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Physician

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									                                                 PHYSICIAN           1
                                          Service Code Grouping 01
                                           Physician
                                   Service Code Grouping 01
                                      Updated: 10/01/2012

                  Procedure
                    Code      Description
                    A4566     SHOULD SLING/VEST/ABRESTRAIN
                    A4648     TISSUE MARKER, IMPLANTABLE
                    A4650     RADIATION DOSIMETER, IMPLANTABLE
                    A9273     HOT/COLD H2OBOT/CAP/COL/WRAP
                    A9500     TC99M SESTAMIBI
                    A9501     TC99M TEBOROXIME
                    A9502     TC99M TETROFOSMIN
                    A9503     TC99M MEDRONATE
                    A9504     TC99M APCITIDE
                    A9505     TL201 THALLIUM
                    A9507     IN111 CAPROMAB
                    A9508     I-131 IODOBENGUATE, DX
                    A9509     I-123 SODIUM IODIDE
                    A9510     TC99M DISOFENIN
                    A9512     TC99M PERTECHNETATE
                    A9516     I-123 IODIDE CAP, DX
                    A9517     I-131 IODIDE CAP, RX
                    A9521     TC99M EXAMETAZIME
                    A9524     I-131 SERUM ALBUMIN, DX
                    A9526     NITROGEN N-13 AMMONIA
                    A9527     IODINE I-125 SODIUM IODIDE
                    A9528     IODINE I-131 IODIDE CAP, DX
                    A9529     I-131 IODIDE SOL, DX
                    A9530     I-131 IODIDE SOL, RX
                    A9531     I-131 MAX 100UCI
                    A9532     I-125 SERUM ALBUMIN, DX
                    A9536     TC99M DEPREOTIDE
                    A9537     TC99M MEBROFENIN
                    A9538     TC99M PYROPHOSPHATE
                    A9539     TC99M PENTETATE
                    A9540     TC99M MAA
                    A9541     TC99M SULFUR COLLOID
                    A9542     IN111 IBRITUMOMAB, DX
                    A9543     Y90 IBRITUMOMAB, RX
                    A9544     I-131 TOSITUMOMAB, DX
                    A9545     I-131 TOSITUMOMAB, RX
                    A9546     CO57/58
                    A9547     IN111 OXYQUINOLINE
                    A9548     IN111 PENTETATE
                    A9550     TC99M GLUCEPTATE
                    A9551     TC99M SUCCIMER
                    A9552     F18 FDG
                    A9553     CR51 CHROMATE
                    A9554     I-125 IOTHALAMATE, DX
                    A9556     GA67 GALLIUM



L:CCS/SCG01.xls
                                              PHYSICIAN                    2
                                       Service Code Grouping 01
                  A9557   TC99M BICISATE
                  A9558   XE133 XENON 10MCI
                  A9559   CO57 CYANO
                  A9560   TC99M LABELED RBC
                  A9561   TC99M OXIDRONATE
                  A9562   TC99M MERTIATIDE
                  A9563   P32 NA PHOSPHATE
                  A9564   P32 CHROMIC PHOSPHATE
                  A9566   TC99M FANOLESOMAB
                  A9567   TC99M PENTETATE AEROSOL
                  A9569   TC99M EXAMETAZIME LABELED AUTO WBCS
                  A9570   IN111 LABELED AUTO WBCS
                  A9571   IN111 LABELED AUTO PLATELETS
                  A9572   IN111 PENTETREOTIDE
                  A9576   GADOTERIDOL INJECTION
                  A9577   GADOBENATE DIMEGLUMINE INJECTION
                  A9578   GADOBENATE DIMEGLUMINE INJECTION MULTIPACK
                  A9579   GADOLINIUM BASED MR CONTRAST INJECTION
                  A9580   SODIUM FLUORIDE F-18
                  A9581   INJ GADOXETATE DISODIUM 1 ML
                  A9582   INJ IOBENGUANE, I-123, DX UP TO 15 MILLICURIES
                  A9583   INJ GADOFOSVESET TRISODIUM 1 ML
                  A9600   SR89 STRONTIUM
                  A9604   SM 153 LEXIDRONM UP TO 150 MILLICURIES
                  A9698   NON-RAD CONTRAST MATERIALNOC
                  A9699   RADIOPHARM RX AGENT NOC
                  C1749   ENDO, COLON, RETRO IMAGING
                  C2634   BRACHYTX, NONSTR, HA, I125
                  C2635   BRACHYTX, NONSTR, HA, P103
                  C2637   BRACHYTX, YTTERBIUM-169
                  C2638   BRACHYTX, STRANDED I-125
                  C2639   BRACHYTX, NONSTRANDED I-125
                  C2640   BRACHYTX, STRANDED PALLADIUM 103
                  C2641   BRACHYTX, NONSTRANDED PALLADIUM 103
                  C2698   BRACHYTX, STRANDED NOT SPECIFIED
                  C2699   BRACHYTX, NONSTRANDED NOT SPECIFIED
                  C8929   TTE W OR W/O FOL WCON, DOPPLER
                  C8930   TTE W OR W/O CONTR, CONT ECG
                  C8931   MRA, W/DYE, SPINAL CANAL
                  C8932   MRA, W/O DYE, SPINAL CANAL
                  C8933   MRA, W/O&W/DYE, SPINAL CANAL
                  C8934   MRA, W/DYE, UPPER EXTREMITY
                  C8935   MRA, W/O DYE, UPPER EXTR
                  C8936   MRA, W/O&W/DYE, UPPER EXTR
                  C9254   INJ LACOSAMIDE 1 MG
                  C9270   GAMMAPLEX IVIG
                  C9272   DENOSUMAB 1 MG INJECTION
                  C9274   CROTALIDAE POLY IMMUNE FAB
                  C9279   INJECTION, IBUPROFEN
                  C9367   ENDOFORM DERMAL TEMPLATE
                  C9377   BRAIN OLIGODENDROGLIOMA
                  C9729   PERCUTANEOUS LAMINOTOMY/LAMINECTOMY


L:CCS/SCG01.xls
                                             PHYSICIAN                   3
                                      Service Code Grouping 01
                  E0446   TOPICAL OX DELIVER SYS, NOS
                  G0430   DRUG SCREEN, QUALITATIVE, MULTI, NON-CHROMAT
                  C9277   ALGLUCOSIDASE ALFA 1 MG
                  C9280   ERIBULIN MESYLATE INJ 1 MG
                  G0431   DRUG SCREEN, QUALITATIVE/MULTI HI COMPLEXITY
                  G0432   EIA HIV-1/HIV-2 SCREEN
                  G0433   ELISA HIV-1/HIV-2 SCREEN
                  G0434   DRUG SCREEN, QUALITATIVE/MULTI MOD. COMPLEX.
                  G0435   ORAL HIV-1/HIV-2 SCREEN
                  G0436   TOBACCO-USE COUNSEL 3-10 MIN
                  G0437   TOBACCO-USE COUNSEL>10MIN
                  G0438   PPPS, INITIAL VISIT
                  G0439   PPPS, SUBSEQ VISIT
                  G3001   ADMIN + SUPPLY, TOSITUMOMAB
                  G8629   DOC ANTIBIO ORDER B/4 SURG
                  G8630   DOC ANTIBIO GIVEN B/4 SURG
                  G8631   PT NO ELG 4 ORDER ANTBI GIVE
                  G8632   DOC NO ANTIBI ORDER B/4 SURG
                  G8633   PHARM THER OSTEO RX
                  G8634   PT NO ELG PHAR THER OSTEO
                  G8635   NO PHARM THER OSTEO RX
                  G8636   FLU IMMUN ADMIN/PREV REC
                  G8637   PT NO ELG RECEIV FLU IMMUN
                  G8638   FLU IMMUN NO ADMIN/PREV REC
                  G8639   FLU IMMUN ADMIN OR PREV REC
                  G8640   PT NO ELG REC FLU IMMUN
                  G8641   FLU IMMUN NOT ADMIN/PRE REC
                  G8642   HRDSHP RURAL W/O INTERNET
                  G8643   HRDSHP W/O SUFF PHARM W/ERX
                  G8644   EP NO PRESCRIBE PRIV
                  G8645   ASTHMA MEASURES GRP
                  G8646   ASTHMA MG QUAL ACT PERFORM
                  G8647   FUN STAT SCORE KNEE >= 0
                  G8648   FUN STAT SCORE KNEE < 0
                  G8649   FUN STAT SCORE KNEE PT NOELG
                  G8650   FUN STAT SCORE KNEE NOT DONE
                  G8651   FUN STAT SCORE HIP >= 0
                  G8652   FUN STAT SCORE HIP < 0
                  G8653   FUN STAT SCORE HIP PT NO ELG
                  G8654   FUN STAT SCORE HIP NOT DONE
                  G8655   FUN STAT SCORE LE >= 0
                  G8656   FUN STAT SCORE LE < 0
                  G8657   FUN STAT SCORE LE PT NO ELG
                  G8658   FUN STAT SCORE LE NOT DONE
                  G8659   FUN STAT SCORE LS >= 0
                  G8660   FUN STAT SCORE LS < 0
                  G8661   FUN STAT SCORE LS PT NO ELG
                  G8662   FUN STAT SCORE LS NOT DONE
                  G8663   FUN STAT SCORE SHDL >=0
                  G8664   FUN STAT SCORE SHDL < 0
                  G8665   FUN STAT SCORE SHDL PT NO EL
                  G8666   FUN STAT SCORE SHDL NOT DONE


L:CCS/SCG01.xls
                                             PHYSICIAN               4
                                      Service Code Grouping 01
                  G8667   FUN STAT SCORE UE >=0
                  G8668   FUN STAT SCORE UE < 0
                  G8669   FUN STAT SCORE UE PT NO ELG
                  G8670   FUN STAT SCORE UE NOT DONE
                  G8671   FUN STAT SCORE NECK/TS >=0
                  G8672   FUN STAT SCORE NECK/TS < 0
                  G8673   FUN STAT SCOR NEK/TS PT NO E
                  G8674   FUN STAT SCOR NEK/TS NOT DON
                  G8675   BP SYST >= 140 MMHG
                  G8676   BP DIAST >= 90 MMHG
                  G8677   BP SYST < 130 MMHG
                  G8678   BP SYST >=130 - 139 MMHG
                  G8679   BP DIAST < 80 MMHG
                  G8680   BP DIAST 80-89 MMHG
                  G8681   PT HOSP W/HF
                  G8682   LVG TEST PERF
                  G8683   PT NOT ELIG FOR LVF TEST
                  G8684   PT NOT HOSP W/HF
                  G8685   LVF TEST NOT PERF
                  G8686   TOBA SMKR CURR OR 2 HAND EXP
                  G8687   NO TOB SMKR CUR NO 2 HND EXP
                  G8688   SMKLS TOB CUR; NO 2 HND EXP
                  G8689   TOBA USE NOT ASSESS
                  G8690   CURR TOBA SMKR OR 2 HAND EXP
                  G8691   NO CUR TOB SMKR NO 2 HND EXP
                  G8692   CURR SMKLS TOB; NO 2 HND EXP
                  G8693   TOBACCO NO ASSESS
                  J0129   ABATACEPT INJECTION
                  J0132   ACETYLCYSTEINE 100 MG INJECTION
                  J0133   ACYCLOVIR 5 MG INJECTION
                  J0135   ADALIMUMAB 20 MG INJECTION
                  J0150   ADENOSINE 6 MG INJECTION (THERAPEUTIC)
                  J0152   ADENOSINE 30 MG INJECTION (DIAGNOSTIC)
                  J0171   ADRENALIN EPINEPHRINE INJECT
                  J0180   AGALSIDASE BETA 1 MG INJECTION
                  J0210   METHYLDOPATE HCL 250 MG INJ
                  J0278   AMIKACIN SULFATE 100 MG INJ
                  J0285   AMPHOTERICIN B 50MG
                  J0287   AMPHOTERICIN B LIPID COMPLEX 10 MG
                  J0288   AMPHOTERICIN B CHOLESTERYL SULFATE 10 MG
                  J0289   AMPHOTERICIN B LIPOSOME 10 MG
                  J0290   AMPICILLIN NA INJ 500 MG
                  J0300   AMOBARBITAL SOD-125 MG(AMYTAL SOD) INJ
                  J0330   SUCCINYLCHOLINE CL 20 MG INJ
                  J0348   ANADULAFUNGIN INJECTION
                  J0360   HYDRALAZINE HCL-20 MG (APRESOLINE) INJ
                  J0400   ARIPIPRAZOLE IM 0.25 MG
                  J0461   ATROPINE SULFATE UP TO 0.01MG
                  J0480   BASILIXIMAB 20 MG INJECTION
                  J0558   PENG BENZATHINE/PROCAINE INJ
                  J0559   PEN G BENZATHINE/PROCAINE 2500 UNITS INJ
                  J0561   PENICILLIN G BENZATHINE INJ


L:CCS/SCG01.xls
                                             PHYSICIAN                    5
                                      Service Code Grouping 01
                  J0595   INJ BUTORPHANOL TARTRATE 1 MG
                  J0597   C-1 ESTERASE, BERINERT
                  J0598   INJ C1 ESTERASE INHIB (HUMAN) 10 UNITS
                  J0636   CALCITRIOL 0.1 MCG INJECTION
                  J0638   CANAKINUMAB INJECTION
                  J0640   LEUCOVORIN CALCIUM-10 MG/ML
                  J0670   INJ MEPIVACAINE HCL, PER 10 ML
                  J0690   INJ CEFEZOLIN NA 500MG
                  J0696   SODIUM CEFTRIAXONE 250MGM
                  J0702   BETAMETHASONE ACET & NA PHOS 3MG & 3MG
                  J0718   INJ CERTOLIZUMAB PEGOL 1 MG
                  J0735   CLONIDINE HYCROCHLORIDE 1 MG
                  J0775   INJ COLLAGENASE CLOSTRIDIUM HIST., 0.01MG
                  J0795   CORTICORELIN OVINE TRIFLUTATE 1 MCG INJECTION
                  J0833   INJ COSYNTROPIN, NOT OTHERWISE SPEC., 0.25 MG
                  J0834   INJ COSYNTROPIN, CORTROSYN, 0.25 MG
                  J0878   DAPTOMYCIN 1 MG INJECTION
                  J0881   DARBEPOETIN ALFA 1 MCG (NON-ESRD USE) INJ
                  J0882   DARBEPOETIN ALFA 1 MCG (FOR ESRD USE) INJ
                  J0885   EPOETIN ALFA 1000 UNITS (NON-ESRD USE) INJ
                  J0886   EPOETIN ALFA 1000 UNITS (FOR ESRD USE) INJ
                  J0894   DECITABINE INJECTION
                  J0895   DEFEROXAMINE MESYLATE 500 MG
                  J1020   METHYLPREDNISOLONE ACETATE-20MG
                  J1030   METHYLPREDNISOLONE ACETATE-40MG
                  J1040   METHYLPREDNISOLONE ACETATE-80MG
                  J1051   MEDROXYPROGESTERONE ACETATE 50MG
                  J1070   TESTOSTERONE CYPIONATE UP TO 100MG
                  J1080   TESTOSTERONE CYPIONATE-200MG/ML
                  J1120   INJECTION, ACETAZOLAMIDE SODIUM, U
                  J1160   INJECTION, DIGOXIN, UP TO 0.5 MG
                  J1162   DIGOXIN IMMUNE FAB PER VIAL INJECTION
                  J1170   HYDROMORPHONE HCL-4MG/ML
                  J1205   INJECTION, CHLOROTHIAZIDE SODIUM
                  J1250   DOBUTAMINE-250MG(AS HCL)
                  J1260   DOLASETRON MESYLATE 10 MG INJECTION
                  J1265   DOPAMINE HCL 40 MG INJECTION
                  J1267   DORIPENEM INJECTION 10 MG
                  J1270   DOXERCALCIFEROL 1MCG INJECTION
                  J1290   ECALLANTIDE INJECTION
                  J1300   ECULIZUMAB 10 MG
                  J1440   FILGRASTIM 300 MCG INJECTION
                  J1441   FILGRASTIM 480 MCG INJECTION
                  J1451   FOMEPIZOLE 15 MG INJECTION
                  J1453   FOSAPREPITANT INJECTION 1 MG
                  J1455   FOSCARNET NA PER 100O MG INJECTION
                  J1458   GALSUFASE 1 MG
                  J1460   GAMMA GLOBULIN INJ IM 1 ML
                  J1559   HIZENTRA INJECTION
                  J1560   GAMMA GLOBULIN INJ IM 10 ML
                  J1571   HBIG IM
                  J1573   HBIG IV


L:CCS/SCG01.xls
                                              PHYSICIAN               6
                                       Service Code Grouping 01
                  J1610   GLUCAGON HYDROCHLORIDE 1 MG
                  J1626   GRANISETRON IMG ORAL
                  J1630   HALOPERIDOL-5MG/ML(HALDOL) INJ
                  J1631   HALOPERIDOL DECANOATE INJ 50 MG
                  J1640   HEMIN 1 MG INJECTION
                  J1642   HEPARIN SOD (LOCK FLUSH) PER 10 UNITS INJ
                  J1644   HEPARIN SOD PER 1000 UNITS INJ
                  J1650   INJ ENOXAPARIN SODIUM
                  J1680   INJ HUMAN FIBRINOGEN CONC, 100 MG
                  J1720   INJECTION, HYDROCORTISONE SODIUM S
                  J1740   IBANDRONATE SODIUM INJECTION
                  J1743   IDURSULFASE 1 MG
                  J1745   INFLIXIMAB 10MG
                  J1750   INJECTION IRON DEXTRAN 50 MG
                  J1756   INJECTION, IRON SUCROSE 1 MG
                  J1786   IMIGLUCERASE 10 UNITS INJECTION
                  J1826   INTERFERON BETA-1A INJ
                  J1930   LANREOTIDE ACETATE 1 MG
                  J1931   LARONIDASE 0.1MG INJECTION
                  J1940   INJECTION, FUROSEMIDE, UP TO 20 MG
                  J1945   LEPIRUDIN 50 MG INJECTION
                  J1953   LEVETIRACETAM 10 MG
                  J2001   LIDOCAINE HCL IV INFUSION 10 MG INJ
                  J2060   INJECTION, LORAZEPAM, 2 MG
                  J2150   INJECTION, MANNITOL, 25% IN 50 ML
                  J2175   MEPERIDINE HCL-100MG/ML(DEMEROL HCL)
                  J2248   MICAFUNGIN SODIUM INJECTION
                  J2270   MORPHINE SULFATE INJECTION UP TO 10MG
                  J2271   MORPHINE SULFATE INJECTION 100MG
                  J2275   MORPHINE SULFATE INJECTION PF PER 10MG
                  J2278   ZICONOTIDE 1 MCG INJECTION
                  J2300   NALBUPHINE HCL-10MG/ML/NUBAIN)
                  J2310   INJECT NALOX HYDROCHLOR PER 1 MG
                  J2315   NALTREXONE, DEPOT FORM
                  J2323   NATALIZUMAB 1 MG
                  J2325   NESIRITIDE 0.1 MG INJECTION
                  J2357   OMALIZUMAB 5 MG INJECTION
                  J2358   OLANZAPINE LONG-ACTING INJ
                  J2400   INJECTION, CHLOROPROCAINE HCL
                  J2405   ONDANSETRON HCL - 1 MG
                  J2425   PALIFERMIN 50 MCG INJECTION
                  J2426   PALIPERIDONE PALMITATE INJ
                  J2469   PALONOSETRON HCL 25 MCG INJECTION
                  J2501   PARICALCITOL 1MCG INJECTION
                  J2503   PEGAPTANIB SODIUM 0.3 MG INJECTION
                  J2504   PEGADEMASE BOVINE 25 IU INJECTION
                  J2505   PEGFILGRASTIM 6 MG INJECTION
                  J2550   INJECTION, PROMETHAZINE HCL, UP TO
                  J2560   INJECTION, PHENOBARBITAL SODIUM, U
                  J2562   INJ PLERIXAFOR 1 MG
                  J2675   PROGESTERONE INJ 50 MG
                  J2680   INJECTION, FLUPHENAZINE DECANOATE,


L:CCS/SCG01.xls
                                             PHYSICIAN                    7
                                      Service Code Grouping 01
                  J2700   INJECTION, OXACILLIN SODIUM, UP TO
                  J2710   INJECTION, NEOSTIGMINE METHYLSULFA
                  J2720   INJECTION, PROTAMINE SULFATE,PER 10 MG
                  J2724   PROTEIN C CONC IV HUMAN 10 IU
                  J2765   INJECTION, METOCLOPRAMIDE HCL, UP
                  J2778   RANIBIZUMAB 0.1 MG
                  J2780   RANITIDINE HYDROCHLORIDE INJ
                  J2785   REGADENOSON 0.1 MG
                  J2792   RHO(D) IMMUNE GLOBULIN 100 IU IV INJECTION
                  J2793   INJ RILONACEPT 1 MG
                  J2794   RISPERIDONE, LONG ACTING, 0.5 MG INJECTION
                  J2796   INJECTION, ROMIPLOSTIM, 10 MCG
                  J2805   SINCALIDE 5 MCG INJECTION
                  J2850   SECRETIN, SYNTHETIC, HUMAN, 1 MCG INJECTION
                  J2920   METHYLPREDNISOLONE NA SUCCINATE UP TO 40MG
                  J2930   METHYLPREDNISOLONE NA SUCCINATE UP TO 125MG
                  J3070   PENTAZOCINE INJ 30 MG
                  J3095   TELEVANCINTELAVANCIN INJECTION
                  J3120   TESTOSTERONE ENANTHATE UP TO 100MG/ML
                  J3240   THYROTROPIN ALPHA 0.9 MG (1.1 MG VIAL)
                  J3243   TIGECYCLINE INJECTION
                  J3262   TOCILIZUMAB INJECTION
                  J3285   TREPROSTINIL 1 MG INJECTION
                  J3300   TRIAMCINOLONE ACETONIDE INJECTION, PRS-F 1 MG
                  J3301   TRIAMCINOLONE ACETONIDE INJECTION 10 MG
                  J3303   TRIAMCINOLONE HEXACETONIDE INJECTION 5 MG
                  J3315   TRIPTORELIN PAMOATE
                  J3357   USTEKINUMAB 1 MG INJECTION
                  J3360   INJECTION, DIAZEPAM, UP TO 5 MG
                  J3370   VANCOMYCIN-500MG(AS HCL)
                  J3385   INJ VELAGLUCERASE ALFA 100 UNITS
                  J3396   VERTEPORFIN 0.1 MG INJECTION
                  J3475   INJECTION, MAGNESIUM SULFATE, PER 500 MG
                  J3487   ZOLEDRONATE 1 MG INTRAVENOUS INJECTION
                  J3488   ZOLEDRONIC ACID (RECLAST) 1 MG
                  J3490   UNCLASSIFIED DRUGS
                  J3590   UNCLASSIFIED BIOLOGICS
                  J7309   METHYL AMINOLEVULINATE, TOP
                  J7310   GANCICLOVIR INTRAVITREAL IMPLANT 4.5 MG
                  J7311   FLUOCINOLONE ACETONIDE INJECTION
                  J7312   INJ DEXAMETHASONE INTRAVITREAL IMPLANT 0.1MG
                  J7321   HYALGAN/SUPARTZ INTRA-ARTICULAR INJ PER DOSE
                  J7323   EUFLEXXA INTRA-ARTICULAR INJ
                  J7324   ORTHOVISC INTRA-ARTICULAR INJ
                  J7325   SYNOVISC OR SYNOVISC-ONE INTRA-ARTICULAR INJ
                  J7335   CAPSAICIN PATCH 8%
                  J7605   ARFORMOTEROL INHALATION SOLN 15 MCG
                  J7606   FORMOTEROL FUMARATE, INH, 20 MCG
                  J7611   ALBUTEROL CONCENTRATED FORM
                  J7613   ALBUTEROL UNIT DOSE
                  J7639   DORNASE ALPHA INHALATION SOLN (PULMOZYME)
                  J7686   TREPROSTINIL, NON-COMP UNIT


L:CCS/SCG01.xls
                                              PHYSICIAN                  8
                                       Service Code Grouping 01
                  J8705   TOPOTECAN ORAL 0.25 MG
                  J9001   DOXORUBICIN HCL LIPOSOME INJ
                  J9025   AZACITIDINE 1MG INJECTION
                  J9027   CLOFARABINE 1 MG INJECTION
                  J9033   BENDAMUSTINE INJECTION 1 MG
                  J9035   BEVACIZUMAB INJECTION
                  J9041   BORTEZOMIB 0.1 MG INJECTION
                  J9045   CARBOPLATIN 50 MG
                  J9055   CETUXIMAB 10 MG INJECTION
                  J9070   CYCLOPHOSPHAMIDE 100 MG
                  J9160   DENILEUKIN DIFTITOX 300 MCG
                  J9171   INJ DOCETAXEL 1 MG
                  J9175   ELIOTTS' B SOLN 1 ML INJECTION
                  J9185   FLUDARABINE 50 MG INJECTION
                  J9201   GEMCITABINE 200 MG
                  J9206   IRINOTECAN 20 MG
                  J9207   IXABEPILONE 1 MG
                  J9208   IFOSFAMIDE 1 GM INJ
                  J9209   MESNA, 200 MG.
                  J9260   METHOTREXATE 50 MG
                  J9261   NELARABINE INJECTION
                  J9263   OXALIPLATIN 0.5 MG INJECTION
                  J9264   PACLITAXEL 1 MG INJECTION
                  J9266   PEGASPARAGASE, PER SINGLE
                  J9280   MITOMYCIN 5 MG (MUTAMYCIN)
                  J9303   PANITUMUMAB 10 MG
                  J9305   PEMETREXED 10 MG INJECTION
                  J9310   RITUXIMAB 100 MG
                  J9320   STREPTOZOCIN INJ 1 GRAM
                  J9328   INJ TEMOZOLOMIDE 1 MG
                  J9330   TEMSIROLIMUS 1 MG
                  J9355   TRASTUZUMAB 10MG
                  J9370   VINCRISTINE SUL 1MG
                  J9390   VINORELBINE TARTRATE 10 MG INJECTION
                  J9395   FULVESTRANT 25 MG INJECTION
                  P9010   WHOLE BLOOD TRANSFUSION PER UNIT
                  P9011   BLOOD, SPLIT UNIT
                  P9012   CRYOPRECIPITATE EACH UNIT
                  P9016   RBCS, LEUK REDUCED EACH UNIT
                  P9017   FFP SINGLE DONOR FROZ W/IN 8 HR COLL EA UNIT
                  P9019   PLATELETS EACH UNIT
                  P9020   PLATELET RICH PLASMA EACH UNIT
                  P9021   RBCS EACH UNIT
                  P9022   RBCS WASHED EACH UNIT
                  P9023   POOLED PLASMA MULT DONOR RXD FROZ EA UNIT
                  P9031   PLATELETS LEUK REDUCED EACH UNIT
                  P9032   PLATELETS IRRAD EACH UNIT
                  P9033   PLATELETS LEUK REDUCED IRRAD EACH UNIT
                  P9034   PLATELETS PHERESIS EACH UNIT
                  P9035   PLATELETS PHERESIS LEUK REDUCED EACH UNIT
                  P9036   PLATELETS PHERESIS IRRAD EACH UNIT
                  P9037   PLATELETS PHERESIS LEUK RED IRRAD EA UNIT


L:CCS/SCG01.xls
                                              PHYSICIAN                   9
                                       Service Code Grouping 01
                  P9038   RBCS IRRAD EACH UNIT
                  P9039   RBCS DEGLYCEROLIZED EACH UNIT
                  P9040   RBCS LEUK REDUCED IRRAD EACH UNIT
                  P9041   INFUSION ALBUMIN HUMAN 5% 50 ML
                  P9043   INFUSION PLASMA PROT FRACTION 5% 50ML
                  P9044   PLASMA CRYO REDUCED EACH UNIT
                  P9045   INFUSION ALBUMIN HUMAN 5% 250ML
                  P9046   INFUSION ALBUMIN HUMAN 25% 20ML
                  P9047   INFUSION ALBUMIN HUMAN 25% 50ML
                  P9048   INFUSION PLASMA PROT FRACTION HUM 5% 250ML
                  P9050   GRANULOCYTES PHERESIS EACH UNIT
                  P9051   WHOLE BLOOD OR RBCS LEUK RED CMV NEG EA UN
                  P9052   PLATELETS HLA MATCHED LEUK RED APH/PHE EA UN
                  P9053   PLATELETS PHER LEUK RED CMV NEG IRRAD EA UNIT
                  P9054   WHOLE BLD RBCS LEUK RED FROZ DEGLY WASH/UN
                  P9055   PLATELETS LEUK RED CMV NEG APH/PHER EA UNIT
                  P9056   WHOLE BLOOD LEUK RED IRRAD EA UNIT
                  P9057   RBCS FROZ/DEGLY/WASH LEUK RED IRRAD EA UNIT
                  P9058   RBCS LEUK RED CMV NEG IRRAD EA UNIT
                  P9059   FFP BETWEEN 8-24 HRS OF COLLECT EA UNIT
                  P9060   FFP DONOR RETESTED EA UNIT
                  Q0111   WET MOUNTS,INCL PREP VAGINAL, CERV OR S
                  Q0112   ALL POTASSIUM HYDROXIDE (KOH) PREPS
                  Q0113   PINWORM EXAMINATIONS
                  Q0138   INJ FERUMOXYTOL 1 MG NON-ESRD USE
                  Q0139   INJ FERUMOXYTOL 1 MG ESRD ON DIALYSIS
                  Q0166   GRANISETRON ORAL TABLETS-1MG
                  Q2035   AFLURIA VACC, 3 YRS & >, IM
                  Q2036   FLULAVAL VACC, 3 YRS & >, IM
                  Q2037   FLUVIRIN VACC, 3 YRS & >, IM
                  Q2038   FLUZONE VACC, 3 YRS & >, IM
                  Q2039   NOS FLU VACC, 3 YRS & >, IM
                  Q2043   SIPULEUCEL-T
                  Q2044   BELIMUMAB
                  Q3014   TELEHEALTH FACILITY FEE
                  Q4117   HYALOMATRIX
                  Q4118   MATRISTEM MICROMATRIX
                  Q4119   MATRISTEM WOUND MATRIX
                  Q4120   MATRISTEM BURN MATRIX
                  Q4121   THERASKIN
                  Q9951   LOCM >= 400 MG/ML IODINE,1ML
                  Q9953   INJ FE-BASED MR CONTRAST,1ML
                  Q9954   ORAL MR CONTRAST, 100 ML
                  Q9955   INJ PERFLEXANE LIP MICROS,ML
                  Q9956   INJ OCTAFLUOROPROPANE MIC,ML
                  Q9957   INJ PERFLUTREN LIP MICROS,ML
                  Q9958   HOCM <=149 MG/ML IODINE, 1ML
                  Q9959   HOCM 150-199MG/ML IODINE, 1ML
                  Q9960   HOCM 200-249MG/ML IODINE,1ML
                  Q9961   HOCM 250-299MG/ML IODINE,1ML
                  Q9962   HOCM 300-349MG/ML IODINE,1ML
                  Q9963   HOCM 350-399MG/ML IODINE,1ML


