91798","0","0","0","0","0","0","0","0"
"09383","85","85","Copper cu 64 dotatate diag","G","2","91810","0","0","0","0","0","0","0","0"
"09383","86","86","Copper cu 64 dotatate diag","G","2","91821","0","0","0","0","0","0","0","0"
"09383","87","87","Copper cu 64 dotatate diag","G","2","91852","0","0","0","0","0","0","0","0"
"09384","82","82","Belantamab mafodontin-blmf","G","2","4263","0","0","0","0","0","0","0","0"
"09384","83","83","Inj belantamab mafodont blmf","G","2","4263","0","0","0","0","0","0","0","0"
"09384","84","84","Inj belantamab mafodont blmf","G","2","4297","0","0","0","0","0","0","0","0"
"09384","85","85","Inj belantamab mafodont blmf","G","2","4291","0","0","0","0","0","0","0","0"
"09384","86","86","Inj belantamab mafodont blmf","G","2","4278","0","0","0","0","0","0","0","0"
"09384","87","87","Inj belantamab mafodot blmf","G","2","4329","0","0","0","0","0","0","0","0"
"09385","82","82","Injection, tafasitamab-cxix","G","2","618","0","0","0","0","0","0","0","0"
"09385","83","83","Inj., tafasitamab-cxix","G","2","1236","0","0","0","0","0","0","0","0"
"09385","84","84","Inj., tafasitamab-cxix","G","2","1266","0","0","0","0","0","0","0","0"
"09385","85","85","Inj., tafasitamab-cxix","G","2","1264","0","0","0","0","0","0","0","0"
"09385","86","86","Inj., tafasitamab-cxix","G","2","1262","0","0","0","0","0","0","0","0"
"09385","87","87","Inj., tafasitamab-cxix","G","2","1280","0","0","0","0","0","0","0","0"
"09386","82","82","Injection, viltolarsen","G","2","5809","0","0","0","0","0","0","0","0"
"09386","83","83","Inj. viltolarsen","G","2","5809","0","0","0","0","0","0","0","0"
"09386","84","85","Inj. viltolarsen","G","2","5978","0","0","0","0","0","0","0","0"
"09386","86","86","Inj. viltolarsen","G","2","5905","0","0","0","0","0","0","0","0"
"09386","87","87","Inj. viltolarsen","G","2","5895","0","0","0","0","0","0","0","0"
"09387","82","83","Inj. infugem, 100 mg","G","2","3914","0","0","0","0","0","0","0","0"
"09387","84","84","Inj. infugem, 100 mg","G","2","3391","0","0","0","0","0","0","0","0"
"09387","85","85","Inj. infugem, 100 mg","G","2","3416","0","0","0","0","0","0","0","0"
"09387","86","86","Inj. infugem, 100 mg","G","2","3400","0","0","0","0","0","0","0","0"
"09387","87","87","Inj. infugem, 100 mg","G","2","2508","0","0","0","0","0","0","0","0"
"09388","81","81","Inj. fe derisomaltose 10 mg","K","2","0","0","0","0","0","0","0","0","0"
"09388","82","84","Inj. fe derisomaltose 10 mg","G","2","2538","0","0","0","0","0","0","0","0"
"09388","85","85","Inj. fe derisomaltose 10 mg","G","2","2582","0","0","0","0","0","0","0","0"
"09388","86","86","Inj. fe derisomaltose 10 mg","G","2","2487","0","0","0","0","0","0","0","0"
"09388","87","87","Inj. fe derisomaltose 10 mg","G","2","2440","0","0","0","0","0","0","0","0"
"09389","82","83","Inj. lurbinectedin, 0.1 mg","G","2","17080","0","0","0","0","0","0","0","0"
"09389","84","84","Inj. lurbinectedin, 0.1 mg","G","2","17472","0","0","0","0","0","0","0","0"
"09389","85","85","Inj. lurbinectedin, 0.1 mg","G","2","17420","0","0","0","0","0","0","0","0"
"09389","86","86","Inj. lurbinectedin, 0.1 mg","G","2","17403","0","0","0","0","0","0","0","0"
"09389","87","87","Inj. lurbinectedin, 0.1 mg","G","2","18023","0","0","0","0","0","0","0","0"
"09390","82","83","Pertuzu, trastuzu, 10 mg","G","2","7271","0","0","0","0","0","0","0","0"
"09390","84","84","Pertuzu, trastuzu, 10 mg","G","2","7354","0","0","0","0","0","0","0","0"
"09390","85","85","Pertuzu, trastuzu, 10 mg","G","2","7263","0","0","0","0","0","0","0","0"
"09390","86","86","Pertuzu, trastuzu, 10 mg","G","2","7215","0","0","0","0","0","0","0","0"
"09390","87","87","Pertuzu, trastuzu, 10 mg","G","2","7165","0","0","0","0","0","0","0","0"
"09391","82","82","Brexucabtagene autoleucel ca","G","2","38419000","0","0","0","0","0","0","0","0"
"09391","83","83","Brexucabtagene car pos t","G","2","38419000","0","0","0","0","0","0","0","0"
"09391","84","86","Brexucabtagene car pos t","G","2","39538000","0","0","0","0","0","0","0","0"
"09391","87","87","Brexucabtagene car pos t","G","2","40916000","0","0","0","0","0","0","0","0"
"09392","82","82","Inj, imm glob asceniv","G","2","48177","0","0","0","0","0","0","0","0"
"09392","83","87","Inj. asceniv","G","2","48177","0","0","0","0","0","0","0","0"
"09393","82","87","Inj codeine phosphate /30 mg","K","2","13564","0","0","0","0","0","0","0","0"
"09394","82","83","Inj. inebilizumab-cdon, 1 mg","K","2","44977","0","0","0","0","0","0","0","0"
"09394","84","84","Inj. inebilizumab-cdon, 1 mg","K","2","45423","0","0","0","0","0","0","0","0"
"09394","85","85","Inj. inebilizumab-cdon, 1 mg","G","2","45332","0","0","0","0","0","0","0","0"
"09394","86","86","Inj. inebilizumab-cdon, 1 mg","G","2","45821","0","0","0","0","0","0","0","0"
"09394","87","87","Inj. inebilizumab-cdon, 1 mg","G","2","46262","0","0","0","0","0","0","0","0"
"09395","82","82","Factor viia recomb sevenfact","K","2","259","0","0","0","0","0","0","0","0"
"09395","83","83","Factor viia recomb sevenfact","G","2","259","0","0","0","0","0","0","0","0"
"09395","84","84","Factor viia recomb sevenfact","G","2","260","0","0","0","0","0","0","0","0"
"09395","85","85","Factor viia recomb sevenfact","G","2","219","0","0","0","0","0","0","0","0"
"09395","86","86","Factor viia recomb sevenfact","G","2","227","0","0","0","0","0","0","0","0"
"09395","87","87","Factor viia recomb sevenfact","G","2","220","0","0","0","0","0","0","0","0"
"09396","82","87","Afamelanotide implant, 1 mg","K","2","321890","0","0","0","0","0","0","0","0"
"09397","83","83","Covid-19 Vaccine Administration Dose 1 of 2","S","1","1694","0","0","0","0","0","0","0","0"
"09397","84","85","Covid-19 Vaccine Administration Dose 1 of 2","S","1","4000","0","0","0","0","0","0","0","0"
"09397","86","87","Covid-19 Vaccine Admin Dose 1 of 2","S","1","4000","0","0","0","0","0","0","0","0"
"09398","83","83","Covid-19 Vaccine Administration Dose 2 of 2 or Single Dose Product","S","1","2839","0","0","0","0","0","0","0","0"
"09398","84","87","Covid-19 Vaccine Admin Dose 2 of 2, Single Dose Product or Additional Dose","S","1","4000","0","0","0","0","0","0","0","0"
"09406","82","82","Inj, nyvepria","K","2","0","0","0","0","0","0","0","0","0"
"09406","83","83","Inj, nyvepria","G","2","0","0","0","0","0","0","0","0","0"
"09406","84","84","Inj, nyvepria","G","2","33690","0","0","0","0","0","0","0","0"
"09406","85","85","Inj, nyvepria","G","2","31421","0","0","0","0","0","0","0","0"
"09406","86","86","Inj, nyvepria","G","2","28469","0","0","0","0","0","0","0","0"
"09406","87","87","Inj, nyvepria","G","2","26914","0","0","0","0","0","0","0","0"
"09407","83","83","Injection, lumasiran","G","2","0","0","0","0","0","0","0","0","0"
"09407","84","85","Inj. lumasiran, 0.5 mg","G","2","29974","0","0","0","0","0","0","0","0"
"09407","86","86","Inj. lumasiran, 0.5 mg","G","2","30230","0","0","0","0","0","0","0","0"
"09407","87","87","Inj. lumasiran, 0.5 mg","G","2","30227","0","0","0","0","0","0","0","0"
"09408","84","84","Inj. naxitamab-gqgk, 1 mg","G","2","0","0","0","0","0","0","0","0","0"
"09408","85","85","Inj. naxitamab-gqgk, 1 mg","G","2","52448","0","0","0","0","0","0","0","0"
"09408","86","86","Inj. naxitamab-gqgk, 1 mg","G","2","53907","0","0","0","0","0","0","0","0"
"09408","87","87","Inj. naxitamab-gqgk, 1 mg","G","2","53888","0","0","0","0","0","0","0","0"
"09409","84","85","Gallium ga-68 psma-11 ucsf","G","2","0","0","0","0","0","0","0","0","0"
"09409","86","87","Gallium ga-68 psma-11 ucsf","G","2","73286","0","0","0","0","0","0","0","0"
"09410","84","85","Gallium ga-68 psma-11, ucla","G","2","0","0","0","0","0","0","0","0","0"
"09410","86","87","Gallium ga-68 psma-11, ucla","G","2","71755","0","0","0","0","0","0","0","0"
"09411","84","84","Inj. riabni, 10 mg","G","2","0","0","0","0","0","0","0","0","0"
"09411","85","85","Inj. riabni, 10 mg","G","2","7383","0","0","0","0","0","0","0","0"
"09411","86","86","Inj. riabni, 10 mg","G","2","7223","0","0","0","0","0","0","0","0"
"09411","87","87","Inj. riabni, 10 mg","G","2","6433","0","0","0","0","0","0","0","0"
"09412","84","84","Injection, casimersen, 10 mg","G","2","0","0","0","0","0","0","0","0","0"
"09412","85","85","Injection, casimersen, 10 mg","G","2","16480","0","0","0","0","0","0","0","0"
"09412","86","86","Injection, casimersen, 10 mg","G","2","16647","0","0","0","0","0","0","0","0"
"09412","87","87","Injection, casimersen, 10 mg","G","2","16649","0","0","0","0","0","0","0","0"
"09413","84","84","Lisocabtagene car pos t","G","2","0","0","0","0","0","0","0","0","0"
"09413","85","85","Lisocabtagene car pos t","G","2","42260900","0","0","0","0","0","0","0","0"
"09413","86","86","lisocabtagene car pos t","G","2","42260900","0","0","0","0","0","0","0","0"
"09413","87","87","lisocabtagene car pos t","G","2","43491800","0","0","0","0","0","0","0","0"
"09414","84","84","Inj cabotegravir/rilpivirine","G","2","0","0","0","0","0","0","0","0","0"
"09414","85","85","Inj, cabote rilpivir 2mg 3mg","G","2","2039","0","0","0","0","0","0","0","0"
"09414","86","87","Inj, cabote rilpivir 2mg 3mg","G","2","2056","0","0","0","0","0","0","0","0"
"09415","84","84","Inj, trilaciclib, 1 mg","G","2","0","0","0","0","0","0","0","0","0"
"09415","85","85","Injection, trilaciclib, 1mg","G","2","487","0","0","0","0","0","0","0","0"
"09415","86","86","Injection, trilaciclib, 1mg","G","2","497","0","0","0","0","0","0","0","0"
"09415","87","87","Injection, trilaciclib, 1mg","G","2","495","0","0","0","0","0","0","0","0"
"09416","84","84","Inj, evinacumab-dgnb, 5 mg","G","2","0","0","0","0","0","0","0","0","0"
"09416","85","85","Inj, evinacumab-dgnb, 5mg","G","2","16094","0","0","0","0","0","0","0","0"
"09416","86","87","Inj, evinacumab-dgnb, 5 mg","G","2","16563","0","0","0","0","0","0","0","0"
"09417","84","84","Inj, melphalan flufen, 1 mg","G","2","0","0","0","0","0","0","0","0","0"
"09417","85","85","Inj, melphalan flufenami 1mg","G","2","48925","0","0","0","0","0","0","0","0"
"09417","86","86","Inj, melphalan flufenami 1mg","G","2","49986","0","0","0","0","0","0","0","0"
"09417","87","87","Inj, melphalan flufenami 1mg","G","2","49744","0","0","0","0","0","0","0","0"
"09418","84","84","Inj. margetuximab-cmkb, 5 mg","G","2","0","0","0","0","0","0","0","0","0"
"09418","85","85","Inj. margetuximab-cmkb, 5 mg","G","2","4279","0","0","0","0","0","0","0","0"
"09418","86","86","Inj. margetuximab-cmkb, 5 mg","G","2","4299","0","0","0","0","0","0","0","0"
"09418","87","87","Inj. margetuximab-cmkb, 5 mg","G","2","4376","0","0","0","0","0","0","0","0"
"09419","84","84","Inj fensolvi 0.25 mg","K","2","0","0","0","0","0","0","0","0","0"
"09419","85","85","Inj fensolvi 0.25 mg","K","2","12775","0","0","0","0","0","0","0","0"
"09419","86","86","Inj fensolvi 0.25 mg","K","2","12628","0","0","0","0","0","0","0","0"
"09419","87","87","Inj fensolvi 0.25 mg","K","2","12705","0","0","0","0","0","0","0","0"
"09420","86","86","Eptifibatide injection","K","2","199","0","0","0","0","0","0","0","0"
"09420","87","87","Eptifibatide injection","K","2","211","0","0","0","0","0","0","0","0"
"09421","86","86","Inj, granisetron, xr, 0.1 mg","K","2","694","0","0","0","0","0","0","0","0"
"09421","87","87","Inj, granisetron, xr, 0.1 mg","K","2","671","0","0","0","0","0","0","0","0"
"09422","85","85","Idecabtagene car pos t","G","2","0","0","0","0","0","0","0","0","0"
"09422","86","86","Idecabtagene vicleucel car","G","2","43208500","0","0","0","0","0","0","0","0"
"09422","87","87","Idecabtagene vicleucel car","G","2","44467000","0","0","0","0","0","0","0","0"
"09423","85","85","Inj dostarlimab-gxly, 100 mg","G","2","0","0","0","0","0","0","0","0","0"
"09424","85","85","Inj, amivantamab-vmjw, 10 mg","G","2","0","0","0","0","0","0","0","0","0"
"09425","85","85","loncastuximab-lpyl, 0.1 mg","G","2","0","0","0","0","0","0","0","0","0"
"09425","86","86","loncastuximab-lpyl, 0.1 mg","G","2","24205","0","0","0","0","0","0","0","0"
"09426","85","85","Inj, cefiderocol, 10 mg","G","2","0","0","0","0","0","0","0","0","0"
"09426","86","87","Inj, cefiderocol, 10 mg","G","2","201","0","0","0","0","0","0","0","0"
"09427","85","85","Injection, oritavancin 10 mg","G","2","0","0","0","0","0","0","0","0","0"
"09427","86","87","Injection, oritavancin 10 mg","G","2","4192","0","0","0","0","0","0","0","0"
"09428","85","85","Inj romidepsin non-lyo 0.1mg","G","2","0","0","0","0","0","0","0","0","0"
"09428","86","87","Inj romidepsin non-lyo 0.1mg","G","2","3391","0","0","0","0","0","0","0","0"
"09429","85","85","Inj romidepsin lyophil 0.1mg","K","2","0","0","0","0","0","0","0","0","0"
"09429","86","86","Inj romidepsin lyophil 0.1mg","K","2","3368","0","0","0","0","0","0","0","0"
"09429","87","87","Inj romidepsin lyophil 0.1mg","K","2","3323","0","0","0","0","0","0","0","0"
"09430","86","86","Piflu f-18, dia 1 millicurie","G","2","52644","0","0","0","0","0","0","0","0"
"09430","87","87","Piflu f-18, dia 1 millicurie","G","2","54178","0","0","0","0","0","0","0","0"
"09431","86","86","Inj, dostarlimab-gxly, 10 mg","G","2","21361","0","0","0","0","0","0","0","0"
"09431","87","87","Inj, dostarlimab-gxly, 10 mg","G","2","21512","0","0","0","0","0","0","0","0"
"09432","86","86","Inj, amivantamab-vmjw","G","2","1758","0","0","0","0","0","0","0","0"
"09432","87","87","Inj, amivantamab-vmjw","G","2","1791","0","0","0","0","0","0","0","0"
"09433","86","86","Inj avalglucosid alfa-ngpt","G","2","7065","0","0","0","0","0","0","0","0"
"09433","87","87","Inj aval alfa-nqpt 4mg","G","2","7065","0","0","0","0","0","0","0","0"
"09434","86","86","Inj, anifrolumab-fnia","G","2","1580","0","0","0","0","0","0","0","0"
"09434","87","87","Inj anifrolumab-fnia 1mg","G","2","1580","0","0","0","0","0","0","0","0"
"09435","86","86","Inj cyclophosphamd auromedic","G","2","752","0","0","0","0","0","0","0","0"
"09436","86","86","Inj pegfilgrast ex bio 0.5mg","K","2","18514","0","0","0","0","0","0","0","0"
"09436","87","87","Inj pegfilgrast ex bio 0.5mg","K","2","18203","0","0","0","0","0","0","0","0"
"09437","86","87","Inj, aspara, rylaze, 0.1 mg","G","2","4522","0","0","0","0","0","0","0","0"
"09438","86","86","Injection, aducanumab-avwa, 2 mg","K","2","1154","0","0","0","0","0","0","0","0"
"09438","87","87","Injection, aducanumab-avwa, 2 mg","K","2","1187","0","0","0","0","0","0","0","0"
"09439","87","87","Inj., susvimo, 0.1 mg","G","2","0","0","0","0","0","0","0","0","0"
"09440","87","87","Instill, bupivac and meloxic","G","2","0","0","0","0","0","0","0","0","0"
"09441","60","61","Inj ferric carboxymaltos 1mg","G","5","107","0","0","0","0","0","0","0","0"
"09441","62","65","Inj ferric carboxymaltos 1mg","G","2","106","0","0","0","0","0","0","0","0"
"09441","66","67","Inj ferric carboxymaltos 1mg","K","2","105","0","0","0","0","0","0","0","0"
"09441","68","68","Inj ferric carboxymaltos 1mg","K","2","106","0","0","0","0","0","0","0","0"
"09441","69","69","Inj ferric carboxymaltos 1mg","K","2","107","0","0","0","0","0","0","0","0"
"09441","70","70","Inj ferric carboxymaltos 1mg","K","2","106","0","0","0","0","0","0","0","0"
"09441","71","72","Inj ferric carboxymaltos 1mg","K","2","105","0","0","0","0","0","0","0","0"
