"HCPCS codes with the final CY 2017 portion of the APC payment amounts uniquely associated with the cost of devices.  The device offset percentage for each HCPCS code will be used to evaluate whether the procedure requires the implantation of a costly device, which is defined as a device offset of more than 40 percent. 
"					Cost Significance/Offset Percent for Implanted Devices  	
						
HCPCS	Short Descriptor	SI	APC	Final CY 2017 APC Payment Rate	Percent	Dollar Amount
C5271	Low cost skin substitute app	T	5053	$453.10	0.03%	$0.14
C5273	Low cost skin substitute app	T	5054	1427.77	0.58%	$8.28
C5275	Low cost skin substitute app	T	5053	453.1	0.07%	$0.32
C5277	Low cost skin substitute app	T	5053	453.1	0.00%	$0.00
C8900	"Mra w/cont, abd"	S	5571	265.02	0.00%	$0.00
C8901	"Mra w/o cont, abd"	S	5523	225.91	0.00%	$0.00
C8902	"Mra w/o fol w/cont, abd"	S	5572	426.52	0.04%	$0.17
C8903	"Mri w/cont, breast,  uni"	S	5571	265.02	0.00%	$0.00
C8904	"Mri w/o cont, breast, uni"	S	5523	225.91	0.05%	$0.11
C8905	"Mri w/o fol w/cont, brst, un"	S	5572	426.52	0.09%	$0.38
C8906	"Mri w/cont, breast,  bi"	S	5572	426.52	0.00%	$0.00
C8907	"Mri w/o cont, breast, bi"	S	5524	449.68	0.00%	$0.00
C8908	"Mri w/o fol w/cont, breast,"	S	5572	426.52	0.00%	$0.00
C8909	"Mra w/cont, chest"	S	5571	265.02	0.00%	$0.00
C8910	"Mra w/o cont, chest"	S	5523	225.91	0.00%	$0.00
C8911	"Mra w/o fol w/cont, chest"	S	5572	426.52	0.00%	$0.00
C8912	"Mra w/cont, lwr ext"	S	5572	426.52	0.00%	$0.00
C8913	"Mra w/o cont, lwr ext"	S	5523	225.91	0.00%	$0.00
C8914	"Mra w/o fol w/cont, lwr ext"	S	5572	426.52	0.01%	$0.04
C8918	"Mra w/cont, pelvis"	S	5571	265.02	0.00%	$0.00
C8919	"Mra w/o cont, pelvis"	S	5523	225.91	0.00%	$0.00
C8920	"Mra w/o fol w/cont, pelvis"	S	5572	426.52	0.00%	$0.00
C8921	"Tte w or w/o fol w/cont, com"	S	5573	656.91	0.00%	$0.00
C8922	"Tte w or w/o fol w/cont, f/u"	S	5573	656.91	0.00%	$0.00
C8923	"2d tte w or w/o fol w/con,co"	S	5573	656.91	0.01%	$0.07
C8924	"2d tte w or w/o fol w/con,fu"	S	5572	426.52	0.01%	$0.04
C8925	"2d tee w or w/o fol w/con,in"	S	5573	656.91	0.03%	$0.20
C8926	"Tee w or w/o fol w/cont,cong"	S	5573	656.91	0.00%	$0.00
C8927	"Tee w or w/o fol w/cont, mon"	S	5573	656.91	0.00%	$0.00
C8928	"Tte w or w/o fol w/con,stres"	S	5573	656.91	0.00%	$0.00
C8929	"Tte w or wo fol wcon,doppler"	S	5573	656.91	0.01%	$0.07
C8930	"Tte w or w/o contr, cont ecg"	S	5573	656.91	0.00%	$0.00
C8931	"Mra, w/dye, spinal canal"	S	5572	426.52	0.00%	$0.00
C8932	"Mra, w/o dye, spinal canal"	S	5523	225.91	0.00%	$0.00
C8933	"Mra, w/o&w/dye, spinal canal"	S	5572	426.52	0.00%	$0.00
C8934	"Mra, w/dye, upper extremity"	S	5571	265.02	0.00%	$0.00
C8935	"Mra, w/o dye, upper extr"	S	5523	225.91	0.00%	$0.00
C8936	"Mra, w/o&w/dye, upper extr"	S	5572	426.52	0.00%	$0.00
C8957	"Prolonged iv inf, req pump"	S	5694	279.45	0.03%	$0.08
C9600	Perc drug-el cor stent sing	J1	5193	9752.43	41.29%	"$4,026.78"
C9602	Perc d-e cor stent ather s	J1	5194	14782.14	56.38%	"$8,334.17"
C9604	Perc d-e cor revasc t cabg s	J1	5193	9752.43	42.03%	"$4,098.95"
C9606	Perc d-e cor revasc w ami s	J1	5194	14782.14	36.84%	"$5,445.74"
C9607	Perc d-e cor revasc chro sin	J1	5194	14782.14	57.22%	"$8,458.34"
C9724	Eps stomach plic	J1	5331	3940.61	2.89%	$113.88
C9725	Place endorectal app	T	5311	667.67	0.00%	$0.00
C9728	"Place device/marker, non pro"	S	5613	1066.24	21.76%	$232.01
C9733	Non-ophthalmic fva	N	5523	225.91	0.00%	$0.00
C9734	"U/s trtmt, not leiomyomata"	J1	5114	5221.57	0.00%	$0.00
C9737	Lap esoph augmentation	J1	5362	6969.84	52.36%	"$3,649.41"
C9739	Cystoscopy prostatic imp 1-3	J1	5375	3484.01	59.38%	"$2,068.81"
C9740	Cysto impl 4 or more	J1	5376	7452.66	67.48%	"$5,029.05"
C9741	Impl pressure sensor w/angio	J1	5200	29517.57	92.32%	"$27,250.62"
C9742	Laryngoscopy with injection	J1	5153	1269.79	14.66%	$186.15
C9743	Bulking/spacer material impl	J1	5375	3484.01	23.09%	$804.46
C9800	Dermal filler inj px/suppl	T	5054	1427.77	0.00%	$0.00
D0150	Comprehensve oral evaluation	S	5871	513.07	0.00%	$0.00
D0270	Dental bitewing single image	S	5871	513.07	-0.01%	-$0.05
D0272	Dental bitewings two images	S	5871	513.07	0.00%	$0.00
D0274	Bitewings four images	S	5871	513.07	0.00%	$0.00
D2999	Dental unspec restorative pr	S	5871	513.07	0.00%	$0.00
D3999	Endodontic procedure	S	5871	513.07	0.00%	$0.00
D4355	Full mouth debridement	S	5871	513.07	0.00%	$0.00
D7140	Extraction erupted tooth/exr	S	5871	513.07	0.00%	$0.00
D7210	Rem imp tooth w mucoper flp	S	5871	513.07	0.07%	$0.36
D7220	Impact tooth remov soft tiss	S	5871	513.07	0.00%	$0.00
D7240	Impact tooth remov comp bony	S	5871	513.07	0.00%	$0.00
D7250	Tooth root removal	S	5871	513.07	0.00%	$0.00
D9930	Treatment of complications	S	5871	513.07	0.00%	$0.00
D9940	Dental occlusal guard	S	5871	513.07	0.00%	$0.00
G0008	Admin influenza virus vac	S	5691	34.78	0.00%	$0.00
G0009	Admin pneumococcal vaccine	S	5691	34.78	-0.01%	$0.00
G0010	Admin hepatitis b vaccine	S	5691	34.78	0.00%	$0.00
G0101	Ca screen;pelvic/breast exam	S	5822	70.26	0.00%	$0.00
G0104	Ca screen;flexi sigmoidscope	T	5311	667.67	0.05%	$0.33
G0105	Colorectal scrn; hi risk ind	T	5311	667.67	0.02%	$0.13
G0106	Colon ca screen;barium enema	S	5523	225.91	0.00%	$0.00
G0117	Glaucoma scrn hgh risk direc	S	5732	28.38	0.00%	$0.00
G0120	Colon ca scrn; barium enema	S	5524	449.68	0.00%	$0.00
G0121	Colon ca scrn not hi rsk ind	T	5311	667.67	0.02%	$0.13
G0127	Trim nail(s)	N	5733	54.55	0.00%	$0.00
G0130	Single energy x-ray study	S	5522	112.73	0.00%	$0.00
G0166	"Extrnl counterpulse, per tx"	N	5735	263.61	0.00%	$0.00
G0175	"Opps service,sched team conf"	V	5024	332.41	0.00%	$0.00
G0237	Therapeutic procd strg endur	S	5732	28.38	0.00%	$0.00
G0238	"Oth resp proc, indiv"	S	5732	28.38	0.00%	$0.00
G0239	"Oth resp proc, group"	S	5732	28.38	0.00%	$0.00
G0245	Initial foot exam pt lops	V	5012	106.61	0.00%	$0.00
G0246	Followup eval of foot pt lop	V	5012	106.61	0.00%	$0.00
G0247	Routine footcare pt w lops	N	5051	153.12	0.00%	$0.00
G0248	Demonstrate use home inr mon	V	5012	106.61	0.00%	$0.00
G0249	Provide inr test mater/equip	V	5012	106.61	0.00%	$0.00
G0257	Unsched dialysis esrd pt hos	S	5401	552.58	0.29%	$1.60
G0260	Inj for sacroiliac jt anesth	T	5442	507.19	0.03%	$0.15
G0276	Pild/placebo control clin tr	J1	5114	5221.57	0.00%	$0.00
G0277	"Hbot, full body chamber, 30m"	S	5061	110.24	0.00%	$0.00
G0293	"Non-cov surg proc,clin trial"	N	5732	28.38	0.00%	$0.00
G0294	"Non-cov proc, clinical trial"	N	5732	28.38	0.00%	$0.00
G0296	Visit to determ ldct elig	S	5822	70.26	0.00%	$0.00
G0297	Ldct for lung ca screen	S	5521	59.86	-0.01%	-$0.01
G0302	Pre-op service lvrs complete	S	5724	864.54	0.00%	$0.00
G0303	Pre-op service lvrs 10-15dos	S	5721	127.1	0.00%	$0.00
G0304	Pre-op service lvrs 1-9 dos	S	5724	864.54	0.00%	$0.00
G0305	Post op service lvrs min 6	S	5724	864.54	0.00%	$0.00
G0365	Vessel mapping hemo access	S	5522	112.73	0.01%	$0.01
G0379	Direct refer hospital observ	J2	5025	488.74	0.14%	$0.68
G0380	Lev 1 hosp type b ed visit	J2	5031	85.13	0.00%	$0.00
G0381	Lev 2 hosp type b ed visit	J2	5032	75.57	0.01%	$0.01
G0382	Lev 3 hosp type b ed visit	J2	5033	125	0.01%	$0.01
G0383	Lev 4 hosp type b ed visit	J2	5034	178.55	0.03%	$0.05
G0384	Lev 5 hosp type b ed visit	J2	5035	367.89	0.00%	$0.00
G0389	Ultrasound exam aaa screen	S	5522	112.73	0.00%	$0.00
G0390	Trauma respons w/hosp criti	S	5045	872.07	0.00%	$0.00
G0396	Alcohol/subs interv 15-30mn	S	5821	25.23	0.00%	$0.00
G0397	Alcohol/subs interv >30 min	S	5823	126.01	0.00%	$0.00
G0398	Home sleep test/type 2 porta	S	5721	127.1	0.00%	$0.00
G0399	Home sleep test/type 3 porta	S	5721	127.1	0.00%	$0.00
G0400	Home sleep test/type 4 porta	S	5721	127.1	0.00%	$0.00
G0402	Initial preventive exam	V	5012	106.61	0.00%	$0.00
G0404	Ekg tracing for initial prev	S	5731	12.62	0.00%	$0.00
G0413	Pelvic ring fracture uni/bil	J1	5112	1217.42	8.53%	$103.85
G0416	"Prostate biopsy, any mthd"	N	5673	184.01	0.02%	$0.04
G0422	Intens cardiac rehab w/exerc	S	5771	110.22	0.00%	$0.00
G0423	Intens cardiac rehab no exer	S	5771	110.22	0.00%	$0.00
G0424	Pulmonary rehab w exer	S	5733	54.55	0.00%	$0.00
G0436	Tobacco-use counsel 3-10 min	S	5821	25.23	-0.01%	$0.00
G0437	Tobacco-use counsel>10min	S	5821	25.23	0.00%	$0.00
G0442	Annual alcohol screen 15 min	S	5821	25.23	0.00%	$0.00
G0443	Brief alcohol misuse counsel	S	5822	70.26	0.00%	$0.00
G0444	Depression screen annual	S	5821	25.23	0.00%	$0.00
G0445	High inten beh couns std 30m	S	5822	70.26	0.00%	$0.00
G0446	Intens behave ther cardio dx	S	5821	25.23	-0.01%	$0.00
G0447	Behavior counsel obesity 15m	S	5822	70.26	0.00%	$0.00
G0451	Devlopment test interpt&rep	S	5822	70.26	0.00%	$0.00
G0455	Fecal microbiota prep instil	N	5735	263.61	3.68%	$9.70
G0460	Autologous prp for ulcers	T	5054	1427.77	0.00%	$0.00
G0463	Hospital outpt clinic visit	J2	5012	106.61	0.00%	$0.00
G0473	Group behave couns 2-10	S	5822	70.26	0.01%	$0.01
Q0091	Obtaining screen pap smear	S	5731	12.62	0.00%	$0.00
0071T	Us leiomyomata ablate <200	J1	5414	2085.47	4.79%	$99.89
0099T	Implant corneal ring	J1	5491	1824.35	0.05%	$0.91
0100T	Prosth retina receive&gen	T	1906	150000.5	94.25%	"$141,375.47"
0101T	Extracorp shockwv tx hi enrg	J1	5113	2438.34	46.62%	"$1,136.75"
0102T	Extracorp shockwv tx anesth	J1	5113	2438.34	0.00%	$0.00
0126T	Chd risk imt study	N	5732	28.38	0.00%	$0.00
0171T	Lumbar spine proces distract	J1	5116	14704.13	60.04%	"$8,828.36"
0182T	Hdr elect brachytherapy	S	5624	738.63	0.00%	$0.00
0184T	Exc rectal tumor endoscopic	J1	5331	3940.61	0.82%	$32.31
0191T	Insert ant segment drain int	J1	5492	3418.76	50.30%	"$1,719.64"
0200T	Perq sacral augmt unilat inj	J1	5114	5221.57	13.72%	$716.40
0201T	Perq sacral augmt bilat inj	J1	5114	5221.57	17.58%	$917.95
0207T	Clear eyelid gland w/heat	N	5733	54.55	0.00%	$0.00
0213T	Njx paravert w/us cer/thor	T	5443	638.93	2.39%	$15.27
0216T	Njx paravert w/us lumb/sac	T	5443	638.93	0.00%	$0.00
0221T	Plmt post facet implt lumb	J1	5114	5221.57	30.79%	"$1,607.72"
0228T	Njx tfrml eprl w/us cer/thor	T	5443	638.93	0.00%	$0.00
0230T	Njx tfrml eprl w/us lumb/sac	T	5443	638.93	0.00%	$0.00
0232T	Njx platelet plasma	N	5735	263.61	1.62%	$4.27
0234T	Trluml perip athrc renal art	J1	5193	9752.43	32.67%	"$3,186.12"
0236T	Trluml perip athrc abd aorta	J1	5193	9752.43	56.40%	"$5,500.37"
0237T	Trluml perip athrc brchiocph	J1	5193	9752.43	39.37%	"$3,839.53"
0238T	Trluml perip athrc iliac art	J1	5194	14782.14	49.38%	"$7,299.42"
0240T	Esoph motility 3d topography	S	5723	415.87	0.39%	$1.62
0249T	Ligation hemorrhoid w/us	J1	5313	2167.51	0.25%	$5.42
0253T	Insert aqueous drain device	J1	5492	3418.76	43.51%	"$1,487.50"
0268T	Implt/rpl crtd sns dev gen	J1	5463	17803.38	89.89%	"$16,003.46"
0270T	Rev/remvl crtd sns dev lead	N	5461	2690.46	0.00%	$0.00
0271T	Rev/remvl crtd sns dev gen	N	5461	2690.46	0.00%	$0.00
0274T	Perq lamot/lam crv/thrc	J1	5114	5221.57	16.06%	$838.58
0275T	Perq lamot/lam lumbar	J1	5114	5221.57	2.30%	$120.10
0282T	Periph field stimul trial	J1	5462	5745.11	61.16%	"$3,513.71"
0283T	Periph field stimul perm	J1	5463	17803.38	84.41%	"$15,027.83"
0284T	Periph field stimul revise	N	5461	2690.46	28.06%	$754.94
0288T	Anoscopy w/rf delivery	J1	5313	2167.51	0.00%	$0.00
0296T	Ext ecg recording	N	5734	100.02	0.01%	$0.01
0297T	Ext ecg scan w/report	N	5734	100.02	0.00%	$0.00
0302T	Icar ischm mntrng sys compl	J1	5224	16766.86	0.01%	$1.68
0304T	Icar ischm mntrng sys device	J1	5223	9413.65	0.00%	$0.00
0307T	Rmvl icar ischm mntrng dvce	N	5221	2559.59	0.00%	$0.00
0308T	Insj ocular telescope prosth	J1	5495	18991.75	68.60%	"$13,028.34"
0311T	Cal & alys cntrl artl press	N	5732	28.38	0.00%	$0.00
0315T	Rmvl vagus nerve pls gen	N	5461	2690.46	0.52%	$13.99
0316T	Replc vagus nerve pls gen	J1	5463	17803.38	89.33%	"$15,903.76"
0317T	Elec alys vagus nrv pls gen	N	5741	35.15	68.65%	$24.13
0335T	Extraosseous joint stblztion	J1	5114	5221.57	58.22%	"$3,040.00"
0336T	Lap ablat uterine fibroids	J1	5362	6969.84	0.00%	$0.00
0337T	Endothel fxnassmnt non-invas	N	5733	54.55	0.00%	$0.00
0340T	Ablate pulm tumors extnsn	J1	5361	4199.13	38.12%	"$1,600.71"
0342T	Thxp apheresis w/hdl delip	S	5243	3187.83	0.00%	$0.00
0355T	Gi tract capsule endoscopy	J1	5302	1334.83	13.67%	$182.47
0377T	Anoscpy inj agent for incont	J1	5313	2167.51	16.89%	$366.09
0387T	Leadless pm ins/rpl ventr	J1	5194	14782.14	55.88%	"$8,260.26"
0389T	Prog eval inper leadls pm	N	5741	35.15	1.46%	$0.51
0391T	Intergt eval inper leadls pm	N	5741	35.15	1.12%	$0.39
0392T	Lap es sph augment dev place	J1	5362	6969.84	42.13%	"$2,936.39"
10021	Fna w/o image	T	5052	292.62	0.07%	$0.20
10022	Fna w/image	T	5071	539.11	0.20%	$1.08
10030	Guide cathet fluid drainage	T	5071	539.11	14.58%	$78.60
10040	Acne surgery	N	5051	153.12	0.00%	$0.00
10060	Drainage of skin abscess	T	5051	153.12	0.07%	$0.11
10061	Drainage of skin abscess	T	5052	292.62	0.09%	$0.26
10080	Drainage of pilonidal cyst	T	5071	539.11	0.03%	$0.16
10081	Drainage of pilonidal cyst	T	5071	539.11	0.00%	$0.00
10120	Remove foreign body	T	5052	292.62	0.13%	$0.38
10121	Remove foreign body	J1	5072	1236.62	0.31%	$3.83
10140	Drainage of hematoma/fluid	J1	5072	1236.62	1.26%	$15.58
10160	Puncture drainage of lesion	T	5052	292.62	1.97%	$5.76
10180	Complex drainage wound	J1	5073	2148.91	1.60%	$34.38
11000	Debride infected skin	T	5053	453.1	0.28%	$1.27
11010	Debride skin at fx site	T	5071	539.11	4.33%	$23.34
11011	Debride skin musc at fx site	T	5071	539.11	0.12%	$0.65
11012	Deb skin bone at fx site	J1	5073	2148.91	2.68%	$57.59
11042	Deb subq tissue 20 sq cm/<	T	5052	292.62	0.02%	$0.06
11043	Deb musc/fascia 20 sq cm/<	T	5053	453.1	0.14%	$0.63
11044	Deb bone 20 sq cm/<	J1	5072	1236.62	0.76%	$9.40
11055	Trim skin lesion	N	5051	153.12	0.00%	$0.00
11056	Trim skin lesions 2 to 4	N	5051	153.12	0.00%	$0.00
11057	Trim skin lesions over 4	T	5051	153.12	0.00%	$0.00
11100	Biopsy skin lesion	T	5052	292.62	0.01%	$0.03
11200	Removal of skin tags <w/15	N	5051	153.12	0.01%	$0.02
11300	Shave skin lesion 0.5 cm/<	N	5051	153.12	0.00%	$0.00
11301	Shave skin lesion 0.6-1.0 cm	N	5051	153.12	0.00%	$0.00
11302	Shave skin lesion 1.1-2.0 cm	N	5051	153.12	0.00%	$0.00
11303	Shave skin lesion >2.0 cm	N	5052	292.62	0.00%	$0.00
11305	Shave skin lesion 0.5 cm/<	N	5051	153.12	0.00%	$0.00
11306	Shave skin lesion 0.6-1.0 cm	N	5051	153.12	0.00%	$0.00
11307	Shave skin lesion 1.1-2.0 cm	T	5051	153.12	0.00%	$0.00
11308	Shave skin lesion >2.0 cm	N	5052	292.62	0.00%	$0.00
11310	Shave skin lesion 0.5 cm/<	T	5051	153.12	0.00%	$0.00
11311	Shave skin lesion 0.6-1.0 cm	T	5051	153.12	0.00%	$0.00
11312	Shave skin lesion 1.1-2.0 cm	T	5052	292.62	0.00%	$0.00
11313	Shave skin lesion >2.0 cm	T	5052	292.62	0.00%	$0.00
11400	Exc tr-ext b9+marg 0.5 cm<	T	5071	539.11	0.19%	$1.02
11401	Exc tr-ext b9+marg 0.6-1 cm	T	5052	292.62	0.00%	$0.00
11402	Exc tr-ext b9+marg 1.1-2 cm	T	5071	539.11	0.06%	$0.32
11403	Exc tr-ext b9+marg 2.1-3cm/<	T	5071	539.11	0.19%	$1.02
11404	Exc tr-ext b9+marg 3.1-4 cm	J1	5072	1236.62	0.24%	$2.97
11406	Exc tr-ext b9+marg >4.0 cm	J1	5072	1236.62	0.22%	$2.72
11420	Exc h-f-nk-sp b9+marg 0.5/<	J1	5072	1236.62	0.45%	$5.56
11421	Exc h-f-nk-sp b9+marg 0.6-1	T	5071	539.11	0.09%	$0.49
11422	Exc h-f-nk-sp b9+marg 1.1-2	J1	5072	1236.62	0.18%	$2.23
11423	Exc h-f-nk-sp b9+marg 2.1-3	J1	5072	1236.62	0.20%	$2.47
11424	Exc h-f-nk-sp b9+marg 3.1-4	J1	5072	1236.62	0.10%	$1.24
11426	Exc h-f-nk-sp b9+marg >4 cm	J1	5073	2148.91	0.11%	$2.36
11440	Exc face-mm b9+marg 0.5 cm/<	T	5071	539.11	0.03%	$0.16
11441	Exc face-mm b9+marg 0.6-1 cm	T	5071	539.11	0.11%	$0.59
11442	Exc face-mm b9+marg 1.1-2 cm	T	5071	539.11	0.01%	$0.05
11443	Exc face-mm b9+marg 2.1-3 cm	J1	5072	1236.62	0.09%	$1.11
11444	Exc face-mm b9+marg 3.1-4 cm	J1	5072	1236.62	0.04%	$0.49
11446	Exc face-mm b9+marg >4 cm	J1	5073	2148.91	0.25%	$5.37
11450	Removal sweat gland lesion	J1	5073	2148.91	0.16%	$3.44
11451	Removal sweat gland lesion	J1	5073	2148.91	0.06%	$1.29
11462	Removal sweat gland lesion	J1	5073	2148.91	0.09%	$1.93
11463	Removal sweat gland lesion	J1	5073	2148.91	0.07%	$1.50
11470	Removal sweat gland lesion	J1	5073	2148.91	0.27%	$5.80
11471	Removal sweat gland lesion	J1	5073	2148.91	0.07%	$1.50
11600	Exc tr-ext mal+marg 0.5 cm/<	T	5071	539.11	0.01%	$0.05
11601	Exc tr-ext mal+marg 0.6-1 cm	T	5071	539.11	0.03%	$0.16
11602	Exc tr-ext mal+marg 1.1-2 cm	T	5052	292.62	0.02%	$0.06
11603	Exc tr-ext mal+marg 2.1-3 cm	T	5071	539.11	0.06%	$0.32
11604	Exc tr-ext mal+marg 3.1-4 cm	T	5071	539.11	0.02%	$0.11
11606	Exc tr-ext mal+marg >4 cm	J1	5072	1236.62	0.31%	$3.83
11620	Exc h-f-nk-sp mal+marg 0.5/<	J1	5072	1236.62	0.20%	$2.47
11621	Exc s/n/h/f/g mal+mrg 0.6-1	T	5071	539.11	0.25%	$1.35
11622	Exc s/n/h/f/g mal+mrg 1.1-2	T	5071	539.11	0.00%	$0.00
11623	Exc s/n/h/f/g mal+mrg 2.1-3	J1	5072	1236.62	0.20%	$2.47
11624	Exc s/n/h/f/g mal+mrg 3.1-4	J1	5072	1236.62	0.17%	$2.10
11626	Exc s/n/h/f/g mal+mrg >4 cm	J1	5073	2148.91	0.37%	$7.95
11640	Exc f/e/e/n/l mal+mrg 0.5cm<	T	5071	539.11	0.04%	$0.22
11641	Exc f/e/e/n/l mal+mrg 0.6-1	T	5071	539.11	0.00%	$0.00
11642	Exc f/e/e/n/l mal+mrg 1.1-2	T	5071	539.11	0.08%	$0.43
11643	Exc f/e/e/n/l mal+mrg 2.1-3	J1	5072	1236.62	0.08%	$0.99
11644	Exc f/e/e/n/l mal+mrg 3.1-4	J1	5072	1236.62	0.09%	$1.11
11646	Exc f/e/e/n/l mal+mrg >4 cm	J1	5073	2148.91	0.29%	$6.23
11719	Trim nail(s) any number	N	5733	54.55	0.00%	$0.00
11720	Debride nail 1-5	N	5733	54.55	0.00%	$0.00
11721	Debride nail 6 or more	N	5733	54.55	0.00%	$0.00
11730	Removal of nail plate	N	5051	153.12	0.00%	$0.00
11740	Drain blood from under nail	N	5733	54.55	0.00%	$0.00
11750	Removal of nail bed	T	5052	292.62	0.01%	$0.03
11752	Remove nail bed/tip	J1	5072	1236.62	0.58%	$7.17
11755	Biopsy nail unit	T	5071	539.11	0.01%	$0.05
11760	Repair of nail bed	T	5053	453.1	0.02%	$0.09
11762	Reconstruction of nail bed	T	5054	1427.77	7.75%	$110.65
11765	Excision of nail fold toe	N	5052	292.62	0.00%	$0.00
11770	Remove pilonidal cyst simple	J1	5073	2148.91	0.17%	$3.65
11771	Remove pilonidal cyst exten	J1	5073	2148.91	0.13%	$2.79
11772	Remove pilonidal cyst compl	J1	5073	2148.91	0.06%	$1.29
11900	Inject skin lesions </w 7	N	5051	153.12	0.00%	$0.00
11901	Inject skin lesions >7	N	5051	153.12	0.00%	$0.00
11920	Correct skin color 6.0 cm/<	T	5053	453.1	0.53%	$2.40
11921	Correct skn color 6.1-20.0cm	T	5053	453.1	0.16%	$0.72
11950	Tx contour defects 1 cc/<	T	5051	153.12	11.49%	$17.59
11951	Tx contour defects 1.1-5.0cc	T	5053	453.1	6.35%	$28.77
11952	Tx contour defects 5.1-10cc	T	5053	453.1	19.57%	$88.67
11954	Tx contour defects >10.0 cc	T	5052	292.62	0.02%	$0.06
11960	Insert tissue expander(s)	T	5055	2504.69	23.64%	$592.11
11970	Replace tissue expander	J1	5114	5221.57	32.89%	"$1,717.37"
11976	Remove contraceptive capsule	N	5071	539.11	0.99%	$5.34
11980	Implant hormone pellet(s)	N	5735	263.61	0.00%	$0.00
11981	Insert drug implant device	N	5734	100.02	0.91%	$0.91
11982	Remove drug implant device	N	5735	263.61	0.21%	$0.55
11983	Remove/insert drug implant	N	5735	263.61	3.40%	$8.96
12001	Rpr s/n/ax/gen/trnk 2.5cm/<	N	5051	153.12	0.01%	$0.02
12002	Rpr s/n/ax/gen/trnk2.6-7.5cm	N	5051	153.12	0.01%	$0.02
12004	Rpr s/n/ax/gen/trk7.6-12.5cm	N	5051	153.12	0.00%	$0.00
12005	Rpr s/n/a/gen/trk12.6-20.0cm	N	5052	292.62	0.00%	$0.00
12006	Rpr s/n/a/gen/trk20.1-30.0cm	N	5052	292.62	0.00%	$0.00
12007	Rpr s/n/ax/gen/trnk >30.0 cm	T	5051	153.12	0.00%	$0.00
12011	Rpr f/e/e/n/l/m 2.5 cm/<	N	5051	153.12	0.00%	$0.00
12013	Rpr f/e/e/n/l/m 2.6-5.0 cm	N	5051	153.12	0.10%	$0.15
12014	Rpr f/e/e/n/l/m 5.1-7.5 cm	N	5051	153.12	0.00%	$0.00
12015	Rpr f/e/e/n/l/m 7.6-12.5 cm	N	5051	153.12	1.10%	$1.68
12016	Rpr fe/e/en/l/m 12.6-20.0 cm	N	5051	153.12	0.00%	$0.00
12017	Rpr fe/e/en/l/m 20.1-30.0 cm	N	5052	292.62	0.00%	$0.00
12020	Closure of split wound	T	5053	453.1	0.59%	$2.67
12021	Closure of split wound	T	5052	292.62	0.33%	$0.97
12031	Intmd rpr s/a/t/ext 2.5 cm/<	T	5052	292.62	0.36%	$1.05
12032	Intmd rpr s/a/t/ext 2.6-7.5	T	5052	292.62	0.01%	$0.03
12034	Intmd rpr s/tr/ext 7.6-12.5	T	5052	292.62	0.38%	$1.11
12035	Intmd rpr s/a/t/ext 12.6-20	T	5052	292.62	0.27%	$0.79
12036	Intmd rpr s/a/t/ext 20.1-30	T	5053	453.1	0.00%	$0.00
12037	Intmd rpr s/tr/ext >30.0 cm	T	5055	2504.69	0.00%	$0.00
12041	Intmd rpr n-hf/genit 2.5cm/<	N	5052	292.62	0.00%	$0.00
12042	Intmd rpr n-hf/genit2.6-7.5	T	5052	292.62	0.01%	$0.03
12044	Intmd rpr n-hf/genit7.6-12.5	T	5053	453.1	0.00%	$0.00
12045	Intmd rpr n-hf/genit12.6-20	T	5053	453.1	0.10%	$0.45
12046	Intmd rpr n-hf/genit20.1-30	T	5052	292.62	0.00%	$0.00
12047	Intmd rpr n-hf/genit >30.0cm	T	5054	1427.77	0.76%	$10.85
12051	Intmd rpr face/mm 2.5 cm/<	T	5051	153.12	0.01%	$0.02
12052	Intmd rpr face/mm 2.6-5.0 cm	T	5052	292.62	0.00%	$0.00
12053	Intmd rpr face/mm 5.1-7.5 cm	T	5052	292.62	0.00%	$0.00
12054	Intmd rpr face/mm 7.6-12.5cm	N	5052	292.62	0.00%	$0.00
12055	Intmd rpr face/mm 12.6-20 cm	T	5052	292.62	4.74%	$13.87
12056	Intmd rpr face/mm 20.1-30.0	N	5052	292.62	0.00%	$0.00
12057	Intmd rpr face/mm >30.0 cm	T	5051	153.12	0.00%	$0.00
13100	Cmplx rpr trunk 1.1-2.5 cm	T	5053	453.1	1.72%	$7.79
13101	Cmplx rpr trunk 2.6-7.5 cm	T	5053	453.1	0.11%	$0.50
13120	Cmplx rpr s/a/l 1.1-2.5 cm	T	5053	453.1	0.00%	$0.00
13121	Cmplx rpr s/a/l 2.6-7.5 cm	T	5053	453.1	0.03%	$0.14
13131	Cmplx rpr f/c/c/m/n/ax/g/h/f	T	5052	292.62	0.01%	$0.03
13132	Cmplx rpr f/c/c/m/n/ax/g/h/f	T	5053	453.1	0.03%	$0.14
13151	Cmplx rpr e/n/e/l 1.1-2.5 cm	T	5053	453.1	0.01%	$0.05
13152	Cmplx rpr e/n/e/l 2.6-7.5 cm	T	5053	453.1	0.07%	$0.32
13160	Late closure of wound	T	5054	1427.77	2.00%	$28.56
14000	Tis trnfr trunk 10 sq cm/<	T	5054	1427.77	0.46%	$6.57
14001	Tis trnfr trunk 10.1-30sqcm	T	5054	1427.77	0.22%	$3.14
14020	Tis trnfr s/a/l 10 sq cm/<	T	5054	1427.77	0.24%	$3.43
14021	Tis trnfr s/a/l 10.1-30 sqcm	T	5054	1427.77	0.26%	$3.71
14040	Tis trnfr f/c/c/m/n/a/g/h/f	T	5054	1427.77	0.21%	$3.00
14041	Tis trnfr f/c/c/m/n/a/g/h/f	T	5054	1427.77	0.05%	$0.71
14060	Tis trnfr e/n/e/l 10 sq cm/<	T	5054	1427.77	0.04%	$0.57
14061	Tis trnfr e/n/e/l10.1-30sqcm	T	5054	1427.77	0.05%	$0.71
14301	Tis trnfr any 30.1-60 sq cm	T	5055	2504.69	0.25%	$6.26
14350	Filleted finger/toe flap	T	5055	2504.69	3.92%	$98.18
15002	Wound prep trk/arm/leg	T	5054	1427.77	3.65%	$52.11
15004	Wound prep f/n/hf/g	T	5053	453.1	5.59%	$25.33
15040	Harvest cultured skin graft	T	5054	1427.77	1.45%	$20.70
15050	Skin pinch graft	T	5053	453.1	0.00%	$0.00
15100	Skin splt grft trnk/arm/leg	T	5054	1427.77	0.67%	$9.57
15110	Epidrm autogrft trnk/arm/leg	T	5054	1427.77	2.22%	$31.70
15115	Epidrm a-grft face/nck/hf/g	T	5054	1427.77	2.22%	$31.70
15120	Skn splt a-grft fac/nck/hf/g	T	5055	2504.69	0.69%	$17.28
15130	Derm autograft trnk/arm/leg	T	5055	2504.69	10.61%	$265.75
15135	Derm autograft face/nck/hf/g	T	5055	2504.69	0.17%	$4.26
15150	Cult skin grft t/arm/leg	T	5055	2504.69	0.00%	$0.00
15155	Cult skin graft f/n/hf/g	T	5055	2504.69	0.00%	$0.00
15200	Skin full graft trunk	T	5055	2504.69	0.00%	$0.00
15220	Skin full graft sclp/arm/leg	T	5054	1427.77	1.37%	$19.56
15240	Skin full grft face/genit/hf	T	5054	1427.77	0.26%	$3.71
15260	Skin full graft een & lips	T	5054	1427.77	0.05%	$0.71
15271	Skin sub graft trnk/arm/leg	T	5054	1427.77	0.06%	$0.86
15273	Skin sub grft t/arm/lg child	T	5055	2504.69	0.26%	$6.51
15275	Skin sub graft face/nk/hf/g	T	5054	1427.77	0.11%	$1.57
15277	Skn sub grft f/n/hf/g child	T	5054	1427.77	0.00%	$0.00
15570	Skin pedicle flap trunk	T	5054	1427.77	0.00%	$0.00
15572	Skin pedicle flap arms/legs	T	5055	2504.69	0.00%	$0.00
15574	Pedcle fh/ch/ch/m/n/ax/g/h/f	T	5054	1427.77	0.00%	$0.00
15576	Pedicle e/n/e/l/ntroral	T	5054	1427.77	0.33%	$4.71
15600	Delay flap trunk	T	5055	2504.69	0.67%	$16.78
15610	Delay flap arms/legs	T	5055	2504.69	0.52%	$13.02
15620	Delay flap f/c/c/n/ax/g/h/f	T	5054	1427.77	0.14%	$2.00
15630	Delay flap eye/nos/ear/lip	T	5054	1427.77	0.01%	$0.14
15650	Transfer skin pedicle flap	T	5054	1427.77	0.19%	$2.71
15731	Forehead flap w/vasc pedicle	T	5055	2504.69	0.30%	$7.51
15732	Muscle-skin graft head/neck	T	5055	2504.69	0.09%	$2.25
15734	Muscle-skin graft trunk	T	5055	2504.69	0.70%	$17.53
15736	Muscle-skin graft arm	T	5055	2504.69	0.95%	$23.79
15738	Muscle-skin graft leg	T	5055	2504.69	0.04%	$1.00
15740	Island pedicle flap graft	T	5054	1427.77	0.01%	$0.14
15750	Neurovascular pedicle flap	T	5055	2504.69	0.00%	$0.00
15760	Composite skin graft	T	5054	1427.77	0.02%	$0.29
15770	Derma-fat-fascia graft	T	5055	2504.69	2.60%	$65.12
15776	Hair trnspl >15 punch grafts	T	5052	292.62	29.05%	$85.01
15780	Dermabrasion total face	J1	5073	2148.91	1.87%	$40.18
15781	Dermabrasion segmental face	T	5071	539.11	0.00%	$0.00
15783	Dermabrasion suprfl any site	T	5051	153.12	0.00%	$0.00
15786	Abrasion lesion single	N	5051	153.12	0.00%	$0.00
15788	Chemical peel face epiderm	N	5051	153.12	0.00%	$0.00
15789	Chemical peel face dermal	T	5053	453.1	0.00%	$0.00
15792	Chemical peel nonfacial	N	5052	292.62	0.00%	$0.00
15793	Chemical peel nonfacial	N	5052	292.62	0.00%	$0.00
15820	Revision of lower eyelid	T	5054	1427.77	1.12%	$15.99
15821	Revision of lower eyelid	T	5055	2504.69	0.00%	$0.00
15822	Revision of upper eyelid	T	5054	1427.77	0.23%	$3.28
15823	Revision of upper eyelid	T	5054	1427.77	0.02%	$0.29
15824	Removal of forehead wrinkles	T	5054	1427.77	0.00%	$0.00
15825	Removal of neck wrinkles	T	5055	2504.69	0.00%	$0.00
15826	Removal of brow wrinkles	T	5055	2504.69	0.00%	$0.00
15828	Removal of face wrinkles	T	5055	2504.69	7.57%	$189.61
15829	Removal of skin wrinkles	T	5055	2504.69	1.18%	$29.56
15830	Exc skin abd	J1	5092	4419.46	2.04%	$90.16
15832	Excise excessive skin thigh	J1	5073	2148.91	0.63%	$13.54
15833	Excise excessive skin leg	J1	5073	2148.91	0.00%	$0.00
15834	Excise excessive skin hip	J1	5073	2148.91	0.80%	$17.19
15835	Excise excessive skin buttck	J1	5073	2148.91	0.00%	$0.00
15836	Excise excessive skin arm	J1	5073	2148.91	4.24%	$91.11
15837	Excise excess skin arm/hand	J1	5073	2148.91	0.00%	$0.00
15838	Excise excess skin fat pad	J1	5073	2148.91	0.00%	$0.00
15839	Excise excess skin & tissue	J1	5073	2148.91	3.77%	$81.01
15840	Nerve palsy fascial graft	T	5055	2504.69	15.25%	$381.97
15841	Nerve palsy muscle graft	T	5055	2504.69	0.00%	$0.00
15845	Skin and muscle repair face	T	5055	2504.69	1.05%	$26.30
15850	Remove sutures same surgeon	T	5053	453.1	0.02%	$0.09
15851	Remove sutures diff surgeon	T	5054	1427.77	1.42%	$20.27
15852	Dressing change not for burn	N	5735	263.61	0.22%	$0.58
15860	Test for blood flow in graft	N	5735	263.61	0.00%	$0.00
15876	Suction lipectomy head&neck	T	5055	2504.69	0.00%	$0.00
15877	Suction lipectomy trunk	T	5055	2504.69	1.84%	$46.09
15878	Suction lipectomy upr extrem	T	5054	1427.77	0.26%	$3.71
15879	Suction lipectomy lwr extrem	T	5055	2504.69	0.00%	$0.00
15920	Removal of tail bone ulcer	J1	5073	2148.91	10.37%	$222.84
15922	Removal of tail bone ulcer	T	5055	2504.69	0.00%	$0.00
15931	Remove sacrum pressure sore	J1	5072	1236.62	2.85%	$35.24
15933	Remove sacrum pressure sore	J1	5073	2148.91	0.06%	$1.29
15934	Remove sacrum pressure sore	T	5055	2504.69	0.09%	$2.25
15935	Remove sacrum pressure sore	T	5055	2504.69	0.05%	$1.25
15936	Remove sacrum pressure sore	T	5054	1427.77	0.00%	$0.00
15937	Remove sacrum pressure sore	T	5054	1427.77	0.07%	$1.00
15940	Remove hip pressure sore	J1	5073	2148.91	3.28%	$70.48
15941	Remove hip pressure sore	J1	5073	2148.91	0.00%	$0.00
15944	Remove hip pressure sore	T	5055	2504.69	3.87%	$96.93
15945	Remove hip pressure sore	T	5055	2504.69	0.00%	$0.00
15946	Remove hip pressure sore	T	5055	2504.69	6.42%	$160.80
15950	Remove thigh pressure sore	J1	5072	1236.62	0.19%	$2.35
15951	Remove thigh pressure sore	J1	5073	2148.91	27.07%	$581.71
15952	Remove thigh pressure sore	T	5055	2504.69	0.00%	$0.00
15953	Remove thigh pressure sore	T	5055	2504.69	25.20%	$631.18
15956	Remove thigh pressure sore	T	5054	1427.77	0.00%	$0.00
15958	Remove thigh pressure sore	T	5055	2504.69	0.00%	$0.00
15999	Removal of pressure sore	T	5071	539.11	0.06%	$0.32
16000	Initial treatment of burn(s)	N	5051	153.12	0.00%	$0.00
16020	Dress/debrid p-thick burn s	N	5051	153.12	0.00%	$0.00
16025	Dress/debrid p-thick burn m	T	5051	153.12	0.00%	$0.00
16030	Dress/debrid p-thick burn l	T	5052	292.62	0.00%	$0.00
16035	Incision of burn scab initi	T	5052	292.62	0.00%	$0.00
17000	Destruct premalg lesion	N	5051	153.12	0.00%	$0.00
17004	Destroy premal lesions 15/>	T	5052	292.62	0.00%	$0.00
17106	Destruction of skin lesions	T	5052	292.62	0.00%	$0.00
17107	Destruction of skin lesions	T	5053	453.1	0.36%	$1.63
17108	Destruction of skin lesions	T	5054	1427.77	0.01%	$0.14
17110	Destruct b9 lesion 1-14	N	5051	153.12	0.00%	$0.00
17111	Destruct lesion 15 or more	N	5051	153.12	0.01%	$0.02
17250	Chemical cautery tissue	N	5051	153.12	0.01%	$0.02
17260	Destruction of skin lesions	N	5051	153.12	0.00%	$0.00
17261	Destruction of skin lesions	N	5051	153.12	0.00%	$0.00
17262	Destruction of skin lesions	N	5051	153.12	0.00%	$0.00
17263	Destruction of skin lesions	N	5051	153.12	0.00%	$0.00
17264	Destruction of skin lesions	T	5052	292.62	0.00%	$0.00
17266	Destruction of skin lesions	T	5052	292.62	0.00%	$0.00
17270	Destruction of skin lesions	T	5051	153.12	0.00%	$0.00
17271	Destruction of skin lesions	T	5051	153.12	0.00%	$0.00
17272	Destruction of skin lesions	N	5051	153.12	0.00%	$0.00
17273	Destruction of skin lesions	T	5052	292.62	0.00%	$0.00
17274	Destruction of skin lesions	T	5052	292.62	0.01%	$0.03
17276	Destruction of skin lesions	T	5052	292.62	0.00%	$0.00
17280	Destruction of skin lesions	N	5051	153.12	0.00%	$0.00
17281	Destruction of skin lesions	T	5052	292.62	0.00%	$0.00
17282	Destruction of skin lesions	T	5052	292.62	0.00%	$0.00
17283	Destruction of skin lesions	T	5052	292.62	0.00%	$0.00
17284	Destruction of skin lesions	T	5053	453.1	0.18%	$0.82
17286	Destruction of skin lesions	T	5053	453.1	0.00%	$0.00
17311	Mohs 1 stage h/n/hf/g	T	5053	453.1	0.00%	$0.00
17313	Mohs 1 stage t/a/l	T	5053	453.1	0.00%	$0.00
17340	Cryotherapy of skin	N	5732	28.38	0.00%	$0.00
17380	Hair removal by electrolysis	T	5053	453.1	0.00%	$0.00
17999	Skin tissue procedure	N	5051	153.12	5.67%	$8.68
19000	Drainage of breast lesion	T	5071	539.11	0.86%	$4.64
19020	Incision of breast lesion	J1	5072	1236.62	0.59%	$7.30
1908A	CPX 19081 Bx breast 1st lesi	J1	5073	2148.91	6.95%	$149.35
19081	Bx breast 1st lesion strtctc	J1	5072	1236.62	5.67%	$70.12
19083	Bx breast 1st lesion us imag	J1	5072	1236.62	6.42%	$79.39
19085	Bx breast 1st lesion mr imag	J1	5072	1236.62	4.68%	$57.87
19100	Bx breast percut w/o image	J1	5072	1236.62	3.06%	$37.84
19101	Biopsy of breast open	J1	5091	2499.48	0.96%	$24.00
19105	Cryosurg ablate fa each	J1	5091	2499.48	0.67%	$16.75
19110	Nipple exploration	J1	5091	2499.48	0.02%	$0.50
19112	Excise breast duct fistula	J1	5091	2499.48	0.38%	$9.50
19120	Removal of breast lesion	J1	5091	2499.48	0.32%	$8.00
19125	Excision breast lesion	J1	5091	2499.48	0.44%	$11.00
19260	Removal of chest wall lesion	J1	5073	2148.91	1.46%	$31.37
19281	Perq device breast 1st imag	N	5071	539.11	8.27%	$44.58
19283	Perq dev breast 1st strtctc	N	5071	539.11	3.97%	$21.40
19285	Perq dev breast 1st us imag	N	5071	539.11	8.71%	$46.96
19287	Perq dev breast 1st mr guide	N	5071	539.11	5.85%	$31.54
19296	Place po breast cath for rad	J1	5093	6486.35	45.94%	"$2,979.83"
19298	Place breast rad tube/caths	J1	5092	4419.46	32.88%	"$1,453.12"
1930A	CPX 19301 Partial mastectomy	J1	5092	4419.46	0.77%	$34.03
19300	Removal of breast tissue	J1	5091	2499.48	0.43%	$10.75
19301	Partial mastectomy	J1	5091	2499.48	0.81%	$20.25
19302	P-mastectomy w/ln removal	J1	5092	4419.46	0.91%	$40.22
19303	Mast simple complete	J1	5092	4419.46	0.92%	$40.66
19304	Mast subq	J1	5091	2499.48	0.71%	$17.75
19307	Mast mod rad	J1	5092	4419.46	1.12%	$49.50
19316	Suspension of breast	J1	5092	4419.46	2.21%	$97.67
19318	Reduction of large breast	J1	5092	4419.46	0.77%	$34.03
19324	Enlarge breast	J1	5093	6486.35	7.12%	$461.83
19325	Enlarge breast with implant	J1	5093	6486.35	28.97%	"$1,879.10"
19340	Immediate breast prosthesis	J1	5092	4419.46	30.16%	"$1,332.91"
19342	Delayed breast prosthesis	J1	5093	6486.35	33.75%	"$2,189.14"
19350	Breast reconstruction	J1	5091	2499.48	1.69%	$42.24
19355	Correct inverted nipple(s)	J1	5091	2499.48	0.00%	$0.00
19357	Breast reconstruction	J1	5094	10037.05	32.11%	"$3,222.90"
19366	Breast reconstruction	J1	5092	4419.46	1.15%	$50.82
19370	Surgery of breast capsule	J1	5091	2499.48	9.31%	$232.70
19371	Removal of breast capsule	J1	5091	2499.48	2.23%	$55.74
19380	Revise breast reconstruction	J1	5092	4419.46	13.02%	$575.41
19499	Breast surgery procedure	J1	5091	2499.48	3.74%	$93.48
20005	I&d abscess subfascial	J1	5072	1236.62	1.43%	$17.68
20100	Explore wound neck	T	5162	442.62	0.00%	$0.00
20101	Explore wound chest	T	5054	1427.77	0.00%	$0.00
20102	Explore wound abdomen	T	5054	1427.77	1.15%	$16.42
20103	Explore wound extremity	T	5071	539.11	0.17%	$0.92
20150	Excise epiphyseal bar	J1	5113	2438.34	0.00%	$0.00
20200	Muscle biopsy	J1	5072	1236.62	0.00%	$0.00
20205	Deep muscle biopsy	J1	5073	2148.91	0.09%	$1.93
20206	Needle biopsy muscle	J1	5072	1236.62	0.44%	$5.44
20220	Bone biopsy trocar/needle	J1	5072	1236.62	1.43%	$17.68
20225	Bone biopsy trocar/needle	J1	5072	1236.62	1.91%	$23.62
20240	Bone biopsy open superficial	J1	5073	2148.91	1.97%	$42.33
20245	Bone biopsy open deep	J1	5073	2148.91	3.20%	$68.77
20250	Open bone biopsy	J1	5113	2438.34	3.82%	$93.14
20251	Open bone biopsy	J1	5114	5221.57	4.13%	$215.65
20500	Injection of sinus tract	T	5163	1038.55	3.51%	$36.45
20520	Removal of foreign body	J1	5072	1236.62	0.00%	$0.00
20525	Removal of foreign body	J1	5073	2148.91	0.62%	$13.32
20526	Ther injection carp tunnel	T	5441	231	0.08%	$0.18
20527	Inj dupuytren cord w/enzyme	T	5441	231	0.00%	$0.00
20550	Inj tendon sheath/ligament	T	5441	231	0.02%	$0.05
20551	Inj tendon origin/insertion	T	5441	231	0.01%	$0.02
20552	Inj trigger point 1/2 muscl	T	5441	231	0.01%	$0.02
20553	Inject trigger points 3/>	T	5441	231	0.01%	$0.02
20555	Place ndl musc/tis for rt	J1	5113	2438.34	2.21%	$53.89
20600	Drain/inj joint/bursa w/o us	T	5441	231	0.03%	$0.07
20604	Drain/inj joint/bursa w/us	T	5441	231	0.00%	$0.00
20605	Drain/inj joint/bursa w/o us	T	5441	231	0.03%	$0.07
20606	Drain/inj joint/bursa w/us	T	5442	507.19	0.02%	$0.10
20610	Drain/inj joint/bursa w/o us	T	5441	231	0.03%	$0.07
20611	Drain/inj joint/bursa w/us	T	5441	231	0.14%	$0.32
20612	Aspirate/inj ganglion cyst	T	5441	231	0.11%	$0.25
20615	Treatment of bone cyst	T	5071	539.11	0.56%	$3.02
20650	Insert and remove bone pin	J1	5113	2438.34	14.42%	$351.61
20665	Removal of fixation device	N	5735	263.61	0.00%	$0.00
20690	Apply bone fixation device	J1	5114	5221.57	32.40%	"$1,691.79"
20692	Apply bone fixation device	J1	5115	9561.23	41.76%	"$3,992.77"
20693	Adjust bone fixation device	J1	5114	5221.57	28.62%	"$1,494.41"
20696	Comp multiplane ext fixation	J1	5116	14704.13	39.35%	"$5,786.08"
20697	Comp ext fixate strut change	J1	5112	1217.42	9.56%	$116.39
20822	Replantation digit complete	J1	5113	2438.34	0.00%	$0.00
20900	Removal of bone for graft	J1	5114	5221.57	25.76%	"$1,345.08"
20902	Removal of bone for graft	J1	5114	5221.57	7.78%	$406.24
20922	Removal of fascia for graft	T	5055	2504.69	16.28%	$407.76
20924	Removal of tendon for graft	J1	5114	5221.57	18.03%	$941.45
20926	Removal of tissue for graft	T	5055	2504.69	1.72%	$43.08
20950	Fluid pressure muscle	T	5071	539.11	0.00%	$0.00
20972	Bone/skin graft metatarsal	J1	5114	5221.57	27.88%	"$1,455.77"
20979	Us bone stimulation	N	5732	28.38	0.00%	$0.00
20982	Ablate bone tumor(s) perq	J1	5114	5221.57	18.02%	$940.93
20983	Ablate bone tumor(s) perq	J1	5114	5221.57	21.52%	"$1,123.68"
20999	Musculoskeletal surgery	T	5111	199.83	7.43%	$14.85
21010	Incision of jaw joint	J1	5164	2173.69	0.00%	$0.00
21011	Exc face les sc <2 cm	J1	5072	1236.62	0.16%	$1.98
21012	Exc face les sbq 2 cm/>	J1	5072	1236.62	0.15%	$1.85
21013	Exc face tum deep < 2 cm	J1	5072	1236.62	0.00%	$0.00
21014	Exc face tum deep 2 cm/>	J1	5073	2148.91	0.53%	$11.39
21015	Resect face/scalp tum < 2 cm	J1	5073	2148.91	0.08%	$1.72
21016	Resect face/scalp tum 2 cm/>	J1	5073	2148.91	1.74%	$37.39
21025	Excision of bone lower jaw	J1	5165	4130.94	2.95%	$121.86
21026	Excision of facial bone(s)	J1	5165	4130.94	1.33%	$54.94
21029	Contour of face bone lesion	J1	5164	2173.69	0.39%	$8.48
21030	Excise max/zygoma b9 tumor	J1	5165	4130.94	1.81%	$74.77
21031	Remove exostosis mandible	J1	5164	2173.69	0.38%	$8.26
21032	Remove exostosis maxilla	J1	5164	2173.69	0.09%	$1.96
21034	Excise max/zygoma mal tumor	J1	5165	4130.94	1.90%	$78.49
21040	Excise mandible lesion	J1	5164	2173.69	1.32%	$28.69
21044	Removal of jaw bone lesion	J1	5165	4130.94	0.44%	$18.18
21046	Remove mandible cyst complex	J1	5165	4130.94	4.68%	$193.33
21047	Excise lwr jaw cyst w/repair	J1	5165	4130.94	1.97%	$81.38
21048	Remove maxilla cyst complex	J1	5165	4130.94	6.45%	$266.45
21049	Excis uppr jaw cyst w/repair	J1	5165	4130.94	10.16%	$419.70
21050	Removal of jaw joint	J1	5165	4130.94	7.35%	$303.62
21060	Remove jaw joint cartilage	J1	5165	4130.94	0.48%	$19.83
21070	Remove coronoid process	J1	5165	4130.94	0.57%	$23.55
21073	Mnpj of tmj w/anesth	T	5163	1038.55	0.00%	$0.00