L:CCS/SCG01.xls
                                             PHYSICIAN                  10
                                      Service Code Grouping 01
                  Q9964   HOCM >= 400 MG/ML IODINE,1ML
                  Q9965   LOCM 100-199 MG/ML IODINE,1ML
                  Q9966   LOCM 200-299MG/ML IODINE,1ML
                  Q9967   LOCM 300-399MG/ML IODINE,1ML
                  Q9968   INJ NON-RAD. NON-CONTRAST VIS ADJUNCT 1 MG
                  S0017   INJECTION, AMINOCAPROIC ACID
                  S0077   CLINDAMYCIN-300MG(AS PHOSPHATE)
                  S0145   PEGYLATED INTERFERON ALFA-2A 180 MCG/ML INJ
                  S0164   PANTOPRAZOLE 40 MG INJECTION
                  S0168   INJ AZACITIDINE 100 MG
                  S0169   CALCITROL
                  S0189   TESTOSTERONE PELLET 75 MG
                  S0265   GENETIC COUNSELING EA 15 MIN
                  S3713   KRAS MUTATION ANALYSIS TESTIN
                  S3860   GENETIC TEST CARIAC ION-COMP
                  S3862   GENETIC TEST CARIAC ION-SP
                  T1014   TELEHEALTH TRANSMISSION, PER MIN
                  X4522   EVOKED RESP AUDIOMET TEST PHYSICIAN EVAL
                  X5500   ACETAZOLAMIDE-500MG(DIAMOX)
                  X5509   TINZAPARIN SODIUM, 1000 IU/CC INJ.
                  X5528   EPINEPHRINE HCL-1MG/ML(ADRENALIN CHLORID
                  X5530   EPINEPHRINE PNT-1:1000 SOL(ADRENAL CHLOR
                  X5556   AMINOCAPROIC ACID-250MG/ML(AMICAR)
                  X5564   AMITRIPTYLINE HCL-10MG/ML(ELAVIL HCL)
                  X5600   NANDROLONE DECANOATE-100MG/ML(OIL)
                  X5622   CHORIONIC GONADOTROPIN(HCG)1000 UNITS/ML
                  X5628   TESTOSTERONE-50MG/ML
                  X5632   NANDROLONE DECANDATE-50MG/ML(OIL)
                  X5642   DICYCLOMINE HCL-10MG/ML
                  X5644   CHORIONIC GONADOTRIPIN(HCG)500 UNITS/ML
                  X5646   CHORIONIC GONADOTROPIN(HCG)2000 UNITS/ML
                  X5650   PHYTONADIONE(K-1)METH-NAPTH-10MG/ML
                  X5652   PHYTONADIONE(K-1)METH-NAPTH-2MG/ML
                  X5660   ESTRADIOL VALERATE IN OIL-20MG/ML
                  X5662   ESTRADIOL VALERATE IN OIL-10MG/ML
                  X5672   ARISTOSPAN 20 MG/CC - 5CC VIAL
                  X5674   ARISTOSPAN 5MG/CC - 5CC VIAL
                  X5676   TETANOS IMMUNE GLOBULIN(HUMAN)250 UNIT
                  X5708   AUROTHIOGLUCOSE-50MG/ML(SOLGANAL)
                  X5728   DIMERCAPROL-100MG/ML(BAL IN OIL)
                  X5738   DIPHEN YDRAMINE HCL-50MG/ML(BENADRYL)
                  X5740   DIPHENHYDRAMINE HCL(BENADRYL-BENAHIST-10
                  X5744   BENZTROPINE MESYLATE-1MG/ML(COGENTIN)
                  X5752   CYANOCOBALAMIN CRYSTALLINE-1000MCG/ML
                  X5756   ESTROGENIC SUB-AQUEOUS-2MG/ML
                  X5776   TERBUTALINE SUL-1MG/ML(BRETHINE BRIC SUB
                  X5786   BROMPHENIRAMINE MALEATE/10 MG/ML
                  X5790   BUPIVACAINE HCL-0.75%(MARCAINE)
                  X5792   BUPIVACAINE HCL-0.25%(MARCAINE HCL)
                  X5794   BUPIVACAINE HCL-0.5%
                  X5804   CALCILONIN-400MCR UNITS(CALCIMAR)
                  X5808   CALCIUM DISODIUM EDETATE-200MG/ML


L:CCS/SCG01.xls
                                            PHYSICIAN                11
                                     Service Code Grouping 01
                  X5854   CEFOXITIN SODIUM-2G/VIAL(MEFO XIN)
                  X5856   CEFOXITIN SODIUM-1G/VIAL(MEFOXIN)
                  X5918   CHLORPROMAZINE HCL-25MG/ML
                  X5920   CHLORDIAZEDOXIDE-100MG/5ML(LIBRUIM)
                  X5922   CHLORAMPHENICOL-1G/VIAL AS DRY POWDER
                  X5924   CHLOROPROCAINE HCL-3%(NESACAINE-CE)
                  X5926   CHLOROPROCAINE HCL-2%(NESACAINE
                  X5928   CHLOROPROCAINE HCL-1%(NESACAINE)
                  X5930   CHLOROTHIAZIDE-500MG/20ML(DIURIL)
                  X5970   PROCHLORPERAZINE-5MG/ML(COMPAZINE)
                  X5972   CONJUGATED ESTROGENS-25MG(PREMARIN IV)
                  X6002   DECADRON PHOSPHATE-24MG/ML
                  X6004   DEXAMETHASONE SOD PHOSPHATE-4MG/ML
                  X6006   DECADRON W/XYLOCAINE
                  X6008   DEXAMETHASONE(AS ACETATE-8MG/ML
                  X6014   PRENISOLONE ACETATE-25MG/ML
                  X6018   ESTRADIOL VALERATE IN OIL-40MG/ML
                  X6030   ESTRADIOL IN OIL-5MG/ML
                  X6042   DEPO-MEDROL 20MG/CC - 5CC VIAL
                  X6051   DEPO-PROVERA C 150MGM
                  X6058   DEXAMETHASONE ACETATE-8MG/MLSUSP
                  X6062   DIHYDROERGOTAMINE MESYLATE-1MG/ML(DHE 45
                  X6064   DIAZEPAM-5MG/ML(VALIUM)
                  X6070   DIAZOXIDE-300MG/20ML(HYPERSTAT I V)
                  X6084   PHENYTOIN SOD PNT-50MG/ML(DILANTIN)
                  X6110   METHADONE HCL-10MG/ML(DOLOPHINE HCL)
                  X6126   DROPERIDOL-2.5MG/ML(INAPSINE)
                  X6136   PENICILLIN G PROCAINE AQUEOUS 600000UNIT
                  X6164   EPINEPHRINE HCL-0.1MG/ML
                  X6166   EPINEPHRINE PNT-1:200 SUSP(SUS-PHRINE)
                  X6174   ERYTHROMYCIN I.V.-1GM
                  X6178   ERYTHROMYCIN I.V.-500MG
                  X6206   FENTANYL-0.05MG/ML(SUBLIMAZE)
                  X6208   FENTANYL CITRATE/DROPERIDOL-0.05MG/2.5MG
                  X6216   ORPHENADRINE CITRATE-30MG/ML(FMNNT-FX-O)
                  X6228   FUROSEMIDE-10MG/ML(LASIX)
                  X6240   GENTAMICIN SULFATE-40MG/ML(GARAMYCIN)
                  X6242   GENTAMICIN SULFATE-10MG/ML(GARAMYCIN
                  X6258   GLYCOPYPROLATE-0.2 MG/ML(ROBINUL)
                  X6262   GOLD SOD THIOMALATE-50MG/ML(MYOCHRYSINE)
                  X6264   GOLD SOD THIOMALATE-25MG/ML(MYCOHRYSINE)
                  X6320   HEXADROL PHOSPHATE-10MG/ML
                  X6326   TESTOSTERONE-100MG/ML
                  X6336   HYDROXYZINE-50MG/ML(VISTARIL)
                  X6354   PROPRANOLOL HCL-1MG/ML(INDERAL)
                  X6366   INSULIN INJ/BEEF/PORK/PANCREAS-100UNITML
                  X6408   ISOPROTERENOL HCL-1:5000 SOL/1ML(IPRENOL
                  X6422   KANAMYCIN SULFATE-500MG/2ML VIAL(KANTREX
                  X6424   KANAMYCIN SULFATE-75MG/2ML VIAL(KANTREX)
                  X6426   KANAMYCIN SULFATE-1GM/3ML VIAL(KANTREX)
                  X6440   PREDNISOLONE ACETATE-25MG/ML
                  X6504   LINCOMYCIN-300MG/ML/2ML U-JECT(LINCOCIN)


L:CCS/SCG01.xls
                                            PHYSICIAN                12
                                     Service Code Grouping 01
                  X6512   MAGNESIUM SULFATE-50%
                  X6514   MAGNESIUM SULFATE-12.5%
                  X6516   MAGNESIUM SULFATE-10%
                  X6530   BUPIVACAINE HCL-0.5%(MARCAINE)
                  X6560   METHOCARBAMOL-100MG/ML(ROBAXIN)
                  X6566   METHYLERGONOVINE MALEATE-0.2MG/ML
                  X6604   NAFCILLIN SOD-2G VIAL(NAFCIL,UNIPEN)
                  X6606   NAFCILLIN SOD-1G VIAL(NAFCIL-UNIPEN)
                  X6610   NAFCILLIN SOD-500MG VIAL(NAFCILLIN
                  X6614   NALOXONE HCL-0.4MG/ML(NARCAN)
                  X6616   NALOXONE HCL-0.02MG/ML(NARCAN)
                  X6620   TOBRAMYCIN SULFATE-40MG/ML(NEBCI
                  X6622   TOBRAMYCIN SULFATE-10MG/ML2ML VIAL
                  X6624   PENTOBARBITAL SOD-50MG/ML(NEMBUTAL SOD)
                  X6626   PHENYLCPHRINE HCL-1%1ML AMPS(NEO-SYNEPHR
                  X6630   NEOSTIGMINE METHYLSULFATE-1:4000 SOL/1ML
                  X6632   NEOSTINGMINE METHYLSULFATE-1:2000 SOL
                  X6634   NEOSTIGMINE METHYLSULFATE-1:1000 SOL
                  X6638   PROMAZINE HCL-50MG/ML(NORAZINE HCL)
                  X6666   OXYTOCIN-10 UNITS/ML(PITOCIN/SYNTOCINON
                  X6700   PENICILLIN G POTASSIUM-20,000,000 UNITS
                  X6702   PENICILLIN G POTASSIUM-10,000,000 UNITS
                  X6704   PENICILLIN G POTASSIUM-5,000,000 UNITS
                  X6706   PENICILLIN G POTASSIUM-1,000,000 UNITS
                  X6714   PENICILLIN G PROCAINE AQUEOUS 2,400,000
                  X6716   PENICILLIN G PROCAINE AQUEOUS 1,2000,000
                  X6718   PENTAMIDINE-150MG
                  X6742   PROMETHAZINE HCL/25 MG/ML(PHENAZINE)
                  X6754   PHENOBARBITOL SOD-65MG/ML
                  X6758   PHENTOLAMINE-5MG(REGITINE)
                  X6792   PROCAINAMDIDE HCL-500MG/ML(PRONESTYL)
                  X6794   PROCAINAMIDE HCL-100MG/ML(PRONESTYL)
                  X6816   PROTAMINE SULFATE-10MG/ML
                  X6920   STREPTOKINASE-STREPTODORNAS20,000/5000UN
                  X6942   TESTOSTERONE-25MG/ML(TESTOSTERONE AQUAEO
                  X6968   THYROTROPIN-10IU(THYTROPAR)
                  X7010   HYDROXYZINE-25MG/ML(VISTARIL)
                  X7025   CEFOTAXIME SODIUM 0.5 GM
                  X7026   CEFOTAXIME SODIUM 1 GM
                  X7027   CEFOTAXIME SODIUM 2 GM
                  X7052   PACLITAXEL 30 MGM
                  X7060   ZOLADEX (GOSERELIN ACETATE)
                  X7061   ZOLADEX 10.8 MG DEPOT
                  X7122   CATHFLO ACTIVASE
                  X7364   SARGRAMOSTIM 250 UG/VIAL
                  X7366   SARGRAMOSTIM 500 UG/VIAL
                  X7434   CIDOFOVIR 375MG
                  X7436   UROKINASE FOR CATH CLEARANCE-5000 UNITS
                  X7444   PAMIDRONATE 30MG
                  X7490   LUNELLE 5-25MG/0.5ML
                  X7496   FERRLECIT 62.5MG INJECTION
                  X7498   ZIPRASIDONE 20MG INJECTION


L:CCS/SCG01.xls
                                             PHYSICIAN               13
                                      Service Code Grouping 01
                  X7500   DOXORUBICIN HCL-50MGVIAL 250MG LACTOSE
                  X7502   DOXORUBICIN HCL-10MG/VIAL 50MG LACTOSE
                  X7504   ASPARAGINASE-10,000IU/10ML VIAL(ELSPAR)
                  X7506   CARMUSTINE(BCNU)100MG/VIAL(BICNU)
                  X7508   BLEOMYCIN SUL-15 UNITS/AMP(BLENOXANE)
                  X7510   CALCITRIOL 1MCG/ML - CALCIJEX
                  X7512   CALCITRIOL 2MCG/ML - CALCIJEX
                  X7514   CERUBIDINE 20MG VIAL
                  X7520   DACTINOMYCIN(ACTINOMYCIN D)0.5MG/3MLVIAL
                  X7528   CYTARABINE(ARA-C)500MG VIALS(CYTOSAR)
                  X7530   CYTABABINE(CYTOSINE ARAB,ARA-C)100MGVIAL
                  X7532   DACCABAZINE(DTIC-200MG/20ML VIAL(DTIC
                  X7542   ETOPOSIDE (VEPESID) 20MGM/ML
                  X7544   FLOXURIDINE-500MG/5ML VIAL(FUDR)
                  X7546   FLUOROURACIL-500MG/10ML AMPULE
                  X7548   INTERFERON ALFA-2A
                  X7550   INTERFERON ALFA-2B
                  X7552   MECHLORETHAMINE HCL-10MG/20ML TRIT 100MG
                  X7564   MITHRAMYCIN-2.5/VIAL 100MG MANNITOL
                  X7576   TRIETHYLENETHIOPHOSPHORAMIDE-15MG/VIAL
                  X7578   VINBLASTINE SUL(VLB)10MG/10ML VIAL
                  X7580   VINORELBINE 1OMG 1ML
                  X7624   MITOXANTRONE 5MG
                  X7632   INTERLEUKIN-2 22MILLION IU
                  X7638   DOCETAXEL 20 MG
                  X7642   AMIFOSITINE 500 MG INJECTION
                  X7646   EPIRUBICIN 50MG/25ML
                  X7700   ADM.IV SOLN.INIT 1000CC INC SUPPL
                  X7702   ADM.IV SOLN.EA ADDIONAL 1000CC INC SUPP
                  X7704   IRRIG.SOLN EACH 1000CC INCLUDING SUPPL
                  X7706   ORAL CONTRACEPIVE MEDICATIONS
                  X7708   ANTIGENS
                  X7710   HYMEN VENOM ANT, ONE VIAL OF UNDIL ANTIG
                  X7716   ZITHROMAX, 250 MGM
                  X7718   AZITHROMYCIN FOR ORAL SUSP, 1000 MG
                  X7720   PREVEN EMERGENCY CONTRACEPTIVE KIT
                  X7724   MIFEPRISTONE 200MG
                  X7726   MISOPROSTOL 200MG
                  X9922   TRANSITIONAL/SUBACUTE,INIIAL LEVEL 1
                  X9924   TRANSITIONAL/SUBACUTE INITIAL LEVEL 2
                  X9926   TRANSITIONAL/SUBACUTE INITIAL LEVEL 3
                  X9928   TRANSITIONAL/SUBACUTE SUBSEQUENT LEVEL
                  X9930   TRANSITIONAL/SUBACUTE SUBSEQUENT LEVEL
                  X9932   TRANSITIONAL/SUBACUTE SUBSEQUENT LEVEL
                  X9934   TRANSITIONAL/SUBACUTE DISCHARGE MGNT
                  X9936   SUBACUTE:OFFICE CONSULTATION LEVEL 1
                  X9938   SUBACUTE:OFFICE CONSULTATION LEVEL 2
                  X9940   SUBACUTE:OFFICE CONSULTATION LEVEL 3
                  X9942   SUBACUTE:OFFICE CONSULTATION LEVEL 4
                  X9944   SUBACUTE:OFFICE CONSULTATION LEVEL 5
                  X9946   TRANSITIONAL/SUBACUTE,CONSULT INT.LEV 1
                  X9948   TRANSITIONAL/SUBACUTE CONSULT INT.LEV 2


L:CCS/SCG01.xls
                                              PHYSICIAN                   14
                                       Service Code Grouping 01
                  X9950   TRANSITIONAL/SUBACUTE CONSULT INT.LEV 3
                  X9952   TRANSITIONAL/SUBACUTE CONSULT INT. LEV 4
                  X9954   TRANSITIONAL/SUBACUTE CONSULT INT. LEV 5
                  X9956   TC/SUBACUTE CONSULT FOLLOW-UP LEVEL 1
                  X9958   TC/SUBACUTE CONSULT FOLLOW-UP LEVEL 2
                  X9960   TC/SUBACUTE CONSULT FOLLOW-UP LEVEL 3
                  X9962   TC/SUBACUTE CONFIRMATORY CONSULT LEVEL 1
                  X9964   TC/SUBACUTE COMFIRMATORY CONSULT LEVEL 2
                  X9966   TC/SUBACUTE CONFIRMATORY CONSULT LEVEL 3
                  X9968   TC/SUBACUTE COMFIRMATORY CONSULT LEVEL 4
                  X9970   TC/SUBACUTE CONFIRMATORY CONSULT LEVEL 5
                  Z0100   NEONATAL INTENSIVE CARE INITIAL 24 HOURS
                  Z0102   NEONATAL INTENSIVE CARE SUBSEQUENT CAT 1
                  Z0104   NEONATAL INTENSIVE CARE SUBSEQUENT CAT 2
                  Z0106   NEONATEL INTENSIVE CARE SUBSEQUENT CAT 3
                  Z0108   NEONATAL INTENSIVE CARE SUBSEQUENT CAT 4
                  Z0306   POLYSOMNOGRAPHY, ANAL, INTERP, REPORT
                  Z0316   TY (IMP TST) COMP AUDIO EVAL NON-SPE PHY
                  Z0324   INTERPRETER SEVC; CERT, BASIC, 2HR MIN.
                  Z0326   INTERPRETER SEVC; NONCERT BASIC 2HR MIN
                  Z0328   INTERPRETER SEVC; CERT. EACH ADD 15 MIN.
                  Z0329   INTERPRETER SEVC; NONCERT EACH ADD 15MI
                  Z7500   USE OF HOSPITAL EXAM.OR TREAT.RM.
                  Z7502   USE OF EMERGENCY ROOM
                  Z7504   USE OF CAST ROOM
                  Z7506   USE OF O.R. OR CYST. RM FIRST HOUR
                  Z7508   USE OF O.R. OR CYST. RM FIRST SUBSEQ 1/2 HOUR
                  Z7510   USE OF O.R. OR CYST. RM 2ND SUBSEQ 1/2 HOUR
                  Z7512   USE OF RECOVERY ROOM
                  Z7514   RM & BD, GEN NURS.CARE LESS THAN 24 HR STAY
                  Z7600   POLYSOMNOGRAPHY-SIMPLE SLEEP EVALUATION
                  Z7602   POLYSOMNOGRAPHY,SLEEP EVALUATION,COMPLEX
                  Z7610   MISC DRUGS AND MED SUPPLIES, ADMIN STAT
                  Z7612   UNLISTED SERVICES
                   100    ANESTH, SALIVARY GLAND
                   102    ANESTH, REPAIR OF CLEFT LIP
                   103    ANESTH, BLEPHAROPLASTY
                   104    ANESTH, ELECTROSHOCK
                   120    ANESTH, EAR SURGERY
                   124    ANESTH, EAR EXAM
                   126    ANESTH, TYMPANOTOMY
                   140    ANESTH, PROCEDURES ON EYE
                   142    ANESTH, LENS SURGERY
                   144    ANESTH, CORNEAL TRANSPLANT
                   145    ANESTH, VITREORETINAL SURG
                   147    ANESTH.,IRIDECTOMY
                   148    ANESTH, EYE EXAM
                   160    ANESTH, NOSE/SINUS SURGERY
                   162    ANESTH, NOSE/SINUS SURGERY
                   164    ANESTH, BIOPSY OF NOSE
                   170    ANESTH, PROCEDURE ON MOUTH
                   172    ANESTH, CLEFT PALATE REPAIR


L:CCS/SCG01.xls
                                          PHYSICIAN             15
                                   Service Code Grouping 01
                  174   ANESTH, PHARYNGEAL SURGERY
                  176   ANESTH, PHARYNGEAL SURGERY
                  190   ANESTH, FACE/SKULL BONE SURG
                  192   ANESTH, FACIAL BONE SURGERY
                  210   ANESTH, OPEN HEAD SURGERY
                  211   ANESTH, CRANIAL SURGERY, HEMATOMA
                  212   ANESTH, SKULL DRAINAGE
                  214   ANESTH, SKULL DRAINAGE
                  215   ANESTH, SKULL REPAIR/FRACT
                  216   ANESTH, HEAD VESSEL SURGERY
                  218   ANESTH, SPECIAL HEAD SURGERY
                  220   ANESTH, INTRCRN NERVE
                  222   ANESTH, HEAD NERVE SURGERY
                  300   ANESTH, HEAD/NECK/PTRUNK
                  320   ANESTH, NECK ORGAN, 1 & OVER
                  322   ANESTH, BIOPSY OF THYROID
                  326   ANESTH, LARYNX/TRACH, < 1 YR
                  350   ANESTH, NECK VESSEL SURGERY
                  352   ANESTH, NECK VESSEL SURGERY
                  400   ANESTH, SKIN, EXT/PER/ATRUNK
                  402   ANESTH, SURGERY OF BREAST
                  404   ANESTH, SURGERY OF BREAST
                  406   ANESTH, SURGERY OF BREAST
                  410   ANESTH, CORRECT HEART RHYTHM
                  450   ANESTH, SURGERY OF SHOULDER
                  452   ANESTH, SURGERY OF SHOULDER
                  454   ANESTH, COLLARBONE BIOPSY
                  470   ANESTH, REMOVAL OF RIB
                  472   ANESTH, CHEST WALL REPAIR
                  474   ANESTH, SURGERY OF RIB(S)
                  500   ANESTH, ESOPHAGEAL SURGERY
                  520   ANESTH, CHEST PROCEDURE
                  522   ANESTH, CHEST LINING BIOPSY
                  524   ANESTH, CHEST DRAINAGE
                  528   ANESTH, CHEST PARTITION VIEW
                  529   ANESTH, CHEST PARTITION ONE LUNG VENT
                  530   ANESTH, PACEMAKER INSERTION
                  532   ANESTHESIA, ACCESS CV CIRC.
                  534   ANESTH, CARDIOVERTER/DEFIB
                  537   ANESTH, CARDIAC ELECTROPHYS
                  539   ANESTH, TRACH-BRONCH RECONST
                  540   ANESTHESIA FOR THORACOTOMY PROCEDURES
                  541   ANESTH, ONE LUNG VENTILATION
                  542   ANESTH, RELEASE OF LUNG
                  546   ANESTH, LUNG, CHESTWALL SURG
                  548   ANESTH, TRACHEA,BRONCHI SURG
                  550   ANESTH, STERNAL DEBRIDEMENT
                  560   ANESTH, OPEN HEART SURGERY
                  561   ANESTH, HEART SURG < AGE 1
                  562   ANESTH, HEART VESSEL REPAIR
                  563   ANESTH, HEART PROC W/PUMP
                  566   ANESTH, CABG W/O PUMP


L:CCS/SCG01.xls
                                           PHYSICIAN                   16
                                    Service Code Grouping 01
                  567   ANESTH, CABG W/PUMP
                  580   ANESTH, HEART/LUNG TRANSPLNT
                  600   ANESTH, SPINE, CORD SURGERY
                  604   ANESTH, SITTING PROCEDURE
                  620   ANESTH, SPINE, CORD SURGERY
                  622   ANESTH, REMOVAL OF NERVES
                  625   ANESTH, SPINE, TRANSTHORACIC W/O 1 LUNG VENT
                  626   ANESTH, SPINE, TRANSTHORACIC W/1 LUNG VENT
                  630   ANESTH, SPINE, CORD SURGERY
                  632   ANESTH, REMOVAL OF NERVES
                  634   ANESTH FOR CHEMONUCLEOLYSIS
                  635   ANESTH, LUMBAR PUNCTURE
                  640   ANESTH, SPINE MANIPULATION
                  670   ANESTH, SPINE, CORD SURGERY
                  700   ANESTH, ABDOMINAL WALL SURG
                  702   ANESTHESIA FOR LIVER BIOPSY
                  730   ANESTH, ABDOMINAL WALL SURG
                  740   ANESTH, UPPER GI VISUALIZE
                  750   ANESTH, REPAIR OF HERNIA
                  752   ANESTH, REPAIR OF HERNIA
                  754   ANESTH, REPAIR OF HERNIA
                  756   ANESTH, REPAIR OF HERNIA
                  770   ANESTH, BLOOD VESSEL REPAIR
                  790   ANESTH, SURGERY OF ABDOMEN
                  792   ANESTH, HEMORR/EXCISE LIVER
                  794   ANESTH, PANCREAS REMOVAL
                  796   ANESTH, FOR LIVER TRANSPLANT
                  797   ANESTH, SURGERY FOR OBESITY
                  800   ANESTH, ABDOMINAL WALL SURG
                  802   ANESTH, FAT LAYER REMOVAL
                  810   ANESTH, LOW INTESTINE SCOPE
                  820   ANESTH, ABDOMINAL WALL SURG
                  830   ANESTH, REPAIR OF HERNIA
                  832   ANESTH, REPAIR OF HERNIA
                  834   ANESTH, HERNIA REPAIR< 1 YR
                  836   ANESTH HERNIA REPAIR PREEMIE
                  840   ANESTH, SURGERY OF ABDOMEN
                  842   ANESTH, AMINOCENTESIS
                  844   ANESTH, PELVIS SURGERY
                  846   ANESTH, HYSTERECTOMY
                  848   ANESTH, PELVIC ORGAN SURG
                  851   ANESTH, TUBAL LIGATION
                  860   ANESTH, SURGERY OF ABDOMEN
                  862   ANESTH, KIDNEY/URETER SURG
                  864   ANESTH, REMOVAL OF BLADDER
                  865   ANESTHESIA FOR EXTRAPERITONEAL PROCEDURE
                  866   ANESTH, REMOVAL OF ADRENAL
                  868   ANESTH, KIDNEY TRANSPLANT
                  870   ANESTH, BLADDER STONE SURG
                  872   ANESTH KIDNEY STONE DESTRUCT
                  873   ANESTH KIDNEY STONE DESTRUCT
                  880   ANESTH, ABDOMEN VESSEL SURG