"09441","73","73","Inj ferric carboxymaltos 1mg","K","2","107","0","0","0","0","0","0","0","0"
"09441","74","74","Inj ferric carboxymaltos 1mg","K","2","106","0","0","0","0","0","0","0","0"
"09441","75","75","Inj ferric carboxymaltos 1mg","K","2","108","0","0","0","0","0","0","0","0"
"09441","76","76","Inj ferric carboxymaltos 1mg","K","2","107","0","0","0","0","0","0","0","0"
"09441","77","77","Inj ferric carboxymaltos 1mg","K","2","109","0","0","0","0","0","0","0","0"
"09441","78","78","Inj ferric carboxymaltos 1mg","K","2","110","0","0","0","0","0","0","0","0"
"09441","79","79","Inj ferric carboxymaltos 1mg","K","2","111","0","0","0","0","0","0","0","0"
"09441","80","80","Inj ferric carboxymaltos 1mg","K","2","110","0","0","0","0","0","0","0","0"
"09441","81","81","Inj ferric carboxymaltos 1mg","K","2","112","0","0","0","0","0","0","0","0"
"09441","82","82","Inj ferric carboxymaltos 1mg","K","2","111","0","0","0","0","0","0","0","0"
"09441","83","83","Inj ferric carboxymaltos 1mg","K","2","113","0","0","0","0","0","0","0","0"
"09441","84","84","Inj ferric carboxymaltos 1mg","K","2","111","0","0","0","0","0","0","0","0"
"09441","85","85","Inj ferric carboxymaltos 1mg","K","2","113","0","0","0","0","0","0","0","0"
"09441","86","87","Inj ferric carboxymaltos 1mg","K","2","112","0","0","0","0","0","0","0","0"
"09442","87","87","Inj. pemetrexed, 10 mg","G","2","0","0","0","0","0","0","0","0","0"
"09445","60","60","C-1 esterase, Ruconest","G","5","2398","0","0","0","0","0","0","0","0"
"09445","61","61","C-1 esterase, Ruconest","G","5","2329","0","0","0","0","0","0","0","0"
"09445","62","62","Injection, ruconest","G","2","2329","0","0","0","0","0","0","0","0"
"09445","63","63","Injection, ruconest","G","2","2560","0","0","0","0","0","0","0","0"
"09445","64","64","Injection, ruconest","G","2","2675","0","0","0","0","0","0","0","0"
"09445","65","65","Injection, ruconest","G","2","2768","0","0","0","0","0","0","0","0"
"09445","66","66","Injection, ruconest","G","2","2795","0","0","0","0","0","0","0","0"
"09445","67","67","Injection, ruconest","G","2","2793","0","0","0","0","0","0","0","0"
"09445","68","68","Injection, ruconest","G","2","2794","0","0","0","0","0","0","0","0"
"09445","69","69","Injection, ruconest","G","2","2797","0","0","0","0","0","0","0","0"
"09445","70","70","Injection, ruconest","K","2","2799","0","0","0","0","0","0","0","0"
"09445","71","71","Injection, ruconest","K","2","2798","0","0","0","0","0","0","0","0"
"09445","72","72","Injection, ruconest","K","2","2785","0","0","0","0","0","0","0","0"
"09445","73","73","Injection, ruconest","K","2","2772","0","0","0","0","0","0","0","0"
"09445","74","74","Injection, ruconest","K","2","2765","0","0","0","0","0","0","0","0"
"09445","75","75","Injection, ruconest","K","2","2746","0","0","0","0","0","0","0","0"
"09445","76","76","Injection, ruconest","K","2","2734","0","0","0","0","0","0","0","0"
"09445","77","77","Injection, ruconest","K","2","2782","0","0","0","0","0","0","0","0"
"09445","78","78","Injection, ruconest","K","2","2822","0","0","0","0","0","0","0","0"
"09445","79","79","Injection, ruconest","K","2","2808","0","0","0","0","0","0","0","0"
"09445","80","80","Injection, ruconest","K","2","2835","0","0","0","0","0","0","0","0"
"09445","81","81","Injection, ruconest","K","2","2923","0","0","0","0","0","0","0","0"
"09445","82","82","Injection, ruconest","K","2","2911","0","0","0","0","0","0","0","0"
"09445","83","83","Injection, ruconest","K","2","2898","0","0","0","0","0","0","0","0"
"09445","84","84","Injection, ruconest","K","2","2909","0","0","0","0","0","0","0","0"
"09445","85","85","Injection, ruconest","K","2","3025","0","0","0","0","0","0","0","0"
"09445","86","86","Injection, ruconest","K","2","2997","0","0","0","0","0","0","0","0"
"09445","87","87","Injection, ruconest","K","2","3002","0","0","0","0","0","0","0","0"
"09448","60","60","Netupitant Palonosetron oral","G","5","0","0","0","0","0","0","0","0","0"
"09448","61","61","Netupitant Palonosetron oral","G","5","49572","0","0","0","0","0","0","0","0"
"09448","62","62","Netupitant palonosetron oral","G","2","47485","0","0","0","0","0","0","0","0"
"09448","63","63","Netupitant palonosetron oral","G","2","49408","0","0","0","0","0","0","0","0"
"09448","64","64","Netupitant palonosetron oral","G","2","39565","0","0","0","0","0","0","0","0"
"09448","65","65","Netupitant palonosetron oral","G","2","46491","0","0","0","0","0","0","0","0"
"09448","66","66","Netupitant palonosetron oral","G","2","46197","0","0","0","0","0","0","0","0"
"09448","67","67","Netupitant palonosetron oral","G","2","44499","0","0","0","0","0","0","0","0"
"09448","68","68","Netupitant palonosetron oral","G","2","44491","0","0","0","0","0","0","0","0"
"09448","69","69","Netupitant palonosetron oral","G","2","43150","0","0","0","0","0","0","0","0"
"09448","70","70","Netupitant palonosetron oral","K","2","45847","0","0","0","0","0","0","0","0"
"09448","71","71","Netupitant palonosetron oral","K","2","39883","0","0","0","0","0","0","0","0"
"09448","72","72","Netupitant palonosetron oral","K","2","36682","0","0","0","0","0","0","0","0"
"09448","73","73","Netupitant palonosetron oral","K","2","34062","0","0","0","0","0","0","0","0"
"09448","74","74","Oral netupitant, palonosetro","K","2","30194","0","0","0","0","0","0","0","0"
"09448","75","75","Oral netupitant, palonosetro","K","2","28283","0","0","0","0","0","0","0","0"
"09448","76","76","Oral netupitant, palonosetro","K","2","25981","0","0","0","0","0","0","0","0"
"09448","77","77","Oral netupitant, palonosetro","K","2","25020","0","0","0","0","0","0","0","0"
"09448","78","78","Oral netupitant, palonosetro","K","2","24574","0","0","0","0","0","0","0","0"
"09448","79","79","Oral netupitant, palonosetro","K","2","24692","0","0","0","0","0","0","0","0"
"09448","80","80","Oral netupitant, palonosetro","K","2","22185","0","0","0","0","0","0","0","0"
"09448","81","81","Oral netupitant, palonosetro","K","2","23602","0","0","0","0","0","0","0","0"
"09448","82","82","Oral netupitant, palonosetro","K","2","27010","0","0","0","0","0","0","0","0"
"09448","83","83","Oral netupitant, palonosetro","K","2","27065","0","0","0","0","0","0","0","0"
"09448","84","84","Oral netupitant, palonosetro","K","2","30413","0","0","0","0","0","0","0","0"
"09448","85","85","Oral netupitant, palonosetro","K","2","31642","0","0","0","0","0","0","0","0"
"09448","86","86","Oral netupitant, palonosetro","K","2","31559","0","0","0","0","0","0","0","0"
"09448","87","87","Oral netupitant, palonosetro","K","2","32271","0","0","0","0","0","0","0","0"
"09449","60","61","Inj, blinatumomab","G","5","9627","0","0","0","0","0","0","0","0"
"09449","62","62","Injection, blinatumomab","G","2","9600","0","0","0","0","0","0","0","0"
"09449","63","63","Injection, blinatumomab","G","2","9541","0","0","0","0","0","0","0","0"
"09449","64","64","Injection, blinatumomab","G","2","9510","0","0","0","0","0","0","0","0"
"09449","65","65","Injection, blinatumomab","G","2","9617","0","0","0","0","0","0","0","0"
"09449","66","66","Injection, blinatumomab","G","2","9879","0","0","0","0","0","0","0","0"
"09449","67","67","Injection, blinatumomab","G","2","9860","0","0","0","0","0","0","0","0"
"09449","68","68","Injection, blinatumomab","G","2","9883","0","0","0","0","0","0","0","0"
"09449","69","69","Injection, blinatumomab","G","2","10230","0","0","0","0","0","0","0","0"
"09449","70","70","Injection, blinatumomab","K","2","10343","0","0","0","0","0","0","0","0"
"09449","71","71","Injection, blinatumomab","K","2","10774","0","0","0","0","0","0","0","0"
"09449","72","72","Injection, blinatumomab","K","2","10747","0","0","0","0","0","0","0","0"
"09449","73","73","Injection, blinatumomab","K","2","10992","0","0","0","0","0","0","0","0"
"09449","74","74","Injection, blinatumomab","K","2","11037","0","0","0","0","0","0","0","0"
"09449","75","75","Injection, blinatumomab","K","2","11015","0","0","0","0","0","0","0","0"
"09449","76","76","Injection, blinatumomab","K","2","11031","0","0","0","0","0","0","0","0"
"09449","77","77","Injection, blinatumomab","K","2","11296","0","0","0","0","0","0","0","0"
"09449","78","78","Injection, blinatumomab","K","2","11340","0","0","0","0","0","0","0","0"
"09449","79","79","Injection, blinatumomab","K","2","11334","0","0","0","0","0","0","0","0"
"09449","80","80","Injection, blinatumomab","K","2","11328","0","0","0","0","0","0","0","0"
"09449","81","81","Injection, blinatumomab","K","2","11776","0","0","0","0","0","0","0","0"
"09449","82","82","Injection, blinatumomab","K","2","11859","0","0","0","0","0","0","0","0"
"09449","83","83","Injection, blinatumomab","K","2","11812","0","0","0","0","0","0","0","0"
"09449","84","84","Injection, blinatumomab","K","2","11735","0","0","0","0","0","0","0","0"
"09449","85","85","Injection, blinatumomab","K","2","12227","0","0","0","0","0","0","0","0"
"09449","86","86","Injection, blinatumomab","K","2","12388","0","0","0","0","0","0","0","0"
"09449","87","87","Injection, blinatumomab","K","2","12411","0","0","0","0","0","0","0","0"
"09450","60","61","Fluocinolone acetonide implt","G","5","49095","0","0","0","0","0","0","0","0"
"09450","62","69","Fluocinol acet intravit imp","G","2","49095","0","0","0","0","0","0","0","0"
"09450","70","70","Fluocinol acet intravit imp","K","2","49080","0","0","0","0","0","0","0","0"
"09450","71","71","Fluocinol acet intravit imp","K","2","49048","0","0","0","0","0","0","0","0"
"09450","72","72","Fluocinol acet intravit imp","K","2","49028","0","0","0","0","0","0","0","0"
"09450","73","73","Fluocinol acet intravit imp","K","2","49020","0","0","0","0","0","0","0","0"
"09450","74","74","Fluocinol acet intravit imp","K","2","49033","0","0","0","0","0","0","0","0"
"09450","75","75","Fluocinol acet intravit imp","K","2","49066","0","0","0","0","0","0","0","0"
"09450","76","76","Fluocinol acet intravit imp","K","2","49081","0","0","0","0","0","0","0","0"
"09450","77","77","Inj., iluvien, 0.01 mg","K","2","49094","0","0","0","0","0","0","0","0"
"09450","78","78","Fluocinol acet intravit imp","K","2","49087","0","0","0","0","0","0","0","0"
"09450","79","79","Fluocinol acet intravit imp","K","2","49081","0","0","0","0","0","0","0","0"
"09450","80","81","Fluocinol acet intravit imp","K","2","49080","0","0","0","0","0","0","0","0"
"09450","82","82","Inj., iluvien, 0.01 mg","K","2","49087","0","0","0","0","0","0","0","0"
"09450","83","83","Inj., iluvien, 0.01 mg","K","2","49093","0","0","0","0","0","0","0","0"
"09450","84","85","Inj., iluvien, 0.01 mg","K","2","49095","0","0","0","0","0","0","0","0"
"09450","86","87","Fluocinol acet intravit imp","K","2","49095","0","0","0","0","0","0","0","0"
"09451","60","61","Injection, peramivir","G","5","168","0","0","0","0","0","0","0","0"
"09451","62","63","Injection, peramivir","G","2","168","0","0","0","0","0","0","0","0"
"09451","64","64","Injection, peramivir","G","2","165","0","0","0","0","0","0","0","0"
"09451","65","65","Injection, peramivir","G","2","161","0","0","0","0","0","0","0","0"
"09451","66","66","Injection, peramivir","G","2","165","0","0","0","0","0","0","0","0"
"09451","67","67","Injection, peramivir","G","2","168","0","0","0","0","0","0","0","0"
"09451","68","68","Injection, peramivir","G","2","162","0","0","0","0","0","0","0","0"
"09451","69","69","Injection, peramivir","G","2","163","0","0","0","0","0","0","0","0"
"09451","70","70","Injection, peramivir","K","2","161","0","0","0","0","0","0","0","0"
"09451","71","72","Injection, peramivir","K","2","168","0","0","0","0","0","0","0","0"
"09451","73","74","Injection, peramivir","K","2","162","0","0","0","0","0","0","0","0"
"09451","75","75","Injection, peramivir","K","2","161","0","0","0","0","0","0","0","0"
"09451","76","76","Injection, peramivir","K","2","168","0","0","0","0","0","0","0","0"
"09451","77","78","Injection, peramivir","K","2","164","0","0","0","0","0","0","0","0"
"09451","79","79","Injection, peramivir","K","2","168","0","0","0","0","0","0","0","0"
"09451","80","80","Injection, peramivir","K","2","163","0","0","0","0","0","0","0","0"
"09451","81","81","Injection, peramivir","K","2","161","0","0","0","0","0","0","0","0"
"09451","82","83","Injection, peramivir","K","2","160","0","0","0","0","0","0","0","0"
"09451","84","84","Injection, peramivir","K","2","164","0","0","0","0","0","0","0","0"
"09451","85","87","Injection, peramivir","K","2","168","0","0","0","0","0","0","0","0"
"09452","60","60","Inj, ceftolozane/tazobactam","G","5","44","0","0","0","0","0","0","0","0"
"09452","61","61","Inj, ceftolozane/tazobactam","G","5","43","0","0","0","0","0","0","0","0"
"09452","62","62","Inj ceftolozane tazobactam","G","2","42","0","0","0","0","0","0","0","0"
"09452","63","63","Inj ceftolozane tazobactam","G","2","428","0","0","0","0","0","0","0","0"
"09452","64","64","Inj ceftolozane tazobactam","G","2","429","0","0","0","0","0","0","0","0"
"09452","65","65","Inj ceftolozane tazobactam","G","2","450","0","0","0","0","0","0","0","0"
"09452","66","66","Inj ceftolozane tazobactam","G","2","454","0","0","0","0","0","0","0","0"
"09452","67","67","Inj ceftolozane tazobactam","G","2","476","0","0","0","0","0","0","0","0"
"09452","68","68","Inj ceftolozane tazobactam","G","2","474","0","0","0","0","0","0","0","0"
"09452","69","69","Inj ceftolozane tazobactam","G","2","496","0","0","0","0","0","0","0","0"
"09452","70","70","Inj ceftolozane tazobactam","K","2","496","0","0","0","0","0","0","0","0"
"09452","71","71","Inj ceftolozane tazobactam","K","2","514","0","0","0","0","0","0","0","0"
"09452","72","72","Inj ceftolozane tazobactam","K","2","520","0","0","0","0","0","0","0","0"
"09452","73","73","Inj ceftolozane tazobactam","K","2","547","0","0","0","0","0","0","0","0"
"09452","74","74","Inj ceftolozane tazobactam","K","2","546","0","0","0","0","0","0","0","0"
"09452","75","75","Inj ceftolozane tazobactam","K","2","543","0","0","0","0","0","0","0","0"
"09452","76","76","Inj ceftolozane tazobactam","K","2","541","0","0","0","0","0","0","0","0"
"09452","77","77","Inj ceftolozane tazobactam","K","2","559","0","0","0","0","0","0","0","0"
"09452","78","78","Inj ceftolozane tazobactam","K","2","560","0","0","0","0","0","0","0","0"
"09452","79","79","Inj ceftolozane tazobactam","K","2","593","0","0","0","0","0","0","0","0"
"09452","80","80","Inj ceftolozane tazobactam","K","2","588","0","0","0","0","0","0","0","0"
"09452","81","81","Inj ceftolozane tazobactam","K","2","652","0","0","0","0","0","0","0","0"
"09452","82","82","Inj ceftolozane tazobactam","K","2","649","0","0","0","0","0","0","0","0"
"09452","83","83","Inj ceftolozane tazobactam","K","2","643","0","0","0","0","0","0","0","0"
"09452","84","84","Inj ceftolozane tazobactam","K","2","636","0","0","0","0","0","0","0","0"
"09452","85","87","Inj ceftolozane tazobactam","K","2","664","0","0","0","0","0","0","0","0"
"09453","60","60","Injection, nivolumab","G","5","0","0","0","0","0","0","0","0","0"
"09453","61","61","Injection, nivolumab","G","5","2540","0","0","0","0","0","0","0","0"
"09453","62","62","Injection, nivolumab","G","2","2538","0","0","0","0","0","0","0","0"