21076	Prepare face/oral prosthesis	T	5163	1038.55	0.00%	$0.00
21077	Prepare face/oral prosthesis	J1	5165	4130.94	1.52%	$62.79
21079	Prepare face/oral prosthesis	J1	5164	2173.69	0.00%	$0.00
21080	Prepare face/oral prosthesis	J1	5164	2173.69	0.00%	$0.00
21081	Prepare face/oral prosthesis	J1	5165	4130.94	0.00%	$0.00
21082	Prepare face/oral prosthesis	J1	5164	2173.69	0.00%	$0.00
21083	Prepare face/oral prosthesis	J1	5164	2173.69	0.00%	$0.00
21084	Prepare face/oral prosthesis	J1	5164	2173.69	0.00%	$0.00
21085	Prepare face/oral prosthesis	T	5162	442.62	0.00%	$0.00
21086	Prepare face/oral prosthesis	J1	5164	2173.69	11.97%	$260.19
21087	Prepare face/oral prosthesis	J1	5165	4130.94	0.00%	$0.00
21088	Prepare face/oral prosthesis	J1	5164	2173.69	0.00%	$0.00
21089	Prepare face/oral prosthesis	T	5161	177.09	0.00%	$0.00
21110	Interdental fixation	N	5163	1038.55	13.59%	$141.14
21120	Reconstruction of chin	J1	5165	4130.94	44.80%	"$1,850.66"
21121	Reconstruction of chin	J1	5164	2173.69	0.80%	$17.39
21122	Reconstruction of chin	J1	5165	4130.94	18.48%	$763.40
21125	Augmentation lower jaw bone	J1	5165	4130.94	37.12%	"$1,533.40"
21127	Augmentation lower jaw bone	J1	5165	4130.94	26.47%	"$1,093.46"
21150	Lefort ii anterior intrusion	J1	5165	4130.94	39.08%	"$1,614.37"
21172	Reconstruct orbit/forehead	J1	5165	4130.94	11.91%	$491.99
21181	Contour cranial bone lesion	J1	5165	4130.94	0.43%	$17.76
21193	Reconst lwr jaw w/o graft	J1	5165	4130.94	23.94%	$988.95
21195	Reconst lwr jaw w/o fixation	J1	5165	4130.94	4.56%	$188.37
21198	Reconstr lwr jaw segment	J1	5165	4130.94	11.65%	$481.25
21199	Reconstr lwr jaw w/advance	J1	5165	4130.94	25.06%	"$1,035.21"
21206	Reconstruct upper jaw bone	J1	5165	4130.94	11.23%	$463.90
21208	Augmentation of facial bones	J1	5165	4130.94	29.81%	"$1,231.43"
21209	Reduction of facial bones	J1	5165	4130.94	14.80%	$611.38
21210	Face bone graft	J1	5165	4130.94	23.39%	$966.23
21215	Lower jaw bone graft	J1	5165	4130.94	28.76%	"$1,188.06"
21230	Rib cartilage graft	J1	5165	4130.94	4.38%	$180.94
21235	Ear cartilage graft	J1	5165	4130.94	0.75%	$30.98
21240	Reconstruction of jaw joint	J1	5165	4130.94	2.05%	$84.68
21242	Reconstruction of jaw joint	J1	5165	4130.94	36.63%	"$1,513.16"
21243	Reconstruction of jaw joint	J1	5116	14704.13	48.42%	"$7,119.74"
21244	Reconstruction of lower jaw	J1	5165	4130.94	38.64%	"$1,596.20"
21245	Reconstruction of jaw	J1	5165	4130.94	25.99%	"$1,073.63"
21246	Reconstruction of jaw	J1	5165	4130.94	25.53%	"$1,054.63"
21248	Reconstruction of jaw	J1	5165	4130.94	13.93%	$575.44
21249	Reconstruction of jaw	J1	5165	4130.94	25.85%	"$1,067.85"
21256	Reconstruction of orbit	J1	5165	4130.94	34.77%	"$1,436.33"
21267	Revise eye sockets	J1	5165	4130.94	0.00%	$0.00
21270	Augmentation cheek bone	J1	5165	4130.94	12.22%	$504.80
21275	Revision orbitofacial bones	J1	5165	4130.94	60.39%	"$2,494.67"
21280	Revision of eyelid	J1	5164	2173.69	1.79%	$38.91
21282	Revision of eyelid	J1	5164	2173.69	1.65%	$35.87
21299	Cranio/maxillofacial surgery	T	5161	177.09	6.21%	$11.00
21310	Closed tx nose fx w/o manj	T	5111	199.83	-0.01%	-$0.02
21315	Closed tx nose fx w/o stablj	T	5163	1038.55	0.04%	$0.42
21320	Closed tx nose fx w/ stablj	J1	5164	2173.69	0.10%	$2.17
21325	Open tx nose fx uncomplicatd	J1	5164	2173.69	0.20%	$4.35
21330	Open tx nose fx w/skele fixj	J1	5165	4130.94	15.60%	$644.43
21335	Open tx nose & septal fx	J1	5164	2173.69	0.89%	$19.35
21336	Open tx septal fx w/wo stabj	J1	5113	2438.34	0.86%	$20.97
21337	Closed tx septal&nose fx	J1	5164	2173.69	0.89%	$19.35
21338	Open nasoethmoid fx w/o fixj	J1	5165	4130.94	24.21%	"$1,000.10"
21339	Open nasoethmoid fx w/ fixj	J1	5165	4130.94	14.08%	$581.64
21340	Perq tx nasoethmoid fx	J1	5164	2173.69	0.00%	$0.00
21345	Closed tx nose/jaw fx	T	5163	1038.55	16.60%	$172.40
21346	Opn tx nasomax fx w/fixj	J1	5165	4130.94	43.17%	"$1,783.33"
21355	Perq tx malar fracture	J1	5164	2173.69	0.00%	$0.00
21356	Opn tx dprsd zygomatic arch	J1	5165	4130.94	12.03%	$496.95
21360	Opn tx dprsd malar fracture	J1	5165	4130.94	26.93%	"$1,112.46"
21365	Opn tx complx malar fx	J1	5165	4130.94	37.88%	"$1,564.80"
21385	Opn tx orbit fx transantral	J1	5165	4130.94	25.39%	"$1,048.85"
21386	Opn tx orbit fx periorbital	J1	5165	4130.94	26.63%	"$1,100.07"
21387	Opn tx orbit fx combined	J1	5165	4130.94	29.82%	"$1,231.85"
21390	Opn tx orbit periorbtl implt	J1	5165	4130.94	23.74%	$980.69
21395	Opn tx orbit periorbt w/grft	J1	5165	4130.94	24.59%	"$1,015.80"
21400	Closed tx orbit w/o manipulj	T	5162	442.62	0.00%	$0.00
21401	Closed tx orbit w/manipulj	T	5163	1038.55	24.14%	$250.71
21406	Opn tx orbit fx w/o implant	J1	5165	4130.94	32.88%	"$1,358.25"
21407	Opn tx orbit fx w/implant	J1	5165	4130.94	26.34%	"$1,088.09"
21421	Treat mouth roof fracture	J1	5164	2173.69	11.61%	$252.37
21440	Treat dental ridge fracture	J1	5164	2173.69	7.71%	$167.59
21445	Treat dental ridge fracture	J1	5165	4130.94	33.65%	"$1,390.06"
21450	Treat lower jaw fracture	T	5162	442.62	0.00%	$0.00
21451	Treat lower jaw fracture	T	5163	1038.55	19.62%	$203.76
21452	Treat lower jaw fracture	J1	5165	4130.94	18.41%	$760.51
21453	Treat lower jaw fracture	J1	5165	4130.94	17.20%	$710.52
21454	Treat lower jaw fracture	J1	5165	4130.94	25.86%	"$1,068.26"
21461	Treat lower jaw fracture	J1	5165	4130.94	35.61%	"$1,471.03"
21462	Treat lower jaw fracture	J1	5165	4130.94	38.87%	"$1,605.70"
21465	Treat lower jaw fracture	J1	5165	4130.94	28.27%	"$1,167.82"
21470	Treat lower jaw fracture	J1	5165	4130.94	37.46%	"$1,547.45"
21480	Reset dislocated jaw	T	5111	199.83	0.00%	$0.00
21485	Reset dislocated jaw	T	5163	1038.55	15.78%	$163.88
21490	Repair dislocated jaw	J1	5164	2173.69	0.00%	$0.00
21497	Interdental wiring	T	5163	1038.55	0.00%	$0.00
21499	Head surgery procedure	T	5161	177.09	8.19%	$14.50
21501	Drain neck/chest lesion	J1	5073	2148.91	0.66%	$14.18
21502	Drain chest lesion	J1	5113	2438.34	0.00%	$0.00
21550	Biopsy of neck/chest	J1	5072	1236.62	0.73%	$9.03
21552	Exc neck les sc 3 cm/>	J1	5073	2148.91	0.23%	$4.94
21554	Exc neck tum deep 5 cm/>	J1	5073	2148.91	0.52%	$11.17
21555	Exc neck les sc < 3 cm	J1	5072	1236.62	0.22%	$2.72
21556	Exc neck tum deep < 5 cm	J1	5073	2148.91	0.32%	$6.88
21557	Resect neck thorax tumor<5cm	J1	5073	2148.91	0.05%	$1.07
21558	Resect neck tumor 5 cm/>	J1	5073	2148.91	0.33%	$7.09
21600	Partial removal of rib	J1	5114	5221.57	4.46%	$232.88
21610	Partial removal of rib	J1	5113	2438.34	0.00%	$0.00
21685	Hyoid myotomy & suspension	J1	5165	4130.94	18.09%	$747.29
21700	Revision of neck muscle	J1	5113	2438.34	2.73%	$66.57
21720	Revision of neck muscle	J1	5113	2438.34	0.17%	$4.15
21805	Treatment of rib fracture	J1	5114	5221.57	0.00%	$0.00
21811	Optx of rib fx w/fixj scope	J1	5113	2438.34	42.78%	"$1,043.12"
21820	Treat sternum fracture	T	5111	199.83	0.00%	$0.00
21899	Neck/chest surgery procedure	T	5161	177.09	2.90%	$5.14
21920	Biopsy soft tissue of back	J1	5072	1236.62	0.19%	$2.35
21925	Biopsy soft tissue of back	J1	5072	1236.62	0.18%	$2.23
2193A	CPX 21931 Exc back les sc 3	J1	5073	2148.91	0.10%	$2.15
21930	Exc back les sc < 3 cm	J1	5072	1236.62	0.09%	$1.11
21931	Exc back les sc 3 cm/>	J1	5072	1236.62	0.12%	$1.48
21932	Exc back tum deep < 5 cm	J1	5073	2148.91	0.11%	$2.36
21933	Exc back tum deep 5 cm/>	J1	5073	2148.91	0.16%	$3.44
21935	Resect back tum < 5 cm	J1	5073	2148.91	3.76%	$80.80
21936	Resect back tum 5 cm/>	J1	5073	2148.91	0.11%	$2.36
22100	Remove part of neck vertebra	J1	5114	5221.57	1.33%	$69.45
22101	Remove part thorax vertebra	J1	5113	2438.34	0.74%	$18.04
22102	Remove part lumbar vertebra	J1	5114	5221.57	1.86%	$97.12
22305	Closed tx spine process fx	T	5111	199.83	0.00%	$0.00
22310	Closed tx vert fx w/o manj	T	5111	199.83	0.00%	$0.00
22315	Closed tx vert fx w/manj	J1	5112	1217.42	0.00%	$0.00
22505	Manipulation of spine	J1	5112	1217.42	0.00%	$0.00
22510	Perq cervicothoracic inject	J1	5113	2438.34	13.52%	$329.66
22511	Perq lumbosacral injection	J1	5113	2438.34	14.90%	$363.31
22513	Perq vertebral augmentation	J1	5114	5221.57	19.66%	"$1,026.56"
22514	Perq vertebral augmentation	J1	5114	5221.57	19.64%	"$1,025.52"
22551	Neck spine fuse&remov bel c2	J1	5115	9561.23	47.15%	"$4,508.12"
22554	Neck spine fusion	J1	5115	9561.23	45.48%	"$4,348.45"
22612	Lumbar spine fusion	J1	5115	9561.23	39.72%	"$3,797.72"
22856	Cerv artific diskectomy	J1	5116	14704.13	53.34%	"$7,843.18"
22899	Spine surgery procedure	T	5111	199.83	21.11%	$42.18
22900	Exc abdl tum deep < 5 cm	J1	5073	2148.91	0.92%	$19.77
22901	Exc abdl tum deep 5 cm/>	J1	5073	2148.91	0.75%	$16.12
22902	Exc abd les sc < 3 cm	J1	5072	1236.62	0.72%	$8.90
22903	Exc abd les sc 3 cm/>	J1	5073	2148.91	0.44%	$9.46
22904	Radical resect abd tumor<5cm	J1	5073	2148.91	0.17%	$3.65
22905	Rad resect abd tumor 5 cm/>	J1	5073	2148.91	8.34%	$179.22
22999	Abdomen surgery procedure	T	5111	199.83	2.09%	$4.18
23000	Removal of calcium deposits	J1	5073	2148.91	0.79%	$16.98
23020	Release shoulder joint	J1	5113	2438.34	1.15%	$28.04
23030	Drain shoulder lesion	J1	5073	2148.91	0.85%	$18.27
23031	Drain shoulder bursa	J1	5072	1236.62	0.00%	$0.00
23035	Drain shoulder bone lesion	J1	5112	1217.42	0.00%	$0.00
23040	Exploratory shoulder surgery	J1	5113	2438.34	0.45%	$10.97
23044	Exploratory shoulder surgery	J1	5113	2438.34	0.00%	$0.00
23065	Biopsy shoulder tissues	J1	5072	1236.62	0.22%	$2.72
23066	Biopsy shoulder tissues	J1	5073	2148.91	0.17%	$3.65
23071	Exc shoulder les sc 3 cm/>	J1	5072	1236.62	0.10%	$1.24
23073	Exc shoulder tum deep 5 cm/>	J1	5073	2148.91	0.21%	$4.51
23075	Exc shoulder les sc < 3 cm	J1	5072	1236.62	0.73%	$9.03
23076	Exc shoulder tum deep < 5 cm	J1	5073	2148.91	0.09%	$1.93
23077	Resect shoulder tumor < 5 cm	J1	5073	2148.91	0.23%	$4.94
23078	Resect shoulder tumor 5 cm/>	J1	5073	2148.91	1.92%	$41.26
23100	Biopsy of shoulder joint	J1	5112	1217.42	0.00%	$0.00
23101	Shoulder joint surgery	J1	5113	2438.34	3.43%	$83.64
23105	Remove shoulder joint lining	J1	5114	5221.57	0.68%	$35.51
23106	Incision of collarbone joint	J1	5113	2438.34	2.87%	$69.98
23107	Explore treat shoulder joint	J1	5114	5221.57	0.51%	$26.63
23120	Partial removal collar bone	J1	5113	2438.34	2.09%	$50.96
23125	Removal of collar bone	J1	5113	2438.34	0.00%	$0.00
23130	Remove shoulder bone part	J1	5113	2438.34	2.49%	$60.71
23140	Removal of bone lesion	J1	5113	2438.34	0.54%	$13.17
23146	Removal of bone lesion	J1	5114	5221.57	0.00%	$0.00
23150	Removal of humerus lesion	J1	5113	2438.34	6.20%	$151.18
23155	Removal of humerus lesion	J1	5114	5221.57	36.12%	"$1,886.03"
23156	Removal of humerus lesion	J1	5114	5221.57	14.88%	$776.97
23170	Remove collar bone lesion	J1	5112	1217.42	0.00%	$0.00
23180	Remove collar bone lesion	J1	5113	2438.34	0.00%	$0.00
23182	Remove shoulder blade lesion	J1	5113	2438.34	0.00%	$0.00
23184	Remove humerus lesion	J1	5114	5221.57	8.65%	$451.67
23190	Partial removal of scapula	J1	5113	2438.34	0.00%	$0.00
23195	Removal of head of humerus	J1	5114	5221.57	11.99%	$626.07
23330	Remove shoulder foreign body	T	5071	539.11	0.00%	$0.00
23333	Remove shoulder fb deep	J1	5072	1236.62	5.53%	$68.39
23334	Shoulder prosthesis removal	J1	5073	2148.91	16.62%	$357.15
23395	Muscle transfer shoulder/arm	J1	5114	5221.57	17.15%	$895.50
23397	Muscle transfers	J1	5114	5221.57	15.35%	$801.51
23405	Incision of tendon & muscle	J1	5114	5221.57	4.31%	$225.05
23406	Incise tendon(s) & muscle(s)	J1	5113	2438.34	71.42%	"$1,741.46"
23410	Repair rotator cuff acute	J1	5114	5221.57	21.58%	"$1,126.81"
23412	Repair rotator cuff chronic	J1	5114	5221.57	20.73%	"$1,082.43"
23415	Release of shoulder ligament	J1	5114	5221.57	13.60%	$710.13
23420	Repair of shoulder	J1	5114	5221.57	21.27%	"$1,110.63"
23430	Repair biceps tendon	J1	5114	5221.57	22.20%	"$1,159.19"
23440	Remove/transplant tendon	J1	5113	2438.34	12.23%	$298.21
23450	Repair shoulder capsule	J1	5114	5221.57	10.92%	$570.20
23455	Repair shoulder capsule	J1	5114	5221.57	21.28%	"$1,111.15"
23460	Repair shoulder capsule	J1	5114	5221.57	22.41%	"$1,170.15"
23462	Repair shoulder capsule	J1	5114	5221.57	21.30%	"$1,112.19"
23465	Repair shoulder capsule	J1	5114	5221.57	17.06%	$890.80
23466	Repair shoulder capsule	J1	5114	5221.57	15.86%	$828.14
23470	Reconstruct shoulder joint	J1	5115	9561.23	51.29%	"$4,903.95"
23473	Revis reconst shoulder joint	J1	5115	9561.23	40.95%	"$3,915.32"
23480	Revision of collar bone	J1	5114	5221.57	15.12%	$789.50
23485	Revision of collar bone	J1	5115	9561.23	41.31%	"$3,949.74"
23490	Reinforce clavicle	J1	5114	5221.57	23.66%	"$1,235.42"
23491	Reinforce shoulder bones	J1	5115	9561.23	38.48%	"$3,679.16"
23500	Treat clavicle fracture	T	5111	199.83	0.00%	$0.00
23505	Treat clavicle fracture	J1	5112	1217.42	1.13%	$13.76
23515	Treat clavicle fracture	J1	5114	5221.57	37.64%	"$1,965.40"
23520	Treat clavicle dislocation	J1	5112	1217.42	31.55%	$384.10
23525	Treat clavicle dislocation	T	5111	199.83	0.00%	$0.00
23530	Treat clavicle dislocation	J1	5114	5221.57	18.88%	$985.83
23532	Treat clavicle dislocation	J1	5114	5221.57	32.11%	"$1,676.65"
23540	Treat clavicle dislocation	T	5111	199.83	0.00%	$0.00
23545	Treat clavicle dislocation	T	5111	199.83	13.33%	$26.64
23550	Treat clavicle dislocation	J1	5114	5221.57	27.52%	"$1,436.98"
23552	Treat clavicle dislocation	J1	5114	5221.57	31.77%	"$1,658.89"
23570	Treat shoulder blade fx	T	5111	199.83	0.00%	$0.00
23575	Treat shoulder blade fx	J1	5112	1217.42	0.00%	$0.00
23585	Treat scapula fracture	J1	5114	5221.57	28.64%	"$1,495.46"
23600	Treat humerus fracture	T	5111	199.83	0.00%	$0.00
23605	Treat humerus fracture	J1	5112	1217.42	1.36%	$16.56
23615	Treat humerus fracture	J1	5115	9561.23	42.42%	"$4,055.87"
23616	Treat humerus fracture	J1	5116	14704.13	46.82%	"$6,884.47"
23620	Treat humerus fracture	T	5111	199.83	0.00%	$0.00
23625	Treat humerus fracture	J1	5112	1217.42	3.38%	$41.15
23630	Treat humerus fracture	J1	5114	5221.57	30.02%	"$1,567.52"
23650	Treat shoulder dislocation	T	5111	199.83	0.00%	$0.00
23655	Treat shoulder dislocation	J1	5112	1217.42	0.09%	$1.10
23660	Treat shoulder dislocation	J1	5114	5221.57	10.28%	$536.78
23665	Treat dislocation/fracture	J1	5112	1217.42	0.00%	$0.00
23670	Treat dislocation/fracture	J1	5114	5221.57	25.09%	"$1,310.09"
23675	Treat dislocation/fracture	J1	5112	1217.42	0.01%	$0.12
23680	Treat dislocation/fracture	J1	5115	9561.23	37.81%	"$3,615.10"
23700	Fixation of shoulder	J1	5112	1217.42	0.18%	$2.19
23800	Fusion of shoulder joint	J1	5114	5221.57	38.16%	"$1,992.55"
23802	Fusion of shoulder joint	J1	5115	9561.23	29.88%	"$2,856.90"
23929	Shoulder surgery procedure	T	5111	199.83	13.75%	$27.48
23930	Drainage of arm lesion	J1	5072	1236.62	0.33%	$4.08
23931	Drainage of arm bursa	J1	5072	1236.62	0.03%	$0.37
23935	Drain arm/elbow bone lesion	J1	5113	2438.34	6.68%	$162.88
24000	Exploratory elbow surgery	J1	5113	2438.34	0.06%	$1.46
24006	Release elbow joint	J1	5113	2438.34	1.48%	$36.09
24065	Biopsy arm/elbow soft tissue	J1	5072	1236.62	0.09%	$1.11
24066	Biopsy arm/elbow soft tissue	J1	5073	2148.91	0.25%	$5.37
24071	Exc arm/elbow les sc 3 cm/>	J1	5073	2148.91	0.12%	$2.58
24073	Ex arm/elbow tum deep 5 cm/>	J1	5073	2148.91	0.31%	$6.66
24075	Exc arm/elbow les sc < 3 cm	J1	5072	1236.62	0.08%	$0.99
24076	Ex arm/elbow tum deep < 5 cm	J1	5073	2148.91	0.08%	$1.72
24077	Resect arm/elbow tum < 5 cm	J1	5073	2148.91	0.13%	$2.79
24079	Resect arm/elbow tum 5 cm/>	J1	5073	2148.91	0.06%	$1.29
24100	Biopsy elbow joint lining	J1	5113	2438.34	8.75%	$213.35
24101	Explore/treat elbow joint	J1	5113	2438.34	1.65%	$40.23
24102	Remove elbow joint lining	J1	5113	2438.34	1.74%	$42.43
24105	Removal of elbow bursa	J1	5113	2438.34	0.32%	$7.80
24110	Remove humerus lesion	J1	5113	2438.34	8.56%	$208.72
24115	Remove/graft bone lesion	J1	5114	5221.57	33.11%	"$1,728.86"
24116	Remove/graft bone lesion	J1	5114	5221.57	28.46%	"$1,486.06"
24120	Remove elbow lesion	J1	5113	2438.34	0.30%	$7.32
24125	Remove/graft bone lesion	J1	5113	2438.34	0.00%	$0.00
24126	Remove/graft bone lesion	J1	5114	5221.57	28.74%	"$1,500.68"
24130	Removal of head of radius	J1	5113	2438.34	2.86%	$69.74
24134	Removal of arm bone lesion	J1	5114	5221.57	22.41%	"$1,170.15"
24138	Remove elbow bone lesion	J1	5114	5221.57	5.19%	$271.00
24140	Partial removal of arm bone	J1	5113	2438.34	2.94%	$71.69
24145	Partial removal of radius	J1	5114	5221.57	5.57%	$290.84
24147	Partial removal of elbow	J1	5113	2438.34	2.22%	$54.13
24149	Radical resection of elbow	J1	5114	5221.57	2.31%	$120.62
24150	Resect distal humerus tumor	J1	5114	5221.57	17.36%	$906.46
24152	Resect radius tumor	J1	5114	5221.57	17.11%	$893.41
24155	Removal of elbow joint	J1	5113	2438.34	1.53%	$37.31
24201	Removal of arm foreign body	J1	5073	2148.91	0.72%	$15.47
24300	Manipulate elbow w/anesth	J1	5112	1217.42	0.04%	$0.49
24301	Muscle/tendon transfer	J1	5114	5221.57	12.41%	$648.00
24305	Arm tendon lengthening	J1	5113	2438.34	1.63%	$39.74
24310	Revision of arm tendon	J1	5113	2438.34	7.38%	$179.95
24320	Repair of arm tendon	J1	5114	5221.57	17.18%	$897.07
24330	Revision of arm muscles	J1	5113	2438.34	0.33%	$8.05
24331	Revision of arm muscles	J1	5114	5221.57	0.00%	$0.00
24332	Tenolysis triceps	J1	5113	2438.34	5.86%	$142.89
24340	Repair of biceps tendon	J1	5114	5221.57	19.80%	"$1,033.87"
24341	Repair arm tendon/muscle	J1	5114	5221.57	16.26%	$849.03
24342	Repair of ruptured tendon	J1	5114	5221.57	21.68%	"$1,132.04"
24343	Repr elbow lat ligmnt w/tiss	J1	5113	2438.34	18.35%	$447.44
24344	Reconstruct elbow lat ligmnt	J1	5114	5221.57	28.56%	"$1,491.28"
24345	Repr elbw med ligmnt w/tissu	J1	5114	5221.57	25.65%	"$1,339.33"
24346	Reconstruct elbow med ligmnt	J1	5115	9561.23	27.84%	"$2,661.85"
24357	Repair elbow perc	J1	5113	2438.34	1.28%	$31.21
24358	Repair elbow w/deb open	J1	5113	2438.34	1.46%	$35.60
24359	Repair elbow deb/attch open	J1	5113	2438.34	6.31%	$153.86
24360	Reconstruct elbow joint	J1	5114	5221.57	23.55%	"$1,229.68"
24361	Reconstruct elbow joint	J1	5116	14704.13	62.90%	"$9,248.90"
24362	Reconstruct elbow joint	J1	5115	9561.23	42.94%	"$4,105.59"
24363	Replace elbow joint	J1	5116	14704.13	62.51%	"$9,191.55"
24365	Reconstruct head of radius	J1	5115	9561.23	51.07%	"$4,882.92"
24366	Reconstruct head of radius	J1	5115	9561.23	56.41%	"$5,393.49"
24370	Revise reconst elbow joint	J1	5115	9561.23	47.24%	"$4,516.73"
24371	Revise reconst elbow joint	J1	5116	14704.13	57.76%	"$8,493.11"
24400	Revision of humerus	J1	5114	5221.57	21.38%	"$1,116.37"
24410	Revision of humerus	J1	5115	9561.23	20.94%	"$2,002.12"
24420	Revision of humerus	J1	5114	5221.57	24.77%	"$1,293.38"
24430	Repair of humerus	J1	5115	9561.23	40.96%	"$3,916.28"
24435	Repair humerus with graft	J1	5115	9561.23	40.63%	"$3,884.73"
24495	Decompression of forearm	J1	5114	5221.57	14.64%	$764.44
24498	Reinforce humerus	J1	5115	9561.23	37.25%	"$3,561.56"
24500	Treat humerus fracture	T	5111	199.83	0.00%	$0.00
24505	Treat humerus fracture	J1	5112	1217.42	0.94%	$11.44
24515	Treat humerus fracture	J1	5115	9561.23	35.02%	"$3,348.34"
24516	Treat humerus fracture	J1	5115	9561.23	39.77%	"$3,802.50"
24530	Treat humerus fracture	T	5111	199.83	0.00%	$0.00
24535	Treat humerus fracture	J1	5112	1217.42	0.19%	$2.31
24538	Treat humerus fracture	J1	5114	5221.57	12.32%	$643.30
24545	Treat humerus fracture	J1	5115	9561.23	44.40%	"$4,245.19"
24546	Treat humerus fracture	J1	5116	14704.13	47.14%	"$6,931.53"
24560	Treat humerus fracture	T	5111	199.83	0.00%	$0.00
24565	Treat humerus fracture	J1	5112	1217.42	0.00%	$0.00
24575	Treat humerus fracture	J1	5115	9561.23	35.84%	"$3,426.74"
24576	Treat humerus fracture	T	5111	199.83	0.00%	$0.00
24577	Treat humerus fracture	J1	5112	1217.42	0.00%	$0.00
24579	Treat humerus fracture	J1	5115	9561.23	38.75%	"$3,704.98"
24582	Treat humerus fracture	J1	5113	2438.34	8.49%	$207.02
24586	Treat elbow fracture	J1	5115	9561.23	34.39%	"$3,288.11"
24587	Treat elbow fracture	J1	5115	9561.23	47.40%	"$4,532.02"
24600	Treat elbow dislocation	T	5111	199.83	0.00%	$0.00
24605	Treat elbow dislocation	J1	5112	1217.42	0.13%	$1.58
24615	Treat elbow dislocation	J1	5114	5221.57	23.12%	"$1,207.23"
24620	Treat elbow fracture	J1	5112	1217.42	0.85%	$10.35
24635	Treat elbow fracture	J1	5114	5221.57	36.91%	"$1,927.28"
24650	Treat radius fracture	T	5111	199.83	0.00%	$0.00
24655	Treat radius fracture	J1	5112	1217.42	0.07%	$0.85
24665	Treat radius fracture	J1	5114	5221.57	30.89%	"$1,612.94"
24666	Treat radius fracture	J1	5115	9561.23	54.60%	"$5,220.43"
24670	Treat ulnar fracture	T	5111	199.83	0.00%	$0.00
24675	Treat ulnar fracture	J1	5112	1217.42	0.09%	$1.10
24685	Treat ulnar fracture	J1	5114	5221.57	29.27%	"$1,528.35"
24800	Fusion of elbow joint	J1	5114	5221.57	31.85%	"$1,663.07"
24802	Fusion/graft of elbow joint	J1	5115	9561.23	22.77%	"$2,177.09"
24925	Amputation follow-up surgery	J1	5113	2438.34	0.00%	$0.00
24999	Upper arm/elbow surgery	T	5111	199.83	31.37%	$62.69
25000	Incision of tendon sheath	J1	5112	1217.42	0.11%	$1.34
25001	Incise flexor carpi radialis	J1	5112	1217.42	0.00%	$0.00
25020	Decompress forearm 1 space	J1	5112	1217.42	0.28%	$3.41
25023	Decompress forearm 1 space	J1	5113	2438.34	1.60%	$39.01
25024	Decompress forearm 2 spaces	J1	5113	2438.34	0.31%	$7.56
25025	Decompress forearm 2 spaces	J1	5113	2438.34	0.00%	$0.00
25028	Drainage of forearm lesion	J1	5113	2438.34	0.66%	$16.09
25031	Drainage of forearm bursa	J1	5112	1217.42	0.00%	$0.00
25035	Treat forearm bone lesion	J1	5114	5221.57	18.16%	$948.24
25040	Explore/treat wrist joint	J1	5113	2438.34	2.88%	$70.22
25065	Biopsy forearm soft tissues	J1	5072	1236.62	0.13%	$1.61
25066	Biopsy forearm soft tissues	J1	5073	2148.91	0.00%	$0.00
25071	Exc forearm les sc 3 cm/>	J1	5072	1236.62	0.13%	$1.61
25073	Exc forearm tum deep 3 cm/>	J1	5073	2148.91	0.16%	$3.44
25075	Exc forearm les sc < 3 cm	J1	5072	1236.62	0.13%	$1.61
25076	Exc forearm tum deep < 3 cm	J1	5072	1236.62	0.01%	$0.12
25077	Resect forearm/wrist tum<3cm	J1	5072	1236.62	0.31%	$3.83
25078	Resect forarm/wrist tum 3cm>	J1	5073	2148.91	0.82%	$17.62
25085	Incision of wrist capsule	J1	5113	2438.34	1.30%	$31.70
25100	Biopsy of wrist joint	J1	5113	2438.34	0.14%	$3.41
25101	Explore/treat wrist joint	J1	5113	2438.34	1.52%	$37.06
25105	Remove wrist joint lining	J1	5113	2438.34	0.84%	$20.48
25107	Remove wrist joint cartilage	J1	5113	2438.34	7.91%	$192.87
25109	Excise tendon forearm/wrist	J1	5113	2438.34	0.04%	$0.98
2511A	CPX 25111 Remove wrist tendo	J1	5113	2438.34	0.00%	$0.00
25110	Remove wrist tendon lesion	J1	5112	1217.42	1.00%	$12.17
25111	Remove wrist tendon lesion	J1	5112	1217.42	0.15%	$1.83
25112	Reremove wrist tendon lesion	J1	5113	2438.34	0.01%	$0.24
25115	Remove wrist/forearm lesion	J1	5112	1217.42	0.94%	$11.44
25116	Remove wrist/forearm lesion	J1	5113	2438.34	0.55%	$13.41
25118	Excise wrist tendon sheath	J1	5113	2438.34	0.24%	$5.85
25119	Partial removal of ulna	J1	5113	2438.34	1.14%	$27.80
25120	Removal of forearm lesion	J1	5113	2438.34	1.63%	$39.74
25125	Remove/graft forearm lesion	J1	5113	2438.34	0.51%	$12.44
25126	Remove/graft forearm lesion	J1	5113	2438.34	29.94%	$730.04
25130	Removal of wrist lesion	J1	5113	2438.34	2.98%	$72.66
25135	Remove & graft wrist lesion	J1	5113	2438.34	5.99%	$146.06
25136	Remove & graft wrist lesion	J1	5114	5221.57	9.37%	$489.26
25145	Remove forearm bone lesion	J1	5113	2438.34	9.30%	$226.77
25150	Partial removal of ulna	J1	5113	2438.34	1.11%	$27.07
25151	Partial removal of radius	J1	5113	2438.34	5.51%	$134.35
25170	Resect radius/ulnar tumor	J1	5114	5221.57	0.00%	$0.00
25210	Removal of wrist bone	J1	5113	2438.34	2.37%	$57.79
25215	Removal of wrist bones	J1	5113	2438.34	1.09%	$26.58
25230	Partial removal of radius	J1	5113	2438.34	0.98%	$23.90
25240	Partial removal of ulna	J1	5113	2438.34	2.10%	$51.21
25248	Remove forearm foreign body	J1	5113	2438.34	0.09%	$2.19
25259	Manipulate wrist w/anesthes	J1	5112	1217.42	0.11%	$1.34
25260	Repair forearm tendon/muscle	J1	5113	2438.34	2.75%	$67.05
25263	Repair forearm tendon/muscle	J1	5113	2438.34	5.94%	$144.84
25265	Repair forearm tendon/muscle	J1	5113	2438.34	3.44%	$83.88
25270	Repair forearm tendon/muscle	J1	5113	2438.34	1.93%	$47.06
25272	Repair forearm tendon/muscle	J1	5113	2438.34	0.70%	$17.07
25274	Repair forearm tendon/muscle	J1	5113	2438.34	0.00%	$0.00
25275	Repair forearm tendon sheath	J1	5113	2438.34	12.63%	$307.96
25280	Revise wrist/forearm tendon	J1	5113	2438.34	2.74%	$66.81
25290	Incise wrist/forearm tendon	J1	5113	2438.34	3.14%	$76.56
25295	Release wrist/forearm tendon	J1	5113	2438.34	1.98%	$48.28
25300	Fusion of tendons at wrist	J1	5113	2438.34	10.31%	$251.39
25301	Fusion of tendons at wrist	J1	5113	2438.34	6.74%	$164.34
25310	Transplant forearm tendon	J1	5113	2438.34	2.81%	$68.52
25312	Transplant forearm tendon	J1	5113	2438.34	1.80%	$43.89
25315	Revise palsy hand tendon(s)	J1	5114	5221.57	2.84%	$148.29
25316	Revise palsy hand tendon(s)	J1	5114	5221.57	13.24%	$691.34
25320	Repair/revise wrist joint	J1	5114	5221.57	14.87%	$776.45
25332	Revise wrist joint	J1	5113	2438.34	14.11%	$344.05
25335	Realignment of hand	J1	5113	2438.34	0.00%	$0.00
25337	Reconstruct ulna/radioulnar	J1	5114	5221.57	22.37%	"$1,168.07"
25350	Revision of radius	J1	5114	5221.57	42.37%	"$2,212.38"
25360	Revision of ulna	J1	5114	5221.57	21.67%	"$1,131.51"
25365	Revise radius & ulna	J1	5115	9561.23	34.75%	"$3,322.53"
25390	Shorten radius or ulna	J1	5114	5221.57	33.16%	"$1,731.47"
25391	Lengthen radius or ulna	J1	5115	9561.23	51.08%	"$4,883.88"
25392	Shorten radius & ulna	J1	5113	2438.34	5.53%	$134.84
25394	Repair carpal bone shorten	J1	5113	2438.34	21.83%	$532.29
25400	Repair radius or ulna	J1	5114	5221.57	39.84%	"$2,080.27"
25405	Repair/graft radius or ulna	J1	5114	5221.57	38.92%	"$2,032.24"
25415	Repair radius & ulna	J1	5114	5221.57	42.85%	"$2,237.44"
25420	Repair/graft radius & ulna	J1	5114	5221.57	40.17%	"$2,097.50"
25425	Repair/graft radius or ulna	J1	5114	5221.57	52.69%	"$2,751.25"
25426	Repair/graft radius & ulna	J1	5113	2438.34	41.69%	"$1,016.54"
25430	Vasc graft into carpal bone	J1	5113	2438.34	0.25%	$6.10
25431	Repair nonunion carpal bone	J1	5114	5221.57	26.83%	"$1,400.95"
25440	Repair/graft wrist bone	J1	5114	5221.57	15.56%	$812.48
25441	Reconstruct wrist joint	J1	5115	9561.23	67.19%	"$6,424.19"
25442	Reconstruct wrist joint	J1	5116	14704.13	65.76%	"$9,669.44"
25443	Reconstruct wrist joint	J1	5114	5221.57	57.62%	"$3,008.67"
25444	Reconstruct wrist joint	J1	5115	9561.23	67.12%	"$6,417.50"
25445	Reconstruct wrist joint	J1	5114	5221.57	41.07%	"$2,144.50"
25446	Wrist replacement	J1	5116	14704.13	68.32%	"$10,045.86"
25447	Repair wrist joints	J1	5113	2438.34	8.88%	$216.52
25449	Remove wrist joint implant	J1	5114	5221.57	29.92%	"$1,562.29"
25490	Reinforce radius	J1	5114	5221.57	9.31%	$486.13
25491	Reinforce ulna	J1	5115	9561.23	38.69%	"$3,699.24"
25500	Treat fracture of radius	T	5111	199.83	0.00%	$0.00
25505	Treat fracture of radius	J1	5112	1217.42	0.53%	$6.45
25515	Treat fracture of radius	J1	5114	5221.57	33.41%	"$1,744.53"
25520	Treat fracture of radius	J1	5112	1217.42	6.49%	$79.01
25525	Treat fracture of radius	J1	5114	5221.57	34.76%	"$1,815.02"
25526	Treat fracture of radius	J1	5114	5221.57	24.87%	"$1,298.60"
25530	Treat fracture of ulna	T	5111	199.83	0.00%	$0.00
25535	Treat fracture of ulna	T	5111	199.83	0.00%	$0.00
25545	Treat fracture of ulna	J1	5114	5221.57	29.73%	"$1,552.37"
25560	Treat fracture radius & ulna	T	5111	199.83	0.01%	$0.02
25565	Treat fracture radius & ulna	J1	5112	1217.42	0.06%	$0.73
25574	Treat fracture radius & ulna	J1	5114	5221.57	37.71%	"$1,969.05"
25575	Treat fracture radius/ulna	J1	5114	5221.57	37.94%	"$1,981.06"
25600	Treat fracture radius/ulna	T	5111	199.83	0.22%	$0.44
25605	Treat fracture radius/ulna	J1	5112	1217.42	0.26%	$3.17
25606	Treat fx distal radial	J1	5113	2438.34	6.53%	$159.22
25607	Treat fx rad extra-articul	J1	5114	5221.57	43.11%	"$2,251.02"
25608	Treat fx rad intra-articul	J1	5114	5221.57	42.55%	"$2,221.78"
25609	Treat fx radial 3+ frag	J1	5114	5221.57	44.22%	"$2,308.98"
25622	Treat wrist bone fracture	T	5111	199.83	0.37%	$0.74
25624	Treat wrist bone fracture	J1	5112	1217.42	2.44%	$29.71
25628	Treat wrist bone fracture	J1	5114	5221.57	19.76%	"$1,031.78"
25630	Treat wrist bone fracture	T	5111	199.83	0.00%	$0.00
25635	Treat wrist bone fracture	J1	5112	1217.42	0.09%	$1.10
25645	Treat wrist bone fracture	J1	5113	2438.34	12.86%	$313.57
25650	Treat wrist bone fracture	T	5111	199.83	0.00%	$0.00
25651	Pin ulnar styloid fracture	J1	5113	2438.34	7.51%	$183.12
25652	Treat fracture ulnar styloid	J1	5114	5221.57	22.70%	"$1,185.30"
25660	Treat wrist dislocation	T	5111	199.83	0.00%	$0.00
25670	Treat wrist dislocation	J1	5113	2438.34	9.76%	$237.98
25671	Pin radioulnar dislocation	J1	5113	2438.34	1.83%	$44.62
25675	Treat wrist dislocation	T	5111	199.83	8.15%	$16.29
25676	Treat wrist dislocation	J1	5114	5221.57	6.08%	$317.47
25680	Treat wrist fracture	T	5111	199.83	0.00%	$0.00
25685	Treat wrist fracture	J1	5113	2438.34	28.04%	$683.71
25690	Treat wrist dislocation	J1	5112	1217.42	0.15%	$1.83
25695	Treat wrist dislocation	J1	5114	5221.57	13.00%	$678.80
25800	Fusion of wrist joint	J1	5114	5221.57	45.56%	"$2,378.95"
25805	Fusion/graft of wrist joint	J1	5114	5221.57	39.08%	"$2,040.59"
25810	Fusion/graft of wrist joint	J1	5115	9561.23	38.61%	"$3,691.59"
25820	Fusion of hand bones	J1	5114	5221.57	35.85%	"$1,871.93"
25825	Fuse hand bones with graft	J1	5114	5221.57	35.42%	"$1,849.48"
25830	Fusion radioulnar jnt/ulna	J1	5114	5221.57	32.79%	"$1,712.15"
25907	Amputation follow-up surgery	J1	5113	2438.34	0.30%	$7.32
25909	Amputation follow-up surgery	J1	5113	2438.34	0.00%	$0.00
25931	Amputation follow-up surgery	J1	5113	2438.34	0.03%	$0.73
25999	Forearm or wrist surgery	T	5111	199.83	30.14%	$60.23
26010	Drainage of finger abscess	T	5051	153.12	0.00%	$0.00
26011	Drainage of finger abscess	J1	5072	1236.62	0.24%	$2.97
26020	Drain hand tendon sheath	J1	5113	2438.34	0.10%	$2.44
26025	Drainage of palm bursa	J1	5113	2438.34	0.00%	$0.00
26030	Drainage of palm bursas	J1	5113	2438.34	0.00%	$0.00
26034	Treat hand bone lesion	J1	5112	1217.42	1.02%	$12.42
26035	Decompress fingers/hand	J1	5113	2438.34	0.00%	$0.00
26037	Decompress fingers/hand	J1	5113	2438.34	1.38%	$33.65
26040	Release palm contracture	J1	5112	1217.42	0.60%	$7.30
26045	Release palm contracture	J1	5113	2438.34	0.50%	$12.19
26055	Incise finger tendon sheath	J1	5112	1217.42	0.03%	$0.37
26060	Incision of finger tendon	J1	5112	1217.42	0.00%	$0.00
26070	Explore/treat hand joint	J1	5112	1217.42	1.12%	$13.64
26075	Explore/treat finger joint	J1	5113	2438.34	0.31%	$7.56
26080	Explore/treat finger joint	J1	5112	1217.42	0.35%	$4.26
26100	Biopsy hand joint lining	J1	5113	2438.34	0.00%	$0.00
26105	Biopsy finger joint lining	J1	5113	2438.34	3.59%	$87.54
26110	Biopsy finger joint lining	J1	5112	1217.42	0.00%	$0.00
26111	Exc hand les sc 1.5 cm/>	J1	5072	1236.62	0.06%	$0.74
26113	Exc hand tum deep 1.5 cm/>	J1	5072	1236.62	0.12%	$1.48
26115	Exc hand les sc < 1.5 cm	J1	5072	1236.62	0.29%	$3.59
26116	Exc hand tum deep < 1.5 cm	J1	5072	1236.62	0.05%	$0.62
26117	Rad resect hand tumor < 3 cm	J1	5073	2148.91	1.93%	$41.47
26118	Rad resect hand tumor 3 cm/>	J1	5073	2148.91	0.00%	$0.00
26121	Release palm contracture	J1	5113	2438.34	0.49%	$11.95
26123	Release palm contracture	J1	5113	2438.34	0.27%	$6.58
26130	Remove wrist joint lining	J1	5113	2438.34	0.13%	$3.17
26135	Revise finger joint each	J1	5113	2438.34	3.15%	$76.81
26140	Revise finger joint each	J1	5112	1217.42	0.56%	$6.82
26145	Tendon excision palm/finger	J1	5112	1217.42	0.40%	$4.87
26160	Remove tendon sheath lesion	J1	5112	1217.42	0.04%	$0.49
26170	Removal of palm tendon each	J1	5112	1217.42	0.00%	$0.00
26180	Removal of finger tendon	J1	5112	1217.42	0.02%	$0.24
26185	Remove finger bone	J1	5112	1217.42	1.94%	$23.62
26200	Remove hand bone lesion	J1	5113	2438.34	2.38%	$58.03
26205	Remove/graft bone lesion	J1	5114	5221.57	18.80%	$981.66
26210	Removal of finger lesion	J1	5112	1217.42	0.84%	$10.23
26215	Remove/graft finger lesion	J1	5113	2438.34	12.88%	$314.06
26230	Partial removal of hand bone	J1	5113	2438.34	2.28%	$55.59
26235	Partial removal finger bone	J1	5112	1217.42	1.44%	$17.53
26236	Partial removal finger bone	J1	5112	1217.42	0.34%	$4.14
26250	Extensive hand surgery	J1	5113	2438.34	0.00%	$0.00
26260	Resect prox finger tumor	J1	5113	2438.34	11.55%	$281.63
26262	Resect distal finger tumor	J1	5113	2438.34	0.00%	$0.00
26340	Manipulate finger w/anesth	J1	5112	1217.42	0.05%	$0.61
26341	Manipulat palm cord post inj	T	5111	199.83	0.00%	$0.00
26350	Repair finger/hand tendon	J1	5113	2438.34	3.03%	$73.88
26352	Repair/graft hand tendon	J1	5113	2438.34	3.57%	$87.05
26356	Repair finger/hand tendon	J1	5113	2438.34	2.47%	$60.23
26357	Repair finger/hand tendon	J1	5113	2438.34	0.19%	$4.63
26358	Repair/graft hand tendon	J1	5113	2438.34	4.60%	$112.16
26370	Repair finger/hand tendon	J1	5113	2438.34	1.97%	$48.04
26372	Repair/graft hand tendon	J1	5114	5221.57	1.36%	$71.01
26373	Repair finger/hand tendon	J1	5113	2438.34	0.59%	$14.39
26390	Revise hand/finger tendon	J1	5114	5221.57	36.62%	"$1,912.14"
26392	Repair/graft hand tendon	J1	5114	5221.57	9.12%	$476.21
26410	Repair hand tendon	J1	5113	2438.34	1.14%	$27.80
26412	Repair/graft hand tendon	J1	5113	2438.34	6.14%	$149.71
26415	Excision hand/finger tendon	J1	5112	1217.42	3.23%	$39.32
26416	Graft hand or finger tendon	J1	5113	2438.34	0.00%	$0.00
26418	Repair finger tendon	J1	5113	2438.34	1.64%	$39.99
26420	Repair/graft finger tendon	J1	5113	2438.34	5.84%	$142.40
26426	Repair finger/hand tendon	J1	5113	2438.34	11.22%	$273.58
26428	Repair/graft finger tendon	J1	5113	2438.34	14.62%	$356.49
26432	Repair finger tendon	J1	5112	1217.42	1.51%	$18.38
26433	Repair finger tendon	J1	5113	2438.34	6.12%	$149.23
26434	Repair/graft finger tendon	J1	5113	2438.34	7.81%	$190.43
26437	Realignment of tendons	J1	5113	2438.34	1.56%	$38.04
26440	Release palm/finger tendon	J1	5112	1217.42	0.29%	$3.53
26442	Release palm & finger tendon	J1	5113	2438.34	2.46%	$59.98
26445	Release hand/finger tendon	J1	5113	2438.34	2.74%	$66.81
26449	Release forearm/hand tendon	J1	5113	2438.34	9.33%	$227.50
26450	Incision of palm tendon	J1	5113	2438.34	0.00%	$0.00
26455	Incision of finger tendon	J1	5112	1217.42	0.24%	$2.92
26460	Incise hand/finger tendon	J1	5112	1217.42	0.05%	$0.61
26471	Fusion of finger tendons	J1	5113	2438.34	7.56%	$184.34
26474	Fusion of finger tendons	J1	5113	2438.34	1.16%	$28.28
26476	Tendon lengthening	J1	5113	2438.34	7.99%	$194.82
26477	Tendon shortening	J1	5113	2438.34	1.70%	$41.45
26478	Lengthening of hand tendon	J1	5113	2438.34	0.41%	$10.00
26480	Transplant hand tendon	J1	5113	2438.34	1.83%	$44.62
26483	Transplant/graft hand tendon	J1	5113	2438.34	4.38%	$106.80
26485	Transplant palm tendon	J1	5113	2438.34	1.95%	$47.55
26489	Transplant/graft palm tendon	J1	5113	2438.34	7.90%	$192.63
26490	Revise thumb tendon	J1	5113	2438.34	0.40%	$9.75
26492	Tendon transfer with graft	J1	5113	2438.34	4.24%	$103.39
26494	Hand tendon/muscle transfer	J1	5113	2438.34	8.63%	$210.43
26496	Revise thumb tendon	J1	5113	2438.34	3.06%	$74.61
26497	Finger tendon transfer	J1	5113	2438.34	2.24%	$54.62
26498	Finger tendon transfer	J1	5113	2438.34	1.01%	$24.63
26499	Revision of finger	J1	5113	2438.34	0.00%	$0.00
26500	Hand tendon reconstruction	J1	5114	5221.57	5.32%	$277.79
26502	Hand tendon reconstruction	J1	5113	2438.34	6.17%	$150.45
26508	Release thumb contracture	J1	5113	2438.34	0.00%	$0.00
26510	Thumb tendon transfer	J1	5113	2438.34	0.03%	$0.73
26516	Fusion of knuckle joint	J1	5113	2438.34	12.63%	$307.96
26517	Fusion of knuckle joints	J1	5113	2438.34	0.00%	$0.00
26520	Release knuckle contracture	J1	5113	2438.34	4.46%	$108.75
26525	Release finger contracture	J1	5113	2438.34	1.82%	$44.38
2653A	CPX 26531 Revise knuckle wit	J1	5115	9561.23	51.50%	"$4,924.03"
26530	Revise knuckle joint	J1	5113	2438.34	19.34%	$471.57
26531	Revise knuckle with implant	J1	5114	5221.57	43.52%	"$2,272.43"
26535	Revise finger joint	J1	5113	2438.34	15.23%	$371.36
26536	Revise/implant finger joint	J1	5114	5221.57	39.53%	"$2,064.09"
26540	Repair hand joint	J1	5113	2438.34	14.25%	$347.46
26541	Repair hand joint with graft	J1	5113	2438.34	15.08%	$367.70
26542	Repair hand joint with graft	J1	5113	2438.34	19.77%	$482.06
26545	Reconstruct finger joint	J1	5113	2438.34	15.52%	$378.43
26546	Repair nonunion hand	J1	5114	5221.57	25.83%	"$1,348.73"
26548	Reconstruct finger joint	J1	5113	2438.34	12.25%	$298.70
26555	Positional change of finger	J1	5114	5221.57	0.00%	$0.00
26560	Repair of web finger	J1	5112	1217.42	0.00%	$0.00
26561	Repair of web finger	J1	5113	2438.34	17.60%	$429.15
26562	Repair of web finger	J1	5113	2438.34	0.00%	$0.00
26565	Correct metacarpal flaw	J1	5113	2438.34	10.79%	$263.10
26567	Correct finger deformity	J1	5113	2438.34	17.73%	$432.32
26568	Lengthen metacarpal/finger	J1	5114	5221.57	50.86%	"$2,655.69"
26580	Repair hand deformity	J1	5113	2438.34	0.00%	$0.00
26587	Reconstruct extra finger	J1	5113	2438.34	0.12%	$2.93
26591	Repair muscles of hand	J1	5113	2438.34	0.00%	$0.00
26593	Release muscles of hand	J1	5113	2438.34	0.01%	$0.24
26596	Excision constricting tissue	J1	5113	2438.34	0.00%	$0.00