L:CCS/SCG01.xls
                                            PHYSICIAN           17
                                     Service Code Grouping 01
                   882   ANESTH, MAJOR VEIN LIGATION
                   902   ANESTH, ANORECTAL SURGERY
                   904   ANESTH, PERINEAL SURGERY
                   906   ANESTH, REMOVAL OF VULVA
                   908   ANESTH, REMOVAL OF PROSTATE
                   910   ANESTH, TRANSURETHRAL PROC
                   912   ANESTH, BLADDER TUMOR SURG
                   914   ANESTH, REMOVAL OF PROSTATE
                   916   ANESTH, BLEEDING CONTROL
                   918   ANESTH, STONE REMOVAL
                   920   ANESTH, GENITALIA SURGERY
                   921   ANESTH, VASECTOMY
                   922   ANESTH, SPERM DUCT SURGERY
                   924   ANESTH, TESTIS EXPLORATION
                   926   ANESTH, REMOVAL OF TESTIS
                   928   ANESTH, REMOVAL OF TESTIS
                   930   ANESTH, TESTIS SUSPENSION
                   932   ANESTH, AMPUTATION OF PENIS
                   934   ANESTH, PENIS, NODES REMOVAL
                   936   ANESTH, PENIS, NODES REMOVAL
                   938   ANESTH, INSERT PENIS DEVICE
                   940   ANESTH, VAGINAL PROCEDURES
                   942   ANESTH, SURG ON VAG/URETHRAL
                   944   ANESTH, VAGINAL HYSTERECTOMY
                   948   ANESTH, CERVICAL CERCLAGE
                   950   ANESTH, VAGINAL ENDOSCOPY
                   952   ANESTH, HYSTEROSCOPE/GRAPH
                  1112   ANESTH, BONE ASPIRATE/BX
                  1120   ANESTH, PELVIS SURGERY
                  1130   ANESTH, BODY CAST PROCEDURE
                  1140   ANESTH, HINDQUARTER AMPUTATION
                  1150   ANESTH, PELVIC TUMOR SURGERY
                  1160   ANESTH, PELVIS PROCEDURE
                  1170   ANESTH, PELVIS SURGERY
                  1173   ANESTH, PELVIS SURGERY REPAIR FX
                  1180   ANESTH, PELVIS NERVE REMOVAL
                  1190   ANESTH, PELVISNERVE REMOVAL
                  1200   ANESTH, HIP JOINT PROCEDURE
                  1202   ANESTH, ARTHROSCOPY OF HIP
                  1210   ANESTH, HIP JOINT SURGERY
                  1212   ANESTH, HIP DISARTICULATION
                  1214   ANESTH, HIP ARTHROPLASTY
                  1215   ANESTH, REVISE HIP REPAIR
                  1220   ANESTH, PROCEDURE ON FEMUR
                  1230   ANESTH, SURGERY OF FEMUR
                  1232   ANESTH, AMPUTATION OF FEMUR
                  1234   ANESTH, RADICAL FEMUR SURG
                  1250   ANESTH, UPPER LEG SURGERY
                  1260   ANESTH, UPPER LEG VEINS SURG
                  1270   ANESTH, THIGH ARTERIES SURG
                  1272   ANESTH, FEMORAL ARTERY SURG
                  1274   ANESTH, FEMORAL EMBOLECTOMY


L:CCS/SCG01.xls
                                           PHYSICIAN           18
                                    Service Code Grouping 01
                  1320   ANESTH, KNEE AREA SURGERY
                  1340   ANESTH, KNEE AREA PROCEDURE
                  1360   ANESTH, KNEE AREA SURGERY
                  1380   ANESTH, KNEE JOINT PROCEDURE
                  1382   ANESTH, DX KNEE ARTHROSCOPY
                  1390   ANESTH, KNEE AREA PROCEDURE
                  1392   ANESTH, KNEE AREA SURGERY
                  1400   ANESTH, KNEE JOINT SURGERY
                  1402   ANESTH, KNEE ARTHROPLASTY
                  1404   ANESTH, KNEE DISARTICULATION
                  1420   ANESTH, KNEE JOINT CASTING
                  1430   ANESTH, KNEE VEINS SURGERY
                  1432   ANESTH, KNEE VESSEL SURG
                  1440   ANESTH, KNEE ARTERIES SURG
                  1442   ANESTH, KNEE ARTERY SURG
                  1444   ANESTH, KNEE ARTERY REPAIR
                  1462   ANESTH, LOWER LEG PROCEDURE
                  1464   ANESTH, ANKLE/FT ARTHROSCOPY
                  1470   ANESTH, LOWER LEG SURGERY
                  1472   ANESTH, ACHILLES TENDON SURG
                  1474   ANESTH, LOWER LEG SURGERY
                  1480   ANESTH, LOWER LEG BONE SURG
                  1482   ANESTH, RADICAL LEG SURGERY
                  1484   ANESTH, LOWER LEG REVISION
                  1486   ANESTH, ANKLE REPLACEMENT
                  1490   ANESTH, LOWER LEG CASTING
                  1500   ANESTH, LEG ARTERIES SURG
                  1502   ANESTH, LWR LEG EMBOLECTOMY
                  1520   ANESTH, LOWER LEG VEIN SURG
                  1522   ANESTH, LOWER LEG VEIN SURG
                  1610   ANESTH, SURGERY OF SHOULDER
                  1620   ANESTH, SHOULDER PROCEDURE
                  1622   ANES DX SHOULDER ARTHROSCOPY
                  1630   ANESTH, SURGERY OF SHOULDER
                  1634   ANESTH, SHOULDER JOINT AMPUT
                  1636   ANESTH, FOREQUARTER AMPUT
                  1638   ANESTH, SHOULDER REPLACEMENT
                  1650   ANESTH, SHOULDER ARTERY SURG
                  1652   ANESTH, SHOULDER VESSEL SURG
                  1654   ANESTH, SHOULDER VESSEL SURG
                  1656   ANESTH, ARM-LEG VESSEL SURG
                  1670   ANESTH, SHOULDER VEIN SURG
                  1680   ANESTH, SHOULDER CASTING
                  1682   ANESTH, AIRPLANE CAST
                  1710   ANESTH, ELBOW AREA SURGERY
                  1712   ANESTH, UPPR ARM TENDON SURG
                  1714   ANESTH, UPPR ARM TENDON SURG
                  1716   ANESTH, BICEPS TENDON REPAIR
                  1730   ANESTH, UPPR ARM PROCEDURE
                  1732   ANESTH, DX ELBOW ARTHROSCOPY
                  1740   ANESTH, UPPER ARM SURGERY
                  1742   ANESTH, HUMERUS SURGERY


L:CCS/SCG01.xls
                                              PHYSICIAN                  19
                                       Service Code Grouping 01
                   1744   ANESTH, HUMERUS REPAIR
                   1756   ANESTH, RADICAL HUMERUS SURG
                   1758   ANESTH, HUMERAL LESION SURG
                   1760   ANESTH, ELBOW REPLACEMENT
                   1770   ANESTH, UPPR ARM ARTERY SURG
                   1772   ANESTH, UPPR ARM EMBOLECTOMY
                   1780   ANESTH, UPPER ARM VEIN SURG
                   1782   ANESTH, UPPR ARM VEIN REPAIR
                   1810   ANESTH, LOWER ARM SURGERY
                   1820   ANESTH, LOWER ARM PROCEDURE
                   1829   ANESTH, DX WRIST ARTHROSCOPY
                   1830   ANESTH, LOWER ARM SURGERY
                   1832   ANESTH, WRIST REPLACEMENT
                   1840   ANESTH, LWR ARM ARTERY SURG
                   1842   ANESTH, LWR ARM EMBOLECTOMY
                   1844   ANESTH, VASCULAR SHUNT SURG
                   1850   ANESTH, LOWER ARM VEIN SURG
                   1852   ANESTH, LWR ARM VEIN REPAIR
                   1860   ANESTH, LOWER ARM CASTING
                   1916   ANESTH, DX ARTERIOGRAPHY
                   1920   ANESTH, CATHETERIZE HEART
                   1922   ANESTH, CAT OR MRI SCAN
                   1924   ANES, THER INTERVEN RAD, ART
                   1925   ANES, THER INTERVEN RAD, CAR
                   1926   ANES, TX INTERV RAD HRT/CRAN
                   1930   ANES, THER INTERVEN RAD, VEI
                   1931   ANES, THER INTERVEN RAD, TIP
                   1932   ANES, TX INTERV RAD, TH VEIN
                   1933   ANES, TX INTERV RAD, CRAN V
                   1935   ANES, PERCUT IMG GUIDE SPINE/SPINAL CORD, DX
                   1936   ANES, PERCUT IMG GUIDE SPINE/SPINAL CORD, TX
                   1951   ANESTH, BURN, LESS 4 PERCENT
                   1952   ANESTH, BURN, 4-9 PERCENT
                   1953   ANESTH, BURN, EACH 9 PERCENT
                   1958   ANESTH, EXT CEPH VERSION
                   1960   ANESTH, VAGINAL DELIVERY
                   1961   ANESTH, CS DELIVERY
                   1962   ANESTH, EMER HYSTERECTOMY
                   1963   ANESTH, CS HYSTERECTOMY
                   1965   ANESTH, INC OR MISSED ABORT
                   1966   ANESTH, INDUCED ABORT
                   1967   ANESTH/ANALG, VAG DELIVERY
                   1968   ANES/ANALG CS DELIVER ADD-ON
                   1969   ANESTH/ANALG CS HYST ADD-ON
                   1990   SUPPORT FOR ORGAN DONOR
                   1991   ANESTH, NERVE BLOCK/INJ
                   1992   ANESTH, N BLOCK/INJ, PRONE
                   1996   DAILY MANAGE EPIDURAL
                   1999   UNLISTED ANESTH PROCEDURE
                  10021   FNA W/O IMAGE
                  10022   FNA W/IMAGE
                  10040   ACNE SURGERY


L:CCS/SCG01.xls
                                             PHYSICIAN              20
                                      Service Code Grouping 01
                  10060   INCISION/DRAINAGE OF ABSCESS;SIMPLE
                  10061   INCISION/DRAINAGE OF ABCESS;COMPLICATED
                  10120   REMOVE FOREIGN BODY
                  10121   REMOVE FOREIGN BODY
                  10140   DRAINAGE OF HEMATOMA/FLUID
                  10160   PUNCTURE DRAINAGE OF LESION
                  10180   COMPLEX DRAINAGE, WOUND
                  11000   SURGICAL CLEANSING OF SKIN
                  11001   DEBRIDE INFECTED SKIN ADD-ON
                  11004   DEBRIDE GENITALIA & PERINEUM
                  11005   DEBRIDE ABDOM WALL
                  11006   DEBRIDE GENIT/PER/ABDOM WALL
                  11008   REMOVE MESH FROM ABD WALL
                  11042   CLEANSING OF SKIN/TISSUE
                  11043   CLEANSING OF TISSUE/MUSCLE
                  11044   CLEANSING TISSUE/MUSCLE/BONE
                  11045   DEB SUBQ TISSUE ADD-ON
                  11046   DEB MUSC/FASCIA ADD-ON
                  11047   DEB MUSC/FASCIA ADD-ON
                  11055   TRIM SKIN LESION
                  11056   TRIM SKIN LESIONS, 2 TO 4
                  11057   TRIM SKIN LESIONS, OVER 4
                  11100   BIOPSY OF LESION
                  11101   BIOPSY, SKIN ADD-ON
                  11200   REMOVAL OF SKIN TAGS
                  11201   REMOVE SKIN TAGS ADD-ON
                  11400   EXC TR-EXT B9+MARG 0.5 < CM
                  11401   EXC TR-EXT B9+MARG 0.6-1 CM
                  11402   EXC TR-EXT B9+MARG 1.1-2 CM
                  11403   EXC TR-EXT B9+MARG 2.1-3 CM
                  11404   EXC TR-EXT B9+MARG 3.1-4 CM
                  11406   EXC TR-EXT B9+MARG > 4.0 CM
                  11420   EXC H-F-NK-SP B9+MARG 0.5 <
                  11421   EXC H-F-NK-SP B9+MARG 0.6-1
                  11422   EXC H-F-NK-SP B9+MARG 1.1-2
                  11423   EXC H-F-NK-SP B9+MARG 2.1-3
                  11424   EXC H-F-NK-SP B9+MARG 3.1-4
                  11426   EXC H-F-NK-SP B9+MARG > 4 CM
                  11440   EXC FACE-MM B9+MARG 0.5 < CM
                  11441   EXC FACE-MM B9+MARG 0.6-1 CM
                  11442   EXC FACE-MM B9+MARG 1.1-2 CM
                  11443   EXC FACE-MM B9+MARG 2.1-3 CM
                  11444   EXC FACE-MM B9+MARG 3.1-4 CM
                  11446   EXC FACE-MM B9+MARG > 4 CM
                  11600   EXC TR-EXT MLG+MARG 0.5 < CM
                  11601   EXC TR-EXT MLG+MARG 0.6-1 CM
                  11602   EXC TR-EXT MLG+MARG 1.1-2 CM
                  11603   EXC TR-EXT MLG+MARG 2.1-3 CM
                  11604   EXC TR-EXT MLG+MARG 3.1-4 CM
                  11606   EXC TR-EXT MLG+MARG > 4 CM
                  11620   EXC H-F-NK-SP MLG+MARG 0.5 <
                  11621   EXC H-F-NK-SP MLG+MARG 0.6-1


L:CCS/SCG01.xls
                                             PHYSICIAN            21
                                      Service Code Grouping 01
                  11622   EXC H-F-NK-SP MLG+MARG 1.1-2
                  11623   EXC H-F-NK-SP MLG+MARG 2.1-3
                  11624   EXC H-F-NK-SP MLG+MARG 3.1-4
                  11626   EXC H-F-NK-SP MLG+MAR > 4 CM
                  11640   EXC FACE-MM MALIG+MARG 0.5 <
                  11641   EXC FACE-MM MALIG+MARG 0.6-1
                  11642   EXC FACE-MM MALIG+MARG 1.1-2
                  11643   EXC FACE-MM MALIG+MARG 2.1-3
                  11644   EXC FACE-MM MALIG+MARG 3.1-4
                  11646   EXC FACE-MM MLG+MARG > 4 CM
                  11720   DEBRIDE NAIL, 1-5
                  11721   DEBRIDE NAIL, 6 OR MORE
                  11730   REMOVAL OF NAIL PLATE
                  11732   REMOVE NAIL PLATE, ADD-ON
                  11740   DRAIN BLOOD FROM UNDER NAIL
                  11750   REMOVAL OF NAIL BED
                  11752   REMOVE NAIL BED/FINGER TIP
                  11760   REPAIR OF NAIL BED
                  11762   RECONSTRUCTION OF NAIL BED WITH GRAFT
                  11765   EXCISION OF NAIL FOLD;TOE
                  12001   REPAIR SUPERFICIAL WOUND(S)
                  12002   REPAIR SUPERFICIAL WOUND(S)
                  12004   REPAIR SUPERFICIAL WOUND(S)
                  12005   REPAIR SUPERFICIAL WOUND(S)
                  12006   REPAIR SUPERFICIAL WOUND(S)
                  12007   REPAIR SUPERFICIAL WOUND(S)
                  12011   REPAIR SUPERFICIAL WOUND(S)
                  12013   REPAIR SUPERFICIAL WOUND(S)
                  12014   REPAIR SUPERFICIAL WOUND(S)
                  12015   REPAIR SUPERFICIAL WOUND(S)
                  12016   REPAIR SUPERFICIAL WOUND(S)
                  12017   REPAIR SUPERFICIAL WOUND(S)
                  12018   REPAIR SUPERFICIAL WOUND(S)
                  12020   CLOSURE OF SPLIT WOUND
                  12021   CLOSURE OF SPLIT WOUND
                  12031   LAYER CLOSURE OF WOUND(S)
                  12032   LAYER CLOSURE OF WOUND(S)
                  12034   LAYER CLOSURE OF WOUND(S)
                  12035   LAYER CLOSURE OF WOUND(S)
                  12036   LAYER CLOSURE OF WOUND(S)
                  12037   LAYER CLOSURE OF WOUND(S)
                  12041   LAYER CLOSURE OF WOUND(S)
                  12042   LAYER CLOSURE OF WOUND(S)
                  12044   LAYER CLOSURE OF WOUND(S)
                  12045   LAYER CLOSURE OF WOUND(S)
                  12046   LAYER CLOSURE OF WOUND(S)
                  12047   LAYER CLOSURE OF WOUND(S)
                  12051   LAYER CLOSURE OF WOUND(S)
                  12052   LAYER CLOSURE OF WOUND(S)
                  12053   LAYER CLOSURE OF WOUND(S)
                  12054   LAYER CLOSURE OF WOUND(S)
                  12055   LAYER CLOSURE OF WOUND(S)


L:CCS/SCG01.xls
                                             PHYSICIAN                 22
                                      Service Code Grouping 01
                  12056   LAYER CLOSURE OF WOUND(S)
                  12057   LAYER CLOSURE OF WOUND(S)
                  13100   REPAIR OF WOUND OR LESION
                  13101   REPAIR OF WOUND OR LESION
                  13102   REPAIR WOUND/LESION ADD-ON
                  13120   REPAIR OF WOUND OR LESION
                  13121   REPAIR OF WOUND OR LESION
                  13122   REPAIR WOUND/LESION ADD-ON
                  13131   REPAIR OF WOUND OR LESION
                  13132   REPAIR OF WOUND OR LESION
                  13133   REPAIR WOUND/LESION ADD-ON
                  13150   REPAIR OF WOUND OR LESION
                  13151   REPAIR OF WOUND OR LESION
                  13152   REPAIR OF WOUND OR LESION
                  13153   REPAIR WOUND/LESION ADD-ON
                  13160   SEC. CLOSURE WOUND/DEHISCENCE
                  14000   SKIN TISSUE REARRANGEMENT
                  14001   SKIN TISSUE REARRANGEMENT
                  14020   SKIN TISSUE REARRANGEMENT
                  14021   SKIN TISSUE REARRANGEMENT
                  14040   SKIN TISSUE REARRANGEMENT
                  14041   SKIN TISSUE REARRANGEMENT
                  14060   SKIN TISSUE REARRANGEMENT
                  14061   SKIN TISSUE REARRANGEMENT
                  14301   SKIN TISSUE REARRANGEMENT
                  14302   SKIN TISSUE REARRANGEMENT
                  14350   SKIN TISSUE REARRANGEMENT
                  15851   REMOVAL OF SUTURES
                  16000   INITIAL TREATMENT OF BURN(S)
                  16020   TREATMENT OF BURN(S)
                  17000   DESTROY BENIGN/PREMLG LESION
                  17003   DESTROY LESIONS, 2-14
                  17004   DESTROY LESIONS, 15 OR MORE
                  17106   DEST.CUT.VASC.LESION
                  17107   DESTRUCT.CUT.LESION 10-50 SQ. CM.
                  17110   DESTRUCT LESION, 1-14
                  17111   DESTRUCT LESION, 15 OR MORE
                  17250   CHEMICAL CAUTERY OF WOUND
                  21011   EXCISION TUMOR, FACE OR SCALP SUBQ <2CM
                  21012   EXCISION TUMOR, FACE OR SCALP SUBQ > = 2CM
                  26010   DRAINAGE OF FINGER ABSCESS
                  26011   DRAINAGE OF FINGER ABSCESS
                  29049   APPLICATION OF FIGURE EIGHT
                  29055   APPLICATION OF SHOULDER CAST
                  29058   APPLICATION OF SHOULDER CAST
                  29065   APPLICATION OF LONG ARM CAST
                  29075   APPLICATION OF FOREARM CAST
                  29085   APPLY HAND/WRIST CAST
                  29105   APPLY LONG ARM SPLINT
                  29125   APPLY FOREARM SPLINT
                  29126   APPLY FOREARM SPLINT
                  29130   APPLICATION OF FINGER SPLINT


L:CCS/SCG01.xls
                                            PHYSICIAN                 23
                                     Service Code Grouping 01
                  29131   APPLICATION OF FINGER SPLINT
                  29200   STRAPPING OF CHEST
                  29240   STRAPPING OF SHOULDER
                  29260   STRAPPING OF ELBOW OR WRIST
                  29280   STRAPPING OF HAND OR FINGER
                  29305   APPLICATION OF HIP CAST
                  29325   APPLICATION OF HIP CASTS
                  29345   APPLICATION OF LONG LEG CAST
                  29355   APPLICATION OF LONG LEG CAST
                  29358   APPLY LONG LEG CAST BRACE
                  29365   APPLICATION OF LONG LEG CAST
                  29405   APPLY SHORT LEG CAST
                  29425   APPLY SHORT LEG CAST
                  29435   APPLY SHORT LEG CAST
                  29440   ADDITION OF WALKER TO CAST
                  29445   APPLICAT OF RIGID TOTAL CONTACT LEG CAST
                  29450   APPLICATION OF LEG CAST
                  29505   APPLICATION, LONG LEG SPLINT
                  29515   APPLICATION LOWER LEG SPLINT
                  29520   STRAPPING OF HIP
                  29530   STRAPPING OF KNEE
                  29540   STRAPPING OF ANKLE AND/OR FT
                  29550   STRAPPING OF TOES
                  29580   APPLICATION OF PASTE BOOT
                  29581   APPLICATION VEN WOUND COMPRESS BELOW KNEE
                  29590   APPLICATION OF FOOT SPLINT
                  29700   REMOVAL/REVISION OF CAST
                  29705   REMOVAL/REVISION OF CAST
                  29710   REMOVAL/REVISION OF CAST
                  29715   REMOVAL/REVISION OF CAST
                  29720   REPAIR OF BODY CAST
                  29730   WINDOWING OF CAST
                  29740   WEDGING OF CAST
                  29750   WEDGING OF CLUBFOOT CAST
                  30000   DRAINAGE OF NOSE LESION
                  30020   DRAINAGE OF NOSE LESION
                  30200   INJECTION TREATMENT OF NOSE
                  30300   REMOVE NASAL FOREIGN BODY
                  30901   CONTROL NASAL HEMORRAGE, SIMPLE
                  30903   CONTROL NASAL HEMORRAGE, COMPLEX
                  30905   CONTROL OF NOSEBLEED
                  30906   REPEAT CONTROL OF NOSEBLEED
                  31000   IRRIGATION, MAXILLARY SINUS
                  31002   IRRIGATION, SPHENOID SINUS
                  31231   NASAL END, DIA, UNILAT OR BILAT(SEPARA
                  31500   INSERTION OF WINDPIPE AIRWAY INTUBATION
                  31502   TRACHEOTOMY, TUBE CHANGE
                  31603   INCISION OF WINDPIPE
                  31605   INCISION OF NECK CARTILAGES
                  31620   ENDOBRONCHIAL US ADD-ON
                  31622   DX BRONCHOSCOPE/WASH
                  31623   DX BRONCHOSCOPE/BRUSH


L:CCS/SCG01.xls
                                             PHYSICIAN                    24
                                      Service Code Grouping 01
                  31624   DX BRONCHOSCOPE/LAVAGE
                  31625   BRONCHOSCOPY W/BIOPSY(S)
                  31626   BRONCHOSCOPY W/FID MARKERS, SINGLE OR MULTI
                  31627   BRONCHOSCOPY W/COMP ASSIST IMAGE-GUIDED
                  31628   BRONCHOSCOPY/LUNG BX, EACH
                  31629   BRONCHOSCOPY/NEEDLE BX, EACH
                  31630   BRONCHOSCOPY DILATE/FX REPR
                  31631   BRONCHOSCOPY, DILATE W/STENT
                  31632   BRONCHOSCOPY W/LUNG BIOPSY
                  31633   BRONCHOSCOPY W/NEEDLE ASP
                  31634   BRONCH W/BALLOON OCCLUSION
                  31635   BRONCHOSCOPY W/FB REMOVAL
                  31636   BRONCHOSCOPY, BRONCH STENTS
                  31637   BRONCHOSCOPY, STENT ADD-ON
                  31638   BRONCHOSCOPY, REVISE STENT
                  31640   BRONCHOSCOPY W/TUMOR EXCISE
                  31641   BRONCHOSCOPY, TREAT BLOCKAGE
                  31643   DIAG BRONCHOSCOPE/CATHETER
                  31645   BRONCHOSCOPY, CLEAR AIRWAYS
                  31646   BRONCHOSCOPY, RECLEAR AIRWAY
                  31656   BRONCHOSCOPY, INJ FOR X-RAY
                  32421   THORACENTESIS FOR ASPIRATION, INIT OR SUBSEQ
                  32422   THORACENTESIS W INSERT TUBE INCL H2O SEAL
                  32550   INSERT INDWELL TUNNEL PLEURAL CATH W CUFF
                  32551   TUBE THORACOSTOMY INCL H2O SEAL
                  32552   REMOVAL INDWELL TUNNEL PLEURAL CATH W CUFF
                  32560   CHEMICAL PLEURODESIS
                  32561   CHEMICAL FIBRINOLYSIS
                  32562   CHEMICAL FIBRINOLYSIS SUBSEQUENT DAY
                  36000   ESTABLISH ACCESS TO VEIN
                  36400   BL DRAW < 3 YRS FEM/JUGULAR
                  36405   BL DRAW < 3 YRS SCALP VEIN
                  36406   BL DRAW < 3 YRS OTHER VEIN
                  36410   NON-ROUTINE BL DRAW > 3 YRS
                  36420   VEIN ACCESS CUTDOWN < 1 YR
                  36425   VEIN ACCESS CUTDOWN > 1 YR
                  36500   INSERTION OF CATHETER, VEIN
                  36510   INSERTION OF CATHETER, VEIN
                  36555   INSERT NON-TUN CV CATH UNDER 5
                  36556   INSERT NON-TUN CV CATH 5 AND OVER
                  36557   INSERT TUN CV CATH UNDER 5
                  36558   INSERT TUN CV CATH 5 AND OVER
                  36560   INSERT TUN CV ACC DEV W/PORT UNDER 5
                  36561   INSERT TUN CV ACC DEV W/PORT 5 AND OVER
                  36563   INSERT TUN CV ACC DEV W/SQ PUMP
                  36565   INSERT TUN CV ACC DEV W/2 ACC SITES
                  36566   INSERT TUN CV ACC DEV W/2 ACC SITES W/SQ PORT
                  36568   INSERT PICC UNDER 5
                  36569   INSERT PICC 5 AND OVER
                  36570   INSERT PICC W/SQ PORT UNDER 5
                  36571   INSERT PICC W/SQ PORT 5 AND OVER
                  36575   REPAIR TUN/NON-TUN CV CATH


L:CCS/SCG01.xls
                                             PHYSICIAN                 25
                                      Service Code Grouping 01
                  36576   REPAIR CV ACC DEV W/SQ PUMP/PORT
                  36578   REPLACE CATH CV ACC DEV
                  36580   REPLACE COMP THRU SAME VEN ACC TUN
                  36581   REPLACE COMP THRU SAME VEN ACC NON-TUN
                  36582   REPLACE COMP THRU SAME VEN ACC TUN W/PORT
                  36583   REPLACE COMP THRU SAME VEN ACC TUN W/PUMP
                  36584   REPLACE COMP PICC THRU SAME VEN ACC
                  36585   REPLACE COMP PICC THRU SAME VEN ACC W/PORT
                  36589   REMOVE TUN CV CATH
                  36590   REMOVE TUN CV ACC DEV W/PORT OR PUMP
                  36593   DECLOT VASCULAR DEVICE
                  36595   MECH REMOV PERICATH OBSTR MAT
                  36596   MECH REMOV INTRACATH OBSTR MAT
                  36597   REPOSIT CV CATH W/FLUORO
                  36600   WITHDRAWAL OF ARTERIAL BLOOD
                  36620   ESTABLISH ACCESS TO ARTERY
                  36625   ESTABLISH ACCESS TO ARTERY
                  36640   INSERTION CATHETER, ARTERY
                  36660   INSERTION CATHETER, ARTERY
                  36680   INSERT NEEDLE, BONE CAVITY
                  38220   BONE MARROW ASPIRATION
                  38221   BONE MARROW BIOPSY
                  38300   DRAINAGE, LYMPH NODE LESION
                  38500   BIOPSY/REMOVAL, LYMPH NODES
                  38505   NEEDLE BIOPSY, LYMPH NODES
                  40800   DRAINAGE OF MOUTH LESION
                  40804   REMOVAL, FOREIGN BODY, MOUTH
                  40808   BIOPSY OF MOUTH LESION
                  40819   EXCISE LIP OR CHEEK FOLD
                  40820   TREATMENT OF MOUTH LESION
                  40830   REPAIR MOUTH LACERATION
                  40831   REPAIR MOUTH LACERATION
                  41000   DRAINAGE OF MOUTH LESION
                  41005   DRAINAGE OF MOUTH LESION
                  41800   DRAINAGE OF GUM LESION
                  42000   DRAINAGE MOUTH ROOF LESION
                  43234   UPPER GI ENDOSCOPY, EXAM
                  43235   UPPR GI ENDOSCOPY, DIAGNOSIS
                  43236   UPPR GI SCOPE W/SUBMUC INJ
                  43237   UGI ENDO W/ULTRASOUND ESOPHAGUS
                  43239   UPPER GI ENDOSCOPY, BIOPSY
                  43753   TX GASTRO INTUB W/ASP
                  43754   DX GASTR INTUB W/ASP SPEC
                  43755   DX GASTR INTUB W/ASP SPECS
                  43756   DX DUOD INTUB W/ASP SPEC
                  43757   DX DUOD INTUB W/ASP SPECS
                  43760   CHANGE GASTROSTOMY TUBE
                  43761   REPOSITION GASTROSTOMY TUBE
                  46600   DIAGNOSTIC ANOSCOPY
                  49080   PUNCTURE, PERITONEAL CAVITY
                  49440   INSERT GASTROSTOMY TUBE PERCUT FLUOR GUID
                  49441   INSERT DUOD/JEJUN TUBE PERCUT FLUOR GUID