"09453","63","63","Injection, nivolumab","G","2","2537","0","0","0","0","0","0","0","0"
"09453","64","64","Injection, nivolumab","G","2","2562","0","0","0","0","0","0","0","0"
"09453","65","65","Injection, nivolumab","G","2","2569","0","0","0","0","0","0","0","0"
"09453","66","66","Injection, nivolumab","G","2","2606","0","0","0","0","0","0","0","0"
"09453","67","67","Injection, nivolumab","G","2","2605","0","0","0","0","0","0","0","0"
"09453","68","68","Injection, nivolumab","G","2","2643","0","0","0","0","0","0","0","0"
"09453","69","69","Injection, nivolumab","G","2","2642","0","0","0","0","0","0","0","0"
"09453","70","70","Injection, nivolumab","K","2","2680","0","0","0","0","0","0","0","0"
"09453","71","71","Injection, nivolumab","K","2","2679","0","0","0","0","0","0","0","0"
"09453","72","72","Injection, nivolumab","K","2","2715","0","0","0","0","0","0","0","0"
"09453","73","73","Injection, nivolumab","K","2","2716","0","0","0","0","0","0","0","0"
"09453","74","74","Injection, nivolumab","K","2","2754","0","0","0","0","0","0","0","0"
"09453","75","75","Injection, nivolumab","K","2","2750","0","0","0","0","0","0","0","0"
"09453","76","76","Injection, nivolumab","K","2","2746","0","0","0","0","0","0","0","0"
"09453","77","77","Injection, nivolumab","K","2","2780","0","0","0","0","0","0","0","0"
"09453","78","78","Injection, nivolumab","K","2","2781","0","0","0","0","0","0","0","0"
"09453","79","80","Injection, nivolumab","K","2","2816","0","0","0","0","0","0","0","0"
"09453","81","81","Injection, nivolumab","K","2","2853","0","0","0","0","0","0","0","0"
"09453","82","82","Injection, nivolumab","K","2","2856","0","0","0","0","0","0","0","0"
"09453","83","83","Injection, nivolumab","K","2","2854","0","0","0","0","0","0","0","0"
"09453","84","84","Injection, nivolumab","K","2","2849","0","0","0","0","0","0","0","0"
"09453","85","85","Injection, nivolumab","K","2","2890","0","0","0","0","0","0","0","0"
"09453","86","86","Injection, nivolumab","K","2","2886","0","0","0","0","0","0","0","0"
"09453","87","87","Injection, nivolumab","K","2","2925","0","0","0","0","0","0","0","0"
"09454","60","60","Inj, pasireotide long acting","G","5","0","0","0","0","0","0","0","0","0"
"09454","61","61","Inj, pasireotide long acting","G","5","19026","0","0","0","0","0","0","0","0"
"09454","62","62","Inj, pasireotide long acting","G","2","25126","0","0","0","0","0","0","0","0"
"09454","63","63","Inj, pasireotide long acting","G","2","27963","0","0","0","0","0","0","0","0"
"09454","64","64","Inj, pasireotide long acting","G","2","23945","0","0","0","0","0","0","0","0"
"09454","65","65","Inj, pasireotide long acting","G","2","27518","0","0","0","0","0","0","0","0"
"09454","66","66","Inj, pasireotide long acting","G","2","26536","0","0","0","0","0","0","0","0"
"09454","67","67","Inj, pasireotide long acting","G","2","26699","0","0","0","0","0","0","0","0"
"09454","68","68","Inj, pasireotide long acting","G","2","26076","0","0","0","0","0","0","0","0"
"09454","69","69","Inj, pasireotide long acting","G","2","26327","0","0","0","0","0","0","0","0"
"09454","70","70","Inj, pasireotide long acting","K","2","26720","0","0","0","0","0","0","0","0"
"09454","71","71","Inj, pasireotide long acting","K","2","27232","0","0","0","0","0","0","0","0"
"09454","72","72","Inj, pasireotide long acting","K","2","26576","0","0","0","0","0","0","0","0"
"09454","73","73","Inj, pasireotide long acting","K","2","28074","0","0","0","0","0","0","0","0"
"09454","74","74","Inj, pasireotide long acting","K","2","28962","0","0","0","0","0","0","0","0"
"09454","75","75","Inj, pasireotide long acting","K","2","29028","0","0","0","0","0","0","0","0"
"09454","76","76","Inj, pasireotide long acting","K","2","30473","0","0","0","0","0","0","0","0"
"09454","77","77","Inj, pasireotide long acting","K","2","31434","0","0","0","0","0","0","0","0"
"09454","78","78","Inj, pasireotide long acting","K","2","30303","0","0","0","0","0","0","0","0"
"09454","79","79","Inj, pasireotide long acting","K","2","31882","0","0","0","0","0","0","0","0"
"09454","80","80","Inj, pasireotide long acting","K","2","32307","0","0","0","0","0","0","0","0"
"09454","81","81","Inj, pasireotide long acting","K","2","32601","0","0","0","0","0","0","0","0"
"09454","82","82","Inj, pasireotide long acting","K","2","33259","0","0","0","0","0","0","0","0"
"09454","83","83","Inj, pasireotide long acting","K","2","31584","0","0","0","0","0","0","0","0"
"09454","84","84","Inj, pasireotide long acting","K","2","34023","0","0","0","0","0","0","0","0"
"09454","85","85","Inj, pasireotide long acting","K","2","35140","0","0","0","0","0","0","0","0"
"09454","86","86","Inj, pasireotide long acting","K","2","35903","0","0","0","0","0","0","0","0"
"09454","87","87","Inj, pasireotide long acting","K","2","31935","0","0","0","0","0","0","0","0"
"09455","60","60","Injection, siltuximab","G","5","0","0","0","0","0","0","0","0","0"
"09455","61","61","Injection, siltuximab","G","5","874","0","0","0","0","0","0","0","0"
"09455","62","62","Injection, siltuximab","G","2","890","0","0","0","0","0","0","0","0"
"09455","63","66","Injection, siltuximab","G","2","900","0","0","0","0","0","0","0","0"
"09455","67","67","Injection, siltuximab","G","2","9004","0","0","0","0","0","0","0","0"
"09455","68","68","Injection, siltuximab","G","2","9002","0","0","0","0","0","0","0","0"
"09455","69","69","Injection, siltuximab","G","2","9256","0","0","0","0","0","0","0","0"
"09455","70","70","Injection, siltuximab","K","2","9278","0","0","0","0","0","0","0","0"
"09455","71","71","Injection, siltuximab","K","2","9273","0","0","0","0","0","0","0","0"
"09455","72","72","Injection, siltuximab","K","2","9334","0","0","0","0","0","0","0","0"
"09455","73","73","Injection, siltuximab","K","2","9524","0","0","0","0","0","0","0","0"
"09455","74","74","Injection, siltuximab","K","2","9535","0","0","0","0","0","0","0","0"
"09455","75","75","Injection, siltuximab","K","2","9538","0","0","0","0","0","0","0","0"
"09455","76","76","Injection, siltuximab","K","2","9563","0","0","0","0","0","0","0","0"
"09455","77","77","Injection, siltuximab","K","2","10077","0","0","0","0","0","0","0","0"
"09455","78","78","Injection, siltuximab","K","2","10306","0","0","0","0","0","0","0","0"
"09455","79","79","Injection, siltuximab","K","2","10354","0","0","0","0","0","0","0","0"
"09455","80","80","Injection, siltuximab","K","2","11343","0","0","0","0","0","0","0","0"
"09455","81","81","Injection, siltuximab","K","2","11293","0","0","0","0","0","0","0","0"
"09455","82","82","Injection, siltuximab","K","2","11194","0","0","0","0","0","0","0","0"
"09455","83","83","Injection, siltuximab","K","2","11150","0","0","0","0","0","0","0","0"
"09455","84","84","Injection, siltuximab","K","2","12193","0","0","0","0","0","0","0","0"
"09455","85","85","Injection, siltuximab","K","2","12192","0","0","0","0","0","0","0","0"
"09455","86","86","Injection, siltuximab","K","2","12409","0","0","0","0","0","0","0","0"
"09455","87","87","Injection, siltuximab","K","2","12516","0","0","0","0","0","0","0","0"
"09456","61","61","Inj, isavuconazonium sulfate","G","5","0","0","0","0","0","0","0","0","0"
"09456","62","62","Injection, isavuconazonium","G","2","68","0","0","0","0","0","0","0","0"
"09456","63","64","Injection, isavuconazonium","G","2","63","0","0","0","0","0","0","0","0"
"09456","65","65","Injection, isavuconazonium","G","2","62","0","0","0","0","0","0","0","0"
"09456","66","67","Injection, isavuconazonium","G","2","64","0","0","0","0","0","0","0","0"
"09456","68","68","Injection, isavuconazonium","G","2","63","0","0","0","0","0","0","0","0"
"09456","69","69","Injection, isavuconazonium","G","2","68","0","0","0","0","0","0","0","0"
"09456","70","71","Injection, isavuconazonium","K","2","69","0","0","0","0","0","0","0","0"
"09456","72","72","Injection, isavuconazonium","K","2","72","0","0","0","0","0","0","0","0"
"09456","73","74","Injection, isavuconazonium","K","2","85","0","0","0","0","0","0","0","0"
"09456","75","75","Injection, isavuconazonium","K","2","75","0","0","0","0","0","0","0","0"
"09456","76","76","Injection, isavuconazonium","K","2","73","0","0","0","0","0","0","0","0"
"09456","77","78","Injection, isavuconazonium","K","2","78","0","0","0","0","0","0","0","0"
"09456","79","79","Injection, isavuconazonium","K","2","79","0","0","0","0","0","0","0","0"
"09456","80","80","Injection, isavuconazonium","K","2","80","0","0","0","0","0","0","0","0"
"09456","81","81","Injection, isavuconazonium","K","2","79","0","0","0","0","0","0","0","0"
"09456","82","83","Injection, isavuconazonium","K","2","78","0","0","0","0","0","0","0","0"
"09456","84","84","Injection, isavuconazonium","K","2","76","0","0","0","0","0","0","0","0"
"09456","85","85","Injection, isavuconazonium","K","2","81","0","0","0","0","0","0","0","0"
"09456","86","87","Injection, isavuconazonium","K","2","83","0","0","0","0","0","0","0","0"
"09457","61","61","Lumason contrast agent","G","5","0","0","0","0","0","0","0","0","0"
"09457","62","63","Inj sulf hexa lipid microsph","G","2","3306","0","0","0","0","0","0","0","0"
"09457","64","64","Inj sulf hexa lipid microsph","G","2","2416","0","0","0","0","0","0","0","0"
"09457","65","65","Inj sulf hexa lipid microsph","G","2","2293","0","0","0","0","0","0","0","0"
"09457","66","66","Inj sulf hexa lipid microsph","G","2","2233","0","0","0","0","0","0","0","0"
"09457","67","67","Inj sulf hexa lipid microsph","G","2","2166","0","0","0","0","0","0","0","0"
"09457","68","68","Inj sulf hexa lipid microsph","G","2","2161","0","0","0","0","0","0","0","0"
"09457","69","69","Inj sulf hexa lipid microsph","G","2","2109","0","0","0","0","0","0","0","0"
"09458","62","62","Florbetaben f18","G","2","98933","0","0","0","0","0","0","0","0"
"09458","63","63","Florbetaben f18","G","2","296800","0","0","0","0","0","0","0","0"
"09458","64","73","Florbetaben f18 diagnostic","G","2","296800","0","0","0","0","0","0","0","0"
"09458","78","80","Florbetaben f18 diagnostic","G","2","296800","0","0","0","0","0","0","0","0"
"09459","62","62","Flutemetamol f18","G","2","330000","0","0","0","0","0","0","0","0"
"09459","63","63","Flutemetamol f18","G","2","313500","0","0","0","0","0","0","0","0"
"09459","64","66","Flutemetamol f18 diagnostic","G","2","313500","0","0","0","0","0","0","0","0"
"09459","67","73","Flutemetamol f18 diagnostic","G","2","349800","0","0","0","0","0","0","0","0"
"09459","78","80","Flutemetamol f18 diagnostic","G","2","349800","0","0","0","0","0","0","0","0"
"09460","62","63","Injection, cangrelor","G","2","1588","0","0","0","0","0","0","0","0"
"09460","64","64","Injection, cangrelor","G","2","1553","0","0","0","0","0","0","0","0"
"09460","65","65","Injection, cangrelor","G","2","1547","0","0","0","0","0","0","0","0"
"09460","66","66","Injection, cangrelor","G","2","1548","0","0","0","0","0","0","0","0"
"09460","67","67","Injection, cangrelor","G","2","1541","0","0","0","0","0","0","0","0"
"09460","68","68","Injection, cangrelor","G","2","1537","0","0","0","0","0","0","0","0"
"09460","69","69","Injection, cangrelor","G","2","1530","0","0","0","0","0","0","0","0"
"09460","70","70","Injection, cangrelor","G","2","1517","0","0","0","0","0","0","0","0"
"09460","71","71","Injection, cangrelor","G","2","1512","0","0","0","0","0","0","0","0"
"09460","72","72","Injection, cangrelor","G","2","1505","0","0","0","0","0","0","0","0"
"09460","73","73","Injection, cangrelor","G","2","1549","0","0","0","0","0","0","0","0"
"09460","74","75","Injection, cangrelor","K","2","1546","0","0","0","0","0","0","0","0"
"09460","76","77","Injection, cangrelor","K","2","1541","0","0","0","0","0","0","0","0"
"09460","78","78","Injection, cangrelor","K","2","1538","0","0","0","0","0","0","0","0"
"09460","79","79","Injection, cangrelor","K","2","1533","0","0","0","0","0","0","0","0"
"09460","80","80","Injection, cangrelor","K","2","1531","0","0","0","0","0","0","0","0"
"09460","81","81","Injection, cangrelor","K","2","1541","0","0","0","0","0","0","0","0"
"09460","82","82","Injection, cangrelor","K","2","1532","0","0","0","0","0","0","0","0"
"09460","83","83","Injection, cangrelor","K","2","1546","0","0","0","0","0","0","0","0"
"09460","84","84","Injection, cangrelor","K","2","1547","0","0","0","0","0","0","0","0"
"09460","85","85","Injection, cangrelor","K","2","1630","0","0","0","0","0","0","0","0"
"09460","86","86","Injection, cangrelor","K","2","1632","0","0","0","0","0","0","0","0"
"09460","87","87","Injection, cangrelor","K","2","1624","0","0","0","0","0","0","0","0"
"09461","63","63","Choline C 11, diagnostic","G","2","0","0","0","0","0","0","0","0","0"
"09461","64","65","Choline C 11, diagnostic","G","2","570000","0","0","0","0","0","0","0","0"
"09461","66","73","Choline c-11, diagnostic, per study dose up to 20 millicuries","G","2","570000","0","0","0","0","0","0","0","0"
"09462","71","71","Injection, delafloxacin","G","2","0","0","0","0","0","0","0","0","0"
"09462","72","73","Injection, delafloxacin","G","2","47","0","0","0","0","0","0","0","0"
"09462","74","74","Injection, delafloxacin","G","2","46","0","0","0","0","0","0","0","0"
"09462","75","75","Injection, delafloxacin","G","2","45","0","0","0","0","0","0","0","0"
"09462","76","78","Injection, delafloxacin","G","2","47","0","0","0","0","0","0","0","0"
"09462","79","79","Injection, delafloxacin","G","2","46","0","0","0","0","0","0","0","0"
"09462","80","80","Injection, delafloxacin","G","2","49","0","0","0","0","0","0","0","0"
"09462","81","81","Injection, delafloxacin","G","2","47","0","0","0","0","0","0","0","0"
"09462","82","82","Injection, delafloxacin","G","2","28","0","0","0","0","0","0","0","0"
"09462","83","83","Injection, delafloxacin","K","2","29","0","0","0","0","0","0","0","0"
"09462","84","84","Injection, delafloxacin","K","2","37","0","0","0","0","0","0","0","0"
"09462","85","85","Injection, delafloxacin","K","2","39","0","0","0","0","0","0","0","0"
"09463","71","71","Injection, aprepitant","G","2","0","0","0","0","0","0","0","0","0"
"09463","72","72","Injection, aprepitant","G","2","241","0","0","0","0","0","0","0","0"
"09463","73","73","Injection, aprepitant","G","2","240","0","0","0","0","0","0","0","0"
"09463","74","74","Inj., aprepitant, 1 mg","G","2","210","0","0","0","0","0","0","0","0"
"09463","75","75","Inj., aprepitant, 1 mg","G","2","211","0","0","0","0","0","0","0","0"
"09463","76","77","Inj., aprepitant, 1 mg","G","2","223","0","0","0","0","0","0","0","0"
"09463","78","78","Inj., aprepitant, 1 mg","G","2","217","0","0","0","0","0","0","0","0"
"09463","79","79","Inj., aprepitant, 1 mg","G","2","209","0","0","0","0","0","0","0","0"
"09463","80","80","Inj., aprepitant, 1 mg","G","2","201","0","0","0","0","0","0","0","0"
"09463","81","81","Inj., aprepitant, 1 mg","G","2","188","0","0","0","0","0","0","0","0"
"09463","82","82","Inj., aprepitant, 1 mg","G","2","173","0","0","0","0","0","0","0","0"
"09463","83","83","Inj., aprepitant, 1 mg","K","2","159","0","0","0","0","0","0","0","0"
"09463","84","84","Inj., aprepitant, 1 mg","K","2","145","0","0","0","0","0","0","0","0"
"09463","85","85","Inj., aprepitant, 1 mg","K","2","161","0","0","0","0","0","0","0","0"