26600	Treat metacarpal fracture	T	5111	199.83	0.00%	$0.00
26605	Treat metacarpal fracture	T	5111	199.83	0.76%	$1.52
26607	Treat metacarpal fracture	J1	5113	2438.34	8.92%	$217.50
26608	Treat metacarpal fracture	J1	5113	2438.34	1.76%	$42.91
26615	Treat metacarpal fracture	J1	5113	2438.34	19.24%	$469.14
26641	Treat thumb dislocation	T	5111	199.83	0.00%	$0.00
26645	Treat thumb fracture	J1	5112	1217.42	0.00%	$0.00
26650	Treat thumb fracture	J1	5113	2438.34	1.84%	$44.87
26665	Treat thumb fracture	J1	5113	2438.34	14.24%	$347.22
26670	Treat hand dislocation	T	5111	199.83	0.00%	$0.00
26675	Treat hand dislocation	J1	5112	1217.42	0.95%	$11.57
26676	Pin hand dislocation	J1	5113	2438.34	2.05%	$49.99
26685	Treat hand dislocation	J1	5113	2438.34	7.10%	$173.12
26686	Treat hand dislocation	J1	5113	2438.34	1.37%	$33.41
26700	Treat knuckle dislocation	T	5111	199.83	0.00%	$0.00
26705	Treat knuckle dislocation	J1	5112	1217.42	0.00%	$0.00
26706	Pin knuckle dislocation	J1	5113	2438.34	4.18%	$101.92
26715	Treat knuckle dislocation	J1	5113	2438.34	1.69%	$41.21
26720	Treat finger fracture each	T	5111	199.83	0.00%	$0.00
26725	Treat finger fracture each	T	5111	199.83	0.30%	$0.60
26727	Treat finger fracture each	J1	5113	2438.34	1.89%	$46.08
26735	Treat finger fracture each	J1	5113	2438.34	12.57%	$306.50
26740	Treat finger fracture each	T	5111	199.83	0.00%	$0.00
26742	Treat finger fracture each	J1	5112	1217.42	0.39%	$4.75
26746	Treat finger fracture each	J1	5113	2438.34	8.75%	$213.35
26750	Treat finger fracture each	T	5111	199.83	0.00%	$0.00
26755	Treat finger fracture each	T	5111	199.83	0.06%	$0.12
26756	Pin finger fracture each	J1	5113	2438.34	1.36%	$33.16
26765	Treat finger fracture each	J1	5113	2438.34	1.65%	$40.23
26770	Treat finger dislocation	T	5111	199.83	0.00%	$0.00
26775	Treat finger dislocation	T	5102	220.75	0.05%	$0.11
26776	Pin finger dislocation	J1	5113	2438.34	3.84%	$93.63
26785	Treat finger dislocation	J1	5113	2438.34	2.22%	$54.13
26820	Thumb fusion with graft	J1	5114	5221.57	29.39%	"$1,534.62"
26841	Fusion of thumb	J1	5114	5221.57	24.45%	"$1,276.67"
26842	Thumb fusion with graft	J1	5114	5221.57	24.87%	"$1,298.60"
26843	Fusion of hand joint	J1	5114	5221.57	31.54%	"$1,646.88"
26844	Fusion/graft of hand joint	J1	5114	5221.57	27.37%	"$1,429.14"
26850	Fusion of knuckle	J1	5114	5221.57	21.09%	"$1,101.23"
26852	Fusion of knuckle with graft	J1	5114	5221.57	24.47%	"$1,277.72"
26860	Fusion of finger joint	J1	5113	2438.34	17.10%	$416.96
26862	Fusion/graft of finger joint	J1	5113	2438.34	17.04%	$415.49
26910	Amputate metacarpal bone	J1	5113	2438.34	0.86%	$20.97
26951	Amputation of finger/thumb	J1	5113	2438.34	0.33%	$8.05
26952	Amputation of finger/thumb	J1	5113	2438.34	0.46%	$11.22
26989	Hand/finger surgery	T	5111	199.83	8.16%	$16.31
26990	Drainage of pelvis lesion	J1	5113	2438.34	1.89%	$46.08
26991	Drainage of pelvis bursa	J1	5113	2438.34	0.00%	$0.00
27000	Incision of hip tendon	J1	5113	2438.34	0.02%	$0.49
27001	Incision of hip tendon	J1	5113	2438.34	1.35%	$32.92
27003	Incision of hip tendon	J1	5114	5221.57	0.00%	$0.00
27006	Incision of hip tendons	J1	5113	2438.34	6.40%	$156.05
27027	Buttock fasciotomy	J1	5114	5221.57	17.10%	$892.89
27033	Exploration of hip joint	J1	5113	2438.34	5.06%	$123.38
27035	Denervation of hip joint	J1	5113	2438.34	0.02%	$0.49
27040	Biopsy of soft tissues	J1	5072	1236.62	0.55%	$6.80
27041	Biopsy of soft tissues	J1	5072	1236.62	1.47%	$18.18
27043	Exc hip pelvis les sc 3 cm/>	J1	5073	2148.91	0.21%	$4.51
27045	Exc hip/pelv tum deep 5 cm/>	J1	5073	2148.91	0.44%	$9.46
27047	Exc hip/pelvis les sc < 3 cm	J1	5073	2148.91	0.06%	$1.29
27048	Exc hip/pelv tum deep < 5 cm	J1	5073	2148.91	0.66%	$14.18
27049	Resect hip/pelv tum < 5 cm	J1	5073	2148.91	2.16%	$46.42
27050	Biopsy of sacroiliac joint	J1	5112	1217.42	5.74%	$69.88
27052	Biopsy of hip joint	J1	5112	1217.42	6.49%	$79.01
27057	Buttock fasciotomy w/dbrdmt	J1	5112	1217.42	19.01%	$231.43
27059	Resect hip/pelv tum 5 cm/>	J1	5073	2148.91	0.97%	$20.84
27060	Removal of ischial bursa	J1	5113	2438.34	2.09%	$50.96
27062	Remove femur lesion/bursa	J1	5113	2438.34	6.56%	$159.96
27065	Remove hip bone les super	J1	5113	2438.34	8.65%	$210.92
27066	Remove hip bone les deep	J1	5113	2438.34	7.06%	$172.15
27067	Remove/graft hip bone lesion	J1	5114	5221.57	0.00%	$0.00
27080	Removal of tail bone	J1	5113	2438.34	0.62%	$15.12
27086	Remove hip foreign body	J1	5072	1236.62	0.05%	$0.62
27087	Remove hip foreign body	J1	5113	2438.34	0.89%	$21.70
27097	Revision of hip tendon	J1	5113	2438.34	0.80%	$19.51
27098	Transfer tendon to pelvis	J1	5113	2438.34	8.46%	$206.28
27100	Transfer of abdominal muscle	J1	5114	5221.57	11.24%	$586.90
27110	Transfer of iliopsoas muscle	J1	5114	5221.57	0.00%	$0.00
27111	Transfer of iliopsoas muscle	J1	5113	2438.34	40.62%	$990.45
27179	Revise head/neck of femur	J1	5114	5221.57	58.74%	"$3,067.15"
27193	Treat pelvic ring fracture	T	5111	199.83	0.18%	$0.36
27194	Treat pelvic ring fracture	T	5111	199.83	1.99%	$3.98
27200	Treat tail bone fracture	T	5111	199.83	0.00%	$0.00
27220	Treat hip socket fracture	T	5111	199.83	0.00%	$0.00
27230	Treat thigh fracture	T	5111	199.83	1.02%	$2.04
27235	Treat thigh fracture	J1	5114	5221.57	28.24%	"$1,474.57"
27238	Treat thigh fracture	J1	5112	1217.42	2.53%	$30.80
27246	Treat thigh fracture	T	5111	199.83	0.40%	$0.80
27250	Treat hip dislocation	T	5111	199.83	0.00%	$0.00
27252	Treat hip dislocation	J1	5112	1217.42	0.05%	$0.61
27256	Treat hip dislocation	T	5111	199.83	0.00%	$0.00
27257	Treat hip dislocation	J1	5112	1217.42	0.01%	$0.12
27265	Treat hip dislocation	T	5111	199.83	0.00%	$0.00
27266	Treat hip dislocation	J1	5112	1217.42	0.05%	$0.61
27267	Cltx thigh fx	J1	5113	2438.34	23.97%	$584.47
27275	Manipulation of hip joint	J1	5112	1217.42	2.65%	$32.26
27279	Arthrodesis sacroiliac joint	J1	5116	14704.13	70.98%	"$10,436.99"
27299	Pelvis/hip joint surgery	T	5111	199.83	18.74%	$37.45
27301	Drain thigh/knee lesion	J1	5073	2148.91	1.67%	$35.89
27305	Incise thigh tendon & fascia	J1	5113	2438.34	3.93%	$95.83
27306	Incision of thigh tendon	J1	5112	1217.42	0.02%	$0.24
27307	Incision of thigh tendons	J1	5113	2438.34	0.00%	$0.00
27310	Exploration of knee joint	J1	5113	2438.34	3.60%	$87.78
27323	Biopsy thigh soft tissues	J1	5072	1236.62	1.15%	$14.22
27324	Biopsy thigh soft tissues	J1	5073	2148.91	0.24%	$5.16
27325	Neurectomy hamstring	J1	5431	1563.42	0.00%	$0.00
27326	Neurectomy popliteal	J1	5431	1563.42	0.00%	$0.00
27327	Exc thigh/knee les sc < 3 cm	J1	5072	1236.62	0.67%	$8.29
27328	Exc thigh/knee tum deep <5cm	J1	5073	2148.91	0.35%	$7.52
27329	Resect thigh/knee tum < 5 cm	J1	5073	2148.91	1.51%	$32.45
27330	Biopsy knee joint lining	J1	5113	2438.34	1.70%	$41.45
27331	Explore/treat knee joint	J1	5113	2438.34	1.04%	$25.36
27332	Removal of knee cartilage	J1	5113	2438.34	4.63%	$112.90
27333	Removal of knee cartilage	J1	5113	2438.34	0.13%	$3.17
27334	Remove knee joint lining	J1	5113	2438.34	5.09%	$124.11
27335	Remove knee joint lining	J1	5114	5221.57	8.95%	$467.33
27337	Exc thigh/knee les sc 3 cm/>	J1	5073	2148.91	0.25%	$5.37
27339	Exc thigh/knee tum dep 5cm/>	J1	5073	2148.91	0.27%	$5.80
27340	Removal of kneecap bursa	J1	5113	2438.34	0.32%	$7.80
27345	Removal of knee cyst	J1	5113	2438.34	0.37%	$9.02
27347	Remove knee cyst	J1	5113	2438.34	0.79%	$19.26
27350	Removal of kneecap	J1	5113	2438.34	3.97%	$96.80
27355	Remove femur lesion	J1	5113	2438.34	3.93%	$95.83
27356	Remove femur lesion/graft	J1	5115	9561.23	51.20%	"$4,895.35"
27357	Remove femur lesion/graft	J1	5114	5221.57	18.31%	$956.07
27360	Partial removal leg bone(s)	J1	5113	2438.34	10.87%	$265.05
27364	Resect thigh/knee tum 5 cm/>	J1	5073	2148.91	0.38%	$8.17
27372	Removal of foreign body	J1	5073	2148.91	0.22%	$4.73
27380	Repair of kneecap tendon	J1	5114	5221.57	6.80%	$355.07
27381	Repair/graft kneecap tendon	J1	5114	5221.57	28.29%	"$1,477.18"
27385	Repair of thigh muscle	J1	5114	5221.57	7.30%	$381.17
27386	Repair/graft of thigh muscle	J1	5114	5221.57	20.24%	"$1,056.85"
27390	Incision of thigh tendon	J1	5113	2438.34	6.48%	$158.00
27391	Incision of thigh tendons	J1	5113	2438.34	0.00%	$0.00
27392	Incision of thigh tendons	J1	5113	2438.34	0.00%	$0.00
27393	Lengthening of thigh tendon	J1	5113	2438.34	0.17%	$4.15
27394	Lengthening of thigh tendons	J1	5114	5221.57	0.00%	$0.00
27395	Lengthening of thigh tendons	J1	5113	2438.34	0.03%	$0.73
27396	Transplant of thigh tendon	J1	5114	5221.57	24.58%	"$1,283.46"
27397	Transplants of thigh tendons	J1	5114	5221.57	63.73%	"$3,327.71"
27400	Revise thigh muscles/tendons	J1	5114	5221.57	2.82%	$147.25
27403	Repair of knee cartilage	J1	5113	2438.34	14.54%	$354.53
27405	Repair of knee ligament	J1	5114	5221.57	14.37%	$750.34
27407	Repair of knee ligament	J1	5114	5221.57	40.24%	"$2,101.16"
27409	Repair of knee ligaments	J1	5114	5221.57	7.77%	$405.72
27415	Osteochondral knee allograft	J1	5115	9561.23	54.35%	"$5,196.53"
27416	Osteochondral knee autograft	J1	5114	5221.57	44.47%	"$2,322.03"
27418	Repair degenerated kneecap	J1	5114	5221.57	11.49%	$599.96
27420	Revision of unstable kneecap	J1	5114	5221.57	20.58%	"$1,074.60"
27422	Revision of unstable kneecap	J1	5114	5221.57	11.06%	$577.51
27424	Revision/removal of kneecap	J1	5114	5221.57	7.99%	$417.20
27425	Lat retinacular release open	J1	5113	2438.34	3.82%	$93.14
27427	Reconstruction knee	J1	5114	5221.57	31.62%	"$1,651.06"
27428	Reconstruction knee	J1	5115	9561.23	33.48%	"$3,201.10"
27429	Reconstruction knee	J1	5115	9561.23	32.55%	"$3,112.18"
27430	Revision of thigh muscles	J1	5114	5221.57	9.37%	$489.26
27435	Incision of knee joint	J1	5113	2438.34	10.07%	$245.54
27437	Revise kneecap	J1	5114	5221.57	30.34%	"$1,584.22"
27438	Revise kneecap with implant	J1	5115	9561.23	42.23%	"$4,037.71"
27440	Revision of knee joint	J1	5115	9561.23	42.39%	"$4,053.01"
27441	Revision of knee joint	J1	5115	9561.23	33.94%	"$3,245.08"
27442	Revision of knee joint	J1	5115	9561.23	47.04%	"$4,497.60"
27443	Revision of knee joint	J1	5115	9561.23	39.07%	"$3,735.57"
27446	Revision of knee joint	J1	5115	9561.23	49.38%	"$4,721.34"
27475	Surgery to stop leg growth	J1	5114	5221.57	29.63%	"$1,547.15"
27477	Surgery to stop leg growth	J1	5113	2438.34	44.69%	"$1,089.69"
27479	Surgery to stop leg growth	J1	5114	5221.57	46.41%	"$2,423.33"
27485	Surgery to stop leg growth	J1	5113	2438.34	33.43%	$815.14
27496	Decompression of thigh/knee	J1	5113	2438.34	0.00%	$0.00
27497	Decompression of thigh/knee	J1	5113	2438.34	0.00%	$0.00
27500	Treatment of thigh fracture	T	5111	199.83	13.56%	$27.10
27501	Treatment of thigh fracture	T	5111	199.83	0.00%	$0.00
27502	Treatment of thigh fracture	J1	5112	1217.42	0.51%	$6.21
27503	Treatment of thigh fracture	J1	5112	1217.42	0.00%	$0.00
27508	Treatment of thigh fracture	T	5111	199.83	0.00%	$0.00
27509	Treatment of thigh fracture	J1	5114	5221.57	40.78%	"$2,129.36"
27510	Treatment of thigh fracture	J1	5112	1217.42	0.00%	$0.00
27517	Treat thigh fx growth plate	J1	5112	1217.42	0.01%	$0.12
27520	Treat kneecap fracture	T	5111	199.83	0.35%	$0.70
27524	Treat kneecap fracture	J1	5114	5221.57	11.89%	$620.84
27530	Treat knee fracture	T	5111	199.83	0.68%	$1.36
27532	Treat knee fracture	J1	5113	2438.34	14.53%	$354.29
27538	Treat knee fracture(s)	T	5111	199.83	0.00%	$0.00
27550	Treat knee dislocation	T	5111	199.83	0.00%	$0.00
27552	Treat knee dislocation	J1	5112	1217.42	0.00%	$0.00
27560	Treat kneecap dislocation	T	5111	199.83	0.00%	$0.00
27562	Treat kneecap dislocation	T	5111	199.83	0.00%	$0.00
27566	Treat kneecap dislocation	J1	5114	5221.57	4.11%	$214.61
27570	Fixation of knee joint	J1	5112	1217.42	0.32%	$3.90
27594	Amputation follow-up surgery	J1	5113	2438.34	3.67%	$89.49
27599	Leg surgery procedure	T	5111	199.83	19.36%	$38.69
27600	Decompression of lower leg	J1	5113	2438.34	2.47%	$60.23
27601	Decompression of lower leg	J1	5113	2438.34	0.78%	$19.02
27602	Decompression of lower leg	J1	5113	2438.34	2.79%	$68.03
27603	Drain lower leg lesion	J1	5073	2148.91	1.39%	$29.87
27604	Drain lower leg bursa	J1	5113	2438.34	0.00%	$0.00
27605	Incision of achilles tendon	J1	5112	1217.42	5.78%	$70.37
27606	Incision of achilles tendon	J1	5113	2438.34	4.45%	$108.51
27607	Treat lower leg bone lesion	J1	5113	2438.34	5.81%	$141.67
27610	Explore/treat ankle joint	J1	5113	2438.34	7.76%	$189.22
27612	Exploration of ankle joint	J1	5113	2438.34	7.78%	$189.70
27613	Biopsy lower leg soft tissue	J1	5072	1236.62	0.12%	$1.48
27614	Biopsy lower leg soft tissue	J1	5073	2148.91	0.31%	$6.66
27615	Resect leg/ankle tum < 5 cm	J1	5073	2148.91	0.00%	$0.00
27616	Resect leg/ankle tum 5 cm/>	J1	5073	2148.91	0.79%	$16.98
27618	Exc leg/ankle tum < 3 cm	J1	5072	1236.62	0.84%	$10.39
27619	Exc leg/ankle tum deep <5 cm	J1	5073	2148.91	0.45%	$9.67
27620	Explore/treat ankle joint	J1	5113	2438.34	3.86%	$94.12
27625	Remove ankle joint lining	J1	5113	2438.34	5.32%	$129.72
27626	Remove ankle joint lining	J1	5113	2438.34	8.43%	$205.55
27630	Removal of tendon lesion	J1	5113	2438.34	0.89%	$21.70
27632	Exc leg/ankle les sc 3 cm/>	J1	5073	2148.91	0.80%	$17.19
27634	Exc leg/ankle tum dep 5 cm/>	J1	5073	2148.91	0.93%	$19.98
27635	Remove lower leg bone lesion	J1	5113	2438.34	3.56%	$86.80
27637	Remove/graft leg bone lesion	J1	5114	5221.57	16.40%	$856.34
27638	Remove/graft leg bone lesion	J1	5114	5221.57	32.36%	"$1,689.70"
27640	Partial removal of tibia	J1	5113	2438.34	5.38%	$131.18
27641	Partial removal of fibula	J1	5113	2438.34	4.04%	$98.51
27647	Resect talus/calcaneus tum	J1	5113	2438.34	5.83%	$142.16
27650	Repair achilles tendon	J1	5113	2438.34	14.97%	$365.02
27652	Repair/graft achilles tendon	J1	5114	5221.57	29.91%	"$1,561.77"
27654	Repair of achilles tendon	J1	5114	5221.57	28.51%	"$1,488.67"
27656	Repair leg fascia defect	J1	5113	2438.34	8.00%	$195.07
27658	Repair of leg tendon each	J1	5113	2438.34	8.29%	$202.14
27659	Repair of leg tendon each	J1	5114	5221.57	18.33%	$957.11
27664	Repair of leg tendon each	J1	5114	5221.57	10.29%	$537.30
27665	Repair of leg tendon each	J1	5114	5221.57	25.26%	"$1,318.97"
27675	Repair lower leg tendons	J1	5113	2438.34	12.82%	$312.60
27676	Repair lower leg tendons	J1	5114	5221.57	8.71%	$454.80
27680	Release of lower leg tendon	J1	5113	2438.34	15.66%	$381.84
27681	Release of lower leg tendons	J1	5113	2438.34	14.75%	$359.66
27685	Revision of lower leg tendon	J1	5113	2438.34	3.67%	$89.49
27686	Revise lower leg tendons	J1	5113	2438.34	7.19%	$175.32
27687	Revision of calf tendon	J1	5113	2438.34	4.35%	$106.07
27690	Revise lower leg tendon	J1	5114	5221.57	22.37%	"$1,168.07"
27691	Revise lower leg tendon	J1	5114	5221.57	21.63%	"$1,129.43"
27695	Repair of ankle ligament	J1	5114	5221.57	25.28%	"$1,320.01"
27696	Repair of ankle ligaments	J1	5114	5221.57	24.96%	"$1,303.30"
27698	Repair of ankle ligament	J1	5114	5221.57	26.41%	"$1,379.02"
27700	Revision of ankle joint	J1	5114	5221.57	20.25%	"$1,057.37"
27705	Incision of tibia	J1	5114	5221.57	23.09%	"$1,205.66"
27707	Incision of fibula	J1	5113	2438.34	6.97%	$169.95
27709	Incision of tibia & fibula	J1	5115	9561.23	42.03%	"$4,018.58"
27720	Repair of tibia	J1	5114	5221.57	33.97%	"$1,773.77"
27722	Repair/graft of tibia	J1	5114	5221.57	49.84%	"$2,602.43"
27726	Repair fibula nonunion	J1	5114	5221.57	35.89%	"$1,874.02"
27740	Repair of leg epiphyses	J1	5113	2438.34	41.29%	"$1,006.79"
27745	Reinforce tibia	J1	5114	5221.57	40.92%	"$2,136.67"
27750	Treatment of tibia fracture	T	5111	199.83	0.00%	$0.00
27752	Treatment of tibia fracture	J1	5112	1217.42	0.38%	$4.63
27756	Treatment of tibia fracture	J1	5114	5221.57	24.34%	"$1,270.93"
27758	Treatment of tibia fracture	J1	5115	9561.23	38.40%	"$3,671.51"
27759	Treatment of tibia fracture	J1	5115	9561.23	36.50%	"$3,489.85"
27760	Cltx medial ankle fx	T	5111	199.83	0.88%	$1.76
27762	Cltx med ankle fx w/mnpj	J1	5112	1217.42	2.20%	$26.78
27766	Optx medial ankle fx	J1	5114	5221.57	20.79%	"$1,085.56"
27767	Cltx post ankle fx	T	5111	199.83	0.00%	$0.00
27768	Cltx post ankle fx w/mnpj	J1	5112	1217.42	2.24%	$27.27
27769	Optx post ankle fx	J1	5114	5221.57	20.45%	"$1,067.81"
27780	Treatment of fibula fracture	T	5111	199.83	0.00%	$0.00
27781	Treatment of fibula fracture	J1	5112	1217.42	5.03%	$61.24
27784	Treatment of fibula fracture	J1	5114	5221.57	28.03%	"$1,463.61"
27786	Treatment of ankle fracture	T	5111	199.83	0.06%	$0.12
27788	Treatment of ankle fracture	T	5111	199.83	0.04%	$0.08
27792	Treatment of ankle fracture	J1	5114	5221.57	30.22%	"$1,577.96"
27808	Treatment of ankle fracture	T	5111	199.83	0.05%	$0.10
27810	Treatment of ankle fracture	J1	5112	1217.42	0.64%	$7.79
27814	Treatment of ankle fracture	J1	5114	5221.57	32.07%	"$1,674.56"
27816	Treatment of ankle fracture	T	5111	199.83	0.00%	$0.00
27818	Treatment of ankle fracture	J1	5112	1217.42	0.31%	$3.77
27822	Treatment of ankle fracture	J1	5114	5221.57	31.62%	"$1,651.06"
27823	Treatment of ankle fracture	J1	5114	5221.57	31.64%	"$1,652.10"
27824	Treat lower leg fracture	T	5111	199.83	4.68%	$9.35
27825	Treat lower leg fracture	J1	5112	1217.42	4.10%	$49.91
27826	Treat lower leg fracture	J1	5114	5221.57	26.81%	"$1,399.90"
27827	Treat lower leg fracture	J1	5115	9561.23	37.13%	"$3,550.08"
27828	Treat lower leg fracture	J1	5115	9561.23	39.46%	"$3,772.86"
27829	Treat lower leg joint	J1	5114	5221.57	25.34%	"$1,323.15"
27831	Treat lower leg dislocation	J1	5113	2438.34	0.00%	$0.00
27832	Treat lower leg dislocation	J1	5114	5221.57	15.63%	$816.13
27840	Treat ankle dislocation	T	5111	199.83	0.00%	$0.00
27842	Treat ankle dislocation	J1	5112	1217.42	1.74%	$21.18
27846	Treat ankle dislocation	J1	5114	5221.57	26.05%	"$1,360.22"
27848	Treat ankle dislocation	J1	5114	5221.57	27.39%	"$1,430.19"
27860	Fixation of ankle joint	J1	5113	2438.34	1.22%	$29.75
27870	Fusion of ankle joint open	J1	5115	9561.23	41.83%	"$3,999.46"
27871	Fusion of tibiofibular joint	J1	5115	9561.23	40.50%	"$3,872.30"
27884	Amputation follow-up surgery	J1	5113	2438.34	0.21%	$5.12
27889	Amputation of foot at ankle	J1	5114	5221.57	0.45%	$23.50
27892	Decompression of leg	J1	5113	2438.34	0.00%	$0.00
27893	Decompression of leg	J1	5114	5221.57	2.00%	$104.43
27899	Leg/ankle surgery procedure	T	5111	199.83	22.65%	$45.26
28001	Drainage of bursa of foot	J1	5072	1236.62	0.00%	$0.00
28002	Treatment of foot infection	J1	5113	2438.34	1.94%	$47.30
28003	Treatment of foot infection	J1	5113	2438.34	3.40%	$82.90
28005	Treat foot bone lesion	J1	5113	2438.34	5.25%	$128.01
28008	Incision of foot fascia	J1	5113	2438.34	3.10%	$75.59
28010	Incision of toe tendon	J1	5112	1217.42	0.35%	$4.26
28011	Incision of toe tendons	J1	5112	1217.42	0.74%	$9.01
28020	Exploration of foot joint	J1	5113	2438.34	8.83%	$215.31
28022	Exploration of foot joint	J1	5113	2438.34	9.51%	$231.89
28024	Exploration of toe joint	J1	5113	2438.34	3.53%	$86.07
28035	Decompression of tibia nerve	J1	5431	1563.42	4.90%	$76.61
28039	Exc foot/toe tum sc 1.5 cm/>	J1	5073	2148.91	1.34%	$28.80
28041	Exc foot/toe tum dep 1.5cm/>	J1	5073	2148.91	1.20%	$25.79
28043	Exc foot/toe tum sc < 1.5 cm	J1	5072	1236.62	1.14%	$14.10
28045	Exc foot/toe tum deep <1.5cm	J1	5073	2148.91	0.96%	$20.63
28046	Resect foot/toe tumor < 3 cm	J1	5073	2148.91	2.04%	$43.84
28047	Resect foot/toe tumor 3 cm/>	J1	5073	2148.91	1.90%	$40.83
28050	Biopsy of foot joint lining	J1	5113	2438.34	2.02%	$49.25
28052	Biopsy of foot joint lining	J1	5113	2438.34	5.11%	$124.60
28054	Biopsy of toe joint lining	J1	5113	2438.34	2.66%	$64.86
28055	Neurectomy foot	J1	5431	1563.42	0.09%	$1.41
28060	Partial removal foot fascia	J1	5113	2438.34	3.40%	$82.90
28062	Removal of foot fascia	J1	5113	2438.34	4.95%	$120.70
28070	Removal of foot joint lining	J1	5113	2438.34	1.18%	$28.77
28072	Removal of foot joint lining	J1	5113	2438.34	5.56%	$135.57
28080	Removal of foot lesion	J1	5112	1217.42	1.28%	$15.58
28086	Excise foot tendon sheath	J1	5113	2438.34	14.25%	$347.46
28088	Excise foot tendon sheath	J1	5112	1217.42	0.00%	$0.00
28090	Removal of foot lesion	J1	5113	2438.34	0.70%	$17.07
28092	Removal of toe lesions	J1	5112	1217.42	0.14%	$1.70
28100	Removal of ankle/heel lesion	J1	5113	2438.34	3.95%	$96.31
28102	Remove/graft foot lesion	J1	5114	5221.57	21.82%	"$1,139.35"
28103	Remove/graft foot lesion	J1	5114	5221.57	35.74%	"$1,866.19"
28104	Removal of foot lesion	J1	5113	2438.34	1.80%	$43.89
28106	Remove/graft foot lesion	J1	5114	5221.57	24.36%	"$1,271.97"
28107	Remove/graft foot lesion	J1	5114	5221.57	35.79%	"$1,868.80"
28108	Removal of toe lesions	J1	5112	1217.42	1.20%	$14.61
28110	Part removal of metatarsal	J1	5113	2438.34	7.24%	$176.54
28111	Part removal of metatarsal	J1	5113	2438.34	3.70%	$90.22
28112	Part removal of metatarsal	J1	5113	2438.34	2.67%	$65.10
28113	Part removal of metatarsal	J1	5113	2438.34	2.40%	$58.52
28114	Removal of metatarsal heads	J1	5113	2438.34	10.13%	$247.00
28116	Revision of foot	J1	5113	2438.34	4.30%	$104.85
28118	Removal of heel bone	J1	5113	2438.34	19.99%	$487.42
28119	Removal of heel spur	J1	5113	2438.34	8.82%	$215.06
28120	Part removal of ankle/heel	J1	5113	2438.34	8.95%	$218.23
28122	Partial removal of foot bone	J1	5113	2438.34	3.63%	$88.51
28124	Partial removal of toe	J1	5113	2438.34	1.61%	$39.26
28126	Partial removal of toe	J1	5113	2438.34	3.18%	$77.54
28130	Removal of ankle bone	J1	5113	2438.34	1.96%	$47.79
28140	Removal of metatarsal	J1	5113	2438.34	3.26%	$79.49
28150	Removal of toe	J1	5113	2438.34	0.05%	$1.22
28153	Partial removal of toe	J1	5112	1217.42	2.16%	$26.30
28160	Partial removal of toe	J1	5113	2438.34	2.86%	$69.74
28171	Resect tarsal tumor	J1	5113	2438.34	7.55%	$184.09
28173	Resect metatarsal tumor	J1	5113	2438.34	4.85%	$118.26
28175	Resect phalanx of toe tumor	J1	5112	1217.42	3.38%	$41.15
28190	Removal of foot foreign body	T	5071	539.11	0.19%	$1.02
28192	Removal of foot foreign body	J1	5072	1236.62	0.89%	$11.01
28193	Removal of foot foreign body	J1	5072	1236.62	3.69%	$45.63
28200	Repair of foot tendon	J1	5113	2438.34	15.14%	$369.16
28202	Repair/graft of foot tendon	J1	5114	5221.57	27.05%	"$1,412.43"
28208	Repair of foot tendon	J1	5113	2438.34	14.06%	$342.83
28210	Repair/graft of foot tendon	J1	5114	5221.57	31.83%	"$1,662.03"
28220	Release of foot tendon	J1	5113	2438.34	12.96%	$316.01
28222	Release of foot tendons	J1	5113	2438.34	14.97%	$365.02
28225	Release of foot tendon	J1	5113	2438.34	2.48%	$60.47
28226	Release of foot tendons	J1	5112	1217.42	0.00%	$0.00
28230	Incision of foot tendon(s)	J1	5112	1217.42	1.34%	$16.31
28232	Incision of toe tendon	J1	5112	1217.42	0.62%	$7.55
28234	Incision of foot tendon	J1	5112	1217.42	5.19%	$63.18
28238	Revision of foot tendon	J1	5114	5221.57	22.04%	"$1,150.83"
28240	Release of big toe	J1	5113	2438.34	7.84%	$191.17
28250	Revision of foot fascia	J1	5113	2438.34	2.23%	$54.37
28260	Release of midfoot joint	J1	5112	1217.42	0.00%	$0.00
28261	Revision of foot tendon	J1	5113	2438.34	14.49%	$353.32
28262	Revision of foot and ankle	J1	5114	5221.57	31.41%	"$1,640.10"
28270	Release of foot contracture	J1	5113	2438.34	15.09%	$367.95
28272	Release of toe joint each	J1	5112	1217.42	3.90%	$47.48
28280	Fusion of toes	J1	5113	2438.34	2.94%	$71.69
28285	Repair of hammertoe	J1	5113	2438.34	12.50%	$304.79
28286	Repair of hammertoe	J1	5113	2438.34	11.30%	$275.53
28288	Partial removal of foot bone	J1	5113	2438.34	4.53%	$110.46
28289	Corrj halux rigdus w/o implt	J1	5113	2438.34	11.73%	$286.02
28290	Correction of bunion	J1	5113	2438.34	8.47%	$206.53
28292	Correction hallux valgus	J1	5113	2438.34	8.86%	$216.04
28293	Correction of bunion	J1	5114	5221.57	41.74%	"$2,179.48"
28294	Correction of bunion	J1	5113	2438.34	10.88%	$265.29
28296	Correction hallux valgus	J1	5113	2438.34	15.41%	$375.75
28297	Correction hallux valgus	J1	5114	5221.57	38.10%	"$1,989.42"
28298	Correction hallux valgus	J1	5114	5221.57	26.11%	"$1,363.35"
28299	Correction hallux valgus	J1	5113	2438.34	25.51%	$622.02
28300	Incision of heel bone	J1	5114	5221.57	31.93%	"$1,667.25"
28302	Incision of ankle bone	J1	5114	5221.57	13.86%	$723.71
28304	Incision of midfoot bones	J1	5114	5221.57	29.33%	"$1,531.49"
28305	Incise/graft midfoot bones	J1	5114	5221.57	41.94%	"$2,189.93"
28306	Incision of metatarsal	J1	5114	5221.57	25.12%	"$1,311.66"
28307	Incision of metatarsal	J1	5113	2438.34	34.31%	$836.59
28308	Incision of metatarsal	J1	5113	2438.34	19.66%	$479.38
28309	Incision of metatarsals	J1	5114	5221.57	29.54%	"$1,542.45"
28310	Revision of big toe	J1	5113	2438.34	18.48%	$450.61
28312	Revision of toe	J1	5113	2438.34	11.16%	$272.12
28313	Repair deformity of toe	J1	5113	2438.34	12.56%	$306.26
28315	Removal of sesamoid bone	J1	5113	2438.34	1.50%	$36.58
28320	Repair of foot bones	J1	5115	9561.23	39.88%	"$3,813.02"
28322	Repair of metatarsals	J1	5114	5221.57	35.58%	"$1,857.83"
28340	Resect enlarged toe tissue	J1	5113	2438.34	0.00%	$0.00
28341	Resect enlarged toe	J1	5113	2438.34	10.42%	$254.08
28344	Repair extra toe(s)	J1	5113	2438.34	0.64%	$15.61
28345	Repair webbed toe(s)	J1	5113	2438.34	10.47%	$255.29
28400	Treatment of heel fracture	T	5111	199.83	0.78%	$1.56
28405	Treatment of heel fracture	T	5111	199.83	0.00%	$0.00
28406	Treatment of heel fracture	J1	5114	5221.57	24.59%	"$1,283.98"
28415	Treat heel fracture	J1	5114	5221.57	36.86%	"$1,924.67"
28420	Treat/graft heel fracture	J1	5115	9561.23	41.34%	"$3,952.61"
28430	Treatment of ankle fracture	T	5111	199.83	0.00%	$0.00
28435	Treatment of ankle fracture	J1	5112	1217.42	0.00%	$0.00
28436	Treatment of ankle fracture	J1	5114	5221.57	40.25%	"$2,101.68"
28445	Treat ankle fracture	J1	5114	5221.57	22.54%	"$1,176.94"
28446	Osteochondral talus autogrft	J1	5114	5221.57	36.42%	"$1,901.70"
28450	Treat midfoot fracture each	T	5111	199.83	0.00%	$0.00
28455	Treat midfoot fracture each	J1	5113	2438.34	0.00%	$0.00
28456	Treat midfoot fracture	J1	5114	5221.57	22.90%	"$1,195.74"
28465	Treat midfoot fracture each	J1	5114	5221.57	28.79%	"$1,503.29"
28470	Treat metatarsal fracture	T	5111	199.83	0.91%	$1.82
28475	Treat metatarsal fracture	T	5111	199.83	0.00%	$0.00
28476	Treat metatarsal fracture	J1	5113	2438.34	13.21%	$322.10
28485	Treat metatarsal fracture	J1	5114	5221.57	29.51%	"$1,540.89"
28490	Treat big toe fracture	T	5111	199.83	0.00%	$0.00
28495	Treat big toe fracture	T	5111	199.83	0.13%	$0.26
28496	Treat big toe fracture	J1	5113	2438.34	1.89%	$46.08
28505	Treat big toe fracture	J1	5113	2438.34	11.87%	$289.43
28510	Treatment of toe fracture	T	5111	199.83	0.00%	$0.00
28515	Treatment of toe fracture	T	5111	199.83	0.14%	$0.28
28525	Treat toe fracture	J1	5113	2438.34	7.14%	$174.10
28530	Treat sesamoid bone fracture	T	5111	199.83	0.00%	$0.00
28531	Treat sesamoid bone fracture	J1	5114	5221.57	21.93%	"$1,145.09"
28545	Treat foot dislocation	J1	5113	2438.34	43.99%	"$1,072.63"
28555	Repair foot dislocation	J1	5114	5221.57	32.13%	"$1,677.69"
28575	Treat foot dislocation	J1	5113	2438.34	3.38%	$82.42
28585	Repair foot dislocation	J1	5114	5221.57	44.78%	"$2,338.22"
28600	Treat foot dislocation	T	5111	199.83	0.00%	$0.00
28606	Treat foot dislocation	J1	5113	2438.34	24.69%	$602.03
28615	Repair foot dislocation	J1	5114	5221.57	30.90%	"$1,613.47"
28630	Treat toe dislocation	T	5111	199.83	0.00%	$0.00
28635	Treat toe dislocation	J1	5112	1217.42	2.30%	$28.00
28636	Treat toe dislocation	J1	5113	2438.34	5.46%	$133.13
28645	Repair toe dislocation	J1	5113	2438.34	16.13%	$393.30
28660	Treat toe dislocation	T	5111	199.83	0.00%	$0.00
28665	Treat toe dislocation	T	5102	220.75	0.00%	$0.00
28666	Treat toe dislocation	J1	5113	2438.34	1.41%	$34.38
28675	Repair of toe dislocation	J1	5113	2438.34	5.46%	$133.13
28705	Fusion of foot bones	J1	5116	14704.13	49.18%	"$7,231.49"
28715	Fusion of foot bones	J1	5115	9561.23	44.99%	"$4,301.60"
28725	Fusion of foot bones	J1	5115	9561.23	39.04%	"$3,732.70"
28730	Fusion of foot bones	J1	5115	9561.23	46.47%	"$4,443.10"
28735	Fusion of foot bones	J1	5115	9561.23	44.19%	"$4,225.11"
28737	Revision of foot bones	J1	5115	9561.23	49.45%	"$4,728.03"
28740	Fusion of foot bones	J1	5114	5221.57	41.57%	"$2,170.61"
28750	Fusion of big toe joint	J1	5114	5221.57	42.30%	"$2,208.72"
28755	Fusion of big toe joint	J1	5114	5221.57	25.88%	"$1,351.34"
28760	Fusion of big toe joint	J1	5114	5221.57	24.59%	"$1,283.98"
28805	Amputation thru metatarsal	J1	5113	2438.34	1.89%	$46.08
28810	Amputation toe & metatarsal	J1	5113	2438.34	1.19%	$29.02
28820	Amputation of toe	J1	5113	2438.34	0.92%	$22.43
28825	Partial amputation of toe	J1	5113	2438.34	0.61%	$14.87
28890	Hi enrgy eswt plantar fascia	J1	5112	1217.42	0.12%	$1.46
28899	Foot/toes surgery procedure	T	5111	199.83	29.46%	$58.87
29010	Application of body cast	T	5102	220.75	0.00%	$0.00
29015	Application of body cast	T	5102	220.75	0.00%	$0.00
29035	Application of body cast	T	5102	220.75	0.00%	$0.00
29044	Application of body cast	T	5101	125.15	0.00%	$0.00
29055	Application of shoulder cast	T	5102	220.75	0.00%	$0.00
29065	Application of long arm cast	T	5102	220.75	0.00%	$0.00
29075	Application of forearm cast	T	5102	220.75	0.00%	$0.00
29085	Apply hand/wrist cast	T	5101	125.15	0.00%	$0.00
29086	Apply finger cast	T	5101	125.15	0.00%	$0.00
29105	Apply long arm splint	T	5101	125.15	0.00%	$0.00
29125	Apply forearm splint	N	5734	100.02	0.00%	$0.00
29126	Apply forearm splint	N	5734	100.02	0.00%	$0.00
29130	Application of finger splint	N	5733	54.55	0.00%	$0.00
29131	Application of finger splint	N	5733	54.55	0.00%	$0.00
29200	Strapping of chest	T	5101	125.15	0.01%	$0.01
29240	Strapping of shoulder	N	5733	54.55	0.03%	$0.02
29260	Strapping of elbow or wrist	N	5732	28.38	0.00%	$0.00
29280	Strapping of hand or finger	N	5732	28.38	0.00%	$0.00
29305	Application of hip cast	T	5102	220.75	0.00%	$0.00
29345	Application of long leg cast	T	5102	220.75	0.00%	$0.00
29355	Application of long leg cast	T	5102	220.75	0.00%	$0.00
29365	Application of long leg cast	T	5102	220.75	0.00%	$0.00
29405	Apply short leg cast	T	5102	220.75	0.00%	$0.00
29425	Apply short leg cast	T	5102	220.75	0.00%	$0.00
29435	Apply short leg cast	T	5102	220.75	0.00%	$0.00
29440	Addition of walker to cast	T	5101	125.15	0.00%	$0.00
29445	Apply rigid leg cast	T	5102	220.75	0.02%	$0.04
29450	Application of leg cast	T	5101	125.15	0.00%	$0.00
29505	Application long leg splint	T	5101	125.15	0.00%	$0.00
29515	Application lower leg splint	T	5101	125.15	0.00%	$0.00
29520	Strapping of hip	N	5733	54.55	0.00%	$0.00
29530	Strapping of knee	N	5733	54.55	0.00%	$0.00
29540	Strapping of ankle and/or ft	T	5101	125.15	-0.01%	-$0.01
29550	Strapping of toes	N	5733	54.55	0.00%	$0.00
29580	Application of paste boot	T	5101	125.15	0.01%	$0.01
29581	Apply multlay comprs lwr leg	T	5101	125.15	0.00%	$0.00
29582	Apply multlay comprs upr leg	T	5101	125.15	0.00%	$0.00
29583	Apply multlay comprs upr arm	T	5101	125.15	0.00%	$0.00
29584	Appl multlay comprs arm/hand	T	5101	125.15	0.00%	$0.00
29700	Removal/revision of cast	T	5102	220.75	0.00%	$0.00
29705	Removal/revision of cast	T	5102	220.75	0.00%	$0.00
29710	Removal/revision of cast	T	5102	220.75	0.00%	$0.00
29720	Repair of body cast	T	5101	125.15	0.00%	$0.00
29730	Windowing of cast	T	5101	125.15	0.00%	$0.00
29740	Wedging of cast	T	5102	220.75	0.00%	$0.00
29799	Casting/strapping procedure	T	5101	125.15	0.01%	$0.01
29800	Jaw arthroscopy/surgery	J1	5113	2438.34	0.00%	$0.00
29804	Jaw arthroscopy/surgery	J1	5113	2438.34	0.64%	$15.61
29805	Shoulder arthroscopy dx	J1	5113	2438.34	1.41%	$34.38
29806	Shoulder arthroscopy/surgery	J1	5114	5221.57	22.29%	"$1,163.89"
29807	Shoulder arthroscopy/surgery	J1	5114	5221.57	20.03%	"$1,045.88"
29819	Shoulder arthroscopy/surgery	J1	5113	2438.34	1.72%	$41.94
2982A	CPX 29821 Shoulder arthrosco	J1	5114	5221.57	1.77%	$92.42
29820	Shoulder arthroscopy/surgery	J1	5114	5221.57	2.67%	$139.42
29821	Shoulder arthroscopy/surgery	J1	5113	2438.34	3.00%	$73.15
29822	Shoulder arthroscopy/surgery	J1	5113	2438.34	1.59%	$38.77
29823	Shoulder arthroscopy/surgery	J1	5113	2438.34	1.46%	$35.60
29824	Shoulder arthroscopy/surgery	J1	5113	2438.34	1.42%	$34.62
29825	Shoulder arthroscopy/surgery	J1	5113	2438.34	1.83%	$44.62
29827	Arthroscop rotator cuff repr	J1	5114	5221.57	23.48%	"$1,226.02"
29828	Arthroscopy biceps tenodesis	J1	5114	5221.57	8.73%	$455.84
29830	Elbow arthroscopy	J1	5113	2438.34	0.08%	$1.95
29834	Elbow arthroscopy/surgery	J1	5113	2438.34	0.13%	$3.17
29835	Elbow arthroscopy/surgery	J1	5113	2438.34	0.00%	$0.00
29836	Elbow arthroscopy/surgery	J1	5114	5221.57	1.38%	$72.06
29837	Elbow arthroscopy/surgery	J1	5113	2438.34	1.62%	$39.50
29838	Elbow arthroscopy/surgery	J1	5113	2438.34	0.56%	$13.65
29840	Wrist arthroscopy	J1	5113	2438.34	0.15%	$3.66
29843	Wrist arthroscopy/surgery	J1	5113	2438.34	0.04%	$0.98
29844	Wrist arthroscopy/surgery	J1	5113	2438.34	0.45%	$10.97
29845	Wrist arthroscopy/surgery	J1	5113	2438.34	1.01%	$24.63
29846	Wrist arthroscopy/surgery	J1	5113	2438.34	1.75%	$42.67
29847	Wrist arthroscopy/surgery	J1	5114	5221.57	14.93%	$779.58
29848	Wrist endoscopy/surgery	J1	5112	1217.42	0.38%	$4.63
29850	Knee arthroscopy/surgery	J1	5112	1217.42	0.00%	$0.00
29851	Knee arthroscopy/surgery	J1	5112	1217.42	0.46%	$5.60
29855	Tibial arthroscopy/surgery	J1	5114	5221.57	48.53%	"$2,534.03"
29856	Tibial arthroscopy/surgery	J1	5115	9561.23	54.99%	"$5,257.72"
29860	Hip arthroscopy dx	J1	5114	5221.57	7.93%	$414.07
29861	Hip arthro w/fb removal	J1	5113	2438.34	6.65%	$162.15
29862	Hip arthr0 w/debridement	J1	5114	5221.57	6.61%	$345.15
29863	Hip arthr0 w/synovectomy	J1	5113	2438.34	5.19%	$126.55
29866	Autgrft implnt knee w/scope	J1	5114	5221.57	19.07%	$995.75
29867	Allgrft implnt knee w/scope	J1	5115	9561.23	51.87%	"$4,959.41"
29868	Meniscal trnspl knee w/scpe	J1	5114	5221.57	28.77%	"$1,502.25"
29870	Knee arthroscopy dx	J1	5113	2438.34	3.41%	$83.15
29871	Knee arthroscopy/drainage	J1	5113	2438.34	0.70%	$17.07
29873	Knee arthroscopy/surgery	J1	5113	2438.34	0.40%	$9.75
29874	Knee arthroscopy/surgery	J1	5113	2438.34	0.39%	$9.51
29875	Knee arthroscopy/surgery	J1	5113	2438.34	0.39%	$9.51
29876	Knee arthroscopy/surgery	J1	5113	2438.34	0.60%	$14.63
29877	Knee arthroscopy/surgery	J1	5113	2438.34	0.80%	$19.51
29879	Knee arthroscopy/surgery	J1	5113	2438.34	1.50%	$36.58
29880	Knee arthroscopy/surgery	J1	5113	2438.34	0.39%	$9.51
29881	Knee arthroscopy/surgery	J1	5113	2438.34	0.38%	$9.27
29882	Knee arthroscopy/surgery	J1	5113	2438.34	5.92%	$144.35
29883	Knee arthroscopy/surgery	J1	5113	2438.34	0.35%	$8.53
29884	Knee arthroscopy/surgery	J1	5113	2438.34	0.60%	$14.63
29885	Knee arthroscopy/surgery	J1	5114	5221.57	21.85%	"$1,140.91"
29886	Knee arthroscopy/surgery	J1	5113	2438.34	6.94%	$169.22
29887	Knee arthroscopy/surgery	J1	5114	5221.57	23.65%	"$1,234.90"
29888	Knee arthroscopy/surgery	J1	5114	5221.57	33.86%	"$1,768.02"
29889	Knee arthroscopy/surgery	J1	5115	9561.23	33.82%	"$3,233.61"
29891	Ankle arthroscopy/surgery	J1	5113	2438.34	5.51%	$134.35
29892	Ankle arthroscopy/surgery	J1	5114	5221.57	13.39%	$699.17
29893	Scope plantar fasciotomy	J1	5113	2438.34	0.97%	$23.65
29894	Ankle arthroscopy/surgery	J1	5113	2438.34	3.54%	$86.32
29895	Ankle arthroscopy/surgery	J1	5113	2438.34	3.52%	$85.83
29897	Ankle arthroscopy/surgery	J1	5113	2438.34	3.70%	$90.22
29898	Ankle arthroscopy/surgery	J1	5113	2438.34	3.26%	$79.49
29899	Ankle arthroscopy/surgery	J1	5114	5221.57	25.87%	"$1,350.82"
29901	Mcp joint arthroscopy surg	J1	5113	2438.34	0.05%	$1.22
29902	Mcp joint arthroscopy surg	J1	5112	1217.42	0.00%	$0.00
29904	Subtalar arthro w/fb rmvl	J1	5113	2438.34	0.00%	$0.00
29905	Subtalar arthro w/exc	J1	5113	2438.34	22.01%	$536.68
29906	Subtalar arthro w/deb	J1	5113	2438.34	0.19%	$4.63
29907	Subtalar arthro w/fusion	J1	5115	9561.23	38.02%	"$3,635.18"
29914	Hip arthro w/femoroplasty	J1	5114	5221.57	5.89%	$307.55
29915	Hip arthro acetabuloplasty	J1	5114	5221.57	14.14%	$738.33
29916	Hip arthro w/labral repair	J1	5114	5221.57	18.23%	$951.89
29999	Arthroscopy of joint	T	5111	199.83	4.79%	$9.57
30000	Drainage of nose lesion	T	5161	177.09	0.16%	$0.28
30020	Drainage of nose lesion	T	5162	442.62	0.00%	$0.00
30100	Intranasal biopsy	T	5163	1038.55	0.15%	$1.56
30110	Removal of nose polyp(s)	T	5163	1038.55	1.00%	$10.39
30115	Removal of nose polyp(s)	J1	5164	2173.69	3.01%	$65.43
30117	Removal of intranasal lesion	J1	5164	2173.69	0.34%	$7.39
30118	Removal of intranasal lesion	J1	5164	2173.69	0.96%	$20.87
30120	Revision of nose	J1	5164	2173.69	0.35%	$7.61
30124	Removal of nose lesion	T	5163	1038.55	0.00%	$0.00
30125	Removal of nose lesion	J1	5165	4130.94	0.00%	$0.00
30130	Excise inferior turbinate	J1	5164	2173.69	1.29%	$28.04
30140	Resect inferior turbinate	J1	5164	2173.69	1.43%	$31.08
30150	Partial removal of nose	J1	5165	4130.94	0.56%	$23.13
30160	Removal of nose	J1	5165	4130.94	0.94%	$38.83
30200	Injection treatment of nose	T	5162	442.62	0.00%	$0.00
30220	Insert nasal septal button	T	5163	1038.55	5.47%	$56.81
30300	Remove nasal foreign body	N	5734	100.02	0.00%	$0.00
30310	Remove nasal foreign body	J1	5164	2173.69	0.30%	$6.52
30320	Remove nasal foreign body	T	5163	1038.55	0.00%	$0.00
30400	Reconstruction of nose	J1	5165	4130.94	1.55%	$64.03
30410	Reconstruction of nose	J1	5165	4130.94	1.76%	$72.70