L:CCS/SCG01.xls
                                             PHYSICIAN                  26
                                      Service Code Grouping 01
                  49442   INSERT CECOSTOMY/COL TUBE PERC FLUOR GUID
                  49446   CONVERT GAST TO GAST-JEJ TUBE PERC FL GUID
                  49450   REPLACE GAST/CEC/COL TUBE PERC FL GUID
                  49451   REPLACE DUOD/JEJ TUBE PERC FL GUID
                  49452   REPLACE GAST-JEJ TUBE PERC FL GUID
                  49460   MECH REMOV OBSTR MAT GAST/DUOD/JEJ/G-J/CEC
                  49465   CON INJ XRAY EVAL G/DUOD/JEJ/G-J/CEC TUBE
                  51100   BLADDER ASPIRATION BY NEEDLE
                  51101   BLADDER ASPIRATION BY TROCAR/INTRACATH
                  51102   BLADDER ASPIRATION W INSERT SUPRAPUBIC CATH
                  51600   INJECTION FOR BLADDER X-RAY
                  51605   PREPARATION FOR BLADDER XRAY
                  51610   INJECTION FOR BLADDER X-RAY
                  51700   IRRIGATION OF BLADDER
                  51701   INSERT BLADDER CATHETER
                  51702   INSERT TEMP BLADDER CATH
                  51703   INSERT BLADDER CATH, COMPLEX
                  51705   CHANGE OF BLADDER TUBE
                  51710   CHANGE OF BLADDER TUBE
                  51725   SIMPLE CYSTOMETROGRAM
                  51726   COMPLEX CYSTOMETROGRAM
                  51727   COMP CYSTO W URETHRAL PRESS PROFILE
                  51728   COMP CYSTO W VOIDING PRESS STUDIES
                  51729   COMP CYSTO W URETHRAL & VOIDING PRESS STUD
                  51736   URINE FLOW MEASUREMENT
                  51741   ELECTRO-UROFLOWMETRY, FIRST
                  51784   ELECTROMYOGRAPHY STUDIES ANAL/URETHRAL
                  51785   ANAL/URINARY MUSCLE STUDY
                  51792   URINARY REFLEX STUDY
                  51797   INTRAABDOMINAL PRESSURE TEST
                  51798   US URINE CAPACITY MEASURE
                  53600   DILATE URETHRA STRICTURE
                  53601   DILATE URETHRA STRICTURE
                  53620   DILATE URETHRA STRICTURE
                  53621   DILATE URETHRA STRICTURE
                  53660   DILATION OF URETHRA
                  53661   DILATION OF URETHRA
                  53855   INSERT TEMP PROSTATIC URETHRAL STENT
                  53860   TRANSURETHRAL RF TREATMENT
                  54000   SLITTING OF PREPUCE
                  54050   DESTRUCTION, PENIS LESION(S)
                  54055   DESTRUCTION, PENIS LESION(S)
                  54056   CRYOSURGERY, PENIS LESION(S)
                  54057   LASER SURG, PENIS LESION(S)
                  54060   EXCISION OF PENIS LESION(S)
                  54065   DESTRUCTION, PENIS LESION(S)
                  54500   BIOPSY OF TESTIS
                  56442   HYMENOTOMY
                  57400   DILATION OF VAGINA
                  57410   PELVIC EXAMINATION
                  57415   REMOVE VAGINAL FOREIGN BODY
                  61000   REMOVE CRANIAL CAVITY FLUID


L:CCS/SCG01.xls
                                             PHYSICIAN           27
                                      Service Code Grouping 01
                  61001   REMOVE CRANIAL CAVITY FLUID
                  61070   BRAIN CANAL SHUNT PROCEDURE
                  62267   INTERDISCAL PERQ ASP, DX
                  62270   SPINAL FLUID TAP, DIAGNOSTIC
                  62272   DRAIN CEREBRO SPINAL FLUID
                  62284   INJECTION FOR MYELOGRAM
                  62290   INJECTION FOR SPINE DISK X-RAY
                  62291   INJECT FOR SPINE DISK X-RAY
                  62310   INJECT SPINE C/T
                  62311   INJECT SPINE L/S (CD)
                  62318   INJECT SPINE W/CATH, C/T
                  62319   INJECT SPINE W/CATH L/S (CD)
                  64450   N BLOCK, OTHER PERIPHERAL
                  64455   N BLOCK INJ, PLANTAR DIGITAL
                  64632   N BLOCK INJ, COMMON DIGIT
                  65205   REMOVE FOREIGN BODY FROM EYE
                  65210   REMOVE FOREIGN BODY FROM EYE
                  65220   REMOVE FOREIGN BODY FROM EYE
                  65222   REMOVE FOREIGN BODY FROM EYE
                  65430   CORNEAL SMEAR
                  65435   CURETTE/TREAT CORNEA
                  65800   DRAINAGE OF EYE
                  65805   DRAINAGE OF EYE
                  67500   INJECT/TREAT EYE SOCKET
                  67515   INJECT/TREAT EYE SOCKET
                  67700   DRAINAGE OF EYELID ABSCESS
                  67710   INCISION OF EYELID
                  67715   INCISION OF EYELID FOLD
                  67800   REMOVE EYELID LESION
                  67801   REMOVE EYELID LESIONS
                  67805   REMOVE EYELID LESIONS
                  67810   BIOPSY OF EYELID
                  67820   REVISE EYELASHES
                  67840   REMOVE EYELID LESION
                  67850   TREAT EYELID LESION
                  67930   REPAIR EYELID WOUND
                  67935   REPAIR EYELID WOUND
                  67938   REMOVE EYELID FOREIGN BODY
                  68020   INCISE/DRAIN EYELID LINING
                  68040   TREATMENT OF EYELID LESIONS
                  68100   BIOPSY OF EYELID LINING
                  68110   REMOVE EYELID LINING LESION
                  68200   TREAT EYELID BY INJECTION
                  68801   DILATE TEAR DUCT OPENING
                  68810   PROBE NASOLACRIMAL DUCT
                  68840   EXPLORE/IRRIGATE TEAR DUCTS
                  69000   DRAIN EXTERNAL EAR LESION
                  69020   DRAIN OUTER EAR CANAL LESION
                  69100   BIOPSY OF EXTERNAL EAR
                  69105   BIOPSY OF EXTERNAL EAR CANAL
                  69200   CLEAR OUTER EAR CANAL
                  69210   REMOVE IMPACTED EAR WAX


L:CCS/SCG01.xls
                                            PHYSICIAN           28
                                     Service Code Grouping 01
                  69420   INCISION OF EARDRUM
                  70010   CONTRAST X-RAY OF BRAIN
                  70015   CONTRAST X-RAY OF BRAIN
                  70030   X-RAY EYE FOR FOREIGN BODY
                  70100   X-RAY EXAM OF JAW
                  70110   X-RAY EXAM OF JAW
                  70120   X-RAY EXAM OF MASTOIDS
                  70130   X-RAY EXAM OF MASTOIDS
                  70134   X-RAY EXAM OF MIDDLE EAR
                  70140   X-RAY EXAM OF FACIAL BONES
                  70150   X-RAY EXAM OF FACIAL BONES
                  70160   X-RAY EXAM OF NASAL BONES
                  70170   X-RAY EXAM OF TEAR DUCT
                  70190   X-RAY EXAM OF EYE SOCKETS
                  70200   X-RAY EXAM OF EYE SOCKETS
                  70210   X-RAY EXAM OF SINUSES
                  70220   X-RAY EXAM OF SINUSES
                  70240   X-RAY EXAM, PITUITARY SADDLE
                  70250   X-RAY EXAM OF SKULL
                  70260   X-RAY EXAM OF SKULL
                  70300   X-RAY EXAM OF TEETH
                  70310   X-RAY EXAM OF TEETH
                  70320   FULL MOUTH X-RAY OF TEETH
                  70328   X-RAY EXAM OF JAW JOINT
                  70330   X-RAY EXAM OF JAW JOINTS
                  70332   X-RAY EXAM OF JAW JOINT
                  70360   X-RAY EXAM OF NECK
                  70370   THROAT X-RAY & FLUOROSCOPY
                  70373   CONTRAST X-RAY OF LARYNX
                  70380   X-RAY EXAM OF SALIVARY GLAND
                  70390   X-RAY EXAM OF SALIVARY DUCT
                  70450   CT HEAD/BRAIN W/O DYE
                  70460   CT HEAD/BRAIN W/DYE
                  70470   CT HEAD/BRAIN W/O&W DYE
                  70480   CT ORBIT/EAR/FOSSA W/O DYE
                  70481   CT ORBIT/EAR/FOSSA W/DYE
                  70482   CT ORBIT/EAR/FOSSA W/O&W DYE
                  70486   CT MAXILLOFACIAL W/O DYE
                  70487   CT MAXILLOFACIAL W/DYE
                  70488   CT MAXILLOFACIAL W/O&W DYE
                  70490   CT SOFT TISSUE NECK W/O DYE
                  70491   CT SOFT TISSUE NECK W/DYE
                  70492   CT SFT TSUE NCK W/O & W/DYE
                  70496   CT ANGIOGRAPHY HEAD
                  70498   CT ANGIOGRAPHY NECK
                  70540   MRI ORBIT/FACE/NECK W/O DYE
                  70542   MRI ORBIT/FACE/NECK W/DYE
                  70543   MRI ORBT/FAC/NCK W/O & W DYE
                  70544   MR ANGIOGRAPHY HEAD W/O DYE
                  70545   MR ANGIOGRAPHY HEAD W/DYE
                  70546   MR ANGIOGRAPH HEAD W/O&W DYE
                  70547   MR ANGIOGRAPHY NECK W/O DYE


L:CCS/SCG01.xls
                                             PHYSICIAN               29
                                      Service Code Grouping 01
                  70548   MR ANGIOGRAPHY NECK W/DYE
                  70549   MR ANGIOGRAPH NECK W/O&W DYE
                  70551   MRI BRAIN W/O DYE
                  70552   MRI BRAIN W/DYE
                  70553   MRI BRAIN W/O&W DYE
                  70557   MRI BRAIN OPEN PROCED
                  70558   MRI BRAIN OPEN PROCED W/CONTRAST
                  70559   MRI BRAIN OPEN PROCED W/O CONTRAST
                  71010   X-RAY EXAM OF CHEST
                  71015   CHEST X-RAY
                  71020   X-RAY EXAM OF CHEST
                  71021   X-RAY EXAM OF CHEST
                  71022   X-RAY EXAM OF CHEST
                  71023   CHEST X-RAY AND FLUOROSCOPY
                  71030   X-RAY EXAM OF CHEST
                  71034   CHEST X-RAY AND FLUOROSCOPY
                  71035   X-RAY EXAM OF CHEST
                  71040   CONTRAST X-RAY OF BRONCHI
                  71060   CONTRAST X-RAY OF BRONCHI
                  71090   X-RAY & PACEMAKER INSERTION
                  71100   X-RAY EXAM OF RIBS
                  71101   X-RAY EXAM OF RIBS/CHEST
                  71110   X-RAY EXAM OF RIBS
                  71111   X-RAY EXAM OF RIBS/ CHEST
                  71120   X-RAY EXAM OF BREASTBONE
                  71130   X-RAY EXAM OF BREASTBONE
                  71250   CT THORAX W/O DYE
                  71260   CT THORAX W/DYE
                  71270   CT THORAX W/O&W DYE
                  71275   CT ANGIO W/O CONTR, W/CONTR $ FRTHR SECT
                  71550   MRI CHEST W/O DYE
                  71551   MRI CHEST W/DYE
                  71552   MRI CHEST W/O&W/DYE
                  71555   MRA CHEST W/O&W/DYE
                  72010   X-RAY EXAM OF SPINE
                  72020   X-RAY EXAM OF SPINE
                  72040   X-RAY EXAM OF NECK SPINE
                  72050   X-RAY EXAM OF NECK SPINE
                  72052   X-RAY EXAM OF NECK SPINE
                  72069   RADIOLOGY EXAM, SPINE, THORACOLUMBAR
                  72070   X-RAY EXAM OF THORACIC SPINE
                  72072   X-RAY EXAM OF THORACIC SPINE
                  72074   X-RAY EXAM OF THORACIC SPINE
                  72080   X-RAY EXAM OF TRUNK SPINE
                  72090   X-RAY EXAM OF TRUNK SPINE
                  72100   X-RAY EXAM OF LOWER SPINE
                  72110   X-RAY EXAM OF LOWER SPINE
                  72114   X-RAY EXAM OF LOWER SPINE
                  72120   X-RAY EXAM OF LOWER SPINE
                  72125   CT NECK SPINE W/O DYE
                  72126   CT NECK SPINE W/DYE
                  72127   CT NECK SPINE W/O&W/DYE


L:CCS/SCG01.xls
                                            PHYSICIAN           30
                                     Service Code Grouping 01
                  72128   CT CHEST SPINE W/O DYE
                  72129   CT CHEST SPINE W/DYE
                  72130   CT CHEST SPINE W/O&W/DYE
                  72131   CT LUMBAR SPINE W/O DYE
                  72132   CT LUMBAR SPINE W/DYE
                  72133   CT LUMBAR SPINE W/O&W/DYE
                  72141   MRI NECK SPINE W/O DYE
                  72142   MRI NECK SPINE W/DYE
                  72146   MRI CHEST SPINE W/O DYE
                  72147   MRI CHEST SPINE W/DYE
                  72148   MRI LUMBAR SPINE W/O DYE
                  72149   MRI LUMBAR SPINE W/DYE
                  72156   MRI NECK SPINE W/O&W/DYE
                  72157   MRI CHEST SPINE W/O&W/DYE
                  72158   MRI LUMBAR SPINE W/O&W/DYE
                  72159   MRA SPINAL CANAL W/O&W/DYE
                  72170   X-RAY EXAM OF PELVIS
                  72190   X-RAY EXAM OF PELVIS
                  72191   CT ANGIOGRAPH PELV W/O&W/DYE
                  72192   CT PELVIS W/O DYE
                  72193   CT PELVIS W/DYE
                  72194   CT PELVIS W/O&W/DYE
                  72195   MRI PELVIS W/O DYE
                  72196   MRI PELVIS W/DYE
                  72197   MRI PELVIS W/O & W/DYE
                  72198   MRA PELVIS W/O&W/DYE
                  72200   X-RAY EXAM SACROILIAC JOINTS
                  72202   X-RAY EXAM SACROILIAC JOINTS
                  72220   X-RAY EXAM OF TAILBONE
                  72240   CONTRAST X-RAY OF NECK SPINE
                  72255   CONTRAST X-RAY, THORAX SPINE
                  72265   CONTRAST X-RAY, LOWER SPINE
                  72270   CONTRAST X-RAY OF SPINE
                  72275   EPIDUROGRAPHY
                  72285   X-RAY C/T SPINE DISK
                  72291   PERCUT VERTEBROPLASTY, W/FLUO
                  72292   PERCUT VERTEBROPLASTY, W/CT
                  72295   X-RAY OF LOWER SPINE DISK
                  73000   X-RAY EXAM OF COLLAR BONE
                  73010   X-RAY EXAM OF SHOULDER BLADE
                  73020   X-RAY EXAM OF SHOULDER
                  73030   X-RAY EXAM OF SHOULDER
                  73040   CONTRAST X-RAY OF SHOULDER
                  73050   X-RAY EXAM OF SHOULDERS
                  73060   X-RAY EXAM OF HUMERUS
                  73070   X-RAY EXAM OF ELBOW
                  73080   X-RAY EXAM OF ELBOW
                  73085   CONTRAST X-RAY OF ELBOW
                  73090   X-RAY EXAM OF FOREARM
                  73092   X-RAY EXAM OF ARM, INFANT
                  73100   X-RAY EXAM OF WRIST
                  73110   X-RAY EXAM OF WRIST


L:CCS/SCG01.xls
                                             PHYSICIAN           31
                                      Service Code Grouping 01
                  73115   CONTRAST X-RAY OF WRIST
                  73120   X-RAY EXAM OF HAND
                  73130   X-RAY EXAM OF HAND
                  73140   X-RAY EXAM OF FINGER(S)
                  73200   CT UPPER EXTREMITY W/O DYE
                  73201   CT UPPER EXTREMITY W/DYE
                  73202   CT UPPR EXTREMITY W/O&W/DYE
                  73206   CT ANGIO UPR EXTRM W/O&W/DYE
                  73218   MRI UPPER EXTREMITY W/O DYE
                  73219   MRI UPPER EXTREMITY W/DYE
                  73220   MRI UPPR EXTREMITY W/O&W/DYE
                  73221   MRI JOINT UPR EXTREM W/O DYE
                  73222   MRI JOINT UPR EXTREM W/DYE
                  73223   MRI JOINT UPR EXTR W/O&W/DYE
                  73225   MRA UPPR EXTR W/O&W/DYE
                  73500   X-RAY EXAM OF HIP
                  73510   X-RAY EXAM OF HIP
                  73520   X-RAY EXAM OF HIPS
                  73525   CONTRAST X-RAY OF HIP
                  73530   X-RAY EXAM OF HIP
                  73540   X-RAY EXAM OF PELVIS & HIPS
                  73542   X-RAY EXAM, SACROILIAC JOINT
                  73550   X-RAY EXAM OF THIGH
                  73560   X-RAY EXAM OF KNEE, 1 OR 2
                  73562   X-RAY EXAM OF KNEE, 3
                  73564   X-RAY EXAM, KNEE, 4 OR MORE
                  73565   X-RAY EXAM OF KNEES
                  73580   CONTRAST X-RAY OF KNEE JOINT
                  73590   X-RAY EXAM OF HIP
                  73592   X-RAY EXAM OF LEG, INFANT
                  73600   X-RAY EXAM OF ANKLE
                  73610   X-RAY EXAM OF ANKLE
                  73615   CONTRAST X-RAY OF ANKLE
                  73620   X-RAY EXAM OF FOOT
                  73630   X-RAY EXAM OF FOOT
                  73650   X-RAY EXAM OF HEEL
                  73660   X-RAY EXAM OF TOE(S)
                  73700   CT LOWER EXTREMITY W/O DYE
                  73701   CT LOWER EXTREMITY W/DYE
                  73702   CT LWR EXTREMITY W/O&W/DYE
                  73706   CT ANGIO LWR EXTR W/O&W/DYE
                  73718   MRI LOWER EXTREMITY W/O DYE
                  73719   MRI LOWER EXTREMITY W/DYE
                  73720   MRI LWR EXTREMITY W/O&W/DYE
                  73721   MRI JNT OF LWR EXTRE W/O DYE
                  73722   MRI JOINT OF LWR EXTR W/DYE
                  73723   MRI JOINT LWR EXTR W/O&W/DYE
                  73725   MRA LOWR EXTR W/O&W/DYE
                  74000   X-RAY EXAM OF ABDOMEN
                  74010   X-RAY EXAM OF ABDOMEN
                  74020   X-RAY EXAM OF ABDOMEN
                  74022   X-RAY EXAM SERIES, ABDOMEN


L:CCS/SCG01.xls
                                             PHYSICIAN               32
                                      Service Code Grouping 01
                  74150   CT ABDOMEN W/O DYE
                  74160   CT ABDOMEN W/DYE
                  74170   CT ABDOMEN W/O&W/DYE
                  74175   CT ANGIO ABDOM W/O & W/DYE
                  74176   CT ABD & PELVIS W/O CONTRAST
                  74177   CT ABDOMEN&PELVIS W/CONTRAST
                  74178   CT ABD&PELV 1+ SECTION/REGNS
                  74181   MRI ABDOMEN W/O DYE
                  74182   MRI ABDOMEN W/DYE
                  74183   MRI ABDOMEN W/O&W/DYE
                  74185   MRI ANGIO, ABDOM W OR W/O DY
                  74190   PERITONEOGR(EG,AFTER INJEC OF AIR CONTRA
                  74210   CONTRST X-RAY EXAM OF THROAT
                  74220   CONTRAST X-RAY, ESOPHAGUS
                  74230   CINE/VID X-RAY, THROAT/ESOPH
                  74235   REMOVE ESOPHAGUS OBSTRUCTION
                  74240   X-RAY EXAM, UPPER GI TRACT
                  74241   X-RAY EXAM, UPPER GI TRACT
                  74245   X-RAY EXAM, UPPER GI TRACT
                  74246   CONTRST X-RAY UPPR GI TRACT
                  74247   CONTRST X-RAY UPPR GI TRACT
                  74249   CONTRST X-RAY UPPR GI TRACT
                  74250   X-RAY EXAM OF SMALL BOWEL
                  74251   RAD EXAM, SMALL BOWEL, INCLUD MULT SERIA
                  74260   X-RAY EXAM OF SMALL BOWEL
                  74270   CONTRAST X-RAY EXAM OF COLON
                  74280   CONTRAST X-RAY EXAM OF COLON
                  74283   CONTRAST X-RAY EXAM OF COLON
                  74290   CONTRAST X-RAY, GALLBLADDER
                  74291   CONTRAST X-RAYS, GALLBLADDER
                  74300   X-RAY BILE DUCTS/PANCREAS
                  74301   X-RAYS AT SURGERY ADD-ON
                  74305   X-RAY BILE DUCTS/PANCREAS
                  74320   CONTRAST X-RAY OF BILE DUCTS
                  74327   X-RAY BILE STONE REMOVAL
                  74328   X-RAY BILE DUCT ENDOSCOPY
                  74329   X-RAY FOR PANCREAS ENDOSCOPY
                  74330   X-RAY BILE/PANC ENDOSCOPY
                  74340   X-RAY GUIDE FOR GI TUBE
                  74355   X-RAY GUIDE, INTESTINAL TUBE
                  74360   X-RAY GUIDE, GI DILATION
                  74363   X-RAY, BILE DUCT DILATION
                  74400   CONTRST X-RAY, URINARY TRACT
                  74410   CONTRST X-RAY, URINARY TRACT
                  74415   CONTRST X-RAY, URINARY TRACT
                  74420   CONTRST X-RAY, URINARY TRACT
                  74425   CONTRST X-RAY, URINARY TRACT
                  74430   CONTRAST X-RAY, BLADDER
                  74440   X-RAY, MALE GENITAL TRACT
                  74445   X-RAY EXAM OF PENIS
                  74450   X-RAY, URETHRA/BLADDER
                  74455   X-RAY, URETHRA/BLADDER


L:CCS/SCG01.xls
                                             PHYSICIAN           33
                                      Service Code Grouping 01
                  74470   X-RAY EXAM OF KIDNEY LESION
                  74475   X-RAY CONTROL, CATH INSERT
                  74480   X-RAY CONTROL, CATH INSERT
                  74485   X-RAY GUIDE, GU DILATION
                  74710   X-RAY MEASUREMENT OF PELVIS
                  74740   X-RAY, FEMALE GENITAL TRACT
                  74775   X-RAY EXAM OF PERINEUM
                  75600   CONTRAST X-RAY EXAM OF AORTA
                  75605   CONTRAST X-RAY EXAM OF AORTA
                  75625   CONTRAST X-RAY EXAM OF AORTA
                  75630   X-RAY AORTA, LEG ARTERIES
                  75650   ARTERY X-RAYS, HEAD & NECK
                  75658   ARTERY X-RAYS, ARM
                  75660   ARTERY X-RAYS, HEAD & NECK
                  75662   ARTERY X-RAYS, HEAD & NECK
                  75665   ARTERY X-RAYS, HEAD & NECK
                  75671   ARTERY X-RAYS, HEAD & NECK
                  75676   ARTERY X-RAYS, NECK
                  75680   ARTERY X-RAYS, NECK
                  75685   ARTERY X-RAYS, SPINE
                  75705   ARTERY X-RAYS, SPINE
                  75710   ARTERY X-RAYS, ARM/LEG
                  75716   ARTERY X-RAYS, ARMS/LEGS
                  75722   ARTERY X-RAYS, KIDNEY
                  75724   ARTERY X-RAYS, KIDNEYS
                  75726   ARTERY X-RAYS, ABDOMEN
                  75731   ARTERY X-RAYS, ADRENAL GLAND
                  75733   ARTERY X-RAYS, ADRENALS
                  75736   ARTERY X-RAYS, PELVIS
                  75741   ARTERY X-RAYS, LUNG
                  75743   ARTERY X-RAYS, LUNGS
                  75746   ARTERY X-RAYS, LUNG
                  75756   ARTERY X-RAYS, CHEST
                  75774   ARTERY X-RAY, EACH VESSEL
                  75791   ANGIOGRAPHY A-V SHUNT
                  75801   LYMPH VESSEL X-RAY, ARM/LEG
                  75803   LYMPH VESSEL X-RAY,ARMS/LEGS
                  75805   LYMPH VESSEL X-RAY, TRUNK
                  75807   LYMPH VESSEL X-RAY, TRUNK
                  75809   NONVASCULAR SHUNT, X-RAY
                  75810   VEIN X-RAY, SPLEEN/LIVER
                  75820   VEIN X-RAY, ARM/LEG
                  75822   VEIN X-RAY, ARMS/LEGS
                  75825   VEIN X-RAY, TRUNK
                  75827   VEIN X-RAY, CHEST
                  75831   VEIN X-RAY, KIDNEY
                  75833   VEIN X-RAY, KIDNEYS
                  75840   VEIN X-RAY, ADRENAL GLAND
                  75842   VEIN X-RAY, ADRENAL GLANDS
                  75860   VEIN X-RAY, NECK
                  75870   VEIN X-RAY, SKULL


L:CCS/SCG01.xls
                                             PHYSICIAN                 34
                                      Service Code Grouping 01
                  75872   VEIN X-RAY, SKULL
                  75880   VEIN X-RAY, EYE SOCKET
                  75885   VEIN X-RAY, LIVER
                  75887   VEIN X-RAY, LIVER
                  75889   VEIN X-RAY, LIVER
                  75891   VEIN X-RAY, LIVER
                  75893   VENOUS SAMPLING BY CATHETER
                  75984   XRAY CONTROL CATHETER CHANGE
                  75989   ABSCESS DRAINAGE UNDER X-RAY
                  76000   FLUOROSCOPY(SEP PROC),UP TO 1 HR PHYSICI
                  76001   FLUOROSCOPIC EXAM, EXTENSIVE
                  76010   X-RAY, NOSE TO RECTUM
                  76080   X-RAY EXAM OF FISTULA
                  76098   X-RAY EXAM, BREAST SPECIMEN
                  76100   X-RAY EXAM OF BODY SECTION
                  76101   COMPLEX BODY SECTION X-RAY
                  76102   COMPLEX BODY SECTION X-RAYS
                  76120   CINE/VIDEO X-RAYS
                  76125   CINE/VIDEO X-RAYS ADD-ON
                  76140   X-RAY CONSULTATION
                  76380   CAT SCAN FOLLOW-UP STUDY
                  76496   FLUOROSCOPIC PROCEDURE
                  76497   CT PROCEDURE
                  76498   MRI PROCEDURE
                  76499   RADIOGRAPHIC PROCEDURE
                  76506   ECHO EXAM OF HEAD
                  76510   OPHTH US, B & QUANT A
                  76511   OPHTHALMIC ECHOGRAPHY, DIAG; A-SCAN
                  76512   OPHTHALMIC, ECHOGRAPHY, DIAG; B-SCAN
                  76513   ECHO EXAM OF EYE, WATER BATH
                  76514   OPHTHALMIC, ECHOGRAPHY, DIAG; CORNEAL PAC.
                  76516   OPHTHALMIC BIOMETRY BY ECHOGRAPHY, A-SCA
                  76519   ECHO EXAM OF EYE
                  76529   ECHO EXAM OF EYE
                  76536   US EXAM OF HEAD AND NECK
                  76604   US EXAM, CHEST, B-SCAN
                  76645   US EXAM, BREAST(S)
                  76700   US EXAM, ABDOM, COMPLETE
                  76705   ECHO EXAM OF ABDOMEN
                  76770   US EXAM ABDO BACK WALL, COMP
                  76775   US EXAM ABDO BACK WALL, LIM
                  76776   US EXAM KID TRANSPLANT W/DOPPLER
                  76800   US EXAM, SPINAL CANAL
                  76801   OB US < 14 WKS, SINGLE FETUS
                  76802   OB US < 14 WKS, ADDL FETUS
                  76805   OB US >/= 14 WKS, SNGL FETUS
                  76810   OB US >/= 14 WKS, ADDL FETUS
                  76811   OB US, DETAILED, SNGL FETUS
                  76812   OB US, DETAILED, ADDL FETUS
                  76815   OB US, LIMITED, FETUS(S)
                  76816   OB US, FOLLOW-UP, PER FETUS