"09463","86","86","Inj., aprepitant, 1 mg","K","2","169","0","0","0","0","0","0","0","0"
"09463","87","87","Inj., aprepitant, 1 mg","K","2","172","0","0","0","0","0","0","0","0"
"09464","71","71","Injection, rolapitant","G","2","0","0","0","0","0","0","0","0","0"
"09464","72","73","Injection, rolapitant","G","2","94","0","0","0","0","0","0","0","0"
"09464","74","80","Inj., rolapitant, 0.5 mg","G","2","94","0","0","0","0","0","0","0","0"
"09465","71","71","Injection, Durolane","G","2","0","0","0","0","0","0","0","0","0"
"09465","72","73","Injection, Durolane","G","2","103350","0","0","0","0","0","0","0","0"
"09466","71","71","Injection, benralizumab","G","2","0","0","0","0","0","0","0","0","0"
"09466","72","72","Injection, benralizumab","G","2","16791","0","0","0","0","0","0","0","0"
"09466","73","73","Injection, benralizumab","G","2","16775","0","0","0","0","0","0","0","0"
"09466","74","74","Inj., benralizumab, 1 mg","G","2","16747","0","0","0","0","0","0","0","0"
"09466","75","75","Inj., benralizumab, 1 mg","G","2","16704","0","0","0","0","0","0","0","0"
"09466","76","76","Inj., benralizumab, 1 mg","G","2","16688","0","0","0","0","0","0","0","0"
"09466","77","77","Inj., benralizumab, 1 mg","G","2","16884","0","0","0","0","0","0","0","0"
"09466","78","78","Inj., benralizumab, 1 mg","G","2","16850","0","0","0","0","0","0","0","0"
"09466","79","79","Inj., benralizumab, 1 mg","G","2","17049","0","0","0","0","0","0","0","0"
"09466","80","80","Inj., benralizumab, 1 mg","G","2","17010","0","0","0","0","0","0","0","0"
"09466","81","81","Inj., benralizumab, 1 mg","G","2","17190","0","0","0","0","0","0","0","0"
"09466","82","82","Inj., benralizumab, 1 mg","G","2","17011","0","0","0","0","0","0","0","0"
"09466","83","83","Inj., benralizumab, 1 mg","K","2","17130","0","0","0","0","0","0","0","0"
"09466","84","84","Inj., benralizumab, 1 mg","K","2","16905","0","0","0","0","0","0","0","0"
"09466","85","85","Inj., benralizumab, 1 mg","K","2","17261","0","0","0","0","0","0","0","0"
"09466","86","86","Inj., benralizumab, 1 mg","K","2","17080","0","0","0","0","0","0","0","0"
"09466","87","87","Inj., benralizumab, 1 mg","K","2","16744","0","0","0","0","0","0","0","0"
"09467","71","71","Inj rituximab hyaluronidase","G","2","0","0","0","0","0","0","0","0","0"
"09467","72","72","Inj rituximab hyaluronidase","G","2","4572","0","0","0","0","0","0","0","0"
"09467","73","73","Inj rituximab hyaluronidase","G","2","4638","0","0","0","0","0","0","0","0"
"09467","74","74","Inj rituximab, hyaluronidase","G","2","4572","0","0","0","0","0","0","0","0"
"09467","75","75","Inj rituximab, hyaluronidase","G","2","4664","0","0","0","0","0","0","0","0"
"09467","76","76","Inj rituximab, hyaluronidase","G","2","4528","0","0","0","0","0","0","0","0"
"09467","77","77","Inj rituximab, hyaluronidase","G","2","4432","0","0","0","0","0","0","0","0"
"09467","78","78","Inj rituximab, hyaluronidase","G","2","4353","0","0","0","0","0","0","0","0"
"09467","79","79","Inj rituximab, hyaluronidase","G","2","4287","0","0","0","0","0","0","0","0"
"09467","80","80","Inj rituximab, hyaluronidase","G","2","4243","0","0","0","0","0","0","0","0"
"09467","81","81","Inj rituximab, hyaluronidase","G","2","4178","0","0","0","0","0","0","0","0"
"09467","82","82","Inj rituximab, hyaluronidase","G","2","4114","0","0","0","0","0","0","0","0"
"09467","83","83","Inj rituximab, hyaluronidase","K","2","4023","0","0","0","0","0","0","0","0"
"09467","84","84","Inj rituximab, hyaluronidase","K","2","3880","0","0","0","0","0","0","0","0"
"09467","85","85","Inj rituximab, hyaluronidase","K","2","3827","0","0","0","0","0","0","0","0"
"09467","86","86","Inj rituximab, hyaluronidase","K","2","3794","0","0","0","0","0","0","0","0"
"09467","87","87","Inj rituximab, hyaluronidase","K","2","3821","0","0","0","0","0","0","0","0"
"09468","71","71","Inj, factor ix, Rebinyn","G","2","0","0","0","0","0","0","0","0","0"
"09468","72","73","Inj, factor ix, Rebinyn","G","2","446","0","0","0","0","0","0","0","0"
"09468","74","74","Factor ix recomb gly rebinyn","G","2","388","0","0","0","0","0","0","0","0"
"09468","75","75","Factor ix recomb gly rebinyn","G","2","365","0","0","0","0","0","0","0","0"
"09468","76","76","Factor ix recomb gly rebinyn","G","2","369","0","0","0","0","0","0","0","0"
"09468","77","77","Factor ix recomb gly rebinyn","G","2","389","0","0","0","0","0","0","0","0"
"09468","78","78","Factor ix recomb gly rebinyn","G","2","399","0","0","0","0","0","0","0","0"
"09468","79","79","Factor ix recomb gly rebinyn","G","2","396","0","0","0","0","0","0","0","0"
"09468","80","80","Factor ix recomb gly rebinyn","G","2","398","0","0","0","0","0","0","0","0"
"09468","81","81","Factor ix recomb gly rebinyn","G","2","405","0","0","0","0","0","0","0","0"
"09468","82","82","Factor ix recomb gly rebinyn","G","2","401","0","0","0","0","0","0","0","0"
"09468","83","84","Factor ix recomb gly rebinyn","K","2","396","0","0","0","0","0","0","0","0"
"09468","85","85","Factor ix recomb gly rebinyn","K","2","409","0","0","0","0","0","0","0","0"
"09468","86","86","Factor ix recomb gly rebinyn","K","2","423","0","0","0","0","0","0","0","0"
"09468","87","87","Factor ix recomb gly rebinyn","K","2","427","0","0","0","0","0","0","0","0"
"09469","71","71","Inj triamcinolone acetonide","G","2","0","0","0","0","0","0","0","0","0"
"09469","72","73","Inj., triamcinolone ext rel","G","2","1888","0","0","0","0","0","0","0","0"
"09469","74","79","Inj triamcinolone ace xr 1mg","G","2","1888","0","0","0","0","0","0","0","0"
"09469","80","80","Inj triamcinolone ace xr 1mg","G","2","1863","0","0","0","0","0","0","0","0"
"09469","81","81","Inj triamcinolone ace xr 1mg","G","2","1831","0","0","0","0","0","0","0","0"
"09469","82","82","Inj triamcinolone ace xr 1mg","G","2","1820","0","0","0","0","0","0","0","0"
"09469","83","83","Inj triamcinolone ace xr 1mg","K","2","1801","0","0","0","0","0","0","0","0"
"09469","84","84","Inj triamcinolone ace xr 1mg","K","2","1789","0","0","0","0","0","0","0","0"
"09469","85","85","Inj triamcinolone ace xr 1mg","K","2","1800","0","0","0","0","0","0","0","0"
"09469","86","86","Inj triamcinolone ace xr 1mg","K","2","1775","0","0","0","0","0","0","0","0"
"09469","87","87","Inj triamcinolone ace xr 1mg","K","2","1763","0","0","0","0","0","0","0","0"
"09470","63","63","Aripiprazole lauroxil im","G","2","0","0","0","0","0","0","0","0","0"
"09470","64","64","Aripiprazole lauroxil im","G","2","253","0","0","0","0","0","0","0","0"
"09470","65","65","Aripiprazole lauroxil im","G","2","243","0","0","0","0","0","0","0","0"
"09470","66","66","Aripiprazole lauroxil 1mg","G","2","237","0","0","0","0","0","0","0","0"
"09470","67","67","Aripiprazole lauroxil 1mg","G","2","242","0","0","0","0","0","0","0","0"
"09470","68","68","Aripiprazole lauroxil 1mg","G","2","239","0","0","0","0","0","0","0","0"
"09470","69","69","Aripiprazole lauroxil 1mg","G","2","236","0","0","0","0","0","0","0","0"
"09470","70","70","Aripiprazole lauroxil 1mg","G","2","246","0","0","0","0","0","0","0","0"
"09470","71","72","Aripiprazole lauroxil 1mg","G","2","243","0","0","0","0","0","0","0","0"
"09470","73","73","Aripiprazole lauroxil 1mg","G","2","246","0","0","0","0","0","0","0","0"
"09470","74","74","Aripiprazole lauroxil 1mg","K","2","244","0","0","0","0","0","0","0","0"
"09470","75","75","Aripiprazole lauroxil 1mg","K","2","257","0","0","0","0","0","0","0","0"
"09470","76","76","Aripiprazole lauroxil 1mg","K","2","258","0","0","0","0","0","0","0","0"
"09470","77","77","Aripirazole lauroxil 1 mg","K","2","266","0","0","0","0","0","0","0","0"
"09470","78","78","Aripirazole lauroxil 1 mg","K","2","278","0","0","0","0","0","0","0","0"
"09470","79","79","Aripirazole lauroxil 1 mg","K","2","273","0","0","0","0","0","0","0","0"
"09470","80","80","Aripirazole lauroxil 1 mg","K","2","271","0","0","0","0","0","0","0","0"
"09470","81","81","Aripirazole lauroxil 1 mg","K","2","270","0","0","0","0","0","0","0","0"
"09470","82","82","Aripirazole lauroxil 1 mg","K","2","285","0","0","0","0","0","0","0","0"
"09470","83","83","Aripirazole lauroxil 1 mg","K","2","290","0","0","0","0","0","0","0","0"
"09470","84","84","Aripirazole lauroxil 1 mg","K","2","291","0","0","0","0","0","0","0","0"
"09470","85","85","Aripirazole lauroxil 1 mg","K","2","290","0","0","0","0","0","0","0","0"
"09470","86","86","Aripirazole lauroxil 1 mg","K","2","299","0","0","0","0","0","0","0","0"
"09470","87","87","Aripirazole lauroxil 1 mg","K","2","295","0","0","0","0","0","0","0","0"
"09471","63","63","Hymovis, 1 mg","G","2","0","0","0","0","0","0","0","0","0"
"09471","64","65","Hymovis, 1 mg","G","2","1900","0","0","0","0","0","0","0","0"
"09471","66","66","Hymovis injection 1 mg","G","2","1641","0","0","0","0","0","0","0","0"
"09471","67","67","Hymovis injection 1 mg","G","2","1616","0","0","0","0","0","0","0","0"
"09471","68","68","Hymovis injection 1 mg","G","2","1676","0","0","0","0","0","0","0","0"
"09471","69","69","Hymovis injection 1 mg","G","2","1616","0","0","0","0","0","0","0","0"
"09471","70","73","Hymovis injection 1 mg","G","2","1926","0","0","0","0","0","0","0","0"
"09471","74","76","Hymovis injection 1 mg","K","2","1926","0","0","0","0","0","0","0","0"
"09471","77","77","Hymovis injection 1 mg","K","2","2080","0","0","0","0","0","0","0","0"
"09471","78","87","Hymovis injection 1 mg","K","2","3167","0","0","0","0","0","0","0","0"
"09472","63","63","Inj talimogene laherparepvec","G","2","0","0","0","0","0","0","0","0","0"
"09472","64","64","Inj talimogene laherparepvec","G","2","4664","0","0","0","0","0","0","0","0"
"09472","65","65","Inj talimogene laherparepvec","G","2","4648","0","0","0","0","0","0","0","0"
"09472","66","66","Inj talimogene laherparepvec","G","2","4628","0","0","0","0","0","0","0","0"
"09472","67","67","Inj talimogene laherparepvec","G","2","4613","0","0","0","0","0","0","0","0"
"09472","68","68","Inj talimogene laherparepvec","G","2","4604","0","0","0","0","0","0","0","0"
"09472","69","69","Inj talimogene laherparepvec","G","2","4706","0","0","0","0","0","0","0","0"
"09472","70","70","Inj talimogene laherparepvec","G","2","4721","0","0","0","0","0","0","0","0"
"09472","71","71","Inj talimogene laherparepvec","G","2","4827","0","0","0","0","0","0","0","0"
"09472","72","72","Inj talimogene laherparepvec","G","2","4860","0","0","0","0","0","0","0","0"
"09472","73","73","Inj talimogene laherparepvec","G","2","4970","0","0","0","0","0","0","0","0"
"09472","74","74","Inj talimogene laherparepvec","K","2","4999","0","0","0","0","0","0","0","0"
"09472","75","75","Inj talimogene laherparepvec","K","2","5005","0","0","0","0","0","0","0","0"
"09472","76","76","Inj talimogene laherparepvec","K","2","4990","0","0","0","0","0","0","0","0"
"09472","77","77","Inj talimogene laherparepvec","K","2","5110","0","0","0","0","0","0","0","0"
"09472","78","78","Inj talimogene laherparepvec","K","2","5147","0","0","0","0","0","0","0","0"
"09472","79","79","Inj talimogene laherparepvec","K","2","5144","0","0","0","0","0","0","0","0"
"09472","80","80","Inj talimogene laherparepvec","K","2","5153","0","0","0","0","0","0","0","0"
"09472","81","81","Inj talimogene laherparepvec","K","2","5351","0","0","0","0","0","0","0","0"
"09472","82","82","Inj talimogene laherparepvec","K","2","5392","0","0","0","0","0","0","0","0"
"09472","83","83","Inj talimogene laherparepvec","K","2","5402","0","0","0","0","0","0","0","0"
"09472","84","84","Inj talimogene laherparepvec","K","2","5409","0","0","0","0","0","0","0","0"
"09472","85","85","Inj talimogene laherparepvec","K","2","5651","0","0","0","0","0","0","0","0"
"09472","86","86","Inj talimogene laherparepvec","K","2","5726","0","0","0","0","0","0","0","0"
"09472","87","87","Inj talimogene laherparepvec","K","2","5722","0","0","0","0","0","0","0","0"
"09473","63","63","Injection, mepolizumab","G","2","0","0","0","0","0","0","0","0","0"
"09473","64","64","Injection, mepolizumab","G","2","2650","0","0","0","0","0","0","0","0"
"09473","65","65","Injection, mepolizumab","G","2","2596","0","0","0","0","0","0","0","0"
"09473","66","66","Injection, mepolizumab, 1mg","G","2","2593","0","0","0","0","0","0","0","0"
"09473","67","67","Injection, mepolizumab, 1mg","G","2","2667","0","0","0","0","0","0","0","0"
"09473","68","68","Injection, mepolizumab, 1mg","G","2","2665","0","0","0","0","0","0","0","0"
"09473","69","69","Injection, mepolizumab, 1mg","G","2","2768","0","0","0","0","0","0","0","0"
"09473","70","70","Injection, mepolizumab, 1mg","G","2","2777","0","0","0","0","0","0","0","0"
"09473","71","71","Injection, mepolizumab, 1mg","G","2","2884","0","0","0","0","0","0","0","0"
"09473","72","72","Injection, mepolizumab, 1mg","G","2","2885","0","0","0","0","0","0","0","0"
"09473","73","73","Injection, mepolizumab, 1mg","G","2","2964","0","0","0","0","0","0","0","0"
"09473","74","74","Injection, mepolizumab, 1mg","K","2","2958","0","0","0","0","0","0","0","0"
"09473","75","75","Injection, mepolizumab, 1mg","K","2","2950","0","0","0","0","0","0","0","0"
"09473","76","76","Injection, mepolizumab, 1mg","K","2","2941","0","0","0","0","0","0","0","0"
"09473","77","77","Injection, mepolizumab, 1mg","K","2","3004","0","0","0","0","0","0","0","0"
"09473","78","78","Injection, mepolizumab, 1mg","K","2","2972","0","0","0","0","0","0","0","0"
"09473","79","79","Injection, mepolizumab, 1mg","K","2","2929","0","0","0","0","0","0","0","0"
"09473","80","80","Injection, mepolizumab, 1mg","K","2","2876","0","0","0","0","0","0","0","0"
"09473","81","81","Injection, mepolizumab, 1mg","K","2","2905","0","0","0","0","0","0","0","0"
"09473","82","82","Injection, mepolizumab, 1mg","K","2","2870","0","0","0","0","0","0","0","0"
"09473","83","83","Injection, mepolizumab, 1mg","K","2","2886","0","0","0","0","0","0","0","0"
"09473","84","84","Injection, mepolizumab, 1mg","K","2","2855","0","0","0","0","0","0","0","0"
"09473","85","85","Injection, mepolizumab, 1mg","K","2","2874","0","0","0","0","0","0","0","0"
"09473","86","86","Injection, mepolizumab, 1mg","K","2","2829","0","0","0","0","0","0","0","0"
"09473","87","87","Injection, mepolizumab, 1mg","K","2","2869","0","0","0","0","0","0","0","0"
"09474","63","63","Inj, irinotecan liposome","G","2","0","0","0","0","0","0","0","0","0"
"09474","64","64","Inj, irinotecan liposome","G","2","3993","0","0","0","0","0","0","0","0"
"09474","65","65","Inj, irinotecan liposome","G","2","3958","0","0","0","0","0","0","0","0"
"09474","66","66","Inj irinotecan liposome 1 mg","G","2","3955","0","0","0","0","0","0","0","0"
"09474","67","67","Inj irinotecan liposome 1 mg","G","2","3951","0","0","0","0","0","0","0","0"
"09474","68","68","Inj irinotecan liposome 1 mg","G","2","3948","0","0","0","0","0","0","0","0"
"09474","69","69","Inj irinotecan liposome 1 mg","G","2","4029","0","0","0","0","0","0","0","0"
"09474","70","70","Inj irinotecan liposome 1 mg","G","2","4113","0","0","0","0","0","0","0","0"
"09474","71","71","Inj irinotecan liposome 1 mg","G","2","4292","0","0","0","0","0","0","0","0"
"09474","72","72","Inj irinotecan liposome 1 mg","G","2","4259","0","0","0","0","0","0","0","0"