30420	Reconstruction of nose	J1	5165	4130.94	3.55%	$146.65
30430	Revision of nose	J1	5165	4130.94	2.74%	$113.19
30435	Revision of nose	J1	5165	4130.94	0.76%	$31.40
30450	Revision of nose	J1	5165	4130.94	3.17%	$130.95
30460	Revision of nose	J1	5165	4130.94	0.00%	$0.00
30462	Revision of nose	J1	5165	4130.94	0.00%	$0.00
30465	Repair nasal stenosis	J1	5165	4130.94	4.62%	$190.85
30520	Repair of nasal septum	J1	5164	2173.69	0.68%	$14.78
30540	Repair nasal defect	J1	5165	4130.94	2.75%	$113.60
30560	Release of nasal adhesions	T	5162	442.62	0.07%	$0.31
30580	Repair upper jaw fistula	J1	5165	4130.94	2.82%	$116.49
30600	Repair mouth/nose fistula	J1	5165	4130.94	2.02%	$83.44
30620	Intranasal reconstruction	J1	5165	4130.94	2.57%	$106.17
30630	Repair nasal septum defect	J1	5164	2173.69	3.87%	$84.12
30801	Ablate inf turbinate superf	T	5163	1038.55	1.40%	$14.54
30802	Ablate inf turbinate submuc	T	5163	1038.55	0.26%	$2.70
30901	Control of nosebleed	N	5734	100.02	0.00%	$0.00
30903	Control of nosebleed	T	5734	100.02	0.02%	$0.02
30905	Control of nosebleed	T	5734	100.02	0.04%	$0.04
30906	Repeat control of nosebleed	T	5161	177.09	0.00%	$0.00
30915	Ligation nasal sinus artery	T	5182	2360.6	0.00%	$0.00
30920	Ligation upper jaw artery	T	5182	2360.6	0.00%	$0.00
30930	Ther fx nasal inf turbinate	J1	5164	2173.69	2.66%	$57.82
30999	Nasal surgery procedure	T	5161	177.09	1.19%	$2.11
31000	Irrigation maxillary sinus	T	5161	177.09	0.00%	$0.00
31020	Exploration maxillary sinus	J1	5164	2173.69	1.40%	$30.43
31030	Exploration maxillary sinus	J1	5165	4130.94	2.37%	$97.90
31032	Explore sinus remove polyps	J1	5165	4130.94	2.73%	$112.77
31040	Exploration behind upper jaw	J1	5165	4130.94	1.46%	$60.31
31050	Exploration sphenoid sinus	J1	5165	4130.94	7.70%	$318.08
31051	Sphenoid sinus surgery	J1	5165	4130.94	12.13%	$501.08
31070	Exploration of frontal sinus	J1	5165	4130.94	10.31%	$425.90
31075	Exploration of frontal sinus	J1	5165	4130.94	7.05%	$291.23
31080	Removal of frontal sinus	J1	5165	4130.94	5.78%	$238.77
31081	Removal of frontal sinus	J1	5165	4130.94	14.41%	$595.27
31084	Removal of frontal sinus	J1	5165	4130.94	18.03%	$744.81
31085	Removal of frontal sinus	J1	5165	4130.94	22.03%	$910.05
31086	Removal of frontal sinus	J1	5165	4130.94	11.02%	$455.23
31087	Removal of frontal sinus	J1	5165	4130.94	4.32%	$178.46
31090	Exploration of sinuses	J1	5165	4130.94	2.07%	$85.51
31200	Removal of ethmoid sinus	J1	5165	4130.94	2.81%	$116.08
31201	Removal of ethmoid sinus	J1	5164	2173.69	2.95%	$64.12
31205	Removal of ethmoid sinus	J1	5164	2173.69	0.81%	$17.61
31231	Nasal endoscopy dx	T	5151	146.2	0.00%	$0.00
31233	Nasal/sinus endoscopy dx	T	5152	361.92	0.00%	$0.00
31235	Nasal/sinus endoscopy dx	J1	5153	1269.79	0.88%	$11.17
31237	Nasal/sinus endoscopy surg	J1	5153	1269.79	0.34%	$4.32
31238	Nasal/sinus endoscopy surg	J1	5153	1269.79	0.34%	$4.32
31239	Nasal/sinus endoscopy surg	J1	5154	2431.23	3.13%	$76.10
31240	Nasal/sinus endoscopy surg	J1	5153	1269.79	3.37%	$42.79
31254	Revision of ethmoid sinus	J1	5155	4362.95	4.49%	$195.90
31255	Removal of ethmoid sinus	J1	5155	4362.95	6.23%	$271.81
31256	Exploration maxillary sinus	J1	5154	2431.23	4.68%	$113.78
31267	Endoscopy maxillary sinus	J1	5155	4362.95	4.27%	$186.30
31276	Sinus endoscopy surgical	J1	5155	4362.95	14.06%	$613.43
31287	Nasal/sinus endoscopy surg	J1	5155	4362.95	7.94%	$346.42
31288	Nasal/sinus endoscopy surg	J1	5155	4362.95	8.25%	$359.94
31292	Nasal/sinus endoscopy surg	J1	5155	4362.95	4.92%	$214.66
31293	Nasal/sinus endoscopy surg	J1	5155	4362.95	1.61%	$70.24
31294	Nasal/sinus endoscopy surg	J1	5155	4362.95	1.39%	$60.65
31295	Sinus endo w/balloon dil	J1	5155	4362.95	19.56%	$853.39
31296	Sinus endo w/balloon dil	J1	5155	4362.95	18.07%	$788.39
31297	Sinus endo w/balloon dil	J1	5155	4362.95	19.10%	$833.32
31299	Sinus surgery procedure	T	5161	177.09	3.37%	$5.97
31300	Removal of larynx lesion	J1	5164	2173.69	0.70%	$15.22
31320	Diagnostic incision larynx	J1	5165	4130.94	1.09%	$45.03
31400	Revision of larynx	J1	5165	4130.94	6.24%	$257.77
31420	Removal of epiglottis	J1	5165	4130.94	4.41%	$182.17
31500	Insert emergency airway	T	5161	177.09	0.04%	$0.07
31502	Change of windpipe airway	T	5161	177.09	0.59%	$1.04
31505	Diagnostic laryngoscopy	T	5151	146.2	0.00%	$0.00
31510	Laryngoscopy with biopsy	J1	5154	2431.23	0.00%	$0.00
31511	Remove foreign body larynx	T	5151	146.2	0.00%	$0.00
31512	Removal of larynx lesion	J1	5154	2431.23	0.51%	$12.40
31513	Injection into vocal cord	T	5152	361.92	12.76%	$46.18
31515	Laryngoscopy for aspiration	T	5152	361.92	0.00%	$0.00
31525	Dx laryngoscopy excl nb	J1	5153	1269.79	0.45%	$5.71
31526	Dx laryngoscopy w/oper scope	J1	5153	1269.79	0.60%	$7.62
31528	Laryngoscopy and dilation	J1	5154	2431.23	10.22%	$248.47
31529	Laryngoscopy and dilation	J1	5154	2431.23	10.58%	$257.22
31530	Laryngoscopy w/fb removal	J1	5153	1269.79	0.04%	$0.51
31531	Laryngoscopy w/fb & op scope	J1	5154	2431.23	0.30%	$7.29
31535	Laryngoscopy w/biopsy	J1	5154	2431.23	0.38%	$9.24
31536	Laryngoscopy w/bx & op scope	J1	5154	2431.23	0.23%	$5.59
31540	Laryngoscopy w/exc of tumor	J1	5154	2431.23	0.90%	$21.88
31541	Larynscop w/tumr exc + scope	J1	5154	2431.23	0.79%	$19.21
31545	Remove vc lesion w/scope	J1	5154	2431.23	1.77%	$43.03
31546	Remove vc lesion scope/graft	J1	5155	4362.95	11.65%	$508.28
31560	Laryngoscop w/arytenoidectom	J1	5155	4362.95	0.80%	$34.90
31561	Larynscop remve cart + scop	J1	5155	4362.95	4.07%	$177.57
31570	Laryngoscope w/vc inj	J1	5154	2431.23	19.25%	$468.01
31571	Laryngoscop w/vc inj + scope	J1	5154	2431.23	20.84%	$506.67
31575	Diagnostic laryngoscopy	T	5151	146.2	0.01%	$0.01
31576	Laryngoscopy with biopsy	J1	5153	1269.79	0.13%	$1.65
31577	Largsc w/rmvl foreign bdy(s)	T	5152	361.92	0.04%	$0.14
31578	Largsc w/removal lesion	J1	5154	2431.23	0.16%	$3.89
31579	Laryngoscopy telescopic	T	5152	361.92	0.01%	$0.04
31580	Laryngoplasty laryngeal web	J1	5165	4130.94	1.97%	$81.38
31582	Revision of larynx	J1	5165	4130.94	10.83%	$447.38
31587	Laryngoplasty cricoid split	J1	5165	4130.94	0.00%	$0.00
31588	Revision of larynx	J1	5165	4130.94	9.97%	$411.85
31590	Reinnervate larynx	J1	5165	4130.94	0.00%	$0.00
31595	Larynx nerve surgery	J1	5164	2173.69	1.25%	$27.17
31599	Larynx surgery procedure	T	5161	177.09	5.11%	$9.05
31600	Incision of windpipe	J1	5164	2173.69	0.85%	$18.48
31601	Incision of windpipe	J1	5165	4130.94	0.00%	$0.00
31603	Incision of windpipe	T	5163	1038.55	3.82%	$39.67
31605	Incision of windpipe	T	5162	442.62	0.00%	$0.00
31610	Incision of windpipe	J1	5165	4130.94	25.59%	"$1,057.11"
31611	Surgery/speech prosthesis	J1	5164	2173.69	4.70%	$102.16
31612	Puncture/clear windpipe	J1	5164	2173.69	3.07%	$66.73
31613	Repair windpipe opening	J1	5164	2173.69	1.71%	$37.17
31614	Repair windpipe opening	J1	5165	4130.94	2.47%	$102.03
31615	Visualization of windpipe	T	5162	442.62	0.09%	$0.40
31622	Dx bronchoscope/wash	J1	5153	1269.79	0.34%	$4.32
31623	Dx bronchoscope/brush	J1	5153	1269.79	0.20%	$2.54
31624	Dx bronchoscope/lavage	J1	5153	1269.79	0.12%	$1.52
31625	Bronchoscopy w/biopsy(s)	J1	5153	1269.79	0.43%	$5.46
31626	Bronchoscopy w/markers	J1	5155	4362.95	10.46%	$456.36
31628	Bronchoscopy/lung bx each	J1	5154	2431.23	0.50%	$12.16
31629	Bronchoscopy/needle bx each	J1	5154	2431.23	0.67%	$16.29
31630	Bronchoscopy dilate/fx repr	J1	5154	2431.23	11.85%	$288.10
31631	Bronchoscopy dilate w/stent	J1	5155	4362.95	23.50%	"$1,025.29"
31634	Bronch w/balloon occlusion	J1	5155	4362.95	23.18%	"$1,011.33"
31635	Bronchoscopy w/fb removal	J1	5153	1269.79	1.15%	$14.60
31636	Bronchoscopy bronch stents	J1	5155	4362.95	42.48%	"$1,853.38"
31638	Bronchoscopy revise stent	J1	5155	4362.95	21.03%	$917.53
3164A	CPX 31641 Bronchoscopy treat	J1	5155	4362.95	1.49%	$65.01
31640	Bronchoscopy w/tumor excise	J1	5154	2431.23	1.16%	$28.20
31641	Bronchoscopy treat blockage	J1	5154	2431.23	4.50%	$109.41
31643	Diag bronchoscope/catheter	J1	5153	1269.79	3.86%	$49.01
31645	Bronchoscopy clear airways	J1	5153	1269.79	0.29%	$3.68
31646	Bronchoscopy reclear airway	T	5152	361.92	0.00%	$0.00
31647	Bronchial valve init insert	J1	5155	4362.95	38.25%	"$1,668.83"
31648	Bronchial valve remov init	J1	5154	2431.23	0.60%	$14.59
31660	Bronch thermoplsty 1 lobe	J1	5155	4362.95	45.73%	"$1,995.18"
31661	Bronch thermoplsty 2/> lobes	J1	5155	4362.95	44.02%	"$1,920.57"
31720	Clearance of airways	N	5791	162.08	0.61%	$0.99
31730	Intro windpipe wire/tube	J1	5153	1269.79	11.39%	$144.63
31750	Repair of windpipe	J1	5165	4130.94	4.00%	$165.24
31755	Repair of windpipe	J1	5165	4130.94	0.00%	$0.00
31785	Remove windpipe lesion	J1	5165	4130.94	1.02%	$42.14
31820	Closure of windpipe lesion	J1	5164	2173.69	0.34%	$7.39
31825	Repair of windpipe defect	J1	5164	2173.69	0.40%	$8.69
31830	Revise windpipe scar	J1	5164	2173.69	2.44%	$53.04
31899	Airways surgical procedure	T	5151	146.2	2.88%	$4.21
32400	Needle biopsy chest lining	J1	5072	1236.62	0.69%	$8.53
32405	Percut bx lung/mediastinum	J1	5072	1236.62	1.07%	$13.23
32550	Insert pleural cath	J1	5341	2862.74	30.40%	$870.27
32551	Insertion of chest tube	T	5181	684.13	13.72%	$93.86
32552	Remove lung catheter	N	5181	684.13	1.91%	$13.07
32553	Ins mark thor for rt perq	S	5613	1066.24	16.97%	$180.94
32554	Aspirate pleura w/o imaging	T	5181	684.13	1.46%	$9.99
32555	Aspirate pleura w/ imaging	T	5181	684.13	3.46%	$23.67
32556	Insert cath pleura w/o image	J1	5302	1334.83	9.92%	$132.42
32557	Insert cath pleura w/ image	T	5181	684.13	21.03%	$143.87
32560	Treat pleurodesis w/agent	T	5181	684.13	1.48%	$10.13
32561	Lyse chest fibrin init day	T	5181	684.13	3.12%	$21.34
32562	Lyse chest fibrin subq day	T	5181	684.13	0.00%	$0.00
32601	Thoracoscopy diagnostic	J1	5361	4199.13	8.17%	$343.07
32604	Thoracoscopy wbx sac	J1	5361	4199.13	0.64%	$26.87
32606	Thoracoscopy w/bx med space	J1	5361	4199.13	0.80%	$33.59
32607	Thoracoscopy w/bx infiltrate	J1	5361	4199.13	5.14%	$215.84
32608	Thoracoscopy w/bx nodule	J1	5361	4199.13	2.01%	$84.40
32609	Thoracoscopy w/bx pleura	J1	5361	4199.13	6.98%	$293.10
32998	Perq rf ablate tx pul tumor	J1	5361	4199.13	18.11%	$760.46
32999	Chest surgery procedure	T	5181	684.13	8.50%	$58.15
33010	Drainage of heart sac	T	5181	684.13	8.24%	$56.37
33011	Repeat drainage of heart sac	T	5181	684.13	8.00%	$54.73
33206	Insert heart pm atrial	J1	5223	9413.65	62.66%	"$5,898.59"
33207	Insert heart pm ventricular	J1	5223	9413.65	61.58%	"$5,796.93"
33208	Insrt heart pm atrial & vent	J1	5223	9413.65	66.39%	"$6,249.72"
33210	Insert electrd/pm cath sngl	J1	5222	6976.57	19.29%	"$1,345.78"
33211	Insert card electrodes dual	J1	5222	6976.57	61.69%	"$4,303.85"
33212	Insert pulse gen sngl lead	J1	5222	6976.57	63.76%	"$4,448.26"
33213	Insert pulse gen dual leads	J1	5223	9413.65	64.84%	"$6,103.81"
33214	Upgrade of pacemaker system	J1	5223	9413.65	63.96%	"$6,020.97"
33215	Reposition pacing-defib lead	T	5182	2360.6	7.72%	$182.24
33216	Insert 1 electrode pm-defib	J1	5222	6976.57	42.37%	"$2,955.97"
33217	Insert 2 electrode pm-defib	J1	5222	6976.57	49.42%	"$3,447.82"
33218	Repair lead pace-defib one	T	5221	2559.59	23.45%	$600.22
33220	Repair lead pace-defib dual	T	5221	2559.59	19.98%	$511.41
33221	Insert pulse gen mult leads	J1	5224	16766.86	68.99%	"$11,567.46"
33222	Relocation pocket pacemaker	T	5054	1427.77	9.76%	$139.35
33223	Relocate pocket for defib	T	5054	1427.77	9.08%	$129.64
33224	Insert pacing lead & connect	J1	5223	9413.65	58.33%	"$5,490.98"
33226	Reposition l ventric lead	T	5182	2360.6	30.51%	$720.22
33227	Remove&replace pm gen singl	J1	5222	6976.57	63.12%	"$4,403.61"
33228	Remv&replc pm gen dual lead	J1	5223	9413.65	65.28%	"$6,145.23"
33229	Remv&replc pm gen mult leads	J1	5224	16766.86	70.55%	"$11,829.02"
33230	Insrt pulse gen w/dual leads	J1	5231	21999.98	76.84%	"$16,904.78"
33231	Insrt pulse gen w/mult leads	J1	5232	30527.21	76.89%	"$23,472.37"
33234	Removal of pacemaker system	N	5221	2559.59	37.04%	$948.07
33235	Removal pacemaker electrode	N	5221	2559.59	24.90%	$637.34
33240	Insrt pulse gen w/singl lead	J1	5231	21999.98	73.12%	"$16,086.39"
33241	Remove pulse generator	N	5221	2559.59	26.46%	$677.27
33244	Remove elctrd transvenously	N	5221	2559.59	27.82%	$712.08
33249	Insj/rplcmt defib w/lead(s)	J1	5232	30527.21	77.50%	"$23,658.59"
33262	Rmvl& replc pulse gen 1 lead	J1	5231	21999.98	74.94%	"$16,486.79"
33263	Rmvl & rplcmt dfb gen 2 lead	J1	5231	21999.98	76.91%	"$16,920.18"
33264	Rmvl & rplcmt dfb gen mlt ld	J1	5232	30527.21	79.96%	"$24,409.56"
33270	Ins/rep subq defibrillator	J1	5232	30527.21	77.20%	"$23,567.01"
33271	Insj subq impltbl dfb elctrd	J1	5222	6976.57	68.32%	"$4,766.39"
33272	Rmvl of subq defibrillator	N	5221	2559.59	55.72%	"$1,426.20"
33273	Repos prev impltbl subq dfb	T	5221	2559.59	7.30%	$186.85
33282	Implant pat-active ht record	J1	5222	6976.57	77.42%	"$5,401.26"
33284	Remove pat-active ht record	N	5071	539.11	1.16%	$6.25
33999	Cardiac surgery procedure	T	5181	684.13	33.77%	$231.03
34101	Removal of artery clot	T	5183	3924.28	8.17%	$320.61
34111	Removal of arm artery clot	T	5183	3924.28	4.45%	$174.63
34201	Removal of artery clot	T	5183	3924.28	11.26%	$441.87
34203	Removal of leg artery clot	T	5183	3924.28	7.69%	$301.78
34471	Removal of vein clot	T	5181	684.13	0.00%	$0.00
34490	Removal of vein clot	T	5182	2360.6	0.00%	$0.00
34510	Transposition of vein valve	T	5183	3924.28	1.43%	$56.12
34520	Cross-over vein graft	T	5183	3924.28	22.82%	$895.52
35011	Repair defect of artery	T	5183	3924.28	7.23%	$283.73
35045	Repair defect of arm artery	T	5183	3924.28	1.39%	$54.55
35180	Repair blood vessel lesion	T	5181	684.13	0.00%	$0.00
35184	Repair blood vessel lesion	T	5182	2360.6	0.00%	$0.00
35188	Repair blood vessel lesion	T	5183	3924.28	0.00%	$0.00
35190	Repair blood vessel lesion	T	5183	3924.28	5.81%	$228.00
35201	Repair blood vessel lesion	T	5183	3924.28	14.75%	$578.83
35206	Repair blood vessel lesion	T	5182	2360.6	4.19%	$98.91
35207	Repair blood vessel lesion	T	5182	2360.6	5.00%	$118.03
35226	Repair blood vessel lesion	T	5071	539.11	3.91%	$21.08
35236	Repair blood vessel lesion	T	5183	3924.28	7.06%	$277.05
35256	Repair blood vessel lesion	T	5183	3924.28	5.02%	$197.00
35266	Repair blood vessel lesion	T	5183	3924.28	23.37%	$917.10
35321	Rechanneling of artery	T	5183	3924.28	7.99%	$313.55
35458	Repair arterial blockage	J1	5192	4825.2	17.50%	$844.41
35460	Repair venous blockage	J1	5192	4825.2	15.89%	$766.72
35471	Repair arterial blockage	J1	5192	4825.2	30.97%	"$1,494.36"
35472	Repair arterial blockage	J1	5192	4825.2	28.33%	"$1,366.98"
35475	Repair arterial blockage	J1	5192	4825.2	23.74%	"$1,145.50"
35476	Repair venous blockage	J1	5192	4825.2	22.97%	"$1,108.35"
35761	Exploration of artery/vein	T	5182	2360.6	2.69%	$63.50
35860	Explore limb vessels	T	5182	2360.6	1.03%	$24.31
35875	Removal of clot in graft	T	5183	3924.28	9.84%	$386.15
35876	Removal of clot in graft	T	5183	3924.28	20.41%	$800.95
35879	Revise graft w/vein	T	5183	3924.28	6.51%	$255.47
35881	Revise graft w/vein	T	5183	3924.28	3.10%	$121.65
35883	Revise graft w/nonauto graft	T	5183	3924.28	5.74%	$225.25
35884	Revise graft w/vein	T	5183	3924.28	6.39%	$250.76
35903	Excision graft extremity	T	5182	2360.6	1.07%	$25.26
36002	Pseudoaneurysm injection trt	T	5181	684.13	1.39%	$9.51
36147	Access av dial grft for eval	T	5181	684.13	15.06%	$103.03
36221	Place cath thoracic aorta	N	5182	2360.6	15.67%	$369.91
36222	Place cath carotid/inom art	N	5182	2360.6	16.44%	$388.08
36223	Place cath carotid/inom art	N	5183	3924.28	12.07%	$473.66
36224	Place cath carotd art	N	5183	3924.28	11.66%	$457.57
36225	Place cath subclavian art	N	5182	2360.6	20.39%	$481.33
36226	Place cath vertebral art	N	5183	3924.28	15.64%	$613.76
36251	Ins cath ren art 1st unilat	N	5182	2360.6	25.92%	$611.87
36252	Ins cath ren art 1st bilat	N	5182	2360.6	17.93%	$423.26
36253	Ins cath ren art 2nd+ unilat	N	5183	3924.28	30.80%	"$1,208.68"
36254	Ins cath ren art 2nd+ bilat	N	5182	2360.6	25.22%	$595.34
36260	Insertion of infusion pump	T	5183	3924.28	84.04%	"$3,297.96"
36261	Revision of infusion pump	T	5221	2559.59	65.40%	"$1,673.97"
36262	Removal of infusion pump	N	5221	2559.59	1.86%	$47.61
36425	Vein access cutdown > 1 yr	N	5735	263.61	20.93%	$55.17
36430	Blood transfusion service	S	5241	354.54	0.05%	$0.18
36440	Bl push transfuse 2 yr/<	S	5241	354.54	0.00%	$0.00
36450	Bl exchange/transfuse nb	S	5241	354.54	0.00%	$0.00
36455	Bl exchange/transfuse non-nb	S	5241	354.54	0.00%	$0.00
36460	Transfusion service fetal	S	5241	354.54	0.00%	$0.00
36468	Injection(s) spider veins	N	5051	153.12	1.35%	$2.07
36470	Injection therapy of vein	T	5052	292.62	3.18%	$9.31
36471	Injection therapy of veins	T	5052	292.62	0.88%	$2.58
36475	Endovenous rf 1st vein	T	5182	2360.6	25.45%	$600.77
36478	Endovenous laser 1st vein	T	5182	2360.6	8.38%	$197.82
36511	Apheresis wbc	S	5242	1098.68	0.00%	$0.00
36512	Apheresis rbc	S	5242	1098.68	0.16%	$1.76
36513	Apheresis platelets	S	5241	354.54	0.00%	$0.00
36514	Apheresis plasma	S	5242	1098.68	0.01%	$0.11
36515	Apheresis adsorp/reinfuse	S	5243	3187.83	-0.01%	-$0.32
36516	Apheresis selective	S	5243	3187.83	0.09%	$2.87
36522	Photopheresis	S	5243	3187.83	0.00%	$0.00
36555	Insert non-tunnel cv cath	T	5181	684.13	0.00%	$0.00
36556	Insert non-tunnel cv cath	T	5181	684.13	20.68%	$141.48
36557	Insert tunneled cv cath	T	5183	3924.28	32.93%	"$1,292.27"
36558	Insert tunneled cv cath	T	5182	2360.6	30.53%	$720.69
36560	Insert tunneled cv cath	T	5182	2360.6	33.46%	$789.86
36561	Insert tunneled cv cath	T	5182	2360.6	27.68%	$653.41
36563	Insert tunneled cv cath	T	5183	3924.28	71.94%	"$2,823.13"
36565	Insert tunneled cv cath	T	5182	2360.6	26.48%	$625.09
36566	Insert tunneled cv cath	T	5183	3924.28	15.51%	$608.66
36568	Insert picc cath	T	5181	684.13	26.07%	$178.35
36569	Insert picc cath	T	5181	684.13	22.47%	$153.72
36570	Insert picvad cath	T	5182	2360.6	27.99%	$660.73
36571	Insert picvad cath	T	5182	2360.6	28.43%	$671.12
36575	Repair tunneled cv cath	T	5181	684.13	6.81%	$46.59
36576	Repair tunneled cv cath	T	5181	684.13	8.10%	$55.41
36578	Replace tunneled cv cath	T	5182	2360.6	31.41%	$741.46
36580	Replace cvad cath	T	5181	684.13	33.69%	$230.48
36581	Replace tunneled cv cath	T	5182	2360.6	37.57%	$886.88
36582	Replace tunneled cv cath	T	5182	2360.6	27.92%	$659.08
36583	Replace tunneled cv cath	T	5183	3924.28	82.06%	"$3,220.26"
36584	Replace picc cath	T	5181	684.13	25.73%	$176.03
36585	Replace picvad cath	T	5182	2360.6	26.55%	$626.74
36589	Removal tunneled cv cath	N	5181	684.13	0.41%	$2.80
36590	Removal tunneled cv cath	N	5181	684.13	0.69%	$4.72
36591	Draw blood off venous device	N	5734	100.02	0.14%	$0.14
36592	Collect blood from picc	N	5734	100.02	0.44%	$0.44
36593	Declot vascular device	T	5694	279.45	0.33%	$0.92
36595	Mech remov tunneled cv cath	T	5182	2360.6	31.33%	$739.58
36596	Mech remov tunneled cv cath	T	5181	684.13	15.85%	$108.43
36597	Reposition venous catheter	T	5181	684.13	13.80%	$94.41
36598	Inj w/fluor eval cv device	T	5693	179.77	1.26%	$2.27
36600	Withdrawal of arterial blood	N	5733	54.55	0.65%	$0.35
36680	Insert needle bone cavity	N	5735	263.61	0.00%	$0.00
36800	Insertion of cannula	T	5183	3924.28	18.03%	$707.55
36810	Insertion of cannula	T	5182	2360.6	21.30%	$502.81
36815	Insertion of cannula	T	5183	3924.28	13.63%	$534.88
36818	Av fuse uppr arm cephalic	T	5183	3924.28	1.71%	$67.11
36819	Av fuse uppr arm basilic	T	5183	3924.28	2.12%	$83.19
36820	Av fusion/forearm vein	T	5183	3924.28	3.65%	$143.24
36821	Av fusion direct any site	T	5182	2360.6	2.08%	$49.10
36825	Artery-vein autograft	T	5183	3924.28	15.27%	$599.24
36830	Artery-vein nonautograft	T	5183	3924.28	26.84%	"$1,053.28"
36831	Open thrombect av fistula	T	5183	3924.28	8.08%	$317.08
36832	Av fistula revision open	T	5183	3924.28	8.93%	$350.44
36833	Av fistula revision	T	5183	3924.28	16.17%	$634.56
36838	Dist revas ligation hemo	T	5183	3924.28	7.39%	$290.00
36860	External cannula declotting	T	5181	684.13	3.81%	$26.07
36861	Cannula declotting	T	5183	3924.28	23.14%	$908.08
36870	Percut thrombect av fistula	J1	5192	4825.2	28.91%	"$1,394.97"
37183	Remove hepatic shunt (tips)	J1	5192	4825.2	36.90%	"$1,780.50"
37184	Prim art m-thrmbc 1st vsl	T	5183	3924.28	46.86%	"$1,838.92"
37187	Venous mech thrombectomy	T	5183	3924.28	37.49%	"$1,471.21"
37188	Venous m-thrombectomy add-on	T	5182	2360.6	0.00%	$0.00
37191	Ins endovas vena cava filtr	T	5183	3924.28	43.78%	"$1,718.05"
37192	Redo endovas vena cava filtr	T	5182	2360.6	20.94%	$494.31
37193	Rem endovas vena cava filter	T	5182	2360.6	25.31%	$597.47
37195	Thrombolytic therapy stroke	T	5694	279.45	3.11%	$8.69
37197	Remove intrvas foreign body	T	5182	2360.6	20.84%	$491.95
37200	Transcatheter biopsy	T	5183	3924.28	16.69%	$654.96
37202	Transcatheter therapy infuse	T	5183	3924.28	23.02%	$903.37
37211	Thrombolytic art therapy	T	5183	3924.28	30.08%	"$1,180.42"
37212	Thrombolytic venous therapy	T	5182	2360.6	34.19%	$807.09
37213	Thromblytic art/ven therapy	T	5181	684.13	14.38%	$98.38
37214	Cessj therapy cath removal	T	5181	684.13	16.67%	$114.04
3722A	CPX 37221 Iliac revasc w/ste	J1	5194	14782.14	42.75%	"$6,319.36"
37220	Iliac revasc	J1	5192	4825.2	31.74%	"$1,531.52"
37221	Iliac revasc w/stent	J1	5193	9752.43	41.49%	"$4,046.28"
37224	Fem/popl revas w/tla	J1	5192	4825.2	56.93%	"$2,746.99"
37225	Fem/popl revas w/ather	J1	5193	9752.43	72.74%	"$7,093.92"
37226	Fem/popl revasc w/stent	J1	5193	9752.43	53.12%	"$5,180.49"
37227	Fem/popl revasc stnt & ather	J1	5194	14782.14	63.47%	"$9,382.22"
37228	Tib/per revasc w/tla	J1	5193	9752.43	38.49%	"$3,753.71"
37229	Tib/per revasc w/ather	J1	5194	14782.14	51.64%	"$7,633.50"
37230	Tib/per revasc w/stent	J1	5194	14782.14	51.98%	"$7,683.76"
37231	Tib/per revasc stent & ather	J1	5194	14782.14	49.72%	"$7,349.68"
37236	Open/perq place stent 1st	J1	5193	9752.43	39.18%	"$3,821.00"
37238	Open/perq place stent same	J1	5193	9752.43	47.88%	"$4,669.46"
37241	Vasc embolize/occlude venous	J1	5193	9752.43	24.00%	"$2,340.58"
37242	Vasc embolize/occlude artery	J1	5193	9752.43	34.52%	"$3,366.54"
37243	Vasc embolize/occlude organ	J1	5193	9752.43	22.55%	"$2,199.17"
37244	Vasc embolize/occlude bleed	J1	5193	9752.43	29.69%	"$2,895.50"
37500	Endoscopy ligate perf veins	T	5183	3924.28	0.00%	$0.00
37501	Vascular endoscopy procedure	T	5181	684.13	0.00%	$0.00
37565	Ligation of neck vein	T	5181	684.13	0.00%	$0.00
37600	Ligation of neck artery	T	5182	2360.6	0.00%	$0.00
37605	Ligation of neck artery	T	5182	2360.6	0.00%	$0.00
37606	Ligation of neck artery	T	5182	2360.6	0.00%	$0.00
37607	Ligation of a-v fistula	T	5182	2360.6	2.25%	$53.11
37609	Temporal artery procedure	J1	5072	1236.62	0.19%	$2.35
37615	Ligation of neck artery	T	5181	684.13	2.23%	$15.26
37619	Ligation of inf vena cava	T	5183	3924.28	24.90%	$977.15
37650	Revision of major vein	T	5182	2360.6	4.70%	$110.95
37700	Revise leg vein	T	5182	2360.6	1.69%	$39.89
37718	Ligate/strip short leg vein	T	5182	2360.6	0.18%	$4.25
37722	Ligate/strip long leg vein	T	5182	2360.6	0.34%	$8.03
37735	Removal of leg veins/lesion	T	5182	2360.6	1.60%	$37.77
37760	Ligate leg veins radical	T	5182	2360.6	0.01%	$0.24
37761	Ligate leg veins open	T	5181	684.13	0.01%	$0.07
37765	Stab phleb veins xtr 10-20	T	5182	2360.6	0.80%	$18.88
37766	Phleb veins - extrem 20+	T	5182	2360.6	0.86%	$20.30
37780	Revision of leg vein	T	5181	684.13	0.15%	$1.03
37785	Ligate/divide/excise vein	T	5182	2360.6	0.86%	$20.30
37799	Vascular surgery procedure	T	5181	684.13	5.51%	$37.70
38120	Laparoscopy splenectomy	J1	5362	6969.84	1.33%	$92.70
38129	Laparoscope proc spleen	J1	5361	4199.13	2.44%	$102.46
38206	Harvest auto stem cells	S	5242	1098.68	0.00%	$0.00
38207	Cryopreserve stem cells	S	5241	354.54	0.00%	$0.00
38208	Thaw preserved stem cells	S	5241	354.54	0.00%	$0.00
38210	T-cell depletion of harvest	S	5241	354.54	0.00%	$0.00
38212	Rbc depletion of harvest	S	5241	354.54	0.00%	$0.00
38214	Volume deplete of harvest	S	5241	354.54	0.00%	$0.00
38215	Harvest stem cell concentrte	S	5241	354.54	0.00%	$0.00
3822A	CPX 38221 Bone marrow biopsy	J1	5073	2148.91	0.91%	$19.56
38220	Bone marrow aspiration	J1	5072	1236.62	0.78%	$9.65
38221	Bone marrow biopsy	J1	5072	1236.62	0.96%	$11.87
38230	Bone marrow harvest allogen	S	5242	1098.68	0.00%	$0.00
38232	Bone marrow harvest autolog	S	5243	3187.83	41.73%	"$1,330.28"
38240	Transplt allo hct/donor	J1	5244	27764.47	0.00%	$0.00
38241	Transplt autol hct/donor	S	5242	1098.68	0.00%	$0.00
38242	Transplt allo lymphocytes	S	5242	1098.68	0.00%	$0.00
38243	Transplj hematopoietic boost	S	5242	1098.68	0.00%	$0.00
38300	Drainage lymph node lesion	J1	5072	1236.62	0.57%	$7.05
38305	Drainage lymph node lesion	J1	5072	1236.62	1.42%	$17.56
38308	Incision of lymph channels	J1	5091	2499.48	0.41%	$10.25
38500	Biopsy/removal lymph nodes	J1	5091	2499.48	0.93%	$23.25
38505	Needle biopsy lymph nodes	J1	5072	1236.62	0.83%	$10.26
38510	Biopsy/removal lymph nodes	J1	5091	2499.48	0.67%	$16.75
38520	Biopsy/removal lymph nodes	J1	5091	2499.48	0.67%	$16.75
38525	Biopsy/removal lymph nodes	J1	5091	2499.48	1.09%	$27.24
38530	Biopsy/removal lymph nodes	J1	5091	2499.48	1.78%	$44.49
38542	Explore deep node(s) neck	J1	5361	4199.13	0.48%	$20.16
38550	Removal neck/armpit lesion	J1	5091	2499.48	1.99%	$49.74
38555	Removal neck/armpit lesion	J1	5092	4419.46	0.00%	$0.00
38570	Laparoscopy lymph node biop	J1	5361	4199.13	1.70%	$71.39
38571	Laparoscopy lymphadenectomy	J1	5362	6969.84	1.27%	$88.52
38572	Laparoscopy lymphadenectomy	J1	5362	6969.84	0.66%	$46.00
38589	Laparoscope proc lymphatic	J1	5361	4199.13	3.39%	$142.35
38700	Removal of lymph nodes neck	J1	5092	4419.46	0.67%	$29.61
38720	Removal of lymph nodes neck	J1	5093	6486.35	0.35%	$22.70
38740	Remove armpit lymph nodes	J1	5361	4199.13	1.05%	$44.09
38745	Remove armpit lymph nodes	J1	5361	4199.13	1.25%	$52.49
38760	Remove groin lymph nodes	J1	5092	4419.46	0.63%	$27.84
38792	Ra tracer id of sentinl node	N	5591	333.08	0.00%	$0.00
38999	Blood/lymph system procedure	S	5241	354.54	1.08%	$3.83
39400	Mediastinoscopy incl biopsy	J1	5361	4199.13	0.99%	$41.57
40490	Biopsy of lip	T	5161	177.09	0.00%	$0.00
40500	Partial excision of lip	J1	5164	2173.69	0.00%	$0.00
40510	Partial excision of lip	J1	5164	2173.69	0.18%	$3.91
40520	Partial excision of lip	J1	5164	2173.69	0.00%	$0.00
40525	Reconstruct lip with flap	J1	5164	2173.69	0.05%	$1.09
40527	Reconstruct lip with flap	J1	5165	4130.94	0.13%	$5.37
40530	Partial removal of lip	J1	5164	2173.69	0.04%	$0.87
40650	Repair lip	T	5162	442.62	0.04%	$0.18
40652	Repair lip	T	5162	442.62	0.00%	$0.00
40654	Repair lip	T	5163	1038.55	0.00%	$0.00
40700	Repair cleft lip/nasal	J1	5165	4130.94	0.00%	$0.00
40702	Repair cleft lip/nasal	J1	5165	4130.94	0.00%	$0.00
40720	Repair cleft lip/nasal	J1	5164	2173.69	0.00%	$0.00
40761	Repair cleft lip/nasal	J1	5165	4130.94	0.00%	$0.00
40799	Lip surgery procedure	T	5161	177.09	0.00%	$0.00
40800	Drainage of mouth lesion	T	5071	539.11	0.00%	$0.00
40801	Drainage of mouth lesion	T	5162	442.62	0.00%	$0.00
40804	Removal foreign body mouth	N	5735	263.61	0.00%	$0.00
40805	Removal foreign body mouth	T	5162	442.62	0.00%	$0.00
40808	Biopsy of mouth lesion	T	5162	442.62	0.10%	$0.44
40810	Excision of mouth lesion	J1	5164	2173.69	0.42%	$9.13
40812	Excise/repair mouth lesion	J1	5164	2173.69	0.13%	$2.83
40814	Excise/repair mouth lesion	J1	5164	2173.69	1.79%	$38.91
40816	Excision of mouth lesion	J1	5164	2173.69	0.48%	$10.43
40818	Excise oral mucosa for graft	T	5162	442.62	0.00%	$0.00
40819	Excise lip or cheek fold	T	5163	1038.55	2.42%	$25.13
40820	Treatment of mouth lesion	J1	5164	2173.69	1.18%	$25.65
40830	Repair mouth laceration	T	5161	177.09	0.00%	$0.00
40831	Repair mouth laceration	T	5162	442.62	0.18%	$0.80
40840	Reconstruction of mouth	J1	5165	4130.94	2.38%	$98.32
40842	Reconstruction of mouth	J1	5165	4130.94	2.66%	$109.88
40843	Reconstruction of mouth	J1	5165	4130.94	0.00%	$0.00
40844	Reconstruction of mouth	J1	5165	4130.94	8.34%	$344.52
40845	Reconstruction of mouth	J1	5165	4130.94	7.14%	$294.95
40899	Mouth surgery procedure	T	5161	177.09	0.00%	$0.00
41000	Drainage of mouth lesion	T	5162	442.62	0.00%	$0.00
41005	Drainage of mouth lesion	T	5161	177.09	0.00%	$0.00
41007	Drainage of mouth lesion	T	5163	1038.55	0.00%	$0.00
41008	Drainage of mouth lesion	J1	5164	2173.69	0.59%	$12.82
41009	Drainage of mouth lesion	T	5162	442.62	0.00%	$0.00
41010	Incision of tongue fold	T	5163	1038.55	0.00%	$0.00
41016	Drainage of mouth lesion	J1	5165	4130.94	0.09%	$3.72
41017	Drainage of mouth lesion	J1	5164	2173.69	0.00%	$0.00
41019	Place needles h&n for rt	J1	5165	4130.94	4.51%	$186.31
41100	Biopsy of tongue	T	5162	442.62	0.02%	$0.09
41105	Biopsy of tongue	J1	5164	2173.69	0.09%	$1.96
41108	Biopsy of floor of mouth	J1	5072	1236.62	0.05%	$0.62
41110	Excision of tongue lesion	J1	5164	2173.69	0.34%	$7.39
41112	Excision of tongue lesion	J1	5164	2173.69	0.26%	$5.65
41113	Excision of tongue lesion	J1	5164	2173.69	0.06%	$1.30
41114	Excision of tongue lesion	J1	5164	2173.69	0.04%	$0.87
41115	Excision of tongue fold	T	5163	1038.55	0.00%	$0.00
41116	Excision of mouth lesion	J1	5164	2173.69	0.58%	$12.61
41120	Partial removal of tongue	J1	5165	4130.94	0.73%	$30.16
41250	Repair tongue laceration	N	5735	263.61	0.00%	$0.00
41251	Repair tongue laceration	T	5161	177.09	0.00%	$0.00
41252	Repair tongue laceration	T	5162	442.62	0.00%	$0.00
41510	Tongue to lip surgery	J1	5164	2173.69	0.00%	$0.00
41512	Tongue suspension	J1	5165	4130.94	34.33%	"$1,418.15"
41520	Reconstruction tongue fold	J1	5164	2173.69	0.00%	$0.00
41530	Tongue base vol reduction	J1	5164	2173.69	2.17%	$47.17
41599	Tongue and mouth surgery	T	5161	177.09	1.37%	$2.43
41800	Drainage of gum lesion	N	5734	100.02	0.01%	$0.01
41805	Removal foreign body gum	T	5163	1038.55	0.00%	$0.00
41806	Removal foreign body jawbone	T	5163	1038.55	0.00%	$0.00
41820	Excision gum each quadrant	J1	5164	2173.69	0.00%	$0.00
41822	Excision of gum lesion	T	5163	1038.55	78.44%	$814.64
41823	Excision of gum lesion	J1	5165	4130.94	3.03%	$125.17
41825	Excision of gum lesion	J1	5164	2173.69	1.20%	$26.08
41826	Excision of gum lesion	J1	5164	2173.69	0.53%	$11.52
41827	Excision of gum lesion	J1	5165	4130.94	4.74%	$195.81
41828	Excision of gum lesion	J1	5164	2173.69	0.00%	$0.00
41830	Removal of gum tissue	J1	5164	2173.69	0.93%	$20.22
41850	Treatment of gum lesion	T	5163	1038.55	5.55%	$57.64
41870	Gum graft	J1	5164	2173.69	0.00%	$0.00
41872	Repair gum	J1	5164	2173.69	0.00%	$0.00
41874	Repair tooth socket	J1	5164	2173.69	0.51%	$11.09
41899	Dental surgery procedure	T	5161	177.09	0.25%	$0.44
42000	Drainage mouth roof lesion	T	5161	177.09	0.00%	$0.00
42100	Biopsy roof of mouth	T	5163	1038.55	0.00%	$0.00
42104	Excision lesion mouth roof	J1	5164	2173.69	0.07%	$1.52
42106	Excision lesion mouth roof	J1	5164	2173.69	0.30%	$6.52
42107	Excision lesion mouth roof	J1	5165	4130.94	0.28%	$11.57
42120	Remove palate/lesion	J1	5165	4130.94	1.42%	$58.66
42140	Excision of uvula	J1	5164	2173.69	0.02%	$0.43
42145	Repair palate pharynx/uvula	J1	5165	4130.94	1.50%	$61.96
42160	Treatment mouth roof lesion	J1	5164	2173.69	0.00%	$0.00
42182	Repair palate	J1	5165	4130.94	4.28%	$176.80
42200	Reconstruct cleft palate	J1	5165	4130.94	0.00%	$0.00
42205	Reconstruct cleft palate	J1	5164	2173.69	0.00%	$0.00
42210	Reconstruct cleft palate	J1	5165	4130.94	28.82%	"$1,190.54"
42215	Reconstruct cleft palate	J1	5165	4130.94	4.50%	$185.89
42220	Reconstruct cleft palate	J1	5165	4130.94	1.00%	$41.31
42225	Reconstruct cleft palate	J1	5165	4130.94	0.00%	$0.00
42226	Lengthening of palate	J1	5165	4130.94	0.02%	$0.83
42235	Repair palate	J1	5165	4130.94	14.16%	$584.94
42260	Repair nose to lip fistula	J1	5165	4130.94	0.00%	$0.00
42281	Insertion palate prosthesis	J1	5165	4130.94	2.26%	$93.36
42299	Palate/uvula surgery	T	5161	177.09	3.60%	$6.38
42300	Drainage of salivary gland	T	5163	1038.55	0.46%	$4.78
42305	Drainage of salivary gland	J1	5164	2173.69	0.00%	$0.00
42310	Drainage of salivary gland	T	5162	442.62	0.00%	$0.00
42320	Drainage of salivary gland	T	5162	442.62	0.00%	$0.00
42330	Removal of salivary stone	J1	5164	2173.69	0.45%	$9.78
42335	Removal of salivary stone	J1	5164	2173.69	1.81%	$39.34
42340	Removal of salivary stone	J1	5164	2173.69	0.54%	$11.74
42400	Biopsy of salivary gland	T	5071	539.11	0.20%	$1.08
42405	Biopsy of salivary gland	J1	5164	2173.69	0.12%	$2.61
42408	Excision of salivary cyst	J1	5164	2173.69	0.14%	$3.04
42409	Drainage of salivary cyst	J1	5164	2173.69	0.00%	$0.00
42410	Excise parotid gland/lesion	J1	5165	4130.94	0.64%	$26.44
42415	Excise parotid gland/lesion	J1	5165	4130.94	0.76%	$31.40
42420	Excise parotid gland/lesion	J1	5165	4130.94	1.01%	$41.72
42425	Excise parotid gland/lesion	J1	5165	4130.94	0.76%	$31.40
42440	Excise submaxillary gland	J1	5165	4130.94	0.58%	$23.96
42450	Excise sublingual gland	J1	5165	4130.94	0.53%	$21.89
42500	Repair salivary duct	J1	5165	4130.94	0.92%	$38.00
42505	Repair salivary duct	J1	5165	4130.94	1.58%	$65.27
42507	Parotid duct diversion	J1	5165	4130.94	0.28%	$11.57
42510	Parotid duct diversion	J1	5164	2173.69	0.00%	$0.00
42600	Closure of salivary fistula	J1	5164	2173.69	0.27%	$5.87
42650	Dilation of salivary duct	T	5163	1038.55	2.11%	$21.91
42660	Dilation of salivary duct	T	5162	442.62	13.09%	$57.94
42665	Ligation of salivary duct	J1	5164	2173.69	0.00%	$0.00
42699	Salivary surgery procedure	T	5161	177.09	0.77%	$1.36
42700	Drainage of tonsil abscess	T	5161	177.09	0.00%	$0.00
42720	Drainage of throat abscess	J1	5164	2173.69	0.00%	$0.00
42725	Drainage of throat abscess	J1	5165	4130.94	1.73%	$71.47
42800	Biopsy of throat	J1	5164	2173.69	0.03%	$0.65
42804	Biopsy of upper nose/throat	J1	5164	2173.69	1.79%	$38.91
42806	Biopsy of upper nose/throat	J1	5164	2173.69	0.26%	$5.65
42808	Excise pharynx lesion	J1	5164	2173.69	0.65%	$14.13
42809	Remove pharynx foreign body	N	5735	263.61	0.00%	$0.00
42810	Excision of neck cyst	J1	5164	2173.69	0.60%	$13.04
42815	Excision of neck cyst	J1	5165	4130.94	0.92%	$38.00
42820	Remove tonsils and adenoids	J1	5165	4130.94	0.00%	$0.00
42821	Remove tonsils and adenoids	J1	5164	2173.69	0.74%	$16.09
42826	Removal of tonsils	J1	5164	2173.69	0.26%	$5.65
42830	Removal of adenoids	J1	5164	2173.69	0.00%	$0.00
42831	Removal of adenoids	J1	5164	2173.69	1.26%	$27.39
42836	Removal of adenoids	J1	5164	2173.69	0.38%	$8.26
42842	Extensive surgery of throat	J1	5165	4130.94	0.24%	$9.91
42844	Extensive surgery of throat	J1	5165	4130.94	0.11%	$4.54
42860	Excision of tonsil tags	J1	5164	2173.69	0.00%	$0.00
42870	Excision of lingual tonsil	J1	5165	4130.94	1.00%	$41.31
42890	Partial removal of pharynx	J1	5165	4130.94	1.05%	$43.37
42892	Revision of pharyngeal walls	J1	5165	4130.94	0.00%	$0.00
42900	Repair throat wound	T	5163	1038.55	0.00%	$0.00
42950	Reconstruction of throat	J1	5165	4130.94	6.17%	$254.88
42960	Control throat bleeding	T	5161	177.09	0.00%	$0.00
42962	Control throat bleeding	J1	5164	2173.69	2.71%	$58.91
42970	Control nose/throat bleeding	T	5161	177.09	0.00%	$0.00
42972	Control nose/throat bleeding	J1	5164	2173.69	0.00%	$0.00
42999	Throat surgery procedure	T	5161	177.09	2.13%	$3.77
43030	Throat muscle surgery	J1	5165	4130.94	1.51%	$62.38
43130	Removal of esophagus pouch	J1	5165	4130.94	0.94%	$38.83
43180	Esophagoscopy rigid trnso	J1	5165	4130.94	0.86%	$35.53
4319A	CPX 43191 Esophagoscopy rigi	J1	5303	2510.7	0.10%	$2.51
43191	Esophagoscopy rigid trnso dx	J1	5302	1334.83	0.70%	$9.34
43192	Esophagoscp rig trnso inject	J1	5302	1334.83	1.24%	$16.55
43193	Esophagoscp rig trnso biopsy	J1	5302	1334.83	1.72%	$22.96
43194	Esophagoscp rig trnso rem fb	J1	5302	1334.83	0.66%	$8.81
43195	Esophagoscopy rigid balloon	J1	5303	2510.7	8.88%	$222.95
43196	Esophagoscp guide wire dilat	J1	5303	2510.7	1.65%	$41.43
43197	Esophagoscopy flex dx brush	T	5301	699.79	0.11%	$0.77
43198	Esophagosc flex trnsn biopsy	T	5301	699.79	0.00%	$0.00
4320A	CPX 43201 Esoph scope w/subm	J1	5303	2510.7	3.92%	$98.42
43200	Esophagoscopy flexible brush	T	5301	699.79	1.95%	$13.65
43201	Esoph scope w/submucous inj	J1	5302	1334.83	3.34%	$44.58
43202	Esophagoscopy flex biopsy	J1	5302	1334.83	1.22%	$16.28
43204	Esoph scope w/sclerosis inj	J1	5302	1334.83	7.46%	$99.58
43205	Esophagus endoscopy/ligation	J1	5302	1334.83	4.82%	$64.34
43206	Esoph optical endomicroscopy	J1	5302	1334.83	0.00%	$0.00
43211	Esophagoscop mucosal resect	J1	5302	1334.83	2.15%	$28.70
43212	Esophagoscop stent placement	J1	5331	3940.61	51.17%	"$2,016.41"
43213	Esophagoscopy retro balloon	J1	5302	1334.83	3.44%	$45.92
43214	Esophagosc dilate balloon 30	J1	5302	1334.83	11.28%	$150.57
43215	Esophagoscopy flex remove fb	J1	5302	1334.83	1.30%	$17.35
43216	Esophagoscopy lesion removal	J1	5302	1334.83	0.00%	$0.00
43217	Esophagoscopy snare les remv	J1	5302	1334.83	0.01%	$0.13
43220	Esophagoscopy balloon <30mm	J1	5302	1334.83	16.09%	$214.77
43226	Esoph endoscopy dilation	J1	5302	1334.83	3.54%	$47.25
43227	Esophagoscopy control bleed	J1	5302	1334.83	4.10%	$54.73
43229	Esophagoscopy lesion ablate	J1	5303	2510.7	25.27%	$634.45
43231	Esophagoscop ultrasound exam	J1	5302	1334.83	0.65%	$8.68
43232	Esophagoscopy w/us needle bx	J1	5302	1334.83	1.33%	$17.75
43233	Egd balloon dil esoph30 mm/>	J1	5302	1334.83	14.34%	$191.41