L:CCS/SCG01.xls
                                             PHYSICIAN               35
                                      Service Code Grouping 01
                  76817   TRANSVAGINAL US, OBSTETRIC
                  76820   UMBILICAL ARTERY ECHO
                  76821   MIDDLE CEREBRAL ARTERY ECHO
                  76825   ECHO EXAM OF FETAL HEART
                  76826   ECHO EXAM OF FETAL HEART
                  76827   ECHO EXAM OF FETAL HEART
                  76828   ECHO EXAM OF FETAL HEART
                  76830   TRANSVAGINAL US, NON-OB
                  76831   ECHO EXAM, UTERUS
                  76856   US EXAM, PELVIC, COMPLETE
                  76857   US EXAM, PELVIC, LIMITED
                  76870   US EXAM, SCROTUM
                  76872   ECHO EXAM TRANSRECTAL
                  76873   ECHOGRAP TRANS R, PROS STUDY
                  76885   US EXAM INFANT HIPS, DYNAMIC
                  76886   US EXAM INFANT HIPS, STATIC
                  76930   ECHO GUIDE, CARDIOCENTESIS
                  76932   ECHO GUIDE FOR HEART BIOPSY
                  76937   ECHO VASCULAR ACCESS
                  76940   ECHO VISC TISSUE ABLATION
                  76941   ECHO GUIDE FOR TRANSFUSION
                  76942   ECHO GUIDE FOR BIOPSY
                  76946   ECHO GUIDE FOR AMNIOCENTESIS
                  76950   ECHO GUIDANCE RADIOTHERAPY
                  76965   ULTRASONIC GUIDANCE FOR INTERSTITIAL RAD
                  76970   ULTRASOUND EXAM FOLLOW-UP
                  76975   GI ENDOSCOPIC ULTRASOUND
                  76998   US GUIDE INTRAOP
                  76999   ECHO EXAMINATION PROCEDURE
                  77001   FLUOROGUIDE FOR VEIN DEVICE
                  77002   NEEDLE LOCALIZATION BY XRAY
                  77003   FLUOROGUIDE FOR SPINE INJ
                  77011   CT SCAN FOR LOCALIZATION
                  77012   CT SCAN FOR NEEDLE BX
                  77013   CT GUIDE FOR TISSUE ABLATION
                  77014   CT SCAN FOR THERAPY GUIDE
                  77021   MR GUIDANCE FOR NEEDLE PLAC
                  77022   MRI FOR TISSUE ABLATION
                  77031   STEREOTACT GUIDE FOR BREAST
                  77032   GUIDANCE FOR NEEDLE, BREAST
                  77051   COMPUTER DX MAMMOGRAM, ADD
                  77052   COMPUTER SCREEN MAMMOGRAM, ADD
                  77053   XRAY OF MAMMARY DUCT
                  77054   XRAY OF MAMMARY DUCTS
                  77055   MAMMOGRAM, ONE BREAST
                  77056   MAMMOGRAM, BOTH BREASTS
                  77057   MAMMOGRAM, SCREENING
                  77058   MRI, ONE BREAST
                  77059   MRI, BOTH BREASTS
                  77071   XRAY STRESS VIEW
                  77072   XRAYS FOR BONE AGE
                  77073   XRAYS BONE LENGTH STUDIES


L:CCS/SCG01.xls
                                             PHYSICIAN               36
                                      Service Code Grouping 01
                  77074   XRAYS BONE SURVEY, LIMITED
                  77075   XRAYS BONE SURVEY, COMPLETE
                  77076   XRAYS BONE SURVEY, INFANT
                  77077   JOINT SURVEY, SINGLE VIEW
                  77080   DXA BONE DENSITY, AXIAL
                  77081   DXA BONE DENSITY, PERIPHERAL
                  78000   NUCLEAR EXAM OF THYROID
                  78001   NUCLEAR EXAMS OF THYROID
                  78003   SPECIAL THYROID NUCLEAR EXAM
                  78006   THYROID IMAGING WITH UPTAKE
                  78007   THYROID IMAGE, MULT UPTAKES
                  78010   NUCLEAR SCAN OF THYROID
                  78011   NUCLEAR SCAN, THYROID FLOW
                  78015   NUCLEAR SCAN OF THYROID
                  78016   EXTENSIVE THYROID SCAN
                  78018   THYROID MET IMAGING, BODY
                  78020   THYROID MET UPTAKE
                  78070   NUCLEAR SCAN OF PARATHYROID
                  78075   ADRENAL IMAGING, CORTEX AND/OR MEDULLA
                  78099   ENDOCRINE NUCLEAR PROCEDURE
                  78102   NUCLEAR SCAN OF BONE MARROW
                  78103   NUCLEAR SCAN OF BONE MARROW
                  78104   NUCLEAR SCAN OF BONE MARROW
                  78110   PLASMA VOL,RADIOPHARM VOL-DILUT. TECH.
                  78111   NUCLEAR EXAM, PLASMA VOLUME
                  78120   NUCLEAR EXAM OF RBC MASS
                  78121   NUCLEAR EXAM OF RBC MASS
                  78122   WHOLE BLD VOL DETER,INC SEPARATE MEASURE
                  78130   RED CELL SURVIVAL EXAM
                  78135   RED CELL SURVIVAL; DIFFER ORGAN/TISSUE
                  78140   LABELED RED CELL SEQUESTRATION
                  78185   NUCLEAR SCAN OF SPLEEN
                  78190   KINETICS, PLATELET STUDY
                  78191   PLATELET SURVIVAL STUDY
                  78195   LYMPH SYSTEM IMAGING
                  78199   NUCLEAR EXAM BLOOD/LYMPH
                  78201   NUCLEAR SCAN OF LIVER
                  78202   NUCLEAR SCAN OF LIVER
                  78205   NUCLEAR SCAN OF LIVER (3D)
                  78206   LIVER IMAGE (3D) WITH FLOW
                  78215   NUCLEAR SCAN, LIVER & SPLEEN
                  78216   LIVER & SPLEEN IMAGE/FLOW
                  78220   NUCLEAR SCAN, LIVER FUNCTION
                  78223   HEPATOBILIARY DUCTAL SYSTEM IMAGING
                  78230   NUCLEAR SCAN, SALIVARY GLAND
                  78231   NUCLEAR SCANS,SALIVARY GLAND
                  78232   NUCLEAR EXAM, SALIVARY GLAND
                  78258   NUCLEAR IMAGING OF ESOPHAGUS
                  78261   NUCLEAR SCAN, GASTRIC MUCOSA
                  78262   GULLET REFLUX NUCLEAR EXAM
                  78264   NUCLEAR EXAM, STOMACH
                  78270   VIT B-12 ABSORPTION EXAMS


L:CCS/SCG01.xls
                                             PHYSICIAN               37
                                      Service Code Grouping 01
                  78271   VIT B-12 ABSRP EXAM, INT FAC
                  78272   VIT B-12 ABSORPTION EXAMS
                  78278   NUCLEAR SCAN, GI BLOOD LOSS
                  78282   G.I. PROTEIN LOSS EXAM
                  78290   MECKELFS DIVERT EXAM
                  78291   PERITONEAL-VENOUS SHUNT PATENCY TEST
                  78299   G.I. NUCLEAR PROCEDURE
                  78300   BONE AND/OR JOINT IMAGING; LIMITED
                  78305   NUCLEAR SCAN OF BONES
                  78306   NUCLEAR SCAN OF SKELETON
                  78315   BONE AND/OR JOINT IMAGING; 3 PHASE STUDY
                  78320   NUCLEAR SCAN OF BONE(3D)
                  78399   MUSCULOSKELETAL NUCLEAR EXAM
                  78414   DETERMINATION CENTRAL C-V HEMODYNAMICS
                  78428   NUCLEAR EXAM, HEART SHUNT
                  78445   NUCLEAR SCAN OF BLOOD FLOW
                  78453   MYOCARD PERF IMAGING, PLANAR, SINGLE
                  78454   MYOCARD PERF IMAGING, PLANAR, MULTI
                  78456   ACUTE VENOUS THROMBUS IMAGE
                  78457   VENOUS THROMBOSIS IMAGING
                  78458   NUCLEAR SCAN VEIN THROMBOSIS
                  78466   NUCLEAR SCAN, HEART MUSCLE
                  78468   HEART INFARCT IMAGE (EF)
                  78472   GATED HEART, PLANAR, SINGLE
                  78600   NUCLEAR SCAN OF BRAIN
                  78601   BRAIN IMAGING, LTD W/FLOW
                  78605   NUCLEAR SCAN OF BRAIN
                  78606   BRAIN IMAGING, COMPL W/FLOW
                  78609   BRAIN IMAG,POSITRON EMISSION TOMOGRAPHY
                  78610   NUCLEAR SCAN OF BRAIN
                  78630   CEREBROSPINAL FLUID SCAN
                  78635   CEREBROSPINAL FLUID SCAN
                  78645   CEREBROSPINAL FLUID SCAN
                  78650   CSF LEAKAGE IMAGING
                  78660   RADIOPHARM DACRYOCYSTOGRAPHY
                  78699   NERVOUS SYSTEM NUCLEAR EXAM
                  78700   NUCLEAR SCAN OF KIDNEY
                  78701   NUCLEAR SCAN OF KIDNEY
                  78707   KIDNEY FLOW/FUNCTION IMAGE
                  78708   KIDNEY FLOW/FUNCTION IMAGE
                  78709   KIDNEY FLOW/FUNCTION IMAGE
                  78725   KIDNEY FUNCTION STUDY
                  78730   NUCLEAR EXAM OF BLADDER
                  78740   URETER REFLUX STDY(RADIOPHARM VOID CYSTO
                  78761   TESTICULAR IMAGING/FLOW
                  78799   GENITOURINARY NUCLEAR EXAM
                  78800   RADIOPHARM LOCALIZATION OF TUMOR
                  78801   NUCLEAR EXAM OF LESIONS
                  78802   NUCLEAR EXAM OF LESIONS
                  78804   NUCLEAR EXAM WHOLE BODY 2 OR MORE DAYS
                  78805   ABSCESS IMAGING, LTD AREA
                  78806   NUCLEAR EXAM OF ABSCESS


L:CCS/SCG01.xls
                                            PHYSICIAN                38
                                     Service Code Grouping 01
                  78808   IV INJ RA DRUG DX STUDY
                  78990   PROV OF DIAGNOSTIC RADIOPHARMACEUTICALS
                  78999   NUCLEAR DIAGNOSTIC EXAM
                  79005   NUCLEAR RX, ORAL ADMIN
                  79101   NUCLEAR RX, IV ADMIN
                  79200   INTRACAVITARY NUCLEAR TRMT
                  79300   RADIONUCLIDE THERAPY
                  79403   RADIOPHARM THRPY, MONOCLONAL AB
                  79440   INTRA-ARTICULAR RADIOPHARM THERAPY
                  79445   NUCLEAR RX, INTRA-ARTERIAL
                  79900   PROVIDE THER RADIOPHARM(S)
                  79999   UNLISTED RADIOPHARM THERAPEUTIC PROCEDUR
                  80047   BASIC METABOLIC PANEL (CA IONIZED)
                  80048   BASIC METABOLIC PANEL (CA TOTAL)
                  80051   ELECTROLYTE PANEL
                  80053   COMPREHENSIVE METABOLIC PANEL
                  80055   OBSTETRIC PROFILE
                  80061   LIPID PROFILE
                  80069   RENAL FUNCTION PANEL
                  80074   ACUTE HEPATITIS PANEL
                  80076   HEPATIC FUNCTION PANEL
                  80102   DRUG, CONFIRMATION, EACH PROCEDURE
                  80104   DRUG SCRN 1+ CLASS NONCHROMO
                  80150   ASSAY, AMIKACIN
                  80152   ASSAY, AMITRYPTYLINE
                  80154   ASSAY, BENZODIAZEPINES
                  80156   ASSAY, CARBAMAZEPINE, TOTAL
                  80157   ASSAY, CARBAMAZEPINE, FREE
                  80158   ASSAY, CYCLOSPORINE
                  80160   ASSAY, DESIPRAMINE
                  80162   ASSAY OF DIGOXIN
                  80164   ASSAY, DIPROPYLACETIC ACID
                  80166   ASSAY, DOXEPIN
                  80168   ASSAY, ETHOSUXIMIDE
                  80170   ASSAY OF GENTAMICIN
                  80172   ASSAY OF GOLD
                  80173   ASSAY OF HALOPERIDOL
                  80174   ASSAY, IMIPRAMINE
                  80176   ASSAY OF LIDOCAINE
                  80178   ASSAY OF LITHIUM
                  80182   ASSAY OF NORTRIPTYLINE
                  80184   ASSAY OF PHENOBARBITAL
                  80185   ASSAY OF PHENYTOIN, TOTAL
                  80186   ASSAY OF PHENYTOIN, FREE
                  80188   ASSAY OF PRIMIDONE
                  80190   ASSAY OF PROCAINAMIDE
                  80192   ASSAY OF PROCAINAMIDE
                  80194   ASSAY OF QUINIDINE
                  80195   ASSAY OF SIROLIMUS
                  80196   ASSAY OF SALICYLATE
                  80197   ASSAY OF TACROLIMUS
                  80198   ASSAY OF THEOPHYLLINE


L:CCS/SCG01.xls
                                             PHYSICIAN           39
                                      Service Code Grouping 01
                  80200   ASSAY OF TOBRAMYCIN
                  80201   ASSAY OF TOPIRAMATE
                  80202   ASSAY OF VANCOMYCIN
                  80299   QUANTITATIVE ASSAY, DRUG
                  81000   URINALYSIS, NONAUTO W/SCOPE
                  81001   URINALYSIS, AUTO W/SCOPE
                  81002   URINALYSIS, NONAUTO W/O SCOPE
                  81003   URINALYSIS, AUTO, W/O SCOPE
                  81005   URINALYSIS; QUAL OR SEMI-QUAN
                  81007   URINE SCREEN FOR BACTERIA
                  81015   MICROSCOPIC EXAM OF URINE
                  81025   URINE PREGNANCY TEST
                  81050   URINALYSIS, VOLUME MEASURE
                  81099   URINALYSIS TEST PROCEDURE
                  82000   ASSAY OF BLOOD ACETALDEHYDE
                  82003   ASSAY OF ACETAMINOPHEN
                  82009   TEST FOR ACETONE
                  82010   ACETONE ASSAY
                  82013   ACETYLCHOLINESTERASE ASSAY
                  82016   ACYLCARNITINES, QUAL
                  82017   ACYLCARNITINES, QUANT
                  82024   ASSAY OF ACTH
                  82030   ASSAY OF ADP & AMP
                  82040   ASSAY OF SERUM ALBUMIN
                  82042   ASSAY OF URINE ALBUMIN
                  82043   MICROALBUMIN, QUANTITATIVE
                  82044   MICROALBUMIN, SEMIQUANT
                  82045   ALBUMIN, ISCHEMIA MODIFIED
                  82055   ASSAY OF ETHANOL
                  82085   ASSAY OF BLOOD ALDOLASE
                  82088   ASSAY OF ALDOSTERONE
                  82101   ASSAY OF URINE ALKALOIDS
                  82103   ALPHA - 1 - ANTITRYPSIN, TOTAL
                  82104   ALPHA - 1 - ANTITRYPSIN, PHENO
                  82105   ALPHA-FETOPROTEIN, SERUM
                  82106   ALPHA-FETOPROTEIN, AMNIOTIC
                  82107   ALPHA-FETOPROTEIN, L3
                  82108   ASSAY OF ALUMINUM
                  82120   AMINES, VAGINAL FLUID QUAL
                  82127   AMINO ACID, SINGLE QUAL
                  82128   AMINO ACIDS, MULT QUAL
                  82131   AMINO ACIDS, SINGLE QUANT
                  82135   ASSAY, AMINOLEVULINIC ACID
                  82136   AMINO ACIDS, QUANT, 2-5
                  82139   AMINO ACIDS, QUAN, 6 OR MORE
                  82140   ASSAY OF BLOOD AMMONIA
                  82143   AMNIOTIC FLUID SCAN
                  82145   ASSAY OF AMPHETAMINES
                  82150   ASSAY OF SERUM AMYLASE
                  82154   ANDROSTANEDIOL GLUCURONIDE
                  82157   RIA ASSAY OF ANDROSTENEDIONE
                  82160   ASSAY OF ANDROSTERONE


L:CCS/SCG01.xls
                                             PHYSICIAN           40
                                      Service Code Grouping 01
                  82163   RIA ASSAY OF ANGIOTENSIN II
                  82164   ANGIOTENSIN ENZYME TEST
                  82172   ASSAY OF APOLIPOPROTEIN
                  82175   ASSAY OF ARSENIC
                  82180   ASSAY OF ASCORBIC ACID
                  82205   ASSAY OF BARBITURATES
                  82232   ASSAY OF BETA-2 PROTEIN
                  82239   ASSAY, BILE ACIDS, TOTAL
                  82240   ASSAY BILE ACIDS IN BLOOD
                  82247   BILIRUBIN, TOTAL
                  82248   BILIRUBIN, DIRECT
                  82252   FECAL BILIRUBIN TEST
                  82261   ASSAY OF BIOTINIDASE
                  82270   TEST FOR BLOOD, FECES CONSEC SPEC
                  82271   TEST FOR BLOOD, OTHER SOURCES
                  82272   TEST FOR BLOOD, FECES SINGLE SPEC
                  82274   ASSAY TEST FOR BLOOD, FECAL
                  82286   ASSAY OF BRADYKININ
                  82300   ASSAY OF CADMIUM
                  82306   ASSAY OF VITAMIN D
                  82308   RIA ASSAY OF CALCITONIN
                  82310   ASSAY OF CALCIUM
                  82330   ASSAY OF CALCIUM
                  82331   CALCIUM INFUSION TEST
                  82340   ASSAY OF CALCIUM IN URINE
                  82355   CALCULUS ANALYSIS, QUAL
                  82360   CALCULUS ASSAY, QUANT
                  82365   CALCULUS SPECTROSCOPY
                  82370   X-RAY ASSAY, CALCULUS
                  82373   ASSAY, C-D TRANSFER MEASURE
                  82374   ASSAY, BLOOD CARBON DIOXIDE
                  82375   ASSAY, BLOOD CARBON MONOXIDE
                  82376   TEST FOR CARBON MONOXIDE
                  82378   CARCINOEMBRYONIC ANTIGEN
                  82379   ASSAY OF CARNITINE
                  82380   ASSAY OF CAROTENE
                  82382   ASSAY, URINE CATECHOLAMINES
                  82383   ASSAY, BLOOD CATECHOLAMINES
                  82384   ASSAY, THREE CATECHOLAMINES
                  82387   ASSAY OF CATHEPSIN-D
                  82390   ASSAY OF CERULOPLASMIN
                  82397   CHEMILUMINESCENT ASSAY
                  82415   ASSAY OF CHLORAMPHENICOL
                  82435   ASSAY OF BLOOD CHLORIDE
                  82436   ASSAY OF URINE CHLORIDE
                  82438   ASSAY, OTHER FLUID CHLORIDES
                  82441   TEST FOR CHLOROHYDROCARBONS
                  82465   ASSAY, BLD/SERUM CHOLESTEROL
                  82480   ASSAY, SERUM CHOLINESTERASE
                  82482   ASSAY, RBC CHOLINESTERASE
                  82485   ASSAY, CHONDROITIN SULFATE
                  82486   GAS/LIQUID CHROMATOGRAPHY


L:CCS/SCG01.xls
                                             PHYSICIAN               41
                                      Service Code Grouping 01
                  82487   CHROMATOGRAPHY, QUALITATIVE; PAPER, 1-DI
                  82488   PAPER CHROMATOGRAPHY
                  82489   THIN LAYER CHROMATOGRAPHY
                  82491   CHROMOTOGRAPHY, QUANT, SING
                  82492   CHROMOTOGRAPHY, QUANT, MULT
                  82495   ASSAY OF CHROMIUM
                  82507   ASSAY OF CITRATE
                  82520   ASSAY OF COCAINE
                  82523   COLLAGEN CROSSLINKS
                  82525   ASSAY OF COPPER
                  82528   ASSAY OF CORTICOSTERONE
                  82530   ASSAY, FREE CORTISOL
                  82533   RIA ASSAY PLASMA CORTISOL
                  82540   ASSAY OF CREATINE
                  82541   COLUMN CHROMOTOGRAPHY, QUAL
                  82542   COLUMN CHROMOTOGRAPHY, QUANT
                  82543   COLUMN CHROMOTOGRAPHY/ISOTOPE
                  82544   COLUMN CHROMOTOGRAPH/ISOTOPE
                  82550   ASSAY OF CK (CPK)
                  82552   ASSAY OF CPK IN BLOOD
                  82553   CREATINE, MB FRACTION
                  82554   CREATINE, ISOFORMS
                  82565   ASSAY OF CREATININE
                  82570   ASSAY OF URINE CREATININE
                  82575   CREATININE CLEARANCE TEST
                  82585   ASSAY OF CRYOFIBRINOGEN
                  82595   ASSAY OF CRYOGLOBULIN
                  82600   ASSAY OF CYANIDE
                  82607   RIA ASSAY FOR VITAMIN B-12
                  82608   B-12 BINDING CAPACITY
                  82610   CYSTATIN C
                  82615   TEST FOR URINE CYSTINES
                  82626   DEHYDROEPIANDROSTERONE, RIA
                  82627   DEHYDROEPIANDROSTERONE
                  82633   DESOXYCORTICOSTERONE, RIA
                  82634   DEOXYCORTISOL, RIA
                  82638   ASSAY OF DIBUCAINE NUMBER
                  82646   ASSAY OF DIHYDROCODINONE
                  82649   ASSAY OF DIHYDROMORPHINONE
                  82651   ASSAY OF DIHYDROTESTOSTERONE
                  82652   ASSAY OF DIHYDROXYVITAMIN D
                  82654   ASSAY OF DIMETHADIONE
                  82656   *04 *05 PANCREATIC ELASTASE, FECAL
                  82657   ENZYME CELL ACTIVITY
                  82658   ENZYME CELL ACTIVITY, RA
                  82664   ELECTROPHORETIC TEST
                  82666   ASSAY OF EPIANDROSTERONE
                  82668   ASSAY OF ERYTHROPOIETIN
                  82670   ASSAY OF ESTRADIOL
                  82671   ASSAY OF ESTROGENS
                  82672   ASSAY OF ESTROGEN
                  82677   ASSAY OF ESTRIOL


L:CCS/SCG01.xls
                                             PHYSICIAN               42
                                      Service Code Grouping 01
                  82679   ASSAY OF ESTRONE
                  82690   ASSAY OF ETHCHLORVYNOL
                  82693   ASSAY OF ETHYLENE GLYCOL
                  82696   ASSAY OF ETIOCHOLANOLONE
                  82705   FATS/LIPIDS, FECES, QUAL
                  82710   FATS/LIPIDS, FECES, QUANT
                  82715   ASSAY OF FECAL FAT
                  82725   ASSAY OF BLOOD FATTY ACIDS
                  82726   LONG CHAIN FATTY ACIDS
                  82728   ASSAY OF FERRITIN
                  82731   ASSAY OF FETAL FIBRONECTIN
                  82735   ASSAY OF FLUORIDE
                  82742   ASSAY OF FLURAZEPAM
                  82746   BLOOD FOLIC ACID RIA
                  82747   ASSAY OF FOLIC ACID, RBC
                  82759   ASSAY OF RBC GALACTOKINASE
                  82760   ASSAY OF GALACTOSE
                  82775   ASSAY GALACTOSE TRANSFERASE
                  82776   GALACTOSE TRANSFERASE TEST
                  82784   ASSAY OF GAMMAGLOBULIN IGM
                  82785   ASSAY OF GAMMAGLOBULIN IGE
                  82787   IGG 1, 2, 3 OR 4, EACH
                  82788   MASS SPECTROMETRY
                  82800   BLOOD PH
                  82803   BLOOD GASES: PH, PO2 & PCO2
                  82805   GASES,BLOOD,ANY COMB PH,PCO2,PO2,CO2,HC0
                  82810   GASES,BLOOD,02 SATURATION ONLY,BY DIRECT
                  82820   HEMOGLOBIN - OXYGEN AFFIN
                  82930   GASTRIC ANALY W/PH EA SPEC
                  82938   SERUM GASTRIN TEST
                  82941   RIA ASSAY OF GASTRIN
                  82943   RIA ASSAY OF GLUCAGON
                  82945   GLUCOSE OTHER FLUID
                  82946   GLUCAGON TOLERANCE TEST
                  82947   ASSAY, GLUCOSE, BLOOD QUANT
                  82948   STICK ASSAY OF BLOOD GLUCOSE
                  82950   GLUCOSE TEST
                  82951   GLUCOSE TOLERANCE TEST (GTT)
                  82952   GTT-ADDED SAMPLES
                  82953   GLUCOSE-TOLBUTAMIDE TEST
                  82955   ASSAY OF G6PD ENZYME
                  82960   TEST FOR G6PD ENZYME
                  82962   GLUCOSE BLOOD TEST
                  82963   ASSAY OF GLUCOSIDASE
                  82965   ASSAY OF GDH ENZYME
                  82975   ASSAY OF GLUTAMINE
                  82977   ASSAY OF GGT ENZYME
                  82978   ASSAY OF GLUTATHIONE
                  82979   ASSAY, RBC GLUTATHIONE
                  82980   ASSAY OF GLUTETHIMIDE
                  82985   GLYCOPROTEIN ELECTROPHORESIS
                  83001   PITUITARY GONADOTROPIN RIA


L:CCS/SCG01.xls
                                             PHYSICIAN               43
                                      Service Code Grouping 01
                  83002   PITUITARY GONADOTROPINS RIA
                  83003   ASSAY, GROWTH HORMONE (HGH)
                  83008   ASSAY OF GUANOSINE
                  83009   H PYLORI (C-13), BLOOD
                  83010   ASSAY OF HAPTOGLOBIN, QUANT
                  83012   ASSAY OF HAPTOGLOBINS
                  83013   H PYLORI ANALYSIS
                  83014   H PYLORI DRUG ADMIN/COLLECT
                  83015   HEAVY METAL SCREENING
                  83018   CHROMATOGRAPH SCREEN, METALS
                  83020   HEMOGLOBIN ELECTROPHORESIS
                  83021   HEMOGLOBIN CHROMOTOGRAPHY
                  83026   HEMOGLOBIN, COPPER SULFATE
                  83030   FETAL HEMOGLOBIN, CHEMICAL
                  83033   FETAL HEMOGLOBIN ASSAY, QUAL
                  83036   GLYCOSYLATED HEMOGLOBIN TEST
                  83045   BLOOD METHEMOGLOBIN TEST
                  83050   BLOOD METHEMOGLOBIN ASSAY
                  83051   ASSAY OF PLASMA HEMOGLOBIN
                  83055   BLOOD SULFHEMOGLOBIN TEST
                  83060   BLOOD SULFHEMOGLOBIN ASSAY
                  83065   ASSAY OF HEMOGLOBIN HEAT
                  83068   HEMOGLOBIN STABILITY SCREEN
                  83069   ASSAY OF URINE HEMOGLOBIN
                  83070   ASSAY OF HEMOSIDERIN, QUAL
                  83071   ASSAY OF HEMOSIDERIN, QUANT
                  83080   ASSAY OF B HEXOSAMINIDASE
                  83088   ASSAY OF HISTAMINE
                  83090   ASSAY OF HOMOCYSTINE
                  83150   ASSAY OF FOR HVA
                  83491   RIA ASSAY OF CORTICOSTEROIDS
                  83497   ASSAY OF 5-HIAA
                  83498   RIA ASSAY OF PROGESTERONE
                  83499   ASSAY OF PROGESTERONE
                  83500   ASSAY, FREE HYDROXYPROLINE
                  83505   ASSAY, TOTAL HYDROXYPROLINE
                  83516   IMMUNOASSAY, NONANTIBODY
                  83518   IMMUNOASSAY FOR ANALYTE OTH ANTIBOD/INFE
                  83519   IMMUNOASSAY, NONANTIBODY
                  83520   IMMUNOASSAY
                  83525   RIA ASSAY OF INSULIN
                  83527   INSULIN
                  83528   ASSAY OF INTRINSIC FACTOR
                  83540   ASSAY OF IRON
                  83550   SERUM IRON BINDING TEST
                  83570   ASSAY OF IDH ENZYME
                  83582   ASSAY OF KETOGENIC STEROIDS
                  83586   ASSAY 17- KETOSTEROIDS
                  83593   FRACTIONATION, KETOSTEROIDS
                  83605   ASSAY OF LACTIC ACID
                  83615   UV-ASSAY BLOOD LDH ENZYME
                  83625   ASSAY OF LDH ENZYMES