"09474","73","73","Inj irinotecan liposome 1 mg","G","2","4563","0","0","0","0","0","0","0","0"
"09474","74","74","Inj irinotecan liposome 1 mg","K","2","4553","0","0","0","0","0","0","0","0"
"09474","75","75","Inj irinotecan liposome 1 mg","K","2","4565","0","0","0","0","0","0","0","0"
"09474","76","76","Inj irinotecan liposome 1 mg","K","2","4575","0","0","0","0","0","0","0","0"
"09474","77","77","Inj irinotecan liposome 1 mg","K","2","4979","0","0","0","0","0","0","0","0"
"09474","78","78","Inj irinotecan liposome 1 mg","K","2","4991","0","0","0","0","0","0","0","0"
"09474","79","79","Inj irinotecan liposome 1 mg","K","2","4984","0","0","0","0","0","0","0","0"
"09474","80","80","Inj irinotecan liposome 1 mg","K","2","4978","0","0","0","0","0","0","0","0"
"09474","81","81","Inj irinotecan liposome 1 mg","K","2","5422","0","0","0","0","0","0","0","0"
"09474","82","82","Inj irinotecan liposome 1 mg","K","2","5433","0","0","0","0","0","0","0","0"
"09474","83","83","Inj irinotecan liposome 1 mg","K","2","5431","0","0","0","0","0","0","0","0"
"09474","84","84","Inj irinotecan liposome 1 mg","K","2","5423","0","0","0","0","0","0","0","0"
"09474","85","85","Inj irinotecan liposome 1 mg","K","2","5661","0","0","0","0","0","0","0","0"
"09474","86","86","Inj irinotecan liposome 1 mg","K","2","5720","0","0","0","0","0","0","0","0"
"09474","87","87","Inj irinotecan liposome 1 mg","K","2","5737","0","0","0","0","0","0","0","0"
"09475","63","63","Injection, necitumumab","G","2","0","0","0","0","0","0","0","0","0"
"09475","64","64","Injection, necitumumab","G","2","530","0","0","0","0","0","0","0","0"
"09475","65","65","Injection, necitumumab","G","2","529","0","0","0","0","0","0","0","0"
"09475","66","66","Injection, necitumumab, 1 mg","G","2","528","0","0","0","0","0","0","0","0"
"09475","67","67","Injection, necitumumab, 1 mg","G","2","526","0","0","0","0","0","0","0","0"
"09475","68","68","Injection, necitumumab, 1 mg","G","2","525","0","0","0","0","0","0","0","0"
"09475","69","69","Injection, necitumumab, 1 mg","G","2","533","0","0","0","0","0","0","0","0"
"09475","70","70","Injection, necitumumab, 1 mg","G","2","529","0","0","0","0","0","0","0","0"
"09475","71","71","Injection, necitumumab, 1 mg","G","2","537","0","0","0","0","0","0","0","0"
"09475","72","72","Injection, necitumumab, 1 mg","G","2","536","0","0","0","0","0","0","0","0"
"09475","73","73","Injection, necitumumab, 1 mg","G","2","551","0","0","0","0","0","0","0","0"
"09475","74","74","Injection, necitumumab, 1 mg","K","2","557","0","0","0","0","0","0","0","0"
"09475","75","75","Injection, necitumumab, 1 mg","K","2","561","0","0","0","0","0","0","0","0"
"09475","76","76","Injection, necitumumab, 1 mg","K","2","563","0","0","0","0","0","0","0","0"
"09475","77","79","Injection, necitumumab, 1 mg","K","2","574","0","0","0","0","0","0","0","0"
"09475","80","82","Injection, necitumumab, 1 mg","K","2","573","0","0","0","0","0","0","0","0"
"09475","83","87","Injection, necitumumab, 1 mg","K","2","574","0","0","0","0","0","0","0","0"
"09476","64","64","Injection, daratumumab","G","2","0","0","0","0","0","0","0","0","0"
"09476","65","65","Injection, daratumumab","G","2","4643","0","0","0","0","0","0","0","0"
"09476","66","66","Injection, daratumumab 10 mg","G","2","4685","0","0","0","0","0","0","0","0"
"09476","67","67","Injection, daratumumab 10 mg","G","2","4692","0","0","0","0","0","0","0","0"
"09476","68","68","Injection, daratumumab 10 mg","G","2","4811","0","0","0","0","0","0","0","0"
"09476","69","69","Injection, daratumumab 10 mg","G","2","4861","0","0","0","0","0","0","0","0"
"09476","70","70","Injection, daratumumab 10 mg","G","2","4915","0","0","0","0","0","0","0","0"
"09476","71","71","Injection, daratumumab 10 mg","G","2","4950","0","0","0","0","0","0","0","0"
"09476","72","72","Injection, daratumumab 10 mg","G","2","5039","0","0","0","0","0","0","0","0"
"09476","73","73","Injection, daratumumab 10 mg","G","2","5095","0","0","0","0","0","0","0","0"
"09476","74","74","Injection, daratumumab 10 mg","K","2","5241","0","0","0","0","0","0","0","0"
"09476","75","75","Injection, daratumumab 10 mg","K","2","5230","0","0","0","0","0","0","0","0"
"09476","76","76","Injection, daratumumab 10 mg","K","2","5229","0","0","0","0","0","0","0","0"
"09476","77","77","Injection, daratumumab 10 mg","K","2","5375","0","0","0","0","0","0","0","0"
"09476","78","78","Injection, daratumumab 10 mg","K","2","5395","0","0","0","0","0","0","0","0"
"09476","79","79","Injection, daratumumab 10 mg","K","2","5403","0","0","0","0","0","0","0","0"
"09476","80","80","Injection, daratumumab 10 mg","K","2","5415","0","0","0","0","0","0","0","0"
"09476","81","81","Injection, daratumumab 10 mg","K","2","5606","0","0","0","0","0","0","0","0"
"09476","82","82","Injection, daratumumab 10 mg","K","2","5629","0","0","0","0","0","0","0","0"
"09476","83","83","Injection, daratumumab 10 mg","K","2","5604","0","0","0","0","0","0","0","0"
"09476","84","84","Injection, daratumumab 10 mg","K","2","5566","0","0","0","0","0","0","0","0"
"09476","85","85","Injection, daratumumab 10 mg","K","2","5764","0","0","0","0","0","0","0","0"
"09476","86","86","Injection, daratumumab 10 mg","K","2","5755","0","0","0","0","0","0","0","0"
"09476","87","87","Injection, daratumumab 10 mg","K","2","5722","0","0","0","0","0","0","0","0"
"09477","64","64","Injection, elotuzumab","G","2","0","0","0","0","0","0","0","0","0"
"09477","65","65","Injection, elotuzumab","G","2","625","0","0","0","0","0","0","0","0"
"09477","66","66","Injection, elotuzumab, 1mg","G","2","625","0","0","0","0","0","0","0","0"
"09477","67","67","Injection, elotuzumab, 1mg","G","2","623","0","0","0","0","0","0","0","0"
"09477","68","68","Injection, elotuzumab, 1mg","G","2","621","0","0","0","0","0","0","0","0"
"09477","69","69","Injection, elotuzumab, 1mg","G","2","628","0","0","0","0","0","0","0","0"
"09477","70","70","Injection, elotuzumab, 1mg","G","2","626","0","0","0","0","0","0","0","0"
"09477","71","72","Injection, elotuzumab, 1mg","G","2","635","0","0","0","0","0","0","0","0"
"09477","73","73","Injection, elotuzumab, 1mg","G","2","642","0","0","0","0","0","0","0","0"
"09477","74","74","Injection, elotuzumab, 1mg","K","2","642","0","0","0","0","0","0","0","0"
"09477","75","76","Injection, elotuzumab, 1mg","K","2","640","0","0","0","0","0","0","0","0"
"09477","77","77","Injection, elotuzumab, 1mg","K","2","649","0","0","0","0","0","0","0","0"
"09477","78","78","Injection, elotuzumab, 1mg","K","2","650","0","0","0","0","0","0","0","0"
"09477","79","80","Injection, elotuzumab, 1mg","K","2","658","0","0","0","0","0","0","0","0"
"09477","81","84","Injection, elotuzumab, 1mg","K","2","667","0","0","0","0","0","0","0","0"
"09477","85","86","Injection, elotuzumab, 1mg","K","2","677","0","0","0","0","0","0","0","0"
"09477","87","87","Injection, elotuzumab, 1mg","K","2","686","0","0","0","0","0","0","0","0"
"09478","64","64","Injection, sebelipase alfa","G","2","0","0","0","0","0","0","0","0","0"
"09478","65","65","Injection, sebelipase alfa","G","2","53000","0","0","0","0","0","0","0","0"
"09478","66","72","Inj sebelipase alfa 1 mg","G","2","53000","0","0","0","0","0","0","0","0"
"09478","73","73","Inj sebelipase alfa 1 mg","G","2","53673","0","0","0","0","0","0","0","0"
"09478","74","82","Inj sebelipase alfa 1 mg","K","2","54113","0","0","0","0","0","0","0","0"
"09478","83","83","Inj sebelipase alfa 1 mg","K","2","54041","0","0","0","0","0","0","0","0"
"09478","84","84","Inj sebelipase alfa 1 mg","K","2","54039","0","0","0","0","0","0","0","0"
"09478","85","85","Inj sebelipase alfa 1 mg","K","2","53997","0","0","0","0","0","0","0","0"
"09478","86","86","Inj sebelipase alfa 1 mg","K","2","53991","0","0","0","0","0","0","0","0"
"09478","87","87","Inj sebelipase alfa 1 mg","K","2","53987","0","0","0","0","0","0","0","0"
"09479","64","64","Instill, ciprofloxacin otic","G","2","0","0","0","0","0","0","0","0","0"
"09479","65","65","Instill, ciprofloxacin otic","G","2","3002","0","0","0","0","0","0","0","0"
"09479","66","66","Instill, ciprofloxacin otic","G","2","3000","0","0","0","0","0","0","0","0"
"09479","67","67","Instill, ciprofloxacin otic","G","2","2996","0","0","0","0","0","0","0","0"
"09479","68","69","Instill, ciprofloxacin otic","G","2","2995","0","0","0","0","0","0","0","0"
"09479","70","70","Instill, ciprofloxacin otic","G","2","2996","0","0","0","0","0","0","0","0"
"09479","71","71","Instill, ciprofloxacin otic","G","2","2997","0","0","0","0","0","0","0","0"
"09479","72","73","Instill, ciprofloxacin otic","G","2","2998","0","0","0","0","0","0","0","0"
"09479","74","74","Instill, ciprofloxacin otic","K","2","2998","0","0","0","0","0","0","0","0"
"09479","75","75","Instill, ciprofloxacin otic","K","2","2997","0","0","0","0","0","0","0","0"
"09479","76","77","Instill, ciprofloxacin otic","K","2","2996","0","0","0","0","0","0","0","0"
"09479","78","78","Instill, ciprofloxacin otic","K","2","2997","0","0","0","0","0","0","0","0"
"09479","79","79","Instill, ciprofloxacin otic","K","2","2998","0","0","0","0","0","0","0","0"
"09479","80","80","Instill, ciprofloxacin otic","K","2","2997","0","0","0","0","0","0","0","0"
"09479","81","81","Instill, ciprofloxacin otic","K","2","2998","0","0","0","0","0","0","0","0"
"09479","82","82","Instill, ciprofloxacin otic","K","2","2997","0","0","0","0","0","0","0","0"
"09479","83","86","Instill, ciprofloxacin otic","K","2","2998","0","0","0","0","0","0","0","0"
"09479","87","87","Instill, ciprofloxacin otic","K","2","2999","0","0","0","0","0","0","0","0"
"09480","64","64","Injection, trabectedin","G","2","0","0","0","0","0","0","0","0","0"
"09480","65","65","Injection, trabectedin","G","2","28057","0","0","0","0","0","0","0","0"
"09480","66","67","Injection trabectedin 0.1mg","G","2","28334","0","0","0","0","0","0","0","0"
"09480","68","68","Injection trabectedin 0.1mg","G","2","28344","0","0","0","0","0","0","0","0"
"09480","69","69","Injection trabectedin 0.1mg","G","2","28643","0","0","0","0","0","0","0","0"
"09480","70","70","Injection trabectedin 0.1mg","G","2","28917","0","0","0","0","0","0","0","0"
"09480","71","71","Injection trabectedin 0.1mg","G","2","29064","0","0","0","0","0","0","0","0"
"09480","72","72","Injection trabectedin 0.1mg","G","2","29513","0","0","0","0","0","0","0","0"
"09480","73","73","Injection trabectedin 0.1mg","G","2","29642","0","0","0","0","0","0","0","0"
"09480","74","74","Injection trabectedin 0.1mg","K","2","30067","0","0","0","0","0","0","0","0"
"09480","75","75","Injection trabectedin 0.1mg","K","2","30063","0","0","0","0","0","0","0","0"
"09480","76","76","Injection trabectedin 0.1mg","K","2","30065","0","0","0","0","0","0","0","0"
"09480","77","77","Injection trabectedin 0.1mg","K","2","31084","0","0","0","0","0","0","0","0"
"09480","78","78","Injection trabectedin 0.1mg","K","2","31291","0","0","0","0","0","0","0","0"
"09480","79","80","Injection trabectedin 0.1mg","K","2","31294","0","0","0","0","0","0","0","0"
"09480","81","81","Injection trabectedin 0.1mg","K","2","31792","0","0","0","0","0","0","0","0"
"09480","82","82","Injection trabectedin 0.1mg","K","2","31893","0","0","0","0","0","0","0","0"
"09480","83","83","Injection trabectedin 0.1mg","K","2","31892","0","0","0","0","0","0","0","0"
"09480","84","84","Injection trabectedin 0.1mg","K","2","31891","0","0","0","0","0","0","0","0"
"09480","85","85","Injection trabectedin 0.1mg","K","2","32421","0","0","0","0","0","0","0","0"
"09480","86","87","Injection trabectedin 0.1mg","K","2","32503","0","0","0","0","0","0","0","0"
"09481","65","65","Injection, reslizumab","G","2","0","0","0","0","0","0","0","0","0"
"09481","66","66","Injection, reslizumab","G","2","867","0","0","0","0","0","0","0","0"
"09481","67","70","Injection, reslizumab","G","2","885","0","0","0","0","0","0","0","0"
"09481","71","73","Injection, reslizumab","G","2","911","0","0","0","0","0","0","0","0"
"09481","74","74","Injection, reslizumab","K","2","930","0","0","0","0","0","0","0","0"
"09481","75","75","Injection, reslizumab","K","2","934","0","0","0","0","0","0","0","0"
"09481","76","76","Injection, reslizumab","K","2","946","0","0","0","0","0","0","0","0"
"09481","77","77","Injection, reslizumab","K","2","947","0","0","0","0","0","0","0","0"
"09481","78","78","Injection, reslizumab","K","2","962","0","0","0","0","0","0","0","0"
"09481","79","79","Injection, reslizumab","K","2","963","0","0","0","0","0","0","0","0"
"09481","80","80","Injection, reslizumab","K","2","979","0","0","0","0","0","0","0","0"
"09481","81","81","Injection, reslizumab","K","2","978","0","0","0","0","0","0","0","0"
"09481","82","82","Injection, reslizumab","K","2","976","0","0","0","0","0","0","0","0"
"09481","83","83","Injection, reslizumab","K","2","975","0","0","0","0","0","0","0","0"
"09481","84","84","Injection, reslizumab","K","2","997","0","0","0","0","0","0","0","0"
"09481","85","85","Injection, reslizumab","K","2","996","0","0","0","0","0","0","0","0"
"09481","86","86","Injection, reslizumab","K","2","1011","0","0","0","0","0","0","0","0"
"09481","87","87","Injection, reslizumab","K","2","1013","0","0","0","0","0","0","0","0"
"09482","65","65","Sotalol hydrochloride IV","G","2","0","0","0","0","0","0","0","0","0"
"09482","66","73","Sotalol hydrochloride IV","G","2","999","0","0","0","0","0","0","0","0"
"09482","74","80","Sotalol hydrochloride IV","K","2","999","0","0","0","0","0","0","0","0"
"09482","81","84","Sotalol hydrochloride IV","K","2","1600","0","0","0","0","0","0","0","0"
"09482","85","87","Sotalol hydrochloride IV","K","2","1758","0","0","0","0","0","0","0","0"
"09483","65","65","Injection, atezolizumab","G","2","0","0","0","0","0","0","0","0","0"
"09483","66","66","Injection, atezolizumab","G","2","7576","0","0","0","0","0","0","0","0"
"09483","67","67","Injection, atezolizumab","G","2","7570","0","0","0","0","0","0","0","0"
"09483","68","68","Injection, atezolizumab","G","2","7562","0","0","0","0","0","0","0","0"
"09483","69","69","Injection, atezolizumab","G","2","7560","0","0","0","0","0","0","0","0"
"09483","70","70","Inj, atezolizumab,10 mg","G","2","7564","0","0","0","0","0","0","0","0"
"09483","71","71","Inj, atezolizumab,10 mg","G","2","7579","0","0","0","0","0","0","0","0"
"09483","72","72","Inj, atezolizumab,10 mg","G","2","7597","0","0","0","0","0","0","0","0"
"09483","73","73","Inj, atezolizumab,10 mg","G","2","7690","0","0","0","0","0","0","0","0"
"09483","74","74","Inj, atezolizumab,10 mg","K","2","7691","0","0","0","0","0","0","0","0"
"09483","75","75","Inj, atezolizumab,10 mg","K","2","7776","0","0","0","0","0","0","0","0"
"09483","76","76","Inj, atezolizumab,10 mg","K","2","7746","0","0","0","0","0","0","0","0"
"09483","77","77","Inj, atezolizumab,10 mg","K","2","7718","0","0","0","0","0","0","0","0"
"09483","78","78","Inj, atezolizumab,10 mg","K","2","7701","0","0","0","0","0","0","0","0"
"09483","79","79","Inj, atezolizumab,10 mg","K","2","7786","0","0","0","0","0","0","0","0"
"09483","80","80","Inj, atezolizumab,10 mg","K","2","7740","0","0","0","0","0","0","0","0"
"09483","81","81","Inj, atezolizumab,10 mg","K","2","7849","0","0","0","0","0","0","0","0"