43235	Egd diagnostic brush wash	T	5301	699.79	0.34%	$2.38
43236	Uppr gi scope w/submuc inj	T	5301	699.79	0.59%	$4.13
43237	Endoscopic us exam esoph	J1	5302	1334.83	0.80%	$10.68
43238	Egd us fine needle bx/aspir	J1	5302	1334.83	1.17%	$15.62
43239	Egd biopsy single/multiple	T	5301	699.79	0.21%	$1.47
43240	Egd w/transmural drain cyst	J1	5303	2510.7	26.29%	$660.06
43241	Egd tube/cath insertion	J1	5302	1334.83	6.59%	$87.97
43242	Egd us fine needle bx/aspir	J1	5302	1334.83	0.93%	$12.41
43243	Egd injection varices	J1	5302	1334.83	5.38%	$71.81
43244	Egd varices ligation	J1	5302	1334.83	2.61%	$34.84
43245	Egd dilate stricture	J1	5302	1334.83	16.99%	$226.79
43246	Egd place gastrostomy tube	J1	5302	1334.83	3.07%	$40.98
43247	Egd remove foreign body	T	5301	699.79	0.94%	$6.58
43248	Egd guide wire insertion	T	5301	699.79	2.49%	$17.42
43249	Esoph egd dilation <30 mm	J1	5302	1334.83	15.95%	$212.91
43250	Egd cautery tumor polyp	J1	5302	1334.83	0.73%	$9.74
43251	Egd remove lesion snare	J1	5302	1334.83	1.92%	$25.63
43252	Egd optical endomicroscopy	J1	5303	2510.7	12.74%	$319.86
43253	Egd us transmural injxn/mark	J1	5302	1334.83	3.41%	$45.52
43254	Egd endo mucosal resection	J1	5302	1334.83	2.27%	$30.30
43255	Egd control bleeding any	J1	5302	1334.83	2.21%	$29.50
43257	Egd w/thrml txmnt gerd	J1	5303	2510.7	15.33%	$384.89
43259	Egd us exam duodenum/jejunum	J1	5302	1334.83	0.93%	$12.41
43260	Ercp w/specimen collection	J1	5303	2510.7	10.16%	$255.09
43261	Endo cholangiopancreatograph	J1	5303	2510.7	10.31%	$258.85
43262	Endo cholangiopancreatograph	J1	5303	2510.7	11.37%	$285.47
43263	Ercp sphincter pressure meas	J1	5303	2510.7	10.81%	$271.41
43264	Ercp remove duct calculi	J1	5303	2510.7	11.17%	$280.45
43265	Ercp lithotripsy calculi	J1	5331	3940.61	15.71%	$619.07
43266	Egd endoscopic stent place	J1	5331	3940.61	54.73%	"$2,156.70"
43270	Egd lesion ablation	J1	5302	1334.83	14.94%	$199.42
43274	Ercp duct stent placement	J1	5331	3940.61	25.09%	$988.70
43275	Ercp remove forgn body duct	J1	5303	2510.7	9.54%	$239.52
43276	Ercp stent exchange w/dilate	J1	5331	3940.61	28.85%	"$1,136.87"
43277	Ercp ea duct/ampulla dilate	J1	5303	2510.7	15.45%	$387.90
43278	Ercp lesion ablate w/dilate	J1	5303	2510.7	8.65%	$217.18
43280	Laparoscopy fundoplasty	J1	5362	6969.84	2.61%	$181.91
43281	Lap paraesophag hern repair	J1	5362	6969.84	2.91%	$202.82
43289	Laparoscope proc esoph	J1	5361	4199.13	31.85%	"$1,337.42"
43420	Repair esophagus opening	J1	5164	2173.69	1.60%	$34.78
43450	Dilate esophagus 1/mult pass	T	5301	699.79	0.59%	$4.13
43453	Dilate esophagus	J1	5302	1334.83	5.54%	$73.95
43499	Esophagus surgery procedure	T	5301	699.79	4.53%	$31.70
43647	Lap impl electrode antrum	J1	5462	5745.11	57.09%	"$3,279.88"
43648	Lap revise/remv eltrd antrum	J1	5361	4199.13	0.00%	$0.00
43652	Laparoscopy vagus nerve	J1	5361	4199.13	0.00%	$0.00
43653	Laparoscopy gastrostomy	J1	5361	4199.13	8.26%	$346.85
43659	Laparoscope proc stom	J1	5361	4199.13	6.52%	$273.78
43752	Nasal/orogastric w/tube plmt	N	5735	263.61	10.28%	$27.10
43753	Tx gastro intub w/asp	N	5722	232.31	2.57%	$5.97
43754	Dx gastr intub w/asp spec	N	5722	232.31	47.09%	$109.39
43755	Dx gastr intub w/asp specs	S	5721	127.1	0.00%	$0.00
43756	Dx duod intub w/asp spec	N	5301	699.79	0.00%	$0.00
43760	Change gastrostomy tube	T	5371	216.04	2.68%	$5.79
43761	Reposition gastrostomy tube	T	5371	216.04	6.41%	$13.85
43770	Lap place gastr adj device	J1	5362	6969.84	40.99%	"$2,856.94"
43830	Place gastrostomy tube	J1	5302	1334.83	3.36%	$44.85
43870	Repair stomach opening	J1	5303	2510.7	0.77%	$19.33
43886	Revise gastric port open	T	5055	2504.69	5.79%	$145.02
43887	Remove gastric port open	N	5054	1427.77	0.00%	$0.00
43888	Change gastric port open	T	5055	2504.69	24.80%	$621.16
43999	Stomach surgery procedure	T	5301	699.79	0.97%	$6.79
44100	Biopsy of bowel	T	5301	699.79	0.00%	$0.00
44180	Lap enterolysis	J1	5361	4199.13	1.82%	$76.42
44186	Lap jejunostomy	J1	5361	4199.13	7.11%	$298.56
44238	Laparoscope proc intestine	J1	5361	4199.13	2.39%	$100.36
44312	Revision of ileostomy	T	5055	2504.69	1.59%	$39.82
44340	Revision of colostomy	T	5055	2504.69	0.87%	$21.79
44360	Small bowel endoscopy	J1	5302	1334.83	0.95%	$12.68
44361	Small bowel endoscopy/biopsy	J1	5302	1334.83	0.55%	$7.34
44363	Small bowel endoscopy	J1	5302	1334.83	0.81%	$10.81
44364	Small bowel endoscopy	J1	5302	1334.83	1.54%	$20.56
44365	Small bowel endoscopy	J1	5302	1334.83	0.74%	$9.88
44366	Small bowel endoscopy	J1	5302	1334.83	0.94%	$12.55
44369	Small bowel endoscopy	J1	5302	1334.83	1.17%	$15.62
44370	Small bowel endoscopy/stent	J1	5331	3940.61	47.54%	"$1,873.37"
44372	Small bowel endoscopy	J1	5302	1334.83	6.10%	$81.42
44373	Small bowel endoscopy	J1	5302	1334.83	3.56%	$47.52
44376	Small bowel endoscopy	J1	5302	1334.83	0.66%	$8.81
44377	Small bowel endoscopy/biopsy	J1	5302	1334.83	0.87%	$11.61
44378	Small bowel endoscopy	J1	5302	1334.83	0.94%	$12.55
44379	S bowel endoscope w/stent	J1	5331	3940.61	20.89%	$823.19
44380	Small bowel endoscopy br/wa	T	5301	699.79	0.29%	$2.03
44381	Small bowel endoscopy br/wa	J1	5302	1334.83	21.94%	$292.86
44382	Small bowel endoscopy	T	5301	699.79	0.39%	$2.73
44384	Small bowel endoscopy	J1	5303	2510.7	13.63%	$342.21
44385	Endoscopy of bowel pouch	T	5311	667.67	2.29%	$15.29
44386	Endoscopy bowel pouch/biop	T	5311	667.67	1.24%	$8.28
44388	Colonoscopy thru stoma spx	T	5311	667.67	0.06%	$0.40
44389	Colonoscopy with biopsy	T	5312	877.6	0.27%	$2.37
44390	Colonoscopy for foreign body	T	5312	877.6	0.00%	$0.00
44391	Colonoscopy for bleeding	T	5312	877.6	1.86%	$16.32
44392	Colonoscopy & polypectomy	T	5312	877.6	0.00%	$0.00
44394	Colonoscopy w/snare	T	5312	877.6	0.51%	$4.48
44401	Colonoscopy with ablation	T	5312	877.6	0.00%	$0.00
44402	Colonoscopy w/stent plcmt	J1	5331	3940.61	91.70%	"$3,613.54"
44403	Colonoscopy w/resection	T	5312	877.6	1.45%	$12.73
44404	Colonoscopy w/injection	T	5312	877.6	0.00%	$0.00
44405	Colonoscopy w/dilation	T	5312	877.6	20.97%	$184.03
44406	Colonoscopy w/ultrasound	T	5312	877.6	0.00%	$0.00
44408	Colonoscopy w/decompression	T	5311	667.67	0.00%	$0.00
44500	Intro gastrointestinal tube	T	5301	699.79	5.34%	$37.37
44799	Unlisted px small intestine	T	5301	699.79	3.88%	$27.15
44950	Appendectomy	J1	5341	2862.74	1.15%	$32.92
44970	Laparoscopy appendectomy	J1	5361	4199.13	1.01%	$42.41
44979	Laparoscope proc app	J1	5361	4199.13	2.55%	$107.08
45000	Drainage of pelvic abscess	T	5312	877.6	1.13%	$9.92
45005	Drainage of rectal abscess	T	5312	877.6	0.03%	$0.26
45020	Drainage of rectal abscess	J1	5313	2167.51	0.23%	$4.99
45100	Biopsy of rectum	J1	5313	2167.51	0.37%	$8.02
45108	Removal of anorectal lesion	J1	5313	2167.51	0.17%	$3.68
45150	Excision of rectal stricture	T	5312	877.6	0.00%	$0.00
45160	Excision of rectal lesion	J1	5313	2167.51	0.04%	$0.87
45171	Exc rect tum transanal part	J1	5313	2167.51	0.24%	$5.20
45172	Exc rect tum transanal full	J1	5313	2167.51	0.47%	$10.19
45190	Destruction rectal tumor	J1	5313	2167.51	0.22%	$4.77
45300	Proctosigmoidoscopy dx	T	5311	667.67	0.17%	$1.14
45303	Proctosigmoidoscopy dilate	T	5312	877.6	9.31%	$81.70
45305	Proctosigmoidoscopy w/bx	T	5312	877.6	0.14%	$1.23
45307	Proctosigmoidoscopy fb	J1	5313	2167.51	0.08%	$1.73
45308	Proctosigmoidoscopy removal	J1	5313	2167.51	0.00%	$0.00
45309	Proctosigmoidoscopy removal	T	5312	877.6	1.99%	$17.46
45315	Proctosigmoidoscopy removal	T	5312	877.6	0.21%	$1.84
45317	Proctosigmoidoscopy bleed	T	5312	877.6	0.00%	$0.00
45320	Proctosigmoidoscopy ablate	J1	5313	2167.51	0.12%	$2.60
45321	Proctosigmoidoscopy volvul	J1	5313	2167.51	0.00%	$0.00
45327	Proctosigmoidoscopy w/stent	J1	5331	3940.61	5.21%	$205.31
45330	Diagnostic sigmoidoscopy	T	5311	667.67	0.21%	$1.40
45331	Sigmoidoscopy and biopsy	T	5311	667.67	0.17%	$1.14
45332	Sigmoidoscopy w/fb removal	T	5312	877.6	0.61%	$5.35
45333	Sigmoidoscopy & polypectomy	T	5311	667.67	0.32%	$2.14
45334	Sigmoidoscopy for bleeding	T	5312	877.6	1.72%	$15.09
45335	Sigmoidoscopy w/submuc inj	T	5311	667.67	0.84%	$5.61
45337	Sigmoidoscopy & decompress	T	5312	877.6	0.73%	$6.41
45338	Sigmoidoscopy w/tumr remove	T	5312	877.6	0.92%	$8.07
45340	Sig w/tndsc balloon dilation	T	5312	877.6	23.25%	$204.04
45341	Sigmoidoscopy w/ultrasound	T	5312	877.6	0.92%	$8.07
45342	Sigmoidoscopy w/us guide bx	T	5312	877.6	1.48%	$12.99
45346	Sigmoidoscopy w/ablation	T	5312	877.6	6.74%	$59.15
45347	Sigmoidoscopy w/plcmt stent	J1	5331	3940.61	61.00%	"$2,403.77"
45349	Sigmoidoscopy w/resection	T	5312	877.6	2.53%	$22.20
45350	Sgmdsc w/band ligation	T	5312	877.6	0.45%	$3.95
45378	Diagnostic colonoscopy	T	5311	667.67	0.06%	$0.40
45379	Colonoscopy w/fb removal	T	5312	877.6	0.80%	$7.02
45380	Colonoscopy and biopsy	T	5312	877.6	0.09%	$0.79
45381	Colonoscopy submucous njx	T	5312	877.6	0.97%	$8.51
45382	Colonoscopy w/control bleed	T	5312	877.6	2.41%	$21.15
45384	Colonoscopy w/lesion removal	T	5312	877.6	0.08%	$0.70
45385	Colonoscopy w/lesion removal	T	5312	877.6	0.36%	$3.16
45386	Colonoscopy w/balloon dilat	T	5312	877.6	23.75%	$208.43
45388	Colonoscopy w/ablation	T	5312	877.6	0.68%	$5.97
45389	Colonoscopy w/stent plcmt	J1	5331	3940.61	54.89%	"$2,163.00"
45390	Colonoscopy w/resection	T	5312	877.6	2.49%	$21.85
45391	Colonoscopy w/endoscope us	T	5312	877.6	0.82%	$7.20
45392	Colonoscopy w/endoscopic fnb	T	5312	877.6	2.93%	$25.71
45393	Colonoscopy w/decompression	T	5312	877.6	0.49%	$4.30
45398	Colonoscopy w/band ligation	T	5312	877.6	0.62%	$5.44
45399	Unlisted procedure colon	T	5311	667.67	4.22%	$28.18
45499	Laparoscope proc rectum	J1	5361	4199.13	0.02%	$0.84
45500	Repair of rectum	J1	5313	2167.51	0.00%	$0.00
45505	Repair of rectum	J1	5313	2167.51	0.25%	$5.42
45520	Treatment of rectal prolapse	N	5311	667.67	0.00%	$0.00
45541	Correct rectal prolapse	J1	5313	2167.51	0.23%	$4.99
45560	Repair of rectocele	J1	5313	2167.51	5.55%	$120.30
45900	Reduction of rectal prolapse	T	5311	667.67	0.00%	$0.00
45905	Dilation of anal sphincter	T	5312	877.6	0.09%	$0.79
45910	Dilation of rectal narrowing	T	5312	877.6	2.17%	$19.04
45915	Remove rectal obstruction	T	5312	877.6	0.12%	$1.05
45990	Surg dx exam anorectal	J1	5313	2167.51	0.58%	$12.57
45999	Rectum surgery procedure	T	5311	667.67	1.18%	$7.88
46020	Placement of seton	J1	5313	2167.51	0.40%	$8.67
46030	Removal of rectal marker	T	5312	877.6	2.32%	$20.36
46040	Incision of rectal abscess	T	5312	877.6	0.07%	$0.61
46045	Incision of rectal abscess	J1	5313	2167.51	0.11%	$2.38
46050	Incision of anal abscess	T	5311	667.67	0.11%	$0.73
46060	Incision of rectal abscess	J1	5313	2167.51	0.32%	$6.94
46080	Incision of anal sphincter	J1	5313	2167.51	0.29%	$6.29
46083	Incise external hemorrhoid	T	5371	216.04	0.01%	$0.02
46200	Removal of anal fissure	J1	5313	2167.51	0.26%	$5.64
46220	Excise anal ext tag/papilla	T	5312	877.6	0.17%	$1.49
46221	Ligation of hemorrhoid(s)	T	5311	667.67	0.12%	$0.80
46230	Removal of anal tags	J1	5313	2167.51	0.50%	$10.84
46250	Remove ext hem groups 2+	J1	5313	2167.51	0.42%	$9.10
46255	Remove int/ext hem 1 group	J1	5313	2167.51	0.33%	$7.15
46257	Remove in/ex hem grp & fiss	J1	5313	2167.51	0.27%	$5.85
46258	Remove in/ex hem grp w/fistu	J1	5313	2167.51	0.64%	$13.87
46260	Remove in/ex hem groups 2+	J1	5313	2167.51	0.29%	$6.29
46261	Remove in/ex hem grps & fiss	J1	5313	2167.51	0.08%	$1.73
46262	Remove in/ex hem grps w/fist	J1	5313	2167.51	0.47%	$10.19
46270	Remove anal fist subq	J1	5313	2167.51	0.45%	$9.75
46275	Remove anal fist inter	J1	5313	2167.51	0.92%	$19.94
46280	Remove anal fist complex	J1	5313	2167.51	0.52%	$11.27
46285	Remove anal fist 2 stage	J1	5313	2167.51	0.65%	$14.09
46288	Repair anal fistula	J1	5313	2167.51	5.48%	$118.78
46320	Removal of hemorrhoid clot	T	5312	877.6	0.15%	$1.32
46500	Injection into hemorrhoid(s)	T	5311	667.67	0.00%	$0.00
46505	Chemodenervation anal musc	T	5312	877.6	0.01%	$0.09
46600	Diagnostic anoscopy spx	N	5734	100.02	0.01%	$0.01
46601	Diagnostic anoscopy	N	5733	54.55	0.00%	$0.00
46604	Anoscopy and dilation	T	5312	877.6	2.03%	$17.82
46606	Anoscopy and biopsy	T	5312	877.6	0.05%	$0.44
46607	Diagnostic anoscopy & biopsy	T	5312	877.6	0.01%	$0.09
46608	Anoscopy remove for body	T	5311	667.67	0.00%	$0.00
46610	Anoscopy remove lesion	J1	5313	2167.51	0.12%	$2.60
46611	Anoscopy	T	5311	667.67	0.00%	$0.00
46612	Anoscopy remove lesions	J1	5313	2167.51	0.16%	$3.47
46614	Anoscopy control bleeding	T	5312	877.6	0.04%	$0.35
46615	Anoscopy	J1	5313	2167.51	0.15%	$3.25
46700	Repair of anal stricture	J1	5313	2167.51	0.11%	$2.38
46706	Repr of anal fistula w/glue	J1	5313	2167.51	7.42%	$160.83
46707	Repair anorectal fist w/plug	J1	5313	2167.51	28.25%	$612.32
46750	Repair of anal sphincter	J1	5313	2167.51	2.35%	$50.94
46753	Reconstruction of anus	J1	5313	2167.51	10.23%	$221.74
46754	Removal of suture from anus	J1	5313	2167.51	0.00%	$0.00
46760	Repair of anal sphincter	J1	5313	2167.51	0.00%	$0.00
46761	Repair of anal sphincter	J1	5313	2167.51	0.00%	$0.00
46762	Implant artificial sphincter	J1	5331	3940.61	64.31%	"$2,534.21"
46900	Destruction anal lesion(s)	T	5052	292.62	0.00%	$0.00
46910	Destruction anal lesion(s)	T	5054	1427.77	0.32%	$4.57
46916	Cryosurgery anal lesion(s)	T	5051	153.12	0.00%	$0.00
46917	Laser surgery anal lesions	J1	5313	2167.51	0.12%	$2.60
46922	Excision of anal lesion(s)	J1	5313	2167.51	0.25%	$5.42
46924	Destruction anal lesion(s)	J1	5313	2167.51	0.05%	$1.08
46930	Destroy internal hemorrhoids	T	5311	667.67	0.20%	$1.34
46940	Treatment of anal fissure	J1	5313	2167.51	0.17%	$3.68
46942	Treatment of anal fissure	T	5311	667.67	0.00%	$0.00
46945	Remove by ligat int hem grp	J1	5313	2167.51	0.32%	$6.94
46946	Remove by ligat int hem grps	J1	5313	2167.51	0.45%	$9.75
46947	Hemorrhoidopexy by stapling	J1	5313	2167.51	0.82%	$17.77
46999	Anus surgery procedure	T	5311	667.67	0.35%	$2.34
47000	Needle biopsy of liver	J1	5072	1236.62	0.60%	$7.42
47370	Laparo ablate liver tumor rf	J1	5362	6969.84	7.84%	$546.44
47371	Laparo ablate liver cryosurg	J1	5362	6969.84	14.44%	"$1,006.44"
47379	Laparoscope procedure liver	J1	5361	4199.13	1.32%	$55.43
47382	Percut ablate liver rf	J1	5361	4199.13	15.74%	$660.94
47383	Perq abltj lvr cryoablation	J1	5361	4199.13	26.80%	"$1,125.37"
47399	Liver surgery procedure	T	5071	539.11	4.47%	$24.10
47490	Incision of gallbladder	J1	5341	2862.74	14.40%	$412.23
4751A	CPX 47511 Insert bile duct d	J1	5331	3940.61	26.89%	"$1,059.63"
47510	Insert catheter bile duct	J1	5341	2862.74	19.28%	$551.94
47511	Insert bile duct drain	J1	5341	2862.74	24.26%	$694.50
47525	Change bile duct catheter	J1	5302	1334.83	20.28%	$270.70
47530	Revise/reinsert bile tube	J1	5302	1334.83	17.66%	$235.73
47552	Biliary endo perq dx w/speci	J1	5341	2862.74	13.05%	$373.59
47553	Biliary endoscopy thru skin	J1	5341	2862.74	11.34%	$324.63
47554	Biliary endoscopy thru skin	J1	5361	4199.13	16.07%	$674.80
47555	Biliary endoscopy thru skin	J1	5341	2862.74	25.19%	$721.12
47556	Biliary endoscopy thru skin	J1	5361	4199.13	49.95%	"$2,097.47"
47560	Laparoscopy w/cholangio	J1	5361	4199.13	21.48%	$901.97
47561	Laparo w/cholangio/biopsy	J1	5361	4199.13	1.89%	$79.36
47562	Laparoscopic cholecystectomy	J1	5361	4199.13	0.64%	$26.87
47563	Laparo cholecystectomy/graph	J1	5361	4199.13	1.09%	$45.77
47564	Laparo cholecystectomy/explr	J1	5361	4199.13	2.85%	$119.68
47579	Laparoscope proc biliary	J1	5361	4199.13	1.90%	$79.78
47630	Remove bile duct stone	J1	5341	2862.74	23.97%	$686.20
47999	Bile tract surgery procedure	T	5301	699.79	11.71%	$81.95
48102	Needle biopsy pancreas	J1	5072	1236.62	0.52%	$6.43
48999	Pancreas surgery procedure	T	5071	539.11	2.83%	$15.26
49082	Abd paracentesis	T	5301	699.79	1.73%	$12.11
49083	Abd paracentesis w/imaging	T	5301	699.79	4.43%	$31.00
49084	Peritoneal lavage	T	5301	699.79	2.98%	$20.85
49180	Biopsy abdominal mass	J1	5072	1236.62	0.65%	$8.04
49250	Excision of umbilicus	J1	5341	2862.74	1.12%	$32.06
49320	Diag laparo separate proc	J1	5361	4199.13	2.58%	$108.34
49321	Laparoscopy biopsy	J1	5361	4199.13	1.97%	$82.72
49322	Laparoscopy aspiration	J1	5361	4199.13	0.87%	$36.53
49323	Laparo drain lymphocele	J1	5361	4199.13	0.45%	$18.90
49324	Lap insert tunnel ip cath	J1	5361	4199.13	7.83%	$328.79
49325	Lap revision perm ip cath	J1	5361	4199.13	2.58%	$108.34
49329	Laparo proc abdm/per/oment	J1	5361	4199.13	3.30%	$138.57
49402	Remove foreign body adbomen	J1	5341	2862.74	1.61%	$46.09
49405	Image cath fluid colxn visc	J1	5072	1236.62	9.10%	$112.53
49406	Image cath fluid peri/retro	J1	5072	1236.62	11.15%	$137.88
49407	Image cath fluid trns/vgnl	J1	5072	1236.62	9.36%	$115.75
49411	Ins mark abd/pel for rt perq	S	5613	1066.24	14.46%	$154.18
49418	Insert tun ip cath perc	J1	5341	2862.74	24.15%	$691.35
49419	Insert tun ip cath w/port	T	5183	3924.28	32.21%	"$1,264.01"
49421	Ins tun ip cath for dial opn	J1	5341	2862.74	8.64%	$247.34
49422	Remove tunneled ip cath	N	5182	2360.6	0.45%	$10.62
49423	Exchange drainage catheter	J1	5302	1334.83	16.75%	$223.58
49426	Revise abdomen-venous shunt	J1	5341	2862.74	9.19%	$263.09
49429	Removal of shunt	N	5182	2360.6	0.00%	$0.00
49436	Embedded ip cath exit-site	J1	5302	1334.83	1.36%	$18.15
49440	Place gastrostomy tube perc	J1	5302	1334.83	13.69%	$182.74
49441	Place duod/jej tube perc	J1	5302	1334.83	14.46%	$193.02
49442	Place cecostomy tube perc	T	5312	877.6	8.76%	$76.88
49446	Change g-tube to g-j perc	J1	5302	1334.83	19.05%	$254.29
49450	Replace g/c tube perc	T	5301	699.79	17.87%	$125.05
49451	Replace duod/jej tube perc	T	5301	699.79	20.75%	$145.21
49452	Replace g-j tube perc	T	5301	699.79	22.97%	$160.74
49460	Fix g/colon tube w/device	T	5301	699.79	11.87%	$83.07
49465	Fluoro exam of g/colon tube	N	5523	225.91	2.91%	$6.57
49491	Rpr hern preemie reduc	J1	5361	4199.13	7.34%	$308.22
49500	Rpr ing hernia init reduce	J1	5341	2862.74	6.47%	$185.22
49501	Rpr ing hernia init blocked	J1	5341	2862.74	12.31%	$352.40
49505	Prp i/hern init reduc >5 yr	J1	5341	2862.74	11.24%	$321.77
49507	Prp i/hern init block >5 yr	J1	5341	2862.74	10.25%	$293.43
49520	Rerepair ing hernia reduce	J1	5341	2862.74	11.25%	$322.06
49521	Rerepair ing hernia blocked	J1	5341	2862.74	9.67%	$276.83
49525	Repair ing hernia sliding	J1	5341	2862.74	9.93%	$284.27
49540	Repair lumbar hernia	J1	5361	4199.13	12.68%	$532.45
49550	Rpr rem hernia init reduce	J1	5341	2862.74	10.21%	$292.29
49553	Rpr fem hernia init blocked	J1	5341	2862.74	8.22%	$235.32
49555	Rerepair fem hernia reduce	J1	5341	2862.74	9.30%	$266.23
49557	Rerepair fem hernia blocked	J1	5341	2862.74	10.40%	$297.72
4956A	CPX 49561 Rpr ventral hern i	J1	5331	3940.61	15.94%	$628.13
49560	Rpr ventral hern init reduc	J1	5341	2862.74	16.01%	$458.32
49561	Rpr ventral hern init block	J1	5341	2862.74	14.59%	$417.67
49565	Rerepair ventrl hern reduce	J1	5361	4199.13	16.48%	$692.02
49566	Rerepair ventrl hern block	J1	5361	4199.13	16.62%	$697.90
49570	Rpr epigastric hern reduce	J1	5341	2862.74	12.79%	$366.14
49572	Rpr epigastric hern blocked	J1	5341	2862.74	11.70%	$334.94
49580	Rpr umbil hern reduc < 5 yr	J1	5341	2862.74	7.88%	$225.58
49582	Rpr umbil hern block < 5 yr	J1	5341	2862.74	0.00%	$0.00
49585	Rpr umbil hern reduc > 5 yr	J1	5341	2862.74	14.40%	$412.23
49587	Rpr umbil hern block > 5 yr	J1	5341	2862.74	13.35%	$382.18
49590	Repair spigelian hernia	J1	5341	2862.74	13.73%	$393.05
49600	Repair umbilical lesion	J1	5341	2862.74	0.00%	$0.00
49650	Lap ing hernia repair init	J1	5361	4199.13	13.89%	$583.26
49651	Lap ing hernia repair recur	J1	5361	4199.13	13.63%	$572.34
49652	Lap vent/abd hernia repair	J1	5361	4199.13	15.79%	$663.04
49653	Lap vent/abd hern proc comp	J1	5361	4199.13	16.44%	$690.34
49654	Lap inc hernia repair	J1	5362	6969.84	19.62%	"$1,367.48"
49655	Lap inc hern repair comp	J1	5362	6969.84	19.51%	"$1,359.82"
49656	Lap inc hernia repair recur	J1	5362	6969.84	19.36%	"$1,349.36"
49657	Lap inc hern recur comp	J1	5362	6969.84	20.77%	"$1,447.64"
49659	Laparo proc hernia repair	J1	5361	4199.13	11.82%	$496.34
49999	Abdomen surgery procedure	T	5301	699.79	6.05%	$42.34
50020	Renal abscess open drain	J1	5374	2542.56	0.25%	$6.36
50080	Removal of kidney stone	J1	5376	7452.66	11.64%	$867.49
50081	Removal of kidney stone	J1	5376	7452.66	11.72%	$873.45
50200	Renal biopsy perq	J1	5072	1236.62	0.36%	$4.45
50382	Change ureter stent percut	J1	5373	1644.66	23.66%	$389.13
50385	Change stent via transureth	J1	5373	1644.66	18.38%	$302.29
50387	Change nephroureteral cath	J1	5373	1644.66	28.43%	$467.58
50389	Remove renal tube w/fluoro	N	5372	549.44	7.47%	$41.04
50390	Drainage of kidney lesion	T	5071	539.11	6.02%	$32.45
50391	Instll rx agnt into rnal tub	T	5371	216.04	0.00%	$0.00
50392	Insert kidney drain	J1	5374	2542.56	17.84%	$453.59
50393	Insert ureteral tube	J1	5374	2542.56	23.29%	$592.16
50395	Create passage to kidney	J1	5374	2542.56	17.25%	$438.59
50396	Measure kidney pressure	T	5372	549.44	3.24%	$17.80
50398	Change kidney tube	J1	5373	1644.66	21.95%	$361.00
50541	Laparo ablate renal cyst	J1	5361	4199.13	2.60%	$109.18
50542	Laparo ablate renal mass	J1	5362	6969.84	19.53%	"$1,361.21"
50543	Laparo partial nephrectomy	J1	5377	14363.61	3.04%	$436.65
50544	Laparoscopy pyeloplasty	J1	5362	6969.84	2.91%	$202.82
50549	Laparoscope proc renal	J1	5361	4199.13	2.41%	$101.20
50551	Kidney endoscopy	J1	5375	3484.01	10.32%	$359.55
50553	Kidney endoscopy	J1	5375	3484.01	15.55%	$541.76
50555	Kidney endoscopy & biopsy	J1	5375	3484.01	15.36%	$535.14
50557	Kidney endoscopy & treatment	J1	5376	7452.66	19.03%	"$1,418.24"
50561	Kidney endoscopy & treatment	J1	5375	3484.01	9.50%	$330.98
50562	Renal scope w/tumor resect	J1	5376	7452.66	9.23%	$687.88
50570	Kidney endoscopy	J1	5373	1644.66	0.00%	$0.00
50574	Kidney endoscopy & biopsy	T	5372	549.44	0.22%	$1.21
50575	Kidney endoscopy	J1	5375	3484.01	18.37%	$640.01
50576	Kidney endoscopy & treatment	J1	5375	3484.01	7.00%	$243.88
50580	Kidney endoscopy & treatment	J1	5375	3484.01	9.05%	$315.30
50590	Fragmenting of kidney stone	J1	5375	3484.01	1.35%	$47.03
50592	Perc rf ablate renal tumor	J1	5361	4199.13	15.55%	$652.96
50593	Perc cryo ablate renal tum	J1	5362	6969.84	33.10%	"$2,307.02"
50688	Change of ureter tube/stent	J1	5373	1644.66	23.42%	$385.18
50727	Revise ureter	J1	5374	2542.56	2.37%	$60.26
50945	Laparoscopy ureterolithotomy	J1	5361	4199.13	13.97%	$586.62
50947	Laparo new ureter/bladder	J1	5361	4199.13	5.94%	$249.43
50948	Laparo new ureter/bladder	J1	5362	6969.84	2.52%	$175.64
50949	Laparoscope proc ureter	J1	5361	4199.13	2.69%	$112.96
50951	Endoscopy of ureter	J1	5373	1644.66	6.65%	$109.37
50953	Endoscopy of ureter	J1	5375	3484.01	14.19%	$494.38
50955	Ureter endoscopy & biopsy	J1	5375	3484.01	9.99%	$348.05
50957	Ureter endoscopy & treatment	J1	5375	3484.01	6.18%	$215.31
50961	Ureter endoscopy & treatment	J1	5375	3484.01	8.80%	$306.59
50972	Ureter endoscopy & catheter	T	5372	549.44	3.80%	$20.88
50974	Ureter endoscopy & biopsy	J1	5375	3484.01	19.71%	$686.70
50976	Ureter endoscopy & treatment	J1	5375	3484.01	8.84%	$307.99
50980	Ureter endoscopy & treatment	J1	5375	3484.01	4.09%	$142.50
51020	Incise & treat bladder	J1	5374	2542.56	3.99%	$101.45
51040	Incise & drain bladder	J1	5373	1644.66	2.34%	$38.49
51045	Incise bladder/drain ureter	J1	5373	1644.66	2.15%	$35.36
51050	Removal of bladder stone	J1	5375	3484.01	1.21%	$42.16
51060	Removal of ureter stone	J1	5373	1644.66	0.00%	$0.00
51065	Remove ureter calculus	J1	5375	3484.01	2.95%	$102.78
51080	Drainage of bladder abscess	J1	5073	2148.91	5.66%	$121.63
51100	Drain bladder by needle	T	5372	549.44	1.83%	$10.05
51101	Drain bladder by trocar/cath	S	5724	864.54	1.32%	$11.41
51102	Drain bl w/cath insertion	J1	5373	1644.66	6.58%	$108.22
51500	Removal of bladder cyst	J1	5361	4199.13	1.82%	$76.42
51520	Removal of bladder lesion	J1	5373	1644.66	0.00%	$0.00
51535	Repair of ureter lesion	J1	5373	1644.66	0.48%	$7.89
51700	Irrigation of bladder	T	5371	216.04	0.12%	$0.26
51701	Insert bladder catheter	N	5734	100.02	0.65%	$0.65
51702	Insert temp bladder cath	N	5734	100.02	0.75%	$0.75
51703	Insert bladder cath complex	S	5721	127.1	1.37%	$1.74
51705	Change of bladder tube	T	5371	216.04	4.19%	$9.05
51710	Change of bladder tube	T	5372	549.44	7.31%	$40.16
51715	Endoscopic injection/implant	J1	5374	2542.56	33.97%	$863.71
51720	Treatment of bladder lesion	T	5371	216.04	0.24%	$0.52
51725	Simple cystometrogram	T	5371	216.04	0.11%	$0.24
51726	Complex cystometrogram	T	5372	549.44	1.08%	$5.93
51727	Cystometrogram w/up	T	5372	549.44	0.40%	$2.20
51728	Cystometrogram w/vp	T	5372	549.44	0.25%	$1.37
51729	Cystometrogram w/vp&up	T	5372	549.44	0.41%	$2.25
51736	Urine flow measurement	N	5734	100.02	0.04%	$0.04
51741	Electro-uroflowmetry first	N	5721	127.1	0.04%	$0.05
51784	Anal/urinary muscle study	S	5721	127.1	0.02%	$0.03
51785	Anal/urinary muscle study	T	5371	216.04	0.80%	$1.73
51792	Urinary reflex study	N	5733	54.55	0.00%	$0.00
51798	Us urine capacity measure	N	5733	54.55	0.04%	$0.02
51845	Repair bladder neck	J1	5415	3810.85	15.93%	$607.07
51860	Repair of bladder wound	J1	5375	3484.01	5.67%	$197.54
51880	Repair of bladder opening	J1	5374	2542.56	0.33%	$8.39
51990	Laparo urethral suspension	J1	5361	4199.13	6.93%	$291.00
51992	Laparo sling operation	J1	5361	4199.13	32.82%	"$1,378.15"
51999	Laparoscope proc bla	J1	5361	4199.13	1.96%	$82.30
52000	Cystoscopy	T	5372	549.44	0.17%	$0.93
52001	Cystoscopy removal of clots	J1	5374	2542.56	1.56%	$39.66
52005	Cystoscopy & ureter catheter	J1	5373	1644.66	3.23%	$53.12
52007	Cystoscopy and biopsy	J1	5374	2542.56	8.75%	$222.47
52010	Cystoscopy & duct catheter	T	5372	549.44	0.00%	$0.00
52204	Cystoscopy w/biopsy(s)	J1	5373	1644.66	1.03%	$16.94
52214	Cystoscopy and treatment	J1	5373	1644.66	0.94%	$15.46
52224	Cystoscopy and treatment	J1	5373	1644.66	0.73%	$12.01
52234	Cystoscopy and treatment	J1	5374	2542.56	1.21%	$30.76
52235	Cystoscopy and treatment	J1	5374	2542.56	1.27%	$32.29
52240	Cystoscopy and treatment	J1	5375	3484.01	1.42%	$49.47
52250	Cystoscopy and radiotracer	J1	5375	3484.01	1.89%	$65.85
52260	Cystoscopy and treatment	J1	5373	1644.66	0.62%	$10.20
52265	Cystoscopy and treatment	J1	5373	1644.66	0.23%	$3.78
52270	Cystoscopy & revise urethra	J1	5373	1644.66	0.62%	$10.20
52275	Cystoscopy & revise urethra	J1	5373	1644.66	2.42%	$39.80
52276	Cystoscopy and treatment	J1	5373	1644.66	2.67%	$43.91
52277	Cystoscopy and treatment	J1	5374	2542.56	2.55%	$64.84
52281	Cystoscopy and treatment	J1	5373	1644.66	2.72%	$44.73
52282	Cystoscopy implant stent	J1	5374	2542.56	12.15%	$308.92
52283	Cystoscopy and treatment	J1	5373	1644.66	3.35%	$55.10
52285	Cystoscopy and treatment	J1	5373	1644.66	0.12%	$1.97
52287	Cystoscopy chemodenervation	J1	5373	1644.66	1.18%	$19.41
52290	Cystoscopy and treatment	J1	5373	1644.66	2.26%	$37.17
52300	Cystoscopy and treatment	J1	5374	2542.56	1.73%	$43.99
52301	Cystoscopy and treatment	J1	5374	2542.56	3.53%	$89.75
52305	Cystoscopy and treatment	J1	5375	3484.01	2.85%	$99.29
52310	Cystoscopy and treatment	J1	5373	1644.66	0.97%	$15.95
52315	Cystoscopy and treatment	J1	5373	1644.66	2.09%	$34.37
52317	Remove bladder stone	J1	5374	2542.56	2.25%	$57.21
52318	Remove bladder stone	J1	5375	3484.01	2.14%	$74.56
52320	Cystoscopy and treatment	J1	5375	3484.01	9.23%	$321.57
52325	Cystoscopy stone removal	J1	5375	3484.01	10.54%	$367.21
52327	Cystoscopy inject material	J1	5375	3484.01	34.96%	"$1,218.01"
52330	Cystoscopy and treatment	J1	5374	2542.56	9.95%	$252.98
52332	Cystoscopy and treatment	J1	5374	2542.56	13.81%	$351.13
52334	Create passage to kidney	J1	5374	2542.56	11.15%	$283.50
52341	Cysto w/ureter stricture tx	J1	5373	1644.66	8.13%	$133.71
52342	Cysto w/up stricture tx	J1	5375	3484.01	14.94%	$520.51
52343	Cysto w/renal stricture tx	J1	5373	1644.66	0.00%	$0.00
52344	Cysto/uretero stricture tx	J1	5374	2542.56	16.25%	$413.17
52345	Cysto/uretero w/up stricture	J1	5375	3484.01	17.24%	$600.64
52346	Cystouretero w/renal strict	J1	5375	3484.01	13.24%	$461.28
5235A	CPX 52351 Cystouretero & or	J1	5374	2542.56	4.25%	$108.06
52351	Cystouretero & or pyeloscope	J1	5373	1644.66	5.23%	$86.02
52352	Cystouretero w/stone remove	J1	5375	3484.01	10.36%	$360.94
52353	Cystouretero w/lithotripsy	J1	5375	3484.01	5.91%	$205.90
52354	Cystouretero w/biopsy	J1	5375	3484.01	9.32%	$324.71
52355	Cystouretero w/excise tumor	J1	5375	3484.01	7.93%	$276.28
52356	Cysto/uretero w/lithotripsy	J1	5375	3484.01	10.25%	$357.11
52400	Cystouretero w/congen repr	J1	5373	1644.66	4.11%	$67.60
52402	Cystourethro cut ejacul duct	J1	5374	2542.56	0.39%	$9.92
52450	Incision of prostate	J1	5374	2542.56	1.14%	$28.99
52500	Revision of bladder neck	J1	5374	2542.56	1.49%	$37.88
52601	Prostatectomy (turp)	J1	5375	3484.01	0.62%	$21.60
52630	Remove prostate regrowth	J1	5375	3484.01	0.80%	$27.87
52640	Relieve bladder contracture	J1	5374	2542.56	2.03%	$51.61
52647	Laser surgery of prostate	J1	5375	3484.01	1.01%	$35.19
52648	Laser surgery of prostate	J1	5375	3484.01	1.00%	$34.84
52649	Prostate laser enucleation	J1	5375	3484.01	1.46%	$50.87
52700	Drainage of prostate abscess	J1	5375	3484.01	2.54%	$88.49
53000	Incision of urethra	J1	5373	1644.66	2.77%	$45.56
53010	Incision of urethra	J1	5375	3484.01	1.26%	$43.90
53020	Incision of urethra	J1	5373	1644.66	0.50%	$8.22
53040	Drainage of urethra abscess	J1	5375	3484.01	0.94%	$32.75
53060	Drainage of urethra abscess	J1	5373	1644.66	0.00%	$0.00
53085	Drainage of urinary leakage	J1	5373	1644.66	0.00%	$0.00
53200	Biopsy of urethra	J1	5374	2542.56	0.86%	$21.87
53210	Removal of urethra	J1	5375	3484.01	1.40%	$48.78
53215	Removal of urethra	J1	5375	3484.01	0.71%	$24.74
53220	Treatment of urethra lesion	J1	5375	3484.01	1.07%	$37.28
53230	Removal of urethra lesion	J1	5375	3484.01	2.24%	$78.04
53235	Removal of urethra lesion	J1	5375	3484.01	1.62%	$56.44
53240	Surgery for urethra pouch	J1	5375	3484.01	0.22%	$7.66
53260	Treatment of urethra lesion	J1	5373	1644.66	0.36%	$5.92
53265	Treatment of urethra lesion	J1	5373	1644.66	0.44%	$7.24
53270	Removal of urethra gland	J1	5374	2542.56	6.93%	$176.20
53275	Repair of urethra defect	J1	5373	1644.66	0.22%	$3.62
53400	Revise urethra stage 1	J1	5375	3484.01	1.85%	$64.45
53405	Revise urethra stage 2	J1	5375	3484.01	0.54%	$18.81
53410	Reconstruction of urethra	J1	5375	3484.01	1.58%	$55.05
53420	Reconstruct urethra stage 1	J1	5375	3484.01	1.72%	$59.92
53425	Reconstruct urethra stage 2	J1	5375	3484.01	0.36%	$12.54
53430	Reconstruction of urethra	J1	5375	3484.01	1.01%	$35.19
53431	Reconstruct urethra/bladder	J1	5375	3484.01	7.68%	$267.57
53440	Male sling procedure	J1	5376	7452.66	61.85%	"$4,609.47"
53442	Remove/revise male sling	J1	5375	3484.01	17.67%	$615.62
53444	Insert tandem cuff	J1	5377	14363.61	59.97%	"$8,613.86"
53445	Insert uro/ves nck sphincter	J1	5377	14363.61	69.48%	"$9,979.84"
53447	Remove/replace ur sphincter	J1	5377	14363.61	64.17%	"$9,217.13"
53449	Repair uro sphincter	J1	5375	3484.01	22.13%	$771.01
53450	Revision of urethra	J1	5373	1644.66	0.76%	$12.50
53460	Revision of urethra	J1	5375	3484.01	0.26%	$9.06
53500	Urethrlys transvag w/ scope	J1	5374	2542.56	2.61%	$66.36
53502	Repair of urethra injury	J1	5374	2542.56	4.26%	$108.31
53505	Repair of urethra injury	J1	5375	3484.01	6.55%	$228.20
53510	Repair of urethra injury	J1	5375	3484.01	9.56%	$333.07
53515	Repair of urethra injury	J1	5375	3484.01	0.59%	$20.56
53520	Repair of urethra defect	J1	5375	3484.01	1.76%	$61.32
53600	Dilate urethra stricture	T	5371	216.04	0.76%	$1.64
53601	Dilate urethra stricture	N	5734	100.02	0.00%	$0.00
53605	Dilate urethra stricture	J1	5373	1644.66	1.53%	$25.16
53620	Dilate urethra stricture	T	5372	549.44	0.90%	$4.94
53621	Dilate urethra stricture	T	5371	216.04	0.08%	$0.17
53660	Dilation of urethra	S	5721	127.1	0.00%	$0.00
53661	Dilation of urethra	N	5734	100.02	0.00%	$0.00
53665	Dilation of urethra	J1	5373	1644.66	0.57%	$9.37
53850	Prostatic microwave thermotx	J1	5374	2542.56	0.09%	$2.29
53852	Prostatic rf thermotx	J1	5375	3484.01	1.72%	$59.92
53855	Insert prost urethral stent	J1	5373	1644.66	22.95%	$377.45
53899	Urology surgery procedure	T	5371	216.04	4.70%	$10.15
54001	Slitting of prepuce	J1	5373	1644.66	0.45%	$7.40
54015	Drain penis lesion	J1	5072	1236.62	0.00%	$0.00
54050	Destruction penis lesion(s)	N	5052	292.62	0.00%	$0.00
54055	Destruction penis lesion(s)	T	5054	1427.77	0.00%	$0.00
54056	Cryosurgery penis lesion(s)	N	5051	153.12	0.00%	$0.00
54057	Laser surg penis lesion(s)	T	5054	1427.77	0.01%	$0.14
54060	Excision of penis lesion(s)	T	5054	1427.77	0.01%	$0.14
54065	Destruction penis lesion(s)	T	5054	1427.77	0.04%	$0.57
54100	Biopsy of penis	J1	5072	1236.62	0.07%	$0.87
54105	Biopsy of penis	J1	5073	2148.91	0.63%	$13.54
54110	Treatment of penis lesion	J1	5375	3484.01	5.71%	$198.94
54111	Treat penis lesion graft	J1	5375	3484.01	18.80%	$654.99
54112	Treat penis lesion graft	J1	5376	7452.66	17.83%	"$1,328.81"
54115	Treatment of penis lesion	J1	5073	2148.91	0.10%	$2.15
54120	Partial removal of penis	J1	5375	3484.01	0.23%	$8.01
54150	Circumcision w/regionl block	J1	5373	1644.66	0.11%	$1.81
5416A	CPX 54161 Circum 28 days or	J1	5374	2542.56	1.16%	$29.49
54160	Circumcision neonate	J1	5373	1644.66	0.00%	$0.00
54161	Circum 28 days or older	J1	5373	1644.66	0.12%	$1.97
54162	Lysis penil circumic lesion	J1	5373	1644.66	0.90%	$14.80
54163	Repair of circumcision	J1	5373	1644.66	0.20%	$3.29
54164	Frenulotomy of penis	J1	5373	1644.66	0.05%	$0.82
54200	Treatment of penis lesion	T	5371	216.04	0.00%	$0.00
54205	Treatment of penis lesion	J1	5375	3484.01	0.00%	$0.00
54220	Treatment of penis lesion	T	5371	216.04	0.02%	$0.04
54231	Dynamic cavernosometry	J1	5373	1644.66	0.00%	$0.00
54235	Penile injection	T	5371	216.04	0.00%	$0.00
54240	Penis study	S	5721	127.1	0.00%	$0.00
54300	Revision of penis	J1	5374	2542.56	0.29%	$7.37
54308	Reconstruction of urethra	J1	5375	3484.01	0.00%	$0.00
54322	Reconstruction of urethra	J1	5373	1644.66	0.05%	$0.82
54324	Reconstruction of urethra	J1	5375	3484.01	0.00%	$0.00
54326	Reconstruction of urethra	J1	5375	3484.01	1.21%	$42.16
54332	Revise penis/urethra	J1	5373	1644.66	0.00%	$0.00
54340	Secondary urethral surgery	J1	5374	2542.56	29.78%	$757.17
54344	Secondary urethral surgery	J1	5375	3484.01	0.66%	$22.99
54348	Secondary urethral surgery	J1	5375	3484.01	0.00%	$0.00
54360	Penis plastic surgery	J1	5374	2542.56	0.43%	$10.93
54385	Repair penis	J1	5373	1644.66	0.00%	$0.00
54400	Insert semi-rigid prosthesis	J1	5377	14363.61	61.97%	"$8,901.13"
54401	Insert self-contd prosthesis	J1	5377	14363.61	69.98%	"$10,051.65"
54405	Insert multi-comp penis pros	J1	5377	14363.61	70.63%	"$10,145.02"
54408	Repair multi-comp penis pros	J1	5375	3484.01	25.38%	$884.24
54410	Remove/replace penis prosth	J1	5377	14363.61	67.99%	"$9,765.82"
54411	Remov/replc penis pros comp	J1	5377	14363.61	56.08%	"$8,055.11"
54416	Remv/repl penis contain pros	J1	5377	14363.61	64.31%	"$9,237.24"
54417	Remv/replc penis pros compl	J1	5377	14363.61	55.63%	"$7,990.48"
54420	Revision of penis	J1	5373	1644.66	1.58%	$25.99
54435	Revision of penis	J1	5373	1644.66	0.45%	$7.40
54440	Repair of penis	J1	5375	3484.01	4.54%	$158.17
54450	Preputial stretching	T	5371	216.04	0.00%	$0.00
54500	Biopsy of testis	J1	5073	2148.91	0.99%	$21.27
54505	Biopsy of testis	J1	5374	2542.56	0.18%	$4.58
54512	Excise lesion testis	J1	5373	1644.66	0.00%	$0.00
54520	Removal of testis	J1	5374	2542.56	0.91%	$23.14
54522	Orchiectomy partial	J1	5374	2542.56	0.01%	$0.25
54530	Removal of testis	J1	5341	2862.74	1.13%	$32.35
54535	Extensive testis surgery	J1	5375	3484.01	0.00%	$0.00
54550	Exploration for testis	J1	5341	2862.74	0.00%	$0.00
54600	Reduce testis torsion	J1	5374	2542.56	1.03%	$26.19
54620	Suspension of testis	J1	5374	2542.56	0.00%	$0.00
54640	Suspension of testis	J1	5341	2862.74	1.16%	$33.21
54650	Orchiopexy (fowler-stephens)	J1	5341	2862.74	0.00%	$0.00
54660	Revision of testis	J1	5375	3484.01	37.78%	"$1,316.26"
54670	Repair testis injury	J1	5373	1644.66	0.00%	$0.00
54680	Relocation of testis(es)	J1	5373	1644.66	0.00%	$0.00
54690	Laparoscopy orchiectomy	J1	5361	4199.13	0.60%	$25.19
54700	Drainage of scrotum	J1	5373	1644.66	0.18%	$2.96
54830	Remove epididymis lesion	J1	5373	1644.66	0.14%	$2.30
54840	Remove epididymis lesion	J1	5373	1644.66	0.09%	$1.48
54860	Removal of epididymis	J1	5373	1644.66	0.06%	$0.99
54861	Removal of epididymis	J1	5374	2542.56	0.00%	$0.00
54865	Explore epididymis	J1	5374	2542.56	0.00%	$0.00
55000	Drainage of hydrocele	T	5071	539.11	0.21%	$1.13
55040	Removal of hydrocele	J1	5341	2862.74	0.17%	$4.87
55041	Removal of hydroceles	J1	5341	2862.74	0.11%	$3.15
55060	Repair of hydrocele	J1	5373	1644.66	0.19%	$3.12
55100	Drainage of scrotum abscess	J1	5072	1236.62	0.02%	$0.25
55110	Explore scrotum	J1	5373	1644.66	1.72%	$28.29
55120	Removal of scrotum lesion	J1	5373	1644.66	0.63%	$10.36
55150	Removal of scrotum	J1	5374	2542.56	0.95%	$24.15
55175	Revision of scrotum	J1	5374	2542.56	5.03%	$127.89
55180	Revision of scrotum	J1	5375	3484.01	3.50%	$121.94
55250	Removal of sperm duct(s)	J1	5373	1644.66	0.09%	$1.48
55400	Repair of sperm duct	J1	5374	2542.56	0.00%	$0.00
55450	Ligation of sperm duct	J1	5373	1644.66	0.00%	$0.00
55500	Removal of hydrocele	J1	5374	2542.56	0.26%	$6.61