L:CCS/SCG01.xls
                                             PHYSICIAN                  44
                                      Service Code Grouping 01
                  83630   LACTOFERRIN, FECAL (QUAL)
                  83631   LACTOFERRIN, FECAL (QUANT)
                  83632   RIA PLACENTAL LACTOGEN
                  83633   TEST URINE FOR LACTOSE
                  83634   ASSAY OF URINE FOR LACTOSE
                  83655   ASSAY OF LEAD
                  83661   L/S RATIO, FETAL LUNG
                  83662   FOAM STABILITY, FETAL LUNG
                  83663   FLUORO POLARIZE, FETAL LUNG
                  83664   LAMELLAR BDY, FETAL LUNG
                  83670   ASSAY OF LAP ENZYME
                  83690   ASSAY OF LIPASE
                  83695   ASSAY OF LIPOPROTEIN (A)
                  83698   ASSAY OF LIPOPROTEIN (PLA2)
                  83700   ASSAY OF LIPOPROTEIN BLOOD ELECT & QUANT
                  83701   ASSAY OF LIPOPROTEIN BLOOD HI RESOL & QUANT
                  83704   ASSAY OF LIPOPROTEIN BLOOD QUANT & SUBCLASS
                  83718   ASSAY OF LIPOPROTEIN HDL CHOL
                  83719   ASSAY OF BLOOD LIPOPROTEIN VLDL CHOL
                  83721   ASSAY OF BLOOD LIPOPROTEIN LDL CHOL
                  83727   ASSAY OF LRH HORMONE
                  83735   ASSAY OF MAGNESIUM
                  83775   UV-ASSAY OF MD ENZYME
                  83785   ASSAY OF MANGANESE
                  83788   MASS SPECTROMETRY QUAL
                  83789   MASS SPECTROMETRY QUANT
                  83805   ASSAY OF MEPROBAMATE
                  83825   ASSAY OF MERCURY
                  83835   ASSAY OF METANEPHRINES
                  83840   ASSAY OF METHADONE
                  83857   ASSAY OF METHEMALBUMIN
                  83858   ASSAY OF METHSUXIMIDE
                  83861   11MICROFLUID ANALY TEARS
                  83863
                  83864   BLOOD MUCOPOLYSACCHARIDES
                  83866   MUCOPOLYSACCHARIDES SCREEN
                  83872   ASSAY SYNOVIAL FLUID MUCIN
                  83873   ASSAY OF CSF PROTEIN
                  83874   ASSAY OF MYOGLOBIN
                  83876   ASSAY MYELOPEROXIDASE
                  83880   *03 NATRIURETIC PEPTIDE
                  83883   ASSAY, NEPHELOMETRY NOT SPEC
                  83885   ASSAY OF NICKEL
                  83887   ASSAY OF NICOTINE
                  83890   MOLECULE ISOLATE
                  83891   MOLECULE ISOLATE NUCLEIC
                  83892   MOLECULAR DIAGNOSTICS
                  83893   MOLECULE DOT/SLOT/BLOT
                  83894   MOLECULE GEL ELECTROPHOR
                  83896   MOLECULAR DIAGNOSTICS
                  83897   MOLECULE NUCLEIC TRANSFER
                  83898   MOLECULE NUCLEIC AMPLI EA


L:CCS/SCG01.xls
                                             PHYSICIAN                  45
                                      Service Code Grouping 01
                  83900   MOLECULE NUCLEIC AMPLI MULTIPLEX FIRST 2
                  83901   MOLECULE NUCLEIC AMPLI MULTIPLEX EA ADD
                  83902   MOLECULAR DIAGNOSTICS REV TRANSCRIP
                  83903   MOLECULE MUTATION SCAN PHYS PROP
                  83904   MOLECULE MUTATION IDENTIFY SEQUENC
                  83905   MOLECULE MUTATION IDENTIFY ALLELE TRANSCRIP
                  83906   MOLECULE MUTATION IDENTIFY ALLELE TRANSLAT
                  83907   MOLECULAR DIAGNOSTICS LYSIS OF CELLS
                  83908   MOLECULAR DIAGNOSTICS SIGNAL AMPLIF
                  83909   MOLECULAR DIAGNOSTICS SEP AND ID HI RESOL
                  83912   GENETIC EXAMINATION INTERPRET & REPORT
                  83913   NUCLEIC ACID PROBE, PCR
                  83914   MUTATION ID BY ENZYM LIG OR PRIM EXTENS
                  83915   ASSAY OF NUCLEOTIDASE
                  83916   OLIGOCLONAL BANDS
                  83918   ORGANIC ACIDS, TOTAL, QUANT
                  83919   ORGANIC ACIDS, QUAL, EACH
                  83921   ORGANIC ACID, SINGLE, QUANT
                  83925   ASSAY OF OPIATES
                  83930   ASSAY OF BLOOD OSMOLALITY
                  83935   ASSAY OF URINE OSMOLALITY
                  83945   ASSAY OF OXALATE
                  83951   ONCOPROTEIN, DCP
                  83970   RIA ASSAY OF PARATHORMONE
                  83986   ASSAY OF BODY FLUID ACIDITY
                  83987   PH ASSAY EXHALED BREATH CONDENSATE
                  83992   ASSAY FOR PHENCYCLIDINE
                  83993   CALPROTECTIN, FECAL
                  84022   ASSAY URINE PHENOTHIAZINE
                  84030   ASSAY OF BLOOD PKU
                  84035   ASSAY OF PHENYLKETONES
                  84060   ASSAY BLOOD ACID PHOSPHATASE
                  84066   ASSAY PROSTATE PHOSPHATASE
                  84075   ASSAY ALKALINE PHOSPHATASE
                  84078   ASSAY ALKALINE PHOSPHATASE
                  84080   ASSAY ALKALINE PHOSPHATASES
                  84081   AMNIOTIC FLUID ENZYME TEST
                  84085   ASSAY OF RBC PG6D ENZYME
                  84087   ASSAY PHOSPHOHEXOSE ENZYMES
                  84100   ASSAY OF PHOSPHORUS
                  84105   ASSAY OF URINE PHOSPHORUS
                  84106   TEST FOR PORPHOBILINOGEN
                  84110   ASSAY OF PORPHOBILINOGEN
                  84112   PLACENTA ALPHA MICRO IG C/V
                  84119   TEST URINE FOR PORPHYRINS
                  84120   ASSAY OF URINE PORPHYRINS
                  84126   ASSAY OF FECES PORPHYRINS
                  84127   ASSAY OF FECES PORPHYRINS
                  84132   ASSAY OF SERUM POTASSIUM
                  84133   ASSAY OF URINE POTASSIUM
                  84134   ASSAY OF PREALBUMIN
                  84135   ASSAY OF PREGNANEDIOL


L:CCS/SCG01.xls
                                             PHYSICIAN           46
                                      Service Code Grouping 01
                  84138   ASSAY OF PREGNANETRIOL
                  84140   ASSAY OF PREGNENOLONE
                  84143   ASSAY OF 17-HYDROXYPREGNENO
                  84144   ASSAY OF PROGESTERONE
                  84146   ASSAY OF PROLACTIN
                  84150   RIA ASSAY OF PROSTAGLANDIN
                  84152   ASSAY OF PSA, COMPLEXED
                  84153   ASSAY OF PSA, TOTAL
                  84154   ASSAY OF PSA, FREE
                  84155   ASSAY OF PROTEIN
                  84156   ASSAY OF PROTEIN, URINE
                  84157   ASSAY OF PROTEIN, OTHER
                  84160   ASSAY OF SERUM PROTEIN
                  84163   PAPPA, SERUM
                  84165   ASSAY OF SERUM PROTEINS
                  84166   PROTEIN E-PHORESIS/URINE/CSF
                  84181   WESTERN BLOT TEST
                  84182   WESTERN BLOT TEST
                  84202   ASSAY RBC PROTOPORPHYRIN
                  84203   TEST RBC PROTOPORPHYRIN
                  84206   RIA ASSAY OF PROINSULIN
                  84207   ASSAY OF VITAMIN B-6
                  84210   ASSAY OF PYRUVATE
                  84220   ASSAY OF PYRUVATE KINASE
                  84228   ASSAY OF QUININE
                  84233   ASSAY OF ESTROGEN
                  84234   ASSAY OF PROGESTERONE
                  84235   ASSAY OF ENDOCRINE HORMONE
                  84238   ASSAY, NONENDOCRINE RECEPTOR
                  84244   RIA ASSAY OF RENIN
                  84252   ASSAY OF VITAMIN B-2
                  84255   ASSAY OF SELENIUM
                  84260   ASSAY OF SEROTONIN
                  84270   ASSAY OF SEX HORMONE GLOBUL
                  84275   ASSAY OF SIALIC ACID
                  84285   ASSAY OF SILICA
                  84295   ASSAY OF SERUM SODIUM
                  84300   ASSAY OF URINE SODIUM
                  84302   ASSAY OF SODIUM, OTHER SOURCE
                  84305   ASSAY OF SOMATOMEDIN
                  84307   ASSAY OF SOMATOSTATIN
                  84311   SPECTROPHOTOMETRY
                  84315   BODY FLUID SPECIFIC GRAVITY
                  84375   CHROMATOGRAM ASSAY, SUGARS
                  84376   SUGARS, SINGLE, QUAL
                  84377   SUGARS, MULTIPLE, QUAL
                  84378   SUGARS SINGLE QUANT
                  84379   SUGARS MULTIPLE QUANT
                  84392   ASSAY OF URINE SULFATE
                  84402   ASSAY OF TESTOSTERONE
                  84403   ASSAY OF TOTAL TESTOSTERONE
                  84425   ASSAY OF VITAMIN B-1


L:CCS/SCG01.xls
                                             PHYSICIAN             47
                                      Service Code Grouping 01
                  84430   ASSAY OF THIOCYANATE
                  84432   ASSAY OF THYROGLOBULIN
                  84436   ASSAY OF TOTAL THYROXINE
                  84437   ASSAY OF NEONATAL THYROXINE
                  84439   ASSAY OF FREE THYROXINE
                  84442   ASSAY OF THYROID ACTIVITY
                  84443   ASSAY THYROID STIM HORMONE
                  84445   ASSAY OF TSI
                  84446   ASSAY OF VITAMIN E
                  84450   UV-ASSAY TRANSAMINASE (SGOT)
                  84460   UV-ASSAY TRANSAMINASE (SGPT)
                  84466   ASSAY OF TRANSFERRIN
                  84478   ASSAY OF TRIGLYCERIDES
                  84479   ASSAY OF THYROID (T3 OR T4)
                  84480   ASSAY, TRIIODOTHYRONINE (T3)
                  84481   RIA ASSAY (FT-3)
                  84482   REVERSE ASSAY (T3)
                  84484   ASSAY OF TROPONIN, QUANT
                  84485   ASSAY DUODENAL FLUID TRYPSIN
                  84488   TEST FECES FOR TRYPSIN
                  84490   ASSAY OF FECES FOR TRYPSIN
                  84510   ASSAY OF TYROSINE
                  84512   ASSAY OF TROPONIN, QUAL
                  84520   ASSAY OF UREA NITROGEN
                  84525   STICK-ASSAY BUN
                  84540   ASSAY OF URINE/UREA-N
                  84545   UREA-N CLEARANCE TEST
                  84550   ASSAY OF BLOOD/URIC ACID
                  84560   ASSAY OF URINE/URIC ACID
                  84577   ASSAY OF FECES/UROBILINOGEN
                  84578   TEST URINE UROBILINOGEN
                  84580   ASSAY OF URINE UROBILINOGEN
                  84583   ASSAY OF URINE UROBILINOGEN
                  84585   ASSAY OF URINE VMA
                  84588   ASSAY OF VASOPRESSIN
                  84590   ASSAY OF VITAMIN A
                  84591   ASSAY OF NOS VITAMIN
                  84597   ASSAY OF VITAMIN K
                  84600   ASSAY OF VOLATILES
                  84620   XYLOSE TOLERANCE TEST
                  84630   ASSAY OF ZINC
                  84681   ASSAY OF C-PEPTIDE
                  84702   CHORIONIC GONADOTROPIN TEST
                  84703   CHORIONIC GONADOTROPIN ASSAY
                  84704   CHORIONIC GONADOTROPIN FREE BETA CHAIN
                  84830   OVULATION TESTS
                  84999   CLINICAL CHEMISTRY TEST
                  85002   BLEEDING TIME TEST
                  85004   AUTOMATED DIFF WBC COUNT
                  85007   DIFFERENTIAL WBC COUNT
                  85008   NONDIFFERENTIAL WBC COUNT
                  85009   MANUAL DIFF WBC COUNT B-COAT


L:CCS/SCG01.xls
                                             PHYSICIAN           48
                                      Service Code Grouping 01
                  85013   SPUN, MICROHEMATOCRIT
                  85014   HEMATOCRIT
                  85018   HEMOGLOBIN
                  85025   COMPLETE CBC AUTO W/AUTO DIFF WBC
                  85027   COMPLETE CBC, AUTOMATED
                  85032   MANUAL CELL COUNT, EACH
                  85041   AUTOMATED RBC COUNT
                  85044   MANUAL RETICULOCYTE COUNT
                  85045   RETICUTOCYTE COUNT
                  85046   RETICYTE/HGB CONCENTRATE
                  85048   AUTOMATED LEUKOCYTE COUNT
                  85049   AUTOMATED PLATELET COUNT
                  85055   RETICULATED PLATELET ASSAY
                  85060   BLOOD SMEAR INTERPRETATION
                  85097   BONE MARROW INTERPRETATION
                  85130   CHROMOGENIC SUBSTATE ASSAY
                  85170   BLOOD CLOT RETRACTION SCREEN
                  85175   BLOOD CLOT LYSIS TIME
                  85210   BLOOD CLOT FACTOR II TEST
                  85220   BLOOD CLOT FACTOR V TEST
                  85230   BLOOD CLOT FACTOR VII TEST
                  85240   BLOOD CLOT FACTOR VIII TEST
                  85244   BLOOD CLOT FACTOR VIII TEST
                  85245   BLOOD CLOT FACTOR VIII TEST
                  85246   BLOOD CLOT FACTOR VIII TEST
                  85247   BLOOD CLOT FACTOR VIII TEST
                  85250   BLOOD CLOT FACTOR IX TEST
                  85260   BLOOD CLOT FACTOR X TEST
                  85270   BLOOD CLOT FACTOR XI TEST
                  85280   BLOOD CLOT FACTOR XII TEST
                  85290   BLOOD CLOT FACTOR XIII TEST
                  85291   BLOOD CLOT FACTOR XIII TEST
                  85292   BLOOD CLOT FACTOR ASSAY
                  85293   BLOOD CLOT FACTOR ASSAY
                  85300   ANTITHROMBIN III TEST
                  85301   ANTITHROMBIN III TEST
                  85302   BLOOD CLOT INHIBITOR ASSAY
                  85303   BLOOD CLOT INHIBITOR TEST
                  85305   BLOOD CLOT INHIBITOR ASSA
                  85306   BLOOD CLOT INHIBITOR TEST
                  85307   ASSAY ACTIVATED PROTEIN C
                  85335   FACTOR INHIBITOR TEST
                  85337   THROMBOMODULIN
                  85345   COAGULATION TIME
                  85347   COAGULATION TIME
                  85348   COAGULATION TIME
                  85360   EUGLOBULIN LYSIS
                  85362   FIBRIN DEGRADATION PRODUCTS
                  85366   FIBRINOGEN TEST
                  85370   FIBRINOGEN TEST
                  85378   FIBRIN DEGRADATION
                  85379   FIBRIN DEGRADATION


L:CCS/SCG01.xls
                                             PHYSICIAN               49
                                      Service Code Grouping 01
                  85380   FIBRIN DEGRADATION, ULTRASENSATIVE
                  85384   FIBRINOGEN
                  85385   FIBRINOGEN
                  85390   FIBRINOLYSINS SCREEN
                  85396   CLOTTING ASSAY, WHOLE BLOOD
                  85397   CLOTTING FUNCTION ACTIVITY
                  85400   FIBRINOLYTIC PLASMIN
                  85410   FIBRINOLYTIC ANTIPLASMIN
                  85415   FIBRINOLYTIC PLASMINOGEN
                  85420   FIBRINOLYTIC PLASMINOGEN
                  85421   FIBRINOLYTIC PLASMINOGEN
                  85441   HEINZ BODIES, DIRECT
                  85445   HEINZ BODIES, INDUCED
                  85460   HEMOGLOB / RBCS, FETAL, F/FETOMATER HEMO
                  85461   HEMOGLOBIN OR RBCS FETAL FOR FETOHEMAGE
                  85475   HEMOLYSIN ACID
                  85520   HEPARIN ASSAY
                  85525   NEUTRALIZE HEPARIN
                  85530   HEPARIN-PROTAMINE TOLERANCE
                  85536   IRON STAIN PERIPHERAL BLOOD
                  85540   WBC ALKALINE PHOSPHATASE
                  85547   RBC MECHANICAL FRAGILITY
                  85549   SERUM MURAMIDASE
                  85555   RBC OSMOTIC FRAGILITY
                  85557   RBC OSMOTIC FRAGILITY
                  85576   BLOOD PLATELET AGGREGATION
                  85597   PLATELET NEUTRALIZATION
                  85598   HEXAGNAL PHOSPH PLTLT NEUTRL
                  85610   PROTHROMBIN TIME
                  85611   PROTHROMBIN TEST
                  85612   VIPER VENOM PROTHROMBIN TIME
                  85613   RUSSELL VIPER VENOM, DILUTED
                  85635   REPTILASE TEST
                  85651   RBC SED RATE, NONAUTOMATED
                  85652   RBC SED RATE, AUTOMATED
                  85660   RBC SICKLE CELL TEST
                  85670   THROMBIN TIME; PLASMA
                  85675   THROMBIN TIME; TITER
                  85705   THROMBOPLASTIN INHIBITION
                  85730   THROMBOPLASTIN TIME, PARTIAL
                  85732   THROMBOPLASTIN TIME, PARTIAL
                  85810   BLOOD VISCOSITY EXAMINATION
                  85999   HEMATOLOGY PROCEDURE
                  86000   AGGLUTININS, FEBRILE
                  86001   ALLERGEN SPECIFIC IGG
                  86003   ALLERGEN SPEC IGE; QUANTIT/SEMIQ EACH
                  86021   WBC ANTIBODY IDENTIFICATION
                  86022   PLATELET ANTIBODIES
                  86023   IMMUNOGLOBULIN ASSAY
                  86038   ANTINUCLEAR ANTIBODIES, RIA
                  86039   ANTINUCLEAR ANTIBODIES TITER
                  86060   ANTISTREPTOLYSIN O, TITER


L:CCS/SCG01.xls
                                             PHYSICIAN               50
                                      Service Code Grouping 01
                  86063   ANTISTREPTOLYSIN O, SCREEN
                  86077   PHYSICIAN BLOOD BANK SERVICE
                  86078   PHYSICIAN BLOOD BANK SERVICE
                  86079   PHYSICIAN BLOOD BANK SERVICE
                  86140   C-REACTIVE PROTEIN
                  86141   C-REACTIVE PROTEIN, HS
                  86146   GLYCOPROTEIN ANTIBODY
                  86147   CARDIOLIPIN ANTIBODY
                  86148   ANTI-PHOSPHATIDYLSERINE ANTIBODY
                  86155   CHEMOTAXIS ASSAY
                  86156   COLD AGGLUTININ, SCREEN
                  86157   COLD AGGLUTININ, TITER
                  86160   COMPLEMENT, ANTIGEN
                  86161   COMPLEMENT/FUNCTION ACTIVITY
                  86162   COMPLEMENT; TOTAL (CH 50)
                  86171   COMPLEMENT FIXATION, EACH
                  86185   COUNTERELECTROPHORESIS, EACH
                  86200   CCP ANTIBODY
                  86215   DEOXYRIBONUCLEASE, ANTIBODY
                  86225   DNA ANTIBODY
                  86226   DNA ANTIBODY
                  86235   NUCLEAR ANTIGEN ANTIBODY
                  86243   FC RECEPTOR ASSAY
                  86255   FLUORESCENT ANTIBODY, SCREEN
                  86256   FLUORESCENT ANTIBODY, TITER
                  86277   GROWTH HORMONE ANTIBODY, RIA
                  86280   HEMAGGLUTINATION INHIBITION
                  86294   IMMUNOASSAY, TUMOR QUAL
                  86300   *01IMMUNOASSAY, TUMOR CA 15-3
                  86301   IMMUNOASSAY, TUMOR CA 19-9
                  86305   HUMAN EPIDIDYMIS PROTEIN 4 (HE4)
                  86304   IMMUNOASSAY, TUMOR, CA 125
                  86308   HETEROPHILE ANTIBODIES SCREEN
                  86309   HETEROPHILE ANTIBODIES TITER
                  86310   HETEROPHILE ANTIBODIES
                  86316   IMMUNOASSAY, TUMOR OTHER
                  86317   IMMUNOASSAY, INFECTIOUS AGENT
                  86318   IMMUNOASSAY F/INFECT AGENT ANTIBODY,QUAL
                  86320   SERUM IMMUNOELECTROPHORESIS
                  86325   OTHER IMMUNOELECTROPHORESIS
                  86327   IMMUNOELECTROPHORESIS ASSAY
                  86329   IMMUNODIFFUSION, EACH
                  86331   IMMUNODIFFUSION OUCHTERLONY
                  86332   ASSAY, CIQ PRECIPITIN
                  86334   IMMUNIFIXATION PROCEDURE
                  86335   *04 *05 IMMUNFIX E-PHORSIS/URINE/CSF
                  86336   INHIBIN A
                  86337   INSULIN ANTIBODIES, RIA
                  86340   INTRINSIC FACTOR ANTIBODY
                  86341   ISLET CELL ANTIBODY
                  86343   LEUKOCYTE HISTAMINE RELEASE
                  86344   LEUKOCYTE PHAGOCYTOSIS


L:CCS/SCG01.xls
                                            PHYSICIAN            51
                                     Service Code Grouping 01
                  86353   LYMPHOCYTE TRANSFORMATION
                  86355   B CELLS TOTAL COUNT
                  86356   MONO CELL AG QUANT
                  86357   NK CELLS TOTAL COUNT
                  86359   T CELLS TOTAL COUNT
                  86360   T CELLS, ABSOLUTE CD4 CD8 W/RATIO
                  86361   T CELLS, ABSOLUTE CD4 COUNT
                  86367   STEM CELLS TOTAL COUNT
                  86376   MICROSOMAL ANTIBODY, RIA
                  86378   MIGRATION INHIBITORY FACTOR
                  86382   NEUTRALIZATION TEST, VIRAL
                  86384   NITROBLUE TETRAZOLIUM DYE
                  86403   PARTICLE AGGLUTINATION
                  86406   PARTICLE AGGLUTINATION
                  86430   RHEUMATOID FACTOR TEST
                  86431   RHEUMATOID FATOR, QUANT
                  86480   TB TEST GAMMA INTERFERON AG RESPONSE
                  86481   TB AG RESPONSE T-CELL SUSP
                  86485   SKIN TEST, CANDIDA
                  86486   SKIN TEST UNLISTED AG EACH
                  86490   COCCIDIOIDOMYCOSIS SKIN TEST
                  86510   HISTOPLASMOSIS SKIN TEST
                  86580   TB INTRADERMAL TEST
                  86590   STREPTOKINASE, ANTIBODY
                  86592   BLOOD SEROLOGY, QUALITATIVE
                  86593   BLOOD SEROLOGY, QUANTITATIVE
                  86602   ANTIBODY, ACTINOMYCES
                  86603   ADENOVIRUS ANTIBODY
                  86606   ANTIBODY, ASPERGILLUS
                  86609   BACTERIUM ANTIBODY
                  86611   BARTONELLA ANTIBODY
                  86612   BLASTOMYCES ANTIBODY
                  86615   ANTIBODY, BORDETELLA
                  86617   ANTIBODY
                  86618   ANTIBODY, LYME DISEASE
                  86619   BORRELIA ANTIBODY
                  86622   BRUCELLA ANTIBODY
                  86625   CAMPYLOBACTER ANTIBODY
                  86628   CANDIDA ANTIBODY
                  86631   CHLAMYDIA ANTIBODY
                  86632   CHLAMYDIA IGM ANTIBODY
                  86635   COCCIDIOIDES ANTIBODY
                  86638   ANTIBODY, Q FEVER
                  86641   ANTIBODY, CRYPTOCOCCUS
                  86644   ANTIBODY, CMV
                  86645   ANTIBODY, CVM, 1GM
                  86648   ANTIBODY, DIPHTHERIA
                  86651   ANTIBODY, ENCEPHALITIS
                  86652   ENCEPHALITIS ANTIBODY
                  86653   ENCEPHALITIS ANTIBODY
                  86654   ENCEPHALITIS ANTIBODY
                  86658   ENTEROVIRUS ANTIBODY


L:CCS/SCG01.xls
                                             PHYSICIAN           52
                                      Service Code Grouping 01
                  86663   ANTIBODY, EPSTEIN - BARR
                  86664   ANTIBODY, EPSTEIN - BARR
                  86665   EPSTEIN-BARR ANTIBODY
                  86666   EHRLICHIA ANTIBODY
                  86668   FRANCISELLA TULARENSIS
                  86671   FUNGUS ANTIBODY
                  86674   GIARDIA LAMBLIA ANTIBODY
                  86677   ANTIBODY, HELICOBACTER PYLORI
                  86682   HELMINTH ANTIBODY
                  86684   ANTIBODY, HEMOPHILUS INFLUENZA
                  86687   HTLV-I ANTIBODY
                  86688   HTLV-II ANTIBODY
                  86689   HTLVI CONFIRM TEST
                  86692   HEPATITIS, DELTA AGENT
                  86694   ANTIBODY, HERPES SIMPLEX
                  86695   ANTIBODY, HERPES SIMPLEX
                  86696   HERPES SIMPLEX TYPE 2
                  86698   ANTIBODY HISTOPLASMA
                  86701   ANTIBODY, HIV - 1
                  86702   ANTIBODY, HIV - 2
                  86703   HIV-1/HIV-2, SINGLE ASSAY
                  86704   HEP B CORE ANTIBODY, TOTAL
                  86705   HEP B CORE ANTIBODY, IGM
                  86706   HEP B SURFACE ANTIBODY
                  86707   HEP BE ANTIBODY
                  86708   HEP A ANTIBODY, TOTAL
                  86709   HEP A ANTIBODY, IGM
                  86710   INFLUENZA VIRUS ANTIBODY
                  86713   LEGIONELLA ANTIBODY
                  86717   LEISHMANIA ANTIBODY
                  86720   LEPTOSPIRA ANTIBODY
                  86723   LISTERIA MONOCYTOGENES AB
                  86727   LYMPH CHORIOMENINGITIS AB
                  86729   LYMPHO VENEREUM ANTIBODY
                  86732   MUCORMYCOSIS ANTIBODY
                  86735   MUMPS ANTIBODY
                  86738   MYCOPLASMA ANTIBODY
                  86741   NEISSERIA MENINGITIDIS
                  86744   NOCARDIA ANTIBODY
                  86747   PARVOVIRUS ANTIBODY
                  86750   MALARIA ANTIBODY
                  86753   PROTOZOA ANTIBODY NOS
                  86756   RESPIRATORY VIRUS ANTIBODY
                  86757   RICKETTSIA ANTIBODY
                  86759   ROTAVIRUS ANTIBODY
                  86762   RUBELLA ANTIBODY
                  86765   RUBEOLA ANTIBODY
                  86768   SALMONELLA ANTIBODY
                  86771   SHIGELLA ANTIBODY
                  86774   TETANUS ANTIBODY
                  86777   TOXOPLASMA ANTIBODY
                  86778   TOXOPLASMA ANTIBODY, IGM


L:CCS/SCG01.xls
                                             PHYSICIAN                  53
                                      Service Code Grouping 01
                  86780   TREPONEMA PALLIDUM
                  86784   TRICHINELLA ANTIBODY
                  86787   VARICELLA-ZOSTER ANTIBODY
                  86788   WEST NILE VIRUS AB, IGM
                  86789   WEST NILE VIRUS ANTIBODY
                  86790   VIRUS ANTIBODY NOS
                  86793   YERSINIA ANTIBODY
                  86800   THYROGLOBULIN ANTIBODY, RIA
                  86803   HEPATITIS C ANTIBODY
                  86804   HEPATITIS C ANTIBODY;CONFIRM TST EG,IMMU
                  86805   LYMPHOCYTOTOXICITY ASSAY
                  86806   LYMPHOCYTHOTOXICITY ASSAY
                  86807   CYTOTOXIC ANTIBODY SCREENING
                  86808   CYTOTOXIC ANTIBODY SCREENING
                  86812   HLA TYPING, A, B, OR C
                  86813   HLA TYPING, A, B, AND/OR C
                  86816   HLA TYPING, DR
                  86817   HLA TYPING, DR
                  86821   LYMPHOCYTE CULTURE, MIXED
                  86822   LYMPHOCYTE CULTURE, PRIMED
                  86825   HLA CROSSMATCH, NON-CYTOTOX, 1ST SERUM
                  86826   HLA CROSSMATCH, NON-CYTOTOX, EA ADD'L SERUM
                  86849   IMMUNOLOGY PROCEDURE
                  86850   RBC ANTIBODY SCREEN
                  86860   RBC ANTIBODY SCREEN
                  86870   RBC ANTIBODY IDENTIFICATION
                  86880   COOMBS TEST
                  86885   COOMBS TEST
                  86886   COOMBS TEST
                  86900   BLOOD TYPING, ABO ONLY
                  86901   BLOOD TYPING, RH(D)
                  86902   BLOOD TYPE ANTIGEN DONOR EA
                  86904   BLOOD TYPING, ANTIGEN SCREEN
                  86905   BLOOD TYPING, RBC ANTIGENS
                  86906   BLOOD TYPING, RH PHENOTYPE
                  86920   COMPATIBILITY TEST SPIN TEC
                  86921   COMPATIBILITY TEST INCUB TEC
                  86922   COMPATIBILITY TEST ANTIGLOB TEC
                  86923   COMPATIBILITY TEST ELECTRONIC
                  86927   PLASMA, FRESH FROZEN
                  86930   FROZEN BLOOD PREP
                  86931   FROZEN BLOOD THAW
                  86932   FROZEN BLOOD FREEZE/THAW
                  86940   HEMOLYSINS/AGGLUTININS, AUTO
                  86941   HEMOLYSINS AND AGGLUTININS
                  86945   BLOOD PRODUCT/IRRADIATION
                  86960   BLOOD PRODUCT VOL REDUCT
                  86970   PRETREATMENT RBC, DRUGS
                  86971   PRETREATMENT RBC, DILUTION
                  86972   PRETREATMENT RBC, SEPARATION
                  86975   PRETREATMENT SERUM, DRUGS
                  86976   RBC PRETREATMENT,SERUM