"09483","82","82","Inj, atezolizumab,10 mg","K","2","7828","0","0","0","0","0","0","0","0"
"09483","83","83","Inj, atezolizumab,10 mg","K","2","7818","0","0","0","0","0","0","0","0"
"09483","84","84","Inj, atezolizumab,10 mg","K","2","7815","0","0","0","0","0","0","0","0"
"09483","85","85","Inj, atezolizumab,10 mg","K","2","7979","0","0","0","0","0","0","0","0"
"09483","86","86","Inj, atezolizumab,10 mg","K","2","7975","0","0","0","0","0","0","0","0"
"09483","87","87","Inj, atezolizumab,10 mg","K","2","7958","0","0","0","0","0","0","0","0"
"09484","67","67","Injection, eteplirsen","G","2","0","0","0","0","0","0","0","0","0"
"09484","68","69","Injection, eteplirsen","G","2","16960","0","0","0","0","0","0","0","0"
"09484","70","70","Inj, eteplirsen, 10 mg","G","2","16960","0","0","0","0","0","0","0","0"
"09484","71","71","Inj, eteplirsen, 10 mg","G","2","16927","0","0","0","0","0","0","0","0"
"09484","72","72","Inj, eteplirsen, 10 mg","G","2","16837","0","0","0","0","0","0","0","0"
"09484","73","73","Inj, eteplirsen, 10 mg","G","2","16820","0","0","0","0","0","0","0","0"
"09484","74","74","Inj, eteplirsen, 10 mg","G","2","16812","0","0","0","0","0","0","0","0"
"09484","75","75","Inj, eteplirsen, 10 mg","G","2","16801","0","0","0","0","0","0","0","0"
"09484","76","76","Inj, eteplirsen, 10 mg","G","2","16794","0","0","0","0","0","0","0","0"
"09484","77","77","Inj, eteplirsen, 10 mg","G","2","16777","0","0","0","0","0","0","0","0"
"09484","78","78","Inj, eteplirsen, 10 mg","G","2","16736","0","0","0","0","0","0","0","0"
"09484","79","79","Inj, eteplirsen, 10 mg","K","2","16735","0","0","0","0","0","0","0","0"
"09484","80","80","Inj, eteplirsen, 10 mg","K","2","16744","0","0","0","0","0","0","0","0"
"09484","81","81","Inj, eteplirsen, 10 mg","K","2","16735","0","0","0","0","0","0","0","0"
"09485","67","67","Injection, olaratumab","G","2","0","0","0","0","0","0","0","0","0"
"09485","68","68","Injection, olaratumab","G","2","5003","0","0","0","0","0","0","0","0"
"09485","69","69","Injection, olaratumab","G","2","4995","0","0","0","0","0","0","0","0"
"09485","70","71","Inj, olaratumab, 10 mg","G","2","4995","0","0","0","0","0","0","0","0"
"09485","72","72","Inj, olaratumab, 10 mg","G","2","5003","0","0","0","0","0","0","0","0"
"09485","73","75","Inj, olaratumab, 10 mg","G","2","5104","0","0","0","0","0","0","0","0"
"09485","76","76","Inj, olaratumab, 10 mg","G","2","5109","0","0","0","0","0","0","0","0"
"09485","77","77","Inj, olaratumab, 10 mg","G","2","5206","0","0","0","0","0","0","0","0"
"09485","78","78","Inj, olaratumab, 10 mg","G","2","5213","0","0","0","0","0","0","0","0"
"09485","79","79","Inj, olaratumab, 10 mg","K","2","5217","0","0","0","0","0","0","0","0"
"09485","80","87","Inj, olaratumab, 10 mg","K","2","5207","0","0","0","0","0","0","0","0"
"09486","67","67","Inj, granisetron ext","G","2","0","0","0","0","0","0","0","0","0"
"09486","68","68","Inj, granisetron ext","G","2","519","0","0","0","0","0","0","0","0"
"09486","69","69","Inj, granisetron ext","G","2","515","0","0","0","0","0","0","0","0"
"09486","70","70","Inj, granisetron, xr, 0.1 mg","G","2","488","0","0","0","0","0","0","0","0"
"09486","71","71","Inj, granisetron, xr, 0.1 mg","G","2","460","0","0","0","0","0","0","0","0"
"09486","72","72","Inj, granisetron, xr, 0.1 mg","G","2","434","0","0","0","0","0","0","0","0"
"09486","73","73","Inj, granisetron, xr, 0.1 mg","G","2","389","0","0","0","0","0","0","0","0"
"09486","74","74","Inj, granisetron, xr, 0.1 mg","G","2","358","0","0","0","0","0","0","0","0"
"09486","75","75","Inj, granisetron, xr, 0.1 mg","G","2","319","0","0","0","0","0","0","0","0"
"09486","76","76","Inj, granisetron, xr, 0.1 mg","G","2","280","0","0","0","0","0","0","0","0"
"09486","77","77","Inj, granisetron, xr, 0.1 mg","G","2","305","0","0","0","0","0","0","0","0"
"09486","78","78","Inj, granisetron, xr, 0.1 mg","G","2","274","0","0","0","0","0","0","0","0"
"09487","67","67","Ustekinumab IV inj, 1 mg","G","2","0","0","0","0","0","0","0","0","0"
"09487","68","68","Ustekinumab IV Inj, 1 mg","G","2","1278","0","0","0","0","0","0","0","0"
"09487","69","69","Ustekinumab IV Inj, 1 mg","G","2","1288","0","0","0","0","0","0","0","0"
"09487","70","70","Ustekinumab, iv inject,1 mg","G","2","1288","0","0","0","0","0","0","0","0"
"09487","71","71","Ustekinumab, iv inject,1 mg","G","2","1285","0","0","0","0","0","0","0","0"
"09487","72","72","Ustekinumab, iv inject,1 mg","G","2","1280","0","0","0","0","0","0","0","0"
"09487","73","73","Ustekinumab, iv inject,1 mg","G","2","1255","0","0","0","0","0","0","0","0"
"09487","74","74","Ustekinumab, iv inject,1 mg","G","2","1228","0","0","0","0","0","0","0","0"
"09487","75","75","Ustekinumab, iv inject,1 mg","G","2","1219","0","0","0","0","0","0","0","0"
"09487","76","76","Ustekinumab, iv inject,1 mg","G","2","1202","0","0","0","0","0","0","0","0"
"09487","77","77","Ustekinumab, iv inject,1 mg","G","2","1200","0","0","0","0","0","0","0","0"
"09487","78","78","Ustekinumab, iv inject,1 mg","G","2","1204","0","0","0","0","0","0","0","0"
"09487","79","79","Ustekinumab, iv inject,1 mg","K","2","1193","0","0","0","0","0","0","0","0"
"09487","80","80","Ustekinumab, iv inject,1 mg","K","2","1187","0","0","0","0","0","0","0","0"
"09487","81","81","Ustekinumab, iv inject,1 mg","K","2","1217","0","0","0","0","0","0","0","0"
"09487","82","82","Ustekinumab, iv inject,1 mg","K","2","1203","0","0","0","0","0","0","0","0"
"09487","83","83","Ustekinumab, iv inject,1 mg","K","2","1195","0","0","0","0","0","0","0","0"
"09487","84","84","Ustekinumab, iv inject,1 mg","K","2","1163","0","0","0","0","0","0","0","0"
"09487","85","85","Ustekinumab, iv inject,1 mg","K","2","1175","0","0","0","0","0","0","0","0"
"09487","86","86","Ustekinumab, iv inject,1 mg","K","2","1168","0","0","0","0","0","0","0","0"
"09487","87","87","Ustekinumab, iv inject,1 mg","K","2","1162","0","0","0","0","0","0","0","0"
"09488","67","67","Conivaptan HCL","G","2","0","0","0","0","0","0","0","0","0"
"09488","68","68","Conivaptan HCL","G","2","2993","0","0","0","0","0","0","0","0"
"09488","69","69","Conivaptan HCL","G","2","3030","0","0","0","0","0","0","0","0"
"09488","70","70","Conivaptan hcl","G","2","3052","0","0","0","0","0","0","0","0"
"09488","71","71","Conivaptan hcl","G","2","3073","0","0","0","0","0","0","0","0"
"09488","72","72","Conivaptan hcl","G","2","3093","0","0","0","0","0","0","0","0"
"09488","73","73","Conivaptan hcl","G","2","3078","0","0","0","0","0","0","0","0"
"09488","74","74","Conivaptan hcl","G","2","3110","0","0","0","0","0","0","0","0"
"09488","75","75","Conivaptan hcl","G","2","3207","0","0","0","0","0","0","0","0"
"09488","76","76","Conivaptan hcl","G","2","3232","0","0","0","0","0","0","0","0"
"09488","77","77","Conivaptan hcl","G","2","3295","0","0","0","0","0","0","0","0"
"09488","78","78","Conivaptan hcl","G","2","3156","0","0","0","0","0","0","0","0"
"09488","79","79","Conivaptan hcl","K","2","3137","0","0","0","0","0","0","0","0"
"09488","80","80","Conivaptan hcl","K","2","3131","0","0","0","0","0","0","0","0"
"09488","81","81","Conivaptan hcl","K","2","3307","0","0","0","0","0","0","0","0"
"09488","82","82","Conivaptan hcl","K","2","3257","0","0","0","0","0","0","0","0"
"09488","83","83","Conivaptan hcl","K","2","3617","0","0","0","0","0","0","0","0"
"09488","84","84","Conivaptan hcl","K","2","3913","0","0","0","0","0","0","0","0"
"09488","85","85","Conivaptan hcl","K","2","4363","0","0","0","0","0","0","0","0"
"09488","86","86","Conivaptan hcl","K","2","4394","0","0","0","0","0","0","0","0"
"09488","87","87","Conivaptan hcl","K","2","4369","0","0","0","0","0","0","0","0"
"09489","68","68","Injection, nusinersen","G","2","0","0","0","0","0","0","0","0","0"
"09489","69","69","Injection, nusinersen","G","2","110417","0","0","0","0","0","0","0","0"
"09489","70","70","Inj, nusinersen, 0.1mg","G","2","110379","0","0","0","0","0","0","0","0"
"09489","71","71","Inj, nusinersen, 0.1mg","G","2","110329","0","0","0","0","0","0","0","0"
"09489","72","72","Inj, nusinersen, 0.1mg","G","2","110311","0","0","0","0","0","0","0","0"
"09489","73","73","Inj, nusinersen, 0.1mg","G","2","110265","0","0","0","0","0","0","0","0"
"09489","74","74","Inj, nusinersen, 0.1mg","G","2","110187","0","0","0","0","0","0","0","0"
"09489","75","75","Inj, nusinersen, 0.1mg","G","2","110172","0","0","0","0","0","0","0","0"
"09489","76","76","Inj, nusinersen, 0.1mg","G","2","110152","0","0","0","0","0","0","0","0"
"09489","77","77","Inj, nusinersen, 0.1mg","G","2","110154","0","0","0","0","0","0","0","0"
"09489","78","78","Inj, nusinersen, 0.1mg","G","2","110183","0","0","0","0","0","0","0","0"
"09489","79","79","Inj, nusinersen, 0.1mg","G","2","110176","0","0","0","0","0","0","0","0"
"09489","80","80","Inj, nusinersen, 0.1mg","K","2","111271","0","0","0","0","0","0","0","0"
"09489","81","81","Inj, nusinersen, 0.1mg","K","2","112295","0","0","0","0","0","0","0","0"
"09489","82","82","Inj, nusinersen, 0.1mg","K","2","112251","0","0","0","0","0","0","0","0"
"09489","83","83","Inj, nusinersen, 0.1mg","K","2","112206","0","0","0","0","0","0","0","0"
"09489","84","84","Inj, nusinersen, 0.1mg","K","2","112152","0","0","0","0","0","0","0","0"
"09489","85","85","Inj, nusinersen, 0.1mg","K","2","112204","0","0","0","0","0","0","0","0"
"09489","86","86","Inj, nusinersen, 0.1mg","K","2","112213","0","0","0","0","0","0","0","0"
"09489","87","87","Inj, nusinersen, 0.1mg","K","2","112227","0","0","0","0","0","0","0","0"
"09490","68","68","Injection, bezlotoxumab","G","2","0","0","0","0","0","0","0","0","0"
"09490","69","69","Injection, bezlotoxumab","G","2","4028","0","0","0","0","0","0","0","0"
"09490","70","70","Inj, bezlotoxumab, 10 mg","G","2","4023","0","0","0","0","0","0","0","0"
"09490","71","71","Inj, bezlotoxumab, 10 mg","G","2","4018","0","0","0","0","0","0","0","0"
"09490","72","72","Inj, bezlotoxumab, 10 mg","G","2","4014","0","0","0","0","0","0","0","0"
"09490","73","74","Inj, bezlotoxumab, 10 mg","G","2","4016","0","0","0","0","0","0","0","0"
"09490","75","75","Inj, bezlotoxumab, 10 mg","G","2","4009","0","0","0","0","0","0","0","0"
"09490","76","76","Inj, bezlotoxumab, 10 mg","G","2","4000","0","0","0","0","0","0","0","0"
"09490","77","77","Inj, bezlotoxumab, 10 mg","G","2","3990","0","0","0","0","0","0","0","0"
"09490","78","78","Inj, bezlotoxumab, 10 mg","G","2","3983","0","0","0","0","0","0","0","0"
"09490","79","79","Inj, bezlotoxumab, 10 mg","G","2","3979","0","0","0","0","0","0","0","0"
"09490","80","80","Inj, bezlotoxumab, 10 mg","K","2","3976","0","0","0","0","0","0","0","0"
"09490","81","81","Inj, bezlotoxumab, 10 mg","K","2","3971","0","0","0","0","0","0","0","0"
"09490","82","82","Inj, bezlotoxumab, 10 mg","K","2","3965","0","0","0","0","0","0","0","0"
"09490","83","83","Inj, bezlotoxumab, 10 mg","K","2","3967","0","0","0","0","0","0","0","0"
"09490","84","84","Inj, bezlotoxumab, 10 mg","K","2","3966","0","0","0","0","0","0","0","0"
"09490","85","85","Inj, bezlotoxumab, 10 mg","K","2","3975","0","0","0","0","0","0","0","0"
"09490","86","86","Inj, bezlotoxumab, 10 mg","K","2","3977","0","0","0","0","0","0","0","0"
"09490","87","87","Inj, bezlotoxumab, 10 mg","K","2","3979","0","0","0","0","0","0","0","0"
"09491","69","69","Injection, avelumab","G","2","0","0","0","0","0","0","0","0","0"
"09491","70","70","Injection, avelumab, 10 mg","G","2","7944","0","0","0","0","0","0","0","0"
"09491","71","71","Injection, avelumab, 10 mg","G","2","7937","0","0","0","0","0","0","0","0"
"09491","72","72","Injection, avelumab, 10 mg","G","2","8063","0","0","0","0","0","0","0","0"
"09491","73","73","Injection, avelumab, 10 mg","G","2","8059","0","0","0","0","0","0","0","0"
"09491","74","74","Injection, avelumab, 10 mg","G","2","8182","0","0","0","0","0","0","0","0"
"09491","75","75","Injection, avelumab, 10 mg","G","2","8181","0","0","0","0","0","0","0","0"
"09491","76","76","Injection, avelumab, 10 mg","G","2","8174","0","0","0","0","0","0","0","0"
"09491","77","77","Injection, avelumab, 10 mg","G","2","8274","0","0","0","0","0","0","0","0"
"09491","78","78","Injection, avelumab, 10 mg","G","2","8297","0","0","0","0","0","0","0","0"
"09491","79","79","Injection, avelumab, 10 mg","G","2","8412","0","0","0","0","0","0","0","0"
"09491","80","80","Injection, avelumab, 10 mg","G","2","8424","0","0","0","0","0","0","0","0"
"09491","81","81","Injection, avelumab, 10 mg","K","2","8509","0","0","0","0","0","0","0","0"
"09491","82","82","Injection, avelumab, 10 mg","K","2","8470","0","0","0","0","0","0","0","0"
"09491","83","83","Injection, avelumab, 10 mg","K","2","8533","0","0","0","0","0","0","0","0"
"09491","84","84","Injection, avelumab, 10 mg","K","2","8488","0","0","0","0","0","0","0","0"
"09491","85","85","Injection, avelumab, 10 mg","K","2","8600","0","0","0","0","0","0","0","0"
"09491","86","86","Injection, avelumab, 10 mg","K","2","8619","0","0","0","0","0","0","0","0"
"09491","87","87","Injection, avelumab, 10 mg","K","2","8761","0","0","0","0","0","0","0","0"
"09492","69","69","Injection, durvalumab","G","2","0","0","0","0","0","0","0","0","0"
"09492","70","70","Injection, durvalumab","G","2","7375","0","0","0","0","0","0","0","0"
"09492","71","72","Injection, durvalumab","G","2","7360","0","0","0","0","0","0","0","0"
"09492","73","73","Injection, durvalumab","G","2","7347","0","0","0","0","0","0","0","0"
"09492","74","74","Inj., durvalumab, 10 mg","G","2","7397","0","0","0","0","0","0","0","0"
"09492","75","75","Inj., durvalumab, 10 mg","G","2","7385","0","0","0","0","0","0","0","0"
"09492","76","76","Inj., durvalumab, 10 mg","G","2","7378","0","0","0","0","0","0","0","0"
"09492","77","77","Inj., durvalumab, 10 mg","G","2","7486","0","0","0","0","0","0","0","0"
"09492","78","78","Inj., durvalumab, 10 mg","G","2","7464","0","0","0","0","0","0","0","0"
"09492","79","79","Inj., durvalumab, 10 mg","G","2","7558","0","0","0","0","0","0","0","0"
"09492","80","80","Inj., durvalumab, 10 mg","G","2","7549","0","0","0","0","0","0","0","0"
"09492","81","81","Inj., durvalumab, 10 mg","K","2","7618","0","0","0","0","0","0","0","0"
"09492","82","82","Inj., durvalumab, 10 mg","K","2","7602","0","0","0","0","0","0","0","0"
"09492","83","83","Inj., durvalumab, 10 mg","K","2","7705","0","0","0","0","0","0","0","0"
"09492","84","84","Inj., durvalumab, 10 mg","K","2","7670","0","0","0","0","0","0","0","0"
"09492","85","85","Inj., durvalumab, 10 mg","K","2","7676","0","0","0","0","0","0","0","0"
"09492","86","87","Inj., durvalumab, 10 mg","K","2","7686","0","0","0","0","0","0","0","0"
"09493","69","69","Injection, edaravone","G","2","0","0","0","0","0","0","0","0","0"
"09493","70","73","Injection, edaravone","G","2","1919","0","0","0","0","0","0","0","0"
"09493","74","74","Injection, edaravone, 1 mg","G","2","1918","0","0","0","0","0","0","0","0"
"09493","75","75","Injection, edaravone, 1 mg","G","2","1916","0","0","0","0","0","0","0","0"
"09493","76","76","Injection, edaravone, 1 mg","G","2","1952","0","0","0","0","0","0","0","0"
"09493","77","77","Injection, edaravone, 1 mg","G","2","1950","0","0","0","0","0","0","0","0"
"09493","78","79","Injection, edaravone, 1 mg","G","2","1949","0","0","0","0","0","0","0","0"