55520	Removal of sperm cord lesion	J1	5374	2542.56	2.15%	$54.67
55530	Revise spermatic cord veins	J1	5374	2542.56	1.50%	$38.14
55535	Revise spermatic cord veins	J1	5341	2862.74	0.00%	$0.00
55540	Revise hernia & sperm veins	J1	5341	2862.74	8.05%	$230.45
55550	Laparo ligate spermatic vein	J1	5361	4199.13	4.31%	$180.98
55559	Laparo proc spermatic cord	J1	5361	4199.13	12.79%	$537.07
55700	Biopsy of prostate	J1	5373	1644.66	0.11%	$1.81
55705	Biopsy of prostate	J1	5373	1644.66	1.47%	$24.18
55706	Prostate saturation sampling	J1	5374	2542.56	0.61%	$15.51
55720	Drainage of prostate abscess	J1	5373	1644.66	0.00%	$0.00
55725	Drainage of prostate abscess	J1	5373	1644.66	0.00%	$0.00
55860	Surgical exposure prostate	J1	5375	3484.01	3.58%	$124.73
55870	Electroejaculation	T	5413	665.87	0.00%	$0.00
55873	Cryoablate prostate	J1	5376	7452.66	50.42%	"$3,757.63"
55876	Place rt device/marker pros	S	5613	1066.24	20.50%	$218.58
55899	Genital surgery procedure	T	5371	216.04	3.55%	$7.67
55920	Place needles pelvic for rt	J1	5341	2862.74	3.62%	$103.63
55970	Sex transformation m to f	J1	5414	2085.47	0.00%	$0.00
56405	I & d of vulva/perineum	T	5412	275.76	0.22%	$0.61
56420	Drainage of gland abscess	T	5411	152.21	0.01%	$0.02
56440	Surgery for vulva lesion	J1	5414	2085.47	0.10%	$2.09
56441	Lysis of labial lesion(s)	J1	5414	2085.47	0.68%	$14.18
56442	Hymenotomy	J1	5414	2085.47	0.00%	$0.00
56501	Destroy vulva lesions sim	T	5054	1427.77	0.11%	$1.57
56515	Destroy vulva lesion/s compl	T	5055	2504.69	0.13%	$3.26
56605	Biopsy of vulva/perineum	T	5412	275.76	0.30%	$0.83
56620	Partial removal of vulva	J1	5414	2085.47	0.08%	$1.67
56625	Complete removal of vulva	J1	5414	2085.47	0.02%	$0.42
56700	Partial removal of hymen	J1	5414	2085.47	0.31%	$6.46
56740	Remove vagina gland lesion	J1	5414	2085.47	0.27%	$5.63
56800	Repair of vagina	J1	5414	2085.47	0.00%	$0.00
56810	Repair of perineum	J1	5414	2085.47	0.69%	$14.39
56820	Exam of vulva w/scope	T	5411	152.21	0.00%	$0.00
56821	Exam/biopsy of vulva w/scope	T	5412	275.76	0.00%	$0.00
57000	Exploration of vagina	J1	5414	2085.47	1.00%	$20.85
57010	Drainage of pelvic abscess	J1	5414	2085.47	0.78%	$16.27
57020	Drainage of pelvic fluid	J1	5414	2085.47	0.00%	$0.00
57022	I & d vaginal hematoma pp	J1	5072	1236.62	0.00%	$0.00
57023	I & d vag hematoma non-ob	J1	5073	2148.91	0.01%	$0.21
57061	Destroy vag lesions simple	J1	5414	2085.47	0.01%	$0.21
57065	Destroy vag lesions complex	J1	5414	2085.47	0.04%	$0.83
57100	Biopsy of vagina	T	5413	665.87	0.04%	$0.27
57105	Biopsy of vagina	J1	5414	2085.47	0.68%	$14.18
57106	Remove vagina wall partial	J1	5414	2085.47	0.45%	$9.38
57107	Remove vagina tissue part	J1	5414	2085.47	1.08%	$22.52
57109	Vaginectomy partial w/nodes	J1	5414	2085.47	0.00%	$0.00
57120	Closure of vagina	J1	5415	3810.85	1.27%	$48.40
57130	Remove vagina lesion	J1	5414	2085.47	0.11%	$2.29
57135	Remove vagina lesion	J1	5414	2085.47	0.38%	$7.92
57150	Treat vagina infection	N	5734	100.02	0.00%	$0.00
57155	Insert uteri tandem/ovoids	J1	5414	2085.47	0.69%	$14.39
57156	Ins vag brachytx device	T	5412	275.76	0.01%	$0.03
57160	Insert pessary/other device	T	5411	152.21	0.45%	$0.68
57170	Fitting of diaphragm/cap	T	5411	152.21	0.00%	$0.00
57180	Treat vaginal bleeding	T	5411	152.21	0.00%	$0.00
57200	Repair of vagina	J1	5414	2085.47	0.65%	$13.56
57210	Repair vagina/perineum	J1	5414	2085.47	0.76%	$15.85
57220	Revision of urethra	J1	5415	3810.85	4.07%	$155.10
57230	Repair of urethral lesion	J1	5414	2085.47	1.10%	$22.94
57240	Repair bladder & vagina	J1	5415	3810.85	8.91%	$339.55
57250	Repair rectum & vagina	J1	5415	3810.85	5.99%	$228.27
57260	Repair of vagina	J1	5415	3810.85	6.14%	$233.99
57265	Extensive repair of vagina	J1	5415	3810.85	11.44%	$435.96
57268	Repair of bowel bulge	J1	5414	2085.47	9.30%	$193.95
57282	Colpopexy extraperitoneal	J1	5416	5866.07	27.85%	"$1,633.70"
57283	Colpopexy intraperitoneal	J1	5416	5866.07	11.69%	$685.74
57284	Repair paravag defect open	J1	5415	3810.85	16.67%	$635.27
57285	Repair paravag defect vag	J1	5416	5866.07	25.01%	"$1,467.10"
57288	Repair bladder defect	J1	5415	3810.85	33.87%	"$1,290.73"
57289	Repair bladder & vagina	J1	5416	5866.07	16.97%	$995.47
57292	Construct vagina with graft	J1	5415	3810.85	0.98%	$37.35
57295	Revise vag graft via vagina	J1	5414	2085.47	2.40%	$50.05
57300	Repair rectum-vagina fistula	J1	5414	2085.47	5.98%	$124.71
57310	Repair urethrovaginal lesion	J1	5416	5866.07	2.59%	$151.93
57320	Repair bladder-vagina lesion	J1	5415	3810.85	3.44%	$131.09
57330	Repair bladder-vagina lesion	J1	5416	5866.07	1.07%	$62.77
57335	Repair vagina	J1	5414	2085.47	0.66%	$13.76
57400	Dilation of vagina	J1	5414	2085.47	2.86%	$59.64
57410	Pelvic examination	J1	5414	2085.47	0.53%	$11.05
57415	Remove vaginal foreign body	J1	5414	2085.47	0.64%	$13.35
57420	Exam of vagina w/scope	T	5412	275.76	0.01%	$0.03
57421	Exam/biopsy of vag w/scope	T	5413	665.87	0.00%	$0.00
57423	Repair paravag defect lap	J1	5362	6969.84	14.22%	$991.11
57425	Laparoscopy surg colpopexy	J1	5362	6969.84	14.85%	"$1,035.02"
57426	Revise prosth vag graft lap	J1	5416	5866.07	4.81%	$282.16
57452	Exam of cervix w/scope	T	5411	152.21	0.00%	$0.00
57454	Bx/curett of cervix w/scope	T	5412	275.76	0.04%	$0.11
57455	Biopsy of cervix w/scope	T	5412	275.76	0.00%	$0.00
57456	Endocerv curettage w/scope	T	5412	275.76	0.00%	$0.00
57460	Bx of cervix w/scope leep	J1	5414	2085.47	0.34%	$7.09
57461	Conz of cervix w/scope leep	J1	5414	2085.47	0.28%	$5.84
57500	Biopsy of cervix	T	5413	665.87	0.31%	$2.06
57505	Endocervical curettage	T	5413	665.87	0.03%	$0.20
57510	Cauterization of cervix	J1	5414	2085.47	0.03%	$0.63
57511	Cryocautery of cervix	T	5412	275.76	0.00%	$0.00
57513	Laser surgery of cervix	J1	5414	2085.47	0.01%	$0.21
57520	Conization of cervix	J1	5414	2085.47	0.33%	$6.88
57522	Conization of cervix	J1	5414	2085.47	0.14%	$2.92
57530	Removal of cervix	J1	5414	2085.47	0.01%	$0.21
57550	Removal of residual cervix	J1	5414	2085.47	0.08%	$1.67
57555	Remove cervix/repair vagina	J1	5415	3810.85	0.00%	$0.00
57556	Remove cervix repair bowel	J1	5415	3810.85	31.86%	"$1,214.14"
57558	D&c of cervical stump	J1	5414	2085.47	0.00%	$0.00
57700	Revision of cervix	J1	5414	2085.47	0.09%	$1.88
57720	Revision of cervix	J1	5414	2085.47	0.92%	$19.19
57800	Dilation of cervical canal	J1	5414	2085.47	0.07%	$1.46
58100	Biopsy of uterus lining	T	5411	152.21	0.00%	$0.00
58120	Dilation and curettage	J1	5414	2085.47	0.37%	$7.72
58145	Myomectomy vag method	J1	5414	2085.47	4.20%	$87.59
58260	Vaginal hysterectomy	J1	5415	3810.85	1.97%	$75.07
58262	Vag hyst including t/o	J1	5415	3810.85	2.45%	$93.37
58263	Vag hyst w/t/o & vag repair	J1	5415	3810.85	4.88%	$185.97
58270	Vag hyst w/enterocele repair	J1	5415	3810.85	3.18%	$121.19
58290	Vag hyst complex	J1	5416	5866.07	3.09%	$181.26
58291	Vag hyst incl t/o complex	J1	5415	3810.85	3.75%	$142.91
58292	Vag hyst t/o & repair compl	J1	5416	5866.07	0.00%	$0.00
58294	Vag hyst w/enterocele compl	J1	5415	3810.85	0.00%	$0.00
58301	Remove intrauterine device	N	5412	275.76	0.40%	$1.10
58322	Artificial insemination	T	5411	152.21	0.00%	$0.00
58323	Sperm washing	T	5411	152.21	0.00%	$0.00
58345	Reopen fallopian tube	J1	5414	2085.47	7.17%	$149.53
58346	Insert heyman uteri capsule	J1	5414	2085.47	0.41%	$8.55
58350	Reopen fallopian tube	J1	5415	3810.85	0.00%	$0.00
58353	Endometr ablate thermal	J1	5415	3810.85	7.74%	$294.96
58356	Endometrial cryoablation	J1	5415	3810.85	41.91%	"$1,597.13"
58541	Lsh uterus 250 g or less	J1	5361	4199.13	5.87%	$246.49
58542	Lsh w/t/o ut 250 g or less	J1	5362	6969.84	9.91%	$690.71
58543	Lsh uterus above 250 g	J1	5362	6969.84	0.00%	$0.00
58544	Lsh w/t/o uterus above 250 g	J1	5362	6969.84	4.62%	$322.01
58545	Laparoscopic myomectomy	J1	5361	4199.13	1.91%	$80.20
58546	Laparo-myomectomy complex	J1	5362	6969.84	3.82%	$266.25
58550	Laparo-asst vag hysterectomy	J1	5361	4199.13	2.21%	$92.80
58552	Laparo-vag hyst incl t/o	J1	5362	6969.84	2.48%	$172.85
58553	Laparo-vag hyst complex	J1	5362	6969.84	2.54%	$177.03
58554	Laparo-vag hyst w/t/o compl	J1	5362	6969.84	1.69%	$117.79
58555	Hysteroscopy dx sep proc	J1	5414	2085.47	0.27%	$5.63
58558	Hysteroscopy biopsy	J1	5414	2085.47	1.13%	$23.57
58559	Hysteroscopy lysis	J1	5415	3810.85	0.73%	$27.82
58560	Hysteroscopy resect septum	J1	5415	3810.85	0.08%	$3.05
58561	Hysteroscopy remove myoma	J1	5415	3810.85	3.13%	$119.28
58562	Hysteroscopy remove fb	J1	5414	2085.47	0.05%	$1.04
58563	Hysteroscopy ablation	J1	5415	3810.85	4.73%	$180.25
58565	Hysteroscopy sterilization	J1	5415	3810.85	31.20%	"$1,188.99"
58570	Tlh uterus 250 g or less	J1	5362	6969.84	1.77%	$123.37
58571	Tlh w/t/o 250 g or less	J1	5362	6969.84	1.43%	$99.67
58572	Tlh uterus over 250 g	J1	5362	6969.84	1.09%	$75.97
58573	Tlh w/t/o uterus over 250 g	J1	5362	6969.84	1.49%	$103.85
58578	Laparo proc uterus	J1	5361	4199.13	2.83%	$118.84
58579	Hysteroscope procedure	T	5411	152.21	2.10%	$3.20
58600	Division of fallopian tube	J1	5414	2085.47	0.21%	$4.38
58615	Occlude fallopian tube(s)	J1	5414	2085.47	1.41%	$29.41
5866A	CPX 58661 Laparoscopy remove	J1	5362	6969.84	22.39%	"$1,560.55"
58660	Laparoscopy lysis	J1	5361	4199.13	1.66%	$69.71
58661	Laparoscopy remove adnexa	J1	5361	4199.13	0.88%	$36.95
58662	Laparoscopy excise lesions	J1	5361	4199.13	1.34%	$56.27
58670	Laparoscopy tubal cautery	J1	5361	4199.13	1.30%	$54.59
58671	Laparoscopy tubal block	J1	5361	4199.13	5.59%	$234.73
58672	Laparoscopy fimbrioplasty	J1	5361	4199.13	0.04%	$1.68
58679	Laparo proc oviduct-ovary	J1	5361	4199.13	2.19%	$91.96
58800	Drainage of ovarian cyst(s)	J1	5414	2085.47	0.35%	$7.30
58805	Drainage of ovarian cyst(s)	J1	5414	2085.47	4.59%	$95.72
58900	Biopsy of ovary(s)	J1	5414	2085.47	0.00%	$0.00
58925	Removal of ovarian cyst(s)	J1	5415	3810.85	1.89%	$72.03
58970	Retrieval of oocyte	T	5413	665.87	0.00%	$0.00
58974	Transfer of embryo	T	5412	275.76	0.00%	$0.00
58999	Genital surgery procedure	T	5411	152.21	2.89%	$4.40
59000	Amniocentesis diagnostic	T	5413	665.87	0.61%	$4.06
59015	Chorion biopsy	T	5413	665.87	0.00%	$0.00
59020	Fetal contract stress test	T	5411	152.21	0.00%	$0.00
59025	Fetal non-stress test	T	5411	152.21	0.00%	$0.00
59070	Transabdom amnioinfus w/us	T	5412	275.76	0.00%	$0.00
59074	Fetal fluid drainage w/us	T	5412	275.76	0.00%	$0.00
59150	Treat ectopic pregnancy	J1	5361	4199.13	0.05%	$2.10
59151	Treat ectopic pregnancy	J1	5361	4199.13	0.93%	$39.05
59160	D & c after delivery	J1	5414	2085.47	0.00%	$0.00
59200	Insert cervical dilator	T	5412	275.76	0.31%	$0.85
59300	Episiotomy or vaginal repair	J1	5414	2085.47	0.00%	$0.00
59320	Revision of cervix	J1	5414	2085.47	0.20%	$4.17
59409	Obstetrical care	J1	5414	2085.47	0.00%	$0.00
59412	Antepartum manipulation	J1	5414	2085.47	0.00%	$0.00
59414	Deliver placenta	J1	5414	2085.47	0.00%	$0.00
59812	Treatment of miscarriage	J1	5414	2085.47	0.04%	$0.83
59820	Care of miscarriage	J1	5414	2085.47	0.09%	$1.88
59821	Treatment of miscarriage	J1	5414	2085.47	0.00%	$0.00
59840	Abortion	J1	5414	2085.47	2.58%	$53.81
59841	Abortion	J1	5414	2085.47	1.39%	$28.99
59870	Evacuate mole of uterus	J1	5414	2085.47	0.00%	$0.00
59899	Maternity care procedure	T	5411	152.21	0.00%	$0.00
60000	Drain thyroid/tongue cyst	T	5163	1038.55	0.00%	$0.00
60100	Biopsy of thyroid	T	5071	539.11	0.08%	$0.43
60200	Remove thyroid lesion	J1	5361	4199.13	0.41%	$17.22
60210	Partial thyroid excision	J1	5361	4199.13	0.67%	$28.13
60212	Partial thyroid excision	J1	5361	4199.13	1.07%	$44.93
60220	Partial removal of thyroid	J1	5361	4199.13	0.64%	$26.87
60225	Partial removal of thyroid	J1	5361	4199.13	0.77%	$32.33
60240	Removal of thyroid	J1	5361	4199.13	0.65%	$27.29
60252	Removal of thyroid	J1	5165	4130.94	0.57%	$23.55
60260	Repeat thyroid surgery	J1	5165	4130.94	0.45%	$18.59
60271	Removal of thyroid	J1	5165	4130.94	0.86%	$35.53
60280	Remove thyroid duct lesion	J1	5361	4199.13	0.58%	$24.35
60281	Remove thyroid duct lesion	J1	5361	4199.13	0.16%	$6.72
60300	Aspir/inj thyroid cyst	T	5071	539.11	0.41%	$2.21
60500	Explore parathyroid glands	J1	5165	4130.94	0.46%	$19.00
60502	Re-explore parathyroids	J1	5165	4130.94	0.56%	$23.13
60520	Removal of thymus gland	J1	5165	4130.94	0.65%	$26.85
60659	Laparo proc endocrine	J1	5361	4199.13	0.06%	$2.52
60699	Endocrine surgery procedure	J1	5361	4199.13	1.87%	$78.52
61020	Remove brain cavity fluid	T	5443	638.93	8.01%	$51.18
61026	Injection into brain canal	T	5442	507.19	0.00%	$0.00
61050	Remove brain canal fluid	T	5441	231	0.00%	$0.00
61055	Injection into brain canal	T	5441	231	0.01%	$0.02
61070	Brain canal shunt procedure	T	5442	507.19	0.32%	$1.62
61215	Insert brain-fluid device	J1	5432	4151.86	11.67%	$484.52
61330	Decompress eye socket	J1	5164	2173.69	0.00%	$0.00
61623	Endovasc tempory vessel occl	J1	5193	9752.43	40.58%	"$3,957.54"
61626	Transcath occlusion non-cns	J1	5193	9752.43	29.69%	"$2,895.50"
61720	Incise skull/brain surgery	J1	5432	4151.86	1.72%	$71.41
61770	Incise skull for treatment	J1	5432	4151.86	3.45%	$143.24
61790	Treat trigeminal nerve	J1	5431	1563.42	2.53%	$39.55
61791	Treat trigeminal tract	J1	5431	1563.42	0.53%	$8.29
61880	Revise/remove neuroelectrode	N	5461	2690.46	12.49%	$336.04
61885	Insrt/redo neurostim 1 array	J1	5463	17803.38	86.06%	"$15,321.59"
61886	Implant neurostim arrays	J1	5464	27047.11	87.29%	"$23,609.42"
61888	Revise/remove neuroreceiver	J1	5462	5745.11	62.41%	"$3,585.52"
62000	Treat skull fracture	J1	5164	2173.69	0.00%	$0.00
62194	Replace/irrigate catheter	J1	5431	1563.42	1.11%	$17.35
62225	Replace/irrigate catheter	J1	5432	4151.86	17.57%	$729.48
62230	Replace/revise brain shunt	J1	5432	4151.86	22.24%	$923.37
62252	Csf shunt reprogram	S	5742	109.22	0.00%	$0.00
62263	Epidural lysis mult sessions	T	5443	638.93	2.40%	$15.33
62264	Epidural lysis on single day	T	5443	638.93	0.89%	$5.69
62267	Interdiscal perq aspir dx	T	5071	539.11	1.04%	$5.61
62268	Drain spinal cord cyst	T	5443	638.93	0.06%	$0.38
62269	Needle biopsy spinal cord	J1	5072	1236.62	1.08%	$13.36
62270	Spinal fluid tap diagnostic	T	5442	507.19	0.10%	$0.51
62272	Drain cerebro spinal fluid	T	5442	507.19	0.32%	$1.62
62273	Inject epidural patch	T	5442	507.19	0.43%	$2.18
62280	Treat spinal cord lesion	T	5443	638.93	0.00%	$0.00
62281	Treat spinal cord lesion	T	5443	638.93	0.21%	$1.34
62282	Treat spinal canal lesion	T	5443	638.93	0.64%	$4.09
62287	Percutaneous diskectomy	J1	5432	4151.86	9.12%	$378.65
62292	Injection into disk lesion	J1	5431	1563.42	0.00%	$0.00
62294	Injection into spinal artery	T	5443	638.93	0.00%	$0.00
62302	Myelography lumbar injection	N	5524	449.68	0.01%	$0.04
62303	Myelography lumbar injection	N	5524	449.68	0.00%	$0.00
62304	Myelography lumbar injection	N	5524	449.68	0.01%	$0.04
62305	Myelography lumbar injection	N	5524	449.68	0.02%	$0.09
62310	Inject spine cerv/thoracic	T	5443	638.93	0.14%	$0.89
62311	Inject spine lumbar/sacral	T	5443	638.93	0.13%	$0.83
62318	Inject spine w/cath crv/thrc	T	5443	638.93	1.09%	$6.96
62319	Inject spine w/cath lmb/scrl	T	5443	638.93	1.14%	$7.28
62350	Implant spinal canal cath	J1	5432	4151.86	25.73%	"$1,068.27"
62351	Implant spinal canal cath	J1	5114	5221.57	25.77%	"$1,345.60"
62360	Insert spine infusion device	J1	5471	15622.57	66.82%	"$10,439.00"
62361	Implant spine infusion pump	J1	5471	15622.57	75.91%	"$11,859.09"
62362	Implant spine infusion pump	J1	5471	15622.57	76.36%	"$11,929.39"
62367	Analyze spine infus pump	S	5743	252.63	0.11%	$0.28
62368	Analyze sp inf pump w/reprog	S	5743	252.63	0.00%	$0.00
62369	Anal sp inf pmp w/reprg&fill	S	5743	252.63	0.01%	$0.03
62370	Anl sp inf pmp w/mdreprg&fil	S	5743	252.63	0.04%	$0.10
63001	Remove spine lamina 1/2 crvl	J1	5114	5221.57	1.54%	$80.41
63003	Remove spine lamina 1/2 thrc	J1	5114	5221.57	3.89%	$203.12
63005	Remove spine lamina 1/2 lmbr	J1	5114	5221.57	3.42%	$178.58
63011	Remove spine lamina 1/2 scrl	J1	5114	5221.57	2.57%	$134.19
63012	Remove lamina/facets lumbar	J1	5114	5221.57	4.59%	$239.67
63015	Remove spine lamina >2 crvcl	J1	5114	5221.57	1.47%	$76.76
63016	Remove spine lamina >2 thrc	J1	5114	5221.57	2.58%	$134.72
63017	Remove spine lamina >2 lmbr	J1	5114	5221.57	1.89%	$98.69
63020	Neck spine disk surgery	J1	5114	5221.57	2.70%	$140.98
63030	Low back disk surgery	J1	5114	5221.57	1.80%	$93.99
63040	Laminotomy single cervical	J1	5114	5221.57	5.64%	$294.50
63042	Laminotomy single lumbar	J1	5114	5221.57	1.97%	$102.86
63045	Remove spine lamina 1 crvl	J1	5114	5221.57	1.81%	$94.51
63046	Remove spine lamina 1 thrc	J1	5114	5221.57	1.70%	$88.77
63047	Remove spine lamina 1 lmbr	J1	5114	5221.57	2.11%	$110.18
63055	Decompress spinal cord thrc	J1	5114	5221.57	2.80%	$146.20
63056	Decompress spinal cord lmbr	J1	5114	5221.57	1.68%	$87.72
63064	Decompress spinal cord thrc	J1	5114	5221.57	0.00%	$0.00
63075	Neck spine disk surgery	J1	5114	5221.57	27.90%	"$1,456.82"
63600	Remove spinal cord lesion	J1	5431	1563.42	0.00%	$0.00
63610	Stimulation of spinal cord	J1	5431	1563.42	0.00%	$0.00
63615	Remove lesion of spinal cord	J1	5431	1563.42	0.00%	$0.00
63650	Implant neuroelectrodes	J1	5462	5745.11	53.55%	"$3,076.51"
63655	Implant neuroelectrodes	J1	5463	17803.38	66.84%	"$11,899.78"
63662	Remove spine eltrd plate	N	5461	2690.46	0.93%	$25.02
63663	Revise spine eltrd perq aray	J1	5462	5745.11	56.06%	"$3,220.71"
63664	Revise spine eltrd plate	J1	5463	17803.38	54.56%	"$9,713.52"
63685	Insrt/redo spine n generator	J1	5464	27047.11	82.60%	"$22,340.91"
63688	Revise/remove neuroreceiver	N	5461	2690.46	24.23%	$651.90
63741	Install spinal shunt	J1	5432	4151.86	36.70%	"$1,523.73"
63744	Revision of spinal shunt	J1	5432	4151.86	33.07%	"$1,373.02"
64400	N block inj trigeminal	T	5441	231	0.00%	$0.00
64402	N block inj facial	N	5735	263.61	0.00%	$0.00
64405	N block inj occipital	T	5441	231	0.00%	$0.00
64408	N block inj vagus	T	5441	231	0.00%	$0.00
64410	N block inj phrenic	T	5443	638.93	0.00%	$0.00
64412	N block inj spinal accessor	T	5442	507.19	0.00%	$0.00
64413	N block inj cervical plexus	T	5442	507.19	0.64%	$3.25
64415	N block inj brachial plexus	T	5443	638.93	5.32%	$33.99
64416	N block cont infuse b plex	T	5443	638.93	13.04%	$83.32
64417	N block inj axillary	T	5443	638.93	2.89%	$18.47
64418	N block inj suprascapular	T	5442	507.19	0.18%	$0.91
64420	N block inj intercost sng	T	5442	507.19	0.04%	$0.20
64421	N block inj intercost mlt	T	5443	638.93	0.07%	$0.45
64425	N block inj ilio-ing/hypogi	T	5442	507.19	0.02%	$0.10
64430	N block inj pudendal	T	5443	638.93	0.02%	$0.13
64435	N block inj paracervical	T	5442	507.19	0.00%	$0.00
64445	N block inj sciatic sng	T	5442	507.19	0.09%	$0.46
64446	N blk inj sciatic cont inf	T	5443	638.93	5.89%	$37.63
64447	N block inj fem single	T	5442	507.19	0.06%	$0.30
64448	N block inj fem cont inf	T	5443	638.93	8.07%	$51.56
64449	N block inj lumbar plexus	T	5443	638.93	0.00%	$0.00
64450	N block other peripheral	T	5442	507.19	0.10%	$0.51
64455	N block inj plantar digit	T	5441	231	0.00%	$0.00
64479	Inj foramen epidural c/t	T	5443	638.93	0.06%	$0.38
64483	Inj foramen epidural l/s	T	5443	638.93	0.03%	$0.19
64490	Inj paravert f jnt c/t 1 lev	T	5443	638.93	0.03%	$0.19
64493	Inj paravert f jnt l/s 1 lev	T	5443	638.93	0.01%	$0.06
64505	N block spenopalatine gangl	T	5441	231	0.42%	$0.97
64510	N block stellate ganglion	T	5443	638.93	0.06%	$0.38
64517	N block inj hypogas plxs	T	5443	638.93	0.23%	$1.47
64520	N block lumbar/thoracic	T	5443	638.93	0.17%	$1.09
64530	N block inj celiac pelus	T	5443	638.93	0.42%	$2.68
64553	Implant neuroelectrodes	J1	5462	5745.11	62.23%	"$3,575.18"
64555	Implant neuroelectrodes	J1	5462	5745.11	56.79%	"$3,262.65"
64561	Implant neuroelectrodes	J1	5462	5745.11	53.52%	"$3,074.78"
64565	Implant neuroelectrodes	J1	5462	5745.11	64.16%	"$3,686.06"
64566	Neuroeltrd stim post tibial	T	5441	231	0.03%	$0.07
64568	Inc for vagus n elect impl	J1	5464	27047.11	86.84%	"$23,487.71"
64569	Revise/repl vagus n eltrd	J1	5462	5745.11	70.80%	"$4,067.54"
64575	Implant neuroelectrodes	J1	5463	17803.38	70.80%	"$12,604.79"
64580	Implant neuroelectrodes	J1	5463	17803.38	62.15%	"$11,064.80"
64581	Implant neuroelectrodes	J1	5462	5745.11	66.19%	"$3,802.69"
64585	Revise/remove neuroelectrode	N	5461	2690.46	5.80%	$156.05
64590	Insrt/redo pn/gastr stimul	J1	5463	17803.38	85.22%	"$15,172.04"
64595	Revise/rmv pn/gastr stimul	N	5461	2690.46	37.92%	"$1,020.22"
64600	Injection treatment of nerve	T	5443	638.93	0.02%	$0.13
64605	Injection treatment of nerve	J1	5431	1563.42	0.58%	$9.07
64610	Injection treatment of nerve	J1	5431	1563.42	1.85%	$28.92
64611	Chemodenerv saliv glands	T	5441	231	0.00%	$0.00
64612	Destroy nerve face muscle	T	5441	231	0.03%	$0.07
64615	Chemodenerv musc migraine	T	5441	231	0.00%	$0.00
64616	Chemodenerv musc neck dyston	T	5441	231	0.00%	$0.00
64617	Chemodener muscle larynx emg	T	5442	507.19	0.00%	$0.00
64620	Injection treatment of nerve	T	5443	638.93	1.09%	$6.96
64630	Injection treatment of nerve	T	5443	638.93	17.76%	$113.47
64632	N block inj common digit	T	5441	231	0.00%	$0.00
64633	Destroy cerv/thor facet jnt	J1	5431	1563.42	0.25%	$3.91
64635	Destroy lumb/sac facet jnt	J1	5431	1563.42	0.24%	$3.75
64640	Injection treatment of nerve	T	5443	638.93	0.66%	$4.22
64642	Chemodenerv 1 extremity 1-4	T	5442	507.19	0.00%	$0.00
64644	Chemodenerv 1 extrem 5/> mus	T	5442	507.19	0.00%	$0.00
64646	Chemodenerv trunk musc 1-5	T	5442	507.19	0.00%	$0.00
64647	Chemodenerv trunk musc 6/>	T	5442	507.19	0.00%	$0.00
64650	Chemodenerv eccrine glands	T	5441	231	0.00%	$0.00
64653	Chemodenerv eccrine glands	T	5441	231	0.00%	$0.00
64680	Injection treatment of nerve	T	5443	638.93	1.74%	$11.12
64681	Injection treatment of nerve	T	5443	638.93	0.00%	$0.00
64702	Revise finger/toe nerve	J1	5431	1563.42	2.88%	$45.03
64704	Revise hand/foot nerve	J1	5431	1563.42	5.30%	$82.86
64708	Revise arm/leg nerve	J1	5431	1563.42	3.83%	$59.88
64712	Revision of sciatic nerve	J1	5431	1563.42	4.45%	$69.57
64713	Revision of arm nerve(s)	J1	5431	1563.42	5.75%	$89.90
64714	Revise low back nerve(s)	J1	5431	1563.42	9.14%	$142.90
64716	Revision of cranial nerve	J1	5431	1563.42	1.42%	$22.20
64718	Revise ulnar nerve at elbow	J1	5431	1563.42	0.59%	$9.22
64719	Revise ulnar nerve at wrist	J1	5431	1563.42	1.76%	$27.52
64721	Carpal tunnel surgery	J1	5431	1563.42	0.24%	$3.75
64722	Relieve pressure on nerve(s)	J1	5431	1563.42	2.55%	$39.87
64726	Release foot/toe nerve	J1	5431	1563.42	5.51%	$86.14
64732	Incision of brow nerve	J1	5431	1563.42	0.00%	$0.00
64734	Incision of cheek nerve	J1	5431	1563.42	0.00%	$0.00
64736	Incision of chin nerve	J1	5431	1563.42	0.00%	$0.00
64738	Incision of jaw nerve	J1	5431	1563.42	13.67%	$213.72
64740	Incision of tongue nerve	J1	5431	1563.42	0.00%	$0.00
64742	Incision of facial nerve	J1	5431	1563.42	2.27%	$35.49
64744	Incise nerve back of head	J1	5431	1563.42	0.15%	$2.35
64766	Incise hip/thigh nerve	J1	5432	4151.86	40.94%	"$1,699.77"
64771	Sever cranial nerve	J1	5431	1563.42	0.80%	$12.51
64772	Incision of spinal nerve	J1	5431	1563.42	1.61%	$25.17
64774	Remove skin nerve lesion	J1	5431	1563.42	3.25%	$50.81
64776	Remove digit nerve lesion	J1	5431	1563.42	3.38%	$52.84
64782	Remove limb nerve lesion	J1	5431	1563.42	0.87%	$13.60
64784	Remove nerve lesion	J1	5431	1563.42	3.99%	$62.38
64786	Remove sciatic nerve lesion	J1	5432	4151.86	4.94%	$205.10
64788	Remove skin nerve lesion	J1	5431	1563.42	0.27%	$4.22
64790	Removal of nerve lesion	J1	5431	1563.42	2.61%	$40.81
64792	Removal of nerve lesion	J1	5432	4151.86	2.26%	$93.83
64795	Biopsy of nerve	J1	5431	1563.42	0.42%	$6.57
64802	Sympathectomy cervical	J1	5431	1563.42	0.13%	$2.03
64820	Sympathectomy digital artery	J1	5431	1563.42	0.00%	$0.00
64821	Remove sympathetic nerves	J1	5113	2438.34	0.07%	$1.71
64822	Remove sympathetic nerves	J1	5113	2438.34	0.66%	$16.09
64831	Repair of digit nerve	J1	5432	4151.86	5.84%	$242.47
64834	Repair of hand or foot nerve	J1	5432	4151.86	5.48%	$227.52
64835	Repair of hand or foot nerve	J1	5432	4151.86	2.19%	$90.93
64836	Repair of hand or foot nerve	J1	5432	4151.86	2.91%	$120.82
64840	Repair of leg nerve	J1	5432	4151.86	30.34%	"$1,259.67"
64856	Repair/transpose nerve	J1	5432	4151.86	11.05%	$458.78
64857	Repair arm/leg nerve	J1	5432	4151.86	6.77%	$281.08
64858	Repair sciatic nerve	J1	5432	4151.86	0.00%	$0.00
64861	Repair of arm nerves	J1	5432	4151.86	0.00%	$0.00
64864	Repair of facial nerve	J1	5432	4151.86	11.40%	$473.31
64865	Repair of facial nerve	J1	5432	4151.86	0.00%	$0.00
64885	Nerve graft head/neck </4 cm	J1	5432	4151.86	6.98%	$289.80
64886	Nerve graft head/neck >4 cm	J1	5432	4151.86	8.48%	$352.08
64890	Nerve graft hand/foot </4 cm	J1	5432	4151.86	41.60%	"$1,727.17"
64891	Nerve graft hand/foot >4 cm	J1	5432	4151.86	53.99%	"$2,241.59"
64892	Nerve graft arm/leg <4 cm	J1	5432	4151.86	39.68%	"$1,647.46"
64893	Nerve graft arm/leg >4 cm	J1	5432	4151.86	40.47%	"$1,680.26"
64895	Nerve graft hand/foot </4 cm	J1	5432	4151.86	0.00%	$0.00
64896	Nerve graft hand/foot >4 cm	J1	5432	4151.86	30.26%	"$1,256.35"
64897	Nerve graft arm/leg </4 cm	J1	5432	4151.86	60.08%	"$2,494.44"
64898	Nerve graft arm/leg >4 cm	J1	5432	4151.86	31.99%	"$1,328.18"
64905	Nerve pedicle transfer	J1	5432	4151.86	0.51%	$21.17
64910	Nerve repair w/allograft	J1	5432	4151.86	36.83%	"$1,529.13"
64911	Neurorraphy w/vein autograft	J1	5432	4151.86	30.36%	"$1,260.50"
64999	Nervous system surgery	T	5441	231	3.36%	$7.76
65091	Revise eye	J1	5504	2774.83	3.61%	$100.17
65093	Revise eye with implant	J1	5504	2774.83	11.22%	$311.34
65101	Removal of eye	J1	5504	2774.83	10.14%	$281.37
65103	Remove eye/insert implant	J1	5504	2774.83	9.46%	$262.50
65105	Remove eye/attach implant	J1	5504	2774.83	19.97%	$554.13
65110	Removal of eye	J1	5504	2774.83	0.93%	$25.81
65112	Remove eye/revise socket	J1	5504	2774.83	1.46%	$40.51
65114	Remove eye/revise socket	J1	5504	2774.83	0.00%	$0.00
65125	Revise ocular implant	J1	5503	1701.48	0.77%	$13.10
65130	Insert ocular implant	J1	5504	2774.83	11.65%	$323.27
65135	Insert ocular implant	J1	5504	2774.83	10.78%	$299.13
65140	Attach ocular implant	J1	5504	2774.83	13.04%	$361.84
65150	Revise ocular implant	J1	5504	2774.83	20.45%	$567.45
65155	Reinsert ocular implant	J1	5504	2774.83	14.10%	$391.25
65175	Removal of ocular implant	J1	5504	2774.83	3.36%	$93.23
65205	Remove foreign body from eye	N	5734	100.02	0.07%	$0.07
65210	Remove foreign body from eye	N	5735	263.61	0.00%	$0.00
65220	Remove foreign body from eye	N	5735	263.61	0.25%	$0.66
65222	Remove foreign body from eye	N	5734	100.02	0.00%	$0.00
65235	Remove foreign body from eye	J1	5491	1824.35	1.68%	$30.65
65265	Remove foreign body from eye	J1	5491	1824.35	2.48%	$45.24
65270	Repair of eye wound	J1	5503	1701.48	0.80%	$13.61
65272	Repair of eye wound	J1	5503	1701.48	7.05%	$119.95
65275	Repair of eye wound	J1	5504	2774.83	1.92%	$53.28
65280	Repair of eye wound	J1	5492	3418.76	1.27%	$43.42
65285	Repair of eye wound	J1	5492	3418.76	0.61%	$20.85
65286	Repair of eye wound	J1	5491	1824.35	0.70%	$12.77
65290	Repair of eye socket wound	J1	5504	2774.83	3.54%	$98.23
65400	Removal of eye lesion	T	5502	774.57	1.86%	$14.41
65410	Biopsy of cornea	J1	5503	1701.48	1.96%	$33.35
65420	Removal of eye lesion	J1	5503	1701.48	4.93%	$83.88
65426	Removal of eye lesion	J1	5503	1701.48	15.35%	$261.18
65430	Corneal smear	N	5735	263.61	0.00%	$0.00
65435	Curette/treat cornea	T	5502	774.57	0.16%	$1.24
65436	Curette/treat cornea	J1	5503	1701.48	2.29%	$38.96
65450	Treatment of corneal lesion	T	5501	268.49	0.00%	$0.00
65600	Revision of cornea	J1	5503	1701.48	0.00%	$0.00
65710	Corneal transplant	J1	5492	3418.76	16.35%	$558.97
65730	Corneal transplant	J1	5492	3418.76	15.86%	$542.22
65750	Corneal transplant	J1	5492	3418.76	15.06%	$514.87
65755	Corneal transplant	J1	5492	3418.76	17.01%	$581.53
65756	Corneal trnspl endothelial	J1	5492	3418.76	15.21%	$519.99
65770	Revise cornea with implant	J1	5493	8201.63	54.33%	"$4,455.95"
65772	Correction of astigmatism	T	5502	774.57	5.01%	$38.81
65775	Correction of astigmatism	J1	5503	1701.48	0.00%	$0.00
65778	Cover eye w/membrane	N	5502	774.57	15.20%	$117.73
65780	Ocular reconst transplant	J1	5504	2774.83	30.04%	$833.56
65781	Ocular reconst transplant	J1	5492	3418.76	17.70%	$605.12
65782	Ocular reconst transplant	J1	5504	2774.83	9.83%	$272.77
65800	Drainage of eye	J1	5491	1824.35	0.12%	$2.19
65810	Drainage of eye	J1	5491	1824.35	0.02%	$0.36
65815	Drainage of eye	J1	5491	1824.35	0.52%	$9.49
65820	Relieve inner eye pressure	J1	5492	3418.76	11.23%	$383.93
65850	Incision of eye	J1	5491	1824.35	8.07%	$147.23
65855	Trabeculoplasty laser surg	T	5481	469.87	0.02%	$0.09
65860	Incise inner eye adhesions	T	5481	469.87	0.00%	$0.00
65865	Incise inner eye adhesions	J1	5491	1824.35	7.93%	$144.67
65870	Incise inner eye adhesions	J1	5491	1824.35	0.00%	$0.00
65875	Incise inner eye adhesions	J1	5491	1824.35	3.17%	$57.83
65880	Incise inner eye adhesions	J1	5492	3418.76	1.62%	$55.38
65900	Remove eye lesion	J1	5491	1824.35	0.00%	$0.00
65920	Remove implant of eye	J1	5491	1824.35	0.95%	$17.33
65930	Remove blood clot from eye	J1	5491	1824.35	0.13%	$2.37
66020	Injection treatment of eye	J1	5491	1824.35	0.75%	$13.68
66030	Injection treatment of eye	J1	5491	1824.35	1.68%	$30.65
66130	Remove eye lesion	J1	5503	1701.48	0.53%	$9.02
66150	Glaucoma surgery	J1	5492	3418.76	7.76%	$265.30
66155	Glaucoma surgery	J1	5492	3418.76	9.33%	$318.97
66160	Glaucoma surgery	J1	5491	1824.35	1.82%	$33.20
66170	Glaucoma surgery	J1	5491	1824.35	6.40%	$116.76
66172	Incision of eye	J1	5491	1824.35	2.97%	$54.18
66174	Translum dil eye canal	J1	5492	3418.76	6.97%	$238.29
66175	Trnslum dil eye canal w/stnt	J1	5492	3418.76	29.74%	"$1,016.74"
66179	Aqueous shunt eye w/o graft	J1	5492	3418.76	36.10%	"$1,234.17"
66180	Aqueous shunt eye w/graft	J1	5492	3418.76	34.33%	"$1,173.66"
66183	Insert ant drainage device	J1	5492	3418.76	39.73%	"$1,358.27"
66184	Revision of aqueous shunt	J1	5491	1824.35	4.00%	$72.97
66185	Revise aqueous shunt eye	J1	5491	1824.35	15.37%	$280.40
66220	Repair eye lesion	J1	5491	1824.35	0.00%	$0.00
66225	Repair/graft eye lesion	J1	5492	3418.76	11.15%	$381.19
66250	Follow-up surgery of eye	J1	5503	1701.48	1.34%	$22.80
66500	Incision of iris	J1	5491	1824.35	0.00%	$0.00
66505	Incision of iris	J1	5491	1824.35	0.00%	$0.00
66600	Remove iris and lesion	J1	5492	3418.76	0.15%	$5.13
66605	Removal of iris	J1	5491	1824.35	0.00%	$0.00
66625	Removal of iris	J1	5491	1824.35	0.03%	$0.55
66630	Removal of iris	J1	5491	1824.35	0.00%	$0.00
66635	Removal of iris	J1	5491	1824.35	0.52%	$9.49
66680	Repair iris & ciliary body	J1	5491	1824.35	2.05%	$37.40
66682	Repair iris & ciliary body	J1	5491	1824.35	5.01%	$91.40
66700	Destruction ciliary body	J1	5491	1824.35	0.00%	$0.00
66710	Ciliary transsleral therapy	J1	5503	1701.48	0.20%	$3.40
66711	Ciliary endoscopic ablation	J1	5491	1824.35	3.06%	$55.83
66720	Destruction ciliary body	J1	5503	1701.48	1.26%	$21.44
66740	Destruction ciliary body	J1	5503	1701.48	0.56%	$9.53
66761	Revision of iris	T	5481	469.87	0.00%	$0.00
66762	Revision of iris	T	5481	469.87	9.08%	$42.66
66770	Removal of inner eye lesion	T	5481	469.87	0.01%	$0.05
66820	Incision secondary cataract	J1	5491	1824.35	0.00%	$0.00
66821	After cataract laser surgery	T	5481	469.87	0.05%	$0.23
66825	Reposition intraocular lens	J1	5491	1824.35	1.21%	$22.07
66830	Removal of lens lesion	J1	5491	1824.35	0.44%	$8.03
66840	Removal of lens material	J1	5491	1824.35	0.45%	$8.21
66850	Removal of lens material	J1	5491	1824.35	7.96%	$145.22
66852	Removal of lens material	J1	5492	3418.76	1.70%	$58.12
66920	Extraction of lens	J1	5491	1824.35	1.91%	$34.85
66930	Extraction of lens	J1	5492	3418.76	4.94%	$168.89
66940	Extraction of lens	J1	5491	1824.35	0.75%	$13.68
66982	Cataract surgery complex	J1	5491	1824.35	13.60%	$248.11
66983	Cataract surg w/iol 1 stage	J1	5491	1824.35	26.09%	$475.97
66984	Cataract surg w/iol 1 stage	J1	5491	1824.35	14.49%	$264.35
66985	Insert lens prosthesis	J1	5491	1824.35	10.11%	$184.44
66986	Exchange lens prosthesis	J1	5491	1824.35	9.69%	$176.78
66999	Eye surgery procedure	J1	5491	1824.35	7.86%	$143.39
67005	Partial removal of eye fluid	J1	5491	1824.35	6.73%	$122.78
67010	Partial removal of eye fluid	J1	5491	1824.35	7.07%	$128.98
67015	Release of eye fluid	J1	5491	1824.35	0.95%	$17.33
67025	Replace eye fluid	J1	5491	1824.35	3.08%	$56.19
67027	Implant eye drug system	J1	5494	12047.28	1.47%	$177.10
67028	Injection eye drug	S	5694	279.45	0.12%	$0.34
67030	Incise inner eye strands	J1	5491	1824.35	1.20%	$21.89
67031	Laser surgery eye strands	T	5481	469.87	0.00%	$0.00
67036	Removal of inner eye fluid	J1	5492	3418.76	2.31%	$78.97
67039	Laser treatment of retina	J1	5492	3418.76	1.70%	$58.12
67040	Laser treatment of retina	J1	5492	3418.76	1.55%	$52.99
67041	Vit for macular pucker	J1	5492	3418.76	1.13%	$38.63
67042	Vit for macular hole	J1	5492	3418.76	1.52%	$51.97
67043	Vit for membrane dissect	J1	5492	3418.76	3.22%	$110.08
67101	Repair detached retina crtx	J1	5491	1824.35	0.71%	$12.95
67105	Repair detached retina pc	T	5481	469.87	0.29%	$1.36
67107	Repair detached retina	J1	5492	3418.76	3.04%	$103.93
67108	Repair detached retina	J1	5492	3418.76	3.30%	$112.82
67110	Repair detached retina	J1	5491	1824.35	0.87%	$15.87
67112	Rerepair detached retina	J1	5492	3418.76	5.67%	$193.84
67113	Repair retinal detach cplx	J1	5492	3418.76	4.82%	$164.78
67115	Release encircling material	J1	5492	3418.76	7.52%	$257.09
67120	Remove eye implant material	J1	5491	1824.35	0.60%	$10.95
67121	Remove eye implant material	J1	5491	1824.35	1.01%	$18.43
67141	Treatment of retina	T	5501	268.49	0.16%	$0.43
67145	Treatment of retina	T	5481	469.87	0.02%	$0.09
67208	Treatment of retinal lesion	T	5501	268.49	0.00%	$0.00
67210	Treatment of retinal lesion	T	5481	469.87	0.00%	$0.00
67218	Treatment of retinal lesion	J1	5504	2774.83	0.53%	$14.71
67220	Treatment of choroid lesion	T	5481	469.87	0.00%	$0.00
67221	Ocular photodynamic ther	T	5481	469.87	0.00%	$0.00
67227	Dstrj extensive retinopathy	J1	5504	2774.83	1.04%	$28.86
67228	Treatment x10sv retinopathy	T	5481	469.87	0.04%	$0.19
67250	Reinforce eye wall	J1	5503	1701.48	19.25%	$327.53
67255	Reinforce/graft eye wall	J1	5491	1824.35	17.96%	$327.65
67299	Eye surgery procedure	J1	5491	1824.35	2.01%	$36.67
67311	Revise eye muscle	J1	5503	1701.48	0.09%	$1.53
67312	Revise two eye muscles	J1	5504	2774.83	0.14%	$3.88
67314	Revise eye muscle	J1	5503	1701.48	0.13%	$2.21
67316	Revise two eye muscles	J1	5503	1701.48	0.00%	$0.00
67318	Revise eye muscle(s)	J1	5503	1701.48	0.30%	$5.10
67343	Release eye tissue	J1	5503	1701.48	1.72%	$29.27
67345	Destroy nerve of eye muscle	T	5501	268.49	0.00%	$0.00
67346	Biopsy eye muscle	J1	5504	2774.83	0.00%	$0.00
67399	Unlisted px extraocular musc	T	5501	268.49	1.20%	$3.22
67400	Explore/biopsy eye socket	J1	5504	2774.83	1.72%	$47.73
67405	Explore/drain eye socket	J1	5503	1701.48	0.00%	$0.00
67412	Explore/treat eye socket	J1	5503	1701.48	1.17%	$19.91
67413	Explore/treat eye socket	J1	5503	1701.48	0.00%	$0.00
67414	Explr/decompress eye socket	J1	5504	2774.83	2.37%	$65.76
67415	Aspiration orbital contents	J1	5503	1701.48	0.58%	$9.87
67420	Explore/treat eye socket	J1	5504	2774.83	9.08%	$251.95
67430	Explore/treat eye socket	J1	5504	2774.83	0.00%	$0.00
67445	Explr/decompress eye socket	J1	5504	2774.83	4.08%	$113.21
67450	Explore/biopsy eye socket	J1	5504	2774.83	5.03%	$139.57
67500	Inject/treat eye socket	T	5501	268.49	0.23%	$0.62
67505	Inject/treat eye socket	T	5501	268.49	0.00%	$0.00
67515	Inject/treat eye socket	T	5501	268.49	0.00%	$0.00
67550	Insert eye socket implant	J1	5504	2774.83	19.08%	$529.44
67560	Revise eye socket implant	J1	5504	2774.83	6.37%	$176.76
67570	Decompress optic nerve	J1	5504	2774.83	2.12%	$58.83
67599	Orbit surgery procedure	T	5501	268.49	4.31%	$11.57
67700	Drainage of eyelid abscess	T	5501	268.49	0.00%	$0.00
67710	Incision of eyelid	T	5502	774.57	0.17%	$1.32
67715	Incision of eyelid fold	J1	5503	1701.48	0.31%	$5.27
67800	Remove eyelid lesion	T	5501	268.49	0.00%	$0.00
67801	Remove eyelid lesions	T	5502	774.57	0.00%	$0.00
67805	Remove eyelid lesions	T	5501	268.49	0.00%	$0.00
67808	Remove eyelid lesion(s)	J1	5503	1701.48	0.20%	$3.40
67810	Biopsy eyelid & lid margin	T	5501	268.49	0.00%	$0.00
67820	Revise eyelashes	N	5734	100.02	0.10%	$0.10
67825	Revise eyelashes	T	5501	268.49	0.00%	$0.00
67830	Revise eyelashes	T	5502	774.57	0.00%	$0.00
67835	Revise eyelashes	J1	5503	1701.48	0.00%	$0.00
67840	Remove eyelid lesion	T	5502	774.57	0.10%	$0.77
67850	Treat eyelid lesion	T	5502	774.57	0.00%	$0.00
67875	Closure of eyelid by suture	T	5502	774.57	4.55%	$35.24
67880	Revision of eyelid	J1	5503	1701.48	1.60%	$27.22
67882	Revision of eyelid	J1	5503	1701.48	1.03%	$17.53
67900	Repair brow defect	J1	5503	1701.48	1.25%	$21.27
67901	Repair eyelid defect	J1	5503	1701.48	3.33%	$56.66
67902	Repair eyelid defect	J1	5504	2774.83	3.62%	$100.45
67903	Repair eyelid defect	J1	5503	1701.48	0.26%	$4.42
67904	Repair eyelid defect	J1	5503	1701.48	0.08%	$1.36
67906	Repair eyelid defect	J1	5504	2774.83	2.49%	$69.09
67908	Repair eyelid defect	J1	5503	1701.48	0.78%	$13.27
67909	Revise eyelid defect	J1	5503	1701.48	1.48%	$25.18
6791A	CPX 67911 Revise eyelid defe	J1	5504	2774.83	9.74%	$270.27