L:CCS/SCG01.xls
                                             PHYSICIAN                  54
                                      Service Code Grouping 01
                  86977   RBC PRETREATMENT, SERUM
                  86978   RBC PRETREATMENT, SERUM
                  86999   IMMUNOLOGY PROCEDURE
                  87001   SMALL ANIMAL INOCULATION
                  87003   SMALL ANIMAL INOCULATION
                  87015   SPECIMEN CONCENTRATION
                  87040   BLOOD CULTURE FOR BACTERIA
                  87045   FECES CULTURE, BACTERIA
                  87046   STOOL CULTR, BACTERIA, EACH
                  87070   CULTURE, BACTERIA, OTHER
                  87071   CULTURE BACTERI AEROBIC OTHR
                  87073   CULTURE BACTERIA ANAEROBIC
                  87075   CULTURE BACTERIA ANAEROBIC
                  87076   CULTURE ANAEROBE IDENT, EACH
                  87077   CULTURE AEROBIC IDENTIFY
                  87081   CULTURE SCREEN ONLY
                  87084   CULTURE OF SPECIMEN BY KIT
                  87086   URINE CULTURE/COLONY COUNT
                  87088   URINE BACTERIA CULTURE
                  87101   SKIN FUNGI CULTURE
                  87102   FUNGUS ISOLATION CULTURE
                  87103   BLOOD FUNGUS CULTURE
                  87106   FUNGI IDENTIFICATION, YEAST
                  87107   FUNGI IDENTIFICATION, MOLD
                  87109   MYCOPLASMA
                  87110   CHLAMYDIA CULTURE
                  87116   MYCOBACTERIA CULTURE
                  87118   MYCOBACTERIC IDENTIFICATION
                  87140   CULTUR TYPE IMMUNOFLUORESC
                  87143   CULTURE TYPING, GLC/HPLC
                  87147   CULTURE TYPE, IMMUNOLOGIC
                  87149   CULTURE TYPE, NUCLEIC ACID, DIRECT PROBE
                  87150   CULTURE TYPE, NUCLEIC ACID, AMPLIFIED PROBE
                  87152   CULTURE TYPE PULSE FIELD GEL
                  87153   CULTURE TYPE, NUCLEIC ACID, SEQ METHOD
                  87158   CULTURE TYPING, ADDED METHOD
                  87164   DARK FIELD EXAMINATION
                  87166   DARK FIELD EXAMINATION
                  87168   MACROSCOPIC EXAM ARTHROPOD
                  87169   MACACROSCOPIC EXAM PARASITE
                  87172   PINWORM EXAM
                  87176   TISSUE HOMOGENIZATION, CULTR
                  87177   OVA AND PARASITES SMEARS
                  87181   MICROBE SUSCEPTIBLE, DIFFUSE
                  87184   MICROBE SUSCEPTIBLE, DISK
                  87185   MICROBE SUSCEPTIBLE, ENZYME
                  87186   MICROBE SUSCEPTIBLE, MIC
                  87187   MICROBE SUSCEPTIBLE, MLC
                  87188   MICROBE SUSCEPT, MACROBROTH
                  87190   MICROBE SUSCEPT, MYCOBACTERI
                  87197   BACTERICIDAL LEVEL, SERUM
                  87205   SMEAR, GRAM STAIN


L:CCS/SCG01.xls
                                              PHYSICIAN                55
                                       Service Code Grouping 01
                  87206   SMEAR, FLUORESCENT/ACID STAI
                  87207   SMEAR, SPECIAL STAIN INCLUSION BODIES OR P
                  87209   SMEAR, COMPLEX SPECIAL STAIN O & P
                  87210   SMEAR, WET MOUNT, SALINE/INK
                  87220   TISSUE EXAM FOR FUNGI
                  87230   ASSAY, TOXIN OR ANTITOXIN
                  87250   VIRUS INOCULATE, EGGS/ANIMAL
                  87252   VIRUS INOCULATION, TISSUE
                  87253   VIRUS INOCULATE TISSUE, ADDL
                  87254   VIRUS INOCULATION, SHELL VIA
                  87255   VIRUS ISOLATE, NON-IMMUN/CYTOPATH
                  87260   ADENOVIRUS AG, IF
                  87265   PERTUSSIS AG, IF
                  87267   ENTEROVIRUS ANTIBODY, DFA
                  87269   GIARDIA AG, IF
                  87270   CHLAMYDIA TRACHOMATIS AG, IF
                  87271   CYTOMEGALOVIRUS, DFA
                  87272   CRYPTOSPORIDUM/GARDIA AG, IF
                  87273   HERPES SIMPLEX 2, AG, IF
                  87274   HERPES SIMPLEX 1, AG, IF
                  87275   INFLUENZA B, AG, IF
                  87276   INFLUENZA A, AG, IF
                  87277   LEGIONELLA MICDADEI, AG, IF
                  87278   LEGION PNEUMOPHILIA AG, IF
                  87279   PARAINFLUENZA, AG, IF
                  87280   RESPIRATORY SYNCYTIAL AG, IF
                  87281   PNEUMOCYSTIS CARINII, AG, IF
                  87283   RUBEOLA, AG, IF
                  87285   TREPONEMA PALLIDUM, AG, IF
                  87290   VARICELLA ZOSTER, AG, IF
                  87299   ANTIBODY DETECTION, NOS, IF
                  87300   AG DETECTION, POLYVAL, IF
                  87301   INFECT AGT ANTIG DETEC BY ENZYME IMM TEC
                  87305   ASPERGILLUS AG, EIA
                  87320   INFEC AGT DETEC BY ENZYME IMMUN TEC
                  87324   CLOSTRIDIUM AG, EIA
                  87327   CRYPTOCOCCUS NEOFORM AG, EIA
                  87328   INFECT AGT ANTIGEN DET BY ENZYME IMMUNOA
                  87329   GIARDIA AG, EIA
                  87332   INFECT AGT ANTIGEN DET BY ENZYME IMMUN
                  87335   INFECT AGT ANTIGEN DET BY ENZYME IMMUN
                  87336   ENTAMOEB HIST DISPR, AG, EIA
                  87337   ENTAMOEB HIST GROUP, AG, EIA
                  87338   HPYLORI, STOOL, EIA
                  87339   H PYLORI AG, EIA
                  87340   INFECT AGT ANTIGEN DETEC BY ENZYME IMMUN
                  87341   HEPATITIS B SURFACE, AG, EIA
                  87350   HEPATITIS BE AG, EIA
                  87380   INFECT AGT ANTIG DET BY ENZYME IMMUN TEC
                  87385   INFECT AGT ANT DET BY ENZYME IMMUNO TEC
                  87390   INFECT AGT ANT DET BY ENZYME IMMUNO TEC
                  87391   INFECT AGT ANT DET BY ENZYME IMMUNO TEC


L:CCS/SCG01.xls
                                              PHYSICIAN                56
                                       Service Code Grouping 01
                  87400   INFLUENZA A/B, AG, EIA
                  87420   INFECT AGT ANT DET BY ENZYME IMMUNO TEC
                  87425   INFEDT AGT ANT DET BGY ENZYME IMMUNO TEC
                  87427   SHIGA-LIKE TOXIN AG, EIA
                  87430   INFECT AGT ANT DET BY ENZYME IMMUNO TEC
                  87449   AG DETECT NOS, EIA, MULT
                  87450   AG DETECT NOS, EIA, SINGLE
                  87451   AG DETECT POLYVAL, EIA, MULT
                  87470   INFECT AGT DET BY NUCL ACID DNA,RNA; BAR
                  87471   INFECT AGT DET BY NUCL ACID DNA,RNA; BAR
                  87472   INFECT AGT DET BY NUCL ACID DNA, RNA; BA
                  87475   INFECT AGT DET BY NUCL ACID DNA, RNA; BO
                  87476   INFECT AGT DET BY NUCL ACID DNA/RNA; BOR
                  87477   INFECT AGT DET BY NUCL ACID DNA/RNA; BOR
                  87480   INFECT AGT DET BY NUCL ACID DNA/RNA; CAN
                  87481   INFECT AGT DET BY NUCL ACID DNA/RNA; CAN
                  87482   INFECT AGT DET BY NUCL ACID DNA/RNA; CAN
                  87485   INFECT AGT DET BY NUCL ACID DNA/RNA; CHL
                  87486   INFECT AGT DET BY NUCL ACID DNA/RNA; CHL
                  87487   INFECT AGT DET BY NUCL ACID DNA/RNA; CHL
                  87490   INFECT AGT DET BY NUCL ACID DNA/RNA; CHL
                  87491   INFECT AGT DET BY NUCL ACID DNA/RNA; CHL
                  87492   INFECT AGT DET BY NUCL ACID DNA/RNA; CHL
                  87493   INFECT AGT DET BY NUCL ACID DNA/RNA; CDIFF
                  87495   INFECT AGT DET BY NUCL ACID DNA/RNA; CYT
                  87496   INFECT AGT DET BY NUCL ACID DNA/RNA; CYT
                  87497   INFECT AGT DET BY NUCL ACID DNA/RNA;CYT
                  87498   ENTEROVIRUS DNA, AMP PRO
                  87500   VANCOMYCIN RESIST AMP PRO
                  87501   INFLUENZA DNA AMP PROB 1+
                  87502   INFLUENZA DNA AMP PROBE
                  87503   INFLUENZA DNA AMP PROB ADDL
                  87510   INFECT AGT DET BY NUCL ACID DNA/RNA; GAR
                  87511   INFECT AGT DET BY NUCL ACID DNA/RNA; GAR
                  87512   INFECT AGT DET BY NUCL ACID DNA/RNA; GAR
                  87515   INFECT AGT DET BY NUCL ACID DNA/RNA; HEP
                  87516   HEPATITIS B, DNA, AMP PROBE
                  87517   HEPATITIS B, DNA, QUANT
                  87520   HEPATITIS C, RNA, DIR PROBE
                  87521   HEPATITIS C, RNA, AMP PROBE
                  87522   INFECT AGT DET BY NUCL ACID DNA/RNA; HEP
                  87525   HEPATITIS G, DNA, DIR PROBE
                  87526   INFECT AGT DET BY NUCL ACID DNA/RNA; HEP
                  87527   INFECT AGT DET BY NUCL ACID DNA/RNA; HEP
                  87528   INFECT AGT DET BY NUCL ACID DNA/RNA; HER
                  87529   INFECT AGT DET BY NUCL ACID DNA/RNA; HER
                  87530   INFECT AGT DET BY NUCL ACID DNA;RNA HER
                  87531   INFECT AGY DET BY NUCL ACID DNA,RNA; HER
                  87532   INFECT AGT DET BY NUCL ACID DNA,RNA;HER
                  87533   INFECT AGT DET BY NUCL ACID DNA, RNA; HE
                  87534   INFECT AGT DET BY NUCL ACID DNA,RNA; HIV
                  87535   INFECT AGT DET BY NUCL ACID DNA,RNA; HIV


L:CCS/SCG01.xls
                                             PHYSICIAN               57
                                      Service Code Grouping 01
                  87536   INFECT AGT DET BY NUCL ACID DNA,RNA; HIV
                  87537   INFECT AGT DET BY NUCL ACID DNA, RNA; HI
                  87538   INFECT AGT DET BY NUCL ACID DNA,RNA; HIV
                  87539   INFECT AGT DET BY NUCL ACID DNA, RNA; HI
                  87540   INFECT AGT DET BY NUCL ACID DNA, RNA; LE
                  87541   INFECT AGT DET BY NUCL ACID DNA;RNA; LEG
                  87542   INFECT AGT DET BY NUCL ACID DNA, RNA; LE
                  87550   INFECT AGT DET BY NUCL ACID DNA, RNA; MY
                  87551   INFECT AGT DET BY NUCL ACID DNA,RNA; MYC
                  87552   INFECT AGT DET BY NUCL ACID DNA,RNA; MYC
                  87555   INFECT AGT DET BY NUCL ACID DNA,RNA; MYC
                  87556   INFECT AGT DET BY NUCL ACID DNA,RNA; MYC
                  87557   INFECT AGT DET BY NUCL ACID DNA, RNA; MY
                  87560   INFECT AGT DET BY NUCL ACID DNA,RNA; MYC
                  87561   INFECT AGT DET BY NUCL ACID DNA,RNA; MYC
                  87562   INFECT AGT DET BY NUCL ACID DNA, RNA; MY
                  87580   INFECT AGT DET BY NUCL ACID DNA, RNA; MY
                  87581   INFECT AGT DET BY NUCL ACID DNA,RNA; MYC
                  87582   INFECT AGT DET BY NUCL ACID DNA,RNA; MYC
                  87590   INFECT AGT DET BY NUCL ACID DNA,RNA; NEI
                  87591   INFECT AGT DET BY NUCL ACID DNA,RNA; NEI
                  87592   INFECT AGT DET BY NUCL ACID DNA,RNA; NEI
                  87620   INFECT AGT DET BY NUCL ACID DNA;RNA; PAP
                  87621   INFECT AGT DET BY NUCL ACID DNA,RNA PAP
                  87622   INFECT AGT DET BY NUCL ACID DNA,RNA PAP
                  87640   STAPH A, DNA, AMP PROBE
                  87641   MR STAPH, DNA, AMP PROBE
                  87650   INFECT AGT DET BY NUCL ACID DNA,RNA STR
                  87651   INFECT AGT DET BY NUCL ACID DNA,RNA STR
                  87652   INFECT AGT DET BY NUCL ACID DNA, RNA STR
                  87653   STREP B, DNA, AMP PROBE
                  87660   TRICHOMONAS VAGIN, DIR PROBE
                  87797   DETECT AGENT NOS, DNA, DIR
                  87798   DETECT AGENT NOS, DNA, AMP
                  87799   DETECT AGENT NOS, DNA, QUANT
                  87800   DETECT AGNT MULT, DNA, DIREC
                  87801   DETECT AGNT MULT, DNA, AMPLI
                  87802   STREP B ASSAY W/OPTIC
                  87803   CLOSTRIDIUM TOXIN A W/OPTIC
                  87804   INFLUENZA ASSAY W/OPTIC
                  87807   RSV ASSAY W/OPTIC
                  87808   TRICHOMONAS ASSAY W/OPTIC
                  87809   ADENOVIRUS ASSAY W/OPTIC
                  87810   INFECT AGT DET BY IMMUNO WITH DIR OPTICA
                  87850   INFECT AGT DET BY IMMUNA WITH DIR OPTICA
                  87880   INFECT AGT DET BY IMMUNO WITH DIR OPTICA
                  87899   INFECT AGT DET BY IMMUNO WITH DIR OPTICA
                  87900   INFECT AGT DRUG BYGENOTYP BIOINFORM
                  87901   GENOTYPE, DNA, HIV REVERSE T
                  87902   GENOTYPE, DNA, HEPATITIS C
                  87903   PHENOTYPE, DNA HIV W/CULTURE
                  87904   PHENOTYPE, DNA HIV W/CLT ADD


L:CCS/SCG01.xls
                                            PHYSICIAN           58
                                     Service Code Grouping 01
                  87905   SIALIDASE ENZYME ASSAY
                  87906   GENOTYPE DNA HIV REVERSE T
                  87999   MICROBIOLOGY PROCEDURE
                  88104   CYTOPATHOLOGY, FLUIDS
                  88106   CYTOPATHOLOGY, FLUIDS
                  88107   CYTOPATHOLOGY, FLUIDS
                  88108   CYTOPATH, CONCENTRATE TECH
                  88112   CYTOPATH, CELL ENHANCE TECH
                  88120   CYTP URNE 3-5 PROBES EA SPEC
                  88121   CYTP URINE 3-5 PROBES CMPTR
                  88130   SEX CHROMATIN IDENTIFICATION
                  88140   SEX CHROMATIN IDENTIFICATION
                  88141   CYTOPATH, C/V, INTERPRET
                  88142   CYTOPATH, C/V, THIN LAYER
                  88143   CYTOPATH C/V THIN LAYER REDO
                  88147   CYTOPATH, C/V, AUTOMATED
                  88148   CYTOPATH, C/V, AUTO RESCREEN
                  88150   CYTOPATH, C/V, MANUAL
                  88152   CYTOPATH, C/V, AUTO REDO
                  88153   CYTOPATH, C/V, REDO
                  88154   CYTOPATH, C/V, SELECT
                  88155   CYTOPATH, C/V, INDEX ADD-ON
                  88160   CYTOPATH SMEAR, OTHER SOURCE
                  88161   CYTOPATH SMEAR, OTHER SOURCE
                  88162   CYTOPATH SMEAR, OTHER SOURCE
                  88164   CYTOPATH TBS, C/V, MANUAL
                  88165   CYTOPATH TBS, C/V, REDO
                  88166   CYTOPATH TBS, C/V, AUTO REDO
                  88167   CYOPATH TBS, C/V, SELECT
                  88172   CYTOPATHOLOGY EVAL OF FNA
                  88173   CYTOPATH EVAL, FNA, REPORT
                  88174   CYTOPATH, C/V AUTO, IN FLUID
                  88175   CYTOPATH C/V AUTO FLUID REDO
                  88177   CYTP FNA EVAL EA ADDL
                  88182   FLOWCYTOMETRY CELL CYCLE OR DNA
                  88184   FLOWCYTOMETRY/ TC, 1 MARKER
                  88185   FLOWCYTOMETRY/TC, ADD-ON
                  88187   FLOWCYTOMETRY/READ, 2-8
                  88188   FLOWCYTOMETRY/READ, 9-15
                  88189   FLOWCYTOMETRY/READ, 16 & >
                  88199   CYTOPATHOLOGY PROCEDURE
                  88230   TISSUE CULTURE, LYMPHOCYTE
                  88233   TISSUE CULTURE, SKIN/BIOPSY
                  88235   TISSUE CULTURE, PLACENTA
                  88237   TISSUE CULTURE, BONE MARROW
                  88239   TISSUE CULTURE, TUMOR
                  88240   CELL CRYOPRESERVE/STORAGE
                  88241   FROZEN CELL PREPARATION
                  88245   CHROMOSOME ANALYSIS, 20-25
                  88248   CHROMOSOME ANALYSIS, 50-100
                  88249   CHROMOSOME ANALYSIS, 100
                  88261   CHROMOSOME ANALYSIS, 5


L:CCS/SCG01.xls
                                             PHYSICIAN           59
                                      Service Code Grouping 01
                  88262   CHROMOSOME ANALYSIS, 15-20
                  88263   CHROMOSOME ANALYSIS, 45
                  88264   CHROMOSOME ANALYSIS, 20-25
                  88267   CHROMOSOME ANALYS, PLACENTA
                  88269   CHROMOSOME ANALYS, AMNIOTIC
                  88271   CYTOGENETICS, DNA PROBE
                  88272   CYTOGENETICS, 3-5
                  88273   CYTOGENETICS, 10-30
                  88274   CYTOGENETICS, 25-99
                  88275   CYTOGENETICS, 100-300
                  88280   CHROMOSOME COUNT: ADDITIONAL
                  88283   CHROMOSOME BANDING STUDY
                  88285   CHROMOSOME COUNT, ADDITIONAL
                  88289   CHROMOSOME STUDY, ADDITIONAL
                  88291   CYTO/MOLECULAR REPORT
                  88299   CYTOGENETIC STUDY
                  88300   SURGICAL PATH, GROSS
                  88302   TISSUE EXAM BY PATHOLOGIST
                  88304   TISSUE EXAM BY PATHOLOGIST
                  88305   TISSUE EXAM BY PATHOLOGIST
                  88307   TISSUE EXAM BY PATHOLOGIST
                  88309   TISSUE EXAM BY PATHOLOGIST
                  88311   DECALCIFY TISSUE
                  88312   SPECIAL STAINS
                  88313   SPECIAL STAINS
                  88314   HISTOCHEMICAL STAIN
                  88318   CHEMICAL HISTOCHEMISTRY
                  88319   ENZYME HISTOCHEMISTRY
                  88321   MICROSLIDE CONSULTATION
                  88323   MICROSLIDE CONSULTATION
                  88325   COMPREHENSIVE REVIEW OF DATA
                  88329   PATH CONSULT INTROP
                  88331   PATH CONSULT INTRAOP, 1 BLOC
                  88332   PATH CONSULT INTRAOP, ADDL
                  88333   PATH CONSULT CYTOL EXAM INITIAL SITE
                  88334   PATH CONSULT CYTOL EXAM EA ADD SITE
                  88342   IMMUNOHISTOCHEMISTRY
                  88346   IMMUNOFLUORESCENT STUDY
                  88347   IMMUNOFLUORESCENT STUDY
                  88348   ELECTRON MICROSCOPY
                  88349   SCANNING ELECTRON MICROSCOPY
                  88355   ANALYSIS, SKELETAL MUSCLE
                  88356   ANALYSIS, NERVE
                  88358   ANALYSIS, TUMOR
                  88360   TUMOR IMMUNOHISTOCHEM/MANUAL
                  88361   IMMUNOHISTOCHEMISTRY, TUMOR
                  88362   NERVE TEASING PREPARATIONS
                  88367   MORPHOMETRIC ANAL COMPUT ASSIST TEC
                  88368   MORPHOMETRIC ANAL MANUAL TEC
                  88371   PROTEIN ANALYSIS/WESTERN
                  88372   PROTEIN ANALYSIS W/PROBE
                  88380   MICRODISSECTION LASER CAPTURE


L:CCS/SCG01.xls
                                              PHYSICIAN                 60
                                       Service Code Grouping 01
                  88381   MICRODISSECTION MANUAL
                  88387   MACRODISSECTION, PREP, EACH TISSUE PREP
                  88388   MACRODISSECTION, W TOUCH IMPRINT
                  88399   SURGICAL PATHOLOGY PROCEDURE
                  88720   BILIRUBIN TOTAL TRANSCUT
                  88740   TRANSCUT CARBOXYHEMOGLOBIN
                  88741   TRANSCUT METHEMOGLOBIN
                  88749   IN VIVO LAB SERVICE
                  89050   BODY FLUID CELL COUNT
                  89051   BODY FLUID CELL COUNT
                  89055   LEUKOCYTE ASSESSMENT, FECAL
                  89060   CRYSTAL IDENTIF LIGHT MICRO
                  89125   SPECIMEN FAT STAIN
                  89160   EXAM FECES FOR MEAT FIBERS
                  89190   NASAL SMEAR FOR EOSINOPHILS
                  89220   SPUTUM SPECIMEN COLLECTION
                  89230   COLLECT SWEAT FOR TEST
                  89240   PATHOLOGY LAB PROCEDURE
                  90371   HEP B IG, IM
                  90375   RABIES IG, IM/SC
                  90376   RABIES IG, HEAT TREATED
                  90384   99 RH IG, FULL-DOSE, IM
                  90385   RH IG, MINIDOSE, IM
                  90389   TETANUS IG, IM
                  90461   INADM ANY ROUTE ADDL VAC/TOX
                  90471   IMMUNIZATION ADMIN
                  90585   BCG VACCINE, PERCUT
                  90586   BCG VACCINE, INTRAVESICAL
                  90632   HEP A VACCINE, ADULT IM
                  90633   HEP A VACC, PED/ADOL, 2 DOSE
                  90636   HEP A/HEP B VACC, ADULT IM
                  90645   HIB VACCINE, HBOC, IM
                  90646   HIB VACCINE, PRP-D, IM
                  90647   HIB VACCINE, PRP-OMP, IM
                  90648   HIB VACCINE, PRP-T, IM
                  90649   HUMAN PAPILLOMA VIRUS VACCINE QUADRIVALENT
                  90650   HUMAN PAPILLOMA VIRUS VACCINE BIVALENT
                  90654   FLU VACCINE NO PRESERV, ID
                  90655   FLU VACCINE, 6-35 MO, IM
                  90656   FLU VACCINE NO PRESERV 3 & >
                  90657   FLU VACCINE, 6-35 MO, IM
                  90658   FLU VACCINE, 3 YRS, IM
                  90660   FLU VACCINE, NASAL
                  90664   FLU VACC PANDEMIC INTRANASAL
                  90666   FLU VAC PANDEM PRSRV FREE IM
                  90667   FLU VAC PANDEMIC ADJUVANT IM
                  90668   FLU VAC PANDEMIC SPLT IM
                  90669   PNEUMOCOCCAL VACC, PED<5
                  90670   PNEUMOCOCCAL VACC, 13 VALENT
                  90675   RABIES VACCINE, IM
                  90680   ROTAVIRUS VACCINE, PENTAVALENT, 3-DOSE ORAL
                  90681   ROTAVIRUS VACCINE, 2-DOSE ORAL


L:CCS/SCG01.xls
                                             PHYSICIAN               61
                                      Service Code Grouping 01
                  90690   TYPHOID VACCINE, ORAL
                  90691   TYPHOID VACCINE, IM
                  90692   TYPHOID VACCINE, H-P, SC/ID
                  90693   TYPHOID VACCINE, AKD, SC
                  90696   DTAP-IPV VACCINE, 4 YRS THRU 6 YRS
                  90698   DTAP-HIB-IP VACCINE, IM
                  90700   DTAP VACCINE, IM
                  90701   DTP VACCINE, IM
                  90702   DT VACCINE < 7, IM
                  90703   TETANUS VACCINE, IM
                  90704   MUMPS VACCINE, SC
                  90705   MEASLES VACCINE, SC
                  90706   RUBELLA VACCINE, SC
                  90707   MMR VACCINE, SC
                  90708   MEASLES-RUBELLA VACCINE, SC
                  90710   MMRV VACCINE, SC
                  90712   ORAL POLIOVIRUS VACCINE
                  90713   POLIOVIRUS, IPV, SC
                  90714   TETANUS & DIPHTHERIA TOXOIDS (TD) ABSORB
                  90715   TDAP VACCINE >7 IM
                  90716   CHICKEN POX VACCINE, SC
                  90717   YELLOW FEVER VACCINE,SC
                  90718   TD VACCINE > 7, IM
                  90719   DIPHTHERIA VACCINE, IM
                  90720   DTP/HIB VACCINE, IM
                  90721   DTAP/HIB VACCINE, IM
                  90723   DTAP-HEP B-IPV VACCINE, IM
                  90725   CHOLERA VACCINE, INJECT
                  90727   PLAGUE VACCINE, IM
                  90732   PNEUMOCOCCAL VACCINE
                  90733   MENINGOCOCCAL VACCINE, SC
                  90734   MENINGOCOCCAL CONJUGATE VACCINE
                  90740   HEPB VAC DIALYSIS/IMMUN (40MCG) 3DSE I/M
                  90743   HEP B VACC ADOL 2 DOSE IM
                  90744   HEPB VACC PED/ADL 3 DSE IM
                  90746   HEP B VACCINE, ADULT, IM
                  90747   HEPB VAC DIALYSIS/IMMUN (40MCG) 4DSE I/M
                  90748   HEP B/HIB VACCINE, IM
                  90801   PSY DX INTERVIEW
                  90802   INTAC PSY DX INTERVIEW
                  90804   PSYTX, OFFICE, 20-30 MIN
                  90805   PSYTX, OFF, 20-30 MIN W/E&M
                  90806   PSYTX, OFF, 45-50 MIN
                  90807   PSYTX, OFF, 45-50 MIN W/E&M
                  90808   PSYTX, OFFICE, 75-80 MIN
                  90809   PSYTX, OFF, 75-80, W/E&M
                  90810   INTAC PSYTX, OFF, 20-30 MIN
                  90811   INTAC PSYTX, 20-30, W/E&M
                  90812   INTAC PSYTX, OFF, 45-50 MIN
                  90813   INTAC PSYTX, 45-50 MIN W/E&M
                  90814   INTAC PSYTX, OFF, 75-80 MIN
                  90815   INTAC PSYTX, 75-80 W/E&M


L:CCS/SCG01.xls
                                            PHYSICIAN                62
                                     Service Code Grouping 01
                  90816   PSYTX, HOSP, 20-30 MIN
                  90817   PSYTX, HOSP, 20-30 MIN W/E&M
                  90818   PSYTX, HOSP, 45-50 MIN
                  90819   PSYTX, HOSP, 45-50 MIN W/E&M
                  90821   PSYTX, HOSP, 75-80 MIN
                  90822   PSYTX, HOSP, 75-80 MIN W/E&M
                  90823   INTAC PSYTX, HOSP, 20-30 MIN
                  90824   INTAC PSYTX, HSP 20-30 W/E&M
                  90826   INTAC PSYTX, HOSP, 45-50 MIN
                  90827   INTAC PSYTX, HSP 45-50 W/E&M
                  90828   INTAC PSYTX, HOSP, 75-80 MIN
                  90829   INTAC PSYTX, HSP 75-80 W/E&M
                  90853   GROUP PSYCHOTHERAPY
                  90862   MEDICATION MANAGEMENT
                  90899   PSYCHIATRIC SERVICE/THERAPY
                  91010   ESOPHAGUS MOTILITY STUDY
                  91013   ESOPHGL MOTIL W/STIM/PERFUS
                  91020   GASTRIC MOTILITY STUDY
                  91022   DUOD MOTILITY STUDY
                  91030   ACID PERFUSION OF ESOPHAGUS
                  91034   GASTROESOPHAGEAL REFLUX TEST
                  91035   G-ESOPH REFLX TST W/ELECTROD
                  91037   ESOPH IMPED FUNCTION TEST
                  91038   ESOPH IMPED FUNCT TEST > 1H
                  91040   ESOPH BALLOON DISTENSION TST
                  91065   BREATH HYDROGEN TEST
                  91110   GI TRACT CAPSULE ENDOSCOPY
                  91117   COLON MOTILITY 6 HR STUDY
                  91122   ANAL PRESSURE RECORD
                  91132   ELECTROGASTROGRAPHY
                  91133   ELECTROGASTROGRAPHY W/TEST
                  91299   GASTROENTEROLOGY PROCEDURE
                  92002   NEW EYE EXAM & TREATMENT
                  92004   OPHTHALMOLOGICAL SERVICES: MEDICAL
                  92012   EYE EXAM ESTABLISHED PAT
                  92014   EYE EXAM & TREATMENT
                  92015   DETERMINE REFRACTIVE STATE
                  92018   NEW EYE EXAM & TREATMENT
                  92019   EYE EXAM & TREATMENT
                  92020   GONIOSCOPY (SEPARATE PROCEDURE)
                  92025   COMPUT CORNEAL TOPOGRAPHY
                  92060   SENSORIMOTOR EXAM WITH MULTI MEASUREMNTS
                  92070   FITTING OF CONTACT LENS
                  92081   VISUAL FIELD EXAM, UNILAT OR BILAT; LIMI
                  92082   VISUAL FIELD EXAM
                  92083   VISUAL FIELD EXAM; EXTENDED
                  92100   SERIAL TONOMETRY (SEPARATE PROCEDURE)
                  92120   TONOGRAPHY WITH INTERPRET AND REPORT
                  92130   WATER PROVOCATION TONOGRAPHY
                  92136   OPHTHALMIC BIOMETRY
                  92140   PROVOCATIVE TESTS FOR GLAUCOMA,INTERPRET
                  92225   OPHTHALMOSCOPY, EXTEND, RETINAL DRAWING