"09493","80","80","Injection, edaravone, 1 mg","G","2","1986","0","0","0","0","0","0","0","0"
"09493","81","82","Injection, edaravone, 1 mg","K","2","1989","0","0","0","0","0","0","0","0"
"09493","83","83","Injection, edaravone, 1 mg","K","2","1990","0","0","0","0","0","0","0","0"
"09493","84","84","Injection, edaravone, 1 mg","K","2","2029","0","0","0","0","0","0","0","0"
"09493","85","85","Injection, edaravone, 1 mg","K","2","2017","0","0","0","0","0","0","0","0"
"09493","86","86","Injection, edaravone, 1 mg","K","2","2051","0","0","0","0","0","0","0","0"
"09493","87","87","Injection, edaravone, 1 mg","K","2","2049","0","0","0","0","0","0","0","0"
"09494","69","69","Injection, ocrelizumab","G","2","0","0","0","0","0","0","0","0","0"
"09494","70","70","Injection, ocrelizumab","G","2","5742","0","0","0","0","0","0","0","0"
"09494","71","71","Injection, ocrelizumab","G","2","5708","0","0","0","0","0","0","0","0"
"09494","72","72","Injection, ocrelizumab","G","2","5716","0","0","0","0","0","0","0","0"
"09494","73","73","Injection, ocrelizumab","G","2","5717","0","0","0","0","0","0","0","0"
"09494","74","74","Injection, ocrelizumab","G","2","5734","0","0","0","0","0","0","0","0"
"09494","75","75","Injection, ocrelizumab","G","2","5737","0","0","0","0","0","0","0","0"
"09494","76","76","Injection, ocrelizumab","G","2","5741","0","0","0","0","0","0","0","0"
"09494","77","80","Injection, ocrelizumab","G","2","5742","0","0","0","0","0","0","0","0"
"09494","81","81","Injection, ocrelizumab","K","2","5740","0","0","0","0","0","0","0","0"
"09494","82","82","Injection, ocrelizumab","K","2","5738","0","0","0","0","0","0","0","0"
"09494","83","83","Injection, ocrelizumab","K","2","5733","0","0","0","0","0","0","0","0"
"09494","84","84","Injection, ocrelizumab","K","2","5724","0","0","0","0","0","0","0","0"
"09494","85","85","Injection, ocrelizumab","K","2","5858","0","0","0","0","0","0","0","0"
"09494","86","86","Injection, ocrelizumab","K","2","5829","0","0","0","0","0","0","0","0"
"09494","87","87","Injection, ocrelizumab","K","2","5891","0","0","0","0","0","0","0","0"
"09495","70","74","Gemtuzumab ozogamicin inj","G","2","19316","0","0","0","0","0","0","0","0"
"09495","75","75","Gemtuzumab ozogamicin inj","G","2","19401","0","0","0","0","0","0","0","0"
"09495","76","76","Gemtuzumab ozogamicin inj","G","2","19296","0","0","0","0","0","0","0","0"
"09495","77","77","Gemtuzumab ozogamicin inj","G","2","19769","0","0","0","0","0","0","0","0"
"09495","78","78","Gemtuzumab ozogamicin inj","G","2","19923","0","0","0","0","0","0","0","0"
"09495","79","79","Gemtuzumab ozogamicin inj","G","2","19955","0","0","0","0","0","0","0","0"
"09495","80","80","Gemtuzumab ozogamicin inj","G","2","19952","0","0","0","0","0","0","0","0"
"09495","81","81","Gemtuzumab ozogamicin inj","G","2","20499","0","0","0","0","0","0","0","0"
"09495","82","82","Gemtuzumab ozogamicin inj","K","2","20538","0","0","0","0","0","0","0","0"
"09495","83","83","Gemtuzumab ozogamicin inj","K","2","20536","0","0","0","0","0","0","0","0"
"09495","84","84","Gemtuzumab ozogamicin inj","K","2","20534","0","0","0","0","0","0","0","0"
"09495","85","86","Gemtuzumab ozogamicin inj","K","2","20799","0","0","0","0","0","0","0","0"
"09495","87","87","Gemtuzumab ozogamicin inj","K","2","21111","0","0","0","0","0","0","0","0"
"09497","60","60","Loxapine, inhalation powder","G","5","14985","0","0","0","0","0","0","0","0"
"09497","61","61","Loxapine, inhalation powder","G","5","14875","0","0","0","0","0","0","0","0"
"09497","62","62","Loxapine, inhalation powder","G","2","14734","0","0","0","0","0","0","0","0"
"09497","63","63","Loxapine, inhalation powder","G","2","15370","0","0","0","0","0","0","0","0"
"09497","64","64","Loxapine, inhalation powder","G","2","14470","0","0","0","0","0","0","0","0"
"09497","65","65","Loxapine, inhalation powder","G","2","14871","0","0","0","0","0","0","0","0"
"09497","66","67","Loxapine, inhalation powder","K","2","15370","0","0","0","0","0","0","0","0"
"09497","68","68","Loxapine, inhalation powder","K","2","15004","0","0","0","0","0","0","0","0"
"09497","69","70","Loxapine, inhalation powder","K","2","15370","0","0","0","0","0","0","0","0"
"09497","71","71","Loxapine, inhalation powder","K","2","15063","0","0","0","0","0","0","0","0"
"09497","72","72","Loxapine, inhalation powder","K","2","14673","0","0","0","0","0","0","0","0"
"09497","73","73","Loxapine, inhalation powder","K","2","15136","0","0","0","0","0","0","0","0"
"09497","74","74","Loxapine for inhalation 1 mg","K","2","15080","0","0","0","0","0","0","0","0"
"09497","75","75","Loxapine for inhalation 1 mg","K","2","1471","0","0","0","0","0","0","0","0"
"09497","76","76","Loxapine for inhalation 1 mg","K","2","1534","0","0","0","0","0","0","0","0"
"09497","77","77","Loxapine for inhalation 1 mg","K","2","1532","0","0","0","0","0","0","0","0"
"09500","60","61","Platelets, irradiated","R","1","16864","0","0","0","0","0","0","0","0"
"09500","62","65","Platelets, irradiated","R","1","15909","0","0","0","0","0","0","0","0"
"09500","66","69","Platelets, irradiated","R","1","16742","0","0","0","0","0","0","0","0"
"09500","70","73","Platelets, irradiated","R","1","17914","0","0","0","0","0","0","0","0"
"09500","74","77","Platelets, irradiated","R","1","17191","0","0","0","0","0","0","0","0"
"09500","78","81","Platelets, irradiated","R","1","13965","0","0","0","0","0","0","0","0"
"09500","82","85","Platelets, irradiated","R","1","14169","0","0","0","0","0","0","0","0"
"09500","86","87","Platelets, irradiated","R","1","14468","0","0","0","0","0","0","0","0"
"09501","60","61","Platelet pheres leukoreduced","R","1","49776","0","0","0","0","0","0","0","0"
"09501","62","65","Platelet pheres leukoreduced","R","1","48829","0","0","0","0","0","0","0","0"
"09501","66","69","Platelet pheres leukoreduced","R","1","49995","0","0","0","0","0","0","0","0"
"09501","70","73","Platelet pheres leukoreduced","R","1","47700","0","0","0","0","0","0","0","0"
"09501","74","77","Platelet pheres leukoreduced","R","1","48630","0","0","0","0","0","0","0","0"
"09501","78","81","Platelet pheres leukoreduced","R","1","49961","0","0","0","0","0","0","0","0"
"09501","82","85","Platelet pheres leukoreduced","R","1","48680","0","0","0","0","0","0","0","0"
"09501","86","87","Platelet pheres leukoreduced","R","1","49691","0","0","0","0","0","0","0","0"
"09502","60","61","Platelet pheresis irradiated","R","1","56952","0","0","0","0","0","0","0","0"
"09502","62","65","Platelet pheresis irradiated","R","1","52811","0","0","0","0","0","0","0","0"
"09502","66","69","Platelet pheresis irradiated","R","1","55658","0","0","0","0","0","0","0","0"
"09502","70","73","Platelet pheresis irradiated","R","1","55445","0","0","0","0","0","0","0","0"
"09502","74","77","Platelet pheresis irradiated","R","1","55291","0","0","0","0","0","0","0","0"
"09502","78","81","Platelet pheresis irradiated","R","1","69238","0","0","0","0","0","0","0","0"
"09502","82","85","Platelet pheresis irradiated","R","1","60489","0","0","0","0","0","0","0","0"
"09502","86","87","Platelet pheresis irradiated","R","1","61761","0","0","0","0","0","0","0","0"
"09503","60","61","Fr frz plasma donor retested","R","1","5882","0","0","0","0","0","0","0","0"
"09503","62","65","Fr frz plasma donor retested","R","1","5142","0","0","0","0","0","0","0","0"
"09503","66","69","Fr frz plasma donor retested","R","1","6719","0","0","0","0","0","0","0","0"
"09503","70","73","Fr frz plasma donor retested","R","1","4835","0","0","0","0","0","0","0","0"
"09503","74","77","Fr frz plasma donor retested","R","1","6281","0","0","0","0","0","0","0","0"
"09503","78","81","Fr frz plasma donor retested","R","1","4999","0","0","0","0","0","0","0","0"
"09503","82","85","Fr frz plasma donor retested","R","1","6508","0","0","0","0","0","0","0","0"
"09503","86","87","Fr frz plasma donor retested","R","1","6645","0","0","0","0","0","0","0","0"
"09504","60","61","RBC deglycerolized","R","1","46397","0","0","0","0","0","0","0","0"
"09504","62","65","RBC deglycerolized","R","1","38032","0","0","0","0","0","0","0","0"
"09504","66","69","RBC deglycerolized","R","1","38358","0","0","0","0","0","0","0","0"
"09504","70","73","RBC deglycerolized","R","1","42083","0","0","0","0","0","0","0","0"
"09504","74","77","RBC deglycerolized","R","1","33114","0","0","0","0","0","0","0","0"
"09504","78","81","RBC deglycerolized","R","1","32046","0","0","0","0","0","0","0","0"
"09504","82","85","RBC deglycerolized","R","1","43665","0","0","0","0","0","0","0","0"
"09504","86","87","RBC deglycerolized","R","1","44583","0","0","0","0","0","0","0","0"
"09505","60","61","RBC irradiated","R","1","20785","0","0","0","0","0","0","0","0"
"09505","62","65","RBC irradiated","R","1","20582","0","0","0","0","0","0","0","0"
"09505","66","69","RBC irradiated","R","1","21895","0","0","0","0","0","0","0","0"
"09505","70","73","RBC irradiated","R","1","21379","0","0","0","0","0","0","0","0"
"09505","74","77","RBC irradiated","R","1","22136","0","0","0","0","0","0","0","0"
"09505","78","81","RBC irradiated","R","1","19082","0","0","0","0","0","0","0","0"
"09505","82","85","RBC irradiated","R","1","16931","0","0","0","0","0","0","0","0"
"09505","86","87","RBC irradiated","R","1","17287","0","0","0","0","0","0","0","0"
"09506","60","61","Granulocytes, pheresis unit","R","1","183768","0","0","0","0","0","0","0","0"
"09506","62","65","Granulocytes, pheresis unit","R","1","151848","0","0","0","0","0","0","0","0"
"09507","60","61","Platelets, pheresis","R","1","41955","0","0","0","0","0","0","0","0"
"09507","62","65","Platelets, pheresis","R","1","42515","0","0","0","0","0","0","0","0"
"09507","66","69","Platelets, pheresis","R","1","41210","0","0","0","0","0","0","0","0"
"09507","70","73","Platelets, pheresis","R","1","42120","0","0","0","0","0","0","0","0"
"09507","74","77","Platelets, pheresis","R","1","33708","0","0","0","0","0","0","0","0"
"09507","78","81","Platelets, pheresis","R","1","32402","0","0","0","0","0","0","0","0"
"09507","82","85","Platelets, pheresis","R","1","32399","0","0","0","0","0","0","0","0"
"09507","86","87","Platelets, pheresis","R","1","33080","0","0","0","0","0","0","0","0"
"09508","60","61","Plasma 1 donor frz w/in 8 hr","R","1","7485","0","0","0","0","0","0","0","0"
"09508","62","65","Plasma 1 donor frz w/in 8 hr","R","1","7256","0","0","0","0","0","0","0","0"
"09508","66","69","Plasma 1 donor frz w/in 8 hr","R","1","7373","0","0","0","0","0","0","0","0"
"09508","70","73","Plasma 1 donor frz w/in 8 hr","R","1","7241","0","0","0","0","0","0","0","0"
"09508","74","77","Plasma 1 donor frz w/in 8 hr","R","1","7153","0","0","0","0","0","0","0","0"
"09508","78","81","Plasma 1 donor frz w/in 8 hr","R","1","8375","0","0","0","0","0","0","0","0"
"09508","82","85","Plasma 1 donor frz w/in 8 hr","R","1","8266","0","0","0","0","0","0","0","0"
"09508","86","87","Plasma 1 donor frz w/in 8 hr","R","1","8440","0","0","0","0","0","0","0","0"
"09509","62","65","Frozen plasma, pooled, sd","R","1","7590","0","0","0","0","0","0","0","0"
"09509","66","69","Frozen plasma, pooled, sd","R","1","6682","0","0","0","0","0","0","0","0"
"09509","70","73","Frozen plasma, pooled, sd","R","1","6057","0","0","0","0","0","0","0","0"
"09509","74","77","Frozen plasma, pooled, sd","R","1","7596","0","0","0","0","0","0","0","0"
"09509","78","81","Frozen plasma, pooled, sd","R","1","8014","0","0","0","0","0","0","0","0"
"09509","82","85","Frozen plasma, pooled, sd","R","1","8915","0","0","0","0","0","0","0","0"
"09509","86","87","Frozen plasma, pooled, sd","R","1","9101","0","0","0","0","0","0","0","0"
"09510","62","65","Whole blood for transfusion","R","1","22162","0","0","0","0","0","0","0","0"
"09510","66","69","Whole blood for transfusion","R","1","15551","0","0","0","0","0","0","0","0"
"09510","70","73","Whole blood for transfusion","R","1","15692","0","0","0","0","0","0","0","0"
"09510","74","77","Whole blood for transfusion","R","1","11118","0","0","0","0","0","0","0","0"
"09510","78","81","Whole blood for transfusion","R","1","12720","0","0","0","0","0","0","0","0"
"09510","82","85","Whole blood for transfusion","R","1","15014","0","0","0","0","0","0","0","0"
"09510","86","87","Whole blood for transfusion","R","1","15317","0","0","0","0","0","0","0","0"
"09511","62","65","Cryoprecipitate each unit","R","1","5964","0","0","0","0","0","0","0","0"
"09511","66","69","Cryoprecipitate each unit","R","1","5303","0","0","0","0","0","0","0","0"
"09511","70","73","Cryoprecipitate each unit","R","1","4401","0","0","0","0","0","0","0","0"
"09511","74","77","Cryoprecipitate each unit","R","1","4940","0","0","0","0","0","0","0","0"
"09511","78","81","Cryoprecipitate each unit","R","1","5044","0","0","0","0","0","0","0","0"
"09511","82","85","Cryoprecipitate each unit","R","1","7985","0","0","0","0","0","0","0","0"
"09511","86","87","Cryoprecipitate each unit","R","1","8153","0","0","0","0","0","0","0","0"
"09512","62","65","RBC leukocytes reduced","R","1","18434","0","0","0","0","0","0","0","0"
"09512","66","69","RBC leukocytes reduced","R","1","18582","0","0","0","0","0","0","0","0"
"09512","70","73","RBC leukocytes reduced","R","1","18377","0","0","0","0","0","0","0","0"
"09512","74","77","RBC leukocytes reduced","R","1","18478","0","0","0","0","0","0","0","0"
"09512","78","81","RBC leukocytes reduced","R","1","18835","0","0","0","0","0","0","0","0"
"09512","82","85","RBC leukocytes reduced","R","1","18851","0","0","0","0","0","0","0","0"
"09512","86","87","RBC leukocytes reduced","R","1","19239","0","0","0","0","0","0","0","0"
"09513","62","65","Plasma, frz between 8-24hour","R","1","7308","0","0","0","0","0","0","0","0"
"09513","66","69","Plasma, frz between 8-24hour","R","1","7400","0","0","0","0","0","0","0","0"
"09513","70","73","Plasma, frz between 8-24hour","R","1","7424","0","0","0","0","0","0","0","0"
"09513","74","77","Plasma, frz between 8-24hour","R","1","7666","0","0","0","0","0","0","0","0"
"09513","78","81","Plasma, frz between 8-24hour","R","1","7591","0","0","0","0","0","0","0","0"
"09513","82","85","Plasma, frz between 8-24hour","R","1","7115","0","0","0","0","0","0","0","0"
"09513","86","87","Plasma, frz between 8-24hour","R","1","7264","0","0","0","0","0","0","0","0"
"09514","62","65","Plasma protein fract,5%,50ml","R","1","2828","0","0","0","0","0","0","0","0"
"09514","66","69","Plasma protein fract,5%,50ml","R","1","1976","0","0","0","0","0","0","0","0"
"09514","70","73","Plasma protein fract,5%,50ml","R","1","1540","0","0","0","0","0","0","0","0"
"09514","74","77","Plasma protein fract,5%,50ml","R","1","2695","0","0","0","0","0","0","0","0"
"09514","78","81","Plasma protein fract,5%,50ml","R","1","1843","0","0","0","0","0","0","0","0"
"09514","82","85","Plasma protein fract,5%,50ml","R","1","799","0","0","0","0","0","0","0","0"
"09514","86","87","Plasma protein fract,5%,50ml","R","1","817","0","0","0","0","0","0","0","0"
"09515","62","65","Platelets, each unit","R","1","11803","0","0","0","0","0","0","0","0"
"09515","66","69","Platelets, each unit","R","1","9649","0","0","0","0","0","0","0","0"