67911	Revise eyelid defect	J1	5503	1701.48	6.34%	$107.87
67912	Correction eyelid w/implant	J1	5503	1701.48	16.89%	$287.38
67914	Repair eyelid defect	J1	5503	1701.48	0.29%	$4.93
67915	Repair eyelid defect	J1	5503	1701.48	0.00%	$0.00
67916	Repair eyelid defect	J1	5503	1701.48	0.18%	$3.06
67917	Repair eyelid defect	J1	5503	1701.48	0.44%	$7.49
67921	Repair eyelid defect	J1	5503	1701.48	0.33%	$5.61
67922	Repair eyelid defect	J1	5503	1701.48	0.00%	$0.00
67923	Repair eyelid defect	J1	5503	1701.48	0.09%	$1.53
67924	Repair eyelid defect	J1	5503	1701.48	0.19%	$3.23
67930	Repair eyelid wound	J1	5503	1701.48	0.05%	$0.85
67935	Repair eyelid wound	J1	5503	1701.48	0.00%	$0.00
67938	Remove eyelid foreign body	T	5501	268.49	0.00%	$0.00
67950	Revision of eyelid	J1	5503	1701.48	2.32%	$39.47
67961	Revision of eyelid	J1	5503	1701.48	0.60%	$10.21
67966	Revision of eyelid	J1	5503	1701.48	0.34%	$5.79
6797A	CPX 67971 Reconstruction of	J1	5504	2774.83	0.00%	$0.00
67971	Reconstruction of eyelid	J1	5503	1701.48	0.89%	$15.14
67973	Reconstruction of eyelid	J1	5503	1701.48	1.20%	$20.42
67974	Reconstruction of eyelid	J1	5504	2774.83	0.70%	$19.42
67975	Reconstruction of eyelid	J1	5503	1701.48	0.41%	$6.98
67999	Revision of eyelid	T	5501	268.49	5.25%	$14.10
68020	Incise/drain eyelid lining	T	5502	774.57	0.00%	$0.00
68040	Treatment of eyelid lesions	T	5501	268.49	0.00%	$0.00
68100	Biopsy of eyelid lining	J1	5503	1701.48	2.87%	$48.83
68110	Remove eyelid lining lesion	J1	5503	1701.48	4.51%	$76.74
68115	Remove eyelid lining lesion	J1	5503	1701.48	6.25%	$106.34
68130	Remove eyelid lining lesion	J1	5503	1701.48	2.83%	$48.15
68135	Remove eyelid lining lesion	J1	5503	1701.48	4.75%	$80.82
68200	Treat eyelid by injection	N	5735	263.61	0.00%	$0.00
68320	Revise/graft eyelid lining	J1	5503	1701.48	8.73%	$148.54
68325	Revise/graft eyelid lining	J1	5504	2774.83	4.18%	$115.99
68326	Revise/graft eyelid lining	J1	5504	2774.83	3.63%	$100.73
68328	Revise/graft eyelid lining	J1	5503	1701.48	9.96%	$169.47
68330	Revise eyelid lining	J1	5491	1824.35	1.41%	$25.72
68335	Revise/graft eyelid lining	J1	5504	2774.83	17.52%	$486.15
68340	Separate eyelid adhesions	J1	5503	1701.48	13.30%	$226.30
68360	Revise eyelid lining	J1	5504	2774.83	2.06%	$57.16
68362	Revise eyelid lining	J1	5503	1701.48	2.56%	$43.56
68371	Harvest eye tissue alograft	J1	5503	1701.48	0.00%	$0.00
68399	Eyelid lining surgery	T	5501	268.49	3.71%	$9.96
68400	Incise/drain tear gland	T	5502	774.57	0.00%	$0.00
68420	Incise/drain tear sac	J1	5503	1701.48	0.36%	$6.13
68440	Incise tear duct opening	T	5501	268.49	0.00%	$0.00
68500	Removal of tear gland	J1	5504	2774.83	0.00%	$0.00
68505	Partial removal tear gland	J1	5504	2774.83	0.00%	$0.00
68510	Biopsy of tear gland	J1	5503	1701.48	0.20%	$3.40
68520	Removal of tear sac	J1	5504	2774.83	0.88%	$24.42
68525	Biopsy of tear sac	J1	5503	1701.48	1.31%	$22.29
68530	Clearance of tear duct	T	5501	268.49	0.00%	$0.00
68540	Remove tear gland lesion	J1	5503	1701.48	0.70%	$11.91
68550	Remove tear gland lesion	J1	5504	2774.83	7.22%	$200.34
68700	Repair tear ducts	J1	5503	1701.48	3.66%	$62.27
68705	Revise tear duct opening	T	5501	268.49	0.00%	$0.00
68720	Create tear sac drain	J1	5504	2774.83	2.22%	$61.60
68745	Create tear duct drain	J1	5504	2774.83	1.60%	$44.40
68750	Create tear duct drain	J1	5504	2774.83	4.90%	$135.97
68760	Close tear duct opening	T	5501	268.49	0.18%	$0.48
68761	Close tear duct opening	T	5501	268.49	2.01%	$5.40
68801	Dilate tear duct opening	N	5735	263.61	0.50%	$1.32
68810	Probe nasolacrimal duct	T	5501	268.49	0.00%	$0.00
68811	Probe nasolacrimal duct	J1	5503	1701.48	2.30%	$39.13
68815	Probe nasolacrimal duct	J1	5503	1701.48	4.01%	$68.23
68816	Probe nl duct w/balloon	J1	5503	1701.48	6.48%	$110.26
68840	Explore/irrigate tear ducts	T	5501	268.49	0.00%	$0.00
68899	Tear duct system surgery	T	5501	268.49	1.71%	$4.59
69000	Drain external ear lesion	T	5071	539.11	0.00%	$0.00
69005	Drain external ear lesion	J1	5072	1236.62	0.06%	$0.74
69020	Drain outer ear canal lesion	T	5071	539.11	0.00%	$0.00
69100	Biopsy of external ear	T	5162	442.62	0.00%	$0.00
69105	Biopsy of external ear canal	T	5163	1038.55	0.00%	$0.00
69110	Remove external ear partial	J1	5073	2148.91	0.12%	$2.58
69120	Removal of external ear	J1	5165	4130.94	0.25%	$10.33
69140	Remove ear canal lesion(s)	J1	5165	4130.94	0.50%	$20.65
69145	Remove ear canal lesion(s)	J1	5073	2148.91	0.46%	$9.88
69150	Extensive ear canal surgery	J1	5165	4130.94	0.23%	$9.50
69200	Clear outer ear canal	N	5734	100.02	0.00%	$0.00
69205	Clear outer ear canal	J1	5072	1236.62	0.14%	$1.73
69210	Remove impacted ear wax uni	N	5733	54.55	0.00%	$0.00
69220	Clean out mastoid cavity	N	5051	153.12	0.00%	$0.00
69222	Clean out mastoid cavity	T	5162	442.62	0.02%	$0.09
69300	Revise external ear	J1	5164	2173.69	3.94%	$85.64
69310	Rebuild outer ear canal	J1	5165	4130.94	1.64%	$67.75
69320	Rebuild outer ear canal	J1	5165	4130.94	1.78%	$73.53
69399	Outer ear surgery procedure	T	5161	177.09	6.16%	$10.91
69420	Incision of eardrum	T	5161	177.09	0.08%	$0.14
69421	Incision of eardrum	J1	5164	2173.69	1.47%	$31.95
69433	Create eardrum opening	T	5162	442.62	0.27%	$1.20
69436	Create eardrum opening	T	5163	1038.55	2.40%	$24.93
69440	Exploration of middle ear	J1	5164	2173.69	1.08%	$23.48
69450	Eardrum revision	J1	5164	2173.69	0.88%	$19.13
69501	Mastoidectomy	J1	5165	4130.94	1.53%	$63.20
69502	Mastoidectomy	J1	5165	4130.94	0.66%	$27.26
69505	Remove mastoid structures	J1	5165	4130.94	1.32%	$54.53
69511	Extensive mastoid surgery	J1	5165	4130.94	1.71%	$70.64
69530	Extensive mastoid surgery	J1	5165	4130.94	1.30%	$53.70
69540	Remove ear lesion	T	5163	1038.55	0.00%	$0.00
69550	Remove ear lesion	J1	5165	4130.94	0.89%	$36.77
69552	Remove ear lesion	J1	5165	4130.94	0.63%	$26.02
69601	Mastoid surgery revision	J1	5165	4130.94	0.76%	$31.40
69602	Mastoid surgery revision	J1	5165	4130.94	0.65%	$26.85
69603	Mastoid surgery revision	J1	5165	4130.94	1.49%	$61.55
69604	Mastoid surgery revision	J1	5165	4130.94	0.88%	$36.35
69605	Mastoid surgery revision	J1	5165	4130.94	5.25%	$216.87
69610	Repair of eardrum	J1	5164	2173.69	1.40%	$30.43
69620	Repair of eardrum	J1	5164	2173.69	1.11%	$24.13
69631	Repair eardrum structures	J1	5165	4130.94	1.37%	$56.59
69632	Rebuild eardrum structures	J1	5165	4130.94	7.95%	$328.41
69633	Rebuild eardrum structures	J1	5165	4130.94	13.19%	$544.87
69635	Repair eardrum structures	J1	5165	4130.94	2.75%	$113.60
69636	Rebuild eardrum structures	J1	5165	4130.94	2.38%	$98.32
69637	Rebuild eardrum structures	J1	5165	4130.94	11.23%	$463.90
69641	Revise middle ear & mastoid	J1	5165	4130.94	1.79%	$73.94
69642	Revise middle ear & mastoid	J1	5165	4130.94	6.80%	$280.90
69643	Revise middle ear & mastoid	J1	5165	4130.94	1.89%	$78.07
69644	Revise middle ear & mastoid	J1	5165	4130.94	7.49%	$309.41
69645	Revise middle ear & mastoid	J1	5165	4130.94	1.30%	$53.70
69646	Revise middle ear & mastoid	J1	5165	4130.94	6.95%	$287.10
69650	Release middle ear bone	J1	5164	2173.69	2.42%	$52.60
69660	Revise middle ear bone	J1	5165	4130.94	11.01%	$454.82
69661	Revise middle ear bone	J1	5165	4130.94	11.17%	$461.43
69662	Revise middle ear bone	J1	5165	4130.94	10.83%	$447.38
69666	Repair middle ear structures	J1	5164	2173.69	0.44%	$9.56
69667	Repair middle ear structures	J1	5164	2173.69	3.82%	$83.03
69670	Remove mastoid air cells	J1	5165	4130.94	1.68%	$69.40
69676	Remove middle ear nerve	J1	5164	2173.69	0.00%	$0.00
69700	Close mastoid fistula	T	5163	1038.55	0.00%	$0.00
69711	Remove/repair hearing aid	J1	5164	2173.69	6.07%	$131.94
69714	Implant temple bone w/stimul	J1	5115	9561.23	66.58%	"$6,365.87"
69715	Temple bne implnt w/stimulat	J1	5116	14704.13	61.52%	"$9,045.98"
69717	Temple bone implant revision	J1	5114	5221.57	48.38%	"$2,526.20"
69720	Release facial nerve	J1	5165	4130.94	2.16%	$89.23
69725	Release facial nerve	J1	5165	4130.94	0.00%	$0.00
69799	Middle ear surgery procedure	T	5161	177.09	11.73%	$20.77
69801	Incise inner ear	T	5163	1038.55	0.11%	$1.14
69805	Explore inner ear	J1	5165	4130.94	1.79%	$73.94
69806	Explore inner ear	J1	5165	4130.94	6.73%	$278.01
69820	Establish inner ear window	J1	5164	2173.69	0.02%	$0.43
69840	Revise inner ear window	J1	5164	2173.69	15.85%	$344.53
69905	Remove inner ear	J1	5165	4130.94	0.21%	$8.67
69910	Remove inner ear & mastoid	J1	5165	4130.94	0.49%	$20.24
69915	Incise inner ear nerve	J1	5164	2173.69	0.00%	$0.00
69930	Implant cochlear device	J1	5166	31836.99	83.08%	"$26,450.17"
69949	Inner ear surgery procedure	T	5161	177.09	14.44%	$25.57
69955	Release facial nerve	J1	5165	4130.94	0.00%	$0.00
69960	Release inner ear canal	J1	5165	4130.94	21.75%	$898.48
69970	Remove inner ear lesion	J1	5165	4130.94	0.92%	$38.00
69979	Temporal bone surgery	T	5161	177.09	0.00%	$0.00
70015	Contrast x-ray of brain	N	5524	449.68	0.00%	$0.00
70030	X-ray eye for foreign body	N	5521	59.86	0.00%	$0.00
70100	X-ray exam of jaw <4views	N	5521	59.86	0.01%	$0.01
70110	X-ray exam of jaw 4/> views	N	5522	112.73	0.00%	$0.00
70120	X-ray exam of mastoids	N	5522	112.73	0.00%	$0.00
70130	X-ray exam of mastoids	N	5522	112.73	0.00%	$0.00
70134	X-ray exam of middle ear	N	5523	225.91	0.00%	$0.00
70140	X-ray exam of facial bones	N	5521	59.86	0.00%	$0.00
70150	X-ray exam of facial bones	N	5522	112.73	0.00%	$0.00
70160	X-ray exam of nasal bones	N	5521	59.86	0.00%	$0.00
70170	X-ray exam of tear duct	N	5523	225.91	0.46%	$1.04
70190	X-ray exam of eye sockets	N	5521	59.86	0.00%	$0.00
70200	X-ray exam of eye sockets	N	5522	112.73	0.10%	$0.11
70210	X-ray exam of sinuses	N	5521	59.86	-0.01%	-$0.01
70220	X-ray exam of sinuses	N	5521	59.86	0.00%	$0.00
70240	X-ray exam pituitary saddle	N	5521	59.86	0.00%	$0.00
70250	X-ray exam of skull	N	5522	112.73	0.07%	$0.08
70260	X-ray exam of skull	N	5522	112.73	0.00%	$0.00
70300	X-ray exam of teeth	N	5521	59.86	-0.01%	-$0.01
70310	X-ray exam of teeth	N	5524	449.68	0.00%	$0.00
70320	Full mouth x-ray of teeth	N	5523	225.91	1.51%	$3.41
70328	X-ray exam of jaw joint	N	5521	59.86	-0.01%	-$0.01
70330	X-ray exam of jaw joints	N	5521	59.86	0.00%	$0.00
70332	X-ray exam of jaw joint	N	5523	225.91	0.00%	$0.00
70336	Magnetic image jaw joint	S	5523	225.91	0.00%	$0.00
70350	X-ray head for orthodontia	N	5521	59.86	0.00%	$0.00
70355	Panoramic x-ray of jaws	N	5521	59.86	0.01%	$0.01
70360	X-ray exam of neck	N	5521	59.86	0.00%	$0.00
70370	Throat x-ray & fluoroscopy	N	5522	112.73	0.00%	$0.00
70371	Speech evaluation complex	N	5523	225.91	0.00%	$0.00
70373	Contrast x-ray of larynx	N	5522	112.73	0.00%	$0.00
70380	X-ray exam of salivary gland	N	5522	112.73	0.00%	$0.00
70390	X-ray exam of salivary duct	N	5523	225.91	0.96%	$2.17
70450	Ct head/brain w/o dye	S	5522	112.73	0.00%	$0.00
70460	Ct head/brain w/dye	S	5571	265.02	0.02%	$0.05
70470	Ct head/brain w/o & w/dye	S	5571	265.02	0.01%	$0.03
70480	Ct orbit/ear/fossa w/o dye	S	5522	112.73	0.00%	$0.00
70481	Ct orbit/ear/fossa w/dye	S	5571	265.02	0.01%	$0.03
70482	Ct orbit/ear/fossa w/o&w/dye	S	5571	265.02	0.00%	$0.00
70486	Ct maxillofacial w/o dye	S	5522	112.73	0.00%	$0.00
70487	Ct maxillofacial w/dye	S	5571	265.02	0.04%	$0.11
70488	Ct maxillofacial w/o & w/dye	S	5571	265.02	0.00%	$0.00
70490	Ct soft tissue neck w/o dye	S	5522	112.73	0.00%	$0.00
70491	Ct soft tissue neck w/dye	S	5571	265.02	0.01%	$0.03
70492	Ct sft tsue nck w/o & w/dye	S	5571	265.02	0.01%	$0.03
70496	Ct angiography head	S	5571	265.02	0.02%	$0.05
70498	Ct angiography neck	S	5571	265.02	0.02%	$0.05
70540	Mri orbit/face/neck w/o dye	S	5523	225.91	0.00%	$0.00
70542	Mri orbit/face/neck w/dye	S	5572	426.52	0.00%	$0.00
70543	Mri orbt/fac/nck w/o &w/dye	S	5572	426.52	0.01%	$0.04
70544	Mr angiography head w/o dye	S	5523	225.91	0.00%	$0.00
70545	Mr angiography head w/dye	S	5571	265.02	0.00%	$0.00
70546	Mr angiograph head w/o&w/dye	S	5572	426.52	0.00%	$0.00
70547	Mr angiography neck w/o dye	S	5523	225.91	0.00%	$0.00
70548	Mr angiography neck w/dye	S	5571	265.02	0.00%	$0.00
70549	Mr angiograph neck w/o&w/dye	S	5572	426.52	0.00%	$0.00
70551	Mri brain stem w/o dye	S	5523	225.91	0.00%	$0.00
70552	Mri brain stem w/dye	S	5572	426.52	0.03%	$0.13
70553	Mri brain stem w/o & w/dye	S	5572	426.52	0.02%	$0.09
70554	Fmri brain by tech	S	5523	225.91	0.00%	$0.00
70555	Fmri brain by phys/psych	S	5523	225.91	0.00%	$0.00
70557	Mri brain w/o dye	S	5523	225.91	0.00%	$0.00
70559	Mri brain w/o & w/dye	S	5571	265.02	0.00%	$0.00
71010	Chest x-ray 1 view frontal	S	5521	59.86	0.00%	$0.00
71015	Chest x-ray stereo frontal	S	5521	59.86	0.00%	$0.00
71020	Chest x-ray 2vw frontal&latl	S	5521	59.86	0.00%	$0.00
71021	Chest x-ray frnt lat lordotc	N	5521	59.86	0.00%	$0.00
71022	Chest x-ray frnt lat oblique	N	5521	59.86	0.00%	$0.00
71023	Chest x-ray and fluoroscopy	N	5521	59.86	0.00%	$0.00
71030	Chest x-ray 4/> views	N	5521	59.86	0.00%	$0.00
71034	Chest x-ray&fluoro 4/> views	N	5522	112.73	0.00%	$0.00
71035	Chest x-ray special views	N	5521	59.86	0.35%	$0.21
71100	X-ray exam ribs uni 2 views	N	5521	59.86	0.00%	$0.00
71101	X-ray exam unilat ribs/chest	N	5522	112.73	0.00%	$0.00
71110	X-ray exam ribs bil 3 views	N	5522	112.73	0.00%	$0.00
71111	X-ray exam ribs/chest4/> vws	N	5522	112.73	0.00%	$0.00
71120	X-ray exam breastbone 2/>vws	N	5521	59.86	0.00%	$0.00
71130	X-ray strenoclavic jt 3/>vws	N	5521	59.86	0.00%	$0.00
71250	Ct thorax w/o dye	S	5522	112.73	0.00%	$0.00
71260	Ct thorax w/dye	S	5571	265.02	0.01%	$0.03
71270	Ct thorax w/o & w/dye	S	5571	265.02	0.01%	$0.03
71275	Ct angiography chest	S	5571	265.02	0.03%	$0.08
71550	Mri chest w/o dye	S	5523	225.91	0.00%	$0.00
71551	Mri chest w/dye	S	5573	656.91	0.00%	$0.00
71552	Mri chest w/o & w/dye	S	5572	426.52	0.00%	$0.00
72010	X-ray exam spine ap&lat	N	5522	112.73	0.00%	$0.00
72020	X-ray exam of spine 1 view	N	5521	59.86	0.14%	$0.08
72040	X-ray exam neck spine 2-3 vw	N	5521	59.86	0.00%	$0.00
72050	X-ray exam neck spine 4/5vws	N	5522	112.73	0.00%	$0.00
72052	X-ray exam neck spine 6/>vws	N	5522	112.73	0.00%	$0.00
72069	X-ray exam trunk spine stand	N	5521	59.86	0.00%	$0.00
72070	X-ray exam thorac spine 2vws	N	5522	112.73	0.01%	$0.01
72072	X-ray exam thorac spine 3vws	N	5522	112.73	0.00%	$0.00
72074	X-ray exam thorac spine4/>vw	N	5522	112.73	0.00%	$0.00
72080	X-ray exam thoracolmb 2/> vw	N	5521	59.86	-0.01%	-$0.01
72090	X-ray exam scloiosis erect	N	5521	59.86	0.00%	$0.00
72100	X-ray exam l-s spine 2/3 vws	N	5522	112.73	0.00%	$0.00
72110	X-ray exam l-2 spine 4/>vws	N	5522	112.73	0.00%	$0.00
72114	X-ray exam l-s spine bending	N	5522	112.73	0.00%	$0.00
72120	X-ray bend only l-s spine	N	5521	59.86	-0.01%	-$0.01
72125	Ct neck spine w/o dye	S	5522	112.73	0.00%	$0.00
72126	Ct neck spine w/dye	S	5572	426.52	0.08%	$0.34
72127	Ct neck spine w/o & w/dye	S	5571	265.02	0.00%	$0.00
72128	Ct chest spine w/o dye	S	5522	112.73	0.00%	$0.00
72129	Ct chest spine w/dye	S	5571	265.02	0.33%	$0.87
72130	Ct chest spine w/o & w/dye	S	5571	265.02	0.00%	$0.00
72131	Ct lumbar spine w/o dye	S	5522	112.73	0.00%	$0.00
72132	Ct lumbar spine w/dye	S	5572	426.52	0.14%	$0.60
72133	Ct lumbar spine w/o & w/dye	S	5571	265.02	0.00%	$0.00
72141	Mri neck spine w/o dye	S	5523	225.91	0.00%	$0.00
72142	Mri neck spine w/dye	S	5572	426.52	0.00%	$0.00
72146	Mri chest spine w/o dye	S	5523	225.91	0.00%	$0.00
72147	Mri chest spine w/dye	S	5572	426.52	0.00%	$0.00
72148	Mri lumbar spine w/o dye	S	5523	225.91	0.00%	$0.00
72149	Mri lumbar spine w/dye	S	5572	426.52	0.00%	$0.00
72156	Mri neck spine w/o & w/dye	S	5572	426.52	0.00%	$0.00
72157	Mri chest spine w/o & w/dye	S	5572	426.52	0.02%	$0.09
72158	Mri lumbar spine w/o & w/dye	S	5572	426.52	0.01%	$0.04
72170	X-ray exam of pelvis	N	5522	112.73	0.01%	$0.01
72190	X-ray exam of pelvis	N	5522	112.73	0.00%	$0.00
72191	Ct angiograph pelv w/o&w/dye	S	5571	265.02	0.00%	$0.00
72192	Ct pelvis w/o dye	S	5522	112.73	0.01%	$0.01
72193	Ct pelvis w/dye	S	5571	265.02	0.05%	$0.13
72194	Ct pelvis w/o & w/dye	S	5571	265.02	0.02%	$0.05
72195	Mri pelvis w/o dye	S	5523	225.91	0.25%	$0.56
72196	Mri pelvis w/dye	S	5572	426.52	1.10%	$4.69
72197	Mri pelvis w/o & w/dye	S	5572	426.52	1.89%	$8.06
72200	X-ray exam si joints	N	5522	112.73	0.00%	$0.00
72202	X-ray exam si joints 3/> vws	N	5522	112.73	0.00%	$0.00
72220	X-ray exam sacrum tailbone	N	5521	59.86	-0.01%	-$0.01
72240	Myelography neck spine	N	5524	449.68	0.04%	$0.18
72255	Myelography thoracic spine	N	5524	449.68	0.00%	$0.00
72265	Myelography l-s spine	N	5524	449.68	0.01%	$0.04
72270	Myelogphy 2/> spine regions	N	5524	449.68	0.00%	$0.00
73000	X-ray exam of collar bone	N	5521	59.86	0.00%	$0.00
73010	X-ray exam of shoulder blade	N	5521	59.86	0.00%	$0.00
73020	X-ray exam of shoulder	N	5521	59.86	0.08%	$0.05
73030	X-ray exam of shoulder	N	5521	59.86	0.01%	$0.01
73040	Contrast x-ray of shoulder	N	5523	225.91	0.00%	$0.00
73050	X-ray exam of shoulders	N	5521	59.86	0.01%	$0.01
73060	X-ray exam of humerus	N	5521	59.86	0.01%	$0.01
73070	X-ray exam of elbow	N	5521	59.86	0.01%	$0.01
73080	X-ray exam of elbow	N	5521	59.86	0.01%	$0.01
73085	Contrast x-ray of elbow	N	5524	449.68	0.00%	$0.00
73090	X-ray exam of forearm	N	5521	59.86	0.00%	$0.00
73100	X-ray exam of wrist	N	5521	59.86	0.00%	$0.00
73110	X-ray exam of wrist	N	5521	59.86	0.01%	$0.01
73115	Contrast x-ray of wrist	N	5524	449.68	0.00%	$0.00
73120	X-ray exam of hand	N	5522	112.73	0.01%	$0.01
73130	X-ray exam of hand	N	5521	59.86	0.00%	$0.00
73140	X-ray exam of finger(s)	N	5521	59.86	0.00%	$0.00
73200	Ct upper extremity w/o dye	S	5522	112.73	0.00%	$0.00
73201	Ct upper extremity w/dye	S	5571	265.02	0.00%	$0.00
73202	Ct uppr extremity w/o&w/dye	S	5571	265.02	0.00%	$0.00
73206	Ct angio upr extrm w/o&w/dye	S	5571	265.02	0.11%	$0.29
73218	Mri upper extremity w/o dye	S	5523	225.91	0.00%	$0.00
73219	Mri upper extremity w/dye	S	5572	426.52	0.00%	$0.00
73220	Mri uppr extremity w/o&w/dye	S	5572	426.52	0.00%	$0.00
73221	Mri joint upr extrem w/o dye	S	5523	225.91	0.00%	$0.00
73222	Mri joint upr extrem w/dye	S	5573	656.91	0.00%	$0.00
73223	Mri joint upr extr w/o&w/dye	S	5572	426.52	0.01%	$0.04
73500	X-ray exam of hip	N	5522	112.73	1.39%	$1.57
73510	X-ray exam of hip	N	5521	59.86	0.00%	$0.00
73520	X-ray exam of hips	N	5522	112.73	0.01%	$0.01
73525	Contrast x-ray of hip	N	5524	449.68	0.01%	$0.04
73540	X-ray exam of pelvis & hips	N	5521	59.86	0.00%	$0.00
73550	X-ray exam of thigh	N	5521	59.86	-0.01%	-$0.01
73552	X-ray exam of femur 2/>	N	5521	59.86	0.00%	$0.00
73560	X-ray exam of knee 1 or 2	N	5521	59.86	0.00%	$0.00
73562	X-ray exam of knee 3	N	5521	59.86	0.00%	$0.00
73564	X-ray exam knee 4 or more	N	5522	112.73	0.00%	$0.00
73565	X-ray exam of knees	N	5521	59.86	-0.01%	-$0.01
73580	Contrast x-ray of knee joint	N	5524	449.68	0.00%	$0.00
73590	X-ray exam of lower leg	N	5521	59.86	-0.01%	-$0.01
73592	X-ray exam of leg infant	N	5521	59.86	-0.01%	-$0.01
73600	X-ray exam of ankle	N	5521	59.86	0.00%	$0.00
73610	X-ray exam of ankle	N	5521	59.86	0.00%	$0.00
73615	Contrast x-ray of ankle	N	5524	449.68	0.00%	$0.00
73620	X-ray exam of foot	N	5521	59.86	-0.01%	-$0.01
73630	X-ray exam of foot	N	5521	59.86	0.00%	$0.00
73650	X-ray exam of heel	N	5521	59.86	0.00%	$0.00
73660	X-ray exam of toe(s)	N	5521	59.86	0.00%	$0.00
73700	Ct lower extremity w/o dye	S	5522	112.73	0.00%	$0.00
73701	Ct lower extremity w/dye	S	5571	265.02	0.00%	$0.00
73702	Ct lwr extremity w/o&w/dye	S	5571	265.02	0.00%	$0.00
73706	Ct angio lwr extr w/o&w/dye	S	5571	265.02	0.11%	$0.29
73718	Mri lower extremity w/o dye	S	5523	225.91	0.00%	$0.00
73719	Mri lower extremity w/dye	S	5571	265.02	0.00%	$0.00
73720	Mri lwr extremity w/o&w/dye	S	5572	426.52	0.02%	$0.09
73721	Mri jnt of lwr extre w/o dye	S	5523	225.91	0.00%	$0.00
73722	Mri joint of lwr extr w/dye	S	5573	656.91	0.02%	$0.13
73723	Mri joint lwr extr w/o&w/dye	S	5572	426.52	0.03%	$0.13
74000	X-ray exam of abdomen	N	5521	59.86	0.03%	$0.02
74010	X-ray exam of abdomen	N	5521	59.86	0.02%	$0.01
74020	X-ray exam of abdomen	N	5521	59.86	0.05%	$0.03
74022	X-ray exam series abdomen	N	5522	112.73	0.04%	$0.05
74150	Ct abdomen w/o dye	S	5522	112.73	0.03%	$0.03
74160	Ct abdomen w/dye	S	5571	265.02	0.01%	$0.03
74170	Ct abdomen w/o & w/dye	S	5571	265.02	0.02%	$0.05
74174	Ct angio abd&pelv w/o&w/dye	S	5571	265.02	0.01%	$0.03
74175	Ct angio abdom w/o & w/dye	S	5571	265.02	0.01%	$0.03
74176	Ct abd & pelvis w/o contrast	S	5523	225.91	0.04%	$0.09
74177	Ct abd & pelv w/contrast	S	5571	265.02	0.02%	$0.05
74178	Ct abd & pelv 1/> regns	S	5572	426.52	0.01%	$0.04
74181	Mri abdomen w/o dye	S	5523	225.91	0.02%	$0.05
74182	Mri abdomen w/dye	S	5572	426.52	0.01%	$0.04
74183	Mri abdomen w/o & w/dye	S	5572	426.52	0.01%	$0.04
74190	X-ray exam of peritoneum	N	5524	449.68	17.23%	$77.48
74210	Contrst x-ray exam of throat	N	5522	112.73	0.00%	$0.00
74220	Contrast x-ray esophagus	N	5522	112.73	0.00%	$0.00
74230	Cine/vid x-ray throat/esoph	N	5522	112.73	0.01%	$0.01
74240	X-ray upper gi delay w/o kub	N	5522	112.73	0.01%	$0.01
74241	X-ray upper gi delay w/kub	N	5522	112.73	0.01%	$0.01
74245	X-ray upper gi&small intest	S	5523	225.91	0.00%	$0.00
74246	Contrst x-ray uppr gi tract	N	5522	112.73	0.01%	$0.01
74247	Contrst x-ray uppr gi tract	N	5522	112.73	0.00%	$0.00
74249	Contrst x-ray uppr gi tract	S	5523	225.91	0.00%	$0.00
74250	X-ray exam of small bowel	N	5522	112.73	0.00%	$0.00
74251	X-ray exam of small bowel	S	5522	112.73	0.00%	$0.00
74260	X-ray exam of small bowel	N	5522	112.73	0.00%	$0.00
74261	Ct colonography dx	S	5522	112.73	0.00%	$0.00
74262	Ct colonography dx w/dye	S	5571	265.02	0.00%	$0.00
74270	Contrast x-ray exam of colon	N	5522	112.73	0.03%	$0.03
74280	Contrast x-ray exam of colon	S	5522	112.73	0.00%	$0.00
74283	Contrast x-ray exam of colon	S	5522	112.73	0.00%	$0.00
74290	Contrast x-ray gallbladder	N	5522	112.73	-0.01%	-$0.01
74305	X-ray bile ducts/pancreas	N	5524	449.68	3.93%	$17.67
74320	Contrast x-ray of bile ducts	N	5181	684.13	13.16%	$90.03
74400	Contrst x-ray urinary tract	S	5523	225.91	0.04%	$0.09
74410	Contrst x-ray urinary tract	S	5523	225.91	0.00%	$0.00
74415	Contrst x-ray urinary tract	S	5523	225.91	0.01%	$0.02
74420	Contrst x-ray urinary tract	S	5524	449.68	17.05%	$76.67
74425	Contrst x-ray urinary tract	N	5524	449.68	5.55%	$24.96
74430	Contrast x-ray bladder	N	5523	225.91	0.30%	$0.68
74445	X-ray exam of penis	N	5522	112.73	0.00%	$0.00
74450	X-ray urethra/bladder	N	5523	225.91	1.04%	$2.35
74455	X-ray urethra/bladder	N	5523	225.91	0.16%	$0.36
74470	X-ray exam of kidney lesion	N	5523	225.91	4.02%	$9.08
74740	X-ray female genital tract	N	5523	225.91	1.20%	$2.71
74775	X-ray exam of perineum	S	5523	225.91	0.00%	$0.00
75557	Cardiac mri for morph	S	5523	225.91	0.00%	$0.00
75559	Cardiac mri w/stress img	S	5523	225.91	0.00%	$0.00
75561	Cardiac mri for morph w/dye	S	5572	426.52	0.00%	$0.00
75563	Card mri w/stress img & dye	S	5573	656.91	0.00%	$0.00
75571	Ct hrt w/o dye w/ca test	N	5521	59.86	-0.02%	-$0.01
75572	Ct hrt w/3d image	S	5571	265.02	0.00%	$0.00
75573	Ct hrt w/3d image congen	S	5571	265.02	0.00%	$0.00
75574	Ct angio hrt w/3d image	S	5571	265.02	0.04%	$0.11
75600	Contrast exam thoracic aorta	N	5182	2360.6	13.06%	$308.29
75605	Contrast exam thoracic aorta	N	5183	3924.28	16.87%	$662.03
75625	Contrast exam abdominl aorta	N	5182	2360.6	14.90%	$351.73
75630	X-ray aorta leg arteries	N	5182	2360.6	16.83%	$397.29
75635	Ct angio abdominal arteries	N	5571	265.02	0.06%	$0.16
75658	Artery x-rays arm	N	5182	2360.6	17.74%	$418.77
75705	Artery x-rays spine	N	5183	3924.28	3.22%	$126.36
75710	Artery x-rays arm/leg	N	5182	2360.6	23.84%	$562.77
75716	Artery x-rays arms/legs	N	5182	2360.6	18.14%	$428.21
75726	Artery x-rays abdomen	N	5183	3924.28	22.70%	$890.81
75731	Artery x-rays adrenal gland	N	5181	684.13	16.53%	$113.09
75733	Artery x-rays adrenals	N	5182	2360.6	3.20%	$75.54
75736	Artery x-rays pelvis	N	5183	3924.28	22.70%	$890.81
75741	Artery x-rays lung	N	5182	2360.6	30.30%	$715.26
75743	Artery x-rays lungs	N	5182	2360.6	15.74%	$371.56
75746	Artery x-rays lung	N	5181	684.13	32.76%	$224.12
75756	Artery x-rays chest	N	5182	2360.6	14.52%	$342.76
75791	Av dialysis shunt imaging	N	5181	684.13	20.79%	$142.23
75801	Lymph vessel x-ray arm/leg	N	5181	684.13	21.14%	$144.63
75803	Lymph vessel x-ray arms/legs	N	5181	684.13	0.00%	$0.00
75805	Lymph vessel x-ray trunk	N	5181	684.13	6.06%	$41.46
75807	Lymph vessel x-ray trunk	N	5182	2360.6	0.00%	$0.00
75809	Nonvascular shunt x-ray	N	5522	112.73	0.32%	$0.36
75810	Vein x-ray spleen/liver	N	5181	684.13	6.53%	$44.67
75820	Vein x-ray arm/leg	N	5181	684.13	10.76%	$73.61
75822	Vein x-ray arms/legs	N	5181	684.13	8.23%	$56.30
75825	Vein x-ray trunk	N	5182	2360.6	24.28%	$573.15
75827	Vein x-ray chest	N	5181	684.13	10.84%	$74.16
75831	Vein x-ray kidney	N	5182	2360.6	28.32%	$668.52
75833	Vein x-ray kidneys	N	5182	2360.6	5.77%	$136.21
75840	Vein x-ray adrenal gland	N	5182	2360.6	73.34%	"$1,731.26"
75842	Vein x-ray adrenal glands	N	5183	3924.28	16.15%	$633.77
75860	Vein x-ray neck	N	5182	2360.6	24.79%	$585.19
75870	Vein x-ray skull	N	5181	684.13	27.08%	$185.26
75885	Vein x-ray liver w/hemodynam	N	5182	2360.6	16.82%	$397.05
75887	Vein x-ray liver w/o hemodyn	N	5181	684.13	17.67%	$120.89
75889	Vein x-ray liver w/hemodynam	N	5182	2360.6	18.89%	$445.92
75891	Vein x-ray liver	N	5182	2360.6	25.71%	$606.91
75893	Venous sampling by catheter	N	5183	3924.28	17.25%	$676.94
75898	Follow-up angiography	N	5181	684.13	41.79%	$285.90
75945	Intravascular us	N	5524	449.68	22.29%	$100.23
75978	Repair venous blockage	N	5182	2360.6	37.06%	$874.84
76000	Fluoroscope examination	S	5523	225.91	9.10%	$20.56
76010	X-ray nose to rectum	N	5521	59.86	-0.01%	-$0.01
76080	X-ray exam of fistula	N	5524	449.68	2.43%	$10.93
76098	X-ray exam breast specimen	N	5524	449.68	4.30%	$19.34
76100	X-ray exam of body section	N	5522	112.73	0.00%	$0.00
76101	Complex body section x-ray	N	5522	112.73	0.00%	$0.00
76102	Complex body section x-rays	S	5522	112.73	0.00%	$0.00
76120	Cine/video x-rays	N	5521	59.86	1.27%	$0.76
76380	Cat scan follow-up study	N	5521	59.86	0.14%	$0.08
76496	Fluoroscopic procedure	N	5521	59.86	19.01%	$11.38
76497	Ct procedure	N	5521	59.86	-0.01%	-$0.01
76498	Mri procedure	S	5521	59.86	0.00%	$0.00
76499	Radiographic procedure	N	5521	59.86	0.68%	$0.41
76506	Echo exam of head	N	5522	112.73	0.00%	$0.00
76510	Ophth us b & quant a	N	5735	263.61	0.00%	$0.00
76511	Ophth us quant a only	N	5522	112.73	0.00%	$0.00
76512	Ophth us b w/non-quant a	N	5522	112.73	0.01%	$0.01
76513	Echo exam of eye water bath	N	5522	112.73	0.00%	$0.00
76514	Echo exam of eye thickness	N	5732	28.38	0.00%	$0.00
76516	Echo exam of eye	N	5521	59.86	-0.01%	-$0.01
76519	Echo exam of eye	N	5521	59.86	0.02%	$0.01
76536	Us exam of head and neck	N	5522	112.73	0.00%	$0.00
76604	Us exam chest	N	5522	112.73	0.18%	$0.20
76641	Ultrasound breast complete	N	5522	112.73	0.00%	$0.00
76642	Ultrasound breast limited	N	5521	59.86	0.01%	$0.01
76700	Us exam abdom complete	S	5522	112.73	0.00%	$0.00
76705	Echo exam of abdomen	S	5522	112.73	0.00%	$0.00
76770	Us exam abdo back wall comp	S	5522	112.73	0.00%	$0.00
76775	Us exam abdo back wall lim	N	5522	112.73	0.00%	$0.00
76776	Us exam k transpl w/doppler	S	5522	112.73	0.00%	$0.00
76800	Us exam spinal canal	N	5521	59.86	0.00%	$0.00
76801	Ob us < 14 wks single fetus	S	5522	112.73	0.00%	$0.00
76805	Ob us >/= 14 wks sngl fetus	S	5522	112.73	0.00%	$0.00
76811	Ob us detailed sngl fetus	S	5522	112.73	0.00%	$0.00
76813	Ob us nuchal meas 1 gest	N	5522	112.73	0.00%	$0.00
76815	Ob us limited fetus(s)	N	5522	112.73	0.00%	$0.00
76816	Ob us follow-up per fetus	N	5522	112.73	0.00%	$0.00
76817	Transvaginal us obstetric	N	5522	112.73	0.00%	$0.00
76818	Fetal biophys profile w/nst	S	5522	112.73	0.00%	$0.00
76819	Fetal biophys profil w/o nst	S	5522	112.73	0.00%	$0.00
76820	Umbilical artery echo	N	5522	112.73	0.00%	$0.00
76821	Middle cerebral artery echo	N	5522	112.73	0.00%	$0.00
76825	Echo exam of fetal heart	S	5524	449.68	0.00%	$0.00
76826	Echo exam of fetal heart	S	5523	225.91	0.00%	$0.00
76827	Echo exam of fetal heart	N	5523	225.91	0.00%	$0.00
76828	Echo exam of fetal heart	N	5522	112.73	0.00%	$0.00
76830	Transvaginal us non-ob	S	5522	112.73	0.00%	$0.00
76831	Echo exam uterus	S	5523	225.91	0.67%	$1.51
76856	Us exam pelvic complete	S	5522	112.73	0.00%	$0.00
76857	Us exam pelvic limited	S	5522	112.73	0.00%	$0.00
76870	Us exam scrotum	N	5522	112.73	0.00%	$0.00
76872	Us transrectal	S	5522	112.73	0.81%	$0.91
76873	Echograp trans r pros study	S	5522	112.73	0.14%	$0.16
76881	Us xtr non-vasc complete	S	5522	112.73	0.00%	$0.00
76882	Us xtr non-vasc lmtd	N	5521	59.86	0.01%	$0.01
76885	Us exam infant hips dynamic	N	5521	59.86	0.01%	$0.01
76886	Us exam infant hips static	N	5521	59.86	0.00%	$0.00
76936	Echo guide for artery repair	S	5722	232.31	0.05%	$0.12
76970	Ultrasound exam follow-up	N	5521	59.86	-0.01%	-$0.01
76975	Gi endoscopic ultrasound	N	5523	225.91	0.00%	$0.00
76977	Us bone density measure	S	5521	59.86	0.00%	$0.00
76999	Echo examination procedure	N	5521	59.86	0.00%	$0.00
77053	X-ray of mammary duct	N	5523	225.91	1.10%	$2.49
77054	X-ray of mammary ducts	N	5523	225.91	0.00%	$0.00
77071	X-ray stress view	N	5521	59.86	0.00%	$0.00
77072	X-rays for bone age	N	5522	112.73	0.00%	$0.00
77073	X-rays bone length studies	N	5521	59.86	0.00%	$0.00
77074	X-rays bone survey limited	N	5522	112.73	0.00%	$0.00
77075	X-rays bone survey complete	N	5522	112.73	0.01%	$0.01
77076	X-rays bone survey infant	N	5522	112.73	0.00%	$0.00
77077	Joint survey single view	N	5522	112.73	0.00%	$0.00
77078	Ct bone density axial	S	5521	59.86	-0.01%	-$0.01
77080	Dxa bone density axial	S	5522	112.73	0.00%	$0.00
77081	Dxa bone density/peripheral	S	5521	59.86	0.00%	$0.00
77084	Magnetic image bone marrow	S	5524	449.68	0.00%	$0.00
77085	Dxa bone density study	N	5522	112.73	0.00%	$0.00
77086	Fracture assessment via dxa	N	5521	59.86	0.00%	$0.00
77280	Set radiation therapy field	S	5611	117.59	0.00%	$0.00
77285	Set radiation therapy field	S	5612	311.57	0.00%	$0.00
77290	Set radiation therapy field	S	5612	311.57	0.00%	$0.00
77295	3-d radiotherapy plan	S	5613	1066.24	0.00%	$0.00
77299	Radiation therapy planning	S	5611	117.59	0.00%	$0.00
77300	Radiation therapy dose plan	S	5611	117.59	0.00%	$0.00
77301	Radiotherapy dose plan imrt	S	5613	1066.24	0.00%	$0.00
77306	Telethx isodose plan simple	S	5612	311.57	0.00%	$0.00
77307	Telethx isodose plan cplx	S	5612	311.57	0.00%	$0.00
77316	Brachytx isodose plan simple	S	5611	117.59	0.00%	$0.00
77317	Brachytx isodose intermed	S	5612	311.57	0.00%	$0.00
77318	Brachytx isodose complex	S	5612	311.57	0.00%	$0.00
77321	Special teletx port plan	S	5612	311.57	0.00%	$0.00
77331	Special radiation dosimetry	S	5611	117.59	0.00%	$0.00
77332	Radiation treatment aid(s)	S	5611	117.59	0.00%	$0.00
77333	Radiation treatment aid(s)	S	5611	117.59	0.00%	$0.00
77334	Radiation treatment aid(s)	S	5612	311.57	0.01%	$0.03
77336	Radiation physics consult	S	5611	117.59	0.00%	$0.00
77338	Design mlc device for imrt	S	5612	311.57	0.00%	$0.00
77370	Radiation physics consult	S	5611	117.59	0.00%	$0.00
77371	Srs multisource	J1	5627	7455.99	0.02%	$1.49
77372	Srs linear based	J1	5627	7455.99	0.02%	$1.49
77373	Sbrt delivery	S	5626	1651.29	0.00%	$0.00
77385	Ntsty modul rad tx dlvr smpl	S	5623	494.63	0.00%	$0.00
77386	Ntsty modul rad tx dlvr cplx	S	5623	494.63	0.00%	$0.00
77399	External radiation dosimetry	S	5611	117.59	0.00%	$0.00
77401	Radiation treatment delivery	S	5621	114.35	0.00%	$0.00
77402	Radiation treatment delivery	S	5621	114.35	0.00%	$0.00
77407	Radiation treatment delivery	S	5621	114.35	0.00%	$0.00
77412	Radiation treatment delivery	S	5622	204.51	0.00%	$0.00
77422	Neutron beam tx simple	S	5623	494.63	0.00%	$0.00
77423	Neutron beam tx complex	S	5623	494.63	0.00%	$0.00
77424	Io rad tx delivery by x-ray	J1	5627	7455.99	4.47%	$333.28
77425	Io rad tx deliver by elctrns	J1	5627	7455.99	0.93%	$69.34
77470	Special radiation treatment	S	5623	494.63	0.00%	$0.00
77520	Proton trmt simple w/o comp	S	5623	494.63	0.00%	$0.00
77522	Proton trmt simple w/comp	S	5625	994.12	0.00%	$0.00
77523	Proton trmt intermediate	S	5625	994.12	0.00%	$0.00
77525	Proton treatment complex	S	5625	994.12	0.00%	$0.00
77600	Hyperthermia treatment	S	5622	204.51	0.00%	$0.00
77605	Hyperthermia treatment	S	5624	738.63	0.00%	$0.00
77750	Infuse radioactive materials	S	5622	204.51	0.00%	$0.00
77761	Apply intrcav radiat simple	S	5623	494.63	0.00%	$0.00
77762	Apply intrcav radiat interm	S	5623	494.63	0.00%	$0.00
77763	Apply intrcav radiat compl	S	5624	738.63	0.00%	$0.00
77776	Apply interstit radiat simpl	S	5624	738.63	0.00%	$0.00
77777	Apply interstit radiat inter	S	5622	204.51	0.00%	$0.00
77778	Apply interstit radiat compl	S	5624	738.63	2.61%	$19.28
77785	Hdr brachytx 1 channel	S	5624	738.63	0.00%	$0.00
77786	Hdr brachytx 2-12 channel	S	5624	738.63	0.03%	$0.22
77787	Hdr brachytx over 12 chan	S	5625	994.12	0.00%	$0.00
77789	Apply surf ldr radionuclide	S	5621	114.35	0.00%	$0.00
77799	Radium/radioisotope therapy	S	5621	114.35	0.00%	$0.00
78012	Thyroid uptake measurement	S	5591	333.08	0.00%	$0.00
78013	Thyroid imaging w/blood flow	S	5591	333.08	0.04%	$0.13
78014	Thyroid imaging w/blood flow	S	5591	333.08	0.00%	$0.00
78015	Thyroid met imaging	S	5591	333.08	0.00%	$0.00
78016	Thyroid met imaging/studies	S	5591	333.08	0.00%	$0.00
78018	Thyroid met imaging body	S	5592	429.13	0.00%	$0.00
78070	Parathyroid planar imaging	S	5591	333.08	0.00%	$0.00
78071	Parathyrd planar w/wo subtrj	S	5591	333.08	0.00%	$0.00
78072	Parathyrd planar w/spect&ct	S	5592	429.13	0.00%	$0.00
78075	Adrenal cortex & medulla img	S	5593	1138.94	0.00%	$0.00
78099	Endocrine nuclear procedure	S	5591	333.08	0.00%	$0.00
78102	Bone marrow imaging ltd	S	5591	333.08	0.08%	$0.27
78103	Bone marrow imaging mult	S	5591	333.08	0.00%	$0.00
78104	Bone marrow imaging body	S	5591	333.08	0.00%	$0.00
78110	Plasma volume single	S	5593	1138.94	0.00%	$0.00
78111	Plasma volume multiple	S	5593	1138.94	0.00%	$0.00
78120	Red cell mass single	S	5591	333.08	0.00%	$0.00
78121	Red cell mass multiple	S	5592	429.13	0.00%	$0.00
78122	Blood volume	S	5592	429.13	0.01%	$0.04
78140	Red cell sequestration	S	5591	333.08	0.00%	$0.00
78185	Spleen imaging	S	5591	333.08	0.00%	$0.00
78195	Lymph system imaging	S	5592	429.13	0.15%	$0.64
78199	Blood/lymph nuclear exam	S	5591	333.08	0.00%	$0.00
78201	Liver imaging	S	5593	1138.94	3.78%	$43.05
78202	Liver imaging with flow	S	5593	1138.94	0.00%	$0.00
78205	Liver imaging (3d)	S	5593	1138.94	0.34%	$3.87
78206	Liver image (3d) with flow	S	5592	429.13	0.01%	$0.04
78215	Liver and spleen imaging	S	5591	333.08	0.00%	$0.00
78216	Liver & spleen image/flow	S	5591	333.08	0.00%	$0.00
78226	Hepatobiliary system imaging	S	5591	333.08	0.06%	$0.20
78227	Hepatobil syst image w/drug	S	5592	429.13	0.01%	$0.04
78230	Salivary gland imaging	S	5591	333.08	0.00%	$0.00
78231	Serial salivary imaging	S	5591	333.08	0.00%	$0.00
78232	Salivary gland function exam	S	5591	333.08	0.00%	$0.00
78258	Esophageal motility study	S	5591	333.08	0.00%	$0.00
78261	Gastric mucosa imaging	S	5591	333.08	0.00%	$0.00
78262	Gastroesophageal reflux exam	S	5591	333.08	0.00%	$0.00
78264	Gastric emptying imag study	S	5591	333.08	0.00%	$0.00
78278	Acute gi blood loss imaging	S	5591	333.08	0.39%	$1.30
78290	Meckels divert exam	S	5591	333.08	0.00%	$0.00
78291	Leveen/shunt patency exam	S	5591	333.08	0.00%	$0.00
78299	Gi nuclear procedure	S	5591	333.08	0.00%	$0.00
78300	Bone imaging limited area	S	5591	333.08	0.00%	$0.00
78305	Bone imaging multiple areas	S	5591	333.08	0.00%	$0.00
78306	Bone imaging whole body	S	5591	333.08	0.00%	$0.00
78315	Bone imaging 3 phase	S	5591	333.08	0.01%	$0.03
78320	Bone imaging (3d)	S	5592	429.13	0.00%	$0.00
78399	Musculoskeletal nuclear exam	S	5591	333.08	0.00%	$0.00
78428	Cardiac shunt imaging	S	5591	333.08	0.00%	$0.00
78445	Vascular flow imaging	S	5591	333.08	0.00%	$0.00
78451	Ht muscle image spect sing	S	5593	1138.94	0.07%	$0.80
78452	Ht muscle image spect mult	S	5593	1138.94	0.00%	$0.00
78453	Ht muscle image planar sing	S	5593	1138.94	0.00%	$0.00
78454	Ht musc image planar mult	S	5593	1138.94	0.06%	$0.68
78457	Venous thrombosis imaging	S	5593	1138.94	0.88%	$10.02
78458	Ven thrombosis images bilat	S	5591	333.08	0.00%	$0.00
78459	Heart muscle imaging (pet)	S	5593	1138.94	0.00%	$0.00
78466	Heart infarct image	S	5591	333.08	0.00%	$0.00
78468	Heart infarct image (ef)	S	5592	429.13	0.00%	$0.00
78469	Heart infarct image (3d)	S	5593	1138.94	0.00%	$0.00
78472	Gated heart planar single	S	5591	333.08	0.02%	$0.07
78473	Gated heart multiple	S	5591	333.08	0.00%	$0.00
78481	Heart first pass single	S	5592	429.13	0.00%	$0.00
78483	Heart first pass multiple	S	5592	429.13	0.00%	$0.00
78491	Heart image (pet) single	S	5594	1321.53	0.00%	$0.00
78492	Heart image (pet) multiple	S	5594	1321.53	0.00%	$0.00
78494	Heart image spect	S	5591	333.08	0.00%	$0.00
78499	Cardiovascular nuclear exam	S	5591	333.08	0.00%	$0.00
78579	Lung ventilation imaging	S	5591	333.08	0.00%	$0.00
78580	Lung perfusion imaging	S	5591	333.08	0.15%	$0.50
78582	Lung ventilat&perfus imaging	S	5592	429.13	0.03%	$0.13
78597	Lung perfusion differential	S	5591	333.08	0.11%	$0.37
78598	Lung perf&ventilat diferentl	S	5592	429.13	0.00%	$0.00