L:CCS/SCG01.xls
                                            PHYSICIAN                63
                                     Service Code Grouping 01
                  92226   EXTENDED OPHTHALMOSCOPY
                  92230   FLUORESCEIN ANGIOSCOPY WITH INTERPRET
                  92235   FLUORESCEIN ANGIOGRAPHY,INC MULT IMAGING
                  92240   ICG ANGIOGRAPHY
                  92250   FUNDUS PHOTOGRAPHY WITH INTERPRETATION
                  92260   OPHTHALMOSCOPY/DYNAMOMETRY
                  92265   EYE MUSCLE EVALUATION
                  92270   ELECTRO-OCULOGRAPHY
                  92275   ELECTRORETINOGRAPHY
                  92283   COLOR VISION EXAMINATION
                  92284   DARK ADAPTATION EYE EXAM
                  92310   SPECIAL CONTACT LENS FITTING
                  92311   SPECIAL CONTACT LENS FITTING
                  92312   SPECIAL CONTACT LENS FITTING
                  92313   SPECIAL CONTACT LENS FITTING
                  92314   SPECIAL CONTACT LENS RX
                  92315   SPECIAL CONTACT LENS RX
                  92316   SPECIAL CONTACT LENS RX
                  92317   SPECIAL CONTACT LENS RX
                  92325   MODIFICATION OF CONTACT LENS
                  92502   EAR AND THROAT EXAMINATION
                  92504   EAR MICROSCOPY EXAMINATION
                  92506   SPEECH/HEARING EVALUATION
                  92507   TREATMENT OF SPEECH, LANG. VOICE INDIV.
                  92508   TREATMENT OF SPEECH, LANG. VOICE GROUP
                  92511   NASOPHARYNGOSCOPY
                  92512   NASAL FUNCTION STUDIES
                  92516   FACIAL NERVE FUNCTION STUDIES
                  92520   LARYNGEAL FUNCTION STUDIES
                  92526   TREAT OF SWALLOWING DYSFUN AND/OR ORAL
                  92531   SPONTANEOUS NYSTAGMUS STUDY
                  92532   POSITIONAL NYSTAGMUS TEST
                  92533   CALORIC VESTIBULAR TEST
                  92534   OPTOKINETIC NYSTAGMUS TEST
                  92540   BASIC VESTIBULAR EVAL
                  92541   SPONTANEOUS NYSTAGMUS TEST
                  92542   POSITIONAL NYSTAGMUS TEST
                  92543   CALORIC VESTIBULAR TEST
                  92544   OPTOKINETIC NYSTAGMUS TEST
                  92545   OSCILLATING TRACKING TEST
                  92546   SINUSOIDAL VERTICAL AXIS ROTATIONAL TEST
                  92547   SUPPLEMENTAL ELECTRICAL TEST
                  92550   TYMPANOMETRY, REFLEX THRESHOLD MEASURE
                  92551   PURE TONE HEARING TEST, AIR
                  92552   PURE TONE AUDIOMETRY, AIR
                  92553   AUDIOMETRY, AIR & BONE
                  92555   SPEECH AUDIOMETRY THRESHOLD
                  92556   SPEECH AUDIOMETRY THRESH, W/SPEECH REC
                  92557   COMPREHENSIVE AUDIOMETRY THRESHOLD EVAL
                  92559   GROUP AUDIOMETRIC TESTING
                  92560   BEKESY AUDIOMETRY, SCREEN
                  92561   BEKESY AUDIOMETRY, DIAGNOSIS


L:CCS/SCG01.xls
                                             PHYSICIAN               64
                                      Service Code Grouping 01
                  92562   LOUDNESS BALANCE TEST
                  92563   TONE DECAY HEARING TEST
                  92564   SISI HEARING TEST
                  92565   STENGER TEST, PURE TONE
                  92567   TYMPANOMETRY, IMPEDANCE TESTING
                  92568   ACOUSTIC REFLEX TESTING
                  92570   ACOUSTIC REFLEX DECAY TEST
                  92571   FILTERED SPEECH HEARING TEST
                  92572   STAGGERED SPONDAIC WORD TEST
                  92575   SENSORINEURAL ACUITY TEST
                  92576   SYNTHETIC SENTENCE TEST
                  92577   STENGER TEST, SPEECH
                  92579   VISUAL REINFORCEMENT AUDIOMETRY (VRA)
                  92582   CONDITIONING PLAY AUDIOMETRY
                  92585   AUDITOR EVOKE POTENT, COMPRE
                  92586   AUDITOR EVOKE POTENT, LIMIT
                  92587   EVOKED OTOACOUSTIC EMISSIONS
                  92588   COMPREHENSIVE OR DIAGNOSTIC EVAL
                  92590   HEARING AID EXAM, ONE EAR
                  92591   HEARING AID EXAM, BOTH EARS
                  92594   ELECTRO HEARNG AID TEST, ONE
                  92595   ELECTRO HEARNG AID TST, BOTH
                  92610   EVALUATE SWALLOWING FUNCTION
                  92611   MOTION FLUOROSCOPY/SWALLOW
                  92612   ENDOSCOPY SWALLOW TST (FEES)
                  92613   ENDOSCOPY SWALLOW TST (FEES)
                  92614   LARYNGOSCOPIC SENSORY TEST
                  92615   EVAL LARYNGOSCOPY SENSE TST
                  92616   FEES W/LARYNGEAL SENSE TEST
                  92617   INTERPRT FEES/LARYNGEAL TEST
                  92620   AUDITORY FUNCTION, 60 MIN
                  92621   AUDITORY FUNCTION, + 15 MIN
                  92625   TINNITUS ASSESSMENT
                  92626   EVAL OF AUD REHAB STATUS FIRST HR
                  92627   EVAL OF AUD REHAB STATUS EA ADD 15MIN
                  92630   AUD REHAB PRE-LINGUAL HEARING LOSS
                  92633   AUD REHAB POST-LINGUAL HEARING LOSS
                  92700   ENT PROCEDURE/SERVICE
                  92950   HEART/LUNG RESUSCITATION CPR
                  92953   TEMPORARY EXTERNAL PACING
                  92960   CARDIOVERSION ELECTRIC, EXT
                  92961   CARDIOVERSION, ELECTRIC, INT
                  92970   CARDIOASSIST, INTERNAL
                  92971   CARDIOASSIST, EXTERNAL
                  93000   ELECTROCARDIOGRAM, COMPLETE
                  93005   ELECTROCARDIOGRAM, TRACING
                  93010   ELECTROCARDIOGRAM REPORT
                  93015   CARDIOVASCULAR STRESS TEST
                  93016   CARDIOVASC STRESS TEST W/MAX/SUBMAX TREA
                  93017   CARDIOVASCULAR STRESS TEST
                  93018   CARDIOVASCULAR STRESS TEST
                  93024   CARDIAC DRUG STRESS TEST


L:CCS/SCG01.xls
                                             PHYSICIAN                65
                                      Service Code Grouping 01
                  93025   MICROVOLT T-WAVE ASSESS
                  93040   RHYTHM ECG WITH REPORT
                  93041   RHYTHM ECG, TRACING
                  93042   RHYTHM ECG, REPORT
                  93224   ECG MONITORING 24 HRS.
                  93225   ECG MONITORING/RECORDING 24 HRS
                  93226   ECG MONITORING/REPORT 24 HRS
                  93227   ECG MONITORING/PHYSICIAN REVIEW
                  93228   ECG MONITORING/REMOTE 30 DAY REV/REPORT
                  93229   ECG MONITOR/REMOTE 30 DAY REV/REP TECH SU
                  93268   ECG RECORD/REVIEW
                  93270   PATIENT DEMAND SINGLE OR MULTIPLE EVENT
                  93272   ECG/REVIEW, INTERPRET ONLY
                  93279   PACEMAKER DEVICE PROGR EVAL, SINGLE
                  93280   PACEMAKER DEVICE PROGR EVAL, DUAL
                  93281   PACEMAKER DEVICE PROGR EVAL, MULTIPLE
                  93282   ICD DEVICE PROGR EVAL, SINGLE
                  93283   ICD DEVICE PROGR EVAL, DUAL
                  93284   ICD DEVICE PROGR EVAL, MULTIPLE
                  93285   ILR DEVICE PROGR EVAL
                  93286   PRE-OP PM DEVICE EVAL
                  93287   PRE-OP ICD DEVICE EVAL
                  93288   PM DEVICE EVAL IN PERSON
                  93289   ICD DEVICE INTERROGATE
                  93290   ICM DEVICE EVAL
                  93291   ILR DEVICE INTERROGATE
                  93292   WCD DEVICE INTERROGATE
                  93293   PM PHONE R-STRIP DEVICE EVAL
                  93294   PM DEVICE INTERROGATE REMOTE
                  93295   ICD DEVICE INTERROGATE REMOTE
                  93296   PM/ICD REMOTE TECH SERV
                  93297   ICM DEVICE INTERROGATE REMOTE
                  93298   ILR DEVICE INTERROGATE REMOTE
                  93299   ICM/ILR REMOTE TECH SERV
                  93303   ECHO TRANSTHORACIC
                  93304   ECHO TRANSTHORACIC
                  93306   TTE W/DOPPLER, COMPLETE
                  93307   ECHO EXAM OF HEART
                  93308   ECHO EXAM OF HEART
                  93312   ECHO TRANSESOPHAGEAL
                  93315   ECHO TRANSESOPHAGEAL
                  93318   ECHO TRANSESOPHAGEAL INTRAOP
                  93320   DOPPLER ECHO EXAM, HEART
                  93321   DOPPLER ECHO EXAM, HEART
                  93325   DOPPLER COLOR FLOW ADD-ON
                  93350   ECHO TRANSTHORACIC
                  93351   STRESS TTE COMPLETE
                  93352   ADMIN ECG CONTRAST AGENT
                  93724   ELECT ANALYSIS OF ANTITACH PACEMAKER SYS
                  93745   SET-UP CARDIOVERT-DEFIBRILL
                  93750   INTERROGATION VAD
                  93875   EXTRACRANIAL STUDY


L:CCS/SCG01.xls
                                             PHYSICIAN                   66
                                      Service Code Grouping 01
                  93880   EXTRACRANIAL STUDY
                  93882   DUPLEX SCAN OF EXTRACRANIAL ARTERIES
                  93886   INTRACRANIAL STUDY
                  93888   TRANSCRANIAL DOPPLER STDY-INTRACRAN ARTE
                  93890   *04 *05 TCD, VASOREACTIVITY STUDY
                  93892   TCD, EMBOLI DETECT W/O INJ
                  93893   TCD, EMBOLI DETECT W/INJ
                  93922   NONINV PHYSIOL STUDIES OF UPPER/LOWER EX
                  93923   NONINV PHYSIOL STUDIES OF UPPER/LOWER EX
                  93924   NONINV PHYSIOL STUDIES OF LOWER EXT ARTE
                  93925   LOWER EXTREMITY STUDY
                  93926   DUPLEX SCAN LOWER EXTREMITY ARTERIES OR
                  93930   UPPER EXTREMITY STUDY
                  93931   DUPLEX SCAN UPPER EXTREMITY ARTERIES OR
                  93965   EXTREMITY STUDY
                  93970   EXTREMITY STUDY
                  93971   DUPLEX SCAN EXTREMITY VEINS INC RESPONSE
                  93975   VISCERAL VASCULAR STUDY
                  93976   DUPLEX SCAN ARTER INFLW/VENOUS OUTFLW AB
                  93978   VISCERAL VASCULAR STUDY
                  93979   DUPLEX STDY AORTA,INF VENA CAVA,ILIAC VA
                  93980   PENILE VASCULAR STUDY
                  93981   PENILE VASCULAR STUDY
                  93990   DUPLEX SCAN OF HEMODIALYSIS ACCESS
                  94002   VENT MGMT INPATIENT, INITIAL DAY
                  94003   VENT MGMT INPATIENT, SUBSEQUENT DAY
                  94010   BREATHING CAPACITY TEST
                  94011   MEASURE SPIROMET FEF 0-2 YRS
                  94012   MEAS SPIROMET FEF 0-2 YRS PRE/POST BRONCHODI
                  94013   MEAS LUNG VOL 0-2 YRS
                  94014   PATIENT RECORDED SPIROMETRY
                  94015   PATIENT RECORDED SPIROMETRY
                  94016   REVIEW PATIENT SPIROMETRY
                  94060   EVALUATION OF WHEEZING
                  94150   VITAL CAPACITY TEST
                  94200   LUNG FUNCTION TEST (MBC/MVV)
                  94240   RESIDUAL LUNG CAPACITY
                  94250   EXPIRED GAS COLLECTION
                  94260   THORACIC GAS VOLUME
                  94350   LUNG NITROGEN WASHOUT CURVE
                  94360   MEASURE AIRFLOW RESISTANCE
                  94375   RESPIRATORY FLOW VOLUME LOOP
                  94400   CO2 BREATHING RESPONSE CURVE
                  94450   HYPOXIA RESPONSE CURVE
                  94620   PULMONARY STRESS TEST/SIMPLE
                  94621   PULM STRESS TEST/COMPLEX
                  94640   AIRWAY INHALATION TREATMENT
                  94642   AEROSOL INHALATION OF PENTAMIDINE
                  94644   CBT, FIRST HOUR
                  94645   CBT, EACH ADDITIONAL HOUR
                  94664   EVALUATE PT USE OF INHALER
                  94667   CHEST WALL MANIPULATION


L:CCS/SCG01.xls
                                            PHYSICIAN                67
                                     Service Code Grouping 01
                  94668   CHEST WALL MANIPULATION
                  94680   EXHALED AIR ANALYSIS, O2
                  94681   EXHALED AIR ANALYSIS, O2/CO2
                  94690   EXHALED AIR ANALYSIS
                  94720   MONOXIDE DIFFUSING CAPACITY
                  94725   MEMBRANE DIFFUSION CAPACITY
                  94750   PULMONARY COMPLIANCE STUDY
                  94760   MEASURE BLOOD OXYGEN LEVEL
                  94770   EXHALED CARBON DIOXIDE TEST
                  94772   BREATH RECORDING, INFANT
                  95806   SLEEP STUDY, UNATTENDED
                  95807   SLEEP STUDY, ATTENDED
                  95812   EEG, 41-60 MINUTES
                  95813   EEG, OVER 1 HOUR
                  95816   EEG, AWAKE AND DROWSY
                  95819   EEG, AWAKE AND ASLEEP
                  95822   EEG, COMA OR SLEEP ONLY
                  95824   EEG, CEREBRAL DEATH ONLY
                  95827   EEG, ALL NIGHT RECORDING
                  95829   SURGERY ELECTROCORTICOGRAM
                  95830   INSERT ELECTRODES FOR EEG
                  95831   LIMB MUSCLE TESTING, MANUAL
                  95832   HAND MUSCLE TESTING, MANUAL
                  95833   BODY MUSCLE TESTING, MANUAL
                  95834   BODY MUSCLE TESTING, MANUAL
                  95851   RANGE OF MOTION MEASUREMENTS
                  95852   RANGE OF MOTION MEASUREMENTS
                  95857   TENSILON TEST
                  95860   MUSCLE TEST, ONE LIMB
                  95861   MUSCLE TEST, 2 LIMBS
                  95863   MUSCLE TEST, 3 LIMBS
                  95864   MUSCLE TEST, 4 LIMBS
                  95865   MUSCLE TEST LARYNX
                  95866   MUSCLE TEST HEMIDIAPHRAGM
                  95867   MUSCLE TEST CRAN NERV UNILAT
                  95868   MUSCLE TEST CRAN NERVE BILAT
                  95869   MUSCLE TEST, THOR PARASPINAL
                  95870   MUSCLE TEST, NONPARASPINAL
                  95872   NEEDLE ELECTROMYOGRAPHY, SINGLE FIBER
                  95875   LIMB EXERCISE TEST
                  95900   MOTOR NERVE CONDUCTION TEST
                  95903   NERVE CONDUC AMPLITUDE AND LAT/VEL STUDY
                  95904   SENSE NERVE CONDUCTION TEST
                  95905   MOTOR/SENS NERVE CONDUCT
                  95920   INTRAOP NERVE TEST ADD-ON
                  95925   SHORT-LATENCY SOMATOSENSORY, UPPER LIMBS
                  95926   SH-LATENCY SOMATOSENSORY EVOK STUDY LL
                  95927   SH-LATENCY SOMATOSENORY STUDY TRUNK OR H
                  95928   C MOTOR EVOKED, UPPR LIMBS
                  95929   C MOTOR EVOKED, LWR LIMBS
                  95930   VISUAL EVOKED POTENTIAL (VEP) TESTING CE
                  95934   H-REFLEX TEST


L:CCS/SCG01.xls
                                              PHYSICIAN                    68
                                       Service Code Grouping 01
                  95936   H-REFLEX TEST
                  95937   NEUROMUSCULAR JUNCTION TEST
                  95950   AMBULATORY EEG MONITORING
                  95951   EEG MONITORING/VIDEORECORD
                  95953   EEG MONITORING/COMPUTER
                  95955   EEG DURING SURGERY
                  95956   EEG MONITORING, CABLE/RADIO
                  95957   EEG DIGITAL ANALYSIS
                  95958   EEG MONITORING/FUNCTION TEST
                  95970   ANALYZE NEUROSTIM, NO PROG
                  95971   ANALYZE NEUROSTIM, SIMPLE
                  95972   ANALYZE NEUROSTIM, COMPLEX
                  95973   ANALYZE NEUROSTIM, COMPLEX
                  95974   CRANIAL NEUROSTIM, COMPLEX
                  95975   CRANIAL NEUROSTIM, COMPLEX
                  95978   ANALYZE NEUROSTIM BRAIN/1H
                  95979   ANALYZ NEUROSTIM BRAIN ADDON
                  95991   SPIN/BRAIN PUMP REFIL & MAIN
                  95992   CANALITH REPOSITIONING PROCESS
                  96360   HYDRATION IV INFUSION, INIT
                  96361   HYDRATION IV INFUSION, ADD
                  96365   THER/PROPH/DIAG IV INF, INIT
                  96366   THER/PROPH/DIAG IV INF, ADD
                  96367   THER/PROPH/DIAG IV INF, ADD SEQUENT
                  96368   THER/DIAG CONCURRENT INF
                  96369   SC THER INF, UP TO 1 HR
                  96370   SC THER INF, ADDITIONAL HR
                  96371   SC THER INF, RESET PUMP
                  96372   THER/PROPH/DIAG INJ, SC/IM
                  96373   THER/PROPH/DIAG INJ, IA
                  96374   THER/PROPH/DIAG INJ, IV PUSH
                  96375   THER/PROPH/DIAG INJ, NEW DRUG ADD
                  96379   THER/PROPH/DIAG INJ/INF PROC
                  96401   CHEMOTHERAPY ADMIN SUBQ OR IM NON-HORM
                  96402   CHEMOTHERAPY ADMIN SUBQ OR IM HORMONAL
                  96405   CHEMOTHERAPY ADMIN, INTRALESIONAL ≤ 7
                  96406   CHEMOTHERAPY ADMIN, INTRALESIONAL > 7
                  96409   CHEMOTHERAPY ADMIN IV PUSH SINGLE OR INIT
                  96411   CHEMOTHERAPY ADMIN IV PUSH EA ADD
                  96413   CHEMOTHERAPY ADMIN IV INFUS UP TO 1 HR OR INIT
                  96415   CHEMOTHERAPY ADMIN IV INFUS 1 TO 8 HRS
                  96416   CHEMOTHERAPY ADMIN IV INFUS > 8 HRS
                  96417   CHEMOTHERAPY ADMIN IV INFUS EA ADD SEQ 1 HR
                  96420   CHEMOTHERAPY,INTRA-ARTERIAL PUSH
                  96422   CHEMOTHERAPY,INFUSION METHOD
                  96423   CHEMO, INFUSE METHOD ADD-ON
                  96425   CHEMOTHERAPY,INFUSION METHOD
                  96440   CHEMOTHERAPY,PLEURAL CAVITY
                  96446   CHEMOTX ADMN PRTL CAVITY
                  96450   CHEMOTHERAPY, INTO CNS
                  96521   REFILL & MAINT PORTABLE PUMP
                  96522   REFILL & MAINT IMPLANT PUMP OR RESERVOIR


L:CCS/SCG01.xls
                                             PHYSICIAN                   69
                                      Service Code Grouping 01
                  96523   IRRIG OF IMPLANTED VEN ACCESS DEV DRUG DELIV
                  96542   CHEMOTHERAPY INJECTION
                  96549   CHEMOTHERAPY, UNSPECIFIED
                  97010   APPLICATION
                  97012   MECHANICAL TRACTION THERAPY
                  97014   ELECTRIC STIMULATION THERAPY
                  97016   VASOPNEUMATIC DEVICE THERAPY
                  97018   PARAFFIN BATH THERAPY
                  97020   MICROWAVE THERAPY
                  97022   WHIRLPOOL THERAPY
                  97024   DIATHERMY TREATMENT
                  97026   INFRARED THERAPY
                  97028   ULTRAVIOLET THERAPY
                  97032   APPLICATION A MODALITY TO ONE/MORE AREA
                  97033   APPLICATION A MODALITY TO ONE/MORE AREA
                  97034   APPLICATION MODALITY TO ONE/MORE AREA
                  97035   APPLICATION MODALITY TO ONE/MORE AREA
                  97036   APPLICATION MODALITY TO ONE/MORE AREA
                  97039   UNLISTED MODALITY(SPEC TYPE/TIME IF CONS
                  97110   THERAPEUTIC PROC,1 OR MORE AREAS,EA 15 M
                  97112   NEUROMUSCULAR REEDUCATION
                  97113   THERAPEUTIC PROC ONE/MORE AREA 15 MIN
                  97116   THERAPEUTIC PROCEDURE, GAIT TRAINING
                  97124   THERAPEUTIC PROC,1 OR MORE AREAS,EA 15 M
                  97139   THERAPEUTIC PROC,1 OR MORE AREAS,EA 15 M
                  97140   MANUAL THERAPY
                  97530   THERAPEUTIC ACTIV,DIRECT(1ON1)PAT CONTAC
                  97532   COGNITIVE SKILLS DEVELOPMENT
                  97533   SENSORY INTEGRATION
                  95797   RMVL DEVITAL TIS 20 CM/<
                  97598   RMVL DEVITAL TIS ADDL 20 CM<
                  97750   PHYSICAL PERFORMANCE TEST OR MEASUREMENT
                  97810   ACUPUNCT W/O STIMUL 15 MIN
                  97811   ACUPUNCT W/O STIMUL ADDL 15M
                  97813   ACUPUNCT W/STIMUL 15 MIN
                  97814   ACUPUNCT W/STIMUL ADDL 15M
                  99000   HANDLING & CONVEY SPEC TRANSFER
                  99070   SPECIAL SUPPLIES
                  99143   MOD SEDATION SERV < 5 YR FIRST 30 MIN
                  99144   MOD SEDATION SERV ≥ 5 YR FIRST 30 MIN
                  99145   MOD SEDATION SERV EA ADD 15 MIN
                  99148   MOD SEDATION SERV OTHER HC PROF < 5 YR FIRST
                  99149   MOD SEDATION SERV OTHER HC PROF ≥ 5 YR FIRST
                  99150   MOD SEDATION SERV OTHER HC PROF EA ADD 15
                  99170   *00 ANOGENITAL EXAM, CHILD
                  99195   PHLEBOTOMY
                  99201   OFFICE VISIT, NEW, LEVEL 1
                  99202   OFFICE VISIT, NEW, LEVEL 2
                  99203   OFFICE VISIT, NEW, LEVEL 3
                  99204   OFFICE VISIT, NEW, LEVEL 4
                  99205   OFFICE VISIT, NEW, LEVEL 5
                  99211   OFFICE VISIT, EST., LEVEL 1


L:CCS/SCG01.xls
                                             PHYSICIAN              70
                                      Service Code Grouping 01
                  99212   OFFICE VISIT, EST., LEVEL 2
                  99213   OFFICE VISIT, EST., LEVEL 3
                  99214   OFFICE VISIT, EST., LEVEL 4
                  99215   OFFICE VISIT, EST., LEVEL 5
                  99217   OBSERV CARE DISCHARGE DAY MANAGEMENT
                  99218   OBSERVATION CARE
                  99219   OBSERVATION CARE
                  99220   OBSERVATION CARE
                  99221   HOSPITAL CARE, INITIAL, LEVEL 1
                  99222   HOSPITAL CARE, INITIAL, LEVEL 2
                  99223   HOSPITAL CARE, INITIAL, LEVEL 3
                  99224   SUBSEQUENT OBSERVATION CARE
                  99225   SUBSEQUENT OBSERVATION CARE
                  99226   SUBSEQUENT OBSERVATION CARE
                  99231   HOSPITAL CARE, SUBSEQUENT, LEVEL 1
                  99232   HOSPITAL CARE, SUBSEQUENT, LEVEL 2
                  99233   HOSPITAL CARE, SUBEQUENT, LEVEL 3
                  99234   OBSERV/HOSP SAME DATE
                  99235   OBSERV/HOSP SAME DATE
                  99236   OBSERV/HOSP SAME DATE
                  99238   HOSP DISCHARGE DAY MGMT;30 MIN OR LESS
                  99239   HOSP DISCHARGE DAY MAN MORE THAN 30 MIN
                  99241   OFFICE CONSULTATION, LEVEL 1
                  99242   OFFICE CONSULTATION, LEVEL 2
                  99243   OFFICE CONSULTATION, LEVEL 3
                  99244   OFFICE CONSULTATION, LEVEL 4
                  99245   OFFICE CONSULTATION, LEVEL 5
                  99251   INPATIENT CONSULTATION, INITIAL, LVL 1
                  99252   INPATIENT CONSULTATION, INITIAL, LVL 2
                  99253   INPATIENT CONSULTATION, INITIAL, LVL 3
                  99254   INPATIENT CONSULTATION, INITIAL, LVL 4
                  99255   INPATIENT CONSULTATION, INITIAL, LVL 5
                  99281   EMERGENCY DEPT VISIT
                  99282   EMERGENCY DEPT VISIT
                  99283   EMERGENCY DEPT VISIT
                  99284   EMERGENCY DEPT VISIT
                  99285   EMERGENCY DEPT VISIT
                  99291   CRITICAL CARE, FIRST HOUR
                  99292   CRITICAL CARE, ADDL 30 MIN
                  99341   HOME VISIT, NEW PATIENT 20 MIN
                  99342   HOME VISIT, NEW PATIENT 30 MIN
                  99343   HOME VISIT, NEW PATIENT 45 MIN
                  99344   HOME VISIT, NEW PATIENT 60 MIN
                  99345   HOME VISIT, NEW PATIENT 75 MIN
                  99347   HOME VISIT, EST PATIENT 15 MIN
                  99348   HOME VISIT, EST PATIENT 25 MIN
                  99349   HOME VISIT, EST PATIENT 40 MIN
                  99350   HOME VISIT, EST PATIENT 60 MIN
                  99354   PROLONGED SERVICE, OFFICE
                  99355   PROLONGED SERVICE, OFFICE
                  99356   PROLONGED SERVICE, INPATIENT
                  99357   PROLONGED SERVICE, INPATIENT


L:CCS/SCG01.xls
                                             PHYSICIAN               71
                                      Service Code Grouping 01
                  99358   PROLONG SERVICE W/O CONTACT
                  99359   PROLONG SERV W/O CONTACT ADD
                  99360   PHYSICIAN STANDBY SERV, REQ PROL ATTENDA
                  99464   ATTENDANCE, BIRTH
                  99465   NEWBORN, RESUSCITATION
                  99466   PED CRIT CARE TRANSPORT
                  99467   PED CRIT CARE TRANSPORT ADDL
                  99477   NICU CARE EVAL & MANAG ≤28 DAY NEONATE




L:CCS/SCG01.xls

								
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