"09515","70","73","Platelets, each unit","R","1","11495","0","0","0","0","0","0","0","0"
"09515","74","77","Platelets, each unit","R","1","10796","0","0","0","0","0","0","0","0"
"09515","78","81","Platelets, each unit","R","1","10804","0","0","0","0","0","0","0","0"
"09515","82","85","Platelets, each unit","R","1","7129","0","0","0","0","0","0","0","0"
"09515","86","87","Platelets, each unit","R","1","7279","0","0","0","0","0","0","0","0"
"09516","62","65","Plaelet rich plasma unit","R","1","12016","0","0","0","0","0","0","0","0"
"09516","66","69","Plaelet rich plasma unit","R","1","13168","0","0","0","0","0","0","0","0"
"09516","70","73","Plaelet rich plasma unit","R","1","12351","0","0","0","0","0","0","0","0"
"09516","74","77","Plaelet rich plasma unit","R","1","12523","0","0","0","0","0","0","0","0"
"09516","78","81","Plaelet rich plasma unit","R","1","14123","0","0","0","0","0","0","0","0"
"09516","82","85","Plaelet rich plasma unit","R","1","20000","0","0","0","0","0","0","0","0"
"09516","86","87","Plaelet rich plasma unit","R","1","20420","0","0","0","0","0","0","0","0"
"09517","62","65","Red blood cells unit","R","1","14579","0","0","0","0","0","0","0","0"
"09517","66","69","Red blood cells unit","R","1","14236","0","0","0","0","0","0","0","0"
"09517","70","73","Red blood cells unit","R","1","14279","0","0","0","0","0","0","0","0"
"09517","74","77","Red blood cells unit","R","1","14012","0","0","0","0","0","0","0","0"
"09517","78","81","Red blood cells unit","R","1","13976","0","0","0","0","0","0","0","0"
"09517","82","85","Red blood cells unit","R","1","13763","0","0","0","0","0","0","0","0"
"09517","86","87","Red blood cells unit","R","1","14053","0","0","0","0","0","0","0","0"
"09518","62","65","Washed red blood cells unit","R","1","30746","0","0","0","0","0","0","0","0"
"09518","66","69","Washed red blood cells unit","R","1","34437","0","0","0","0","0","0","0","0"
"09518","70","73","Washed red blood cells unit","R","1","38428","0","0","0","0","0","0","0","0"
"09518","74","77","Washed red blood cells unit","R","1","35593","0","0","0","0","0","0","0","0"
"09518","78","81","Washed red blood cells unit","R","1","37973","0","0","0","0","0","0","0","0"
"09518","82","85","Washed red blood cells unit","R","1","37986","0","0","0","0","0","0","0","0"
"09518","86","87","Washed red blood cells unit","R","1","38785","0","0","0","0","0","0","0","0"
"09519","62","65","Plasmaprotein fract,5%,250ml","R","1","4033","0","0","0","0","0","0","0","0"
"09519","66","69","Plasmaprotein fract,5%,250ml","R","1","9267","0","0","0","0","0","0","0","0"
"09519","70","73","Plasmaprotein fract,5%,250ml","R","1","4690","0","0","0","0","0","0","0","0"
"09519","74","77","Plasmaprotein fract,5%,250ml","R","1","7698","0","0","0","0","0","0","0","0"
"09519","78","81","Plasmaprotein fract,5%,250ml","R","1","11170","0","0","0","0","0","0","0","0"
"09519","82","85","Plasmaprotein fract,5%,250ml","R","1","16034","0","0","0","0","0","0","0","0"
"09519","86","87","Plasmaprotein fract,5%,250ml","R","1","16372","0","0","0","0","0","0","0","0"
"09520","62","65","Blood split unit","R","1","10250","0","0","0","0","0","0","0","0"
"09520","66","69","Blood split unit","R","1","13198","0","0","0","0","0","0","0","0"
"09520","70","73","Blood split unit","R","1","10268","0","0","0","0","0","0","0","0"
"09520","74","77","Blood split unit","R","1","12606","0","0","0","0","0","0","0","0"
"09520","78","81","Blood split unit","R","1","13448","0","0","0","0","0","0","0","0"
"09520","82","85","Blood split unit","R","1","14758","0","0","0","0","0","0","0","0"
"09520","86","87","Blood split unit","R","1","15069","0","0","0","0","0","0","0","0"
"09521","62","65","Platelets leukoreduced irrad","R","1","16208","0","0","0","0","0","0","0","0"
"09521","66","69","Platelets leukoreduced irrad","R","1","16209","0","0","0","0","0","0","0","0"
"09521","70","73","Platelets leukoreduced irrad","R","1","16765","0","0","0","0","0","0","0","0"
"09521","74","77","Platelets leukoreduced irrad","R","1","16714","0","0","0","0","0","0","0","0"
"09521","78","81","Platelets leukoreduced irrad","R","1","21712","0","0","0","0","0","0","0","0"
"09521","82","85","Platelets leukoreduced irrad","R","1","21319","0","0","0","0","0","0","0","0"
"09521","86","87","Platelets leukoreduced irrad","R","1","21766","0","0","0","0","0","0","0","0"
"09522","62","65","RBC leukoreduced irradiated","R","1","26763","0","0","0","0","0","0","0","0"
"09522","66","69","RBC leukoreduced irradiated","R","1","26628","0","0","0","0","0","0","0","0"
"09522","70","73","RBC leukoreduced irradiated","R","1","26020","0","0","0","0","0","0","0","0"
"09522","74","77","RBC leukoreduced irradiated","R","1","25558","0","0","0","0","0","0","0","0"
"09522","78","81","RBC leukoreduced irradiated","R","1","26276","0","0","0","0","0","0","0","0"
"09522","82","85","RBC leukoreduced irradiated","R","1","26055","0","0","0","0","0","0","0","0"
"09522","86","87","RBC leukoreduced irradiated","R","1","26603","0","0","0","0","0","0","0","0"
"09523","62","65","Cryoprecipitatereducedplasma","R","1","5112","0","0","0","0","0","0","0","0"
"09523","66","69","Cryoprecipitatereducedplasma","R","1","6329","0","0","0","0","0","0","0","0"
"09523","70","73","Cryoprecipitatereducedplasma","R","1","10554","0","0","0","0","0","0","0","0"
"09523","74","77","Cryoprecipitatereducedplasma","R","1","8873","0","0","0","0","0","0","0","0"
"09523","78","81","Cryoprecipitatereducedplasma","R","1","9141","0","0","0","0","0","0","0","0"
"09523","82","85","Cryoprecipitatereducedplasma","R","1","6570","0","0","0","0","0","0","0","0"
"09523","86","87","Cryoprecipitatereducedplasma","R","1","6708","0","0","0","0","0","0","0","0"
"09524","62","65","Blood, l/r, cmv-neg","R","1","20046","0","0","0","0","0","0","0","0"
"09524","66","69","Blood, l/r, cmv-neg","R","1","20648","0","0","0","0","0","0","0","0"
"09524","70","73","Blood, l/r, cmv-neg","R","1","19267","0","0","0","0","0","0","0","0"
"09524","74","77","Blood, l/r, cmv-neg","R","1","17594","0","0","0","0","0","0","0","0"
"09524","78","81","Blood, l/r, cmv-neg","R","1","18811","0","0","0","0","0","0","0","0"
"09524","82","85","Blood, l/r, cmv-neg","R","1","21223","0","0","0","0","0","0","0","0"
"09524","86","87","Blood, l/r, cmv-neg","R","1","21668","0","0","0","0","0","0","0","0"
"09525","62","65","Platelets, hla-m, l/r, unit","R","1","70498","0","0","0","0","0","0","0","0"
"09525","66","69","Platelets, hla-m, l/r, unit","R","1","73814","0","0","0","0","0","0","0","0"
"09525","70","73","Platelets, hla-m, l/r, unit","R","1","76932","0","0","0","0","0","0","0","0"
"09525","74","77","Platelets, hla-m, l/r, unit","R","1","84483","0","0","0","0","0","0","0","0"
"09525","78","81","Platelets, hla-m, l/r, unit","R","1","85442","0","0","0","0","0","0","0","0"
"09525","82","85","Platelets, hla-m, l/r, unit","R","1","80518","0","0","0","0","0","0","0","0"
"09525","86","87","Platelets, hla-m, l/r, unit","R","1","82211","0","0","0","0","0","0","0","0"
"09526","62","65","Platelets leukocytes reduced","R","1","11632","0","0","0","0","0","0","0","0"
"09526","66","69","Platelets leukocytes reduced","R","1","12573","0","0","0","0","0","0","0","0"
"09526","70","73","Platelets leukocytes reduced","R","1","11670","0","0","0","0","0","0","0","0"
"09526","74","77","Platelets leukocytes reduced","R","1","13661","0","0","0","0","0","0","0","0"
"09526","78","81","Platelets leukocytes reduced","R","1","12635","0","0","0","0","0","0","0","0"
"09526","82","85","Platelets leukocytes reduced","R","1","14992","0","0","0","0","0","0","0","0"
"09526","86","87","Platelets leukocytes reduced","R","1","15307","0","0","0","0","0","0","0","0"
"09527","62","65","Blood, l/r, froz/degly/wash","R","1","32128","0","0","0","0","0","0","0","0"
"09527","66","69","Blood, l/r, froz/degly/wash","R","1","27558","0","0","0","0","0","0","0","0"
"09527","70","73","Blood, l/r, froz/degly/wash","R","1","28350","0","0","0","0","0","0","0","0"
"09527","74","77","Blood, l/r, froz/degly/wash","R","1","29837","0","0","0","0","0","0","0","0"
"09527","78","81","Blood, l/r, froz/degly/wash","R","1","28110","0","0","0","0","0","0","0","0"
"09527","82","85","Blood, l/r, froz/degly/wash","R","1","31070","0","0","0","0","0","0","0","0"
"09527","86","87","Blood, l/r, froz/degly/wash","R","1","31722","0","0","0","0","0","0","0","0"
"09528","62","65","Plt, aph/pher, l/r, cmv-neg","R","1","46248","0","0","0","0","0","0","0","0"
"09528","66","69","Plt, aph/pher, l/r, cmv-neg","R","1","42200","0","0","0","0","0","0","0","0"
"09528","70","73","Plt, aph/pher, l/r, cmv-neg","R","1","33995","0","0","0","0","0","0","0","0"
"09528","74","77","Plt, aph/pher, l/r, cmv-neg","R","1","44506","0","0","0","0","0","0","0","0"
"09528","78","81","Plt, aph/pher, l/r, cmv-neg","R","1","48517","0","0","0","0","0","0","0","0"
"09528","82","85","Plt, aph/pher, l/r, cmv-neg","R","1","48004","0","0","0","0","0","0","0","0"
"09528","86","87","Plt, aph/pher, l/r, cmv-neg","R","1","49013","0","0","0","0","0","0","0","0"
"09529","62","65","Blood, l/r, irradiated","R","1","12741","0","0","0","0","0","0","0","0"
"09529","66","69","Blood, l/r, irradiated","R","1","12437","0","0","0","0","0","0","0","0"
"09529","70","73","Blood, l/r, irradiated","R","1","15524","0","0","0","0","0","0","0","0"
"09529","74","77","Blood, l/r, irradiated","R","1","22547","0","0","0","0","0","0","0","0"
"09529","78","81","Blood, l/r, irradiated","R","1","20333","0","0","0","0","0","0","0","0"
"09529","82","85","Blood, l/r, irradiated","R","1","15416","0","0","0","0","0","0","0","0"
"09529","86","87","Blood, l/r, irradiated","R","1","15739","0","0","0","0","0","0","0","0"
"09530","62","65","Plate pheres leukoredu irrad","R","1","64185","0","0","0","0","0","0","0","0"
"09530","66","69","Plate pheres leukoredu irrad","R","1","64740","0","0","0","0","0","0","0","0"
"09530","70","73","Plate pheres leukoredu irrad","R","1","62466","0","0","0","0","0","0","0","0"
"09530","74","77","Plate pheres leukoredu irrad","R","1","62493","0","0","0","0","0","0","0","0"
"09530","78","81","Plate pheres leukoredu irrad","R","1","63469","0","0","0","0","0","0","0","0"
"09530","82","85","Plate pheres leukoredu irrad","R","1","61733","0","0","0","0","0","0","0","0"
"09530","86","87","Plate pheres leukoredu irrad","R","1","63032","0","0","0","0","0","0","0","0"
"09531","62","65","Plt, pher, l/r cmv-neg, irr","R","1","59097","0","0","0","0","0","0","0","0"
"09531","66","69","Plt, pher, l/r cmv-neg, irr","R","1","61889","0","0","0","0","0","0","0","0"
"09531","70","73","Plt, pher, l/r cmv-neg, irr","R","1","53983","0","0","0","0","0","0","0","0"
"09531","74","77","Plt, pher, l/r cmv-neg, irr","R","1","49231","0","0","0","0","0","0","0","0"
"09531","78","81","Plt, pher, l/r cmv-neg, irr","R","1","50224","0","0","0","0","0","0","0","0"
"09531","82","85","Plt, pher, l/r cmv-neg, irr","R","1","44731","0","0","0","0","0","0","0","0"
"09531","86","87","Plt, pher, l/r cmv-neg, irr","R","1","45671","0","0","0","0","0","0","0","0"
"09532","62","65","RBC, frz/deg/wsh, l/r, irrad","R","1","20335","0","0","0","0","0","0","0","0"
"09532","66","69","RBC, frz/deg/wsh, l/r, irrad","R","1","20745","0","0","0","0","0","0","0","0"
"09532","70","73","RBC, frz/deg/wsh, l/r, irrad","R","1","28175","0","0","0","0","0","0","0","0"
"09532","74","77","RBC, frz/deg/wsh, l/r, irrad","R","1","22451","0","0","0","0","0","0","0","0"
"09532","78","81","RBC, frz/deg/wsh, l/r, irrad","R","1","24164","0","0","0","0","0","0","0","0"
"09532","82","85","RBC, frz/deg/wsh, l/r, irrad","R","1","26059","0","0","0","0","0","0","0","0"
"09532","86","87","RBC, frz/deg/wsh, l/r, irrad","R","1","26606","0","0","0","0","0","0","0","0"
"09533","62","65","RBC, l/r, cmv-neg, irrad","R","1","24923","0","0","0","0","0","0","0","0"
"09533","66","69","RBC, l/r, cmv-neg, irrad","R","1","25010","0","0","0","0","0","0","0","0"
"09533","70","73","RBC, l/r, cmv-neg, irrad","R","1","23805","0","0","0","0","0","0","0","0"
"09533","74","77","RBC, l/r, cmv-neg, irrad","R","1","22929","0","0","0","0","0","0","0","0"
"09533","78","81","RBC, l/r, cmv-neg, irrad","R","1","24681","0","0","0","0","0","0","0","0"
"09533","82","85","RBC, l/r, cmv-neg, irrad","R","1","24387","0","0","0","0","0","0","0","0"
"09533","86","87","RBC, l/r, cmv-neg, irrad","R","1","24899","0","0","0","0","0","0","0","0"
"09534","62","65","Pathogen reduced plasma pool","R","1","7308","0","0","0","0","0","0","0","0"
"09534","66","69","Pathogen reduced plasma pool","R","1","7400","0","0","0","0","0","0","0","0"
"09534","70","73","Pathogen reduced plasma pool","R","1","7424","0","0","0","0","0","0","0","0"
"09534","74","77","Pathogen reduced plasma pool","R","1","4143","0","0","0","0","0","0","0","0"
"09534","78","81","Pathogen reduced plasma pool","R","1","3230","0","0","0","0","0","0","0","0"
"09534","82","85","Pathogen reduced plasma pool","R","1","5310","0","0","0","0","0","0","0","0"
"09534","86","87","Pathogen reduced plasma pool","R","1","5422","0","0","0","0","0","0","0","0"
"09535","62","65","Pathogen reduced plasma sing","R","1","7256","0","0","0","0","0","0","0","0"
"09535","66","69","Pathogen reduced plasma sing","R","1","7373","0","0","0","0","0","0","0","0"
"09535","70","73","Pathogen reduced plasma sing","R","1","7241","0","0","0","0","0","0","0","0"
"09535","74","77","Pathogen reduced plasma sing","R","1","7835","0","0","0","0","0","0","0","0"
"09535","78","81","Pathogen reduced plasma sing","R","1","8011","0","0","0","0","0","0","0","0"
"09535","82","85","Pathogen reduced plasma sing","R","1","12282","0","0","0","0","0","0","0","0"
"09535","86","87","Pathogen reduced plasma sing","R","1","12540","0","0","0","0","0","0","0","0"
"09536","62","65","Pathogen reduced platelets","R","1","64185","0","0","0","0","0","0","0","0"
"09536","66","67","Pathogen reduced platelets","R","1","64740","0","0","0","0","0","0","0","0"
"09536","68","69","Platelets pheresis path reduc","R","1","64740","0","0","0","0","0","0","0","0"
"09536","70","73","Platelets, pathogen reduced","R","1","62466","0","0","0","0","0","0","0","0"
"09536","74","77","Platelets pheresis path redu","R","1","62493","0","0","0","0","0","0","0","0"
"09536","78","81","Platelets pheresis path redu","R","1","61201","0","0","0","0","0","0","0","0"
"09536","82","85","Platelets pheresis path redu","R","1","58387","0","0","0","0","0","0","0","0"
"09536","86","87","Platelets pheresis path redu","R","1","59613","0","0","0","0","0","0","0","0"
"09537","82","85","Blood component/product noc","R","1","799","0","0","0","0","0","0","0","0"
"09537","86","87","Blood component/product noc","R","1","817","0","0","0","0","0","0","0","0"
"09538","85","85","Plasma cryo redu path each","R","1","6570","0","0","0","0","0","0","0","0"
"09538","86","87","Plasma cryo redu path each","R","1","6708","0","0","0","0","0","0","0","0"
"09539","85","85","Cryo fib comp path redu each","R","1","7985","0","0","0","0","0","0","0","0"
"09539","86","87","Cryo fib comp path redu each","R","1","8153","0","0","0","0","0","0","0","0"
"09540","87","87","COVID-19 convalescent plasma","R","1","75050","0","0","0","0","0","0","0","0"