78599	Respiratory nuclear exam	S	5591	333.08	0.00%	$0.00
78600	Brain image < 4 views	S	5591	333.08	0.00%	$0.00
78601	Brain image w/flow < 4 views	S	5591	333.08	0.00%	$0.00
78605	Brain image 4+ views	S	5592	429.13	0.00%	$0.00
78606	Brain image w/flow 4 + views	S	5592	429.13	0.36%	$1.54
78607	Brain imaging (3d)	S	5593	1138.94	0.00%	$0.00
78608	Brain imaging (pet)	S	5594	1321.53	0.00%	$0.00
78610	Brain flow imaging only	S	5592	429.13	0.00%	$0.00
78630	Cerebrospinal fluid scan	S	5592	429.13	0.00%	$0.00
78635	Csf ventriculography	S	5592	429.13	0.00%	$0.00
78645	Csf shunt evaluation	S	5592	429.13	0.00%	$0.00
78647	Cerebrospinal fluid scan	S	5593	1138.94	0.00%	$0.00
78650	Csf leakage imaging	S	5593	1138.94	0.00%	$0.00
78660	Nuclear exam of tear flow	S	5591	333.08	0.00%	$0.00
78699	Nervous system nuclear exam	S	5591	333.08	0.00%	$0.00
78700	Kidney imaging morphol	S	5591	333.08	0.00%	$0.00
78701	Kidney imaging with flow	S	5591	333.08	0.00%	$0.00
78707	K flow/funct image w/o drug	S	5592	429.13	0.04%	$0.17
78708	K flow/funct image w/drug	S	5592	429.13	0.02%	$0.09
78709	K flow/funct image multiple	S	5592	429.13	0.00%	$0.00
78710	Kidney imaging (3d)	S	5592	429.13	0.00%	$0.00
78725	Kidney function study	S	5591	333.08	0.00%	$0.00
78740	Ureteral reflux study	S	5591	333.08	0.00%	$0.00
78761	Testicular imaging w/flow	S	5591	333.08	0.00%	$0.00
78799	Genitourinary nuclear exam	S	5591	333.08	1.25%	$4.16
78800	Tumor imaging limited area	S	5591	333.08	0.15%	$0.50
78801	Tumor imaging mult areas	S	5591	333.08	0.00%	$0.00
78802	Tumor imaging whole body	S	5593	1138.94	0.00%	$0.00
78803	Tumor imaging (3d)	S	5592	429.13	0.04%	$0.17
78804	Tumor imaging whole body	S	5593	1138.94	0.00%	$0.00
78805	Abscess imaging ltd area	S	5593	1138.94	0.01%	$0.11
78806	Abscess imaging whole body	S	5593	1138.94	0.06%	$0.68
78807	Nuclear localization/abscess	S	5592	429.13	0.09%	$0.39
78808	Iv inj ra drug dx study	N	5591	333.08	0.00%	$0.00
78811	Pet image ltd area	S	5593	1138.94	0.00%	$0.00
78812	Pet image skull-thigh	S	5594	1321.53	0.00%	$0.00
78813	Pet image full body	S	5594	1321.53	0.00%	$0.00
78814	Pet image w/ct lmtd	S	5594	1321.53	0.00%	$0.00
78815	Pet image w/ct skull-thigh	S	5594	1321.53	0.01%	$0.13
78816	Pet image w/ct full body	S	5594	1321.53	0.01%	$0.13
78999	Nuclear diagnostic exam	S	5591	333.08	0.00%	$0.00
79005	Nuclear rx oral admin	S	5661	216.68	0.00%	$0.00
79101	Nuclear rx iv admin	S	5661	216.68	0.07%	$0.15
79200	Nuclear rx intracav admin	S	5661	216.68	0.00%	$0.00
79403	Hematopoietic nuclear tx	S	5661	216.68	0.00%	$0.00
79440	Nuclear rx intra-articular	S	5661	216.68	0.00%	$0.00
79445	Nuclear rx intra-arterial	S	5661	216.68	12.23%	$26.50
79999	Nuclear medicine therapy	S	5661	216.68	0.00%	$0.00
80500	Lab pathology consultation	N	5671	39.7	-0.01%	$0.00
80502	Lab pathology consultation	N	5671	39.7	0.00%	$0.00
85097	Bone marrow interpretation	N	5674	454.16	0.13%	$0.59
86077	Phys blood bank serv xmatch	N	5732	28.38	0.00%	$0.00
86078	Phys blood bank serv reactj	N	5672	103.88	0.00%	$0.00
86079	Phys blood bank serv authrj	N	5672	103.88	0.00%	$0.00
86485	Skin test candida	N	5732	28.38	0.00%	$0.00
86486	Skin test nos antigen	N	5731	12.62	0.00%	$0.00
86490	Coccidioidomycosis skin test	N	5733	54.55	0.00%	$0.00
86510	Histoplasmosis skin test	N	5733	54.55	0.00%	$0.00
86580	Tb intradermal test	N	5731	12.62	0.00%	$0.00
86850	Rbc antibody screen	N	5671	39.7	0.01%	$0.00
86860	Rbc antibody elution	N	5672	103.88	0.00%	$0.00
86870	Rbc antibody identification	N	5673	184.01	0.14%	$0.26
86880	Coombs test direct	N	5732	28.38	0.00%	$0.00
86885	Coombs test indirect qual	N	5672	103.88	0.24%	$0.25
86886	Coombs test indirect titer	N	5672	103.88	0.33%	$0.34
86890	Autologous blood process	N	5673	184.01	0.00%	$0.00
86891	Autologous blood op salvage	N	5674	454.16	27.59%	$125.30
86900	Blood typing serologic abo	N	5733	54.55	0.11%	$0.06
86901	Blood typing serologic rh(d)	N	5732	28.38	0.00%	$0.00
86902	Blood type antigen donor ea	N	5673	184.01	0.22%	$0.40
86904	Blood typing patient serum	N	5732	28.38	0.00%	$0.00
86905	Blood typing rbc antigens	N	5673	184.01	0.38%	$0.70
86906	Bld typing serologic rh phnt	N	5732	28.38	0.00%	$0.00
86920	Compatibility test spin	N	5672	103.88	0.20%	$0.21
86921	Compatibility test incubate	N	5672	103.88	0.15%	$0.16
86922	Compatibility test antiglob	N	5672	103.88	0.12%	$0.12
86923	Compatibility test electric	N	5672	103.88	0.23%	$0.24
86927	Plasma fresh frozen	S	5673	184.01	6.85%	$12.60
86930	Frozen blood prep	N	5673	184.01	0.00%	$0.00
86931	Frozen blood thaw	N	5673	184.01	4.09%	$7.53
86945	Blood product/irradiation	N	5732	28.38	0.00%	$0.00
86950	Leukacyte transfusion	N	5672	103.88	0.00%	$0.00
86960	Vol reduction of blood/prod	N	5672	103.88	0.82%	$0.85
86965	Pooling blood platelets	N	5672	103.88	0.62%	$0.64
86970	Rbc pretx incubatj w/chemicl	N	5732	28.38	0.00%	$0.00
86971	Rbc pretx incubatj w/enzymes	N	5673	184.01	0.00%	$0.00
86972	Rbc pretx incubatj w/density	N	5672	103.88	0.00%	$0.00
86975	Rbc serum pretx incubj drugs	N	5732	28.38	0.00%	$0.00
86977	Rbc serum pretx incubj/inhib	N	5672	103.88	-0.01%	-$0.01
86978	Rbc pretreatment serum	N	5731	12.62	0.00%	$0.00
86985	Split blood or products	N	5672	103.88	0.01%	$0.01
86999	Transfusion procedure	N	5731	12.62	0.00%	$0.00
88104	Cytopath fl nongyn smears	N	5732	28.38	0.04%	$0.01
88106	Cytopath fl nongyn filter	N	5732	28.38	0.00%	$0.00
88108	Cytopath concentrate tech	N	5732	28.38	0.00%	$0.00
88112	Cytopath cell enhance tech	N	5671	39.7	0.04%	$0.02
88120	Cytp urne 3-5 probes ea spec	N	5673	184.01	0.01%	$0.02
88121	Cytp urine 3-5 probes cmptr	N	5673	184.01	0.00%	$0.00
88125	Forensic cytopathology	N	5671	39.7	0.00%	$0.00
88160	Cytopath smear other source	N	5731	12.62	0.00%	$0.00
88161	Cytopath smear other source	N	5732	28.38	0.00%	$0.00
88162	Cytopath smear other source	N	5671	39.7	0.18%	$0.07
88172	Cytp dx eval fna 1st ea site	N	5673	184.01	0.17%	$0.31
88173	Cytopath eval fna report	N	5671	39.7	0.04%	$0.02
88182	Cell marker study	N	5671	39.7	-0.01%	$0.00
88184	Flowcytometry/ tc 1 marker	N	5673	184.01	0.06%	$0.11
88199	Cytopathology procedure	N	5671	39.7	0.00%	$0.00
88299	Cytogenetic study	N	5671	39.7	-0.01%	$0.00
88300	Surgical path gross	N	5732	28.38	0.49%	$0.14
88302	Tissue exam by pathologist	N	5732	28.38	1.61%	$0.46
88304	Tissue exam by pathologist	N	5671	39.7	0.11%	$0.04
88305	Tissue exam by pathologist	N	5671	39.7	0.02%	$0.01
88307	Tissue exam by pathologist	N	5673	184.01	4.46%	$8.21
88309	Tissue exam by pathologist	N	5674	454.16	6.26%	$28.43
88312	Special stains group 1	N	5671	39.7	0.18%	$0.07
88313	Special stains group 2	N	5732	28.38	0.04%	$0.01
88319	Enzyme histochemistry	N	5674	454.16	0.02%	$0.09
88321	Microslide consultation	N	5732	28.38	0.00%	$0.00
88323	Microslide consultation	N	5672	103.88	0.00%	$0.00
88325	Comprehensive review of data	N	5671	39.7	0.00%	$0.00
88329	Path consult introp	N	5732	28.38	0.00%	$0.00
88331	Path consult intraop 1 bloc	N	5672	103.88	0.07%	$0.07
88333	Intraop cyto path consult 1	N	5674	454.16	1.25%	$5.68
88342	Immunohisto antb 1st stain	N	5673	184.01	0.21%	$0.39
88344	Immunohisto antibody slide	N	5673	184.01	0.03%	$0.06
88346	Immunofluor antb 1st stain	N	5673	184.01	0.01%	$0.02
88347	Immunofluorescent study	N	5671	39.7	0.01%	$0.00
88348	Electron microscopy	N	5674	454.16	0.22%	$1.00
88356	Analysis nerve	N	5672	103.88	0.00%	$0.00
88358	Analysis tumor	N	5673	184.01	0.00%	$0.00
88360	Tumor immunohistochem/manual	N	5673	184.01	0.41%	$0.75
88361	Tumor immunohistochem/comput	N	5673	184.01	0.57%	$1.05
88362	Nerve teasing preparations	N	5674	454.16	0.00%	$0.00
88363	Xm archive tissue molec anal	N	5731	12.62	0.00%	$0.00
88365	Insitu hybridization (fish)	N	5672	103.88	0.04%	$0.04
88366	Insitu hybridization (fish)	N	5673	184.01	0.00%	$0.00
88367	Insitu hybridization auto	N	5673	184.01	0.19%	$0.35
88368	Insitu hybridization manual	N	5673	184.01	0.02%	$0.04
88374	M/phmtrc alys ishquant/semiq	N	5672	103.88	0.03%	$0.03
88377	M/phmtrc alys ishquant/semiq	N	5672	103.88	0.03%	$0.03
88399	Surgical pathology procedure	N	5671	39.7	0.00%	$0.00
89220	Sputum specimen collection	N	5672	103.88	0.67%	$0.70
89230	Collect sweat for test	N	5671	39.7	0.01%	$0.00
89240	Pathology lab procedure	N	5671	39.7	-0.02%	-$0.01
89259	Cryopreservation sperm	N	5672	103.88	0.00%	$0.00
89260	Sperm isolation simple	N	5671	39.7	0.00%	$0.00
89261	Sperm isolation complex	N	5671	39.7	0.00%	$0.00
89272	Extended culture of oocytes	N	5674	454.16	0.00%	$0.00
89281	Assist oocyte fertilization	N	5672	103.88	0.00%	$0.00
89291	Biopsy oocyte polar body	N	5672	103.88	0.00%	$0.00
89342	Storage/year embryo(s)	N	5672	103.88	0.00%	$0.00
89343	Storage/year sperm/semen	N	5672	103.88	0.00%	$0.00
89344	Storage/year reprod tissue	N	5672	103.88	0.00%	$0.00
89398	Unlisted reprod med lab proc	N	5671	39.7	-0.01%	$0.00
90471	Immunization admin	S	5692	53.17	0.01%	$0.01
90473	Immune admin oral/nasal	S	5692	53.17	0.00%	$0.00
90791	Psych diagnostic evaluation	S	5823	126.01	0.00%	$0.00
90792	Psych diag eval w/med srvcs	S	5823	126.01	0.00%	$0.00
90832	Psytx w pt 30 minutes	S	5822	70.26	0.00%	$0.00
90834	Psytx w pt 45 minutes	S	5823	126.01	0.00%	$0.00
90837	Psytx w pt 60 minutes	S	5823	126.01	0.00%	$0.00
90839	Psytx crisis initial 60 min	S	5823	126.01	0.00%	$0.00
90845	Psychoanalysis	S	5823	126.01	0.00%	$0.00
90846	Family psytx w/o pt 50 min	S	5823	126.01	0.00%	$0.00
90847	Family psytx w/pt 50 min	S	5823	126.01	0.00%	$0.00
90849	Multiple family group psytx	S	5823	126.01	0.00%	$0.00
90853	Group psychotherapy	S	5822	70.26	0.00%	$0.00
90865	Narcosynthesis	S	5823	126.01	0.00%	$0.00
90867	Tcranial magn stim tx plan	S	5722	232.31	0.00%	$0.00
90868	Tcranial magn stim tx deli	S	5722	232.31	0.00%	$0.00
90869	Tcran magn stim redetemine	S	5721	127.1	0.00%	$0.00
90870	Electroconvulsive therapy	S	5723	415.87	0.01%	$0.04
90880	Hypnotherapy	S	5823	126.01	-0.01%	-$0.01
90899	Psychiatric service/therapy	S	5823	126.01	0.00%	$0.00
90911	Biofeedback peri/uro/rectal	S	5721	127.1	0.01%	$0.01
90935	Hemodialysis one evaluation	S	5401	552.58	0.48%	$2.65
90945	Dialysis one evaluation	V	5024	332.41	0.19%	$0.63
91010	Esophagus motility study	S	5723	415.87	0.37%	$1.54
91020	Gastric motility studies	S	5723	415.87	0.60%	$2.50
91022	Duodenal motility study	S	5724	864.54	0.00%	$0.00
91030	Acid perfusion of esophagus	S	5723	415.87	0.00%	$0.00
91034	Gastroesophageal reflux test	S	5723	415.87	1.03%	$4.28
91035	G-esoph reflx tst w/electrod	S	5723	415.87	2.42%	$10.06
91037	Esoph imped function test	S	5722	232.31	0.04%	$0.09
91038	Esoph imped funct test > 1hr	S	5723	415.87	0.47%	$1.95
91040	Esoph balloon distension tst	S	5723	415.87	0.00%	$0.00
91065	Breath hydrogen/methane test	S	5721	127.1	0.01%	$0.01
91110	Gi tract capsule endoscopy	T	5301	699.79	2.62%	$18.33
91111	Esophageal capsule endoscopy	T	5301	699.79	7.01%	$49.06
91112	Gi wireless capsule measure	T	5301	699.79	10.68%	$74.74
91117	Colon motility 6 hr study	T	5371	216.04	0.00%	$0.00
91120	Rectal sensation test	S	5721	127.1	0.09%	$0.11
91122	Anal pressure record	T	5371	216.04	0.74%	$1.60
91132	Electrogastrography	S	5721	127.1	0.00%	$0.00
91133	Electrogastrography w/test	N	5734	100.02	0.00%	$0.00
91200	Liver elastography	N	5721	127.1	0.00%	$0.00
91299	Gastroenterology procedure	S	5721	127.1	0.00%	$0.00
92002	Eye exam new patient	V	5012	106.61	0.00%	$0.00
92004	Eye exam new patient	V	5012	106.61	0.00%	$0.00
92012	Eye exam establish patient	V	5012	106.61	0.01%	$0.01
92014	Eye exam&tx estab pt 1/>vst	V	5012	106.61	0.00%	$0.00
92018	New eye exam & treatment	J1	5503	1701.48	0.42%	$7.15
92019	Eye exam & treatment	J1	5503	1701.48	0.00%	$0.00
92020	Special eye evaluation	N	5734	100.02	0.00%	$0.00
92025	Corneal topography	N	5733	54.55	0.00%	$0.00
92060	Special eye evaluation	N	5733	54.55	0.00%	$0.00
92065	Orthoptic/pleoptic training	N	5733	54.55	0.00%	$0.00
92081	Visual field examination(s)	N	5733	54.55	0.00%	$0.00
92082	Visual field examination(s)	N	5733	54.55	0.00%	$0.00
92083	Visual field examination(s)	N	5734	100.02	0.00%	$0.00
92132	Cmptr ophth dx img ant segmt	N	5733	54.55	0.00%	$0.00
92133	Cmptr ophth img optic nerve	N	5733	54.55	0.00%	$0.00
92134	Cptr ophth dx img post segmt	N	5733	54.55	0.00%	$0.00
92136	Ophthalmic biometry	N	5734	100.02	0.01%	$0.01
92140	Glaucoma provocative tests	N	5734	100.02	0.00%	$0.00
92225	Special eye exam initial	N	5733	54.55	0.00%	$0.00
92226	Special eye exam subsequent	N	5733	54.55	0.00%	$0.00
92227	Remote dx retinal imaging	N	5732	28.38	0.00%	$0.00
92228	Remote retinal imaging mgmt	N	5735	263.61	0.00%	$0.00
92230	Eye exam with photos	N	5735	263.61	0.00%	$0.00
92235	Fluorescein angrph uni/bi	S	5722	232.31	0.00%	$0.00
92240	Icg angiography uni/bi	S	5722	232.31	0.00%	$0.00
92250	Eye exam with photos	N	5734	100.02	0.00%	$0.00
92260	Ophthalmoscopy/dynamometry	N	5732	28.38	0.00%	$0.00
92265	Eye muscle evaluation	N	5733	54.55	0.00%	$0.00
92270	Electro-oculography	N	5734	100.02	0.00%	$0.00
92275	Electroretinography	S	5722	232.31	0.00%	$0.00
92283	Color vision examination	N	5733	54.55	0.00%	$0.00
92284	Dark adaptation eye exam	N	5735	263.61	0.00%	$0.00
92285	Eye photography	N	5733	54.55	0.00%	$0.00
92286	Internal eye photography	N	5734	100.02	0.00%	$0.00
92311	Contact lens fitting	N	5735	263.61	0.00%	$0.00
92312	Contact lens fitting	N	5734	100.02	0.00%	$0.00
92313	Contact lens fitting	N	5733	54.55	0.00%	$0.00
92315	Rx cntact lens aphakia 1 eye	N	5734	100.02	0.00%	$0.00
92316	Rx cntact lens aphakia 2 eye	N	5733	54.55	0.00%	$0.00
92317	Rx corneoscleral cntact lens	N	5732	28.38	0.00%	$0.00
92325	Modification of contact lens	N	5734	100.02	0.00%	$0.00
92326	Replacement of contact lens	N	5733	54.55	0.00%	$0.00
92499	Eye service or procedure	N	5731	12.62	0.00%	$0.00
92502	Ear and throat examination	T	5162	442.62	0.19%	$0.84
92511	Nasopharyngoscopy	T	5151	146.2	0.00%	$0.00
92512	Nasal function studies	S	5722	232.31	0.00%	$0.00
92516	Facial nerve function test	S	5721	127.1	0.00%	$0.00
92520	Laryngeal function studies	N	5734	100.02	0.00%	$0.00
92540	Basic vestibular evaluation	S	5721	127.1	0.00%	$0.00
92541	Spontaneous nystagmus test	N	5734	100.02	0.00%	$0.00
92542	Positional nystagmus test	N	5734	100.02	0.00%	$0.00
92543	Caloric vestibular test	S	5721	127.1	0.00%	$0.00
92544	Optokinetic nystagmus test	S	5721	127.1	0.00%	$0.00
92545	Oscillating tracking test	S	5721	127.1	0.00%	$0.00
92546	Sinusoidal rotational test	S	5721	127.1	0.00%	$0.00
92548	Posturography	N	5734	100.02	0.00%	$0.00
92550	Tympanometry & reflex thresh	N	5721	127.1	0.00%	$0.00
92552	Pure tone audiometry air	N	5733	54.55	0.00%	$0.00
92553	Audiometry air & bone	N	5721	127.1	0.00%	$0.00
92555	Speech threshold audiometry	N	5732	28.38	0.00%	$0.00
92556	Speech audiometry complete	N	5732	28.38	0.00%	$0.00
92557	Comprehensive hearing test	N	5721	127.1	0.00%	$0.00
92562	Loudness balance test	N	5721	127.1	0.00%	$0.00
92563	Tone decay hearing test	N	5732	28.38	0.00%	$0.00
92567	Tympanometry	N	5732	28.38	0.00%	$0.00
92568	Acoustic refl threshold tst	N	5732	28.38	0.00%	$0.00
92570	Acoustic immitance testing	N	5721	127.1	0.00%	$0.00
92576	Synthetic sentence test	N	5732	28.38	0.00%	$0.00
92577	Stenger test speech	N	5723	415.87	0.00%	$0.00
92579	Visual audiometry (vra)	N	5721	127.1	0.00%	$0.00
92582	Conditioning play audiometry	N	5721	127.1	0.00%	$0.00
92584	Electrocochleography	S	5721	127.1	0.00%	$0.00
92585	Auditor evoke potent compre	S	5722	232.31	0.01%	$0.02
92586	Auditor evoke potent limit	S	5721	127.1	0.00%	$0.00
92587	Evoked auditory test limited	S	5722	232.31	0.00%	$0.00
92588	Evoked auditory tst complete	S	5722	232.31	0.00%	$0.00
92596	Ear protector evaluation	N	5732	28.38	0.00%	$0.00
92601	Cochlear implt f/up exam <7	S	5721	127.1	0.00%	$0.00
92602	Reprogram cochlear implt 7/>	S	5721	127.1	0.00%	$0.00
92603	Cochlear implt f/up exam 7/>	S	5721	127.1	0.00%	$0.00
92604	Reprogram cochlear implt 7/>	S	5721	127.1	0.00%	$0.00
92620	Auditory function 60 min	N	5721	127.1	0.00%	$0.00
92625	Tinnitus assessment	N	5721	127.1	0.00%	$0.00
92626	Eval aud rehab status	N	5721	127.1	0.00%	$0.00
92640	Aud brainstem implt programg	S	5721	127.1	0.00%	$0.00
92700	Ent procedure/service	N	5731	12.62	0.00%	$0.00
92920	Prq cardiac angioplast 1 art	J1	5192	4825.2	28.36%	"$1,368.43"
92924	Prq card angio/athrect 1 art	J1	5193	9752.43	45.85%	"$4,471.49"
92928	Prq card stent w/angio 1 vsl	J1	5193	9752.43	36.06%	"$3,516.73"
92933	Prq card stent/ath/angio	J1	5194	14782.14	52.01%	"$7,688.19"
92937	Prq revasc byp graft 1 vsl	J1	5193	9752.43	35.15%	"$3,427.98"
9294A	CPX 92941 Prq card revasc mi	J1	5194	14782.14	37.56%	"$5,552.17"
92941	Prq card revasc mi 1 vsl	J1	5193	9752.43	29.34%	"$2,861.36"
92943	Prq card revasc chronic 1vsl	J1	5193	9752.43	41.54%	"$4,051.16"
92950	Heart/lung resuscitation cpr	S	5722	232.31	0.11%	$0.26
92953	Temporary external pacing	S	5781	481.34	0.00%	$0.00
92960	Cardioversion electric ext	S	5781	481.34	0.05%	$0.24
92961	Cardioversion electric int	S	5781	481.34	0.91%	$4.38
92977	Dissolve clot heart vessel	T	5694	279.45	24.70%	$69.02
92986	Revision of aortic valve	J1	5192	4825.2	34.53%	"$1,666.14"
92987	Revision of mitral valve	J1	5193	9752.43	39.41%	"$3,843.43"
92990	Revision of pulmonary valve	J1	5193	9752.43	27.06%	"$2,639.01"
92997	Pul art balloon repr percut	J1	5193	9752.43	25.75%	"$2,511.25"
93005	Electrocardiogram tracing	N	5733	54.55	0.11%	$0.06
93017	Cardiovascular stress test	N	5722	232.31	0.00%	$0.00
93025	Microvolt t-wave assess	S	5721	127.1	0.00%	$0.00
93041	Rhythm ecg tracing	N	5733	54.55	0.30%	$0.16
93225	Ecg monit/reprt up to 48 hrs	N	5734	100.02	0.01%	$0.01
93226	Ecg monit/reprt up to 48 hrs	N	5734	100.02	0.00%	$0.00
93229	Remote 30 day ecg tech supp	S	5733	54.55	0.00%	$0.00
93260	Prgrmg dev eval impltbl sys	N	5741	35.15	0.10%	$0.04
93261	Interrogate subq defib	N	5741	35.15	0.01%	$0.00
93270	Remote 30 day ecg rev/report	N	5741	35.15	0.00%	$0.00
93271	Ecg/monitoring and analysis	S	5742	109.22	0.00%	$0.00
93278	Ecg/signal-averaged	N	5733	54.55	0.00%	$0.00
93279	Pm device progr eval sngl	N	5741	35.15	0.00%	$0.00
93280	Pm device progr eval dual	N	5741	35.15	0.00%	$0.00
93281	Pm device progr eval multi	N	5741	35.15	-0.01%	$0.00
93282	Prgrmg eval implantable dfb	N	5741	35.15	0.00%	$0.00
93283	Prgrmg eval implantable dfb	N	5741	35.15	0.00%	$0.00
93284	Prgrmg eval implantable dfb	N	5741	35.15	0.00%	$0.00
93285	Ilr device eval progr	N	5741	35.15	0.01%	$0.00
93288	Pm device eval in person	N	5741	35.15	0.01%	$0.00
93289	Interrog device eval heart	N	5741	35.15	0.01%	$0.00
93290	Icm device eval	N	5741	35.15	0.00%	$0.00
93291	Ilr device interrogate	N	5732	28.38	0.00%	$0.00
93292	Wcd device interrogate	N	5741	35.15	0.01%	$0.00
93293	Pm phone r-strip device eval	N	5741	35.15	-0.01%	$0.00
93296	Pm/icd remote tech serv	N	5741	35.15	-0.01%	$0.00
93299	Icm/ilr remote tech serv	N	5741	35.15	0.00%	$0.00
93303	Echo transthoracic	S	5524	449.68	0.00%	$0.00
93304	Echo transthoracic	S	5524	449.68	0.00%	$0.00
93306	Tte w/doppler complete	S	5524	449.68	0.00%	$0.00
93307	Tte w/o doppler complete	S	5524	449.68	0.06%	$0.27
93308	Tte f-up or lmtd	S	5523	225.91	0.07%	$0.16
93312	Echo transesophageal	S	5524	449.68	0.08%	$0.36
93313	Echo transesophageal	S	5524	449.68	0.09%	$0.40
93315	Echo transesophageal	S	5524	449.68	0.00%	$0.00
93318	Echo transesophageal intraop	S	5524	449.68	8.52%	$38.31
93350	Stress tte only	S	5524	449.68	0.00%	$0.00
93351	Stress tte complete	S	5524	449.68	0.00%	$0.00
9345A	CPX 93451 Right heart cath	J1	5192	4825.2	10.93%	$527.39
93451	Right heart cath	J1	5191	2833.55	8.11%	$229.80
93452	Left hrt cath w/ventrclgrphy	J1	5191	2833.55	8.43%	$238.87
93453	R&l hrt cath w/ventriclgrphy	J1	5191	2833.55	13.50%	$382.53
93454	Coronary artery angio s&i	J1	5191	2833.55	13.85%	$392.45
93455	Coronary art/grft angio s&i	J1	5191	2833.55	14.07%	$398.68
93456	R hrt coronary artery angio	J1	5191	2833.55	12.46%	$353.06
93457	R hrt art/grft angio	J1	5191	2833.55	12.24%	$346.83
93458	L hrt artery/ventricle angio	J1	5191	2833.55	11.66%	$330.39
93459	L hrt art/grft angio	J1	5191	2833.55	11.73%	$332.38
93460	R&l hrt art/ventricle angio	J1	5191	2833.55	13.89%	$393.58
93461	R&l hrt art/ventricle angio	J1	5191	2833.55	14.18%	$401.80
93503	Insert/place heart catheter	T	5181	684.13	8.19%	$56.03
93505	Biopsy of heart lining	T	5182	2360.6	8.86%	$209.15
93530	Rt heart cath congenital	J1	5191	2833.55	12.76%	$361.56
93531	R & l heart cath congenital	J1	5191	2833.55	11.91%	$337.48
93532	R & l heart cath congenital	J1	5191	2833.55	51.89%	"$1,470.33"
93533	R & l heart cath congenital	J1	5191	2833.55	17.41%	$493.32
93580	Transcath closure of asd	J1	5194	14782.14	64.64%	"$9,555.18"
93581	Transcath closure of vsd	J1	5194	14782.14	53.35%	"$7,886.27"
93582	Perq transcath closure pda	J1	5194	14782.14	43.30%	"$6,400.67"
93600	Bundle of his recording	J1	5212	5006.4	30.28%	"$1,515.94"
93602	Intra-atrial recording	J1	5212	5006.4	29.29%	"$1,466.37"
93603	Right ventricular recording	J1	5211	866.85	34.66%	$300.45
93610	Intra-atrial pacing	J1	5212	5006.4	36.41%	"$1,822.83"
93612	Intraventricular pacing	J1	5212	5006.4	20.69%	"$1,035.82"
93615	Esophageal recording	J1	5211	866.85	0.00%	$0.00
93618	Heart rhythm pacing	J1	5211	866.85	34.65%	$300.36
93619	Electrophysiology evaluation	J1	5212	5006.4	29.20%	"$1,461.87"
93620	Electrophysiology evaluation	J1	5212	5006.4	24.77%	"$1,240.09"
93624	Electrophysiologic study	J1	5212	5006.4	17.71%	$886.63
93642	Electrophysiology evaluation	J1	5211	866.85	0.22%	$1.91
93650	Ablate heart dysrhythm focus	J1	5212	5006.4	41.80%	"$2,092.68"
93653	Ep & ablate supravent arrhyt	J1	5213	16785.23	34.34%	"$5,764.05"
93654	Ep & ablate ventric tachy	J1	5213	16785.23	39.13%	"$6,568.06"
93656	Tx atrial fib pulm vein isol	J1	5213	16785.23	44.08%	"$7,398.93"
93660	Tilt table evaluation	S	5723	415.87	0.02%	$0.08
93701	Bioimpedance cv analysis	N	5735	263.61	0.00%	$0.00
93702	Bis xtracell fluid analysis	S	5721	127.1	0.01%	$0.01
93724	Analyze pacemaker system	S	5743	252.63	0.47%	$1.19
93740	Temperature gradient studies	N	5721	127.1	0.00%	$0.00
93745	Set-up cardiovert-defibrill	S	5743	252.63	0.00%	$0.00
93750	Interrogation vad in person	S	5742	109.22	0.22%	$0.24
93786	Ambulatory bp recording	N	5734	100.02	0.00%	$0.00
93788	Ambulatory bp analysis	N	5734	100.02	0.00%	$0.00
93797	Cardiac rehab	S	5771	110.22	0.00%	$0.00
93798	Cardiac rehab/monitor	S	5771	110.22	0.00%	$0.00
93799	Cardiovascular procedure	S	5721	127.1	2.41%	$3.06
93880	Extracranial bilat study	S	5523	225.91	0.00%	$0.00
93882	Extracranial uni/ltd study	S	5522	112.73	0.01%	$0.01
93886	Intracranial complete study	S	5523	225.91	0.00%	$0.00
93888	Intracranial limited study	S	5522	112.73	0.00%	$0.00
93890	Tcd vasoreactivity study	N	5523	225.91	0.00%	$0.00
93892	Tcd emboli detect w/o inj	N	5522	112.73	0.74%	$0.83
93893	Tcd emboli detect w/inj	N	5522	112.73	0.00%	$0.00
93922	Upr/l xtremity art 2 levels	N	5734	100.02	0.01%	$0.01
93923	Upr/lxtr art stdy 3+ lvls	S	5721	127.1	0.00%	$0.00
93924	Lwr xtr vasc stdy bilat	S	5721	127.1	0.00%	$0.00
93925	Lower extremity study	S	5523	225.91	0.01%	$0.02
93926	Lower extremity study	S	5522	112.73	0.01%	$0.01
93930	Upper extremity study	S	5523	225.91	0.00%	$0.00
93931	Upper extremity study	S	5522	112.73	0.00%	$0.00
93965	Extremity study	S	5721	127.1	0.00%	$0.00
93970	Extremity study	S	5523	225.91	0.00%	$0.00
93971	Extremity study	S	5522	112.73	0.00%	$0.00
93975	Vascular study	S	5523	225.91	0.00%	$0.00
93976	Vascular study	S	5522	112.73	0.00%	$0.00
93978	Vascular study	S	5523	225.91	0.00%	$0.00
93979	Vascular study	N	5522	112.73	0.00%	$0.00
93980	Penile vascular study	S	5522	112.73	0.00%	$0.00
93981	Penile vascular study	S	5523	225.91	0.00%	$0.00
93982	Aneurysm pressure sens study	N	5721	127.1	0.00%	$0.00
93990	Doppler flow testing	N	5522	112.73	0.02%	$0.02
93998	Noninvas vasc dx study proc	N	5731	12.62	0.00%	$0.00
94002	Vent mgmt inpat init day	S	5801	423.95	0.69%	$2.93
94003	Vent mgmt inpat subq day	S	5801	423.95	0.37%	$1.57
94010	Breathing capacity test	N	5721	127.1	0.01%	$0.01
94011	Spirometry up to 2 yrs old	N	5721	127.1	0.00%	$0.00
94013	Meas lung vol thru 2 yrs	S	5723	415.87	0.00%	$0.00
94014	Patient recorded spirometry	N	5735	263.61	0.00%	$0.00
94015	Patient recorded spirometry	N	5722	232.31	0.00%	$0.00
94060	Evaluation of wheezing	S	5722	232.31	0.00%	$0.00
94070	Evaluation of wheezing	S	5722	232.31	0.00%	$0.00
94150	Vital capacity test	N	5721	127.1	1.72%	$2.19
94200	Lung function test (mbc/mvv)	N	5734	100.02	0.10%	$0.10
94250	Expired gas collection	N	5733	54.55	0.00%	$0.00
94375	Respiratory flow volume loop	N	5722	232.31	0.02%	$0.05
94400	Co2 breathing response curve	N	5721	127.1	0.00%	$0.00
94450	Hypoxia response curve	N	5721	127.1	0.00%	$0.00
94452	Hast w/report	N	5734	100.02	0.00%	$0.00
94453	Hast w/oxygen titrate	N	5734	100.02	0.00%	$0.00
94610	Surfactant admin thru tube	N	5791	162.08	0.00%	$0.00
94620	Pulmonary stress test/simple	N	5734	100.02	0.01%	$0.01
94621	Pulm stress test/complex	S	5722	232.31	0.01%	$0.02
94640	Airway inhalation treatment	N	5791	162.08	0.28%	$0.45
94642	Aerosol inhalation treatment	N	5791	162.08	0.00%	$0.00
94644	Cbt 1st hour	N	5734	100.02	0.06%	$0.06
94660	Pos airway pressure cpap	N	5791	162.08	0.13%	$0.21
94662	Neg press ventilation cnp	S	5801	423.95	0.00%	$0.00
94664	Evaluate pt use of inhaler	N	5791	162.08	0.11%	$0.18
94667	Chest wall manipulation	N	5734	100.02	0.01%	$0.01
94668	Chest wall manipulation	N	5733	54.55	0.49%	$0.27
94669	Mechanical chest wall oscill	N	5791	162.08	0.00%	$0.00
94680	Exhaled air analysis o2	N	5721	127.1	0.00%	$0.00
94681	Exhaled air analysis o2/co2	N	5722	232.31	0.00%	$0.00
94690	Exhaled air analysis	N	5732	28.38	0.00%	$0.00
94726	Pulm funct tst plethysmograp	N	5722	232.31	0.00%	$0.00
94727	Pulm function test by gas	N	5721	127.1	0.00%	$0.00
94728	Pulm funct test oscillometry	N	5722	232.31	0.00%	$0.00
94750	Pulmonary compliance study	N	5721	127.1	0.72%	$0.92
94762	Measure blood oxygen level	S	5721	127.1	0.11%	$0.14
94770	Exhaled carbon dioxide test	S	5722	232.31	2.99%	$6.95
94775	Ped home apnea rec hk-up	S	5721	127.1	0.00%	$0.00
94780	Car seat/bed test 60 min	N	5732	28.38	0.00%	$0.00
94799	Pulmonary service/procedure	N	5721	127.1	1.09%	$1.39
95004	Percut allergy skin tests	N	5735	263.61	0.00%	$0.00
95012	Exhaled nitric oxide meas	N	5732	28.38	0.00%	$0.00
95017	Perq & icut allg test venoms	N	5732	28.38	0.00%	$0.00
95018	Perq&ic allg test drugs/biol	N	5732	28.38	0.18%	$0.05
95024	Icut allergy test drug/bug	N	5733	54.55	0.00%	$0.00
95027	Icut allergy titrate-airborn	N	5732	28.38	0.00%	$0.00
95044	Allergy patch tests	N	5735	263.61	0.00%	$0.00
95052	Photo patch test	N	5732	28.38	0.00%	$0.00
95056	Photosensitivity tests	N	5733	54.55	0.00%	$0.00
95070	Bronchial allergy tests	S	5723	415.87	0.00%	$0.00
95076	Ingest challenge ini 120 min	S	5723	415.87	0.00%	$0.00
95115	Immunotherapy one injection	S	5691	34.78	0.00%	$0.00
95117	Immunotherapy injections	S	5691	34.78	-0.01%	$0.00
95144	Antigen therapy services	S	5691	34.78	-0.01%	$0.00
95145	Antigen therapy services	S	5691	34.78	-0.01%	$0.00
95146	Antigen therapy services	S	5691	34.78	0.00%	$0.00
95147	Antigen therapy services	S	5692	53.17	-0.01%	-$0.01
95148	Antigen therapy services	S	5692	53.17	-0.01%	-$0.01
95149	Antigen therapy services	S	5692	53.17	-0.01%	-$0.01
95165	Antigen therapy services	S	5691	34.78	0.01%	$0.00
95180	Rapid desensitization	N	5735	263.61	0.00%	$0.00
95250	Glucose monitoring cont	V	5012	106.61	0.00%	$0.00
95782	Polysom <6 yrs 4/> paramtrs	S	5724	864.54	0.00%	$0.00
95783	Polysom <6 yrs cpap/bilvl	S	5724	864.54	0.00%	$0.00
95800	Slp stdy unattended	S	5721	127.1	0.00%	$0.00
95801	Slp stdy unatnd w/anal	N	5733	54.55	0.00%	$0.00
95803	Actigraphy testing	N	5733	54.55	0.00%	$0.00
95805	Multiple sleep latency test	S	5724	864.54	0.00%	$0.00
95806	Sleep study unatt&resp efft	S	5721	127.1	0.00%	$0.00
95807	Sleep study attended	S	5723	415.87	0.00%	$0.00
95808	Polysom any age 1-3> param	S	5724	864.54	0.00%	$0.00
95810	Polysom 6/> yrs 4/> param	S	5724	864.54	0.00%	$0.00
95811	Polysom 6/>yrs cpap 4/> parm	S	5724	864.54	0.00%	$0.00
95812	Eeg 41-60 minutes	S	5722	232.31	0.00%	$0.00
95813	Eeg over 1 hour	S	5722	232.31	0.00%	$0.00
95816	Eeg awake and drowsy	S	5722	232.31	0.00%	$0.00
95819	Eeg awake and asleep	S	5722	232.31	0.00%	$0.00
95822	Eeg coma or sleep only	S	5722	232.31	0.05%	$0.12
95824	Eeg cerebral death only	S	5723	415.87	0.00%	$0.00
95827	Eeg all night recording	S	5723	415.87	0.00%	$0.00
95857	Cholinesterase challenge	S	5722	232.31	0.00%	$0.00
95860	Muscle test one limb	N	5734	100.02	0.00%	$0.00
95861	Muscle test 2 limbs	N	5734	100.02	0.00%	$0.00
95863	Muscle test 3 limbs	S	5721	127.1	0.00%	$0.00
95864	Muscle test 4 limbs	S	5721	127.1	0.00%	$0.00
95865	Muscle test larynx	N	5734	100.02	0.00%	$0.00
95866	Muscle test hemidiaphragm	N	5721	127.1	0.00%	$0.00
95867	Muscle test cran nerv unilat	S	5721	127.1	0.97%	$1.23
95868	Muscle test cran nerve bilat	S	5721	127.1	0.00%	$0.00
95869	Muscle test thor paraspinal	N	5721	127.1	0.00%	$0.00
95870	Muscle test nonparaspinal	N	5733	54.55	0.00%	$0.00
95872	Muscle test one fiber	S	5721	127.1	0.00%	$0.00
95875	Limb exercise test	S	5721	127.1	-0.01%	-$0.01
95905	Motor &/ sens nrve cndj test	N	5734	100.02	0.00%	$0.00
95907	Nvr cndj tst 1-2 studies	S	5721	127.1	0.00%	$0.00
95908	Nrv cndj tst 3-4 studies	S	5722	232.31	0.00%	$0.00
95909	Nrv cndj tst 5-6 studies	S	5722	232.31	0.00%	$0.00
95910	Nrv cndj test 7-8 studies	S	5722	232.31	0.00%	$0.00
95911	Nrv cndj test 9-10 studies	S	5723	415.87	0.00%	$0.00
95912	Nrv cndj test 11-12 studies	S	5723	415.87	0.00%	$0.00
95913	Nrv cndj test 13/> studies	S	5723	415.87	0.00%	$0.00
95921	Autonomic nrv parasym inervj	S	5721	127.1	0.00%	$0.00
95922	Autonomic nrv adrenrg inervj	N	5734	100.02	0.00%	$0.00
95923	Autonomic nrv syst funj test	N	5733	54.55	0.00%	$0.00
95924	Ans parasymp & symp w/tilt	S	5721	127.1	0.00%	$0.00
95925	Somatosensory testing	S	5722	232.31	20.74%	$48.18
95926	Somatosensory testing	S	5722	232.31	0.00%	$0.00
95927	Somatosensory testing	S	5721	127.1	0.00%	$0.00
95928	C motor evoked uppr limbs	S	5724	864.54	0.00%	$0.00
95929	C motor evoked lwr limbs	S	5724	864.54	26.13%	$225.90
95930	Visual evoked potential test	S	5721	127.1	0.00%	$0.00
95933	Blink reflex test	N	5733	54.55	0.00%	$0.00
95937	Neuromuscular junction test	S	5721	127.1	0.00%	$0.00
95938	Somatosensory testing	S	5723	415.87	14.63%	$60.84
95939	C motor evoked upr&lwr limbs	S	5724	864.54	52.54%	$454.23
95943	Parasymp&symp hrt rate test	S	5721	127.1	0.00%	$0.00
95950	Ambulatory eeg monitoring	S	5723	415.87	0.00%	$0.00
95951	Eeg monitoring/videorecord	S	5724	864.54	0.21%	$1.82
95953	Eeg monitoring/computer	S	5723	415.87	0.00%	$0.00
95954	Eeg monitoring/giving drugs	S	5723	415.87	0.00%	$0.00
95956	Eeg monitor technol attended	S	5723	415.87	0.20%	$0.83
95958	Eeg monitoring/function test	S	5724	864.54	17.23%	$148.96
95961	Electrode stimulation brain	S	5724	864.54	26.24%	$226.86
95965	Meg spontaneous	S	5724	864.54	0.00%	$0.00
95966	Meg evoked single	S	5724	864.54	0.00%	$0.00
95970	Analyze neurostim no prog	N	5734	100.02	0.00%	$0.00
95971	Analyze neurostim simple	S	5742	109.22	0.07%	$0.08
95972	Analyze neurostim complex	S	5742	109.22	0.03%	$0.03
95974	Cranial neurostim complex	S	5742	109.22	0.00%	$0.00
95978	Analyze neurostim brain/1h	S	5742	109.22	0.00%	$0.00
95981	Io anal gast n-stim subsq	N	5733	54.55	0.00%	$0.00
95982	Io ga n-stim subsq w/reprog	N	5741	35.15	0.00%	$0.00
95990	Spin/brain pump refil & main	S	5694	279.45	0.00%	$0.00
95991	Spin/brain pump refil & main	T	5441	231	0.41%	$0.95
95999	Neurological procedure	N	5721	127.1	0.00%	$0.00
96000	Motion analysis video/3d	S	5723	415.87	0.00%	$0.00
96001	Motion test w/ft press meas	S	5724	864.54	0.00%	$0.00
96002	Dynamic surface emg	S	5721	127.1	0.00%	$0.00
96003	Dynamic fine wire emg	N	5722	232.31	0.00%	$0.00
96101	Psycho testing by psych/phys	S	5721	127.1	0.00%	$0.00
96102	Psycho testing by technician	S	5722	232.31	0.00%	$0.00
96103	Psycho testing admin by comp	N	5734	100.02	0.00%	$0.00
96111	Developmental test extend	S	5721	127.1	0.00%	$0.00
96116	Neurobehavioral status exam	S	5722	232.31	0.00%	$0.00
96118	Neuropsych tst by psych/phys	S	5722	232.31	0.00%	$0.00
96119	Neuropsych testing by tec	S	5722	232.31	0.00%	$0.00
96120	Neuropsych tst admin w/comp	S	5721	127.1	0.00%	$0.00
96127	Brief emotional/behav assmt	N	5731	12.62	0.00%	$0.00
96150	Assess hlth/behave init	S	5822	70.26	0.00%	$0.00
96151	Assess hlth/behave subseq	S	5822	70.26	0.00%	$0.00
96152	Intervene hlth/behave indiv	S	5822	70.26	0.01%	$0.01
96153	Intervene hlth/behave group	S	5821	25.23	-0.02%	-$0.01
96154	Interv hlth/behav fam w/pt	S	5822	70.26	0.00%	$0.00
96360	Hydration iv infusion init	S	5693	179.77	0.10%	$0.18
96361	Hydrate iv infusion add-on	S	5691	34.78	0.00%	$0.00
96365	Ther/proph/diag iv inf init	S	5693	179.77	0.07%	$0.13
96366	Ther/proph/diag iv inf addon	S	5691	34.78	-0.01%	$0.00
96367	Tx/proph/dg addl seq iv inf	S	5692	53.17	0.01%	$0.01
96369	Sc ther infusion up to 1 hr	S	5693	179.77	0.00%	$0.00
96370	Sc ther infusion addl hr	S	5691	34.78	-0.01%	$0.00
96371	Sc ther infusion reset pump	S	5692	53.17	0.00%	$0.00
96372	Ther/proph/diag inj sc/im	S	5692	53.17	0.00%	$0.00
96373	Ther/proph/diag inj ia	S	5693	179.77	0.00%	$0.00
96374	Ther/proph/diag inj iv push	S	5693	179.77	0.06%	$0.11
96375	Tx/pro/dx inj new drug addon	S	5691	34.78	0.01%	$0.00
96379	Ther/prop/diag inj/inf proc	S	5691	34.78	0.74%	$0.26
96401	Chemo anti-neopl sq/im	S	5692	53.17	0.00%	$0.00
96402	Chemo hormon antineopl sq/im	S	5692	53.17	0.00%	$0.00
96405	Chemo intralesional up to 7	S	5692	53.17	0.00%	$0.00
96406	Chemo intralesional over 7	S	5693	179.77	0.00%	$0.00
96409	Chemo iv push sngl drug	S	5693	179.77	0.04%	$0.07
96411	Chemo iv push addl drug	S	5692	53.17	0.00%	$0.00
96413	Chemo iv infusion 1 hr	S	5694	279.45	0.03%	$0.08
96415	Chemo iv infusion addl hr	S	5692	53.17	0.00%	$0.00
96416	Chemo prolong infuse w/pump	S	5694	279.45	0.01%	$0.03
96417	Chemo iv infus each addl seq	S	5692	53.17	0.00%	$0.00
96420	Chemo ia push tecnique	S	5694	279.45	15.87%	$44.35
96422	Chemo ia infusion up to 1 hr	S	5693	179.77	0.00%	$0.00
96423	Chemo ia infuse each addl hr	S	5691	34.78	-0.01%	$0.00
96425	Chemotherapy infusion method	S	5694	279.45	0.00%	$0.00
96440	Chemotherapy intracavitary	S	5694	279.45	0.00%	$0.00
96446	Chemotx admn prtl cavity	S	5694	279.45	0.00%	$0.00
96450	Chemotherapy into cns	S	5694	279.45	0.12%	$0.34
96521	Refill/maint portable pump	S	5693	179.77	0.01%	$0.02
96522	Refill/maint pump/resvr syst	S	5693	179.77	0.00%	$0.00
96523	Irrig drug delivery device	N	5733	54.55	0.17%	$0.09
96542	Chemotherapy injection	S	5693	179.77	0.00%	$0.00
96549	Chemotherapy unspecified	S	5691	34.78	0.01%	$0.00
96567	Photodynamic tx skin	N	5051	153.12	0.00%	$0.00
96900	Ultraviolet light therapy	N	5732	28.38	0.00%	$0.00
96910	Photochemotherapy with uv-b	N	5733	54.55	0.00%	$0.00
96912	Photochemotherapy with uv-a	N	5733	54.55	0.00%	$0.00
96913	Photochemotherapy uv-a or b	T	5052	292.62	0.00%	$0.00
96920	Laser tx skin < 250 sq cm	N	5051	153.12	0.00%	$0.00
96921	Laser tx skin 250-500 sq cm	N	5051	153.12	0.00%	$0.00
96922	Laser tx skin >500 sq cm	N	5051	153.12	0.00%	$0.00
96999	Dermatological procedure	N	5051	153.12	0.00%	$0.00
97597	Rmvl devital tis 20 cm/<	T	5051	153.12	0.01%	$0.02
97602	Wound(s) care non-selective	N	5051	153.12	0.01%	$0.02
97605	Neg press wound tx </=50 cm	N	5051	153.12	0.01%	$0.02
97606	Neg press wound tx >50 cm	N	5052	292.62	0.00%	$0.00
97607	Neg press wnd tx </=50 sq cm	T	5052	292.62	0.00%	$0.00
97608	Neg press wound tx >50 cm	T	5052	292.62	0.13%	$0.38
97610	Low frequency non-thermal us	N	5051	153.12	0.00%	$0.00
98925	Osteopath manj 1-2 regions	N	5811	24.62	0.00%	$0.00
98926	Osteopath manj 3-4 regions	N	5811	24.62	0.01%	$0.00
98927	Osteopath manj 5-6 regions	N	5811	24.62	-0.01%	$0.00
98928	Osteopath manj 7-8 regions	N	5811	24.62	-0.01%	$0.00
98929	Osteopath manj 9-10 regions	N	5811	24.62	-0.01%	$0.00
98940	Chiropract manj 1-2 regions	N	5811	24.62	0.00%	$0.00
98941	Chiropract manj 3-4 regions	N	5811	24.62	0.00%	$0.00
98942	Chiropractic manj 5 regions	N	5811	24.62	-0.01%	$0.00
99170	Anogenital exam child w imag	T	5411	152.21	0.00%	$0.00
99195	Phlebotomy	N	5733	54.55	0.01%	$0.01
99281	Emergency dept visit	J2	5021	61.37	0.01%	$0.01
99282	Emergency dept visit	J2	5022	111.47	0.01%	$0.01
99283	Emergency dept visit	J2	5023	201.25	0.01%	$0.02
99284	Emergency dept visit	J2	5024	332.41	0.01%	$0.03
99285	Emergency dept visit	J2	5025	488.74	0.01%	$0.05
99291	Critical care first hour	J2	5041	687.17	0.06%	$0.41
99406	Behav chng smoking 3-10 min	S	5821	25.23	0.02%	$0.01
99407	Behav chng smoking > 10 min	S	5821	25.23	0.01%	$0.00
99487	Cmplx chron care w/o pt vsit	S	5822	70.26	0.00%	$0.00
99490	Chron care mgmt srvc 20 min	S	5822	70.26	0.09%	$0.06
99495	Trans care mgmt 14 day disch	V	5012	106.61	0.00%	$0.00
99496	Trans care mgmt 7 day disch	V	5012	106.61	0.00%	$0.00
